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HomeMy WebLinkAbout97-00509 'i'l I r t::,J /'\/' c,,\ a e 0. ~_~~~"'t ..(.,\,..-: also kllowlI U,I Pf:TlTION H)I~ I)R08A'I'E and (;RANT ()Ii LETTERS 1/ (y;- StY"! '-'\ .. - -------~.--- :;, KCl ('0 No. To: _____..._.______ KegiS!er 01 Wills lo{ the l _._~____.m. ..... VI'I'I'used, County 01' _ClI.iY\V)liL ~'\ \"(:1n the Social Security No, JIo.ll' ;jeL ~J("Q3____, Comnwnweulth 01' Pennsylvania The petitloo 01' the undersigucd respectfully represents thut: Your petltloner(s), who@ure IR years of uge or older un the execlltx.J.~~_~ In the last will of the above decedent, dated ---"JJ_WfJ..i._5..L. ';;;'-L,,_.~__._ and codlcll(s) dated __.._..___._N/LL._.____n________________. .j)! Ie s )(~ere~=-.~C;;.Lf'i_,,~,:L__=:J11'l!..0[L_li,.J!i Ii-"'-- ~ named ,19~--: (SllllC rclCvlll\t l'irCllt1\slllIICllS, ~',Il. rClIlltlclllllon, ell'fllh of CXCClHOT. clc,) Decendcnt was domiciled at dcuth in .___e 'D2-,1)/:J-_~{ ;-1 ,d_ County, Pennsylva lteL__last family or~ncipul resldence.ut-~Cj{L..::Lh.LI.() ()(<J.;/ ~ a I . ( odor ~Lll~w..'Ll'L 'I .....C4't-__:LLL_.G.l~f2.llil.l..-..&.- 1"/0 U- . (lisl streel, nllmher llnd lllllndpality) la, with u>'" D. d t I <"".~)- " I' . d' I --I It y-Ji. lo 19 q 4. ecen en, tlen ___"".~_n'_' yems 0 ~e, le( ___O-L _, . . at -tl')-l I j \ O( ~.L..L'...si.\~_r:'.L....Lr.___.____ . . Except as I'ollows, decedent did notlllurry, was not divorced und did not have a child born or adopted after execution of the will offered I'or probute; was not the victim of a killing and was never adjudicated incompetent: ______n___.n..____.__..._________________. Decendent at death ,)wned property with estlml1ted values lIS I'ollows: (If domiciled In Pa,) All personal properly (If not domiciled in Pu,) Pel'sonul property in Pennsylvunia (If not domiciled In Pu,) Personal properly in County Value of real estute In Pcnnsylvunia situated as folk,ws: _________._.________ $ ;:XC-) , CC:Q $ $ $ WHEREFORE, petltioner(s) r(:speelfully presented herewith and the grant of lellers theron, reqnest(s) the probute of the last will and codlcl1(s) +e-,1 (I '('1\~ N. ctv''1 (lesU\I\lcn(ury; ndmll1l.~lrallon c,t.a.j administration d~b,n.c,t,a.) ii ~ti~1 (~/~~ 'C'o ij'il ~t ~o 1 i1> - OATH 01<' PERSONAl, REPRESENTATIVE COMMONWEALTH (W PENNSYLVANIA } '8 COUNTY OF G\lMBERLAND 1;, ~- ..~_._, The petitluner(s) nt,ovr.-named swear(,) or allirrn(s) that the statements in the foregoing petition are Irue und correct to the be'SI 01 the knowl('dge aod belief of petitioner(s) and that as personal represen- tative(s) of the ubove decedent petitioner(s) will well and tl'uly administer the estate according to law, Sworn to.. or affirme8 and snbseribcd (jZ,c,_LI":.t;~--'i,v,::>::.=.l~Li{.~ '~ beror 1'.le)~ls._ <'.2 ...... - ..-IOl)Y;>o'.' 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I I : , '" ,II ' I' ,!'I!::I' ,',_,1: :; II" "i / I " " ., I " ,., I H '. I' I" " 1'; I I " '! ;, " I ,-, ':'.1' " 'i , /, V I , . 1\ I;' \I n I:; I g I ::1 :! I' i "I " II:: II 'I !I,' I: " " " , , Ii 'i r 'I , ij , " , I ~!I " "I " "I II :1, il , : I 'i::1 I, " I i,j ,., :',1 , I,! "I :', " " , ., I , " , I .' I' , I 101 ! "I' i,I,i ii"~ 11',;1 I.,' III "I" i 1'1:' I. "','I . I! I : II ~ ; , ,I:!I ,": i ,I' i' I :1'11 : I: 'I I,! I I .:1 ':;!I ',I' '[ : Ii,! I II,' I, II, , ~': ; ,:1 ! . 'I I 1,:111 : :::; .:1 i ,11:1, ';'Ii :1:' I ';' I I II I ,I I':ill: 1I 'I I' " ;,' II . ; . ; I! I ! ~ " , , " I 'I " " , " , , , , I " I , " " '" 'I I I , , Ii " i'l ,1 'i ,I I! I' 1;/ I :,1,11: r-ll'l Ii ,II "j' , I,,!, ;' i ),_ ! 'Ii , " " , " , " I , ': I , I ,~ i I ,"" , !, !I 10 'ij , ',' ',1; " " ',', ! , ,'Ii': 1;/:: ,I, II, i[1 I,', ,',1 I bl ., :i ;:! ,i :: I. ,1\ il:::, Ii !-',il :'!I! " III, ill I, , I Ii! ! i i: I, ~ ' , : ' ;: 11111111: ,I , Iii': 'I: I, '. 1,1 1,_1 _I :. 'I ,I ' " ~ I "I i II: i' , ,: 'I ill' ", 'I' I t ' - i i I ; : - ~ " ',:.' ; " I iii" '11'1 " ill '-i_,I,,' " , ! :" II I I :; II i i I :::: ~ ' : 1 , ; I Ii i::l" II,:" ,ii, , 11'1111'1,,'1 . , ^ , , " " , " I Ii " ;:-1 ,\ " , , ., , , ;, I (' " " " , " I.' ',' " " .'i \ " 1E~6t lIill aub WestaUttut OF IWNA B. KEIWRH I, EDNA S. KEEFER, of th~ MunidpalIty of HermItage, County of Mereer and Commonwealth of Pennaylvaniu, being of Round and d:l.spoRing mind, memory and und(,r- standing, do hereby muke, publish and declare thi.a to be my Last Will and Testa- ment, hereby revoking all Wills and CodIcils at uny time heretofore made by me. FIRST: 1 direct that ull my legal debt" and funerul expenses be paid as soo-n-;s-conveniently may be after my decoase. SECOtID=- All the rest, residue und remainder of my estate, whether real, personal or mixed, of whatsoever naturo and wheresoever situate, of which I may die seized or possessed, and all the property of which I may be entitled to dispose at my decease, I give, devIse and bequeath unto my husband, DALE S. KEEFER, to be hIs, his heIrs and assigns, absolutely and In fee. THJRD: In the event that my husband, DALE S. KEEFER, fails to survive me, I then give, devIse and bequeath all the rest, residue and remaInder of my estate, whether real, personal or mIxed, of whatsoever nature and whereso- ever sit~ate, of which I may dIe seIzed or possessed, and all the property of which 1 may be entitled to dIspose at my decease, unto my daughter, BEVERLY ANN KEEFER, to be hers, her heirs and assigns, absolutely and in fee. !_OUR~l: In the event that my daughter, BEVERLY ANN KEEFER, fails t survIve me, I then give, devise and bequeath all the rest, residue and remainder of my estate, whether real, personal or mixed, of whatsoever nature and wheresoever situate, of which 1 may die seized or possessed, and all the property of wtich 1 ma be entitled to dispose at my decease, unto the following instItutions, in the pro- portions hereafter set forth, to be theirs, their successors and assigns, absolutel and in fee: (A) One-third (1/3) of my residuary estate unto the McDOWELL NATIONAL BANK OF SHARON, PENNSYLVANIA, IN TRUST, NEVERTHELESS, for the benefit and use of the PENN LAKE GIRL SCOUT COUNCIL, INC. One-half of the annual interest from said fund to be used for program development, The remaining one-half of the In- terest from said trust shrill be used for Council operstions and not for capital improvements. (B) One-third (1/3) of my residuary estate unto the BUHL- HENDERSON LIBRARY, to be added to their endowment fund and the annual interest is t be used as deemed appropriate by the Librury Board of Directors. Hiram, Ohio. interest from ship potential anagement. (C) One-third (1/3) of my residuary estate unto HIRAM COLLEGE, This amount is to become a part of the scholarship fund and the said amount is to be used annually for a student who shows leader- and/or interest in pursuing a career in non-profit organization FIFTH_=- I nominate, constitute and appoint my husband, DALE S, KEEFER, to be the Executor of this my Last Will and Test~ment, he to serve as such without ond. In the event that my husbund, DALE S. KEEFER, fails to survive me, declines or is unable to serve as Executor, I then nominate, constitute and appoint my daughter:, BEVERLY ANN KEEFER, to be ExecutrIx, she to serve as such without bond. In the event that my daughter, BEVERLY ANN KEEFER, fails to survive me, declines or is unable to serve as Executrix, I then nominate, constitute and appoint THE cDOWELL NATIONAL BANK OF SHARON, Sharon, Pennsylvania, to be Executor, it to serve S fl11ch without bond. Suid Executor or Executdx shall have the right to sell In hole or in part any of my real or personal property, at public or private sule, ithout approval of any Court, and wHhout liability upon any person dealing with the saiel Executor or Executrix to see to the proper application of the purchase rice, for such prices and upon such terms as my saId Executor or Executrix may leem proper, making, acknowledging, executIng and delivering nIl deeds and other \ \ \ INHERITANC TAX RETURN RESIDENT DECEDENT (TO BE FilED IN DUPLICATE "A"IOBU",', '^ !7IOl,BJ1! : WITH REGISTER OF WillS) ---fl'- o~:~;~~~,,~~~-, ~~A"b;'iif\j'iT.'i;^l; --~ .m__ ~ '(~:~~'~::~;~~'!Run ..,...u.'1~7~~~~~"" R'",,\~n+(2'"ll '" ... ~:!Vl u"'" ",o.u :rOO u"'.... ..., .. <l , ~:;'''''9~ ,",lf/~ COMMONWEt\lHt OfPfNN5YlVAI-UA DEPA~fMW' Of IHvWUE J>0Sf OHief SOx 9n~ IXI 1. 15-IK5tl FILl NUMBlR <:2 I q7f) 509 ,(OUI,ny CODE ,--"~---'--":"':':""':'c''if)1 c t 6 ITii"'; '(('j:l:ifiT'.;-f'~' ,\OC;~~-".~'---- , i TilA Woods at rP.dar !{un I B?.4 L.isbuffi Hoad, Apt. 422 ramp Hill, PA 17011 ( I\lflly ~un~l.:.-laoo ~_ _ __ ~ .~_.___~~_c I.-j J. Remaindo( Relurn (for dol.' o.f dealh prior 10 12,13,821 5 Fodera I E$101e Tax Return R(Jquired __ 8. Total Number of SClfe Deposit BOlles YEAR .~.~MBEk W.\i(()i8IRirl i"/"U/1~ , Orlgin{ll Rolurn 2, SupplormHllol Roturn 19. If line 18 is grealer than lino 17, enter the difference on line 19. This is fhe OVERPAYMENT, eo 20. If line 17 is greclfer thon line 18, tinter tflO differeme on line 20. This h the TAX DUE. A, Enter the inteteH on the blllonce duo on line 20A, 'J 4. Limited EitC1tO z o 3 :) ... 0: ~ '" '" z o ~ ... :) 0. ~ U ~ ... + I 6) ~5.,~"',1l7 17) 0.00 I 8) ~.653.A1_________.. ." (151 ...J.10. 725.44 (111 -----24.tJAB. (J3____. 1121 _..110,,.'125..A1l (131 _______Q..!-9_9-._.,________ 1141_..J:7,Q..:725..A4_______. X .06" __1!:9~ 243..'.5L___.__.. ; 40. Futuro Inleresl CompromiHl If or dole' of deolh ofler 12.12,821 [-Xl 6. Decedenl Died Testot" .) 7, Docedl'lnl Maintained 0 LiYing Trust (Allo,h copy of Will) IAllo,h (apy of Trvll) ALL-c'ORAESPONOENCE AND CONFIOENTiACi'AX-iNPORMATIO~i'SHouiD'iiE DliiicTEO-fo;----------'---------- ..... r.fA).,F.' _.H_" u.m .~"...h"_~.._"__ ..."".~ -"n"'.--.-~--.-.--~-~.-~6MPlETe MAllI~W ADDQFSS ta~ :: :!: 1:1 hE' ". .___._ --~---ll DAborah A. HughAS, Attorney O z ,J:lBmrah.A... . ug es..,__..~,6..t;1IJJ,rf.j, u 0 HlfPfitS"NfN\!MBEfl: ~C\8 North StI'AAt 0. 1..717 l ~34-'1125 P.O. Box 961 ,-- -,_,.___~==~.__.~-___",7.__.-__'--,,______,~,__~- --. ,--"--.=--,----~., . --'lWrLio"......g/-?Jr~~_1~8"-~6-1---~---- -< - 1. Re,,1 ElIol' (S,hedvl. AI ( I) ____n_____.D_..QiL,.________ 2, ,Slo,k, and 8ond, (Sch.dole 81 ( 21 ____.___Q_~9.2..____n__ 3 CI",ely Held Slock/Porlne..hlp Inlere'IIS,hedvle q (31 _u______Q,LO..D.____._.__n__ 4, Marlgoge. and NOle' Rec.i'obl. (S,hedule DI ( 4) _________~20 5, C",h, Bonk Deposlis & Miscellaneau, Por,an,,1 Properly I 51 _...5Q.(l__.ll'O_____u_..-------. ISchedule EI . 6, Jainlly Owned Properly (S,hedvl. F) 7, Tran,fe.. (S,hedule GIIS,h.dule l) 8. T otol Gross AHa" (Ivlal lines '.7l 9. Funeral Expenses, Administraliye COSh, Miscellaneous ( 9)_12.262.20 Expen,,, (Schedule HI 10, D.bl', Morlgoge llabililie" lien, (Schedule I) (101 -----.l2.1>65...BJ___~ 11. T 01,,1 Deduction' (Iolollioo, 9 & 101 12. Net Value of E$lote lline 8 minus line 111 13. Charitable and Governmentul Bequests (Schedule JI 14, Nel ~~~~~Iecllo Tax Illne 12 mlnu.line 131 15. Ami:lunt of line 1.4 taxable 01 6% ratf/ Ilnclvde 'olve, from Schedvle K or Schedul. M,I 16. Amount of line 14 taKable 0115% rola (Include values from Schedule K or' Schedule M.l 17. Principal tall. due (Add lelX from line 15 nod from lin~ 16.) 1 B. Credits Prior PClyments Dhcount (161_..____'_n____u__~~....,_..,x ,15. (17) Inlerest Ct.mc!c hore if you ."e requesting 0 refund of YOllr o\lerpd.yment. 118) 1191 (201 (20AI 120BI ----10,20..53-. ..,....,O.OQ., _JQ,24l~53. B, Enter the tolal of line 20 Clnd 20A on lino 208. This is the BALANCE DUE, ._..!!'~_~!__~_~.!~k...~~y_~.bI9 ~~:... ~~_9_!~_I_!r__~!_'!!.~~~~__~_!J_!~,_t___ -----------....'BES1J'RETOANSWER-ALL QUESTiONSOli'REVERSE SIDE-AND-YO RECHECKMA nl';.-~'-----'-----" 0.;cl~r pen~,-.;rp;;j;;-y,'IJ;ck;;~-.th~tlh~-~~ .~.;o;~-;;;.;~~~i.!hi.~.;~.I~;~:i~-~j';;ai~;g-~-~-c-;~-r-~1-;;ying Iche~ful;;-(~d-_;-i~'i~;~-;;t;~.orld Ic;the best of my knowledge and b~Tj~f; It 1$ true, carrect and complelo, I dedme Ihot 011 real 61tojO hell bflon rQPorted at true mnrkat ...alue, Declaration 01 preporer other thCln the per10nclI ropro,ontoti'lo i~ baled on all informCltion of which prepClror hm eWf kl'lDwlndgtl @S-',GG:'?"_U"'~O OO-,:~p',:\trCio.5T":,5~,~,.~'.,lA~_,l:t,'pf,.~EL'-s~E':',':,:,',':" UH I~~::~y A. KORfF!!: , 04 ]P,ln' -~,P,'W<n)oo l<oad. APt.;~B :~/.,',Y~-~~~~ ?? ,~ 1f1t'\f'OTi ,{t ,'f" ,"'" .'Ol""; Hat-t:sdalR, NY "" ~t~ I \11"1 IX t IJ Bill (O",MUNWE~l1t1 0' HN~l$'1r/.W^ l~mfRIIAN(E.rA~ MflUMN IUIOfi'lr Of(fOHl1 SCHEDULE F JOINTLY-OWNED PROPERTY ,-, ESTATE OF ___E:QN~.H. KEgF'EJ!:L.._._. -- ~ --. ~.--.._, --,.~.._..-"_.~ ----~---,,------- ----m--iF1LE NUMBER ___L J,9~n.QQf\0.9____. Jolnl tonontl')1 _________.____._. NAM_E_ mm._____"'___.___ , A. Elf<Vl!rly A. Keef,er ADDRESS _ RELATIOt-l_tlill'_!Q_D..E~Eo.EIIl!..__ Qaughter 64 Pil\ewood Hoad Apt T. B Hartsdall!, NY 10530 B, C, --~-- Jolntly.ownod proportYI _--'___r_. -_._~-~-- ITEM LETTER DATI FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBER JOINT MADE DESCRIPTION OF PROPERTY OF ASSE1' % INT, DECEDENT'S INTEREST TENANT JOINT -" 1. A 1988 24 Shams I3Illl Atlantic Stock @ $72.58 1,741.92 50% 870.96 2, A 1988 100 Shares Ohio l<1:1ison 444 Preferred C @ $60.00 6,000.00 ~iO% 3,000.00 3. A 1988 1860 Shares Westinghouse Electric @ $20.04 37,274.40 50% 18,637.20 4., A 1988 19161. 858 Shares Dean Witter U.S. GoveI'T1lll3nt Services Trust @ $8.93 171,115.39 50% 85,557.70 5. A 1988 31377.866 Shares 10S High Yield Tax Exerrpt FUnd @ $4,53 142,141.73 50% 71,070.86 6. A 1988 PIIC Checking Account #51-4022-9747 32,033.50 50% 16,016.75 TOTAL lAlla onlo, on IIno 6, Rocapltulatlanl (If more 'pace /5 needed InJsrl additional sheeh 01 same size) 53 47 -- ~1-~!-~)1l9 ...,.-'"':"'" ., "~,'I I , ! 1Enst ~milI nub QJcld~UttCltt OF EDNA S. Kl\liJo'ER I, EDNA S, Klml"lm, of tho NunJclpaUty of lIermJt:lIge, County of.Nercllr and Commonwealth of Ponnsylvllnlll, beJng of sOllnd IInd dlspo"lng mInd, memory llnd under- standing, do herehy milke, puhlIsh IInd do<:lnr<' this to ho my I,IISt Will IInd '1'''"1:11-- ment., hereby r"voklng 1111 Will" IInd Codicil" ul: uny time heretoforo mildo by m,'. FlItHT: l direct thut 1111 my "lugill <IubtH lIlld fUllerul PXpl!nHl'H In' ptdd as sO;~~~~H-'c(JnV(!lIl(]l\ljy IIIUY ho lifter my de('w.IHU. SIWOND: ^] I tilt! rOl:lt, l"lwJUtlC und rt..!lnll.indor of my e~Hute, whetlwr roal. pers~naC~i: 11l1xed I of whuteoevcr lwlut'o ulld wlH!"c~wever Bltunt~, or wh1ch I may die sehlld or pOlllleuuBll, /lnd 1111 tha property of wldeh I may be entitl,~d to dispose Itt my deoollse, I gIve, deviue IInd he~ueath unto my hushand, DALE 8, KEEJo'EH, to b" his, his helrB Ilnd aBsigns, ubsolutoly and In fee, 'J'HIigl.1, In the event. thilt my husband, DALE S. KEEFER, fails to survive me, I then give, devise and he~ueuth nIl the rest, residue and remnlnder of my eBtate, whether real, perllonal or mixed, of whatsoever nature and whereao- ever situltte, of which I \nay dIe seIzed or posBessed, and all the property of "hich I may be entHled to dispose at my decease, unto my daughter, BEVERLY ANN KEEFER, to be hers, her heIrs end assigna, absolutely and t.n fee, FOU~TI!.!. In the event thllt my daughter, BEVERLY ANN KEEFER, falIa I: aurvive me, I then gtve, devise and bequeath all the rest, reaidne and remainder of my eatate, whether real, personal or mixed, of whatsoever nilture and "heresoever sHuate, of whIclt I mny dIe seIzed or possessed, and all tlte property of wht.ch I ma be entHled to dt.spose ut my decease, unto the follOWing InstJtllt:Jons, 1n I:lte 1'1'0-- portioos t'er~after set fort}l, to be tl\eirs, ttle1r Hllccessors i'Ild 1198iglls, 81}Bollltt~1 and in fee: (A) One-thJrd (I/J) oC my l'esldlllllY estnte IInto tlto NellOWELL NATIONAL BANK OF SHARON, PENNSYLVANIA, IN TRlIS'I', NEVERTHELESS, Cor tlte bellef.lI: lInd IIse of the PENN LAKE GIRL SCOll'l' COllNCIL, INC. One-hal f of the annual Interest from said fund to be uaed for program development, The remaInIng one-hlllf of the In- terest from aaid trllst ahall be used for Council operations and not for ellplta1 improvementa, (U) One-third (L/J) of my reatdnury eatate unto the IlUIIl,- HENDERSON LIBRARY, to be added to theIr endowment fund and t.he annuli 1 interest 1s t be uaed aa deemed approprIate by the Library Iloard of Directors, Hirum, OhIo, Interest from ship potential anagement, (C) One-third 0/)) of: my resldnary estate nnto lURAN COLLEGE, ThIs amount is to become a purt of the scholarshIp Cund and the sllld amount Is to be used annually for II stlldent who ahows leader- and/or interest In purauJng a careor in noo-proflt organIzatioo JTF'I'I!!. J nominal:e, r:onBUtut" and 111'1'011\1: my husband, DALE S. KEEFER, to be the Executor of this my Lust Wlll and 'l'estam"nt, Ite to serve liB slleh wHhout ond, In tlte event that: my hllBbund, DALE S, KEEFEH, f,dls l:o uurvJve me, declInes or iH unablo to ~CI'Ve as EXul:lItor. 1. then nominate, (~OIll:lL-Jtlltf:! and lIpp'J:!nt illY daughter, BEVERLY ANN KEEFER, to be E"ecutrl", alte t" u"rve liB sur:1t wHhout hond. In the event thllt my dallghler, BEVERLY ANN KEEFIIR, ralls to Burvlve mo, dec I.Ine" or iR unabl/~ tu sorve as Executrix, r thon lIolldnute1 COIHHIt:lllu lint! Uppollll TilE eDOWIILL NATIONAl. !lANK OF SHARON, 8111\1'011, POllll"ylll'"1Ia, to he l\xllcutnr, it to ""I'Ve '" such without hond, 8111,<1 g"ecutor or Executrix sl1l\11 have the right: to Bell 'Iu hole or In part any Dr my real or personlll property, at puhllc or prIvate sllle, Ithollt approvlll of ony Court, and without 1J.llblllty upon any person deulIng with the saId EKecutor or ExecutrIx to aee to tho propel' nppll.cotion of the I'urehllse rice, for such prices and upon such terms aa my said EXflclItor or ~~Kecutrlx may eem proper, makI~g, acknowledging, executIng and dell.verlng sll deeds Ilncl other ...-... ----...--....,._,-~-.".~ -~--.-.._--..~~._._......~ -___...____~r_..._. AW-I INVENTORY OF REAL AND PERSONAL EST A'I'E In t~, "aUIf IIr t~r E.lal, 1lr..."".r:~X'i(U;l,\"l\f:\[::J.:T';I\",,,,,,,,,,,,,,,,,,,.,,.,,,,,,,,,,,,,,,,,,,, CUI.\IlxlJ:.l'lIld lale of ""r;'IWIDJ,I;I.,I.J..Jxm;),1,I9h",,,,,.,,,,,,,,,,,,,,,,,,,ln the Coullty of I\JUlfll\l'II\c:;late of Penna" deeealled, Jnaelllorg of the real and personal ealate wblch were of the above-named F'..dna R. KAAfAr d'c" d T k did ...................".................................."............""......."."1.."..... '" ......se. a en all .ppr'le the "".d';;'""", day of ,A).(J,III?r.O,W:L",,,.19'lJ, (Date of death ,i"iI.9.9!.'A7"""",,,,,.) 1. '1'll1lg1bl.) pAnlonal Pl'Ol~'~ty 'i00 00 2. 24 Sharas Bell Atlantic Stock @ $72. 'i8 870 9b 3. 100 Sharas ohio F'..dison 444 PrAfArrAd (' @ $60.00 ~i,OOO 00 4. . 1860 Shares WAl1tinghousA EIActric @ $20.04 18,637 20 Ii. 19161.858 Shares DBan WittAr U.S. GoVArnnIFJnt fiArviCAS Trust @ $8.93 85,'\57 70 6. 31377.866 ShaI'AS 10S High YiAld Tax F'.xAmpt Fund @ $4.'\3 71,070 86 ~ PNr' ('t~cking ACCOWlt #51-4022-0747 16,016 75 I. 1'"\ "-, -- " o(i TOTAL lq'i,6'i'~ 47 RECAPITULA TION Appraised value of PerQon~l Proporty ......,..'..'""".".."."..."."".....,....",,,,,............, . .,J..~~,.6,?t1...4.7 AppraJaed value or real estate ...", '0""'" to ,." .,..,., ".... " of" .......' "" ," .,. ",j""............,. . .....II".....q..no Tolal appraised value...... ,.......,........,.. II .., ...... .,.,,,.,.OJ ......."'''OIlj ...~""I.,.' H.. 11.1'''' Ij . ...Qn,,~;3W14. 7 AFFIDAVIT OF PERSONAL REPRESENTATIVE CLmJa.I;land County of IJItUfIIIIIlII. ..: .,. ,~V~;l;'J.y., 1>.\. ,K~~.f~~.."...,..,..,.,....,.,...,.....""..............",..... I......".............."......... ..,.... """" ~ of the F.~tRtc of...."~-:9:~~,,,~,...i.~~,~,~7:,,.,,",..,,..,,",,....,,.,,..,,.....,,,,...........",.."....".." dec~a8ed, being duty""".""""~m""""",,,,,,,,,,,,,,,,,,,',,,,,,,,,,, according to law, depose and aay that the Items.ppe.rlng In the Inventory include all of the personal aRsets wherever .ltu,te and .11 01 the real estate In the Commonwealth of Pennsylv.nia of said decedent; that the valu.tlon placed oppo.lt. eudl Item of said Inventory represents Its fair value as of the date of tbe deeedent's death; .nd that decedent owned no real e.tate outaide the Commonwealth of Pennsylv.nla exeept th.t whieh appear. In a memorandum at the end of the IIl\'entory, ak ' f /' ........"............."...........". and subscribed r-::) 4 /: ~e-t"-1... I f II d f "1;, ' , '''".,,'~.~'''' ""v.f..,,,,I.f:.,,.,,:. ,,;'" ". """i"""" Je ore Ole t 1 ~...."...""""."".,,",,.,," ay 0 JIl lor. Admlal.tNto ,....",,,.,....,..,..,,..,,,..,...,..........1 A. D, 19,......" ~4 Pi 0C>d. Ho d Ant T B Hartsdale NY "",',..,.,,,n~,..,,,,,,,,.,Ii.,,!..,',...,,.:....,~...!,""",...,,...........: '.",......;....................,..,.........".,...",,,,,,,............ Add..... 10530 INSTRUCTIONS I. Ao 'o,.ntory mu.t b. GI.d wltbtn tbr.e roootb. otter appotntmeot of perillo.. repre..atltl... . a. A ..ppl.meotlt loveotory muet be ated ..ltblo tblrt, daye of dl.oovery of addltloo.. ....ta, a. Addltlona. .b..te may bo attaobod .e to por,",oall' or realty. I. s.. Artlolo IV, Jl'tduotarl.. Aot of lalt. I , , r I j ~ I ~ I !!l J I !Zi J t=i 'S ~ ~ 'S < -I I u I ] ~ I "5 i I j ml J .~ I t ~. ~i i ~ .~ ! -I '.I ~ ~ i I' UlI ~ ~ ~ I r-i .s ~I .~ I ~ -S I ,a I d 11 '0 i 1 I l!l 1l I Z E ~ '0 ... 0 U /5/,}:'') "/ COMMONWEAL TH OF PENNSVI.VANIA DEPARTMENT OF REVENUE .U~EAU Of INDIVIDUAL TANES IHm:RITAHCt T~K r.IV1S1nN DEI'l. l80MI ttARRISaURG, PI. i1tZfI-0601 NOTICE Of INHERITANCE TAN APPRAISEHENT, ALLOWANCE OR DISALLOIIANCE Of DEDUCTIONS AND ASSESSHENT Of TAN 03-16-98 KEEFER 06-06-97 21 97-0509 CUMBERLAND 101 E Aeounl R..lIt.d ] -= .~ ,-= - . -- ---~_..__._-"--- 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 ..... iiEV = is,,"; - Eif" AFii" i 0'9" =97Y -NoncE". of. i"tiHER i i' ANcE" "fAx "A'PiiR'A"i SEMENT ~ - -A i. i"ciwiliicE - 'OR. -" -" - 0" - - - -. -. -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX EDNA 5 FILE NO. 21 97-0509 ACN 101 DATE ESTATE OF DATE OF DEAl'H FILE NUMBER COUNTY ACN DEBOnAH A.HUGHES ESQ 258 NORTH ST PD BDX 961 HBG PA 17108 ESTATE OF KEEFER TAN RETURN WAS, (X) ACCEPTED AS FILED iiillifVATION CONCERNING FUTURE INTEREs'r " SEE REVERSE . - APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1, R..l e.t.te (S~h.dulfl A) 2. stock. eno Bond a ISchedule DJ 5. Clolely Held ~to~k/P.rtn.r.hip Inter.st ISchedul. C) 4. Hortueg../Not.. Receivabl. (Sch~dul. OJ s, C..h/S.nk Oepo.1ta/H1Ic. Perlonal Property (Sohedule E) 6, Jolnll~ Own.d Pr~.rly (Schedul. f) 7. Tran_fers (Schedule OJ 8. Tot.l A...t. ( ) CHANGED (1) (2) (51 (4) (SI (6) (7) ,00 ,00. ,00 ,00 500.00 195 .153, 4L ,00 (Sl APPROVED DEDUCTIONS AND EXEMPTIONSI 9. Funaral ExpDn.../Ad~. Coatl/Hiso. F.xp.n... (Soh_dula H) 10. D.bh/~lortSl.g. LhhU1U../Uan. (Sohedule X) 11, Total D~ductlon. 12. Hat Value of T_x R.turn 13. Chadhbla/Govarrtllant.l hqu..ts) Non-ahcted 9115 Trult. (Sch.dul. J) 14. Nat Valul of Est.t. Subjact to Tax If an aflsessment was issued previouslY. lines re'flect figurllll that include the total of M,b. ASSESSMENT OF TAXI IS. AMount of Lin. 14 .t Spou,.l rat. (IS) 16. A.aunt of Un_ 14 taxable .t Una.I/CI... A rat. (16) 17. Allount of Lin. 14 taxable at Collateral/CI... Brat. (11. 1,1). Prinoipal Tax Due NOTEI TAl< CREDITS I PAYHENl DATE 12-30-97 RECEIPT NUMBER AA242605 DISCOUNT I.) INTEREST IPEN PAID (-) ,00 12,262,20 12.665,83 UIl U2l USl U4l (9) ClO) (:... * HW-IHI'_". cOt,tll EDNA S DATE 03-16-98 NOTE I To insure proper credit to your Iccount, .ub~lt tha upp.r portion of this for~ with ~our h)( pM~"flnt. 195>653,47 ?4, Q28~ 170,725,44 ,00 170,725,4'l. 14, 15 and/or 16, 17 and 18 will returns assIssed to date. ,00 10,243,53 ,00 10,243,53 10,243.53 .00 ,00 ,00 " IF PAID AfTER DATE INDICATED, SEE REVERSE fOR CALCULATION OF ADDITIONAL INTEREST. t IF TOTAL DUE IS I.ESS THAN n, NO PAYMENT IS REqUIRED, If TOTAL DUE IS REfLECTED AS A "CREon" (CR), YOU MAY BE DUE A REFUND, SEE REV~RS[ SIDE Of THIS fORH fOR INSTRUCTIONS,) ,00 N .00, 170,725,44 N ,06, ,00 N,15,__ (8) AMOUNT PAID 10,2(,3,53 TOTAL TAX CREDIT --' BALANCE OF TAX DUE ---- INTER~ST AND PEN. TOTAL DUE 0\ (., .- ....1 ,'0 '~l" ::ij , , ii' ~(~ .'1 ~ 0u RESERVATION I E.t,t.. of HO'''''' dvlne on or btlar. heutHlr 12, 1912 ~- if eny future Int.rut In the ..t.t. h trand,rred In pa.....Jon or enjoY"lnt to ClIII I (on1hteraU blneflcl'rl.. of the dleldent .U.r thl Ixplratlon of any ..t.te for 11'. or for Yllr., tM C~w..lth Mr.bv Ixpr...b r...rv.. the right to IIPpr.h, and ...... tren,f.r InhtritltnOl h)(.. It the hwful Chu . (coll1t,r,ll rat. DI'I My luch future lnt.r..t. P\I1POSE 1M' NOTICE I To fulfill thl r'q\11r..~t. of Section ZUO of the Inhlritanol and Eltnto rax Aot, Act 21 of 1995. (72 P.S, Slotlon 9140), PAVtc[HTI Oetlch thl top portion of thll Hotlcll and lubMIt with your ply..nt to thl RIght,r of lUll. printed on the rlv.r.. .IIM. ullah l)hlck or IIOnaY order payable tOI REGISTER OF HILLS, AaEHT REFUND (CR)1 A r.fund of . taM oredlt, which Wft. not r.quut.d on the TIl)( R.tllrn, elty b. r.q....sted by c0IIp1.Uno en '"AppHo.Uon for R.fund of P.nn.yjvanh Inh.rlhno. nnd Eltat. Tell" (REV-UUL App!iclltlons ar. .v_llu1. at tho Offic. of tno R..lst.r of Wills. any of the 23 R.vllnue Ohtrltt Offic.., or by calling the speelal 24.hour answ.rlng servloll ~rs for for.. ord.rlngl In P.nn.vlvanla 1-8DD-362~2050, out.lde P.nnsvlvenl. and Mlthln 100a1 Herrhburg .r.. (11) 717~a09ft, TOOt (717) 772-2252 (Hurlng I~Qlrld Onht), OBJECTIONS I Any p.rty In Int.r..t not s..t!lft" Mlth the Itpprals.ttent, _Uowanco or dl..lloollMe of ~tlonfl, or n.....llent of tllll (tncludlna dlsoount or tntllru\) .. shown on thl. Notlc. IU.t obj.ct Mlthln ,IMty (60) dlY' of reo. Apt 0' thll NoUea bYI uwrltten prota.t tu th. PA D.parte.nt 0", Rll~'.nue, !Ioard of Appuh, DClpt. lll021, Harrhburg, PA 11l21ld0211 OR --II.otlon to ha'le tM ..thr dllhr.IMd at audit (If the account of thll pll"onal rflpr.santaUy", OR u'PPoel t~ th. Orphan,' Court. A~IN lSTRATlYE CQftRECTJONS I rllctual error. dhcov"ld l)f1 thh au.....nt .hould bll addrulIlld In wrltln; tal PA Capart..nt of Rlvlnull, IUrll~ 0' IndlvJdual TrlAU, ATTNI POlt hu....nt R.vl.w Unit, O.pt. 280601, Harrisburg, PA 1712a~0601 Phon_ (117) 781-6505. S.I pall. ~ of the booklet "In.tructlons for Inharlhncll TIlC Roturn for . R..I~nt DI~lcMnt.. (REV-lSOU for Irl Illlplatllttlon of lIdalnhtratlvlh corrllotabl. arrorl. DISCOUrfTI If InY talC doll II paid within thr.. (3) cahncJar fIOflthl IIftar the daudent'. daath, II flv. parcllOt (5:0 dhcount of the tllC paid I. Illow.d. PENALTY I Tha 15lC till( MMsh non~p.rtlcJpatlon p.naltv It CO"JIutld on the total of tha hM and Jnhrut .....ulld, and not paid bafar. JlnUery 18, 199t., the first day aftllr tlllI f>mJ of the tax aanuty ptrlod. This non~pllrUdpatlon !'Ilnalty It ItJlPllalabl. In th41 ..n. aarvlwr find In the \1'. lue tl.. p41rlod ... YOU would appeal t.h. hM and Int.rut th.t h.. b.en ......ad .s IndlC8t~ on th I, not lea, INTEREST I Int.rut It charged beolnnlnll with firs' d.y D' d.Unquln{lV, or nlnl (9) .onth. and ana (1) day froll thl date of dllth, to the dete of pl)'Hnt. TllCn which tHtCMO dalJnqu.nt b.for. January I, 1982 blllr Intllrnt at th, rite of 1111 (6:0 p.rc."t p.r IN'It'IUIl calcllhhd ot . dallv I-atl uf .000164. All till" which beclNte dellnqwtnt on end aft.r Januery I, 191Z will baar lntara.t at a rata which 101111 ~ary fro. cal.ndar vear to cal.ndar v..r with that reta snnounclld by tM PA Daplrt..nt of A.vMlUtl. Tn. applicable Il'lt.r..t ratu for 191Z through 1998 .r.1 If.!!; Intlr",t Rlltll O.lh Intlrut f8fJtor :tlli Into,.lt Reh Oellv Int.rut Faotor 1982 ZOiC ,0005118 1987 " .000Z47 1983 It.% .000438 1988-1991 11% .000.501 191. I1lC .000501 1991 'X ,000247 I'U I1lC .000Ht. 1995-1994 ]X .000192 1986 10lC ,000214 1995-199a .X .000Z47 --Int.r..t I. calculatlld .. follow'l INTEREST' IALANCE DF TAK UNPAID K NU"IER DF DAVS DELINQUENT K DAILV INTEREST FACTOR .-Any Notlc. I..ued .ftar the tall DecO..' d.llnqullnt 101111 r.fl.ot In int.r..t c'laulltlon t~ fl't.an (IS) dlY' bevond thl! det. of the us.suant. If paVlant h II. .ft.r thl Int.,.st CoaputlUon datil .hewn on the "tottc., addltloOllll Int.rut IlUlt be calculltlld.