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No,
21-80
in the Estate of
-', )\"','\. (,
OF WILL AND LETTERS TESTAMENTARY
~ 'r ( '(J.L-kk-. ---, deceased.
PETITION FOR PROBATE
l,
Harold B. McLane, Deputy
To niGl,6rel C. P,Al3erS9f1, Register of Wills for the County of Cumberland,
in the Commonwealth ot Pennsylvania,
IS
Petitioner(s) are the execut_~:_L._.- named in the Last Will and
Testament of '.'"" \i~_.L) <, \, ___.___- dated -; '.
Decedent was a citizen of the United States and a resident of
( 'Township
:-:) : {, ...'.y\,o, Borough, Cumberland County, Commonwealth
of Pennsylvarlia. , \\ , , "J'
Decedent died on (\~" c r "-" \,h' the
A. D. 19.:LL, in the County of
~
,\ ). ('0 e,' ,', ,\ "',, " ,', at the age of ; \ years.
.has) .has her
Decedent has not been married and has not had children born to ,him
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
\
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day of\',^ '.-':, "
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State of
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as near as can be ascertained; said real
estate situated as follows
apply
Therefore, your petitioner(s) respectfully applies for the probate
of the said Last Will apd Testament and for Letters Testamentary thereon.
/~. .
Dated \.\".,..: ,\ " \ ", ,^, 1'1
Name and address
of Petitioner(s)
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COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
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named in above application, being duly ___~-"---"'--'-' according to law
say(s) that the statements set forth in this petition are true to the
best of - .
._ knowledge and b~lief,
" ___, and subscribed before
me, ~.:....~_.,;-' ___,:,:,,-_. 19 ',', ".
_~~ ! " '( " J" I '
,'jJ.:,:,1'"' ,. If,' J" " ....:.....
-lrJarotd'I3~"M~ane7 'u-put,y""
niet;)arel C. ,'" ,<:\(" J"n, ~eglster
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Filed: January 8, 1980
<':l/-!{O -. 'f / {) , .2 b S' --;-
OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
ThiS.......................,",............/i..d~.......,..,....... day of ..,.....,',..;2!~nl{Q~~1-,.....".".........., A.D., 1ci.'f?,
~~~. McLane Deputy : .
before me' ~hegister lOr the Probate of Wills and granting letters of Administration
in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally came ..............
Bonnie starr and Gunney B. Ruby, Jr.
................................................................................................................................................................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and
Bara E. Colestock July 18, 1975
Testament of ......... ,........,... .... ....., ,... .,...... ............ ........ ,..... ..................., .......... Dated .....,....,......, .......................
late of ............................;..~.1,1)~:i.~~.........................................................,...... Cumberland County Pa., deceased
who being duly ..............~~~~.................. according to law, depose and say, that .........~~~:i...W~.J;!!..........
present, and saw and heard the testa..t:!:J.~....................., .........if!1!-.1'~...~~...~~J.~!i!~.~!1~............................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h.~.J;........... Testament
and Last Will, and at the time of so doing ................f1l.h!!...........................was of sound and disposing mind
memory and understanding, to the best of .............~~~.~::......................knowledge, observation and belief.
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J. ,",:-,) l..of "~,' De ut
..:... 'CI.:). . .:.~...,.)D...."...l.I..:h..\,:...........J?.....y
~"~'.'~l, Register
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;'~/ _ __.; _ _L_t:'_' /'..j ~/.... v(....c.,.... /"
, ...... ..rd.7.../J..:7.......................7.... .L..............
sworn '
............................................... and subscl'lbed before
..................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
( ,', .: ~ . r
',.,.., .,' \ \\\,,' \ ~ (' ..\, ,\." '\< '<'"",r",,:' \: bel'ngduly
................................... t/... ............................................ ..................."... ............ ..............~............................
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................................................ says that as nearly as can be ascertained the said decedent ..........................
r. \ (' .
................................................:.... ....';.. ......'.... .':. .,:..,...... ,::. .:.\. :'. ..~:.:..:. ,',.. \'..................,............................,....... .died on
~\i ' , ,\ Co.: '/(\
..........\...\\:'..\:......1..",............... the .............~.:-.................day of .....:,.....:..........,....':,:.\.,:................. A,D., 19..~..\.,
-'
at or about ..............~.i..)...:.:f...........,.. o'clock, .I...M.
......................~~?~~...........,.......and subscribed this
......................~.~~~................. day of .!?~~~.~~~,f.....
79
19, ........, before
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~..........'........ .~..\........."..................t.........o'.l......:.."'.'.......... \
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, ~tL~;\l~t~:::;.... .:t{ ):..... '/.1:,. ".,.:.. ,... .......?.~~~.~'t
D)t~xII~ Register .
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
ss:
COUNTY OF CUMBERLAND
Before me, the Hel-(ister 1'01' the Prohat.e or Wills and l-(I'ant.inl-( or Letters or Administ.l'lltion in and for
('
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the County or Cumberland, personally came """~"",;',i.",...l\,1,,:,.,...i....\;..(:,,,'\..:',~\!,::..'v",..,:::;;':."..."",.:,.,.,.::,:.~
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who, being duly .,.Y".\,\:).""....:<.,\..,.. do ..>:..'.'", depose and say that as .........::"h.r..r.,,\,, ,\,.,:;.:,{.............., " ,........
'::. '"', ; ,__ L
of tbe last Will and Testament or ....."..",:......;.".;;'...."."..'......\....~..:;.;..'...,:.:;,......,""..........,....."............deceased
\
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,
..~i:...~<.\.~.,........ will well and truly administer the goods and chattels, rights and credits or said deceased
according to law. And also will diligently comply with the provisions or the law relating to Transfer
Inheritances. ......!!l!(c.:!1;/1-..,........ and subscribed
before me.
.....~;o;:-..:..>..i.''',\'..~..).....yl.'l......... A, D., 19 ..J.~\""
~j~~~.~(,~A(i.'fuIi.:..~:."...,.~'~p.~.~'f.
L.u...J E. HuHCllJllfl, RegIster
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DECREE
Be it remembered that on tbe ."...~.~~........... day or ....,,,......~~.J?:~~.~y.,,,...,,.........,,' A. D., 19 ,~.?.., there
was probated and recorded the last Will and Testament of ....s.~.:.~..~,:".~,?~.~.~~,~~~........"...."..................
late of ................~~!!',?y..r:'.~...............,,,...,,...,,..,,............, Cumberland County. Pennsylvania, Deceased. Letters
.................:':'~.~,~~~.r:'.~~.:.Y..."...... were l-(nmt.ed t.o ,,:!.~~.i.7.~..':l~,~,~~",c.~.~,~~.~?~It:..~.~.~5!lI!rich....,..........
Witness my hand and official seal t.he day and year aforesaid, .1
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ll;,..l.... I.:.' .'!.ol.LLIl nn. Register.
. .
OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANiA I 88:
COUNTY OF CUMBERLAND \
ThiS,..............,.......,..............,../tr:t...,.."....,...... day of ,...,........<.,2~'J.?(y]:x)-_..,................," A, D., 1 if.I~,
Harold .B. McLane Deputy ,
before me ~y,o;~~lliJgister lor the Probate of Wills and granting letters of Administration
in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally came ..............
Bonnie starr and Gunney B. Ruby, Jr.
................................................................................................................................................................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and
Sara E. Colestock July 18, 1975
Testament of ...,.... ...............,.... ......... ....... ..............' "... .............."..".... ............ Dated "....",..."...."...... ...............
lateof......................,.....~.~~~.Y.!'!~",...,......,...".......................,..........".,,,..,,' Cumberland County Pa" deceased
who being duly ..............~~~~.................. according to law, depose and say, that ..........~,~~.Y...w,li!.n..........
present, and saw and heard the testa..~~J,~....................., .........~i!-.r.~...I1;.....~!?J.~!!~.!?~~............................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h.li!.J:........... Testament
and Last Will, and at the time of so doing ................I?,h~......,....................was of sound and disposing mind
memory and understanding, to the best of .............~~~.~:':......................knowledge, observation and belief.
sworn .
............................................... and subscflbed before
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...... .. . ....1.)"".:/......./. ..... .. ,.d...r.L.............
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, ...... ..,.1.7...'.....1.."...................7.... .L..............
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<:. .. . \ '\ ;C, I j ( . De ut
...... 1,1.,.1. .. ,.~..,...):C\...."...'.."'h..\:,............J?.....y
1'll;_l.~...Ao m.l.-....Al, Register
..................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
( , ,", .' \' ' \
........... ........ ................;.....;. ..:;..;...\....\~\.,:-...\.~.. .\..i:.. :\.\.,,\ ".: ..\.,; ....:...~\;.'.\\.r..l,'.."..i.. ..:...............being duly
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................................................ says that as nearly as can be ascertained the said decedent ..........................
( \ \, C' I' . F i, .
........... t....................................:... .;. ..... ;.1: ;.... .\.. .::......... ~~:. ..:.\\...':. ...~:.;. ;'.'.. ;~"'"'''''''''''''''''''''''''''''''''''''''''''''''''''' .died on
~\1"""..., the ,,'\ dayofC:, ,'"" AD 19'/'i
..........\................................,.... ................................ .."..................................................., ....,..
.J
bo \( ',(0 'I k 'M
at or a ut ...............1. .J......,............... 0 c oc ,.I.:, .
......................~~~~.~..........,........and subscribed this
.......................~.?~~................. day of .!?~~~.I!!?~,f.....
19. ??...., before
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_-.... -,"~ t~l._.. \,....\. ...-' ". .\\,,-," .
,.................... . :............,........... ......~...........h..l..:"........... \
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Jllllk~~' Register
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Cml\IO",\\E\I.TII OF I'E:'oii\SYI.\'Ai\L\
1l1'1'\RT\IEi\T OF \U'VEi\UE
I\IIU,:\1 OF (mXIY COI.I.I:CTIONS
.
r,C":.33"".n:
COUNTY OF
CUMBERLAND
,---_..... .--.------.---------
IH;~,I()r::~J r U (,LflLNT
tMf'OR-[ .\tl
Jill" [,"llIll 11'1:-.,1 h,' (,ll1lpll'tc'd llllli'nd and Ilh'd III dllplll',lll'. wllh all i1l\llrhcll, with Ihe nev.i:-'Il!r uf Wdb of the
11.lm!'. \\11,'1" ,k(.,:d(.I:IIl'~Illt'd. Ih'lllrn l" dlU' \\llhilll\lHI' 11\lIl1th'i aller dale of (!l'ath. \lllll'~'s llllc.'(lcnsiull is granted
','I 11\" '"", i.ll' ,,1 l~( \1('1111\'. (SI'( 11'111 -;'(J'\ 111 , Ill' Inlll'rillllll'l' l\lld EstlllC TllX Art of 1961,)
....----- --.-.-..--....------.--.-
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L\I'lTTtJll
I', 'III 'I \111 J: 01 IIII'. I ST.\TL Ill:
.\I:FIIIAvn OF
SARA E. COLESTOCK
LOll' 01
CUMBERLAND
AIl\II~ISTHAT(lR
)1:1'1;(,1
PENNSYLVANIA
CUMBERLAND
J"
EXccUlor
Counly of
JANICE MARIE (CQr.E:?'l'()CKL G_DdGIU.GtL
of :"<' """ll" o( Ih.. {]hClve.nll~'ed dr.ccdl!nt being duly sworn, df!poSO
and ~ay
:\dlllllll"": ,~ t,:1
,,'
I'l.',
Iq~__{I05tClIO loaving a lo.t will, copy of wh1c:h Is herelo attached.}
1'( FAP) Intestate
Ih'l'('d\"l;~ .I:l'll _
December 14,
---~-_.__._..,---_.- '
I hdl .:... '.,1' II
~
)
Executrix
GURNEY B. RUBY, JR., ESQUIRE
~(ll"(, nod ,;;[.1".-
426 Market Street, Box 292. Lemo~e. Pa.
17043
oll",r aul; l':'~ ...1"'......
n t: c orr~ ~ i.t.; ".:~ L. c:~.
___~__llqHll1el1( ;~ l'.tmiliar with lhe affairs of said estate and the property cunstituting
'I~'-',,;_ Dl,tl~-II-,T.I,,.,.TOR:
till' a...,['{:-. 1I1.'J"":
I'h,l1 .1\ \he 1111\C Illlh:;llh 11ll:1l: \\;lS no ...arc deposit ho.\ registen:d in decedent's individual nam!.:. tlf jointly wilh, or
as a!ll' 11 , 101 ,h-Pll\;- ul ;lllOllhl'l. Oil' 111 dn'L'lil'llt' s individuallHlllll,:. wiLh right of access by unothcr as agent or deputy, wilh the
t'.\l'qHIUll Ill' I\ll' 1,,1111\\\1\:':'
j i li.. i r (il il ji\<lI~t~ I va lLll',
~ j f,r~ \
I" ..
;.'-'L I."." '.\I\~,,, ~ii ulliFf, INS':ITU1'ION
I';" ':1 j ',~. ,Ff. !v-:r-'()~,I'f ROX
"._--'--"'~~-.~.-__',,-,_'_.,""c+___.~'"_"'~=-_'_.""="'...----- --
THIS SAFE DEPOSIT BOX RENTED
IN N"MIi: OR NAMES OF
----- -
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
.N ,.O..NE..
.__n___._______ ------
'1'11,11 Illc ,'\lIl!l'nh HI' ~iliJ ~;\rc Jeposit hox or boxes arc il\:mizcd under Schedules
\\ith 1 Ill' l':\n'I'!I\l~l IIi" ,1I..: !"ollo\\-ing., for llll' reasons hereinafter set forth:
of this return,
Ih;!l Scllcdu/e /I. ,1Ilached IH~rL'lo a!lll malIc pari hereof sets forth fully and in llctail all the real property
in Ihl: COl1l111\1Il\\l:allh lJ Pi:llll-.;ylvilnia of whil.:h decedellt dieu having an interest therein. It also sets forth the
nj(\rtl-',l~l' CllL'l1mhralli \~... Ilplll1 "'1l'l1 p;m:cl Ill" real property at the Jalc of dealh, giving the amount slill due at
de~lth, l1<lllK nf rnnll~;lt~l'. dalt~, raIl' of intert:st, and book and page of record thereof. It also sets forth in the
colull1n... lHP\ilkd 111':1'11,'1-\' I Ill' ,l:-':-'l.'ssed \'aluiltiun uf each uf said parccls, the estimated market value thereof
as 0\1' dale d lk~111; ,,~ .k'l'lklll.
Ih,ll S\.h(~dulc B :1l1:lrl1cd hereIn :nHI mittle pan hereof sets forth fully .11ld in detail uti personal properlY
'.\h\': ,'\er ...;II'~II\.d lJ\\nnl k the dect'dl'nt at the time of UCi.l\h: allllltlIleys left by the dccellellt at the timc of
death. \',!H lill: ill del'l:dcl1t"~, illll11cd1Ol1l' jlllS"'CSSIllll, sli\ndil1l:; to deL:cdent's L:rcdit in banks of ueposit, sa\'il1g~
!li\nl lIw,t (<II~illlllil'-~. PI (llher inqillltinn:-., whether indi\'idually, or in trust for any other person or pnsons
:!i\ i111: ,'\:-.I\ "t,\,~H~\1t'I\ I Ill.' a.:t'rued inllTnl theleon, if any. down In tlw la.... interest dilY prior to del:cdcnt's
dt';t!!t ']\ lb',' l';I',C 01 :~:!\'inp hilllk.... ilnti It) thl' dale of der.:l'dellt's death in all othc..'r ca,,!;s: all bonds, postal
"';i\II1;~' tll'~I,lH'. l'l'llifi,::\ll'~' m 1\1!\C', and lither e\'idelli:c or indehwdlless of the United Stales to the de-
"l',I~"l1 ,;\\ "I,:i; ,1;1'111". \' ~\,'lhl': It, ~1;lllIlL 111" ;I~rl'l'lllelll Ihey Me designated as tax free, of the Cniled Stales,
.11 ;III' ',:.11, ,,; !"d~IH.1i . 1:\,.111 i:,i1l11 thL'r(llf. III or iln~' fnrei!;l1 L'IJllntry, which arc O\\'lled at the timc of death:
"1'1'''''' 'Ill, ,~ll\l'l"dll. !'1UlllL'" , 11(IUk", \\lIlks Ill' art. household furniture, hon.es, i:ilHiages,
;1111..lliL:'II-:. [,,';11" !Ild :lll\ ;illd iii Plhl'; Pl'r...nn.tl (hands of \\!tatsot:\'er, kind or nature, "...I"t hy decedent.
lfl~.'tilju \\ll!1 th,' :1111-. l ,t~;\1;111',1 111,11-;',.'1 \ ,',11[' lhnL'n!": all honds amlmorq;ages hl'1d hy deccdent and of all
('1..11\". dll' II;! .,.... !!, ,k,-. ,1[''11 .1; tilL' \lllll' Il! dl':lll1, and all promissory notes or utlll:r instrulllents in writing
\'.\1 1\',' ;'1\ ","i' <11 11\,'1:[" \\:ll,11 <!\'l",\knl dll.d p\l:'o~l,~"t'd, or wlwtsm'\'l'r ll:l!l1n', with illlCI'L:Sl thi:reon, if
;\0'. ,\ Ie:' ill' 1.1,,' .. oiL ":'.1 ';.11(',1 i,li!- Il"Hk~:1 \alul' thl'rL:of. ami if ~uL:h estimated fair lI1arket value ht.:
k'.', 111.ill 1:1' i.'e, .11,1\' 1\ "I', JILlI:1 hlllll~' till' ft'aStlllS for Slli:h depreciation as to cadi item: allllHll1cys
Il;ly;d,:,.. ill 11-< l.~, I !ilt' >I' 1\1~llli'( p..li,il.... l:arric..'d by dc..'i:edcnt; all annuity and i:ndOWlllel1l contr:lcts
11ll' iLj'''' ,',i' I,] :;!,')'1 Ill!' dl:;llh or the dL'l.'edenl: all and tl1:: ctlqwratl' stock>.; and Jividcl\Js
dill' li!.'!I'. ..k H. 1,,111lJ-. ailll al.'(fUl'd interest thL:reol1 tn tht: tLlle of dcccJel\t's
d\ .II!: oiL' "Ii;,': 't-d 1,\ ;!l\..' dU'I.'llrnt al Ihe lime of dl'alh, with thl' tll.HkL:t \.:t1uc there.
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111 the CHse 01' seeurlt.les fir c~l(lsn or l'ulIJlly eorporlltlolls, 1.111' \'Hllll'~; rppllrU'd 1l1'1! ItH "ur liS
pos~lhlfl suhstllllllnl.l!ll hy flllllllcll\l sllltellll!llls 0(' thl~ l:o\'porutloIlS, ..,llo\\'lnl~ tile nssf'l.s ItTld Iluhllll.tps
thl~re()(' 115 or thl~ dnle of' ttplIt.h. Till! St~htHl\lll! nlso s,-ofs forth till' 11l!.I'I'PS!. 01' l\f'(~r.dl'1I1 Ill. tI\l' lllll-! 0('
{tenth ill Imy cn-pnrtllf'rshtp or hllSl,wss, Ilull In support 01' till' vltlup 01' S'lI'll 11I1.I'l"l'sl 1.111"'" Is 11I1II1~X.~d III
suld SChl'dlllf!, 1'I1llllleltd stntl'mmlt.s sho.....tnl!;thenssots /Inti IllllJlll1.1l's 01' sHirl l'll-PIII'Il\l'I'sltlp ul' IlllsltwSS.
A copy 01' llll' l~n-pHrtlwl'slllp Ilgre,lmf'Tlt, (If 01'1\1, II sl./lt,I'ml'l\l SI>ttlllJ.,!. f'orth till' IIldlll'" of' till' 11L!;l"pI'I1l(!nt)
lng/'tlll'l" with 1\ stlllellll'nl sl~U.tll~ forth lilt' clinr/lclnr of t.lll' hllsllll'S!-., its 111l'HUon, ullli slll~l111I,llPr l'uets
~l(>rlninlll~ \.0 llln 1J\l!llness ns "illY he 111~rt.tl1PIlt. tn n fnlr /Lilli ,lllSt /Ipprlllslll 01' tllll dl'l~"df'Jlt's Int.l"!rl!sl,
therelllltlll<;t h(lslIbmllU..d. It !'ihO\lld nlstl set f'orth In Ilemllt'd I'Ol'm, t.O/!.1'111I'r wltll thf' l'ldl' rnnl'l\ol vl\1110
tlloreof', nn~' other IJropnrty o....'lwll or heqllelltlwll hy t.lu' ll"PI'delll at. t.111' I.lml' nf' lIl'/ltll.
The SCf1edule C I\ttllchl~d hereto anfll1lllrt~ purl hf'l"cn!' sets forth H l.I'w~ HJ\sw'~r t.o P/lch 1tlflulry
cotltnlnedlherein nlllt 1nthe cllseol'trnns('ersofproperty, rHl\l 01' Jll'l'sonnl, \\'Ifldn two p'urs of decedent's
rlellth, in contemplation of decedent's denth, or int.ended to 1Ilkf~ ..f'f'f'~t In pos~wsslon nr en.lorment at or
after neath, sHiel schedule sets forth the nllture nun vulup. of such JlI'oJlf'rt~', 1,(1 whom t.l'llnsl'errcc1, the
relntionship of the transfercr:s to the deccltent, Ule proportton1lte Shlll'P rece\vncl hy l".!llch trllnsf'el'ec Ilnd
all other fllcts of 11 pertinent nllture re~nrrting sniri trnnsfers. III the ellSI! of' tl'llllsf'l'rS intench'!ll to
to.ke ef'fect In possession or enJoyment lit or llf'l~r rtlHlth, there Is nl so IlttllclLerl to the sehenulc U COllY
of the deed, trust Ilgreernent or other instrument creutin~ thH trw;t. Tlu'!rl' is I\lso set forth In sllid
schedule It list of all TJropl!rty, renl llnd personal, with its vl\lue, which IHl.~51'!i nt. dec(>rlr!:lt's denth hy
virtue of' the exercise hy decedent., either inctividuully, or.1ointly WlUl Illlol.hel', or /lilY po.....pr of /lJlpoint-
ment vest.nd In decedent, either individ.unlly or .Iointl:.', h~' the wHl, deed, or othnl' InHtrumrmt of' Ilnother,
with II CON' of the instrument creatinp; such !lower nttllched to thl': seh(>lt1l1B.
Thllt Schedule 0 Ilttncherl hereto Ilnd mfult~ Jlurt lWrl~()f' sets l'ol'th the IHIIlIes /llld ndrlresses of' 1111
persons beneficia.lly int.erested In this estllte lit. tile time of' dr>CI>IIl.'nt' s tlCllth, th(" l,aLllr'~ of' tlleir res-
pective interests, their relflttonship, if' IIny, to the dCl:erlent., t.o1-!;lll,l1er .....It.h the Ilgps lit l.Ill~ time of
decedent's de/lth of 1111 minors, nnntlttnnts 1I111t bel\f~f'iclnrlcs ('or Ill'n IlIuler deefHlent's \\'1]1. It nIso
contains Il stnt.ement showi.ng which of' till~ hcmcflclllr1f!5 nl\m(>d In thr> lll'I'cHhmt's will, If' /lilY, clielt pri.or
to rlecerlent, t.he cl/ltes of their Ilenth, tllf'iJ' Issll(!~ lIl11t Uw J'elntlolls1dp of' sucll 15sw"> to till> bf!lJ(~l'1(~lllry.
That Sc/1edu/e E Iltt.nchecl hereto llnd m/llle Il part. hereof' 5(>(,S fort.h 1111 JlI'operty, renl unci per-
sonnl, o.....ned by the fh~cedent Jointly with /lnotller or ot.hers, Inclllcl1np.; Int,(11lg,1hle, st.llnrltll,l!. in the nnme
of the decedent Rlllt ottH'rs, pIllS t.he dllt.e find p] lice of' record of instrument.s eff'ecting; t."~ vesti ture 01'
real estate nnci t.he date of Itcquisitioll of lJersotll\]ty, plllS thl"! n/tme, IHtrtress fillll relationship, if'I\I1Y,
or co-owners to the decedcn t.
Thnt Sc/1edu/t' F Ilttnched hereto /lnd mnde n )lnrt twrenf set.s fort.h f'1l11~' Ilncl In lil'tlll] Illl dehts
nlld deductiollS clnimed for nll,1 011 heloalf nf lids decedent.'s estnt.o, tllc]ndlll~ l'ollernl I,<p,,"ses IHdd;
fnmily exemption, where npp] Icnhle; cost.s of odmlllls\'r,ll,lolI of \'his est.ot.e, eOIlIl""] r"es '0111 lillllclory's
CO"un!SSIOIlS pHid or to he paId; cos\, "XI"'l1l1o" ror hllr!ol \,rlls\,S, to",hS\'OI'OS or grovo"o,rk"rs, '''''' rell-
"Ious services. in conse,!lIence of t.he 1100\,10 nf t.ho deco,lent.; "eht.s on,1 c10lms owing 0",1 oopold 01 Ume or
"el1th; taxes oecrne,1 chor~eoh]o for perlo,1 prior t.o Ilecellent.' s "oot.h (exe"p\' t1lose 0110""\ oo,h'r S"ctlon
65101' \'he loherit.once ond Est.oto Tnx .let), \'o~o\'h"r wit.h 0 stotemon\' or ool]o\,'ro1 p\,,<i~od ror ohllga-
tions, if lln~'. It Is fi)!;reed thnt the f'tdllcinry will present proof n1' sllid el/llml'li nhli~~al.lolls \11101\ re-
'1nest, tho\' II' tho amount. oc\,unlly p,ll,lln set.t.lomen\, of ony 1'0", onm",lsslon or d,'h\' Is loss Uo'" the
estlmot.,,1 omonnt elolmlng 011'\ oUowo". \'ho\ \,100 somO wll] \)C rol""'\""] to 110" 11"~lst..,, 01' II'llls, ond tlo,t
the nmount of t.ux assessel1 cnn be r('ltsse~sl'{l III uecor<IlIllee t.hl'rllwl t.1l.
Tlu,t \'ho t.otH]s 01' l.he nJlllroprloto co]omns in Sd""III]I'S ',I', '0'. '1", 'E', ""d 'I" os ,\lroo...,,1 \'hereln,
hllve tJ(!l~n cllrrlprl forwnrrl fttlll properlY rl'l!;1sterPfl tn thp HllmmHr~'.
"""~""'" .... ."dnyof. ..JUNE..... . ,.
'~-
.' r . . / ~\
..... 0 <l-IC"
8L~
...19~Q
~ ,_, , ~'rV\.." \.L'. ~~~"'.,,~':L
.ra'hig(l.I1.<lJ;J(lG~J:l9fJ9h'~"_,,,._,
(E":recutor-Administrator)
714 FishiI19c::E~~~ Road
(Street Number)
New Cumberland, Penna. 17070
(City or Town and State)
Subscribed and sworn to before me thiB
My Corom. Expires:
June 2, 1981
SUW; B.of'or.' sl"oto~ orfldovtl moko soro oil Ido"k Sl"'""" \0 Ii'"' rr\TI>lovl' 00>1 ,eh,'dol"s "011",,,0\ or"
1'i11I'cl In wttillll'lIdls or tilt' .....01'11 "SOlll'", awl ill ellSl' thl' H!-O~l'ls j,wlwlp 1'lIrl' 1\11'1 unltS!"lt SI'('Uritll!S,
secllrlllos oj' close or I'omll)' "orporolioos or 00 lot"r'''' III "")' "o-I'"r,o,'r'hll' or Iooslness, \'ho' \100
iI,",o 00,1 s \" \'omollts rO'11I1 r.',1 IInllo'r \ h.' I'oro~roph oh,,\,,' r"l 0 \1 0" '" '001,..,1111" 'B' ",'0> ,," ""1",,1, ,llso mnko
C(~r1I1ill tllllt colllmn ill III till' "SHrrD1IJII'~'" Iws lWPtl I'rl1l\1'!'ly ('nlnpll'tPc!IlS 1I1I0\'1'-0I11"'(',,'cl.
Ili':SIIlENT 1li':C,i':Ili':NT
Sr,IIi':IlIJI,I~ "H"
I'EIISON"\. 1'1l01'i':IITY
*'
~cc -35
r,OMMONWl,"LTII (W I'i':NNSY\.V"N I"
'['Il"NSI'1':11 INlltmIT"NCi': '1''',(
TNSTIWCTIONS: This Selll!lIl1lt~ mllst tllsclmw nIl 1.I11l~lhll! IUlCllnlllllp;lhl(! lll!rSol1nl prnllflrly oWllm! Incllvllluully
hy tho cttHlIHltmt., Ill, till! UrnI' of his dl!/Ith. J1r{)pl~l.ty nwnnd by l.ht~ dccHdfmt. Jointly with nnnt.lLl!f (lr nt.hl!fR
",liNt. Ill! 1Istf~c1 \1111tHI' SIlIll'cltlll! "I':", ITlt,lInJ.!;llJlf~ Ilt!rsollul prollflrl,y, 1.1 t.1ed III tho nltm!! nf' l.Iw dccmhHlt, hut.
puyuhlf! nl tlent.h to nTlot.lwr or nl.llurH, tncltllllnK hut. nllt. Ilmlt.tJIl t.o P,O.U. U. S. Hllvln~R lIollds /lnll lunt.Il"
live ll'UHt IHltlflunt.K, mtlst h(~ 1lsl.ucJ, tlflsptt.H tht! fIlet. t1lllt t.lwy Ilrf! 1I0t. or till! 11IImlnttiterecl (Hit/lL!!.
Tnnp;lhlf! !lf~rHnllill prOlJllrt.y s1lo\l1(1 Iw Ilstnll f'lrst (fO.)!;. .1l!vwlry, wcnrlng lllllHLrel, hflllHchold
J~ol)dSt IIIlll t'urlllshlll~St hnnks, I'll 1111, InRH, llul.nmohlll!S, honls, ule.)
Intunp;lhlH lwrHunltl Ilru}lIH't,y, stlcll us hllllds, trf~llsllry cflrUflcnlos, cllsh on hand and In bonk,
slacks, mort.gll~es, noles, l.np;elher wlt.h nee rued Interest or dividends, snll1rles or wngus, Insurance pny-
uhII! t.n Uw "'!ilnt.e or "lduclnry In snltt CllJl"Clly, pllrt.ncrRhlp Int.erests, intel'ost I.n anYllnrilRtributed
estllt.o ()f' or Incnml~ "I'om /lilY property lIeld In trust tinder the will or Ilgrf!ement of another, oven though
}nclltecl out.slde uf' t.1ll! Stnte, Ill, the ilrne of clenth, should he 11steel In t.hls schedule.
1 tern
No.
I TEll
List Ilnet descrihe t'ully
tiN IT
V AUJE
ESTIMATED
MAIOO;r VAWE
DEPAlITMENT VALUATION
(Do not write In
this space)
l. Household Furnishings
2. Cash on Hand
3. Social Security Death Benefit
4. Dept of Revenue - lottery dividendi check
5. Closed X-mas Club - C. C. N. B., NA
$ 500.00
50.00
--....----...., - ()-
255.0~
95.00
6.00
Insert this totol opposite "PersonnI Property", Schedule "U" in
the "As Heportctl" column on the lust page of this return.
x X
$906.00
~ [; I. 00
-~1(
RCC-37 "(12-(,3)
COMMONII'EAI.TII OF 1'1':NNS\'YUN1,\
TIlANSFEH INIIEIlITANn: TAX
IlESlIlENT DECI':llI'::\,1'
SCIII,:m:\.I': "\)"
IIEl'EFICIAHlES
HENEFICIAIUES AND ADDIlESSES
(Stilte Jull nllmeli llnd nddreHses of all who
hll\'{l nn int.erest, vested. <:llntinl;ent. 01' ollwl'
wiKe, in csLutl!)
IlEI.A'I'IONSIIII' I
m slt'IHhlltlrNl 01' I
illl'J..:itimate children
tlrc involved, set
forth this (lieU
SIJIl\'I\'ED~
DECEDENT
STATE YI';S
Oil NO
Candace Lee Petrullo
1129 Rana Villa Ave.
Camp Hill, Pa. 17011
randdaughter
yes
Il ,\ '1'1,:
Ill'
11111'1'11
7/18/48
\'10,
fl.n~l~~
lif(J.x;~~l. ~
II. "")~tl<~"".J
..I:.,.....,j,;,5"".". i'~
INTEIlEST "I'
m:NEF(('IAIIY
IN I';STATE
$1.00
Harry L. Colestock, Jr. son yes i8/4/19 $1. 00
Blue Ridge Haven
_C
Janice Marie Gingrich randdaughter yes 1/16/41 residuary
714 Fishing Creek Road
New Cumberland, Penna. 17070
j
~
-I
,
Ul~pon''"t rurthe:r snj'S lllnt 1111 the nllOH-nllmpd henefJdllrles tlre I1vin,t.!; ILL lhts time eXCf!Jlt Iwlow:
---l- DAn~ elf' I~A'I:;;' I - IlESIIlENCE _____
~ =t----------------m- -
1- I
_.J.
N!\~IE
II) (Z)
~ SlI~1 \IAIIY (As 111'1""1.'<1) (,Is 1l",.'rlllilll,<I)
Q ,
~~~
e .' 1I"ill Property (Seh, "A") $ 25,000.00 $
~. ~
'a .~ e }1(ll'sonal Property (Seh, "\I") $ 906.00 $
...... :.1
e ~-
-"C.c Trallsfcrs (Seh, "C") $ $
e U
-;: 0 ~
5v~ $ $
:;~t
~ 0 8- $ $
" e .
~ ~ Gross Taxahle Estatl~ $ 25,906.00 $
l- "
Z ~
;; I:.l . ,
"
OJ :;:: ~ -
;>< U -<
I:.l ~ '"
.... {.'. " -
- <r.
d -<: ::<: ~
v' 0:; ... U C\ .~ ..
d .. 0 0 ::ij ..
.. E-l ~
(Xl '" -<: '" -<
V :t :t I:.l en Ii! ,",
..-l .. t.l .. E- ~ € Q
N. ~ ~ -<: 1'>1 Z
0 [: 0 E- O 1'>1 ~ ;:; ..:
z '" u ~ ..
'" w B '0 l-
~ 0 . ~ ~
c 0:; 1'>1 ~ 0
'E ..
t.l ~ :: ~
" t: ~ , ""
J:: c
~ ~ " ~.
:5 :;:: Ul
2 ~
,- - (j
:::~ ~ u
.
.,-- RCC:3& ..;--..
RESIDENT DECEDENT
SCIIEDlILE .. E"
JOINTLY OWNED PROPERTY
*'
COMMONWEALTII OF PENNSYLVANIA
, TRANSFER INlllilllTANCE TAX
INSTIUlCTIONS: Tills sl'!ll'dlllt' milS! (1Isi'lost' /Ill prflpl!rl,y, rPIlI 111111 po,'!-oolwl, o\\nl~rl hy Ull~ t\1'l"1'r1"llt .lulnlly
wi tll Illllllhf'r II" ollll'rs, l.wlndll1/.!, IIlt.nn~lhl..s. Sl,lll\flllll~ Iii Ihl' 1\lltllP 01' till' rlp(~"d"Tl' /tIHI nUll!I'!;. List.
r('al l'sUllt' flrsl. liS "Illlrpl.!"s, or .101111. V'IIUII!,:;, g;lvlll~~ IJrlpr c!l's,'!'lllllllrl, H'; ITldll~(Ij,'\1 lilll\!~r Sdll!du I f.'
"A", 111us t.ill' dllH~ /lud I'IIWI~ Ill' rl'I'or,1 01' IflslrHl1l'~III, /'I'I\'el,III~~ vl.~..tlllll'''. hilt dn lIot Irwlndt! 1!t1tlrf.'l.II!H
or nut tll' stat,. ,'p,ll l!s!'nl.l' 1/111 Ill! III (!sUttl' 1/11111111.1011 I~lllllmllo 1'1'I'SOlllll prnpl'l'1.Y should Ill! Ilstl!l1 I\H in
Hcll('1'1I11~ "U", pills rlnU' ot' H(~l\IIIHI 1.1011. Illlll thl! lllLllIl', Hflllr'l'ss Ilnd l'I'JIlI,loIISIII\! (I f' /lilY) nt' co-owners to
tht~ IIlll'Pllt'nt..
Ih~St'I'tptillll of Prupprl.y, UnlY of' Acquisition, Nnl1ll!
Altllfl!SS IUIII Ih'lnttllllsl'~\l fir t'n-(lwlIl!rS, 1l1ll1 IIIHCI!
nl' Ill-corll 01' IllRtfUlllt'Ilt., Wlll!rl' Ih'HI 1':st.nU'.
111111
VIIIIIl'
PI' rL't'1l t.1I1~t!
Slwr..
(o;H\..11 t.l!
V 1\ 1 tilt t lUll
IlI'J'AIITMI':NT VAI.UAT ION
GAtlTJON-f)o not Write
In This S I/lCt!.
VI11ue of'
Ent.lre
propert.y
VflIue of
necedentls
Int.ernst
l. C.C.N.B., NA joint with Janice
M. Gingrich C.D.#20053 ($35Q8.461 1/2 ,754.23
2. C.C.N.B, NA- joint with Janice
M. Gingrich-C.D.#20054 ($2506.04) 1/2 ,253.02
3. C.C.N.B. NA, joint with Janice i/!t /("
M. Gingrich-C.D.#17360 ($2503.531, "11-2- ( 251. 77) ,j r l,j, .:;-3
/ 'r' ~..( <-)
. ... ,.'
4. State capital Savings and Loan
Assoc. - Account No. 002-00-07883
joint with Janice M. Gingrich
($307.561 1/2 153.78
5. Interest dividend checks on
C.C.N.B Certificates of Deposit
($115.93) 1/2 57.96
TOTAL
4 470.76)
Insert this LollIl opposite ",Iotllt.ly owned PrOpl~rt).", Scll(~duJe "E"
in tile "As HCllorted" colm1l1 011 t1w lust pll~,H 01' tl11::-; return.
~-' 1.U, ,,-:2/
,
I.JJI
II L
REV.."S" EX'" I&-SOI
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
hJ Original
o Supplementol
o Remainder
File Number
,,,.__2J..:-J3.Q-OOOL,----.
Estate Nome _'" ..___._.."ar~"c:.. S:ol()~t;gc.1{_. .n.._________ -.---
Dote of Deal~
12-14-'/9
_..~----_.,._.._.~---_._-------_..._--~-
Social Security Number
REPORT OF INHERITANCE TAX APPRAISER
I, tho undo..lgned duly appointed 'nf.."itanco Tox Appraiser in ond lor tho County 01 Cumberland
Pennsylvania, do respectfully report that I 'havo appraised the roal and pttrsonal property as reported In the foregoing
return at tho values set forth oppal-ite each item in the last column to the right in Schedules IIA", liB", "C", and IIEll
Datod:
March '/ , 1981
~" , '. ,,-,,'f,', /)
.A. j,( .1 uLLLuui.J~ 'II
INHERITANCE TAX APPRAISER
INVENTORY
VALUE AS APPRAISED
CODE
ADJUSTMENTS
(HARRISBURG USE ONLY)
REMAINDER APPRAISEMENT CODE
TOT AL GROSS ASSETS
$ 25 000 00 00+
651 00 10+
5.722 52 2'>+
mID 30+
~1, 373_ 5<;, .n -~.._-~----
40-
92+
Reol Property (Schedule A)
Per.onal Property (Schedule B)
Jolnt.Held Property (Schedule E)
Tran.fer. (Schedule C)
93-
Len Debts and Deduction.
(SCHEDULE F)
CLEAR VAI.UE OF ESTATE
o Lile Estate
o Annuity
~----_.-
-------
RATE
FACTOR
PRINCIPLE
VALUE
CODE
E.QJLUSE OF REGISTER ONLY
TaK on $
~
COMPUTATION OF TAX
$
S
$
$
6"
"
TaK an S
15%
TaK on $
T aK on $
$
TaK on S
EKomptlons
Total Estale
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
S
less Credits
DATE OF PAYMENT
AMOUNT PAID
TAX CREDIT
S
S
---
-_._-~---
'NTEREST FROM
BALANCE OUE
~ ~ ~
~ co: ,0
Z ~ ~ 0'
0 p., '0
0 ;;.. u <:1 ""
~ ctl
'" rl
'" til ~ "
;:l '"
o-l ctl ~ .0
" E
00( '" " 0 00 en
- CIl ...l U 00
U Z N
- 0
1>0
1>0 -
0 ~ 0
~ 1>0
I:..
!i; 0 '" 0 Z 0
~ '" ;;.. E- O
- ~ E- ~ Z Z
Z E-
::3 0 - 0 ~ 5 ~ til til
Z :; Z 0 ~ z
~ ~ '" ~ 0 0 -
~ u 0 '" ...l
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
COUNTY fiLE NO
;).)_/0 J/
,
~ '\.. "':' '
TO QpJ ~J.- J..I, ". "
1/. ,J~.ljJJl"',j'., 'f::; '/ t~) )~~ I' ".1
" " =i'P '1 ':+d' _ Jr,
jJ -, ." , . ", ",.:' "
""il', . ",,' 6' 0' I 1].\(/ ~:
L.. .'(; \ \ 'l"-(~ \1'-- ,\ -- I
DATE --.n/", 1;',: ,h :3 I I ~' IS''!
!i ~.' '/, o' ';;1; ~
ESTATE ,> 12,0 /, !. ;J'
.~, '1"_ ',-- . {J-'..J. ",
FILE NO, d. 1 - j;:..() - Ii
- ^ ~ I
COUNTY (., 'ry. ,~, Il J c" ,..)
DATE OF DEATH 1v:\)1i ,: I L/ I q 97
Appraised Value of Estate:
Real Estate
Personal Property
s J. Cj (J.1lJ.L i..\ 0
-
+ (~, 1"(/ rJu
.
+ "1 '7:;n 5d
.~
s 31. :., 7 'I S :.(
(.. '7 (, '7 !I J
, , " , ,
s ~';( LI f:,'X'f" oy
,
,
Jointly Held Property/Transfers
Total Gross Estate
Total Approved Deductions
Clear Value of Estate
less: Approved Charitable Exemptions
Amount Taxable @ 6% Rate
s ~ I,: .) r / (\ Y
'J)I:--- I-
L,I;, ~.(<:;. ('I i-
tax due
s .I!/ fJ r.:-.1.-1--
Clear Value of Estate Subject to Tax
Amount Taxable @ 15% Rate
tax due
.. * .. '* '* * A five
will be granted if the Inheritance
TOTAL PENNSYLVANIA INHERITANCE TAX OUE
filA"') .,,,,,~t'uJ ( Ii, "I . f ,) )
percen' disibJJ 1~0~ini el( 'II
Tax is paid by
$ 1'1 '7'1 n
LI f I/t(-
I r- .... ..... GU
I !:> <>'\..:J ,
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
?> ]1-71
$ l.c:;-'i, ;;;.' r. ~
I
+
s
s
=
s/-5<<:<.r;o
+
=
+
=
Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritanco Tax from
to date of payment. Interest due if paid by
is
/d ,..~
dij" ~l =t.~ "-....
BALANCF. OF PENNSYLVANIA INHERITANCE TAX DUE
Assessed by:
Sf'lllnlormllliC'n on Rnverse Side ._ .';'.-~";'. ,~or.nl 0 I II
( ~ i'r'Jw^ ~
~-- j ''\,1,)
INFORMATION
To insuro propor credit to your l.lccounl, tho nama of tho estate and file number should be clearly print-
ed on Ihl) check or monoy ordor,
This assessment is mado in nr.corrJilnco with Section 708 of the Inheritance and Estate Tax Act of
1961 (72 P,S. 9 24B5.70B),
To th~ oxrent Ihst inheriwnce tax is paid wilhin three (3) months after the death of the decedent, a
discount of five (5) percent is allowed (72 P,S, 9 24B5,716),
Inhoritance Tax. other than tax on a future interest. 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 172 P,S. 9 2485.711), Inheritance
Tax on a futuro interest is payable within three (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S, 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 5 months ,025 8 months ,040 11 months ,055
3 months ,015 6 months ,030 9 monthS ,045 12 months ,060
1 days ,000 17 11 days ,00186 21 days ,00352
2 days ,00034 12 davs ,00203 22 days ,00369
3 days ,00051 13 days ,00220 23 days ,003B6
4 days ,0006B 14 days ,00237 24 days ,00403
5 days ,oooB5 15 days ,00250 25 days ,00420
6 days ,00101 16 days ,00267 26 days ,00437
7 days ,0011B 17 days ,002B4 27 days ,00454
B days ,00135 lB days ,00301 2B days ,00471
9 days ,00152 19 days ,00318 29 days ,000BB
10 days ,00169 20 davs ,00335 30 days ,00500
-- --- ---------------- --- - - - -- - - -- -- -- -- -- --- --_._---- - -- --------------.
Any party in interest, inclllding the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (60) days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961172 P.S, 9 2485,10011,
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
HEV-"!!!! (8-781
,)/- .')';."';
STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN
OFF ICE O,F'THE
REGISTER OF WILLS
Cumberland
OF _ COUNTY
AND AGENT OF THE COMMONWEALTH
THE SUM OF
$ (, '/ ~' 'I '/,f'
!
,
DAH APPROVED..!.oLlc "', 1',,.,('1
4'>'" /' ,I)
" '/I. /,/
'''~'~r'i!OF .'LLS, ^"'NT
-. (;
I
/ "
1
), ,
,
"
I.
.'
,
ESTATE OF
Sara E. Colesto(~ ,.
LATE OF
Lernoync
DATE OF FILING APPRAISEMENT .-l.!..-'.-<-,--C.- DATE OF DEATH
December lil, .1912__
,- - - --- - ~---_..-
DATE NO, OF NAME OF PA YEE REMARKS AMOllNl
VOUCHER
-- .-,-.---- -,--'--
12/28/79 = 1 Gilbert Parthemore Funeral Expenses 2,801. 15
-- -_..~-----_..- -' -- ,-
6/16/80 2 Dauphin Dep. Trust Co. Sewer Bills 85. 5
---_.~---- ------ -----~_..-.- -. _.-
" " " 3. Riverton Water Co. Water Bi lls 17. 92
----- - ._-_._-~_._~-- --
" " " 4. ~~ G. I. Gas Bill 6. 0
---- ----. ----
6/16/80 ~ P P r. To JDgctric Bills 4? be
" " " e: n", m~'eph.one-"'~ m,_' phone--E i 11s ~, ,~
" " " 7. Deitzel Bros. Oil Bills 259. 17
" " '! 8. Lemovne Ambulanl"'p 11mbJJlance Service -2~ In
" " " 9. Carol Luta 1980 Real Estate Taxes 69 15
--
" " " 10 State capital S & ~ Monev Orders ,2. 20
--
" " " 11. Gingrich Memorials Engraving & Stone 208. 00
6/16/80 12. Bonnie L. Starr Notary Fees 6. 0
" " " 13. Janice M. Gingrich Executrix Fee 1,518. 84
--
" " '! 14. Gurnev B. Rubv. Jr. A tj:ornev Fee 11 518 ..M_
.6j.3Qj..a n 1 ~ - ,~__ -" ,." 11 ~ "" 1 , ~ e-.---- < fIfI
16 RESERVE TO BE HELD IN A COUNT FOR 1 year $200.00 200 00
--- - --
---- ---
--------
-'--'-.--- -.. -.----. ~~----~11,7>-;;
------- ---.-- -
--
----_.._- ------~----_._--- . ___ _..:.1, ~_
___...._u ',"=' , .. __.a.'.______._______.____. .~- -, - - ~~J4-8
. . _. --._~-- -
-- -----------.-- ..------
COMMONWEALTH OP PENNSYLVANIA
CUMBERLAND
COUNTY OF___
I, _...i!.AN1CE M. GINGRICH_______,__ HEREBY CERTIFY, THAT TO THE BEST OF
MY KNOWLEDGE AND BELIEF, THE FOREGOING IS ^ JUH AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND
EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF__..J?ARILJ2.'-c;QJ;,ESTOC!L--------
DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX FUR POSES. ~' :i~" ,-.I.'
~~.' .'.. \. h\..,J" )\.'~" ....' .,,":; \. ,
\ '
'Jan1Ce M. G1ngrICn'--- (L.S.)
SS,
My Corron.
30th
CJI~ED BEFORE ME THIS__
, . (~~~ 19-5D.
NOTARY PUBLIC
Expires: June 2, 1981
OA Y OF