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HomeMy WebLinkAbout97-00577 EIlsluo' elI/nAp ~LI\I\J.(\ Huglslor of Willll of -Dauphin Counly, PannsylvillllU PETITION FOR GHANT 01: LETTERS ~~ner__~ No, 1-1- q ,{- 5'1'{ ,110 known II -z, UlD ,SO - f1 q 3 Social SecurllV No, . Uucaasod -- ht..II~..'III, ...t",I"",'1 ,.....l....l_l,'. -11'r...II..1 .' tCOMPlETe "^" OR "U" IJELOWII Iii A, PfU~al.a al~'alll o~ lullms all~ ovor Ihal PoUllollolls) Is/oro the execul_ nama~ '" the ;LII' Will 0111 Oecu~enl, ~ato~ I;)..) J g DIl~ cu~'clllsJ dolo~ ------- ."U l"U"'l "'WOMI.'tU, . t'. """"Chll<'II, _",h ,In"""". 1", hot,,, III 'ollow., Doo,donl did not fn''''V. Wfl. not dlvoroad, elld did nol hav. . chIld lIo," 0' .doJl',d .U., "".outlon of Ih. dOOUl11tntl aU'1 tor plubolrtl wa, nol t'" vlOll1ll III a klUlnu .ud WOI 110V" tdjutllootod 11I0011l1)oto,,1I --~-- - .. [J O. Glonl ul 1.01l0lS ul MllIlnlsl,olluII 1..I_."........I..,ljo.....fI.'..lll........I......HI..I.......'.............1 1'01llluno,'sl ollor 0 propol sea,eh has/hovo osea"olno~ th.I Doco~onl loll no Will and was .u,vlva~ by Iha following .pou III BllY) Slid holrs: . NmnCll "alnllon.hll' n..ldonoB '4.. tCllIiiIPI:t!TE1Ini~EmUO:OIiiiJilIrI.'" oho.I' II no.on.,v. Uocndo"I was ~u",lello~ 01 ~o.lh In (~urn h., r Icll'ld_ losldoneo 01 l-lt>alth '....utl-, 'i2-t'",Z,:, ~/(' ~II,""I. '..l~'" ,.,,.,,.,..1"1'";111 lloeodo"I. thOIl.1.1- YO.,s 01 auo. died ..::Tu.11 e, _ CuuIIIV, 1'0llllSVlvOlllo, wilh ""/hor 11I"DllIlly or ptlr14i11 L~L-AII/,,'1'lJ.p CLImb ('ty ,(, j.{' . 19!11. al _L.u...J~( Al/~v~ ........'11... 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Le(,D'f lMf'I1€'(, lo......"'--. :f~t 11 Olal 0("' 1'". a '5 S /lI\Cu-<Il, t.\~ \((',~6(/r<J - tttO~lt Il! nt'\', UiHh (H:E ,,6ft IlliG C['flHf;!(;f\Tl! $;'(lO! WARNING: IT IS ILLEGAL TO Al rEA THIS COPY OR TO DUPLICATE BY PIiOTOSlAT OA PliorOORAPH, COMMONWEAlllt 01' l'trmsYl.VANIA I)F:PMnMf~Nf 01' tU:AUU VitAl. "r(;CHUl~l LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO, 3518588 . J!!!!!I.3.Q.J9.2.t_~._. '. C1~I. "IIUu. ~1T!1I.('~IIIHQ.Ill)" Name of Decoqent Sylvia ~. W__(~,_.jI""""'_ Hoffner 1... ;.I'd,",' 1.'11 Sexn..l'wlEl..n._...," Social Security No, 20i1:-!i(H 7.93 DElio 01 Deatl1...Ju!lJ!.M.~12.2L....n_.. Dato of Birli, . June 26,1913 Birlhr!aco .Jackson.Twp ...PA Place of Deathu_Healthsouth Renova.Cent.er .CUllber la.nd 1,1'>li~H;",- c;.",,'., LQ"~r .^lbnT!m.~..l'.e.nnsY.ll/ilnia ('1,-. Ik,'.I';<il;;-,. f,......,.:I',1' Race.u_WhitJL_.. Occupation HQIt~ker Docudent's Mailing Addross . Arllled Forcos? (Yes or No) _.1IQ,....~,..._,_u.". Marital Slatus ,.Widowed. 100 Mt.. Allen Drive. Mechanicsbura..l'A,,17.ll55_ ~.___ ';,.".hH' ..,<.-"", . '.,'ye.,T,\...." Silk Funorill Diroclol Bradley S.. Boyer..,_." nn'...__.u..._..__...._.... Inlormollt....1'... Leroy. Hoffner Name and Address of Funeral Eslabllshrnenl.._lIoover FuneraLHoae. Part I: .118.S. MarketSt..Millerllbur.a....PA...t706L..,__....__......,_.~_ I I Interval Between : Onsel and Death I I ___ __._____.__._"___. ._~__~L_.________.__~______... I I (bl__AKI__.. . ,. n.._ _.........._.__.._._.,......_ ..........._....~... . ..........._...____-.;._._____ I I (0) __...l'nll\IIIQniIL.............. .........._....__~_.._._._..___~_n__u__._.._._.L"_.___~____' I I I , Immediete Cause (a) ._.P.ulaonarY.EdllllA Part II: (d) ....Sub......... .......____._~______ Othm Significant Conditions . Mannor 01 Deall, Describe how injury ocourred: Natural [it] Homicido [] Accident [:J Pending Investigation [] Suicide L] Could not be Determined [] Name and Title of Cerllier ..lrA.J ..Packaan...Jt.D. .---u.................-.---.(M,O. , -b-:-O:;-Coroner,-"M. ET Address ...J08..Lowther_Sl....Lemylle...PA.17D43 This is 10 certify that tl18 information 110re giv€lI1 is correctly copied from an original certificate 01 death duly filed With me as local Ch)(1ISffar~11fl 1(1ln81 cOltlfleate will be forwarded to the Stale Vital Recolcts Office for I,ormanont filing" . h _/\ . _ . 'M-~<<,e~.....-.-.2.2:.21L_ 132. w-'r~~.'.' ~~l1eraburg...!'A.l1~~'~~~fl in Twp. . ~ ,) \ I, Il,,, J) fl""111"'f1 - _"~R;'rJ~~l, , 1,,111' II ;:1 I::: I" ,I,,: '1,1 :,'1,1 1,1, ',! 1.,',1 1['1 :,1111>:1 : ,,,' ,[ ,[ I". II' lit III :' ( \- ~ I 1, ! 111,1\'11\,\ :!II ':1 II " I i'! ",I \'il 11\ ')II \ ~i i ", I All d II i' Ilhlll j ::1, I IIIJ I ' ~\ :.:1 1'11::11 \ \i\ \1 :,'1'1111\)11'1 ~:; :, I 'j Ii'" .. 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HOJ1}t'NE:R, n r,"I1:ldent DC UPP('~I' Paxton'l'owll~ ship, Dauph1.n Count.,V, ]\,r,llfiylvlin.!l\, btdn&! of' Hound IHld clisponj.ng mine, memory and underot.anding, do hereby make, publish and declare this inst.rument to be my last. Will n~TeBtam0nt, hereby ,revoking any and al] wUlfi .y nw at uny tinwhet'etofore nwde. ITEM I: I d:Lrect my hero.lnafter named CoExecutor's to pay all my just debt.s, funer'al expenses, adm:Ln:Lst.r'at:Lon expenses and inheritance, estat.e, success:Lon or excise taxes, which I owe or may become due on account. of my death, as soon as may be oon- venientafter my decease. ITEM II: I give, devise and bequeath all the ~est, ~esi- due and remainder of my estate, be it real, personal or mixed, of whatever nature and wheresoever sHuate which Irray own or have the right to d:Lspose of at the time of my decease to be divide~ equally among t.he foLLowing: 1. 1/4 to my Bon, F. LeRoy Hoffner, of Mechanicsburg R.D. #3, PennBylvanla. 2. 1/4 to my daughter, Sandra A. Hoffner, of 955 Margo lane, M1.1IerBburg, Pennsylvania. 3. IIi.! to my son~ Larry L. Hoffner ~ of Quarters . 493-1, Ft. Rich:Le, Maryland. 4.. J/l~ to Barbara A . AstucdoJ of 5093 Maple Creek Southeast, Kentwood, M:Lchigan. ITEM III: I hcre1y nominate, constitute and appoint my two sons, F. LcRoy Hoffner and Larry L. Hoffner,' CoE:xecutors of this my Last W:L1I and 'rCfltament, wlth full power 1n the.ir discretion to do any and all things necessary for the complete administration . of my estate, w:Lth full power to sett. at pubJ:Lc or private sale and without order of court any real or personal property belong:Lng to my estate, and to compound, compromlse or otherwise to settle "', ~/ (SF.J\L) . "'-6f_ :~ or .~djU6t any and all cl.im8~ chargesj debts and demands whatsoever againa!; or in favor of my eatat;eas runy, fill L eould if ;l:lvJ.n(\. TN WLTNmss Wl-rn:mTIOI", . , I huv,' }l(-!rnunto Bet. my hond Ilncl . , .? -' '1'e8 t;f.\m~n L th lU}1--;'"I"{ do,\". of,/-','/CO.,..,C""" , (~ . , aeal to Hd.(1 m,\" Las t Will and 1978. ;/~~t1./t ~/,/ ,J, ,;1('(/> It )/ (milA r.) S,\"l#:.1" I. Hot':t'ner! - . Signed, sealed, publil1hed and declared by the above- named Sylvia I. Hoffner as and for her last Will and Testamen!;, in the presence of us, who at her request, in her presence and in the presence of each other, we believing her to be of sound' and disposing mind, memory' and understanding, have here- unto subscribe~o\lr(names as wi}:.l)1esse~ thisj"-'7'" .day rJf ,/~-'9ry?.(!~..... 197e. c. /) 1 . (~., Q '., . I J.C~ /;"-72~- (;;~";~'l.-c/ ./ ~~~_ j. ,/, L ~tAld ~_l )(}.:Jtl . i J ."'- ,~- . ;'-, . l ~ ,_'1- 1 ,~\. '_-"'l"_ ci: ' ., " cr' '" ~.E_~ ~; u..,Jb C"iu 1\ t,; F, " L, ;; IS-. ~ ~ 0 II: i ill ~ -' ~ L iii .. ~ 0 . ~ iI: ~ ~ N ~ ~ i ! ~ ct; ;z; ~ ~ " " L a E-' u k Cf.I 0: i ." ~ij 0 L 0 lU .. r i'-l ~-r:: .. II: .. ~ i U . 0( ~ Gill 8 .. :t ,.. .. H ..J 0 .. III ~ H it ct; ct; :c ~ .... ::j ~ o! :Ii I H H ~ ~~ ~, tOl i'-l 0 Cf.I ~ ;:s f' ,;,. .;M " . OIlRTlrIOATION or NOTIOE UNDER RULE 5.6(.) Na" of Decade"t' Date of Death. Sylvia 1. Hoff"er June 28, 1997 Will No. Admin. No. 1997-00577 -- TO the Regiatar, . 1 certify that notioa elf beneHoiel intareat required by Rula 5.6(a)'of the orphana' Court Rule. wa. .erved on or mailad to the following benefioiaries'of. the above-oaptioned e.tate on July 15, 1997. IlIIIlll addre.. r. Leroy Hoff"er 955 Margo La"e Miller.burg, PA 17061 247 Mary street HarriBburg, PA 17104 5 Yardly Oourt Mt. Laurel, NJ 08054 7815 Abby Lane S.E. Oaldonia Miohigan 49316 Sandra Hoffner Larry Hoffner Barbara Aatuooio .DATBD. July 15, 1997 Notioe has now been give" to all pereone 7. ~ ' "/ " ? Ii h ffe 129 Market Millereburg, PIi 17061 Phone. 717-692-2345 Oouneal for Pereonal Repreeentative (")0 ci a.. 'r) -:p -J .~' "-- ,.~. ["----0\ ,.... i.,.J ,',f .'\:;'1 f~...:t o CD p Ii ;-'""'" 'C~ <i'~. .~ -';'7 <O-Tn.~ ,~ m .......' CI.. , , 01 I " ::J '""l ,-\ ., " C: '; r.t '\,1; <ii ;11 8 a:: () 'i I ,,~ INVENTORY Ellal' ul Nu. ~ l-q1 --$"'77 SYLVIA 1. HOFFNER also knuwn a, , 1)018 or Oa31h 6/28/97 206-50-1793 . Docoosoll Suclal Socurllv Nu. nl,...."M......'-"_/~...IW.o.nfl..UiIIlfI...Mn~IJIMu...IIU..UIMI...W'- - -- '. ' F. Leroy Hoffner .~ 14.. "",ull.o1 "',IIO'Olllllllvut.' 01 Iho nllove efllnlo" ""IlIJO""', VIII'v tllol tI"I'"11' ""'''0111111111 II.. 'td'uwIIlU hlY'fllu,y lualu". ,II ul I'u. ,,0Illul1l1l until. WIHIIOV., .llunlo 1111\1 1111 ullll" laDl IIlnlo IlIlhu CUlIIlI1onwoullh 01 P'"f1.yIYnl~' Itl ..Id UUG.d'lIl.thu1 11I11 YllfUlIlhm ,'''Iua,' ul',IU.Hu ollch Ihllll ul ulll IllvelllulV '0'110101111111 lu" vnluu a. u' tho "'flID uf thll OIJI2GdOHI'.lIoDIIt, nuLl Ihnl Ouu.dulIl oWllud IIU lunl oolnlo out.ldo uf Iho CUIIUlltlllWOnllh ul "Olllllvlvonln 1.Il00II( 1111I1 wt~oh tlll,IOI.,.I" 1ll100l1UffUltlUfU IIllh. 11..1 ullld.illvulliu'V. I/W" v.,UV Ihlll II" .1111,"""11 ,"odl/ III Ihl, tllvoII'U.Y 0"1'''. ""~ ou"ou\,' I/W. UII~OII'OIl~ 'hDI 1111.. .l"tulHlIn'. IiOIUII1 PIa fllluJ. .ubloot lu Iho llOlluhlu 0' 10 '-1.1, C,S. 60011011 4904 IDlullnu lu ulI.wumlul.llluullolI h. IIUlho.lIlul, No"'. ., Allen Shaffer ^"uII10Yl . . 1.Il, NU,l 7116 "'; 'l. M~II"l 129 )4.c:trhet Et. Mi ller sburg, PA 17061 ... hlol.hollll 717 692-2345 QOI'" 9,'25/9Y'_ Oo'o.II.\I~1I Vuluu Real Estate: None Personal Property: Cash 53.38 " ('i r: ;~.," c ' \,d '..j 1..-; LfJ tr~' " ,~-,~\ ....... ';.t., 1--__' :t /,,'j , ld ;., "4.. TalBh . 53:'38 I^\lnllh Mdlllunnl Sheol" Ilnouussnryl - 'IIOlEl lh, MOl1lutanllulU Qllul ntl.l. ou',ld' 'llu cUIlIl"ollwuUhal."tlully.IV~I~~.1I~"11_ .~~.'_I.I.' .lullon 01 "" ".UIIIIIII.'n....I'.llv..IIlUludt t / ~- - 1'70 .lv.lIoo Eh 1'."1 . "q., ,~', "~~ INHERITANCE TAX RETURN ~ RESIDENT DECEDENT COMMONWeAlIHOP PINNIYIV"N,. (TO BE FILED IN DUPLICATE DIP""MEN! Of REVINUE H"RlllfJ.l1 ~~Otl12l060' __ ... WI!H R.~?~~.!.~R OF WILLS) COUNTY CQI?L DeN '. N"ME IlAn. mil", A.~ltl Mi'bOLf INmA.lI - 36!CfDttW' COM'lllf'A65'iUS HOFFNER, SYLVIA I, 100 Ml. Allen Dr. IOCI'lIICU"," HUM'" D"" or OlAf" JO'I"IO""'"- Meehan I C8 bu r!\, PAl 7055 206-50-1"193 6/28/97 6/26/13 Co,,, Cumberlllnd ,,, "".''''''''''''''0 lIaull" """,''' '"" ,,,. ,10,"'''''''', rOW:'lifiJiiWNUMif' .-- :r~OUHI OI(IIVIO IlIIlHIlIUCtlOHI' 1, Rool! "0'0 (Schodulo "'1 2, Sloc" and Bond. (Schodulo 8) 3. Clo..ly HOld S'ocklPorlno"hlp In'''..' (Schodulo C) ~. Mor.gag.. and No... R"olvoblo ,Schodulo D) 5, . COlh, Bank D'pollll & Mllcellaneoul Personal Property ISchodulo fl 6, )oln,ly Ownod Propor'y ISchodulo FI 7. I,onolo" (Schodulo GllSchodulo II 'S. To'al G'OIl ......" I'.'allln.. 1.71 9. Fun.ral ExPIA"', Admlnlltratlve COlli, Mlle.nan,ouI I Q I Eopon.., (Schodulo HI 10. D.b", Mongogo lIablllll.., lion. ISch.dulo II 11. Tolol Dodu"Iono ('o'ollln.. 9 & 101 12, Nol Valuo of E,'alO (lIn. S mlnu, llno II) 13, Cho,i1oblo and GovOInm.ntal Boqu.." (Schodulo JI 14, Nil Voluo Sub,o" '0 To. (lIno 12 mlnu. L1no..!!!..... 15, Spoulol T,on,fOll (Ior~ol.. 01 doath aflO, 6.30.941 S.. Inltrucllons for Af,pUcobl. P.rc.nlag. on R.v.n. (15) Sldo, Ilncludo yolu.. ,.m Schedulo K 0' Schodulo M.I 16. Amount of lIn. ,.. lall.abl. at 6% ral. llnclud. value. from S,h.dultt K or 5,h.dul. M.l 17. Amount of Un. 14 tall:abl. 01 15% rale llnclud. valu.s from Sch.dul. K or Sch.dul. M.l , IS, P,'nclpoltax duol"'dd 'o.lrom lIn.. 15, 16 and 17,1 19. Cr.dl" Spaulal Pov.rty C...di' Prior Paym.nh . + ~ 1 70 _ + 20, If lIno 19 h groa." .han lIno IS, on'o, ,ho dlfl"onco on lIno 20, Thl.I,.ho OVERPAYMENT, mo 21. If lIn. IS I, groat" than lIno 19, onlO' ,ho dlfl"onco an lIno 21. Ihl.I, tho lAX DUE, A. Enler th. Int.r'll on ,h. balane. du. on lIn. 21A. S. En'" the 'o'alolllno 21 and 21... on lIno 218. Thi, II ,ho BALANCE DUE, Mako Chock Poyablo tal Rogl.t".' Will" Agonl . ~ ~ BI SURE YO ANSWER ALL QUESTiONS ON .REVER-5E ~IDE AND YO RECHECK MATH -<(-<( Und.r "l.naltl" of perjury, I d.dar. thai I hav. uamln.d this r.lurn, Including occompany'ing schedules and slat.menh, and 10 the bill of my ~l'lowled9o and bel, It I, truI, corr.ct and compl.I.. I declare thai all real ISlate hal bltll'l reporled 01 true mar~.' valu.. DeclaraHon of pr.par.r other than th. perlonal r'pres.nlaliv. balld on all Information (If which reportr has any ~nowledgt. U 0 'U.SO A , S'IU'OR "UNO AfTUAN A.QQ"RHr----.. .~-_.- - DA.,1 Mlllersburg, PA 17061 9/25/97 ~~E$~ DATE 1 9 Market St" Millersbur!\, PA 17061 9/25/97 I!! II! 3 c 'OIIlAYII OflllAIH Ani. 12/3'''1 CHICIC HI If A IPOUIAL POVIUY CRlDIT II CLAIMID 0 ,jUNUMII. ----------- ~I q7 .s 17 . NUMB YE~~ I o 3, Remainder R.turn If., do... of doa,h p,lor '0 12.13.1 o 5, Fed.ral htat. Tal( R.lurn R.qulre( -.18. Tolal Number of Safe D.pollt 801(4 II lUll. O'lglnal ROIurn 0 2, Supplomontol ROlu,n o ... L1mlled Eliot. I.. 0 40. Futur. Inl.r," Compromls. Ifo, do'.. of doo,h all" 12.12.S2) ~ 6. Decad.nt Ol.d TellO" 0 7, Otlc.d.nt Malntaln.d CJ living Tru.t (Allach copy of WillI . (Allach co~y of Iru,tl ALL CORRESPONDENCE AND CONfiDENTIAL TAX INfORMATION' SHOULD BE DIRECTED TOI' NA.Mf. __d COMmu MA.llINO ADOIUU j .;' ,. .. '. ';' ~ Allpn Sh"ffpr I..qW OffiCE' IIl'f"f'll1 HUM'" 692.2345 129 Ma r k e t S t , 2Yr"~J.L 17961 - ~ ~ i (II.. 121 (31 I ~ I. 151__---22.38 29,968,27 -0- ( 61 ( 71 30,021,65 12,"18"1.62 ( S) (101 12,787.62 [7.234.03 -0- 17,234.03 (11) (121 (13) (1~1 )(._D 1161 17,234.03 1, 03LI .04 _)( ,06. (171 )( ,15 II ; . B S (1SI 1,034.04 lnl.ttst DIscounl 51.70 (19) 12DI __ (Ill'tlt hi II' If YOll 1l11' It'quP\ltllfJ (l fl,fund of yOUl OVI',puYIIlf'nl (211_. (21"'1 (2181 9 S 2-.-V~ 982.34 E~'ISENTATlVl IIYdtol'..I'."I SCHEDULE "E" l . . CASH, BANK DEPOSITS AND . _:::~~i.'~~~~~~'~~~ ~~...._!.E:J~~~~~!V~T~...~..__ . PI.oI. Prln! or Typ. nlAT~ u~YLVIA I. HOFFNER FILE NUMBER --....----.--------.--~----.~-.-.-.....-~.,.-....---.--__.__.______.0'"... ._.. , __~_'"H"~___~ (All PfOpt,ty lolnlly.ow".d with the "'ghl of Survivorship muol b. d,.do..d on Schedul~'i ---- ,_._--,-"-,~---,~,---"" -- ..-----.--___~__...'^...~mn__~.___.H___~_ "1M NUMBI. DESCRIPTION VALUi AT . DATI 01' DIATH ._.._.___...".________.,.c....__~__.__, 1. Coin Sets/Cash found in safe deposit box 53.38 '!- ", ,-, ,--- ; ; ~ P' -;, 53.38 TOTAL (Allo enter on line 5, Reco s IAttach addlllonal 8Ya" N l' II Ihe.IS !' more 'pace Is ""ded.) ,/ IVV.ISOtIIl+llHII ~;iJ. COMMONW'''llH Of f'NNIVlVANIA INHIAIT~NCI T,4,l( AUUIN "eSIDfNT DECIDfNT SCHEDULE F JOINTLY -OWNED PROPERTY . '".-.......-.----" ".._-----_._----~._---,- ....._-------- .. --rLINUMIIR-- ...,.. .'w..__~...-.__....___~_. ISTAU o' SYLVIA 1. HOFFNER ---_._-_..~---,.'---.~-_...- ,._~-_.~-"..~.--_. Jolntton,nll'll _______.-!l~I!'.L...__.....____..., ____..._._ ....._.~!I)~...SS.. .,.. mAI!~N5.HI~.!~ DICIDINT____. A. Sandra Hoffner F. Leroy Hoffner Harrisburg, PA Millersburg, PA daughter son I, c. --.-- -~-------,"-----' -------- Jolntly.ownod p,oporlYI __, -- ITIM LEniR DATE 'OR YOYAL VALVE DECO'S DOLLAR VALUE OF NUMBE JOINY MADE DESCRIPTION OF PROPERYY OF ASSET % INY. DECEDENY'S INTERESY YlNANT JOINY --~~.- ~------ . .-----.--" 1, 11/7/9 of Dep. 11-1260873 A Cert Community Banks, N.A. $3,905.9 5010 1,952,99 2 . A. 1/7/90 Cert of Dep. 11-12608731 Community Banks, N.A. 6,546.1 50% 3,273.07 3. B. /30/72 Checking Acct 11-107161 6 community Banks, N.A. 7,235.9 50% 3,617.99 4. B. 116/92 Savings Acct 11-1071612 Community Banks, N.A, 36,983.5 50/0 18,t.91. 77 5. B. 116/92 Cert of Dep. 11-1071612 Community Bnaks, N.A. 5,000.0 50/0 2,500.00 6. A.. /4/76 Series E US Savings Bon #K202681696E 264.9 50% 132.45 .__._~~~-----_.._.,--_.~--_. TOTAL (AI.o Oil'" on IIno 6, Rocopllvlo"on) $ 29,968.27 (II more space is needed inser' addi'ional shftefs of same sizeJ ~ ~~~':/ ./" " /" l.. .." a ..,,'1 / iJt ..\"-::' ~t'(,' ./ "'\~\'.~ /'" ..."'~~. ./' ,~\~ o~" ./' ~~ ~\t.~./- \\ /. ~ ~~'/ ~..~-' \\\) .../' oJ.~ ..\lv' ./' \. / ~~ ../' ~~./ ~,,~/./ \ -- ..0\\\' ,,-~et \,\\:)10 /~,.".<< ~o"- ~~ e" 'o~o 0'1 t'b' ,,-"-t\ ". 've~ ~'o<V ~o ~~ t \:)'0\ ~, \.e" \!<. , ,,-~e \\ ~\.\. ~,,\) Xl<v"\\O"- ~~ (,\.0 sl)t\"t\.~ 'v' <vt'b\~'I-\.<V(, ~1)1)""'l t'l-\) ~. 'v ,\.\.e ,(1).....\ ~'\;)0- ~. ~I)" o~, \.'-i<0 ll.' ~ t\ \\ ~"\.~ "e e .,1 ll. \.~<V . e'l> " e ,I ll. \.~<V "el/> ,Ill. ,. '1' .,. t\o~e \, H"-" "_r~.-"~_~''''''''''''''''' -."'.... PAGE 2 ALLEN SHAFFER & ASSOCIATES LAW OFFICES 129 Markel Street P,O, Box 335 Mlllersburg, PA 17061 (717) 692-2345 (717) 896-3092 Tele~"': ~m)18tll-3554 Allen Sh.ffer, Es<\. Berb.1I J, Pelton, Esq. Perelegels: JudY L. Peul Cynthie Armour Dorothee Buffington community Banks, N.A, Market Sq. Millersburg, PA 17061 2941 N, FIOf1t 81Mtl 8u'lsl12 Herrllburg. PA 17110 . (717)2"llllll In r., E.tat.of sylvia 1. HOffn.r aentlemen. We r.pr....nt the above-captioned Estate. Sylvia 1. Hoffn.r died on J.une 28, 1997, r.siding in Dauphin County, pennsylvanill IInd whose Sooid s.ourity Numb.r was 206-50-1793. For inheritanoe talC appraisem.nt purpoe.s, kindly oomplete the bottom portion of thie l.tt.r for all acoounts in which the Deo.dent had an int.rest in your Finanoial Institution as of the date of death and have the same signed by the proper officer or employ.e. Your cooperation in this matter is greatly appreoiated. S;~~y~~ ~~rs.) J~dY paul ~9al Auistant JPlaw 'Account Numb.r(s) 1112608730 Type of Aocount r;ert_ of Deposit Date opened 11-7-90 principal Balance ~O.OO Accrued 1 nterelllt -$0.00 Balance at Date of Death ~3.905.97 Maturity Date 11 7 ga Aocount ownership Joint Name of Joint OWner, if any Si~drl Hoff~~r Date Joint ownership was established 11-7-g0 If within 1 year of d.ath of Deoedent could prior Account be traced into a prior Joint Account in existence over 1 year prior to death of Decedent n/a Names of owners of any safe-Depcsit Box Additional Information, ~~~ 1112608731 r;ert. of Depos it 11-7-90 $0 00 $0.00 ~6.546.14 11-7.pe Joint SI~drll "'off'1er 11-7..g0 n/a " - .., ,.-. ~ ~ ',\ , "Ollf Fiwuly :icfll"'flY~lIf FIIII~/y :-;', "",' ::tlJ)',~~.~)~JJfunCr~'~QI,ne~ ~!., ".1., Ii,. '. '. ., I \ ""," ,I)alu N, Iloovur'" I. llich~rll'lloo;'ur , 118 S,Mal~ul ~I.', 103 W, Main Slruul '.: ':',~il,l~p~L>urIj.J"\ 17U61. m...al.l'llhvlllu,I'A. 170.23 . .... b~~ nVK '. 3b2'K522 " . -~.:- -~~ =--. ' '~~,~,~~."7;;:"":':;;.;.--o '-"X/r_ ~. " ".; ; ~I ),\t~I_. " I' : I.;' '~. 'il .1'. , 'I' , ... ~ \,,; l 1.. ' : 1\ ...".-i.... , .. . ,:.,', -\' il' '. II,,','. I ", "'1 '.' ~ .1 ,I:' " 'I ," L\ \; .{,.,~,(, '~", I" ~ ),' ;: '\.:' " 'i ';1' , '. " , '1, ,I " ., for lIoa funeral of: 5y' I <.v.ta , HQ66nelr. l);Ale: July 31 1991 ;'l . ,_u ..~..:::' :IJ " ,.1; 400.00 " ,.635.00:, ;325:00. .r~.~.,~,q, , ',250 . 00. '. " .. '250,'00 .~.: I J;',';j, '\'.--'j'J' "i' /25.00 150.00 100.00 .50.00 ,20 ~"O'O ,,' ,"20.00 " 25. 0 O~, ) _l\<;~".".',~. '.' '1-;" MINIMUM SIiIl.VICIiS 011 STAn' . IIAClUTlIiS ...' '';': ... ':,~~,I'ROI1HSSIONAl.SlUlVICIiS.,~.,.:',; ;i(':.'i._.. ........ ;'."; '::. ',' ~':',:HMDA1....ING"'i.~I..,;.,'~~~~,.i -/,,'.",,",,:" i'J.":>"' ";',,1 ; ;' ~... \ , .. I ., .':' .-' I '.1~ " . ...", ".;" . ....... . " ! ~ (, ,.....', I' J'u"I',ou,o'TION ' " ,., " '~,"'.',{',(,'1\;..... ADnAn ...:.{".... -'...,:, .~,.......". -......... ~,I I~. 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',,~:"'-';_\'; .!,:r',;lD'..,,-' .vf.~,' ", '.;':l'i"I~...I'~ ~"I' ~l,:;~,::~,;;;~{, i,.-::;~'~(;1~:"'i-J..:i.l'''.~r; ~ ,~ 1. .....~'......$I..mI)'baUJimik. :', I':'" ., .t, - ',' ':- I,,;r-~'/' " <;';~.:\.,",J,f,','..J....:,::,::,>,;:(,.'.:.....i:,:.~.,':.':.:~;,1.'~:.i'I.'~,'.,"~,' i i:; !<:-': ',.;' ;,< ,:.; ~:,t7.~ ~dl~ ,~....n " . !j.\}',:~,::;;{;,:'~ \ . . . , .....,....,., "..l.."'....',,. '1'01, j'"';' .... .",'. ',. '." \ ,~.,,:~-....'i'.,.,;. 'I",(~l "..,'<,),\,~:. If., ",,~._L1,,' $ . ,......,.-'; ";,.,.! '!'.',\, t-:"'~T':'~'-"7':r'!}.t . ; l....:,~....~,,_ " '. ! :' " }..~:_......::.-_. .._~._.,- , "C', ...,~:.:.:';",;:, "'~"'..".. . .,' , . l;'.':....... .I...... . ~. ,I.. ". ,. :_}~: :,0~"kL., :1..... "';'..,', :~~i::I;\;,.:}:.: . ,;",,;;~}r' . , " .~' . i:' ,.: ,;;7,!E]: ~~:.-~:..L'~'::~..::,~:~c:~.~::' :~~L I ..." '1~' . ", ',< iv. ',' '1' 2595.00 195,,00 , ., .'". " ;.::;--/9iJ.. i .... ,. COMMONNIALTH OF 'INNIVLVANIA DI'ARTMINT OF RIVINUI IUREAU Of INOIVIDUAl TAMEI IHHUITAHcE tAM DIYIIlll!l lIE'!. ".." HAMUIURO, Pi HUI-I"l NOYICE Of INHERITANCE TAM APPRAISEHENT. AllOWANCE OR OIIALlONANCE 0' OEDUCYIONS AND AISESSHENY 0' TAM ALLEN SHAFFER lAW OFFICE 129 HARKET ST MILLERSBURG PA 17061 DATI IITATI OF DATI OF DIATH FILl, NUMUR COUNTY ACN 12-22-91 HOFFNER 06-28-91 21 91-0511 CUMBERLAND 101 A......t ROOIltted I ( '* MAKI CHICK PAYAILI AND RIMIT PAYMINT TO, REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 11013 CUT ALONG THIS LlNI ~ RITAIN LONIR PORTION FOR YOUR RIICORDS ~ nV:lji.""iinjrp"n':;'iriliiYiciUcip"j"NHiiiifAiici-i"-A'X-APPR'A"iiiifiilr,--Ar.rciiiAi{ci-iiliun--n----m-- DIIALLOWANCI OF DIDUCTIONI AND ASSIIIMINT OF TAX IITATI OF HOFFNER SVLVIA I FUI NO. 21 91-0511 ACN 101 DATI 12-22-91 APPROVID DIDUCTIONS AND IXIMPTIONI, 12.181.62 .. 'oner.1 E.pano.o/A~, Cooto/Hllo. E.peno.. ISohedul. HI 1.1 re. _to/Hort_ Li...Uitl../l.Iono CI._1. II (101 .00 11. Yot.l IIeduotlon. (11 I 12. Not V.l... of Y.. R.turn C 12 I 11. Charit"'10/Go..rnoont.1 loquoot./ Non-.loot.d .111 Truot. (Ioh.dul. JI (III 1_. Not V.lue of E.t.t. Subjoot to Y.. (141 NOTI, If.n ........nt w.. i..u.d pr.villu.ly, l1n.. 14, 15 .nd/Dr 16, 17 .nd 18 will reflect figure. th.'t include the tllt.l IIf 6lJ.. return. .......d to dat.. ASSISIMINT OF TAX' 11. Aoount of Line 1_ .t Spouo.l r.t. (111 16, A80unt of lIne 14 t.....l. .t llne.1/Cl... A r.t. 1161 17, Aoount of LIne 14 t.....l. .t Coll.t.r.l/Cl.oo I r.l. 1171 II. Prlnolp.l T.. Du. TAX CRIDITS' PAVHENY IIATE 011-25-9 YAM RETUIlN WAI, C X I ACCEPTED AS filED RISIRVATION CONCIRNING FUTURI INTIRIIT - III RIVIRSI APPRAISID VALUI OF RITURN IAIID ON, ORIGINAL RETURN 1. ROOIl Eot.to (Sohedul. Al 2, Stock. end lIondo (Soh.dul. II I, cloo.1~ Hold Stook/P.rtner.hlp Int.r.ot CSoh.dul. CI 4, Hort_o/Hotoo ....Iv...l. (Sohodul. 0 I I. C.oh/.onk Depoolt./Hloo. P.rlon.l Prop.rt~ ISoh.dul. EI .. Jolntl~ Owned Proport~ ISchedulo FI 7. Tron.f.ro CSohedul. 01 a. Yot.l Aoo.to ( I CHANGED nl (21 (SI (41 (II (61 (7) .00 ,DO .00 ---&..ll. 53.38 29.968.27 ,DO III ,00 M .00. 17.234,03 M,06. .00M.15. nil RECEIPT _IER AA242214 DISCDUNT (.) INTERESY/PEN PAID 1-) 51.10 ANOUHY PAID 982,34 TOTAL TAX CRIDIT IALANCI OF TAX DUI INTIRIST AND PIN. TOTAL DUI . I' PAIIIAfYI. DAYI INDICAYED. SEE REVERSE 'lIa CALCUlATIIIN 0' ADDIYIONAl INYIMf.SY. UW.lld U t~' nt."1 SYLVIA l HOTEl To in.ur. proper or.dJt to your acoount, oub.it the upper portion of thi. for. with ~our t.. p._t, 30,021,65 l'.7A7 la, 11.234.03 .00 11.234,03 ,00 1,034,04 .00 1,034.04 1.034.04 .00 .00 .00 If YDTAL DUE IS LESI YHAN '1, NO PAVHENY IS .EquIRED. I' YDYAL DUE II REfLECYED AS A "C.EDIY" CC.', YOU HAV II DUI A RlfUNII, SEE RIVERSE II DE Of YHIS 'II~ '0. INlYRUCYI~.1 I \'- .,J ('j RESERVATION I E,t.t.. of dec~tl dying ~ or be'a,. Dle....r.', 191e w_ If lAY future Inttr..t In th4 I.tlt. 't trln.f.rr_~ ;1" po.....lon 0" tnjo~Hnt to Chu . (00111",.0 btlneflol,d". 0' the deG'" 'U.r thli IMPlr.Uon of MY ..'ete for lIf. or far v..r., the COMOnNIII1th tMrebv IMprll.h ,...,,,.. th" rllht to .",.11. Md ...... t'lrIt'.r XnherltMCl,. hlitl. ., tM l",'ul Cl... . (oolltterM!) r.t. on any lUG" future Intlr.... ...- OF HOYlCEI To fulfill the requlr-.nb of Secltltln 2UO uf tM IntMrltllnClI Ind ht.t. 111( Aot, "ol .n of 1"'. (72 P.S, Seotlon 91'0), PAV.w:JilTI lNt~h thl tor rorUn" of thll NoUn and .ubIIJt tdth VOUi"' p'VMnt to ,thtl R.,ht., of ..1111 print" on th4t t.v.,.. .Ide. u.... aMok or IIOMV Dr., PtlYlbla tOI REGI.TER OF MILLS, AGENT RfFUNIJ (eA), II ,"unci of . t'l( orecUt, ~hJch "I' not r.qu..ttct on u.. Tall. R1liturn, .,y bt r,qu.Ued by oo.,llUnl .. "Application for ..,und of P~'ylv~l. lnn-rAtlnCl and E.t.t. T.M" (REV~lJ1J). Appllc.'lon. ara ay.Slab1. a, ,he Offlo. of thli R..tlt.r of "1118, any of thl U A.",-.nlJa Dhtrlet GfUe.., or bv o,UIRtI tht .pecl.l Z4~hour an'Marl", laryle. ~r. for for.. ordarlngl In Pann.ylv~la 1.'OO~56Z~Z050, out.lda P~'Ylvanl. and ..ithin looal Hltrrllburl .r.. (717) 7a7~.O'4, TOot (711) nz.zuz (....rlnt llIpalred Dnh'. a.ACTlONSI Any party In Intlr..t not .athUH Mlth the ...r.......,t, allowanc. or dh.llotlllnO. of deduotlone, or ........"t of t'l( Orioludln. dl.coun' or Int.r.." a. .hown on this NoUcl ItUIt object Mlthin Ihcty (60) d'WI of reo.I,t of thh MoUn bYI --..ritt.n ,rot..t to the PA Gap.r,..."t of hVIlftu., 10llrd of Appaall, Dap'. Z11021, H.rrhbur., PA 11121.1021, OR .-.IMtlon to ha"'l the ..ttlr dahraJnad at audit of tIM account of the p,uOMI raptl""t.Uy., OR --.....1 to the OrphWt.. tour'. ' ADIU" IITRAnVl CCMtatTJDHlt f.otual .rror. dl.oov.r.a ~ thl. ......-.nt .hould be addr...ai In Nrltlne tal PA a.p.rtaent of R.VInUI, lur." of IndlvlMI hM", AnNI Po.t ......eent ~."'Ia.. Unit, Dept. 210601, tt.rrhburl, PA 11128.0601 Phone (7l" 717w'IDI. Saa ,... 5 of the book1at otln.truatlot"l. for InMrltanca hlC A.turn for. R..ldent Decedent" (REv.l,01) for '" .~pl~tlon of ~lnl.tr.tlv.lw corr.ct__l. .rror.. DItcoUNl I If eftV tile .. I, p.ld within thr.. (5' ClIIMdlr IICM"lth. Iftlr the dacltdtnt" doth, . flv. ,.reant (I~() dl'Gaunt of the _ta. ,aid II .Howed. ThI UX talC ......tv non.p.rUolp.Uon plftl!tty I. COIlPUtad on the tot.1 of thl t.I': and Int.r..t "......., and nIIt paid IMfot. Janu.ry 11, 1"', t.,. flr,t d.y aftlr the and of thtl talC une.ty plrlod. Thlt non.partlcApltlon PIlft.1h I. .....1.1. In thl .... .Inner and In thtl ttt. .... U.. padad at YOU Mould app.al the t.1C and Int.r..t that hat bHn ......Id .. Indlc.t.d on thh noUo., PENAL TV I INTEItIITI Int.r..t I. charltld ..Inn'", ..lth flr.t day of .Unquanov, or nlM C') ""'h. Met OM tl) d.v frOll thl data of ..th, to thl d.t. of ,.pent. TalC" which b__ daiUnqu4mt bafor. Januarv I, 1912 belr Int.r..t .t tM rat. of _hI (':'0 p.rcant pttr """" u10ulatld at I dala, rat. of .OOOU~. All tllC.' ..nIClh bee... rtellnct\tttnt on and I""r Januarv 1, 1.ll .111 bear Int.r..t It . rata "thlch will vary 'rot c.lend.r YMl.r to calendar Y'" ..Uh that rlt. announe.a bv tM p. o.partaont of A.venue. 'h. ."llc~l. Int.r..t r.t.. for 1912 throuth 1991 .r'l Y!!! Int.r..t R.t. Dellv Int.rllt Flctor !!!r Intlr..t Aa'. D.lly Int.,..t Flotor 1..2 20X .0DOSlt. 1917 'X .0002tt7 I'll 1':C- .0000. 1"..1"1 1IX .000301 I". Iii( .00OSOI 1"2 'X ,0002lt7 1915 1J~ .OOOSS6 19n.199tt 7X ,000192 19.' lOX .00D:7lt ""!i-l'" 'X .000l1t7 N.lnt.,..t It OIlcul.t.d .. fOIlOlllI1 IMTE.UT . BALANCE OF TAX UNPAID X MUNIER OF IIAYB DELlMQUEMT X DAILY IMYERUY FACTOR ".MV MoUo. IliuM after th. t.1C bacOHi dllln.,ant will reflect an Int.'lIt oalcul.tlon to flft,," UU dlV' bevond thl date of tM ......lIIftt. If paVHnt I. ... aft.r tM 'nt.r..t 1l00000tatlon data .hown on tM Notlc., additional Int.r..t au.' be caloulatad,