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No 21.80 23'7
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
PAUL R. CORNMAN
, deceased.
Harold B. McLane, Deputy
To n;(,I,llld C. t,,',dEI38R, Register of Wills for the County of Cumberland,
in the Commonwealth ot Pennsylvonia.
IS
Petitionerlsl 0[1"e( the execut rix named in the Lost Will and
Testament of Paul R. Cornman _ dated AUqust 30 , 19.68
Decedent was a citizen of the United States and a resident of
Township
Monroe ~ Cumberland County, Commonwealth
of Pennsylvania.
Decedent died on
Sat:urdav
the 22nd
day of
March
A. D. 19~, in the County of Cumberland State of
Pennsylvania at the age of 54 years.
lam bll!Is hex
Decedent has not been married and has not had children born to him
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
undetermined and of real estate to the value of
none
as near as can be ascertained; said real
estate situated as follows
~~
Therefore, your petitionerW respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated April 7, , 1980.
Name and address
of Petitioner(ll'l
,1/1 AJ/I.UW, rn e 0"VlA~
Frances M. Cornman
R. D. 2, Box 344
Mechanicsburg, PA. 17055
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
Frances M. Cornman
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 knowledge and belief.
/! tJ
Sworn and subscribed before ~.arUUA fJr/ 1-p'1/1.<..%ca...t.u
Frances M. Cornman
me, ,ApriJ 7, 1980.
..(jJ~V1J,~ V(Ync ,fir;...,,,,). Deputy
" \,,'
RisAarsC. ,^.Rser66R', Register
b%
_.---,,~-_. .'---~._----
Filed;
1980
Bietsch
Attorney: (Torn H.
& Morgentha.l. //;";/\
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBEHLAND \
. 7th April 8
Th IS................... ..................................................... day of.............. ...................... ........... ................. A. D., 19.. .il...,
Harold B. McLane, Deputy
before me Riehul'Il h' ^ _..I ,,,..'on, 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 ..............
........................... .T.9.!!'...~.~... ~ ~.~~ .f!.<?h.. .~!!~... ~ ~.y. ~~... ~.:... ~.I;lH~P.~.~!................................ ....................................
the subscribing witnesses to the foregoing instrument of writiug purporting to be the last Will and
Testament of ............g.!!~J...!:\.~...~.'?F.!:!~!!!!..................................................... Dated ~':!g.~?~..}R.!..}.~.~~......
late of .......':19.!:.l?'?~...:r:~~~!!~.J:\~J?I...................... ........................................... Cumberland County Pa., deceased
who being duly ..............I?\'!'?l?.!!.................. according to law, depose and say, that .........!:!:.~.y...:1.~!:.~..........
present, and saw and heard the testa.~~.F..!....................... ........~.<;\~.~...~.:...~~.:::!!~~!!.!................................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h~.I?........... Testament
and Last Will, and at the time of SO doing .............J:\!'!................................was of sound and disposing mind
memory and understanding, to the best of ..........!;P..~tJ?.........................knowledge, observation and belief.
Sworn d b .'b d b e
............................................... an su SCll e elore
...~...ld...~................................
Tom H. Bietsch
~>~ / ~~ ..(
....':tP.:.~~...'...:.\i::'.-:::'Oy::.t;D.Gv:(':a....'L.'"...~ ~.l?~~X
:rt;",lu.ua E. }...ud...~...[1,I1, Register ~.
..................................................................................
......!~,.~~~ ~"~;.Ji...22f.~.<a=r...7 ..,,{....................'
;:!oyt H. Mumper "
V i I
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
............ ......................... .................... ~E.<;\!!.'?~~ ...1::.: ...~~!..!!~.<;I.!!.~...... ...... ...... ..................... ..... .......... ....being duly
...........................~~.?~~.......... says that as nearly as can be ascertained the said decedent ..........................
....... ........ ...................... ........ ..... ................~~.1;:~...~:....c;:~!:.~'!:!':.~.... .......... .......... .......... ...... ................ .......died on
.............$.~!;.~F.~.~Y................. the ........~.?!!9...............day of .............!::~~.'?~............................ A.D., 19..~.Q.,
at or about ...............~.??R.................. o'clock, .P..M.
..............................~~9.F..l!...........and subscribed this
7th . April
................................................ day of ........................
19, J\!L, before
1 rn~.
}h.~............................................................
Frances M. Cornman
\. 1 fi ~. '. l> / Dep~ty
...::.~7.d.l'0.:1:....Q...\~~~........l0::r:::IK~.::,.~.. ~~.~....
R;",lu.u d D. /u.d",. <JuIi, Register
c,r;,r.)
N/",lI.)
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
COUNTY OF CUMBERLAND SS:
Before me, the Hegister for the Probate of' Wills anrl granting of' Letlel's of' Administration in and f'or
the County of Cumberland, personally came .................~~:;t.r:.~~.~...!:1.:...~.?~!:l.~~!:l...........................................
who, being duly ......~:1.?!:.r:..........., do .~.~..... deposc and say that as........l!:?!~.S~.t.~~.~..........................:.........
of the last Will and Tcstament of .................?~);1.~....l!::...~.t?,!:.l).~~~......................................................deccased
..........~.~~......... will well and truly administcr the goorls 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.
, ....:A.~...!?-.~~?...?........................... A. D., 19..~.9........
~..J5..~..~:-d.fM~?:-"...<,..?.7.~~~X
RiilUril:i A RII610!R, Register
.:J..~..m...~.....................
Frances M. Cornman
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DECREE
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Be it remembered that on the ...........~~~....... day of' ...................!?-.~~~.~................., A. D., 19 ~.9...., there
was probated and recorded the last Will and Testament of .......!?<:\\-!.~...~.:...~9I!~!!!':l:~..................................,
late of..........~9.I.'!"'!?~..~.?:-:.l).~~.~P..............................., Cumberland County, Pennsylvania, Deceased. Letters
...........!.~~.~.~~l.~.~~.<::~y........... ...... were granted to ......~:~.~~~.::~.. .~:... .~~.:.~~.~.~........ ....................................
Witness my hand and official seal the day .and year aforesaid. / .J ~:). (..
-.. i ..~~:?:t.U: ./?:.b7... ..Jy.~~:~._...?.::~~.~!'
Riyhl1l'~ J;' ^ n..lnt"cnn, Register.
. . . ...
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55;
boing duly _._ _sw9.rn.
__..Frances .M.. .Cornman....._._..._._.____._.___..._ ._..... .........___
_. "ccording to I.w, doposos .nd s.ys th.1 ho .is__then_Executrix. _.._
of tho Est.lo of ~aul ~<::Q;:nmal}.__._...____
1.10 of Monroe Township.__, Cumborland County, Po., doco.sod and Ihatlhe
within is.n invontory m.do by. ..her...__.__._n __ _._._n._.._' Iho s.id.Exec.u.tr.i.x......._
of tho ontiro ostolo of said docodont, consisting of 011 tho porson.1 prop.rty .nd 1'0.1 ost.lo, oxcopl ro.1 osl.to ouhide
tho Commonwo.lth of Ponnsylv.nia, .nd th.t tho figuros opposito e.ch item of the Invenlory represont iI's fair v.lue
.s of Iho d.to of docedont's del.th .
Sworn
()nd subscribed bofore me,
..J.L1.-.a.al..eMJJL(I~~vv}yl..._1,;l.L____
El(ocutor, . ~Ktm(lK
July 22, lL8.Q._
a~',._G.)~~
~r. I-Ir:DT7LFR, !\1(lT!o.RY PUBLIC
rJl""'"'\!""1rl,..,\"\#1 rr""~'Y!'V Cr..,:.rislr~, PA
My Commission Expires January 2l, 1933
O.te of Oe.th .._____ .~~!!c'!_.______.___._.. _ ._Mar:ch___.____._1980 .._.__
R.O...2.,13.9xn.3_4..L
_:Me.chanicsb.ur.g.,......EA.._...J.7.D55____
Addrou
J
D.y
Month
Yeer
INSTRUCTIONS
I. An invonlory musl bo filed within Ihl'ee monlhs after appointmenl of porson.1 represent.tive.
2. A supplemonl invenlory must be filed within thirty d.ys of discovery of odditional .ssels.
3. Addition.1 sheeh m.y be .tt.ched as 10 person.lty or re.lty
. 4.. See Article IV, Fiduciaries Act of 1949.
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Inventory of the real and personal l':lstate of
PAUL R. COR~MA~.______d.c.a,.d.
ESTATE NO. 21-80.-237
c
1. 1974 Mercury Sedan automobile.
2. 1974 Ford F350 Cattle truck.
3. 1972 Ford FIOOO half ton pickup truck.
4.. 38 head of registered cows, heifers and calves.
5. The Ohio National Life Insurance Company, unearned premium.
6. Pennsylvania Life Insurance Company, unearned premium.
7. Provident Life and Accident Insurance Company, disability
benefits.
8. Pennsylvania Life Insurance Company, disability benefits.
TOTAL
1,500 00
1,775 00
700 00
40,000 00
158 42
182 08
200100
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2,189' 96
I 46,705 46
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REV-449 (8.781
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF r'!ELD OPERAT:ONS
ESTATE NO. 21-80-237
~~~-
W~
RESIDEHT DECEDEHT
COUNTY OF __CUMBERLlIND------..
~ -- - -...
IMPORT AHT:
-. ._.~ ..--".-. --
Thi~ return l1lU"t bt~ cOlllplcll'd ill dCllIillllld fill'd in duplkal/.'. with all allndlt'd, wllh lite RCldS\l~1' of Wills of the
CUUllly \\llI~re decedellt rcsiclt'd, !{t'!Urrl is dm' wilhin nine months aftt'r dale of {klllll. unless lIlI cxlcllsit)l\ is granted
by the Secretary of Rc\l:cnuc. (St'Cliull 70J of Ihl~ Inherilllnn' uml EstlLlc Tux Act of Iq(.t ,)
-~. -..--..... .-.-- ...~-_._.__.. ._-- --
IN TilE MATTER OF TilE EST,ITE OF 1
PAUL R. CORNMAN
(STATE FULL NAME OF DECEOEN1,------J
~cto 0' ~J.\IDb..e..r.:LaJ).d_----.-.- Couoty
Stat. of Pennsyl vania
AFFIIlA VIT OF
KM~X~H~ EXECUTRIX
~(l{ljf~lM~R
County of
r'nmhprlrtnn
} 50:
Frances M. Cornman, Executrix
K~:l!!IIl'!X
~lllillillCGK.x
of tho estato of the above-named decedent being duly sworn, deponS
and sayS
Decedent died
March
22
1980
(yEAR)
tutt:1to looving a 10s1 will, copy nf whlc.h iJ hereto attac.hod. }
KKOIOl:
IMONTH}
Name and address of allorncy or }
olher autherlud reprnentot!vo 10 whom
011 correspondence should he moiled.
{DAyl
Tom H. Bietsch, Esq. (Bietsch & Morgenthal)
7 Irvine Row, Carlisle, PA. 17013
That as such Exp.cutri){' dep(}II~T11 is familiar with th~ affairs of said estate and the property constituting
I F.XF.CUTOR-ADMINISTRA TORI
the ilssets thereof and their fair markct valuc.
That at the time of dcath there was no safc deposit box registered in dcccllent' s illt.lividuaIIHlnll~, or jointly with, or
as agent or deputy of ilnother, or in decedent's individual namc, with right of access by another as agent or deputy, with th~
exception of the fol1O\ving: -
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
p~pnpnt rlnn Fr~nce
M ~rnman
REL.ATIONSHIP OF JOINT
HOL.DERS TO DECEDENT
wife
That th~ contents of sllid safe deposit box or boxes are itemized under Schedules__of this return,
with the exception of the following, for the reasons hereinafter set forth:
That Schedule A auached hereto and made part hereof sets forth folly and ill detail all the real property
in the Commonwealth of Pennsylvania of which decedent died having an interest thcrein. It also sets forth the
mortgage encumbrances upon each parccl (?f real property at thc dale of death, giving the amount still due at
death, namc of mortgagec, date, rate of intcrcst, 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 markct value thcreof
as nf date of death of decedenl.
I That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property
whcresover situated owned by the dccedent at the timc of death; all moneys left by the deccdent ut the time of
death, whether in decedent's immediate possession, standing, to decedent's credil in banks of deposit, sllvings
banks, trust companics, or othcr institutions, ,...hclhcr individually, or ill trust for any other person or persons
giving also separately the accrued interest therenll, if any, down 10 the last interest dKY prior to decedent's
death in the case of savings hanks, and to the date of decl.:dent's death in all other cases; all bonds, postal
savings, treasury certificates or notes and other evidence of indebtedness of the Unitcd States to the de-
cedent; all obligations, whether 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 are owned at the time of death:
all wearing apparel, jc,vclry, silvcrwar(:, pictures, buoks, works of art, household furniture, horses. carriages,
automobiles, boats, and any and all other personal chattels of whatsocvcr kind or n~ture, len by decedent,
together ,,,ith the fairly estimated Il\tlrkct value thereof; 'all bonds and mortgages held by deccdent and'of all
claims due and owing decedent at the time of death, and all promissory Ilotes, or otherinslrumcnts in writing,
for thc payment of money of which decedent dh~d posscssed, of whatsoever. nature, wilh interest thereon. if
any, giving the face value and estimated fair market value thereof, and jf such estimated fair market value be
less than the face valuc, it sets farlh briefly the reasons for such depreciation as to each item; 311 moneys
payable to the estatc from life insurance policies carried by deccdcnt; all annuity and endowment contracts
the proceeds of which were paYi\blc upon the death of the decedcnt; all 311d the corporate stocks and dividends
due thereon and unpaid us of the d:l1e uf dcath, bunds and a..:crucd interest thereunto the dale of decedent's
death and other investment securities owned by the del:edl~nt at the time of death, with the market value (hcre-
of at stich time.
In t.1lC case of Hccnrlt.lcs of closl~ or (',mllly cnrpr.r1lt.tons, the Vlll11e5 report.ed llre IlS f'llr as
1'055iblo 5I1b5,,,,,u,,ted by 1'I1I""olul 5t",em""'5 01' the corl'or,II.lon5, sllowlng ,he "5""l.s ",,01 11"hI1ltles
Iho,'eol' ,,501' tho ,t"w 01' ,1",,1.11. The 5ehedllre "lso SI'I.S I'orl.h I.ho Inl.erest 01' decedent "I. I.ho I.Imo 01'
de"th in "ny OO_I'"rtoe"hll' or IlIIs\n"US, "n,1 \0 uII""orl. 01' 1.1", v,,1I1ll ul' slleh \nler"sl. I.h",'e Is "1II""od 10
5,,\,1 sohednle, I'lo"ncl"l "tnlemenl" "howlng I.ho"sset" ""'\ I \,,1>111 lies 01' s"ld oO-I'"rl.oershll' or hIl51I1e55.
,\ ropy 01' Ih,' CO_I'"rlo"rshll' "gre",""ot, (\1' 01'''1. " sl."".e""ol s"I.Uog I'orl.h I.he 01'>1.""" 01' I.h., "greement)
'og,,'h"r with" 51."1.<1I,,ent sel.Ung I'orlh I.ho oh"r"el.er 0\' I.h,' h"sln"ss, Its 100"1.\"01, '''H\ sHeil ol.hor l'"elS
1'0rl."lo\ng 10 I.he 'H,,\n.'"" "S muy h" l'"rUnonl. to " I',dr "'H\ .IHSt nl'l'r,d,"1 01' I.he dee,,,\ent'5 lnl.eresl
'he"eln mils' besllhmll.t"d. It 5hoHld ,,150 sel. "orl.h \01 Ite,"I7."d I'o,'m, I.ol\el.her wl'h I.he 1'"lr murket v"ll1o
thcr~~or, un~' uther JlroJlcrt~' owned or hCfJucnUwcl by t.Iw deeeclent. Ilt the tJrne 0(' duuth.
The Schedule C Ill..tuC'.hed hcrl~l,o IUlll rnlulc lIurt. h(!I'I~of' set.H forth Il t.rlle Ilnswer t.o ench inquiry
oontulned thereio "Old in the c"ueol'lronsl'ersol'l','ol'erty, ro"l "" I'orsooul, wHhin I.wo ye"," or deoedont's
denth, In cont.eml'lullon 01' deoellont.' 5 denth, or Inl."nllod to I."ke el'f'oct. In possession or en.loymont nt or
al'ter dOIIl;h, suid schednle sets forth U'" nltWre Itn,1 v/lllI" 01' sneh pl'ol'erl.Y, to whnm trlmsferred, the
relutionshlp of the trausl'erees to the deoedent., the prnpor,.llInnt.e shltre recelve,1 by Ollch tronsl'eree nnd
u11 other I'ncl.s of n perUnontn"ture regnrdll1g sltld I.rnnsl'ers. In the cnse 01' tl'nnsl'ers iutended to
tnke "i'l'ect in possession or en,juyment It I. or n!'ter ,Ient.h, t.here is nlso nt.t.nche,1 t.o the sehedule n eopy
of' the deed, trust ogreement. or ol.her lnst,'lIment crentlug t.he tl'USt.. 'fhern Is nlsu set I'orth Ln snid
schedule n list of nll prol'erl.y, ren1 "nd pel'sonn1, wlt.h Its vn1ue, which I'n..ses 01. decedent' 5 death hy
vi rtue 01' the exercise by decedent., either individu"lly, or ,jointly wit.h nnot.her, or "ny I'uwer 01' uppoint-
ment vested In decedent, eil.her i",lividunlly or Jointly, by t.he will, deed, or ol.her Insl.rument of "nother,
with 11 copy of t.he instrument crent1n~ such llOW(!r at.t.ached t.o the schedule.
Th"l. Schedule 0 nttnehed hereto and mnde I'nrt hereol' sets I'ort.h t.he nn,"eS nnd nddresses of n11
I'ersons benefIcially interested In t.hls estnte nt t.he time 01' deced"ot' 5 de"th, the nntm'e of their res-
l'ecUve interest.u, their relutlonshlp, If nny, 1.0 the deoedent., t.ogether wll.h t.he ages at the time or
decedenl.' 5 denth of nll minors, onnuitonl.s ,,001 bCneficinries f'or li f'e uuder decedenl.' 5 Will. It also
cont.ltins a stutement showing which or the benef'ieinries nlunod In th2 decedenl.' 5 w111, il' any, died prior
to decedent, the dotes of their denth, their Issne, nIld t.he relut.ionship or such issue to the beneficiary.
'fhnt S.hodule F- al.tnehad hereto nnd "H"le a purl. hereol' sets I'orl.h nll property, real and per-
sonltl, owned by the decedent .Iointly with unother ur ot.hel's, including int.angible, sl.nndiug in t.he nu,"e
or t.he deeedent und others, plus the dute nnd p1nee of record or instruments el'l'eotlng t.he ,estIture or
real estute and the dnte or uequIsitlon of I,ersonnlty, plus the nnme, nddress and relatIonship, if ImY,
of cO-0Y411erS t.o the decedent.
'fhnt Schedule F .ott.Aohed hereto And ,""de a port. hereol' sets I'orth fully nod in deto11 nll debts
nnd deductions .e1ulmed for und on bellllll' 01' this decedent' 5 estnl.e, including I'unerul expenses paid;
fnmily exemption, where uPI'] Leuhle; cost.s ul' ,,,lmlnistraUun or this est"t.o; counsel fees nnd I'udloiury's
commissions pnilI or to he I'oid; cost eXI,ended I'or buriul trusts, tombst.ooes or gruvemArkers, And reli-
giouS services, in oonse'lUI,"Ce of the deutll ul' the decedent; dehts nnd clnims owing nnd unpnld ut time of
deuth; t.ltxes ncerued chnrgenb1e I'or I'eriod I"lor 1.0 Mcedent' 5 death (except those Allowed under Seetion
65101' the InherItUllce nnd Est.Ate 'fnx ,\et); togel.her ,,\l.h n sl.atement or collntera1 pledged I'or obliga-
tions, if uny. It is Agreed that I.he fiduclnl'Y will present prool' 01' suid claimed ubligutions upon re-
quest, that If the umount Aetuully pnld In sctUcment or .nny I'ee, commission or debt is less than the
estlm"ted amount clniming and nllowed, t.tlllt the s"me wHI he report.ed t.o the I\egisl.er of Wills, und that'
the amount of' tax Ilssessed eM be reassessed 1n llccordEUlce t.hcrewl tho
'fhltt thn tot."lS or the "l'l'rol'rinte co111'0I" III Sehedllles '.I', 'II', 'C', 'E', and 'I" 115 direoted therein,
hnve beml carried forward and properly registered in the SUmnl!lry.
Subscribed and sworn to before me this .................................
...........~?:..-~.. day of ... . ....... 19....6.0.. !i""''l,.tJ...dl(!j;,.j)1.L..C,z.:.Ii.J(,/,!:lf.i,,'l.,U./...................._..
....~I 1...r~\.r''''~:1 "'r'~1 rc'I.'.\~"'""'.'.' .B..P.:~~e:~~~~................._.....__.._..
....:1'4. .. ' i:" \ . .,J, . " (StTeet Number)
(',. ,.,,,.,I'''.'T;''!'i ."i,II!,P/\ M h . b FA 17055
Illy Cornmi'\!;ion F:<,)ircs Jr.:nrnry 27. 1983 ...ectci;li~.~'.~~~~".~;;.d."sU;t;;T..'.'..'.."'."'..'."'."'.'
son:: Ihd'ore sIgning al'f'ldllvU. ,"lIke sllro 1111 hlllnk 81"",er. In the 1I1'f'l.I"vtt lI11d schedule" "onexe<l lire
!'ille,1 In wtth detllils IIr the wo,,1 'None', IIn'\ In Cllse the "ss.'t." ine1",le ""e 'UH\ IInllsted securIties,
s"cmlUes nl' close or I'nmlll' corpor"tiouu or IIU 1"l.ore8t .III II11Y co_p",.t.lIel'shll' or bllsIness, thut the
dAtA "HI St.AtO"","tS re'llllred IIllder the p",'''grllph "hnve r,'lnUllg to 8ch"<lul., "11' nre At.tached. .1150 mAke
cert.oln thut colli"'" tll In the 'SII"",ary' hll5 boen properly complet.ed 115 IIhov"-.lIrect.e,.I.
'REV~4!lJ (8~76'
COM,lONIVEALTII OF PENNSYI.VANIA
TRANSFER INIIElUTANCE TAX
RESIIJENT DECEDENT
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BEN"!'I( 'IARII 'S
. -...--....-------...-. -.--...--.-..----.... ---......----.-------
BENEFICIARIES AND ADDRI'SSES RELATJONSIIIP
.(State full nllmes lint! lIdllreSlies of 1111 who (If step.r.hiltlren or SLJRVIVI':1l DATE INTI':IUSr OF
hllve un interc~t, vested, cOlltillgCl1t or other" illcgitimaw childrt'lI DECEDENT OF IIENE;'ICIAIl'
wise, in CliHltC) arc involved. set ST,ITE \' F.~ Il!IlTII IN ESTATE
forth this fact,) Oil NO
Frances M. Cornman Wif.. v",s -- ==Iir<LesL^"
R. D. 2. Box 344 T-
Mechani",,,,hura PA. 17055 .--
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Deponent further says thotoH thc abovc.namcd bcneficiarics are living at this time except below:
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I CATE DF DE..,;; 1___.__
NAME
RESIDENCE
NONE
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Transrcrs.
SUMMAR Y
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RESIlJENT DECEDENT
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COMMONWEALTII OF I'E;\INSYLVANIA
TRANSFER INIIERITANCE TAX
INSTR{l(,TI()NS: Tills sl~I\l.'(hllf.' IHIlS!, disclose nil pl'o'lf~rl,~'. 1'1~1,1 111111 PI'I'Sf)IHll, ~f.'d I,y I.llf~ df!'~I.'''l'lIt .lulll!.ly
with 1II1011lt'rUI' Ol.hl~I'S, Irwlurllllg JlIl.lIn~ltJll~s, s/.li!Ldl'jl~ JII [.lll: 1l1l11l1' nl' LIi(~ t1f'(~1'1j,~1l1. IlIld otllnl's. List.
rl'al (.stlttt' 1'11'St., liS (!Ilt.II'f'I,II.'s, 01' ,Iolrll. l.I~rillnts, .c;lvJllJ.; hl'!f!/' df's(~:,lpt.iofl, liS Indlt:llt.l'd Ilnclnr Selledulf!
""\", pills tl'f~ dilL,' 111111 11lll(:e of' I't~e()rd nl' Inslr'lImnrlt (~l'l'f.'<:l,lllg vl'SI.IJ.II"'~' hIlt do !lot IIH~llltle 1_~nliret,lf~s
or' onl 01' stat!' l'I'ld f!Sl,IIU' Vlllw! ill est.ltl,(~ VlilUlll.lflll f~tJIIIl1JlI. P(:I'~iOlllll prnpl'I'l,y should he J Ist.l'd It~i in
Sclwdlllt' "B", pillS dat.1! of' III:qlllsl t1nn, IIIHI till! !111m.!, :itldf'f'SS /llll! rf'llltiollshlp (1 f' IIIlY) of e(J-OWll(~I'S to
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VALUATION
not. WI'1t.c
(" 'lCt!.
,Il1tW of
Ih!cedt!fl t' S
Illt.er'cst
Various personal property
owned by Decedent and Frances
M. Cornman, his surviving
wife, as tenants by the
entireties.
NONE
lns(!rt. tilis totlll apllosi...! ",J(Jillt.l~' lhnwlt ]1I'H'H!rt~.", Sclledulo IIEIINONE
in t111~ "AS!\I!{HJrted" COllll'I11 on till! lllst pll;<':l! of' t.llj:; rl'l.ul'll.
REV-1'7 (1-110) .
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
.~
~
Estate of
Paul R. Cornman
File No. 21-80-0237
County
Cumberland
Date of Death March 22. 1980
In the event that any uture interest In this ostate is transferred in possossinn or unjoyment to collateral hairs 0 t e decodent 8 tor tho expiration of any
estata for life or for years, the Commonwoalth hereby exprassly reservos the right to appraise and OSSllS5 transfer inheritance tox05 at tho lawful collatoral rate
on onr IlIch futuro Intorost.
-
PROPERTY REPORTED BY THE ESTATE
DEPARTMENT'S
APPRAISED VALUE
1. TOTAL REAL PROPERTY - SCHEOULE "A" . .
2. TOTAL PERSONAL PROPERTY - SCHEDULE "B"
3. TOTAL TRANSFERS - SCHEDULE "C" . . . .
4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E"
TOTAL REPORTED PROPERTY
46,705.46
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
TOTAL UNREPORTED PROPERTY
None
TOTAL GROSS ASSETS
46,705.46
LIFE 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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APPRAISEH
09/04/80
DATE
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GENERAL INHERITANCE TAX INFORMATIO~
Unsatisfied Iiabililills incurred by the decedel1l prior to his/her death are deductible against his/her taxable estate.
In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration,
attorney fees, liduciary fees, funeral and burial expenses includino the cost of a burial lot, tombstone or grave marker.
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed, Evidence to support the decedent's or the estate's liability for tile debts being claimed
should be attached to this schedule,
A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania,
If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption, In the event there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent, Enter "family exemption" in the remarks column and the amount claimed in the amount column.
2. Assign consecutive numbers to each item listed.
3. Enter the date on which each debt was incurred and/or paid,
4. Enter the names of each payee,
5. Provide a brief explanation in the remarks column for each debt claimed,
6. Enter the amount of each debt being claimed.
7. The form must be signed by the person who has assumed the responsibilil'{ for paying the debts.