HomeMy WebLinkAbout96-00868
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,...t .t 11: pcllllon 0 Ill' UIl cr~lglll:" rc\pCCI 1I Y lCprc'CIll\ I Hit:
..;~ ,Yollr pelilioll~r(s), who is/arc IN )'ears of age ~'.' ,~~der all the e,\eCIII.Qr~__.___
C\J ~ ~1Il rhe las,l ~"III 01 the ahme dece,!enl, daled --,d\..-1~L
~ t'. ~"\~ ",'lIld eodIClI(s) daled____~_ --------
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,g k '-~ DecendelllW,I\ dOllliciled nt de,nh in C1ll1bcrlnnd COllnl)'. l'enl1\)'lvania. with
o o~~ h~_ 101" Jjuni\)' or principal resideuce OIl '1Jr; "PD-.l.fr;LllQ.illL....J1illlhD.n ic s lmrc;,
Cl' '- ~ PA 170:;2 U';onroo 'roHnship)
~; ,~ (li'l 'IH'cl, Illllllhl'r ,lIld IIIUnCil'.IIiI)"1
, ~N\ Deeendelll.lhen 811 )'ears of age, died September Ie , , 19 q6 ,
~~~., al Renovn Centor, Hochnnicnburr;. PA in 1,OH('r Allen Tmmnhip ,
,_ ."1 ,~ Excepl as foll","s, deeedenl did not marr)', wa' nol divorced and did not have a child born or adopted
fl ~ ~after execlllion of the will offered for prohate; was not Ihe victim of a killing and was neVer adjudicated
~~ ,c: incompetent:
R Jl Deeendenl at denth owned propert)' wilh eslimmed val lies as follows;
(If domiciled in I'a,) All personal propert)' S
(If nOI domiciled in I'a,) l'ers0l1:l1 propert)' in l'enl1\)'lvania S
(If nol domiciled in Pol,) Personal propert)' in Conlll)' S
Valnc of real estale in l'enl1\)'lvania S l~ 0, OUO. 00
,itna!Sd a' follow,; House nnrl l)nrcel of' Innd locutor! in !:onroo TO'.mship,
B'> Eppley HoneL !:ecl:nni,cs',ul'r. PA 170S"
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PETITION FOJ{ PlmnATE and (;J{ANT OF LETTEI{S
0<.\ -:- Y lQ_= &1.::>_8. __
No,
To;
I(eghlel of Wills for Ihe
CUlIllI)' of ~;'~:ll_:.'..:J?J.!~DiL- in the
l'ollllllon\\'l'illlh of I'euu'yl\'ania
nanu:d
.19-12-
171),000.00
WHEREFORE. petilioner(s) re,peclfully
pre,ented herewith and the grant of !ellcrs
reque,I(') Ihe probalc of the lasl will and eodicil(s)
'rnstmnnntf11"Y
(IC,(;IIlll'l1lilIY; mll1lini\lr;llion ,:.1.01,; ilJmini'!T;lliUII d,h.n.c.l,U,)
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OATH OF PEI{SONAL REPRESENTATIVE
COMMONWEALTII OFI'ENNSYLVANIA
COUNTY OF ...J,;1TH'E!1T.:\l:n
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The pelitioner(,) aho\'e-named ,wear(s) or affirm(,) Ihallhe sHllements in the foregoing pelition arc
Irlle ,lIId eurreLl IU Ihe hesl of the knowledge ami helieI' of petilioner(,) and Ihal as personal repre'en-
Ialive(s) of the aho\'e decedenl petitiuner(s) will well and truly adminhler Ihe e'lale ,Iccording 10 law,
Sworn to or alTirn~ed 1II1l1 suhscrihed l~lli~.Iili(~.- .. '"
hefore me Ihis _2~_-c ,_ daX uf ~_\.!~ .~-,,-.....\.,~."-".j, ~'
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3757798
No.
"Il/tUJM., /,11
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF tIEALIII. VITAL RECOADS
CERTIFICATE OF OEATH
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\XCI\X"'IIMIl.INQ.clllllSI~_C..,......_,,,(....JlllCi~1 - pennllo lvan 1 a u.Kl____.._ Monr.oe
735 Eppley Road ::~~'d u. w____._. u___.__._ ~.._ _ .___.___n___
I' Hechanicsburg.Pa 11055 n ~~::':"'n~ ClIAlberhlld :;:.::., u.II:::':.-:::':::.. .__,..._
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Uaml,\ """.11 Musselman... _._.. 468 J!ernhet ser Bridge Roa1: Car1fs~. Pa /7013
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;;::-IJ -"_',~____._......II !l. Sept. ZO. 1996 ,Slate 11111 Cemetery "Camp 11111. Pa 17011
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LT\ST lULl. T\ND TIlSTT\Mr.NT OF RUTH G. HUSSELMT\N
I, RUTII G. MUSSF.LMI\N, of Monroe Township, Cumber-
land County, Pennsylvania, being of sound and disposing
mind, memory and understanding, do make, publish and declare
this to be my Last will and Testament, hereby revoking and
making void all former Wills by me at any time heretofore
made.
1.
I direct the payment of all my just debts and
funeral expenses as soon as convenipntly may be after my
decease.
2.
All the rest, residue and remainder of my estate,
real, personal and mixed, whatsoever and wheresoever situate,
I give, devise and bequeath to my beloved husband, Russell
C. Musselman, to his own use and benefit absolutely.
3.
In the event, however, that my said husband should
predecease me, or should die at about the same time as I do,
such as in a disaster common to both of us, I give, devise
and bequeath my said estate to my son, Harold R. Husselman.
4.
LT\STLYr I nominate, constitute and appoint my hus-
band, Russell C. Musselman, to be the Executor of this, my
,
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D NO. AA
146972
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COMMONWEALTH OF PENNSYLVANIA
DlPARTMENT OP REVENUE
OFFICIAL RECEIpt' . PENNSYLVANIA INHERITANCE AND ESTATE TAX
RECEIVED FROM:
I
ACN
ASSESSMENT r:t
CONTROL IiiI
NUMBER
AMOUNT
HAROLD R. MUSSEI/oolAA
101 .lv,Ovv.VO
468 BERNHEISEL BRIDGE ROAD
CARLISLE, PA 17013
'OlDH'"
ESTATE INFORMATION,
I!:'I FilE NUMBER
li1 21-1996-0860
I!:'I NAME OF DECEDENT (lAST]
~ MUSSELMAN RUTH G
II DATE OF PAYMENT
m POSTMARK DATE
COUNTY
SSN 192-30.'0951
(FIRST] IMI)
CUMBERLAND
DATE OF DEATH
ra TOTAL AMOUNT PAID
SI0,OOO.00
SK
REMARKS
HAR(1LD R MUSSELMAN
SEAL
CHECK" 2
RECEIVED BY l', " , {!1.PAl~ ,O/?V
, SIQNAlUIfE fI~' , " l'
/ ,;f j I ')/iL7"~
MARY C. LE' IS "...' , ili:' j , ",'I
REGISTER OF WILLS '
REGISTER OF WILLS
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I\;<"'~:". ' >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH
Under penalli., 01 perjury, I declare Iholl hove 'Ilomined Ihis UtlUfn '. includin:r DecamP. 011)'ln9 uhedulel and ,Ialemanh, and 10 the bel' Ol.m. ~nOWledg. a.nd beli.f,
it is Irue, coued and compl.te, I declor. Ihol all r.fll e,lole hOI been lOpOlll' DIIIUl! morltel value, O.darolion of preporer othe, thon Ih~l!1l 10'\01 r\p~'fnloli.... i.
based on 01 n rmalion of whkh prepore, hal Dny knowledgt', "i. ~j.L\ \'~
" AlU"' ". 0"''''''0' """0011"",' AUO"" nDfI'-nOl'n1lO1ifCl-ni'lClgoHO:lU--- ii i. J\ - - -
CUl'1iolc,-lV.--17D13
ADD"," 'jurjce t "qUare 131d
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lOA DAlISO' DIAIIIAnlA 12'31191 ClUCK IUAI
II A SPOUSAL
pOVlAn CAIDIIIS CLAIMID I I
IILI NUMBIR ;!l-':'(,-(Ji'Mr
1 ')')(, VIA" ()O1l60 UU~BfR
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'(3~ j';pp1oy Bond
Houhunlcnbul'fS, I'A
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I I J. Remnindllr RIMn
(lor dnl" of death prior 10 12.13.821
r.J s, Fed.ral E"ale loJ!. Relurn Requir.d
L 9, Tolol Numbe, of 50f. Deposit Bo.....
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
(OMMOttW(MlIl or ..rrlt'~.I~AIU"
lJrr"IIIM(U1 u. At \lWU(
Olf't 1I0tMlI
IlAUI!lIUIO, rA 11171 ObOI
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coUtm CQUE
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1, R.ol E,'ot. ISch.dul. AI
2, Stock. ond 80nd. (Sch.dul. B)
3. Clo"ly Held Stock/Partnership Inler..1 (Schedule q
.4, Mortgag'. and Nol" Receivable (Schedule 0)
5, COlh, Bonk Clpoli" & MilcellaneouI Penonal Properly
(Sch.du1. EI
6. Jointly Owned Property (Schedule F)
7, lron.',,, ISch.dul. GI(Sch.dul. II
8. Tolol Gran Au.h (Iolollin.. 1.71
9. Funeral Expense., Administrative COlh. Miut'lIaneouI
EJlpenses ISchedule HI
10, Oebh, Mortgage liobilitiel, lienl (Sthedule II
11. Tolol Oedudions (total line I 9 & lOJ
12. Net Value of Eslote (line 8 minUI line III
13, Charitable and Governmenlal Bequesh (Schedule J)
lA, Net Value Sub led 10 Tex (line 12 minuI line 13)
1 120 000.00
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12) __.._______~~~_~,
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141 _ ____ __()_._OQ.
(5) . ______..l31.19_~1J._.Wt
161____~12..!.055.29
171 ____________-2_.90
I? I _____ 13_, 266,39
(10) _____ _____ __0.00
(111
(12)
(131
(141
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(161 _ __..__~_?..QJOOJ..Jttx ,06.
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15, Spousal Tronsfe,. (for dotes of death oher 6,30.941
See Inslructions for Applicable Percenlage on Reverie
Side, (Indude values from Schedule K or Schedule M,)
16, Amounl of line 14 laltable at 6% lale
(Indude values from Schedule K or Schedule M,)
17, Amount of line 14 laxable 01 15% fate
(Indude values from Schedule K or Schedule M,I
19, Principal tax due (Add lox from linel IS, 16 and 17.)
19. Credill Spousal Poverly Credit Prior PUlmenh Diuounl
0.00 + _1~.QQ9..!_OP-..500...9.9_
Inleflut
(171 ___ ..___d_
0.00 x ,15.
20, If line 19 is grealer Ihon line 18, enler Ihe difference on line 20. This Is the OVERPAYMENT,
aD
21. If line 18 Is greater than line 19, onler the diUerence on line 21. This iltho TAX DUE,
A, Enter Ihe inter.s' on ,he bolonce due on line 21 A,
8, Enter Ihelolol of line 21 and 21A on lino 21B, This is ,he BALANCE DUE,
Malee Check Payabl. tal Regllter of Willi, Agent
Check here I yau otO rvquvsllng a rvfund of your ovorpaymont,
17055
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181
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6,900.20
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6,200,20
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Acl '48 011994 provldos lor Iho roducllon 01 Iho laIC ralo. Impolad on Ih. n.I vDlu. 01 Irand.rl 10 or lor
Ih. UI. 01 Ih. IpOUI.. Th. ral.1 01 pralcrlbod bV Iha IIalulo will b.l
. 3% (.03) will b. appllcablo lor 0110101 01 docodonll dying on or altor 7/1/94 and b.lor. 111/96
. 2% (.02) will b. appllcabl. IDr .110101 DI d.c.donll dying an or allor 1/1/96 and b.loro 1/1/97
. 1% (.01) will b. appllcablo lor 0110101 01 docod.nll dying on Dr all.r 1/1/97 and b.lor. 1/1/98
. Spoulal Irand.,. occurring an or all or 1/1/98 will bo olCempl from Inh.rltanc. laIC.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS.
YES NO
1. Did docedenl make D IrDnsler ~lOd:
D. rslaln lhe use Dr IncDme 01 Ihe properly Iransferred, .......................................................
b. relaln Ihe righllD dosignDle who shall use Ihs properly IrDnsferred or Its incDme, ...............
c, rslaln a reverslonDry Inleresl; or ...................................................................................
d. recelvs Ihe promise far life of either pDyments, bsneflts or corsi .......................................
2. If dealh Dccurred an or before December 12, 1982, did decedent within Iwo ysars precsdlng
deDlh IrDnsfer properly wlthDut receiving adequDle conslderationi If deDlh Dccurred Dfter
December 12, 1982, did decedenllransfer properly wilhin one yeDr of death without receiving
adequate consideration'............"...,..,............,.....,.....,.,.....,."..,....."...........,.............,......
3. Did decsdent Dwn Dn 'in IrusllDr' bank account DI his or her dsalhi......................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
"
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COMMONWfAltIt 0' PfHH'''VANIA
INHllltANCI rAIC InUIN
"'IDINr DleIDIN'
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Ploola Print or T .
FilE NUMBER 21-96-0 60-State
1996-00060-county
nu'rll G. l,ruSSELIIAII
(All pftpttty Jolntly.own,d with the Righi of Su,...I...o"hlp mull b, dlulo..d on Sch.dul. "
ITEM DESCRIPTION VALUE AT
NUMBER DATE OF DEATH
1. Hellon Bank, II. A. , ChecJ(ing Account No. 1l~2-107-
2628. $ .3,225.20
2, Nollon Bank, II. A. , Certificate of Deposit No.
00.3l~6698 . 65,689.55
3. PNC Bank, N. A., Certificate of Depoeit No. 44,%75.69
21001012684.
4. 1992 Dodge "Caravan" van. 12, 00.00
5. u. s. currency looated in decedent's Safe Deposit
Box at the Meehaniesburg, Pennsylvania Office 12,604.00
of PNC Bank, N. A.
~H~Note decedent's household furnishings were
sora prior to her death, therefore there is
no inclusion of such property horein.
TOTAL (AlIa onlnr on lino S, Roca i1ulollon) S 137,994.44
IAlloch addillonal oVa" )( II" sh..IS If more spac. Is n..d.d,)
IIVlSOtU.IIIUI
~
SCHEDULE F
JOINTLY.OWNED PROPERTY
ESTATl Of
COMMONwrAUH 0' PrNNS't'lVAUIA
INtlUIIANCI tAX ."UIU
UIIOrNf oleroun " ,,' .-- , --.----~_._-
_-'-- --------------,-------------------- ---- -- FILE NUMBER 21-96-0060-Stlltc
111JTIl 0. __~~~j~,J_:I~~_~_____________ _ _ __ _______ ____ _______~9_96 - ooU6 O-C oun t
Jolnt'"nanl(.11
--------_.._.-~.
NAME
A. '
JIAROU) n. HUSSEr.lI/dl
-----^
_____________~P.PRE~~,-- _____
1,(,0 Bornhol[\ol Ih'ldgo nO
CIl1-11010, I'A 1701).
RELATIONSHIP TO DECEDENT
Son
B.
c.
"
ITEM LmER DATE
FOR TOTAL VALUE DECO'S DOLLAR VALUE OF
NUMB!:I JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. A. 11/6/ Fllrmors Trust comPllnr
1995 (Finllncia1 Trust Corp
Certificllto of Dopooit 45,0~5.29 10~ $ 1~5, 055 .29
110. 117~19.
TOTAL (Aha onlor on lino b, Rocopilulotion) 5 45,055.29
Jolntly.awnld p'OplrtYI
(If more space is needed inlert additional slleofs 01 same size'
'1.,11111.'1''''
nU'l'Jl n. IImj:1~':r,I1^"
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLAN.EOUS EXPENSES... . PI.al. Print or Typ.
------~~ FilENUMiiER21_<J-(;::'OOl;U_3 t.~to
..__ _.____.__~~()<J(,-00G60-Colln~y
~. .:~1. OJ
~~Nw.:;!'
COMMOHW[AUH or rnHf!lnVAtuA
IUllflllTAUC( I.U R( IURU
R(_~l!!rul E!(,~ ()(f~I _.. ._.. __
ESTATE OF ..
ITEM
NUMBER
A.
1.
DESCRIPTION
AMOUNT
Fun..al Exp.n....
Hyors FllnOl'n 1 llOlno,
Jlochanicoburr;, PA
Inn., 37 E. HaIn 3tl'OOt,
17055, funeral oxponso3.
i~
6,373.70
1.
B. Admlnlltratlv. Casll:
0.00
2.
Personal Representative Comrninioll'S - ]Jono
Social Security Number of Pe"onul Rep,e,enluti.e:
Year Commi..ion, paid __
Allorney Fee, J. nobert Stauffor, Esq., attorney's fee.
6,250.00
3. Family Exemption
Claimant
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
H/A
Relotion,hip
Add,e.. of Claimant 01 decedenl" dealh
Sl,eet Add,e..
City
Slale
Zip Code
P,obale Fee, neBister of Hills of Cumbel'land County,
Pennsylvania, TJotters Testmnontary.
Mlsc.llan,oul Expense..
Cumborland LaH JOUl-nal, Estate Hotico.
293.00
60.00
40.00
64.69
Lois Eichelberger, laHn caro, final bill.
The Sentinel, Estato Notice.
negister of Hills, fIling Inventory and Pennsylvanl
Inhoritance Tax noturn.
negister of \Hlls, filine; Account.
25.00
120.00
TOTAL (AI,a enle, on line 9, Recapitulalion)
(If mare spac. II n.ed.d, Ins..t additional sh.ets of lam. sI...)
s
13,266.39
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
n:
llAHOT.D Il. llUmmr,l1J\lI
~\1orn d' I d d h h 10 tho E"o,;utol'
being duly .__-.!c_..._. . nccor 109 to .w, "po.e..n '.Y' t"' e ..:.-----.-.-..--.. ._- -
__.._..___.... _ . . of Ihe Ed.le of _ nuth G. !julIllollOan
1.1. 01 _..H.Ol1l'OO '1'oHI1I)h1p _ h_' Cumberl.nd County, 1'.., doc.u.d and th.t tho
within II .n inv.ntnry m.de by ,.h. Jf/ll'olA n ._1 ~l!I!s.oll1~~!! _.' ...._, the uid gxocutor
01 the .ntire o".le 01 uid d.c.donl, con,i.tinq of .11 the p.rlon.1 prop.rly .nd r..1 ..hl., exc.pt r..1 ....1. ouhld.
Ih. Cemmonw..lth of Penn.ylvani., .nd Ih.1 Ihe figure. oppo.ite e.ch item 01 the Inv.ntory r.prOl.ntlt'l f.ir v.lu.
as of tho d.l. 01 d.cedent'. de.th.
SI'lOrn
.nd .ub.cribed beler. me,
\l9~ Q '\~-
~.,
:L(.
)
19511J_
. ---+._---
eucutor . JlfldIriUJUUiX
1~60 BOl'nheiool Brid60 noad
Cnr11nlo, PA 17013
Addr...
DaI. of D..th __18 ____ _..._______._Soptombor
Day Month
1996
Yu,
INSTRUCTIONS
I. An inv.ntory must b. filed within three month. .lter .ppolnlment of perlon.l r.pr.sent.tiv..
2. A suppl.m.nt inventory mu.1 bo filed within thirty deYI of di.cov.ry of .ddition.1 ....h.
3. Addition.1 .h.els m.y b. attached as 10 perlon.lly or re.lly
4. Se. Articl. IV, Fiduci.ri.1 Act of 1949.
p .,;
~ w .rl G>
.c ~
~ 3 '"
~ W t'l ..
l1. ~.' ~ u
,., G>
0 VI ~' ..
0 w w ~I c- o '"
:r: ~ ,', 0 '"
I- l1. -' u. t,l E-' l1.
t- '"
Z u. -' ~ 0 l1.
W 0 <( tIl Q) ,;.
> Z ~ III 0 .
,::) ~, c
Z 0 0 1.- ~: "
V1 Z ' .~ a
a ~ 0 U
<( . . ...
Z w . .:..
l1. d -a
c
'"
In - -;:
fo, 0 ..
" .a -a ... I
" .. E .! a
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'" " a
I -' U Ii: lD
1
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I
t
I
,
,
I
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f-'OlDHU'
-, ,-'"
D NO. AA
185025 COMMONWEALTH OF PENNSYLVANIA
DIPARlMINT 0' RIVINUI
OffiCIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
'*
t.VoI..,h"""
RECEIVED FROM:
i
ACN
ASSESSMENT P:'I
CONTROL .:tI
NUMBER
AMOUNT
J ROBERT STAUFFER ESIJUIRE
101
'O,'YOO.f!O
~IARKET SQUARE Elll I L 0 I NG
MECHANICSBURG, PA 17055
'CXOHftI
ESTATE INfORMATION:
I:lI filE NUMBER
5i 21-1996-0868
1:1 NAME Of DECEDENT (LAST)
~ MUSSELMAN RUTH G
I!'I DATE Of PAYMENT
Iii 12/31/96
m POSTMARK DATE
COUNTY
SSN 192-30-0951
(FIRST)
(MI)
CUMBERLAND
DATE Of DEATH
09/18/96
REMARKS HAROLD R MUSSELMAN
CIO J ROBERT STAUFFER
SEAL CHECKtI 6
*This receipt:is replacing -
Receipt ^^ IB~017
m TOTAL AMOUNT PAID
$6,900.20
DO
ESQUIRE
,I'," _. ,-" ,~'J
ECE VED BY , _f'i.,1 ',,-, r ~ II ~ I .,,,.
R I '. ,..'.. '" .I.' <.". -,.-C/
<. $IGNAURf ) /. I I
" ('/ ~I\.' ~
~~~rsfERLg~I~ILLS '.. I. I'.' ';;-
-- - - -- -- -- --- ---__ ___ ._ - --0.- ___
REGISTER OF WILLS
, .
,
.j..
..---
,
~.--:" ...AI1I
",-i-.. ..,.'.
- ,
----- --.....
....
;[3--/j(, -3
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INIlt:RIUHC[ 1All DIVISION
P[P'. 180&01
IlARAISaURG, PA 111~II'OhDI
NOTICE OF INIIERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT or TAX
J ROBERT STAUFFER ATTV
MARKET SQUARE BLDG
MECHANICSBURG PA 17055
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-1(,-97
MUSSELMAN
09-18-96
21 96-0868
CUMBERLAND
101
f
Anount R...lthd
~
~~~
IltflP
11'.1'" I. au 111"1
RUTH
G
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..
iiE'v: i5'4j-E'iC" FP--i iii-:im--iiei'ficE--ciF--iNHEiiifAN-cE-YAin iPPRAisEii€ii'r;-"Li:ciwAi.fcE-oli--_m__mmm
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MUSSELMAN RUTH G FILE NO. 21 96-0868 ACN 101 DATE 04-14-97
If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of ahh returns assessed to date.
ASSESSMENT OF TAX:
15. Anount of Lin. 14 at Spousal ~.t. 115)
16. Anount of line 14 taxable at Lin.al/Cla.s A rat. 1161
17. Anount of line 14 taxable at Collateral/Cla.s 8 rat. (17)
18. Principal Tax Du.
TAX RETURN WAS, (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Est.te (Schedule AJ (1)
2. Stocks and Bondi (Schedula OJ (2)
3. Clos.ly Hald stock/Partnership Intere.t (Schedule C) (3)
4. Hartg.gas/Nota. Rac.ivabl. (Schedule 01 (4)
5. Cash/Bank Deposits/Hisc. Personal Property (Schadule E) (S)
6. Jointly Owned Property (Schedule fJ (6)
7. Transfers (Schedule G) (7)
8. Tot.l Assets
) CHANGED
120.000.00
220.00
.00
.00
137.994.44
45.055.29
.00
(B)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funer.l Expenses/Ada. Costs/Hisc. Expenses (Schedule H) (9)
10. Debts/Hortgage liabilities/liens (Schedule I) (10)
11. Tot.l Deductions
12. Net V.lue of Tax Return
15. Charitable/Governaental Bequests (Schedule J)
14. Net Value of Est.te Subject to Tax
13,266.39
.00
(1)
(2)
(3)
(4)
NOTE:
.00 X .00=
290.003.34 X .06=
.00X.15=
ua)
TAX CREDITS:
PAYMENT
DATE
11-21-96
12-31-96
DISCOUNT (t)
INTEREST/PEN PAID (-)
526.32
.00
RECEIPT
NUMBER
AA146972
AA185025
AMOUNT PAID
10.000.00
6,900.20
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure proper
credit to your account,
subait the upper portion
of this fora with your
tax pay"ent.
303.269.73
13.?66 39
290.003.34
.00
290,003.34
.00
17,400.20
.00
17.400.20
17 ,426.52
26.32CR
.00
26.32CR
. IF PAID AFTER DATE INDICATED. SEE REUERSE
FDR CALCULATION OF ADDITIDNAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
If TDTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I
,-... ('
to":
II
-'
0'
RESERVAIIDNI E.tat.. of d.c.d.nt. dying on or before D.ce.b.r 12, 198Z .. If any future Int.r..t In the ..tat. I. tran.f.rr.d
In Po.....lon or .nJoy..nt to CIa.. B Icollat.rall b.n.ficlarl.. of Ih. d.c.d.rt aft.r the e~plration of any ..tat. for
lif. or for y.ar., the Co..onw..lth h.r.by ..pr...ly r...rv.. the right to appral.. and a..... tran.f.r Inh.rltanc. la...
at the lawful Cia.. B (collat.rall rata on any .uch future Int.r..t.
pURPOSE OF
NOTICEI To fulfill the nqulre..nt. of S.ctlon 21,.D of thl Inh.rltance and Estat. laIC Act, Act Zl of 199~. 112 P.S.
S.ctlon 91401.
PAYHENTI O.tach the top portion of thl. Notlca .nd .ub.lt with your pay..nt to the Rlgl.t.r of Will. prlnt.d on the r.v.r.. aide.
"Hake ch.ck or .on.y ordlr pay.bl. tal REGISTER OF HILLS, ACENT
REfUND (CAli A r.fund of a t.1C cr.dlt, which was not rlqu..ted on thl TalC R.turn, ..y b. r.qu..t.d by co.pl.tlng an "Application
for Refund of P.nn.ylvania Inh.rltanc. and Estat. ra." IREY.I]I]). Application. .r. avallabl. at the Dfflc.
of the A.gl.t.r of Willa, any of thl Z] R.v.nu. DI.trlct Offlc.., or by C.lllng the 'Plcl.l Z4.hour
an'wlrlng ..rvlc. nu.bera for for.. ord.rlng: In P.nn.ylv.nla 1.800.36Z.Z050, out.ld. Plnn.ylvanla and
within local Harrl.burg .r.a (7171 181.809,., TOO' (1111 l1Z.ZZ~2 IH.arlng lopalrod Only).
OBJECTIONSI Any party In Inter..t not ..tl.fl.d with the .ppral....nt, allow.nc. or dls.llowanc. of d.ductlon., or ........nt
of talC I Including dl.count or Int.r..tl aa .hown on thl. Notlc. .ust obJ.ct within .I.ty (60) day. of r.c.lpt of
this Notice bYI
".wrltt.n prot..t to the PA C.part..nt of Revenue, 80.rd of App.als, O.pt. Z810Z1, Harrl.burg, PA 171Z8.1021, OR
".I.ctlon to h.v. the ..tt.r d.t.r.ln.d at audit of thl .ccount of the p.r.on.l npn..nt.tlv., OR
..app.al to the Orphan.' Court.
ACHIN
ISTAATIVE
CQRAECTIOHS:
ractu.l .rror. dl.cover.d on thla a.......nt .hould b. addr....d In writing tal PA OIPart..nt of A.venu.,
Bur.1IY of Indlvhtu.1 ....11.., AllNI Po.t h......nt Rlvl.w Unit, D.pt. 280601, Harrisburg, PA 171Z8.0601
Phon. 11111 781-6S0S. S'I page S of the bookl.t "In.tructions for Inn.rlt.nce ralC R.turn for a R..ld.nt
D.c.dlnt" IREY.15Dll for an 'ICPlanatlon of ad.lnlatr.tlv.ly corr.ctable .rror..
DISCOUNT:
If any ta. due I. paid within thr.. (]) calandar .ontha aft.r the dec.d.nt'. d.ath, a flv. perc.nt 15~) dl.count of
the te. paId I. allow.d.
PENALTY:
Th. 15X t.. .an..ty non.p.rtlclpatlon p.n.lty la co.put.d on the total of the ta. .nd lnt.r..t .......d, and not
paid b.fon Janu.ry II, 1996, the flr.t day aft.r the .nd of the t.. aan..ty p.rlod. This non.pllrtlclp.tlon
p.n.lty h appul.bl. In thl .... ..nn.r and In thl th. .... tI.. per lad 81 YOU would .pp..1 th. talil and lnt.n.t
that has b..n .......d a. Indicat.d on this noticI.
INTIREST I
Int.r..t I. chargld blglnnlng with flr.t d.y of d.llnqulncy, or nlnl 191 Bonth. and anI (I) d.y fro. thl d.t. of
d.ath, to thl d.t. of pay..nt. T.... which blc..e dellnqu.nt b.fore Janu.ry 1, 1982 bear Int.re.t at the rat. of
.1. (6~) p.rcent per .nnuI calcul.t.d at a dally rat. of .00016,.. All ta... which b.c... dalinqu.nt on and aftar
January 1, 1982 will b.ar Inter..t at a r.ta which will v.ry frOB cel.ndar y.ar to c.l.nd"r y.ar with th.t reta
announc.d by the PA DapartB.nt of R.v.nua. Th. appllcebll int.ra.t ret.s for 1982 through 1997 ar.:
'!!!! Int.rest Ret. Dally Inter..t rRctor !!!! Inter..t Rllt. Dlllly tnter..t r.ctor
198Z ZOX . DDOS~8 1981 .% .000Z~7
.983 16~ .ODD~31 1988.1991 10e .000301
198~ IIX .oonol 199Z .% .000241
19as 13X .00nS6 .991.1994 n .000192
.9" \0% .OOOU,. 1995.1991 .% .000241
."Int.r..t Is celcul.t.d .. followlI
INTEREST . BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
"Any Notln h.u.d after thl ta. b.ca... dallnqu.nt wlll refl.ct an Internt calculation to flft.en US) d.y.
beyond the date of the aa......nt. If pay..nt h .ad. afhr the Inhrest co_rutatlon date .hown on thl
Notlca, additional Int.rl.t lU.t bl calculat.d.
I N 'rIm COIlIl'l' OP COllllOIl I'Li;;AS OF' CIJJ.UmllLAlID COUlI'ry, pmmSYLVAlIIA.
1996-00060, ORPHAJ!S' COURT.
FInS'f A lID PIIIAT, ACCOUll'l' OF HAllOW n. ITUSSELI1J\H, EXECUTOR OF 'l'He:
T,AS'l' HIT,T, AllD 'l'f:g'rMlj\!l'J~ OP nu'rll G. iiUSSllf,J'1J\II, TNm OF 'rlll~ TOHIISIlIP
OP JIOIlTWE, GOUII'l'Y 01,1 CtJ!ml~nr,Arm III1D STA'l'E Ol~ PBlmSYTNAI1IA, DECEASED.
Date of Death: SeptOlllber 10, 1996.
Dates of Advertisement of Lotters Testamontary:
In tho Cumberland Lml JOUl'nal: Ilovomber 29 und December 6 and 13, 1996.
In The Sentinel: Novombcr 26 I!.nd Docombor 3 and 10, 1996.
PP.IlICIPAL ACCOUllT
Debits
Accountant chargos himself l'lith the fOlloHing principal
assets and receipts of decedent's ostate, consisting
of roal ostate and personalty, as folloHS:
1996
9/10
911ft
9/10
9/10
9/18
9/10
9/10
ALL THAT CERTAIIl House and Lot of Ground situate
in tho TO\o1nship of Honroo, Cumberland County,
Pennsylvania, and BEIIlG Lot ITa. 2 on the Final
Subdivision Plan for nussell C. and nllth G.
Husselman, Hhich said Plan is rocorded in the
CUlllberland County nocorder of Deeds Office in
Plan Book !lo. 60, Par,e 107. HAVING theroon
orocted a sinBle family, bl'ick and frame ranch
type dl-lelling knOlm and numbered as 735
Epplc:I' noad llochanicsburg, Pennsylvania. $
Tl-lonty-tHo (22) shal'os of profol'red stock of
Cllmborlnlld Valley Co-opol'ati ve Association.
Hollon Bank, II. A., CllOcl~inr.; Account No. 1I~2-
107-262fl.
Hollon Bank, II. A., Cortlflcato of Doposit 110.
00346698.
PllC I3ankf II. A., Certificate of Deposi t 110.
21001012004.
1992 Dodge "Cal'avanll minivan.
u. S. CUl'roncy locatod in docodent's Safe Doposit
Box at tho Hechanicsburg, Pennsylvania Office
of PIle Danlt, II. A.
aROS3 ESTA'ltE ASSETS ABD HECE:IP'l'S....................... .lp
-1-
120,000.00
220.00
3,225.20
65,689.55
44,475.69
12,000.00
12,604.00
258,2l1~.lil~
III nE E3'1'A'1'1'; OP BU'I'II (J, !.1U::l::lET.llAlI,::
LATE OF '1'1II~ 'l'0111!SIlII' OF r.:OHIlOI';, ::
cour:'l'-r OJ" Clllmj~Hr.;\J:ll AI'D :';'l'A'l'E lW ::
PEI!J1SYLVAI!IA, DEGEA:J@. ::
[II '1'!IJo: COUIl'I' W COlmOll PLEMJ OF
ClJJ1n:~IlT,A1!D COUl!'ri', mmlSYLV A IlIA.
OHPIIAI!31 GUUn'I' DIVI3IOIl.
: :
1,)96-00U60.
AD,nJDICA'J.'IOH A1LD DEGHE;>; AIIAHDIlIG m~AL ES'l'A'l'E
7 - '1.\
IIOH, this ~. '., day of Juno, 1997, no ob ject iono
havinG
AlID
bean filed to tho li'irst and li'lnal Account and Statement of ProJlosed
Dintribution of IlAnOr,D Il. liUSSELJ1AH, E;;:OcutOl' of the Last \nIl and
'l'eotament of nU'I'1I G. IlUSSm,IIAlI, lata of the To~mnhip of Honroo, County
of Cumborland and Stal;o of l'onnsyl vanIa, deceased, ui thin tho time
fixed by the Rulos of Court, Baid Account Has confirlllod absolutoly by
this Court on Juno 17, 1997, anti at tho Dame tilllO, the Schedule of
Proposed Distribution waD approvod and DiDtribution Has uwardod in
accordance lIith said Schodule.
IT IS FURTHER ADJUDGED AllD DECnrmD, that in accordance ~Ji th the
said Final Account and Statolnont of Proposod Distribution as confirmed
by the Court, the Distribution of tIle folloHing described real estate
of the decedent is hereby a\mrdod to decedent'D son, HAROLD R.
J.lUSSELI1J\H, his hairs Gnd aSDigns, a description of Hhich is as
follows, to Hit:
AT,L THAT CEIl'l'AIJI Ilouoe and Lot of Gl'ound situate in the
TOImship of llol1l'oe, County of Cumborlund and state of
PennDylvania, boundeu and describod aD follows, to wlt:
BEGnmnlG at a point lllarlted by an iron pin in tho division
line betHoen Lots lias. 2 and 3 on the hereinafter mentioned
Plan of LotD, Bald pol.nt beIng also in the Eastern dedicated
r1.ght-of-Hny 11no of Epple:! noad ('1'-56')); thonco extending
along tho Eastern dodicatod rir,ht-of-Hay lino of Eppley
Hand (T-569) in n northerly d:l1'oct ion bJ' tho arc of a circlo
curvlng to the right, having a radius of 1076.01~ feot for
tho arc distanco of 220.13 feet to R point; thence continuing
alon!S tho Eastern dodicated ri[;ht-of-Hay Une of Eppley
noad ('1'-569), Harth 21~ degrees 01 mInutos I;> seconds EaDt,
130.00 foot to a point marked by a concreto monumont in
tho divIsion line botweon Lots liDS. 2 and 1 on tho herein-
aftor mentionod Plan of I,ots; thonce alone; the division
Uno llotHoon roots lIos. 2 anel 1 on oaiel Plan, South 65
degroeo 58 minutos 1~ ooconelo East, 3$0.00 foot to a
stoel pin; thonco continuin!:. n10n(; tho divIsion Uno
bet\-Ieen T,ots lIos. 2 anel 1 on oald Plan, South 21~ dogreeo
01 1111nutes 15 oocollds \-Ioot, 108.98 foot to a point lnarked
by a stool pin in tho divIsion lino betwoon Lots 1100. 2 and
3 on the heroinaftor lnentionod Plan of Lots, aforesaid;
thenco along the division lino botweon Lots lIos. 2 and 3 on
said Plan, South '77 doe;roos $0 rninutoo 10 seoonelo ~Iost,
1,.05.86 feet to pin in the j~astorn dedicated right-of-way
Uno of Epploy Road ('r-$69), aforesaid, at tho point and
place of BEG IJlllI NO.
BEIIlG Lot 110. 2 on the Final Subdivision Plan for nuosell
C. and nuth O. lIusoelrnan, "Ihich Plan is recorded in the
Cumborland County Recordor of Deods Office in Plan Doolc
No. 60, Page 107.
HAVIIIO theroon erocted a single family, brick and frame
ranch type dwelling known and numbered 0.0 735 Epp10y Road,
Heohanicsburg, Ponnsylvania.
BEIIIG a part of the samo premises which Grace Lillian
Dodge, a single "Ioman, by her Deed dated 1I0vember 29, 1940
and recorded in the Cumberland County neoorder1s Offico
in Doed Boolc 11011, Volume 12, Page 130, e;ronted ond convoyed
unto nussell C. lIussolman and nuth G. Nuoselman, his \-life.
'rho said nussell C. Husselmon died on January 21~, 1996,
Hhoreupon solo titlo in said proDlises vested in his \-life,
nuth G. Husselman, by right of survivorship, the latter of
whom is the decedent herein.
By the Court,
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