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Home My WebLink About80-00027 i,' :,-') ~ " ! ~ ! s 0' i ~ ti:, ! ~ ~' rz1 ~ ~: ~ en ~ m r-i, ~ ! ;' II'l 0 ' ~ ' o oa . - N .. o ,s J~ tit UI :I IIEr;ISTEII OF \l'II.I.S OF .~,1I'!!1>~.J:,1.~,~,~"""."."" <:OlJ~TY 21-80 ~O, PETITION FOil PIIOII,ITE OF \1'11.1. A:,(1l I.ETTEIIS OF AIl~II~ISTIIATIO:,( r:11~1 TESTA~II'::\TO ,1:\:,(1':;';0 I.E'ITI':IIS IW AIl~II:\ISTILITIO:,( Ill': III)~IS :\0:\ I.I,:TTEIIS OF ,11l~11:\ISTII\TIO:\ m: 1I0:\IS :\0:\ elllI TI':ST\ ~I E:\TO A:\:\ 1':;';0 III t1\1' E,t"I., ILl """IU~J~""G,m~,\LH\l!!IIJ\G,J:L . ., LewIs J. ~!unilncrT. 'Jr';'~' 11'llllOllt.I'(~. ..................,,,..... all(.~l'(..) thai: ......" dr'('I'OI'I,II. b X'A\K J. 1'l'l;lillllt'nX) 11)3' h\'I'III~'.nlll' ~'t'ilr.. Ifl aCt' or uld"1 alld ilpplil" lor Idlpl.. of adlllillbtl";ltioll CTA ,.....................,"'......."...........m ill thl' al111\'I' (';llltilllll'lll...talt,. 2. DI,(.(.(lt'lIl <Iit'li Oil .........",P:~.~.~~~.~,;...7.?"...J,~.??..""........,," al JJ.;,9.Q.J~1. ill thl' COllnty ul ,q,~~~.~.~~,~.~.~"',.........""..., Slall' (If "?~.~.D.~YJ~~!)J~.,.......,,,, al till' a~t' Ill' "".~}.......,.."..... Yt'ars, ha\'ill~ matlc' .J~.gI"", l.ast "'ill ami Tl'stanlt'lIt <Iakel tIll' ."..... ..,.... day of ""....""..""...""..................., ..\.n: Hl......... WIH'n.in ...she..... appllillll.d ............... \Vhit'h EXI'e ..........."... fla.. ~ill(,(' .............................................................. EXI'(' .,..".....,..... ...............................".................,.".,......,........",."........,."."..,......".."""........ Oil On ..."........... llay of ............................................. lH........, IA'llt'I'." clf Adl11illi\II'.llillll wI'n' ~ralltl'{llcl ...n..".'....... "............................................................................................................,...............................................................................,.. XIlIlIlX xblKlXotk:X ,1. 1,('lttor\ of :\dlTl;lli~lrnli{)lI <\l,iI. art' lIt'l'clt,tilwC'all\l' J;he....s.Ql~."b.e.n.ef.iciar.y.".in..wil1..was Lewis J. .. - '\If.l'.lSx M~~!::;.~...~~,~"'!~...~~.~..A~S.~~~.~.~.....~~.".J/~.1I~l{~ 1H'litiOlll'r(.~ appi'il'\ ill ".."...h.~:?...". capacity as .,......".........,...."........"..........,..,.........................................,...... 4. Dl'{'{'dt'nt dit'd dOlnidh'd ill ...~.~~~.~.Y..~y.~~~~"..........."........ wHh his last family flI' principal (slah' or (,olllltr,,) ro,id"ILl'" al "".".Mi.,.J::,r.f.9.r.g",R9,~c;\,..,');; iJS,t".l?e,\lIlSb,o,J:p':"Twp,.. .,',C.~mp"Hill,.",C.umbe.J:1and,..C oun ty xxoox XX'KC{ 5. (WI\I'H' dl'('I.t!{'llt diNI t('~liltt.) D(,I'C'dl'lll \\'a~ lIot lIlill'ril'd ami a l'hiM was 1I0t horn to 01' adoph.d hy dt,t'edl'llt aftt'r ('Xt'culion of lilt' will (ami wllt'n' appli('anl is alh,~t.d SpoilsI') nor was de(,l'dl.:llt di\'orced from applil'ant after t'Xt'clltion of will ami al cJl'a t\1 , fl. 'I'll<' said dt'l'l'dplll \\'a\ possl'sst'd of Coods, Chattt'h. Hi~hts anti Crt,dits 10 the t'stimated \"tItle of $...,4,U.,.O.Oo...,Oo..... and of Hl'al Eslalt', to Ihl' I'stilllatt'd \'ahlt' of $.......N.one.............. as Ileal' as can he asct'rlailll'd. That Il1c' said Ht'al Estale ill so far as howll is locat<.d in ..,......."..""...."""...."......"...... ...............,.............."."...",........,.,....................................................."...,............,...,..,.......,.,....,................................,.,...........,. 7. (WIll'rt' dt'{'('dl'llt dit'd illlt.'slatl' as 10 allY portioll of thb l'.~latt'). Pc'litiollt'r after a proper search has ascertained that d(,l'l'd('nt was !.ur\'i\'l'd hy IIH' f{)lIo\\"ill~'lIallll'd persons l'lltitll,d to di...lrihution under the lnteslaft. Ad of JH4i: Name !It.lalicIIISllill Hl'sidence Pearl C. Bonner Daughter R.D. Ill. Lewisberry. PA 17339 \""""....".......".."",,,..,,,,,,....,,,,,,,,...,,..,,,,,..,.,,,,,,.,,,,,,,,,,,,,,,,,..,,...."",,,,,...,,,,,,,,,,,,,,,,,,,..,,,,,,.,,.,,,,,,,,,..,..,,,,,,.,,,,,,...,,.,,...,,""" 2, ,.""..A.E.1.~~,~':1:.J,~.."~,~~~.~~~"".""",...,P~,lI,~l1:~,~E"..",,,"..,......"""""..11-".p.""JI.?,A1~"'J~1?,~.r.,D:A,,J',[\ 17339 3, ".....,~,~~~,~'''~:"..l>I~~,~~,~,LJ.,r..:,'''''''''''~.()~"".."''',,.......""""...........X,(l.,'",Jl':'?!'",,??,?,',,,!:-,~~~~p,~)"ry. PA 17339 4. "."..,B..~,~~,Y",:!.,,,,X,i,!1g~!.,.....,,,,,...,,,,...,,,, p~,~gl1:,~~,,,,,...,, ",,'" ,,,... " " ....11-, ,P." ..!!t.., X".r.)s",f1.;!y.~,!!,',J' A 17370 5, "".".w,g~g~...!:-,~.9.,'"./,I~~.~!.t""""".....~,()~."......"."....,',,....,'''''''''".A.9?....ll.\1!-m..!n.)!,~",A...~,J.\h, PA 16507 6, """"^.:~.i.~,~"'~:.,,F.:.~~~"'" .."....,....,..""."..0.. ~.11~1~,~,~,r.."..,..,,""" ..."......""~.:.J:l:,..JI.~,.,,..~(),?!'..9.s.,I....~,~~,i.:" b my. P A 17339 .................,.."...............,.......................,.........................................,........"....................................................................,......,.... "1'jlly Ther('fon', pl'titiolll'r~) J't,,~p('('lftll1y applil's for (prohaft>..(Jf thl' will (l1'l'Sl'lltt'd Iwrt'with and :~::.,:;"tl",,~~~~~~;~L',~,~i~):',....~980.C.IA.., ..".,..",.", ..~i~;::::;;...:~:;1~)~i{~iii:2J7::~ 7339 ;\d \\:.. ....................................,..,..............."..,............... CO~I~l ):\II'EAI.TII Of' PE:\:\SYLI'A:\IA \ SS ,,'" ....,G,\!m!>g.J:,b,\l,c;\",.,,,,,,,,,,,,..,,,,..,,,,(:OlI:\T\', I " ..,..",,,,,,!:-.~~,I~...:!..,,../,I\1~,e..r.h),,,,..,,...,. .............................................."...".. tIll' pt.titioll('r(~ ill till' aho\'(' applil'atiol1. Ill'ill~ duly ...sworn . ........ according tn law \ay( \) that Ill<' statC'IIlt'llls sl'l forlh ill this pl'litioll an' Imp 10 IIII' hl'\l of .......hJ~..... knowll.dgt, alld 11('1;t'/. swor~a~ua~; .~.~.... alld ,"I>",il>,'d h~~n' 1 ,.Ly~~2i~t~~f~:-~..:"'" ..ik~Jir~i;1~1~:~;.~.~;~~ ;Lnn'''n..',::::",,' ,,':':,,:,,:,,:',,::':::::'::,:,: liq.'.l\lt'r Fil<,d, January 17. 1980 :\tIOrllt'\,'s :\aml' ,111<1 Adlln'ss Robert E . Myers !j ) , 'xi Iti.. 100 'YOTklld;;N'ewciiiiibe;:'i~~'d;n"PA 17070 (0\'1'1" f IAST WILL AND TEST ANENT of ELSIE GRkCE MID1MERT I, Elsie Grace MulllJllElrt, of the City of Altoona, Blair County, Pennsylvania, being of sound and disposing mind, memory, undarstanding, and not acting under undue influence of any person whomsoover do JIllIke, publish, and declare this in- strument to be IIl3' Last ~1ill snd Testament, hereby revoking ell former \/ills snd codicils made by me. FIRST: I direct IIl3' executor (hereinafter named) to pay alllll3' just debts and funeral expenses out of my estste ss soon ss prscticel sfter IIl3' deceaae. SECOND: All of my property, real, personel, and mixed, wheresoever situated aver which I may have the power of testsmentary dieposition at IIl3' decease, I give, diviae, and bequeath unto my beloved husband, Lewis J. Mummert, absolutely and in fe e simple. THIRD: I direct my said executors to pay ell estete, inheritance, transfer and succeasion taxes that may be imposed by the United states or by allY state out of my estate. FOURTHs For the purpoaes of settling my estate and carrying out the provisions of this Will and Testsment, I hereby euthorize and empower my said executora, or the llUI'Vivor or suvivors, to sell snd convey any part or all of my estate at public suc- tion or private sale, without court order, and on such terms as my ssid executors, in their uncontrolled discretion, may deem advisable for the best intereata of my aaid eatate, and execute such instruments as may be necesaary snd proper to effectu- ate such purposes. FIFI'H: I hereby nomil1Ste, constitute, and appoint IIl3' beloved husbend, Lewis J. Mummert, and my beloved son, Lewis J. MUlllIDCrt, Jr., or the survivor or sur- vivora, a9 executors of this last Will and Testament and I requeet that they be allO\/ed to qualify and Berve aa such without giving bond or other such security. IN Witness Whereof, I have hereunto set my hand and seal this __th day of , 19_ at Altoona, Blair County, Pennsylvania in the preaence of each and all of the subscribing witnesses, esch of whom I have requested in tha presence ot all the others. 11',7 G' . U(!JU /t ~?-1f/JnRAL OATH OF PERSONAL REPRESENTATIVE 1'H OF PENNSYLVANIA} COUNTY OF CUMI ' LAND 55: Before me, the Register 1'0 e Probate of Wills and ({ranting of Letters of the County of Cumberland. personall ...................................................... who, being duly............................, do .......... ................................................................ of the last Will and Testament of ................................. . ..................................................................deceased ......................... will well and truly administer t . ns of the law relating to Transfer according to law. And also will dilige Inheritances. ............................ before me. ............. ........................................ A. D., 19............ Richard E. Anderson, Register ................................................................................... .............................................................................. . :..e 0: : '" co: :rJ :", '" :u ~r :'" :0 , LL. ~\ N: I [iI: co: , 0 ~\ '"': , i ;;:~ .>'i 1': -' 0 .....i \ I' [iI: 0 N -' u: i:Q . I ~\ - >-i I 0 - ~ . \<: I co ~ ~: u Ill: I .S E-t =': ..... w: [iI r;:: N H: "C Ill: 0 Ul: '" 1-)\ 00 0 H: "C I' Z w: .... <t . 0 ..... - u N .s '" '"' J.l .... '" "C 0 "C bD '" '" r;: CIl - Z iJ;l .~ <II ~ r.. DECREE Be it remembered that on the ........~~.~~....... day of ...................~~.~~~.7.X'............., A. D., 19 .~.?..., there b d d d d h I W'II d T . I' Elsie Grace Mummert was pro ate an recor e t east 1 an estament 0 ............................................................................, fEast Pennsboro Township . late 0 ............................................................................, Cumberland County, Pennsylvania, Deceased. Letters of Administration, C.T.A Lewis J. Mummert, Jr. ........................................... ............ ~ere granted to .... .............. ...... ........ ........ ...... ...... .......... ...... ........................ Witness my hand and official seal the day and year aforesaid. ~~. JJ( . . ."... ! "'-. '.. -t. .~~.... 1.....B...Yyr.~~~:~.~~.~ ~1PtX Register. .. . / ~i.' i '/ I HCC..3J (1l.13) COMMONWEALTlI OF I'ENNSYL V ANI" IlEI'AllTMENI OF REVENUE BUREAU OF COUNTY COLI.ECTlONS RESIDENT DECEDENT COpy OF VilLI. MUST ^CCO~l:'^"i'{ T: :i'~ l"or:M COUNTY OF Cumberland IMPORT ANT, _.om._ ,__. __ n_ _n. _n_ . -~..- - This rl'tllrn lIlust he cumpleted in dctuilllml filed ill ,ltlplil::tIC, with all atllld\l~d, wilh the I~cl:\islcr of Wills of the C{IUllly wll\.'rl~ lh~Cl~dclll resided; Return is due within nine l\10111hs after dale of death. unless UII extension is grallted lIy the Scnctaty of Ih'll.cnla', (SectiulI 7lJ.l (If till' Inheritance nml h,{alc Tax Act Ilf 1961.) (STATE FULL NAME OF DECEDENTI } AFF\IlAVI'I (IF ,-- 1i'lUX;(;!Xl(l All\lINIS'II\AT(lll C. T. A. County IN '1'111; MATTEll (IF '1'111' ESTATE (IF Elsie Grace Mummert Laic of _CJ.1JDl:teTJao.cl._-- Stata of PennsY1.Yania. County of Vf'lrlr },,, lOOOOIlQ{ Adminislrlllor Lewis J. Mummert, Jr. of the estale of the above.nomed decadent being duly sworn, deposcS and say S Decedent died December 25 , 19~J testate leaving a lost will, copy of which is hereto attached. } \ vEhRl 'linttrvtatCl I MON Tt~l Nome and addres s of ollotney or } other outhorl~cd reprosentative to whom all correspondence should be moiled. (DAY) Robert E. Myers 100 York Rd., New Cumberland. PA 17070 That as SUl.:h Administrator deponent is familiar with the affairs of said estate and the property constituting (EX E CU TO R- ADMINl 5 T R A TO Rl the assets thereof and their fair market value, That at the time 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 dccedcnt's illdividualname, with right of accesS by anothcr as agent or deputy, with the exception of the following: - NAME AND ADDRESS OF BANK OR OTHER iNSTITUTION IN WHICH DECEDENT RENTED A S.~FE DEPOSIT BOX THIS SAFE DEPOSiT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECEDENT None That the contents of said safe deposit box or boxes are itemized under Schedules with the exception.of the following, for the reasons hereinafter set forth: of this return, That Schedule A attached hereto and made part hereof sets forth fully and in detail all the real property in the Commonwealth of Pcnnsylvania of which decedent died having an interest therein. It also sets forth the mortgage encumbrances upon each pared of real property at the datc of death, giving the amount still due at death, namc of mortgagec, date, rate of interest, and book and page of record thereof. It also sets forth 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. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property whereso\'er situated owned hy 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 tn decedent's credit in banks of deposit, savings hanks, trust companies, or other institutions, whether indh'idually, or in trust fur any other Jlerson or persons giving also separately thc accrued intcrest thereon, if any, down to thc last interc~t 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 bond:., postal savings, treasury certificates ()f notes and other evidence of indebtedness of the United States to the de. cedent; .111 obligations, whether by statute or agreement they arc designated as lax frec, of the United Statcs, or any state, or Jlolitical subdivision thereof, or of any foreign country, which arc owned allhe time of death; all wearing apparel. jewelry, silverware, pictures. hooks, \vorks of art. household furniturc, horscs, carriages, automobiles, boalS, and any and all nther personal chattels of whatsue\'L~r. kind or nature, left by decedent,. together with the fairly estimated markel value thereof: all bonds and morlgages held by decedent and of all claims due and owing deceJcnt at the time of death, and all promissory notes or other instruments in writing for the IH\yment of money of which decedent died possessed, of whatsoever nature, with interest thcreon, if any. giving the fOlce \'.11ue and estimated fair m.lrket value thercof, and if such estimated fair market valuc be less than the face vlllue, it sets forth briefly the reasons for such d~rrcciation as to each item; all moneys payable to the estate from life insurance policies carried by deceJent; all annuity and endowment contracls the proceeds of which were payahle UPUIl the death of the decedent: all and the corllnratc stocks and dividcnds due thereon ilnd unpaid as of the date of death. bunds and accrued interesl theretln to the 1l.He of decedcnt's death .lItd other in\'estment securities owned hy the decedent at the time nf death, with the market \'alue there. of at such tiltu', Ie) - JfI- ?-- \ III tll.. I'IIS(' Ill' !';t'I~lIl'ltles of' (~ll1SI! Ill' t'nmtly enrporlll.lolIS, !.Iw \'llllll!S rl!l'flrtl!d 111"1' liS ,'/II' IlS posslhl(! SlIhstlllllllltl'd llY 1'IIIIIIwtlll stllLl'llll!IlI.S of 1,1". eurl'ol'lltlollS, showlllJ!, till! IISS"!.S IIncl 1111111111.11'''' thl'!'ent' liS 01' t.he cllllt. of dl'ut.lI. '1'1\1' s('!leeIHI,> HlslI se!.s forth thl! 1lIl.I'I'psl. 01' d(!el.df.'IlL lit. I,h+' 1\111I' 01' dent.h III nll~' rn-pllrl.llI'rshlp or Illlstlll~SS, /llltl In !H1pJlort of t.1l1' vnluo of sllC~h Int.I'I'l's!. tlll'I'f' Is 1II1111'XI',1 Ul snitt selll'dlllll, l'tllllnelnl sl.lltl-'l1Il'llts showlllJJ;I.IlI!/tSSI!l.s /11111 Ilnhilltlf's 01' slIlt! ('o_pllrl.nnrshlp or II\lsllll'SS. A cOJl)' of tilt' cO-l'lIrtnnl'slllp lI~r"l!ml!1lt" (If nrlll, 1I st./llemf!nt sl'tt.llIJ!, fort.h till' HlltHI'I! 01' thn 11J.!;1'1'l'IILl'IIU togetlwr with II stlltement. ~llttlll,l!; forth the chnrnctror of t.h.. 111ISIIIl'SS, It.s loenl.lllll, nllll sHeh nthol" 1'/iI:Ls pertll t III n,l?; to thn hils IIlr'Ss us mil)' hl! I"l rt.lllp.1l t to n l'u I r lIllll .IllS t IIl'prlll Sill Ill' thl! dllllmlnllL IS Intl!l'I!S t, tlmreIIlI1lIlSlhnsll\)m1tt.P1t. It should nlsn set, f'urth In Il.mnlzllll form, I.II~l~thf'l' wltll Ull~ l'nlr murkl!1 \'11111I' tlmrenf, nll~' otlll'r property ul'l'lIrod or heC!\lellt.lll~d hy tll(' dl~P.I~d(!llt. lit the "'ml! nf clf'llt.h. The Schf'dulp C Itl.t.nchcct hereto unci mfltle purl. Iwrenf' sets forth II trlle IlTlSWI~r to l!n{~1l IUIIIII r".r contntned tlir.rein tH\lt In t.he cose 01' transfers ofpro]lerty, rnlll 01' persolllll, within two yenrs nl' fh~cellent' s denth, In contemplation 01' t1ecf!dentl s death, or Int.clllled to t.'lke f!f'f'ecl. In possession 01' en.loymmll, HI, 01' after denth, sutlt schedule sets fort.h t.hn nllture Hull vnlu('! of such prolwrty, to whom lrnnsf'crrml, the relationship of the trunsf'p.rees to the decedent, tile pruporUonute !ihnrC r(!l~f!tvl~jl hy cnell trilusfcree IUld all other fnets of u pertinent nnture regardinp; SHirl trnnsfers. In the ellSI~ of' trlmsf'l~rs tntenllell t.n take effect, in possession or eu.lo~'mellt Ilt or nfter dC/lt.ll, there 1:;; 1l1so nU,nchlHI to the sch,~rltlL{! II eOIU' of the deed, trust agreement or other instrument crenting thp. t.rust. Therl~ is fllso Sf!t fort.h In slLld schedule t\ I1sl of nIl property, relll tmll personlll, with its vnlue, which IH1ESPS nt df!Cf'!dentls e\l!ut.1l hy virtue of the exercise hy ttecclicnt, either indtvlehHil1y, or.1oint1y with IlIlother, or Imy power of' uppolnt.- ment vestedlndp.eedent, either Inllivlduully or .1ointl~', by the will, deed, or other Instrument of' 11llot.lll~r, with n COllY of the instrument crcllting such llOwer Ilttnched to the !ichelluIe. Thllt Schedule 0 Ilttached hereto nnd mllde part hereof sets forth the UflmcS nnll lu'ctresses of 1111 persons heneflclelly interestcd in this estetc Ilt the time of' olecedellt.' s ,Ient.h, the nnt.nre nf' thclr l'es- pective int.erests, t.heir reintionsh!l', if' nny, to the deccdellt., t.o~et,ller wlth the n~es nt. the Ume 01' decedent's death of nIl minors, annuitnnts ann beneficiaries for lif'e lInrler decedent's WIll. It nISI) contains n statement showing whLch of the heneflciflries ntuned In the rlecfHlent' 5 will, If /luy, died prior to decedent, the dlltes of their dcnth, their iS511e, /f.nd the relationship of slIeh issue to the henef'lcinry. That Scl1edule E nttllched hereto and mane 11 part hereof sets forth all prOllerty, renl /lUll per- sonal, owned by the decerlent .1ointly wi th another or others, inclurllng tntnn~lble, stllndLn~ 1n the nllme of the decedent. Illld others, pins the dnte Ilnd plnee of rccord of instrumellts effecting the 'estitllre of' real estnte nnd the date of Ilcqutslt10n of personalty, plus the name, ndrlress flnrl rel/lttonship, if nny, of Co-owners to the decedent. Thllt Sc/ledu!e F littncherl hereto and made A. part hereof sets forth fullj' and in detail nll rlebts and dednctlons clnlmed for nn'! on hehalf of' this decedent's estllte, Incluolin~ funernl expcnseS pniol; family exemption, where npplicn1>ie; costs nf ndminlstratioo of' this estllte; counsel fees nnol fudieinry' 5 eonunission, paid or to be I"lld; cost eXI,ended for burinl trusts, tomhstones or grnvemnrkers, Ilnol reli- giouS scrvlces, in conse'p,"nce of' the oIenth of' the oIece,ient; ,Iehts nn,! cln!ms owing nn,lnnpnlol nt t.ime of' dellth; tllxes nccrneol ehnr~eohle f'or period prior to deeellcnt's oI.nth (except those nlloweol nnoler s"et.lnn 65101' the Inheritnnee nnol Estnte Tnx Act); together with n stntement of collnternl pleolgeol for o1>llgn- tions, if' ony. It is Ilgreed thnt the fldnclnry will present proof nf snill clnimell ohllgntions upon r"- quest, that if the nmount nct.1llllly pni'! in settlement of any fee, commission or oIel,t. Is i"ss thnll the est!mnt"oI nmonnt cllllon!n~ nllol nllowed, thnt the snone wiJl he reported t.1l t.he Ile~ister of Wills, Ilnol thnt. the amount of' tIlx nssesscd cnll he r(!IlSSCssecl in nccordwlCe therewi t.h. Thllt the totn]s of the nppr"prillte coiumns ill Sch"'\III"s "~", "II", "CO, "E", nod "F" ns ,l1r",,'-"oI tI,ereju. have heen carrielt forwRt'ci anll properly rCJ.!;lst.ered in the Summary. ......................H""....'...,. ,day of .January :' ,II 19,,80, /-,. :.'L~Z~~0:':~~-" C7:1fct~~";;;;iJi"d;;"iniMratm) ~'7\:1" _ .0. !lox 265,,, ,.,.. ,. ' , ", ' . ,,," ,.",,,,.,., (Street Number) Lewis~egy,l''-''., UI~.9. (City ()!" Town and State) Subscribed and sworn to before me this .,...., ...1............. /~:.t :..( " 1,' ,/l ,/ '-J' /, :.elr."..... . '-1" 1.'.~Gr Notary i'lIt: ~. r';r/''.'. l\1'D.. Yon: co.. MyCon,.:, 'co' ~y:;:,c, ~Iov, R, '982 SOTE: IIpf'"r" sl~ulnl\ Ilff!olllVlt onllk" sllr" IlII hllluk sl'"""s lu U", Ilfl'l.lllVIt "nol scheolul"s """"",,I "ro. f'llleol ill with oldllils "r the worol "S"u,,", ,,,,01 !u cuS" t.h" Il",.>ls luc1l1<le rure uu.1 unl!ste,1 s"curiUes, s<,curltlps of' close or fuonl1y c"rl'orllU""S or uu lu,,,,est lu UU)' ""_p"rt.u,,rshl!, or hUs""'sS, 'hut "00' dllt" ""'\ sl.<ltI'm"uts r"'lulr"'! uuoler U", I"orll~roll'h IlhOVl' rel"Uu~ I." ScI",olul<' "Il" uro' "'lllCh",I. ,\Iso ",uk" cert.l1tn thnll~()lllmn #1 In t.hl' "Sul1l1J/lry" liltS llet'fl llrnperly cflmpll!tf'll us IIh(l\,I~-,tlrl'ct.lll'. ~CC~34.(4-731 COMMONWEALTH OF PENNSYLVANIA DEPA'RTMENT OF' REYENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERIT.ANCE TAX ReSloeNT D.jCEDENT *' SCHEDULE "A" REAL PROPERTY Real praperty in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece- dent. Property held by the decedent os tenant in common with onother or other, should be identified as to quantum of interest and the estimated volue should be that of the decedent's interest only. (Property held os joint tenants with right of surviorship or tenancy by entireties should be reported on Schedule "E.") Tho real property locoted In the Commonweolth of Penn.ylvanla .hould bo (1) (2) (J\ dOllcrlbed by lot and block number, .treat and Itreet number, togethor with DEPARTMENT a general description of the proporty, with 0 roferenco to the rocord of tho ASSESIED VALUE VALUA TIDN conveyance by which the decedent took title; If a farm Itoto nUf"'lber of a. FOR YEAR OF EITIMATED CAUTION crnj 01.0 .tatoment of mortgage encumbrancu upon each parcel at deoth DECEDENT'S MARKET VALUE (Do not writ. of decllldont. TOlCe., a"IlI.smontl, acuued Interelt on mortgogel, etc.,are DEATH In thl. .pace) to be listed on Schedule IIF" and mu.t not b. deducted from thll Ichedule. None Insert this total opposite "reol property", Schedule "A" in the X X X X X "As Reported" column on the last pDge of this return. Nt-nl_" unfit' 0/1' . LAST illLL AND TES'l'AJoIF.IlT or " ; , " I, I " , 'I'," ' ) ~I~.'l ~ ,.1.,;t:'j.' 't : (~,':f.':\ '~ i ~1~!\l.v'" ... .11,,::<1."'" .... _,t, or'" '''' " m-. "." .......,. ..M.,.lo.... , 'I, , . '.; 11811 GRACI ~T ~~~~~ ~~~."~t;x;~nqWlI;,~~,,q,!O!,,~1pIdfl" 11:17 penCIl wIIoD08yer /10 ..ka, publ1eb, .rd 4e01ll1'4l 1Ihill a- te 111 ... Llet WllJ Iln<l TelltllBlllIlt, bereby revok1ng .11 rorllllr \I111e alld .....u. _d. b7 u. !'DIro I dlreo\ m;y executor (berewtter Il8Dl1ld) to ply .11 m;y jUllt debte ... ~l "Jlsee out or II'f .state all eoon U pract1cal .ner Ilf d.o..... , SIOOJIlI Ul of lII1 property real N\raollll --' -'-.I , , ..... , II..... ......., ...."'.onft 8111...-.. _ ...... 1 ~ .... ... p_ " ........." ......"... .. '" _. 1 ..... 41da., .ad bequeath unto IfI3' beloved hUllbllllll, Levie J. ~ r', .b1olut.e~ .11I1 1JI b. e1'lpJe. . ,.' _~~ ~ ~_;f.:- . 111I lIUoaelliOll tax.. thllt _y be iBqlO.ed 'b7 1Ibe Ullitec1 MetM ar by .VO' 111II10. -)d 'fBDIl , ,"4., 1 c11roa\ lIO' ..~O QriJiAlQ\A,.Q,I.... .'" ",." ..- 01" -.", --. -- . il.1 .td . !l ;' or ., .lJ\a to . F01JRrlI1 For the purpoBOB or aattl1ng m;y ..1Iate ... ..rr,be -' ,be pro91d- of tb1l "ill and Teeternent, I herob}' euth01':he aa:td oapCJll'lr 'III ..ld .:IC._~e, ar 1IhI lIQ%'V1'far or eU'Vivare, to eell IInd convey arr1 psrt or aU ot flf1 estate et publ1C aue- 1oion 01' private e81a, ."Uhout oourtqrder, and on ouch terms e8 IIfY 6a:l.d executors, a t\wir uncontrcl1(,ii c1~IlCT~tion, ITllY deem Rdvis~bl ~ for tho boet :lntere~.t8 of Jfty .siC! ..tate, and GlCe clIte :;',loh inetrmnentB 8S mil, b'" noceeMI'Y (In',] proper to ..rfeatu- .t.e 8'Ach purpose 5. fIFTH: I hernby noml.l1Ate, COflllt.1tut.e, and f1ppo1llt a;r r..."J 0..",11 htUobond. Levi.. J. .-n, and my \:'cloved Ilon, Lo..t1~ .J. M\lIlIIltlrt, Jr., or t',E, i~U1~11vor or Jur- u"arl, lIB ~xecutCTl! of th1e [.eat Will end TeCJtellf'nt am 1 reqlloat tbr.t tr, ~7 bo .11C1111llil to qualifY 1,,'0 eerve 811 Buch without g1 vl.ng bollO 01' othor 15\loh Ilscllri1i1. IN W1tl1ll11S 1I11t'r!'of 1 I ,,~ve "flr.unto lIOt my band and 1'1",,1 this _th dl'," of .oel all of th~ 5ubnrdblnp, 'lit.n~ns('l1, aooh (If "hl)lll I 00"0 "GUllllte<\ 1n tt', pre'!lIIC8 , 19__, et ntcor.e, Bleir Cola\ty, ponnay1'lllnl11 In the preDen'~ of 'lIch of .11 the othtrp. (' V '- ! t. ./~1 )" c- ,; /,' J.L"}'1i./nl/,/I. - \ t I i~l ,1.-.'" "; .- ~.~:~,} /' . '.. .' ~ ," ,. ..t4a-Jcr'(',-I- , < _~. (1.4'(1 (.' ( ( / . 'RCC-37 (12-63) COMMONWEAl.TH OF l'ENNSYYl.ANIA TRANSFEII INm:ltITANCE TAX RESIDENT DECEDENT SCHEDUl.E "\)" BENEFICIAHIES IIELATIONSIIIP , BENEFICIAIIIES AND ADDIIESSES (If step-children or SUIIVIVED IlATE INTEREST OF (Soute full nurncS llnd nrldl'CfiSl!S of 1111 who il1e~ihmate children DECED~;NT 01" m;NEFICIAIlY five nn interest, vested. contln~ent or other are involved, set STATE YES IN ESTATE wise 1n estate) forth this (act.) OR NO 1J1 RTH Pearl C. Bonner, R.D. 1/1 Daughter Yes of age 1/6 Lewisberry, 1'A , r,. .'_M_ Il n J!? n_..nh.n- Yn_ l_e _M ' I~ Box 265, Lewisberry, PA Lewis J. Mummert, Jr. , Son Yes of age 1/6 Box 265, Lewisb erry, PA Betty J. Yinger, R D. III Daugh ter Yes of age 1/6 YOrKliaVen, ~A lUlU _Wilson L. G. Mummert. 406 Dunn Son Yes of age 1/6 Blvd. , Erie, PA 16507 Alice A. Frank. R. D. 1/2. Box 95 Daughter Yes of age 1/6 Lewisberry, PA - I , Deponent further Sf\YS thnt. u11 the nbove-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE (I) (2) " SUM MAllY (As Ih'portl'd) (As Dl't<,'rlllilll'd) o . ~.::!~ " .. Heal Property (Seh, "A") $ $ " tj: c:: 'c d,l e Personal Property . (Seh, "1\") $ 52,114.41, $ 's t.= "0"5.0 Transfers (Seh, "C") $ $ .: E U , 0: "u'O $ $ o ~ ~~~ " . " U " 0 $ $ ~ e go ~ 0:: Gross Taxable Estate $ .52,114.44 $ '" ?- 0M: Z '0 '" ~ III [;; J>.l . ~. - " ..l ~ ~ .... U 0 0( J>.l ~ f-< III III Q - - ~ 0 0( of, " " ~ ~ i"< I 0 '2 ~ '" 0 .g " ~ "" '0 ..::: ~ .-.: ~ ..: :I: :I: J>.l " " ~, I- J>.l l- I- " '" ~ Q of, .. M 5 0 l: - '" '" "" " ~ z 1= 0 t; u .. ..: z ;;l ... '@ "" i"< t>.l III ~ ~ ~ 0 '" '" ::> 0 '" u " ~ '" ~ 0 0 H ... :c J>.l CIl ~ ... " 1: ..:l '0 ~ ~ J;J '" 5 . .-.: ~ :e .c' ~ 6 "., ~ .- - - ::;~ .J U U Po oM '" III <Jl " ~ ro ... ~ " << ~ ~ ~ III 0 oM ... ~ I.<l ~ <Jl 0 ;>< ... .0 Ol <Jl '1:l "" I.<l g ~ '" rIl . ;:J , III ... p., ... ~ III ... ~ - <Jl ... U Z ro 0 '" - 0 t>l ... N N 100 100 - 0 ~ c:i ~ 100 100 t;; 0 <r> 0 Z 0 - i.>l rIl ;>< ... 0 Z ... ~ ... i.>l Z Z ...l 0 ~ 0 fS z ~ i.>l ...l Z Z i:I ;:l ~ I.<l - ~ rIl ~ 8 0 z ~ i.>l i:I p. :l , ' RCC.JJ ',~,"'J) cml\lOi\\\EALTII OF I'ENNSY!.VANL\ 11IY,\RT\lF'iT OF REVENUE IWRI"U Ill' COUNTY COU,ECTIONS MIENDED RETUlU~ wmCH INCLUDES ALL ASSETS ON ORIGINAL RETURN W~~!l.. 'THE-CHANGES THAT CERTAIN ASSETS HERE TN .JOINT NMms ---... . * COUNTY OF_ Cumberland _.._.u.._________ -....--- !'(r.',IDEr~l Df.CE.llF~lT lMPOH i Atll IliI'- 1('\11111 nlll',l 1'1' "'lIllpll'tl'd 1Il dctail ,llld Itlclllllllllplil'atc, \\ilh all 1IIwdu'd, \\ilh tile Hc~i~I\'r uf Will!l01 thl' ( ,'lilli', ,\ 11'1" tku'.II'llI rnillll'd, HI'\lUll '" (I lie \\illlill llllle I\lUlllhs illlt'l dute of deillh, uIIII'"'' UI' l')(ll~nsioll i-; ~ralltctl 11\ III' :,. t' I.I!'. "I \{r\lclllll', ISI'CIL"1I70.\ HI tht' Inlu~rllilll(t' llnd Es!u!c Tux Al:l ot 19(11.1 . . ,-,.,---"-. ...--.-.--.-- - . .- ---- n____.___.__ ..._-_.._-_.~_..~ Elsie Grace Nummert 1 '\ I ~ ,.,',' , " I.~' t , I' I r.. ' } ,\I'I'III,\\'n tll' m':b~Y!itl!' Amll;-';lS'I'I~I\T{m C.T.A. 1\ "1111' \\.\1111{ 01. 1111. 1'~1 A'\' lll- Lute 01 Cumberland (..wnly County III , '~} " X!X.**JOO{X SlLlll' of Pennsylvania York Lewis J. Hummert, Jr.. __________...n___-- ond laY S .\dUlII11 ~ll.: ,.)1 III ~h" ","'k 01 II". obov...no,,,od dl'lC'ldcfll beinfJ d~,ly ,WOIIl, dOpllllfl S _,____.' 1<J_,_7~_I ,,,"10 ,,,,1'9' I", .111, '"" ,I .h.,h.. h"." ,o"h.d. } '~,f,I' 'yr:f",,\.}{~~K IkCl'dl'IlI,I,,',l DecembeE)5, NO:!Il' <In,! Odelli"~ , "I ~q~, "'~." ,.,j } olhp.r oUlhr'f;HJd '(,i:",-".,-,t'l';'- ,or. >0,1,/",01 0\ I corrc~n{,Il,l,'Il( ,. "". ' Robert E. Hyers __!-()()--~~~-~~-"-' New Cumberlat:,d, PA 17070 -.---.------..-..---------- --- I ;"" a,.,,,,, Administr"-t"-r,_C:r~dep"n'nl i, fa",iliar with the affairs of said eslate and Ihe proJlerty eoostilnling . ,,_, '~";: ,;. ,0 Hi thl.: aS~l'I:, 1111'Il.'ld ,1:1;: lill:\1 f,ll\" 1l\:nkL'1 \',lIl1t', Ill." ,II 111,' "'''I' "I deal\' IIl",e w,,, 0" sarc tkJlosil h", registered in deeedeot', individual ,,,oue, or joiutly with, or '" a"enl ,,' ,kpuI) 01 ,",,,,\,,,, '" III dec'ed""I" i"divid"al",""", wilh righl o[ access hy 1I11111her as IIgelll or dep"ty, with the exct.:Plinll of llll': ,",dllll" \1\;:: - -'-'-'~'--' .. ---.....-.--... ~,;,1.1! ". ...1 ["il,~ ;~:.::I' U., 01H'cf< Ir::Jl'ITUTIOll THIS !jr..FE DF.Pl)SlT f10X RENTED I', ,I'HII.H C' I_I 1'l-';l !;I. ': T I..) {. .' ,FE Df::PO,-,IT BOX IN t,f;l.\E OR tlAMES OF ,'.. ~,,,-..' ..""--~".~~''''-'-=.~~''-''',~....--'''-""="-''''---""""'~= ===--=---==' -- __...u.____________.__..... ..n_..__-..__....._____ -" RELATIONSHIP ,)r JOINT HOLDERS TO DECEDENT --.---- ----.-----..--. ---.----- -----.----- --.----- None, -- -~ ._,-_.----_.._"----~-_.__._- ------- -." ----~-- ---.----..- --...----.- ------.--------.------ ._- --.--.-..----------. __________' __. .......__..._.._..' ___u .___....._..__u___._ ,-.-' Thill 1[11.': ,'ollll'llh uf s<lid safc deposit hox or hoxcs arc itemi7.cd under Schedules with llll' C\Cep\il'll llr th~ fllllo\\'ing. for the reasons IH.:reinafler set forth: of this return, Thai Sc/lCdu/c A al1<1ched herCIO ami lllild!.: pan hereof sets forth fully and in delail all the real property in Ih,' ('"mmnlllleal'li ,,\ ('ellllsylvania "I' IIhi,'h decedent died having all inleroSl Iherein. It "Isn sets [nrth the n"'rl~a~C I'nl'llIllllr,"1<c" "!"m ea, h parcel "I' real prn!,erty at Ihe dato of death, giving the alllouot sllll due at dea,h. ",,,"1' "I' ll1<lIl~at"". dalt', rale "I' ;Illcrt'sl, and b"ok and page of record thorcoL 11 also sets forth io the e"I1<1l1l1S pr",ided ,Ii",'-"" llie Il"essetl ,aluali"n 01' each ,,[ said parcels. the t'slimaled markel valoo Ihereo[ as (If (bte Ill" ,kalh (If ,In',.-dell1. That Schedule B :\It:lrhul herl.:[(1 ;lml made pan hereof sets forth fully and in dclail all personal property "Ii",,,, ,,'I .,iloa,o,;d ""lied I" tile ,!tn'dcol ," Ihe lime of deallt: 1111 moneys \cn by Ihe decedent althe limo of dealll. ,,,,ellt... ill d"l'e,klll" illllm.tlialc I,",ses";,,n, slandiug tn deeedenl's credit in banks of deposit, savings hanh:--, Irn~l elll'.lp;lll1!'~', of tither ilhlill1liollS, \\helhl'r inJi\'idually, Of ill trust fur any other person or J1l'rsons ~"'o:' "h" '1'1"'''''''' Ih, llee,octI 'Olelt'S! Ihere"u. if any, dowo 10 the last inlereSl dllY prior In deeedeu!'s ,lealll '" II", ,'llse' "I' ",,;ng' hallks, and '" lite tlale "I' decedenl's dealh in all "titer c,,,es: ,til houds, postal '.11' Ill," In a"" , cl'"il'ic"e, or ,"''''s alltl ",her e,idenec or iudebledne" 01' Ihe Uniled SIlIICS '0 Iht' de- In:U!l' ,11\ ,,1'i::c;\t;II!\';, "li"th(~:- hy ..l,llnl,' Ilf agr,:cIlII.:'1I1 Ihey an.: designaled as lax free, or IhcUlIil,'t\States, 111 :Itl\ ~,ldl,', Ii: lw\\ll(,t! ',\lldi\'i~,iIHI 11HTCpL u1' nl" :lny I'orcign country, whit:h arc owned at the time of death; ,I" "1'1""" II ,IL.. ~III\l\\,lIC, 1I1dUH':-', llllllks, \\!lrks Ill' art, hOllsclwlJ furniture, horses, carriages, allIIJllIil:1ik:-, 11":11'" :Ind ,It\~ ;lnd ,lIi olhl'l' pnsllll;1l challl'h of whalSOl'ver. kind or nature, left hy deccdent, 1,,~,'Il," "111i Iii,' la,,'" ,,,,,i,,,,,,,,d ,,:.111;,., "till" :It"","\': all I",,,ds a"d I1lllrtgage' Iteld by deeedenl anti of all \'l:;\l\l" dll<' .1:ltl 11'.'-111:'. ::l', ,'\!--11 \ ;11 (hl IlilH: HI' lkall1, :\l1d all promissory noll'S or olhcr instrumcnts in wriling, 1'111 lite P:I\"ll'nl I~j 11\<'1\,", "I \\ hi, h d,'U'lkllt dil.d po~~e~:-;ed, of \\'hatsoe\'cl' ll;ltllrc. with intefest Ihercon, if ,Hi". :'.l:::_' Ih,' i':1> ,_;:I~:; ,1~l ',1\: ;:\1",1 L!)r l1l;llkl'l value Ihereof, :Ind if such estimatcd fair market valuc he 1..-., ill:~n lhl: Ll"l' 1.11\" 11 :,,'1' 1"'11\\ i,pih I\H' reasons fnr sllch depn.:l.:'i<alilln ,IS tn c~tch item; a1l1llol1cys P;l\;l[;!c 10 I!I\' '1.:> ill\" !\",III,il11',' (ll'lilol'-' carri..d hy dCl.:cJcnt; all annuilY and endowmcnt L'ontr<ll:ts Ille i'"'' ",d', "I"" "i,' "1''''' Iii,' ,b'll "I' Ibe ,\eced,'nt: 1111 and the elll(lorale stocks and dividends due Ihlll.'llll I: ,! 'L ,1,1 '" ,I .I' ,11\\ \"llll\-. and Ml'f111:d intcrest thereon tll the Jale of Jel.:cdcnt's dl:~1!1l :In.! ,.\h", ':H'd 11.. t\l'; dt:l'l'dl'nt at Ihe timc of Jeuth. with the markct valul.: tIH',rc~ pl;11 .; ll.' It 111:; /0 -7-1'-')-- . . 111 tl\l,' CIlSI' or' scellrlt.ies 01' elllsl' fir fllllllly ,'ol'pnrlllloIlS, UIl' VHIlll'S 1'l"Hll"I't1 /If" liS fllr Il~ possttJlt' Sllhsl/llltllllPl1 by l'1l1llllc:lnl st,ntt'lIllmls {II' till' l'OI'lHll"lIllnl1s, ..I1Q\\-III!!, tll.. IIsspts IlIlll lllltJillttf:!~; tlll'rcot' ns of till! d1l1t' 01' ell'lIt.h. Tlw SI~hf!c111lf' Illso l'H'IS forth Illl' 111\.1'1'1''''' Ill' d.lel'lll'll!. III. 1I11~ t.lm" nt' Itfl/llh III lLtlY rn-pllrtllPrshtp 01' hustnt'ss, Hllll III SllJ1Ptll't. 01' till' \'111111' oj' ';lll'll Illtpl'I'!it, 1111'1'(' Is Itll1J~xl'd to Sllit! schpllllln, t'lnl\lIelnl st.lIl!!nltmls sht.lwlll~IIl"ltssl!t.s HilI! Illd>lIII.I.... of' SHld "O-pltl'llll'rslllp or hushH!ss. A copy 01' lilt' \~n-Jlllrtnl'rslltp 11,L',"I','mf'Ilt., (II' orn1, /I SIIlI,PIllI'n! sl'l.l.lrn~ 1'111'111 UII! 11111-111'1' of' 1111' ll~rl'l'lIll'lIt.) to,~I'tIlr>r .....Ith Il st.nl.I!lllPllt st'l.I.III}!, l'orl.h tlm l'lllll'IH!t.I~r of' t.l1l' bllSI III'SS, Its 111l'IIUllTl. IIIld Sl11~1I utlll'r f'/let.s :H"rllltnlllJ.!: 10 t1u~ hu!'llwss liS mllY 1l1' pl!r\.ll1l'lIt UJ II f'lIll' /lilt! .I11S1. npprlllSlll or tll\' l\I'P!,dPIlI's Inl(!!'I'Sl, thHI't'11l must hi! sllhmttt.l'fl. It sholllll nlso spt f'urth III Itf'nllzed !'OI'Ill, t.ogl'llll'r willi t.l1l' 1'1111' lnurk!!!. \'IIII1l! thprf>of', Imy otlu.'1' propprty n....'!\('d 01' hequPIlt.lLml by 1.11(' rlpC:l'dl~llt ILl. l.Iu' I. tnIP of' 1I1'1ttll. The SChpdulf' C IlUnched hnrnto Ill1<1 mude plll'L hf'I'I!Of' ~l~t~ f'urth It I.I'U(' IlIlS.....I'I. to 1!IH!h 11l'l\lll'Y contlllnf~rl therein nTH' filUm ellS!! ol'trllTlsl'ersuf'pl'ollcrty, relll 01' IH~rsnnltl, wlllllll t.wo ~'l'llrs 01' tlec.!dt~ntls dCllth, In contmnplntioll 01' c!ecedent's (tenth, or l11t.,~n(l('d t.o l,llkn (~I'f'(>et. III POSSI!Sstnn or pn,l{l~'mf'nl III or nftp.r rlellth, suirt schedule sets f'orth t.he ntlt.IlI'I~ Itnd V/l)up 01' s\l{~h prnpl~rty, 1.0 wltom t.rHTlsferred, the relationship of the trnnsferees to the flcced'mt, tl1~ propnrt1onnt.e slulrc re(!l!lvpd h~' clleh trllnsf'erel! unrt all other fnets of' Ii Iwrtinmlt. nnttlre f'e~(ll"(Hn~ Sf/If! trllnsl'-:rs. In t.J1f~ ens!! 01' t.l'lLllsf'!!rS Intrmded to take l~rt'ect in Poss(!sslon or en.!oyment nt or Ilfter fll~f1t,h, t.here Is III so Id.t.IlI~lLf!fl 1..0 the schedule Il cony of the deed, trust agreement or other Instrument crent.tng t.1l1! trust.. Tl1l':'rl' 1s IIlso set fort.h Ln said scherlule It ltst of Ill! prOflHrty, ren) I1nd persollal, wit.h Its vnlue, whlllh lHI~s"s lit Ilc(:l':'tlent1s dent.1i hy virtue of the exercise by decedent, either IndLvidlln'lly, or ,jointly wi tll l.IT1otll"'I', or 1U1Y flowel' of' uJlJlolnt.- ment vest.edindecedent, either indlvidllull~' or jointly, hythe will, cil!f!tl, or llt,hnr instrllment of' nllother, with Il cop~' of the lnstrlunent crenting such powf-!r nttncherl 1..0 t.he s(lllefl111e. Thflt Schedule D nttllched hereto Imd mnrte pnrt IH~r{H)f' Sf?ts f'orth UH! IPlmCR IInrl tlrlclr~~ses of 1111 persons beneficially interested In this estnt.c llt. the time 01' c1eeetlenl.' s fieltth, the tlutul'e of' their res- pective interests, their relll.t1onshlp, if' nny, to tile IleCI~dl!nt, l,ol-!;(d.ller wtth tile ug;es Ilt tile ttmn of c1ecedentls rtcllth of' nIl minors, annuitllnts unrt henerlct/lrl('s l'or 111'f' under f\ecech~lIt.ts Will. It nlso contains n stntement showing which of tile llellcficillrlf'!s named 111 t!l", decedent.'s will, if' Ilny, rtled prior to decedent, t1u~ dates of' theJr dellth, t1wir Iss1ll.', /lnd t.he I'ellltlollstlip of sHch Issue to the henet'1cillry. That Schedule E Ilttllche(l hereto nnrl mltrle Il pllrt, hp.reof Sf'ts forth 1111 proJlerf,~', I'elll /lnd per- sonal, owned by the decr~dent ,1ointly with /lllother or others, IncludJng; tntllup;ihle, St./ltHt1ng In the nllme of the decedent fU1f! others, plus the dute lHlrl plnc<, of' reeorft of' Instruments l!f'f'cctinl; the Yest!t.llre of relll estate nnd the rlnte of Ilc'11l1siUon of p(~rsonnlty, p)1IS the nllme, lull1ress nncl re'lllt.1onshlp, if any, of co-owners to the de~edeTlt. Thftt Scl>edule F ntt.llchen hereto Hnd mnde tl pnrt hereof sP-ts forth f'ully Ilnd in detnJl Ill1 debts and deductions clnimerl f'or nnn on bell/lIf of this decedent!s estat.e, illclllfitnp; 1'unerlll <,xlH!Ilses pnid; family exemption, where 8ppllcnble; costs of nrtministraUon of this estntf!j counsel fees HIle! f'lIdlcJary's conunissions paid or to be flllid; cost cxpendert for 11llrilll trusts, tomhsi,ones or grllvemlll'l{crs, and reli- gious services, in consequence of' t.he d~tlth of the decertent.j deht.s nnll claims owtTl~ awl 1ll1plllcl nt time of death; taxes accrued chllrg;ellhl'~ for period prior to decctlent' s cleat.h (except. those ullCll't't~d under S('ctlon 651 of the Inheritance /lud l~stute Ttlx Act.); t.oget.heT' Wit.ll Il sf,nt.empnt of collllt.t!rll) plellp;('cl for ohlign- tions, if any. It ts agreed that. the f'lrluclllry wL11 present proof' of salll dlllmnli olllt!-!;/ltlons upon re- quest, that if the amount Ilctllll11y ]llllel in sct.Uement of /tny fcf", commission or dellt. 1s less thnn the estimntert IlmO\lnt cl1dmtng Hnd Illlowed, that thf' slime will he rl)!lllrlf'!l to tlw Jln~lster of' \\,1115, lIull thnt the amount. of' t/lX IlS5f'!Ssert enn he reassessed In nccordllllCt! t.herl~wj t.h. That t.he tnt/lIs of tile nppropriate columnS in Schedules ",\" , "B", "C", "E", 11I111 "1"" IlS cttrf'ct.lHI therein, hnve been curriert f'orwnrll nnd proper):\,' regtsterert in the Summllry. .....,,\~:rlL .. , \ j ..,.Iy^.;SJ:J.:"'\' . ... day of'YYIC""./;L. \ \\",. .:i ::q. "19".",,.' ..:':7f:/!t::l4;t!f!:;V~~-" Subscribed and sworn to before me this .,................,...".....................""..............".................. (Street Number) (City or Town and State) SOTE: Bl'f'orp slgl1ll1~ lIf'f'ldllVlt I1lHke surl' Illl blank SJllte!'s ill tlll' nlTllill\"it 1lJ1ri sdlt'llulps all1\l~xf'11 Ilrl~ fjIlp,l in ,",tI..ll det.utls or t.he word ".IiOflf~", HI1I\ 111 ellSf' till' ILSS('tS IlIell11l(' I'UI'\" /Inri li1l11sll'(1 sPl'urlttes, seellrtUes nf' elnse or f'llm1ly I'lll'pOrUUlllIS or Iln 11IHlrl~st. ill nllY eO-lllll.tllfll'shlp or tl1ls111l'ss, t!lllt. the tlul.f1 line! sllltl'lIll'1l1,s rf~ljlltrf'flllllcll~r tllll 11ll1'1Ij.l;I'llph IIllll\'t' rplllt,tng, to ScllPdul.. "B" !fl'I' :fttnt'llflfl. .\lsfl mllkl! cf'rtllln t1l1lt column #1 III t.iLl' "Sunullary" Inl!-' l\1'{'1I pr(lp"rl~' complptl'd as IthO\'I,-dlrl'pll'li. y :, , . ACC.34 (4.7lU C6t.jMOHWEAL TH OF PENNSYLVANIA 'DE'pARTI.\ENT 01' REVENUE BUREAU OF COUNTY COLLeCTIONS TRANSFER INHERITAl'lCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY * Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at dealh of dece. denl. Properly held by the decedent as tenant in common with another or ather, 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 wilh right of surviarship or tenuncy by entireties should be reported on Schedule "E.") ThCl roo\ property located In the Conuuonwoolth of Pennsylvania shuuld bo (1) (2) (3\ descrlbod by lot and block numbur, streut and streot numbor, logothor with DEPARTMENT a general description of the prOflorty, with CI tDfertlnce to thn rocord of tho ASSESSED VALUE VALUA TlON conveyance by which tho do~odent took title; If a farm stoto numbor of a. FOR YEAR OF ESTlMA TEa CAUTION cru; olao Itatemonl of mortgage oncumbrances upon lIoeh patcel 01 Joelh DECEDENT'S MARKET VALUE (Do not writ. of decodent. Tcn(en, alsClSlmenll, accruecllnlero.t on "10rlgages, ele.,are OEA TH In thl. spoco) to be lI.ted on Sc:hedulo !IF" and mUI' not ba deducted from this 5chedule. None Insert this tolal opposite "real propc,:y", Schedule "A" in the X X X X X .. As Reported" column on the last poge of thi s return. o <Etg J( ~ o ' -.~ e<iIt 1;;: g 'a ~ s ,~. CJ ::l 5--0 '" 0. y -;: ~, ~y'" .B,.J~ o . " Y 0 0 .. 5 0. tl .. ~ 0: Heal Property Personal Property Transfers SU~I~lAHY (Seh. "A") (Seh. "Il") (Seh. "C") Gross Taxable Estate b '" Z .. Po .. W . 'M '" ~ ..l ~ ;::: .. .= .( Y Ul W .. ~ <Jl <Jl ... i:l - - .( -r: H ~ Il: c:: OJ "" '2 '" ~ a c. 0 a, 0 '" ~ c. '" '" i:! 0 H g ..::: .( :: -r: w :>: 0 .. ~ w ~ I- .0 .-< S Q -r: OJ Ul H 0 ~ - ~ u g OJ ~ z b 0 I- ~ '@ -t Z C/) H OJ '" ~ w " '" 0 ~ ~ ~ 0 u c OJ ... 0 c c:: 'M Ul C W Ul '" ~ c. .., .-< '" ;..; ~ r: '" '0 ~ Il: .t:: c ~ ..-. '0 ~ '" ~. = 'E .... ~ .~ - :::~ ...l () () (I) (As 1\1'1'"rl(.d) $ 35,758.3/1 $ $ $ $ $ '. (2) (:\'i Iktl'rlllilll'd) $ $ $ $ $ $ P- .... .a OJ <Jl <J ~ '" ... 0 " Eo< t--.. ~ OJ 0 ~ .... " ~ <Jl 0 ... ~ ~ ~ .... ,D '" '" w o:l <Jl g Z >- " . " .... 1 0 t;1 OJ ... Po< OJ '\j 1:.1 I 1 .... tIl ... 0 a- N ;J <Jl .... N '" U ~ o:l Z ~ - 0 0 U ~ - - Z 0 0 '"' ~ 0 ~ '"' ~ <r> ~ l- Z Z 0 0 W ~ '" <r> ~ W W tIl W W Z U " Z - l- i:<: ;J 0 ~ :l z -< 0 0 - 0 l- ~ 0 0 ...l ~ Z tIl U ...l Z W - ~ I =IIU - -*7 I ~~l',ij.'NWm'i~> " . COMMONWEALTH OF PENNSYLVANIA _~i~~""~'" """'PT' PE~::~~~:::::~::':~N~E ANDEST~TE_ TAX e RECEIVED ~ From: , dress ij --- --------TWB~TWO HUNI)RJm-SEVEN'l'Y-NlNE-&.-66f1~Q rcpresenllll\J Ponnsy vonia Inheritance or Estate 100e duo from tho following estate: .Jlpllors Rnh"~8:i8 M~"::m:~-Jr. ) 100 vork Road 2(lt TalC on \ $ lIT"w Ctlmh.rl..nd~L_..l7Jl2D____ 6w, Tox on \ $ Filo No. 11-130-27 Dole of Doolh,_J.2...25-JS19 15'7, To, on $ Dote of Payment ....r('b 31, 1980 Ik To)(, on 5 Eslole TOlc, Act of Moy 7, 1927 $ $ I $ $ 2.27\1.Gfi $ Nome of Decedenl RUITF. nRIIl'F. MTT).1MEPT Counly C"M""'r1an4 TOTAL TAX CREDIT Less five percenlum of tox if paid within three months alter dole of deolh Plus interest at Ihe role of _%from 10 L Remarks: · PAID ON ACCOUN'l'n uOO~~~~@illlJ~ SEAL TOTAL AMOUNT PAlO $ 2.279.66 NOTE: Thi, Triplicate Receipt 10 be retained for audit purposes. Received by NOTE: In occepUng the transfer inheritance tax on future estates, prior to the death 01 the life lenont or lenonl for yeau, os efidenced by this receipt, it is undenlood that the Commonwealth sholl nol be precluded or pr.....nt.d from hereafter oueuing oddillonal inheritance tax 01 the death of Ihe Ill. tenonl or lenanl lor yeou whene...er 11 applo" thai such additional to. may be logolly due and coUecllble for any reason whohoefer. I 1- - -- -- - - -, -- - --- --" i I , . (,jff:'. f r (,,", ^"I'''')y(tl'7&.c,~,' ! 'fi /? g'o l-k"d{~! 0, 141 ,^;Z~"-"- j)e(w,Tl'I,\,p,I., "I ~vr"1 "00" , ''',::::::' .:;,,~=-~ """"~..-,, ";~":--=~""".~ Red1ancl VilJage C;:::~------ --.-c;;~~ring -'-;;~;;:~-;-'-- Evening News ""'--'-t-Ad;ertl,se saLe of trailer --- York Record Advertise sale of trailer ------------ .lletropolitan Edison d__.__..I.I']cS.ctri~ at trailer fHDU(:TIOlj', II L LO.....(:I ',~. ,'" nc: r 10 -'/ \" ...... ..-, .(,' ...) /" STATEMENT OF DEBTS C'1 AND DEDUCTIONS r'l I( l~, TIn !iU"" In' orrlCI O' 1M'" ",OlenA 0' WILL" ., .-5~llmb::.E..lal1d __.__ COUNT'I" ,"'"0 "CoUIIT 0" THI COI'Udl)NWUI.TH , I, ,[ J')! ' ,,' / ,'!/,( /' ...!!.-~_-!....,-,-~'_.- ESTATE or .1:~!.::~~:.".~~!~I~lel:.t_.".____ ,," '" ....~:~mb,'~~~~~d_ C'~':..~.':I~~~,,!l~a~~;~__,_ d ------ -- OAft 0" PILINU ,Ap"",,,,,,'Mun -...----- .-..---~.._-- t:i"''o: 0" "Tfl .__._J1~\.~nlHL-45_~_J~"L9._-----_. ..'--"'.' ---:..-- OATI! 110 (l~ VOI'C~'" 12/2, /79 l[~LQ. 1/10 80 1/10 80 lLJ.. .D..- 1/28 80 Gns at trailer Amerigas _-.---~--.-- __n__.._ lO.~8.9 lL~8 ~.O 2/22 80 2/2'7)80 2/;0;0 2/29 80 J. T. Carpenter Charles Hatfield, f1.Il. Ring appraisal -.-.--'- - Last Illness ---------.--------. Professional Pharmacy Last H1ness Nelson Urich Feneral Expenses f1etropo1itan Edison Electric at trailer Bachman f1emoria1 Cutting stone 3/24 80 3/24 80 3/24 80 3~~;t0 3/2~_0 _I Notary fees Robert E. flyers _ Reimbursement or filing letters, 35.00; c€,rt'-if-i(,,:lt'~al ' aWprt"1Qing] 16 AS Lewis J. Hummert, Jr. Administrator's fee short Hary Ver Hage Attorney's fee I - ~iling Family Agreement ,_._________-1-,--. I , I IN HER TANCE TAX STATEflEirr----'--=___ I - Assets 44,193.12-r--- e s Net 3~:~:~i---+-- Tax at 6% due .. 2,279.66 .-\- -.=-~===~=r--.----..~---- ---=--:1 Robert E. Hyers Register of Wills TOTAL COMMONWEA\... TH OF PENNSYl.VAHIA York ~ ^~QUIH 1(,6 40 100 00 4 00 4 100 10 46 6 89 17 50 10 00 14 59 2283 00 15 10 34 00 7 50 2631, 39 10 00 6198 91 t(UU..V CUllin'. TM~I. TO THf !fur 0" Dl.TI. "u'~I""'l. UPI:Nlt" ""ND U:"~.N''['l!I 01' ou:u.elt:J, ,. DfUUCiIOt-;& ..C" ~~~~~__'_"" IWl)IllN "'NO 'U..CAI.'O P.It'O'H "".. HII' __?6tl:"_+_D Y 0 ~rch 80 ~_::..A~,,~~--7l:{);-;;-fr~.., - lo '.1; (. 1"1 [, I ~. .J 9/ - 2. \,: l[ll!.QJ1MA TIOJi. To insuro propor credit to your account, 1tw nanw 01 the t~!jlalo ilnd ldo nurnber should he clnarly print- ed on tho check or money order, This assessmont is made in <Jccordilnc,~ WIth St!Cllun 708 01 lhe InhcnlDnctJ Dnd Estate Tnx Act of 1961 (72 P.S. 92485.708}, To the extent that inheritance tax IS pDid withm three (31 months aftor the death of the decedent. a discount of five (5) percent is allowed (72 P,S. S 2485.716). Inheritance Tax, other than tax on a future interest, is due at the date of the decedent's death and becomes delinquent at the expiration 01 nino (9) months after the decedent's death (72 P.S. ~ 24B5-7111. 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. 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 (able: ------------------------------- --- ------------ - - - ---- --- ---------- -- -- - ---- 1 month ,005 4 months ,020 7 months ,035 '0 monthS ,050 2 months ,010 5 months .025 8 rnonths 040 11 months .055 3 months ,015 6 months ,Q30 9 months ,045 12 months .060 1 days ,00017 11 days ,00186 21 days ,00352 2 days .00034 12 day' ,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 days .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 ,00318 28 days .00488 10 days .00169 20 days ,00335 30 days .00500 -- ---- --------------- -,-- - - - - -- - -- -- - - - - -- - - - --- -- -- - - - - ------ --- -- - --- Any party in interest, including the Commonwealth and the personnl representative, not satisfied with the assessment may object thereto within sixty {GOI days alter receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act ot 1961 (72 P. S. S 2485- 1 00 1) Make check or money oreler payable to: "Register of Wills, Agent" Mail to the address listed below: