HomeMy WebLinkAbout79-00226
MaOREA & DAVIS,
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L/\ST WH.r. /\ND 'l'l~S'l'/\MmN'l'
I, VELV/\ P. CII/\MI3ElRI.IN, a roaident: of t,he 'l'ownship of
Southampton ,County of Cumberland and Commonwealth' of Pennsyl-
vania,. bl,d.ng of sound mind and memory, do make, pUb,Hsh and de-
clare this to be myr.aElt Will and 'l'estament, hereby revokinfJ any
and all Wills by me heretofore made,
rIRSTl I hElreby direct. my Exeoutrix, hereinafter namecl, to
pay all my just debts and funeral expenses as may oonveniently
be done after my deo.ease.
SECONDI I' give, devise and bequeath the full sum of Five
Hundred ,($500.00) Dollars to the Middle Spring United Presby-
terian Churoh.
THIRDI I give, devise .and bequeath the full sum ,of Twenty-
five Thousand ($25,000.00) Dollars to roy son, Fred 13. Chamberlin.
I give, this amount to make oertain that' Fred has a home. All my
other ohildren have their homos.
FOURTH I I give, devise and bequeath !the full sum of Twenty
Thousand ($20,000.00) Dollars to my daughter, MildredC. Davison,
,'in appreoj,ation for the care she has given me and her father
durin<<;1 OUl lifetimes.
FIF.THI All, the'rest, residue and remainder of my estate,
be it real, personal or mixed, I .give," devise and bequ!3ath to my
six children, to-witl Mildred C. Davison, Clifford E. Chamberlin,
Donald R. Chamberlin, C. Kenneth Chamberlin, R. 'towell
Chamberlin and F.red B. .Chamberlin, equally I share and share
alike.
SIXTHlln the event that any of my ohildrenpredeoease me,
then in that event the issue of my deoeased child. shall reoeive
the .mount devisodherein to that oh~ld.
SBVENTH/ I direot that all taxes due the Federal or State
on my estate. be paid from the residue of ~y estate.
ElIGHTIII I name, oonstitute and appoint my daughter, Mildred
C. ' Davison, to' be the Exeoutrix.. of this Ill!, Last Will and 'l;'esta-
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OATH OF PERSONAL REPRESENTATIVE
COMMONWIML'I'II 01" PI~NNHYINANIA} HS:
COllN'I'Y Olr CllMBlCHLAND
Boflll'll lWl, tho Hoglstot' fhl' tho Pl'ohnt,(l of WIlIH l\n!lgl'untlnu,ol,', l,l,lttol'H of Adn1tnlHll'ntlul1ln, nnd fill'
tho County. of OunlBorl~lnclf PUI"HOIUllly .~unlll 'jj:;j.q,tM~~Rftft,Q~",~v,~/~~n'IIII"",,~~i""jl,"'1II!','} ",\.H";'l" Ili'III'I'I""
who, bolng duly ""~.ffi".""",,,,,,, d():~,fil""", dopoBll,nl1cl HAY t",(\t ns,,,;,,WX~R>>j;dl\,,,,,,,,,,,,,,,:':,''::,,,,,.::,,,,.,,,,,,,,
ftl I t Will d 'I' t · (' Valva P, Charrberlin '" " "',,',' . d' d
() 10 nR .. on os nmonll () .,..,.'...,1tJ".:_ll".".'...."..,.,!.."'.".'.,.........Hll,...'.".!!.."'...l"JJ,'II.....IUIl!lfll o~cn80 .
",,,,,,,8h6:..,,,,,,, wlll well tmdtt'uly n'dmlnlstol' tho goods un,dchuLtols, rlghtapnd crodltsof Bl1ld docensed
llccording to law. And nlHO will diligently (lomply,wlth tholll'ovlBlotlBof :vhe hlW t;olutlhgtoTt'unafor
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InhoritnnceB. ".;""SWQrt'l,,,:t,,,, .Ilnd SUb~Cl'lbod
before mo,
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Richard EJ, Apderson: Register,
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Be it remem_bero~-thntontho .."..............111." duy Off!.-...jj,..I!'....~..Hq"q-"!l..,.."..:I~HI A, DqlU..I~jj,thoro
was probated und rocordod tho InstWlIl tlnd Tllstamoniof """y~~)I'I'/..r...,,,\'::h.t;M~,,,i,,;,,,,,,"''''''',,....,''''
late of,\..,"""."i?!?~1WmJl?,irf?n..~~tw:!i"",....".:',..,,'"'' O\lml;m'lll1\d COllnty,llohnBylvllllla, Doconaed, Lf,ltterB
'l'eSi-"""'htat'v, . ."d"t ""MildI101dC.oavison,
.,.".....;,.,.....i"t"':fjt";";".....t,'.i'(-....,.!.........."'. .'voro gl nn~o .. ~ _'.I......,j,.;,......'..!.,".'II'.. ",':'" ,.-..-':.,,;........ t. ...j".,;..~.... I..'...,......
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WitneRs my hl!nd and official s0l11 thQdny,'nnd yonI' nfol'osnid,
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Riehnrd g. Andorsnn. Hll~iHt~'r,
E.~titjJlJ':b.Y.Ati\AJNllEIlI"ANCE TAX GENERAL INfOlllMJ'ION
1. PERSONS RESPONSIBLE fOR RETURN
----......
Soctloll7111 of tho Illholl\OIlCO alldEstolo Tox Act 01.1961 provldos tlml tho tollowlllR pOlSOIlS sholl IHOllafO ond 1110
II lolulll: '
f\, Tho pOlsollol roplOsonlntlvO ot tho 05lato.ol tho docodont as to proporly ot Iho \Iocodonl admlnlstored by.hlll\
and such mldltlonal proparly which Is or mny bo suhjocl to InhorltollvtJ TaX o.f which he/$ll0 shall have or
ocqullo knowlmlRo; .
b, Tllll Irmisforoo of property Ul10111ho tmllster 01 which IllhorilllllCO Tax Is lH moy be Imposod by tho 1961 Stntulo,
includlllR II lrusloe ol.proporty tmllsforrod III trusl, provldod thaI nosell/uato r'\ll1eod bo mado by tho tronsleroe
01 plOporty Illcluded In tho rolulI\ 01 a pOlsonol fOlHllsontatlyo,
2, PUICE FOR FILING
--- -
Tho rotulll is 10 ho IIled 111 dupllcoto wllh tho Roglstol of Wills of tho county wheroln the docodontloslded,
3, liME FOR fiLING
Tho lotUrt1 Is duo nino months oiler tho docodonl's donth, unloss 011 oitonsloli for IIl1nghas hOOl.l oppllo\1 fOf ond
grulltod by tlto Socrotmy 01 Rovonuo Wlth,h1 tho nlno-1119nth porlod, . .. , .
4, FAILUnETOruJ, HETUHN
Soctll1n 791 of tlw 1961 Statute plOvldes .thol " , ; ,ony person who willfully falls 10 IIle a rotulil or other report
rOlluirod o( him. . ,sholl bo Pl1lS0nolly 1I0blo, "to a penalty 0125% oUhelox ultlmalely to\md to be due or $1,000
whichever is tho lesser 10 ho recovored by tho Deportmont of Rovon\lo os debts of like omount ale rocoveroble by
low," .
5. TAX RATES
Inherilanco Taxis poyable ot the mte of G% on Imnsfors to I\noal descondonts, such as fother, 1110ther, husband, wlfo,
son, daup,hter,grandchlldren, grondparent, son.ln-Iow on(\ daughlor-in-Iow and at Ihe rale of 15% as to 011 other,S.
6, PAYMENT OF TAX
The tax ossossod,on the tronsler of propertyreportod In tho return Is duo 9 monlhs after tho decedent's doath. Interesl
at the rnto of 6%per onnum accrues IhoreoftOlllntll pOYl11en\is modo. All payments rocelved me first opplled to ony
Interost which may he duo wllh any remainder appliod to thq\ax, IF TAX IS PAID WITHIN 3 MONTHS AFTER THE
DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED,
All checksshollld be mado poyable to the ~eglstor .of Wills of Iho county wherein the decedont resldeU and are
recolved suhject to the flnol determination of Iho DepnrtnlOnt 01 Revonuo,
.' . '
7, FA1\JlliE TO PAY
The lnxos imfosed,tOgethel 'With onY Interosl thereon, are a lion IIpon reol property, whlcl1l1on remains In effect until
the taXos ant illtorest havo homi pltld in full. . The taxes may he sued for ollalllsl any renl property In the decodent's
estale or aRoillst 1lI1Y proporlybelol1Rlnr, to 0 transferee Iloblo for the tox,
. 8, FILING OF FALSE RETURN
Any porson 1'1110 willfully Innkos a lolsereturtl olropor\ roquitod 0.\ him shall, \11 accordance with ~ectlon 793 of the
1961 Sla\u\e, be r,ullty ora misdemeanor and; on conviction \horeof,shOIl he sell\enCed to paY a fine 1I0t exceeding
$1,000 or ulldorp,o Imprl s9nmonlllo\ exceod\l1g 0110 yem or both.
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INHERITANCE TAX'SlJM'MARY S!\EET
(Bl1HEAU USE ONL.'f.)
Fila Numbor ~,~__,_,~1-79-226 .
Estate Nama ._",,_'!?'f:VA 1.'. CIW1UERLIN
DIMo! Dltath m~_au~~h 12, 1979"
Social Security Numbltr~..Jg7~!i(}-;!;!!i2..
-- ._,_.~~_.._-----
__ ____"".._.__.--r.~,.,,+__+O_'O
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REPORT OF INHERITANCE TAX APPRAISER
P II, tho undd"llgnodfd,uly appaln'h,d Iln,hotllanee 'roxdApp,al..r Indand .far tho County of -....,-, -'
onnlY vania, 0 roapoct u Iy fOpa", at ,avo appral.. tho..roal an, pellonal proper,\)' 01 roportoo In th. tarog~l!1g
roturn at the YaluOl lOt forth appollto oach 'tom In tho la.t column to tho right In Schodulo. "/I.", "8", "C", and "E"
Datedl ___ f-/.P'-,P()
~f 410'11 '; .1!l~,4 ,J.l(l) )
'NHf{HbTAN~g ,lAX M'f-lnAISfH
It..ve~TORY
YA~UE M APPRAIlep
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APJUSTMENTS
(HARRISBURG USE ON~V)
=
REMAI~oeR APPRAISeME~T CODE
,
,_,_................_.....T..........,_'_~;_~._ -------,.. ..~--_. -----~-.-....
R.al P,or.lly (Sch.duloA)
Po..onal Prop.rty (Schodulo B)
Jolnl.H.ld P,oporty (Schod.lo E)
Tron.f... (Schod.l. C)
TOTAL GROSS AsseTS
Leu Debt. and o-eductlo~1
(SCHEDULe F)
CLEAR VAI.UE OF ESTATe
J..
7 000
3/670
,~.-..~....-"
none-
none
,J,Q,676.n
3/355
7 322
Valualloll 0/111.' ..101., or I!A.T.l!
unnultlea. . I I tIt t , t/' , i't
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00 00+
21 10+
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30+
92+
06
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84
40.
93..
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PRINCI PL e .
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COMPUITf,TIO~ OF TAX
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$
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FOR U~E OF, REGISTER QW
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Tux 011 $
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Exomptl('llll
Tolal ElItatCl
TOrAL 'fAX
INTEReST FRO/ol
llA!:ANCS
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DAre O~ PAYMeNT
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INrekeST FROM -.:.-.
llA~A~CE PUE
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TAX CReOIT
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COMMDNWEAtTH or I'ENNSYtVANlA
DtPAI\TMENT OF I\aVeNUe
TflANSFHI1INHF.I1ITANCa TAX
I\F.SIOliNT DeCHDENT
INHF.RI1'ANCL TAX
APPRAISEMENT
County
P. e),T1t-J~e~LiA/
eMbe~!wd
File No,
;;"1 ~ '7 P - 2iZ.~-
Estuto of -1LJ.JLti
D'uto 01 Daoth __.P .. / ;L - '1 7-
PROPERTY REPORTED BY THE ESTATe
oepMTMENT'S
APPRAISED VALUE
~
----
1, TOTAL REAL PROPERTY - SCHEDULF. "A" , ,
2, TOTAL PERSONAL PROPERTY -lICHEDULE "B" , ,
3, TOTAL TRANSFERS - SCHEOUt,E "e" , , ' , , ,
4, ToTAL JOINTLY OWNED PROPF.RTY - SCHEDULE "E"
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TOTAL REPORTED PROPERTY
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY TH.E COMMONWEALTH.
-_......_---_._-,_.--~-...---
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TOTAL. UNREPORTED PROPERTY
TOTAL GROSS AsseTS
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L1FeeSTAT\:'OR ANNUI1'Y CALCULATION
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I do horobycortlfy that tho abovo <1ppralsol11onlls !,node Inoonforl11lW wl(h P0I1nsylvanln low and has boan fllad this dny
with t110 Roglstor of Wills.
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COMMONW~^L T11 OII'IONN~YLV^NI^
1l~I'AIITMONT 01' nlOVONUE
TIIANSFElIlNlil!lIlTANCO TAX
,\OSIDENT O~CEDENT
I' '/' I " /1
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SCHEDULE "F" I'
STATEMENT OF DEBTS (AuppleJ1tmtal)
AND DEDUCTIONS
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Estntn oj VELVA P. ClIl\MlillRLIN Dato of Dllath March 12, 1979
WHEN CLAIMING THE FAMILV EXEMPTiON, COMPLETE THE FOLLOWING:
Clnlmallt
not applioable
Relationship to Docedont
Clllhnont's Addross
- -~- .~. .
ITEM DATe NAME DF PAVEE REMARKS , , AMOUNT
NO, -
1 .1L;!3/7L United Telephone to. IIcoount 17.36
-.- ,
2 4/23/79 Pa. E~ic Co. , lIcoounl; 25.9R
3. 5/14/79 Uni ted Telephone Co. , 'n~
- ,
4 5/14/79 Pa. Electric Co. lIo::ount . 27.70
T "",m ~,., ~N r, ,.."no", , I, 30.00
r. ~ /1 ~ J~n Jovce Russell ,.
6 6/15/79 United Telephone eg. lIo::ount 10.95
7 7/1/79 EI:1y Granite I<Prks Letterinc Stone 35.0n
8 8/13/79 Emily Padarronsky, Tax Coll 1979-80 School R.E.tax 386.36
-
9 8.13/79 Uni t:ed Telephc:.ne Co. IIccount ' " 9.50
10 8/13/79 Pa. , I.... ['n. lIooount 26.17
11 9/14/79 United Telephone Co. IIccount 5. i!L-
12 9/14/79 Pa. Electric Co. " , 12,40
l\Coount ,
10/11/79 Public Opinion , 78.110
13 IIdv. Public Sale
14 10/11/79 Pa. Electri Co, 'lIcoount 18.39
15 10/11/79 United Telephone Co. IIccount 5.48
-
16 10/13/79 Daniel Hershey Sale Tent Rental 135.00
17 10/13/79 Daniel Hershev , ,-, lIuctioneer 139.00
10/13/79 Shoooer's Guide Mv. Public Sale , QQ, nn
18
19 10/13/79 Charles Martin, I. ' " lIuctJ,oneer ' ' 93.00
-
20 10/13/79 Thc:mas Beidel Clerk at Sale , 74.00
-
21 10/13179 Dennis'Gutsha11 Clerk at Sale ' . 74.00
22 10/22/79 News Chronicle - Mv. Public Sale 77.60
-
23 10/29/79 :JOYo~ I~sse11 , Lawn rrr::Ming and oare " 96.00
TOTAL THIS PAGE I
I horoby codify that to tho besl of my know lodge ~nCl belief the lorogolng Is a Just and truo statamont of debts, funoral
oxpcnsos and oxponsos of administration submllled to tho estoto as deductions for Inheritance Tax purposos,
. --EW/,~j (I jj1tl4toLh'-/ 1h3~fo
SIONATUU * op A:r.:r.oRNt!Y/F'louelARV F I OA E
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS'ARE ALLOWED IN THE SUM OF $ .3:~ /,:1)' ,e;.Y.._AT
c'. if) J:-- PERCENT,
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~ 1~IST"" 01' 'LLS
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GENE!3AL INHERITANCE TAX lNFORMAt!.Q.!'l!
Unsatisfied liabilities Incurred by tho decodent prior to his/her death ore deductible against hls/hor taxable estate.
In addition to dabts Incurred by the decadent or estato, other Items ere claimable Inoludlng the cost of administration,
attorney fees, flduolary foes, funeral and burial eXpenses Including tho cost of 0 burial lot, tombstone orgrel/o marker,
All debts being claimed against en estute ere subjoct to the approl/al of the Register of Wills with whom the
Inhorltance Tux Return Is flied, Evldonce to support tho docodont's or the estate's liability for the debts being claimed
should be atteohed to this schedule,
A family exemption of $2,000 may be olelmed by 0 spouse of 0 decedent who died domlcllad In Pennsylvania,
If there Is no spouse, or If the spouse has forfeited his/her rights, then eny ohlld of the decadent who Is 0 member of
tho some householdoan claim the exemption, In the event there Is no suoh spouse or ohlld, the exemption con be
claimed by 0 parent or parents who are members of the same household os the decedent,
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F" .
" If the family exemption Is being ~Ialmed, Indicate the olalmant's name, address end hiS/her relationship to the
decedent. Enter "family exemption" In the remarks column and the emount claimed In the amount column',
2, Assign conseoutlve numbers to each Item listed,
3, Enter the date on which aach debt was Incurrad and/or paid,
4, Enter the names of each payee,
6, Prol/lde a brief explanetlon In the remerks column for eech debt clelmed,
6, Enter the amount of eech debt being olalmed,
7, The form must be signed by the person who hos assumed the responsibility for paying the debts,
".
IU:V.tjhli (l.80)
COMMONW~AL TII Of I'~NNSYLVANIA
O~I'AIITMENT OF IIEV~NUE
TI1ANSFEA INH~llITANCE TAX
IIESIDENT DECEDENT
SCHEDUI.E "F"
STATEMENT Of DEBTS (E\upplemcntal ,. Page 2)
AND DEDUCTIONS
1i'V~~---_._._-.,_...m_- _?-
_..._...___n~_'__~ _~ __~__._....._.. '~."_~~"'~~;I. - -.- .-.
Estata of VELVA P. CIlllMrmRLIN Doto of Dlloth Maroh 12, 1979
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
Clalrnlll1t not applicablo Relationship to Decodol1t
Fllo No, ,,1/-1'/- :2"u"
Clalmont's Address
- - -
1:r~M OATE NAMe OF PAYEE AEMAA KS AMOUNT
. NO,
24 11/19/7 Pa. Eleotrio Co. l\Ccoun t 13.93
-- ----- - ---
25 11/19/7. United Telephone 00. l\CCOtUlt 5.48
26 12/22/7 Penna; Eleotrio Co. ,.,--...'- 11. 79
..
27__ 12/22/7 Uni ted Telenhone Co. ""'COllni': 5.48
28 1 ~" ., r"rl L Rea1.Estate Insuranoe 212.00
1/24/80 ' . 12.42
29 Pa. Eleotrio Co. l\Ccount
-
30 1/24/80 United Te1e~hone Co. 1\coOlmt 5.43
31 1/24/80 .
Baker & Russell oil aocount illd4_
32 2/26/80 Penna. E1ectrio 00. Aocount 12.23
33 2/26/80 United Telephone Co. Aocount 5.43
.-
34 3/4/80 lake I s Oil Burner SeJ:Vice Furnaoe ~pairs 55.50
35 3/4/80 Pa. Eleotri Co. l\Ccount 11. 67
-
36 3/17/80 United Telephone Co. l\Ccount ,. . 5;43
I 37 3/27/80 Recorder of CUIllb. Co. 1% Rea1tv Transfer tax on deed 450. 00
38 3/37/80 McCrea & Davis . Preparation of deed And BetU <=" M
39 4/1/80 Penna. !l9pt. of Revenue 1979 State InOOne Tax 98.93
40 4/1/80 Inten1a1 Revenue Service 1979 Pederal incoTre tax 46.00
-
41 4/15/80 United Telephone Co. l\Coount 5.4~
42 4/17/80 Pa Eleotrio rn. . -'--' . 23.54
43 5/15/80 nf Piling Aoot and Schedule , 39.00
44 r. n.,,'_ Attorney fee 600.00
.. ,
, TOTAL THIS PAGE I 3,355.84
I horeby cortlfy that to the best of mykl1owlodge and belief tho foregoing Is 0 just and truo statomont of dobts, funoral
oxpol1ses and oxpensos of odmlnlstratlol1 submitted to the ostate as deductions for Inherlton~e Tax purpos s,
YJl.J.dk. J ~, JII~tH..4-..h\/ ( .)," "CI
SIGNATURE OF ATTORNEY FIDUCIARV DATE
OFFICIAL USE ONL V
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUMOF $ ~ ~ S r::;, k y. AT
,
(; f) 1
/ '
PERCENT,
.'_.
GENERAL INHERITANCE TAX INFClRMATlON
Unsatisfied liabilities Incurred by tho decedent prior to hls/hllr death ore doductlble against his/her taxeble estate,
In addition to debts Inourred by the decedent or lIstate, other Itoms ol'e clolmoble Including the cost of admlnlstretlon,
ettorney fees, flduolary fees, funerel, and burlel el(penses Including the cost of a burial lot, tombstone or greve marker,
All debts being olalmed against en estate are subJoct to the approval of the Register of Wills with whom the
Inheritance Tex Return Is flied, EI!Idell0e to support tho decedent's or the estate's lIeblllty for the debts being olelmed
should be attaohed to this schedule,
A family exemption of $2,000 may be olalmed by e spouse of a deoedent who died domlolled In Pennsylvanle,
If there Is no spouse, or If the spouse has forfeited his/her rights, then any child of the deoedent who Is a member of
the same household oan claim the exemption, In the event there Is no suoh'sppuse or child, the exemption oan be
claimed by e parent or parents who are members of the same household as the deoedem.
~! :: 8 ~ ~ ~ ~ .,'~ Z .'~
~ ,~ 0 i
~ 0
~ t;J , ,
~ ~
, , ~ 0 0
't1 ,'t1 ......
0
~ :;j
Z ~
5i
tTl
~
" ~, ~ S;
~
, INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If tho ,familY oxemptlol11s being olalme\!, Indloate the claimant's name, address and hls/henelat,lonshlp to the
decedent" Enter "femlly exemption" In the remarks oolumn and the amount olalmed Intheetnount column.
2, Assign oonseoutlve numbers to eech Item listed,
3, Enter the date on whloh each debtwes Incurred and/or paid.
4, Enter the names of eaoh payee,
6, Provide a brief explanation In the remarks oolumn for each debt clelmed,
6. Enter the amount of eaoh debt being clelmed,
7, Tho form !1iust be signed by the person who has assumed the responsibility for paying tho debts:
., RCC-U \4.111
COMMONWEAL1'II OF I'ENNS\'L VANIA
DEPAltTMENT OF IU\VENllE
BUREAU OF COllNT\' COLLECTIONS
,
-'//, 1: ~
-*
A-/ .;/~
,. ., ''/7.
(...-J"
."
"
ResiDeNT DeceDllNT
COUNTVOF ~RLJIND
IMPORTANT,
Thl' r.lurn mll,1 bo'onmpl.lo\1 In d.lollllnd ril.d In dlll,lIolllo, wllh 1I111111110hod, wllh lh. 11081'1.' uf Will. IIr Ih.
qOUllty WhOlcdotlcdnnt rDflld~(1i llullIrn.l,. duo wl1hll1l1ll1t.\ IlllIHlhM I,rluf dRtG nf dClltl" lInlUMfi "" CKt0l181ull iN 8,"ntod
liy Ih. S.ol.lory or ll.~.nll., (Soolllln 70~ III' Iho IlIhorllllnoo 111111 E'IIIIII Tox AOI or 1961,)
.-.' --- -. --
-
-
IN TlIIl MATTI.lR 01' TilE llSTATl1 (ll'
VELVA P. CHlIMIlliRLIN
IITI.TII I'Ul..L.,NI.ME 01' PECP-OENT\
} AFFIIlAVlT OF
llXIlClITOIl
~
County
L.at. of
Southall1Jtol1 ~. ,CUITberland
Pennsvlvania
-==~}",
'/'
S'at. of
C aulltv of Currberland
Mi 1 r1ren r.. na\1i "on......_~_ IlXOOlllol
~ - of th. ..Illl.-of In. abov'9I1afT\.d du.d.nt b.lnv duly IWOfn, d.pouS ond lay B! i
Uacellent dlod Maroh 12 I 1912-- tOlIQt. I.Clvlng a 100t will, 90PV 01 w~lch ,I~h.r.to attachld,,:)
IMnNTHI (PAY) lYl!ARl .
H.m. and add"" ., '''''"'V ,,} Mildred C. Davison, Exeoutrix
C11h.r Quthorlud r,pr...ntallvo 10 whom.
.11 e."..pond..e. .hould h. IlI.Ii.d, Star .lbute #2, Shippensburg, Pa. 17257
Thol no ouoh Exeoutrix depouonl 10 flll11l1hH wllh Ihe nffllll. of .111<1 ootsto IIn" Iho prol,orlyoonotllntlng
t [iX II CUTO R.APMINIST I{A TOA)
Ihe nooul. Ihereof IInd tholr fllir IIH1lkel vlllue,
Thnl nt Iho I!!lle of dOlllh Ihore WIIO no Hllfo deplloll hox leglHlI'ro" In deoodonl' H Il1dlvldooll1l1nlO; 01 jointly wllh, 01
110 IISolllor dopuly of nnolhol, or ill dooo<lonl'H Indlyldnlllnll1110, wllh rlShl uf 11000"' by 1\110(hor 110 IIgont UI deplllY, wllh tho
oxcoplloll of lho I'ollnwlng( -
-
~-
NMo1E AND APOHl!9& 011 hANK or~ oiHIH~ INSTITUTiON
IN WHICH lJECU[)I~NT RIiNTUl) ^ s.-\r-n OEPOBIT 110)(
THIS sArn Pli:f10StT DOX ~&NTED
IN N^M~ OR NA.MES or
REL.ATIONSHIP or JOINT
HOL.DERS TO DECEDENT
None
ThaI Iho contul110 uf Hold 0111'0 dopooll box or boxoo 1110 Ilomlzod undor Sohudulos
with Iho oxcopllon,of Iho folluwing, for Iho ronoon.hololnltflor 801 101lhl
of this rolull\,
Thnt SC/lle/u/e A oWlohed horolo IIl1d 11111110 IHlrI hOloof .uto fOlth filii}' IInd In dotal I alllho ronl propolly
In tho Commol\wonlth of pOllllo}'lvnnlo of which docodcnl dlod hllvlns 011 Inlolool IhelOln, II olHo seto fonh the
11101lSllgo encllmbrnncoH npllll ollch puroul of lonl ploporlY III Iho dlllll of donlh, slvlng tho omount sllll dllo nl
dOlllh, IlIlmo of morlSllguo, tlolo, IlIle of InloroHI, IInd book nod pllgo o['leoord thole of, Jl'nlso 8elo fOlth 1111ho
ooll101no provided thorol'ure Ihe 1I00e.ood vlllullllon of olloh uf ollld pllrcolo, Ihe eotlmnlod mnlkot Yllllle Iholeof
IIH of doto of denlh of doolltlool,
Thnt Sch.e/u/e B 1I11110hod helelo IIl1d I11l1do pllrt he,'eof .01. forlh filiiI' IInd In dotllll nil poroonnl proporll'
wholooovo.r Hlllllltod IIwnlld hy Iho dooetlolll III Iho Ill11e, of dOlllll; 1I11111lJllllYH left by Ihe deootlorll nllho limo of
dOlllh, whelher In duoodolll'H 1Illl110dhlle pooHII.olon, Hlllndlog 10 decodolll" olodll In bllnko uf depo.lt, onvlogll
bllllk., 11'1101 oomp"nleo, ur olbel loolllllllon., wholhor IlIdlvldlllllly, or III 11'11.1 for ony uthor porooll III porouno
SlvlllS nl.o .opllllltely Ih" 1I0crllod Inlerll.1 Ihorllon, If IIny, down 10 Iho 11101 Intoro'l dill' 111101 III deoodolll"
dOllth lu the olloe of OOVIIlSH bllnko, IInd III Iho dllle of doocdeol" dOlllh 10 1111 olhor cn.eH! 1111 bOlld., pOHIIII
.lIvIIlSO, lro~'"IY oorlll'lollleo ur rHlll," IIntl ulher evidence of IIllleblcdlle", of Ihe United StnleH .\0 Iho de.
cedenl; 1111 obllglltlon., wholher by .11111110 or n~l'eenlCnl Ihey """ deslsrillled liS IllS 1'100, of Iho Unltod SlUtos,
01 onv otlllo, III polltlclIl Hllhdlvlslon Ihelellf, or Ill' IIny foreign CllIlnll'Y, whloh lire nwncd lit Iho time of lIelllh:
nil wOllrlng 1l11JlnrcL jcwelr)'. Nilvcrwllro, plcturcH, hOllks, Workh of orl, househuld furniture, hur~CR, cnrrll\gofi,
llutumnhllcHI h(H\l~, Rill! Ilny nnt! nil' othor IlCrtHlIl II 1 chnlll'lfol of Whnls(lc\'or, kind ur I\nIUrC, left hy dccodont,
tnSlIlher with Ihe flllrly "'llmllled II1l1rkol Vlllne Iherenl'; 1111 h''1Hlo IInd morlSlIseo hol<l h}' docodenl nnd nl' 011
ellllmo dne IInd owlns doc.oclenl III tho lime nl' delllll, IIl1d 1111 prllmloonr)' Ilnleo or nlher InolrllmenlH In writ Ins
fill the 1'"1'"1""1 of (IInney Ill' which deeodenl died pno.eSHod, nf whlllonover nlllllle, with Inlerool thorenll, If
IIny, slYlng Ihll foce vllllle IInd I"HlllI1l1lecl filiI' II1l1rkel vlIllIe Iherenl', IInd If 'nch oollrnlltod folr'lI1olket vlllne ho
11",0' Ihllll tho fllce VIII lie, It oel' I'nllh brlol'1~' Ihe rell'On' I'llI' ollch. dopreelllllnn fIR 10 eooh 110m! oil monoys
pllYllhle 10 Iho UOlole frlllll life InOurllnIJO pnllcle, cllrrled h)' deoellenl; 1111 IInnlllty nnd onclowment cmil,ouls
IIIIl prneoedH Ill' whleh wore pllyohlo "1"111 lhc dOIl(h of lite doeedenl; 1I1111nd Iho onlpnrlllo Htooks ond dlvldunds
dlle Ihelenn IInd nnpnhl '" Ill' Ihe dnle of delllh, bllnd. nlld ol"cl'lled Inloreol Ihereon 10 Ihe dlllo nf docedunl'H
delllh IInd n(hol InVO.lloonlSeclllili,,' owned hr Iho decode III III Ihe 111110 nf dOllth, with tho l11l1rkol vIIIIIO Ihero.
of III fiuch 11111'0.
".
, '
.
,
. ,
III tlHl O"'HI td' IHH1\lI"IUOfl uf' OlnHO ur ,'lulIt1'Y,(Wrl1IlrnUOI\H, Lho vnl\10ff fupnr,torlnro Uti t10r AN
pUMMllI)n H\lhlt,t:lllll,t!lt,tHlt,W,ftlllIll01UJ H,t.{iJillIIOllt.1I ul' UlfJ, (lClrpOI'ut,lnI\H, Rf\owJng \,ho UtHiOt.fi unci llnhlllt.toH
thll1'un1' IIH 'Id' tlUI (Int.(JdJf\(,h~l/It,h, ",'rltn.WllOth)lUhl.fW HU\H f'(Irt.h UIf) Jtlt,Ol'Offt"of'ftHOl'itrmt, 1~j",t.hu;-UnIQ uf'
,tllut.h tl\-nll~' (lu"p'\t\t,nnrHhll',UI' lnlulllorH1,,-ltI\l1 III fjHIIIIIUt't of' tho, vnluo ,fit' H\loh ltl't,uroa1" MHJ1"lIA ltlll1oxtl-(Lt,o
fintt\ HIJhl1itqlnj f'lnl\lIOU~lRtntonumtR Rh(lwtn,~j,119f1tHwt.B HIllt -llnhUtUo8 ur flddcrno"lllu't.l1ot'alitt, nr h.II""HHIH.'
^ cnll~' ur (,till 11(1",II\l'tllo)'_Rhtll tH~t'oUIT\t1l1t_'f (11' (H'nt,. n nt;llt.omnnt KflU,fuR f'orth Uio nut.IIl'fl ul' tHq'llp;',\onmnnt,)
tnAtlthHl' with II HtftlnIJl~,".t HOtUll~{ f'urq,hUm filU\1'unt.ur of' (,till hUH'nllHR, It:H lUhnUnl1fulul1:llwh 01;,1101' ('ltllt,f~
portull1lnA t,n Wu 1,IIlHllHlfu~nK llt/lr 110, 1101'tlulIl\t, t.o n t'/\lr lllU' ,ltlHt; opl'rnlHlIl fir UIU Ilntlllllullt,IH,lnl.nrnHI,
"
thul'otn 11m'll, hn,Hllhlll,IU,llI1. ll;'tlIHHillllll}HI unt. I'ol't,h In ILUlIl11.I\c1 f'ut'm, l.UJ(nl,IHll' wlill .t,h~\!'('nll' Illf\l'knt. vulllo
thllr(1{}t't I\IIY ol,lull' Jlf(1l'lllq,~' 'liwllOC' (1\' h(I(I\l(lld,lltld h)' t.hu duo('lloll", fit t.llt.l t.tlllll Ill' lInttU"
"110 5ch('duh' (.' iit,t,IIlJlifH\ hUI'ntn /llId III1U'O lH\1't. ,tlUroot' Hul," rnrl,1l n (.1'110 unflwnl' t.n ~J,nnh ItlllHll'Y
oClnlnlmlll thn1',dn UIU' In Ow ClIUJH'ol' l;rUt,18f'ortt nf'pl'npIH'f'~'f ruuI ur pOI'IHltllll, w(thln two ynnfH of' Clfllwdontl Ii
donth, III t!CJI1t,nmplnt,(oJt ul' ,thl(lllllolll,l R rtunth, '01' il1{,ulldoll t,n l,flkll,nf'f'not.tl1 pOHHOHfdnll or oll,'nyttlUnt ul. 'br
1."t.01' lIout.h, Hlltel HnhflduJn f1uta f'nl't,h I,hu tlnt,U1'fJ'Htlll"\'lllwl nf' flllOll pl'nlH1rl.)'t t,n whom t,,'nIlBI'nrrml, (,110,
rf'.1 tl t tOIl"1I1 p n l' !,l)O ,1,1'llIlfi f'OI'(JMJ tf1 tho dlluo{lol\ t,. t.1lO lIrupnr f,1 lInnt.(~ "!luro rCloot votl II)' nnoh, tl'1l1U1t'ofon llHcl
nIl nt.hur l'IWI.H of' '0 J1(Q'Ul1l1l\t l1ntl",{) "III.v~rtl1llg Hldrt l,rtll1Rfol"H' 111 'l,ho ,OIUHl nl' f,I'/lt1Hf'orH 1111,011(10(\ to
t.nlw fI"f'1Jot, tll PIIRHIHU"lflIl 1l1'OIl.l()~'Il\fIHt, Ill, (ll' Ht't.Of llnnl,h, ,t,horo Is hlHCI' '~U,ll(lhOll t.u t,hu Hl\h,l1(llllff"U nUIlY
ur t.1It! "Ulltl, l,rIlRt. IIp;r'nO!nuHI, nl" ol,lItir 1I1Ht,1'ltIllI1llI,orOlll,1nAUIl' td'UHt.1\hurll JHH1Hn Hnt, f'orl;IL1u'AUJd
H"lttJ(hllll'/l llfit, Ill' ll\]pl'tlIHII~,I:YI l'nullll1d pOI'.wnnl, wHh ,tt.R VIIIlln, whlllh 111H,'fHlH nt, Il<ltlfllll1flLIH (\ent,1i hy
vlrtult u,' tllll nXIlI'u1H(l hy ilfll10diJJlt,lllUlor Iluttvlthlt\,lly; ol',lo1I1t,)y wlU, IUlUt.!IOI'i 01' ltll~' IlHl'Iur tlf' nmlotnt,...
nhlllt. vOHl,IHIIII tl,tlClOllnllt,t illthlll\ IIIf1tvlc1l1ully ,01' ,lcdllt,l~;, hy l.1I0 will, r'ourl, ClI' ot,!Hlr In"",rulnOllt,'(J(' unothort
with II ~nl')' llf' UH! ,lnHt.l1111'1wut tlr,ollt.lnp; ""011 POWfll' /It,I,lldhoct tn tho Aoh(J(lulot '
Thut, SchrJdulp' D llUt~IIIHlt' lIorul,o lilli' nJ/ulu p'tl'l, IlOronf' aot,M f'nl'tll t,hn nn1l1QR UlIflluldr'OfithlH' of n11
IHlI'HOItH hrm(lf'lnllll1ylnt,~It'tjHl.nd In t.ltJH uHt,IlI,C) nt, l.llU t,illlO nf' (1ooodnllt,' R, Il{lnUlt Ul0 lIl\t,lIl'lI ul' UlOtr 1\1'~'"
IHl(ltl\tl '1I1tol'oHt,A, t.I1(\II' 1'(dllt.lol1Hltll1, 'If' lillY, tu tho 11000dont" t,(J~nt.ll0r Wtt.11 t,hn n',~oK rd,t.hnt,1nlO'Or
dunfHlont;lH l10nLh (lf'H1J 11I1nflfHI 1l11t111tt./\I1I,H ftllltlJlJllnf'to:lllrloH f'ol'lt'f'o "!H'ltl' 1Ino'nt'ol1t;If1W"il" It nl~o
(lont.ntllH II HLnt.nmnut Hhowtug'whtnll"tlt' UIA 110nofI1otnr,'UR nnmod In UlO rhHllHhlllt,lR will,1 U' nn'y. dim' llrJor
t.n llnnlllhml" UIf)' Ilitt,nH of' Utl,'"" ,dnllt.lh t.iud,r tR~un, Hllll,t,\1o rolnt.1(HlRhlp nfL H\toh hlHUO t.u Uln 1101101'1011\11);,
1'l1nt. S~./1t'dltl('E lttl,f~ohod hnl'Qt.n ;tmH ,mUlto It l1f\rt. IHI1'unf ROf,H fOl't,h lIll prop,ort.)', 110111 nUlt pOl''''
Bonnl, ownocl hy I,hp .~lOUOltnn1, ,Ioint,ly wtLh 1l1111t,hor Of Ot.hOfS, tnollultng Int.nnl(lhlo, Ht,nn,Ultg In 1,110 nllnlli
of' Uw ctoonnnHt' IUill ot,hnffl'l plllH Lho dut.o n1\cl pl noo of' roonrct of hlfH,ntununtA of'ftlot.inn l,hfl,'vnHt,i ttlt'O of'
ronl (IAt,nt,ll IUld Uw r1"t,t) of' ItOlfULHltl(JI\ uf' lHlrflollnll~Yt plUR t.ho HomO, IlfldrORA fluct rnlnt,jnnHhtpt tr (mYt
or on-oWnors ton t,hl1 ItooOllo"l..
1'hnt, Scftodu/e F ilt,t.nulllut tlornto lllHI mnflo II p"rt horoor Rot,g f\nt.h f'1ql)' '''III In rto1,l\ll nl1.ftobta
lllld doc1unUonfl ,oll11mod rm' 1l1lr1 011 hnhnlf' uf' 0,1" clflooftc'nt'a oRtnt.n, tnnllul:ltlP; 1'111101'lll QXlltltlAt"f llt\lt\l
fnmlly "xomption, whoro nppllonhlol' ooAt,N nf,IHllIIlniatrnt.:1on or this oBt.nt.olomtnsol 'rO,(H~n'II~1 f~uttoinrylR
llomm1 f1Rion" pnid or Lo 1)(1' \lntell (lORt, nxp,ondoc\ for hUflnl I.rl1f1ts, t.omhRLol\ns CJr grnVt1",nl'ko"8"Rnc~ rul1....
giOUR HorviouHI in O(1I18fHttHiIlCn ot' l,hu"clont,h of t.ho dOQllctant,1 ,tohts nnd IllnllllH owing till" 1lIlpn~d, nt, tlmo or
dont,1I1 I,nxos ,uiOruod olllfl'gonhlfJ f'ur porIod pt':lor t,Q cloonetont.' R "'onth (oxnopt, t,hoso ~nowoll unclnr Root:lon
On1 of 1,llo Inhorlt,tltllW 1l1ulEf1tnto 'fftX Ani,) 1 t,op;othot' wit.h Il atnt.olRont or onllnt,ornl 111o'(1IJ,o(lfor nhlign..
lionR, 1f' flny. It, tfi n1~1'ood Utili. UtO l'hh\otnI'Y will l'rORontllfoof of snllt ollltmoct nhI,1gnt,io"A \lpon rn...
Qtl0flt., t.hut.' If lhn 1111101mt. not.Bully pnld In Aot.t,lomant, or nny rOOf oommlsf11on or cloht lEI 10HS thun tho
oHUmul,oc! nmollnt, Olldhl1l1P; f1nf',nll(l\lf~d, Lhllt. thoRnmo will ho 'l't~l'Ortol~ tuthn Ilogiator ol"'W1 tlR, ill'" thllt.
t.ho ","mlllt (J f t.IlX" t1RfHtfHWII ;011;' lHi 'ron~NOHHnlt 'J n u(H1ol'rlnnoo U10110w1 till "
Thnt. t,hn t.cit.f~lll' ni' J~hfl nl~pt'lIprll~to o;ol11trtnR hl Hohotllllua ",\", '"un,
hnvo IIoon ""rrlol!, I'orwnl'ft l\lld nrtullol'ly 1',QI~IHf.()fO" In (,tl0 fh~1I1f11nrYI
d
Subscl'lbed I\nd s'';Ol'n to boforo mo this ,,,((,,,,,,,,,,,,,,,,:,,,,,.
,
"0",
"g". nnr'~ll'" nft ((11'001,0(1, thorotn.
"
_./'7 . L (I O'.O' 9' '
"'"'''''''''''''''""'')''' "" ",: , ,cl'2:,1,f, J\m,,, "','" "" '" 10,,,,,,,7,9 """i,,,,,,,,4.t:,,,:,,~~;,(,'I,~'~"';'T"'i,,,,""","'i"I.5,,,,,,,~,:f,J'i~;'r.:'.l.~,;:'""""""""",",,
,..' ,,. '-f1/'" I~ // / (EilloClltOr-AltlMl.llbGtJIr)'
,,,,,,,,,,,':',,,')..\:,,,.., '~:;;;'~,~i1~2o,:fr~~~' 1(;~~;lY' " "" '" ",,,,,,, ,,,,,,.,,,~,1;'~"rs:~:tt"~~:nl;j,,,~,t,,,,,,,,,::,,;.,,,,,,,..,,,,,,,,...,,,,
i' . Shl~o~:~~I~li~~I~~iil~~m~::~la~~~I~a;IIIY ,,,.,.O',,O'.~!1;~P.!:m~}\f.9,I,,,!?f.h,...~?,.g,~.1,,O',:.,,,,,,,,,..,,,,....,,. ,
Momhol, Ponnsylvanla A5SoClallollof Notalio. (Oltv or Town and Stltu)
NOTEI Uuf't}1iU, HlglII1l~n1'f'lllnvll, ,ni/lk~ ,tHil'O /lIt hl,u1\kRPUOI1R In t,h?,nl'f'jfIRvtl/ll1HI HllhfldllHHI IllmO~Oll"/lro
f'tlltul III w'Lll'dllt,nIlN (lli tho w(Hi,l "NfII,IO". ntH' 11\ Qt,tAO'l,ho nH'unLR 'if1ull1llo 1'111'0 nmlllnltHiot' fHlOtir1LtuR,
fHHHI1'Il.loH nf' oloAo"nr 't'n\llIIY' ,~lnhlflr(tl:lntH\ nt', fill lt1t;o}1fJRt'll Il11Y oO"'J1n"1'1l111',Rhlp llf IJt,~dl1oHH, Uwt, t.ho
,\u tn /11\11 fl t.1l1;tlWlIIl,H l'of(lll ,{I;IL ow'to j' ,,110 l"\l'I!I~rn1'lli nlJov,o __'(11/t U HP; (,(1 HlJhn(1u'1 u "nit i HI;l! /l Ll.nohOl'. 1\1 fin nluku
OtJl't,ftlll t.lwt. '1!1I1l1fl\u1l1 ,ill. t.hu It,f1IHllfHlliy" ltel" 110011, llrm1or1y o,':lnttlIotiotl nH IlllUvo"'fllroof,nrl.
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SUMMARY
County, Humb.r and I'lom. 2..1 ClIrrberl\lnd
FII. Numb.r 21-7q-22fi
Date of Death M~,..,...h 1? 1 Q79
FII. Dot. _ Allg"ct ?i, 1~79
E,tat. Nom. Ch!ll11berlin Vfllva
\l.~1T N"<1P' (FIRIT NMo,"'
P.
!lNITIA"'
COMMO~WEAl. TH OF PENNSYl.VAMIA
TRANSFER INHERITAMCE 1'AX
RESIDE~T DECEDENT
REPORT OF INHERITANCE TAX APPRAISER
I, th. und."lgn.d duly appolniod Inh.,ltanco Tax App,aloe, In and fa, tho County of...J:umh,,"I'\rH1 -
P.nnoylvanlo, do ,..p.ctfully r.port that I have appralud tho '.01 and p."onal propo,Iy an.po,tod In th. fo'ogolng r.lurn at
th. valu.. ..I fo,th oppoolt. .ach It.m In th.laot column 10 tho right In Schodulo& "At, "B", "C", and "E",
Dat.d,
Auaust 21 r Iq7q
,( /;
. '
/ ,..... ... " .-.." "/', ,...,
<).,",c! ( III (-(, 1.(( c V . . c' ) I t' I
IN'IHWllANCli TAX ^rPR^If!~f1
REPORT OF THE REGISTER OF WILLS
I, tho und."lgn.d duly .I.ct.d R.gl,t.,of Willi In and fa,', currberland' ,caunly, P.nn'ylyanl~,do ,oopact-
fully r.port that I have allow.d d.ductlons In th. amounts claimed by dopononl, oxcept 01 to Ih... Ite",s wh.,. a gr.at.r or
I....r an,ount 10 o.t forth In th. last column to tho rlghl In Sch.dul. "F", which g,.ot.r or I...or amount r.pr...nt' tho lum
ollow.d ao 0 d.ductlon, '
Dat.d,
rWOISTF.1l oP WIL.I.1l
INVENTORY
R.al Prap.rly (Sch.dul. A)
P.r. anal P,aperty(Sch.dula D)
Jalnt-H.ld Prap.rty (Sch.dul. E)
Tranl'.r. (Sch.dul.C)
TOTAL GFlQSS AllSUTS
Le.. Debt. and Deduction'
(SCHEDUl.E F)
Cl.EAR VAl.UE OF ESTATE
VAl.UE AS APPRAISED CODE YAl.UE AS RE~PPRAISEO
0041
10+
j.
3 +
CODE
00+
+
40.
-98 14 -a8
Vnluatlon of life e.tate" or "...:!L.-
annu1tle........".....,...I',.- $
PRINClPI..B
t=.
r;:ACTOR
~.!
ESTATE TAX MSESSMEI'(TS - $
t:
TOTAl. TAX
, 9.2!ll!.
2% $
6% -- $
5% $
10% $
15% $
$'
$ 1=
$
$
COMPUTATION OPTIIX'
POR USE OP RBGISTBR ONI..V
Tax on S
Tax on $
Tax on $
"ox on S
Tax on $
Exemption.
Totol estate
(') At o.ldoncod hy Ch.,ltahl.
e,u1mpUc;m 'Certlflcntu Issued
by .he Stlcretnry of RovllnulI,
Lan tox pfovlou_ly paid
DA~AMCE
l.... 5% .1 to. If paid within
3 months after death
$
5.'
t:::'
$
$
$
$
'c
J-'
BA~ANCE OF INHERITANCE TAX DUE
Add Intofut 0' fate of 6% from
to
AMOUNT OF ESTATETAX'ASSESSED
estote tax paid
BAl.A~CE DUE
Add Intofn' of rato of 6% hom
t.
$
$
TOTAl. TAX DAl.AI'(CE
PAID
Suppl.montal Cod"l (FOR US,E IN HARRISBURG ai'lL Yl
48-Adluotm.nl
49+Adluotmont
56-Annuity
6O-LIf. Eltat.
92+R.molnd.r Approlla\
93-Romolnd.r D.ductlan
93C-Chorlly
94-Ramalndar. ROllduo
96-SlIoo 0 II I Va
Lifo E.talo
FOR USE OF REGISTER ONLY
ADJUSTMENTS
HOTEl Whore .ubuquant odlu.tm.nle ora modo to tho obovo computation af to. by tho R.gllt.r.1 Willi, far prop.r 'nOlan,
.omo .hauld b. not.d b.low, with .hart o.plonotlon,
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broucrloN8 A\..LOWtU IN
I!:IITATIt OF Velva P.
charrberlin
t2
l.An OF
q",,~h,,"t'tOt:l rtn,n:IlilU.p
II "";(J 1~,
lilt ftUM Of" .. "(-~' . ,,' I lJ
\M C\ ;~(J 1(,1 ')70
"OA; At,,""OVf.O. F I ~ '
~<N.(. ~"X..,\&i;;~),~I'\.U(\~>
(t-jI g),v,
oFPICI 0' THW
RJcalflTER 01" WIL.L.e
STATEMENT OF DEBTS
AND OEDUCTIONS
or Clnrberland COUNTY
ANO AGENT OI"THI COMMONW'''l..TIt
r.
.,'
-'" I. (
_,- J.,
D"TE 01' PILlNQ "'flP,.",,,M'NT ,(,L/) ') J. 1979 0"". of" PlATH March 12, 1 q79
-=--
D"U: HO. 0' ""AMI: Q' PAVU REMARK_ " AMOUNT
YOUCH"" ~-
Register of Wills LGtters 'l'estaroontary 59 00
Racistsr of Wills 3 Snort eertific"te" 3 00
News Chroniole ~dvertise Letters , 10 00
CUITOOrland Law Joumal Advertise Letters 18 JlL
-
Penna. Electric Co. ~ccount 29 82
Baker & Russell Account , J~ 00
- ,
United Telephone Q:m1Panv " , 34 84
Account
Poonles National Ban]t of Shoo. Note and inte~st 71;77 7()
Rav. David L. Phillips Minister at Funeral '. 25 00
M~ ,T. r,,,, Oraanist at F'Llnr-lr'" ?n nn
.
!?,E1arl Scott: Nursing Services , 25 00
-
"
Penna. Dept. of Revenue 1978 State Inoome Tax 115 60
Internal Revenue Service 1978 Federal Inoome Tax 168 00
D~~~"^~ Funer'" u""", 11'nne"'al Aaoount ~~e:e: I>n
,
, , I,. "Co n""'g]lgQ9J.!1J.!:_,_. , , n? :n,__
ChambersburCT Dail"V Produots Co. ~coouht Q 60
R. C. Rea t.h Acoount . 12 80
Herbert umton. M. O. toEd Acoount , , 130 00
T. S. Jlrmstrona, M. O. toEd. J\Coolmt ' 25 00
, Harris Associa~s toEd. ~ccount 49 00
Emilv Padarronsky I Tax. Coll . 1978 Sohool H. E. Tax , 380 69
h
, Emil v Padarronskv. Tax Coll. 1979 Co. &'lWP. R. 'In. Tax 73 92
-
Raaister of Wills Filino Inv., D3bts. eta 9 00
,",,\-, ~~ J}..ffidavits . In 00
- Mildred C. Davison Executrix eonm!ssjon. 5000 OL
'Ibtal 11,350 93
COMMONWIi:ALTH OF PIi:NNSVL.VAHIA
COUNTY OF, CUmberland
I, Mildred C. Davison
NV t(NOWL~Dal AND .~L,II('1 'J'HK I'ORliGOINQ 'I A. JUST A.NO T"U If,; IfA.TIMKNT ap DUTt"
AO""N'.TRAT(ON .U.""""O TO THE ..,"n or Velva P.' Charrber.1in
INH.n ITAHUI: TAXPUR.-OUI,
}...
HI;~I.Y C~R'ru"V, THAT. TO 'ttU: Ut" OF
rUNtNAL, Ur'fCNftl'l!I ANP tl("RN'~" Of\'
D.e.......D. ,.d. ntDUCTIONK 1"0"
I I I ..~___ (//........L.1.:l.ol-i.LL //J' 'J4J...J..t_L~n_",,,"___..~L, Ii.)
,IWOttN"ND IU_leAIRIDUPORP. MltHII, DAY 0'" l1'1xecutrix
~. _ ,~une /, /] ..12-
'" It>'''' ,/ r~'}'(iJl/~ {J fl, ----'--.
. Ot:€try p~ilc 'c co' 1\0000lh M II~I.. Jr" lIo'''ll'ullll:
My eornn'/ eXpil'BS ShlppUllsuurR OorOll~". CIIII,""I,1P11 I:':IIIIIV
. My Commlll(^,' r,p"" 1\,,[, 4. h'l?
Member. Ptt\n',vl'Jnr\ll i\iJ;r;ll'\':ll,! Il,'\lfIP',
2/26
2/26
3/4
:}/4 ".,
3/~7
3/27
3/27
4/1
4/1
.4/15
4/17
'5/15
7/23
7/2:}
7/23
9/1,2
MOCREA & ~AVla
AlTDRHna /r.T LAW
NIWVILlt a BHIf'PIH"U~'
f'tNH~,
-Penna,. lllllOlotrio Co., acct.....,......, $
Uni,\:ed 'l'elephonIOlCo., aoct...,...., '.,.
Lake I s Oil 13umer SlOlrvicie, furnace
repairs. II" . . . . . . , .. '.,.'" II . .., . . . . . , , . .
Venna. Eleatr!o'{b., acct..... I u.t....
United TEillOlhone Co., acct.,..n... '" .
Recorder of Currberland Co., 1% Realty
,-transfer tax on deed. t t...... t......
M:::crea & Davis, At:tomeys, pl:epara,tian
o~ deed and settlement,.............
Penna. Dept:. ,of Revenue, 1979 State
inoon"e tax... t' . . . t . . . . . . , . . . . . . . . . . .
Internal Revenue Service, 1979 Federal
incoITe tax.,...............,..,.....
Ul)i\:ed Telephone Co., acct...........
Penam. Electric Conpany, final
staterrent.....,. II II' .-..... .',......4
Register of Wills, Filing Account and
Schedule of Distribution...... ".....
Register of Wills, filing. suppleJrent:al
inheritance tax appraiElemant and
st:aterrent of debts and deductions...
Register of Wills, additional inheri-
t8l'lce tax.....,.... t , . . . . . . . . . . . . t , .
Elizabeth Fetzer, Notary, affidavits.
Register of Wills, Filing inventory
and apprais":nllent..~.......... t,. t, ,'..
!leld in reserve:
Register of Wills, fil,ing account....
1980 FeCteral and State !ncorre Tax.., .
CUrrber1and COunty Recorder, filing
Release...... ,',..t. It..t 1,lt .........
M::area &. Davis, Attorney fee.....,...
~1i1dred c. Davison, Jilxeoutrix Comn...
,,;
~rincipal .BalanCe'
j'
l:p.r~
36
(4)
833
12.23
6.~a
56.50
11.67
5.43
460.00
60.00
98.93
46.0.0
5.42
23,54
39.00
6.00
456.92'
10..00
3,00
50.00
150;00
10.00
600.00
5,000.00
I'
,
$ 21,109..73
i~9;74h~4
$120,851. 97
,.
$120,05'1. 07
I~y.ntory 01 the real and p.r,ollnl ..'nt. 01
,.___..'.'"nn....' ",YJ~I,N^ .1'.', CIIAMDI':HI,IN
.._. d.c.a..d:
_ _' _..;...-r:::-.=-"';:;:::'o;-;"-::-:"~'_\';';.:'~':::;~'~:::':'=:";:':-;~"~.~';':""';:"'-~'-;:'.::~.~.:;:-;';'"-":.---' ....-
Real Estate.
1. Situated in Village of Miqdle Spring, Sout:hanl.Jton 'l'cMrlflhip, Currllorlanc1(h., 1'a;,'
lot 100)(200 ft. inproved with S-roan and bath briok hoop, BAld lot oonvoycd by
,John' L. Handshew and catherirt3llandshow, his wHo, 1:0 t'harlos l~, chwth0rli,n and,
Valva 1'. Chanberlin by doorJ dated ^UHUS\;<J, 195BlIllc1 rocor.ded ,in \):)mrllook "S11
Vol. lB, page 22B. Charles E. C11llll'b1ilrlin dlcd ,July, 20, lP77t:hOl:oby voatj,nc;J tho
antire fee in decedent heroin. SOld, at private sale 6n March 27, 19BO to "
Kenneth E. Charrberlin and Sharon OCker ' "
Stocks I
17 Shs. C\JITd)erland Valley Cooperative /lasoolati()h Stock
Cash I
Peoples National Bank of Shippensburg, Cart. of Deposit #1160466-30
CU1Tberland Valley S~vings & lean, Cart. of Depoai t, #6690262
Peoples National Bank of Shippensburg, CheokingAoot.' #160032'
On Hand '
7. Premium Refund, capital Blue Cross
B. Tax pro-ration from sale of raal estate
t!!:sc:ellaneous I
Personal property (sold at public sale 10/13/79)
Chest of drawers
Brass Kettle
Cbins (50~pieces) I
lBOB - $14.00
lB17 - $25.00
lB33 - $lB.OO
lB17 (with hole) - $4.25
Synthetic ruby ring
Synthetio stone necklaoe & earring set
Deepfreeze (sold at private sale 5/17/79)
'Iffi'M.
(5)
,'_' ".,d ..;;:......";::."....~.;;..;.::..::::.:..::-_"";;:":7
"
45,000 00
170. 00
30,000 00
40,000 ' 00
1,192 I B6
23 00
6 55
,.87 26
4,225 65
45 00
25 00
61 25
25; 00
20 00
35 00
.-.-.---
.. 20,916 57
",\\\\~\~l.I)
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MDOHEA & DAVIS
AlTDIINIYI At LAW
HIWYILU Ii B"IPP~NIIUAa
~U4N",
,.
,--
,.
~ll'If OF PENNSYLVlINIA
. CX)tmt.Ol~ CUMBERLl\ND
II'
II SS
II
Mildred C.. Davison, ExeCutrix of the Estate of Valva J,>. Charrberlin,
. ,
i - _ _ - _ _ - _ ' - _ - ,~ _ I '
Deceased/ Qaing duly Sworn according to'law/ deposes and saysthattha
,- - "
foregoing Aocount ill J:,rue ana' ~rl"ect/~th !lsto, Charge$, ancfcradits.
".' !' - .." --"
'I/~i,<!,J. ~ lAv~M"I~
, .
SWorn and 'sUbsoribed
',I',
1'-,'
'11Ire before Ire this' llt{1 day
1]"/",,,.
· '-J:i:.';.
',;.qJ;'~pterrber/ 1980.
t'$! t. \~"r .'
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Inventorv of the reol ond personol ..tote of
_ VELVA P. Cll.l\MBInRLJN.__c.___,de,oea..d,
t--.- .....-
~al Estate I' ,
1. Situated in village of Middle spring, Southarrpton 'l~ship, CUqherland 0:>., Pa./
lot 100x200 ft. im?roved with 5-roan and bath brick hc.rne, said lot oonveyad by
John L.Handsl1ew and catherimllandshew/ his wife, to Charles In, ,Ch~rlinand
Velva P. Ch~rlinPy deed delted Al19UBt 9, 1958 am recorded in D3ed Book. "8'\
Vol. 18, Page 228. Charles E. Charrbedin died July 20, 1977 thereby vesting the
entire fee in decadent herein., SOld at' private sale on March 27, .1980 to' '
Kenneth m. ChalTl:lerlin and Sharon OCker.'
,Stooksl , ' "
2. 17 Shs. CUmberland Valley Cooperative ABsooiation stoCk
Cash I
3. Peoples National Bank of Shippensburg, Cart. of Deposit #1160466-30
4. CUltberland Valley savings Il LOan, cart. of D3pqsit #6690262
5. Peoples National Dank of Shippenaburg, ClleckingAcot. #160032
6. on Hand , .
7. premil,llll ~fUl)d, Capital Blue Cross
8. Tax pro-ration from sale of real estate
j;
Miscellaneous I
9. PeJ.~onal property (sold at puj)li6 sale 10/13/79)
O. Chest (Jf dra\'13r<:
1. Brass Kettle
2. Coins (509 pie~'s) I
1808 - $14. ~'O
1817- $25.0~ I
1833 - $18.00
1817 (with hole} ;. ;?4.25
3. Synthetic ruby ring '"
4 Synthetic stone necklace &. ea;:#l')g j;!ejL
5 Deepfreeze (sold at private sale.5/17/7~)
I
45,000 00
170. 00
30,'000 00
40,.000 ' 00
1,192, 86
23 00
6 55
87 26
4,225 65
45 00
25 00
61 25
25. 00
20 00
35 00
II I'
TOl'AL 20r916 57
(5),.
11
COMMONWB"LTH OF PBNN5YLVAN'A l.
COUNTY OF CUM.BRIAND J .
UI
MUdred C. . Dllv~son . ,. . ., '
., _T,~_~_-"-n-~..__." _ __.__""' <<__'_.__Ti--. _,-, ~_._.__~._ _, _ ._,._ _""'~'~____'-:-_ ;--:.___.__,..,...._._._~...-~~,--.-_~_......__~~_.. _.,L.,~______.~
being duly ...,"'_~m...~~_u,'__,_ acoordlng 10 law,d9POI0l and laYI thftt.flhe..is~exeOU~-'G'''':''''_-~'''-'
"""....-.u".,,,.....__mm__.___u._....:.H"...__._ 01 the Eltate of Valva p,' dl~l;'lin . ". -
lale of.. ~c>1,\t:I1arrpton';rcW1l3hip. . CH''''''''--'''C''' Cumberland Counly, P~;i deo~asedand th.nhe
within II.an InY~nlorY'Niadoby "._.m..T~..,h\ilJ;'-_-,~__.__._..L,_"....~_..._~" the sald~AQ11"dlt. ',~
01 Ihe enllro OIloto of laid dooedenl, oonslsllng of .blllhe perlonal prop'~rly ,and real elhlo, eKeept real OIhle outside
the Commonweallh 01 Pennlylvanla, and that the flgurol opposite oaoh Item 01 the Inventory reprosent It's lair value
as of the dato of deoodenl's doath,
19 80
lj" /,:(4. i;!;,"~'~'~7-
_..ID;ar Ibute-R, I3Ox2;.
SWorn to
and subsorlbod boforo /no,
NOtary publio. ..
fo/Cor(rn.. expirasI1~/;;< -J":3
,Shippensburg, .Pa. 17257
----~-.- Addrlll~
t
Date '01 Dealh __."-'m._~2tIL__,_
PIV
J1'g:oh
Month
1979
YI.t
iy
INSTRUCTIONS
I, An Inventory mUst be fUed within throomonlhl aftor appointment of .~ilrsonal reprelonl,at1ve,
'2, />:IlupplemenUnventory mUlt be filed wllhlnthlrty days 01 disoovery 01 additional usets.
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3, ,Addltl~nalshee"'may be MIa~hed 01 to .~ersonaltv or realty
4, See,Art'ieleIV:'Flduolarles Aot of 1949,
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