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HomeMy WebLinkAbout80-00192 No. 21.80 192 PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of Leona Martha Watson I deceased. HAROLD B. McLANE, Acting To , Register of Wills for the County of Cumberland, in the Commonwealth at Pennsylvania. IS Petitianer(s) are the executrix _ named in the Lost Will and Testament of Leona Martha Watson dated _October 11 1Q7, Wflllf/e' .[), WffIJOI';, //vSI3t1,u--zs:f,:EIJ€CfrlsftJ 0"-' Dc'c. l.~-' 197J Decedent was a citizen of the United States and a resident of ' ~ Borough, Cumberland County, Commonwealth New Ct.unberland of Pennsylvania. Decedent died on -J1tfsMl Y the 26th day of February A. D. 19~, in the County of Ct.unberland State of Pennsylvania at the age of C, ~ years. ~ ~ her Decedent has not been married and has not had children born to lbtiax since the execution of the above described Will. Decedent was possessed of personal property to the value of less than $45,000.00 and of real estate to the value of none as near as can be ascertained; said real estate situated as follows nla ~ Therefore, your petitioner(s) respectfully applies for the probate of the said Last Will and Testament and for Letters Testamentary thereon. Dated !V/M.CfI ;I( /9f't) , jJ '---1 . /JJ- Name and address l' 0) t<-u-Zl,u n1 acu..l.t..-,oZ- A:f/l-<>~-, of Petitioner(s) LORE1TA MADELINE STOKER 104 Parkview Road New Currberland, PA 17070 COMMONWEALTH OF PENNSYLVANIA (ss COUNTY OF CUMBERLAND \ Loretta Madeline Stoker named in above application, being duly say(s) that the statements set forth in sworn according to law this petition are true to the best of her sworn knowledge and belief. and subscribed before \-.~/~u t..7,t.-'})1 ,U"t.de:.~(L x/I:-i-Lc..c. me, March 21 1 rf3..!!...-_ ~t~~\~fjz4~~~eputy ni8~afel C, .^,RElEI~8~n, Register --~---~, --b ~(.../I oi1~ ~ Attorney: DA.VIO R. 0000, ESQUIRELt-(;-~.3,V 3133 Chestnut Street .'.J ~:-.- CaJTql Hill, PA 17011 . ~1o Filed; March 21. 1980 ';"'I-rfo -/f-z- ... Z <J> ... 0 '" '" <<> Ul I'- .c~-Q Od~"" ' t E-< '" r1~...~ .,; .... en Vi.~ , o!l '0 I:'~ "~ ~ tfl en ... d .... -nt2!g .,; '" ~ blau{j ~ p:; 0 . :: ell .,j E-< 1>1 .a..: ell M o " p:; r!1 d ~ .,; 0 U1 :;:: ~ E-< U .,; 0 Z 0 1>1 ...:1 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA} COUNTY OF CUMB~~RLAND S8: Before me, the Register for the Probate of Wills and granting of Lettel's of Administration in and for the County of Cumberland, personally came .....'!.:.q.t!.u.r:r.~....il!.d.o..(/.!.;:.'f......;:$.>..<U.U:.li(.,....................... ..s' . to. ' b '. _ ~ y::. who, being duly ....~.~....!!-:............, do~..:i...... depolie and liay that ali......~.~.~..':".L~:-:.~..................................... .. L ctJ'-.1 tl- /fIIM!7f {.uiJ T.) 0 ,.J of the last WIll and 'testament of .........................................................................................................deceased .......::f!.t.?-........ will well and truly administer the goods and chattels. rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances. .......~.:':'~.~~.......... and subscribed . before me. c~r..~~E~~.....~.L.........:~ A. D., 19:.:~~~~ ..:.~::td~~.~)1",..~~~:............ R....\..(lrd 1? ... flrl~lUOft, RegIster . ~;t.~~7.?l;;!~~~i~....~.&::l::-::............... .................................................................................. :'ti :OJ :<n .oj :OJ :", :OJ :C1 z: U. 0: N: Ul: m: 0 8: *i ,:f.: :S:i N N -I fi3! ~ en 0 ~ M 0 -I 8i p:l ~ I P" 0 .. ::: co - ":i ~ I $ ~: ui M ..;: l:: 8: N Zi .~ fil: 01 0: 't:l 0 fili OJ 00 i 't:l r--: . : Z H: .... vi -. 0 \0: Ni Jl u <lI ~t>: .s .... OJ ~ 't:l bll <Il r:: '" P<1 <1\ p.. DECREE oi 00: Ol ...., M, N: .r:i u: 1-<: Ill: ~~ 'tl <lI - ~ Be it remembered that on the .......?~~.~........ day of ..................~.~~~.~................... A. D.. 19 ~?...., there was probated and recorded the last Will and Testament of .......~~.?~~...~~~~~.~..~~~.~.~~........................., late of .................~~:-:-:..~.~.~~.7.~~.':'.~~..........................., Cumberland County. Pennsylvania, Deceased. Letters ............. .......~.~~.~.~.~.~~.':I.~X....... were granted to .. .......,~:'?~~.~~~.. .~.':'.~~.~.~~~... ~.~.'?~.~.~.... ........................ Witness my hand and official seal the day and year aforesaid." I,' " , ' , , ~/j(&J.tlJJ2~~~.~~....~.~?.~y I ] L. .1.A~.....,A.fReglster. . . . "- , . , '. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 55: Lore~ta_~~de1ine ~~o~er - '.,. .--.-.------.------ .-- being duly __~worn.....,- according to law, depo.es and says that g,e ...i_s-tl1e......Execu-tr:.ix.- ~._,_ ___ ... of the Estate of __Le.ona.-Mar.tb,a-l~on,..------_'-- late of ' 104 ParRview Road, New cumberland I" Cumberland County, Pa., deceased and that the within is .1n inventory made by Loretta Mad~line StO~Qr - .,., ._, the said Ex(~cu1.~j.,,-__ .. of the entire estate of said decedent. con.i.ting of ,,11 the personal proparly and real estate, except real estate oulside tho Commonwealth of Penn.ylvani", "nd that the figures opposite each item of the Inventory represent it's fair value as of the d.,te of decedent's de"th. \J <1-fJ..-I.....~___ and .ubscribed before me, .- ~ri.~c<~,- .~?~" Executor. Administrator _.a~LJd______19 J(J..__ ,Jt{Ltf.Aj--f}-XiJ:l.:!/i2LmU p frA~C'EY A. SllIMMEL. Notary Public Camp Wilt Cumberland Co" P,. My Commission Expires June 25, 1984 ,. 104 Parkview....RGaa New C~mge~!~~g, PA 17070 Addr." D.y , Fe}Jr_'-!~ry_.._ Month 1980 ,.---- -,--------_._~ Year Date of Death ..' 26th INSTRUCTIONS I. An inventory must be filed within three month. after appointment of personal representative. 2. A supplement inventory ",u.t be filed within thirty day. of d;scovery of additionatassels. 3. Additional shed. may be ".tached a. to personalty or realty 4. See Article IV, Fiduciaries I>.ct of 1949. ~ I ~ z 1- 0 U) ,; NI Ii >- E-< 'tl 0 II I- UJ :.;; l': . ~ '" I- .. ~I UJ <( ,:. <ll ~ a. l- I .-j u \1 0 0 V> ,.;. H u 0 't:I UJ UJ 0 '" ,.. I '" :I: Ql .. 't:I " a. r- a. a. " 00' q Z I- ...J U. E-< .n .. 0 ~ I I , U. ...J <( 0 ~ S a. o 0 ~I w 0 <( UJ e; ::l ,:. :l: .1 > Z a< ~ () . <( , - I " Z 0 c ~ , 0 ,,;, ~ , 0 V1 Z 0 '" Z Ql () 't:I Z , UJ <( Q Z' ... 'M Ii a. Ol -0 :> I " H .. <ll Ii ~ -.: 0 0 ~ :1 .D ." .... ~ E Ii - ~ 0 . , 0 ...J U u: CD Amended lrlventory of the real and personal estate of .. , Leona Martha ~!?_t~O!1-_______d.c.a..d. --'-".---"- --.- - ---- ......--...---.-.-- _..___.___...... ..n' ._.... ._.. ..-_ . .-- ..----.....- ---- --......---.---. __ _m___.__'___"__"'_'_ REAL ESTATE - none -0- Checking account - CCNB - #014-000713-9 ($27.59) Savings account - CCNB - 1014-109142-1 ($30,268.08) plus interest accrued ($247.73)-Both accounts jointly held with daughter 15,271 75 First Investors Fund for Income, Inc. 349.243 shares plus interest income March - Auqust 1980 International Harvester, 4 shares plus dividends Proceeds from ~1etropolitiJn Life Insurance Co. No. 620641732 payable to Loretta M. Stoker, beneficiary ($1,317.58) Proceeds from John Hancock I,ife Insurance Co. No. 39792(,90 payable to Loretta M. Stoker, beneficiary ($649.80) Total 2,556 47 133 I 50 I -0- i -0- I I 17,961 72 OFFICE OF THE REGISTER OF WILLS d /- g{)-jC,l.;L STATEMENT OF DEBTS AND DEDUCTIONS REV-4e5 (8-781 OF Cumberland COUNTY AND AGENT OF THE COMMONWEALTH ESTATE OF T.pnnA MArthA l~i'lt"nn LATE OF New r.umberland DATE OF FILING APPRAISEMENT /J ...3/-,1lJ DATE OF DEATH pphrllAry ?G. 1 QRO DATE NO. OF NAME OF PA YEE REMARKS AMOUNT VOUC HER Reqister of Wills Letters Testamentary & shor 42 00 certif~cates am;!-h "'''no,.~ 1 f.lnmo 383Q 42 a '~nn I '" ",' fllnpral arrannements 134 10 l(;nn Mnn ('n cemeter" marker 595 00 . Patriot News Co. leqal advertisina 21 81 ('urnherland Law Journal leaal advertisinn 18 00 New Cumberland Borouqh personal taxes 10 00 ~H lliam A. Sullivan M.D. medical services 100 00 'n;!-.. D'- '~'1" m",H ,,~, , nn~ 35 00 Renister of Wills four short certificates 4 00 Dn_' "<-,,,. rd' IN;' 1 ~ filp invontorL 3 00 n__'- _ M;~n c. " nvn h,,'pphnnn "'n"~ ... ovn SOO 00_ David R. Dodd legal fees Reaister of ~JHls reserved for final account , 40 00 . , . . . 63i/,Q .31 . . . . COMMONWEAL TH OP PENNSYLVANIA t COUNTY OF Cumberland j SS: I, Loretta Madeline Stoker HEREBY CERTIFY, THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO TNE ESTATE OF T"nn" MArthA 1']At"nn DECEASED, AS DEDUCTIONS FOR INHERIl'ANCE TAX PURPOSES. ~ l'\ . ~ /.{ooi2Z2l'l1 a<>~ ell ~ (L.S.) SWOR. NAND SUBSCRIBED BEFORE ME THIS I;:) 1/l DAY OF W '. 9!fL . ',~ M, HiL, NlJl~r)' l'ubJll C.mp I~.II.' Cumbt'rbnd Co., lla. , CoClWl.I"10Q lIxpitc~ June 2S, 1994 ..' ""_",U,".",_, , .,,' ';'~,';.",J",''',,\ ---------------- ,. Loona MArtha loIlI toOI'l Ilol1r,s (lOcket Nth 1085011 IHII -)- (;oot.ion 222 above Crftlltu9 11 t'"buttahlo prenumption that ..ny transfer, or oreation of II joint intereat in property, made within two yoars ot thl> datu ot doath of tho daoadent, was mads in contemplation ot ,sellth. Prior to the cre&tion of tho joint aocounts ill quootion on OCtober 3, 1978, the decedent ha,\ resided with the Petitioner and har family in Quincy, MauSIlohWletta. An indicated by the .wielenc.. submitted, tlm Petitioner and decedent maintained joint .accounts in .. ltaSRachueetto hank trom April of 1976 until Sept~mber ot 1978. Thesn Maoeeohus8tt8 accounts \tare closod when thlll deeedent ll'Oved the Petitioner /Illn her tamily to New CUmberland, Pennsylvania in OCtober 1978. It io the Petitioner's oontention that tho a.ccounts in queotion ....re C....l1t.," ilK replaoemento for thll closed ~It MAssachusetts accounts. Tho petitioner's protest further contendo that th.. Budden nature ot the decedent's death hy heart attack, at the age of 66, i8 further ovidenco thl1t the decedent did not opon the joint account. in contsU1pla- tion of (leath. It i. the Dol1rds conclusion that the evidence sut~\itted by the Petitioner eufticiently rebuts thopreeumption created by Section 222 I1bove. It is II p<>rCectly nOnllll pracUe.. for 11 depositor to ohl1ngo banking institutions upon a change of domioilo from ono state to Mother. Ao tlle decedent had 1l\Aintn1ned joint account.. with the Potitioner before tho move to PennsylvRnia, it logically follows that they l40uld bank in thl> "Arne manner afterwarde. Finally, the fact that th" decedent died suddenly of II hAart attaCk, approK1matoly one / rJ/-g(J-/9~ COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS * ~' RCC.33 14-731 RESIDENT DECEDENT COUNTY OF rnmhpl""l ;mn IMPORTANT, This return mllst b-~-C~;;lpItHcd in detail nnd filed in dUJlI~nl~. with nil nttached. with the Register of Wills of the County wlH:rt~ dcccllclll resided; Retllrn is duc within nine months nfler date of dClllh, unless an extension is granted by the Sccrctnry of RC\lCl1uc. (Section 703 of the InhcritllllcC nnd Estl\te Tux Act of 1961.) IN Till; MATTER OF TlIE ESTATE OF LEONA MARTHA WATSON .---- (STATE FUl.L NAME OF DECEDENTl } AFFI[)AVIT OF EXECUTOR AIl~lINISTRATOR Loto 01 Cumber land Stoto 01 Pennsylvania County }" Executor County of Cnmhprl ~nn LORETTA MADELINE STOKER ~flilli:'IClXOIr of ,h. .."" of th. obov..oa",od doe.d.., b.I.. duly ,wo.., d..o," S "d ooy S Decedent died Februarv 26 I . 19~{lo.tota leaving 01011 wlll, copy of whIch 11 hereto OIlOChed.} (MONTH) (oAV) (YEARl 111<<<0(1)( Name and addross of attornoy or} D av id R. Dodd other authorlOUld rClprCluntollvo to whom 011 ,0""po.d..",ho,ldbo..oil,d. 3133 Chestnut Street, Camp Hill, PA 17011 That us such Executrix deponent is familiar with the affairs of said estate lllld the property constituting I EXECUTOR.ADMINISTR.... TORl the assets thcreof and their fair mar\;:ct value. That at the time of death there wus no safc deposit box registered in decedent's individual namc, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the t'ollowing:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A 5~FE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECEDENT nnnj::l. That the contents of said safe deposit box or boxes arc itemized under Schcdules__of this return, with the exception' of the following, for the reasons hereinafter set forth: Thai Schedule A attached hcreto and made part hereor sets rorth rully and in detail aU Ihe real properly in the Commonwealth of PCllns'ylvania of which decedent died having an interest therein. It also sets forth the mortgage encumbrances upon each parcel of real property at the 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 datc of death of decedent. Thai Schedule B allached hereto and made pari hereur sets rorth rully and in delail all personnl property whcrcso\'cr situated owned by the decedcnt at the time of death; all moneys left by the llccedent at the time of death, whether in decedent's immediate possession. standing to dccedent's credit in banks of deposit, savings hanks, trust companies, or other institutions, whether individually, or in trust for any other person Of persons giving also separately the accrued interest thereon, if any, down to the last interest day prior to decedent's death in the case' of savings hanks, and to the date of decedent's death in all other cases; all bondl'i postal savings, treasury certificates or notes and other evidence of ,indebtedness of the United State.s tu lhe de~ cedent; all obligations, whcther by statute or agreement they arc designated as tax free, of the United States, or any state, or political subdivision thereof, or of any foreign country, which ate uwned :1t thc time of death; all wearing iqlparel, jewelry, silvcrware, pictures, huoks. works of art, household furniture, horses, carriages, automohiles, boats, and any and all other personal chattcls of whatsoever. kind or nature, left by decedent, together with the fairly estimated market value thercof; nil honds and lIlortgagt's held hy deccdcnt und of all claims due and owing decedent at the time of death. and all promissory illItes or otherinstrul11ents in writing for the payment of !\lOlley of which decedellt died possessed, of whalSUC\'Cr nature. with interest thereon, if any, gi\'ing the face \'alue and estimated fair market value thereof, and if such estimated fair market valuc he less than the facc value, it sets forth briefly the rcasons for such dcpreciulion as to each item; all moneys payable to the estate from tife insurance policies carried by decedent; all llllnuityand endowment contnlcts the proceeds or which \\;erc payable upon thc death of the decedent; all and the corpor:lte stocks and dividends due thereOf,l and unpaid :IS of the dale of death, bonds amI accrued. intcrest thereon to the date of dcccdcnt1s death and other investment ,sccurilit~s lnyncd by' the dccedClll at lhe time of death, with the market value there~ of at such litne. - In the cllse of securit1es of' closc or family cOl'portlt1ons) till! vl\lll~s reported Ilro as fllr as l'oslllblc subst.rmt.1nted hy fltlllllcl/ll 3tntmnollts of l.hG corporat.1olls, show1ng the flRsnt.s HnrI llnhllittes thereof as of the dnte of deat.h. The schedule nlso sets forth t1lfJ interest of decedent. nt tile t.lme of death in an~' cO"11nrtnershlp or business, Hnd 1n support of the value of such interesl. there is nnnexed to said schl!dnlo, f'lnilllclal stnten\lmls showlnp; tho assets and l1llhllH1p,B of said Co-p/ll't:ncl'shlr or h.usJncss. ;\ cop~' of th('O co-t1l1rtnorsillp 1I,~rl~mtwnt, (if ornl, n st.atement Hetling forth the nf1turfJ IIf' the /lgrl~omont) togl.Hhnr with II st.ntenwnt settin,ll; forth t.he ctl11ractor of t.he ,11l1s1noss, its 10caUorl, anI! such other ('acts pertainlng to t111J husiness ItS muy he portinent to II rail' I1nd .tust llppraisal of thu (ll'Cl!llcntls interest thcrelll must lJosuhmlttotl. rt. should olso set forth In itC'mtzlHI forml together with thH fnir mill'kat value t1mreol', 1\11)' I) tl1('O I' fll'OPCI'ty ownml or hoquollthml br Ow decedont at tllo l.tmo of' (lentil. Tile Schedule C llttached Ilereto nnd mlll'le pnrt hel'eol' ,sots forth n trlle 11IIswer to unch 1nquiry' cont/l.lncd tlll~rolll anti ill the case of trunsfers ofproperq', rOlll or personal, within t.WO j'oars of lIocedol1t'R death, in r.ontomplation of decedentl s death, or 1ntended to take ef'feet in IJOSsess1oJl or '~njoyment at or after death, 5/1111 schedule :;;ot5 fort.h the nature und Vfllue of such pro]lcl'tj', to whom transferred, the relationship of the trunsfereos to the decerlcnt, t.he proportionate share received b~' Cllch trftnsferee and all other facts of' 1\ )lurtinent nature regarding said tr~nsrers. In the cnse of' trullsf'el's int.ended to take effect 1n possess1on or en.loFncmt ltt or after nenth, there Is (llso Itttnch(!(1 to the ~chC'(llllf? a cony of the deed, trust agreement or other I.nstrument crent.tng the trust. Therl~ Is nlso set, Corth In said schedule u Ust of all propert~., reu1 nnd personal, with lts value, which pnf,;ses Ilt. dnCf~ltent's dent.h by virtue of the exercise hy rlecel.lent" either individuully, or jointly with Iltlother, or any power of' HpJloint- ment vested in decedent, either irHl1vldl1Ull~' or jointl~., b~.the will, deed, or ot.her instrument of another, with a copy of the InstrlL'nent. crenting such Ilower Ilttached to the schedule. That Schedule 0 attncherl heret.o /md mnde pnrt hereof sets fort.h the tlIl.Jnes flIlIl nddresses of 1111 persons beneficiallr interested in this estnte at the time of decedent' 5 fleath, the 11/J.ture of' their res- pective interests, their relationship, if any, to tlle decedent, together with the ages nt thf? time of dec'edent1s death of nIl minors, annuitants anrl beneficiaries for life \Inner decedent's WilL It also contains n statement showing which of the beneficiaries named in the rlecedent's will, if nny, died prior to decedent, tho dntes of their denth, their issue, wlf'l the relationshIp of such issue to the lleneficinry. That. S.:/1edule E attached hereto nnd mnde n pnrt hereof sets forth nll proper tr, relt! Ilnci per- sonal, OImed by the decedent jointl)" with II.nother or others, including lntlm~lble, ~tllndin~ I.n the nnmc of the decedent and others, plus the do.te and plnce or record of' instrument.s ef'feeting t.he \cstiture of real estate nnd the date of acquisition of' personalty, plus the nome, ndfIress nnlI relllUonshlp, if any, of c<:,-owners to the deceden t. That Sc/1edule F a.ttached hereto and made Il part hereof' sets forth f'u] ly and 1,11 dotllll all debts and deductions claimed for and on behal f of t.his decedent's estnte, lncluntng funernl expenses paid; family exemption, where applIcable; costs of ndministrntion of this estate; counsel fees nnd f'udlctnry' 8 commissions paid or to be paid; cost expended for burial trusts, tombstones or grnvemnrkers, and reli- gious services, in consequence of the death of the decedent; debts and cln1ms owing amI Ilnpllirl Ilt time of' death; taxes accrued chargeable for period prior to decedent's rlenth (except. those nllowed tinder Section 651 of tile Inheritance and Estate Tux Act); together witll fl statement of collateral pledged for obliga- tions, if any. It is agreed that the f1ducinr~'w111 present proof of said ,cluimcd obHgutions upon re- quest, that if the amount actually pnid in settlement of any fee, commisslon or debt. is 10s8 than the estimated amount clnlming find allowed, that the Slime will he reported to the Hcg1stcr of' W:I.lIs, and tllIlt the amount of tax nssessed cun he renssesscrl 1.11 accordance therewith. That. the totals of the uppropriate columns in Scherlules "A", "8", "en, "E", and "F" 'as dJI'ected therein, have been carried forward and properly registered in the Summflry. Subscribed and sworn to before me this ....."......"."........."".. ....""....."...Ja.~h dnyof ~~.L....19Y.O. ""... ...),d1LJ.uO {I 0..f1/J1}1J"nl&-f. , STACEY A' SJIlM~ILI., NOI~ry PtlbJiC' C~lUp J1I11, Cumbcrhml Co, Pol My ComtDiUioQ Expire, JUlle' 25, JlJS4 4~~~~;;fur~"""""" " ,.lO..4".""Parkv.iew..".Road."",.""""""."...."".......".....""""".." (StTeet Number) , ~"E!"!,.Gl,!IllI:J'?:I:Ji'\l,)d.,.I,-'}\.J7.9.7(L"." (City 01' Town and State) NOTE: nef'ore signing IlffldnVlt, 1111lke sure nIl hlllllk slMces In t.he nf'f'J/IllV1t 111111 sch(>i1l1l(~s Ilnnexed Ilre- filled 1n witll detllils or t.he I\"ord "None", 11tH! In Cllse U.e Il~Sl~ts 1llclllCll~ !'lIre /lllrl llllll:"'l,ed securities, .securitIes of' close or f'lllllil.y cUl'porlltlons or 11I1 interest in 11IIY en-l,nrtlll'l'shJp or hushw!is, tllIlt tile rlutll ami st.lltf>mcnt.s rec}ulred IIlItler tile Jllll'a~ruph nho\'e rl~llttJn~ t.o Sclu.'/tlllp. "B" I\I'l~ IIttnchctl. Also mllke certnJ II t!lll t col limn #1 J II tile I1HIIITUllIU'y" has h,~p.n properl r cOnlpl f~t.ed us fllln\'f~-d I r('c tl'd. '. / * RE!V"4~1 18-781 COMMONWEAL TH OF PENNSYLVANIA TRANSFER INHERITANCE TAX SCHEDULE "a" PERSONAL PROPERTY RESIDENT DECEDENT INSTRUCTIONS: This Schedule must disclose alllangiblc and intangible personal property owned individulllly hy the decedent, at the lime or his dcath. PrOllcrty owned by the decedent jointly with another ur nllH~rs must he listed under Schedule "W'. Inlang.ihlc persunal property, tiLled in the name or the decedent, bllt payable at death lu anolher Uf olhers, including hUlllflllimitcd 10 p.o.n. U.S. Savings Bonds mllllclltaLh'c tnisl accounts, mllst he listed, despite the facllhal Ihe)' lIfC lint (If the administered estate. Tangihle llcrsonal prollCrly should he listed first (c.g. jewelry, wcaring 1I11parcl, household goods, amI furnishings, bonks, paintings, autllllluhiles, hOllts, etc.) Intangiblc personal properlY, sllch as honds, trcasury certificates, cash 1111 hand and ill halik, stocks, lIH1rtguges, lIutcs, together with accrucd inte'rest or dividends, salaries or W:lg,es, insurancc payahle III the l'state Of fiduciary ill said eapadty, partnership inlcrcsls, intcrest ill any undistributed estate of or incollle from all~' prolll~rty held ill lrusl under lhc will or agrecment of i1l1l1thcr,.:.:\'cn though located outside HI' thc Statc, al thc Limc uf death, should he listed ill this Sdlcdule. . Item Nn. ESTlMAT Ell M....RKET VALLIE DEPARTMENT V ALlI,\'!'IDN (Do not wrile in this spnee) r1EM List and Jescrihe fully UNIT VALLIE . ($13.80) 04U_ ...fcAJ: 1 Checking account - CCNB - 014-000713-9 jointly held with daughter, $27.59 bal. a date of death 2. Savings account - CCNB - 014-109142-1' jointly held with daughter, $30,268.08 bal. at date of death, $247.73 into accru d 65,257.95) _dL-J'v..,C 3. First Investors Fund for Income, Inc. 349.243 shares C,,11? Income from interest accrued Mar-Aug 80 2,367.87 188.60 4. International Harvester stock - 4 shares Acct. No. WA 921014, value at date of dea hJ:!.I.z'" Income from dividends - 2 quarters 1980 128.50 5.00 5. Proceeds from Metropolitan Life Insur. Co #620641731, payable to Loretta M. Stoker, beneficiary ($1,317.58) -0- 6. Proceeds from John Hancock Life Insur. Co #39792690, payable to Loretta M. Stoker, beneficiary ($649.80) -0- . . Insert this tntal Ol'(losite UPersulllll Prollcrly", Schedule HBIt in the liAs Rcr~orted" column un the last l'age or lhis return. xx ~7 ,961. 7?) ~ ~. n. 7 '7 ~~ , RCC-37 (12-63) ~. . ~'OMMON\\"EAI.TII OF PENN,YYLANIA , ,TRANSFER INIIERITANCE TAX RESIDENT DECEDENT SCIIEDULE "n" fu,., ~~ . I'....... IJ E0i' t\ 4'~~J....T..J ~.v'ii"'QJj.v' "l~ BEt\EFICIAIlIES .. , ~ RI';LATIONSIIIP SURVIVED DATE INTEREST OF BENEFICIARIES AND ADDRbSSbS (If stop.ohildron or state full nnmes ltnd nddrcsscs of IlII II'ho i1lcgitirnntc children DECEIJl,NT OF m:NEFICIARY 111\'0 an intel'est, vested, contingent or other ..re involved. set STATE YES IN ESTATE \\'Jso in astute) forth this fact.) Oil NO lJIl\TII \'lallace D. \'1atson husband no "+-~ M~rlo';no 104 parkview Road , New Cumberland, PA 17070 daughter yes 100% I , - , , , , '. . . . . . . . . . . . . . . . . - Deponent outhcr snrs t.hat Ill] the ulJove-lIumcd henertcin.rics are UvJ.ng at this time except below: I I I I ; , I, ! NAME DATE OF DEATH RESIDENCE Wallace D. \'1atson 12/25/75 Quincy, MA ~ - o . -.<- .. - ~ t;: c 'c llJ e 's Q1..E 'Oc.8 < E. &:. 0 ~ ou'E 'Eit;t: f.I =' 0 " E "- r:l " ~ 0: Heal Property...... .................. Personal Property.............. Transfers ...... .................................... SUI.IMAHY ...(Seh. 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