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HomeMy WebLinkAbout80-00239 :'" :1 Cc . .~ l>l . ~. ~ !:l ~ ~ ' ~ ~. ;;j, . ~ .:t: ' c; ~ " Q') ffi I ~ :; C":l . N :> <::I '0 00 . - N CD ..... ~ '.' . 0 l!'I 0 t; M Z III No. 21.80 239 PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of V. GRACE REED , deceased. Harold B. McLane, Deputy To R;GI,e.ld C. AA6SF88n, Register of Wills for the County of Cumberland, in the Commonwealth at Pennsylvania, IS Petitioner6sl1itre the execut or named In the Last Will and Testament of V. GRACE REED dated June 29, 1977 Decedent was a citizen of the United States and a resident of XKlmJmllS.roxll> Newburg Borough, Cumberland County, Commonwealth of Pennsylvania. Decedent died on Friday the 14th day of March A. D. 19~, in the County of Franklin , State of Pennsylvania at the age of 78 years. ~ mEl6 her Decedent has not been married ond has not had children born to ~I'IX since the execution of the above described Will. Decedent was possessed of personal property to the value of $11,000.00 and of real estate to the value of (NONE ) as near as can be ascertained; said real (N/A) estate situated as follows ~ Therefore, your petitioner(s.) 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(s) ')'\) .' 'i(' [1)/ {i' >-', I, o2...J1.Ikl::.l" ._<1' t-<.i>t~~{:0!~\- Merrill S. Kendig , Box "f Newburg, Pa. 17240 COMMONWEALTH OF PENNSYLVANIA} ss COUNTY OF CUMBERLAND Merrill S. Kendig named in above application, being duly sworn according to law say(s) that the statements set forth in this petition are true to the Sworn to and subscribed before knowledge and belief. . ). ..'/./' y ild":J'C(' ,1'. .;/..,,(1,,,., I Herri11 S. Kend ig J best of his :~~J(1,'1:'Qr\~7r\C ~/\~. ,. 1 :e::ty nieAsrra E. .^\l1G19n;:g~ Register 8, 1980 Attorney: \H1\~iaw H. K~ye (1/16394) 1<,~-.,rjJ 37 ~. l.lueen ~t.. .) ;.--. Chambersburg, Pa. 17201 ";;;-.-- 264-3290 .. \cJla J ,~ ~ cJ ~ '?' MCCREA & McCREA ATTDllMUD AT LAW' H[\'fVll.Lt S 5HIPP[MBBURII PEMHA. -. ,. ... LAST WILL AND TESTAMENT I, V. GRACE REED, a resident of the Borough of Newburg, County of Cumberland and Commonwealth of pennsylvania, being of sound mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking any and all wills by me heretofore made. FIRST: I hereby direct my Executor, hereinafter named, to pay all my just debts and funeral expenses as may conveniently be done after my decease. SECOND: I direct that my funeral be conducted in a manner corresponding with my estate and situation in life, and that the expenses of said funeral be paid out of my Metropolitan Life Insurance and the Amalgamated Cotton Garment Industries Insurance, and after said payment, if there be a remainder, the same shall become part of the residue of my estate. THIRD: I give, devise and bequeath the Marble Top Stand and my Aladdin Lamp which has been converted to electric (includ d on my list of personal property under the item "4 electric lights") to my good friends, Samuel Helm and Louise Helm. FOURTH: I direct that all my personal property (except thos devised in paragraph "THIRD" herein) a list of which is hereto attached, be converted into cash, the proceeds therefrom to become part of the residue of my estate. FIFTH: I give, devise and bequeath all the rest, residue and remainder of my estate, be it real, personal or mixed, to the Building Fund of the united Methodist Church of Newburg. SIXTH: I hereby nominate, constitute and appoint Merrill S. Kendig to be the Executor of this my Last will and Testament. In the event Merrill S. Kendig should be unable to serve as Executor of this my Last will and Testament, for any reason whatsoever, then I name, constitute and appoint Susan Kendig to Q~t::' I, ; ~'t.') .,. ...! 0 0 "i1j"'! .~ ~ c > ~ '" .- \I-l 'o~ ?: 0 . 1,1- )'oo,C ~ ... c' H CO co. H J .~'cf,,-. H :li .2' :;: o . D:S'i E-< o ~ c ~ u ~ Ul ii i'.e- ~ j .-" :> '" c I ,f), . . ... . , , . / OATH OF SUBSCRIBING WITNESS , MMONWEAL'l'H OF PENNSYLVANIA I 55: COU 'Y OF CUMBERLAND \ This..........,...,.... ....".,..,.....,.,."............................. day of ....,..,.............................,................ ........ A,D., 19......... before me Richard E. nderson, Register for the Probate of Wills and granting . ters of Administmtion in and for said County of mberJand, in the Commonwealth of Pennsylv la, personally carne .............. ,/ t~~..~::~~~;;~;~~..~;~~~~~~~..~~..~~e ;~~......:~~..;~~~~:~~~~.~;.~;..~~~~~;~.~..~~..~~..~~~..;.~~~.~;;.:..~.~~ "'''''ment or ....................................................~................... z................ D."" ......................:...;.............. late of............................................................. ............. ............................. Cumberland County Pa.. deceased who being duly .........................................2. acco ~g to w. depose and say, that ........................................ p~esent, and s~w and heard the testa..... ................:.........' ~.:............................................................. SIgn, seal, pubhsh, pronounce and ~e the saId Instrument ofwnb~g as and for h................ Testament and Last Will, and at the ti of so doing ................................................. of sound and disposing mind memory and understan . g. to the best of ..............................................knowle observation and belief. . .................... ........................ and subscribed before .................................................................................. .............................................................................. . Richard E. Anderson. Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA l ss: COUNTY OF CUMBERLAND \ .......................f.I::...~j'!;.c..I.:;.~;.............:f.:.......~'::.<;;~.~.~.<:................... ................................................. .......being duly ......~.~.:'.~::-!........................... says that as nearly as can be ascertained the said decedent .......................... . ...... y.:..... .C?:.f!: .~~H;............. ("'?;.,-<fd!.................................. ...................... ........ ........................... ................ .... ..died on ......t.f!o.\Q.f.t.."!:........................... the ............~.t.'::;............day of ............~.~.r:.~!!............................ A.D.. 19..f.9... at or about .............J.,.P.S?................... o'clock, LM. : ...s:w..~~...........,l.:')....................and subscribed this ........:],~:................................ day of ...f.ry.!~.~~.......... 19, .~... before 2.., ", '.. j/ ).r. ;} , \ ), 'J' ),' . /1 ',' ,l'_ ~ --"'... JI......~.r!.i......:........ .,.."..,...l-rr........................ L~~t.1.~a.Q~j<.}i.:"L~,...;~l<.'I.\\.).~........................ Ri"lhud D. ~\!.dL..,tlf1, Hcgister ' , , REV"4!lO (I~BOI COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INliERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY ^' .;(). ,~~ It) "((~~ ~, i~~\\rli~~, ~t,~~~ (fnstructions on Reverse Side) ESTATE OF V. GRACE REED ITEM ESTIMA TED DEPARTMENT NO. DESCRI PTION MARKET VALUATION VALUE (OFFICIAL USE ONLY) (NONE) i ! ! , ! I i I j ( , I , I TOTAL THIS PAGE -0- -0- -ffryc ~EV.451 EX+ (3.aOI COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT OECEOENT SCHEDULE "B" PERSONAL PROPERTY (Instructions on Reverse Side) V. GRACE REED .~~\ ~. ITEM ESTIMATED DEPARTMENT DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL YJ 1. Checking Account 11700-307-1, The First National Bank, Shippensburg, Pa. $ 1 ,66 2.62/ 2. Savings Account 1I1-lll47-7, The First National Bank, Shippensburg, Pa. $ 9,813.46/ 3. Other property sold at public sale: Noritake Set (36 pc.) $ 195.00 Stand $ 9.00 Kid Stand $ 5.00 Brass Floor Light $ 7.00 Wicker Hamper $ 1.00 Bench stand $ 1.00 Sewing Cabinet $ 13.00 Pink Hassock $ 1.50 Bookcase stand $ 25.00 Love Seat Sofa $ 152.50 Platform Rocker $ 55.00 Clothes Tree $ 10.00 Child's Wicker Rocker $ 22.00 Child's reed rocker $ 25.00 RCA Record Player $ 15.00 Waterfall Cedar Chest $ 50.00 Poplar Blanket Chest $ 75.00 Metal Utility Cupboard $ 4.00 Metal Wardrobe $ 20.00 Softwood Dutch Cupboard $ 265.00 1969 Rambler $ 1,975.00 Thermos Jug and Vase $ 1.00 Vanity Light (Blue/white glass) $ 3.50 Thermos Jug $ .50 Bissell Carpet Sweeper $ .25 Box lot-dish lot $ 1.00 Dresser Ligh t $ 1.50 Small Suitcase $ 1.00 Sewing Kit and supplies $ 2.00 Basket $ 4.25 Salt Rope Candles $ .25 Foam ice chest $ .25 Costume Jewelry $ .35 Sewing baskets and hankies $ 4.50 Pillow or Cushion $ 3.00 Picture frames $ .25 Picture frames $ 2.00 Crocheted doilies, etc. $ 5.00 Crocheted work $ 4.75 TOTAL THIS PAGE $14,437.43 REV0451 EX+ (3.80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY (Instructions on Rovcrse Side) V. GRACE REED '* ITEM ESTIMATED DEPARTMENT DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL YI Bible Commentary $ 1.50 Cranberry colored glasses (8) $ 5.00 Milk glass pedestal dish $ .50 China bell $ 1.50 6 Noritake berry dishes $ 2.00 English Demitasse $ .50 English Demitasse $ 1.00 Magazine Rack $ 3.25 Blue Berry set (7pc.) $ 7.00 Cobalt blue mug $ 11.00 Cup & Saucer $ 1. 75 Manicure Set $ 2.00 Souvenier-Hbg. & Williams Grove $ 3.00 Japan miniature lamp $ 1. 25 Small miniature vases $ 3.25 Williams Grove Cup, etc. $ 2.75 OPS & Co. Iron pot and stand $ 33.00 Iron Pot $ 27.00 Royal Albert Demitasse $ 2.50 Royal Prince Demitasse $ .50 Brass Ligh t $ 1. 75 3 plates @$3.DO $ 9.00 Demitasse & Dish $ .25 Japan vase $ 10.00 Cos tume Jewelry $ 1.50 Candles $ .25 Frames $ 2.75 Bull's eye camera $ 1.00 Frames $ .25 Costume Jewelry $ 5.00 Salt/Pepper set $ 2.00 Deer Hoof mirror $ 22.00 Picture frames (2) $ 5.00 Frame $ .25 Water glasses $ .25 Glass tray (Crystal) $ 1.00 Aluminum lazy susan $ .25 Dominion Elec. Skillet $ 6.00 Christmas Records $ 4.50 2 Embroidery work @$2.50 $ 5.00 Small sewing ki t $ 1.00 2 Embroidery work @$2.00 $ 4.00 Handbag $ 0.00 a d $ 2.50 TOTAL THIS PAGE $ 201. 75 REV.451 EX~' 13.S0) COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY (Instructions on Rvv/Jrse Sido) V. GRACE REED ~\ ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL YI Handbags $ .25 Box lot-records 45 rpm $ .50 Records-78 rpm $ .25 Box lot-records 33-1/3 rpm $ 1.00 Box lot-books $ 1.00 Milkglass light $ .50 Layman's bible library $ 3.00 Books $ 3.75 Bible $ 1..50 Centennial Books $ .25 Hobnails & Helmets $ 21.00 Books and Bible $ 1.00 Centennial Books and Bible $ 1.25 Picture Frame $ 3.50 Shirtcraft Co. picnic $ 3.00 Picture frame $ 6.50 Box lot-books $ .25 4 Uncle Wiggley Books @$1.50 $ 6.00 Box lot-books $ .25 Kodak Instamatic Camera $ 3.00 Sewing basket, etc. $ 5.50 Lot-writing paper $ 1. 25 Brushes $ .75 Frames $ 2.50 Paper can $ 1.00 Yarn $ 2.00 Yarn $ .75 Doll $ 1.00 Frame $ 5.00 Doilies $ 3.50 Doilies-lot $ 4.50 Picture album $ 1.25 Aprons $ 1.00 Stand scarfs $ 2.00 Table Cloth & Napkins $ 7.50 Sca!"fs $ 4.50 Pillows $ .50 Books $ 2.00 Blanke t $ 7.00 Spread $ 1.50 Comfort $ 5.50 Table Cloth $ 16.00 Bed Spread (Cannon) $ 3.50 Drapes $ .25 TOTAL THIS PAGE $ 131\ .00 REV.451 EX. (3.80) COMMONWEA\.TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY *' (Instructions on Reverso Sir/D) v. GRACE REED - - ESTIMATED DEPARTMENT ITEM DESCRIPTION UN!T MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL YI Comforter $ 5.50 Rugs $ 3.50 Sweater $ 2.50 Clothes Pin Bag $ 1.00 Hobnail spread $ .50 Box lot-material $ 2.00 Wool Blanke t $ 3.50 Small round rug $ .25 Bedspread (red) $ .50 PilloWS $ 1.00 Pajamas $ .50 Foam Rubber pieces $ 2.00 Bedspread $ 6.50 Quilt, etc. $ 1.00 Oriental type rug $ .50 The following items specifically bequeathed at paragraph "THIRD" of decedent's will trans- ferred in kind: 4. Marble top stand $ 275.00 Electric aladdin lamp $ 175.00 TOTAL THIS PAGE ~ 480. :5_ 3.l-S"f, '7 JPf9~?' }J15.207.93) QUE~TION~ CONCER.NING 1'll0!,ERI'LLRl'~SI EI~~ I. Did decedenl, within two ycars of dC8111, make allY IrOlllslel 01 i1ny 1II::!ell,,1 pilll 01 IIi'; usldle willlolllmceivil'H valuable and adequate consideratioll? (Allswer "Ye:;" 01 "No",1 ~.9___ 2. Did decedent, within two ye~rs of dc~tll, trilnsler property IrollllJilllslllllJllrslMluliilw"ll/lwlsr:l1 and anotlJot party or parties (including a spouse) in loin! oV/nel sIJip7 (An:,wlIl "Ye:," 01 "No",) "N9_" , 3. If the answer to one or lwo above is "Yes" illld tile triIlISIiI!', :1111 1.1:lilllllll lo,h[: 1I1'llIilx:[hle, provide the followlnH information: a. Age of decedent at time of tfilnslel. __. b. Copy of death certifjc~te. c. Affidavit by the attending physiciiln indiciltilli~ IIw slille III IIllu:III1I1I"; Iw:r1l1i allllllllullr,ll1sler. d. All oIlier informalion sllppOrlilll! lIolllnxilhrlily oJ 11;1I):;/"/, 4. Did decedent, in his/her lifetillle, milke ~IIY II:IIISIIII 01 PIUP/llly willllllllllll.!lIVIIIP a 'Ialll"hll: 01 adeqll~le cOllsideration theTP.for which was to take effect ill possesslou 01 elllUl'lIlllul al 01 lilll:llJls'lJel deatll? (Allswer "Yes" or "No".) No a. Was there any possibility Ihal tile propllrly tlilll:;IIIIIIHIIIIIICIII 11'111111 lilllall',II'1ll1 olllis/her esldle or be subject to his/her power of dispositioll?(Allswel "YII"" UI "No",1 . b. What was the transferee's agl: allillle 01 lIocodllnt':; 1I1:;ltlr'1 ,_",,,,, 5. Did decedent in his/her liletillle IIlake ;IIIY Ilall:;11I1 wiillnlrlllll'I'IV[III: oIl',ltll:r1ili' 10111 ildoqllnte consideralion Iherefor uoder which tlallsferor expressly or illlpliellly W:;I)IVII', 1[11 In:, IWI IIII' UI :iIIV plllllllt which lIoes ill fact elld before his/her death: a. The possession or enjoyment 01 or till) III:hltn IllCUlllllliulU 11111 PllllWlly 11:IiII,i,1111:1I7 (AllsV/cr "Yes" or "No".) ..NlL- b. The right 10 designate the persons wilD sllall pO~,'IW,:,OI "IIIUY 1111' IIluplllly 111\llslelrr:d or incollle therefrom? (Answer "Yes" or "No",) No 6. If the answer to five b. above is "Yes," slllle WllllllwllIlI: Ii 1'.111 WII', 111:,111 veri III rlecedent alone or others. " . 7. Did decedenl in lIis/hcr lifetillle make a tlansll:l, 11111 clllI~;lrllIl;llllln 101 wlncll was 11;1I1sleree's promise to pay income to or for the bellefil or care of transfCIIlr7 (Answer "YII:;" ur "No",) _ No 8. Did decedent, at any time, translel property, lhe hUllrllci:rI t!llIoYlnclltol wllicll was sulljectlo chanHe, because of a reserved power to aller, amend, or levolrc, 01 wllicll cOOlrlWVI:1111I rlllclIrlelllullrlor terms 01 transfer Dr by operation of law? (Answer "Yes" or "No".) No 9. If the answer to eight above is "Yes," was tile powel 10,111"1, i\1\1Cnrl Ollllvokllllle interesl nf the beneficiary reserved in the decedent alone or the decedelll :lI1d othels'! (AnsV/el "Yes" or "No",) _,______ . . . ~r~I~.'''';tl"""""""", ~""''''..'-' >....".. ,.. COMMONWEALTH OF PENNSYLVANIA .. .. 55 COUNTY OF CUMBERLAND \~e, / . 1./ .,' /" '.. ' ~.. ," , '. I " ..L___._~._-- -~- und the witnesses whose numBS are signed to the foregoing instrumen being duly qualified according to law, do depose and say that we were present and saw testatrix sign and execute the instru- ment as her LAST lULL: that she signed willingly and that she executed it as her free und voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the of our knowledge the testatrix was at that time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. ./ '/ .' I - ./ / /1 .., , / '.'( \, ,. Sworn and affirmed to and subscribed before I- ; me by 1\' " ; / ' -- and .' .. j witnesses, this -- day of 1977 . June, I I I / ~l . , I I , i . Notary Public ~\y Comm. expires: -, , ., ! 1 j j MCCREA'McCREA AnolHt" AT l.lW Hllt'YllU , SH."IkUlIU PUlA. nEV.453 (t.801 COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT OECEOENT Estate of V. GRACE REED BENEFICIARIES AND ADDRESSES 1) Samuel Helm and Louise Helm R. R. 1/6 Shippensburg, Pa. 17257 2) Building Fund United Methodist Church of Newburg, Newburg, Penna. 17240 . SCHEDULE uD" BENEFICIARIES (J"struc/i(}/IS 011 nfJ~'/!f"!If.' Sick) '=--.-=;:-=::--e<.=~"""_""""___"",,,,,~,""",," ,_.~.-.....-.............~ SURVIVED DATE OF RELATIONSIiIP DECEDENT llIHTH INTEREST OF BENEFICIARY NO!lE ________ _.__...rl'S _____ .JiL~. ..-.-.---.--.- ---- NONE YES N/A 1--. -- --- Specific Bequest of "Aladdin Lamp" and "Marble To~ Stand" Residue of Estate ---.-.--.----- -....--------...-..-...--.--.. ----- ----------- ------ ----..-----.----. -_.-.~-_._--.--_.._~....~.._-~._._- --!-- -l-:-= The above beneficiaries are living at this time except for the following: NAME (NO EXCEPTIONS) -=t=---- --~- -~--- . .!-.----. . . DATE OF DEATH '. r . Rf,V.454 (l.aO) CDMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDE'lT DECEDENT (lnstmctions on Reverse Sido) d'..,'~' ~ ..1"\ f ..r 0:,\ '.~ SCHEDULE "E" JOINTL Y OWNED PROPERTY Estate of V. GRACE REED ITEM I P TOTAL E VALUE OF DEPARTMEN R DESCRIPTION MARKET c DECEDENT'S VAlUATJCJt VALUE E INTEREST (Official US" On NO, N - T (NONE) , . - TOTAL THIS PAGE ^! (rle, 'Cj T J Ivl .(19'1'0 .~. . INSTRUCTIONS FOR COMPLETING SCHEDULE "E" Schedule "E" must include all propertv, real and persDnal, owned by the decedent jointly with another party or parties as joint tenants with right of survivorship. Both tangible and intangible property are to be included. List real estate first. 1. Describe all real property as indicated in the instructions for Schedule "A". Describe all personal property as indicated in the instructions for Schedule "B". Include the name, address and relationship to the decedent of the co.owner (s) and the date the joint ownership was established. 2. Indicate the total market value of the jointly owned property. 3. Indicate the percentage of the decedent's interest. 4. Indicate the market value of the decedent's interest. t: '" " n >- t'1 >- ~ Z >- 0 0 " U1 " :s Cl n c:: " -l Z :;.- Z t"'" t'1 t'1 >- 0 - 9 t"'" ;;>; Z ;:0 ~ Z Z t'1 -l t'1 -l 9 9 -l -< Vl t'1 U1 Z 0 Vl 0 -l 0 ." i ." :>:I ~ ,. Iz I >- 0 , '. -~ . '. -l ":j '" UI_. - ":j 1..3 (V' U Cl f1> 0 - t.), Q, ~/j3 c <: <: Z n 3 0- - 'L, Zo 0- c :> u..ll, ...(-., I~ ... '"' t"'" 0:' ~ :1:< ()Q 5;' C.~L,". ~ f-' . c:: wu,' "-" ~_l OJ C"l U1 QI-' cit"r: " '" '" t'1 o:::UI ......' l~ C. f1> 0 0 0(3 >::- " [;1 Uw "'~ " Z ~<r: C> w'" OJ '" ~ EO -,u '" u -< -< f-' ~ " t'1 t'1 '" :> :> ". ;:0 ;:0 0 ~ ~ ~ * ~ rl ~ ~ ~ :>< '" ~ ~ '" 'tl ;:> ~ ~ ...l rl < ffi !l ... - III U Z .D .0 rl lI\ 1'\ - 0 :J< ~ rl 1'\ '" . III '" - > :z: 0 0 ~ 0 ~ '" '" !-< 0 CJ:l 0 Z 0 CJ:l ~ CJ:l :>< !-< 0 - z 8 ~ !-< ~ Z Z ...l 0 - 0 5 ~ ~ ::s 0 ~ ...l Z Z U :@ Z - ~ '" ~ 0 0 ~ ~ u 0 P< ::l . COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I J 55: MERRILL F. KENDIG being duly sworn_____ according to law, deposes and says that he _-.iu~_~CJ1.t;QL____ ___________________________ of the Estate of V. Grace Reed late of the Borough of Newburg , Cumberland County, Po., deceased and that the within isan inventory made by _______t1_c:.r:rill ~~!(~ndig _____ ___ ______, the said Executor of the entire estate of said decedent. consisting of all the personal proparty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. Sworn to and subscribed before me, 1980 Ai Box 117 j Newburg, Pa. 17240 Addren Date of Death 14 Day March Month 1980 Vur INSTRUCTIONS J. An inventory must be filed within three months after appointment of personal representative, 2, A suppiement inventory must b. filed within thirty days of discovery of additional assets, _ 3, Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. . I1l .... P< 0 N OIl . .... ... OIl .... ;l -ri ... >- .0 ;l I- W ~ " .0 ~ '" I- " Ul ~ W ~ Z " ... 0.. U OJ 0 VI ''-< " " :>oil 0 w w 0 C '" :r: '" " " I1l l- I- 0.. -' u- ta .<: ~ 0.. OJ f.<: Z -' <( 0 0.. ~ ou W u- <( w OJ ;l :l: 0 '" 0:: 0 ,;. :.:: <( . > Z ... - Z 0 c OJ 0 c +J U '" " ::I:I en II VI Z ;;'i 0 I 0 '" '0 Z w <( OJ ... ~ <= 0.. " .<: -0 OJ +J c 'M OJ " .... ;l > - " .... Ct' 0 " 'M .0 .... "' . " E -0 "' - ..!!! 0 " " 0 -' 0 u: '" .... <'1 ItEV.455 EX. (J.HOI COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS =-=-.==- ~ ._--~,'-'':.~.~_.....-''..'''.'"'.~.__-...._,_.... Estate of V, GRACE REED Date of De"th 3/1/,/80 WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: Claimant N/ A Relationship to Decedent File No. Claimant's P.,ddress ITEM NO. REMARKS DATE NAME OF PA YEE Pearl SeekeTs Sunday School Class Fishel Ambulance Service Fogelsanger Funeral Home Services in connection with funeral Account Funeral Services 1 2 Chambersbur Hos ital R & A Bender Inc, Account Account Penelec Electric Service Cumberland Law Journal Executor's Advertising The News-Chronicle Executor's Advertising Chambersbur Hospital Account David M. Rahauser, et al.,M.Ds. Account Valle Hedical Grou Daniel Hershev Daniel Hersh~ Estate of Melva R. Kendig 15 Merrill S. Kendig 16 Merrill S. Kendig Fishel Ambulance Service Eby Granite Works 19 Merrill S. Kendig 20 William H. Kaye 21 12/10/80 Re . of Wills for Cumbo Co Account Auctioneer's fee-1st day of sale Auctioneer's fee-2nd day of sale Reimbursement for pro-lrata share of expenses at uo11C sa e Reimbursement for Lea er Nursing Home char es advanced IReimbursement 'or Reg~ster o. H~ costs advanced Account Headstone inscription Executor1s fee Attorney's fee Cos ts * /) / (. .c \/.' ,\ ( . /'.(-. " i / AMOUNT $ 125.00 $ 35.00 $1,172.00 $ 194.84 $ 15.00 $ 18,16 $ 18.00 $ 17.00 $ 2.40 $ 34.48 $ 15.00 $ 263.00 $ 37.00 $ 124.75 200.00 26.00 $ 55.00 $ 65.00 $ 762.89 $ 762.89 6.00 TOTAL THIS PAGE $3949.41 I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement or debts, funeral expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes. t,,-,-- I \ ., ~ L.",..~ .' L -. I~; ,:() DATE SIGNATURE OF ATTO'HNE\'/FIDUCI/H~V OF FICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S ,,::; 'l.t/ tj, Jf/ AT / /1;- PERCENT. t?J j" F/ <:,-:,7(- j_.... DATE GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred bV the decedent 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 tl1e cost of administration, atto~ney. f~es, fiduciary fees, funerJI and blJrial expenses Including the cost of a blJriallot, 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 the debts being claimed should be attached to t~is 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. The family exemptiDn is allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws. C ." 0 n > en > is > 0 0 0 '" 0 Z Cl n c: 0 >! z 3: z t'" en en ~ z ;>:I 9 - 9 t'" Z Z en o-l en o-l Z 9 9 o-l -< '" en - '" Z 0 '" 0 o-l 0 'I1 'I1 :>::I ~ ~ '.. ,~ 0 , , ,.-'.., z "!j :::;iJ. !'l <: - L.r,! ~ U 0 "!j s;~ ... ~. <. - <:). ~o c:: c' z n "- ~Q () <= G'l - ~:'.:: <= '" ~ > - 5- (JO t'" 0" - t...r () ',., IJJIt ~ t..::l rY.cE " '" c: 01-- '" ." Vl o::.(f'i i:!5 04:, >-' " "" m 0(3 'CD '" " '" Uw ~-.:- " " '" 0 "'~ ~a: 0 w'" '" OJ " z :0 -,U '< t'" u >-' <: -< -< -< '" en m ~ " .... > > '" ;>:I :>::I >-' ..., N ..,. 0 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 responsibility for paying the debts. HCC-) (4-7)) APPLICATION FOR OlAf/IT AI1LE EXEMPTlO~1 1 FROM PENNSYLVANIA TRANSFET/ INHERITM1CE TAX (Af"t of MIIY 20,1956, P.L, rl57, UIlJ Acl 01 Juue 15, 1961, P,L, 373, U5 UlllelHled) ~ir~ :t\ ~-*4 'r \(11.,. . !.~/(;'\;;/k,~\'~ . ..<i.;j.~~".> COMMONWHL TH OF PEHNSYlVMIIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Application is hereby filed for the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property describr.d below: 1. Bureau File I; __.~._ ,;j !-SP-.J.31___ 2. Dato of Doath .March 14, 1980 3. Dato of Appraval-fJJ:JiLldt7/J-1jczi;----- 4. Namo 01 Docodont V, Grace Reed 5. The Commonwealth's appraised value of the property for which on exemption is claimed is S 10,858.52 (Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of the property has beon established by approisal by the Commonwealth, except in those cases where the amount of the gift or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In thos" coses entcr such fractional or percentage amount ahove). 6. Check the manner in which the transfer was effected and submit 0 copy of the document authori%ing the transfer, unless such material has been previously Hied. WILL LX; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0: (If ather, explain) 7. Correct Business Name and Address of Choritoble Organization receiving property: NAME Building Fund - United Methodist Church of Newburg ADDRESS Newburg, Pennsylvania 17240 o See listing on reverse side for additional charitable organizations covered. 8. I certify that the information contained herein is, to the best of my knowledge and belit:!f, true and correct. Addross 01 Applicant '1() ,..,.: "', ,( ){ { 't Herrill S. Kendig Box 117, Newburg, Pa. 17240 ..J..... '\ Signature of Appl icant Official Titlo Executor of the Estate Dato Februarv 19. 1981 This form must be completed in triplicate and all three copies delivered to the Regi5tcr of Wills for the County in which the decedent residod, or in which lotters were issued for 0 non.resident decedent's eslote. If the decedent was a non.resident of Pennsylvania and letters were not issued by a Pennsylvania Register of Wills, d~livftr all three copies to the Director, Buroau of County Collections, Penna. Deportment of Revenue, 26 S. 4th Stroet, Harrisburg, Po. Do ~o~ write below this line. For Officiol Use Only APPROVED: Far tho Socrotary 01 Rovonuo REFER RED to Buroau Hoadquartors Approved 0 For Secretary of Revenue ~;J Doniod' 0 -------- (],.. (Sig ture 01 ~og'stor of Wil.ls) 'dt'A/}2.ik{.t:u;:~- '1J,~ (CalJnty) (J '/ fi/f/' .~'.3' / frf"l (Dato 01 pp,aval) , (Initials 01 Rogistor 01 Wills) (Authorized Signaturo) (County) (Titlo) (Dato of Rolorral) (Dato 01 Action) .. See reverse side for roosons MUST BE FilED I:--J Ti~IPLlC"7e