HomeMy WebLinkAbout79-00385
PETITION FOR PROBATE
N" 21-79
OF WILL AND
,..1'. !
LETTERS TESTAMENTARY
in the Estate of
,
ES'l'lUm 13. I<OLzm
" deceased,
To Richard E. Anderson, Register of Will.; for the County of Cumberland,
in the Commonwealth of Pennsylvania.
IS
Petltioner(~ IlII'11t the executQI:'. named in the Last Will arid
Testament of .,,,.~~t.hl1lt'.~., RO.tlli!iL, doted DQc, :l.9'_nl~_7.5,
Decedent was a citizon of the United States and CI resident of (.'/1(1/ "'~t,,1 '11/J/?~,
,____.__..Qlll1}P_!ItlX_.,.,__._ ft:~:~ Cumberland County, Commonwealth
of Pennsylvania,
Decedent died on _._._~~~~.aday______.._. the~~1:h. ._ '. day of.J:U1!El......":'.._.,
A. D. 19..7Jl__, In the County of ".u.u.9wn);!@J',l,ana .. .., "".-_..., State of
_....___'y'el1!!.flYlY~.~.i..~L._~___..,,_._.. at the age of j':r..._ years,
~ Atix her
Decedent has not been married and has not had children born to hUnc
since the execution of the above described Will.
Decedent was possessep of personal property to the value of
__,__.!,md~t~~!.I'!~g'_'''n____ _____'" and of real estate to the value of
__._un_t!ljlt~,,-min~c!, ..--, ,--....-. " as near as can be ascertained; said real
estate situated as follows _..._c8!.l\P )i:l,,11, 9U11\l:ll;lr),~n99gqn1,:'y L_..._ ._______.__
Pennsylvania.
lOppd"
Therefore, your petltloner(l() respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon,
Dated _ Jun~ 19 ..t....ll.'Z.~__
_.!!Y-!~\J4-___._...____
_____W,L.::M fMJ .I.....d1;
--'-~'P....JL;;U.,1i?tl.-L ? C) I (
COMMONWEALTH OF PENNSYLVANIA t
COUNTY OF CUMBERLAND \ ss
.-15.& K r" WI ~.....:It.Y.sJ: 0' H, ( ~ ':.:.. ~l:,__~srt.~.f':n/...__r;; (!!(J:L. ll.lj.~ k. L iV, tJ I
Nome and address .nggl'!IU!~lJkl-.-.li.~L.,_,,_..._,,__..____
of Petitioner(s)
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nomed In above applicat ion, being duly ....,~.\.'IQ.E11.""...._..n.".."'_ according to law
soy(s) that the statements set. forth in this petition are true . to the
best of _._I1!L..._____ knowledge and belief,
___Sworll_...___ and subscribed before ,_~'!d/1.~
me, -~t::~./~n~ ~9.;1 "'''''_.-.. 1 9 7~.._
_._uV~_-!.C~:u~-"._.._
Richard E. Anderson, Register
Filed; June 22, 1979
Bietsch & Morgenthal
Attorney: (Roger M. Mcrgenthal)
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LAST WILL AND TESTAMENT OF ESTHER B. KOLZE
I, ESTHER B. KOLZE, of the Borough of Camp Hill, cumberland
County, Pfmnsylvania, declare this instrument to be my Last Will
and Testament, in manner and form followingl
1. I het'eby expressly revoke all Wills and COdicj,lS hereto-
fore made by me.
2. I hereby direct my Executor to pay all my just debts,
funeral and administrative expenses out of my estat:e, as aoon as
practicable after my death.
3. ! give and bequeath the sum of One Thousand Dollars
($1,000.00) to The Camp Hill Presbyterian Church, to be added to
the Memorial Fund designated by said Church.
4. ! give and bequeath the sum of One Thousand Dollars
,($1,000.00) to the Young Women's Christian Assooiation, Harris-
1 bu~g, Pennsylvania.
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pennsYlvania'l.
Dollars
5.
I give and bequeath the sum of One Thousand Dollars
($1,000.00) to The Arthritis Foundation, Harrisburg,
6.
! give and bequeath the sum of One Thousand
($1,000.00) to Penn-Cumberland Garden Club, to be added to the
Esther B.. Kolze Scholarship Fund.
7. ! give and bequeath the sum of One Thousand Dollars
($1,000.00) to The Harrisburg Chapter of Ikebana International,
to be added to the Louise M. Hoff Memorial Fund.
8. ! give and bequeath the sum of 'Iwo Thousand Dollars
($2,000.00) to my sister, Nina B. Oosterling.
9. I give and bequeath the sum of Two Thousand Dollars
($2,000.00) to my friend, Julia C. Sparrow.
!
10. ! give and bequeath the sum of One Thousand Dollar' . I
($1,000.00) to my friend, Rev. Richard Gadow, and h,18 wife, Irene,1
or tq the aurvivor of them. I
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11. I bequeath those articles of my household furniturG> and
furnishj,ngs and tholJCJ .:.rticles of lilY personal effects and
personal pr.opl)rty as set forth in a separate unsigned memorandum,
whioh I shall plaoe wHh my will, to the persona I:horei,n desig-
nated.
12. I devise and bequeath one-half of the remainder of my
estate to my /lon, Vernon W. Kol~e/ providing he survives my
Should he predecease me, 1 deviso and bequeath his /ilhare to
issue, per stirpes.
death~
his
I
13. I devise and bequeath the remaining half of my estate, I
to the issue of my deceased son, Ralph M. Kolze, Jr., per stirpes.!
14. I nominatl3 and appoint Dauphin DeposH 'I'rust Company, ,
Harrisburg, Pennsylvania, trustee of the share of any beneficiary I
who may be a minor. The income and/or p.rincipal of said trust
may be accumulated or expended for the maintenance, education and
support of such beneficiary as my trustee in Hs sole discretion I
may determine: and my trustee, in the expenditure of income and/o~
principal for such purposes, may, at its discretion, apply the I
same directly without the intervention of a guardian or. pay the I
same to any person having the care or control of said beneficiary
or with whom the beneficiary resides, withou.t. duty on the part of I
the trustee to supervise or inquire into the application of the
funds by any person to whom any payment is so made. ~)e balance
of such income and/or principal shall be paid 1:0 such beneficiary
upon reaching majority, or to such beneficiary's estate in the
event of death prior thereto.
15.
I direct that Marjorie Z. Kol~e, widow of my deceased
I
I
I son, Ralph M. KOlze, Jr.,
months after my death, to
shall have the option, within six
purchase my real estate Premises 3025,
Gulf of Mexico Dr.ive, Longboat Key, Sarasota, Florida, together
with the furniture and furniShings therein contained, at their
appraised value in my estate for Federal Estate Tax pur.poses.
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OATH OF SUBSCRIBING WITNESS
COMMONWmAL'I'H OI~ pgNNSYLV ANIA !
HH:
COUNTY O~' CUMmmLAND
'rll is.,..".,..", ,."..", ,..,,,..,,.,. ~ ~,~~ ,."""...."""."...",., ,day of"".."., '1"" H,~n~".,., q' "'" ,.", I." I.,." ,." I""" A ,I), I 19. ,7.~.",
buforo mo Hlchurd 1<). Andorson, Hoglstur for thu I'l'Obuto uf Wills I!nd Il'l'Untlng luttorsof Admlnllltrutlon
In und for snld Cuunty of Cumbul'lllnd, In tho Commonwoulth of I'IJnnsylvllnlu, porsonlllly crimo ..............
,...""., '" ,W~.y.n~,.. R.,.,. ~.t:\.~ ~ ,~". ~D,~,,~!. ~.,. ,~f. .;,'{,~?:, ..~SlX~S~..""",.,.""" lIt".",. t.""".,.",.," """"'" "."....". t.,...,.,.",.
thu subscribing witnIJssus to thu fbrllgolnll' Instrumont uf' writing pUI'JX)rtlng to bll tho lust Will und
'rostnmonl of ., "'t ,.~.~!:):l.~1i, ,.~,.., I,~g.+,~~,.;" It. .......".... It ,..,....,. II ,t, " It ....". ,..,.,.. Ilntod "J?~~"",~,9.1",,+,~~,~,,"""
lutcof..!;;,l;\l'l...~Q,I;'.lrl~g,\1...Q.t:..r;.M\P...H.U;1............................................,....... Cumbllrlond County Po" ducousud
who being duly ,...........I~.WR.+.n.................... Ilccordinll' to luw, dOJXISO nnd SIlY, thut ..~.J:\~Y...WIil.~~.................
prmmnt, nnd Haw and honrd tho to8tU1;.,~~~,."."",,,..,,,...,,.., .",~.~.tib~.t.",~",.~<;.1*'~~"""""tt."......,..",.,".,.,."
Rign, sonl, publish, pronouncu und declnro tho snld Instl'umonL of writing ns nnd for h~.t:........... 'l'ostllll1onL
und Lust Will, nnd nt tho Hmu of RO doing ...........'.'\r.~................................wns of' HOlmd nnd disposing mind
m'm.".mI .nd'''"'''n''''K, '" th, b,,",..r ""''''''''''~~'!''''''''i'':'''''''''k",W:~t ,b, ,/n 'm.! ",\I,r
.............!",,,.. ond ,.b~l"'d b'fum"wtt '.. :L~tfJIf. f.............
~ LE~~(;\J (,,/Ne. .........;... "'/)/!~;~"''''(~~:;:~''''''''''''''''''''''''''''
....,.".,......"..."".,.......,.",......,.'..'...1.1 "...",............,..." +l.. ,./ "..,I~"..."..,'I,~~f.~fir.~4..'.....,,,....,,.,""""
Rlchnl'd E. Anderson, Reglstor .....e , Olive~ntre . u....
AFFIDAVIT OF DEATH
COMMONWElALTH OF PENNSYLVANIA! ss:
COUNTY OF CUMBERLAND, \
..@. :S.:.. !:;r.:f~. f.l:l ~.r.:I.. .A~!t.~. Y. (o,...f.. .Tr.:~ ~ t... ..0.: if/.~. ~ (,:/...". (.~'.:~,~",.f!. r.!."I..(~.,...~:. /!.:...,..,..... ,being duly
..."."..."....."..,,:?'!'!~'~'l,1..I."."". suys that us nearly UK con bo uRcortnined the said docedent ....I..HO..."'j,..."..
...,."...,... ..",...."~..."".....It,.".,,.,., "."....,.,..,."..,..." 1P,~ ~):1.~1;...~ ,.". ,~R,+,~~..",..,..".. I.. ;'""."......, I II I' I"'..... I..,. .died on
..,..,.,..:+.H~,'.c:\~X.,,;...;H......,...., the .,.,..;\,?,1;h........."...,;,day of ,.,..,.,'",~,'An~"....,.,'"..,..,...,,,...,.,,., A.D., 19.?~..t
at or about ..lIH"..t~I!.~I~"......".II"." o'clock,l.tM.
"....HH....."~~~~.~.,",........H.'..""nnd subscribed this
.,.~~,::-"..""',.,....:,...,...,,..,.,i,
,.."..............~~.~.1.'!,.......,.......".. dllY (f .i!'.':\!'H11....,.........
19, ?,~...., before I
........j.."\t;.C!.~.~/.I......:......~.............,,
Richard E. AnderRon, RoglRtor
OATH OF PERSONAL REPRESENTATIVE
COMMONWIML'I'H OF I'I~NNSY)'V ANIA }
COUN1'Y OF CUMB/<mLAND S::l:
BoforD mo, tho Roglstol' for tho PI'ohuto of' Wills und gl'ulltlnll of Lottol's of Admlnlatrutlon In IInd fOI'
tho County of CumhOl'lnnd, JxJttHonnlly cumo .R:,~::",J5,r:.f.~,~.~l~/""""''''''l"~.~...99.~~",~~.~'~.~,,.~",~1"~".,,
who. being duly ''''~~~~'~''''''''''''1 do ,,~~..., dOpOHO unci Hny lhnt uH,W};C.cp,HM~R,1;'H"""""""'''''''H'''''lt''''''''''''
of tho luHt Will nnd Toatrunon(, of """,..,,,,,,,.~.~.~h~,~,,,~~,,,~~~,~,~,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,....,..,""II.....docoftsod
N.A. ,
...Ss:.~~...~i!~.~.' ~lll wollund tl'uly udmlnlstor tho goods und chuttols, 1'llIhts und crodlts of'snld doconsod
uccordlng to luw. And ulso will dlligontly comply with tho provisions of tho luw rolutlng to Trnnsfor
Inhorltnncoa. .......~WR,f.r........... nnd aubacl'lbod
beforo mo.
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Rlchnrd E. Anderson, Hoglster
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B I be d 22nd June ,,.,
e t romem 're that on tho ,"....""10'''.....''.. day of ............H.""II"..""....."..,;.."".., A. O,t lt7/'~"'''t thero
was probated and rocorded tho lust Will and 'ro8t~mont of 1..."lA~~~~~.,,~.~t..~~I~~~...fI........"ff.....,"'.....:'..,'I
late of ...],3.mi.9,\-l9~"f?t.~.ll\I.l)p...lii\..+J,...,......................, Cumberlllnd County I Penna.vlvnnln, Deceased, Letters
:;::::::'::=::::::::':~~~: :::~:: :~;:;::::::~~"'~~"'~~'~!""~:"~~"'J"
.,........................1.............. ..........................
Rlchul'd l~. Andorson, H(lglator.
.
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APPLICATION fOR CHAIIITAOLE EXEMPTION
fROM PENNSnYAtHA THANSFER INHEHITAtICE TAX
(Act of May 28,1956, P,l.. 1757, uIlIl Art of June 15,1961,
P. L. 373, UI (lllll'Jlltl,,,!)
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COMMONweAL TlI OF PENNSnYAlllA
DEPAHTMENT OF HIiYIiIW,
BUREAU OP COUNTY COLLEC 1101'15
ft._. ~,
Appllcntlnn I. heroby filod for tho approval
of on o.omptlon from Ponn.ylvonlo Tron.fer
Inhorltonco To. on tho tron.for 01 tho proporty
do.cr/bod bolowl
1. Buroou Fila"
7/ -. }'I
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3. Doto of Approval
.Jqllo 12, 1979
"7 ... t Lt-, ,
2. Onto of Dooth
4. Nnmo of Docodon I
Esthor B. Kobo
.--. - --.-.-.- "._....~
5. The Commonwealth'. oppralud voloe 01 tho property for which an e.omptlon I. c1nlmed I. $ ),~OOO.OO .-.'
(Note, Whoro the property I. other than a .poclllod amoont of co.h, tho o.emptlon cannot be opprovod until tho voluo 01
the property hOI beon ..tobll.hed by approl.ol by tho Commonwoollh, o.copt In tholO co... whoro tho amount of the gift
or bequ..t roprounh a .totod froctlonol or porcontogo portion of tho ontlro o.toto or tho ontlro r..lduo. In thou COlO'
onter luch fractional or per.entoge amount ohovo).
6. Check tho manner In which tho tron.fer woo offocted and ."bmil 0 copy of tho documont outhorl.lng the tro,"lor, unle..
luch material ho. been prevlou.ly filed.
WILL /ii,
DEED 01
TRUST INDENTURE 01
SURVIVORSHIP 0;
OTHER 0,
(II other, explain) _________..______.....________. ...-..-.....-------
7. Corroct Bu.lne.. Nome and Add.... 01 Charitable Orgonllution rocelvlng proportYI
NAME
Camp Hill_l'.E~.hY.toriQn.. Chur9.h________.______ ..-
ADDRESS N. 23rd a.nd Walnut Stroets , Camp 11111. Pe!1IL!IY.1Y.llnia 17011
o See listing on reverse side lor additional charitable organizations cove rod,
8. I certlly that the Information contolnod herein I., to tho bu.t of my knowledge and beliof, true and correct.
Signature of Applicant ~ I'l-.., /1A "V~
Addr,," 01 Applicant Biotech & HorgenJJillL_.l_J;!vin~ Row, Carlisle, pAr -]..1Ql;l----
Official Tille Attorney for Ex~cutor
.__._Dot. July 13. 1979
Thll form mUlt be completed In triplicate and nil thr.. toplcll delivered to the Raollter of Willi for the County In which the decedent
r..lded, or In whIch lettarl W.fe IlIued lor a non.resldent decedent'l "'ate, If the deced.nt WOI a non.ruldent of Pennlylvanla and
I,tte,. were noll.lutd by 0 Penlllylvanlo Regllter of Will., d.llver all three coplfll to tha Director, BureaU of Counly Collecllonl,
Penna. O.partment of R....enu., 265, 4th SU.." Harrllburg, Po.
Do not wrlto bolow thl., IIno. For Official Uu Onl
. .
venue REFER RED to Buroou Hoodqoarto"
Approved 0
For Secretory 01 Revenue
Denlod< 0
(Slgnotult 01 Regl.t.r of Will)
(Initial. of Regl.tor of Will.)
(Authorllod SI ~noture)
(County)
I11IT
I
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(County)
(Title)
(Doto of Approval)
(Doto of Referral)
(Doto 01 Attlon)
< See revoru .Ide for Itu.on.
l -ll, --1 ~
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MUST BE FILED IN TRIPl.IO T'
Il<:C..1\4."' :il
APPI.ICATION FOH CliARITAlIl.C EXEMPTION
FllOM PENNSYLVANIA TRANSFER INHEIlITANCE lAX
(Att of Muy 28, \956, P.l., \157, tltlll Att 01 JUI1Il \5, \'161,
P,L. 373, II' tll1l.lIdell)
COMMONWf.AI.TH OF PENNIVI.VAtllA
OEPARTMENTOFREVENUE
UUREAU OF COUNTY COLLECTIONS
Application I. h.reby fil.d fo, tho app,oval
of an ...mptlan from P.nn.ylvonla Tran.f.r
Inh.rltanc. To. an tho tran.f.. of tho proporty
descrlb.d b.low:
1. Buroau Fllo /I II / ./ r'.I'I'
2. Dut. of DOl1th .Juno 12, 1979
3. Doto of Approval 1-1I,.. "
4, Namo a.! O.c.dont . EBthllr B. . Ko1z"
5. Th. Commonw.alth'. appralud valuo of the prop.rti' for which an ..omptlon I. clalmod I. $ J1QO.Q..QQ_..._..........~n.'
(Mote: Wh... the prop.rty I. oth.r than a .p.clflad amount of ca.h, tho ...mptlon cannot bo app,ovod until the valu. of
the prop.rty ha. b..n OItabll.h.d by appral.al by tho Commonwoalth, ..c.pt In tho.. ca,ol wh.r. tho amount of tho gift
or b.quest repr...nh a stat.d fractional or p.rc.ntaga portion of the .ntlr. o.tat. or tho ontlro ,0.ldu.. In tho.. ca...
.nt.r such fractional or p....ntao. amount abov.).
6. Ch.ck the mann.r In which tho tran.f.r was .ff.ctod and .ubmlt a copy of the dacum.nt authorizing tho tran.for, unl...
such motorial has b..n pr.vlou.ly flfod.
WILL LX;
DEED [1;
TRUST INDENTURE ,iI;
SURVIVORSHIP (7;
OTHER 0;
(If ath", ..plaln)_...................
7. Carr.ct Busln... Namo and Addre.. of Charltabl. Organization roc.lvlng proporty'
NAME .___YOl!.!)]!; Wom_ll!l'.~....Q1lri8.t!:nn ABBOC_:!-i'.t:j.Clrt___..__~___._..____...._.__._________u,
AOOR ESS _M\ul.nd_.!:!!o'xltQ..!;_$.trootB I Hnrr!.8b~.r.s.L)'ennBy1vania 17101
o See listing on reverse side for additional charitable orgonlzatlons covered,
8. I c.rtlfy that the Information contalnod horoln Is, to the bo.t of my knowl.dgo and b.llof, truo and corroct.
Signature of Applicant _.._~~..JL",-j1-1 ")~~
Addr... of Applicant _.Jl1.o.t.ac.h_&..1lorll.euthlll....l-l rvine RQ.w.._Cllrl1e.l"'->_l.'1..L_..l1'OU.._____
Official Tltlo At t~.!~E..!:u!~xcc.ll.t:.'?!._u_______._____Doto_. ,JlIlJ'._:I}.L 191~_____u...__'"
Thl. form mUll be comploted In 'rlpllcata tlnd all three caplOl dollvorod to Ihe Regllter of Willi for tht1 County In which tl10 decodent
resided, or In which letlen woro Ilfluod for a nonduldent detedont'. OIloto. If tho decedent wal n non.rolldont of Ponn.ylvanln nnd
lotter. wore nolluuod by 0 Ponn.ylvonla Regl'ler of Wills, dellvor all lhreo copies to the Dlreelort Bureau of County Collocllon.,
Ponno. Deportment of Revonuu, 26 S. 4th Stroet, Harrllburg, Pal
I
Do not writ. bolow thl. Iln.. For Official U.. Only' I
Rovonuo. REFER~ED to Buroau Hoadqua,to;;'"'' ~pprovod -0-..----------1
. For S.c,otary of Rovonuo I
I
D.nlod' 0
---.-----------
(Slgnatur. of Rogl.tor of Wills)
(Initial. of Rogl.tor of Will.)
(Authorized SI gnotu,.)
(County)
1:'1'"
I
I
(County)
(Tltl.)
(Dot. of Approval)
(Dot. of Roforrol)
(Dato of Action)
fr See fovorlO lido for reOlonl
1-(4.-1'l
MUST BE FI~ED IN Tlllp~ICATE
f/('(.Il4.J.\1
APPLICATION FOR CltARITAULE EXEMPTION
FROM PENNSYLVANIA TRANSf'FR INHERITANCE TAX
(Act of Mny 26, 1956, P.l.. 1157, <11111 Act 01 JUIU' 15, 1961,
P.L. 373,111 tlm.ntlfld)
*
COMMONWCHTII OF PENNSYLVAIIIA
DEPARTMENT IlP RI!VI!NUE
BUREAU 01' COUNTY COLLOCTIOII5
Application I. h.r.by lil.d for tho approval
of an ...mptlan from P.nn.ylvonla Tra;nf.r
Inh.,ltanc. To. an tho tran.fer 01 tho property
d..cribod b.low;
1. Buroou FII. " 1/. 71 ]~ J"
2. Dot. of O.ath .Julle 12, 1979
3. Dot. of Approvol 1- \ (, - ,~
4." Nom. of O.c.d.nt EHther II. Kolze
----"--.-. -...._.,--,_...
S. Th. Commonw.alth'. approl..d volu. of tho prop.,ty for which on ."mptlon I. clolm.d I. S1._1.QQQ!Q()____.._____ _m'"
(Not., Wh.r. tho property I. oth.r than 0 .peclllod amount of ca.h. tho ...mptlan connot b. approv.d until tho value 01
tho p,ap.rty ho. boon ..tobli.h.d by appral.ar by tho Commonwealth, o.copt In tholO ca... where tho amount 01 the gift
or b.qu..t r.p,...nll a .totod f,actional or p.rc.ntag. portion of the .ntir. ..tat. or tho .ntlre r..ldu.. In thou co...
.nt., .uch fractional a, perc.ntag. amount obov.).
6. Ch.ck tho mann., In which tho t,an.f., wa. .ff.ctod and .ubmlt a copy of tho docum.nt outborlllng tho tran.for, unle..
euch mat.rial ha. boon provlau.ly lil.d.
WII.L /$;
DEED 0;
TRUST INDENTURE ,[7;
SURVIVORSHIP 1.71
OTHER (II
Oloth.r, ..plain)
7. Ca"ect Bu.ln... Nom. and Add,... of Chorltabl. Organll.tlon r.c.lv'ng property,
NAME
The Ar thri tia l'ourulJ!UQ!1_._..____.._~_._.____.n ....___..__.____________..
ADDRESS 112 MalO~~t._LlInr~.iabll!.&!...!'!"Il~llv~in ..J.llOl__._______.___.
o See listing on roverse side lor additional charitable organizations covorod,
8. 'certify that the Inlarmatian contained h...ln I., to the b..t of my knowledge and b.llol, true ond ca"ect.
Slgnatur. of Applicant _~_11l... 1']1 !!7-~------.
Addr... af Appltcant llietsch &J1or~un.JJllll.,__1...ln1ilUL.RmoI.LQnrl.is!~L PAr 17013
Official Tltl.
Attorn~or Executor
.______Date__Jl~ly 13, 1979
Thll forn1 mull b. compleled In trlpliClale and all three copl.. delivered to the Regl'ler of Will. for the County In which the d.c:.d.nt
r..ldld, or In which lett.r. w.ro IlIued for u non.ruldent dlcedent'l ..Inte. If the decedent was a nan.,nld.nt of Plnnlylyonla and
lette,. we,. not IlIued by 0 P,nnlylvnnla Regllter of Will., d.llv.r all thrn caple. to the Olreclor, Bureau of County Collo(tlon.,
Penna. Olportml,..t of Revlnul, 26 S. 4th slr.et, Horrl.burg, Pat
"at writ. b.law thl. Iln.. Far Official U.. Onl
REFERRED to Bureau Heodquart."
Approv.d 0
Por S.cr.tary of Rovenu.
D.nled' 0
(Slgnatu,. of R.gl.t.. 01 Will.)
Onltlal. of Regl.t.r of Will.)
(Autho'lnd Slgnatu,.)
(County)
"I
,.
, '
(County)
(Titl.)
I
I,
(Dot. af Approvol)
(Dot. 01 R.f.rral)
(Dote of Action)
11: Se. r.v.r.. lid. fn, r.GIOnl
(-(~"19
MUST Be PILED IN TRIPUr;~T~
f1.l'/'-.'(~31
APPLICATION fOrl CIIAIlITAIILE roXEMI'TION
FIWM I'~NNSYLVMUA TRANSfER INHERITANCE TAX
(Act cd Muy 111, 19S(I, P L 1757, lint! Act of JIII1Il 15, lCJ61,
fJ,L, 373, III fII".ndfutl
COMMOHWI:AI.TII OF PFSN'YI.VAIIIA
DEPARTMP.HT OF 1<1. "!!HII:
BURP.AU OF COUNTY COLLU,', 1011'
Applic.tlon I. horohy fllod f.r tho .pprov.1
of on o.omptlon from Ponn.ylv.nl. Tr.n.for
InhorltM'. To. on tho tron.lor of tho prof/orty
d..crlbod bolow:
1. Ilur."u FII.' 21-79-:JB5
2. Ii.t. 01 p..,h .ltll()~..~lyl~7(9,), 1(.1' ') 'i.
3. O.to of App.oval ';/"~ L~ f
4. NanIa 0(. D'!E!da~.!....J~H~h.ot:-Il:._~O~~~~._._._~_.::=.:==-~""O;',:-
5. Tho Commonwoolth'. .ppr.lnd v.luo 01 tho proporty lor whlch.n o.ompllon I, "'.Imod I. $1.,09.0-'_0_9_..._.____..".._.__.,
(Not., Whoro ,ho prop.rty I. othor than. .poclll.d .mount 01 ,..h, tho ..omptlon c.nnot b. .pprov.d until tho v.lu. 01
tho prop.rty h.. b..n ..tobli.h.d by .ppr.l.ol by the Commonwoalth, o"opt In tho.o c.... whorl 'h. amount of the gift
or b.qu..t r.pr.nnll 0 .tot.d fr.cllon.1 or porconl.go portion of tho ontlr. o,'ato .r Iho ontlr. ro.lduo. In th... co...
ontor .uch fractlon.1 or p.rc.nt.g. .m.unt .bovo),
6. Ch.ck ,h. mannor 10 which tho troo.f.r w.. offectod and .ubmlt 0 copy .1 tho docomont outh.rl.lng tho tron.tor, unlo..
.uch .n.t.rlol h.. boen pr.vlou.ly f1lod.
WILL !hI
DEED {.7/
TRUST INDENTURE //;
SURVIVORSHIP /7;
OTHER !ll
(If othor, ..plaln)____ .....m._._____._. .
_ _ --- ------ .."...-.- -~-~~.._--------------~
7. Co"oct Bu.lno.. N.m. .nd Addr... 01 Chorll.bl. Org.nl..tlon rocolvlng proporty:
No. 18
NAME Loui~~!!E>.fL~om~r..ial !'~!ll(\()f,,:l.ho.llarrj!lhllrg Chnpc()r._(1r_.I:~_o\,_n.!'-':.!!.lcarnat..!:~~a1, /....
ADDRESS. c/o Mrs. 1l~.!I.!1 BOnll..o!!.!...~0><.._3.~~_.__9()t~>'8~t~1.lh I~A.__}:Z.3.2~~__......_m..._uu..__.
o See listing on reverse side for oddltlonal chorltoble argonitallons coverod.
B. I c.rtlfy th.t tho Information contalnod horoln I., to tho bo.' of rny kn.wlodgo .nd b.liof, truo and carroct,
Slgnatur. 01 Applicant r~v,.,j1c'_.Lj/Z11:IV":c'Ai~.. ---... :.--.-.--..
Addr... of Applicant B ie csck.S<.119..r1l':'!ltll[11'L.7.J.r\lil1(l.~()\'!.LC~E.li ll..1.<:.L~A~_..J:L~1~__.___.._._
Offlcl.1 Tltlo _~rn~L.for .1~.C\.c:!:1_l:.().r__.... ..___........._ Dot. .'1_u1:t....~.~_L.1979
This form mUlt be comploted In triplicate and alllhr..e caplot d.lIvnrod 10 tho Roglster of Will, for lhfl County In which tho dllcodonl
'..Idld, Of In which lotten waro I,"uod for 0 non-'ll' Ide"' doc.dont'. OItnto. If tho dllcodorll welll a non.'tlldont of Penn.ylvanla and
I.tt.,. were not I..ued by a Pennsylvania RegIster of Will., doll'flH allthroo caplet 10 tho Dlroctor, BUteClU of County Collnellonl,
Ponna, Doportmon' of Revenu., 26 S. 4th SItu!, Harrl.burg, Po,
Do not wrlto b.low thl. IIno. For OfflclalU.. ani
.--------- -.,.
APPROVED' Far tho Socrot.ry of Rovonuo REFERRED to Buroau Houdquorto"
----l
Approvod 0 :
F.r S.crotary 01 Rovonuo I
I
I
D.nlod' 0
'-7 . l 1\ J
gl.l( [(eV} , . L l Iv\'\ ~ b-l il.!.l.fW
j$lg~~\Vr,,:\>MRgl.t.. of WII\lol'/i1l
ili;",II!
, ! . dlY
(Initial. .f Rogl.t.r 01 Will.)
(Autharlud Slgnaturo)
(COUa
------- ..2&.JtJ..rr
(Doto of A rav.il
(County)
(Tltl.)
(D.to 01 Rof.rr.1)
(D.t. 01 Action)
S.. r.v.". lido for roalonl
MUST Be FILED IN TRIPLlc^rO
If' 'd 1,\.-,1.11
~
APPLICATION fOR CIIARITAIlLE EXI:MI'TION
FROM PEtmSYLVANIA TIlANSfER INIiEIlITANCE TAX
(Act (If Mu)' 211,1956, I'.L. 11S7, Illltl All uf JUllfl 15, 1Y61,
P,L. 313, UI UIIlftllll.1I1)
COMMONWEALTII Of PfNNSYI.VAlIlA
DEf'ARTMENT OF 11I:vuwr
BUReAU OF COUNTY COLLeCTIONS
...
Application I. "...by fil.d for tho oppr.v.1
of an ex.n'ptian from P.nn.ylvan'o Tran,'or
Inh..itonco To. on tho Itan.f.. of tho proporty
do.cribod b.low,
1. Bu,o"", File"
21-79-3H5
2. O"to.f Doarh .I~'\ Dh, ] 979
3. O.t. of Approval (r\'~,'r ..7, tl, 19')?
.4. Na!!'.~.2LQo,od~LJ::th~r _~._~~_lzo _
5. Tho Commonw.alth'. opprul..d valu. of tho prop..ty fo, which an o.omptlon I. clalmod I. $!i(JOO...9.(J.,...._.______.........
(Noto, Who.. tho proporty II othor thon 0 IpocHlld amount of ca.h, tho ..omptlon connot bo "pprovod until tho valuo of
tho proporty ha. boon OItabli.h.d by opprallal by tho Commonwoalth, a.copt In th..o co... whoro tho amount of tho gift
or b.quolt ..pr...nto a Itot.d fractional or porcontago po,tlon of tho onllro a.tato or tho .ntlr. r..lduo. In tho.. .0...
.ntor .uch fra.tlonal 01 porcontago .mount abov.),
6. Chock tho mann.r In which tho tran.lor wa. offect.d and .ubmlt a copy of tho documant authorizing tho tron.f.r, unl...
luch motorial hat b..n p..vlau.ly f11.d.
WILL 9/
DeED 0/
TRUST INDENTURE 1/;
SURVIVORSlilP ,17/
OTHER !7;
(If athor, ..plaln)___._.._..__________m___n...
..._ .__.__~_____~_k_._~..________.____._._
7. Corroct Bu.ln... Nom. and Add.... of Charitabl. Organization r.colvlng prop.,ty:
NAME ~~~!._.!!.!-_~olze S!,!'.?].lllC.~~ip _E_lI~(~..,?f. Pe~ln~C~l1nller!~n.d_.Gllr.<lon_.9_!~~______._.____._
ADDR ESS 0/0 Mra. JLJ:J..\!JJLQlIrt!.J'-......lJiO_I l'_~i_r.view..gp..ll.(tJ_Q!\ll\)Uli.g.L!'h_JZ.O'_~L...__.
o See listing on reverse side lor additional charltablo organizations covarad,
8. I c.rtlfy that tho Information contaln.d h.reln I., to tho best of my knowl.dgo and bollof, truo and COlloct.
Slgnaturo 01 Applicant (-I~lL ,J:hj~1l~.~~-.-..-----_----.h----.-
Addre I I .f Appll cant ____!l.io ~ BcI~_&._.t:!~~J!I'.l1t:l~~}--'_.7._T~r~_~n!_~~~!__~llr li.~1.~.!...~.:.?.~-__.
Official Titl. Attorn~..f.QJ;JK!!!lll_tQr.___.__.__.____Dato_ _,!1I1y 18 , 197.9
Thll form mult ba comploted In trlpllcClte und 011 throo coplu dellvotod to the Reglstflr of WIlli for the County In whlth tho dacodont
'..Idad, or In which lollon wefe l..uod for 0 non.fOlldenl decodll"t', utote, If tho dOl:odont wa, n non.fa,ldonl of Pennsylvania and
lotle,. w.,. not IlIuod b)' a Ponnlylvanla Reglltor of Will., dull...", ljll throe corln to tho Director, Bureou of County Collection.,
Penna. Deportment of Rovenu., 26 S. 4th Stroot, Horrllburg, Po.
Do !l.at writ. b!.low.thl. 11n.!..:._For Official U.. Onl
APPROVED' For tho S.crotory of R.v.nu. REFERRED to BUlOau H..dquartall
Approv.d 0
For S.crotary of Rev.nu.
liF, '.1 II f\ ~
_~.J~Ql\.4i~_r. l.~ (i-\.Q.\L~
(~,I,~~a,~u~..?rf,.~.~,~I-t., of WIII'''11.1l
D.nl.d' 0
1\
(Initial. of R.gl.tor of WIII_)
(Authorlud Slgnaturo)
, .1'(
(county)~
._~:. :)~
(Oat. of App~ val) F
(County)
(Titl.)
(Date of R.f.r,.1)
(Oat. of Action)
~ 5.8 rev.,,' lid, for roalonl
MUn BE PILED IN TRIPI.I"A"'~
COMMONWEAL Tll OF f'ENNS~l,VAtllA
DEPARTMlNT 01' REVENUE
RUREAU Of COUNTY COl.l.ECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SEcurmlES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
'*
~PPLICAl!.illl (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVAI~IA DEPARTMENT OF REVENUE:
Application Is hereby mode for c alienI to Ihe tronsler or tho lollowlng 60curltles 01 a Pennsylvania
Corporation or 0 Notlonol Banking Auoclallon located In Penluylvonlo:
DATE. lIu<]\\llt 21, 1'lH
(ol._L__(b)..R!u'I!HngHQQffi.PtmYH. H" H H.. ...._ "HH.____ __H_H". (c)_('(!"\'\\.Cl_l!.~UH___UU
(NOTE: In describing IOcl/rltlos ont" In (0), ob \'lIO, either the number 01 shores 01 stock or tho lace amount 01
registered bonds, In (b), the nome 01 th, Issuing company ond In (c) the closs of stock or the stoted Interest rote
and moturlty dote 01 registered bonds.)
ISSUED ON _.1:29-',~____, and hovlng 0 TOTAL MARKET V AWE OF S _..1...J_~LH ____H_..._____....__
(Dot.)
os 01 the dote 01 death 01 the decedent, En ther
who wos late 01 201] Her.i,on Po",l
(S"..t and Numb.,)
B. Kollle ,,-12-7\1
..___._..._,~._____.~~__ I on____.._.~"_.__~__
(Name uf Decedent) (Date of death)
""1.\1] 11111. C\\mber11!1l <l l'a.
-~+-----_._..~-~._-_._-----_._-_.----_.~-----_..._-_.-.
(Po.t Offl,.)
(County)
(Stat.)
The securlllu ore registered os lollows:
Esther 13. Koh:e
~-~.~-_...._~..._.__.----_.~-_...__.__._-~--"--_._--
(Nam. or nam.. In which certificates ore feglltftr.d)
bM~
EXECUTOR )
CCNB Bank, N.lI., 210~ Mar~e--,=-~,t~~~l11,~!!:~~!~'!..~__~?O~______
(Nom.) (Add,...)
NAME OF APPLICANT R. c. Knllner, lIent. Vice l':ceRicl.nt
&'"iirl1RE--Of fTce~r
COUNTY FILE NUMBER .'Y/ ?(I :df.";" ADDRESS OF APPLICANT _21oL:~llrket lit. L ~_MlJ? H~U_L l'a.
nl'JL' . .. _ 17011
BUREAU FILE NUMBER SIGNATURE OF APPLlCANT~__HA6Ut. ViCfl I'rot
NOTICE: IF YOU FAil TO PROPERLY FILL IN ANY PORTION OF TillS APPLICATION, IT WILL NOfcBiruRt ufHcer
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
------_._~_.,---------~...._~._'~. -. -~------_..__._--_...__.._-~----
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE I'
CO~SENU.Q. TRA~~ER_ SE~URITIES DA TE U) 0 ~ . '~,'~
I hereby consont to th.. tronsler 01 the above securities now roglstered In the nomo 01 the al~e~old
I~.I?
Decedent and wolvo the filing 01 0 certificate cortlfylng to the payment 01 tho tronsler Inheritance tax to which
the property 01 sold Docedent Is mode subloct pursuant to the provisions 01 the Act 01 June 20, 1919, P.L. 521,
os omended and the Act 01 June 15, 1961, P.L. 373, os amended. This Is also In occordonce with the provisions
of the Act 01 April 9, 1929, P.L. 343.
This Consent to Tronslor the herein described property oporotes only In relerence to the estote 01 the
obove.nomed Decedent.
'*
Signed lor the Secrotory of. Revenue
. .} (\
~y,:~ (~{', \'}II/QfL.;)tJ\l-AJL<..tJP/!\
(Slgnotu,.) \\
!,... - ., F ,-- '.' . 'i'
---('TI-if;Y---
:IT ,.-.----~-..--.._---,--.-
.I (County)
n.~"ftiffF.._~-" --~~MM;N-~;~~~;;;~i~N':~~::I; .~~ -,
SNo"~~~.~4~& _~Fdl~LAECE~PT. PE~::~~~:~~~~~:~~~NCE ANDE~TA:~,~A~ ....
Il.........-d. .....- .. .. ...... .. ... .
S RECEIVED ."!.~~~~..,..!!~.,!,,,-,!,_,,-..-.....IJiWJDIn,,,aIX...HtniD.RF..n.&
'1
; Fro"" .___OQJlB "nil ....lI..._A....____...
~ Add, un ...21Ol..H&rk.i....I1IJ!...L- ..--
If
I
'*~
.00/100....-....................... dollor.
roproulnllnu Pann'yl~onln Inheritance or
bloln 10' dv. Ira'" Ih. followll1g ..101.,
_._._~._...____ .___.~__.____._....~_..,T__.__.._____~.__.___~.
21A To)! on
\.---.--
$
_a.ap_Jl1U~ P.nna. 17.o.n.___.~.__~_
6t,.t, 1'0.( on
$-.-------
$
(au Illy
auab..l....'"
15'1" T". 011 $ $
'it Tal( on $ $
E,tal. To'. Acl of
Moy 7, 1927 $
TOTAL TAX CREDIT $ 8.000.00--
L... f1v. p.rcol1tum .of la' If
pold wllhll1 Ihroot monlh. aft.r
dol. of deoth $ !,OO.OO
Plu. Inlere.1 01 tho rolo 01
_%fro",
to $
I fll. No,.2L4~J8$.__Dole of D.oth6'!!la.~9-7.9-_
D"t. 01 Poymeol -a.p~.lIl)..~ J 2. 1979
N"",e of Deced.nl..tlbe. S. 1[01..
Ramorkl:
.PAID ON AOOOUNT"
l<.
$~ \. ". ?QQ
1J2"C" L"
J ", I . '
Rec.lved by ',\ , ( , /\)--'
NotEI I" Qcr.tpllng Ih, hanal., Inheritance 10K on lulu" ..IOIU, p,lor !o Ih. death 01 the Ill. {Slgnotvr~_
I.nant or I.nonllor yean. o. .yldtn,.d by Ihll "(tlpl, II It \lnri.r.lood Ihal Ih, Common.....f\ollh .holl Riob...d. _0
I nol b. pr.cluded or pr.yenled from hereolt.r aUlnlng addlllanollnhtrll('Iolcl laK ollhl d.oth of Ihfl . At' n
IIle ,.nan\ or I,non! lor veor. wheneYlr II opp.ori Ihollu,h atJdlllonolloJll may b. legolly dlJe and R"..' ....1' (I ·
cnllt'llbl, fa, any t.olon whollo.....r,
~'OO ~ [?[L~@& lfrn
SEA L
TOTAL AMOUNT PAID
~c
NOTE I Thl, Triplicate R.oelpt '0 be '''lined fo, ludh pllrpo..t.
~ __ ..._ __. _ ............ _ _ __ _" _ _... ___ ~ __.'R ~__ __ _~ __ - __. ___ 0_- ._. __ 0_'- .__ ,._ .__ ...- .O~ ___ __", _0 -. ---- -- --' --...-- - -..-
..
(~I . '7 7' ., ~~ J~ ..5'
.
o
RCC'U (...HI
COMMONWEALTII OF 1'1':NNSYI,V ANI:\
IlEPAllHIENT 01' REVENUE
BlJREi\lI OF COllNTY COl.I.I-:CTIONS
..
RE&IOEMT O!C!OEMT
COUNTY OF cumberland
IMPORTAMT,
't'hlM r'Jtl~ IlIUMI hi' "H1IllI:lt1111tt-11l Ch11UIII:'lltl fllt'll III duplll'lIlt'. ,~,jllll\1I U~hldlt'dl \~I'lIw 'i\('~hllllr '~;'i\v'I~li~ 11111 ~
CmUI1Y Wht!fU dOCll,hllll il'shh'lli Itt'tmn Ih Illn' \\'i1hlll 111111' 111110111, l\rlt'l ,lnH' Ill" tlt'lllh, IIl1h'htl 1111 {!l(IUIIKIUIl 1M .."nUll'"
hy till' HI'l1futnry 011((...."11111\. {SI'I~1I1l1l7IU ul IIll' 11I111ll1I1l1UI' IIm\ hltllh' TII~ AlllllllCJt.I,1
-
.-"
,..
INTIII'. MATTHII 111' TliI': \'.STATI' IIli
Esther D Ko1ze
-..,. rrir-AThl";li"Cl.NI:MI:"clT-f,-r (~', Ill<Jj Ii'
} ,\1'1,111,11'11111'
1'.n.I'III'OIl
AIIIIINISTII,ITIIII
County
cumberland
L.nto Ilf ,_
SIal. of ..P!ilUlliiyl'll1ln;!.a
J '"
B"l.Il.1Ulor
Cauntv of ~UIl]Q~;:!,a..n(L_..... .
...qQ~m!?~n.~, .f)l.1.I., ......._.._~-_.~-~~--.-
i\dmllllHlrnllll of the .,Inl. of tho ob"vqtno"lllll doconClnl heing duly Iwtlrl1. d.I'oU und ,ay
June 12 I l"__?2l_~{ltl'lnIO IloYlng n lUI' willI cap)' of wllle"'l. h.,olP Q,t1ooh.d. )
(MQNTllI (\l^yl lyrA-Ill lnloltnlo
Noon' ond add".. of nllo"" 00 } ...I309E!.~ M._~~~JI~l1.l:~!!~..... .'O___.__....__...~__.___.__~
olher nUlhprhed ,0;'r...ntotIYo to whom
7 Irvine Row Carlisle, PA 17013
(Ill corr..pondenee .hould \10 mnllcd. ..._____._____._..._!____"__.__u_.__~_..__.n._~~~~_.._,...........-_____.....__r___~____.......___
fhH'lHlllllllllvd
Thill llN H\lch~?<ecu~QE~_-...._-.-~_dcplllllJllt is fllmiliuf wilh tllu ilffnlrs ot' suitt ctilutu Hllll the prOIH.l!"ty OCllIslltutilll1
(Exll curo n. ^IlMINI~l H A Tall)
the nssets thereof and t1111lr full' mluket vlIluc.
Thul III tho tlmo or denth there wns 1\11 snl'e deposit hilS I'C"IHter~\d in dccellent' t; indlvhlulIl 1l11Il1Cj Of joiUlly with, or
IIH il@Clll or dCIHlty fir IIl\flthof,lH in dct:L'dcllt'H IndividulIllllllllt\, wilh ri~htllf nCl'elHi hy ItI\tllhcl' UN nKcllt or dCIHlt)', wilh till'
exccptlun of the ftlllowlng: -
;;________ ~~___==,='-_=.==_~_='_'..,..-.=..:=.~....~=._=_"".-..='-',_,~.:..o,,=_=__=_'_"~..-..:;..~':;-",o~==,,"_,~,:;..:::._-~;="_'-':L"'~.__:.:_';O"==""_=~,,=;=~-.:=~~=""'...~~'
NAMl:: AND ADnRfiBS or RANK on OTtIEH IN!llITUrIO"1
IN WHICH DRCElH~NT FH!NTF.("I ^ !i~rE Ill-:JlO!ilT (\0)(
.- --_. ~- ~#-<_.."..
..J::.CN1LD.anlll....N..A.
......2.l.lit & M~rket Str,M.t.__._._.___
....camp Hill. P A l..?.Oll~
HilS !iAfT DEPof"l IIOX nENll:(l
1"1 ~At"r OH ~~!:!:~,........u-~_
_.Ea.lli1:...a........KQ.l2\.lL-......-
1t1:l.ATIOfjSHII' or .I0ltjl
Hot.l)[~HSTO t,I-CIC'JI;NT
. -.-._..__.....---~_...-.~_.._--_._.- -----
--
~-
- ....:,.. ~-_.
-.-.
-._~
=~-
Thill the eolltenls of slIid Slife depo.11 hox or hoxe. lire Ilemll.ed ooder Schcdhles
wllh Ihe exeeptloo.of the fo\lowlnH, for Ihe rellsoos herelnofle!' sel forlh:
of Ihls return,
Thllt Sch.dvl. A IIl1l1chcd herctn IInd Illlldo pllrl hereuf .els furth fnlly IInd In delllll 1I\1lhe r01l1 pfllperly
In Ihe CIl"'mlll\Wellllh of l'ellnsylvllnlll of which deeodcn[ died hllvlnH IIn Inlerest theroln. It IIlsu ,"Is forlh Ihe
nlClrlgllge encumbrances upon clleh pl'lrecl of 1(,"1 Ilfllpcrly lit the dlllc of d""lh. giving Ihe "",o"nl .1111 duc III
denth, numc of InnrtgUl(eo, dille, rRte of Interest, 1\1l11 hook nnd puge Ill' rccord thercor. It uhlll setli fOl'th in the
columnR I1rovlded thorofnrc the IlNSCSIiCd \'nhmtillll uf ouch of kuld llluculs, the estimAted ml\rkcl vullle thcrunr
"' of dlllc Ilf delllh of decedcnl.
TIHlI Sch.dul. B IIUllehed herewllnd nUIlle pllrl IIlI!'cof sllls forth tollv IIl1d In detllll IIllpersolllll pl'llporlY
whcrcsnver ",!tuntcd owned hy the decedcnt al Ihe tinH~ or dtllth; nil I1IWWYh h'ft hy the decedcnt ot the time of
death, whether In dcc.:udcnt'N immediate pllssesslull, ...Innlling 10 dcccd\~nl's l'l'\'clit ill hunks or dCplll.;j(, HlI\-'I1\~s
hunks, truMt compnnicH, or nther 11ltititlltltlllS, whether lndivhluully, 01' in Ifllsl for 1I11~' other pl'rHIIIl or porHOIIH
glvlny also licpnrnloly the ncorned Intcl'llHI thllroon, if UIIY, down to tlw lasl lutcfUSt tiny Ildlll' to decedent's
dcltth in tho Cl\Ke of snvlngs hnnks, nnd III Ihe date of dl'f.;e(\unlls dentll ill 1111 lither CIlSCS; nil hUlld." lllllitnl
Hflvll1@H, trcRHUr)' ccrtlrlculcs or Ilotes und other cvidence uf lIHIl~htodncss of Ihe Unltt:(\ StiltON to the dew
ccdcnli 1111 obllgl1tlol"', whelher hy stl\tllll~ or n!tl"l~cI1lClll lhq' lire dl:1iil\llntc(\ I\S tll~ frec, of thc Unitcd StntcN,
nr uny slutu, or, 110,Ulic~V'~uhdivJHllln thercof, or uf !lilY forl'ilHI clIlIlllry, whkh ilrll lIwl1cd III the linw or dClIth;
nil wlHlring I1IlPl1rcl; jC\vclry, HI l\'crWlll'C , pi(:lmch, hooks, works of l\l'll hOHsehold fmnitUl'e, horscs, {'u rrl II lJl'1oi ,
tlutnmnhllcH, hOlltN, "l\tI illlY 1\1\(1 nil olhl'l' pel'Slll\lIl chntttds uj' wh"tslIl-'vcr. kind or llltlUl'C, Icrl hy <It.Ha~denl,
together with lhe Cnlrly cStil1l11tcd 1Il1lrkcl \'nlllL' lllUreof; 1111 hond!1 1I1lt! mlJrll{llw.c~ held hy dc(:edelll I\lul of nil
clnlmlol dlW nnd llwlng dccedclll III Ihl' til1\l' Ill' dl'lIth. lllUllll1 !lrumlssolY tWillS nr 1I11H.~r IIlHlrlllllcnts in writing
ror the payment of moncy lIf whil.'h t1cccdclll tllcd pnssl'!dil'd, of WhllhllCV(lr I\nhlre, with inlcl'c!tt thereon, If
lillY, giving the fll~'(: vl\hw l\11t1l'."itlllllltuil fllir mnrkul \'ullle 11\(~reof, IlIHIIf sllch chllllllltcd rlllr Illurkcl \'lIllle he
leHs thnn lhe face \'III1Il', It ht'ts I'lIrlh hlil'fly Iht, !"t'nsllll" ror ~lIch dt'pll'I.'lntloll liS 10 ellch Item; 1111 moneys
pllYllhlc In the tlslnlc from life III"mUIIt'l' p"lidnH curried h~' t1n:t'dcnl; nil 1I111111It~' 1I11t! endowmenl t:OlllrnctH
Ihe prnceedN uf which WCftl J1uynhll' IIplll1 I Ill' dlHllh III' thv t1cl:e(h~lIl; 1111 lint! the (lllfllllrlltc HlOckH lI!lel divldul\llH
dlle thcflHJI1 luul ul1puld IIH Id' Ihl !injo" III lit'ulh, "/llllls nut! I\I:CI'IIC" illll"e~l Ihereoll hi Ihe dllte Ill' dCI.~cdCl1t'H
dcnth IInd olher iuvcslllH"111 '!\ I lllll Ill'il hy IIH\ IICI.(~t1elll ill IIIl' time oi "unth. wilh Ihe murl\l.'1 \'ullle Ihere..
of lit slwh Ilmol
,.
.
,
In tlw 'HUH! tlt',.ultll1rltluH or 01UfHl UI' t'IIl1llly IHII'lHd'nt.tntlHI t.hu vntutW t'f1Jlurt,Ufl "t'fI' ilK ('fir /lH
1111111'\11"(' HIlhfllHllttnt.IHI h~' t1tllUIIl'Illl Ktntnl11ulltH 0(' tho' 110I'I1(II'nl,10IIHI Hhllwhur, JIIIl IIH~Hl,t,H IIlul 1lnhlllt.II'H
Ihl"'fllll' 11M nl' 11In ,'nl,U III' IlllnU" 'I'hn !illhlllllt'lf! 1\11111 tWIH l'tlt'I-1I tlu,lllt'JI'UHI. (If' itllf\lllllll1t. Ill. tllo "'Ill" 0('
.\t'II\ 1\ t 'I l\1I~' ('ci"I\llrtl\lIlltlh t l' (II' 111111 I nllHH I "till 11\ tHlIIpllI' t. (I I' l,!li, \'lIlll11 Ill' ..1Iuh In 1III'llK t UIlll'il I H HlIllflXllll to
Hlllt! !idlll't\lllll, l'tlllllwtlll Hlltt.nmolllH Hhowllll" thnuHIIfII.'1 /llltl IIIIIIIIIII(/H IIf' klllll pq"'P"I'flillf'Hlilp"I' 11\IHIIIl\l'iHt
"pnp~- Ill' Ihl' l'O"P"I'IIlIlI'ttllll' HI\l'Il1111l1Hd,t (II' nl'III, 1\ tdnUllllnll1 Hllllllll~ 1'01'111 tllIl II/IIl11'l' III' till' ,t~\l'illlllllllll)
'III'Plll"" lilth II Jiln1.umilllt Hutlllll', 1'01'1,11 l-Itll 1'11/11'111111'1' 0" Ihll hll~lltIlHI\, lIJi '1111'1111111" 111111 flllllllllthlll' I'HlltH
j\l'I'I,!ill\lilf III till' IIlIHlllilHH fill "lll~' hll 11111'1 I IIflll 1 "II /I I'nll' l\!lrl 11IHt /lpPI'IlIHIII lll' Ihl' lli!IlIl11fllll'H IIIIIlI'I'''11
1hPI'I'ln l'ill,1 J,,,t1\lhmltllll'_ 1,llilllllllllljl~o fUll "01'111 In It(lIllIl'1l11 1'1I1'fll, l,flJ~I'lhill' wll.ll Ill" I'/lll' 111111'1(111 "111110
111"1"''''', !\1I:,' Clllllq'pl'f1pl"'I~' nWllfll1 Ill' h\lll\ll'uholllly 1111'11111'1'''''111 Ill, 1.11" Ilul" 01' .h"dll,
'1'1111 ',,/I('o'lIh. (, IIt.llll1hiHlll'!J'lltll IIl\d !tulll" 11111'1 111'1'''111' H"I.~1 1'111'111 II II'tlt! IllltiWI'l' 1.11 fllWh IlIqtlll'Y
,'ulltlllll"II 1111'1'1'111 HlIlt II1Ulll fI/U-\i'ul'll'IIUHt'lIl'HlIl'PI'lIl1fll'l.\', 1'11111 Ill' Iml'Hlllllll, wllhln Iwlt YO/lI'H HI' ,l"IlIllIIIllIIH
11"11111, III I'Hllli'mlllllllllll 01' dl'fllllllllll.lH "i!/lUII HI' Inl.lIl1,h,,1 1.11 I,,!.:II nl"'llnl III pt"';HIIHHlillI 01' URIClYl1lllllt III fll'
IIt'I-I'I' df.'HU't hllld H(llltHluln twtH 1'01'111 Uti. !lHIIlI'll HIlII \'/lllll' Ill' 'HII111 I'I'III,,"'I,\', 10 WIIIII1\ tl'nIlHI'I'I'I'l!II, 11If!
l'ulnl,lllIlKhlp Ill' tll(l t1'HIlFot['nl'llflH t.u I.llfl Ilil(~tHtnllt.1 11111 \lI'OPIII'l.lofllll,1' Hhlll'll 1'(1I!!1 I \,1111 tJ~. IIlWh 1_I'III1HI'(lf'P41 /llltl
III 1 otl..", f'II1l1H or It IHlI't.llli'nl, I1Hl.II"(l rf'Wlr,lllIjI, ""lIlfl 11'1\11...1'111'''. III "'"l O/lH" Ill' l.I'/lIIHl'1I1'H 11I1.IIIlll,," III
Wk,' 1,t'I'OI'I, III I'OHfWHHloll nl' IIT1,lo)'Hlnnt nt III' 1lf'1,1l1' ,ll,tllIlI Illlll'f! It\ niHil Illt/lldlllll 111 1.111.' Hill1nlllll" H 'Hlll~'
HI' tho Ih1l1d, tl'llRt I\AT'(11111101lt. fir flllli1r Illsl.l'lIf11nll!. or(lIlt.llIg tlll1 I.I'll~l, 'I'III'/'t' 11-\ /lltHI fill I 1'111'1.11 III Hulll
Hldllltllltl'lI tlHI, (If' nil prol'l'l'ty, I'onl IllllllwrHt"11l11 wllh IIH \'ltllf('t whloh PUfoHlIH III, tll1l1flllfllll,'H Iltllllh Ii~'
VII'I,lll! 01' Iii" IlXnl'clHo hy tt(lOiHIIlllt, IIIHln1' ,ll1tllvlthlllll~'1 111',11111111,\' wlUI ftllfllltf'I', nl' /lilY IIOWnl' III' "lIpoll1l"
11111111 vl'H!."tllllllooodollt,t lllt.lliq' IIIillvldllHl1y 01' ,IolntlY_1 \I~'I_hfl will, lil'lllll 01' IIlh(q' IIIHLI'UIfUHll- ot' 1111111"111',
wi 1.11 /I "o\l~: ot' f.hn IIlHI.IIII1'lllnl, OI'II"j,\lI~ Hunh POWnl' 1Il.l.1I1'11"" "II 11\1--' Hldlllllllll1.
1'111\1. Sch(ldlllf' {J f1t.t.nnhnll hl'I'ol.o IIl1lt 11\1\(\11 JIll 1'1. hlll'mlt' liol.H !'tll'UI Ihll I\llllIOH Hill' Hf"";ltHRI1f.! oj' 1111
plll'HOIHl hOIlf'I'll!tltlly tllt,Ol'IlHt,ml 'II !.lltH flHt.lll.n Ill. UII1 limo of' II1'I1I'd"1I1.1 H tltlllth, t.hll 11111.111'1' 01' t.lII'II' l'llH-
1"'(1t.1\'11 1111tll'tlstHt I.hull' l'nlftt.!OIlHhlp, If' HIIY, to 1.1\11 IIOllIHll'lIl,t 1.01!,01-11I1I' wlllt tho II'~"~' Ill, 1l1n t.Imll ul'
1\(\I,,,t!nllt.IH (lf1l1t.\I of' nil utl1l0rH, IllllHltt,UIIIH nll111lollnl'IolnrtpH l'nl' 111'n 111\1101' IIIII\lltlnlltIH Will, 11.IIIHO
(!ont.nlnf'; n H 1.11 t-HnlUlll, Hhowlllll; whlolt nf' t,llll hnllof'II~lul'lot-; 11 1II1111t I III 1,111\ flt11'fldnllllH will, II' lillY, 1111'111'1'1111'
In dlll'lillnlll., t.ho dnl.UH of' 1.llf"1' dnnt.Ii, t.hlll,' IH~IIf', l'llill.llj~ I'fll/llltlllHlllllllf' HitI'll IHHU(I l.ll Uti' ht1llol'lolul',V.
'1'111\1. .(.;,:I,('dlll,.. F nlt.ndllHt 11(11'01,(1 Ill'" mlldo II 1'/11'1. 11111'1'111' HfllH j'III'II, 1111 1'1't1l'HI'I.~'t "(1111 /till I pnr-
HOll/\ 1, oWllofl hy tllo llntHHIIIll 1. .I 0' 11 t,l Y w Il.h /l1\ol.hOl' or ot.ltnrH 1 1111\ 1 \1111111\ I IIl.HIIJ!:1 h I "l Ii \'lll1tl t 111.( III t,lll' 1111\1\0
of' tho ItllC!f1ftlllll 1\1111 IIt,hlll'H, pillA I,hi! t'ntil HlIlt pI litH! nl' T'OI~IlI'II 01' IIHill'IIfII\!lll.H ttl'I'llt't.tl1l~ t.1lt! \ilHt.II.III'" (II'
rOll1 lIS t.1l !.l' /mll t.llo dnt.n 01' neqlllHtttlln ul' 1",,'~nllll1t.~'j plUM l.1l1! III,lllltlj Hlhll'OHH 111111 l't1!ht.lont%hll', II' IIllYI
01' cn-nwIIOI'H 1.11 t.ho tlfH\Olllllll..
"1111 t, 5c"~du If' f' l\ 1,1.11(1111111 1I01'Ot.O I\mt 1nl1dn II pnl't. 1I0I'no f' HolH 1'111'1.11 1'1I11,V 111111 I II Iln 1.1111 H 11 Ittl\ltH
nllt! IltHlllilt,IollH lllnln1f~(1 I'nr 111111011 hnlln1f' 01' 111IH t!lIl1fltlnl\l,IH fIHUII,I1, IIlP1111111l~ l'tlIlfl I'll 1 t'lq!l~II"Wtl PUll11
l'ulIIlly oxnlllpt.lntlt whnrn IIpp11nllhllll eOKI.K 01' IltlntIIlIHI.1'lltllll'\ fll' t.hlH t.",tntl,! 11 otlfHII' 1 1'11IH4 /llId 1'lIllleIHI',r'~-;
enrl1llllHHtollB pntcl or 1.0 tlo plllllt coHt, tlXptlltfltHI fol' hlll'ln) lI'\lHI.H, tlllllhHLoll'1R Ill' 1l,1'I\Vtlllllll'knl'H, Hl\f'I'nll"
gl(J\I~ sOl'vlonA, III ClOTlHIHI"PI\l.'1l 01' t.hn tI'llIUI nl' t.lil! tIOi!tH11l1ll-! IlnhlH /lilt! IllnlTllH t1wluJ!, III\fI 11I\1l/1111 ILl. tl\l\o tll'
dnnl,hl t.IlXHt\ IHHH'1I0tt uhllfp',Ollhlll. !'or p'll'I(lI1 pl'lor l.n l\nl\llllflllll H 1"!Ilth (11XIH1\l1. l.110tif1 ullnWI,,1 1111111'1' H"I~llflll
nf\l of' l.hll Inhtll'It./\lIfHl IUlll EHl.lltfl 'r/lX l\i~t)1 t.llJ!,IlI.ItIIl' wllh II HI,lIt<'I1I\1I1I, fll' \1ull/III"'1I1 \llfld/~I'r1 t'ol' nhllgn-
l'IHlBl II' !lny. 11. IH np;I'iloll ..IIul. t.llil I'ltlupllll'Y will pI'mwn!' PI'()ol' Ill' Bllltl rdlllmod 01111/(111.10111-1 U\lUII 1'1'-
II\lnKt., I_hut If' t.ho 1\11I1111l1t. nol.tln1ly lIulll In Ant.l.lnmBI1" 0" 1I11~ I'tlnl nOllll1llHSl01l or dl'ht. IH InHK UlIlll t.ho
IlHt.lmut.Oll IIIIIO\IIIt. t'l/1lmlng Illlfl Illluwo<1, t.hnt. tllll AllInI' will hn 1'''pol'l.nl\ III Uln (lov,lst.IlI' IIf' WIIIH, /111111.11/11
t.hi! Illlltll1111 01' tllX nAHI'AHIHt n/1I1 IIn 'rl'IlHHI!HHIlIl III IWUlll'lllllll'{l t,hl1l'flwll.lh
'fhllt tllf~ tnl.lllH of' t.ho upprnpl'IIIt.P eoll1l11llA '" Hl!hfHlllll1H ";\", "U". nl~"t "to:". 1I1111 "I,'n HR ,111'(lol.fHI f,l1ol'I.I",
hl\Vo hlH'l\ t'nrl'I",t f'nrwllrd 1111I1 \11'U""1'l)' "llIl,IH(.ill'iJlI In I.lIn HHlIlfll111'Y.
Subscribed and sworn to before mo this
I:b. /
.".......lr;!.. dny of J'fdr'YIlf/,Yi..< ...... lU7..Y .' i
{d~ ~ o. -;t?~. ,~
1."'115 J. R~ 1'10''''1 Publlo
, HII' Cu",b"'"'' Co" h. a.L..L.". 'Ji..... '
I.." ..... 8 198\ .~:..;;. ""'"' ....,
IA~ Co",,,,I,,lo. E.p\lO' -, , ~,prHfHJ"P8'i/~ ,If,*,'
SOTEI n',tf'nl'" sl~lIll1l~ n1'I'I(lll\'11 1/IIlkfl HurO nil lllHlIl( Hll1l(~IlH III U,n IIf'f'ldll\'ll IlIllI H('lIndul"!; HlIIlI'XIl(1 Itl'!!
1'llIntl 'II witll tlfltll11H /II' 1.1I1! wOI't1 t1Nflllil,"f Hlllt III nllH!1 III" IIKH'>I,., I","wln I'III'I! Illltl IlId \Slf'll !'llH'l1rllll!f;,
!H-'t~III'It.tnR nf' IduHn 01' I'nllllly l\tll'IIorHl1fllHl 01' /Ill Inlnl'IlRI III HIl,r {ql-l1"l'llll'l'Hldl' lIl' IllIHI11l'Hfl, I.hut. l.1l1!
1If111t /Lilt! Hflll,f'I1IUIIf.H r'~'llI'I'I'11 1I1111ltr I-hn IlIlI'l\lr,I'1l1dl 1Il!1I\'11 1'''IIIIIIlJ~ III ~h'I\"lhtl" liB" 111'(1 IlI.Ull1\lml. \IHII Illlll':!'
"j'I'11I11I HIIlt. nnllllull 1ft III Ut" "Hll1lDnnl'r" IIml hlHlll prCll'fll'l~' !lOIIII'II'I'I!! /1>-; rtllo\'"-dll'I',,I.I'II.
~~.~._@.ANK,""N~
By ~....-;"..s{:..
....Au'.l,.... 10...l'r",&..TI'III10.....
. .( f:xocmfor.A,!milllslratIJrJ .
. .
1l1';HTIlI~N'J' IlJo:Clml':N'l'
HClIIWIII,I': "Ii"
I'lmHIIN ^ I. I'I\OI'}':I\'J'Y
*'
TIC;: "~n
CIIMMIlNWI':Al!l'll (I\>' 1'1':NN~YI.vANl ^
'l'IlANHJo'lm T Nlllml 'I'ANCI': 'J'AX
INH'J'llllt:'l'IONHI 'rill'" Htlhtllllltll UIIlHt. ctlH~llllHII nIl UllIAlhtn nlllllllt,n1lJ~lhlt1 flll l'fHllll\ 1 III'Upul't-y "wllwl IlIIltvl,l\lnl1y
!!1 t.hll ,'"nodullt" HI. t.llIl t.11Ill! of' hlH llnnl.h, 1'1'1I1111I't,y lIwnll,1 tlY j,)u' llolllJllnnt, ,lntlll.ly wi t,ll ItIHJt.llllI' f1I' IIthul'H
11I11tIt. hI! IIHt.IHt Illlltnl' tlllhl'l!1l1u "I':". Ild_ItIlHlhlll IHH',wIUll I'I'lIlltll'l,y, t,tllllll III Uw fllll1\tl of l.lIH /lootlllHlIt, hilt
l'"yuhJn nt. thlllt.h t.u lllllllhul' nl' lIt.hllrH, lunl\llIIIlA lilli, lint, 1111l1t.llcl to 1',Il,U, 111 H, HIIVhlj.(H Itolldt; I1tut ltl"t.(~..
t,lvfJ 1,1'\1KI, IIllllnllllt.H, I1lIlHt. hl! 1 I " t,lId , "uHIItIIl Ulil flint, t.l1/lt. l.htty 111'11 lIot. ot' l.hn lulndlltHI,,"'od tJHt.lltn.
'1'lIlIl(llIln pnt'Htlllnl 111'nplll'ty HlIllHlet hll 11Ht.nd l'tl'Pi!. (II.,.". .IllwlIll'Y, w(lurllll~ IIpl'urnl, hUIlHuhnlcl
1~()IIlIH, 111111 .''It'lItHhtll~H, llnukM, f1l1ll1t,IIII~H, llu!.1I1l1Cllltte'H, 111l1ll.H, IItll.)
JIII,'\Ilp.lhlu lIorHlIlllll l"'''pol't.y, H\IIlh ItH 1101letN, I.t'llltHlll'y IHlI'I,lf'tnntl1H, nllHh fln hUlIcI uucl tn hunk,
Ht,Ullk~, mtll't,~np'nH, nut,uH, tllI(Ot.hl~I' wHh 1I1l11t'1I11(1 II1!,nl'IlN!, Ill' lllvlclntlflH. Hnlul'IllM lIr WUAflH, 11lHUrUIlon t'"Y"
nh)u tll t.hft OHt,nt.o or' f'lchwtnl'Y III Hull' lll\J1IHllI,Y, }lllI'tIHJ1'Hhlp IIIt.nrlHltH, tnt,~lr(lHt, III llIlYllncllHt.rthut.nll
uHt.nl.n ot' ClI' lllonnlll "I'um fillY pl'U)lnrt.y 1111111 In t,I'IIHI.\II11lur t.lIn wi 11 01' H~I'nllrnnHt Hf' Ilnnt.hur, nYlllt t.hnll~h
IOllnt.ud ClIlt.Hteln of' t11l1 Ht.Ilt.Il, ul. I,hn t.ltnf'l nl' Cllluth, Khnlll11 hfl IIH!.llll III thlH Hllhfllhlln.
I l,flm
Nth
ITEM
t.IBt lUul ,ll1HlI1'lho "Illy
tiN 1'1'
VAWl':
Im'I'IMA'n:u
MAIIKI~r V A WI':
1l1'~'AlI'rMI':NT V.\J.tIATION
(J~) lint .rHo In
tlllH H1'1I00)
cash
CCND, Balance Checking Account #002000086 5
1 share Reading co., Common stock @8 3/8
6730 Units Fixed Income Fund, CCNB Dank,
@ 7.3873283
1 share Penn central Co., Common stock
@ 20 1/8
90 shares General Electric Co., Common
stock @ 49.6875
Dividend on above @ .70
250 shares Ford Motor Co., Comno n stock
@ 43 1/2
Great American Insurance Co., premium ref nd
Kleinfelters Auction, Proceeds sale
household furnishings & effects
AARP, Premium refund
1915 $2~ gold piece
Natural Cerulean mink jacket
'Wild mink stole
Breath of spring mink stole
(Appraisal attached on above furs)
Appraised value of figurines
(Appraisal attached)
Appraised value of jewelry
(Appraisal attached)
Appraised value of silverware
(Appraisal attached)
5,000 us Savings Bond Series "H"#V2l272801
dated October 1962 registered decedent
V.O.D. Vernon W. Kolze, MD
1,000 US Savings Bond Series "H"#V85l55591
CIa ted Oc tober .1962 reg is tered deceden t
P.O.D. Vernon W. Kolze, Jr.
1,000 US Savings Bond series "H"#V85l55581
dated October 1962 registered d5cedent
P.O.D. Thomas J. Kolze
1,000 us Savings Bond Series "H"#V85l55621
dated October 1962 registered decedent
P.O.D. Suzanne Rae Kolze
1,000 US Savings Bond Series "H"#V85l556l
dated october 1962 registered decedent
P.C.D. Ralph M. Kolze III
1,000 us Savings Bond Series "H"#V85l5560
dated october 1962 registered decedent
P.O.D. Carol Jean Kolze
,
1,967.06
1,074.52,/
8.38 ./
49,716.72
20.13.
4,471.88 .
63.00 .
10,875.00'"
. 6.00'
5,681.50....
3.00'
85.00..
500.00'
100. DO"
175.00
1,000.00....
1,124.00,.
4,105.32'"
5,000.00
1,000.00~
1,000.00r
1,000.00 '
1,000.00 .
J., 000.00.'
I nsur t, thift to t.1l1 oppnH it.n "110rHonul ProJlorJ,y,", Rohol)tll I) "1'" in
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Resl.tered Jewelere
INC.
2129 Mllrkot Stroot, Camp HIli, PII. 170 II
737.8024
737.4719 June :17,1970
Cuml>Ol'land County Hn.tiona1 Ilnlllt
:llst Hud Mr\l;ket f:ltreotFl
Cllmp 1l1.11, Penna. I7011
Attant.lon: 1.11'. Krnme r
Concorn1.nrt thB jewelry ptaoas of tho U:stnto of I~Athor D.
,J{ol?o, tbo follow1.n~ 1. tems hnvo boon axrunintHJ1.nd apprnised.
"'1 Clont's wriflt wntch, white gold filled enso, Ilrunllton
movement, initJJlllld b'lnI(, stretch band. V1'l1uo :~ 10.00
#2 Lndy's 14 I(t. yellow !told c1trine r.l.nR, tho oitrine
golden brown color, 15 x 10 mm. roct'lnElulnl' cut, Bet
in CJOl'nOl' pl'onA'n. '1'hol'(I is n :J pt. full cut diamond
bend set on oneh sIde. CItrino mnrltOII. Vnlue :1; 3n.OO
11'2 NeOklnco, 14 kt.yollow "old. Tho cantor hns fhe
9 x 7 mm. oval nmethYAts, ho?ol set, with n IO mm.
hn1f bnl1 between. 'rho lInltnp,e b'1S bow nppanrrlllco,
15" lonv-. Vnluo :j; 90.00
{,ady' Fl wrIFlt wntch, p1'1t1.num nnd diamond ensa, Gruon
movement, 1'1 strotch brt/1CI. 'rho re nro 1'orty Ringle cut
dinmonds bef\d sot in ('llSO, the flpprox. totn1 weiA'ht of
dif\monds 0.:10 ct., tnltUt1ed bnel(. Vnlue $ 75.(10
J.,,'llty' s brlloo 1 0 t, 14 I(t. yo II0w (-told.
ovnl 0111\1f'l, 10 x fl 111m., brHlly worn.
rectallRulfll' ah'1po, l'ln.t.
'1'hore are throo
'I'ho 1inltFl are long
Value :~ 40.00
Jlendnllt, 14 Itt. yollow (told, rl hrolwn 8 111m. round opnl
pron/{ Flot, lA" fIno el1'\1n attached. VF11uo $ :.l0.00
IIA.dY'El thl'oe-oprtl rtllA', 14 )tt. yollow Rol(l; two 1\.5 ,x
3 mm. oval cut 1nd one R.B x 1.5 111m. nvnl, brokon, with
f(IUI' amlll1 I'uhios, all atonen pl'Onr; set. VF1lue :tl :.lO.oo
114. Pin I1nd pondflnt, 11\ Ict. yellnw A'old, 2~1 mm. s((unre, wire
alln-b\ll'Rt Ioltylo, '1 :i.n mm. ,'ound opal eilllter, four :1.5
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OUl'AII TMENT Ot' fI EVENUE
IlUIIEMI 01' l'fEW OI'EIIIITlllNfl
P,O, \lOX 2010
lIAfHIISUUfW, Pl2NNA, 1710li
COMMONWEALTH OF PENNSYLVANIA
HEmDENT INHEfUTANCE T/IX
APpnfl.ISEMENT
"lilt
5 !locum!>or 1979
cumher1anc\
~1..7q-30fJ
(lUUNTY
1"1 Ll ~J{ I.
__.r_________. ~,-~......~..
WhoroGu, ~athor II. Ko1zo 1,,10 of ._ Camp Hill
In tho County of Cumborland Commonwonlth r,f 1'l'1I1l:;I'II'"nJII. h,win(' riled 011
tho 12th day Df June 19 Z2..... :.oi"od ,md )lo:,H,,',':od of <In 1':.1.111'
nubJoc:t to Inhol'ltilnco Tox under tho IIIWu of tho COOllllDllwoollh Df ""I\II1:'.'II'"nl<l;
Thorofol'o,], Gloria J. Richard ,111\ opprili::or dol'! o'l)lI'Uilll"d ,,,,,:oIiIJII'II,' I ';,
havlny bean dORlgnotod to rnnko a foh' ond cOI\r.olonnblo npPl'aiu(Jn1f)f\t of the ",del [,,: !.n It.' , and \(, '""'','''' "lld Ii,; Ii:<' ,..1:;':
valllo of all onnllltloR andllfe oRtoloA growln9 out of uoltl (JAtoto, hereby fllo tho [ollowinG appril!f;OITlOnl:
III thn oynlll tI"'1 M\V lutuflllnlnruU III \111\ nlt,'lll It lr,ll"fnrfud 1<1 P'IHu~'loll (ll lI/\jilyrlwul \0 (;1<1 1 ill llf,lI 1\"lf\ I,r Illn IHifU(inlll 01 tll'l tll' 1",\,11,,11,''1
of /llW oslntlllor 11Il! or for yullr', trw (;\IIllnWIlWOill\lllwrIlIIY o)(proul-.' 11I\IHyoi 11\11 flljht III IlPIH,ll~u /lntl llSSh~. Ir,'I1\fnlln!\lIrllollU'" 1,\1(0\ ,1\ Ill" 1.IWhll 1:1,11.\1"1,\\
rlltll Oil M\Y itl(h fuhlrn Inlonu\
- -
1l\~HCI1IPllON {Ji' J\9~-,n 1 1~1!,!. -r\~~'
Vr\LUl:~, Mill!!' Il,' 1,,110'11\'\11'-"
1"1( Purp'!\v.
- --
P9&1 isrtrot. .- ''l~ nnn .!Lll-
Personal Propel'ty 90,976 51
,
'I'..AnRi'..."S linn.. .--
.,~, ~..,,, flYn..~ ,,---
- -
- Tni'A] h "'~ a"'" .5L.
.-
-
-
-
,
I -
I
- -
-
I
- -' .-- ,
-- --I
--,
,
....-1
Havo b~on duly sworn acoorellng to lawll elo heroby oartlfy that tho abovo oPPl'alsomontls mado in con{DI'.,-til.y
with the law on this 5th Clay of ~cember . ]9 -.:L9,
/", , .n:} frol "d.-.
" I\prn.ll'\"
H"III\llll" ,H'(l !-,III'''II
IH'II.
:J(,;-i("I.
(1'(,\1 (lI'III')
J'
~ 4' 11 " " ,t
of! ..." '~
.- iJ "
i 8.:3\. .~
'1:l .... U-, I:l r ..A
l:l ~ g 0. 'll " ,
. 0 .s $ I _ 4;i .... g ~ ~_ . 0(
~ Q' " !i '
r.:ll-l d S.c..' :v (OJ it, t'P :C'
r., ~Hl ~ ~ 0 ~ U " ~ -B" , III
o 111 ',p c,.. m I r.a.1 ...
r~~ ~ QJ ~z .6 ~ "j ~ ~ \1' ~ 1, .: ~ . z: III
III ~
p, tIl .:fl ~ ~ g~~~h~".fl ,~ ! g
>- . E VI . "oJ Q) ... ' rd I!l
/Xl !~ '.s en 0 c <'l ~ ,: :fl ~ ~ ~
'1-' 5 g :9 ... Ja 'M . 0::
~~O ~ 0 . J '.1 8 n ~.., ,. ~ 0 I I ~
e5 E-< ~1l . I ,~ (r~ 1/1 ~ g 0 ~ . :I
o<ll '~ '~rJ ;3'61 t. ~ ~e'
~0~Ll) . o~ ' - 'H r:l r" ~ r.' ~ tIS ~ ~
,U i::J 00 Ul nl ~ Z ~ ,....., Q
o OM r.:l..:1r-1 IJlH ' f' 0< '" OJ ..s- '
U~UJ, ~ .iil . 00 : ' - sJ 8 '{1 JJ ] la e; 'l' ~ :r: ~ , ~
~ ~r.. t "0 P ,. 11 ~ <5 ] ,~ ~~ . U
r.. ~. t- oro @o ..... "t:1 ...S . ~ ,s::: 'r:; - OJ ~- :I:: III
O>-tIll ~~! I !.1 t" C' d to, u "'~ "
E-<r.:l~~ P< r~ d .. .' ...
a " p .g ~ t5 ~." ~ III
~~~o ~QJ ~ "'.~ U.. '1 OJ .' ..
gj~~ ' ''-l .il .~ 'f1 8 ] 'h1' ,2 III
8 oz cU .:1 "r1 '-l I
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COURT 011 COMMON J11,EAfl 011 CUMlllmLANIl COUN1'Y
J1ENNSYINANIA O\\I'IIANfl' OOllll'I' IHVlfllON
Noo 21~79.385
'!":>---.-;---...
~------..
ltntnto of Itfl'l'IIEH B. KOLZE, Ilecoaaod
Lato of norou8~of Camp 11111
FIRS'!' AND FINAL ACCOUN1' all
CCNB BANK, N. A o. ItXECUTOR
bate gf DeatlllJUl1e 1'2, 1979
Lettllra Granted I, Junll 22, 1979
LO$al AdVertiSing I Cumberland Law Journal, July 6, 13 lie 20, 1979
WllatShore Timee, July 5, 12 lie 19, 1979
AqQ9unt Stated to February 29, 1980
SUMNAIW lie INDItX
PagGe
PRINCll'Al,'
Receipts
Net'Losa on Conversiona
3 $U8,797.80
3~4 131.29
$158,666,51
, 5 ..11.989.98
$120,676,53
6 I 30.045.57
Adjusted Balance
Less Disbursemente
Balance Before Distributione
DiBtributions lie Reserve
PRINCIPAL BALANCE REMAINING
lNCOME
Rece,ipts
Disbursements
6-7
7
$ 4,266.14
213.31
INCOME BALANCE REMAINING
COMBINED. BALANCE REMAINING
,,1
li~LI\
1'"
',-{~ u((li
Ijl'l
-
je
$90;630,96
4 ,052.83
$94,(i8t.79
)979
.lune 15
21
22
29
July 1
6
9
12
26
Aug. 2
6
13
14
27
28
30
31
Sep. 4
7
11
21
26
Oct. 2
5
11
22
Dec. 10
1980
Jan. 17
Fab. 29
PRlNCII'AL DlSBURSEMENTS
Goldiellartman,
jtlizabeth Ehrgood,
Marie Y. Lichty,
J. Oliver Bounce,
Riverton Cone. Water Co.,
,Quickel-Connor Assoc.,
Bell Telephone Co.,
Eshenaurs Fuel 011,
Goldie Hsrtman,
GoldIe Hartman,
Tax Collector,
U;,G,I..
Gerald D. Kaspar, DPM,
PP&LCo.,
A. Beiswenger & Co.,
Gruvot's Lawn Servlces,
Myers-Hall Funeral Home,
L. F. Patterson, M.D.,
Bell Talephone Co.,
bCNB,
Register of Wills,
Cumberland Law Journal,
Wes t Shore Times.,
Gruvet's Lawn Servlces,
U,G,I"
Vernon W. KOlze,
Emery Air Frelght,
U.G. If,
Landis JewelIJrs,
P p & L,
Register of Wllls,
P I' & L,
Gruvers Lawn Service,
Register of Wills,
Jack Gaughen Realtor,
Muscalus Flirs,
CCNB,
Gruvers Lawn Service,
Pos t Mas t,er,
Register of Wills,
Riverton Cons. Water Co.,
TWA,
Register of Wills,
Register of Wills,
Kleinfelters Auction,
Commonwealth of Pa,
I.R.S f'
Bietsch & Morganthal,
CCNB Bank N.A. ,
Reserve for Fill.ng Coat,
TOTAL PRINCIPAL IJISBtlRSEMI\NTS
Services
Witness to WUI
Witness to Wlll.
Witnese to Will
Water Service
Profeesional Servlces
Telephone
File 1. Oil.
Services
Services
Real Estate Tax
Gas Service
Services
IUectric
Batteries
Lawn maln tenance
Funeral expense
Services
Telephone
Packing Material
Probate & Shorts
Legal Advertising
Legal Advertieing
Lmm Maintenance
Gas Service
Funeral Expense Reimburaement
Shipping Charges
Gas Services
Appraisal
Electric
Short Certificate
Electric
Lawn maintenance
Alc Pa 1nheritance
Less: 5% abatement
Realtors fee & Transfer
Storage Charge
Malling Supplles
Lawn maintenance
Mslling Charges
Fi11ng Costs
Water Servlc"
Shipping Charges
'fax $8,900.00
400.00
tax
Certlfied Copy of Will
Balance Pa Inheritance tal<
Auctloneers Cemmlssion
Pa Fidudllry Tax'
Federal Fldudary Tax
Attorneys fee
Executors fee
Registered mall, etc,
loLL"
-5-
~(~
," )., '1
11.!" Vi...
$
150.00
20.00
20.00
20.00
1'9.52
93.50
8.11
21.58
150.00
150.00
726.29
9.90
40,00
40.27
1,.24
128.00
3,858.00
60.00
23.12
32.06
64.00
18.00
16.75
175.00
9.48
1,215.76
206.85
9.08
65.00
2.75
1.00
2.51
140.00
'1,600.00
5,840.00
27.00
7.64
175.00
42.34
11.00
8.75
70.97
4.50
538.63
1,570.38
22.00
271.00
7,050.00
7,050.00
~QQ.. 00
$37,989.98
Reaerve fur l'oHHlhlu AHHuflHnlllnC of ('I..lurul ('.HtUtu 1'ull
!!HljJIlIIU'l'IONB '1'0 1I1tNgFICARIIlS
Penn-Cumborland OardlH\ mub,
Artlu:,itill FOHl\(latlun I
Camp nUl "ruHbyt.,,'Jnn Church,
Richard & Irenll Olltlaw I
Nina II. <loNcerl J ilK,
Julio O. Spurruw,
lIarrhburK Ch/\ptllr, lkohllnn l.nt'l,
YMCA,
RlIII'h M. Kohu, UI,
1'homlHl .1. Kol roll ,
SU~annu K. ~Imblcki,
lIoquest
BequBst
lIoqlle8t
llequest
, llsquest
!lequest
Boquest
lIequest
H/\milton Wrist '!'latch
21d Dollar Gold Piece
Opal Ring, Bracelet, Lavaliere
& Pin
Gruen Wrist Watch
,Ilamil ton Wrist Watch & Diamond
!land $ 310.00
Ilmerald Cut Diamond
Ring
Cerulean Mink Stole
Saffire Mink Jacket
Wild Mink Stole
Amethyst Ring & Necklace
Figurines, Dishes, etc.
$1,000.00
I'rQceeds Sale Organ, etc.
206.25
4,105.32
5.000.00
Carol K. lIudke I
Jeanette M. b'Sholl,
3,750.00
175 . 00
Marjor.ie Z. Kol~ll,
Mary A. KOhe,
'Edna Kohe,
Vernon W, Kol~e,
Kathy 0' Shea Uglow,
TOTAl, ADVANCIlS
Silverware
Caah
Diamond Earrings
PRINCIPAL INVESTMENTS
1979
Sep. 20
Nov. A
Dec. 20
1980
Feb. 7
8
22
28
45,000 U. S. Treasury 11111s due 12-20-79
65,000 U. S. Treasury 811ls due 2-7-80
45,000 U. S. Treasury Billa due 3-20-80
60,000 U. S. Treasury Bills due 5-8-80
5,000 PNIl Repurchase Agreement due 2-22-80
6,000 loIe11on Ilank Repurchase Agreement due 2-28-80
6,000 U. S. Tro/\sury Billa due 5-29-80
INCOME RECEIPTS
1979
Sep. 4
Oct. 2
Fixed Income Fund
Treasury of U. S.
Income on 6730 Units
Interest on Seriee "H" Bonds
r,o' ,
1o-;l.LI\
li i' I "J "j
,I,) II":' U..~.<;;
-6-
$5,000.00
$ 1,000,00
1,000.00
1,000.00
1,000.00
2,000.00
1,000.00
1.000.00
1,000.00
10.00
85.00
102.00
75.00
4.235.00
500.00
100,00
120.00
10,311.57
507.00
'$25.045.57
$43,864.75
63,028.55
43,634.05
58,192.00
5,000.00
6,000.00
'5,794.22
$1,076.38
178.33
=~~"?fflfF""---- - f'~;;MM~';~L~~~F PE:;N-:;~:-IA
IlNO'.063050 ' DEPARTMENT OF REVENUf.
S U OFFICIAL RECEIPT. PENNSVLVANIA INHERITANCE AND ESTATE TAl<
1I==""="=='~'u,~ ....,_...
e HI'CrIVED .....~~::':'-:"..-~-...---:-:..~~.~~~
II
~ [,om." .99JG,MM.. If.A... .
~'Jd''''L' .Q.L..~n_!~'-.._.. ..-
b __n~iI"JIU1,-_D.I.._.,...J..10U ..--..-----
-:,
~..:.
, "....,..----
__._____..__._____n.__........
"!~,!-IIi:~ ~n ~,V10o--~~~~~..~,,~~~~.:'-"UllT"'?r-
r~pro.ollllng PennsylvanIa Inheritance or
E.t"t" To, due I,om Ihe following ..Iot.:
._-_......P------_._--_..-.~-------~--
21,\ Tall on
L_..
$
6fi(. TOl( on
s
$
I FII. 1-l0._21-1..~!~!....Dol. of D.Olh~:_:,~~.":!,~?.........
Dol. 01 Poym.nt nm.JIQ.......
1'.0 ..__'n_,~a...__
Ii< To, on S
E.tot. To" Acl of
Moy 7, 1927
$_
$
$ I
$_ 118. n
$
$___ ....
118.'1
$-
1 5 (X.. 1m. 01\ S
Nom. 01 O.c.d"nt ..... ."~n___'__'__
Counly cu.be.lrl.....
-'AID 1M fULL-
(.0
TOT AL TAX CHEOIT
L... live perconlum of 10' If
pold wllhtn thr.. mootl.. oll.r
dol. of d.oth
Plu. Inl.r.'1 01 tho role 01
!IL% from 3-11-80
10 11-6-"0
Romark,:
lJ'rn~[p[L~@ffi'IT[~ SE A L
TOTAL AMOUNT PAID
NO)'F.: Thl, Tflpllcft'l Rec*p1 '0 be fll1alntd tOf IUd" purpoll'"
Recelv.d by
NOTE; In oct.pllng Ih. Ironll.r Inherllanu 100e on lulv" ..101... prior 10 Ihe dealh 01 the III.
Ilnanl or I.nanl lor veatl, 01 ....ld.nc.d by Ihll '-'CGlpl, lilt underlload Ihol Ih. CorT'tfl'Mwlollh l!loll
nol be precludod or prl....nt.d Ifom h,r.alt., QUlulng adJlIlonal Inh.rllonu loll. 01 Ihe dlath 01 the
Ill. I.nanl or I.nanl lor 'f.arl wh.n.v.r II appla" Il'1al luth addlllonol loll. Mav b. leg all 'I' due and
toll.tllbl, lor any realon whallo.....r.
re
.
...t.__~ o! will.
(1IIIe)
___ u.... __. .~ ___ ___. _~, _ ~ __ __-'__ __ _.. u__ . P'__ ___~ ..~~ ...__ ~'r'_ -.-~ -.-. --- .........- --- . -- .- -- .- .-..- -~ _._~ -_.- - --_._- - -- .........., -.. ~
O~ cumberland COUNTY
AND AOENT O~ TNE COMMllHllfA~TH
'I 'I h
0.7\_( It''''
6)('( '7,/'1"
DEDUCTIONS A~~OWED It!
. 01
THESUMOF $I~(I<;'(\\;.
,
, ~AT~ A. PF~.[EDj~~
~~ W4;.~-
,.\\., i RKOIIlI!R 0' WILt.:.I! AdENt
\1", '.
rCtiV-utlla-nl
. .
,. OFF ICE OF TH!
REGlUE R O~ WI~~I
STATEMENT OF' DEBTS
AND DEDUCTIONS
-
~"TB OF
Cumberland county
EST" Te OF
Esther Ko1ze
D4TP. OF, FI~INO "PFR"ISI!MBNT ~~ t' / I IV')t) D"TE OF DB"TH ~une 12, 1979
-
-
D"TE NO,OF NAME OF P" YEE REM"RKI 4MOUNT
VOUCHER
- -
1979
-----..
Jun 15 Goldie Hartman -- .Elalary 150 00
-
71 Elizabeth Ehrqood .WHntlss to will 20 _illL
-.
Marie Y. Lichty witness to Will 20 00
- .
I,T. Oliver Bunce Witness to Will 20 00
--
RiveFton Consolidated Wate Water Sorvice 19 52
- 10uickel-Conner Associates Professional Services 93 50
Bell Tel~hone Co. Tele'p'hone service 8 11
-- flshena urs F'uel B Inc. -- ~'uel Oi 1 21 58
- .-
22 Goldie Hartman Salary 150 00
29 Goldie Hartman Salary 150 00,
~l 2 -- Tax Collector Real Estate Tax 726 29
-
-- - U G I Corpora t ion Gas Service 9 90
Gerald D. Kaspar, DPM Professional Services 40 00
.
P P & L Company Electric Service 40 27
-
Fl. Beiswenger & company Ba tteries 4 24
6 Gruvers Lawn Service Lawn Maintenance 128 00
9 Mvers-Hall F'uneral Home F'unera 1 Serv ices 3858 00
-
L. F. Patterson, MD Professional Services 60 00
--. -
12 Bell 'l'eleph_one Company Telephone Servioe 23 12
.
26 CCNB Bank, N.A. Shippinq & packaqinq materi 1 32 06
Auq 2 Register of Willa Probate oosts 64 00
-
Cumberland Law Journal Legal Advertising 18 00
COMMONWE"L TH OF PENNSYLV"N'" I
COUNTY OF~\4",\:l....\Cl,."d.. 551
I, ~. (!.. l~-f'~L..I:.. _
MY KNOWLEDGE AND BE~IEF, THE FOREOOING 15 A JUST AND TRUE S.I/<Tf;M
EXPENSES OF ADMINISTR4TION SUBMITTED TO THE EST"TE or ~.,.....-
DECE"SED, AS DEDUCTIONS FOR INHERIT"NCE TAX PURPOSES, CONB BANK,
~~ - ...vI (L.$,)
UBSCRIBED BEFORE ME THIS D"Y OF Ni'" Vie. I'r... & Trust OH.
19
"'1.L1S J, R 5, Nol.ry pubn.
Co, " Hln, Curnb.r1..d Co., 'II.
My Commllll.. bplllllfl,,, IfI1
...
~Iv..ua (1-111
" or~ IC~ O~ THE
REGISTER O~ WILLS
O~ Cumberlu nd COUNTY
ANO AGENT O~ THE COMMONWEAl. Tti
STATEMENT OF' DEBTS
AND DEDUCTIONS
UTATE or -1.'J.p\:hat; Kolze
~
LATE OF Cumberland
DATE OF PILING APPRAISEMENT \\~" ' I (~ \ ) (,' DATE OF DU TH .Tune :1.2. 1979 --
DATE NO,OF NAME OF FAY!E REMARKS AMOUNT
VOUCHER
-
1979
A\lg 2 West Shore Times Legal Advertising 16 75
Gruve~~~n Service Lawn Maintenance 175 00
6 ___ U GI Corporation Gaa Service 9 48
13 Vernon W. Kolze Reimbursement for fl igh \: &
- --
flowers 1215 76
.
14 Emerv Air Freight Shipping charges 206 85
21 Register of Wills Short certificate 1 00
-
27 U G I Corpora \:ion Gas Service 9 08
28 Landis Jewelry Appraisal Fee 65 00
30 p P & L Electric Service 2 75
--
- Jack Gauahen Realtors commission 5110 00
- ,
Recorder of Deeds 10/0 Transfer Tax 730 00
Jack Gaughen HOP Warranty 240 00
Kleinfelters Auction commission 1570 38
Bietsch & Morganthal Attorneys Fee . 7050 00
- -
CCNB Bank. N.A. Executors Fee 7050 00
Reserve for filinq costs. hotocopil!ls , reqilj!tered. ma il 200 00
-- 2n.,no ..2L
--=
COMMONWEALTH OP PENNSYLVANIA I
$S,
COUNTY OF
I. _ HEREBY CERTIFY. THAT TO THE BEST OF
MY KNOWLEDGE AND BELler. TilE rOREOOING 1$ A JUST AND TRUE STATEMENT or DEBTS, FUNERAL EXPENSES AND
EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF
DECEASED. AS DEDUCTIONS FOR INHERITAHCE TAX PURPOSES.
(L.S.)
SWORN AND SUBSCRibED BEFORE ME THIS
19_
DAY OF
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERIlANCf. TAX
ASSESSMENT
'*'
COUNTY FILE NO:
, , 1 '
,:.)
-, "
f ;-
,\' .-'
',/ ;;'~; ~-_.......
DATE
.-L!.1 (I ;/
/
I
J'("" ~.1
. C. [,'
TO: ('"('NIi IV I)
- 5r
,~ 5'" '-i ,'11 i(1 t\
/ .. I /<,1'.: 7
~, -
r /1.+) /) N, )
J I- /"1/ /')('.1//
ESTATE
} I
}.. ~, 7 },I;. /I, .()} I<~,/-:- ~
FILENO. ~;!.. 1-= 7 l' ~ 3 S" -
COUNTY
,...
( ....".
" v.''''' ilL i\. ~/~..-'V-..iJ~
DATli OF DEATH_
~ ""/D'>('
- 7 '7
,-
Appralsod Value of Eslale:
Roal E.1810
Por.onal ProporlY
. 73, {ct.'!", ()O
+ 'It'l,97(;.1'J!
Jointly Held Proporty ITr.n.fors
+ c:~-
Clear V.lu. of E.talo
--
. /6:) '776. .) 1
.;?, ~ J(.IS', (,'/
. ,UII,~ 11:,1:, 7. '61
.
Tolal 0'089 E.t.to
Totel Approved Doductlon.
Lon: Approvod CherllabloE.emptlons
S'{)(:I(). ('; 0
Clo.r Valuo of E.lala Subjecllo TIK
. / '?''J, fr,b /7 :; !
Amount To.ablo @ '6% Ralo
to. duo
. 7';6 If', [i;'~l-
/ .,"'() g; ()~,-
Amounl Ta.abla @ 6% Rala
.
/11 i 1./ 8'O.!??
jr:),/8'7,f'-()
to. due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
. Bft, 96 ,Ye)
. . . . . . A flva percant dl.oounl totaling ·
will ba gr.nlad II tha Inherllenoe To. i. peld by
Le.. Credits:
DATE OF PAYMENT
7./p 71
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
~ ~
l' ;. &0
. 7(, (i~. + . J/r:I,~ NJ - .
~~3K",j +
I')-:'? ;;? +
= UI?f.'Cl, () 0
j . ./. '6()
=
_. '"
5 'ib6-..,:
..;.. (.\
( !' 0': '/1
.61
=
Interell aoorue.al the rate of .1. (6) peroanl per ennum
on Iha unpaid balanoe of Inharllanoe Te~ from ---
10 dale of payment. Inloreat due If peld by_ Is
BALANCe OF PENNSVLVANIA INHERITANce TAX Due
// j' .r.(" /)/}
. ,_O_L)~#'<:J'~:,~'::V ~~
A....sedbY: %.bt!fJ d ' ":-:.
Sea InlormlHon on "0\10"0 Side ...... n._llo'tt\.~omlJll)~we'.ltb. - ~ / j (Ii!
Ie rf"~) 111/('(;" l,OIl '.
lNE.Q.RMAUIUi
To InllHe propor orodlt to your oooo\int, thu no,11O 01 tho OBloto and Iilo n"m~or .ho"ld bo oloorly prlnl.
od on Ih. ohook,or monoy ordor,
Thl, 0I888.m.nt II mad. In nooordanoo wllh Suollon 70~ 01 11111 Inhorllonoo nnd E8Iolo T..' Aot 01
1981 172 P.9, 6 2486.7081,.
To Ihe ..tont thnt InherllnMo to. 18 paid Wllhln Ihroo lal monlho of lor Iho doolh 01 Iho deoodont, n
'dlloount of five 161 peroent Ie allowod 172 p,S, 6 24~a.7161.
Inherllnnoo T.x, olhor Ihan Inx pn 0 futuro Inlor08l. Is d"ll nt IIla dnto ollho dooodonl', dOOlh nnd haoomo.
dollnquenl at Iho oxplrollon of nino 191 monlh, aftor 1110 <lIIoodonl's dooth 172 P,S. 6 2486.7111, Inhorllanoo
Tu on a future Intero.t I. pnynhlo wllhl" throe (31 months oftor Iho Ironslor loko. 011001 In p088olllon and
enJoymont and II delinquent Iheroef,er 172 p,s, 6 2486.1121, Celoulele Inlorosllrom Iho dolinquon' deto Ihown
on Iho faoo of Ihls form to Iho dala 01 aolual pnymant using tho following Inlorosllolllo:
-------...........---..-......"" -- --..---....-- --.., .......----....--.-....-- - - --- -.....- ......,.......----.- --...- - -...--
I momh ' ,006 4 months ,020 7 monllls , .036 10 monlhl .060
2 months .010 6 months .026 8 monlh, ,040 11 month, .066
3 monlhs .016 6 months .030 9 manllls ,046 12 months .080
I days .00017 11 dey, .00188 21 dnys .00362
2 dnye .00034 1 2 days .00203 22 d8yl .00389
3 deys .00061 13 dove ,00220 23 deys .00388
4 deya .00068 14 dey, ,00237 24 dev. .00403
6 d.y. .00066 I 6 days .00260 26 days ,00420
6 deyl . .00101 I' 10 doyu ,00207 ,28 dey. .00437
7 dey. .00118 17 days .00284. 27 d,YI .00464
8 dey. .00136 18 deys ,00301 28 deyl .00471
9 deys .00162 19 deys .00318 29 deys ,00488
10 deys .00180 20 deyo ,00336 30 doyl ,00600
-- - -...------ ~-_.:._---_...... ......-... -..- - - ..-- -- -... - -,.......... - - ----...,-.....,-- - ...'- - -....-..---.. - -- __.
Any perty In Interest, Including Iho Commonwoollh ond tho porso"ol .roprUo"tatlye, "at $8l1s1lell wllh
tho e..esslllant !11aY,objoot Iharotowllhln slxtV 1601 days eft", recolpl 01 lhl. NOllo. 00 provldad bV Seotlbn
1001 01 tho l"harlluOQe and a.tolo Tn. Aol of 1961 172 P,S. 6 2486.10(11),
Make check or rno"oy order payable \0:
"flaglsler of Willa, Agent"
Mall 10 the addre9s IIstod belOW!
'.
INSTRUCTIONS
To Insuro propor credit to your account, tho nnmo of tho astato nnd 1110 numbor should bo
clearly prlntod on the check or money order.
This determination and assessment" modo In accordunco with Soctlon 421 and Section 732
01 the Inheritance and Estate TnK Act 011961,72 P.S. 24115-.421,732.
The ostato taK Imposod by Soctlon 4211s duo at tho dato of tho docedont's dooth but shall
not becomo dollnquont until tho oKplrotlon of olghteen (18) monlhs oftar docodont's doath provldod
that ony ostoto taK occaslonod by 0 final chango In tho Fodornl raturn or 01 tho taK duo tharoon
shall not become dellnquont until the oKplratlon 01 ana (1) month altar tho porson liable to pay
tho taK rocelvas final notice 01 the Incroaso. Calculate Intorostltom tho dollnquont date shawn
on the lace 01 this larm to tho data 01 paymont using tho lollowlng Intorost tabla:
- --------- ----- .------- --- - -- -- - -- ----- ----- -- ---- --- - ----- --- ---- --- ---- -- -- --... ---
I month .005 4 month s .020 7 months .035 10 months .050
2 months .010 5 months .025 8 months .040 11 months .055
3 months .m 6 months .030 9 months .045 12 months .060
_.---~.__..__._-- --- ---._- ._,--_...~~-
1 day ,00017 11 days .00166 21 days .00352
2 day s .00034 12 days .00203 22 days .00369
3 day s .00051 13 days .00220 23 days .00386
4 days .00066 14 days. .00237 24 days .00403
5 days .00085 15 days .00250 2S days .00420
6 days .00101 16 days .00267 26 day s .00437
7 days .00118 17 day s .00284 27 days .00454
8 days .00135 18 days .00301 28 days .00471
9 days .00152 19 days .00316 '19 days .00486
10 days .00169 20 days .00335 30 days .00500
,---------------------------~-------~----------------------------------------------
Any party In Intorost, Including tho Commonwealth and tho parsonal raprosontatlve, not
satisfied with the assoument may oblect theroto within slKty (60) days aftar recolpt 01 this
notice as provided by Section 1001 01 the Inhorltanco and Estoto TaK Act 011961 (72 P.S.
5 2465-1001)
Make check or money ardor payoblo to:
"Roglstor 01 Wills, Agont"
Mall to tho addrass Ilstod bolow:
Inv.ntory of th..r.al and p'rlonal ..tat. of
_______.....-E a.the LKo 1 Z El
...._. d.e.a ..d.
--_.__._.~-"._--~,..
--~-~_. ._,~._.~_.._----
_.__-=::=~.:.:;.:-..::=::.: ;:7:;;~~:::.:;.::;:::;~;~~:r-';;:- _~: - ---;-~-;'c;-;__~:~ ._._~:_-;::.:._:'....::.:.~~_--;:...~~::_~~~;;::;~_":'1~
--_._<."._.--"..-<.'"-~,---- .
_n.____~_____ ..-.-------...-- -..-.
proceeds Sale property located 2811 Merion Road, Camp Iiillj
Cumberland county, PA
REll\L rnSTATE
Cash
CCNB, Balance Checking Account #002-000086-5
1 share Reading Co., common stock @ 8 3/8
6730 units Fixed Income F.\lnd, CCNB Bank, N.A. @ 7.3873283
1 share Penn central Co., common stock @ 20 1/8
90 shares General Electric Co., common stack @ 49.6875
Dividend on above @ .70
250 shares Ford Motor Co., common stock@ 43~
Great American Insurance Co., Premium refund
Kleinfelters Auction, proceeds snle household furnishings & effects
AARP, Premium refund
1915 $2~ gold piece
Natural Cerulean mink jacket
Wild mink stole
Breath of spring mink stole
Appraised value of figurines
Appraised value of jewelry
Appraised value of silverware
5,000 us Savings Bond series "Ii" #V2127280H dated October 1962
registered decedent P.O.D. Vernon W. Kolze, MD
1,000 US Savings Bond Series "H" #V8515559H dated October 1962
registered decedent P.O.D. Vernon W. Rolze, Jr.
1,000 US Savings Bond Series "Ii" #V8515558H dat.ed October 1962
registered deoedent P.O.D. Thomas J. Kolze
1,000 US Savings Bond series "Ii" #V85155621i dated Ootober 1962
registered decedent P.D.D. suzanne Rae Kolze
1,000 US Savi.ngs Bond series "Ii" #V8515561H dated October 1962
registered decedent P.D.D. Ralph M. Kolze III
1,000 US Savings Bond Series "Ii" #V8515560H dated October 1962
registered decedent P.O,D, carol Jean Kolze
PERSONAL ESTA TE
73,000 00
73 000 00
1,967 06
1,074 52
B 38
49,716 72
20 13
4,4'71 88
63 00
10,875 00
6 00
5,861 50
3 00
85 00
500 00
100 00
175 00
1,000 00
1,124 00
4,105 32
5,000 00
1,000 00
1,000 00
1,000 00
1,000 00
1,000 00
90 976 51
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
III
R. C. Kramer, Ass' t vh~e.l?res &I 'l'rust"Offiaer.,CCNILBank...N.A.. ._.m._
bolng duly. sworn. occordlnglo low, dopo.o. ond '"y' Ihol thllY_!i\r.l[!..ex~o~.tg!:,..
_ 01 Iho E.lolo 01 . !il1'l_~h13j:_l~QJ,glil.._.._._,--- ..,m'''_ .....
lato of. camp Hill Borough m.' Cumborl.n..! Counly, Po.. decOD.ed ond thallh.
within lion Invei110ry modo byCClIlB,BaOI</ .N'~:'m ---, Iho IDld.._~.~e.9I.!~Clr.__.._m_
of tho onllro ollalo ol.old docodonl, con.I.llng 01 alllho pOlloMI proporly .nd ro.1 olloto, oxcept r..1 e.I.le oulllde
Iho Commonwoollh of Penn.ylv.nlo, .nd Ih.llho fl\luro. oppo.lle o.ch lIem of Iho Inventory roprolOnlll'. folr v.lu.
o. ollho d.to 01 docodonl'. do.lh .
__~~__ ond ,ub.crlbod bofore mo,
-9CNB'a'ANK:'N;'~
n~~ruff.
f2c.l:-&L.tA.
!:L___1922-
,:}
n_____~_.._._n "~_._~__.~,_.._~___.. _.' ~ -,. .__,+_u... ,.. .----......-----, _....
PHVLLIS J. SS, ~Dtaly.Pub!:.
Ctmp HllI, C~lT'hOl\M\d eotl ;'"
Mv (,:oMnllulon E.ltPI'u. ,My 8, 1pl ,
..... ,-- -..-----"dd';';-.-.-......----..
O.te of O..lh ..,____.._. 12 June
- ~;y___..__u__~_n --'--M~-;;th-'--'--"
1979,
v..,
--_.~-------_..__.........~
INSTRUCTIONS
I. An Invenlory must be flied wllhln three months .lIer .ppolntment of person.1 represontollv..
2. A supplement Inventory must be fllod within thirty d.y. 01 dlscovory 01 .ddltlon.1 .u.h.
3. Addltlon.1 shee'" m.y be ett..hed os 10 person oily or re.lly
4. Soe Artlole IV, Flduol.rles ,Aot of 1949.
"
~ ~ 8 1
~ 2 J 0...
LU15~ r-- ,t
I r-i 'e".. r
j!; ,:t ~ ~ r-l oJ ..... .0;
~ ~ Q Q.I ...l ... ,
I t.l \Il ! ~
~ r-l
~ .
II - ~. ~ ~
Q
% ~ ~,
11 ~
~'j
~ ~ oloi
J
l "'.411:1 IH.,ul
'OIM\ONWEAl.l'H Of PENNSYLV"Nl"
flEI'AllTMENT OF REVENUE
1l1ll<l'AlJ Of I'IELU OPER"TIONS
INlll'llITANCE T"X SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
IIJ ".2'1/- I
__.________._'_..~__._'_ _.~ ___,~~ __. ___.,.,.''''._._n__.
-... .-..--~--_.~------------
DATEI____jl- .<1' b'
EST A TE OFI ..___....../::..s:MQL...L....._/:td1!Jt____
FILE NOI__...2_I..::].Y_:.:~.l-~7
COU N TY 0 P I __..-"'-'~t:n.&.d itA'
DATE OF DEATHI t: -'L~- 7?
~-
TO,__
...--' -... -...- .........- --- -- -----"" -- -- -- ......-...-- --......- --- --.. -------- -- ---- ......- ---- ..-- -- ---...---..-- ---.. --.
I.. DETERMINATION,
I. Taxabl. "101. bUild uponl
-+ Tho Unll.d Stal.. E.lall Tax Roturn (Porm 706)
Tho communication from Ihe Fedoral Governmlnl
confirming Iho acceplanee of or ehang.. 10 Iho
Foderal E.lole Tax Return
2. Amount of e,.dlt for SIatl dealh tox.. (0. v.rlfl.d)
:1. Ponn'ylvanln Inherltanee lax a......d
(.xeludlng any dl.counl ond/or Inter..t)
4. Normal Inherltanc. lax paid 10 other Stato. or
Torrltorl.. of Ihe Unlt.d SIal.. (oxeludlng
allY dl.eounl ond/or Inl.,..I)
5. Tolollnherltoncl lox crodlll (Ilnl It..m 3 plu. Ilnl Item 4)
',. Totalllubillty for Penn.ylvanla ..1010 lax (IIno Item 2
mlnu. IInl 111m 5)
$ 1.< 'I. 1.('1'1. ~()
$ - '" -
-
$ ,Pi:: 9 7, .s-y
$ - <'-
$ R.t: 97. .s-y
$ CJ -
~
MOTE, Complellllnlltem. 7 and 8 OMLY whln dllermlnallo~
I. baud on p.deral Clo.lng Letter
7.
Amounl of Penn.ylvanla ..101. lax a..eued on dOlormlnallan
doled
Addition (reduction) 10 Penn.ylvanla ..tale lax (1In. It.m 6
nllnu. line Item 7)
Dotormlnatlon prepared by'
Datal II - ~/- Pd
; A-W'--'-I'
$
$
~;,
fl.
-- - - ...".- ----- - -------- ---------- ...----- ------- ...--- -- ---- ---......... ----- ------- - -..- --- ---- --- ---
B. ASSESSMEN1',
1. Ponnsylvanla eSlale Tax refleeled onl
line IIem A (6)
line IIem A (8)
2. Lou credit..
~~TEJlF WMENT AMOUNT PAID
$
INTEREST
($ I
($ )
1$ ...L
CREDIT
::
::
::
:1. Balance of Penn.ylvanla ..101. lax duo
$
Inloro.' I. due 01 Ihe Mle of .Ix (6) percenl per annum from
10 Iho dale 01 paymenl,
A..eumenl prepared bYI
AGENT FOR THE COMMONWEALTH
Dalel
SEE REVERSE SIDE FOR INSTRUCTIONS
----- ~,.._.~._. .'.---~
INSTRUCTIONS
To Insure proper credit to your account, tho noma 01 tho ostatn and 1110 numbor should be
clearly printed on the check or money ardor.
This determination and assossmont Is modo In l1ccardl1nco with Soctlon 421 and Soctlon 732
01 tho Inherltanco and Estato TaK Act 011961,72 p,S, 2485..421,732.
------------------------------------------------------------------------~-------
1 month .005 4 months .020 7 months .035 10 months .050
2 months .010 5 months .025 8 months .040 11 months .055
3 months ,015 6 months ,030 9 months ,045 12 months ,060
~-----~.__.-.,--+--~..-_.+----
1 day .00017 11 days .00186 21 days .U0352
2 days .00034 12 days .00203 22 days .00369
3 days .00051 13 day s .00220 23 day s ,00386
4 days .00068 14 days .00237 24 days .00403
5 days .00085 15 day s .00250 25 days .00420
6 days .00101 16 days .00267 26 days .00437
7 days .00118 17 day s .00284 27 days .00454
8 do y s .00135 18 do ys .00301 28 days .00471
9 days .00152 19 days .00318 'l!J days .00488
10 days .00169 20 days .00335 30 days .00500
The estate taK Imposod by Soctlon 421 Is duo at tho data 01 the dor.odont's doath but shall
not bocome dollnquont until tho oKplratlon 01 elghtcon (18) months alter decedent's doath pruvlded
that any ostato taK occaslonod by a linn I chango in tho Fedoral return or of tho taK duo thoroon
sholl not bocomo dollnquont until tho oKplratlan 01 ono (1) month of tor tho porson liablo to pay
tho !oK rocaivas final notice 01 the Increaso, Cnlculato Intorost lrom tho dollnquont dato shown
on tho loco of this lorm to the dote 01 paymont using tho following Interest tab'al
,--- ---.--- --- ------------ -- --- --- -- -------... ---.------ -------- ------ ------ ---- ------
Any party In Interest, Including the Commonwealth and the personal represontatlve, not
satlsfledwllh tho assessment may oblect thereto within .SIKty (60) days alter recolpt 01 this
notice os provided by Section 1001 01 tho Inheritance and Estata TaK Act 011961 (72 P.S.
ij 2485-1001)
Make check or money order payable tal
"Roglstor 01 Wills, Agont"
Mdll to tho address Ilstod bolowl