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Home My WebLink About79-00713 C'~ '<""I J'" ..: H ~ ~ ~ ,P< H ii1 ~ E-i CIl o r4 ~ 6' ~. ~. re ::;: ICIl ~. O'i -0 ...... I ,,- r""4 jJ .0 I (6- Z 11I- No. 2l.1~ "'. 'I 1" , PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of .1;zt~_d.__/Jd~'--7,t~_----, deceased. H~rold B. McLane, Deputy To n,GI,I1, d C. AI,dl'-I.>OI., Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania. IS , PetitioneJ(s) me the execut~____._ named in the Last Will and Testament of ~J, /I. /7 c/......&"? _ dated ;:J 'J' h...{l.--t';,'?jj Decedent was a citizen of the United States and a resident of &J G' .---J.~. Tcrml5hip Borough, Cumberland County, Commonwealth of Pennsylvonia. Decedent died on , ,<; ,-I....,; the ",;;.-1::' ~ I / b" day of //t(7~~) A. D. 19.2..!l-, in the County of LL '~.:... State of c;::' =- at the age of J /7 years. has has .her Decedent has not been married and \1as not had children born to him since the execution of the above described Will. rfr"'- Decedent was possessed of personal property to the value of /"''''/'''''' Ire;! and of real estate to the value of /t{, "z/r' -- as near as can be ascertained; said real ,AI c-' /1/ E:... estate situated as follows apply Therefore, your petition.e.r(s) respectfully applies for the probate of the said Last Will and Testament and for Letters Testamentary thereon. Dated ,/ z/ r / '7:l I I ' Name and address of Petitioner(s) K .L:...: J9 /~ .. ,/,;>. S- s,,'-~ ;? " C~"- C?.., i /::>l! '<. ( COMMONWEALTH OF PENNSYLVANIA} ss COUNTY OF CUMBERLAND a,~ (). ~9z"if named in above application, being duly <;,,<,~"'L according to law say(s) that the stotements set forth In this petition ore true to the best of f~ knowledge and belief. ,;/' /' ,.. / ~ (, . I.';/' .. ---.....:..', . "(I-- J;tH.- ,'. -, -~J'_r;:.(-' 125 5' ,,<:AIt..4.:v't../,~_ ;:'~~" J'1. ,/ ,"'0 '2 ~ ~ tt.",n.-rt- and subscribed before me1-~--:--.~~/'( 19_2;- ~~~u,-:f{'~~C'M tttrold ~ cIJa,ne' DeAAtr:--- i=lteFlIl, J . !IV"" ~vll,-HeYlster '.'/ -:/ / .~" - I , , (7'D ~. I ......v I~..L.~ ~~ I: -,...... ' . h Attorney. ,/ ;)- s. c;:;....'-z:;. d-r~ ..-. ""'--~ . ;" s ;} - ..; 0 t' r' f' '7''L< --t:v / v' '7 /7" ? .,;- Filed: December 5. 1979 o?j- 7'1- J/..i :: :l " j ~ ~ ~ H (,') 0 a: (l; ':j ~ 0 c ~ I.;i j:Q ..J > N :-:... " W ~ 0 ". Vl 0 ~ ;:i Z ~ ~ ::l ~ "_J; 0 0 U z w j I.'-:j . . rJl a ,,.., <Ii ,_., rr; ~ Z 0 I...i _1: 0( ~ z ... c '" ~ ~ >1 ::1 ~ z f:J J a: 0 .-'i l= 0( .- OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND \ kxx 4th DeceJllber 79 This......................... ........ ............................. .......... day of ..... ................................ ........................... A.D., 19..:....., before me R:.l.ll.lI E. !.l.lIBllll1M, 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 .............. t:~:~::=~?~.~..~:.;~:~~:~;t~~~:::::~"~';::i:~"~::~~::!.:.,~..~~~..;~~~,.~;.;;..~~~ Testament ~f ..../ltl7:l......,.../l.I..........~.................................... Dated ...?;..'l.....&i:7...if.I.:)... Iateof......~.....t.,~~.&.7t.":!&......t..~........................................ Cumberland County Pa., deceased who being duly .......~(v.:.I.~;\-.'..... according to law, depose and say, that ..&.............................. present, and saw and heard the testa..l:i......,................, ............................................................................. sign, seal, publish, pronounce and declare the said instrument of writing as and for h....,(..&..... Testament and Last Will, and at the time of so doing ..............................~~.......was of sound and disposing mind memory and understanding, to the best of .....................,..,........J.L(."......knowledge, observation and belief. ,..,..........$..~............. and subscribed before .....,~".~.,.c.rC.L.....~.............,......,.... . .......~..=;'i"~;~.. .~..... .C......4~Jt;. iJ -~~.... ..... .............. ... .~"k~r- f) ~L.,;2..a..~...(........................... -- I .1fWlJ.J. ;;1~:wv4u.,~ ....,...,..... ..,. .... ....,... .~. .,. Deput;y..........,.............. ........ Riokarli i ^ RdnrQDR, Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND \ ....................,...................................................~.~"............t>.............~.......... . ....................being duly ..............................................., says that as nearly as can be ascertained t said decedent ..............,........... ......................................... .. . ,~(/........./i..I........:Il..di.~?11<::? ....................................................died on .................,.......!!..(<.~.~4.?'CI~... t ..................../...,f.~!.day ....................,zl:0::'::4...&:.';....... A.D.. 19..7..9- d .......,.........,................,({.":r.~.and ~cribe this ...................... .......................... day;;;. ............,........... / .................................................................................. 19, ......... before ................................................................................... RitJl.al a E. A..J..., P~'" Register OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA I 55: COUNTY OF CUMI3lmLAND \ This........................ ~.~~......................................... day of .................... .!?e.~~~.~........................ A. D., I 97.?...., Harold B. McLane, Deputy before me I\IcnUld ~. Allac, son, Register for the Probate of Wills and grantini-: letters of Administration in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally came .............. ....I!...~........C11..~......J.~...~.....,~I1.~...~.~...,............................................,.....................,..,....,..,. the subscribing witnesses to the foregoing instrument of writing ptll'porting to be the last Will and Testament of ..........!(.t;A.r?......I?..,........f..r.;(<kr.r.l..-,'...................... Dated ....;.?;.9:...;:~t.:....I..9..I..9.:. lateof..,.........~"'-r.t......q...~-:7?.~~...........l...lArirt,............. Cumberland County Pa., deceased who being duly .......~.t..:O':::-~::""....... according to law, depose and say, that .<&.d....&........U.(,~......... present, and saw and heard the testa..~~...................., ............................................................................. , sign, seal, publish, pronounce and declare the said instrument of writing as and for h..~~... Testament and Last Will, and at the time of so doing .................................a:I~,.was of sound and disposing mind memory and understanding, to the best of .........,.......................,4t....(..knowledge, observation and belief. ...............,5;..,.~........, and subscribed before /'! ~-- .'. ....X.....(/b:(.f1..)?;."'..':....~~..t.<, y ........................... ,p....... ..,......,..../..2..~.:..~L<<:7:~r~..,~'... ~_.._.._-(7'-:--7.7i:J-<J r- .....,.....,....,......e.....!!\..:;;::,~......../,..........Y.:.;>.,....... ! 1l-~~!M.i:?}]9,~~...DeputY........................,....... ~, Register AFFIDAVIT OF DEATH . COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND \ ..,..,........u~~..........t!..:.,...,..~~/..........................,.,.............,......,..."....."..............being duly ,....................~.-k.~.'-says that as nearly as can b; ascertained the said decedent .......................... .....................,.............,...'1Il,~J......ft..,....,.....(J.,~:?!.'h~.,......................................."......,........died on (' .t/ . -ct.. . /f' t'. . . .....................""..,<,1':':.\&."3'"'' the ................./...~.........day of ...........:,/..iL.'Z::~7.11.. .<f...':'............... A.D., 19..2.t, at or about ..............,.........../.?!.;..J.~I. o'clock, (:9,M. ...........,.....................?:~!-:',.;::!-:r.\<..and subscribed this 4th December ................................................ day of ........................ 19, ~~...... before > / . j\ .f/ .~.. \I <:. ,'v,.,... <C. ,"- .---'~.. ~, .......f':.";...,...~.i..................;........;...........,:...... y~'"(............. .:. -r- ~. 9~~.JJ]~.]J\~:i~~~It.'(f................................ RI",luud 11 ....J..I..,ull, Hcmst.et OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA} , COUNTY OF CUMBERLAND 88: Before me, the Register for the Pro hate of Wills and gl'llnting of Letters of Administration in and for the County of Cumberland. personally came .....c.~.<d.-.-:':':'.......tJ.......~:?l:::~............................................ who, being duly ..........~k.'":'::':\? dcl1.&..... depose and say that as....C~6.y.,<.(:.v................................ of the last Will and Testament of ....!,?z.d........I.1..,........d..,c.-f.'1i?'::?r.f6?.................................deceased ,.........,...M.... 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. ...........;;t.<-.~~ and subscribed before me. ............,.....?~.~.~...~.'....................... A. D" 19??..,..... '1LMJrFl"\<-,~ ~~ ,............... ..,............... ..Deput.y.. ............. .,.........,.... '" R:...L.....J E. AA~lAae.."'(..l., Register .....!.:...,'~~t:.::~:..,.J2.....4~....,........ (;>.... / ~ .........,.......>,.......;>..f~...........,.................... €:~ I '" 0. I I 7<' ... 5- :'ti 0\: :cu '00 ....: 'Ol 0> ~~ .....~ :cu :0 U. <-I to 0 '"' l"l: ~ lIl, .-I: -! ~\ ...., 0 1<: 0 ..... ,: -! III )l\ , " 0\: ~j ,,01 ...., - :::: . ~r 1" I: $ ~ i:\ .-I: .: U: N: .c~ .5 r&l u: Q, '0' ~I '0 III cu ..... 0 '0 0\ Z ... to I 0 - .2l u *' N cu .5 ... cu '0 ~ '0 bl) cu 00 Ol - r4 ,:: if: '" P< DECREE Be it remembered that on the ........,~,~~......... day of .................o.~.~~~~.~............., A, D.. 19~?....., there was probated and recorded the last Will Hnd Testament of .....~~.~..~~...~~~~..........,................,............, late of ...............~.~~.~..~~.~~.~.~~.~?..!~~~.~p......... Cumberland County, Pennsylvania, Deceased. Letters Testamentary Edwin D. Graff ,........ ..............,......... ..,. ...... ...... ...... were f.,'fHnted to ....... ... .......... ...... .,..... ..... ..,....... .,....,....... ......., ."... .......... ...... Witness my hand and official seal the day and year aforesaid. ... .yJ LJ{:>' )1'L/ .........: .~~1.1...:\... "::.... \. :~;?-. Cv'Y>..'s:' DeP.lttly' R,\,.IHUd L. ul.~Lli.nn; RegIster. . '~O:~'~"'~i~8}'<;/ COIIIIMONWEALTH OF PENNSYLVANIA 01 3~~'r i DEPARTMENT OF REVENUE ,f~@':WiiJ:;;::';:',,<i, OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX If~~"'''' \"..,.., .. '. = 'II RECEIVED-------- -- 1'1 From, 'i , pre" ij ~ ~:~. ;njJ ~,\Z!t F'IF'l'Y BEVEN IlmfflREDrepresen '"9 e;;';;Y1~0'7.1Oinh;jriiOnce-07--- dollors Estole lax due from the following estate: CCNB Bank, N..... 220d & Mullet streets 2'lc: Tall on $ Camp Hill, Penna. 17011 6% Tax on $ File No. 21 79 713 Dote 01 Deolh 11-18-1979 15'7" Tax on $ Dote of Payment Febrwary 15, 1980 '7~ Tax on S Estate Tax, Act 01 Moy 7. 1927 Name of Decedent HARr A. .\nI'_'4S Counly TOTAL TAX CREDIT less five percenlum of lox if paid within three months after dole of dealh Plus interest at the rate of _9'cfrom 10 CllIIlber1and Remarks: "PAID ON ACCOUNT II '[j'OO~~~~@ill'[j'~ SEA L TOTAL AMOUNT PAID $ $ $ $ $ I $ 6000.00 $ 300.00 $ $ 51QO.OO NOTE: This Triplicate Receipt to be retained for l!ludrt purposes, , ~A l AA Received by ~~ NOTE: In accepting Ihe Iran$f,r Inherilance ta~ on fulure estates, prior to the death of the IlIe "",' ",,' (tQnal .) tenant or tenant for yearl, 01 evidencfld by Ihls receipt, il is understood thai the Commonwealth shall Harold B McLane nol be preduded or prevented from hereolter aueuing additional inheritance lax at the deoth of Ihe t' , Iif. lonanl or 'enont far yeorl whene...er II appears Ihal such additlonol tax may be legally due and Regis ar oM)lll! collttllblelor ony reason whalloever, t ---- - -- ---,_.- -- - - - .---.--- --.- ----- ---- -- --- --- -- ----- ,---- , COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 55: . Edwl.n D. Graff l.3 the being duly. _8\iO.rn. . according to law, deposes and says that he _ _. ... ..Executor 01 the Estate 01 J1ary_A...Adams---. _..-.. .... late 01 F.oot, PennlllNI:o Townshl.p . .. .._, Cumberland County. Pa., deceased and that the within is an inventory mado by Edwl.n D. Grll.ft . --, tho said.. - .-. Exe.C\lJoT_ ._.. 01 the entire estate 01 said decedent, consisting of all the personal proparly and real eshte, except real estate ouhide the Commonwealth 01 Pennsylvania. and that the figures opposite each item of the Inventory represent it's lair value as 01 the date of decedent's death. -Ma1!Ch..l? 19 _8D-- .x~~-.l2__~~_.-.. Elloeulor . Adminiltrllto~' ~Wn,..n and subscribed before me, Il-~ _... Cfo...J.8..s. .Enola.DriYe_..... Enola PA 17025 -.-. -_.,.-.~- ~-~ .'. ._- _.._----------~--_.._+_.~.- Addrou 'f../ o.y November ~--_..._----_. Month 79 Date of Death ._ _.1..8 YOIlT INSTRUCTIONS I. An inveotory must be filed within three months after appointment of personal representative. 2. A supplement inventory must bo filed within thirty days of discovery of additional assets. 3. Additional sheels may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. j I J .:'('"\, ~ 0 --ci ., .'-, >- ~ ,,';"") .~ >- w l1)i ~ ~ " '" >- ,. ~ .0: s' ~ --".1 [%l > w cUi " I a.. I- J u ... 1J\ 0 Vl '0 " ~ >-tJ N ,~, I 0 w w <(' Cl .~) '" 0 '" I ~ ~ l- I a.. , '\ a.. c t- '- Z I- -' U. .,; ~ ~ " M Ii -' .0: 0 a.. OM u. .J ~ 0 P'l -...., w 0 .0: w t.' .,;. > '" .0: " , z 1 - r>.l , < ,\ Z 0 " c ~ \ " Cl ::;: ~ . ~ 0 II Vl z 0 ((l '" U Z w .0: .' \ ... 0 a.. "0 . ..'-; to ~ c ( '......J M ~ ',~...,.' II - -;: 0 " , .<l "tl .J< Ii " E 0 - ~ ~ ~ 0 -' U u: CD ,J / , ./",/ .' . / ..; - / '/- I ( RCCa'3 {J.a13l . COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS *' RESIDENT DECEDENT COUNTY OF -CUI~IWH[ ^''In IMPORT ANT, This return" m~st be c~mplet;d j;-del~i1'~I~d~iiic~I"in d-UI;lici;I~'. with uli~~t~ct;d. ~jth the Register of Wills of the Cuunty where decedent resided; Itcturn ill due within lllllC monlhs nfler dOle or dClIlh. unless Illl extension is grunted by the Secrclnry of Ite",elltlc. (Sectiun 703 of the Inhcrililnce and ESIlUc Tux Act of 1961.) .- IN TilE MATTER OF TilE ESTATE 01' -.- - -- .- - } AI'I'IIlAVIT OF EXECUTOR County ADMINISTRATOR I~"r~ A. Adorno _.~---------,s ATE FUl..L. NAME OF DECEOF..NT) Late of RiJ~+ p.nn<';lho...cu......Township-_ State of P.nnsr' Y:an i 2. }." County of 0.11mhAY"1.!:1nn Administrator F.rhri n TI. f1T'~ rt" of the ..tale of ,h. abov.-named doe.denl beIng dury Iworn, d.polO Executor and lay Decedent died .-Jovember (MONTH) Hame and address af attorney or } olhor authorized repronntallvo 10 whom all c:arruflondllnco should be moiled. 18 (UA.Y) , 19..7..2..-{t..t~ loovlng 0 laat will, c:opy of whIch II h.reto otloc:hed. } (Y EARl Int..tah Il)rnllll<": M Ra~h J f"~'111i 't"A 1 ~\ R. linn 1::l nr; VP. J fun 1 ::I, PAl 70? L, That as such F.Y~~l1t.nr deponent is fumiliar with the affairs of said estate ami the property constituting ( EXECUTOR-A.OMIN1STRATORl the assets thereof and their fair market value. That at the tim~ of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following: - NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A S,~Fl::': DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF REL.ATIONSHIP OF JOINT HOL.DERS TO DECEDENT NONF. That the contents of said safe deposit box or boxes are itemized under Schedules_of this return, with the exception. of the following, for the reasons hereinafter set forth: That Scheclule A attached herelo and made part hereof sets forth fully and io delail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still due at death, name of mortgagee, datc, rate of interest, and book and page of record thereof. It also sets fOfth in the columns provided therefore the assessed valuation of each of said parcels, the estimated market value thereof as of date of death of decedent. Thai Scheclule B attached herelo and made part hereof sels forth fully and in delail all personal property whcresover situated owned by the decedent at the time of death; all moneys left by the decedent at the time of death, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savings hanks, trust companies, or other institutions, whether individually, or in trust for any other person or persons giving also separately the accrued interest thereon, if any, down to the last interest day prior to decedent's death in the case of savings banks, and to the date of decedent's death in all other cases; all bonds, postal savings, treasury certiricates or notes and other evidence of indebtedness of the United Stutes (I) the dc~ cedent; all obligations, whether by statute or agreement they are designated as tax free, of the United Stutes, or any state, or political subdivision thereof, or of uny foreign country, which are uwned at the lime of dcath; all wearing allparel, jewelry, silverware, pictures, huoks, works of afl, household furniturc, horses, can-iabes, automobiles, boats, and any and all other personal chuttcls of whatsocvcr. kind or nature. left by decedent, together with the fairly estimated market value thercof; all bonds and mortgages hcld by decedcnt and of all claims due ilnd owing decedent at the time of death, and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed, of whatsoe\'er TuHure. with interest thereun, if any, giving the face value and estimated fnir market value thereof. and if such estimat~d fair market value he less than lhe face valuc. it sets forth briefly the reasons for such depreciation as lu each item; all moneys payable tn the estate from life insurance policies carried by dct.:cdent; all annuity and endowmcnl contracts the procecds of which werc Jluyable upon the death of the decedent; all and the corporate stocks and dividends due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the dale of dcc~dent's d~alh and other investment sccurilil's owned hy the decedent llt the time of dealh, with the market valuc there. of a t such time. 10.-').'61-7 III tlU' l:nSI' of' s(>l:llr1tles of' clotH' or f'nmI1.r corpol'flLJons, lhl~ "'/lIlli'S r'!pnrl....d n)'l~ 11Ii l'f1r ns l'o~sltJlo suhstllntlntl'd h~' l'Junlldltl !it.nll!:t1l!Hl!i of' tile e()rllorntloll~, flhowitl~ t.hu Ilti!'Wt.S Hill! lIIlIJlllt.im; ttWl'ool' ilK 01' the llnt.n of Ih~Hth, Till' ~clJedlllf' nlHn fWUi ('ol'tll Ullj Illtor.'Ht of' l!o('(!dpllt ilL IIlI' tll1\(~ or doat.h In 1111,\' rO-l'l\rtlll'l'Nlllp 01' hUHIIWHS, Ilnll In KUPP'Jl't of' t.1L., vullw 01' slwh Inlnrfl"'t. 1,111'1'1' Is 1I11111'XI'Cl to snlll :idl,,(11l1111 1'1111111('1'11 Ktnt.l'll\f!Il'S :;howll1j.',UlP.IHiSf1tS nrlllllnlJlllt.1f!B I,t' !'luld ('IJ-J1I1I'tll'!r~hlp III' hllsltlfHHI, A ('(lp~' nt' tlH' ('n-}lllrt,lll~rshIJl 1l~I'I'I'H1('ntl (If nrnl, 11 slntlll!lf'nt. S"Ul1IJ~ f'orth LI,fl rlllt.lIr" 01' tlil' 11~I''''l!rnf~l1t) tO~l'tll(>r wltll II stllt.f'J!1f'lIl. Sl'tlln~ f'nl'th tllC' cbUI'Ilf:tl!I' nt' tllf' lJllsllll'SS, Its IO{'lItloll, IITlIl SlICh otJll~r l'llets IH'J'!'nllllll~ to t.1I1! hllSllw!{S IlS JIlII,\' hi' pel'l.1l1l!lIt t.0 11 1'111" Hllll ,jU:lt IIpprllhHll 111'1111' dt'.."r\"T1I.'S IIIlI!I'f.''i1. tlwl'oll1 IllllSI he sullmIttpd, It should n:so 50t f'orth In Itfnnlv'll l'urm, I.Oj.;l!t1wl' "Illl tll,' {"111' rllltl'kl~t "'llu!! thercof', 11I1~' oth(>I' propert.y OWllfHI or lJeqllHHtlwd I~J' the fll'''I!fIIl1l1 Ilt till! 1lmf! ql' donllL, The SC"edulf' C IIttflchp.ll hereto Ill1d nlluln part hn"f!nl' sots l'ort.h /I t.rlll! Illlswer' to (!llch inqull'Y contnlned thlHf!in UTlrt In tILe case 01' trnl1sf'ers of'Jlro"ert~', rL'ul or I'....rsoIHil, wtthln two yeurs 01' lit'cedent',,, death, In contompllltlon of' decmlentls IIp.l\th, or IntHndcd to Ill.kf' ('f'fect III po~s(!ssloll or en.Joynumt at or after death, sulci schedult.' sets fort.h the nnture and ,,!due of such propcl'ty, 1.0 whom tl'fU1Sferred, the relationship of the lrnnsl'orees t() the (Iecoltent, tIle proportionlltc shure recelv{~ll bj' cltch tl'nnsferee awl all other fucts of Il pertinent nt\tllre rO,l!:nrdinJl; said trIUlsfp,rs. In the CI1SP. of trllnsf'l~rs int.cnded to take effect in poss~ssjol1 or enJoyment at or nf'ter t1enth, there is ullio IIttllchHrl to the schedule 1\ cony of the deed, trust agreement or other instrument creating tho trust. Tlll~rt' js nIsa set rort.h 1n sllid schedule II list of nil property, relll nnll personal, with jts \'OlllP., whleb 11l1~SI~S nl decl'dent's (lfwt.h by virtue of' the excl'cisc by decedent, eIther indivlduully, or ,1ointly wlth IlTlothcr, or nny pow~r of' nppoint,. ment vested 111 decedent, either indivirlulll1y or jointlj', by the will, (ler!li, or other 1nsf.1'umont of I\nother, with a copy of the instrument creating such power attached to the schedule. That Schedule 0 attnched hereto hnd made part hereof set.s forth the nllmes Ilnll Ilflrlrl!SSeS 01' nll persons beneficially interested in this estnte at the Ume of decedent' 5 rlcllth, the tll.iturc or their res- pective interests, their relationship, if any, to the decedent, together wHh tIlH ages III the time of decedent's death of' all minors, annuitant.s and beneficiaries for lire Hnrler necedent's Will. It also contains a statement showing which of the beneficiaries nomen in the decerlent's will, if any, dled prior to decedent, the dates of their dellth, their jssuc, IUHi the relationship of such issue to the beneficiary. Thnt S.:I>@dule E attached hereto llnd ma(1e Ii [lIlrt hereof sets forth nIl property, rf!1l1 nnrl per- sonal, owned by the decedent jointly with nnother or others, including JTltang;ible, 5tltndin.l; In the Itllme of the decedent ftnrl others, plus the date and place of record of instruments effecting thl"! \est1ture 01' real estate Ilnd the date of acquisition of personalty, plus the name, Il(Mress Ilnll rellltlonshtp, if any, of co-owners to the decedent. That Schedul@ F attached hereto Ilnd made a part hereof sets forth fu] 1)' Hud in detail all debts and deductions claimed for anr1 on behal f .of this decedent's estllte, including fUnerlll eXIHmses paidj familyexemption, where applicnble; costs of Ilrlministration of this estate; counsel fees Ilnd fudlciary's commissions paid or to be paidl cost expended for b,il'lal trilsts, tombstones or gravemlll"kers, flnd reli- gious services, in consequence of the death of the decedent; debts and claims owing nnrl llnpllJil nt time of deathj taxes accrued chargeable 1'01' period pl'ior to decedent's death (except those 1l1lowerl under Section 051 of the Inheritunce nnrl Estate Tax Act); together with ft statement of Colllltl~rnl pled~e,1 for ohliga- tions, if any. It is agreed that. the f'iducinry will presen't proof of sldd clninll~{i ()hll.~HttOllS uJlon re- quest, thnt if the amount actllll11y pnid in settlement of any fee, commIssion or rteht .Is less thlln the estimated amount clniming nl1(1 allowed, that the same will he report.ed to the H(!g1stl~r of' \\,1115, find thnt the amount. of tnx llssessert clm he rcnssessod in ficcornance therewl tho That the totnls of the npproprJate columns in Scherlules "A", nil", "en, "E", IIIHt !IF" us d1l'ed.ed therein, have been cllrried forwnrlt null properl~' rep;lstered in the Sunun/lrj" ....~~~:~i:e!~........._........... ,!1~ 111: ~ c/O. '1ltT;e~ ~~~~frJ.va ...................... . Enola.PA.l7.025... . . .. ... . ... ..... ~ (City or Town and State) SOTE: llpf'orp s11;1I1np; 1l1'f'1f1avlt mllkl' SlIrf' 1111 'it~llk slHleps _ill the IIf'fldltvll It!JlI sl'III'duJps ltnnexefl lire fll1(>d 111 with (ll~lIttl~ or till' 11"01'11 "St,lIl'!". Hllll III ellS" tILt'" :lssf'ls JTlt'lwle 1'111'1' Ilnrl unlIs1.nd sl'l'lIrltles, sf!eurlUos 01' close or family L'orporlltlnns II)' ItTl 1I1lt'resl ill HI\~. l'O-l'al'lll",'slilp or husllll'SS, tll/lt llLl~ llutl! rtlld St.!lt"n1Pllts rf~qulrt'il \IIHlet" IIII' J1IiI'Itj!.T'llfll1 nhll\'p rp]al!llJ,:. In SI'!1I'111l1.' "U" HT't' 1l1t1u'!If'd. -\lsll nmkl' cerl./lln t1l1lt colllnm ;'1 111 till' "SlIIlDlllll'Y" lias hl'I'1I propprl~' l'OlTlplt'I.'d itS /11I0\'I'-rllr"I.'I1'11. 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'\ -1/ Y"':"''';:/ 000 0000000000 0 --- "1"''' ~ril 000 oooooooooc 0 '" \__ -:_P . 1/ \ ---.",,-J ... 0::> . . . . . . . I . . . . . \ +~ I I H 000 OIflOWlflOlflOC'l<O' N \ ." . " Ul,o; OOlfl OMNl..Ot'Lt'll.Do::;:j'MU"'l lfl ", \, :: . :-' ri ~:> 01fl00 ri 0 Nrlrl ", l~ :ii~ l ri M Ull>< -. t!l~ 0 0 '" '" ZP 0 0 0 N HH . :><r.t: 0 0 '" P:::> M M en f- p:: ell OJ r-- <:: r.t: . . U 0 0 .-l lJ.J '" '" ell ~ f- a: q; Q lJ.J a ~~ f- ~< ~ ~ 0 0 '" (J) o ::> 0 0 0 ell _ .' :::> ~~~ . 0:) ct 0 0 f- 8l:l:> M M di "/ fli ell ell - . t--'" 0 0 "'....: N '" N....... .-l en r-- ..... 88~ 0 M H~U 0 .-l . ..... ~~~ .-l ~ :> .-l ~P< 2 z ~ .-l '" ~ > P I'< -' ..... 0 z >- I ~ Vl 8 z Ul m z r.t: r.t: m UJ I a. , Z ~ Ul 1 u ...i 8 -' ! u I ~ ~ a. Ul 00 ::; Ul '" r.t: tl Ul ::;: I'< ~ 0 '. \ , r.t: 8 .... Z UJ ~ '" 0:: I '" 1'1 I ::; 8 (I) 0 Cl ~ l:l z ~ '" (I) .... I'e: <'!: I .... H p::..., 8 z 8 ~~ 0 UJ I ~ P< 8 H \.< P:: :><8 H 0 \ U 1'1 ~ Z (I) Z"" OJ ~ ~ o OJ 0 U 0 ::;:~ 8 s:: t!l I .~ . \.< III _.._.~ 1 III .-l I I-"-'''~' ::;: III ~,,".' r:Q L;.: '" ,,_.,,~.(. ~ ". ...,;.:.J..:ll,:;'~ , :::.';':~"';:' ) I OJ .c s:: Vl 0 III D~ :;: U .. -:t':"~4:ll 0 --,--:-';'1 ~ r. P::r<1 0 \ \.:.:~";.;.Jf . <l' 0::> \:Ep) . I H 0 r-- Ulr.t: M .-l ~:> OJ 0 p:: 0 (' ~~ N l .-l M UlP< RESInENT nECEnENT SCHEJ1lJLE "B" PERSON,IL PI\Ol'l':IITY *' RCC -35 CO~L\IONWF.AI,TH OF PENNSYLVANIA . TRANSFER INHEllIT,\NCE TAX INSTIWCTIONS: 'rtt1s Schellnl.! ml1!it. dtsclOfiH u11 tlUlglhle nnd Inl.rmglhlfl pursolllll proJlorty owned Individually by tho decedont, Ill. the UrnI' of' hts t1clllh. Property owned hy the df~cednnt. .1olnt.ly wIth !loot.hor or othors must be llst.ed muter SCIWlllllfJ "I~". Inlnnglhl{! persullfll PfOIHJfty, tit,lf!d 1n t.ho fHlmO of' tho c1ocodont, tmt. Ilnyuhl(~ Ill. donlh to Illlot.lll!r or othHrs, Inclwllng hut nol. ) lmlt-eel to p.O,D. lI. S. Snvlrw;s BntH!H nnd tcn1.n.. live trust nCCOIITlt.s, must he listed, dnsfltto till! l'/let t.Il1lt t,lwy Ilfl' lint tlf' Uw l\flmlnlst.erf!d estllLfr. TUIlP;lhlf! IwrsOIwl proJ1ort.y slwullt Ile Ilsteel l'lrst (f>.~. .!1!Wfllry, wf!uring 1l1111llfOl, houAohold gomls, nrul t\lrnlshl n~s, hooks, Jill t nt. IIl/!;S, lI11t.ol11nh 11 ('to, hon t.R, et.c.) Inlul1p;ihle porsolHll propert.y, snch us hUlHls, t.reflsury cp.rt.1t'1cnt.ns, cllfth on hand and 1n l,ank, stocks, mort.gu.;es, notes, t.ogether with uccrllcd IIIt.l~r'l!st or dlvldem!s, slllltrioR fir wages, Insurance pay- ahle t.o t.he ostnt.c or rtdllclnry In H/1ld CI\)Iucit)', pllrt.nerlihlp lnt.erests, Interllst in nnyundlstrlbuted estat.e of' or Income fl'om 11IlY prnpf!rl.y lu!lf! In t.rwit. tinder the will or ngroemont of an(Jther, even though located outside 01' tlm StlllC, III tlw time of' dCllth, should lJe lIst.nl! in thl~ schedule. I tern ITEM UNIT ESTIMATED DEPARTMENT VALUATION No. r~1st. ntlli deserflJe t\J!ly VALUE MAIUili'r VAWE (Do not write In this "pace) Accoullt No. 310017-4 (CCNB) $126,930.00 I Insert this total opposi te "Personal ProIlcr t.y", Schedule "nil In X ( $126,930.00 ) 121; ;..)..3,11 the liAs Reported" column on the last. Iltl~e of this ret.urn. ----. ..flare .' .' .,. (, (Y" .\)1 1".' (~t 1.l'l: ~ " ~: Ci 1 ~ .',: ':'!,.., I';' (Jf l:,':l d~'~~L (,~\'. 1't.':\~';n;l ',':!l~-~;:~J' ~ ", the c,'lnl~lli.~i i'li::~ 1,;", .:md e:'::~':l~ " \', ~!l::h lailufl .~\I:d ,. '.-', And til~,t. i\<L,(l(; th0 ::,1 id dr." ' ,', " ~ ' 1. . .:,,"',-, \'.,;.11 :tnd ::1'\1>'- I" ;l~~d rn;:;~~: " :!';: Ofnf':!..~, 111 1 ll; t;'\1C :_~t~'I;\1.~:: 1"(j\'" ;1: ':i:::Ol1;; " ~H '!: l' M( .',l.. II" ii, 1\', i ij: \.:'. t' ~',' il: ~ li i : 1: ; !; ! " , 1 1 .' ",' " ~ 'I "" ",;, ,L'. I \ ~ ; , 'I :., .l,;' ,1, 1]-./ ." -)','_'.1 (1"7 .., i'j..:: c: ',! jll' d, j!!', '.' ',' .' ': :';-~'):.... \'j i.;:'l~.: L~~ 1\.:) ~_-':t.) 1 !in:,d :=."( tlu: d'll(~ ,:,j~:IJII)ir,:,.'\.~:ddl7 by <l'1 ,'!J.l r?(\::~L;!iilf~~lit, and. ,-,-",: ,,' 'il(,',I" j."rl'l" ,~._,. llL. L~. .), ~J~~.l ., L~:.llt:;l :'!.ild' C;lkll- ~lOV"rl ,. ," bc~long. ':1. ; :-', ~lr:d I.'rrdit; of ('. \, :I.~: (:lji':lntiU,ed tD ,:,) '\'~,;'j ::l:lCl1t I1~U1WU '11.1'1].',' '1'''I!l''j','d 1;"( l '. I.!. \ . \.11., t,,;; .,,' ,1.' ~ 1;.. (h'('l:;1:~:ed, J;: tL(~ L::_'J~LLc'r'~i !-'.,) \,j.' 'I .iu~.t Jnd ':,\,; \-,i>'!) h\\';l1lly 'I!e: .1,. ,. il:l till' prn- I"" :,1 ,I:' i uli the 'i'I:, i~ L. ,1.. ,1 :; ~ !' 1 (lC-~,~',- lO ,~ \" ""l1l1 ... ~ o . ~~~ "ol;' 1;;: c 'E ~ E ..... ::l E "- _0.0 - E U ~ 0: "'U'C S....t! @ !fl 0 ~ei SUMMAIIY (Seh. "A") .. (Seh. "B") (Seh. "C") Real Property Personal Property Transfers Gross Taxable Estate. ... '0 ,9- z " "" ~ ~ ,. .. . ~. ..l ~ ::;; " ~ ~ ~ O'A rIJ <Jl ~ - - l'- ~ -< V'. (]o. a " Cl: ~ t.. :0: ..... H '" ... p., 0 '" 0 " ... p., '" .0 ..':: "' ... "' <: co 2 '0 ~ ~ :I: t<l .-< " ;., ~ '"' ~ Q ~ " '" :: il :I: ... < <: H " ..... Z 0 0 '"' " 0. H 0; of. Z ... <Jl >-< P " p., t'< t<l ~ EO .p .0 ~ I- -....- II OJ 5 0 0 ~ '" ::l Cl: " ~ r<l '-' .:; 0 0 ;.: ... .'" ~ ;; ~ .. ~ ~ ~ Cl: .t:: 0 " ~ :S ~ .c. 0 '" 0 ~ 'E '" ~ ~ :....."'0 .J c U ::::.~ u (I) (As III'porll.d) $ $ $ $ $ $ (Z) (As 1)t'\"r1l1illt'd) $ $ $ $ $ $ INFORMATION To insure proper credit to your account, the name of the estate and file number should be clearly print- ed on the check or money order. This assessment is made in accordance with Seclion 708 of tho Inheritance and Estate Tax Act of 1961 (72 P.S. 9 2485- 708). To the extent that inherit..mce tax is paid within three (3) months after the death of the decedent, a discoun! of five (5) percent is aliowed 172 P.S. 9 2485- 716). Inheritance Tax, other than tax on a future intf.!reSI, is due at the date of the decedent's death and becomes delinquent at the expiration of nine (9) months after the decedent's death (72 P,S. S 2485-711). Inheritance Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and enjoyment and is delinquent thereafter (72 P.S. ~ 2485.712). Calculate interest 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 months .035 10 months .050 2 months .010 SmOl;ths .025 8 months .040 11 months .055 3 months .015 6 months .030 9 months .045 12 months .060 1 days .00017 11 days .00186 21 days .00352 2 days .00034 12 days .00203 22 days .00369 3 days .00051 13 days .00220 23 days .00386 4 days .00068 14 days .00237 24 days .00403 5 days .00085 15 days .00250 25 days .00420 6 deys .00101 16 days .00267 26 days .00437 7 days .00118 17 days .00284 27 days .00454 8 days .00135 18 days .00301 28 days .00471 9 days .00152 19 days .00310 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 sixty (60l day!> after receipt of this Notice as provided by Section 1001 of lhelnheritance and Estate Tax Ac! of 1961 172 P.S. 9 2485.1001). Make check or money order payable to: "Register of Wills. Agent" Mail to the address listed below: