The URL can be used to link to this page

Home My WebLink About80-00126 No, .21-8Q PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate af _....!')AUJ~JC~~Jh.JlI~l:l!,!'n: .~.__. ___ .-. -.---------., deceased. Harold B. McLane, Deputy To n;G1,al J C. A"Je, :\61'1, Rcgister of Wills for thc County of Cumberland, in the Commonwealth ot Pennsylvania IS Petitioner(s) are the executOr named in the Last Will and Testament of _______~~~~r_~~() Il.lle\oi.let_t dated, F,:b._ 5,_.~~_8~__ Decedent was a citizen of the United Stotes and a resident of XK0ltmS~~ Borough, Cumberland County, Commonwcalth Newville of Pennsylvania, Decedent died on __.J:!9J1daL------. thc__ ___18~h... day of__F~~r\J_flD'~._, A. D. 19~, in the County of ______Cllm.1!.eIla.nL.---- _____, State of Pennsylvania t tl e f 70 ea a l' oge 0 ____ y rs. 1m!; too\; Iwt 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 volue of UNESTIMATED and of real estate to the value of UNESTIMATED as near as con be ascertained; said real estate situated as follows _~.L~~t:...l:l".i:l1~t:2.-N'=wv~ll':..!.-~!l~----.-.------- .-----------...----.---..----- 0{~l5' Therefore, your petitioner(s) respectfully applies/for the probate of the said Last Will and Testament and for L'etters Testamentary therean. Dated February 22, 1980 ,I //2' /J Nom' ond odd",," L,~"",,"k:t"~lt of Petitioner(s) Dennis C. Caverly, Se or VP & TO Farmers Trust Company P.O. Box 220 Carlisle, Pa. 17013 COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND Dennis C. Caverly, Senior VP & TO Farmer~__ Tru-,,~__C9I11P.?_rl1'.._____ .-.---.--.---.-- _._~_.._----_.- . named in abave application, say(s) that the statements b. d I sworn d' t I elng u y _n___-'-~______~__n_ accor Ir1g 0 ow set forth in this petition are true to the knowledge and belief, / --;' /' I /1'):/ and subscribed before -.J.L...-,":"~j.;,1!t-l-' February 22 1980 me, _____. --. ------ ---.--- --------- ------ ;~,' j':; '1!,1<.. ,.~~___ ~=puty RiL.I'QI J C. A"J!.1361'\, Register best af _ his Sworn IS10 Filed; .;),/- fro . /2(._ 25, 1980 Attorney: /. (/. .'~ ~~ E-< E-< ~ ....:i ;;;: ~ :I:: P'l 0 0: :': .. 0 >L1 :il ;::: " i5 u c " 1 ~ < " " ~ ~ H I. ~ - .. ..: c.:: ::l .. " I/l ::> :r: < III . Z :;>; . ). ~ ~ Z ..<0 p:: ~ " :r: ~ IJl Z {E. .. ,.; 0: . · " Cl.1 0 0:: ~ . i.!-o tIl"' J .( ~ ;: t&l " " z < '" ':;0 u OATH OF SUBSCRIBING WITNESS COMMONWEAurH OF PENNSYLVANIA t ss: COUNTY OF CUMBERLAND \ 22nd This........................................... ............................. day of .........................):.~hr.llilr.Y........................ A,D..19..S0... Harold B. McLane, Deputy before me lli~I,".d g. ,\",kl~~n. Register for the Probate of Wills and granting letters of Administration in and for said County of Cumberland. in the Commonwealth of Pennsylvania. personally came .............. James R. Humer and Shirley W. Ahlers ................................................................................................................................................................................ the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of ...... ..~.1.~,~.:.~~~..~:,. .~~~:-:~.~.~.~............. ..............,... ......... ................. Dated ~~~~:...?:... ~.~.~.?.............. ..... late of ........... .......... ........~~:-:Y.~~.~.7...~.~.:.~~.~!:......... ...... ........ .............. ........... Cumberland County Pa.. deceased who being duly ...............~:-:~.:~................... according to law. depose and say. that ....~~~~!'...':'.7,:.7,............,..... present. and saw and heard the testator........................... ....t:!?\'.r.~.~."'...~,:..~!:~~!:~~...................................... sign. seal. publish, pronounce and declare the said instrument of writing as and for h..~~.........., 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, .............."",....................... ,,' ."b~ribe' be'ore . . .-1:... /-::......,.?1.,...}[......~...,...................... ( -.z (': ,:: d,'. j" / , . e, ,', ,/ , AI I " ~ ~::;. ~ (~ ." Deputy \ '..'1........"...'......',::'...............................................'..'.. -:-:..~.\-,~._~"t,=;..,\],. ,., ,..Q~,',,:,....,... ..... ". "," ",.,... c. ".,.." ....".,...,., "...."........... ..',. ".', .",..,.., .,..., .",.."..".,.. Kh..l...aJ.d E. hud"'LOJVL1, Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA t ss: COUNTY OF CUMBERLAND \ "...' R!:!1!1~~" ~,.. ,~?Y,"'.:J y',!,.,~!:!1 ~~ F.. ,y.~,..~.. :~,9.. x.~ ::!!'!:::~.. ~ F.~!~.~.., ~,'?,'!'.1?"'?y..."."....".,...."..,...,..".,..""'"'' .being duly .......~:-:.~,:!!................................ says that as nearly as can be ascertained the said decedent ........................., ,",' ,~'!.':,:,~.'7:;" ~:,., ~~~ ~~ ~~,.,.".......,..,.,..".....,.........,...".,..,..,.,.....,.........,..,....,.....,....,......,."'.,."........."'....,. .died on .....~~~~~~............................... the ....~~~.::....................day of .......................~.~~~~.~.t?............... A.D.. 19..~~... ..,......,..,~~~r.!1..............................and subscribed this .I /.) / . (' I I J,/ k' ii' ,Ii /1-<, / I, /,~:X L, A. _C..,v .-- ... ~~~~~~. .~:'. c~~~~.~;~:.~i~~~'.~~~~.,;;~~.~.~~~.~. & Trust Officer~armers Trust Co. at or about .......................................... o'clock. .~..M. ...................,~.~.~~................... day of ....X.en,............. 80 19. ......... before ~,j~~~f:.J(,..f..;..,:.,.n:~',:.,/;v," 1..... ........ .?.~.r.~.~ y Rk1.....~J. B. ~..ud..:.l~, Register OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA / ss: COUN'rY OF CUMBERLAND \ 22nd This. .................. ........ .............. ........... .......... .......... day of ......................... ~'"br.lla);y........................ A.D., 19..11Q.., Harold B. McLane, Deputy before me R;~l.~. <I Ii), A..<ld aen, Register for the Probate of Wills and granting letters of Administration in and for said County of Cumberland, in the Commonwealth of Pennsylvania. personally came .............. James R. Humer and Sbirley IV. Ahlers ................................................................................................................................................................................ the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of "..,...:.l,~,~.:.~.~,':,.~:,.,~~~~.~,~.~...,.".. .... ...,...... ..,.".... .,. ...,... ."....,. ..,.. Dated l~~~:...?.'...~.~.~.?... ....... ....,.',. late of ....,.... ........ ...... .... ..~~~~~.~,':...~,~.:.~~.9~~... ........ ...... ............... ......... ....... Cumberland County Pa" deceased who being duly ...............:~~,:~................... according to law, depose and say, that ....~~~~L':'.':.:,':................... present, and saw and heard the testa.tor.........................., ....~~\'.r,~.~.~...~.:..~~~);~~~...........,.......................... sign, seal, publish, pronounce and declare the said instrument of writing as and for h.:l............. 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.n......................, and subscribed before ( j~:.., /.~.,',.,~.1J.!....~,..,.,~"'J..,..,",......."..... , A I .. 1,Z:....:.<..",.,.......L......:"'.",.,................."....,,' :;-:,~Jt:\S~.\)~.,/;.Q~.,..,I!...........,.."."J?~R.~~,y ,....",...",.".....,......"...."."..,..,..,.,.,',...",..""""."....".. IUduud E. )~ud~~o;Iv.Ll, Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA / ss: COUNTY OF CUMBERLAND \ ...,.. p'~!}!}~~..~:.. ,~,'!-,Y.~X'+'/. ,I., ~~!1 ~?!:, ,y,~.,.~., I9. J.'!!:!'!,"!: ~., ~!:~~~,. ,c:.?,I'f1.'!,'!-r!'!"..,.........,."........,..,..".....".... ,being duly ......,:~,'!,:?................................ says that as nearly as can be ascertained the said decedent ........................., ...', ,~~~.'!.:,~.~,,:,, ~:... ~~~ ~~.~,~............."..".."....".,.......,..,.......".,......,......".,...".....,.......,..............,..,.,.,..".,."... ,died on ....,~~~~~y................................ the ....~~~~l.....................day of .......................~.~.~.~~.~,~~............... A.D., 19..~~.., ....................~,~.~~................... day of .....fgb.,............ 19, ..~~.., before , /. , / ,,/ / ! /' j , '0:. . , .. . I ~ . ,[J/( VI. / .r!.GI.-V ... ~~~;~ ~ ~..~:.. C:~'~~'~ ;,:~: :~.t ~~ ~.. ~ ~~~..~ ~~.~'~'~~~.~' & Trust Officer~armers Trust Co. at or about .......................................... o'clock, .~..M. ".."..,...,~~?!:!1...,......,....."....,....,..and subscribed this ~.,09.j~~.I".L(...t....,: ...W,!,:. ..,/;".,..l... .... ...... .?.7.P.~.~ y R:...t~.ud E. ..\ud...~..,v.11 Register OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH 01< PENNSYLVANIA} " COUNTY OF CUMBERLAND SS: Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of Cumberland, personally came .......9.~.~.~.~~..~:...~::~?~}X.!...~.~.'~.~.'?~..~:...~..!.~..r.~~,~~.~.~..:~.~.,!.~.~..~o. who, being duly ............~."!.?~.~......., do 7.?....... depose and say that as.......~.'!.~.7,'!.~.'?~.......................................... of the last Will and Testament of ............~t.~."X.t~g..Jl.....!J~\'(),~~J...........................................................deceased .............he........ will well and truly administer the gflods 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 Inheritances. ......,~."!.9.r.'f!............ and subscribed before me. '~"';.r.......f.,f!,~!:,~~!:.':f.J?........... A. D., 19..~.~...... ,~~,..1;,l)l~;:.iv~....,.""....""..~~!?~~X ltldli:ud E. A~ldcJ.ov", Register' ~" , ,,) / ,. .' ,1, 1,,:t1!J; ... ..0....... ..mm Dennis C. Caverly, nior VP & TO ..................................... ........................................... .,; OJ OJ '" OJ " OJ ~ LL N: 00: 0 H: *! \0 H: ~ w~\ N --' .,: 0 i\'Il M !i! 0 I --' .,: "" 0 "': - . 00 - () I - .: ~ fj M ~ "': N ~: .S u: Q ..... 'tl M 0::: OJ r- OO 0 ~! 'tl <l' . Z " * 0 - ....--: " Q(j $ OJ ,g " OJ ~ 'tl bll OJ 0:: '" '" '" Po. DECREE 0: 00: (j) .... 111 N ~: Ill: ::I: 1<: .0: Q): 1'<[ 'tl OJ - ri: '. 25th February 80 Be It remembered that on the ........................ day of ..............................................., A, D.. 19......... there was probated and recorded the last Will and Testament of ....~~~.~~:.~....~.:...~~~.~,~~,~............................., I f Newville . ate 0 ................................................................,..........., Cumberland County, Pennsylvama. Deceased. Letters ,....".."...."...."..,'~.7.~,~.~~.?~.~,7.y. were granted to .. .... ............ ..F:. ~.~.~!:.~,f!,..~.~~.f!,~"!7.~~1?~~.y........,.."..,.,,...,. Witness my hand and official seal the day and year afore:aid~ ~, '_, . .. I (, ~\' .!~ \"/". / Deputy . . 'v l,.t' r I <. ,Ii . " I ...........,. .... .1..... .. .......:...~.. "...-...c................ Roid.Lll d ~ ^ RrLf'J'~'1. Register. 1<" fJlIL'i. ,\ i! ;1 il)!;' idiU CC;HSEN.' , . J:! ! :; (.!"(UfT1 IE) ,,_ \ 1.-. j i.;,:i~U ;J~ 1:1[ IlAME 'if f.. RFSIDr:NT DECEDENT .~~~, ,~~~'\ COl-.iM("i " , r 11 ~ ' DATE __ ~.1.~~_L~9J~ APP.lE.0.:U.l,.: ",.' " ' , I:; ~-~,'1; :;Ct~TF:) TO THE PII,I..,",,-:,,li!, 1"LI'.\r:; ,,\un ()[' fiE'!ENl.1E: "\J~,i :,!'.\" 1',lli'l~ :.'. I ,:(1,. IO! CC!I,t'lll 10 the 'rundeI'd the following securities of a Pennsylvania COlporutioll c., n :,I",Ui!\ '1':~",:11!;ii'!iJ A~.';,(ICi',~liC'1l !i,cotC.rj in PellrlsyIV(i11in: (0)_. 205 I,.. Famers National Bank of Newville.. (cL_c;,~Q.n_.__ {NOTF:: 1:1 ":rd,i'.:; ','lIri.I'.':'.. L'!.ll',: ]'1 (11\, !,b ("'t.,' f'ithc., :11'_' !llJmber of shares of stock or the lace amount of rtJ~isl('I"'l1 j" 1 iI', ;11\ iii',' 1'(11' "i :11' .,'1:1.'1 ,.fJIllp(lny (wd in (c) the closs of stock or the stated interest rate and mullJriJf ,b,c i 11',ll',{i'rrfj bo~., ISSUED OH_ 2/15/80 r;'111 '!()'.,in'1 {~-rOTA\. Mf\RKET VALUE OF S.~..!~-~-~-~..-. i':.'.;k'i Maurice B. Hewlet,t____._______.., on_.Feb. 18, 1980 I~bll)'l 01 D('~'t~dt'nn (Dntl! of deoth) as of ;nejct(' Cl ,!'-",t\. 01 :!IC rip\. ':' !-:I1I,_. wh(J W'1$ hte . 21 W, Main St., Cumberland, Newville, Pa, 17241 , " 1 r 'i " ~ LI :' f '~"" L (' r ) (Po,IO//i:e) (County) (Stote) Th~ sccl,.ritic; 'J'-" rh~i:,;tl.t(''-: '-;'. :(.'10','1' l{a'Jrice B. Hewlett ~-'-'--~-"'--" .- -- -..---.---..---- (N,.~.", (,0, nc:m,'" 'n which certificates ate registered) /~~Wf:X~P: EXECUTOr: Fat'm,~rs J.'ru6C Co., One Hest High St., Carlisle, Pa. 1701.3 ~j, ",', (Address) 1/,;"r. OF APioLlCA~ITJane__f,__]l\l!'.~L VP & TQ.Farmers Truat Co, cou~n'{ . ::_'. "1',,1',':121 80 l26jII'HF:SS OF ^PP!..ICANLC!I.lCl.!!~_e,;e117Q.~:!""- BUREAU I'I'.LC fJU,',\~:":i\ S!GN,\TLJf~E OF APPLlcANTQt1.l~_~lLJwJL . NOTICE: IF YOU ,:il: 'in I'RC'iL:,U ,'iLL It, ANY PORTION OF THIS APprICATION, IT WILL NOT BE C<.:iS!DE~r:[' ('ilil,P!.[TE^'H' WILL BF RETIJ/lfIED TO YOU FOR COMPLETION, --.-.....--.-- .._-----------"-~.- dJ,!i'U,.I'!1EAL"', OF i'UrjSYLVMllA - DEPARTMENT OF REVENUE :~()i:SHn TO TRANSFEr] SECURITIES '//,' ~ . .' ..---- DATE~"u-, ,- ,'Yo I hOl",'/ '.",,',' "I 1[: ,h" :',,1 ,.fe, ,.'; l'le "J(lve :;"cu,ities noo'l registered in the name of the l' said Dl~c('d('n't und .,..'(Ji..,_, dlf~ fili'1Q ,~i {J ccrt!-~icntr;- cCriilyin~l to the payment of the transfer inheritance tax to which the pro\J,,'ily 0; ~r'ir: lJ<":r>,:c"'j i-:, l!;JCll~ :'I,'~;jr>ct pursuonl t(1 the- provisions of the Act of June 20, 1919, P.L. 521, os amender,: (wd (rle i~,-, d ,),1.;015, 19f,:, P.L. 3731 as amended. This is also in accordance with the provisions of the Act uf .il,pi! 9, PI_}, ., \ ~, J'._'. Thi'~ C"I~'!'il! 1'__ T,,~wi,; lj'J~ heq,.in t;l'~)CI'ibcd properly operates only in reference to the estate of the 1 !--lJvc~n\i: ;-,,}.J~' (.,-,-,:k.--: 1. \'i., ,n" -(I .;~ ~<~ ~ ..'~J":}:i f:\<{ ~. ;',,1,( !~\ !i.<~,:,,:~'?(;,,~) Signed f~r the Secretary of Revenue j;/) , . ~/ ' '--' .., " , ) By_. /--/-'L:"Y._(:n~_~-, LLc~' I (SIQ,;.raturn)..A" , . c '/ ' 1.1</ (tjJ(:dC.. ~/':.h L^5..{ (", -' .-'.,~--- ./ {Tl.~r (County) COMMONWEAL TH OF PENNSYLVANIA , DEPARTMENT OF REVENUE P,lJREAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT '* APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby mode for Calsent to the transfer of the following securities of 0 Pennsylvania Corporation or 0 Notional Bonking Association located in Pennsylvania: DATE May 12, 1980 (0) 300 ,(b) Pennsylvania National Life Insurancs Co. (c) cOllllDDn (NOTE: In describing securities enler in (0), ab ",e, either the number of shores af stock or the face amount of registered bonds, in (b), the nome of the issuing company and in (c) the closs of stack or the stated interest rote and maturity dote of registered bonds,) ISSUED ON June 19, 1968 ,and having 0 TOTAL MARKET VAtUE OF $ 1,500.00 (D,'e) os of the dote of death of the decedent, Maurice B, Hewlett (Namo of Doccdcnt) ,on Feb. 18. 1980 (Date of death) who was late of 21 W. Main St. , Newville. C\JDlb2r]~...l, Pa. 17241 (Street and Number) (Post OUice) (County) (Stote) The securities ore registered os follows: Maurice B. Hewlett (Nome or nomes In which certificates ore registered) Farmers Trust Company, P.O. Box 220, Car1is1,. Pa. 17013 (Nome) (Address) NAME OF APPLICANT Farmers Trust Co. Jane F. Burke. COUl~TY FILE NUMBER 21-80-126 ADDRESS OF APPLICANT Carlisle. Pa. 1701~ BUREAU FILE NUMBER SIGNA TURE OF APPLICANT Ch'IJL.JI3Wlt NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APP!fc:ATION, IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. ~ EXECUTOR ) COMMONWEALTH OF PENNSYL VANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES -"\._., /A 0,\ DATE.1I..J.1l,y f.:l _:19" I hereby consent to the transfer of the above securities now registered in the nome of the afortlsaid I I I --., I I I I I I I I I I i I , ~. Decedent and waive the filing of 0 .:ertificate certifying to the payment 01 the transfer inheritance tax to which the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P,L. 521, os amended and the Act of June 15, 1961, P.L. 373, os amended, This is also in accordance with the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estate of the above.named Decedent, ~'~~ fO,!" IH' ~' ",~\"t\ '"'.f. ~ ,-.OJ l~ Signed for the Secretar~_,'}! Revenue By-=:}'Y$1;\-'-'1 C. ;;iL~ ~''L~~h., /".'. '. (5. 'r0~'"'tl\ C ~ . /$ .~' ( -')\<lI\Yl.. ..L..d./___ _ J.._-,___~ ^v\.)n.. . ... (,~ ." \ \.j (Title) (Courlly) ~\ REV.450 EX+ (3.S0) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT OECEDENT SCHEDULE "A" REAL PROPERTY *",. , , , , , .. '. ", - (Instructions 011 Reverse Side) ESTATE OF Maurice B. Hewlett ---,-_._.,.~~--_.,------- ITEM NO. DESCRIPTION ESTIMATED MARKET VALUE r DEPARTMENT VALUATION (OFFICIAL USE ONLY 1. 19-21 West Main Street, Newville, Pennsylvania 3 unit, frame exterior building with garage to the rear 0 lot. Lot is 74.5' x 2' x 105.5' X 60' x 180' x 62' Assessment $5,130 V Book C Page 24, Vol. 671(/ $ 28,000.00 V TOTAL THIS PAGE $ 28,000.00 .( f, 0 00,00 4~ RI=:V.451 (l.80) C'OMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT OECEOENT SCHEDULE "B" PERSONAL PROPERTY (InstflfctiollS on RVVt.'fSl! Sick') Estate of Maurice B. Hewlett * -~-~~~'~~~1~~~~~'" ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION NO, VALUE VALUE (OFFICIAL USE ONL Yi 1. 1970 Chevrolet, proceeds 200.00 2. Household furnishings and personal property, proc eds 1,288,40 3. Cash 58.16 4. Medicare refund 4.80 5. 50 shares, General Motors Corporation 51.40625 2,570.31 6. Dividend on G.M. stock, payable prior to death 57.50 7. 300 shares, Penna. National Life Insurance Co. 5.00 1,500.00 8. 205 shares, Farmers National Bank of Newville 47.00 9,635.00 9. 75 shares, U.S. Steel Corporation 20.84375 1,563.28 10. Dividend on U.S. Steel stock, payable prior to death 30.00 11. 4 $1000 U.S. Treasury Series H Bonds, all pur- chased January 1976 $1000 4,000.00 12. Balance checking accoUl,t, Fanners National Bank of NelNille 735.26 13, Massachusetts Mutual Life Ineurance Co. 1,989.40 14. Refund, Blue Cross of M8-~lrold 10.86 15. Refund, United Telephone Company 4.19 16. Refund, Automobile Insurance 14.00 17- 1979 property tax rebate 57.92 TOTAL THIS PAGE 23,719.08 J.,311'i.OIl -.lf~ REV-4S211-eOJ COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT M . B E!'.-'~TE OF _ aurJ.ce . SCHEDULE "C" TRANSFERS Hewlett INSTRUCTIONS: I. Answer the Questions on reverse side, 2, If the answer 10 any of the Questions on the reverse side is "Yes," provide a description of the properly transferred per Schedules "A," "8," or "E," its estimated market value at date of death, dates of transler, to whom transferred and relationship of transferees to decedent. Attach a copy of any trust deed or instrument relating to the transferred property, ITEM NO. DESCRIPTION ESTIMATED DEPT. VALUATION MARKET VALUE (OFFICIAL USEONLYj 1. NONE TOTAL THIS PAGE .00 -{I_ ..:r[M OUESTIONS CONCERNING PROPERTY TRAfm'EHS 1. Did decedent, within two years of death, make any Imnsfel of any nwlelial part olhis nslaln willlllul ror.nivinH valuable and adequate consideration? (Answer "Yes" or "No".) NO 2, Did decedent, within two years of death, transfer property from himself/ IWlsnlf 10 himself/hel~;ell ;lIId :lIIolhul party or parties (including a spouse) in joint ownership? (Ansl'ler "Yes" or "No".) __lliL 3, If the answer to one or two above is "Yes" and the transfers ale claimed 10 he nonlaxahle, plnvidl! IIw 1Illlowlflg information: a, Age of decedent at time of transfer, b, Copy of death certi fi cate, c, Affidavit by the attending physiCian indicating the slate of decedenl's hcallh ;,1 lime oltriln~;fCl, d, All other information supporting nonlaxabilily of transfer, 4, Did decedenl, in his/her lifetime, make any lransfer of property withoul recelvillH a '.Iilhle III adequate consideration therefor which was to take effect in possession or enjoyment at or aller hiS/her deal!' 'Answel "Yes" or "No",) NO a, Was there any possibility that the property transferred might retulI1 to hansleflll or IlIs/llI!r estate or be subject to his/her power of disposition? (Answer "Yes" or "No".) b, What was the transferee's age at time of decedent's dealh? -- 5, Did decedent in his/her lifetime make any tmnsfer withoul receiving a valuable illIll ;Hlcqualc considnrationlherefor under which transferor expressly or impliedly reserves for his/hm life or any period which doos in facl end before his/her death: a. The possession or enjoyment of or tile right to income from tha property Ililnslerrl)(l'l (Answer "Yes" or "No" ,) ~ b, The right to designate the persons who shall possess or enjoy the property Iranslerred or incollle Iherefrom? (Answer "Yes" or "No".) NO 6. If the answer to five b. above is "Yes," state whether the right was reserved in decedent alone or olhers, 7, Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit or care of transferor? (Answer "Yes" or "No".) NO 8, Did decedent, at any time, transfer property, the beleficial enjoyment 01 which was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Yes" or "No",) NO 9. If the answer to eight above is "Yes," was the power 10 alter, amend or revoke Ihe interesl of Ihe beneficiary reserved in the decedent alone or the decedent and others? (Answer "Yes" or "No",) , REV,~'4 EX+ (3-80) COMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT OECEOENT ** SCHEDULE "E" JOINTL Y OWNED PROPERTY (Instructions on Reverse Side) Estate of Maurice B. Hewlett P TOTAL E VALUE OF OEPARTMENT ITEM DESCRIPTION MARKET ~E OECEDENT'S VALUATION NO. VALUE N INTEREST (Officiel Use Only) T 1, NONE .00 TOTAL THIS PAGE .00 - c- -!t.~ 'rtt:V.484 EX.; (3.80) INHERITANCE TAX SUMMARY SHEET (!3.L!R.~~_U__U_~r.: 9l'l~ Y l Fi I 0 Number 21-8_0..:0126 Estate Nome ._._._.JIr;".LETT, Hauricc B, Data of Death ___~~~~~8..'l .......-.--.-.-- Social Security Number -.----..--.-- ' --.--.--------.-.-..----- I, the undersigned duly appointed Inheritance Tox Appraiser in and for the County of Cumberland Pennsylvonia, do respectfully report thot I hove appraised the reol ond personol property as reported in the foregoing retum at the values set forth apposite each item in the last column to the right in Schedules "A", "8", "C", and "E" REPORT OF INHERITANCE TAX APPRAISER Dated: October 30, 1980 if'" ,".,' ' ) I {'/If 1.-1/ ..11 l'1'J.'i ,) 1,.'1' . INHERITANCE TAX APPRAISER INVENTORY VALUE AS APPRAISEO CODE ADJUSTMENTS (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE 92+ Real Property (Schedule A) Personal Property (Schedule B) Jolnt.Held Property (Schedule E) Transfers (Schedule C) TOT AL GROSS ASSETS $ 28 000 00 00+ 23,719 08 10+ None None 20+ 30+ m___51~}J..9 ..illL_.- _mOO 93. l.oss D.bts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE 40- Valuation of life estates or annuities. . . . . . . . . . . . . . lliE. FACTOR PRINCIPLE VALUE CODE w Tex on S COMPUTATION OF TAX $ S $ $ FOR \lSE OF REGISTER ONLY ~ TexonS 6% Tex on S 15% T ox on S T ex on $ Exemptions Totel Estate TOTAL TAX ItHEREST FROM BALANCE TO $ $ $ Less Credits DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST 5 + S 5 : + : BALANCE S INTEREST FROM TO__$ BALANCE DUE 5 TAX CREDIT $ I I I i I I I I - I +J Qj Qj ..; . ,.. .... 5 ~ ~ "l +J N en .... Qj ..; z ~ ~ u s:: . 0 ;.. jj .,., '" ~ " ~ < lr, ~ '" p., "- :>: +J 't:J OJ . @ ~ >-l . Qj Qj 1-< :;: ..; 'jj ~ 1-< ..; !::i z f<l ..; '... Qj ~ N ~ ~ ~ 0 r ~ ..... 0\ Qj " ..; @ ..; z u ..; oJ> '" ~ ~ g l<. 0 0 en d en en >- f-< 0 Z ~ Z f-< fzl f-< fzl Z >-l g ..... 0 fS ~ ~ ~ fzl fzl >-l ~ Z Cl " Z ~ '" ~ 8 0 ~ ..... ~ Cl "" , '" ~ Ul o P<Z 00 ~.... P<f-< ::> ~o:l O~ ~f-< S~ "'''' ~ Ul ...: .... ~ >-1 >< ~Ul O~~ ~~.... P<Ul .... >-1 -:> P<~~ -N <Xl.-i M . . (J .c QJ QJ", ~ nUl :>:Z f-<.... <>-1 ~.... "'~ ~~ 00 ~~ !;J!;J "'''' o o <Xl <Xl'" "'M M . , " ..... ....... ~ e; ~ 0 c;'"'t:<i:~ '"'0 (5 ';:1 g l1J ~ t'"Q u tJ ~~ '"'2 ~ g ~ ~.\ o.~) CJ I~ .~ ;j 0-"; ~ .... 5~ ~ :~ .' ~! ~ VJ },..~.. ~ 8 '0 :, ~ . i;) ,"J X ~; ',.": r: ~i.r.: 0) [~ ,l t:' ~ t', ;~ U I. ......... :-\ :..., ',', -'.:'j ;! :, ~\ ...., -I-l V 'J ..<:: " " ,~ ~ '"g ~ ~ ~ 1 +:: r~ 'f :;: - CJ r " :-. (; u; f.) ..... i:5 ~: ~ ~ ~ ~ tIJ~ ~ C ~ ...::' "):n Or::! ~ " .. r ... ~O r: ," ;:: ~~ ;:: u; "C1 " Y:.. 0.. .~ .... O:~ .8,;.= ~ L: ;... 4.... .... .....:. ., ~ ci .::: ~ ~~ S S! ~ ::.; u 'lJ " c: ..<:: .. ~.. " "":::i :~ f "1 , '") 05 C?~ Cl ",'" C::::n ",'" 3:;>: ",M co, 0 ;;;!ij "'0 ", .~o "':u n ",'" ...-" - ~ ,:",=, ~:r. , N )'~ ;5).>- ,.rl , ::r.: . .~! :.;:,n u :n n ~ ,-" 'j 1~.J ~ .. '" :t. -, ., ~ 1 III >- Z < II. ~< 5 8~ - I;; '" j ~~ <>l ~~ ~ ~ ~ ~ ..., 1:1< 12/1/80 Totals Real Estate 19-21 West Proceeds Inventoried at Main St., Newville 27,500.00 28,000.00 500.00 666.25 1,088.81 Net Loss on Conversions g===m,;,~g 2/25/80 2/26/80 2/27/80 3/5/80 3/10/80 3/12/80 3/17/80 3/21/80 3/26/80 3/28/80 3/31/80 4/1/80 4/17/80 4/18/80 5/8/80 5/14/80 5/19/80 PRINCIPAL DISBURSEMENTS Register of Wills, Letters Testamentary Cumberland Law Journal, advertising Letters Testamentary The Evening Sentinel, advertising Letters Testamentary David C. Gority, reimbursement for gas Dana Brandt Agency, premium increase Hoever's Plumbing & Heating, balance due F.W. Woolworth, key Register of Wills, Short Certificates Gulf Oil Co., balance due Carlisle Hospital, TV charge Stanley Ray, services rendered Wayne O'Hara, refund of security deposit Gulf Oil Co., balance due Montgomery Ward Co., balance due United Telephone Co., service Glenn Rebuck, Tax Collector, 1980 real estate taxes Carlisle Radiology, balance due Penna. Power & Light Co., service Borough of Newville, service Shippensburg TV Cable Co., balance due Gulf Oil Co., balance due Carlisle Hospital, balance due Egger Funeral Home, funeral expenses R & A Bender, refuse removal Hazel DeWalt, cleaning Investor's Loan Corp., balance due Graham Medical Clinic, balance due Penna. Power & Light Co., service Montgomery Ward Co., balance due Gulf Oil Co., balance due Belvedere Medical Corp., balance due Register of Wills, Short Certificates Notary fees Farmers Trust Co., reimbursements Dana Brandt Agency, insurance premium P.K. Miller, Inc., real estate appraisal 30.00 18.00 18.00 2.00 9.00 33.90 .95 5.00 2.00 6.00 50.00 70.00 62.01 147.60 19.60 77 .93 55.00 164.03 53.40 9.95 10.56 189.52 2,298.20 12.00 44.00 257.03 150.00 86.12 2.35 9.78 89.86 3.00 9.00 3.28 195.00 100.00 3 lIBER ';)'7 I. '. b':G "" '. ~ .." E QI ~ . .~ (j u >.-W ~ i-ll" '''- 8011 .~.; o . - ..._ 0 ~ c::; GoO) .,j :l.o 0 '"c 8 'i: a aJ ("Ii o ti J: '-''; <(._ _ c: . I" 3 Q~' -l~ ~:1 ~ tJ ~ t: - D-- ~ lC ~d aJ 'E --1 ~1:; 0 _ ~ '0 ~ 0 !tit ,I III lU -:I ~E~ 8 "" (J " < "'~",: .... >-1 0 :ij ....~!:: ::i !;1~~kl ~~ !31~ofj ozzo ~ ~ Z :>: o~ . Cl)fiIH ~ ~P-i~ ~=o8~ >-1.:> "Up-< P<><.... ~::><:>: f-<'" uo 0 ~~f-< ~~:;ju :<lO"':",::>o:lZf-< ~U::::>C"J< HCI) o o'-<:>:~~iil uSluo~iSsf-< ~~.. 000 ~ OS~"'M~r:; ~ f-<~ N~ f-<~ ~e _~Ul 6s~ci1ri!;Je1 uuaZt1JH~~ o o <Xl <Xl'" "'M M .N roM M . u .c ~ ~~ ~ nr.!l iS~ <...:I ~.... "'~ ~~ 00 r<l~ !;J!;J "'~ >- z ~ g 8 ~ :"~ ~ ~ ;; .1;;'" ,- ~~~ ~ ~ ~ ~~ = ~ .~ ~ f ~ ~ U ~ o~G'U~ J ~~ 'g 8 ~ 5 ~ ~tj ~ U ::) ;~ ... < ~S ;; _ 4-0 '~ -4-'''; O.~E ;....0 .", ::; U -. lj u u :r. a :':l ,U OJ ~ :: 53 i3 ,..,; .2 ~ t;:; ~ a u ~ C) _ I..,,~ oJ c.. .s ~ ''; .... 0 ~ ~~.. :-.: ~ ~ ~ E; ~ " u ,r: c ,g ~J .... ('J ~... E~bu ~~ 'g ';; ~ 2 ~...... d .~ q.... ~ ;:2 .... ':J - .... .-.r..; ...... 3 ":.l '0 .8 () "in ...... .llJ ,~ aJ C :.... Q ,.. ;::' ';:,," 23 ~~ .{...I .-' (oj....,.. ~ - :.< ..... 'Jl cj g ~ ," ;:: 'J. (.1 .... c.': ,.. ~ ~) ~j S' ~-5 . ~- 8 S .~ ~ oJ ~ C U ;::' ~ 8 " '" ~ ~ n 05 nr- :0 c'.." Cl ::Om --'" Me") 3::::; eo to, 0 '.1>'" ';1C) ", -,0 ,-:r, c:-:l f'1'" ." - '" l;'::c ..- N .L,'.' r..;~ ;"'1' " 8/,1; '"0 . ;',~ n ." ~,.-~ -, ~ -, v (-, ~ !:" .;.,