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Home My WebLink About80-00048 ~ ' ~ .' ~ ~.. I ~ :: I ~. ~.. to) m ~: i I H. o , i i; CIJ -Vi 'q . o Z '0 . a~ ....'"' tit ... o CO I - N No, 21-80 PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of LUKE P. r~cCULLOCll ., deceased, Harold B. McLane, Deputy To nid'ierd C, t.1'I88~8@fl, Register of Wills for the County of Cumberland, in the Commonwealth ot Pennsylvania, IS Petitioner(li).O:J:ti!!xthe execut ri x named in the Last Will and Testament of LUKE P. r~cCULLOCH dated January 15, 1974 Decedent was a citizen of the United States and a resident of Township xBlDr:o-tlIglll;< Cumberland County, Commonwealth Penn of Pennsylvania. Decedent died on Sunday A. D. 19...11...-, in the County of the 9th Cumberland at the age of 82 ~ x:has-x XIDmx 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 unestimated and of real estate to the value of Pennsylvania years. unestimated as near as can be ascertained; said real estate situated as follows farm in Penn Township and mountain land in Penn Township XXClrsPW^ Therefore, your petitionerC:s.) respectfully applies for the probate of the said Last Will and Testament and for Letters Testamentary thereon. Dated January 23, 1980 Name and address of Petitioner(s) '<,.{ elL Il, j);-"C'cdLJ-c'/C____ HELEN W. McCULLOCH R. D. #1, Box 176 Newville, PA 17241 COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND HELEN W. McCULLOCH named in above application, being duly say(s) that the statements set forth in sworn according to law this petition are true to the best of heY' knowledge and belief, SwoY'n and subscribed before mW' January 23 1980 t" I, -0... J3~ 'l')lC>J,Cv,v _- a -y;;-tlIcL..ne, --oepuq- n;.:,I,Il, d C, ^l'Icl~Il'l81'1. Register ,r l/u ..__u___ I':) /. /~ l,_~ '.. :, \. "i. ~ i - :,' (c( \, t~(' L,,-- HELEN W. McCULLOCH ~ Filed: JanuaJ'Y 24, .:< I-f " - 'T'r- 1980 Attorney: JR',lnl, IRloJIN & IR\HN 'J' ~ OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF I'I';NNSYLVANIA I ss: COUNTY OF CllMIIEltLANIl \ . 23rd ,.1"1111:1\',/ (no This........,........,.............................................,......., day of ...,....",...................:................................. A.D., I.J........, Harold B. McLane, Deputy beforc mc I1iul.H1 (I F. > lulL I' l"n. HegiHt.l'r fill' the Pl'ohal,t' of Wills and granting letters of' Administration in and for said County of Cumlll'!'iand, in the COl1\l1\onwealth or 1'I'II11sylvallia, personally came ............., ............ .~.f:.. ~.R. ~~.~.~.. .~.:... .f:\.~;:;l~:r.'P.J~.\,.. .::!}.~1.. .I.~~ !~.O.!: I)... ':.:...!~ ~.~1..1. ::1. ?...:TI.~ :.............................................................. the subscribing witnesses to the f()regoing instrument of writing purporting to he the last Will and Testamen t of .." ...~~.~.~.. .~. :...~~~.\J.~~.?~! .1.................................... .................. Da ted ..~ ~~.~~.:'.~ ...~.?.~... ~ ??~:.. late of......... ...... R!':.I!.n.. :+'.?::'.I!.~h.~.P.................................................... ............ Cum berland County Pa., deceased who being duly ..........~~.'?~!:l...................,.. according to law, depose and say, that .y.h.':'.:f....~I.~~.':'................... present, and saw and heard the testa~.9.r.........................., ..........).NJSL.L.....r~~~.\J.!-;'Jc.Q~.~.......................... sign. seal, publish, pronounce and declare the said instrument ol'writing as and for h..t.$........... Testament and Last Will, and at the time or so doing ............J:1.~.................................was of sound and disposing mind memory and understanding, to the best of .........~!:.':')y..........................knowledge, observation and belief. .........................!?~?r.r:\.......... and subscribed before J. ,) 'jf! . J'~' -,' '-.'1. '" c'i..... (<.-n... ...' J.~... " ...... ..lhTRTCTil"S", 'B ,1 TEt~.(L................... ':::',~~.J~.J3..);{'F;>./0~\;i.'>..~..~~.~~~? R~",lu,u dE. ...~....J....~ .....,u, Register - .........~................,;(f.:.:;:>'t..................:................. ........v......~~................... AROLD S, IJWIN, JR, AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA ( ss: COUNTY OF CUMBERLAND \ HELEN W, McCULLOCH . ..,.,........ ,. ............ ...... ...... ...... .............. ...... .... ....... ... ... ..... ...... ......... ......... ..... ..... ...... ........ ...... ................. ,bemg duly ............................~:'!.?7.::......... says that as nearly as can be ascertained the said decedent .......................... LUKE P. McCULLOCH . .............. ..... .,............ .......... .............. ....................... ......... .......... .......... ...... ..... ....... .... .... .................. ...... .... .dled on .............~.~!!.?~L.................... the ........~.~.!:.................day of .........?:.?~~.~.~::.......................... A.D., 19..!.?.. at or about, ......................~.:.~?........... o'cIock,^.:..M. .................................$.\~i?!:'.n........and subscribed this ....................?~~~.................. day of ...~.?::!.'0.<:.!:.Y...... 19, ..Q.9.... before ,/ ':. , ,. '.' \. '- . ..... ........ "'H'f.:tEH "Vi :... K1c.(1)'!;Li'iCH......... .............. <1 I .' ... ~..~M~y.! .k~.. .?? ..~)y.../~..V.V.i,s~.~~!?~~:(. R:...Lw. d E. And!';J ~UII, Register OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PI~NNSYLV ANIA } COUN'rY OF CUMBlmLAND S5: Before me, the Register for the Probate of Wills and granting of [,ctters of Administration in and for llELF:l I:'. IkCIII,j,nr:lI the County of Cumberland, personally clime ..................................................................................................... b. d I sworn d es d d executr:\ x who. ClOg u Y ............................, 0 .......... epose an say that as................................................................ of the last Will and Testament of .........!::\J.~~...p..:...~~.?r:.~!!;.~?C:.~!........................................................deceased ............~!ig....... 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 I h 't S~lOrn d b 'b d n en ances. ............................ an su scn e before me. .::::.:IT......J.e~~=:.'L.......... A. D., 19....'.0... ...W.~JQ....tf.~.J\1c::.l)Qy.~~....J?~J?~W Ri",l.~~l E. ~.t~.&l_&.:.nFl, Register -- .; / I. L' _1,!2 I' (: .n/_.. "'...0' l, rll C,- J:'--t.J.0\. .........................................................,....~.............,...""- HELEN W, ~cCULLOCH .................................................................................. :.,; u: :Q) 0:): ~~ a> :~ ~: : Q) :P N U. 00 ;0::: '"' 0 0: 0: ,..:1: ... .-I ,..:1: ::>: 0 '<1': 00 0 '.~. , '<I' .-I 0: >0 N' I C): - 0 - ~'l - ,. .~ :>>: 00 S ::; u: I 8: H: ,.-l il<: ~ I>l: roO N .~ ::i: ,0 ~: ." c: 00 ~: Q) U'l: ro: Z ~: ." \-;): . ... ,.-l: - ,..:1: 0 N: ~. .s u *: Q) ~ ... Q) ." 0 ." on Q) - Z ~ <: ~ .~ to r<< DECREE Be it remembered that on the .......?~.~~....... day of ...........~.~.::~.~.~~...................... A. D., 19 ~.?..... there was probated and recorded the last Will and Testament of .........~~!.~~...~.:....~~.~.~!,.~.~~.J:I............................. 1 te I' Penn Townshi pCb l' dC t pl' D d Let a 0 ............................................................................. urn er an oun y. ennsy vama. ecease. tel'S ...,......... ?:~.~. ~.i:!.l)}~ D.~. ~X'.y............... were granted to ..........!~ :~X"!~ ;:J.. .\'!.:.. .j:!.~ .C:.~! !;.~~.~.1.:.........,................,......,...... Witness my hand and official seal the day and year aforesai~:. , j :'. . 1.:. :.0.";c~l. ..B..11\::.:;J, w,~<..?.~.~~.~~ Rio} I n. t. ... ~1.1,:, -~"', Register. " , . .,' ~ OATH OF SUBSCRIBING WITNESS COMMONWl~ALTH OF PENNSYLVANIA I ss: COUN1'Y OF CUMBERLAND \ . 23rd ,JaI1WH''1 80 Th IS......... .......... ..................................................... day of..............................:................................. A. D., 19.. ......, Harold B. McLane, Deputy before me RiuklllB Ii: .^ R BUI lUll, IWgister for the Probate of Wills and granting letters of Administration in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally came .............. ............ .~.~ r..~.!: ~ .~.~.. .?:... !?~ ~ ~.~~.~... ~.\l. ~~.. .\~~ ~.?!c P... ~.:...!: !:.~!!: !~J.~... :T.R.:.............................................................. the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and LUKE P. r~cCULLOCll January 19, 197 ~ Testament of .............................. ...................................................................... Dated .................. ................. ...... late of ...............?!'!.t:l.D...T.~Y!.t:l.?hJ.P..................... ........................................... Cumberland County Pa., deceased who being duly ..........~~.~!:!?...................... according to law, depose and say, that .t.!!.~.:t....~I.~!:.~................... present, and saw and heard the testa~.9.r.........................., ............!.N~r;...l?......r~~0.\l.~.r,..Q~.1L....................... sign, seal, publish, pronounce and declare the said instrument of writing as and for h..t.~........... Testament and Last Will, and at the time of so doing ............~.\':......................."........was of sound and disposing mind memory and understanding. to the best of .........~!:.~.~!:..........................knowledge. observation and belief'. .........................!?\;'(~:r:.0........... and subscribed before /), . J' ,I /,.,.... l . .c-' I.. 'L ~ (1..,,,-. -;'. L..L ( .... .7..lp'^'TRTC TI'i"S': 'B~TE't;(.. .c....... ............ ........ 'J).:..:..... ~. 'if';' ~;;;,"'" .;t.................................... ........W~~...............,... ~Q\,lM.J3..);{'f.;~{}.,-;.>..~........~~.~~:x R~"lltud. E. ..\ud....L3vu, Register--- AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA l ss: COUNTY OF CUMBERLAND \ .,... ..., ...............,........ ....~~.~~~...:~,:...:~.~.~y.~.~?~.~.. .... .......... .... ...... ........ ......... .......... ......... .... ............ ..being duly ............................~:-:.?,:.~......... says that as nearly as can be ascertained the said decedent .......................... LUKE P. ~kCULLOCH d' d ...,................................................................................................................................................................ Ie on .............~.\:!!.?~;.:...................... the ........?~.~........."......day of .........~~.~.~::'.~.~::.......................... A.D.. 19..:.?., at or about ......................~.:.~.~........... o'clock,^.:..M. .................................~.\~R.l:'.n........and subscribed this .....................~?~~.................. day of ..::.~!!.?~:..Y...... 19. ..~.9..., before .................j rEi: EH" Vi:'" ;.1'c' c niX ,jell'...................... ,',,', ~ '" I" " '_, J. " " ...~.S:, J\1.J..,\...b. ..\') l... /.[(v.,",...,'-'~.~!?~ ~Y. R:...luud T~. .nlldl;I~Ulll Hl~giRtel' . . " REV"'O 18.78) ,) I . ~.,) 'Ib COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE I1\Jl{EI\U OF FiELD OPERJ\'l';ONS ~~~ -~ COUNTY Or..Q\JJ'1J2ERLAIiJL------ IMPORTANT, RESIDENT DECEDErH ~---c---:"------ This fl~tIlllIlll\llll Ill' \'I,mph'II'd III dt'wllund f1\~tl III dllpli~a(I', \\ilh all iltlallll'd. wlt\llhc ncgislCr of Wills llf Ihe COOOIY whe'" """,kol ",,,,\<.,1. Ite""o '" "0" will"" """. ",,,..II" alln ,Ial' "I ",-,"h, "..Ie" a.. "Ie..si".. is gra..,," hy tht: St'(rl'tary of 1{1'\lI'lIlll', tSn'{W" 101 ()( Ihl~ 11I11l'l1ll11II'l' .\IId b.;t:llC 'I'll;'; AI'! of l'lhl ,j - ..___. _..._.__......_..n.. ...--'-'"' r-- I AI'FIIIAVIT OF J 1,'.n.(,I!TOIt X~llJll~'{~'ltl\X~~ IN TilE MATTER OF TilE ESTATE llI' Luke p, McCulloch \ Sf A T EI-;ULl."NAM-r.---oFilT:c~nEN 11----.-. Let' ol_CUmR.~J.and._.-.. County ~:::t:l OIP~::::~:~: a._____.__ } '" lipl (m_\L.J1cCulloch.----....--.--- xJ\wotoinroK>X of tho estate ollhe obovoooamod decedenl being duly !oWOln, dopou and suy : Deeedenl died December <J 1,,11. J too 10" I,o,i.." lo,t will, ,"py.1 whl<h i, h,,"to oIlO'h'd.) tMONTH! lOt,yl (YEA~tXlJt:.llX.axex Ex.ecutor Home and addreu af attorney or 1 othor aUlhorl:r:.od repro.ontatlvo 10 wham J 011 corrupondonce should bn mailed. Irwin, Irwin & Irwin 114 S, Hanover st, , Carlisle ,..J:.L.110J " That as such executor deponent is familiar with thc affairs of said cslate and the property cunstituting tEXECUTO~I+IH>...F..;..1&~ the assets thereof and their fair market value. Thai at the time of death there was no safe dcposil bll' registered in decedcnt's individtlal name, or jointly Wilh, or as agent or dcpuly nf antlther, tlr in deccdent's individual n..me, wilh right uf acecsS by antlther as agent or depulY, with the exception of the following.: - NAME AND ADDRESS Of BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A SAfE DEPOSIT BOX THIS SAfE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLiJERS TO DE:CEDENT 1 That lhe contents of said safe deposit box or hoxes arc itemized under Schedules with the exception of the following, for the rcasons hereinafter set forth: of this return, That Scheclul. A aHached hereto and made part hereof sClS forlh fully and io detail all the real property in the Communwealth of Pennsylvania nf which decedent died having an interest therein, II also Sels forth the mortgage encumbrances upon eaeh parcel of real plOpercy at Ihe date of dcath, giving the amounl still due at death. name of mortgagee, date, rate of interest, and bonk and page of record thereof, It also sels forch in thc columns provided therefore the assessed valuation of each of said parcels. the estimaled markel value thereof as of date of death of decedent. That Scheclule B allached hereto tlnd mtlde pari hereof sClS forth fully and in delail all personal property wheresover situated owned by the decedenl at the time of death; all moneyS left by the decedent tit Ihe time of death, whelher in decedent's immediate possession. <tanding to decedent's credit in banks of deposit, saving. hanks, trusl comptlnies, nr olher institntinns. whClher individually, or in trust for any other person or persons giving also separately the aecrued interest thereon. if any, down to the last interest day prior tu decedent', death in the case of saving; banks, and to Ihe dale uf decedenl's death in all other cases; all bonds, postal savings, treasury certlfictltes or notes and other evidence of indebtedness of Ihe !Jnited StaleS tn the de. cedent; all ubligalions, whClher by slalnte or a~rcemenl Ihey are designated as tax free, of the United States, or any sttlte, or pnlilical snhdivision thereof, or or any fOICign country, which ar" owned 01 Ihe lime uf death; all wearing apparel, jewelry, silverware, plelo,,". buoks, works 10' tlrt, honsehuld fumilulC, horses, carriages, automnbiles, boats, and any and all olher p"rSllllal lIilallels of whatsoever kind or ntlltll" , len by decedcnt, logether wilh the fairly estimated mark'" value thereof; all bonds and l1lurtgages held by decedcn( and uf all claims ,lull and nwing decedenl at t\'" limc of detlth, and "II promissory nnteS nr nther instruments in writing fur the paymenl nf money of wltich deccdenl died possessed, nf whatsoever nature, with interest thereon, if any, giving the face value and estimated ftlir malket value Ihereof, and if such estimated fair market value be less than Ihe ftlce value, it sets fmlh brielly the reasons for such depreciatioo as to each item; all moncys payable 10 the estale from life insurance policies carried by dccedent; all annuity and endowmenl contracts the prneecds of which were payabk upon the dcath or 1I1C decedcot; all tlnd th" corporate stucks and dividends due thereun and unpaid as of the date of dcallt, bonds and accrued intcresl thereun to lhe date of decedent's death and other investment securities uwned by the dccedent at th" time of death, with Ihe market value there- of a 1 such time. , . " In the cose or Set'11l'Ittes 01' elo!-ol' Ill' I'llrnlly "OI'IH. I'll 1 1011<;, Ull' Vlllw's J'l'JlorlpiI Ill'f~ liS I'llI' IlS posslhl!' Huhsllllltt.ltllll by I'tlllll\l~11L1 Sl.lltyltlPllt.S 01' \.III' l~ol'llllr,II,IIIIIS, show!u,"" 1.111' Ii:'I!i"'1.1'l find IJnhllll.1ml tlwl'pol' liS nf the IIllll! 01' ,h'lIl.li. Thl! ~I'hf'dll'l' IIlso St.ts f'orUI !.Ilp II11,l'\'I'''''\ (\f' dl~p.f!(\lml, fll till' tlmll 01' dl'1\lh In '11I~' ('o-pnrtnt'rsh\Jl 01' hl1slllflS:'l, /lllcl III slIppnrl ol' Ull' VIl!111' Ill' Slll~h Inl.,'n's!. Ill,,!"! Is IIlln~)w(1 to snlll sl'lll'rllll(', f'llllllwllll sUltl'nll'lils ShIlWlll~~ IIH!II!-ospl... IIlld llllhllllll's of' snt/I f'(,-pllrlll..r~llllp or hlls1nmlS, .\ ('()P~' n!' tIlt' t'n-plI\.tTll,t'sl1lp Iq~I'ljl'mt'l1l, (II' 0l'u1, II stllt,I'rnl'lll s"ttlfl~ l'lIl'tlL UII' '\fLUU'f! uf' 1.111! 1IV,"f'Hlt1I!Ilt.) to~,'tl\l'r with II st/\tl'llII'lll. si~tllllJ!. l'orl.h Uu' ehllrlH'lf'r nl' III" hllSllll'SS, Its IOClltloll, Hllll slIell ol.lwr Cltets jwrtltlnlng to t.he hll"lnC'ss ns I1lIlY hI! pt.rl,IIlI!IIt. tn fl 1'1111' Ilncl .lust HpprlllslIl 01' I.hl' 111'I~j!lI(!fIt.IS ll1tl~rp.st. tht'I'pll1lT1lls1 hl'Sllllmtt.tI'(I. It shCl\lI(IIlI~n SI!t. l'ol't.lt In 11(~mlz(!11 I'orm, t.o~~Ptllt!r with tILl' fnlr nlllrket Vflhw tl1C'rt~nt\ 1I11Y otll(ll' propert.y oWI\l'd or 1Jcqllellth(~d hy UH> dpcpc!elll. nt the time 01' dell!.ll. The Schf'dule C A.t.tllchecl hnret.o Illld rnllll'1 Jlllr!. hf'rf!of Sl!ts forth /I lrw! III\SWOl' 1.0 1~llI:h inquiry cHnf.lll1lt'd thl!rl~in unIt tn t.he ease 01' t.rlllls('l'rS nf'JlI'olll!rt.y, rj~1l1 01' personlll, wi thin t.wo Yf'flrS of tlcc(~dent' s rlcnth, In contemplation of d'H~I~d('!IJtl s dent.h, or I.lItelllll1d to l,(l.kn effect ill possession or enJoynumt at or nftl!r (tenth, sllld schndtlle sets forth t1w nlltul'l! llnd Vll.luf"! of such PI'oJ)f"rl.y, t.o whom trnnsferred, the rellltlonship of the trnnsferces to the rlecelllmt, the prnporUonnte sl1A.re rl~l~fdvnd by cHell trnnsfercc and nIl other fnets 01' Il. pertinent nntllre rpgllrrlillJ!; !'wlli trnnsfers. In UH~ Cfl5H o{' tl'nnsfers intended to take l~l."l'\;!ct in possession or en.lo~'lTlent nt. 01' IlftCI' rlellth, t.Iw)'e 15 u150 Iltttlcl\l~ll to tile schertule u cony of t.he deed, truSt Ilgreemcnt or uther instrument crellt.lng the trust.. Ther.~ Is fllso set forth in said schedule 11 list of 1111 propert.y, relll LInd pCl'snl1lll, with its vn1ue, which pm.;ses flt dt.cedent's death by vIrtue of the exercise by decedent, either indlvirhHllly, or,1nlntly with nnotllCr, or any power of appoint- ment \'estl'd indecerlent, either Indiviollully or Jointly, hythe will, oecr!, or ot.her instrument of another, with n copy of the instrumf!nt crenting such power Ilttnched to the schedule. Thllt SChl!dule 0 Ilttnchnd hereto /lnd mnde part tlt'I'eof' sets forth t.he nllmes Ilun nrldresses of nll persons henef'tchlly int.erested in this estllte nt. t.he time 01' dl~cedentl s denth, the Illlture of their res- peetivl:! interests, their relationship, if' any, to the decedent, tO~f!ther with the nges at the time of dCCI!dent.1s denth of 1111 minors, annultant.s find beneficlnries for :ilf'(! tHu\er riecedentts Will. It also contains tl stlltement showing which of' the heneficlllrics nlulIed .In the decedent.' s will, if any, died prior to dec(!fient, the dutes of their dellth, t.heir issue, lUld the relnt10nshlp of such issue to the beneficiary. Thnt S.:l>edule E attnched hereto nnd "Hule a I)ltrt. In'reof sets forth nl1 property, real and per- 50011], o.....ned by tile decedent jointly wi th IUlOr,her or others, inclucting intangible, standing in the name of t.ile decedent Rnd others, plus the date nnd plnce of record of instruments effecting the \estiture of renl ('stnte Ilnd the date of flc'1uisitJoJ1 of' personnlty, plus the nltme, lulrlress nnd relationship, if any, of co-owners to the decedent. That Scf>edule F Ilttnched }1erelo Ilnd mnde /l part hereof set.s fort.h ful1r nlld in detail all debts and ({eductions claimed for ann on behlll f of this decedent's estnte, including funeral expenses paid; fumtly (~xemplion, wh(!re nppl iCl1IJlej costs of Ildmlnistration of this estatej counsel fees and rudiciary' 5 eommisslons paid Ot' to be I,nldj cost expended for burinl trusts, tombstones or grnvemnrkers, Rnd rel1- ~l.ous services, in con'5equencc 01' the de/lth of the deccfieut; dehts find clnlms owing nno unpaid at time of rl(~lIthj t.axeR accrued chargenhle for pertod prior to decedent's Ilcnt.h (except t.hose allowed under Section G51 of the Inlieritunce I1nd Estnte Tllx Act.)~ t.og,et.hcr with 11 statement of col1nternl pledged for obliga- t.ions, If liny. It is agreed that the fidllc1nl'Y wUl present proof of sl1ld clnimed obHgations upon re- quest, that if the amount nctulll1~' Jlllirt In settlement. of uny fef?, commission or debt is less than the esttmnted IlmOllllt clfllming l1nd nl]owcd, t.hnt the sllme will he reported tn lhe Register of Wills, and that t.he umollllt of tnx Ilssessert cnn he renssessed in Ilcr.ordtmce t.ht~l'ewJ th. Thill; t.Iw to1-1I1s of tilt' Ilppropr1nte col\Il1Ll1s In Schedulps "A", "B", "en, "E", Imll "F" liS directed therein, hll"(~ he;'ll clirrlPft fnl'wnrd and llrnperly reg1sterl'ti in t.ile Summttry. Subscribed and sworn to before me this '1': -.lI Jay of . il~""-: )l~~~ ')CCL~"~ C r'..Ll ::; i:' l .;!. C ~:J:. I t Ml LU:,~:,::~:;l!.':j ~ i.. ;,\~_,} Lhi j, j _"W , 199.0" . 7j,.:.::\~;;':.-:Cc...,~bl......::)}),.~.\~,:.,.,)\S;,,\:.k,~J!::;;,__,.. (Executor-Administmm) ., R ,p,jIJI3.,g,!.\,J(;iL..m",.,.'.''''''''''.''-'-' (StTeet Number) NeVlvl11,e,.~.. y~ ,}F.4.~..... .,. (City or Toton and State) son:; l\(~fnre s1J!;ning nrr1dllvtt. ml\kl~ sur" all hlllnk spl:el'S In the nf't'i!\avlt /lurl schedl1le:-: Ilnnexed tire fllll'l! In wtt.h lIetnils or Ull~ word "NOllf'". ;(1111 tll Cllse thl' HSSP!.s Illclurle rlJrt' IUld unlisted se(~urltles, seeurltif!S of' close or f'llmlly cnrpor1ltiolll'> or un 1t1tt'resl ill /HI)' en-jlHrl.nership or lHlslness, that the ItutU /lud St.IIU..mt!lItS requirl'rt lIndp.r t.he IHu'lI/!,rllph nho\'l! r"~altn;!. to SCIH'llilll~' "0" Hrl~ IIttllcherl. ,Uso mnke r.l'rl.llln tllllt C:OlllmJl #1 III thr~ "Sunlllury" hilS hN'n properly cOll1pll_'tl'rl liS Ilhn\'e-dlrl~ct...rl. BENI'FWIAHIFS ":"Il\IlI~I(;'~:I-~- -..-1 1(,.:UTI"S'dlll' (Slate rl:lllll~nll'~ ;l1ll! ..dd(,~~s"~, Ill' HII WillI i III !;IP'C,"rhdlln'n or '-\'Hvt\'H) hllvc lilt inlcrcsl, vcslc,I, t;Olltlllgt'llt or l1ther- I d!l,,:lti':lall'I'nlldrnl Ill'.<.. I..I)I':I';! wise, ill t~...;jil'CJ ~i ll;t' :n','(I\vl'd, St'l :d All'. YE<..; \ ("rtll \hi:-. r.t..::t,) 01{ :\0 Hd," ,. MoMlooh Wife ..;,;., .', :;~;::" :0; ^ l~; 72i~ ===E=:::::::'::: ... ,.n: I ' ______.1.___.._____.__..... _L........._... \.__ ---- ..1.---.----.-...- ._._n__ William McKee M.c_~\!.~.~o.ch _ JNe1)J1e!:L. -.---.-1.-y~s. _._ .; . .nn__' :l[?_E,"~~dll.'O-!<--.---'- .:;::: 10 , EL'illL=l -:::::L==-::: J -. :-.: - J ct.'" .::.::::.--,- , , __.------L---.-.-.---.J... ..._______. '.'.---.'.-. .....L.__...__.._.__.__._......_ _p~ePheVI ---iJ-"~----+--.-.-.---1.1~~dr:_:t~~e (:iS~. . .----------.-.-..,..-....--...._.3_...-.---- . ,- I Iii tributed before _I ---.----,--.-- --',' . .---.-- .--i.. .-....-----.-.--.-- ~ ______~---_-. -1-. . - - __..!_.cie_C!.tDJ..l.-b-\!.rC<1.t,l :---.-----1---.---4-.-- --.-f--..- I -----i-----'-- --1 -------+-.--- --.--\----. , 1. . '_+ .J:::~]-=-=,:::: ._-4------ ~--.---+ _.u. .---t-------.---- --. -i ~------T--.n.- ------.--..--.-.--...----. I I ' I I ' 1-.- .,___..___......:..._..__.__....1_ -. -..-.-.----..- =r--.---.---+--.- '-i, ---- .- ---..!.--- .__._..n________ __~---.-_=F-.--.--:---.-----i-.---.-.----.---.-- . -._:'f:::-.::::r . -. 'f.~~=-=:~"'.-- ______ ...~ ....-...J.~..-...-- J.....n=:::jn....I.~..nn ..... ... _____._____.___.__..________. .______________..... ......._...._ _~_. _______._. ______ u___ _...__".. ---..,..-.-- --- ._--, -....-.. ---------.------ -..,.-....-. Deponent further says thot 011 the obo'lc.nomed bcncficiaric~ ere living ot thi5 time c:1\Ccp1 below: ,.-...~~~.:-.=.=-::=::::=:.:.:::.:.::.::==::::.::.::.::~:=:--:. ~-::::::-.:-.:..:~:.~~:.-::=:~-:----:-::.::::-::=:-:::=:..::=.:.=:=::=::-:--.:.-===::..-- \ ........... 1""........ _" I --... I v,,'~ 0, v~",.. t ",_oIDEllCE ___.~~~~~.~\~ -, .':l:-- '=::n.:--',= ______ ___..__.__ .----1----- -----.-.-.-.. ---- ----. .-.-.-..-..- I ' -=t=____._~t~~=~~.~=.=-=----.----- .. REV~4'3 (8.76) COM!\-1ONWEALTII OF PEN~SY1>VA~I,\ TRANSFER INIIEIUTANl'E TAX RI'.'imE~T UECEIlE:-iT .TAY WR Her R [) #? Newville , M.dilllJ,och PA 17241 NAME .'1. U~..", "'r'."""'~.:" ",' '",,1,1. i{{ (':1i'1!,\r::;, .'lll .1'....,., .,......~I "')~' " ...,'...,....;.; S('IU'Ill'L1 "II" 1l1"<I'I'I(I\I:IIS il\'ll "I !llItlll j'\, i ~,!n~T PI' I 1l!.....I,IICIM{'( \ I' FST,UI': .."- -------.-...-----.- _.~-, ---- Life Estate ~.,_..-- ...------...-----...------.-----. . ..-....----,..--- ._--~--~--_. --.------- -..---.--.- .. ,._-~._-_.__...__. ------.... --.. .--. ..-.. . _ _ .....___.. __ _...._.__.___________.__ .n'_"__ " o ,'r.' . g~ 'it .. = 'c;! a ._ ~ ::l E- - "0 c.. 8 1 g .. " . . o 0 '0 ;:; .... ~ :l "J: .... u " " 'J E g, .... :J :s ~ H.cal Property Personal Property- Transfers S"M~I,\I(Y __.__,_~.___ (Sl,t.. 1'/\") ._------- (SI.:h.I'I\") ~_____ (Sell, "("') --.----.--.-.---.-----.-..--- ..----.-.--- (ifll~s Taxable Esl,ltc ----------~--- -_. --'-- - .--- .----- , (Jl (As Hc\wrlcu) , l~').',UO,O() 2 ,;'l)O. 00 -0- (2\ (As Determined) $ . , , , , , . , , ,- , ,.JiLL '{OO.,'c)Q.__ ;\ <- ~ Z u " UJ . " :;; . ?- u UJ u '" u ..J - 0 <( .'-< ~ :r:: '" H Ul 0: u.. 0 P- . <{ :::::~ c.. O::(j) c.. 0 0 H ~ '" H C ~ OJW >-1 :r:: Q "- H u >-1 Ul Z "- ,J: ""<- "" 0 <- UJ ::> z ~ " <( 0 <-~ " -I-' ::c ~<- 0 :3 >-1 = 0 7--1-' Z c: <- " 0 0:: = Z 0", u H~ u.. Ll.1 :s E-< "-1 0- <( :=: 0 r:o C t- o:: r. Z ~ .S '" H 0: P- Z ::> -5 0 - "-1 0 " UJ "- " ~ <- "-1 P- i> w Z - ~ '" <- ~ ~ '" H '" ~ ::> c = :;; - 's ;:;: >-1 ':: ;:, E 0:: u ~ H ;::"0 ;; is ~~ .J C U File Number INHERITANCE TAX SUMMARY SHEET (I:3J:!.~.~U_~~F,: ONL Yl ..:.' /,-:"_ R {' - , t/Ci'i.? __m_____. )././K.<-- P //'c(.,jl"S/L._ '" nCV.484 EX" (;\.00) Estale Name. Dale of Death /.J. - 7.,'..7 'I Social Security Number REPORT OF INHERITANCE TAX APPRAISER I, the undersiqn~d duly appointed Inheritance Tax Appraiser in and for the County of Cumberland Pennsylvania, do respectfully r~pD;1 that I hove appraised the real and personl1l property 05 reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules IlAtI, liB", IIC", and liE" Dated: ~ctobeI'-2.,J980 ,)j'jJ",,,'d Jilin!,} . J ) INHERITANCE TAX APPRAISER INVENTORY VALUE AS APPRAISED CODE ~-----------_.~-_.. S S SCJO "0 oat ~-'2C'O Ceo 10+ 2))+ 30+ /6(1 j"cJ.CJ 00 <10- AOJUSTMENTS (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE Real Property (Schedule A) Personal Property (Schedulo B) 92+ Jolnt.Held Property (Schedule E) Transfors (Sc.hedule C) TOTAL GROSS ASSETS Less D.bts and Deductlons (SCHEDULE F) CLEAR VALUE OF ESTHE 93- Valuation of IIfa estates or annuities. . . . . . . . . . . . . . RATE FACTOR PRINCIPLE VALUE CODE FOR USE OF REGISTER ONLY T ax an $ CODE COMPUTATION OF TAX $ $ $ $ I 6" " T ax on S 15% Tax on $ Tax on $ Exemptions Total Estato -i~__ T ox on $ TOTAL TAX INTEREST FROM BALANCE TO $ S $ Less Credits DATE OF PAYMENT AMOUNT PAID --- DISCOUNT INTEREST TAX CREOIT S + S s = $ = INTEREST FRO/.\._. BALAUCE DUE BALANCE S TO _._..__ S $ ---~_._.._._- --t v ~ "- , ~ ~ ~ ~ \~ ~ ~ ~ ~ :z ~ ~ <lo ~ ~ 0 >- >- ~ ~ \) It: '" ~ \J ~ I, ,..l I 'll <: ~ ~ \ \' - ~ u :z l " I') - 0 1'" ~ I ~ ~ - "- ~ 0 ~ "'< ~ ~ 0 ~ !-< 0 '" 0 z 0 '" '" ;>< !-< 0 - ~ :z E ~ f-< ~ Z z ::l 0 - 0 rx: z ~ ~ z ;:;: z Cl ~ U " ~ - ~ '" ~ 0 0 <: z ::= ~ u 0 "'" ::l , COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 55: being duly ____S'!lQ~l)_ __ __ .ccording to I.w, deposes .nd says that ~,he is_._t.b-,,-.c-x..8Cllt;y).y,. _ _. . _ .__ of the Estate of .J'lll,_g,-T _.__r1gc;l,l;L.l9i0)----.---------- late of- Township of Penn -, Cumberland County, Pa., deceased and that the within is an inventory made by _ _ Helcn VI, _Mc(<ulloc!1-,,-, the said_.QY,-,".9.ut,j-l\_'H_--- of the entire estate of said decedent. consi,ting of all the personal prop. fly and real e,tate, except real e,tate outside the Commonwealth of Penn'ylv.nia, .nd that the figure, oppo,ite each item of the Inventory represent it', fair volu. a' of the date of decedent', death. HELEN VI, McCULLOCH ------ -.--- ----_.-- Sworn and subscribed before me, _7J.!:ct~.-1...:JY1~~u_J:---M:l~-_- Elloeutor . --Admirrirtnrtcrr- .fia-v.... --)~- rj-" (:,1,'" ,:.-, ' i.rI (.(J,:,:" ,'"...i ~,~I ,...~~ u....i. '( !' 19 Ji9_ C&\k g, D.lll .-_. .._- ..- Bo~1..6J ----.------------- Newville, PA 17241 --------.---------------..--.- Address J, I r.I~J O.te 01 Death -.-- ._- 12th December 1980 -...------..--...---. ..--. --------..-------------- Month Yur D.y INSTRUCTIONS I. An inventory mu,t be Iiled within three month, alter appointment 01 personal repre,entatlve, 2, A ,upplement inventory mu,t be filed within thirty day' of discovery 01 additional a"cts, 3. Additional ,heets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act 01 1949. \ I >- pi .,; s:: m 'M I- W I 'Ml ~ c< I- '" ^ " t.., ~ w ..; .c' ~ m , H 0.. I- 0' u '" m H <fl 0 V'> m \ 0 w w d, 0 ~ '" >- :r c< rl, '" "" ~ I- 0.. 01 0.. ~ I- -' u. rl '" " t.p Z u. -' ..; 0 ;j, 10-<1 0.. c~ W ..; w 0 c< 0 .;. C..... '::!..; > z 0' C' - , d - ,. C'f, I Z 0 0 ~ c H ~ oj .; I. V'> z g;\ 0 H c< " U > z 'i w ..; <'< I '1 .... \1 0.. I -c ~ ~ c Q) '" '~l ;1 ;-< - -.: 1- 'I 0 m 1:1 \i ;j .n -" H m E -c 0 HI - ..!! '" ~ 0 -' U u: '" REV.45'S (i.SOl COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEOENT SCHEDULE "F" SlAfEMEtJT OF DEBTS AND DEDUCTIONS _____'_~_,_____._o_"__...;.=.;~=o~:""_=.+~,'+:..:;;"___,o_'_'_:. Estate of LUKE P. r~cCULLOCJI WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: CI~imant HELEN H. McCULLOCH Relillionshifl to Decedent Surviving Spouse Claimant's Address Homewood, 11112 Walnut Bottom lid., CaPllsle, PA 17013 - 0,__,0 -- . .... . ~--_...~- ..-- on_ _ --0.- ..-+- ITEM DATE NAME OF PAVEE REMARKS AMOUNT NO. 12-20-79 Carlisle Hospital lIOf;pHal servlces 4' 2,972.~5 -- -- > 12-20-79 United Tele. Co. Phone service 8.30 12-20-79 Hoovers PlLunbinr; Furnace rep,,;ir. 919.50 12-28-79 Af.~'lay Fuel oil 151. 21 1-2-80 Robert Lay ~lood ~O.OO . 1-9-80 Hoovers P1umbinr; - furnace repair 117.50 1-9-80 PP&L Co. Electric service 18,76 -9-80 Uni ted Tele. Co. Phone service 9.12 -10-80 Carlisle Radio10'~ . X-1;11Ys <onn -15-80 A6'~ay Fuel oil 193.~5 - 31-80 PP&L Electric service 17.30 -15-80 United 1.'ele. Co. Phone service 8.08 - -22-80 Aowav Fuel oil 10<;.50 -22-80 Dean Baker Electrical work 6.50 -~-80 flWRV ]'}lel oil - 2P.21 ;-13-80 PP&L Electric service 20.J 8 R_ n- 80 United Tele. Co. Phone service 8nB -2-80 PP&L Electric service 18.28 j-l~-80 United Tele. Co. Phone service 8.08 1-2~-80 "rank Reeder Furnace repair 12.00 1-20-80 ill Rowe Auctioneer Sale expenses 6 282.81 - - --'--. TOTAL THIS PAGE I I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes_ ~, / - .' ,-.. (', i "--. ~: I ~ i ':.' ,. SICNATUHE or ATTnRNEV/FIOUCIAHV DATE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $ - ~ (~ (. j' I~ / iJ AT , - I. ! r. ,"':;.> II) " > PEI1CENT. l)lc\~,,{ if '/ /'), ,., GD~U 'I' /1 ,1'1' GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities inculI",1 by the decedent prior to his/her death arc deductible a~Flinst his/her taxable estate. In addition to debts incurred by the dr!cedenl or e51<1te, other ilems ore claimable including the cost of administration, ottorn!;y fees, fidllci"ry fees, luneral and burial expenses i"cludinll the cost of a burial lot, tombstone or grave marker, All debts bcin\J cloil11erl against an estate al e subject to the approval of the Register of Wills with whom the Inheritance Tax Return I:; filed. Evidence to suppurt the decedent's or the estote's liability for the debts being claimed should be attached to tllis schedule. A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania, If there is nO spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of the same household can claim the exemption. In tl1e event there is nO such spouse or child, the exemption can be claimed by a parent or parents who are members of the same household as the decedent. , "0 0 () ;::: '" ;l> :;: z ;;- 0 0 <P- 1:1 - v .., Z Z ~ Cl () c: t:I ... '" ::; 0 ~ 9 M ~ Z ;0 Z z Z t'1 -i t'1 t'i 0 9 .., ..-. 'f> - <P- Z 0 <P- O -l 0 .." ;0 'T1 ~ ~ 0 .." i5 .." - Z () - ;l> r"' c: Vl t'1 0 Z r"' ..-. -< -< t'1 t'1 ~ > > ;::l ;0 INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. I f the family exempt ion is being claimed, indicate the claimant's name, address and his/her relationship to the decedent. Enter "fomily exemption" in the remarks column and the amount cloimed in the amount column. 2. Assign consecutive llumbers to each item listed. 3. Enter the date on which each debt wDS incurred and/or paid. 4. Enter the nillnes of ","eh poyec_ 5. Provide a hril~f explanation in the rC1llcrks cohmln for each debt claimed. 6. Enler the amollnt 01 each debt beinl] cloimed. 7. The form must be si\]lwli b'l t1l1l person who has assumed the responsibility for paying the debts. ___--.-- ____- E9_g!~J:-J2..~1 rw i n ___.__ __-- __N o,l alZY r ee s ______ .__lkJ..QrL'ILJ<;-cuU.Q!eb---- Ex~triX' s Jee 1~8 00 __.__.___ _ _ __..__m_ lr-w.ir4-~r.wiU_Llr-wiIL-----.-- _Jl.t.till'l1-e:l-'.s....Lc.c- -.-- -L-lt6Jl.. .Q.D- __-- __'_ _..__ Re r; . or vi 111,,__.___.---.-.- _J~~;t~.0(La_c<!.9~~-.--. ______.___12 .QQ..... DEDUCTIONS ALLOWEO IN HEV.'I!I'~ (8~7!11 T11ro 5\1M OF I. STATEMENT OF DEBTS AND DEDUCTIONS OFF ICE OF THE REGlSTE R OF WILLS DAH APPROVEO_ OF r:lIMflERr.~ ND COUNTY AND AGENT OF THE COMMONWEALTH RFGlSTEI1 OF WILl-S, AGL::~lT --- ESTA TE OF LUKE p, McCULLOCII LATE OF PENN 'l'OWI~SIIIP DATE OF DEATH Dc'cember g. J.3.19 DATE OF FILING APPRAISEMENT - . - REMARKS OATE NO. OF VOUCHER NAME OF PAYEE ---- 3-5-80 3_S_Rn Dana P. Brandt Insurance ~1,. Farm Insurance Rp~ ~r .JiiLls Letters Etc. -- ",',,0,o1_1'-'in[': .___-- 3:=-S=-811--1---- G.UIllh. La.1'WlOJlrMl1 3::5-80__-- Belvedere Medical Corp, ~_o;_Rn 11-I~~lrp Rp~lt'~rs 3-5-80 Carlisle Hospital ,-5-80 Bricker Garage ~_ o;_"Rn Medical services I\pnrR isn 1 Medical services Trucl, repair --- - I\dve:rtisinr: car renair ;'."0nin([ Sentinel !l=.l.l:-JiD 6-n?-80 6=2=.8 n 6-2-80_ Qd-8L-_ f'_?-BO 6-10-80 p~~nkpr G"rar:e P p & L Co. FJnal Electric bill hrn~ .n lW~er Real Est. Tax. Grave marker C~~lisle Memorial Servo 1\ rr.w av l11n~rM1 'l'p1 Fuel Oil l/in81 teeler. ,,< 11 Funeral Services Hoffman-Roth Funeral I-lome ,Rp~ ~f' vl1110, ,j1e1pn W Mf'Culloch ';, < , _, 'lJ.-"-JnY-..-ll P P r, D LD ---- FamilV Exemption Rec. of Deeds Recordlnr: Relea3cs -.------.-- ---.--- --- ---------.--.------- -----.- ---------.---.-------.-------- .-- - AMOUH T 43 00 - t:;q 00 > 1 R ,nn ' 37 00 40 00 - 2 70 37 36 18 00 28 "6 22 26 8" Q2 768 00 140 30 Q Ra 2 ,~52 50 ~ .9 nn 2 000 00 24 .QL 14 00 ,__.~Jh~~jD' )l~ijl}~.:~.jEvlln _ ___J'r'-',1'.ilE.l\~}.~m--.~'~~cd,_~:~.t~=Ttl,)(--__-20.Q ~ .. . ........ OEOUCTIONS ALLOWEO IN . REV-4!l!l (8-78) OFF ICE OF THE REGlSTE R OF WILLS STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF __ I - DATe APPROVEO OF CI1MREHLI\ND COUNTY AND AGENT OF THE COMMONWEALTH REGISTER OF WILL!], MiENT ESTATE OF -L&!5.!' p, McCULL.OC!I LATE OF PENN 'l'OVJN:mIP DATE OF FILING APPRAISEMENT OATE OF DEATH DecelllbH" g 1979 - , OATE NO, OF NAME OF PAYEE REMARKS AMOUNT VOUCHER 6-q- 80 Re~.L of Wills short certificate 2 .00 o_o_An nnrnth" Jones helD at sale 1,000 00 ,,_,,_0" Pn" Pnhnn'- " , rune1"~l servIces 2'1 00 0-Q-80 Marv Garman help at sale 100 00 8-13-80 I sabel ocl(er Loan payment ",:;r 1,000 00 ,. 8-18-80 Recorder of Deeds 1'ransfer tax ,- 1.570. 00 _1 8-18-80 Tom Neff Survey ~ 400. 00 ..' 9-17-80 -' Register of Wills Short Certificate . - 1. 00 -~ 10-80 Recorder of Deeds Transfer tax :-::.. 30. 00 10-80 Katharine A, Newcomer Real Estate tax 8. 50 . I $ 36 614. 10 COMMONWEAL TH OP PENNSYLVANIA \ SS, COUNTY OF ClIMRER!.I\ND I, HELEN VI. McCULLOCH _ HEREBY CERTIFY, THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, TH, FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF LUKE P. ~kCULLOC!I DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. ;.,'. : )\' , ' ... ;- ,'" (L.S.) SWORN ,_A~D SU,BSCRIBED BEFORE_ ME THIS { , (~~y ; ~<. ,_ '. _ 19 Jl.Q... c 1::' ' ' ( II >; \ ,- , - '-- 1-\'...._,-: DAY OF ! ~ \ i CHI';\)I 'I':: Debts and Adlllln! :;LI'at lUll 1':xp,:n,;c'L\ ___...__._u_~__' ___.__.._____.___ -,-- ._u_ ...- - -. -." --.---- . 'I'he' AccountanL c,lallll'" cI,."lit f'OI' .IL"III'; of' Delli; and Adllllnlntl'a- Llon i':XPCII'W') paid by the'lII :_.,; f'o1.l (J~W: 03/05/80 03/0')/80 03/05/tiO 03/05/80 03/0',/80 03/05/80 03/0'5/80 03/05/80 011/11/80 011/29/80 06/02/80 06/02/80 06/02/BO 06/02/80 06/09/80 06/02/80 06/09/tiO 06/09/80 06/10/80 08/18/80 o 8/l3/tiO 08/18/80 09/09/80 09/09/BO 09/09/80 09/09/80 09/17180 10/ /80 10/ /RO Dana Br'andl Int.;ur'1.Hlcc - 11I'(~Ill.i um H"I~ls\.c']' of' \'lill,', - Lettc'I'[; 'j'",)t. CUlIlber'1:lI1d Law ,JOIII'I"II BelvC'der'(~ Med teal - Mcd i,(:a"l ~-~crv:1t.:c';:; 1I0ol<e !{(,altor:; - Appl'ai:Ja.l 01' Heal l.::;tate Car'l.! de !Io:;p i t:11 - 1I0:;ptt.a 1 :3er'vl ces Br'leker,l[-i Oal'al:,e - lll,'ucl< Hepalr Evening Sentinel - AdvertisJnE Brlc\wl"'-; (lal'age, - Car Hcpalr BIl.L HO\;(', Aucl,Jon<,el' - :3alo Exprcnse,) P P Fi L - Elcetrle (5er'vieefi Carll~\lc IVlcltlorjal - Ur(lve Marl{cr Ar;way - I,'ue 1 (J 1.1 United Telephone - Phone Service Regl:Jter' of' \'Jill:; - 1"11 inf~ [nv. & App. Kathet'lne A. Newcomer - Real Estate 'l'ax Ar;way - Fuel au Register of' W.llls - Shot't Certlf'icate lIof'f'rnan-Hotll !"urJel'ul Ilome - Funet'al Serve<. Recor'der of Deed[; - Trans ['el' '1'ax Isabel Oc\<er' - J.oG.n Payment; Tom Nef'f' - Land Sut'vey Register of Wllls - Partial PA Inh. Tax Dorothy Jones - lIelp with Sale I{ev. Hobert RJloads - Jo'uneral Sel'v lces Mat'y GaMnnn - lIelp wIth Sale R~gister 01' Wllls - Short CertifJcate Recorder 0[' Deeds - 'l'ransJ'er T'IY Katherine Newcomer' - Heal E:;tate 'l'rlX Helen ~1eCullocll - FamJ1y ExemptIon Helen McCulloch - Executrix's Fcc Rogct' B. lrwin - Notary Fee Rep;lstel' of WIll:; - I'A Inll. 'l'ax Register of' WJlls - Fl.lllIg A~~ount Becor'del' of Deeds - 1"llInl~ Helease Irwin, ll'win & ll"win - Attor'ney'[; Fee 'l'O'l'AL I 'i~: c,- ..J I -1r.8 /,'L.' 113.00 59.00 18.00 37.00 110.00 2,70 37,36 18.00 28.36 6,282,81 22.26 768.00 138.57 9.89 6.00 8~. 211 1. 73 2,00 2,1152. 50 1,'570.00 1,000.00 1100,00 8,357.68 1,000.00 25.00 100.00 1. 00 30.00 8.50 2,000.00 7,~92. 50 15.00 10,225.21 37.00 7.00 _.__-1-,_922.50 'I' d ~; 50,312.81 C:II"-' :",d [ll:\iltl,:Jilt:lIlt:" to!' 11"I"tl W. [~C:l;uLL,)t:11 .-.- .-----.------ . n___'+__"U' __ _____0__. l.Phtl ^t:cuuntanL cJai.l1l:--; (:r'{~dij, j'uI' IJ;l'yliiL'IlL Ot' JL(.'I1\:', oj' Cal'(~ and MainL"Inanc:(' 01' lleLclI I,. [Iid:ulloch :J~; !'ol\lJv/:;: 01/18/80 O:!/:' G/eo OYOh/eO OII/lG/fW 06/19/80 06/20/80 12/20/80 02/01/80 02/05/80 03/06/80 03/13/80 03/1 e/ 80 011/02/80 011/23/80 06/02/eO 06/02/eO 06/06/80 06/02/80 07/111/80 07/111/80 07/14/80 08/01/80 08/011/80 08/28/80 08/28/80 09/08/80 09/09/80 09/25/80 09/25/80 10/06/80 10/OG/80 10/06/80 10/06/80 10/06/80 Dcpar'tllh~llt 01' rer'an:"i\"lOI'Latioll - Car' J.ieell~~C~ Cupi,taJ B-1 Lie Cl'O:.i~j - 111:'_iul'alll:C] Ilr'emlulIl [';!llI!l(J Cl'llbb - C I (Jell irqt, Brl ekef":3 li:ll'U/';I.' - J\uLu ['C'Jlalr' :'!lir.'ley':; IJI'(':'" :;1101' - CIOt!llllv, Dr.'. 1':Jul Cl'cedon - [~"d ieal Serv\<:c:,; I'A jlc'par'Llllcllt 01' '1'I':111:3porLalioll - Auto Reglf3t, IkL:3Y LIlJyd - !.aundl'y Bet:;y I,loyd - I.aundr'y Jlostma::;tCt' - ;)Lal1lp;;; WH~ l'h:lI'maey - dr'ul~:c" Dr'. f3tcl1hcI1 U:i.bb:;; - ['~cd.i eal ~-)er'vlces Nut:l.onwlde In:;uparlec - Auto Pr-CIlI.Luln ~"rrell'B VeLcrInary Clinic - dog burial Homewood - May roolll and board Belvedere Medical Cenl,er - Medical Services Homeviood - ,Iune & Aprll t'oom and bO:.Ird CapItal Blue Cros:; - PremIum Homewood - July r.'oom and boar-d rft(;r~ Pharmacy - drug:; B1evedel"E: r~edic"l - Medical Sel'vi ce:; MUM Pharmacy - drug:; Homewood -August room and board CapItal Blue Cros:; - PremIwn Belvedere Medical - McdJeal ServIc:e:; MOM Pharmacy - drug:; Homeviood - Septcmber' roolTl and board Sro\'/n opt i eal - Opti,cal Scrvlces Raymond WIss, NO - Medleal Service:; Natlonwl.ti,} -fnsllrarlce [)r'0Inium Dr. Paul Crceden - MedIcal Serviccs DavJd Hart~('ll, MD - Refraction MG~1 Phar>maey - Dl'\lg~'" HC'mcvioOd - Oclolwr COOIII and l)oard IrOfrAL CHEDlrrS --_.-_._.~_.,--_._- D"bts and Adlllin ;,;tr.'at ion ]o:Y,pC)I1>le:', Carc and ~1ainLain:n)l'c oj' Helen \'J. r,lcCullocll 'fOTA\. ''''It:' 97 "'9 ,c,) * 10.00 110.20 3.15 111.00 115.05 8.00 10,00 2.50 3,OC 15.0C 111,91: 118,00 77 ,110 18.0C 1,182.0G 12.00 1,790.00 40.20 1,178.00 25.02 12.00 17.9Jj 1,179,00 113.35 14.00 2/L07 1,140.00 25,00 20.00 77,50 8,00 28.00 29.07 1 178.00 ----~-------- . * 8,332.39 * ')0,312.81 ___.i:>J)J?~~2. ~; 58,61\5,20 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION COUNTY FILE NO:~ I. ,\" r) (/ / , I Appraised Value of Estate: Real Estate Personal Property Jointly Held Property /Transfers Total Gross Estate Total Approved Oeduction~ Clear Value of Estate Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax Amount Taltable @ 6% Rate Amount Taxable @ 15% Rate (~.J- '- \ f)') ,'/6..-i '" S', ~! ) .*.*.- will be granted if the Less Credits: DATE OF PAYMENT AMOUNT PAID OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT '*' DATE '}i I/I} I [I , / h' , TO: r.~1/,--A. AI',.Ir.f', )':)..'1 A !'1~Jd, \-f c,/,) lfl..; ~'{'_ Illl Jl:<.VtrN c.>;r, Al (-. \ i\ F': ,., - /,0.,,', t AlCYJ.. \"I~ ~_ ,) I ...;, \ ' \ Ly'" ESTATE ,.~.L~ f .. ( ...<'1 "" 1I , I I " COUNTY,' j.'^,(~; J:04'L. FILE NO. DATE OF DEATH 0.-;\ I) " s J ,; ,r r' n (f) ,.1 ~ .J"._ 'J t ,.o.,::.t ,1 (\ /) I) t ---~.- s I Gel I) 'I') -:) C.J , 'G I: Iii I 0 .\ -- -- , S J "5 (\ ~~5 ,. f ~, . '; (/ S / ,;J r:, (1 (I r;. (0) !) X . , s tDx due $ I "; -<---II (/( ~')" ? , ,. t,._ (^ I I. 111 ./( ur:, (\ vi-; (10 , " tax due )fi'7(.~ ',c (, :OTA7PENNSYLVANIA INIiERITANCE,TAX DUE " :J V /8 G.~.jyf\."Y~1 l Wi! 'I Ii) ,:.(70) A five percent d'iscount totaling $ Inheritance Tax is paid by s I y- o \,.'" --- '1jef: DISCOUNT INTEREST TAX CREDIT S = S ;. 3C,1] (.V " 10, -'.->. t; '::"1 = :J, 'J iJ.. 6~, = .----.---.----. / ).!' \: ...?5. 1/1 s X:; r; '7 (,..'-' t s , 0--<1 PI, ! e,. Jtl- fi/ II .Iq . Yu J D "'l;,~);:>,1 t ;J, II]), s.;t.. t Interest accrues at the rate of six (6) percent per annum on the unpaid balance of Inheritance Tax from to date of payment. Interest due if paid by '71 " '.. (, ..{. (-<S. is 'I si, I --I '~ /) ( ~ 11 r BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE AlSolsod by: Seo Information on ADverso Sido Ag.,uriH1".CO"','J'OnWlllth -.;' r~'-:/ , ) va- , ( I> " 7 5.)... $1-1 " t~ INFORMATION To insure proper credit 10 your flr.counl, the nilme of 11111 estate and Itlo number should lIu clnurly print. ed on tho chock or money order. This assossment is mado in tlccordancr. with Section 708 of the lnllerililnce anci Estate Tax Act of 1961172 P.S. ~ 2485.708). To the extent that inheritance lax is paid within throe (3) months niter the d{,ilth of the decedent, a discount of Itvo (5) percent i!> allowed (72 P.S. 9 21\85.716). Inheritance Tax, other than tax on a future interest, is due at the dato of the decedent's death and becomes delinquent at the expiration of nine {91 months after the decodent's death (72 P.S. S 2485.711). Inheritance Tax on 8 future interest is payable within three (3) months after thu transfer takes effect in possession and enjoyment and is delinquent thereafter (72 P,S. lj 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: ------------------------~----- ---- ------------- - - --- - ------------- -- - - - -- -- , 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 ,00017 11 days .00186 21 days .00352 2 days ,00034 12 days .00203 22 days ,00369 3 days ,00051 13 <lays .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 29 days .00488 10 days .00169 20 days .00335 30 days .00500 -- ------------ ---------- - - -- - - --- -- - - --- -- - - --- ---- - - - - --~------ ------ Any party in interest, including the Commonwealth and the personal rep~esentative, not satisfied with the assessment may object thereto within sixty (601 days after receipt of this Notice as provided by Section 1001 olthe Inherilance and Estate Tax Aclol1961 172 PS. 9 2485.1001). Make check or money order payable to: "Register of Wifls. Agent" Mail to the address listed b"low: