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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.
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APPRAISER
06/18/80
DATE
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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
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CARWJ[ [;'):\:,:~ ~;":
MY C(;~;~:.':I~.>;".I L, '''~-. l l..J. l::.J
19~_
J '.D.'2__.
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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,
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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.)
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I~Ai\llSl( POr;CUr,li, CU' 'ilt.~\ f\~,O cau;; jy
MY COMMISSIOII lXl'II<LS OLI. 3, 1~80