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HomeMy WebLinkAbout97-00710 IJKlTflON "'OR IJROBAn: Ilnd (.RANT m' LE'l'n:RS li,""/f,~r CUU./ll ~.. L/\Y No, c\\~(1'J~7JO Illso knoll'lI a,\', To: R~~I'll!I of Will> 1'01' the . I ' Ih'I"'tISt.tI, ('ollllly of V"I'Y',~)"rlQ.I'<L..." in thc Soda' S('I'/II'ily No, UH - 0 il.'. ~ .1,.)1.' Conllllollw"allh of Pcnnsylvllnlll The pClllionof Ihe 1I11de"i~l",d ,e'peellully ,epn',elll' thlll: Your pCliliollcr(s), whn h"arc IH Yl'ars or a~l' or t1ldl'l UII till' c:O;CI'UI () r In the IIII'I will of Ihe 1I1l01'I" deu'delll, daled '~'J\1'~' and emlkil(>1 daled . ,. .~,_,... named . .. ..__. 19.'UL_ (\latl' f'l'll'\anl drl'lllll\I~\I11\'~, l',l!. H'lIl1nl'ialloll, dealt! of l'\t'l'Wor, l'le.l Deeendl'nl "."!' dOl\1l<lle'.I.'1I dealll I~\ .....~1Ir--\. \o)1l.r\<\L'd..c.'__ .__"".' \..'0. n~IH ,PennsYlva'~aA with h..1,'::>. lusllanlll)' or prlnelpall'eSl(kne~ ut ,'?J..I. '':>,4 5pRle''1J-'<i., _3P nJ1~ \? i.ljl ___....(G..t~\'I\ K-"Y"ViJl,\.;,,,-(o, ii, 1-I\I'IQ"MI\I~,',rJ,. .,I\L, ,'@l.tr.5i:i!E:C..ThD? {II\I 'otITl'l. tllltlllll'1 and 1l11ltldpalilV) DCl'cn~nl, Ihen:y}ip. .. ~'eal" of age, died ..-T~(' I... .n___' 19.'-11-_, al i'xel'i1t-a~f:~Il~~.;,~I~:l:J~1I '~d' 1~~~"\~~I'~,;~';;;'lI\IL;~'~d;";~li~i;l~ .~~~;~ill1d bol'l1 or adopted aflCl' e\e,'ution nf the will offered I'm probale; wa, nollhe viclim of a killing and IVas never adjlldicated inl'0l1ll'l'Il'111: _...._____n__n_ ............... ....----,.------.~---.~ DC~l.I1lIt'lll al dculh 0"'111.'(\ property with estimated values as follows: (If domiciled in I'a,) All pe,sonal properlY (If nol domiciled in I'a,) Pel',onal propeny in Pennsylvania (If nOI domiciled in I'a,) Pel',onal propeny in COllnly Value of rcall'statc in Pl'llnsylvanin SilUUll'd as follows: _____________ $....~7)'I' 000 0 Cl L__ $..--.- $-~.__.~--, WHbREH>KE, pelitioller(,) re'peelflllly I'e'luest(s) Ihe pl'ohale or Ihe lasl will and codlcll(s) presenled herewith and lill' grant of kllerL..,.n,1-<)J~.i,lAe.I=-C1-"~"'''-''-''''''-''.' , (l~l\,1l11:!IIIi\ry; adIUinl\ll,llhlll ~'.l.a.: [,~ll1linislratloI1 <l.b.n,c,l.a,) Ihl'lon, , " ~ :E'7 c;:: ~~ "';5:g C'l'~ - .' ,,,- ~ ~: ::l .J ~ ., in J'._p '/A!4'.I-1YJ.1.,.._.~?l; r:-- JiflJGlV~-.,n_L,-- ....J;.F\..~;/iLI~~-h -"7ff'-" "') /70 I ... .. t.J.,.2,~,{J , /] tN, 7 m-'---------------ct--.-.. -- .-.--...--'--,---------- _..,-,-~.- ----~--------,_.~, ..-.... r_____.___~.._,... ."....,.. -,..- ____ ___~_..__.... __'_.n..'" ..... _n...____~__ OATH 01,' IJERSONAL REPRESENTATIVE COMMONWEAL;I:U (W I)E~NSYLV ANIA I. l-lS COli N'l'\' ()t' p. l'",lfib.H Ja N..cL"u_ __ I The pelitloner!s) ablll"e'IHII1Il'd 'lI'ea,I') '" al'fi,m!') Ihallhe .,taleml'Il" Illlhe fmegolllg pctlllollllre true lint! i..'OI'l'l'l.'l to I Ill' hl'"t of IIIl' ~l1owlL'd~l' and hl'lid or Pl'tlliOl\l'rh) and Ihat a~ I1crsonnll'cprcscfl. IUlivc'(I') (If III\' allosl' dl','el'knl 11l'liliolll"(s) lI'il1 lI'ell alld 11'lIly adlllilli,ler the cslale Ileeordin~ 10 law, ~~'ff'::"~'~:,:~~~C:(1: I ';It)~)/y .t~c"~~-~ f ~ary [,~~ 111',,1\1,'1 (. ~ I s- /99- b /' p .n______._ - 21-97-710 No. _,,_________- I':statc of _~;'..~r.. ~J;~.x_,_---" ___'---' ncccased DECREE (W 1)R08A'I'E ANn GRANT (W U:TTl<:RS AND NOW __.._."J\\JGU5.T22"" IL.':!."L. In considerlltlon of the petition on the reverse side hereor, slltisfactory proof hllving been presented hel'OI'e me, IT IS DECREED that the instrument(s) dated"d~lJhY,l~ I,1.n.Q""..",,--.- described therein he admitled 10 pwbllle and filed or record 'IS Ihe last will or -----.--- ______._..-~-R!cll':- S "__l!'!.'!,,-.._--...... - -.-.....,,"--..-------..,~ and Letters ____T.I;:S'J1I!'1~^R)'---..----_.._-----..---.----~'-- are hereby granted to _.J:l!\J3.~)'.1-'.-fd\Y--,---,,-------...-----~--....----.--- ----_._~--------_._--_._.._._-~--~._.- . ._.~..,..;..-----._-_...._,....-----_._- -_.~.~--.-....~--.-_.. c , (:;m(VIM_JLc(~ ~t<.JLJph ~U Regis.... or Will, MARY C, LEWIS'" r FEES Probate. Lellers. Ute, ", ' , _ _ " $_115, 00 ~ Short Certllleates( 5) _ _, _""" $...E.'OO__ Renunciation ."" _ , , , , , , , , ,. $...,_-- X-PAGES (2) __-' L 6.00_ JCP 5 00 TOTAL ,___ $.' - Filed .,., N-!G~\'l~ ,~p,\!~7., ,$W,QO" ~orge !.~.Jbugl,<!13 III Esquire ATTORNEY (Sup, CI. I.D, No,) "61886 27 W.High street,carlisle. PA 17013 ----- ADDRESS (717)?43-T79o P1l0~I'n l~' :;-' \,-"j :1 '-[Ii t,; C':;I J'i , IJ':, tJI; 0'> LETl'ERS AND ORDER lXlNF1 ON AUGUST 22.1997. ATTORNEY GEORGE: F, bOOGt.AS,lII PICKED UP LETI'ERS ON AUGUST 25. 1997, l'iIi, h I" ,,'nily Iii,,, Iii" ,,,j,,,,,..lI'"'' I"", I','\'<" " ,,,,,,', tll "'1"",\1,,,," ,II' "",,,",,\ "IIilI< ,,,. "I ,I, ,II\' ,1,,11 Ilkd witl, Ill!' ,I' I "".I \(1'1',1'11,11,' 1'1><' ""1',111,'\ [,"1,,11\ ,,", \1.111... 1",\1,11.\",1,,, ill<' '0,,", \ II ,I 1(," ",,\, (ill;" (..I 1"'"""1"" liI"'I',. WARNING: It Is II10gall0 dupllcato Ihl~ copy by phDIO"!(l1 or photogrnph, 4430237 i,ji/i';';",.,-, ,,;i.,i,i(~\'\_\ OF.PI~;~~~~~_ ...",,~1J)' I~!"..".. c.......~ ..~M<'...-.L....'.~.~-.~.\' ~~~~ll ,'~, 1,_',-- ,.,~~// \1 . 'l>"" ..,~rMENl ~\ ~~"l fr{u'f!t!l.u!L!JjJJ.:- ~~, ~~_u.c..~-t"~~ 1,1; ,Il Hq',I,(I.1! h'(' 1',11' t111~ [l'I;ldhall', '11.'_00 MiG q 19D'/ [),l!(' Nil, IN! .. "~ll "'I ~\J""'~ :~~OflOl!C'OEII1II"~'_CjY' . ---'~---' :"~ale ~~';"'"'~':~'~'" --:~o T;:'''::;~W;~'11-= ~OI'\I.'~ IJHOe \~(.IoI'l III I Oil'!' O,tlfOllllllll e'"IH~c"rf,t"'! ,v.(,,{'\lIO(""I<C~.o""1"'" ...."..,..,"-~1"",.......'"1 ~ '..1-t--' -.-rot.... 1.<><'1j"'......"'- "'...r~(.T"""1 \"'14~'""..~'C""HII iiW"T;l--'---~----_._-~--OTlli1i'--~-- ----. --~.-- 86 . . Jt\ly 1 [I l [' Il""""l[!.... ' r)o..., n,: ' ' Nowville Pa '''lI<l'''''' !fIXMl'wl"'" , O(\A I -...- n.__, 1 ~t"';"'ILJ '4!'1Of liE,uH " . -- '-CI~ 9011()-f..Jt6, n;~~ll- 'AClu~~;mf......-;:;Tr~;;;;;;-;;;;-I <l~~-~-----' WI< r.(CfO('/'ofl"~""NiC0/110"1' - "...Ct ......,.:"" N1i'~ 1lI4c' ~-.." (' \. \ ,11 I, ~- 0 c: \ ,.C<J _ll,..._.,,~, ,,,.,,,, ,-l\'\~\"'\!."; ""~,~ ~),l'\\\'1'''')~ \'tJ \1..>-1" ~~C\\Vv' \~~'c.'-\:\\., c.:ev~'el:::...- r,I..o:.n ~".,.oRo:",..o " ""hi te (l(Cf~I(1SU'U_l@\lP~r _.'IlDlZ_SU5'ltE5$1IHOUS1R'f I""".",ClEViit'/EIlIIl. OEC(OENT'S{{)I1C..ll~ ',lAM"lSl..Yljtr.~~'t<l 5Ul1'IIV'N05I'OU!II: '_, -:(;;.-;"'0";.<'';"~'";:;;;]''''' --,'.'- ...._...~_.~-' U5ARl,llOmIG('11 ..--I~~!.'ltJIZt'lt~W'~IL_. '1....-LlV.~. ".,f..,..........,.,_, "'_I,~"'" <I.,,,,,o..,.r"OlI [1 [.-J EI.....".....,'1!<<QII<1.Ir'f COIIIl9I o""".""~",",,.,l ~ 'II.. Il<l 1'< S'l '~I {",,~., 0€~i'Wl~~~~.~-~ ~:~T;r-')O'-lnt.C!iiHii'I~.'--- 'L,._____11-___ IlII 14, '" n 1. b --~--. '<;1I1At III S'.I' u . Pa _ 0"" If. "",w_<OI~,,__JLl__./i:..e.nlla _0.'-0..__ ....~u_._~ 210 Dig Spnng Rd ~~'~~'~'~<"I :"::<01 1I~_~wv~-~~~.:..)724.L ~_.::.::~~~gumb--;;=--~__=.,.n"'op1 lUJJ~~~:_:.=;~:'_I: .~ _n'l~ ',"H.r,R.sll.....r"'" 1A<lo'_, \..) t,lOIlIEFI-StllLlf,\f,,, "'<~.. "'.<1..''10'0'"'' OOMMONWEAUH OF Pf,NNSVLVANlA' OEPAAlMENT OF HEAllH I VITAL AecOA09 CERTIFICATE OF DEATH .!I0~ IlJn.. U1 '"' .!.L_____:.l!~~~ I. Mal"! oilAr ,...,on"....IfI'SNAI.l[ (1,1'41I""'1 IN'on,,....Nl.' .....lll~ .oontn(....... c",r"",~. 51ft. t~C"''''l 110 rr L,c...!!2.L______ ,5 Sh \ r !JU'...1,a e "'ll-fOOOf()i51'0511ON 0.a1C010Isrli.''l.i.iiOO---- Pl.AC! 0l51'O;1l1ON.1l....ol.C."'''It'1_c,.''',,'''' ._ ~6cl c;,..".,...LJ n....,..-.:,.,s.."Ll r""~,,,,(,,,"'il ",0."" PI... rr-'....u "'''''I~I<<.;~.~_._...~-_-._-~.....-_~ ..U &_llg. 21, 1997 .umb Valle Hem Gdns Nt.....lSl iC[t(f:5rif!/~R~'iiiii'5~"r.I' --fiC~Nl:i;;Iilll~- - NHlf_NO...l'JOi'\Ft-5OF"ACIHt'I , ./J1'-:-_______II,,[, ._2.951_. _ _<lllIL.C.-,'="."..l, ~ c-tl.4 J1&<-._ne.~''''''''J 7J1F~_~~"'" ....~y(""..t I'{':" ~ ~~I' "WI<! .... iN1l\I...Al =:,;:."::;:~:tIlol'I""'oI'l4l"'O ""'''.........11 / ,/ i / /' ~~ /' ,,) ..~--- llL-_ ~;'~J:---'''- ':.~::.7':~/j..1:I-- 1.....H_l1I"',..~'o"'r"t'..,'" 11"'; Of l .t~1 ICtlO\J,,{((\IlU.I"~' ,'h (Jof ""I "'....._1""""""'.....,,' ("'"p' ,\...n~.l,..\ ,___~' -llil-'l>:iL-_ ll~,....L1~\:JS.:l--- (,", """'H"" ",,,,""0' ''''''r'''''I_ .w~ "._IN "'"" r., ,.,1.011' 1","""".1 CI't""J. -!.~~u,.''''... ~'''''O<rll>t't I"'" I/,<<_.j< "t.M I.....'. L" o,,",OfW<....... ""u<.,,_ - .J.r;,~2f1~i.~a . arlisle, Pa, 17013 s~YtJQ ~1i'1"'i '''''''''''.00v._1 :f{Ji~JJ,3'i, ~ 'i N.SC.l.'JEflH~nnEom"'(~,"I"EflJC ....[1 I~"''''''' ~::.:r=: , ..~."t'r..;fl.O_~".;,',,"ffl<LL"" C,l(i-f"VuU-:.cc.i}icULf;s.<<l,-t..L., ~,--- fJuE fOlm....~~ .c~lsrri'IVff;( C>I', I \ : ;;if""""'''''''''''''''''''''.' ,,,u_.-'-"-'~~'~~"~i =.=~~- _.--~_.._--._----_._._-....~..._--- .----mJffO.lroiii:<i. t.nii5Er~if!id i"'l- _.... ,--~ -.--.+..- m__._._____~__+_ rIf.Afwrr1S-:;I7.I-DiiiO<i- \'-;';;i'nOl'i)E.ii.I=- - -' . -~AI{(iiriijVii:t- "-.\!'~'fC.i"ii:;U~-:;' "t.I_IJIl~[.I'wo~"['I'I!(;"liiU~iWiYiXCii;i'Meo .....ll..IILE'..'Qfl!O M...~ !1l'r .un ~O:~~~'.OfCME "~hU" rw ""mnlt II _"odt" I ) 1,,"'~'M"l<~'''~ r I ""Pi ". [: .... I \ !l."".1I ' I <;"'Jkf.."tIt~.'.".,.1 [1 ~I!N'tt.JIJIlV At;;'""-I"~~~ t..r;~"~4 .J.!_. It<l. -l~~.-TKlNl'ln~;;-"-._ ~I -~ --,. -~.. - ~___~u~_~._______ !!. ___. - - -----~ .-----.--~~;.."..;~~:~~::.-._-~-- -'" - ctI'l1I1'IUllr..... ,""y",,"l 1N~lU E AND lilt C'Z[ 111'1 .... 'e.'"I"iIl'O'~nlCl_~IP~,..,..,""...""l'~..,"j...,~I"'".'-n<~..',.,l~'."hl11"....,"'''''I..'h'''nr''''I..'..''I....l_1I ~".A~ T...._'.'''',.''''."..,..,".'~ OC(~"t<! ~""~"',uul.llI''''''''"N''' .''It<! ....1.' ur.l!ilii' U~[A ......~~-~~1~li1Z0~ .Di;"~'''---- '~iIlOlfOl.INClllO_~OtIIlTIr11"(}'I1V'lCtaN!" ,,,:"~h'" ...c,."...:"'-'<I..~.."".."'.rr'j"".j'......".,..:hl [I Ci 1 I ~ . / r r.-f/"j ,.IM_'ltl...f.""....,....tM,,~OOO.""....,I"'llm.,UIf,Ir>ll'IK..j""~U.''''~.q.u''(1).rod"",,"""I'''''' ,,'-" [j A~t "'O'.OOm!ss.ii'Pl~0i4WloOCOi;t"-iJ'Wc..u .f';~;.i'~-!t--~-----_...... 11t"n 17\TypeOl ",1M f\ -"\; L '..IOICAlU.,WIHIRrCOflOH(I\ . (.0-\.{ \-\, \~~~e.f'\(\ '" ~:~:::n:::,r"'"'''' ...." ,....,'."..,,,., ""'"': .~.~. ""","" ".' '''". "" "'.~"'" ':~~:'~~~:,=:I:~'~' __~~ !!....__.._..__N.\"')-"~\'-...~fr---..---- -.------- ..~I[lil;;v~:.~~.~~if~--..'---~... 0.1\11110'1,1,_""" n., "'II' ...,_..,_ .. .__'u__-..:.~, ,,__,.~:.l\~r:""-llUI__. !,___..J.~~~J \.. \(i':}1...._____~_,_ ,."n~: CO'''''I'II''<lIc.-.lllOft1llloN-tIuIIrlqlll....-1IIII rlO!_...W"4..""'~_V-'"~ll __/),..rj1fli~"--~,._...------- .-\ " \' \'-' , ,,'\ '\).' ,~S0 l' "~~' .~\ ;.". ""~.,: \....~ ,/ ,'~\' ~~< "'?\..~~.~~\, '. ,,~~'. .-:\' .~' i~ ~\.\..,~ \.~,', ...:~" ,,(\ ' ,y~' " .f ~ \. .-" ,,,~" " ':' .' " " \ , ,'\, \, .' .' ii ~ ~ ~ it ~ ~ :J ~ a .~ C> 8l<nl; H ..... . t-- ctl ~ ~ ~ ~ c/! I ..., t-- ~~~d~~ ~ ~ '" I ~ ~i o ~. " N <:) t-: ~ ~ :J i( , 8 ~ " . ~ , . , t - CJl:RTIFIC~TION OF NOTICE UNDER RUl,E Lit.!.!. Name of Decedent: II ( i ) I n'r l ,\;( I' I I.: Date of Deathl L,~L_$ Will No. j \ eLl,( ul.1 I) Adml n, No, To the Register: 1 certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the !9ll0Wli-".~ benef ic lades 0 { the above-captioned estate on xl 2-'" _ 'I J I -1 ' Name Address 1 ' I. J!..e ( (crt kA/!.,J -- Notice has now been given to all persons entitled thereto under Rule 5,6 (a) except V~,(".'-/' Date: d).-/; k1 I t (,-\ \ .I ,"-~ C;j ::~ Signature Name ~,.!~'6__ Ac1dres~OUGLAS, DOUGLAS & DOUGLAS P,O, !lOX 261 CARLISLE, p~ 17013 Telephone(V7}?Y~ F?? 0 Capacity:, Personal Representative I~~- (~1\ .:1!t OG v/. Counsel {or personal representative Ii j' f<) {'-'! ,~ ,-.< ~-- ~-!:;t ::' n ill a.: O"j (-.::j <;;;:i l.!! b,~ ;,-- " __I! '" , ~f- H .(t...... ;"~:;::~":lr' ,-,~, ,1),,_, ;-" -- ~ -,;;, -,--. , M!V.l~OOfh 11.IUj ~ ~:!il:! :c~9 u~.. 6:;(11. , , ~:Jt-t.!\ ''-')I~ Ill.... i~ "'z uf (I.... 1.0- DATlS O' DIA'H ,1,"1_ 12/31/" CHICIl Hili " A SPOUSAL . POVII" CUDIT IS CLAIMID r I P1L'NUMiil~ .... ...... .....-- 21 97,-0710 __ 8. Tolal Number of Safe DeposU BPX8S 13 if(1PH6NEiWMi,.-"'-'-'''''''-'''''-'-~-'' 27 W. High St.. Carlisle, PA Ill'9;\. ,~7 \.?~~c~?::,I}~,~",=~~=~====..====,."",~...~=~~~~~=_ .. z Cl ;:: :5 ~ u w .. 1. Real ellale (Schedule A) 2, Slack. and 8and'ISchedule 81 3, Closely Held Slock/Partnershlp Inlerest ISchedule q 4. Mortgaglu and Notel Re(elvable (Schedule D) 5. Cash, Bank Depollts & MlscellaneouI Penonol Property (Sch.dule EI 6, Jointly Owned Property ISchedule Fl 7, Trand". ISchedul. 01 (Schedule 11 8. Total OrCIn Auell ltotalllnfl 1.7) 9. Funelal hpenlol, Adminlltralive COlh, Mbcttlloneous e.pon.e. ISchedule HI 10, Debll, Mortgage liabl\ltl", lIanl (Schedule I) 11. Total Deductions IlotalUnel 9 8.. 10) 12. Nel Value of Eltalelllne 8 minus llne III 13. Chadtable and Governmental Beques" ISchedule J} 14. N.t Value Subject to Tax Illne 12 minu~ line 13L__. 15. Spousal Transf.,. Ifor datl5 of death after 6.30.94) See Instructions for Applicable Percentage on Reverse Sid.. Ilnclude valu" from Schedule K or Schedule M.l 16. Amount of line 14 laltable at 6% rate Ilnclude values from Schedule K or Schedule M.} 17. Amounl of llne 14 tClxable al 15% rate llnclude values from Schedule K or Schedule M,l 18. Principal lOK duelAdd tall; from L1n" 15,16 and 17.1 19. Credlh Spousal Poverty Credil Prior Payments -- .--_._..~.-._..__...----_..., --_..- + -------- ---------.- INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWfAL1H Of PENNSYlVAN" (TO BE FlUiD IN DUPLICATE UEPARTMFNT or MEVENUE Hm,sfJib, ~~nl"ObO' WITH REGISTER OF WILLS) COUNTY CODE YEAR NUMBeR ~ :;::E:;~:t;:'i~::',~ ;~797--r'7';:;'; I. .. r"i':::;:;f:~"~i;::'~=- _ ~_ ':',,",,:"'",,"'~""~"'~"'M'"'" "'" "" .'""" "'''''II \,OCIA' SEcuRl" ""M'" r AMO"," "'''VEl' I\'''''\:L''~O''~____~_.___. [,l'1. Original Return 1 I 2. Suppl.,men!ol Return I-I 3, RfJmalndollr Return Ifar da'e. of dea,h prior 10 12.13.821 [] 4. limited Eslate r--l 40. future Interes' Compromise LJ 5. Federal Eslat. lall; Return Required (lor dale. of death ofler 12,12,82) [] f,. Decedent Died Testote 1-.:1 7, Doutdent Maintained a living Trust IA!lach copy of Willi (Anach copy 01 T,".,) .LL CO,.,IPOND.NCUND CON"D'NtIAL TAX INPO.MATloN IHOULD .. D"'CT'D TO. NAME G F 0 ] j-II E"q COMPltH MA!llNO ADORES eorge '. DUg _as.. . , ~'" . '0. If line 19 is greater than line 18, enter tho dlff.renr.e on line 20. This Is th. OVERPAYMENT. 110 21. If line 18 Is gr.ater thon line 19, .nter Ih. difference on lif'\1t 21. This Is th. TAX DUE. A. Enter the Int,,,,,t all the balanev due on line 21A. 8, Enler Ihe 10101 of line 21 and 21A on line 218, Thi.I.'he BALANCE DUE, Mak. Check Payabl. t., Regl.te, ., Willi, Agent )>. ~ .. IU" TO ANIWI. ALi.'QUISTIONI ON ..V.... IIDIAND'TOi.CHIC.!( MATH .c-< Under Plnaltl.. of perjury, I declare that I have tlwmlned thh rolurn, Including accompany'lng schedul" and slalemenU, and to Ihe best of my knowledge and b.lllf, It Is true, correct and complete. I d.clare that all real "Iale has b.en reported 01 true market value. Dedaratlon of preparef other Ihan th. personal repre.entall.... I. based on all Information of which prl arer has any knowledg.. ::a~~~~:;:\::'~N,:::iijiN--~::~,::::... ... ..H;~~~1il~~]~~.~~:~~~:H:ng.s=s, ::"'sep~:29.l99~ v L_ PA 17013 Sept. 29 ,1997 ...-. Douglas , --1k1u~la6-~-l)_gla"T,U"WT-HI gh' ,fit ";()~t"H.,.1.,,.--p-^'+7(n3 .....,-'.---,...- ,..-,-.-....-,- ~ f . Cl u ~ .... (II 12 I ,..,..,--...-----......... --"..., I 3 ) ---,................... 14 1 -....,-'--..~.._--... 15 1_ 74. 33I.Q!t....___..c...... 161_.........."....,'-, 171 __._m._.".._____ (91_....!l..279,S4 liD) _......._,..__--;-- 181 74.3n,04 11.279,54 63,051.50 III) (\21 1131 1141 .(H.,{)~,1...30 1151 ..__.,----"....,---~,.."..,. 116) .._..QJ.J),'il...2.Q__..._..........~ ,06. 'm1.L783.L.Q'O.....,.._~____ 1171 . ______._____~_________._ x .15 = 3.783,00 (181 Discount Llll~ .&9, . Inlerflst 119) (201 ... . .. ,189..JllL.. (ht'I~'tll It If yOl/1lI1' l{<q\ll'\trn~1 (I lelund of YOUI OVt'lp(lYllll'nt 3.594,00 1211 121A) 12181 3; 59'4; 00"-- G 5CHEDULI H l ~:jj. FUNERAL EXPENSES, caMMoNwl;~H 0' !INNIVWAN'A ADMINISTRATIVE COSTS AND 'N'ln\~~WttISlm~N ~~_~~~LA~,~~~~ ~~!E~SE~.~ ..__.,!!!!!," P,lnt or Ttt' IIT"n 0' ~ -=- - ---. --l:lltlMin-- ..=-- Charlie g, LilY 2197-0710 _______._......._______......--~ _.~_~.____ "Z__ _~_..__ --,~.~.---_. .-.---- DESCRIPTION AMOUNT III~Ullllh I"..' ITIM NUMIER --'-" A. 1. 2. 3. .4, 1.5. 1, 2. . 3, 4, C, 1. 2, 3. 4, 5, 6, 7, 8, - --' ._____________..n_"___~._..__z_~___~__'".___.._,.___o__.______~_ Funerol EMp.nll.. gggcr Funerlll 1I0me, Nliwvi 11 e, P^ 4,366.00 93.75 Cumberlllnd Vlllley Cemetery. Lot coat Vault $325 Bronze $740 Grave Open .Jl5.Q... Plainfield FirHt Church oE God, meal Minister and OrganiHt EeeH Arlmlnl.t,atlv.Ii!'W'.R1i NOHH. Flowers penonol Roprllonlatlvo Commllllan. Social Socurlly Numbo, of pOrlanal Roprlluntatlvo, Vear Comml..ion. paid 1615.00 100,00 90.00 . 128.79 None, None Attorney Foo. Family E~.mptlan Claimant Add,oll of Clalmanl 01 docodonl'. doalh Stroo' Addro.. Rolatlon.hlp None ~ Clly _Siolo _--'- Zip Co do 141. 00 Prabal. Fo.. MI.cellan..u. bp.n".l Cumberland Law Journlll 60.00 68,04 Evening Sentinel .4,573,00 . Swaim Health Center Evening Sentinel, News Chronicle, Valley Times star Card of thanks 43,9" -- S 11, 279,54 TOTAL (Al.a enler on IIno 9, Recapitulation) (If mOil 'p~c, I. n..d.d, In..'' addItional .h.... of .am. .1...1 , , . J PILE NUMBER \JOlIHll SCHEDULE J BENEFICIARIES - ~A!- C"MMONWf~l,j" 0' PfNN1!'f\VAHIA INHIIU'ANCI fAit IInUIIN ."IOlN'.!I!~,IDINl "L _ -"'t' ~..=,:.~.;;,-- .--~~ . 'iSTATI or Cllflrlle H. LilY - ,9& .~ ....,,~. ~,,,;...~-..~;;,,,;~==I~~'~~'"',- A, Ta.abll a.quo,": ! ' .. '" 1. Harry L. Lay. 5 Hhirley Lane, Bolling Spgs, ,Po son AMOUNT OR SHARE or ESTATE ~.........--.--'---'--~ 1/4 ahare 1/4 ahare 2. Paul R, Lay, 1004 Ftlrge Rd. ,Carlisle. l'a. f-wn 3. Kenneth C, Lay. 5 School Houge Rd. ,Newville,l'a. Bon. 1/4 share I,. Frances M. Shoemnker, 21 Newville Rd.,Shipp.Pa. daughter 1/4 Bhare ITIM NUMBIR NAMIAND ADDRESS OF BENEFICIARY AMOUNT OR SHARI or ISTATE a, Charltabl. and Goy..nm.ntal a.qultt" 1. None TOTAL CHARITAalE AND GOVERNMENT Al aEQUESTS IAI,oln'.. on lino 13, Rocapltulatlon) S (II more Ipa.. I. n..d.d, In..rt additional .h.... of .amOlI..) COMMONWIALTH OP 'INNSYLVANIA COUNTY OP CUM..llLAND } III Harry L, Lay ---'-------~---~--~--_._-~~~~-_._--'_. .....,<....._..-.._-,.~.---,---_._,.__._............-,----_._~---- b.ln9 duly sworn .eeordln9 to I.w, d.po... and ..y. that h. ._--!JL.!:Jl!L..._. ' Executor ~ th E t I f Charlie S. Lny N--rn- .-c;-= 0 .. a . 0 ------" cwv. _ .c, ,um"cr. llIHI I.t. of ___"_,,.... , .. 'p" . -.----- ---- .'.-.-.-..-.-, Cumb.rland County, P.... d.e....d and th.t the within I. .n Inv.ntory mad. by .__,~ him,_____.__..___.. .__ .....,_.._____'. the ..Id Executor of the .nllr. ..tet. of ..Id d.c.d.nl, con.l.tlng of .11 tho p.rsonal pro".rty and r..1 ..tat., .xc.pt r..1 ..lot. ouhld. Ih. Commonw..lth of P.nn.ylvania, and that the figuru oppo.lt. uch II.m of the Inv.ntory r.pr...nt It', fair v.lu. II of the d.t. of d.c.d.nt', d.ath" September 97 19. ~~..t: Harry L. Lay Sworn to .nd subscrlb.d b.for. mo, -~ CUeva 'VI. .~, Uhf I --5' Shir icy-Lane Boiling Springs_ PA 17007 Nolt,lIl Sell _Ill, Cea....., PlIbllC: CIlIiIIll.....~ County III ....'" 14,2001 Add,o.. D.t. of D..th __ 17 Dov Alli,t1Ht Month 97 V".r INSTIIUCTlONS I. An Inv.ntory must b. fll.d wllhln throe months .fter appolntm.nt of p.rsonal repr...nhllv.. 2, A suppl.m.nt Inv.ntory must b. filod within thirty d.ys of discovery of .ddltlon.1 ....h. ), Addltlon.1 sh..ts may b. .+tach.d os to p.non.lty or r..lty 4. S.. Artlel.IV, Flduelarlos Act of 1949. i ~ " 1 ~ ,.., II ~ >, rl j '" .... 1 0 o VI ...1 ~ .... ~ ... '" ... .... ~ Do . " i. 0 ... ~ '" Z I ... ... ~ .... 'W " '" 0 ~ '" .... { I ~ .... .... ~ Q I-< N 11 " :! - ~ ~ c3 u ... 1 '0 "t: J ~ ... : e J ..:l .. u ~""'" """"'i;;," 01' 0,. ~1't'::'ICt 'It", 01' PIN, liotJC Ifr 0,. '" I't,~ rlo",~(,:"'IfItERl IIINt II"Nl ~1I0 ~I/ct r ~I/ct t " ~"t,OR 01 r~1( '/ftll .~(( II" "'I r 0,. O:~I/cli ~ ~r. ~ ..., "'" ..",'" . 'i~."" '''' .. · 'j '0> '~\r~!. :.."",:",-,::", .,,,-"'" '''' .. ...."" ,,""., , . .-' .... " '"),,,,!- " .....",. '....~~'''.. '?:il'i'!!!" .... '" ::::~ -"'0. , .. ... '........, .....-- ~~ o'::::' ::~':' ~~":'" :" .::.,,,~,,:1~4"'1 cc:~~~s:e:"ol'''-:'tl Jllett ..'" ...." -" ."," ,'" "'" .. ", -,,' ... ,: .......... .... ....:;r. .... '. "", " "" :"l{i";!!' "","' C:'ll, "0, , ;: ,~'$...~::'''::.~' ,~.. ~~.:: : ::,,:"~"1f!Il!r;..,':.,,:; ...~ .,...., " ......;. ,.:,:;. ,..' :::.:.;'~"":-:'" '" """ :....~,.., '1:'IJ"'~ ' ,t '..........,.....";-w. ;~' ".::::-'':;,., '.. ""0 '"",' ':;' ..~...... " . "'.,," ,,.:,,, '. . '....: ....,. ' .. ..... '. ,.,...'" '.. ,..,,," '" .... " ~.. ~.... ,,~ .... ,...._..' ~ t '. . ~. .... I, -. , ... .~" ". ..",'" ~"',':'~. .,..~"","'~'''' '. " ,,,,~ 19-98 I ,.,"J' r e.,(.o I f, .. .'" ""," ... . " ' ~ I/o .... ,.:... ~.......... . "...... '" ~ 0, rt, ro ". '!'''' '....... '...":"'" ....: '... '" ~ .UI.~JI I J"." 16 ........ 0,. . flt,.. e...", II I) ettu ~ ......JI 0 ~ 'e ,,: ........ r",~" ".~..., "" .;'''' ..::......... , " .... .... ..... , . '. .... ",.... .... " .... .. .....~..~.. I~'" ':"" . ..:,~. ""'" "" ~1,< fill ."'t, "Jilt :::;'J";' ~.....", .. ,....".............. ........,. "", ~'9,s~ ~ ' . ." .. ........ I '" · ..... ..... '. , . . .. '.. ".,' ,'''' " . , " "" "'" or '.... ~" '" . " .. '" '" ... 'lI: '. ..' ' , , ,,;' ___ '0'''' · '.. ...! .. ,'" ~ '" ... . . "" .... "'" ,,'" ~ '.,. fl'l ....0"1 t} ~J,os ,...,:... "" ---...- -..,:. " . '.,. ~r;~rt.} ~~~ to 1t.'''1t J,OSI ,00 ~.. _____ ~ '." ". ". .so '" ,., ." ..". '" ,15 ____ 1('IS'~- _________ ~~r flll:~~~ 1'~10 ~:::::-........ ~ J,S9 J"8S'00 r. ~,OO ,00 a O"'''t i4t"N,~ lN~ r~~'!;.tl {JE'O ~, ","{JE' p C4/iL IS~~{J1f ~~IJ{Jt4S l..':' .~ fI, '''' CIf4/iL Ie II ~,. cu(ltR 0. rlOl/ ~ r, 0, IIIl/I ~4D1I1C~rt ' rl""~' . -...( lit 1Nrt Rtlft Rt. r .""t RESERYATlONI PURf'OSE Of HOTICE 1 PAVltEN11 REFlIID (tlUI oeJECTlONS: AO'I1" ISTRATlYl' CORRECTIONS I DISCOllllTI PENAL TV1 IIlTERESTt " E.t.I.. .f dooodonl' dt~ on ., ..i." Doc"'" II, 19" -- If on. fulu" Inl.,..1 In lho ..1.1' I. l,on.i"'Od , In po.....lon ., onl...onl I. Cl." . (..11.1.,.11 .on..I.I.,I.. .f Ih. d...dOnl .fl.' lho 'Mpl,.llon .f on. ..I.t. i., \If. or for ..or", lho C....n...lth ho'''' OM.....1v ,..orvoo tho rloIlt to .....100 ond ...... I,on.for l_rll.... TOM" ., thl laNfUl el..' I (colll,er.ll r.te on In>> such .utur" In'er..t. T. fulfill I'" ,..,ul,_I. .f S..II.n ,1'0 .f I"" Inhorll.... ond E.I.I. TOM A.t. A.I II .f I.... (71 ..S. SIOtion '14Dl. Dolo.h I"" top .orll.n o' Ihl. Moll.. _ ."""It .lth ..U, .....nl I. Ih. ...I.tor of Will. .,Inl.d .n I"" ....... .Ido. --Mike chick or .-onlY ardtlr plyable tOl REOISTER OF MILLS, AGENT A ,.fund of . I.M .,edll. whl.h ... nol ,..u..t.d on lho T'M ..Iu,n. ... b. ,.quo.t.d b. ....1.11.. on "Appll..llon f., ..fund .. penn..l.onl. 1"""'11.... .nd E.t.t. T.M" "Ev-I'I". ...Il..tl.n. .,. ...11Obl. .1 I"" Df.I.. 0' tho ."lolor of Will.. on. .f th. n R.."'" Dllt,I.1 Dffl.... or b. ..111.. I"" ....1.1 "'hoU' on_,I... 01..1.. ......... .., ..,.. .,dorl..., In penn..I.onl. 1_'00_"'''2050. oullle" .......I..nl. ..... within IOCII HarrisbUrg .r.. (711) ,"-8094, TOO' (111) 112-2252 (~rlng ..,.lr.d Only). AIW pori. In Inlor..1 not ootllfl.d .lth th. ...'0"00"" .Il...n.. ., dlOlllo"no. 0' d.....llon.. ., ......-. .f 'OM (In.ludl... dl..oun' or In'oroo" .. .ho"" .n .hl. Moll" .u.' .bj... .I.hln .IMtv '601 d... .. ,...I.t of thh NoticI bY1 --wrlt.on .ro.oo' '0 .ho.. lIor>or..... .f ......... '.ord of .....1.. .op'. 21\021. H."I."''', PA \71"-\021. OR __.I...lon t. ho.. .ho ....., ....,.Ined .. .udl. .. .ho ....unt .. ,ho ..,.on.l ,.p,...n"'lv.. OR --Iftp..l to the Orphan.' Court. ....u.1 .".,. dl.....'.. on .hl. ........n. .hould b. ...,....d In .,Itln. '0' PA DoP.,.-. .f ......... au,.'" .f Indl.IOu.1 T'M'" 'TT"' Po" A.......n. ...1.. Unl', D.p'. ,.0601. H."I...,.. P' 171,.-'6'1 PhOnO '111' 7.1-6S". s.. .... . of .h. bookl.. "In..,ue'lon. 10' 1""",1'"" T'M ..tu,n .., . ...ldOn' Deo~t" (REV-ISO}) for In explanation of adllnlttr.tlvllv corrlCt~l' error.. If on. ..M duo I. ..Id .I.hln .hr.' (" ..I.ndO' eon,h. .f'" thO d.....n.'. d...h. . .1.. ..,.... l,~l dl..oun' oi the tlK paid I, .IIOMed. ThO I'~ "M ....... non-..,tl.I..'lon ....1.. I. ....u... on th. t...1 of .ho "M end Int.,... ......... end nol ..Id ....,. Jonu'" ". 1996, .h. '1'.' d.. .f.., thO end .. ,h. tOM .....t. p.,lod. Thl. non...,tl.I...lon ....It. II _.IObI. In .ho ._ ......, ..... In .hO ."" ._ II.. .or lod .. .OU ....ld _.1 ,h. 'OM ..... In.or..1 that "I' been ..~....d at indlc.t.d on thl. netioa, In.orool II .hor'" ...1...1... .I.h flrot ... .f ..1I.....no.. or nino (91 eon,h. ..... ... (ll ... f," .ho d... of ....h. 10 ."" .... of p....... toM" whl.h ..._ dolln_' ..f... Jonuor. t, I'" ..or InlorOlt .. .ho ..to of .IM l6Xl .or...,' ..' ..... ..l.ul.... .. . d.ll. .... of .00016'. '" tlM" whl.h ...- ..II_on' on ..... .ftor Jonu'" t. 19" .111 ..., In..,..t .. . ,... ..I.h .111 ..,. f'" ..lond" ..., t. ..l.nd" ..., .Ith Ih.' ,... onnounood b. ,ho PA Dooor.oon' of ......... Tho ...11....1. In.or..t ro'" ,or ".. 'h'''''' I'" or" U!t lnt.r..t Mata paU~ Intantt ..actor !!!! lnt.ra.t Mat. D"llY InUr.,t hetor 1,a2 ZOX .aoOSoItl 1'" 'X ,0002'" I'" 16X .000,.$1 aal-l"l 11X .000101 I'" IU .00asOl 199' 'X .0002_" l"S UX .0005H 199..t99<l 7X .000192 1966 lOX ,OD021" f9'J5~1". 'X .00OZlt7 --tnt.ra.t i. oaloulatad a. .0111*11 ItlTE1E8T . IALAnCE OF TAX unPAID X "UXIER OF OUI OELINQUENT X OAILY INTEREST FACTOR __.... WOllc' II..... .ftor t"" to. ..._. doll_' .111 rofl'" on Intor'" ..I.ul.Uon to flfl..., u" .... ...... .ho do" .f .hO ......-.. If p..-t I. _ .ftor ."" In.or..' ......lIon dol' """'" on lho Motlel, Idditlonll Inter..t .u.t be oaloulatad. '" ~ I YOU ~ME MUr.11 RJ:QUlftt'D TO rll.[ "- W"ltTrH "Ufl'ONSt TO TMf:, rNcLOSt:Il WIT"IN '.lH'~ 1101 PAY. '''OM SUVICE "uea, 0" A JUDaM~Nf MAY I[ UfUlD ~QAI".T ,.ou, ,I' ____po _._~r~'_. ATfO"'U" DOUGLAS, DOUGLAS & ATTORNE:Yrl "'T lA.W DOUGLAS '"~ ,-'" n w 1I1(}!-' t,TIlI,I'r !' " UO, ~fll ,~)~tun.'~$.Jl", '"" TH' - WITIIIM IS A TRU[ AHO CORflf:CT corY Of' THE ORIGltUU. FIL[O IN THIS ACTION, OY ~_.. I' ,,' '~.l'I , ...~ ".' ATfORUrY c CARLlf>l C, f,nIW\YlVAfllA 11on.Q~[j1