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No-2i.79 1'1,1
PETITION FOR LETTERS OF ADMINISTRATION
IN THg ~;S1'ATE OJ' ""~l\\~,ng"J;.9!-!.i.f!g"r.tg'y',,,,,,,,,,,,,,,,,,,,,,,, IlEt'EASlm,
To Harold B. McLane '"''
..........."..".........................."",."..."."...,',......,""',...................'i...."",.....,.,..."
Register of Wills fOl' the ('Ollllt\' of ('lIlllherlalld, ill1lhe ('onllnllllweallh of Pennsyl\'ania,
The Petition of "'" ,R Qbli,r:t.. G." E;r:,,;:y. ", ,,,.,, ",,, ,..", """,. ",..""."""..,,,,.,, '''''''' ""','" ",."" ,,," ",", "'"
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,....',,....,,,......,,,,,,, respectflllly showel h I hal .,.", "", Elf.l.I,nr...L,Qu.l S,';:..F.J:',';:Y, ,...., "...... ,......
was a resident of ......"G,~!:',1,I,!l~~,......,..,....,..........",....'I~~:~) ,('lIlllh,,,'lalld COllnty, State of Pennsyl.
vania, and a Citizen of United States, alld departed this life Inte"tate in the County of ..D.au.ph,ln,......,
,,,....,,..,....,..,,..,,..,,....,,,,,.. ancl State of "'''''''p.!J.m),$,y.),~f),nl,n".."..,................,,,....,',......,....,......'........,,,.. ...."........
on ....W,I;!,QX\!J,$,\J!:l.y.........,.. the ..",..,....Ht,\1............,.... dllV of ........N.C?X".<!.\1l,!?.<!,!:'........"..,......, A, D" 19J~"..,
at the age of ..,H..,...., years,
That the said .."......,,,~J\\A!!g..J~Q9J.$,g,,,I~r.,gy.......,,""",........ deceased, left surviving the following
named widow or -husband, heirs and next to kin, to wit:
Name
Relationship
Residence
..RR9.~.rt., M"..,f.r.,~'y',.."....,,,,..,,,,, ""'"
"lHy.i!-" f"\\Y.,, f"t.~y.""""".., "..','....'"",
,.Roher.t ,G....,El:,(:lI" ,..,.." ",...."",,,..,,
,.P. f!.,y.~,~..Mo ~..,f.,J?,~y'".. ........,,,,..,,,,,,..,,,,
Father
.............................".............
1010 Drayer Court
................................................................
..,'~.9,~.9,'p,r.~,y..<!,r...g~,\!r.t,..,""",..,',..
"',~,9.~,9".P.r.,q.y,~,r.,'~g,\!):,t...".."......,..,
1010 Drayer Court
...............,.........,......................................
.."" ,M.Qfu ,~,!:,"" """"..""",
"",..,U,r.g,t,l:1,!;/;'""",,,,,,,..,,,,,
Brother
.....................,........,.................................
......................,.........................................
................................................................
..............................,.................................
..."...............,...........................................
That those above named include all of the next of kin, so far as known,
The said decedent was possesse.d of personal property to the estimated value of $....unestirnate,d,..,
and of Real Estate, leRs incumbrance, to the estimated value of $..,unestiml),t.(:d..,.. as near as can be
ascertained,
That the said Real Estate in so far as is known is located in ........G,m:\1!?,~^l~!!9...G.Q)J,!l~y.......,......,
.., ....flX\Q..P.!iU:,rY", C"Q,\lnty...,.."""""""""""..",..".......... '" "..""..""""""..,..'" ",..,....",..""",..""""".." ,..,..",...."..,..,
Therefore, YOUI' petitioner(s) l'espectfully apply (ies) for Letters of Administration in the above
named estate,
Dated ....,Nfl.Y.~.m.R,~!:....~,h...."...,.. A, 0" In,?.~....
Signature and Address
of Petitioner(s)
"",,~tr!:G4r'ef5;..'..............,........,....,
""",,,I,q,I,q,, p.,r.~y.{l,r."G,tt..,",......,..,....,",..,"""..
Carlisle PA 17013
"...,...."""....,.......................................,...........................
."",,,,,,,............................................................................
COMMONWEALTH OF pgNKSYLVANlA 1
f ss:
COUNTY OF CUMBgRLAND I
'..',.." ........""", ,Ro,ber.t, G." ,F.l:,(:y"""",."""""""""""",,,.. """."".""""."""..,.".""""..",."",.".."""",,"'" named
in the above application being duly .."..........,~wpr:n...."""..",..., aocording to law, say that the factR set
forth in the abo\'e application are true to the beRt of ",b.i,~.,... knowledge and helief.
............SW,Q);'n ....,,,..........,,.., "...".. and Rubscribed 1 ,,,,,,,........ .~J"....t....)J'..,~;;;;;,;,...........................
before me, t '''' ..../1,r.':er..{..:..~,..1.9::1.."................
~:ll;;7.~~:.....,~';;...... A, l),. 19,n.., I "...., .", .., ..", .. "'G'"'' .."......"...
..,....,......',~!'::'"./.....i..",....r{c:,.:.-:",;..1J<"..DeP.UtY'.. , "..,,,.... , . , .., , , ' ...".. .. ""...." ..,....., ......",.. ' ...,....
Register
~ 0/.,
Filed:
November 26 1979
"..",..",,,,..,,,,,,,,,,,,,,.,,.,..,,,,,,,,,,,,,,,,,,,
Atton1l'r:
,!\()bert..M, .Frey;",
," (?"I /1
, .. ' ~
i .~:_,=::~::'._..J
(Ovel')
.'
RCC..33 (4.731
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COU.ECTIONS
*'
.:J/- 77- (;/1y
RESIDENT DECEDENT
COUNTY OF CUMBERLAND
-
IMPORTANT,
-- "----" ...
This return llIlISI he cOl\lpleted ill dt~llIiJ ami fill'd il1liuplll.:all', Wilh ull 1I1111chcd. wilh Ihe Rl'~islcr of Wills of lhe
County where dcccdl~11l rl'sidl'(J; Ih'lmn is due withilllHlll' lt1l111lhs aftcr dllle uf death, unless 1I11l'xlcIlSioll is granted
hy lhe Secretary of RC\l('IlIlC. fSl'Clio11711J or llll' Il1lu',italll'c ami Estate Tax Act elf 11)61,)
ELA~;II~~~r~~O~~~;STATk lJl' } ,II 'I' III A VII III'
(STATE FULL NAME OF DECEDEN;:~----'---- -- t:XkWJt:WJi<<:
\(j"JNIS'll~ATlIl{
County
Lato of Cumberland -~._--
Stote of Pennsyl van ia J"
County of Cumberland
Admil1istrulor
Robert.Ji'.LErey___
IlliIO~X
of the estcte of tho aboYe-nomed decedent being duly sworn, depose
and soy
Decedent uicu
November
14,
(MONTH)
Nome and address of attorney or }
other outhorlxed representative to whom
all corrllSpondence should bo moiled.
(DAyl
, I~~{*~~~~X~~~~K~~~X~~}
(YEAR) 'ntestote
Robert M. FreL-
5 South Hanover Street, Carlisle, Pa. 17013
That liS such deponent is rami liar with the affairs of said estate and Ihe propefty cunstituting
{EXECUTOR-ADMINISTRA TOR)
the aSSets thereof and their fair market value.
That utthe timc of death there was 110 safe deposit box registered in decedent's indiviJu;li name, or jointly with, or
as agent or deputy of another, or ill dccedcnt's individualllarne, with righl or access hy ullothcr as agent or deputy, with the
cxccptioll of the following: -
NAME AND ADDRESS OF' BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A S.\F'~DEPOS!_~ BOX
THIS SAF'I::: rJEPOSIT flax f~ENTED
IN NAME OR NAME!; OF
----~- _.~ .-
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
NONE
That the contents of said safe deposit box or hoxes are itemized under Schedules
with the exception' of the following, for the reasons hercinaftcr set forth:
or this return,
That Schedule A attached hereto <lnd made part hereof sets forth fully and in detail all the real property
in the Commonwealth of Pennsylvania or which decedl~nt died having an intcrest therein. It also sets forth the
mortgage encumbrances upon each parcel of real property at thc date of dcath, giving the amount still due at
death, name of mortgagee, date, fate of interest, and hook and page of record thcreor. It also sets forth in the
columns provided therefore the assesscd valuation of each of said parccls, the estimated market value thereof
as of dale of dealh of decedent,
That Schedule B auached hereto and made part hereof sds forth rully and in detail all personal property
wheresover situnted owned by the decedcnt at the time of dellth; all moneys left by the decedent at the time of
death, whether in decedcnt's immediate possession, standing to dccedcl1t's credit in banks of deposit, savings
banks, trust companies, or other inslituliOll!i, whether individually, or ill trust fllr any other person or persons
giving also separately thc accrued interest thereon, if illlY, down to lhe last interest day prim 10 decedent's
death in the case of savings banks I and to the datc of deccdcnt's Jealh in all other cases; all bUIICh, pustal
savings, treasury ccrtificntcs' or notes and olher evidence of indehtedness of the Unitcd States to the dc~
cedent; ,all obligations, whether by sliltulc or agreement they arc dc:'ignatetl as lax free, of lhe United Stai~s,
or an)' stale, or political subdivision thereof, or of any fuft:ign coulllry. which arc owned at the timl: of dC,ath:
all wearing apparel, jewelry, silvcrw;lrc. pictures, huoks, works or art, household furnitllre, horscs, carriages,
automobiles, bouts, and ailY :Ind all olhcr personal ehallels of whalsoe\'cr. kind or nature, left by decedent,
together with the f.lirly estimaled market vaJuc thereof: all honds and llWI'lC!ages held by deceJcnt and uf all
claims due ilnd OWing deccJent OIl the time of death, and all prnmis'llry llull'S (II' uther in~:trumcnls in wriling
for lhc I,ayment of lIIune)' of which dl'l'cJ('nl died possessed, of whatsoevcr naturc, with intercst thereon, if
any. giving lhe facc \'aluc aud e~lilll;(letl r;lir market villue thercof. 4llld if such cstimated fair market value he
less than lhe f;lce value, it 'l~h foflh hril'l'ly tlw reason, 1'01" stich deprcci;llilll1 as In each itcm; all moneys
payable In the estate from lifc inSmallCl' po/ides carried by del'l'dcllt: all annuity ;lnJ cndowmc..'nt contracts
the proceeds of which wen' p..yaldt' "l'lln llil' death of the decedcllt: all and Ihe corpor:llC stnds and dividends
due ther('oll nnd uflpaiJ :IS "l" ll" .',> ,,!, dl'dlh. honds and .1l'l'IllCJ inlcreq thereon to the date of dccl'dcllt's
dealh and other jl1\'l' "':1!','"I " ".1 I,y Ihl' dl'n'delll 011 I Ill. limc {\f death. with Ihe: m;ukL,t \'alue thL're~
of at such time,
)iJ- :171-7
'.
III 111(' l'USt' 01' ~~I'~llrll,tcs Ill' 1~losl' 01' f'llmll,\' l'OI'Plll'llt,loIlS. 1111' \'IIIIII'S l'l'port,!d 1I1't' itS I'ur liS
l'osslhll' Sllhslllllllnt.Pr! by l'llllll\clnl stllU'l1ll'lIts 01' tllf' l'OI'POl'III.!OIIS. sltlJ.....!Il~ 1,1l1~ Ilssets IlIltI JllIhllllles
tht'reol' liS ,\1' 111l~ tlntt' Ill' d"lIth. TllI~ sl.'lll~dlltp III Sf! St'IS 1'0,'111 tli.. Illt./','l'sl, 01' df'I'pdl'lll. III. till' tlllll~ of'
ttl'l1tll In 'll\~' ('o-Pllt't1\l'rslllp 0" 111ISIIlI'SS, /Llld 111 SllJlJllll' 1 n" tIll' "'1\111' 01' "'w:1I IIll.PI'PSt I.IIPI'I~ Is 11IIlll~XI~11 to
slllel sClu',IlIII', 1'11111111'1111 stllll'rnl'111s slin\\llI).! 1IiI'IIS'il'ls IllId Illll)llltl..s of' ...;/tld l'll-plIl.t'IPI'slilp or hllsln!'ss.
\ l'llp~ n:' tll" 1'0-Jllll'tr1t'T'sIIIJlII!~I'Pl'rn!'lll.. (If' 01'111. II slul.Pllll'1l1 'il'l t 1111', l'lll'lli tIll' 11111.111'1' oj' thl' 1,~~r"PIII"Ilt.)
I Ol.!;":t:"l' ',II III II sllll."I!1I'l1t SI'lllll).!; I'llrllt Iii,' 1'I'ill'IIt'II'" 01' Ill.. tlllslll"SS. lis II"'/ItlulI, 111111 slid I ol,III'r f'IWI.S
ill'I'! ;;!'''', 10 th" hllSllll'ss liS IIIII~' hI' 11"1'11111'111 10/1 I'ull' Irlld ,111...1 IIPP"lllsI11 Ill' tift' tll'r:l'dl'l\t's 11It.'!"I~sl.
t.ht'I'I"ll1 ';olhl hl'slIhmIU,l'fl. It. shflllld IItso Sf'1 1'0,'1.11 III Il"ml/l'd j'lll'm. 1.f1~~,.t.ll",' wlt.h 1.11(> I'lllr l1lHrl\p.I \'lIlw!
lltl~l""':\ :"I~ o t.I If' ,. J1rnlll~I'l~' oW"l'd or hnrpll'lIl.lil'tI hy 1.111' d..r'l'd"lll III till' 11mI' 01' tip/II II.
Tlrl' .$c/1f'riulp C lIt.tllf~llI~d Il",.ptll 111111 Hllld" pll,.t hPI'I'Il!' SI'IS 1'0,'111 Ir 11'11" IlnS\'o'I~t' 1.0 1!IICil IIIIIIIII'Y
1~llllltllllPd lli,'rl,ln Hlllllntllf' ('nsl'of'l.rl\l1Srl'rsol'p"Op"I'I.~', rPIt! nl' I'Pl'sn'I/,l, \\'Ithln two ~'f'llrS 01' dHef'denl's
dl';jth. Iff "llfllPl1lplutlon or c1p'cpdpnt.'s fl'~IlI,h, II" Inl,I'nll..d t.o l'lk" fll'l'I'r~l 111 1'lls,","...sloll 01' enjuynllmt Ill. or
IIft.f'r ,1/'al.1l. SIIIII s~hf'dlll(' set.s forth t111~ IIl1tllr!' 1I1lt! \'/11.." Ill' slwh 1'I'lIpl'l.ty, 10 whom tl'llIIsf'I~"rf!c1, Uw
relnt.llIlIslllp of' the trnlls!'0r('cs to t.he flpcedf!llt, t11'~ prIlJHII'I.lollllte Sh'l,'f' rf!I'(lI\'I!d tJ~. f'1I{~h I.rlltlsf'l'r(ll~ lUll!
1111 01/11'" rll(~l.s of /I IlI~rt.tll('nt. 1111\'111'(' rf~gllrdll1l!; Slllrl 1.,'lIl1sI'P"S. III 111(' I~IISI' of' 1.,'lllIsl'l'rs Illtended III
tllke f'f'f'C'C!' III possession or en,loYllIelll. Ilt. or Ilt'l.f~r t1plll.h, thl~r'l~ Is Illso IItl.lldll'r1 t.o the selH'dllle II eOII)'
of t.he del!!"t, trtlst. np;reel1lf!nt. or otller 1nst.rllnu!nt er'~lJtltlp; !.II" l.rllsl. Till',." Is nl50 SI'I, f'ort.ll In sultl
sch~lhlll' it list of' nIl properly, rl~nl IUlll persollal, wltll It.s \'Illltl!, .....Jllf:ll Jln~s"s Ill, dl~{:I~d(mtls fi'!IIt.h hy
virt.ul' <01' thl' f>xerclse hy c1ec(!(lcnt., (dther !ndl\'ltlllllll~', ol'Jollltly wll.ll 1I1101.IlPf', or I!I\Y pnwlll' of' Itppollll.-
mellt "I!stIHi1ndecedent, (~Ither Iwlivlduully or Joll1l.l~', IJyt.llf' \\'1\1, dl'l~d, 01' Ilth/'r lllstrllwmt of' 11110t.lll.'l',
with It eopy of t.he instrtllll(!lIf. crent.ing sllclt 1"IWf'I' Ilt.l.lrdll'i! 1.0 1.111' selll'thllfl.
l'hllt, Schedule 0 Iltt.ncherl hereto IlTlfI mll(h~ purl, IIf'rent' Sl't.S j'orth Ihl! 1l1l11l('S Hwl addresses 01' Itll
}lerSOlls Iwnef'1e.l1llly int.ereslNI in t.his estl1t.e lit tile time or dl'1.: 1'1 1('11 1-1 S (j1!/lUI, Ule llHt.llre of' t11C'!r J'CS-
pel~tJ"I~ ifJtl~I'ests, t.helr relntionshtp, ii' HIlY, to LllI' dr!cl'dl!l\l., 1.1I;.!;I!t,her .....11.h t1.(~ II/!;es lit. the !.Ime 0('
rlece(}lml.'s Ilenth of' nIl minors, nnll111tnnl.s /l1111 1l1l'lPI'lt~llIrl('s 1'0'" 111'p Ilwhn' decedent's WII]. It Illso
contains II stnt.emcnt showing which of the hcnertc1/Jrles lIalll!~d III till' rl(>('l'IIPllt's wJ11, Il'lIny, dlctl prior
t.o dc..:(.t!CIlt., the Illites of their dent.h, 1.I1Hlr Iss\ll~, /lnd tllP l'I~IIIt.lo"slllJ1 llf' Slwll IssIH~ 1.0 till' lJ'~'If!rlelary.
That. S.:f'edule E attaclled hereto llrlll l1lwll! Il pnrl. tll'reof' Sf.'ts rOT'tll till JlroJlert~', I'cal IUlIl per-
sonal, owned hy tile decedent. Jointly wtt.h Illlot.hcr or ot.llf~rs. Inclwlln.f.'; lntllll).!;lble, Slllndtll~ III the IIllmC
of the (h~(~eclP-lIt fUlll othel's, plus the tln!.c /lull 1'1nce 01' recot'li of' Il\stl"lmu~llts ,,"f\!etlllg t1w \estlture of
reEl] f~St.lltc rmd the fillt.e nf Ilcquisi UOIl of personalty, pIllS t.he flllme, nrld"css Illld l"e1nt.1ollshlp, 1 f' any,
of co-owners to t.he rlecetltmt..
Thllt SCht?dule F Ilttltched Iwreto Hlld mucic 11 Jlltrt. hereof set.s f'o"1.1i t'1I11~' IUlll III d....\.ltll Id 1 dehl.s
find deduct.ions claimed for Illlfl on hp.hll] (' of tl1i s lIeeedell I.' s es t.1l1.e, inl:1 willig I'lIl1el'ul t!xll/!lIses II/lid;
f'nmilyexemptionJ where 1I}\pl 11~lIhl(): costs of' Ildmlnlstrlltioll 0(' this estlltl'; l~qllnsel 1"~I~s Ilnd l'llflicllll'yl s
conulIissions pnid or to he pllld; cost expc'Hlel! 1'01" h111'lal ll'1Ists, t,omhst.oJll's or gt.ll\'....mnrket.s, IITIlI re]!-
gious services, in conseqllellCI~ 01' t.he dPIlt.h of' the dCCI~dent.; dehts anft c]nlm::i owing: IIllrl 11lIJlIIld 111, time of
defiUl; tflX('S Ilccrued cllnrgellllle ('or perIo'! prior 1.0 Ilecl~llelll.'s Ileal.ll (ex(~l'pt t.hose Itllowellllllt!I1I' Sectloll
Gill of the Inheritance nnd Est.nte TIIX '\ct); tngl't.hl'l' with II stltt,I'IllI'lIt 01' eollat.l~r:tl pl,-,dgl>d for ohllga-
tion~, if' any. ]t is lI~reed thllt t.he l'Iducilll'y will pl"f'Sflllt proof III' slIl<t clalllll~d nllli:~lIl.ions uJlon 1'e-
quest, tJwt if' the nmollllt IICl.HHlly pallt in sett.lem'!1l1. 0(' IlIlY fee. f~()ll1missit)1l or ttl'hl. Is II~ss t.hnn the
esUmatC't! 1l11l0llllt cllltmJng Hlllt 1\lltlwpd, t.hat. till! saml' wIll hI> ,'PJlorl.cd t.o lilt' llpgistyr 01' Wills, /llId tllat.
t.he llmount of t/1X assess!!!! CIIIl lH~ rt!llsSI!SSI~d III II(~I~nl'I\IIIlI'P U'l'rpwi I.1i.
Tlwt the 'tol.IlIs of the npproprlnt,e COlllllll1S In Sdlcrlllles "A", nUn. "e", "E". IlIl,l "1-'" liS tl1rHt~tI~11 ther1dTl,
hllVf' lJeen cllrried forwnrtl /Iud }\rnperly r('}.?;1sl.c!"f'd ill Ul'> SUllunllry.
Subscrib€d and sworn to before me this
"jv.:
day of
.,19,51:1>,.
l~L~ 'f!L~~j"",.. .,.......
( Executor-Administrat
1010 Drayer Court . ., "
( StTeet Number)
Carlis1fl" I)~, 170p
(City or Town and State)
'o~
.,....~" c;....... 0 ::t~
y mmission Expires June\)3, 1983
Not Public Corli:>lc, Cumbcrbnd County
SIITE:
f'tllPlt
Ih'1'nr'~ sl~lltllv. 111'1'11111\'1'- milk" ~11l'P 1111 hlltllk S]1II1'I'''' III 1 Ill' IllT1dll\'11 HlIll schpdlllps anl1(lXI!t1 1I1'1-~
ill wltlJ dl'tlllls or till' Will'" "SIIIII'", ILlld ill t~"lSI' IIII' ,'js~..t~ illClll'lfl "111'1' Illld 11111 1stI'll sl'ellrlt1f>s.
sf!ellrllt(~S of ,~lIJSI' or fllmll)' t"Ol"lllIrlltlollS II" Illllllll""I\~1 i'l :11l~" 1"C1-J1l1l'll1l'l'shll' or hu",IIlI'Ss. t.lLat. t/H'
dlll11 'IIIrl sUlll'lIl"IIt.S r('qulr",1 lIudl'r lltl' jllll'Il/.'.l'apIJ IIIl/l\,I' r"lat In.e, 10 Sl'lu',IIIII' "U" Ill'+> 1l1tlll~hf'd. \Iso ma\,;+'
el~rllltll thllt. ~tJll1mll 1/1 In till' "Sullollan,l! 1i:IS 11""11 prop"I'ly 1'01l1pll'\"" as :tIH\\",,-dll""I'\I'd.
.' RCC~34 (,4.13)
COMMONWEALTH OF PENNSYLVANIA
. OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "A"
REAL PROPERTY
*
Real property in Pennsylvania, with statement of mortgoge encumbrances upon each parcel at death of dece.
dent. Property held by the decedent as tenant in common with another or other, should be identified
as to quantum of interest and the estimated value should be that of the decedent's interest only, (Property
held as joint tenants with right of surviorship or tenancy by ""tireties should he reported on Schedule "E,")
The real property located In the CommonwlIIoalth of Penuylvonlo should bo
described by lot and block number, streot and slr!)ot number, tOQether with
a genrral description of the property, with 0 roference to tho record of the
convoyonc., by which the decodent took title; If 0 form stole number of a.
eres; 01.0 statenlant of mortgage encumbroncf'ls upon l'1och poreel at d.,ath
of decedent. Taxes, auet:smonts, accrued Inlerast on mortgages, etc.,ore
to be lilted on Schedule llF" and must not b. deducted from Ihl~ schedulo.
1. Undivided one -tenth interest in building and land
known as 9-11-13 North Hanover Street, Carlisle,
Pennsylvania, pursuant to purchase money trust
dated December 15, 1976, and recorded in Cumbel'-
land County Misc. Record Book 226, Page 218.
1979 Assessment: $37,510.00/
Market value equals four times assessed value -
$150,040.00
One-tenth interest equalS $15,004.00
2. Undivided one-third interest in the following lots
situate in Forge Road Acres, South Middleton Town-
ship, Cumberland County, Pennsylvania:
a. Lots 12, 13, 14, 15, and 16 of Section "H" as
set forth in Cumberland County Deed Book "y",
Volume 26, Page 802.
1979 Assessment: $2,740.00 (Total)
Market value equals four times assessed value -
$10,960.00
One-third interest equals $3,653.34
b. Lot 6 of Section "G" and Lot 17 of Section "A" as
set forth in Cumberland County Deed Book "H",
Volume 27, Page 138.
1979 Assessment: $1,270.00 (Total)
Market value equals four times assessed value -
$5,080.00
One-third i.nterest equals $1,893.34
c. Lot 10 of Section "G" as set forth in Cumberland
County Deed Book "L", Volume 27, Page 112.
1979 Assessment: $540.00
Market value equals four times assessed value -
$2, 160.00
One-third interest equals $720.00
d. Lots 25 and 26 of Section''1\': and Lots 5, 6, and
7 of Section "H", as set forth in Cumberland County
Deed Book "E", Volume 26, Page 919.
1979 Total Assessments: $1,560.00
Market value equals four times assessed value -
$6, 240. 00
One-third interest equals $2,080.00
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
OEATH
(2)
ESTlMATEO
MARKET VALUE
15,004.00
3,653.34
(1,893.34)
720.00
2,080.00
131
Or:PA)HMEtH
VALUA liON
CAUTION
(Do not wrlto
In thl. spou)
\
,;
i ~ 7 J. 3-3
RE:V-4~1 (1l.78)
'~'~
'If'
,'" \
, . 1"
.~
COMMONWEAL TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS: This Sdlt.:duh: I11l1st disl'!ose alltangihlc and intallb\ihlc pcrsonal properly owncd individually by tht.:
decedcnt, ilt the tilllt.: or his death. Property llWIU.'d hy lhe deccdcllt jointly with allothL'r or nlhcrs lllllst he listed
under Sdlt~dllle "E". Intillll:tihk persollal property, titled ill the nlllllC of the decedent, hul payable at death to ;lIH1lhcr
or others, indmling but lllltlimilt.:u III P.D.D. II.S. Savings BIJllds and tcntative tfust accounts, must he li~tetl, despite
lhe fact that they arc not 01' the adlllinistl:rclI estiltc.
Tangihle personal propt:rty should he listed first (e,g. jewclry, wearing ;.1I1P.\rcl, hnuscllllld goods, and
furnishings, hooks, paintings, autol1\ohilcs, hoats, cIC.)
Intangihle persOlHtI properly, sllch as honds, treasury certificates, cash on ham) and ill bank, stocks,
mortgages, notes, Logcther with accrued interest or dividcnds, salarics or wages, insurance payahle ltl the estate or
fhlndary in said cOlpacity, partllership interesls, illlercslll1 :my undistrihlltcd eslatc of or income from ,IllY property
held in lrusl under the will or agreement of anolher, even though located uutside of the State, al llw lime of dCilth,
should he listed in this schedule.
Itcm rmM UNIT ESTIMATED DEPARTMENT
No. List and describe fully VALUE MARKET VAI.UATION
VALUE (Do not writc in
this space)
1. Balance due from Carroll Myers and wife on note
dated November 24, 1978 3,000.00
Interest at 8 1/40/0 from November 24, 1978, to
November 14, 1979 241. 40
2. Balance due from Carroll Myers and wife on
note dated April 26, 1978 3,000.00
Interest at 8 1/40/0 from April 26, 1978, to
November 14, 1979 385, 54
3. Balance due from Carroll Myers and wife on
note dated July 5, 1979 3,300. 00
Interest at 8 1/40/0 from July 5, 1979, to
November 14, 1979 99,75
4. Interest in Trust under Will of Robert U. Frey
held by First Pennsylvania Company, Trustee,
Trust Account No. 01-048659/00 39,907,62
5. 39 sharr;. Farmers Trust Company common (i, 326. 00)
stock @ 34) J.. S' /) 07:1.,00
6. 2,441 shares Commonwealth National Bank 0..6,891.50)
common stock@(311/2):301/V 'I ifJ lf~rD.S-O
7. 116 shares National Central Bank common stock @,088. 00)
@&8) 17 I, 171-,00
8. 35 shares General Motors @~4. 3125~ ,,-to 'fJ7s' Q, 900. 94) JJ'os,JI
9. 200 shares Carlisle Corporation common stoc k ~ "5"0,00
@@2.6875).2..3 lit 4,537.50
10. 100 share9 Gulf Oil Corporation common stock
@~4. 3125 ,3j.15' 3,431. 25 ~ .J1S: 00
11. 2547.526 shares Windsor Fund @ 9.34 23,793.89
12. 333 shares CCNB Bank, N.A. common stock
@11 :l, 663. 00
R~V"481 la..,s)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS: This Schedule lIIust disclose ull tangible ilnd intangible persollul property owned individually by the
decedent, al the time of his dl~lIlh. Property owned by the decedent jointly with anolher or others must be listed
iimh~r Schetllllt' I ij:: " . Int;lIIgihle personal property, titled in the nallle of the del:edent, hut payable lit death 10 alluther
or others, including hulllot limited III P.O.!). U.S, Savings B(Hlds and lcntativ!.: trllst accounts, must h!.: Iisll:d, despite
the rnelthat tlwy ar!.: lIol0t' the adminislerco eslate.
Tangihle persollal property should he listed rirsl (e.g. jewelry, wearing appnrel, hou~ehold !!onds, and
furnishings, bonks, painlings, automohiles, hoats, etc.)
Inlllllgihk personal property, snch liS honds, treasury l:ertiril:iltes, cash Oil hand ,uHI ill bank, slocks,
mortgages, noll~S, together with aCl:rtIctl interest or dividends, salaries or wugcs, inSllralll:C puyahil.: to thl: eslate or
riducillry ill said CllPllcity, partnership interests, interest III any undistrihuted estate or or income from any properly
held inlrusl.llltller the will or agrc~l1Icnt of al1l11her, even though Incatcd outside or the Stille, :It the time or death,
should he lisled in this sl:hedulc.
Itcm I'IEM UNIT ESTIMATED DEPARTMENT
No. List and describe fully VALUE MARKET VAl.UATION
VALUE (Do not write in
this space)
13. 400 shares Industrial Val1~' rank and Trust (8.400. 00)
Company common stock @ 21 .10 Yt 1/00, 00
14. 500 share~ First Pennsylvania Corporation &.343.75)
@ ~O, 6875 10. .37S' .r; IY 1, ,)'0
15. 200 shares Northwest Energy Corporation 5':J....1S;oO
@@7. 0625) .:(~,31b (5.412.50)
I
16, Balance Cumberland Valley Savings and Loan
Association Savings Account No. 141520 1.780,81
Interest to November 14. 1979 36.54
17. General Motors dividend 52.50
18. Gulf Oil dividend 56.25
19. Carlisle Corporation dividend 45.00
20. Northwest Energy Corporation dividend 65,00
- --r,;--r---
Insert this totalllppusitc "Personal Property", Schedule uB" in XX 188.758.74"S:'/-31.(.,/
the "As Repurled" culumn on lhe last page or this retufll. / )!~
"RCC-31 (12~63)
COMMONWEALTH OF I'i-::O-::O-:SYYLANIA
TIIANSn:1( INIIEIlITANCE TAX
Rf:SIDENT IH:L'EDENT
SCHEDUl.E "D"
I\E:\EFIClAI\IES
j1...
~r.l~!t
'~'~'.r,.;i
/)L,.-',;~l~J::( \,}\
"/,"""\L.IY"~,,'l;
- -
- - .n._
BENF.FICIAIUES AND ADDHi-:SSES IIf:LATIONSIIII' [ SlIIIVIVi-:D IJATI': INTI':IIEST OF
'State full names and addl'pssns 01' all who (If sl('p'l'hildl'nn or I 11I,:n:m:N'I' HENI':FICIAIlY
1I1t'!-:itllllnt(. c1uldrcn I Iii"
u\'c an interest. vested. cont Inl-icnl or ollwl' ;He 111 \'ul \'ctl , set STATE YI':S IN ESTATE
WhH'. ill estale) forth thi-; fact.) I 011 NO 11l1l'l'1I
-
Robert M. Frey and
Elva Fav Frev
1010 Drayer Court
Carl isle. Pa. 17013 Parents yes I 100"/0
!
- I
I
Ileponent turt.her snj'S t1l11t 1111 t.he libove-JlILmed hcnef':lcill.rles are 11\'ln,f!, lit t.hts time exccllt helow:
NAME
DATE Of' DEATII
I
-+
I
r--
_-..L__
HESIDI,Nn:
-~---_._-- --.._..-----~--"-------
..
o '
~<~
~ ..
..
v;: C
'c eLl e
,_... ::I
6~-
- 0
'" 0. u
-;: g,
8,CJa:l
'St;t:
~ 0 0
~eg.
- Q::
Heal Property
Personal Property
Translers
~oiTltlYO\VnedProperty ,
SUMMAlIY
(Soh, "A") $
(Soh, "B") $
(Seh, "C") $
(Sch,"E1') S
$
$
Gross Taxable Estate
c- i1
z
.. t>I ~
'" ~ ..l
"' - :>< ~
:>< .... ~ Q), <
t>I ~ ... ell
en I'> Ul -
- Cl: .....: <
..: ~ ... ~ CII:
c<:; t<. 1-<' '2
.. ro' g ..
0 ~ ~ ..
.. cY ..::
'" ..: !:l fa <
~ ;:: tzl .....' ... "
t<l c- i:l 0 I-< ~ Q
"
0 '. :I: '" ..: 0 OJ c Z
~ 0 in .<:: -a :-
Z c- ....1 bll .. .or,
t<. tzl ;:l - I-
~ ~ 0 ;:l c
0 I-< U "
" c::: 0 ~ 0
c r.:I ~ >Q ~ ..
'.c ...
~ 1= ....1 ~ ~ Il::
.b 0
~ rLI c
'" .... 'C " 0
E] "", :- E ~
j c
:::~ u u
(1)
(As II<'Jl"rh'd)
23,830.68
188,758.74
1,725.17
,21~,314.59
(2)
(tI, D<.'lI'l'IIlilll'd)
$
$
$
$
$
$
REV.484 EX+ (J.gO)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
File Number __-2l:07_9=-69A___
Estate Nome ---- Elaine-Louise-,Frey
Date of Deoth _......l!=_l4.:::7)l_________
Soc;ol Security Number
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Cumberland
Pennsylvania, do respectfully report that I hove appraised the real and porsonal property os reported in the foregoing
return at the values set forth opposite each item in the last column to the right in Schedules flAil, liB", ue", and "Elf
Doted:
..2::.11-80
J.J'.f.-,//fl) (Jt/~JI,),. j)
INHERITANCE TAX APPRAISER
INVENTORY
VALUE AS APPRAISED
ADJUSTMEN1'S
COOE (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE
Real Property (Schedule A)
Personal Property (Schedule B)
Jolnt.Held Property (Schedule E)
s 23.630.67
185 434.61
1 725.g
o
__1}0_,120.4.~_
30+
00+
92+
10+
20+
Tran!'lfers (Schedule C)
TOTAL GROSS ASSETS
Less D.bts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
40-
93-
Valuation of life estates or
annultl.s. . . . . . . . . . . . . .
RATE
FACTOR
PRINCIPLE
VALUE
CODE
r--
FOR USE OF REGISTER ONLY
Tax on S
CODE
COMPUTATION OF TAX
$
$
$
$
$
6%
T ax on S
15%
Tax on S
Tax on $
Tax on S
Exemptions
Total Estate
$
$
$
TOTAL TAX
INTEREST FROM
BALANCE
TO
Less Credits
DATE OF PAYMENT
INTEREST
OISCOUNT
TAX CREDIT
AMOUNT PAID
S
+ $
$
=
$
+
=
INTEREST FROM
BALANCE DUE
BALANCE
TO
5
5
5
.
,,~ ~ ~ ~ 'd
::; OJ ~
'"
Z t<l ~ ~ M
~ 0 :>< '"
OJ OJ
~ !1l 11
en ....
;:l " "
~ ....l 0 u
0-1 OJ
< ,.,
C- - OJ Ul
U Z ,:: ,..,
- 0 .... ,.,
t<- III '"
~ - M <1l
....... 0 ~ f" U
~ t<- t<- O
1;; 0 Vl 0 Z 0
t<l en :>< I-< 0
- ~ f-o t<l Z
Z ~ z
::l 0 SE 0 z ~ t<l ~
Z Z 0 ;:l u " z
- ~ en ~ 8 0 <
at ~ 0 .. :l
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
COUNTY FILE NO, ~ )
I) (1
,
(. 'I II
DATE
Ci: ~ I C, rf'{J
j I 'k
I) . .I -
.ItA ,~(j I, '\'\/I"oJ '~1
FILE NO, ,;:; I 1") (j (" q IJ (
1 (I' 11 .) I
COUNTY \, ...AA/"'or.t, \ J~, '1..11-,'/ .
"
DATE OF DEATH '}i 11\ f liS' I C, 1)9
"'," -I
1'1,
TO:
( / ,) Oil! -QI 1- \"ill
5' J \\ ~v "
( I}I',JLJ-J
_ \.1\
1, I
ESTATE
,
I Jj/
: -t. .
0'
-'
'\
j l'''j
,"-, '
/Ii ,) / j,
,
Appraised Value of Estate:
Real Estate
Personal Property
$ ol:J ( '~\r)
,
. 1(:/:' l/ ;'l!
-/ ~r' f
(, 1/
( -,j
Jointly Held Property/Transfers
) ,-. /"" J ~)
. / ci, ),
HJ..,/O '7 Ii (J if/';
-~
.51/ (\ G " (1 ;<,
1.)1
$ /:5?, , ( I /:." ..,
(.... .., :J, '-:1
Total Gross Estate
Total Approved Deductions
Clear Value of Estate
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
$ J i;t, ((11, 5,~
Amount Taxable @ 6% Rate
$ .I 4/, /, 0 i. --::; :::',
tax due
$ 9 1./--0 /, ? q
I '
Amount Taxable @ 15% Rate
tax due
',i ,,\lu ( ,>_ i'I T~:~L PE7~SY)~~NIA :N~ERITANCE TAX DUE
(.()I()"'~/) ,
* * * * * * A five percent discount totaling S
will be granted if the Inheritance Tax is paid by
Li,. Ii r)1 r; 7 ~
IV,.5 3-
, '1 4 I i:J. 3~,
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
10, ,;),11 i:--(j
$ 'I 9 K' II I) U ·
/ u u I , 79.
J_ ~. .
sllJ.(lUU-
$
=
$ "'i/ilu,lIO
,
;1,/3,(11
) /) -I? YlJ
=
/ 0 () / ?7
) () !-:;3
/0 5:5
-;----1--1
. (ij {}
.-.------..--..
(; II( ,.
I "." ~' _~_~
Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by
_ is
'I" i I
,.- (' '-
HI" \ '-A, -7 j" t~
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
"
I
See Inlormalion on Reveflie Side
'! Ii; ~ ' 11-
\., '\~~ ,:\,i->~
1\ \-t!.it(h
OP'FICIL OJt TMI1
REOISTER 0," WILLS
o. Cumberland
COUNTY
.}/. '7y'-{91
STATEMENT OF DEBTS
AND DEDUCTIONS
'80 lX:T 17 P 1 :28
DEDUCTIONS ALLOWED IN
Form RCC.10
AND AGIL"IT 01" TMI COMMONWE....LTH
THE SUM OF ...... ...... -5' v,o 9 3.?ii
DATE APPADVED~,J:',~t IQ{'1
t
,
CATE OF FILING APPRAISILMINT'( _"
_ LATE OF Borourrh of Carlisle
November 14, 1979
DAn 01" DEATH
ESTATE OF
D"TE
NO. 01"
VOUCHI:"
NAMIL OF' PAYEE
REMA.RKI
AMOUHT
2,000 00
3,850 00
18 00
16 65
obert M. and Elva Fay Frey
wing Brothers Funeral Home
umber land Law Journal
Fam ily allowance
Funeral services
Advertising Lettel's of Admlnis.
he Evening Sentinel
egister of Wills
Advertising Letters of Adminis.
Letters of Adminis. & 1 short
& Administrator's bond
Debt
Debt
50 00
1 00
265 00
3 00
6,269 65
11 430 00
100 00
17,801 93
1,666 67
10 539 52
3 00
45 00
4 50
7 00
14 00
9 00
e ister of Wills 1 short certificate
arlisle Memorial Service, Inc. Headstone
Filing Report of Assets
he Milton S. Her shey Medical C nter, account
ommonwealth National Bank
Share of debt
illiam G, Hi ensteel
Commissions
obert G. Fre
egister of Wills
egister of Wills
e ister of Wills -Cumbo Co.
Administrator's commissions
Filing Debts and Deductions
Filing Account
Filin Decree Awardin
ecorder of Deeds - Cumbo Co. Recordin Decree Awardin
he Milton S. Hershe Medical C >nter, account
Recorder of Deeds - Perl' Co. Recordin Decree Award in Rea'l
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland ..,
I, Robert G.
Frey
HEREBY CERTIFY, THAT. TO THE .EeT 01"
I"UNlII....L EXPlNUS A.ND UP"!Nla 0"
DICu.eID. ...1 DEDUCTIONS I"OR
NY KNOWLEDGE ....NO BELIEF, THE FOREGOING 1& .... JUST AND TRU It SrATIEM(NT OP' DEBT_,
ADMINISTRATION SUBMITTED TO THE EST.a.TE OF Elaine Louise Frev
INHERITANCE TAX ,.URPOIIU. / . I .! "-
TIt I 11.- ~v /- ~Q
SWORN J..ND IIJlJllItlC"WU:c eEFORE Me THill I? . c....y 0'"
~ October, 1..Jl.!L
) f"'- l3 ~^
.. '[,. .",., 1 ",,-, ,-: 7"':'.~
,..! ,f"l.'~'!.'.".:'''' ,,' ,..,I;. . ", .,.' -, . ,.
Ncf.cr;.' ;"': :,.:: 1",.1
'd
(L. ..)
rIEV-"IlJ 18-78)
COt.\l\ONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
It!...!l 7'1- 7
TO:
DATE: ..t'-.2tf - J'/
ESTATEOF:_n"',~E ~~"v
FILE NO: ..21 - 77'-.:::JOY /
COUNTY OF: {}"",6"-"IA,,,.1
DATE OF DEATH: 11-1'1- 7'1
------------------------------------------------------------------------------------------
/, DETERMINATION:
I. Taxable estate based upon:
-+The United States Estate Tax Return (Farm 706)
~ The communication from the Foderal Government
confirming the acceptance of or changes to the
Fodoral Estato Tax Relurn
2. Amount 01 credit lor State death taxes (as veri/ied)
3. Pennsylvania inheritance tax assessed
(excluding any discount andlar int.rest)
4. Normal Inheritance tox paid to other States or
Territories 01 the United States (oxcluding
any discount and/or interest)
5. Total inhoritancotax credits (line item 3 plus line item 4)
6. Totolliabilily lor Ponnsylvania ostototax (line item 2
minus line item 5)
$ /5.:21'15.36
$ 13'1-33
$ 9/jdl.79
$ - 0-
$ 9WI, 7f
$ -CJ-
NOTE: Completoline ito:ns 7 and 8 ONLY when dotorminotian
is basod an Foderal Closing Lo".r
7.
Amount of Pennsylvonia estate tax assessed on determination
dotod
Addition (reduction) to Pennsylvania estato tax (Iino item 6
minus line item 7)
-0-
Det.armination prepared by:
Dato:
J~'
-" -.:lr1-J'I
$
$
~
-~ -
8.
---- -------- ------------------------------- ---- ------------------------- --- --...----------
B. ASSESSMENT:
1. Pennsylvania Estate Tax reflected on:
lino item A (6)
lino item A (8)
2, Less credits:
DATE OF PAYMENT AMOUNT PAID
3. Balance of Pennsylvania estate tax due
$
INT EREST CREDIT
IS I =
(S I =
(S ) =
--
$
Interest is due at the rate of si x (6) percent per annum from
to the dato 01 payment.
Asscssment prepared by:
AGENT FOR THE COMMONWEAl. TH
Dot.:
SEE REVERSE SIDE FOR INSTRUCTIONS