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HomeMy WebLinkAbout80-00263 1 I '.:;' . ~ ~ ~ ~ ~ I CIJ .~ p., . " p:: p., H CIJ g:j ~ ~ [it Eo< ell ~ ~ r:i re [it . I ~ ::;: S ..:I 0 ~ 0 "" t.'l &1 i m w p., N ~. ,0 00 .... . 0 - N " . .... 'o'l. 0 IU \0 Z .:5 No, 21.80 .', ' PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of -1-1 ER sc:J! E ,=-__.-0.1..:...- r~7~LC E , deceased, Harold B. McLane, Deputy To ~i914&rg Iii. .^.1199rEJ9A, Register of Wills for the County of Cumberland, in the Commonwealth ot Pennsylvania, IS Petitianer(s) are the execut~.R(~..,_- named in the Last Will and Testament of HEKSt.'.HEl. N, (;>K/~~C . dated 'J;.'L.'f 2.2.,10'77 Decedent was a citizen of the United States and a resident of Township L7PP/;I?. f/<.AI\Ji( FOKD .B~h, Cumberland County, Commonwealth of Pennsylvania. Decedent died on \,{/cDtVt=S Otl '( the. q 1n. day of A I'I'Z I L. A. D, 19 ?D ,in the County of C () t'-L(,I6.-~A Nf) State of PENIVSYL V.4IVIA at the age of i 0 years, -hes- h.o&- .-beI:- 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 UNES-r-II"1A'rc=D and of real estate to the value of NllN E:. os near os can be ascertained; said real estate situated as follows apply Therefore, your petitioner(s) respectfully Of'p!ies for the probate of the said Lost Will and Testament and for Letters Testamentary thereon. Dated A P R 1 L. I '1 I q ,h, . Name and address of Petitioner(s) -~ . 'J' ~~ ~ ),~~rb C1EC'I( CE '1\. I PIC. ICe. /3~x. 7/ IVE.\.0 kiNGSTOWN, PA. /70"7'2 .JF ~ 1.1. j! 71 /,/,;/./ R. 4 L.f'1-I ,/ tv O~S bO/C 11ft" RP 3, Nr=:.wV'J/-~&:. 'fA, i7z'I! I COMMONWEALTH OF PENNSYLVANIA ~ ss . COUi'ITY OF CUMBERLAND GEOI~L;E. A, PRICE: .4lvD RIJLP(-I Nos;; named in above application, being duly <;, We'" i\1 ._ according to law say(s) that the statements set forth in this petition ore true to the -S'l<JotZl\J /0 and _ knowledge and belief, ,;: )' subscribed before //~.<;;u-. V /<1-L<::j /'1' 19 fc__ . ,1t' e)~/!. >1 o:'v~/.;:~ " best of 'T!i t= I I, me ~PKIL , F~(//~'J~ 13. -}?jI',XJ,." ~puty Ri(,)RarEf'E:~\~~\8H(el"l, Register Filed: April 16. .R/-f()-:>"t..3 //-1,/1-.'3 1980 !lY/vi.l\j Attorney: ! '. ~, :J;, ."'IE: s ~/J C; (,L. () S TE.l N <<~:)l /.. .....-' R... t-I (J "-IE;" l)/ I I, '" 1& ~t ~ . ~ -:--l riI z ii u - '" ii! Ul - I- R i Pc " <I) -: ~ w C < ~ . ~ .J ~ I .~ l'" i ~ l.l. 0 l.Ll X J:; ~ ~ o \) .. ~ ~t-t t:l H ~ Z ~ ~ ~ 7ofL....=f riI ~ ~ ::r: ~ :; ;; L~~ U ~ 6 ~ CIJ <, ' ~ Il:< riI ~ a ::r: r::.r ~ ~' ~ . .,.... . , . . , Oi~TH OF SUBSCRIBING WITNESS COMMONWEALTH 01' PENNSYLVANIA 1 S5: COUN'l'Y OF CUMBlmLAND \ This...............,. ...........!..~.. ,~,~ ....... ......,...". ............. day of.., .......... ..1..!~ ~.!.!;-,.......,............. ............. A,D" 19 ,~9.., Harold B. ~cLane, Deputy . before me R'i...lw.d J3. :..,d....ov.., Register for tlw Probate of Wills and v.ranting letters of Administration in and for said Connty of Cumberland, in the Commonwealth of Pennsylvania, personally eame .............. .......€.~.~~.,1.... ....(:......(?,.~.!::.9., .~:.n!.0!.....,.. .1..':!.!?, .......N),t.l.~ .0!..,.".,0.,~1.~:!?. ~.!.f:.~:/l!,......,. .......... .... the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of ..,.....J:/..~.r'l,.:$..r;,.tt.s.L.......t).:.....r../S .~.::..~~...,.,... ... ......",.. Dated :T.':'..~.:...,..~.~.c :.~.?Z.7........ late of ....yf..r..s~....ff:.N~..IS.E'!.!!.)?........J:.!..~.t:!,~.t!.!.r::...............,........ Cumberland County Pa" deceased h b' d I SWo(QN d' tJ d d tit 7t1t:Y /,(If/~L" w 0 emg u y ........................................... aceor mg 0 aw, epose an say, la ............1.................;,........ present, and saw and heard the testa.T>>.B.............,........, .H.~~.~~.~~.HU.......JI::~:.....f.!.~.!,~.L............. sign. seal, publish. pronounce and declare the said instrument of writing as and for h..1...~.......... Testament and Last Will. and at the time of so doing ...............t!..~:...........................was of sound and disposing mind memory and understanding, to the best of .......:.~!.!.f..!.!L.....................knowledge. observation and belief, ...~.~.?rst'!.......T~.............., and subscrihed before ,~.../!......~..................... .......~............. JJ~.\.(__l d ./.,':< 0)'1 A /jhi ,,' . Deputy ........LL...... ........,. 11....1.',:. .'......'.............007>',.. .';..;....... Ire! eHl . de ! Re' t /()., .;/.';/., ,$,,(< /J , '" u...... . ...... ...... 11, glS er " / .................................................................................. AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA t ss: COUNTY OF CUMBERLAND \ ,..........,.,.....................,......f?:..,~ .~.~.ti..........~.~..:..~........................, ......,...............,.......... ............. ......being duly . ................................................ says that as nearly as can be ascertained the said decedent .......................... ,...........,...........!J.~:~.~~H.~~.!............".h.:.. .....,...f.,S,.!.~..f.,....... ,... ...,.........,.. ..,..' ..,.., ..'. .....,'., ....,...,..,clied on ,....,~:.~.~~.~.~..p..~,y.............. the ...........1....~~.............day of ..........!!f.(-:;.!..~c.;......................... A.D., 19..f.:.V. at or about ............:J..:.3..~?................. o'clock, e.M. "" ..) w uRN T ij d b 'b d tl . ....................................................an su scn ellS I~ ArnlL ................................................ day of ...................;.... 19. .'?Y.. before )'\1 / ,7 ,/, ...... .,2. r...,(.~ t.:},~..1~... ,I.:!. ,(l;;ii:d!....................... .. ...1./r.0I.:f.~ ..tQ. .:ii!!/.f?, /.~.~ ....~;:......l ?.: ;~.::~. {.-. . . d 1" ,() t../.f/':;/M/' .,- "7 Rn..1u.u d D. HU ....,l"".....' {egl8lcr ;-41' v /. , .. \ . .. , . OATH OF PERSONAL REPRESENTATP1E COMMONWI~^L,[,H OF I'ENNSYLVANI'\} COUNTY Ol~ UUMBlmLAl':D SS: Before nw, t.he Hcgister for t.he Probntc oj' \Vilis alld grnnt.ing of Lett.ers of Administrat.ion in and for I.C . fC b'I' I ,,, '11,' . C/C"IU:;f /J. !)/fIU J, RALf"!J /\/o.::s . tIe ollnty 0 lun e1 ,UH, pCI,Dna ) came ..................................................................................................... I b. ,d I Sl,voi(r'-" d I 1.. tl' FR..tCl/7'ol~,' IV 10, elllg U y ............................, 0 .......... (epose all( SdY hIt. as.........................,........;............................. , H E 1'( J'e /-} /..: L 1"'1, r f? 1 ( L" of the last Will and Testament of ..,.................................,....:........,..........,...........................................deceased ,.1.I:!..~:.Y.......... 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 I. II' '. ,', 'S ~vO (I. IV J'" "nd subocrl'bed I.l t.H1LUlll.:~:;. ..............................l. .. before me, April 14 80 ........................................................ A. D.. 19............ ,...Mt.df.;f!:/..!.ii.,2?/.(.h~;\!,..::..., "z,;~:~~,:.Y.,. Riehul a E. LIulBl BBR, Register /"-:. .(. ~ ;.~ .{("yz". .,....6lf::?:.,..q.,:..)~.~~',.,........................, ......,lr..c1.f/~l..,....kJ.,(,,:2(J./.......,............... ="t! a: :0 :rn ~ : :;l . Q) 1 : u :Q) ,q 01 N: LL u Wi H ~Fl 0 i>: p., . ~ \0: {,,) ..J ;;: 0 M 0 ~; W <0 .....J H r,ll N N 01 - . .....E I - u: 'M: - P:: .~ a 5: ~ 8: "': 00 U O1i 0.: I Ul 0 <j ..... I>: .~ 0 N ,1'1 't:l \0: P:: Q) 00: 00 ~ 't:l 00: I ... - 0 :n:~ N to $ Q) ~ ... <> 't:l ''t:l ~ <> 0 - s:: " ,~ Z ~ '" ~ I't. DECREE . 16tn April 80 Be It remembered that on the ........................ day of ................................................. A. D.. 19........, there b d d d d h I W'II dT t t I' Herschel M. Price was pro ate an recor e t east I an es amen 0 ............................................................................. Upper Frankford Township . late of .................................................. ........ ................... Cumberland County. Pennsyl vama, Deceased. Letters Testamentary 'George A. Price & Ralph Noss ..........................,..,.............".......... were granted to ......,...,.....,.........."...,..,............."...,.,.,.,.......,......."... ..,.......' Witness my hand and official seal the day and year aforesaid. '. ,2f} k ",.N.-(.:;:..~;f:'(/.!.. .:7..I.~'.... ::~;:.'"';-<:.,~~~~~X Riehurd E. ~\nu B.rnuAJ Register. 1-:':'..c'J.!:&hY. AFB .. ; t REV-449 (6,78) COMMONWEALTH OF PENNSYLV AN! 1\ DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATiONS 21-80-263 ~~^' ~ COUNTY OF ~MBERL^ND RESIDENT DECEDWT IMPORT~ _.____.._._.. __no _.--_.-..,.~ This rctullt l1Iust hc.~ cl.llTlplctcd in dcndllltlu fikd ill duplicate, with all ;tItUdlC.'II, .....ith the Hcgbilcr of Wills or the County where tlcc.;cdctlt resided; Rcturn is due wilhill nine Illlllllhs aftcr dale of death, unlcss un CXICllSioll is grunted by thc Secretary of Re-:c.~t1\1C. (Sc.'ctiun70111f tlw Inheritance nllll Estate Tax Act of 1%1.l Lcto of CumberJ,uIlL_--- } EXECIlTOR IN TilE MATTER OF TIlE ESTATE 01' ArFIOA ViT OF HERSCHEL M. PRICE {STATE I'ULL NAME OF DECEDENTI AllMINISTltATOR County State of Pennsylvania County of r,llmhet:lanc1 },,, _ Executors ~~lt'm<: George A. Price and Ralph Noss of ,ho estatn of tho abave-nomud decedont bning duly sworn, depo5Cl and say Decedent c.licd Apr il 9 1980 -' \DAY! {yEARI lulolo Il)Oving u 'a~' will, copy of wlllch I. hereto attached. \ OCOOX J (MONTHl Nome and oddreu of attorney or } othlllr author bed representative to wham. all corrupondence should bo mailed. Hyman Goldstein and James R. Humer, Attys, 1 W. High St. , Carlisle, pA 17013 ThaI as such l'xe"lltn,.~ _dcponent is familiac with the affairs of said estale and the peoperty conslituling {EXECUTOR-ADM1N1STRA TOR! the asscts thereof and their fair market valuc. ThaI althe time of dealh lhece was no safe deposit has cegistered in deccdenl' s individual name, or jointly with, or as agent or deputy of anothec, or in dccedent's individual name, with dghtof access hI' anolher as agent or deputy, with the exception of the following: - NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH oECEDENT RENTED A SAFE DEPOSIT BOX None THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLOERS TO DECEDENT That the contents of said safe deposit box or boxes arc itemized under Schedules - - of lhis return, wi th the exception of the following, for the reasons hereinafter set forth: That Schedule A auached he,,:to and made pact hereof selS focth fully and in detail all the real propecty in the Commonwealth of Pennsylvania of which decedent died having an iotecest theccin. II also sels forth the moctgage encumbrances upon each paccel of ceal peopeCly at Ihe date of death, giving the amount still due at death, name of moclgagee, date, cate of inleresl, and bonk and page nf cecord theceuf, It also sets forth in the columns provided Iherefore the assessed valualion of each of said parcels, the eSlimated mackel valoe Iheceof as of dale of death of decedent. That Schedule B attached hereto and m~de part hercof sels forth fully and in detail all personal property wheresovec siluated owned hI' the decedent at Ihe time of death; all muneys left by Ihe decedent althe time of death, whelhec in dccedent's immediale possession, st.nding to decedeut's cccdil in banks of deposit, savings banks, tcust cumpanies, oc othec iustilutions, whethec individoally, DC in Icust for auI' other person or persuns giving also separately Ihe acccued intecesl theceon, if any. dnwn to the last inlerest duy pri", IU decedent's death in the case oj savings banks, and to the dale of decedent's death in a\l othec cases; a\l bonds, postal savings, Ireasuey eectificales oc notes and othec evidence uf indebtedness of Ihe United Slales to Ihe de- cedent; all obligatiuns, whether hy statute or agn:cmcnl they arc designated as tax frec, of lhe United States, oc any state, oc political subdivision Iheceof, o{ of any foreigo country, which ac-, owoed atlhe time of death; all wearing apparel, jewelry, silverware, pictures, hooks, works of art, household furniture I horses, carriages, automobiles, hoats, and any and all other personal chattels of WhillS0c\'er kind or nature, lefl by decedent, logethec wilh the faiely estimated markel value theceof; all honds and mortgages held by decedent and of all claims dut". and owing dcccdtml ul the lilh~ of death, and .lil promissory notes or other instruments in writing foc the paymenl of monel' of which decedent di"d possessed, of whatsoevec nature, with intecest theceun, if any, giving Ihe. face value and estimaled fail' markel value theceof, and if such eSlimated fair macket value be less than the face value, it sets forth bridly the reasons for such depredation as to each item; all moneys payable tn the estate from life insurance policies carried by decedent; all annuity and endowment contracts the proceeds of which were payable upon Ihe death of the deeedenl; a\l and the corpocate slocksand dividends due thereon RlllJ uopuill as of the dale of delHh. honds and accrue,", interest thercon to the date of .Jcccdcnt's death and other investment securities owneu by the deccdcnl at the time of death, with the market value there- of at such time. . In the l:nsc of' seellrl.l,lcs 0(' cl()SI~ or J'/Uull)' cOfpcl"ullollS, tile VlLl1l1!S reported lire us far liS possible Sllhst,hnt.llllt~ll b~' flllllllcl111 sl/ll.ell1f!nU; nt' lhfl cor]lorlltlons, showing t.he flSS~I,H flllll 1111hllitles l.!ll'reof' liS of' t1H~ llntl.! oj' lli.'ld,h. TIll! sf:lwclllle fll so sets ('(HtJl t.he Interest. ell' It'~ccdenl, fit the tlmc of dHIlt.h III IUI~' CO-I'nrtllershtp or hllSlllf.:>SS, /llId In support. of' tit(! vuIlle of' s\leh Illtllrcst there Is Ilnnexcd to snld scllt~dllle, rJnunclnl sl.lllHmcnls showln~ tl1cl\ssels nnlll1f1hlllt.les flf' slllil CO-{lIlrtllnrshtp or hus1rH!ss. ,\ copy 01' t.llp cO-Jlllrt.nersh'p IIgrcl!menl, (If ornl, t\ st.ld.nl11.~nL set.t.I,,~ 1'01'1.11 L1w Flrd.lIrc of t.ht! ngreelllfmt) top.;,.tht'r with 1\ stAtement sl~tt1n~ ('ort.h t.he churncter of the' hllslru'ss, it.s location, Hnll sHch other f'nets pl~rllltl1lllp; to till! huslness tiS I1IllY he pCI'Unenl to Ii fnlt' Hllfl .lust. npprltlsnl of t.lm df!CI!dent.'g interest thereIn mllst. he 5uhmlt.tp.d. It should n150 set. rOl'l.h In ttmnlzl!d {'orm, toget.her w1t.h tll{'! rnir market value therf!of', nJ\~' other property ownnd ot' hC'IlIcntJwd hy Uw deeeclcnt. nt. tl)l! tIme flf flt'liltl. The Scftl'dulp C nt.l.llche<l hercd,(l lWei mnlle pllrl, hereof ~wts rllrt.h II t.rlle Ilnswer t.o eneh inquiry cont/llncd t.tll~rein luuiin the ctl.SI~ 01' trnnsf'llrs nrprot1r!rt.y, rlwl or personnl, within t.wo yellrs of decedent's rlenth, In contemplation of df!cedent' s dent.h, or lnt.cnrlCHI to t.~lke effect ill ]lossession or enJoyn1<!nt fit. or after dent.h, said l'lchenllle set.s fOI't.h t.hn nfltUl'e /lull vlllu(~ of sllch propert.y, t.o whom trnnsferred, the relntionship of the trnnst'erees to the i1ccerlentJ the pl'oportlonnte shure rcceivnfl by cncll t.rnnsferee llnd nIl other fucts of n pertinent nlltHre r(,~llrrtlng s~d{l t.rnn~ff.~rs. In the cnsp. of' tT'linsfcrs intender! to take effect in )Josscsslon or en.1oynlcnt nl or lifter (lent.h, there Is u150 Ilttllchpil to the scherlulc It cony of the deeel, trust. agreement or other instrument. creating the tl'llSf.. Thp.rt~ Is also set. fort.h in said schedule II list of all propert~', relll nnd personnl, with its 'Value, which IHH:'sns at rtecedent's death by virtue of the exercise by decedent, either individually, or ,Joint.ly wit.h IlTlother, or any power of' appoint- ment vested in decedent, either inrlividllnlly or Jointly, llY the will, deed, or other instrument of another) with a copy of the instrlUnent crenting such power I1ttnched to the schedule. That Schedule D nttached hereto and mude pnrt hereof sets f'orth t.he nHmes nnn nddresses of 11.11 persons beneficially interested in this est:lte nt the lime of' decedent's denth, the nllture of their res- pective interests, their relationship, if any, to t.he rlecHfient., together wi th the ages at the time of decedent's <tenth of 1111 minors, Ilnnuitnnts ani! benef1.cinries for li1'e une\er ctecedent's Will. It nlso contains 11 stli,tement showing which of the beneficiaries named in the clecedent..'s will, if uny, died prior to decedent, the dntes of their death, their 1ssue, /lncl the relntlollship of such issue to the beneficiary. That S.:hedule E Ilttllched hereto llnd mlule a pnrt hereof sets forth all propertj', real and per- sonal, owned by the decedent. Jointly with allother or OthCl'S, InclwUng intangible, standing in the name of the decedent llnd others, plus the dute nnd place of' record of instrument.s effecting the vestiture of real estnt.e tlnrl the date of acquisition of personalt.y, plus the nnme, lidrtress flnd relationship, if any, of co-owners to the decedent. That Schedule F attached hereto nnd mucie u pf1rt hereof' sets forth full~' and in detail all debts llnrl deductions claimed for ann on behalf of this decedent.' 5 estate, inclurling funeral expenses paid; 1'nmily exemption, where appl icoble; costs of IlctministrnLion of this estlltej counsel fees and f\ul1ciary's commissions paid or to be paid; cost expended for burinl trust.s, tombstones or gravemarkers, and reli- gious services, in consequence of t.he neath of the decedentj dehts lInd claims owing nnrl unpain nt time of death; taxes Ilccrued chnrgeahle for )lcrlocl prior t.o decedent's death (except. those allowed under Section 651 of the InheritWlce and Estute Tax Act); together with /1 stlltement. of collnterfll pleclged for obliga- tions, if any. It is agreed thnt the fiducinry will present )Jroof of suid cl.nimed obligations upon re- quest, that if the a.mount flctually patd in settlement of,nny fce, commission or debt is less tha;l the estimated nmount clniming llnll allowed, that the same will he reported to the negister of Wills, and that the llmount of till( llssessed cnn be rensses.:;ccl in liccord/lOee thercwl t.h. Thllt the tot/lls of the uppropri/lt.e columns In Schedules "A", "flIt, "C", "E". IltHt "F" 115 directed therein, have ht~eri cllrrled forward /uld l'rol1erlj' l'eg1stercd in Ult~ SIlJT1,'mr~'./f. ) . iI /~f<<"/-I q /:1- L<A Subscribed and sworn to before me this ..../CLC.......... .' --,7 I ----/[:1 - d2~;";'!' ......... ...19._'..0... _Jf'7'iit.&!.;';;.!LfdL_- ......~,:;;J.I:'G{.i~~X:;...~;:;<{.-"/';~t.~c" ',<'.. .....'.......,.,.. B.QX,...,7J..is;;ct..N;;-~~,18.6.,...R...D.....:t.._' lI,v c'mJ~'n hp'''' ),'v ". 1~81 Ne.w... Kingstolm...P.A.......Ne.wv..i.11e.,......PA......... Cull"" fA ,""b",ond CounlV 17072 (City or Town and St4te) 17241 SOTE: Before signing affidavit. mltke sure all hllUlk spl~ces in till,] Ilffidll.vll. till'} schedules llnncxed Itre f'llled in 'tilth tiet/lUs or the word "None", nurl In CIlS{~ thl~ IIssets illdlllle rllre fll1rl unlistect securities, securities nl' close or fu.mily corporlltions or an intt!rest in uny CO-pftl'lnershil' or busIness, thnt the dlltlt Il.nrJ stfltements requirell tIIuter the pllrup;rnl.lh l\llOVC r(~lHtin~ to Sellt'dulf.' "B" Ilrl! /lttnchert. 1\1so make curt/dll thl1t column #1 in the "Sun.nary" hilS heen properly complet.ed as IIhove-dtr('ctetl. .' . COMMONWRALTII OF PENNSYLVANIA TRANSFEH INIIEllITANCE TAX RESIIlENT IlECEIlENT 1;~ '>l\"..~~ 'llJl>:!((""'" ' fi'.),1i' .1:""'" '~~'~"''\':'li '\k:'~.~~~~'::"~ ., ....L'.',til,\,........,.- I RE'.453 (8.781 SCIIEIlULE "I)" IlFNFFIClAIUI,S IlENEFICIAHIES ANIl AllIlHESSES (SUIte full names lLllll lll.ldrcssCli of 1111 who have an inicn'sl, vested, cOl1lin!.\cl1t or other- wise, in cst:ltc) RELATIONSlll!' (If tilep-children or illegitimate chiltlr(~lI life iu\'ul\'cd, ~cl forth this fllct,) SUR \lIVED IIECEDENT STATE YhS 011 NO DATE. 01. minI! INTlmFST {)F IlENI'.FIClAHI' IN ES'L\TE Price un kno~ .JL4- Son' in -1 aw Yes ..lL4 Box 186, R.D.3 Newville PA 17241 George A, Price Il Box 71 New Kin stown PA 17072 Mary Ellen Johnson Daugllter Yes 1 161 N, Bedford Street Carl isle PA 17013 Deponent further says that all the above-named beneficiaries arc living at this time t'xccpt below: NAME DATE OF DEATH R ESI D ENCE Sidney Price 1':'an1 of s..in.ce-l~ ~ Sl/l:3 j;:t :tt <II. C '= ~ e ._ ~ ::3 .ao.o <<: E v , O' l-oU;' S... ~ " <II ~ o::S b v E '" " v ::. ~ Real Property Personal ProperlY- Transfers SUMMAR Y (Sch. "AU) $ (Seh. UW') $ (Seh, "C") $ $ $ I Gross Taxnblc Estate !-< ." ... Z u "' W . " :;;: . :>-. u W u Cfl u ..I - Q 4: 0<: '" c.: u.. ,~ :< c.. 0 C '" c.. ~ Q. " 0<: "w > Q. '" W "'!-< '~ 4: ,; !-< !-<o<: '" :I: C Q Z = !-< ~!-< C z .~ 0", v 4: u.. W C- O ~ l- s: 0 '" .S c.: -= 0 ... .. W -;; Q. ... !-< w ... ~ v '" <II !-< 0 ~ .~ 0<: ~ C = 0 ,., 0 _ 'S :;: C E :::"0 ~ " g ~~ ~ 0 ..I U U (I) (As Reported) $ $ $ $ -$ $ (2) (As Determined) REV.4B4 EX+ (J'{IO) INHERITANCE TAX SUMMARY SHEET (!?!lREAU USE ONLY) File Number ____..2./..:.:.g,CL=--~t,'-3 -7) Estate Name _/{ ~,g.$(', b e_l..__1J1, -.. CI2LC-.t.2.--- Dale of Death _Li. -:i ~:1t2_____ Social Security Number .- REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritonce Tox Approiser in ond lor the County 0/ (~,,~~~..e/.-9A.!d Pennsylvania, do respectfully report that I have appraised the real and personal property os reportod in t e orcgoing return at the values set forth opposite each item in the last column to the right in Schedules "A", fiB", "e", and liE" 9- /I--ft) Doted: ff'{l M;" I ,~/,,;1i1~{U INHERITANCE: TAX APPRAISER ADJUSTMENTS REMAINDER APPRAISEMENT CODE INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY) ---- Real Property (Schedule A) s 00+ 92+ Personal Properly (Sehedulo B) -.9:J. '0+ Jolnt.Held Property (Schedule E) 21H Tran5fen (Schedule C) 30+ TOT AL GROSS ASSETS Less O.bts aod Deductions 40- 93- (SCHEDULE F) CLEAR VALU~vF ESTATE Voluatlon of life estates or Rill FACTOR PRINCIPLE VALUE CODE annuities. . . .' . . . . . . . . . -- FOR USE OF REGISTER ONLY T ox on $ CODE COMPUTATION OF TAX S S S S S 6% T ox on S 15% Tax on $ Tox on $ T ox on $ Exemptions Toto\ Estate TOTAL TAX INTEREST FROM BALANCE TO s - s s c Less Credits DATE OF PAYMENT AMOUNT PAlO OlsCOUIH INTEREST TAX CREDIT s + $ S = s = + INTEREST FROM BALANCE DUE BALANCE TO. S S S 'i ~ ~ ~ ~ ~ ~ ;z J.Ll >l 0 ~ ~ '" ;l ...l -< - ~ , ~ " rr; ~ - i ~ ~ 0 0 ~ ~ I->< 0 Z I t:; 0 Cfl :>< !-< ci ci I Cfl z \ ~ J.Ll gj !-< J.Ll Z 0 i ci ~ ;z ~ J.Ll J.Ll :::l Q ;::l u ~ Z Z Z !-< ~ 8 0 :3 ~ Cfl - J.Ll Q p. I ~ I I I i I I I I i I , , I i REV-41111 (6-181 STATEMENT OF DEBTS AND DEDUCTIONS OEDUCTIONS A~~OWEO n~ THE SUMOF __II J/1/.~ DAH ~.P'PRDVEO /'?ff.t.JJ.,l1~ _gl1l.& ") , ~i/h'vV.J Rr::OISTE.# F WILLS, AGC:NT OFF ICE OF THE REGISTE R OF WI~~S OF Cumberland courlTY AND AGEHT OF THE COMMONWEA~ TH 21-80-263 '-"--'-~).(/-JJ :',)Jl-h.1 .... /' /('./"/:'1' 1/ ESTATE OF Herschel :'\, Price ~ATE OF Upper ~nkford TownshjJ~___._. OATE OF FILING APPRAISEMENT 9-II-to OATEOFOEATH2l:..!:..u !l, 1980 REMARKS AMOUHT 30 QJL 6 00 18 00 - -~------- 18 00 2756 00 24 00 416 45 7 81 17 92 500 00 1638 62 1638 62 100 00 7171 42 OATt NO, OF VOUCHER NAME OF PAYEE " " Letters Test, .& 1 sc Filing ReC f, SDn Adv. Let~~ Adv. Letters Register of Wills__,_ The Sentinel Cumberland Law Journal Ewing Brothers Funeral limn Graham Medical Clinic Last illness Presbyterian Homes, Inc, Last illness ~IGM Pharmac Inc. Last illness Herald Mail Co, Adv. to locate Sidney Price Reserved for ex enses of death of Sidne Geor e A. Price f, Ral h No's Exrs. Comm, II man Goldstein & James R, Humer Attorne Fees Reserved for closin expen es TOTAL ----- -- L ----=_.--*-- ----- , COMMOHWEAL TH OP PENHSYLVANIA \ SS, COUNTY OF_. C~mberland Wr,,_~.g,~~price and Ra1jJJ~._~.9ss HEREBY CERTIFY, THAT TO THE BEST OF MY KNOW~EOGE AHO BEI.1EF, THE FOREGOING IS A JUST ANO TIW. STATEIoIEI!T OF OE,BT.S, FUNERAL EXPENSES AIle EXPENSES OF ADMINISTRATION SUBMITTEO TO THE ESTATE OF I1erscllel ~1, J rlce OECEASED, AS OEDUCTlONS FOR INHERITAHCE TAX PURPOSES. /("" .. /) -:- ; /" ,1---<.<";v (/, ,-tv<-" _ 1_ _, (L,S,) SWORN AND SUBSCRIBED BEFORE ME THIS /I,)!. I" . June 19 80 __-I.-r.-~--- - ~(I/it'_"{t'../_'::'- ;;:;:~//>__/l,;,-;', .' .t:OTII.W pur,l!C Pf,y Cbmr;\inion bp:rr\ J-h' t.l, t~gl Ctt~le. PA CU:T1b~lli!nd (OU~I'r DAY OF /(' . /.) r, (; t ('i :.I., .1, ( J )1I'V,~~./ (L. S.) 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