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HomeMy WebLinkAbout80-00110 !' ~..'j" ~J~':- t5'7::;;,_ :';~'::?~. '., ''J,.::;' ~.t~': ;.. ~'. ...., 'OJ::' ",-- . !:~-. -~h"- . ~~) , tt;.;~ '~~';!~-:. ~7iL ~ :'f~{~\ ,:i.\t:-y.~.\ ~li:~f~' wit., ~~;~y 'If~ ~ ~ ~ m r.o ! 112 ~ ~ c: t) ~ 112 ~ . :Ie I fi1 ~ - p.; :Ill ........ \'~ (r<! <<::) 0 co . - .21 ,~l ~ ci a \0 't= Z ... . I i !' . r.o ~ ; :it NO. 21~80 PETITION FOR LETTERS OF ADMINISTRATION IN THI~ ESTATE OF ......p.,~~,~,I,l'!,~..,~~..,~~,c.9,r~,r,~9,1~,S..........., m:C1~ASIm. Harold B. McLane, Deputy To ,........,..".."...."...."""""""""""",....,..,..,,','"..'""""""..,."",."""",.""""""""..", .' - ~., " , . ~.." , Regisler of Wills I'm' the COUUI)' of CUl11herland. in 111<' COl11ulOnweait Ii of Peuusylvania, The Petition of '" .r:lIP!!I.~,~,..~,:....~,s:g.Q~1~,q~,J,~"" .." """ ""',", """" """",..,."",.."",.."", ,..", ".." ",.. ......,..,............,....".."......',......" ",..", respecl fully showel Ii t ha I . "'p.,~~,~,~l'!,~, "!~,..,..,!1,'7.~,q,r~~q.I:!~",....,,.........., was a resident of fo1,9.hlX!,t,..,H9J1Y....~p.,r.Jm';,I?..,......~~i::~~llu~~l( . CUl11herland Couut~.. State of Penns~'I. vania, and a Citizen of United Stales. and departed this life iutestale iu the Couuly of ..,9,~m!?,~,r..+,!!,lJfl "....,..,....,........'....,....,.. .." aud Stale of ..,~.';:,~!),~.i!.~,y. ~,~~,~..,"""',..," '...."", ,.."..........,......,....". "..",..,..,.. "....,..,..,.. on ..,~!,C?r.\g.\l;:f,......,............ lhe .............!!.~):1..,....,.......... day of ......,..~~,~,~!:l,~,~;!...................., A, D" 19..~,~..,' at the age of ..,..,?,~...... ~.ears, That the said ....,l?~,l1,~;J;.I:!,J;;,..r:1.:..,~i!,g,9.f'.'I,~,9.N,~............,........ deceased. left surviving the following named widow or flusband, heirs and nexl to kin, to wit: Name Relationship ........ ..s,.9. !?..,..,..".."..,.."..".. Residence ,~.+,g,!?!1.~.+.,..J;.,:..,,~,<;:,Rg!TIm9.n~.........., ~,:,p.,....,B".."Qgr.,(jnrt.:r..h..r.IL.,...... ................................................................ Dennis W. McCommons Son R.D. 1110, Carlisle PA ....,............,............................,1......,......... ................................................................ Susan M, Skvarka ................................................................ ..........~~~,l!i!:J:~,E?r.,........,.... R.D. #6 Carlisle PA ....,....,........1............,........,...)................... ................................................................ ................................................................ ................................................................ ................................................................ That those above named include all of the next of kin, so far as known, The said decedent was possessed of personal properly 10 the estimated value of $...5.Q.Q,',Q,Q................ and of Real Estate, less incumbrance. to the estimated value of $..9,.,7.Q.Q,',Q,Q........,.. as near as can be ascertained, That the said Real Estate in so far as is known is localed in l'1,1<",..,l;!9,UY....(lP.,r.JD.g,I?,~,..,r./l.......,.., ........................................................................................................................................................................................ Therefore, your petitioner(~ respeclfully appQc(ies) for Lelters of Administration in the above named estate, Dated ,f.~,1;u;:lJ.,?,r.y.,...+.3,...................., A, D,. 19,~0.... ~~~./:. ~ Signature and Address -::....'~tlL?'~;fc57.;()N'S"................,...., of Petltloner(s) ........................................................................................ ........................................................................................ ........................................................................................ COMMONWEALTH OF PENNSYLVANIA ) r ss: COUNTY OF CUMBERLAND MICHAEL L, r~cCO~1MONS named ........................................................................................................................................................................... in the above application being duly ........Sl.:lo:r.r.I.........................., according to law, sa)' that the facts set forth in the above application are true to the best of ..1:1;\.,;;......, knowledge and belief. ~~;~'~~..~:,or.r.I..,tQ............,.........., and subscribed 1 ::~~~~~:::::::::: l"d1 ,. ~,..,..~"..,f,.~,f1e,~ ^,..r.!!-,)~~,',~,',','~,.+,J,~,u.,',...~,..,',.._...',~,~,:;,~~,' ,..,[),..,,':'~,'e"g~,,9iP'..",'t':,'~',:~',',~,',' I "".."..",.."""...."".."""....,......"",.."."""..,....,..",.........., '(~ W.4,~.J.Jl..\ '~+OT 0,,/" "R. ........................,..............,..,....................,....,......,~........... ,- h-~Q :) Filed: ,..~,E?~,~~~,q" ,..,~~,~....,.."..,~,~~,~,..,""',..," A I lorney : ,I-!,~;r:()~<l:,..~,:..);r:I'I,~~ ,',"~,~,~"..,....," (o\'er) :2/ &;;:' OATH OF PERSONAL REPRESENTATIVE COMMONWI~ALTH OF PI~NNSYLVANIA COUNTY OF CUMBERLAND } ~~: MICHAEL L. McCOMMONS ......,....,....,......"..,..,..", ....'.. ......,..,......"", ..,..,..'....'""""".."""", ,.."..,...."..""""..""""...."...."""",..".., petitioner (xl being duly ............,9,!1,9.!::!L............,......,.......... according 10 law do~~........, depo~e and ~ay that as the udministru !;9,t'..,...... oC the estate oC ,....?f.,y,~.U!,I,';, ,~,',..!~~,9.Q[1,MQf:J.~..,..............,..................,..,.................., ........................................................................................................................................................................................ deceased ..........,!:I,~........ will well and trnly administel' the l!lllllls and chattels, rights and credits of said deceused, uccording to law, And UIHO will diligently cOlllpl,\' with the prol'ision~ oC the IllW relating to TransCer Inheritunces, ....,......"....~!'!,9.;r::r.,..,~,~......,',......".., llnd subscribed beCore me, ~....,..:::;/..~!?r.,Y:~,r..'L~..,..~~"'.. A, ,JJ" 19..?9,.., :;::::ftJ..~:k~~,.f.-:;"~,,)yr.,r4f';:,~"..,'~,~g~~X, RegIster ~ ....,";:@f~fu:~MBM;'~'~'~..,.... ............................................................................................ DECREE Be it remembered that on the ..........,~,~,~~....,...... da)' oC ....,f.,~,!?,f.~?E;{....................... A, 0" 19,~,9..... Letters of Administration in the estate of ,......f.IHIl.rNE...r1,...,!\1c,GO.MlYIO,NS,....,..............,.............,............., ..........,......,....,..",..,....................',......,..,....,....,...."... late oC [1,t,..J!9)JY....~p,rJD,g,i?...."....................,...."..,..,.., Cumberland County, Pennsyl\'llnia, deceased, were granted to ..MICHIl.EL,..L,...,.M,c.C,Ol:'lM.ONS............,.. ........................................................................................................................................................................................ Witness my hand llnd official seal the day and year aCores\liy, A ""',..,"~o/ju..r:kct{~,:cs:,~)')ts;?(c.;,\..~,.,"~,?!?~.~;( '\: Regbter. , Estate ~80 :;; No.":'......,...,.............,.,..., BOND KNOW ALL MEN BY THESE PRESENTS. 1113t we. ,~l,~,?,li,^.~~d,~:d..~?~,?I,~r4,?I,~,S.,~....,..,................. ,a.9.l1l,i.!J~,:>,~, r.1l.,~g,r..., ,(),r.,.. ~,h~.., ~,~,~1l.,~,~, ,9 J" .,e,f:" U.r~,J:N.I~,.. M", ..Mg, Q. Qfo:l,MqH~""", .......... princi pal.....,... and ...!~~!?r.~m'!" ..$,\j,5,i;;1: y...,r;,O'f1J:i\H 'I...."..,..", ....,..", .............................................................................................. .................................................................................................. ..................................................................."'J suret.y........., arc held and firmly bound unto the Commonwealth of Penns)'lnnia, in the sum of ..r,\1,e.n,~y...,r.h9.!-!,~,1l.n.9....... f.9.!-!.r.,..,tl.!-!,ng,r.,~,c;j....:;ir.H;l....n9,ll.,Q,Q........, Dollars ($2,Q,.,I\.O,Q,.,0.0..,..). to be paid to the said Commonwealth. her certain attorney 0' assigns. to which payment. well and trull' to be made. we do bind ourselves. jointly and severally, and our and each of our heirs, executors, administr;ltoTS, successors and assigns. firmly, by these presents, for and in the whole of the said sum, SEALED and dated the ............J,~,~,~~.............................day of ......,F.,~,l:!,r.,~,a.:r.!!...,........,....,....,. 19~9.... WHEREAS. the above named ,.....t:1,~,~,H.,~,J;;~..,~ ,',....M.,c.,c.9.r:'!~9.~e.......,..,..............,...,.....................,..,........... .................................................................................................................................................................................................. has or have made. or is or are about to make. application to the Register of Wills of Cumberland County. Pennsylvania. for the grant of letters ..9.f...J\9m.:!.,n.:!..s,t,:r.?tj,,9.D.....................,......,.........,..................................., on the estate of ....,P.AlJLIN,E...M...,tlJ.c.cOMMQNS ........,....,.........'. late of ,!Y),t,......l:!9.1J,y,..,:=;,p.,r.J.ngs,....,. Cumberland County, Pennsylvania. deceased: THE CONDITION Or- THIS OBLIGATION is. that if the said personal representative ...,........ or any of them shall well and truly administer the said estate accord ing to law. this obligation shall be void as to the personal representative or representatives who shall so administer th e said estate; but otherwise, it shall remain in force. SEALED and delive,ed in the presence of -~~~~~s~--m (SEAL) ncn~-.,-,n_..AZJ!l=!:-~~-~~9X-. (SEA ---"f1-{Kt'~-s~:.-{n::F~~t _ _ __fg,LJjA~T_@_l'! __~lJ.!1.~T_L_Q.9I1rANfsEAr: __ ___ ___ ____._ _ _.. _ _____n________ _ _n_ (SEAL) \ --------------------------------~--------_. COMMONWEALTH OF PENNSYLVANIA COUNTY Or- CUMBERLAND ss: Personally appeared before me. a..,........I!.9.,t.;;\r,y....p,\.!p.1Jc.......,......,.....................,...... in and for the county and state, aforesaid ,M.,~,9..I:!,~~1",1,:""t:1,g,g.Q,M.,M..Q.t!.:?."",~gmJn.:!.,!?,);,r,il,t.Q,r.....9.f....);;,9,);,~j;,~..,.Q,f..,',r.,~)J.,J;.IHg;.. "11,..,,.., McCOMMONS of ..,',..,...."M,t.",..,J:lQllY,..,S,p,r.,i.ng.~,..,......,",.., ",..".""and.., ",~1,lK.J;;..,gY.~~ ,'"..~.);,);,g,r,n.~y.:::J.Q:::f.~g,L,r.,9,r...,' li);;~,~g:.B.N,...e.v.!.mJ::X,..9.Qfo:l,P.,i\,NX...........................,......0f...,..,11,~,g,\1,\\.QJ,9..sP,)J,:cg.,..,p.,i\....,.............................,....,..,.. surities on the above bond who being duly sworn (affirmed) according to law. depose and say that they each own Real Estate worth the whole of the penal sum named in the above bond. over and above their debts and the debtor's exemption, Sworn and;~~~ibed before me this ;1,€u ..~~{(.;?4~1fb"ff~::-(Seal) ,.......................,..,...,....................,.. day of /S".....,~..., ......CjJt~;;......,../J..,....,../...............,....,.... (Seal) A,D,"1:..'8:P.... ,....'../.~m..RU~Z~....................,........, (Seal) i ,,' Lc.~T '7, ct~, ,......,.......,.......,.........................,....,..,..,.................,...,.. (Seal) ...................."!. ..........................~:.;.~:~~:..;.~.;..,.:......:..~..............~;~::~:) ( ~: u:; 1 ( MY CO',~~:,:~~II..i;i L)_! I.'.C.;'; [LI. 3. l~~O POWER OF ATTORNEY (Irrevocable) N<! 21081.92 R Know All Men by These Presents: That thi. Pow~r tlf AHorney is n01 valid or in efle~1 unlt'~ 3lladu:d hl the hond which it aUlhori/C\ c),cc111ed, hut may be deladlcd by the approving onicef if de~ired. That Western Surety Company, a corporation, docs hereby make, constitute and ol"point Y''lJ.KE ;'1U~;:. in the City or NI\7"!l~ NTr."1'\nllO ,Slate or Attomey(s) in filet wllh full power Dnd lIuU,ority hereby con crre one of the foUowlng bonds. .)'";:NN~ ,Vfl.trr A . with limited authority, its (me and la~rul . to 5 go, execute. acknowledge and deliver for IInd on its behalf as Surely, An ORIGINAL hond requiTed hy Stalute. I>t'nce olTourt or ()ulinalU:c for: MAXIMUM PENALTY (A) ADMINISTRATOR CONSERVATOR CURATOR EXECUTOR PERSONAL REPRESENTATIVE GUARDIAN TRUSTEE - (Te~tanu:nI3ry Onl)') SALE OF REAL OR PERSONAL PROPERTY _ When lhis company h3~ qualil">,in~ bond or wh~n it is 01 separate bond for accoulltin~ or proceeds or sal~ only COMMISSIONER TO SEI.L REAL F.~l'A TE REFEREE IN PARTITION TRUSTEE OR RECEIVER -- In Bankruptcy (Excluding Olaptcr 11) NOTARY PUBLIC PUBLIC OFFICIAL AND DEPUTIES RECEIVER - (In Slate Court Onl)') PLAINTIFF'S COURT BOND, excepl hllnds 11IllhH.ilcd h)' ";-";..1':" Below s 10,000,00 $1,000,000,00 (8) $ 50,000,00 (C) (D) EXCI.UllING (WEN PENALTY. STAY. SUPERSEIlEAS OR GUARANTEE UF A JUDGMENT $ 500,00 COST ON APPEAL ) REMOVAl. OF CAUSE) (E) LICENSE PERMIT QUIET TITLE $ 10,000,00 Not including bonds where the stale is Obligee, except special fuel users $' ,000.00 ANY BONO OR INDEMNITY provided Iherc h alladu:d 10 this Puwer of Alloll\e)'. wriller. aUlhurilY in the fonn 01" an endorsement. h.-tler or telc}!ram. signed by Ihc Chairlllan of Ihe Hoard. President. Vke.Presidenl. Secretary. Treasurer or Assistanl Secretary of Western Surely Company specilielllly authorizing its execution. (F) NOTE: SUPERSEDEAS, OR OPEN PENALTY OR STAY BONDS ON APPEAl. OR GUARANTEE OF JUDGMENT. OR DAII. BONDS OR CONSTRUCTION BID OR CONTRACT BONDS, OR BONDS FOR DEI'ENDANTS ARE NOT AUTHORIZED BY TillS POWER OF ATTORNEY. except a~ pro\'idcd in Section (F). WESTERN SURETY COMPANY further certifies tha\ the lol1owlnl is a true and exact copy of SecUon 7 of the By-Laws of the Western Surety Company. duly adopted and now in force. to-wit: "Section 7. All bonds. polldes. undertakings or other obligations of the corporation shall be executed in the corporate name of the Company by the Chairman uf the Board, President. Secretan', any Assistant SecretarY. Treasurer, or any Vice President, or by such other oHiens as the Board of Directors may authorize_ The Chairman of the Board, "President, any Vice President. Secretary. any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Alents who shall have authority to Issue bonds. policies, or undertakinp In the name of the Company. The corporate sui Is not necessary for the validity of any bonds. pollcle~ undertakinp or other oblla_tions of e corporation." Dated this 1st day of June, 19781 ':) ~, j A TIEST ,~~\ I /", , c'.7'0 -, '- Assidant Secretary f~ By STATE OF SOUTlI DAKOTA l County of Minnehaha ss On this 1st day of June, 1978. before me, a NotarY Public. personallY appeared JOE KIRBY, who bema by me duly sworn, acknowledled that be si&ned the above Power of Attorney u President of the said WESTERN SURETY COMPANY and acknowledaed said instrument to be the voluntarY act and deed of aald corporation. My commission expires "... ':"~~~,-.:~~::. :,"'I'IL\' 'Vt~II" MV C"llI~i:;..;~(..:: ":;;.;".~;;.;:. Jat~ :~JI l~f;"' , i9 l' (e' ( " f ,-~ ::) -' ;; ,- Notary Public. South 1>aKota ( ( I, the undersilned officer of the Western Surety Company. a stock corporation of the State of South Dakota. do hereby eertU:, that the attached Power of Attorney is in full force and effect and Is inevocable: and furthermore. that Sedion 7 of the By-Laws of th4i1c ~~a~y as ad forlh In the Power of Attorney. is now in force. I 'tJ>- In te t1myny whereof. I have he~reunto set my hlud and the seat of the Wl'stern Surl'ty Company this., day of I ;;y&",~?~-:,,,... , 19,' ~ WESTERN SURETY COMPANY ! -IMPORTANT: This date musl be rmed in before it is attached to the bond and it must be the same date as Ihe bond, By ~!!:r 99-6,78 ESTATE IN THE COURT OF Cor,ll.101J PLEAS OF CU!lIBERLAND COUNTY, PEtlNSYLVANIA ORPHANS' COURT DIVISION No, 21-80-110 OF PAULINE 11. f1cCOf.1flONS, deceased PETITION IN RE: ADDITIONAL SECURITY 011 SALE OF REALTY BY AmlINISTRATOR TO THE HONORABLE, THE JUDGES OF THE SAID COURT: Your petitioner, IUchael L. r,lcCommons, administrator of the estate of Pauline ~l. 1'lcCommons, deceased, respectfully represents as fo1lol'ls: 1. That Pauline f.1. l'lcCommons of !1t. Holly Springs, Cumberland County, Pennsylvania, died intestate on February 4, 1980, survived by tl'/O sons, and one daughter as her sole heirs at la\~. 2. That your petitioner l'Ias duly appointed and qualified as administrator of the estate on February 20, 1980, by action of the Register of Wills for Cumberland County, Pennsylvania, 3. That a bond in the principal amount of Tl~enty Thousand Four Hundred Dollars ($20,400,00) on which Hestern Surety Company \'/as the surety, Vias filed on February 20, 1980, 4. That the total value of the personal estate of the dece- dent which has come into and remains in the hands of the administra- tor of estate is One Thousand TI'/o Hundred Thirty-nine and (,6/100 Dollars ($1,239,66), 5. That in pursuance of the authority granted in Section 3351 of the Probate, Estates and Fiduciaries Code (20 Pa, C.S .A. , ,.. 1'''5 ~.';', .L:....f I i,,'u~ . G i.';: ..-...---~__ ..z ~,RCC4111178) " COMMONWEALTH OF PENNSYLVANIA 1l~6!iO'3' 4' 483 DEPARTMENT OF REVENUE a~(f", 'OFFICIAL RECEIPT. PENNSVLVANIA INHERITANCE AND ESTATE TAX 1(':'>::, .. ; RECEIVED /I e From, I ~ 'idress . If II R File No, I Dare of Payment ~ "'-"- _.. c"" __~~ ~-....::...... -- ...~ ----------------TWn RUIIIJ)RIm FORTV-THRllP: &. 79/] OO---------------_:-dellars representing Pennsylvania Inherjtance or Eslotc Tax due from the following estate: TOTAL TAX CREDIT less five percenlum of lox if pOld within three months after Jate of death Plus interest 01 the role of _%from to Il:'GA. I~in " Ixwin.--At.t.ya_ 44 S. Hanover Street -- Carlisle, Pa. 2'1i Tax on S 17013 6% Tax On 21-80-110 Dote of Deoth~-4-19~ 15'/" Tax on lrx-i 1 " , QAO 'k Tal( on $ Estate Tax, Act of MaV 7, 1927 Name of Decedent PJ.trT. TIIlR M _ MtlCnMMrlNS County Cumher1and Remarks: .PAID ON ACCOUNT. 1r[JJ~[Pa,D@!il1rm SE A L TOTAL AMOUNT PAID NOTE: This Triplielta Receipt to be retained for aUdit purposes. f Recei....ed by NOTE: In oee.pllng Ihe Ironsf.r inherltonc. 'OJ on fulure .1I01.1. prior to th. deorh of Ihe Iil. '.nonl or I.nonl for y.orl. Ol ....id.nc.d by Ihil r.c.ipl. il il und.rilood Ihol Ihe Commonwfloflh Iholl nol b. pr.cluded or prevented Irom hereafter OUeuing addllional inh.rilanctI 10. 01 Ih" death ollhe III, lenonl or tenont for years whenev.r II appearl Ihot luch addit;analloJ may b., legally due and collectlbl. for any reOlon whOllc.....r. r----- ----- - -, - -- ---- -- - --- --'-- s s s s , s s 256.62 s 12.83 s s 243.79 .~- -..-. - ---- - -- ---- -- --- -- --. -- --. - -- - - - - --- Mlll'J.flI'I' ~,,7 / -.,1....:> -/ / ,:> ,<' ~* REV0449 (8.78) COMMONWEALTH OF PENNSYLVANJI\ DEPARTMENT OF REVENUE B\JRE[~U OF FIELD OPERAT;ONS RESIDENT DECEDENT COUNTY OF _CU1~BERL^ND IMPORTANT: This relum musl he completed IIlllctilillllld filed in duplic.IIC, wilh ull :ItUldll'd. with tile Itcgislcr 1)( Wills 'If the County where decedent res hied; Return is due Wilhillllll:l' ","IJlh:-- "llel dUll' IIf deilth. unless 1111 extension is gnullcd by Ihe Stcrt'tary of Revenue. (Sl'ctiol1 703 of [hl~ \nht'ril.lI1l'C lllld E"t;\Ic Till( Act flf ]lJlII,) IN TilE MATTlm OF TilE ESTATE OF 1 AFFIIlAVIT OF +:lil'E\"f-i)H- f AIl\IINISTRATOR County Pauline ~1. McCommons {STATE FULL NAME OF DECEDENT! lete of Cumberland State of Pennsy lvania } n: COUnlvof Cumberland lUchael L, McCommons Administr3tnr 01 tho osta'e of the aboye-namad deudont baing duly Ioworn, depose ~lK>tt""'l'- and soy Decedent died Februarv (MONTHI Nam. and addr.... of attorney or } oth.r authorized r.pr.ll.ntatlv~ 10 whom 011 eorr..pondonco .hculd be mailed. 4th {DAYl , 198.o---1~_~N~~~~~~~~~~~.M__~1 ~Intoltate J Irvlin, Irwin & Irwin 44 ~ H~no""'''' ~t _ (,,,,.,lis1,,,, PI\.- J7Q13 That 115 such deponent is fami liar with the affairs uf said estate and the prop crt}' constituting I EXECUTOR-AOMINISTRA 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 us agent or deputy of aooth..;r. or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following: - NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF REl.ATIONSHIP OF JOINT HOL~ERS TO DECEDENT That the contents of said safe deposit box or boxes arc itemized under Schedules with the exception of the following, for the reasons hereinafter set forth: of this return. That Schedul. A allached hereto and made part hereof sets forth fully and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died having un interest therein. It also sets forth the mortgage encumbrances upon each parcel of real property at lhe date of death, giving the amount still "due at death. name of mortgagee, 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 dale of death of decedent. That Schedule B auached hereto IInd made part hereof sets forth fully and in dctail nIl personal property whcresover situated o\\'l1cd by the decedent at the time of death; all moneys left by the decedent al the time of death, whether in decedent's immediate possession. standing to decedent's credit in banks of deposit, savings hanks, trust companic.s, or other institutions, whether individually, or in trust for any other person or persons giving IIlso separately the accrued interest thereon. if any. down to the last interest day prior to decedent's death in the case of savings banks, and to the dale of decedent's dcath in nil other cases: all bonds, postal savings, treasury ccr!ific:ues or notes and othcr evidence of indebtedness of the United States to the de~ cedent; all obligations, whcther by statute or agrcement they arc dcsignated as tax frce. of the Unitcd States, or any statc, or pulilical subdivision therenf. or of any foreign country, which ar'~ owned at Ihe time of death; all wearing apparel, jewclry, silverware, pictures, hooks, works (If art, househuld furniturc, horses, carriages, automobiles, boats, and any and all othcr pcrsonal chattels of whatsoever kind or or-ture, len by decedent, together with the fairly estimated markt:t value thereof; all bonds and mortgages held by decedent and of all claims due and owing decedent at the lime of death. and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving tht.. race vallie and estimated fair market value thereof, and if such estimated fair market value be less than the face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys payable to the estate from life insurance policies carried by decedent; all nnnuity and endowment contfl:ets the proceeds of which were payahle upon the death of the decedent; all and the corporate stocks and dividends duc thereon and unlmid us of the da(e of lIeath. bonds aOlI accrued intercst thereon (0 the date of decedent's death and other investment securities ownell by the decedent at the lime of death, with the market value there.. of a t such time. .. III the case of sCl.~lIrlt.les of closl! or fumI)~' corpcrtlt1ons, the vnllws report.ef! ure us far as possible substnnt1nted by finnl1cial statements nf' the corpnTntlons, showing the US5fHs nnd llnhl11t1es tlll'reof us of t.he clute or denth. The sclll~dllle ftlso sets rnrtll t.he Int.erest. of Ilecedelll III the time of Itent.h In ftn~' co-plu'lnershlp or business, Itnil In support of thl! vnlue nf' such Interest. there Is lUlnexed to sullt schedule, flntlJlctlll st.lltemenls showtnglllenssets finct Ilnldlltles 01' sn.lrI co-partnership or huslness. A eOI'Y ot' tfl(> co-pRrtnership llJ;ret~mlmt, (If ornl, t\ stntClnlmt settlnv; fort.h the nature of the ngreemcnt) lO~''Illl~r \I'lth n stat.ement Sellin}!; f'arth the clUlructer or the bllstnf'ss, Its locat.lun, and sllch other racts lwrtnln1u,l!; to the huslness ItS mflY he p,-'rtlnent, to II .'nlr "nil .lust llpprlllsnl of' the decmlent's interest therein f1l1l'it he slIl1mlt.tprl. It should nlsn sel fort.h In IIp.mlzp.d form, l.o~1~t.her with the fair market vnlue thereof, tUl~' other propert.y owned or bequeathed hy th(~ fleceflent. at the time of (Ienth. Tile Schedule C altnchect hereto nlld In/lde llllrt h('rf~of set.s forth n t.rllf! Ilnswer to ench inquiry contained therein and in the case oi' transfers ofpl'olwrf.y, rl1nl or personRI, wi thin two yeors of decedent' s tle/lLhl in contemplation or decedent's denth, or Int.enrled to 1.~ke effect In possession or enjoyment at or after deuth, saId schedule sets forth the n"tur(! Hn,1 \'111ue of such property, t.o whom trlUlsferred, the rplnt.1onshfp of' the trnnsf'erees to tile decedent, tho""! proporttonntl! shure racH!vecl tly eRch transferee and all other f'nets of n pertinent nnt.ure reAnrcHnv; snIrl trnnsfers. In the cnsp. 01' transfers intended to toke eifect 1n possessIon or enjoyment. nt or nrt.er rtenth, t.here Is also nt.tachl!rl to th~ schedule U COllY or the deed, trust agreement or other instrument. creating the trust. Thp.r"~ Is nlso set forth In said schedule 11 list. of all propert~', renl nnd personul, with its vnlue, which pn!-;sp.s III decedent's death by vIrtue of' the exercise by decedent, either IndIvirtuully, or jointly .....lth Rnother, or /lf1.~' Jlower of' appoint- ment vestf~d in decedent, either individually or Jointly, by the will, dee(!, or ot.her instrument of' another, with a copy of' the instrument crenting such power attached to the schedule. Thh.t Sct>edule 0 8.ttnched hereto nnd mude pnrt hereof sets forth t.he nfime5 nnd addresses of all persons beneficially interested in thIs estllte Ilt the time of decedent.' s (!eath, the rmture of' their res- pecthe interests, their relationship, if nny, to the decc(lent, to~ether with the ages at the time of decedent.'s death of all minors, annuitant.s Rnd heneflcinries for llfe IInrier decedent's Will. It also contains n statement showing which or the beneficiaries nnmed in the tJecetJent's wlll, if Imy, died prior to decedent, the dates of their death, theIr issue, lUlrl the relntlonship of sHch issue to the benef'iclary. That S.:/1edule E attached heret.o nnd made u pnrt l1ereof sets fort.h all propert;y, real and per- sonal, owned by the decedent jointly with another or others, including intangible, standing In the name of the decedent and others, plus the date nnd plnce or record of instruments efrcct1ng the ,est! ture of real estate and the date of' acquisition or personnlty, plus the name, nddres5 'lnr! relatlomlhip, if any, of co-owners to the decedent. That Sc/1edule F attached hereto and mnde a part hereof sets forth rull~. and in detail all debts and deductions claImed for and on behalf of this decedent's estate, tnclucHng funeral expenses paid; family exemption, where npplIcable; costs of nrtmlnlstrat10n of this estate; counsel fees and f'udiciary's conunissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli- gious services, in COn'iellUenCe of t.he deat.h of the decerlentj debts and claims owing anrl unpalrl at time of death; t.axes accrued chargeahle for period prior to decedent's dellth (except those allowed under Section 651 of the InheritWlce and Estate Tux I\ct)j together \'Ilt.h It statement. of coUnteral pledgerl for obliga- tions, 1 f any. It is agreed that the fiduciary will present proof of suid clalmf!rl obligations upon re- quest, that if the amount actually paid 1n set.tlement of nny fee, commIssion or debt is less than the estimated amount claiming anrl nllowed, that the same will he reported tG the Itegister of Wills, and that the lunoun't of tax assessed elUl be renssesserl In accordtU1ce therewl tho That the totnls of the uppropriate columns In Schec\ulcs "A", "B", "C", "g", and "F" os directed therein, have been clirrierl f'orward and properly re~15tered in the SlItnm/lry. Subscribed and sworn to before me this ;;dd" '~~"~'1 /d%~ -;>'-'" ,- -;1/"/'.t- - " ' ...<, ,i'-.., ..' ...,.., ....:%:::..iP.......M.u.,.,~_......__ Micha~~~&e~m~W~) R.D,#2 ,',,', ,."""""""".,."'(S;;:~;'N~;;b;r......'..'.""'........_'..._--" G<lrct.,T.1t=,~,~"L..fi;\.....:J,n?,4"..,..," "".......",...,.........".." (City or Town and Smt<J) /....r ",/hb,J ,.. C~~ ..,...19....~Q .... day of ")' " ...."...,.,...,..,;.:",~2s/ ~.."',J,..:' fl.L.",'_r,l,J"I"" ". ' C:,~U~~LE f;ui\d'.~'~',c".:-' -. .: M'i C{J:.i:.HS~iC';1 ;..~:'jh~~: I.,U. :;,l:i:(J SOTE: Def'ore signing affidavit make sure nil hlnnk spuces in the uffl,dnvit nnn sche,lules nnnexed are filled 1n with details flr the word "Sone", llnd ill cnse the nssets include rare nn'1 unlisted securities, securIt1p.s of close or family corporllUaus or nil t.ntcrcst in nn~' co-pnrtnership or busIness, that the (lIltn /tncJ stfltements reflu! red under the pnrllp;ru}lh uhovc relating to Schedule "D" nre nttncherl. .\150 make cerUin that collunn #1 1n the "Sunmary" hilS herm properly complet~rl n8 Ilhnve-directerl. I I I I I i I I \ \ I I I I I I i IfC C.u ~"'UI "CllMMoHW~ALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DEC'eDENT SCHEDULE "A" REAL PROPERTY *' Real property in Pennsylvania, with statement 01 mortgage encumbrances upon each parcel at death of dece- dent. Property held by the decedent as tenant in common with 'another or ather, should be identified as to quantum of interest ond the estimated value should be that of the decedent's interest only. (Property held as joint tenants with right of surviorship or tenancy by entireties should be reported on Schedule "E.") The flal property "Iocatad In the Commonwealth of Pennsylyanla .hould be described by lot and block numbe" .tr..' and str.et number, together with a general description of the property, with a r.f.rence to the record of the conveyance by which the decedent took tltlei If a form .tat. numbor of a. eru; 0110 ..alemanta' mortgage encumbranc.. upon each parc.1 at doath of decodont. Tax." a..enment., accrued Int.r..t on mor.gog.., .tc.,oro to b. listed on Schedule ifF" and mUlt not b. d.ducted from this schedulo. 1. House and lot of ground at Mountain Street, Mt. Holly Springs, Pennsylvania, (see Deed Book "T", Volume 15, Page 98). Value based on sale price, plus tax adjustment ,g..et~~TVt1,'oWU ,Iff TOTAL: (1) ASSESSED VA~UE FOR YEAR OF OECEDENT'S DEATH :<.,/30, $9, 720' Insert this tolal opposite "real property", Schedule "A" in the X X X X X "As Reported" column on the last page of this return, (2) (3\ DEPARTMENT V A~UA TlaN CAUTION (Do not writ. In this spou) '10)0 3~.1 G ~gtt ESTIMA TED MARKET VA~UE $10,032,161/"/ $10,032.16 !lCC- ,~ .~ l~ '~ "~'(',,~ '<; . _. . .. ,'--.'" :'t 'f' ,;,~~'S:,;..," "r:.."'i:\:r---..,t:: \'n\l\ll)\"'iF.\L~'1l Ill" }l!:'X~SYIY.\~ 1.\ TttA~~F::n P\J:~':~~ I'P,\('F T.\;": '-:('1:1':!II'I.I': "1''' '1": \ "~J'\':I:" ,,:::-; I !lE~T \lITFIIF\T ll) nitt (It'I~I~III'IlI.. \\1111111 t"'lI )I"II's orlllOILllt, 111'11.1' .tll~ 11"/lIlsl"'I' III' ,1I1~" ltl'I!l'I"!ul P'll" 01' his ,,0.;I,a1", ...111I1I1lt. rl'cl'lvlll.Lt II valllatlh' llI'd 1I111'IllI'IIP l'OIISldl'l'dllllll 1 !tI'I'" 1'111",' (\lIsl'o"r )I'S III' 1I0)-1LO_ (~) Ill,! ,,.,,,,'01"111, _1111111 I"" )' "" rs 0 I' ,II'" Ill, 1.I,,,,,sl'''r 1"'''1'''''')' I'rolll ttlllls<'1 I' 10 111",,,,\ I' "11.1 "',,' tlII'r 01' ,",tlwrs (tlldwllll~ H SIHIIISI!) In .IoJnlIlWIll'I'sltlp'.' ('\110.;\00'1'1' Y"s 01' 1l1l).JiO_ l:1) II' the 1I11SI'."'r In (I) or (:.!) 11110\'" Is III till' 1II'l'lrmal.l\'.' still...: (1I) AI!," of dl'I!l"I!imt al t.lml! III' l.1'lIll~;f'f'r NI A (h) St.atl! or df!C~I'df!llt'S 1I1'/llth lit. "11ll1! "I" mllkln~ 1111' trlITlsl'PI'. (~IlI.P I). (e) C/lust! 0(' elf!Cf',II'ut IS fl"HIIt. (Sntl~ 1). (,t) Dlel decedent., 111 his lifetime, I1lllk(' /lilY tl'unst',,1' of' prflpf'l'l.~' wlt.huuL rl'f~I!I\'IIl~ a \,UIUllhll' or ndeflunte cOllstllerlltloll t.llerHl'or which WitS to tlllil! l!fl'l'et. III 1"ISSI!sslnll 01' Pu.luYlTlfmt lit, or uf'tf!r his deuth" (Answ.:r p~s or tlo) No (ll) \\'IIS tilt!rl! !lilY pnsslhillL)' t.hat tli.~ prOJll".t.)' t.rllTlsl'l'l'rl'.llulv;hl. rl'LUI'1l t.o trlltJsr(~rl~r or his Hst./lIY or hI' slIlJject. to his Jl.......I..r u(' dhqll)sltllln? ('\ns"'.~r yes ur no) No (Il) Wllilt was t.hl! trltns1"en~lJ's 11;!,1! nt r.lw! (I!" t!f!(:I'c/lmt's th.'uthi' ..JiLA (5) Dill deecllcnt III Ills lll'ct,ime IIIllke /IllY t.ransl'f.!'r wit.hout ret:et\'lll~ a \'1t]llllhlellllllltlh'II"llte consIderation thcrefur ull(h~r wlltell t.rllllst'eI'Or exprl!ssly ur Imp) ledl~' l'f~Ser\'es for his I if'f~ or llny p(,l'toel which docs not 1n I'Hl:t end he('nrl.' his flent.h: (II) Thl! possess lOll or en.loyment nl' ur tile rl~ll1. t.u Ineomc ('rfllll thl.' prol't!rtj' t..I'llllsf'el'rf~d" ('\nsw~r Yf!S or un) No (h) 'fhe rlAh!. t.o df~slg,nllt.e the )lflrsons who stud I \!OSSf.'S5 or enjoy tllf! propert.y t.runsferrell or income I.hl!I'I!l'rom? (j\ns\\'cr j'CS or no) No (r,) If' the IIns.....f!r to (5) (Il) n!Jove Js In the nfrirmati\'''', sllll.t~ whether th'.! right. WI1S reserved in decedent n)one or others N/ A . (7) nil! decedent In his J Il'eUme mllke II trllllsl'er, t.he consl!lcrntloJl l'ur \'ihlch \'ins trllnsferec's promise to PU)' income to or l'ur t.hl! lJl!flf~f'It. 01' 1!llrl! 01' t.rl1nsl"cror? (,\ns.....er ;yes or no) No (8) U111 decedent., nl. illlY t.lm!!, t.rllllsl'('1' jlr()I'I!rt.~'" tlll! hmlel'lclnl fHljn:'"llIellt of .....hlch .....as sulJ,Icct to chnnge, hecause 01' a rf!ser\'l!fl pOWI' I' to ull.l!r, lI1tll!nd, or I'c\'nkl!, or .....Idell ctlllld reVI'''!. t.o 'lecedlmt Hilder terms of trnns fer 01' b~' I\lll!rn t Iou (I f' 1m.? (;\IlS\OiI!I' ~'f~S or IIn) No (n) If the unswer to (A) IIhuvl! Is lu till! ut'l'II"1Il1l t Ive, .....IIS thl! pO.....f!r tn III tel', 1I1ilewl, or rt!\'f1kc the inter- est of the hmll~l'ictary I'f~sf!rvf!.l in the cleCI!IJ(~Ilt. IIlon(> or till.' 11ecetlellt /lnel othf!r:i'! (Answer yes or no) --1ln SOTI~ 1: The nnswcrs to l.hp.sf' tlUest.lulIS should hi! SllllPol.tefl hJ' 1lf'f'idHVit. h~" t.lle llttcllllitl~ Jlh~'stclun liS we)1 liS II copy 01' th.! I!eat.h cf'l"t.l fleHle. SOTI..: 2: 1(' unswer t.O Illlj' of' t.he IIhtl\'ll fllll'sUons Is ~"I~S, set. l'nl't.h hulol\' U flf~serIJlLI{)n of' the prolH!rty t.rnnsferrcll, itl s I'ltlr T1lltrket \'Il)lIl~ lit. dat.e ot' denth, Illites 01' tral\sl'f~rs II III I tu wlmlrl tl'nnsrerrcll, with relat.lonshlp of' t,rllll~f(!ref"s t.o (h~eeflfmL, If' IIllY. Sllhml t. copy or llnr lrust. olef~d nr Instrument, I (' trans- fers nre clnimell to he 1l()Il-LIIXllhlf~. ulso suhmit ,letlllleti sl.IllC'lIlCllt nf- I'acts UIl which sulci clu.tm Is based. ~OTE:l: l~ist Il}lpllcnhl(~ prnpf!rt.y helol\' III mllIlJll_'r In wllll:1I prn\'lllp.ol In ~dll~fl1111!s A, II, or I~. ITE~I lJESCllIP'rl0~ ~1t\IlKI~T V,\J..trlo: (Estllllll tell) 111':1:>1'. V,\J.UATIOS (Dept, Only) NONE NONE lllsf!rt tills I.nt.IIJ fJJlJlo<; I 1.<' "Trallsl".!rs". SChl-'fhl) f' "e" 111 till' "As Ilel'nrtf'!d" C'J)lItTUI nn till' 1:1St. l"I:~'~ of tIlts r....tllrl1. NnlL/ ,Urc REY~~S3 (a-78. "l. .n ~~ "" ~~'"~~'l'ill ~t ,.tit' . 'f//,,,:~~'J:,, . ~~L~~ - cmNONWE,\L TH OF I'ENNS\'I.I'A:oIIA TRANSFER INHERITANCE TAX RESIDE:oIT D1;CEDENT SClIEDULE "I)" BENEFICIARIES BENEFICIARIES AND AIlURESSES REL,\TJO:oISIIIP (State full namcs anti addresscs of 011 who (U s\ep-mU.rlron or ~IJRI'II'EIl D.\TE I:oITEREST OF hove 8n Interest. vested, contingent or other-- illt'gilimlltc childrcn IlECEIlENT !IF IlE:oIEFICI.\R)' wise, in ctllatc) ItrC involved, set STATE YES nIRTH IN E~T'\TE forth this fact.) nil NO Michael L. McCommons son yes 1/3 Gardners PA son es 1/ R.D, 10 Carlisle PA Susan M. Skvarka daughter yes 1/3 6 Carlisle PA Deponent further says thot all the above-named beneficiaries are living at this time except below: NAME DATI; OF C&:;Ai;: RE:;IDENCE ~ s~...: E~ :Q; '.I) - c 'c ~ E .- u = E- - ..., Co R 1 g.. ~ OJ . o "C _ ... u := :/I - OJ 0 ~ u e g, ~ ~ !:: c:<: Real Property Pcrsolll1l Property Transr crs SI iM~IAllY eSdl. ",\") (S\:h.UU") (Seh. tiC") (I) (As Reported) (2) (As Determined) Gruss Taxable EShllC $ $ $ $ $ $--.., $ $ $ $ $ I fo- .., ~ Z 0 " t.:J . OJ ::< . ;... 0 t.:J 0 rn en 0 oJ :;: Cl -< OJ '" z <>:: ::;;: H OJ c.. U- s:: ,~ ::::~ c.. 0 0 a '" It:Ol 5 '0 0- 0 OJ -<: S! w ;. 0- HS:: 5 e .-! ..c !:!: E= r- 0 cO ;., -< H .-! c:i fo- ...:: . ollO ~ ~ r- u .--I .--I c Q +> I Z c: fo- C) .--I H c :z: 0 '" u Z+> 0 w :z 0 Ol c.. -< H~ to U. ::I: .0 I 0 '0 I- :;: lC 3 '" It: .-! ,2 :z " <>:: 0 H ~ t.:J +> U - 0- " ~ f0- Ol z: . w ~ u . '" f0- e '0 " '" Z 'c -<: '.... '0 c H - 's ::< .-! ::' 0 :;: ::l E u :; E It: ::"'=' cO ==< c 0 H p., .J U U File Number Estate Name __._____ ~c~9mION~XIl~Une M. INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) 21-80-0110 REV0484 tx.. (3.80) Date of Death February 4. 1980 Saciol Seeur; ty Number REPORT OF INHERITANCE TAX APPRAISER I h d d ' ' Cumberland , t . und.rslgn. uly appointed Inh.rllooco Tax Appralsor on and lor tho County of Pennlyl.onio, do rospoctfully roport thot I hov. appral..d tho real and p.rsonal property as report.d in tho forogoing rotun' at the values set forth opposite each item in the last column to the right in Schedules IIA", liB", "C", and liEU Doted: June 18, 1980 ".') , (," ' J' ...(;'I:"""1'U/ "AI)J:)lI I INHERITANCE TAX APP RAISER INVENTORY VALUE AS APPRAISED ADJUSTMENTS CODE (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE Real Propert)' (Schedule A) Perlonal Property (Schedul. B) Jolnt.Hold Property (Schedule E) Tran.rer. (Schedule C) s 10 032 16 00+ 1,607 77 to+ None 20+ None 30+ llJ639 93 40- 92+ TOTAL GROSS ASSETS Leu D.bts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE 93. Valuation of llf. eltatn or annultl... . . . . . . . . . . . . . RATE FACTOR PRINCI PLE VALUE CODE FOR USE OF REGISTER ONL Y ToJC on $ CODE COMPUTATION OF TAX S S S S 6% Tax on S 15% TalC on $ Tax on $ To. on S $ Exemptions Total Estate TOTAL TAX INTEREST FROM BALANCE TO S S S Less Credits DATE OF PAYMENT AMOUNT PAID TAX CREDIT s s INTEREST FROM BALANCE DUE '* REV.51b (3-79) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS p, 0, BOX 2970 HARRISBURG 17105 IN YOUR REPl.V PleASE. n~FE:R TO Invonigation Divhlon NOTICE OF FILING OF APPRAISEMENT Michael L. McCommons R. D. 1/2 Gardners, PA 17324 (Executor or Administrator) In Re: Estate of Pauline M. McCommons Cumberland County - File No, 21-80-0110 Dear Mr. McCommons: You are hereby notified that the original appraisement in the estate of Pauline M. McConunons has been filed in the office of the Register of Wills of Cumberland County on Jlnle 18 ,1980 , Said appraisement reflects the following valuations: Real Estate Personal Property Transfers Jointly Owned Total 10.032.16 1,607.77 None None $11,639.93 As to such tax that is paid within three months from date of death, a five (5%) percent discount is allowable, As to any tax that remains unpaid after nine (9) months (fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when death occurred prior to December 22,1965) from date of death, interest at the rate of six (6%) percent per annum is charged, Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961, 72 p, S, 2485-1001, p, L. 373, Date June 18, 1980 Si gned o l" " , -/1~' ,I J'I!i ~II 1 ) ," II' -( '1~' () Title Chi pf App"''''' "p.,. NOTE: This is not a bill. REV.457 (l.BO) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT '* - Estate of Me Commons. Pauline H. File No, 21-80-0110 County Cumberland Date of Death 02/04/80 In the .vent that any future Int.re.tln thl. estate I. transferred In possession or unloyment to collateral heirs of the decedent after the expiration 01 any 8I1.t, for 11ft or for year., the Commonwaalth heraby expressly reserves the right to appraise and nUOlS transf.r Inheritance taxOIat th.l.wful collet.r.l rate on any such future lnterm. PROPERTY REPORTED BY THE ESTATE DEPARTMENT'S APPRAISED VALUE 10,032.16 1,607.77 None None 1, TOTAL REAL PROPERTY - SCHEDULE "A" , , 2, TOTAL PERSONAL PROPERTY - SCHEDULE "8" 3, TOTAL TRANSFERS - SCHEDULE "C" , , , , 4, TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E" TOTAL REPORTED PROPERTY 11,639.93 PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH TOTAL UNREPORTED PROPERTY None TOTAL GROSS ASSETS 11,639.93 LI FE ESTATE OR ANNUITY CALCULATION I do hereby certify that the above appraisement is made In conformity with Pennsylvania law and has been filed this day with the Register of Wills. "', I Ii" i' ..A.~el'~/'I; fll'I1'.1 'f ,J APPRAISER 06/18/80 DATE III '" \J ~ ~ ~ 0 ~ ~ " eo "- Z ~ ~ 0 ;1 u ....... 0 >- cJ " :.: P- I l'l tIl ~ ~ -g '" ,~ ;::l :.: :< to oJ ell 0-1 .... ~ < '" Jj ... - ..... OJ 1 u z ~ fl - 0 :l . l:.. - 11l )j ::l ~ '" ~ l:.. ~ p., c.J ~ 0 l:.. ci ~ l:.. 0 Z l;; 0 V'l >- f0- ci ci ~ V'l - ~ ~ ~ Z z d z d .... p: ~ ~ ~ - f5 ~ ;:;:; 0 ;::l u ~ - z :i! z ~ 8 0 z - en :i ::'; ~ Q Invenlary of Ihe reol and personol eslole af PAULINE ~i. McCOMI~ONS decea sed, 1. Orweco insurance benefits 2. American Family Life Assurance Co. benefits 3. Cash 4. Furniture. etc., proceeds of sale 5. Stereo 6. Stove 7. House and lot of ground on Mountain Street, Mt. Holly Springs. Cumberland County, Pennsylvania (see deed book "T", Volume 15, Page 98). Value based on sale price, plus tax adjustment, TOTAL 144 33 808 50 75 00 484 94 75 00 20 00 I 10 032 16 I 11,639 93 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 5S: __I'1.icl}a,~l L. ...M~ C.ommonr.; being duly _.J;,W.9rn.__, ,_ according to law, doposes and says that ho is__the_adminls_t~ato.r,_ -------______, _ of tho Estate of PsLltline_~Mc9ol[l!!!cms late of '__' Cumberland County, Po" deceased and thot the within is an inventory mado by __ ,Jlim __ ________u_, __ _____'__, the saida.ill!L:l.nJ.ID;..r.at..O.I:- of the entire estate of said decedent, consisting of all the personal prop.rty and real eslote, oxcept real estate outside the Commanwealth af Pennsylvania, and that the figures oppasite each item of tho Inventory represent it's fair value as' of the date of decodent's death, Sworn to and subscribed befare me, ~;:..2?>:' k" / d/'~ &--~~_~~_Lr:?-r4W>PU~~__ encutor . Aa'mtnhtrator Michael L. McCommons ,~ /'!' ; /)'1 '?" Of<?/,.... L-~ rCGfR 0,1(: " CARWJ[ [;'):\:,:~ ~;": MY C(;~;~:.':I~.>;".I L, '''~-. l l..J. l::.J 19~_ J '.D.'2__. .. i" Gardners, PA Addr.u Date of Death _.2'eb!,~?,ry._______._~~E,____, Day Month 1980 Y'1f INSTRUCTIONS I. An inventory must bo filed within three manths after appointment of persanal representative, 2, A supplement inventary must be filed within thirty days of discovery of additianai assets, 3. Additionalsheels may b. attached as to personalty or realty 4. See Article IV, Fiduciaries Act af 1949, I/J >- CIl ,~I -ci . so: I- W z HI . 'rl ~ '" I- 0 w ~ 0 ~ . :;: Q. :.: u () .. H I/J 0 0 VI :.: . '" H >- w w c ::c '" 0 1>0 '" .. I- Q. U. U ~ Q. oI:l E Z I- -' ~ -< 0 <>, 0 u. -' Q. ...... so::I: w 0 -< w :.:, 0 ,,:. > '" ::I: 'rl-< i Z '1 ~ \) Z 0 c c :;: I , H .; Ii VI z :.:. 0 '" , .j..l U H Z w -< f,l' :.: ,j ... Q. zl " c HI ~ 0 so: 'I 0-'1: -;: -rl :::>, 0 . :;: ~: -" " .>< H " E p.." ~ ..2 0 H I 0 , 0 -' U u: aa " : '~,. '~ ,-- .j) , ), ,) 1/ ..:> DEDUCTIONS ALLDWED IN o,a 17 '-, '7f (/ THE SUM DF S J -- r _ Dm APPROVED ~\w.~~,:)Jj', I q,PcJ l"lGl,~ C, rtr.v.'W-. ~n~~ '. RE ISTER OF WIl.LS. AG EN . REV.'",." (8-781 OFF ICE OF THE REGISTER OF WILLS STATEMENT OF DEBTS AND DEDUCTIONS OF CUMBERLAND COUNTY AND AGENT OF THE COMMONWEALTH f,'i.) r,' . . ..L." . L., DATE NO. OF VOUCHER NAME OF PA TEE REMARKS PA 1980 AMOUNT 81 60 26 00 18 00 18 00 26 69 22 14 ESTATE OF cOMMONS LATE OF Mt , Hall v Springs. DATE OF FILING APPRAISEMENT 'v'v"" I k ICy 0 DATE OF DEATH 1<'ph"'"~"'l' 4 , Mike Russ Ins, Agency Register of Wills Administrator bond Let ters, etc. Cumberland Law Journal Advertise dve tise Met-Ed Electric bill Sewer water trash 9 68 Rec rder of Deeds 100 00 'n e 1 estate transfer so Jose h F, Gibson Funeral Home C rlisle Radiation Medical bill Citizens Ambulance tllecical bill 25 00 Hasland Associates Illedical bill 30 00 26/80 Met-Ed Electric bill 24 l H. Robert Davis M,D, Medical bill 229 00 I Medical bill 2 1 I \ Mont \'lards Char e balance 11 Inventor etc. I Re ister of Wills account 33 00 I Ro er B. Irwin Notaries 22.50 i i ! 1""'" \';. B.. 1"'81 OFFICE OF THE REGISTER OF WILLS STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIOHS ALLOWED IN THE SUM OF _ $ '73 7/ ~, DATI! APPROVE~ /J;() '::VJ- (IfJ'O "\)1 ll-l,y C, ; .(J'~3 .~ ~~ hEGISTER OF WILL.S, 'Ab-tNT OF CU~IBERLAND COUHTY AHD AGENT OF THE COMMONWEALTH PAGE 2 ESTATE OF PAULINE M, McCOMMONS LATE OF Mt. Hollv Springs. PA DATE OF FILING APPRAISEMEHT DATE OF DEATH !"ehrlHlrv ~. 1 g80 DATE HO,OF HAME OF PA YEE REMARKS AMOUHT VOUCHER Michael L. McConunons Administrators fee <=;81 'qq 9,T",,";n, ^t,h","'nou 1'00 '" ill 00 3/31/80 Carlisle Hospital Medical bill 28 ~ ,1,l/Rn C"rlisle Radiation Medical bill 28 00 TOTAL 7,371 95 , COMMOHWEAL TH OP PENNSYLVANIA I COUNTY OF CUMBERLAND ss: I, M1 chFlel T.. McCommons HEREBY CERTIFY, THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AHD TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF Pau line M, McCommons DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. ,':,: ',/ ".;:' J / ::~/ . "~/,/.r//./'" //:,/ /.7.,P/r;:....('. /><' Micnael L, McCommons SWORN ND SUBSCRI BED BEFORE ME THIS DAY OF 1 19.J1.Q L' (L.S.) ,.. r v hi:[, :: I~. ;, . H.: ' I~Ai\llSl( POr;CUr,li, CU' 'ilt.~\ f\~,O cau;; jy MY COMMISSIOII lXl'II<LS OLI. 3, 1~80