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HomeMy WebLinkAbout80-00297 ~ ail ~.", U) ", ~ Po. H , :II' tIl ~ . >< ~ E-i ~ :II ~ ~ ~ ~ g ~ . t-:l !i! . :II ~ , !'-' ~ :II ~ (1) 8 ~ N 0 t-:l U) ~ o. 00 .... I 0 - ,N .! '\:R. . III \0 0 - Z 1ft LIJ .... .... R .... ~ tl . t.l'... El "I: ~~~] Ci-::s:>. 'tll: ~ ~'~&11: ~, "ti.,~,." ;'.2: -:":::.~~,t.~~,.~:,, ~';: '~'fi:i~JV";"'~":1) '~i~~'\t"i0;'C · tl' Q .... ... ''"". ~ , . . . 1}ll'ld R, Dodd AlIlm",' dt lAw l11J Chr",ult Suu, C."".HIII,p,,,,,.,r,,,,"id/7011 rrttphrmrf717J 761,7J.~(l .. :' " Gary J. Rathburn and Sheri L. Rathburn, in equal shares, per capita. ITEM III. In the event both of my issue should predecease me, then I give my entire estate, in equal shares, to my daught<>...r-'in-law" Anita Rathburn, and my granddaugl'lter Gwendlyn Sue Rathburn, per capita. ITEM IV. I hereby nominate, constitute and appoint Dolores E. Rathburn as sole Executrix of this my Last will and Testament. In the event the said Dolores E. Rathburn refuses or is unable to act for any reason, I then hereby nominate, constitute and appoint Gary J. Rathburn as sole Executor of this my Last will and Testament and I direct that no bond be required of my Executrix. ITEM V. I authorize and empower my Executrix to compromise, adjust, release and discharge in such manner as my Executrix may deem proper, all debts and claims owed by or to me or my Estate; to sell, lease or exchange at public or private sale or in such manner, at such prices, and upon such terms of credit or otherwise, as my Executrix may deem proper, all or any part of my property, real or personal; to execute, acknowledge and deliver instruments of conveyance, including deeds in fee simple; to borrow money for the purpose of paying estate, inheritance or other taxes which are required to be paid and to secure any such loan by pledge or mortgage of all or any part of my property and to execute the necessary instruments to carry out such powers; to distribute my estate in kind or partly in money or partly in kind, and to determine the fair value at which any property so distributed in kind shall be received by the distributees; to conduct any -2- Ihll'ld R, Dodd Allorn,,' It' lAw ,JlJ.'C#I,.Jfnu,S",.tI Camp Hili, P,nn.yl.wny J 101/ T,'tplrtJ",.1111176/.7J.HI I 'I' business in whi.ch I have an interest at the time of my decease, for such period as she may deem proper, power to borrow money and pledge the assets of the business and the power to do all other acts that I, in my lifetime could have done, to delegate such power to any partner, manager or employee without liability for any loss occurring therein and to organize a corporation to carryon said business by itself or jointly with others and to contribute all or part of the said business as capital to such corporation and accept stock in the corporation in lieu thereof and hold such stock for the uses of this my Will, and to vote said stock or to sell the same as to she may seem best; to retain all stocks, assets, bonds and investments owned by me without being confined to what is known as legal invest- ments; to execute any options to purchase, to apply for stocks, bonds or other investments, to purchase or otherwise acquire real estate and to execute the same powers thereover as hereinbefore provided; to retain indefinitely any part of my assets, real or personal which is or may become unpro- ductive or to make sale thereof; to pay carrying charges and expenses of the property out of other principal or income of my estate. The powers herein conferred shall be to my named Executrix and all successors thereto and shall be in addition and not in limitation of other powers conferred on said fiduciaries. IN WITNESS WHEREOF, I, JOSEPH J. RATHBURN have, to this my Last Will and Testament, typewritten on three (3) sheets of paper, numbered consecutively, signed my name at the bottom of all pages hereto for the purpose of identifica- tion and at the end hereof on page three (3) have set my yr , hand and seal this )./-" day of f/(J(2rL , 1979. I ~~~~~~ OATH OF PERSONAl, REPRES.:NTATIVE COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of Cumberland, personally came b-/l/f., y ,f, R ~n' 13 (I t(. N who, being duly S'/Ai () ,z, tJ ,do {5 depose and say that as 7A<.~' t', ,J ro 12. of the last Will and Testament of /.' .] oS-;',PH :r ;!!/I-nl;; ,;.eN deceased Ih 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 Transf Inhe?rmce l'ilay 1 A.D., 19~ -t ..... V and subscribed before me. .:1JhA<J_ {~. /-/~ LLf:1 .. ~ Register :..; 0: ~:~ ro: :'" <:l) .., ......r ,~( al '\i~ "<lj LL. ~\ ",: roo \..... 0 ~\ '1l'j ~J N \:---.~j ..-I ~ 0'1: \') \ ~ i \. \ N: ..-I .... I .... , , 0 - .~ If)~ l'" ro ~ ~j ::: o' I = u: :>': M ~\ .~ f:-<: ttl: N 'tl "1\ ~: CI \vs: ., ~ 'tl ~\ 00 ';): ... . '>; 0 - '" 'if: .fl ., N ... Cll 'i ci .5 'tl l .... 8 .~ Ul ~ Z ... Be it remembered that on the 5th DECREE May 80 ,A.D.,19_, there was probated and day of recorded the last Will and Testament of Joseph J. Rathburn late of South Middleton Township , Cumberland County, Pennsylvania, Deceased. Letters Testamentary were granted to Witness my hand and official seal the day and year aforesaid. Gary J. Rathburn ,.; ~"" /' f1 /U4- . ;I ,1L~J No. 21-80 PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY ..">....".~l.-,, ,...,.....' t In the Estate of :Iv Sf f,.' .r. 'R (.l rtf I~ 1/ f{. (J , deceased. Acrl/J6- To/Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania, Petltloner(s) Is (affl) the execut fJ(l.. named In the Last Will and Testament of .JQ Sf" " i-I .:J. ((Prliff)lIf{!J dated flQ1;eiL. ;)1, 1'f,fO Decedent was a citizen of the United States and a resident of ~ ,-,. 1"1 r /J tJ i. E TO .v Township (~), Cumberland County, Commonwealth of Pennsylvania. o ~- Decedent died on J ~ /)~_ the J j- - day of liP R-I L A.D. 19~, In the County of (I.IJMf3'7tlLH-A)() ,State of fJII, attheageof~l- years. Decedent Ii!IS (has not) been married and '- (has not) had children born to him (Illlr) since the ex- ecution of the above described Will. Decedent was possessed of personal property to the value of 30, H7J - ..1;'0, H-tJ and of real estate to the value of AM rJ ::. , as near as can be ascertained; said real estate situated as follows A~I H Therefore, your petltioner(9) respectfully apply(les) for the probate of the said Last Will and Testa- ment and for Letters Testamentary theron. Dated /J? It V I, 1'1J7~ Name and address ".' at LtJb of Petltloner(~) - I - (; #~.,.' .r: R~rH/.3(/I2A.1 1<. ,) -f).1{ IIIf 7(ma<;-teWoojj 2>~. /J11J-1H't P I'j-. /10 elf"" COMMONWEALTH OF PENNSYLVANIA l COUNTY OF CUMBERLAND ~ ss &-tt~ '-I :J: ~ lUff e (/luJ named In above application, being duly :;;;vJt)/~AJ statements set forth In this petition are true to the best of sworn ' ____ and subscribed before me, May 1 198~ 22/;Wje-f!." :/ft,"-J r J Register according to law say(s) that the IriS knowledge and belief, 1/-Y1-'Y .-J~/( 1~~~"O--C2 Attorney O,h', D ;,,', 0~, tI ,.\ 5.';) iUs $ (!tI~sr'l.,hll s,'r C't1-1'1f /1,11, ;/.rl. /?IJ II 1./(6 Filed: May 5. 1980 ~ ~ "t) ~ . 41 1:10, r..':J r: E c: ... ... u ~ ::-. :;': ~J ~1 W . TJ C 1:) '< <.i r: .;;!: e ~, :' .... ..~ , :: g~t~~~ IJ .... ~"l. C t1t;; i:'- y;;?~,. ~:-1-::;,:; d c; "~l ~~ :1; ,"- ." 1" ".'..;,. . ."~ ' I -;.~ 1: :0 -:; 0 ..... ~ '.' - '1w . (',. 1,)........ fill tJ. (~~ =' .n c: - 0 1lI._ j () \' ':"'\ ~ . ....... '\Ii ....4 ..'. ~~ 00 E-l E-lP ~U O~ UIiI U ...: . ~~ ~!i3 ~~ ~ ...., E-l ~~ H< ~t.? ~ fi:j o P iii ~ ~ ..~ ell iii iii [:1 ~ o ...., s: iii ell o ...., ...: ~ o iii j ~ :> ->3 p.,eIl HZ :Z::Z ell iii ~p., "" o . E-l>< E-l ~~ E-l0 IiIU So e~ :>-:pa ~r.., O~ CJ)U A iii ell ...: fj [g , ' . l-l H ;:l o U 'tl OJ ..< ..-1 ~ CIl g ..c: e- O rl '.J ...... ':,1 c ~. ~., '.:., -" '0 .' CJ ,-", ",c. " . . :.~ g ~j .' r: ':: ('J '..; ':: ~' " " ~.. " c) ;" ",'; h:; ,., ;.:.: U .-' ;..... u ,', ,n " o -, ,.. () (:J ~ '; r.i ~1 .t: ';J ~ 1-l :J U g ~ " ~l 8 ,J 11 'n :) ..:; " ~ --" " ~ ,_., ,:. :.:.;3 :. " ..'. ..... q ~ 0) ,~ ,', '., u, B " -,j .~ ." .9 .~ "I .,'J , '" " :.J C) ~ ,g 0:", 05 ,- ::offl ~:?rn ~ ~=:7T '''0 ..:.~ mo rn I' "" ;:.~:;;o ~;j:~~ ~ ...;0 ,_.." ",rl'\ . "C .... -.'1:) ~;:t . , -: ~, W 'J ;,~ , " "0 .~ ..:' .~ 'l'i F..j " ,- :. (J ....J .... ~ ci:g ~~~~~. .~ 0 '-ltll " ') ~l:::!~:;~ oc:.::~S~~ ~ "tj ~ ~ t: ""~ 1:..: ^~ \:--- : ~ Si.):~," o~~~::: '" ....:Jj .~ ~ Q. , --: E-..., '" ' 1-1 --- " :g ~ g ; . ..... I"'" ~ If) '"" c,~ ~ "0 ..,.' ., ~.~ ~ IN RE: IN THE ORPHANS' COURT OF JOSEPH J. RATHBURN ESTATE CUMBERLAND COUNTY, PENNSYLVANIA Late of South Middleton Township,: Cumberland County, Pennsylvania, Deceased Estate No. 21-80-297 FIRST AND FINAL ACCOUNT OF GARY J, RATHBURN, EXECUTOR OF THE ESTATE OF JOSEPH J. RATHBURN, DECEASED DATE OF DEATH - April 25, 1980 DATE OF GRANTING LETTERS TESTAMENTARY - May 5, 1980 DATE OF ADVERTISING LETTERS Cumberland Law Journal - May 16, 23, and 30, 1980 Patriot-News - May 14, 21, and 28, 1980 PRINCIPAL OF PERSONAL ESTATE DR. THE ACCOUNTANT CHARGES HIMSELF AS FOLLO\~S: To Goods, Chattels and Credits of the decedent as per Inventory and Appraisement - final, filed in the Office of the Register of Wills on September 19, 1980 $31,245.65 CR. THE ACCOUNTANT CLAIMS CREDIT AS FOLLOWS: 1. Hershey Medical Center 2. Carlisle Hospital 3. Masland X-Ray 4. Prescription medecine 5. Paul F. Womer Memorials - tombstone 6. Ceramica11y Yours 7. Montgomery \'lard 8. Mobil Oil company 404.88 35.50 45.00 18.28 425.00 41.14 868.04 92.65 Li"..li ~G lllvt 5Uti n o:l c-J::'; .~ :<>~ S=,., r-1l"") t::;~~ ::0; '"720 '" ",:n :.., ll~::> ,'" ~'IO i ~.-' '"' . I ~ 'i 'j'; ~ .0 ~ ~ ~.~ VJ ,,-) :::j~ '., -., -' '-.1 ',1" '0 " \..1 ,_., .~ .',1' " ~~: ~ ~ 4-l ~ p ,n g " 'J:; ~' ~ '" ~ ~ ~ ><<P:: 0 ~ " ,=,.1 ~ '5 g 0 '" c: 00 '" "0 ~?l " " " E-< Q) ~, ~ '0 b. ". :- " .. -'" ..... '>"1 :; Z E-<::> l-J H " p ..... 0 ~c..> t1l ::<: " t:,l 'l ,.. ", :; '" -5 ~~ -'" ..0 ~ 0;; " H H Ul ~ C' o\;l ~ "' .o' r;, " '::" ...... E-i r.. ~ ~ ." ~ :: - p c..>1Ll 0 0 'J:; ~ ~,:i ~ -;:; " <:l '2 t; "',"1:'~~ ~ c..> ~ " " " " S ~-~ ~ ..: - ILl E-i:>< '" >- ,',! " CJl<:l ';: ~ '" ~ ~~ ~ P E-i ~ ~ a ~ :;, " ',' --= E-i ~ Ei~ 0 'n '" ~ " ! '" ~ . ).~ ~ Q " c Ci C/I Ul E-i ~ " c 0 .S H z~ Ul E-iO ~ ~ -'" .3 ~ ~ .::~:>,- ~ ~ ~ ~....:. II) s::: / A ~~ ILl ~U": "0 c ;0 "'t!.:~~ ~ '" ~ v, " c ......._s:::.:::~ H H ::> :t:: ] " " '" " " '" (') .. o"'-C,) A ILl gA~ 0 ... 0 ;: '8; " " t' a:.E -: ~ ILl ::<: c..> 0< Po ?; ~ ... .S ~~-~- . Ul ~ E-i " H~:> 'd 0 '" ~ C g ~5~;:;~ ~ ... " c .S " 0 ::>:p:::;:: Q) Ul ro.. ~ " ... ~ p., " r.. g: '" :; ,J:' a $.~""" CO';) tIl ~ ~ u " o c: ......... ~ E-< 0 ::t:ILlUl '" A ,>, 0 ... ~.l 'h --" E $..l r.n E: ') ~~ ILl E-<~Z Q) ~ :-=: ~ ~ .~ 0 .~ ~ cS . '" ~ " ~ '0 p., Ul ::> Z () ~ C " " .!:: '8 ~ ... ell :... U 0 o ILl Q) H :-:) 2 " "' " ~~ ," 0 '" ><<l!l " UlUP< A r.. 0 :; " " .. " .~ ~.. ~ :;., E~ .g 0 " C) ,>) 0 ." " - ell ,J :i '" ~ " " 0 .~ - -'" -'" 2 .~ ""g " U " 0 ~ ,~ " <' .- ':J .' - . .-:... ." -.' " II /' .1 'I II .. !I .. " I ~ I; , , . Gary J. Rathburn and Sheri I.. Rathburn, in equal shares, pttr caplta. ~...!!!. In the event both of my luue should predecease me, then I give my entire estatel in equal shares, to my daughter-in-law, Anita Rathnurn, IInd my granddaughter' Gwendlyn Sue Rathburn. per capita. IT~::tL!Y.. I hereby nonin!l.te, oonstitute and appoint Dolores E. ~athburn as sole E~eculr.ix of this my Last Will and Testamen~. ~n the event the said Dolores E. Rathburn refuses ~r is unable to act for any reason, I then hereby nominate, constitute and appoint Gary J. Rathburn as sole Executor of this my Last Will and Testament and I direct that no bond be required of my Executrix. ITEM~. I authorize and .empower my Exeoutrix to compromise, adjust, release and discharge in 8uch manner as my Executrix may deem proper, all debts and claims owed by or to Ine or my Estate, to sell, lease or exchange at pubHc or private sale or in such manner, at such prices, and upon ~uch terms of credit or otherwise, as my Executrix may deelli proper, all or any part of ~ property, real or personal' to exellute. acknowledge and deliver instruments of convc~'ance, it~r:luding deeds in fee simpler to borrow !\lon~y ~,....... ..l-,~." . . "." ....- c- ,-.. ~'" ~ ~ ;'~:;:_',: o"tAte. inheritan(!1! or other taxes will eh are relTui red \:0 be paid and to secure any such loan by pledge or mortgage of all or any part of my property and to execute the nece!lsary instruments to carry out such powers, to distribute my estate in kind or partly in money or partly 1n kind, and to determine the fair value at which any prop...rty IlO distributed in kind sha 11 bl' t'ece~ ITerl tN the d I (,'.";.!""""o; l-c conduct any i i , I j I I , I I , I , I 1 , I . . " II' . or employee without liability for any 10.s occurrinq therein and to organize a corporation to carry on sa14 business by itaelf or jointly with others and to contribute all or part of the said busines8 as capital to such corporation and accept stock in the corporation in lieu thereof and hold such stock for the uses of this my Will, and to vote said stock or to sell the 85me as to she may S8em best, to retain all stocks, aS8ets, bonds and investments owned by me without being confined to what ill known a8 leqal invest- mentsl to execute any options to purchase, to apply for d II I I I I I 1" ..1. ~ ",J":'.. ~ .: . ",.. .(iiafl\;:; . '.,. 'u;":; . . . ;",1 . , : ' " .iL;!' ,): '. I.~;ilc.' , busines. in which I have an interest at the time of my decease, for such period as she may deem proper, power to borrow money and pledge the ~asets of the business and the power to do all I,ther <IC;t.s r.h~t 1., in my lifetime 001114 havo done, to delegate such t:"~,~I~'" to any partner, manaq.r stocks, bonds or other investments, to purchase or othexwis. ! acquire Ienl estate and to execute the slllll8 powers ther.over \ as herei.nbefore provided, to retain indefinitely any part of my assete, real or personal which is ductive or to make sale thereof, to pay ! or may become W\pro- i I carryinq charqes and expenses of the property out of other principal or income of my estate. The powers herein conferred shall be \ . i I i I I to my nwned ~xecutrix and all successors thereto and shall be in add 1. tion and not in Umi tation of other powers cont"erred on sain f1.duc1aries. 'W IUT!{i!;SS lolHEREOF, I, .1f)SEPH J. RATHBURN have, to this my Last will and Testament, typewritten on three (3) sheets of paper, numbered consecutively, siqne4 II!:f name at the bottom of all pages hereto for the purpose of identifiea tion and hand and three (3) have Bet my !ill /'/' " / T, ",'___ , 1979. ~ ._.. ._.40____ ..-- ,.~.?:"';::-:~_:~\~.~~~~~:..:- ~ ~ -.=--. ~- at the end hereof on pa~e ". ,I(" a~!al t.hh "~./,::':, day I)f .. 3 ~" ,," ;----------------.-------------- ---------- I ...-.,.,., -- '" ....-- ~ --=-.; ...,.- -- ......... --- .,.. """"'" ~.. \ dREV.1l6UX ' 1','/, ,,"":. '. COMMONWEALTH OF PENNSYLVANIA 1 4 "Nd~Ko00467 ' DEPARTMENT OF REVENUE , ," .,' OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ; I = 'lI It = !Ii ~-, ~I ",RECEIVED ',\ FROM 1 ~ TAXAT 6% TAX AT 15% ADDRESS D. Bllouia. Rathburn Gio . sq. 3133 Cheatnut Stre.t CaIp Hill, Pa. 17011 TAXAT_% ESTATE TAX 265.9B TOTAL TAX CREDIT '--ESTATEINFCiRMATiciii,-..-.:;il-2s--i980--------- DATE OF DEATH ...... , 21-80-297 FILE NUMBER DATE OF PAYMENT February 4, 19B1 JOSBPH J. RATHBURN cWlberlancl m m LESS DISCOUNT PLUS % INTEREST IFROM TO_I NAME OF DECEDENT COUNTY TOTAL AMOUNT PAID 265.9B ------------------------------------------ POSTMARK DATE ..,MARKS .PAID 1111 PULL" SEAL RECEIVEO BY t REGISTEll OF WILLS .-.---.----- INFORMATION To insure proper credit to your account. tho name of Iho ostate and hie number should be cltlllfly print. ed on the chock or money order. This assessment is made in accordanco with Section 708 of the Inheritance and Est<Jtc Tax Act of 1961 (72 P.S,!i 2485,708), To the oxtent that inheritance rax is paid within three (3) months after the death of the decedent. a aiscount of five (51 percent is allowed (72 P,S, 9 2485,716). Inheritance Tax, other than tax on a future interest, is due at the date of the decedent's death and becomes delinquent at tha expiration of nine (91 months Bftar the dBcedBnt's death (72 P,S. !i 2485.7111, Inherilance Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and enjoyment and is delinquent thereaher (72 P.S. 9 2485.712), Calculate interest from the delinquent date shown on the face of this form to the date of actual payment using the following interestlable: -------..------------- ---------- --- ---- -------- - - - --- - --- ---------- - - - - - -- -- , month ,005 4 months ,020 7 months ,035 10 months ,050 2 months ,010 5 months ,025 8 months ,040 11 months ,055 3 months ,015 6 months ,030 9 months ,045 12 months ,060 1 days ,00017 11 days ,00186 21 days ,00352 2 days ,00034 12 days ,00203 22 days ,00369 3 days ,00051 13 days ,00220 23 days ,00386 4 days ,00068 14 days ,00237 24 days ,00403 5 days ,00085 15 days ,00250 25 days ,00420 6 days ,00101 16 days ,00267 26 days ,00437 7 days ,00118 1 7 days .00284 27 days .00454 8 days ,00135 18 days ,00301 28 days ,00471 9 days ,00152 19 days ,00318 29 days ,00488 10 days ,00169 20 days ,00335 30 days ,00500 - - ------------------- ---- - -- ----- --- - ---- -- - ---.---- - - - - --------- ------ Any party in interest, including the Commonwealth and the personal representative, not satisfied with the assessment may object thereto within sixty (60) days after receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 172 P,S, !i 2485,1001), Make check or money order payable to: "Register of Wills, Agent" Mail 10 the address listed below: ~FORMATION_ To insure proper credit to your account, tho nilmu of tho estrlta and llIe numbor should be clearly print- ed on tho chock or money mdt'r. This assussmont is made if! accordtH1CO with soction 708 of the Inheritance and Estate Tax Act of 1961 (72 P,S. ~ 2485.708), To the extent that inheritance lax is pOld within threo (31 months after tho death of rhe decedent. B discount of five (S) percent is allowed (72 P.S. 92485-716). Inheritance Tax, other than laX on a future inlerest. is due al the date of the decedent's death and becomes delinquent at the expiration of nine (9) months aher tllo decedent's death (72 P.S. ~ 2485-711). Inheritance Tax on a future interest is payable within three (31 months after the transfer takes effect in possession and enjoyment bnd is delinquent thereafter (72 P.S. 9 2485.712). Calculate interest from the delinquent date shown on tho face of thiS form to the date of actual payment using tho following interest I<lble: --------- --- -------- ----- ----- - -- - ---- - ----- -- - - - --- - --- -- - ----- -- -- - - - -- -- , month .005 4 months ,020 7 months .035 '0 months ,050 2 months ,010 5 months .025 8 months .040 " months ,055 3 months ,015 6 months .030 9 rnonths .045 12 months ,060 , days ,00017 11 davs ,00186 21 days ,00352 2 days .00034 12 days ,00203 22 days ,00369 3 days ,00051 13 days ,00220 23 days ,00386 4 days ,00068 14 days .00237 24 days ,00403 5 days ,00085 15 days ,00250 25 days ,00420 6 days ,00101 16 days ,00267 26 days ,00437 7 days ,00118 17 days .00284 27 days ,00454 8 days ,00135 18 days .00301 28 days ,00471 9 days ,00152 19 days .00318 29 days ,00488 10 days .00169 20 days .00335 30 days ,00500 -- ------------------- --- --- - ----- -- -- ---- -- ---- ---- - -- - --------- ----... Any party in interest, including the Commonwealth and the personal representative, not satisfied with the assessment may object thereto within sixty (60) days after receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 P,S. ~ 2485,loo1). Make check or money order payable to: "Register of Wills, Agent" Mail to the address listed below: /'''. . REV-449 (8-78) COMMONWEALTH OF PENNSYLV ANIA DEPARTMENT OF REVENUE I.JUREAU OF FIC:LD OPERATIONS (;) /-lo-..291 * COUI~TY OF .~umb~rlaJ1d Re51DENT DECEDE1H ._-- -. IMPORTANT, This rl:lUrn muht hll COllll'h~(l'd ill dl'l:til ami filed in dlllllil:lllC, wilh ullUllllChcll. with the RCijisll~r uf will!; of lhe CUUIII)' whcn~ (il'~('dcnl u'lilded; Itl.UlIll IS due within Uil1l~ mOllth!> lifter date 01 dClIlh. unless un cxtension is grunted hy tht~ SCl'rt'IlH)' of ItC\lt'lIlW. (St~ctitln '10'.\ DI' till' Inhl'litnlll:c alld FsllllC TllX Act of 1'161.) ,....~,. - -,---.-.. _.. n'" .- ~'3. ..-.-- -.... .-..-. ----- . -. -- ~ - IN TilE MA'I'IER 01' TilE I',STATE 01' } AI'I'JI)AVIT 01' ___ JoSepll,_g-,-Rathburl}.__ _'___"'__ ," 1'.XITlITOi( (STAiF. FULL. NAME Of DLCEfJE.NTI Cumberland ~~~X~~M L.ate of __-.---.------.----.-----."--.--- County 5tot.ol Penl}!;1y].vanlJ!------. \ (' 55 ~ County.f cumberland ,-.I Gary J. Rathburn E.xecutur ----- AdminiStrator or tho IIltote of Ih" uLoy"onn.l1llld dQc.o~ont u"lno duly IWell", depou ------....--- ondloy Deeedenl died April 25, \MONTt~l t-!t.lmft and addr"" olotlorney Dr } other authorlud flIprauntollvd to whom all corrupond,lnctl should be mtJl1od, _' 19._BO _J ItUlot. l\'loving 0 101' will. Cl'lp'I I'll which is herelo tlllochrllJ. } IO/.Y) ly~lrKrXo(OC .-ILa.'l.i!L.R.--DO,dd.,J:J3,q!Jir.e... 3133 Chestnut Street, Camp Hill, PA 17011 Thal.S sueh~ecutor deponent is familiar with Ihe .ff.irs of said eslate and the properly eonstiluting (I::.XECUTO~AOMINIST Rt. TOm tllC r.sStHS thereof and their fair market value. That at the time of death there was no safe deposit box regislered in decedent's individuai name, or joinlly with, or as agent ur depoly of anolher, or in deeeuent's individoal name. "ilh right of access hy annlher as agent or depoty, wilh the CXCcl,tion of the following: - NAMe:: AND ADORES!. ot: BANK OR OTHER IN~1"lTUTION IN WHIC'" DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DI::POSI'. BOX RENTED IN NAME OR t~AMES OF REL.ATIONSHIP OF JOINT HOLDERS TO DECEDENT none =-~...,.......-- =----~ -- _.._.._~.-_... That the contents of snid safe deposit bolt. or boxes are itemized under Schedules wi III the exception of the following, for the rea ~ons hereinafter set forth: of thi:; return, That Sehede'e A anached hereto and made part here,of sclS forth fully and in detail all the reul property in the Commonwealth of Penllsylvania of which deeedenl died having an interest lherein. It also sets forth the mortgnge encumbrance,; UpOIl each p;.rccl of real properly at the date of dealh, giving the amonnl still due at death, name of morlgagee, dale, rate IIf inlerest, and bOllk and page nf record thereof, It also sets forth in lhe eolomna provided therefore the assessed vainalion of each of said pareels, the estimated market vatue thereof as of date of death of decedent. That Schedule B atl<lchctl hcrcl.o ,wd madc Ilart hercof sets forth fully and in detail all personal properlY whereaover situated owned hy the decedelll at the lime of death; all muneys left by the decedent at the time of death, whelhcr in decedent's immediale possessiun, standing to decedelll'S credit in banks of depusit, sllvings banks. Hll.SI cnmpanit.~s, or othcr in~.tilutiulIs, whcthcr individually, or in trust for any othcr pcrson or persons .iving also separately the accroed 'oleresl lhereon, if any. down 10 lhc last interest day prior lo decedent's death in the case IIf savings banks, anu to lhe dale of deeedclIl'S ueath in all olher cases; all bonds, poslal s.vings. treasury certificates or "otes and other evidence of indebtedness of the United Stales to the de- cedent; all obligations, whether by s/aWle or agreemenl they arc designated as tax free, of the United Stales, nr any slall:. or pllhtical sohdivision thereof. or of allY foreign collntry, which ate owned IIllhe time of death; u.1I wc:uing appalcl, jewelry, silverware, piclurrs, hooks, works Ilf nrl, household furniture, horses, ctllTillgCS, automobih~s, bou:s, ami any and all other persollal t.:hattels of whatsocver kind or nature, left by decedent, together with the fairly estimaled marhl valoe Ihereof; all bunus and awrlgages held by decedent and uf 011 claims due llnd ,wing decedent at lhe lime uf death, and all prnmissnry nules or nther inslruments in wriling fOI the puyment of money nf which decedenl died possessed, nf whabne,"er natore, with interest lhereon, if any, giving tho: face ",Ioe and eslimaled fair ma/kel value thereuf, and if soch estimaled fair markel valoe he less than the fllce valuc, it sdS forth bridly the reasons for such dcpreciation as to each item; all moneys payahle to Ihe estate frmil life iusuranee policies eMried hy deeedenl; all annuit)' and endowment eonnaets the proceeds of which were payable opon the death uf the deeedenl; all and the corporate stock. and dividends dur: thereon and unpaid us of the date tlf dcnth, honds Ilnd accrued interest thereon to the date of deceden.t's death and other investment securities owned by the tleccdent at the time of death, with the market \'alue there. of at such time. III t1w t:llS(~ Ut' s('ellrlties 01' clos1' or I'mlll}:; j~OI'pl~rlltions, t.lIlJ VIL)IJl!~ reporled tlre ilS rar as possiblt~ Sl1hstltl1ttlll(~ll hy l'in'l',c~'\1 st.r\V.!l'lllmt~ 01' '-hp l:orpnr/1tloIIS, shnw!ll~ 1.lll~ '.lSse!... IlIHlll1ttl.l).tf.1eH tlll'reol' flS oj' t.he i\nt.e of lll'fll~h. Thl! selli"{\1l1j' nls(l Rf!U: f'orth tILl! InU'rpsl (\1' decellenl III l.tH~ Ull1C or df!/llh ill /LilY co-pl\rtnl~rshlr 01' IJIIstnf'S5, IlI\ll \f\ ;;'11'1101'1. 01' !.t.." Vlt)\lI! 01' "il\eh Inl.l!rl!sL thl~I'f~ l!i Ilrm~x~lI lo Slllcl schl'cllllf!, 1'lll/lIlt,t'd st'\tl'mIHlt.S ,,>ho'o'Iln~ thl~n~"ii!tq 111\11 11'lhlll!.ll'S Ill' slLhl f:o-p.'lrtfwr.ihiJI or hllslnWiS. 1\ l'Opy nf tl1" CO-llllrI.Ot!rshtp il~rr'('m('nt, (I r 01'1\1, II sluf(llll(llll. :;;~IIIIli4 l'orth l.lw IIl\tllr'~ of' t.ho! IIJ;rl~l"!'rncnt.) IOJ!;I!llll'r with 1\ stntmnent, !,,,!tlill)4 t'ortll t.he f:h.'\I'Il(:t.i'r nl' f.h,' IlCl<o.;ltli'''S, lIs !ocllt.lun, /lnd stich ot.her l'llets I'I'rl,ldll1IU~ to till"!' hIlRlnf'~H liS Illny he llertlllf'lIl. to Ii f'ltlr /lfll! .Il1~t. 11l'prlllsnl 01' t.t1f~ tl(!(!I~dent,ls l,nt,(Irmit. tl1l')','11I It\wH bl.'sutllntll.l!tl. It. s!loult) ulso Sl~t j"lI'l.h In Itl!rnl'l.tm f'llrrn, l.C1~~I~t.IH'r with the ('ILII' mnrkt~1. v/due t.llorf..'ot', n"~' nther prorert~. owned or hnfjuenl.lH!d by the ,10':1'11"111. nl. tl1l~ time of th!/It.II. The Schedule C nt.lIlclll~ct hereto Hud rnlltle 11111'\' IWl'lWr ~;.!ts forth II t.rlll~ IlllHWlJf t.o f~I\flh Inquiry conlnlnett tht'rcJn nnrllnthc f"lL<)(!ol't.rnnsl'e)'snf'pl'olll.,.t.r. l'l!lll (11' }l/?rsoTllIl, wlthtn t.wo years of Ih~cedentls t1f'Ht.h, in eUlltemplRlton of' decectellt' s IIp/lt.I1, or Inl.Plldetl tu 1.111\1' cff'pct in possession or fmjoymcnt nt or nl'tel' (\(!ath, saill sctwdule HtJt.S fort.h the T11lt.urt! fwd vfllu(> (It' such prr.pI'J'l,y, l.n whom t,rllnst'erred, the rl~lntlonshIT> of' the trllnsferees to t1u1 ,Ioccfh'nt., 1,11(~ pr~)l'nl'1.1onllt.f~ slll\rf: r(>c,~lvu" lJy ellch trllnsfl.'rl~l' nnd /l11 other fnct.s of a pertinent nat.ure feJ!;Hrrltll~ slIb\ t.rflllRfers. In t.he cnSI! of' trllllst"crs lntendE"d t.o tuke f!f'fect in possession 0)' enjoyment nt 01' I\f't.er dent.lI, t.hf1l'e Is IIlso flt.t.IICht'Hl to the schpdllle II. cony of' UH! deed, trust ap;recment. or utileI' .lnstl'ument t.~I'l~nt.lnJ.!, UI(! t1'\IS I., TI1I~r'~ Is nlso set forth in saId schedule It itst of nIl propcrt~', rel\l tind personal, with It$ vlllue, whlr:h }ll\!-;ses nt clecC'dcntls rtel\t.h IlY vIrtue of' the exercisc by decedent, eithf~r InfUvlthHllly, nr.1u1nt,ly wlth another, or /lilY power of uIlpoint- mellt vcsted 1ndec~dent, either lmtivlduully or .1oint.1~', hy tht'~ w.ll1, deed, or other Instrument of rmother, with Il copy of t.he inst.rument crentinJ:!; such )lower nltaeheli t.n the sdwrllllc. Thnt Schedule 0 nt.lnched hereto fmd mudc pflrt. hereof' set.s forth the 11IUne5 nfl/I addresses of fill persons bellef'iclnlly interested in this estnt.e lit. the lime uf Ch?Cefh.>ntl s Ilt.wt.h, the Illlt-lIre of their res- pective interests, their relu.tlonship, if any, to thf~ dec('(h1Ilt, tngetlH!r with tht~ ng,es Ilt the titlle of decedent1s death of all minors, llnnultlmts and benef1cl11ril~s 1'01' life linneI' decedelltls WUl. It also conta.ins n statement showing which of the benel'icillries nluned 111 tile (h~C(Hlent.ls will, if uny, died prior to decedent, the dates of their death, their issue, IUlrl the l'elllf,ionRhip of' sHch Issue to the beneficiary. That S.:hedule E I\ttnched he1'eto and mlute n purt IWl'eof sets forth nll property, refl! and per- sonal, owned by the decedent ,jointly with allothf!l' or othel's, inclu(ling :Intnn~iblct stRnding in the name of tile decedent and others, plus t.he da.te find pInce of record of Instruments effccting the \-esti ture of rea.l estate and the date of ucquisltion of personnlty, plus the nllme, nddress and relationship, if finy, of Co-oi\llers to the deceden t. That Schedule F ntlached hereto and ml\de fi part hereof set.s forth fully and in detail all rlebts and dcduc tions clllimed for Iilln on behal f 0 f thIs deef!rlcn t t S Cfi tut.e, t nclwHng funeral expenses paid; f'amlly exemptlon, where IlPp] ICllhle: costs of' Ilclmlnistrllt,ion of' this estllte; cOllnsel f'ees Ilncl f"clielarl,1 s conunissions paId or to be pnldj cost cxpended for burinl trusts, t.ombstones or gl'fiv€'mnrkers, finti rcll- ~LO\IS services, in conseqnellce of' Uw tlenth of' the clececlent; clehts and claIms owIng anti unpalcl at time of' dent.h; taxes llccrued chnrgeuble ror period prior t.o decedent.' s deuth (except those Illlowed unlll?r Section 651. of t1w InheriltU1ce and Estllte Tux Act); togf~ther with n stut.ement. of' collnterlll pledgett for obliga- tions, if any. It 15 agreed tl1l1t the t'iductnry will present proof' 01' sllid claIl1It~d ohl1gllt1ons upon re.. qncst, that if' the amollnt actual! y IlIllcl Ln sctUcment. a\' Ill\Y r"c, eommlsslon or cI,'ht. Is less t.han the estlmntt!lt amount clnimlng IlOd IllloVi(!rl, that the Sllme ....ill he rl'ported to the I\cr;isl,er of WUls, lint! thlit thn umotlnt of tllX llssesst'!t! clm be rellssess(~tt In uccordlllle(~ therewi tho Thllt t.hl~ totllls of' the f1PPI'Ol'J'!Ette column!': In Schl!clules ",\", "1\", lie", "1>:", HlJ{t "F" as dil'ectedthereln, hllve tJN!lI Ctlrrletl j'orwlIrd Iltltl properly r...~glstt'!rerl In Ul1'> S1l11Ullllry. , l Subscribed and sworn to before me this ",...." ,,_j.J.,~~ ' "" day Of~~: 19,&J.. d'tau~"""",OJ)Wn1l1)J" At'BY ;.. sHIMMEL. 'NomJ fubUc '... 'I'll cumuerhnd Co,. PI. C~Ulp I, H.II My CUl1\tni"ioll 8tpirts June 25, h.... , ,./,/'"'_...-1/ t-.t.~...t.- .. ..,,," ,!:...t:...:.."..,....i".....~...~;..... ~ ......, :::-..... ....,.. .......".........~..,,,.._.. (Executor-Administrator) R , D .) #4,,!,...,..~'~'~.m.!~r.rt?"'E~9,!?9._..p.r._,,_.._, (Street Number) M<\ ):",s"J.'A16046 "", ",,, "".", , (City or Town and State) SOTE: Up-fore stJ?;ning; ut'f'tdllVlt mllkl! ~ure 1\1J hlnnk SplWf~S 11\ U.... Id'fldltvtt nnll sch('dultlf' tmnl',wd ure f'illfltl ill with tlt~tld\s or the word "S(lnf~", Ilwt ill (:f1S(~ tht~ Il~Sl'ls iTlt'l\llle 1'l1rt> UUlt unlIsted securitlel;, seeut'lU(!s of' close or flllnll~' c(lrpornttons or /111 1tlt.I'rl~sl III Ill.:'!' t'n-l'/lrtlll'r~hlp or lluslness, I.hut the fill t.n /lurl s tJd,elllelltH req1.l11't'd lindeI' the ]H\l'up,I'nph IIboY" I'el a t1 nl!,: to Sclwchll t~ "B" urt'! fl t t.l\cht:>l\. Al S~ make Cl!rtll1n thnl column #1 ill tile "Sunrl'oAI'Y" hilS ht~en pr()Jl,~rIy COtllpll~tt'd ~lS Ilhovf~-dlrectect. ~ 9 III :: r$ <"( 1t :0: ~ c ,~ . ~ c ~ ,~ . e- - ..., 0. 0 ~ e U , 0 . oU=O ~ ~ . :s:fl ... u 0 ~ ~ E &. ~ ,.) !:'. ~ .' , Reul I'rnperly_ Personnl Property Trnnsrcrs SUMMAR Y (Seh. "A") (Seh. "II") (Seh. HC") (1) (A s Reporled) o 31. 245. 65 o (2) (As Delermined) Gross Tnxllhlc Estutc____.__- $ $ $ $ $ $ ,ll..,..24 s....6 5 $ $ $ $ $ $ .-l M 0 ~\ r-- M r- III '0 .,., ... Z u I':: .. W ~ " " .j.J III .... :::;: . (!) > W " '" I':: . ..J (!)M - ~Q <( ~:>-. 0 -<: ;:l '" .j.J Ul 00 ~ IJ" .Q ,~ :( till':: I Cl. 0 ,.c:: c '" 1'::0 .-l Cl. .j.J 'tl " 0.. 'tl.j.J(!)U'1 N " -<: "W ttl I':: > 0.. 'tl;:lP<'" ..c W ..cr- '" III ;;, <( o I':: r-- 0 r- r--<: M ~ Q.j.J ~I :c c a Z ,; r- '-r- ~ c z UlM.-l 0", ..., (!) . . Q)~IJ) u. W .Q 0.. <( ",,.c::.,.,r-- 0 ,.c:: 9 ~ Ii; UtI: IC 0 .:: Q 'tl ~ '" (!) , u -5 0 .,., M p<r-- ~ W 0.. " Ul '" -;; >'" a.-l ... r- 0 " w III rl ttl r--, ~ ~ '" '" r- ..., c , OMU- '" ..: ~ c _'5 :;; 0 ::' 0 " c e :'::"a " 0 e :::~ 0 0 ..J U u ,I ~~ REY-4S4 t4-79>> COMMONWEAL TH OF PENNSYLVANIA BUREAU OF EXAMINATION INHERITANCE TAX SECTION SCHEDULE "E" JOINTLY OWNED PROPERTY * . INSTRUCTIONS: This schedule must disclose all pruperty, real and personal. owm:d h the decedent '(Jintl with another or others, including intangibles, standing in the l1all1e of the decedent and others. List real estate ust, as entireties, or joint tenants, giving brief des cripliull, us indicated under Schedule itA," plus the dute and place (If record of instrument effecting vcstiturc. but dn 1101 include entireties Of nut of sl1lle real cslalc vnlue in estate valuation COIUJ1lO. Personal properly should be listed us in Schedule uB," pillS dale of acquisition, lll1d the name, address and relationship (if any) of co-owners to the ucccdcnt. Description of Properly, Date of Acquisition, Name A&lress and Relationship or Co-Owners, and Place of Record of Instrument, where Real Estate, Unit Value Percentage Eslute Share ValulItion IlEPARTMENT VALUATION (OFFICIAL USE ONLY) Vlllue or Entire Property Value or Decedent'H Interest l. Real Estate located at R.D. #1, 0% 0 Carlisle, pennsylvania, South Middletown Twp. , cumberland County, jointly owned with wife, Dolores E. Rathburn 2. Checking Account, Farmers Trust 404.3 0% 0 Company #5-30298 jointly held with wife, Dolores E. Rathburn Insert this total opposite uJuintly Owned Property," Schedule uE" in the "As Reported" column on the last page or this return, -0- -0- ,M}1f. REY."a4 EX+ tMOI INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) o Original o Supplemental o Remainder file Number 21-80-0297 J.ose.ph....J,......Hatllbum --- Estate Name Date of Death April 25. 1980 Social Security Number REPORT Of INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and lor the County 01 _C"m~"1 nrl Penn.ylvania, do respectfully report that I nave appraised the real and personal property as reparte in tte laregaing return at the values set forth opposite each item in the last column to the right in Schedules HA", ICB", lie", and "E" Dated: DAcemher 31, 1980 ,)if!,,,,,,,',? ) -Ift_!i.T ,y,j ) INHERITANCE TAX APPRAISER INVENTORY VA~UE AS APPRAISED CODE ADJUSTMENTS (HARRISBURG USE ON~Y) REMAINDER APPRAISEMENT CODE Real Property (Schadule A) Personal Property (Schedule 8) Jolnt.Held PrepllJrty (Schedule E) Transfers (Schedule C) I 00+ 92+ 10+ No N ne 2lH 30+ TOTA~ GROSS ASSETS ___.............31,2'15, 65___ Leu D.bts and Deductions (SCHEDU~E F) C~EAR VA~UE OF ESTATE 40- 93- o Life Estate o Annuity RATE FACTOR PRINCIP~E VA~UE CODE FOR USE OF REGISTER ON~ Y T ax on $ ~ COM PUT A nON OF TAX S S S S S 6% T ox on S 15% Tex on S Tax 011 $ T ax on $ Exomptions Total Estete TOTAL TAX INTEREST FROM BA~ANCE TO s S I Less Crodlts DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST -- + I S = + = BA~ANCE S TO S S I...AX CREDIT S s INTEREST FROM ~ ~ ~ ~ ~ '" I ~ ~ ~ >- ~ I/'J 1 ;:l 0 ..l .." M M < :>1 k - p, 0 Cll U ~ ffl A 1 '" ~ - '" ~ I>. Si: 0 I>. - ~ p:; 0 0 ci ~ I>. ~ ... 0 I/'J 0 Z ci I/'J ~ I/'J >- ... ci - gj z ~ !-< !-< ~ z :::l c::i ::.: ci ~ 0 ~ t1 ~ ~ z z ~ z ~ ~ I/'J ~ 8 0 - ~ 0 ..l REY-4t1t1 ttl..781 ,;( /- ,?(J-,;1-97 STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN OFFICE OF THE . REGISTER OF WILLS OF Cumberland COUNTY AND AGENT OF THE COMMONWEALTH ESTATE OF .J..Q..seph J. Rathburn LA TE OF Cumber land Coun ty DATE OF FILING APPRAISEMENT jJ.1/.,),} DATE OF DEATH Allr;] 25 1980 , .. . DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCHER Hershev Medical Center H" 00 Carlisle Hospital 35 50 Masland X-Rav 45 00 prescrintion medecine 18 28 Paul F. l~omer Memorials Tombstone 425 00 Ceramicallv Yours 41 14 M^n"~^mOr" W~rd 868 04 Mobil Oil Company 92 65 /1aster Charqe 103 04 ~m^c() 332 77 united Telenhone Co. 102 03 Grolier Enterprises 6 42 ,,;~~ 179 39 Nationwide Insurance Como car insurance 170 10 u _,; +-~n Rt'H ~nn llH';hT 136 66 Sears 118 19 Professional Nurse Servic~ 70 00 Bovd Mvers Funeral Home 3065 60 Do~; ~+-^~ ^" r.T;" ~ 42 00 Patriot News Co, leaal advertisina 22 50 - T ~ .T^"--" '<on'" - .;~; nn 18 00 Trindle Sorinqs ,Cemetery h+-;^n 45 00 M~~" ,1 ,,~; I-zpr nersonal loan 800 00 COMMONWEAL TH OP PENNSYLVANIA I SS, COUNTY OF I, HEREBY CERTIFY, THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES ANO EXPENSES OF AOMINISTRATION SUBMITTEO TO THE ESTATE OF DECEASEO, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES, CONTINUED ON PAGE 2 (L,S.) SWORN AND SUBSCRIBED BEFORE ME THIS _ 19_ DAY OF DEDUCTIONS ALLOWEO IN RFV.41111Ia-ll1) OFF ICE OF THE REGISTE R OF WILLS STATEMENT OF DEBTS AND DEDUCTIONS OF --G\lIllberlaRQ COUNTY AND AGENT OF THE COMMONWEALTH Pac e 2 ESTATE OF LATE OF DATE OF FILING APPRAISEMENT /J. d.J. S!J DATE OF DEATH ~ -. " NO. OF I DATE VOUCHER NAME OF PAYEE REMARKS AMOUNT Elizabeth Jones personal loan 1,000 00 Carlisle Borounh personal tax 77-78 $37.52 75 78 78-79 $38.26 David R. Dodd attorney fees 1,675 00 Renister of wills filinn fee Inv & Debts & 9 00 Deductions Reaister of Wills reserved for filina final 40 00 account - M".'l; ",,1 1"1 ;n;" 204 00 subtotal from Page 1 7 ,142 19 subtotal from Page 2 3,003 78 I total 10.145 97 COMMONWEAL TH OP PENNSYLVANIA \ COUNTY OF Cumberland SS: I, Gary J. Rathburn, Executor HEREey 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 THE ESTATE OF .T"""ph ,1 R"thhllyn DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES, \ I , . , .,../- (I, Iii i '. (L,S,) DAY OF ; I STACfiY . SIIIMMEL. NOllry rublk Cam lill, CUlDbt'r1.nd Cu., Pa. My C.ommi\lioD BW(1irC', lunt' :!S, 1'J!tol COMMONWEALTH OF PEIIlNSYLVANIA COUNTY OF CUMBERLAND 55: ,Gary.:T,. Rathbur)l, ,__._,_.. ... _u ,H - .--- ... boing duly ..__~w2.r.r\ ,," according to law, dopo.o. and ..ys that ho is.,_:the._E.){~gll!:.'2F.., of tho E.t.to of ,.:To!1~p.h,i[,,-Rp:thb...':lE!l_,--,_.._._- lato of South Middleton TownshiL .._...._, Cumborland County, P." docoased .nd that the within is .n invontory mado by, Gary,J,. Rathburn .._, tho s.id_~e9ut9L._ of tho ontiro ost.to of said docodent, consi.ting of "II tho porsonal prop"rty and roal ostato, oxcopt roal ost.to ouhid. the Commonwoalth of Pennsylvania, and that the figuros opposito oach itom of tho Invontory roprosont it's f.ir v.luo as of iho dato 01 docodent's death, I,';' !- ,,/ I, ~ //,~'/:/ and .ubscribed boloro mo, \ i' I-/:, I .. V, \ 191'0- .. --tf'-'J.; -;id~r(' (~~t1:;~ " , R,',!),~, JL4,..H4 Timbe~wooQ.,J)rive Mars, Pennsylvania 16046 6T BY A. SIHMMllL, Nomy Public p lIiII, Cumbtrb.nd Co., PI. M'r Commission Dxplre5i lune 2.5. 198. Add"u Oat. of O.ath __'_'_'D~th'-"'-'--"-___~;hi.l 1.9S0 YOllr INSTRUCTIONS I. An inventory must b. filed within three months after appointment 01 personal repr..entative. 2. A supplement inventory mu.t be liled within thirty days of discovery of additional a..ets. 3. Additional sheets may be attached a. to personalty or really 4. See Article IV, Fiduciaries Act 011949. P. .0-1 >- ~ -0 ~ I- UJ ; ~ ~ '" I- ~ <0 UJ < ~ "- I- V ~ <0 0 0 Vl ~ 0 UJ Q '" ,.. '" UJ " Q ~ ~ :t "- L1. "- c Z I- ..J ~ ~ ..J < 0 .<:l "- ' 0 L1. i ~~ ,I w 0 < UJ >- > '" ffi z ~ <0 Z 0 c II 0 ~ .0-1 .; r Vl z 1 0 % '" u z UJ < ... "- tJ:1 ." Q i c ~ - 'i: 0 ~ -" -" ~ E 0 ~ ~ ~ 0 ..J U 00