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Home My WebLink About80-00317 . >< ,~ ~ C/l ~ ..: 6 H ~ ...., .~ ! ,~ ! i P<t [3 ~ " 0 0 ~ c ~ . ~ I t"- ~ ~ tIl .~ l<: ~ M t) H > :;J: - 0 ~ 'l>f1. \0 . IV 0 .... Z Uj " ',. N 21 80 r{,,. '/ o. __..:: I ,...1.. PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of VICKIE L. GOOD , deceased, Hary C. Lewis To ni6Rsra ~, f.Re9rQ91::l, Register of Wills for the County of Cumberland, in the Commonweolth of Pennsylvania. IS Petitioner(s) Q:IlEl{the execut_or.._-- named in the Last Will and Testament of --Y.l.CKIE L. GOOD . dated _l1aY.-LS... ]q76 , Decedent was a citizen of the United States and a resident of iT~ wormleysburg Borough, Cumberland County, Commonwealth of Pennsylvania, Decedent died on Monday A, D, 19~, in the County of the 15th day of October Dauphin , State of pennsylvania at the age of 32 years, fUllS bIaIs he r Decedent has not been married and has not had children born to moo since the execution of the above described Will. Decedent was possessed of personal property to the value of $12,000.00 and of real estate to the value of None as near os can be ascertained; said real estate situated as follows 19~ Therefore, your petitioner(s) respectfully applies for the probate of the said Last Will and Testament and for Lette s) Testamen1ary theneon, Dated May 9, 1980 ~,' j/ " It, ( if! I Name and address . " (l . ;J I / f P t't' () tRAY C. GOOD, R. ,I o e I loner s I 219 N rth Second Street v Wormleysburg, Pa. 17043 COMMON WEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND RAY C. GOOD, JR. named in above application, being duly sworn say(s) that the statements set forth in this petition r Sworn to knowledge and belief. and subscribed before best of his me F,ay 9 1980 , ~}}(!H~ f!.1. ,ilt<<-L--- (:1ien~r~Y[~ :~.k~eJfs61'l, Register _~._______ --/:j.flJ ):2--/ / Attorney; MYEPS, tlYEPS, F'LO'lER & JOHNSCN w6/. Filed; '" 12 1980 ,.,ay -, .;;>/-ftl - 3/7 z 0 (/) Z I 0 ~ ~ ., ) t Q Z Z 0 <ll <: <: .....1 8 a: n~ w ~ >- >- ~ ~ Ul Ul ILl H < Z Z 9 <Il Z Z 0 ,. w w r.iI lL w a. a. z H 0: . W ~ iii o W .J U a: ~ Z Ul H < >- - :> w o .J >- :;: a: ~ w <: .J U iii a: w >- ~ . . , . . . 31Iast Mill aub Westauttut OF VICKIE L. GOOD I, VICKIE L. GOOD, of the Borough of Wormleysburg, Cumberland County, pennsylvania, declare this to be my last will and revoke any will previously made by me. 1. I direct that all my just debts and funeral expenses, including my gravcmarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. 2. I devise and bequeath all of my estate of every nature and wherever situate to my husband, RAY C. GOOD, JR., providing he shall survive me by thirty (30) days. 3. Should my husband, RAY C. GOOD, JR., predecease me or die on or before the thirtieth (30th) day following my death, I devise and bequeath all of my estate of every nature and wherever situate to my son, MATTHEW R. GOOD. 4. Should my son, MATTHEW R. GOOD, predecease me or die on or before the thirtieth (30th) day following my death, I devise and bequeath all of my estate of every nature and wherever situate to his issue, per stirpes, living on the thirty-first (31st) day following my death; and should my son, }~TTHEW R. GOOD, leave no such issue living on the thirty-first (31st) day following my death, I devise and bequeath all of my estate of every nature and wherever situate to my parents, NOTLEY C. NEEDLES and GERALDINE M. NEEDLES, or the survivor of them. 5. I appoint COMMONWEALTH NATIONAL BANK, of Harrisburg, Pennsylvania, guardian of any property which passes either under this will or otherwise to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifi- . . " cally done so provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including trade school and college edu- cation, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility to the minor or to the minor's parent or to any person taking care of the minor. 6. Should my husband, RAY C. GOOD, JR., predecease me, I appoint my parents, NOTLEY C. NEEDLES and GERALDINE M. NEEDLES, or the survivor of them, guardians of the person of my minor child. 7. I direct that all taxes that may be assessed in conse- quence of my death, of whatever nature and by whatever jurisdictio imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. 8. I appoint my husband, RAY C. GOOD, JR., Executor of this, my last will. Should my husband, RAY C. GOOD, JR" fail to qualif or cease to act as Executor, I appoint my father, NOTLEY C. NEEDLES, Executor of this, my last will. 9. I direct that my Executor or Guardian or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have ! :\,1:1, day of hereunto set my hand and seal this t, , , . ( , 1976, . '(" \ / (. , / /, ''1l/ J,'/ ')' i' j'L- I,' "ULi..-l.:...-- /\!,.(.:,., ~ ',,- r Vickie L. Good (SEAL) ~5 . OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PI~NNSYLVANlA I ss: COUNTY OF CUMllImLAND \ This,.........,.,..,....,.....?~!:....,",..,......,..,........."..,..., day oC ,....t-:1.i;l.y.,........"..".....",....,.......,..,............. A.D., 19.....aQ Mar~ c. Lewis beCore me Ri~I..1I8 ". },Rllur7^-. Register Cor the Probate oC Wills and granting letters oC Administration in and for said County of Cumberland, in the Commonwealth oC Pennsylvania, personally came .......,....., ,..,. ,.",.,..., ,'!:J},Q/:1l.\?, . ,+. ,'. ,. NY.S.~?"..,. .,.,..i\I1,<;1..".,.;r.J;;.B.RX,. .R., ,. ,O'j.JJ:'.f.;J;J;:...... .,.,....'",., ,."""""....., ,..'" ".,.. .,.,.,. ",.. .". the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of ....:v.ICJ.UE...L..,..GO.QO.................................,....,.,',.......,........".. Dated "..t-:1.i;l.}(..la~..1~,7,(l......... late of .......JIRX.R~,gh...9,LX'!~;r;m+,~y.?!;>.1,\;r;g.................."..,..,.....,............... Cumberland County Pa" deceased who being duly ........~\'?9.~r!..,....,................ according to law, depose and say, that ....,t.h~y...:-!!?F.~,............, present, and saw and heard the testa..!:-.F.A,J:{..........,.........., ............:{,~.~~g,..);.,:....9.9.Q.I?......,........................., sign, seal, publish, pronounce and declare the said instrument of writing as and for h..,..,~;r;...... Testament and Last Will, and at the time of so doing ..............!'lh!?....,.............,..........was of sound and disposing mind memory and understanding, to the best of ....,........,tl:\~J.+:........,..,.........knowledge, observation and belief, .........?W.Q,+:P.,..!;9..,......,.......... and subscribed before ,,~1h.--. ".." -I..,. TH.OMAS~.'iJ"MYE.RS'....".. ...",....,..",..",,"" , /p.' ..:jJ.:(.(.~,../!.,:,vZ;~e~~...,...,..,.,.,""',......," RinRars ~ RaBrBoR, Register "'."..":.:."....'>;;;5"_~7:z.."...".,.....,.."'...".....,... i:' /-/ .......:..j-;-::1:.:.........~~....:..~......":':.-:-:-.~~...~................ // JERRY R. DUF'F'IE r AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLV ANIA I ss: COUNTY OF CUMBERLAND \ "",..', ...." ,."..FY:>:X...c;.,.".,~Q9,P.!",,'!.!!-,:.,..,"",. ,...,......".. ,." ",." ,'" "".., "...'", ,... ,. ..".. ",... "..., ...,...,.,., ""..""being duly ................!!!'f.<??:!:....,....,........... says that as nearly as can be ascertained the said decedent ,.....................,.., ,.."..'"...,. ,..yJ..~~J..!';.,'~.~",~Q9,P.,...,.,.....,.. "",... "..".",......." ,.,.. ..."",. ,...... ,.,. "..,. """., .,.. ,. ".,.. """,..,... ,.,..., ,died on ............l19.n~ii\y......,.........,..,.. the ,..........,l~.t:.l:I,..,......day of ..,....,...Q~,j;q!;>.<i!,L....,..,..,....,....,.., A,D" 19..7,~" '~ '. 0 () I I? at or about ,..,..........,......................,.... 0 clock, .....M, ..............l?~!?!.,t:\,..t.9..................,..and subscribed this 9th ~1ay ............,.......................,..,........ day of ....,..,..,..,.......,.. 19,8.\!...." before Z/ " " ,/)'/ . ,i-'- , /u' I . AI'.' "< ../ ....,.. ,I}Z"..!l;..t;..,..\!.'.I.,:{...;:...~:....,.."'.".,.."....".. Ri1l!~ 1\:;\ ~l:Ire; Register OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH 01< PENNSYLV ANIA} " COUNTY OF CUMBlmLAND SS: Before me, the Hegistel' 'ill' the Probate of' Wills and !-(ranting of' Letters of Administration in and for the County of Cumberland, personally came ...........M:i...\:",..G9.0I)"..,;r.R,........,..,....,......,..........,................,.. who, being duly ,......R~,9);.I;l.........., do ~.9...... depose and say that as......F,:,l\~,9,\!:t;:.9,J;,..,..,..............,......,......,.., of the last Will and Testament of ..,........~;J;~.~;J;)j:..,r,....,G9,OI)....,..................,.....,..........,....................,deceased ....J:\~........,........ will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances, ,..,...,!?I:-!R);,I;l....t.9... and subscribed before me. ..............!:1:~x....,?.....,...................... A, D., 19.~,~........ ~ Rf!Zfr~~.~~:~~~,..,....".."'.....""..., Mary C. Lew~s. .........:{jy1m.i....l!r.i.I~!..j 0........ RAif.~ lOOD. Jr- . /1""\ .",..",.,...,...,..,..y".".."..,.".."..".,...,'...""..",.."",.....," ;.,; 0; :Q) :<n 0): ,oj a> :Q) : " ...... :Q) ;0 ",: U. 01 : 0 0; ~I' ; 0: r- 0: ... ..... -J t.!); 0 0 N: {"- '" ~ I -J " ,-4: ~ 0 ,..:q :::: '" ro - 01; ~ , >i I $ () ..... H: l:: 1'-' roo N ~: "' ~~ U; .~ 0 H: "" Q) 00 ~ :>; "" <<l': . .... \!I: 0 ~t i - $ " M Q) .5 .... Q) 'i 0 "" bll <n oj - Z l:: ,~ f;I;l "' p.. ... DECREE Be it remembered that on the ..,......~?~~..,.... day of ....,.......~,\.~y........,............,........, A. D" 19 ........, there was probated and recorded the Jast Will and Testament of ..,..,y.~,':',~~,~...H.,...~.9.Rg.,..,.........,........................, Jate of .........,~~,~~,<;',y.~!?,'f.?:~.................,.........,.........., Cumberland County, Pennsylvania, Deceased, Letters ............,........~,~~.~.~~.':',~~.~~:x..... were bTJ'anted to .......,............,~~X...~.:..,~.~,'?~,~..,~,7.:.................................., Witness my hand and official seal the day and year aforesaid. j) ! 7'< J ,.,..""..,/d.:!.!;,I.,.??,.:.,.2.y.{{c,::::.",.."..", Rtl...... dE. J.n~19F1l0R, Register. !. ary C. Lewis. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: RAY C. GOOD, JR. _____._. _0'..____.__ _.___.____._.__. _.___._.. .'.- 0"-"- boing duly __s.\i.Q..J;IL.--.,- according to law, deposos and says that ho _i.~L.E-~CJ.11;or..- -.,.- -.--.- _._ _' ___.__ .. 01 tho Estato 01 ___VICK.IlLL..---GOOD-------.--- lato 01 Borough of Worm1eysburg_.__, Cumborland County. Pa" docoasod and that the within is an invontory mado by ,_ him .- - --' ----, the said___J;:_l'..e_G.1.U&r_ 01 tho ontiro ostato 01 said decodent, consisting 01 all the porsonal prop.rty and roal e"ate, except real ostate outsido .., C.mm... ..,," ., P.. ""I.""'.. ..d ..., ,I. h.",,, · pp" ", .. ," "om ., .., ,." ...., "1 "', ,.,. "I.. as 01 the dato 01 decedont's death. I /7 A " '00" 'Q ..d ,.b".Ib,d .",.. m'.-1~l~.,-!lti./; l____ /lv(;'v,Sr /?( 19 .F,1 Ray t~~ Goi~Jr. t71 [)~'-~OT~Y PUBU~"~~'~ .-..------~~:~:::::u::~o::. s::::: My CoI_!'~OIl Esplr.. Dec. 21, 1961 ------ ------------ LQmo)"UlJ, Pa. Cumberland Cou.ot1 Address Date 01 Death _____.1-5tll!----.-----...-- _._QctoJ?er ---- 1979 Oay Month Year INSTRUCTIONS I, An inventory must b. liled within three months alter appointment 01 personal representative, 2. A supplement inventory must be Iiled 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 011949. '" ..,. 0 01 t:: .... I i 0 .-l 1Il I .E I1l SJ 0 P< I t-:l >- -0 ~ '" <11 01 ~ ~ I- W ~ ~ ..... ~ '" .... 0 .. ~ :>1 .-l w 0( :;: ~ <11 g '" 0.. .... U ~ ~ 0 Ul ~ ~ I 0 w w 0' lI--l 0 '" 0 >-<11 ~l>> J: '" 01 0 .. .-! ~H I- 0.. 0.. Z I- -' u. t)J! .. ~ E I u. -' 0( 0 i .<: 0.. ~ o , .-l W 0 0( w 'I Ol ,;. ,:I:", N Ii > z '" ~I ;:l - 1Il <N Z 0 0 0 c l-4 .-l Ii ~ ci I' VI Z l-4 0 <11 '" Hi 0 U l< z II w 0( tJl ~I ~\ .... ::i: 0 0.. -0 c POl H' .. II ~: - -;: , 0 ~ .ll .... 0 Ii . E -0 - ~ 0 .. ~ 0 ..J U u: '" ::i: P< INFORMATION To insure propor crodlt to your account, tho nAme of tho cstDto and fila numbor should be clearly print. ed on the check or money order. This assessment is made in accordance with Section 708 of the Inhcrilllnce and Estate Tall. Act of 1961 172 P.S, ~ 2485.7081. To the extent that inheritance tax is paid within three (3) months alter the death of the decedent. a discount of five (51 percent is allowed 172 P.S, 9 2485.7161, Inheritance Tax. other than tax on a future interest. is due at the date of the decedent's death and becomes delinquent at the expiration of nine (9) months after the decedent's death (72 P.S. S 2485-711). Inheritance Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and enjoyment and is delinquent thereafter (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 interest table: ------------ ---------------------- ------------- - - --------------- -- -- -- - ---- 1 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 17 days .002B4 27 days ,00454 B deys ,00135 16 days .00301 28 days .00471 9 deys ,00152 19 days .00318 29 days .0048B 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 (601 days after receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 172 P,S, ~ 24B5' 1 001), Make check or money order payable to: "Register of Wills, Agent" Mail 10 the address listed below: REV.."SS (B~7BI fl/- go -3/7 DEDUCTIONS ALLOWED IN OFFICE OF THE REGISTER OF WILLS STATEMENT OF DEBTS AND DEDUCTIONS \ 1 'I \ 1 I \ .\ OF CUMBERLAN D COUNTY AND AGENT OF THE COMMONWEALTH , DATE NO, OF NAME OF PA YEE REMARKS AMOUNT VOUCHER Probate, Letters & 1 Reaister of Wills Short certificates 35 00 2. vital Statistics Death Certificates 6 00 3 Pa. Dept. of Transportati n Transfer of automobiles 56 00 4. Kunkel surgical Group Decedent 's accoun t 265 00 5. Harrisburg Hospital Decedent 's Account 2,493 15 6. Ray C. Good, Jr. Family Exempt ion 2,000 00 7 Jesse H. stone, Funeral D~rector Funeral Expenses 1,742 00 8. Register of Wills Filing costs 9 00 9 . Notarv Fee s All documents 4 50 , , n "'lnwer & ,Toh son Attornev Fee 588 00 11 Cowlev Associates Decedenr'~ a~~nllnr 212 00 - 12 Reserve for close-out cost 50 00 outstanding balance on 13 National Central Bank Auto Loan 2,673 84 TOTAL 0,134 49 - - ESTATE OF VICKIE L. GOOD LATE OF Borough OATE OF FILING APPRAISEMENT (Jet, 3d /'!J() OATE OF DEATH of Wormleysburg October 15, 1979 COMMONWEAL TH OP PENNSYLVANIA \ COUNTY OF CUMBERLAND ~ SS, I. _ RAY C. GOOD, JR. HEREBY CERTIFY, THAT TO THE BEST OF MY KNOWLEDGE ANO BELIEF, THE FOREGOING IS A JUST AND TRUE STATEMENT OF OEBT ,FUNER L PENSES ANO EXPENSES OF AOMINISTRATION SUBMITTEO TO THE ESTATE OF DECEASED, AS OEOUCTIONS FOR INHERITANCE TAX PURPOSES. ,j /"'~ SWORN AND SUBSCRIBEO BEFORE ME THIS /9' O~:.i:,~r . ."'---- 19 f'O HOTIIl1Y PUB~ '0 My ~o","a.i"" !:<pi'.' Doc, 21,1981 .. .~U;J)'U'I p..". Cum1;.azlaDcl CowIl"i (L.S.) OA Y OF ,. REVt-449 (8.78) d/-t{J-.J/7 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS ,*' RESIDENT OECEOENT COUNTY OF _~_~~E;.B!!li!'!Q......__ IMPORTANT, Thil> fCWIII nlllst tll' cOll1pl(~tl'd in dt'willllltl fikd ill tlllplicatt', ',dlll :\11 ,llt,ldwtl, \\1111 the Ih'~I''ilI'r of Wills or tile County whcCt. llt~t'cdl~nt lc~idcd; H,t'tlll'1\ it; duc willtin 1111l1' 111.111111-; alll'r dOlI(' of dCllth, ulllcs~ Illll'l\lell~ioll is ~rulltcll hy the St'I:rctaty Ilj' HI.'\U'lIUI', (St't:tion 71l.l uf tIlt' ll\bl~rjliLlln' and I-...[,IU' Tux All !II' 19(11.1 ,._,.~--------~-~--~ .- -. ~ -~..-- - - ..." -- --... ------ --. -- ,.. -- -_.-~ I;'; TilE MAITFR 01 1'111 1";'\'.\1'1. Ill' } ,\1'1'111,1111' Ill' h_______.Y.~<:.~E_~~~QO,~_ ._____ ____.._ -.. 'e),l-( ,'lUll tSTATr: r lll-l NAMr ('II' LJl,;rnLNTI C UMBE RLAND XlltOOlNG'lllll'tXOlI Late of .____.___.___.._____~__.__.._.__'____ County Slo'. of _~E;NNSX.J:._YM!J.l',-____ ) 5S: Covo'y of ~MBERLAND______. RAY C. GOOD JR. ExccvlO' H*MI)iM~l0: ------~l;hll lIS t(lte~:l.-:h;;;i,ov~.:n:t~~-d~.~-~d~-n-t-h:;;_~~ -d uly , wor~.~.~~;::_.-S-._:~d:~-;_s--~-..-" .------. - -- (MONTHl Homo and oddrnlS of ollor/ley or } othor oUlhe>rhed fOprtlUlOtllllve to whom all corr..pondenco should bt'l mailed. lnAY) . l')~~ f '''Illnltl IrlOvitl<} a bst will, copy of ....hldl h nerelo alloched. } I Y E;;-\,i~JGX:,* Dcccdc:nt dieu October 15 ......2lY~f_s; J-.1:lye r:.~LE'1_Cl\\l~_r:._.s.._'!Ohl}~_'_'!l.. ., - ----- ----- P. O. Box 125_-,--.!<~moYlle, Pa. 17043 That as SUdL_!xecutor __.t1epol1enl is fallliliar Wilh lilt affairs of s.llllc.'ilaW ilntllht' rrnpcny cunstituting I. E/;ECUTO R'A[)MINI~T fH' TOH) th~ assets thereof and tlll.:ir fair markd v<lluL:. That al the time of death there WIIS 110 safe deposit hox registered in dccellcll!' S indi\"lduallWI1Il:, or jointly with, or as agent or deputy of llllfltherl or in decedent's individual nam,'" wilh right of ac<:ess by antllher as agent or dl.:lluty, with the exceplion of the follOWing: - NAME AND ADDRESS ~I'~ B;N~- ~R OTH-~;-lNST~T-U;~~N .-.j.-=-~-~~-;:-~~-.!~-=;;~:)~~; B-:;-:~~~~-~-;;~-_:-:~--- - R~L ATIQNSHIP OF JOINT IN WHICH DECEDENT Rt;;NTED A SAFE DEPOSIT BUX IN NAME QH ~JI,MLS Of HOI_OERS TO DECEDENT _..-- _"-""~I.~~~~_=='" --r"_-="'-='=:-- .......- ---1==~----- ---~-===-~- ---t-----.--- _______________L- --~.t= Nnnp , ~ That the contenls of suid safe deposit box or boxes arc itemized under Schetlules__of this return, with the exccption of the following, for the reasons hcreirlllftcr set forlh: Thal Schedule ^ attached hereto find made parl hereof sets forth fully anu ill detai I all tlH~ real property in the Commonwealth of Pennsylvania of which deCCUel\l died having an interest lhere'in. It also sclS forth lhc morlgagc encumbrances upon each parcel of real propcrty at lilt: <lall.: of "culh, p,iving Ihe amount still due at death, namc of mortgagee, datl', rate of interest, and book iJnl1 pat~C of I"l'.cnrd therctlf. II also sets furth in the columns provided theTcrorc the assesscd valuillioll of clIt:h of said parcels, Ihe cstimated market value thereof as of date of dcalh of decedent. That Schedll/e B attaclwd hClCtG and made part lH.'rcof sets fl.rlh fully amI ill detail all personal property whcreso\'cr silualt~l1 owned by the decedent .H thc time of death; all moncys left by the dct:edcnt at the time of death, wht,thtr in Jt~(edl~'JI'S immediate rOsSt~~siun, s'andin~ 10 l!t'l'~Jt.:nr's t.:rt;dit in bank.s or dcposi~. savings banks. lrusl cOmpJl1il~S. or othl'-r instilution:;, wIH~tht'r il1divillually, 1)[ in !rust fur any olher pt:rson or persons giving also separately lhe accrued interest tilcrcon, if illlY. Jown lo Ihc I<t..t illren:'d JIIY prior to decedent's death in ttlt: case of sa..ings banks, and to Ille .Jitlt~ of dl'Ct~J\~I)I'~ Jealh in all otlH'r l"lSes; all bonds, poslal savings, Ireaswy ccrtifi/;alcs or noles and 01lU.'f 1~\,j(lt.It~,I.~ ul illGt'h:o.:Jlh.':~:' of the l:"llcJ Slales to th~ dc~ cedent: all obligations, whelher by sta1ute or ;\glt:t~mcl1t lht'y :\[~- dt'.'ii~~llillcd as tax fr,~~, of the [!nitl'-ll Stales, or any state, or political subdivision thereof, or of any foreign cOllo1ry, which arc owned {\t the lime uf death; all wearing apparel, jewelry, silvcrwarc, pictures, hooks, work.. of art, household furniture, htlrs~s, carriages, automobiles, boats, ami any and all other personal rhllltds of whilt..nrvcr kind or nature, left hy dC'c"cdcnt," together with the fairly estimated markl~t valUt~ thereof; all hOlllh: and lTIPrlgagcs hdd hy tit'ccdent and or all c1aim~ dut! and (lwin~ dt'Cl'dt'nl at the time of eit,itth, and all promissllry notes or other instruments in writing for the payment (If money of whit:h dCl.;eJcnl died pt)SSl~SSI~J, of whatsoever n,llure, \\ith interest thereon, if any, giving the f<lce value ;md estimated fair mllrket \'alue thereof, i\nd if such estimated fair market value be less than the face value, it sets fmth briefly the reasons for such depreciation as 10 each item; all moneys payable to the estale from life insur:lncc policies l'arricd by lh'rcdent; all anlluii)' and cntloWI1ll.'l1t nll1tracts the proceeds of which were payable upon the death of the decedent; all and thl' corpurate Slol'ks and divi..Jcnds due thereon and unpaid as of the date of dl~ath, honds and at:cnlt:d intclcst thercon to Iht' dale of decedent's dealh and other investment sccuritif:s (J',Idled hy tht' llcccdt:nl at tht" timl.' or death, wilh the market v;t1ue thcre~ or at such 11me. In till' CSRI' of aO<<lIrlUes or .-\...;,' ",. ,,,,,,I" ",'" ,,,I' ". "". ,".,,,..,, "',,o,",'d "rl' "a rur II. possible ,,,balll,,l1llt",II,y l'Inll"e\1l1 sl,,,t,,,,,,.,,.....r ",..,,,, ,. "" ;'''"'''1', ,I'c ",,',ct. "",I '\"'oIl1tl,,s 'h,'re"r "' 0" the d"t.. or dl'utl" "I'l,,' s,'h..d"10' ",,,.. '..1' ,\,,'" "" j",-, ,-..,.t ,,(' ,'I'C'''\''''1. "I II". U"". 01' ,Iellth \" IlIlY CO_I""t,,,'rshll' 0" ,,,,,I,,c,,,, "',,' I" "'1\<1''''-' ",' ,1;" ,,,',," ..: ',..<'I, ,.."'I.""t '.hol'" ,,' """c,e'l to allld ."h."''''c, rl"'"1<'11l1 ,,"t"""'lIlS ,'",w'"'' \.I". ",,""". .,.' I" ,." ",' ';,,"1 ""-I",,,,,,,,,',hll' lIr '" ",I "">I >I, ,\ ropy' "I' thl' ,'o-I',,,,,,,,'<<ahll' Ilg"I''''''''"', Ill' ",,01, .,,,,, , ,,' ".'1' ,. C (',.,-,iI l.iI.. ,,,,,"r.. ,," 'h" ",\,.""",,,,,t) to~,.,'her with Il s,"t"""',,t ,..UI"" r",,'i> 'I". ",,,,,,,,,.'" .,' ,,,,,,,.""""" ,1<. ""."1.1",,, "',,' >;lIch oll"" r"clS portll\nl"g to thl' IlIlS'n""' IlS "lilY"" 1,,'rU,,"'" ,.. ",,,',... I"'" "pl'""',,oI ..,' ,I... """""cllt',; In."r",' theroln m"s' he."lmtltl.l'd, It ahollld lIla.. ."t r",l.h ," "",,,,,,,,.1 ,'","". '''I'''''''''' wllh I.h" ,,,I,, ",""ko' c,<IlIe thereot\ flll~' o tlJe I' property OWIlI!tt Ill' hr>il'II'/lltll'd '-':: !'\;'< .j..,.,.:I,'111 "I ~l". t \'-In or Ih.'ld.llf The Scl,edu/e C I< I. tl<eh<,,1 ''''1'<''.. ,,,,d ",'I<\<' I"'''' "......,,1' ,,,.,s r"rUl I< I.J'<I" """er I." el<eh .In<]<llry e<l<ltld<led there!<I 1<",1 In lh" el<se 01' w,,,.I',,r' ..1'1''''1''''' \, """I 0" ;0""" '..", I, '01' tot n I.wo )',,1<" or ,I"c"d.",t' 5 death, In contompllltlon or dee..d""I'. de,"h, Ill' 1<1"'1<,1'" ,-, "'(1" ,",'",,'1 (.. 1''',...e''lon or ,,"joyment I1t or arter deILth. .al,1 aehedule sets I'ort.h tl", ,,,,1111'" "",1..""" "" "",'h I'"operty, 1.0 .ho," I.r..nal'erred, I.he N.I..tlonshlp of tho trllnsfel'ee. to t1'" doc"'\""I., th" 1"'"''''''.'.''111''' "h.'"" r.,,,>'ll,,d hy ,,"ch trl<usl'erec Illld ILIl other rl<clS or II perUnent ,1I<tnr" r"~ILrdll1" ,,<1<\ I.r,,,,,,"er',, I" ',ii" ,""," ..I' t,'lll1sl'ers Intended to take el'fect In poa.""lon or enjoy"""'" hI. or I<l'u', 01.."'" :1.."", I,' "I'.' h,I.I<",,,,,1 I.u lh', sehe,I<lIe IL c"IlY of t.he d"ed, trn.t agreement. or ol.he,' In,;! ","'0'" <""'1<1'''", '""~ 'r,"(' "('!,o,'" Is ,Is" set. I'orth In ."ld schednle II I1s1 of 1111 pr"I""'l.y, rOIlI I<nd p.."onl<l. wI>!' "/I \',,1..,', ",:<'1, ;""a... lit. <\eoe,le"t's ""al.h IIY vlrt.ue or t'''' o'<>I'"lae h)' doood""I., ell.l,er 1",lIvld"I<II)'. '''',\<,lellJ' with ""otl,"r. or I<ny power 01' I<l'polnt.- ment cesl.edlnd""e,le<ll., ,lither 1",llcld<l"lly 'It' jol<lt1:" \.:>'1'" ,"II. d,,,'d, "1' otl,..r 11ISI.""..",,\I, 01' 1I<1"l.her, with n copy of' t.he tnslrulllcnt. crnlll1ng sHcll pn\\'t'!' !Iltlle:l\l'd !..\ till' f.ell,~~I\lh~. Thllt Scl,.'dui<' D lIt.tllch,,,1 herc'o IIn" ",",1.. 1",,1 ,,,.,,..,,1' s,.ts 1'",Ih t.h<> nllmcS I<n,1 1l,ldressCs or /Ill I,er.onfi bellef'lcllll1y lllterest<>d 1/1 thIs ,'st.,."" lit. U,.. ","" "i' ".'c<>d""" II ,Iellt.h, t.lto lI1<t"r<> /II' tltdr res- poctlce IlIter"sts, t.lte'r reIlIlIollahlp, It' lillY, '0 1.1,,' ,1<>..."",."" t.,,~..LI>pr wHit thc /lgca lit tho t.1m" 01' decedont's dellth of ItlI minors, ""ll1\lIlIt.S Itll,1 III'n,'I""'/lrl,',<, j"d' 111'0 ,,",\<>r ,I<,c."\>,,,t's WllI. It. also contILln5 n stllt.em"nt showlll~ which 01' thc ;,ollct'leil,"\CS "",..ed In LlII' "cee,le,,"'s w\1l, If lillY, dlcd prior to decedent., tlte ,III t.es of t.hd r ,Ie.. t.It, t.lH'I" I ssoC, 1<11" ,h,' r'> I"" lonsl, II' 0 I' s"eh l..lIe t.o the be"ol'l cinry. ThILl. 5<f<cdu/c E IIltMhed heret.o mill ;II"'''" H 1"'1" l"'i'<>"1' a"ls fnrth 1111 propert.y, relll a",lper- sonILl, owned by t.he decedent. .1olllt.1y wIth "not.ltor or nlh..rs. \lIel",l1n~ 11I1,nn~lhle, at/lndlng In t.he lI/1me of t.he decede"t. IIl1d otlte"" pillS tho ,101.0 /llId 1'111"" "t' ron"'"" o'ln..","mellt.. crt'eetlll'; t.he \eat.ltllre 01' rOIlI est.at.e nod the date 01' IIrqulalUOII nt' pcrso':I,HY, 1'1'1' the II "me, .,,1;11'<>" lint! rell1t.lolI"hlp, If Ilny, of co-owners to the decedent. Thllt, Scl'cdu/c F nttached hOreto nr,d mll,le " pHrt. llP""'1' seta rort.h fully IIl1d In det.all nIl debts 11110 dedlletlons claim"" t'or Itnd on holtaIl' nl' t.hla ,'..c<>d<>"'" <>"'HII', l<lcl",llllg I'"norl<l expells.s 1'''ld; ('lImUy exempt1oll, where IIppllcllble; cost.s "I' ILdmlnt"U'HLI'", or till II <>st-'l">: counsoI fee. 1I1ll! fllt!lc1ary's conunl.slons paid or to be pILld; cosl. expood<>" 1'<>1' hu",al II'lIa"', lOllt,,,tOIlCS or grltccmnrker5, alld reIl- glouS sorclce., III consoqllellCO or t.lto ,Iellll> of Ih" "c.."""",: ",.,,,s and ,'l1<lms "wlllg "n" ""1'"1,1 Ill. t.Im" of dOIlt.h; taxes aeerlle,1 c\"lI'~ellbl" I'or period l'eI<>r t.o ,\,.",..".'n", ,kalh (.."el'pl tltoS" allowed uud"r Sodlon 651 01' th" Inherlt,moe Ilnd Eal.ate TIl' ,\.,r.); 1.Il,\,'"'''' wi I.h " stal<.IIt''''', or "oUIlI."1'1l1 pledget! I'or olll1ga- lions, \I' Ilny, It Is Il~reed that the I'l<lndltry will pr""'nl. ",nul'..r sal,1 clalm,..j oll1l1\I<I,loo. upou 1'''- quest, thILt. II' thO "mounl. actually p"ld I" ,,,Il.I</m,'nl. 01' '1>1)' r,.", ",,,",,d",lon or d"hl. I. I"ss t.han the e.tlmato~ ILmount cllllmlng au,1 allowed, t.hal. t1..' "1<01" wIll I,.. 1,,,,,,,rl.,'<I 1.1> "", 1\<',~I.ter of Wills, nnd t.hlll. the umount. of' tlll( Hssessf~(l elUl be l'eItS5l!~:-;I'tI In 1l\'cordll1l"" lh"rl'wi t.h. Thl,t t.h" total. or t.h" appropr1al.<' rol"m"a I" S,.,,..,,,,J,,, " ,\" , "11", Or". "\<:", nu,l "F" a. dlr,'eted I.her"ln, have been carried f'orwnrd anl1 properly rl'~lst('rt'd III t.l\l~ Summary. Jr-- /.f.. RCC;.34 (400731 COMMONweALTH OF PENtiSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT OEceOENT SCHEDULE "A" REAL PROPERTY .. Real property in Pennsylvania, with statement 01 mortgage encumbrances upon each parcel at death 01 dece- dent, Property held by the decedent as tenant in common with anolher or olher, should be idenlilied as to quantum 01 interest and the estimated volue should be Ihal 01 the decedent's inlerest only, (Property held as joint tenants with right 01 surviorship or tenollcy by ""tireHes should he reported on Schedule "E,") The recl property locatod In the Comnlonwoalth of Pentlllylvanlo should bo (1) (2) (~l ducrlbed by lot and block number, streot and stUlot numbelr, tagethor wit\. Dr,PARTMENT a general delcrlptlon of the proporty, with 0 roference to tho record of tho ASSESSED V.LuE VALUATION conveyance by which the decedent took title; If 0 farm state number of a. FOR YEAR OF ESTIMATED CAUTION erol; also statom.,nt of mortgage encumbranclU upon each parcel at daath DECEDENT'S MARKET VALUE (Do not write ofdoeedent. TaxClI, alsessmen'l, accrued Interos) on mortgage., ele.,are OEATH In thl. lpace) '0 be lilted on SehedulClllF" and must not b. deducted from this schedule. NONE Insert this totol opposite "reo I property", Schedule "A" in the X X X X X "As Reported" column on the lost poge 01 Ibis return, -c- ~ REV-4S2 (8.78) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX SCHEDULE "C" TRANSFERS *r:: , 1< , ' <" , , ' RESIOENT OECEDENT (1) Did decedent, within two yeers 01 deeth, make any trensfer of eny material pert of his estate, without receiving e valuaule end adequate consideration therelor? (Answer yes or nol no (2) Did decadent, within two years of death, trensfer prol,erty from him,elf to himself and enother or others !including. .pouse) I in joint ownership? (answer yes or no) --Yes- (31 If tho onswer to (1) or (2labovo is in the offlrmative state: (a) Age 01 decedent at time of transfer -3l._ (b) State of decedent's health allime of making the transfer, (Nolo 1 I. (c) Cause of decedent's death, (Nole 1), (4) Did decedent, in his lifetime, make any trandor of property without ruceiving a valuable or adequate consideration therefor which was to take effect in possession or enjoymont at or after his death? (Answer yes or no) (0) Was there any possibility that the property transferred might return to tranderer or his estate or be subject to his power of disposition? (Answer yes or no) No (b) What was the transferee's age at time of decedent's cleath? (5) Did decedent in his lifetime make any transfer without receiving a valuaule and adequate considar~tion therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (01 The possession or enjoyment of or the right to income from tho properly transferred? (Answer yes or no) No (b) The right to designate the persons who shall possess or enjoy the property transferred or incomelherefrom? (Answeryesornol~ (6) If the answer to (5) (b) abovo is in the affirmative, stato whether the right was reserved in decedent alone or others (7) (8) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor? (Anlwer ye. Of no) No Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operetion of law? (Answer yes or no) No (9) If the ansVler to (8) ahovels in the affirmotive, was the power to alter, emend, or revoke the interest of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or no) No NOTE 1: The answers to these questions should be supported by affidavit by the attending physician as well es a copy of the death certificate. NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property transferred, it's fair market value at datI! of death, dates of transfers and to whom transferred, with relationship of transferees to decedent, if any. Submit copy of any truot deed or instrument, if transfers are claimed to be non,taxable, also submit detailed statement of facts on which said claim is based, NOTE 3: List applicable property below in manner In which provided in Schcdules A, 8, or E, ITEM DESCRIPTION MARKET VALUE (Estimated) DEPT. VALUATION (Dept, Only) 1 The Harris Savings Association Optional Savings Account #1-74980 in the name of the decedent and her husband, Ray C. Good, Jr., opened January 5, 1978. Date of death balance, plus interest 10.65 Super Saver Account #1-05-530210 in the name of the decedent, trustee for Matthew Ray Good, son - opened January 5, 1978. This is a trust account - an irrevocable trust under Matthew's Social security number. Date of death value, plus interest 3,579.07 In.ert this total opposite "Transfers", Schedule "e" in Ihe "As Reported" column on the last page of Ihis relurn, 3,589.72 J"f'l,7:L ~ ~ 5!tIl::: 5 ~ :1~ \,I)" = .- ~ " ,,~ a 'E~ - '00.0 E U 10. ~ U . s...'E " ~ ~ U " ~ ~ e g, ~ ~ ~ ez:: SIIM~IAI(Y Renl Properly Pcrsollltl Property Trnnsl'crs (Sdl. HAlt) (Seh. "B") (Seh, HC") Gross Taxable EstlllC (1) (As Reported) -0- 11.760.92 3.589.72 ~ ~ ,\ ~ $ ~ ~.3.5JL64 0\ ~ ~ l- ;:l CIl M ~ Z '0 .0 Z "" u .. UJ ~ Ul :I: 0 " ::;: " :>1 0 r-- .... U t-:l ..; UJ U Q) '" ~ .-l -' - Q S <l: '" nl <l: ~ V> ..-1 c.: u.. 0 'tl .~ =4 p:; r:: r-- c... 0 0 ::: r:: '" ~ nl c... " .-l 0 nl " D- :> M " <l: ,,~ 0 "" .-l , D- O .-l I ..c: UJ ..c:l- ~ 0 ~ " <l: H :>1 0 l- l-...: . 0'1 ::c Q) " 0 r>-< Ul r-- Z ,;: l- ~l- .c ~ c :z: Lt\r:: I Or/) H ~ <l: _N r:: ..; u.. ~ ;:l c.. CIl.-l Q) 0 ~ l- N '" ~ 0 U 0 '" p:; P< ,~ c.: H ~ -5 0 ~~ - ~ :<: 0 0- :>< 0 - " -;; ~ l- U [:Q w ::;:r:QQ) - u r:: <Il l- H ~ ~ '" :> " - ':>1 'c <l: '0 c _ '5 ::;: ::;' " lQO~ ~ c E ::='"0 -;; " " ~ . Q) " " ::=~ .J W u :><P<H ::;: (2) (As Delerminedl $ $ $ $ $ $ . REV~64 EX+ (3.60) INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) File Number 21-80-0317 Estate Name Date 01 Death GOOD, Vickie 1. 10/15/79 -----.- Social Security Humber _-,-----.--n REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appro;ser in and lor the County 01 Cumberland Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the loregoing return at the values set forth opposite each item in the last column to the right in Schedules "A", "8". "C", and "E" Dated: October 30, 1980 INVENTORY Real Property (Schedule A) Perianal Property (Schedule 6) Jolnl.Held Property (Schedul. E) Transfers (Schedule C) TOT AL GROSS ASSETS I I I I , 1 I I 1 I q " , , I Leu Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE VallJatlon of life estates or annuities. . . . . . . . . . . . . . FOR USE OF REGISTER ONLY T aX on $ Tax on $ Tax on $ Tox on $ Tax on S Exemptions Total Estate Less Credits ~OF PAYMENT j!lf! N: II ) '1r/~//J.'.l ) INHERITANCE TAX APPRAISER VALUE AS APPRAISED ADJUSTMEMTS CODE (HARRISBURG USE ONLY) REMAIMDER APPRAISEMEMT CODe s None 00+ 11,76092 '0+ None 20+ 3,589 72 30+ 15,35064 40. ~ TOTAL TAX INTEREST FROM BALANCE AMOUNT PAlO S INTEREST FROM BALANCE OUE FACTOR PRINCIPLE COOE 6% \5% TO OISCOUNT INTEREST + S S = + = BALANCE S TO 5_ S VALUE COMPUTATION OF TAX $ $ S $ $ s s s TAX CREOIT $ 92+ 93- CODE \ i I ! 1 - i ~ ~ ~ I . I ,-l I ~ "-l ~ I >- Q) "" ~ ..... .. \ .>: ::l "" rIl U .a ~ ;:l ..... !II I ..l :> :>> .... \ ~ .. ::: . Q) ~ z 8 e ~ 0 ~ .q \ "" '-' u '" '" "" - 0 ~ 0 \ ~ "" \I.< ,.. 0 rIl 0 Z a I rIl "-l rIl ~ f- a - ga r.l Z i ~ ~ z ::l a 0 S :.: "-l \ ~ Cl U ~ ~ z z ... z ~ ~ '" ~ 8 0 :i "-l 0 '" \ , I I \ I I i , , I 1 I i , i j I \ --- --,"" --. -... ,- -- .- - --. - -.- ,- - --- s.n'~"~abr6V,~~:~~:8:~-- .. C~MM;N:~~:~j~T~ofF ~~~~~~~=IA -- '~..--.""'P"-:,;:".:'~,'t,}:,. : )' ~C,'l";, ~,"J'.. OFFICIAL RECEIPT" PENNSYLVANIA INHERITANCE AND ESTATE TAX' ,;'/ t," If"" ..,' " . . h -'1':,.' ,.",. "-.~ ' l, ' e RECEIVED ___________________-THIIU HUlIlDRZD II i From, ~ ij '\ ~ress Rav C. Good. Jr. c/o Myere, Myere. P.OL Box 125 POURTBBN & 53/100--------------llt7IIars representing Pennsylvania lnherilonce or E!llole To)( due from the following eslate: Plower" J hReon, Attye. 2(lc To)( on $ $ L4IIoVM. Pa. 17043 6%To)( on s $ I File No, Dole 01 Payment 21-80-317 Dole 01 Deolh 10-15-1979 15'1, Tax on S Name 01 Decedent AUlJuat. 20, 1980 Vickie L. Good 'I" Tax on S Estate 10)(, Act of May 7, 1927 $ $ I $ $ 314.53 County CWllberlan4 TOTAL TAX CREDIT Less five percentum of lax if paid wilhin three months after dole of deolh Plus interest 01 the rale of _%from to $ Remarks: -'AIJ) 011I ACCOUN'l'- $ lJ'OO ~ [p ~~ @illlJ'rn 5 E A L TOTAL AMOUNT PAID $ 314.53 NOTE: This Trlplicllte Receipt to be retained tor audit purpolel, Received by NOtE: In accepllng the trander inheritance laK on future e510te5, prior to Ihe dealh 01 the We tenant or tenanllar years, os evIdenced by Ihh receipt, II is underSlood thai Iha Cammonweahh 5holl nol be precluded or prevented Iram hereafter aueuing additional Inheritance tal 01 the dealh of Ihe lile tenanl or tenonl lor yean .,...henever II appears Ihot such addilianal tOJ( may be legally due and tolledlblelor any re050n whal5oe...er. I -.-----------.-------------.--------------------