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Last Will and Testament
of
STUART TOMS
LAW OFFICES
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FULLERTON & FRATICELLI
407 NORTH FRONT STREET
H"RRI58URG, PENNSYLVANIA "'0'
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
1 RH:
This ..............................~~.t.~...................................... day of ........l'J.()'!'.~~.~~........................................ A. D., 19.?~...,
before me ...........Ii.Cl!:'.().1.~...~.:....t:1.C.~.Cl~~................................................................., Register for the Probate of Wills
and granting letters of Administration in and for said County of Cumberland, in the Commonwealth of Pennsylvania,
personally came ~~.I1~... !?Cl.:'~.~.!... .1.~.? ...~.? f:l.1.~.::.. .J?.Y~.~ Il.El. L. .~~.rn<:>y..11 ~.!.... p.~. ..J,,7,Q.4:?1.... ~n<?:.... ...... ............. ......
Thomas M. Fraticelli, 3203 Crest Road, Harrisburg, PA 17109
..................................................................................................................................................................................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of
Stuart Toms d November 2, 1979
............ ........ ........................... ......... ...................... ......... ...................... ...... ....... ........... Date .................... ............................
late of ...~~p.~.~!?...~9.':'P.:~9.~.P..f........................................................................... Cumberland County, Pa., deceased
who being duly ...........~~.?!:.11........................... according to law, depose and say, that ..t.h!F.y...~~F.!L......................
present, and saw and heard the testa.tgr............................, ............S.t.uil.l:.t..ToID.S.....................................................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h.~.~............ Testament and
W'll d h' f d' said Testator f d d d' . . d
Last I, an at t e time 0 so omg .................................................................. was 0 soun an Isposmg mm ,
memory and understanding, to the best of ...!C.~~.~.:!:.............................................. knowledge, observation and belief.
...........~~9.::~...!:9....................... and subscribed before
~~~.J..ttUq.~.o1.~.\~... ~~~~;r:
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........C~:.ll.-.kLl:..f.l..a.f..'.:?.k...)'..................................
J:1. Davis .
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.......Th~~~;~LM.:....F~~ti~:iiP.....q...................
............................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA \
~ ~R:
COUNTY OF CUMBERLAND I
Roberta E. Cole .
............................................................................................................................................................................... bemg duly
sworn . .
.................................................. says that as nearly as can be ascertained the saId decedent ............................................
Stuart Toms of Cumberland County, Pennsylvania
............................................................................-....................-.-...............................................................................
died on
.................................... the ......41;.1:1......................... day of .....NPY!F.mQ~.L.......................................... A. D., 19...7.9..,
at or about ..........~.:}g............................ o'clock, p~. M.
...........~.~~E~...~~........................... and subscribed this
...................~~~.h......................... day of ...~~.y.:.~~.~!
~9,.7.9.., before. .
. '.\. ~I:,]) ~ r C. j \ \'.!l.
...... . (i,...L':[?J~..(:I.I.c\,......~_............
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.._...1"...,...!.....t..-:...~..'I.;........................;..k...\...,.-:':.........................
Roberta E. Cole
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENN5YLVANIA~
55:
COUNlY OF CUMBERLAND
Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the
County of Cumberland, personally came .....R.:()?~.~.t.<l....~.~....c.?~~...............................................................................
who, being duly .....~w.O';J;:O............., do ~R........ depose and say that as ......E:lIs.c).J,txix.............................................
of the last Will and Testament of .....................s.t.~.i?:!;'.t:..r.9m.!?I.................................................................... deceased
............~.hg...................... will well and truly administer the goods and chattels, rights and credits of said deceased
according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances.
..~.~~.~!.I...t.~.......... and subscribed
before me.
.) . .' . PC;;' J
......./L "./;-;fk;;:.r;;......c........:;:E(:~.......................
.'Roberta E. Cole
..~?~.~~.~::......~.~.!............................. A. D., 19..??...
~~~..1QSX~~~............................
Register
............................................................................................
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DECREE
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Be it remembered th.t on the ......~.s.~.~.......... day of .....~().y.~.~~.~................................, A. D., 19...?~., there
was probated and recorded the last Will and Testament of .......:?j;.1Ji1-,l;.t..~O'I.1.\$..........................................................,
late of ....~!l.In~.'?D...~9.':"!:l.~):1~P......_........................................, Cwnberland County, Pennsylvania, Deceased. Letters
Testamentary Roberta E. Cole
...... ..... ........................ ....... ..... ..... .............. were granted to ............................. .......... ........................ ...... .......... ....................
Witness my hand and official seal the day and year aforesaid. 1/
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............ ....Q::\.(I.d.....13..I~dJ.C.,.R'.:.:.:.DeBiit'.....
"T ltegmer.Y
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Proof of Publicatioit of Notite in The Patrioi and The Evening News
dnd The Sunday Patriot-News
t'1l']('r Act So. 381, AI1Ilrfl\'0f' M:t)' tn. Ut:."f).
Commonwealth of Pml1l,1i!,rmrnia, }
CO">l.t1l of DOl/phil/ .,":
........J;;r.n~.i'l.t..p..,....5.~~.9................................................bcin~ duly sworn according to law, deposes and says:
Thut he is the ..:~\g.~.,....D.~.r..,...of TIlE PATRIOT - KEWS CO., a corporation orguni1.ed and existing
under the laws of the Com mOil wealth of Penni'ylvunia. with its principal office and place of business at
812 to 818 Market Street, in th~ City of H"l'l'i'bllr~, COllllty of Dauphin, Stllte of Pennsylvania, owner
and publisher of TIm PATRIOT 011lJ THE EVENING NEWS one! the SUNDAY PATRIOT - NEWS
newspapers of general cireuloticn, printed and published at 812 to 818 Market Street, in the City.
County and State aforesaid; that TIlE PATRIOT and THE EVENING NEWS and the SUNDAY
PATRIOT - NEWS were established March 4th. 18M, and February 15th, 1917 and September 18th,
1949, respectively, and all have been continuously published ever since;
That the printed notice or puhlicutiol1 which is sccurely attached hereto is exactly as printed and
bl' h d' th' I l't. 1 . h' h d (I 26th day of
pu IS em' elr regu ar ec J ,Ions an( Issues w h~ appearc on .).e ........................1.................................
November and the 3rd and 10th days of December 1979
..................................................."...................................................................................................................................
That neither he nor said Company is interested in the subject matter of said printed notice or adver-
tising, and that all of the allegutions of this statement a' to the time, place and character of publication
are true; and
That he has personalltnowled~e of the facts aforesuid aod is duly authorized and empowered to
verify this statement on behalf of The p"triot-News Co. afore"aid by virtue and pursuant to a resolu-
tion unanimously passed and adopted se".mllly hy the stoekholders and board of directors of the said
Company aud subsequently duly l'e~ol'lled in the office for th Recordin;r of Deeds in and for said County
of Dauphin in )li!'cl~lIillH~OUS tblll. ""r", Vnluml' It Par,l.' 17 ~
Copy of Notke or Puhlkatiou -
.... .......................
S\\'orn to aJ me t
De <!.~!T!~.~t.:... A. J.
LETTERS. ,TeSTAMENTARY I
In the Btett of $TUART :TOM"
It":'"ON,Hlmpd.nLIITown,hIP
(Clrnp..HIII), Cumbtl"ff,nd Coun.
ty, Ptftngylvatlla;.:cttceaiHd, haY'
Ilng,bMn orlntH 10 ttIe under-
;ltGftt$ ,II PfI'IOM bl4ftg1ftcttbl.
tteJ to Mid Est.tltre rtqUtmd to
"mak":tmMtdta" PIVJ:MI'Itt Ind
III; pIROftl' hlvlng,'dalm,"wlII
prtMnt ttMln\ _wUhOuf del..,i for
Mttt,rnefttIOI' ~,':"(
ROeeRT&. COLE .
Extc:wlx"', ',",
as:LOtIIf'Aveftue ".,.:
8r~"",:,I.J._:-;"~'.
or To' , ," "',;f.. ',~' '..t
THOMAs /Ii. FRATICeLLI."
Attorney-lt-t.aw
IIJ7 N. Front Street
Harrflbura. PA 17101
.. f.u.ll~;r..t.on...&...,I1.r.at.;I"c.~.Uj,.............................
.......... ......!:I.?,:r'.r.~~.~M:r'.g.,....f.i?;:.........Jn9.L..
To THE PATnIOT-NEWS CO" Dr.
For publiRhinr th€ llOtiee or publication attached hereto on the
above stil("ll cote" - $........??:}.~.......
"robilting sarn~ $..............:,!,?.......
Total $........5.3...0.1.......
Publisher'5 Receipt for Advertising Costs
THE PATH lOT-NEWS CO.. \lllhli"her of THE: l'ATlWl1' and TJI'~ EVF;NING NEWS and the
SUNDA Y PATRIOT-NE\\.'S, nel'..'paper:; oi gell"",,1 circulatlOll, herehy acknowledge re~eipt of thc
aforesaid notice and pchliention cost" Dnd eertines that the sume have been dulJ' paid.
Tim PATRIOT-NEWS CO.
By........
..."...,'......,..................................................'.......
COMMONWEALTH OF l'ENtlSYI.Vi\NIA
COUNTY OF CUMDt:RLAND
!is:
----_.-._.-_.-----_.-_._--_._.__.,--~~-_._.- ._-~ --.-. ._--- -..-..- ------------.----.- .-----. .-------.-
Roberta E. Cole
buing duly _~~IL-.--- according io I"w, d,.poses "nd says that s,o ..i.s_thc.__._________
Executrix .____ 01 the Estata 01 __.__S_tJ.lP....rL'1'..QlllJ>.
lata 01 ____\'lampgeo- .Townsbip.___ _______._________, Cumborland County, P.., deceased ond thattl,o
'th" . t d b Roberta E. Cole th 'd Executrix
WI In 1$ an Inven ory ma c y __.__________.::....__ ._- .___n_l C sa,
01 tho entire estato 01 said do cedent, consisting 01 all the personal property and roal estato, oxcopt roal cstato oulsido
the Commonweallh 01 Pennsylvania, and that the figures opposite each item 01 i1", Inventory represent it's lair v"luo
as of fl,o date 01 deceden!'s death.
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. Exocutor a Adminhfntor
..~;J ~/q: '~~A~~ ~
~/U,</.~~,.yr '>-71 6<Pd'-~ Y
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Date of Death
4th
D.y
November,
Month
1979
Year
INSTRUCTIONS
J. An inventory Illust b. filed within three months after appointment of personal ropresentative.
2. A supplement inventory must be Iilod within thirty days of discovery of additional assels.
3, Additional sheels may bo attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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REV-449 (8'1A)
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
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RESIDENT DECEDENT
IMPO'RTANT,-
COUNTY OF 'C1J!:'1Jlj<;RLAtJ1L---_
______R___.___
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Wills ot" lhl~
'I.',ion i~ FJill1lctl
Thi.. tc'hlrll !l1lhl Ill' (,"lllpkh'r1I!~ dr'~'lll and !'I!ctl III dnnJic;tIC', '.\llh ;:11 atllldH'd, wrlh 1It1' Itef.!I'\t"l IIf
('00:\1\' \\11t:r.. t!r'c.:dl'tlt 1,-,:ld,'II; 1(/'IIII!l Hi due willtlllllillt' 11l\ll\lh.. I'tll'( d;tll' nlllt:,.lh, lllllt~!o!o. illl t'.'!l
by lilt' S'."t""ltlfY "j !~l":"rll\", 1~':I'll'''1l71111'j' Iht' 11I11I',itallll.' t1mll ~I,I:" 1,1:\ Ad 01111(11.1
-.-.--."----...--... -..-'.. -.-- ...;;'---'-"~~~..;;-
-
Stuart Toms
'--'ls-i",\T E-I:U'~'i: 17^'.11
,'r' [l< ,~I-I' I ~; I'
~ AI.IIII,II'IT 01-
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1..'\LUTlm
IN TIlJ.: \l'\"I"n:.I: of -'JII r~";.I.'n' 1,':
Lot. I Cumberland
o ___,_~..__"___ ,,___
I Pennsylvania
Stu I) Qf ___._.__..._.__-. ,-~--___._.-_
County
.\t\'!tI"t>"tItJrI'll1(-
County of .J;:.uJnh~l']...I;l.lld_ ,,___
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Rp1;>~~j& E.., <::.QJ&
~~~!!~l!~~ --.. uf the Il~lalt' 01 tho ObrlV".nrlml'd o!!'ct'dl'n! k In,! duly ~WNn, drp,,~'l
Executor
lllldSll)'
DCCl'dl'ut dlCd November _,..__~____, 19:L9_{Ir.slnln lo:"Q\';"9 II tn~l will. cnry "f ....hich i~ 111:-'"10 oll~chrd. l
'.Mar~TH '_~'I\!) {Yir.I~i irrto"'l",,"'" f
Nomtt Qnd addr<!lu of attornl!'Y Clr } ._.Xhomcg;__~~ra~i~el~!_J____~~_q~~_~~....__._. .__...___
other Cluthorind 'lIprts~nl(Jlivl': III whonl 4 . 1
011 ,,,,,.pond,,,, ,ho,ld b, ,,,i1,d. __Jl.~~ F~o~t St.-:..~_,!!,~!:.:r:.~sbu!:~, PA 1710
That liS sut.:h~~?cutri~_______deJllllW111 i~ ramilt;n' with lIw aITair... Hi' ~:iljd \',',!;\ll' and the 1,l"ollerl\' ~OIlSlillJlil1g
\ 1!:o.~:~~"';"""""~I""!~l"f""'!.n''''ll
the asst:!:, lhcr~tlr and thl.'ir fair markcl value.
That at litt.: lime or death (h~rc was no safe lh:po:-;it box rcgistcrl.:J in Jcccdl.:nl':.; im!ividtlilln,ll1H::, ur juilltly \\-'ith, or
as agent ur dqlUty tlf another, or in t1cceclcnl's ifldividualll:lmc, Wilh rit-Ill uf acce!o.'-; by another a:; agL:llt Of deputy, with the
exception of Ilw fol!owlIJg: -
===-...;.-..o=-';:-.o;".-::--==_-=_,==",-,::-~,==__=:...,..;:-=;-=-=--==--,:=~:".:~-:'::':"-=---===~;::"';"~_..,.~_:-,:.~--=_,~::::,~=""___..~~"".'O'-=-.;:.;..-'=:.:=~''''=-..=:=-=='':""'-=
NA, ME /tND AW,'DRESS OF AMP< OH OTHER ',NST\"TUTIO, N "I ,THIS SAFI'.: 1"Jf:.U,O"SI,T, eOX"r<l,'~;,H,:n r RELATlOtJ5HIP OF JOINT
~=--=-=~~HI CH DEC~~.;,~.l..~::.~~.;,.l~~;..,.S.~~lc~~~~=r"......=-J="r""_;'-"',",-~~.!~ A.~~:~~_.~~~1_~:;~'::!~"="+'==""'.t"~T~ [,\i C EDEN T
__ Jlgn'~==_::=~~_ ~_=t~:~=-~--_~~J .~
That the conletl(s of ~llil! :;~\fc deposit box or bm;c:; art~ itt'mi7_i~(1 llmleT Schedulc....____of this return,
with the exception or the following, for the rca~;~lII:'; hen:inafler St:t fOrlh:
That Sc;hedu/~ A attached hereto ilml madc part lwreuf sets forlll fnl1y ;lnd in tktail all the real properly
in 111i~ CommoI1\H:alth ur Pel1n~ylvania of which dCl,;cdenl di(~d having ::Ill intncst Iherein. 11 also sets forth the
mortgage cncumbralH;es UPOIl eadl parcel of real property at the date.: tll' ueath, giving Ihe amount srill uue at
death, nume of mortKiJgcc. date, rate of interest, a!1d book .lIld page or rCl.:ord thereof. It also Sl:ts forth ill Ihe
columns provided therefore the assessed valuation of euch 01 !o.aid parceb;, Ihe estimatcJ market valut.: thereof
as of date of Je:\lh uf decedcnt.
That Schec!u/~ B attached hereto and made pari heh:of sets forth fully and ill dClllil all personal pruperty
whercsovcr sitlJaled nwn~d hy thl~ dt~cc{lcTlt at the time of dl~ath; all Inone~'~ ieI'I by the decedenl at the time of
death, whether in dcrl"d(~llt's Ill'PH:Jiale pn:;sl'~sion, standing 10 d"':clkn!'~ I_:{l.dit in ["'Ill,s of deposit, savings
hanks, trust C:lP1IJ;\:lies, or othn in:ail.l1liml'i, wht'lhl~r illdivliJlIally, or ill lrust for aWl' 11lhl~r pcr~Ol1 or per.'Wlls
giving also separately the ill'cnli:d interesl th"Tellll, if any, down In llit.: last i!lterest (Iav prior to decedent's
dealh in lllt~ case of slIvings ballk..... <l1lc1 :') Ibe ":Ill~ uf dl'l.:JI~nl'~ de.lIh ill all ntbn vase':!; all hlll1ds, po<.;tal
savings. treasury (I~rlifkal~s 1.'1" 1111';;.... ,~m! ..'.1;('1" .:\'\dl;nc:.:l: of illd..~ht:.:,l~,l"" I!: i~!l: ii:1ill'c! SlaTes 10 till: de~
ccocnl; ..11 nhligatiulls, w!;l:her hy statUI,: ur ;,q':lI~l'rn":lll l1rn' all.' d,',i,:.ILlll:': iJ<; 1;1\ !ru:, nf lht: Unilcd Slates,
or [Iny ~tate. or political subdivision thereof, or uf any fureig.n country, whkh arc ,I\\-nl'd al Ihe time of death:
all wcaring lippard, jcwclry, silverware, picture.;, hOOK!-., wurks (If art, hO'I,,'l1okl furniture, horse.";, l~alTi.lgcs,
automobiles, hO:ltS, and any and all IltlJl~f pcr';'llnal chattds of Whah')l'\'CI \;illd nr n;lllHt~, kit hy decedenl.
togelher with the fairly estimiilcd Pl:Hh'l_ value 11ll'lI'of; all bl\nd~ acd mol'll';lj.'.('" lli'l!! by decedellt and of a!l
claims Juc .tIlt! owing de\;edenl al the {inH~ pI (katil. and all promiss(,ry noles or ntlH.:r instrumcnts in writing.
for the payment of "wney of which dCl.:cdcll( djcd (Hl<;scsscd, of \\h<llSOC\"l'r nalllft:, \\ ilh ;Ulelcst thereon, if
any, giving thc fal.:e value and c~timalt.'u fail 1I1i1I....el \..due tllcrt:ttr. iilhl d .'dldl e....timalc;! fair m.lrkct value he
less than rhe face value, it set!>. forth hricrly the n:asolls {'Dr such d('pl"_~t.:iatillll a., :n cadi item; all muneys
payublc to the estale from life insurance policies carried by d('(t:dcnt; ;lIi anlluity and t.'IlJllwnwnt l'(lntr.H.:b
the proceed:>; of which were payable upon tbt' dealh or lh..: del:edcnl: all and the corporate ~;tncks amI di\'idends
due thereon and unpaid as of the dall: of dealtl, honds allll accrued 'intt'rl'~l Ihl'l'l'lIn tn thl~ date of JeL'cdcnt's
Jealh and other inve'ilmcnt secllritit's llwl1ed hy lhe lkrc'\.knl ;\1 the lime of d(';llh, wilh IIw ;llarkl~1 \',due there.
or at such time.
,
Inllw l'1l!H! of ~t'ellrttte~ Ill' 1~I!lSI' or' f,'Pliil:. ';j".,,!1";l", "' '.'ljIW~; rl'jlnr!l't! ~lrl' It'i 1'111' liS
possthll! suhslllnttltt.f'd lJY t'l1111I)(' 1 111 stIl11':l]t'rll~, 1)1' ~il" t''''''''':' 111",Jn,", till' 1\~;~,('1s /lod Il:ddlltlt-'s
tlll'rflol' ns 01' tho dllll' 01' dpllt!l. TIll' !-If'11I'duJI' 1I1~" ',,' 1'1)'1), 1,",' 1:ll"I'''';t. ,)/' dr.,~(.d"lll Ill. Ill" t1mi' 01'
rlenth in 11IIY cn-i'Hrt.r1l!r~;hlp OJ' b\lstl\(,S~;. Hnd III stLJ,porl (ll 1111' \',llll" or '0,]('\1 Irill,!'l':;!, Ihpl'" I'; ILIlIl(~XI'{1 to
Slllli selu'c\llltJ, l'lnllll(~tlll stnlp.w'1l1s ';howlnf!' t.l'l~,l.~;<j,'r', "lid 11:11,\111 j,~~; nl' -;'1111 r.1l~ldll'Ulf'rshlp Cll' hll..I11+~S:;.
" copy or till' cO-Jllll'tnl'l'shlJlIIl~I'("'m(ll1j'l (If (~I'lll. /I ~,l',l"lll"ll' -"'(11111' rr)l'll~ IIH" t1atllrl' of till' ur.~rpPlllllItI.)
t.O~"llll'r with /I ~t.ntl!Il1l'llt. sl~ttll\)~ forth 1.11" ell,lrll!'l,']' .,1 r: I;II,:!!,",',. Its lOI:'tt.ll.n, Illhi snrh 0111\'1' f'IICt~
jl('rt.nlnlllJ!, 1.1) till' hllslrH'ss liS lllll)' hi' pl'I'IIIil'tl1 II' ',11' "no! .'1: IIpprlll'iI.! Id' t.hl' df'l'('fl,,'nt.'s llil,"f'I'~1.
tht'reln mll~;l bl~sllhmltll'd. I\. should ldslI SI.t f'JI'I!: i, It''I'IL',,d j",:IIl. 1,(1)',"1IH'I' 1"\111 thi' ralr m1LI'kl~l 'I III 11('
t1leJ'~'()I', IH1~' otller prop.!rly lHHlt'i1 or I1t!ljll"ltllll'd h~: ! h. '1,"-"",'111 I: II!'" l. 'lilt' (\1' d,uillt.
The 5c/ledulp C III,Uldlt"t1 lil'!'(~I.I) Hill! mild,' I'll!'!. l\O't"'or s,.ts 1'0/,111 It 1,1'11(' Hlls","!'r 1.0 f~llch IJlqulry
contnllU!r1 therllln t1nd Ln the ellS" 111' t l'llnsfl'r~i () l' \ll"jjl"l't ,\-, ,r ,11 OJ!' Il\'I'snn.d. w10dn two yellrs 01' Itecmh'nt.' s
tlellth, In contf'mplnt1oll of' dl'('('d..nt'~; (11'/It.It, 01' 111\':"1.(\ ;" Ir.~1' ,.r!'!"'1 in pO'';St'~iSJ{j1l or 1~l1jOjlllent nt or
aft.er (lentil, slltll sch(.dllle ~;'-..t.~, forth t111~ Illtl'II'I' /In!! '.',dw' (It' '.11('11 ;ll")jH'rl.\. 1.0 whom t,';ulsl'errerl, the
reln.L1onshtp of the trnnst'cl'cl.')-, to UP' I'~I:pdl'lIl. i!w i !"',j,nrr,j,nlOl/" -',ill/r" rl'I.:I'!l.,,:d by ('nell trllT\sl'('rce find
ull other fllCts of Il pert1n'-.."t nllture rl'~',1ll'dlll", "'1101 u'~nl~;l.'r~.. (II thl' ('asl' of t"llllsfi~rs Intenderl to
tnke eff'ecl in po!'>sp.sslon or l!n.loymnnt Ill. Ill' 1I1'1"!' d;'.lth. "~I"'" \', !\l~-() :\ulldlt',i to t.h(~ scl\f~(1lJle 1\ COllY
ot' thp. need, trll!'Ot ll~reemel1t or other IlIsl.rllll:L'lli. Cl'f.,.1111l!. thl< Ir\1sL Thl'r.' Is 111so Sr!t 1'01'1.11 In salll
sched\lln II 1151 of ull property, 1"~1l1 hfl\1 1,,'rslIlI:ll, ',Ill. 11.', \'!IIll", "'hl"\1 i\'t~s"" HI ill'CI'dl,'tltls I1p'lth hy
virtue ot' till! exc!'clse 1lY rlecellent. either Ind1vltlllHlly, llt',lolntl) will: '1110 !.lIt' I', or III\Y power 01' dppoinl.-
ment veste(tindcL'ccif.>lIt, eIlher IlIrlivldllully or .lotl\tly~ l.yt,l~.' v,I!I. d",'d. 01' nllwr Insl.rlU1I<:.lll of' ulIo\.her,
wit.h a copy of the !nslruml!lit crl'llt.in,~ sllch I lO.....(1 I' altitl'h,'~l \II tll(' Sdll'dllji'.
Thnl Schedule D llt.tuchelt hereto 11l1d lllW\" purt :,"rr,(d' spl:; I'orlh till' Illlm('S /lllll tuldr('sse~ 01' ull
persons heneficlul1;! itltt~reSled 1.11 this estale III lill' UiHl' Ill' d"t:edl'Il:I:~ lkllth, tlw nlllun' or t.hf!tr I'es-
pective interests, their rellltionshlp, it'llll,V, to t.hl' dut:..d'-'Ilt. 1,0):'.\'111...." wit.h till' tq.;es flt Uw time of
decedentls denth of ull minors, unnuitun!.s /11\11 tWllel'ldurll's 1'01' life lllliter rlI!Cp.t1lmt's Will. It also
contains a stl1tement showinv; wllletl of tile '(wnel'ieJllrll':-' !lIUIlI'11 III t.}11' di'CI~(leiltls 1'1'111, if liny, rllf!d prior
to decedent, the dfltl~S of' thl~lr dellth, I.h\~II' IS';II", 111111 tll'> r.'lHt.1oI1sl1lp (Il' ~;lIch Issue to th\~ heneficlary_
Thill, S.:/1e.1ulp E lItt/lchetl h(~reto Il:lrl ollHk Il pnrl, 11l'1','n~' ~lf'ls t'llrt.h /lIt property, renl Ilnd per-
sonn1, owned by the rleeedent .101.lllJ' with f!lIot.ll"r or 11l,tH'rs, illO'llldil1~; 1nt.'lllgLble, stllndlng In tlw rlllnlt~
of the dl!cedcnl ann olhf'rs, plus the clute IIUti pI/leI' qf 1'\'/'(',1'11 or 111stl'HlUents erf'~r.ung the ...est.itul't~ of'
real estat.e nnll the date oj' nCf}uls1 t.lOII of lH"'S('ll:d I.y, {lllls t1w nHiIH', Illlrlrl'sl'; fllId relnt.1onsh1p, if any,
of co-owners to the decedent.
That Sc/ledulp F n.ttached heret.o /Iud mllrie Il f1.'lrt, hl'rl~Or set.s forth fully 111\11 in detail /~11 d~bts
and deductions claimed fur unci 011 \)/'!hlllf of tllis "l'epdl~'.ll'S l'stnl.f:, llll~l\l(iil\'~ funeral expenses {HiLrl;
family exemption, where 111,plicnble; em,l.:,; of IHhl!lnisll'/lli"~1 ,)1' ;'~lls f'SllllJ_; eflll11:,cl ff~es rLOd f\1Ilic1/1ry's
conunis5ions paid or to IH! pllld; cost. I~X}lenih'tl 1'01' hurln! In.'_sts, t.ombstones ur v;rnvemnrkers, Elnd reli-
giouS services, in consequeTlCI~ IIf t.hf> lil'l1th 01' the di'I','dl'I'" d('hts /llld r-11l!ms ()Wln~ and tlllpn1rlllt ttl1le of
dl!llthj taxes llccrlled t:llfirgetlhlf~ for perioil Jl,'lllr to de('i'd(I',~I,; ,1f>;,lh ((',<\~ppt thosc 1l11oVo'ed untll'r SeetlCJn
651 of the IllheritllJH~e /In II Estllte Tllx ,\cU; tllgl,th('r wltli II stat('llI"lli. ur cnll'lU'rlll JlI"~d~ed for ohlll;n-
tions, if 1I11~', It1s lIg;reNt thlit. the flrluctBI'Y .....111 ]l1'",,;!'llt 1"'{lllf' or said e1t1-!lIlpd ohllgatlons 111lon re-
que!'>t, lhllt if tltf"! llmount lletllally Jlulll In sl'lt.lI'ml"1f of ;trl.' f'pl', l~o1!llTllssloll or (Ie\)t 15 less thlln Uw
esllmatl!d LlmoU1lt c)lllmlng unit IlIIllwecl~ tllllt I.h,' s'lmP wIll \w 1"'111)1'1('1\ 1.0 1,11I~ Itp}!;-!1o,ter of' Wills, 11Ilt! t.llllt
thc IUnoulil of' tllX ItSSesselt ellll he rl'lIss;'ls~l'd 1n /l('\'nl'tl~'lll'" l.I~I'l,.,\\j t!l,
Thnt t.he totllls of U11~ 11lll'roprintl! colunU\s in ~I'il"dlllps ".\n, "Un. I'r", "E", lllllt "F" IlS directc(l theretn~
have heen cflrrled forwllrd find proper] Y re~~1s\l'r('t\ ill tlll' -::;\lil1ln'\r~'.
..............-..................
Subscribed and sworn lo before me this
. day of ?;'~<,!/
,,///.J p /7
,/:C~_/.'-"c:z~
=~~
lu0
-;
1).~\.;"r;;t~L~&~..............
; (?;rr.tlr"r-:1cNl~ll>~)
83 S. Loeser.Avenue
(Street Number)
Bridgewater, N,J:.Q8807
(Cit~ or Town and State)
V[J TH R. CASE
"OT'"Y :O"CII~' 0',' rW,'1 JE;,'n
1\ f,..\ i u,~_...J,,'" ,-
!,i'! to:;.:~.,:~:,~:l L_.;'~;,:3 ;,\:t 12, ls:n
sorE: III'f'flrl~ sl~tl'n~ HI'f'I<<tn....lt lI1!tl... Sill'''
l'1l11'd in wltll dl'tlltls or the .....01'01 Jt~UI1l'".
:1l1O\ III
:",,'
ll,.'
,.....,'1
'1I'r'~.j;,\'lt Hlld ~chl'dlt](~~ Ilntll'lo:erlllre
ill,'l!!'I.' "/11'1' hlltl ull1 tst.('(l sf'eurtt.!f>s,
"II-I"ll'l IH'r sid I' or hus hll'sst t!ln t lhe
1~, '".l"'.\1rl.' "II" hrl' l\t.l.I\l'h~d. ,\Iso nmk('
1111
\ ' l it ~ I :,
sp.f'llrltil's of' {~lOSI' or fnm11y l'Of'IHlrIl1l '1'--, "r'
tllltH 1111/1 stllU'm1mt.s r(\lllltrl'lluwll'r l!W ! ,r.lf',I'IlI.!1
r.l~rl.lllll t1J11t. column 111 III UII' "SUl.~:i"lt'~'" 11.1', 1',1'1'11
,)1 :,.1"1"',1
1!1
Ill~
..\...,,'("
r " ! ;.: !! ~
11r".',"1
'>:11]'\'
! "01 II'; Ilbll\,I'-d I rl'I'tPl\.
nEV.4e3 (8.78)
.~.
~~.~
~~!'l '.' .
'~>L,%~ljliiJ"., ~
~f3,~";ttr...
COMlllONWEALTII OF PENNSYLVANIA
TRANSFER INIIERITANCE TAX
RESiliENT DECEDENT
SCIIEDULE "D"
III :NEFIClAH II:S
- - -. . ' -
- I 1 --
BENEFICIARIES ANI! ADDRESSES REI.ATIONSIIIP I
(Stute full names and addresses of uti .....ho (If 5&ep.dtililicn lit SLlRVIVED I!ATE INTEREST OF
havc un interest, vcsted, contingcnt or other.. illc~itimlltc chiltlten DECEDENT OF BENEFICIAllY
wise, in estate) lItl~ involved, set STATE YES Il!IITII IN ESTATE
forth Litis fact.) Oil NO
J. Frank Toms Sten-son Yes 8/31/19 vested
1634 Fernwood-Glendale Rd.
SnartanburQ' . S.C. 29302
-
Roberta E. Cole Niece Yes 1/29/18 vested
8'1 S. Loeser Ave.
BridQ'ewater. N.J. 08807
-
-
-
Deponent further says that all the above.nomed beneficiaries ore living ot this time except below:
NAME
DATE OF OEA TH
RESIDENCE
N/A
-
~
.slll~
~< ...
lo' ..
~. =
'c ~ e
._ 4.l :s
e- -
",0.0
<eo
, 0 .
'-(,):0
S.... IU
o . ~
" 0 ~
" e 0
" '"
~ .
~ 0::
SliM MAR Y
Renl Properly
Personal Properly
Transfers
,Toi ntly owned pt:QlJert
(Seh. U^") $
(Seh. "B") $
(Seh "e"l $
~Sc'h. "E")$
$
$
Gross Taxable Estate,
I I- '"
4- Z "
~ w .
::< ~
"
w " p..
\0 rn " ..-1 ..J
- Q .0:
I <<: .<::
(J\ OIl
e:: Ul :;;:
i:'- c.. L"- ~ .~
I c.. 0 = '"
.-i 0 '0 ~ 0..
<<: "W ;.
N " Ul E-< ~ >, 0..
'" W "'l- S .0:
.; I- 1-00: .
= 0 .-i 0 0
z .:: I- ~I- E-< s:: " 0 Z
om "
L"- W Q) Q) 0.. .0:
.~ 0 +' '0 ~ _. ...
" ~ 0 '"
e:: <ll ;:l -= 0
11 w ;:l U 0..
l- +' II: . w
0; "
I- Cf.l ~ ~ '"
:E 0
<<: ~ 0
::; 0 c 0
-E " 0 e
:::'lJ ';; 0 E
:::~ 0 0
..J U U
(1)
39~"dMI:rcle8)
23, '('(l). 4'd
- 0 -
<o,j<oO.L'd
65.099.76
(2)
(As Determined)
$
$
$
$
$
$
HEV.484 EX" (3.60)
INHERITANCE TAX SUMM~.RY SHEET
(BUR~~U._!-!SLQNL Y)
21-79-0678
FiI e Number
._---.._.__.._._------~- -.---
Dote of Deolh
___~__4_.-~.'___
Social Security Number
- -------
REPORT OF INHERITANCE TAX APPRAISER
I, tho undonigned duly appointed Inheritance Tax Appraiser in and lor the County 01 Cumberland
Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing
return at the values set forth opposite eoch item in the lost column to the ri9ht in Schedule. "A", "B", "C", and "E"
'7:1' ')-jf';: J)
......{ /lr...Jfll) , /(1 'lilt/.
lNHERlTAt~CC TAX APPf.lAI5Ef~
Dated:
May 1, 1980
INVENTORY
ADJUSTMENTS
VALUE AS APPRAISED CODE (HARRISBURG USE ONLY)
$ 39,000 00 00+
23,755 42 10+
2,320 28 20+
Real Property (Schedule A)
Personal Property (Schedule B)
Jolnt.Held Property (Schedule E)
Tran.fers (Schedule C)
None 30+
___~i5L075 OLCl._\___
~.
TOT AL GROSS ASSETS
Leu D.bts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
PRINCIPLE
Valuation of \Ife estates or
annultlls. . . . . . . . . . . . . .
RATE
FACTOR
FOR USE OF REGISTER ONLY
T ox on $
CODE
6"
"
15~;'_-
Tax on $
T ox on $
Tax on $
T ox on $
Exomptions
Total Estote
TOTAL TAX
INTEREST FROM
BALANCE
TO
Less Credits
DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST
S + S S =
--
+ =
BALANCE 5 _
INTEl, EST FROM TO _____ 5
BALANCE DUE S ---..
REMAINDER APPRAISEMENT CODE
VALUE
COMPUTATION OF TAX
$
5
S
5
I
$ .
5
$
TAX CREDIT
S
92+
93-
CODE
~
p. '"
~ :a '"
~ ~ M
..... CIl
~ '" ~ .
~ ~ ~ ~ 'tl '"
~ " "" ~
~ '" <: M
r-l tIl H
I OJ OJ
'" . 'tl ~ co
~. ;J ~ p. 0 ..... N
@ M N
~ ~ :Il u
" Z ""
~ ~ 0 ci
- ~
~ ~ z ci ci
~. ~ ~ 0 &l
0 0 fJl ~ Z Z
~ Iii fJl
r-l ~ ~ ~ ~
~ ~ ~ z
ci 8 -
ci !ii 8 ...l
::l z
z ~ ~
~
Jt'JJCQllM.I\I19f'J..
To insure propur CflltJll 10 your or.count, till! ni1l1111 01 till! ,~~,Iilllt dllll !ill] IHHnb,~r ';holJld hr~ c"!flrly print.
cd on tho chock or monOY ordur.
This assessment is modu In nccordanco With 50ellon 70B 01 ttle Inheritonct) end Estato Tux Act of
1961 172 P.S. 9 2485.708).
To the extent that inheritance tco: is paid within Ihron 13l months nller the dealh of tho decedent, a
discount of five 151 porcent IS allowed 172 P.S 92485.716).
Inheritance Tax, other than tax on a future interest, is due at the dme of the docedent's death and becomes
delinquent at the expiration of nine (9) months after tho decedent's death (72 P.S. 9 2485.7111. Inheritance
Tax on a future interest ;s payable within three (31 months after tho transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. 9 2485.712). Calculate interesl from the delinquent date shown
on the face of this form to the date of actual payment using the following interest table:
------------------------------- --- ------------- - - ---. - ------------- -- -- -----
1 month .005 4 months .020 7 montl1s .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 '2 months .060
1 days .00017 " days .00186 21 days .00352
2 days .00034 '2 days .00203 22 days .00369
3 days .00051 13 days .00220 23 days .00386
4 days .00069 14 days .00237 24 days .00403
5 days .00085 15 days .00250 25 days .00420
6 days .00101 16 days .00267 26 days .00437
7 days .0011 8 17 days .00284 27 days .00454
8 days .00135 18 days .C0301 28 days .00471
9 days .00152 19 days 00318 29 days .00488
10 days .00169 20 days .00335 30 days .00500
-- --- ---------------- --- - - ,- - - - - -- -- - - - --- - - - --- ---- - - - - --------- --- ---
Any party in interest, including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixt" (60) dLlYS alter receipt of thiS Notice as provided by Section
1001 of the Inheritance and Est<Jtc Tax Act 011961172 P,S. ~ 2485.1001)
Make check or mOlley order payable to:
"Register of Wills. Agent"
Mail to the address listed below: