HomeMy WebLinkAbout80-00360
~
~ ,
,.,
.,i;'l ..>t
,".. ,i "l .~ ..
':.C.
,,', , .
"~
,
.~ "
. ::z; ~
0 .~
tIJ
.12'; III
Ii1 (J) ,
! .0:
.':Z; I
l ....~ ,
'i"
I '\;
(J)
~
.0
,
~.
..J! .,~.
Ill,
\
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA~
55:
COUNTY OF CUMBERLAND
Before me, thc Register for thc Probatc of Wills and granting of Letters of Administration in and for the
County of Cumbcrland, personally came ....,..~!!!;y".~,..,!!.l;lWl\!y.......,......,...,..,",.....,',...,',...,,...........",...............................
who, being duly ......~~,'?~............., do ~.~........ dcpose and say that as ,the...Execut.ux.............................................
of thc last Will and Testament of ........................................R."'.\!.\!.!l..!lg.t:\~Jm.................................................... deceased
........................8he............ will well and truly administer the goods and chattels, rights and credits of said dcceased
according to law. And also will diligently comply with the provisions of thc law relating to Transfer Inheritances,
.........~~\l!:ll...t.o....... and subscribed
before me.
R~21~...e..,...~............................
.....1!J(j1..j~,....d~.f.~.:!;J.....,.........................
May 28 80
................................................................ A. D., 19........,
............................................................................................
01
.,; 00'
" 0\
~ ....
11
"
Q
IJ.. C"li
0 oo!
o! z! *i
.J 0: .>:
0 Ill' lIl:
C"l z: 0 en:
(J) I .J r:4: dS Ni
0 lQi
C"j 00 ~ , ~
~ - z! 0
~ t; Ill,
r:4: "\
N (;li .5
<<::) 01 .", CXl
OQ " en
. Z 'E ~
- 0
N ... '*
, ~ ~
i\'o .",
~ '" .", "
~ -
~ c ~ ii::
~ '"
DECREE
Be it remembered that on the ..........~.~~.~...... day of .................~~!:.Y.................................., A. D., 19..~.9... there
was probated and recorded thc last Will and Testament of ...9.:::,:.~...?':'.!'I.~.~.~'!...........................................................
late of ..........~.J:.~!?v..~.!1.~1??E9..................................................., Cumberland County, Pennsylvania, Deceased, Letters
........................~.:::.~.~.~.::.~::.~.:X.......... were granted to .. ......h.~:~.'i..,!?.......!:I.?:~!-:,~y....,.................................................
Witness my hand and official seal thc day and ycar aforesaid.
........&JI~....e,...+~R~~i;~~~:.....
. . ..,.
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
(State full namos and addrossos of all who hallo 011 intcrust
oither vosted, contlngont or olhor inturostl
nELATIONSHIP
TO DECEDENT
sunVIVED
DECEDENT
5rATE YES
on NO
AGE OF LIFE
TENANTS OR
ANNUITANTS
AT DEATH OF
DECEDENT
INTEREST OF
BENEFICIARY
IN ESTATE
Mary E. Hawley
330 E. Fort St.
Shippensburg, Fa.
Daugh tal;-- ------
c: "'0 CJ n )> m )> ~
)> CJ 0 0 rn 0
Z Gl n c 0 -i ;: r-
m m 2 ~ .1. ,. r-
^ :lJ
'Ii 'II, m -i m Z
-i -< rn m u;
II rn 0 -i
0 'T1 :lJ
'T1 )>
::! 0
0
Z 'T1
."
n
i>
r-
-< -< C
m m CIl
)> )> m
:lJ :lJ 0
2
r-
~
INFORMATION
PLACE FOR FILING - The return is to be filed in duplicate with the Register of Wills of the counly wherein the decedent resided,
TIME FOR FILING - The return is due nine months after the dccellent's death, unless an extension for filing has been applied for and granted
by the Secretary of Revenue within the nine.month period.
FAILURE TO FILE RETURN - Seclion 791 of the 1961 StHtute provides that ", , ,any person who willfully fails to file a return or
other report required of him. . . shall be personljlly liable. . . to a penalty of 25% of the tax ultimately found to be due or $1,000
whichever is the lesser to be recovered by the Department of Revenue ClS debts of like amount are recoverable by law,"
t'" ~ tl ~ ~ tt1 ~ ~
- 0 0 '"
z Z
tt1 C'l ~ ~ tl ~ ~ z i=
tt1 :;0:: g; 9 9
z Z tt1 ..,
9 P .., >< '" tt1 -
'"
z 0 '" 0 ..,
P "'l "'l ~
~
0
('> rn "'l
~ p- c:: - "'l
.... gj ~ -
c' ~
'" I-' " Z -
-I=" -I=" I-' '1 )-
I-' I::l t'"
III c::
t> Z
p. rn '"
0 tt1
Z ~ >< ~
0\ tt1
~ ~ !:;
~
OFF ICE OF THE
REGISTER OF WI~~S
:.q /.- /(0- .3b 0
STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS A~~OWED IN
THE SUM OF $ , 1'-/(/)-' /'7':
DA~e)APPROVED I~/. ;3 :: /,,\ /7 yJ
/)l",:",-,"- I.' ."I)/({/1>I
1___~E(;ls:ri';~~="T
,
REY""IUI U~"781
OF CUMBERLAND COU HTY
AND AGE HT OF THE CD"MOHWEA~ TH
, \'
t},,,\~\l- \d~V1\jJ~Jf1 \'0
EST/. TE OF _queen H. Benson_." lAH OF -1i9J',911gh of SI\.!E.E!Ln~burg,___
DATE OF FiliNG APPRAISf.MEHT ___U.f- ,Ii': DATE OF DEAH1...D.e.cembe.r 12, 1q79___
-- -- --
DATE NO, UF HAME OF PAYE~ REMARKS M~OlJNT
VOIJC~ER
-- --- -.-------
- Register of Wills, Cum. Co. Letters Tes tamen tary 2? 00
- --- Cumerland Law Journal Advertisinz Letters 18 00
. =i:''''~'ol'_- ----I Advertis1nC-Letters 1< Inn
,-
MDS- Lab Tes ts -~ plJL
-_.-
Mervin O. Fope1sanper Funeral Services , 1,n!;, I no-
Mary E. Hawley I Family Exemption 2,000 00
Mark & Weigle Attorneys Fee 273 15
Repister of Wills Cum. Co. Filing Inv. Appraisemel)t. Stat. 6 Inn
of Debts & Oed.
nf t.H"o r.lImh. Con. ~'" ?, 00
Shir'e" A M'r"..~no~ Fop. , Inn
..
. I
I - =1
,
I
i
-- -,
I
--- ---- ,
J
TOTAL $3 465 15
,-
COMMONWEAL TH OF FENNSYL VANIA I
SS:
COUNTY OF r.UMRF.RJ.ANn
I, _____ Mary E. Hawley HERESY CERTIFY, THAT TO THE BEST OF
MY KNOWLEDGE AND BELIEF, HIE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND
EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF Queen H. Benson
DECEASEO, AS DEDUCTIONS FOR INHERITANCE r,lX PURPOSES,
SWORN AND SUBSCRiBED BEFORE ME THIS
.'j
t,' .'Il~ .. 19/'--
..., .-r --
(~'_'I;[ {,"'_~A.~ I 1;,'/
._ I, ~
Shid.., A, ,burg.r, N.lory Public
5hippensbu>;, PA Cumbed.nd County
Hr eommhlioo bpIra Do<.... 27. 1982
,
/,,, / _ DAY OF
0f~..( t IJd..W.()...u
, ' ~
_(LIS.)
//1 L/_ Y
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
~.
~
TO:
/.,
;:'.
c~~,
DATE~L'~'-'--I /
rJ.>
ESTATE OF :::..--"V' "./~.- .'
7' )
/. /(,
..'
,ii""
(~-,/.,-
,Ii ! /
r,', jr'J I.. {'(-'
~ /
. if ;'--
_.-1,....1.............::.._____
'/
l
,1/
/
.'
..:_",.),--.,;....:">'1'/
FILE NO"
/" 'I>" _: r; ()
!/.(( "j;.;. ';/~/_,I'-'~
,/ /.'// ~~.
COUNTY OF
F~~lunty Information!p, ~poscs_only
COUNTY FILE NO: ,/ /" ','r) -, (- ,)
DATE OF DEATH /C-",:., i.i /? 1/
--------------------------------- -- - - --- - -- -- -- --- ----- ---- - - - -- --- - - --
App'raised Value of Estate:
Real Estate
Personal Property
Jointly Held PropertylTransfers
Clear Value of Estate
/ ,J ,
S I (.
,/I; / .
I
'i fo,'! / (.'
I
~. ,
s h' " f
,,'
J /, I
, , .' , ."
,
S _.....J P' j~-::
Total Gross Estate
Total Approved Deductions
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
I ,/ ,/.__,..
, .,,/,:)
S " . , .
Amount Taxable @ 6% Rate
$
;' ./ j./ 'J ,':
tax due
$ j,:;/p '1/
Amount Taxable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
$
)0.
,-::J{- 7/
Less Credits;
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
! ! 'r
,.,-1-5()
$ /./i/)' -I)
+ $
$
~ s,l.i r), '-(,I
+
~
+
~
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
$
/& 1/
rnterest will accrue at the rate of six
Inheritance tax from
(6) percent per annum on the unpaid balance of
to the date of payment.
Assessed by: // l:'Z',,~ (i. ;;.L-(,/7CJ
.11:Jt- J
SEE REVERSE SIDE FOR INSTRUCTIONS
REGIS'jER OF V'....lLi.:S COPY
IN';lH(Jr:Tlll",I';
T~) In~url~ proper cf(.dl1 I., \',:\lr ;;,'lU\jf',1. 11,1' I\,II!'" fit;' ,"!;I'" d!\-! hi.: 111:\ t"'1 ~,Il ',I',j ill d\
cd on tht' Chl'Cr: or fnOI1[~Y l)f(h~,
,1,11(,1
19G1 02 P_S ,'; ~'.IF~!l' -lOBI
llll~; J~;~",~,';llll.:l\t I'_~ I11dlh~ Il; ;1'..;'>1 1,]1:, ': '.""'1:, ~." '~I -jl}: (,1 Iht: 11)'I,'rllll\l>' ,Ir,d E'~I,i1() rill An /,1
To thl' [~.(Ii;l',t nidI 111~il .I,.IILI'!: 1,1'"
discounl of live (!5) pcrClmll:-i ;ll!lJ\\',~d (/2 p~,;
p.,,',.; ',,,' 'I.". ll.:
~) , I c~ ~ / 1 I.;)
i' I." 1.'.1"':'
.,:,'r
'i','
. ", ~ " 1
dl' i'ii, ;':. ,J
Inherit<ll1ctl T,,1X, o!hl!1 Illdll (dX ('n .\ lu!, ~I' ,. :"11; it, I'; (1oJ" :J1 d~.'.:: 1;1' j,l ,~,," ',yd,'n;',; c', ,-;11 dnd l}l.'(OI'H~~;
delinquent EJt 1he U(fllril\\'J!l ul n'I1l.~ (;lj fllUll\115 :.lI!t~1 ll'v 1!"';I'dl'I'II", dl:;,lll (7:! !-'" ;':'It,iI,:,I II) Iq!Wr1t;1!'O'
Tax on a lulure inlere&t is pnyahle wlttltn tl\II!l' (3) (1)('1111,'" ;1(11-( tlH' lr:JII,:!,'r !d~t~~: i'~'fl'Cl In II()S'l~!~;~,ior\ ilf1d
enjoynH:nt and I'.> (h:iIlIQIWl1t IIWlt~;lltl;1 (/7. [',~; i :',,(;:) 11>',1 (',Ii( 1:I,lt\' I"I(~','~.~ ~I\.!I: ,ill: cJelll:qlli:1l1 d:I!(! :,11')\''''11
on tile face of lhi~ fe.un tu tlw lht\! (Jf ;,,~ttJi!i \""Y':ldll 1.I~>:1l!J ",'~ (,-,;l,:",'i1II~1 ,nlf:I~~,i ldllt,~
- ------ --- - - - - -- -,-- --"
1 month
2 months
3 months
005
010
015
<'I lTlonths
b'llun\l1s
6 tn()lllh~
.0'20
,Ci2G
03\)
1 days .OO'J17
2 days .0003_
3 days ,0<)051
4 days .00068
5 days ,00085
6 days ,00101
7 daY$ .00118
S days .00135
9 tlaVs .00152
10 days .00169
'i', Ij::'r'
12 d!',1~
1:1 d;lYS
1 ': d,,'{~:
1 ~.i diry'.>
1(J{by:;
1 -; d.JY~
, 8 d(~1.'5
~::J d;~'6
:Wdavs
- - --- - ----- --- -~. -----. ---- -- ,- _. - - - -- ~..- - - - _..
-; fi':.,r,11:"
('I '1 ~:
IIi 1ll'::r:!h
\ i rT\unlhs
1 .' II':) I", : ! ' ~;
,050
,055
060
'J ~l',;nP'
~ ; .1;}
':) n II~ I, ',:,
C!-:~)
(\(,J101.,
()'12il]
()(1;'..i)
0\_;::3)
;'1 dily:i .00352
'2,7, daiS ,OO'JG9
23 U;iy:. .OO3eC
24c1;1'r, 00.:03
2:i dilY::; 00420
,'G c;':JYs 00.137
27 "'ys ,00454
28 d,1'{S .00471
2n days .0048S
30 davs 00500
fJ(':'SU
():)~"rJ '/
002H.i
aO'if)1
L'U,ll ()
.O(r3:3~'i
_,. _ ___ __, _ _ _R'_ ___
Any pJrty In ,r,!('ll':;l, inc:udlng thl~ C()!]\IlHHI'."Jl'dltl: ,)i"_lll\\ w:r~.('I\,JI Il~II~I,''':'1nt;jII\''-~ (lot SilIISli,!d 'Nith
the assp.ssment ll\fly a!lJ/""'\ ttwretO wltlll(l s:"':J IGGJ lj;l\,~, llltl:r rt.;C'~lp\ r:-f 1111:; N()IIC~ 35 Plu'Jlikd I)y Section
1001 of lhe Inhc:rll,-'llL(! .Ind bl.:,tc! Tax AC1'.,,1 l!-]Gl (/'2 f."S, ':; ;~'Hb 1;)1_11)
M:lke dl'-JL'k cr (')!;rlt~Y ,.:,:':' 1);\'l',l)!I~ 10:
"f-!'''OI:;I('! 01 'NIII<;, t'U'-'ll~"
llI1;l.1 ~fl tl!l~ '<,rt~~,'; I, ;'1;:11,' !u'.'/
INS.lJl_lICTIOrJ '::;
To ;r,<;up~ prorer CI""l:q 1'1 '" l~' nV"II';
,,; i,;ii,,, "I
cd on the dwck or money ord,}f
",,'" !'''] 1.1"
,~"., ',1;1)01: ~,-'.- :.'.Id I llr, f"\'
lhis c:,>S':'.Sllh~r\t I::; rl1<tde :11 i'lT',i!.'.,~'I,'~: '1"l;,'.",~I"f\ 1::'1; ul (:',(~ fll:ll'rililrlC(~ ';nil r>\;ill' ;1': .'~':\ (,1
19G1 02 r.s 'J :'AS~ 7Ud!
discount of fl'.!: 15l p':rCtlnll~ ;:il:QVlt~d :1".1.: p,:";
~.'1~I~) iH~1
;", I '..,;: '"I, . I,: ,~I' Ll: : <\",,,
tl" ,:,',!l' ".11"':' rl,.",.(j..I'.i,
'[0 !III' ,,')Il.:;>! ll)il! II'l1t',!lui'1L't! L_t(
lnheriwnce Tax, olhef tll.Jn lilX ell i} L,~;.[(' il~ll<(~'-,', I'; d"l' d' \i;\, neit'> (;f 1ti,~ Ij\'l:.~dl:n!' -, .i"dlll ;Ifld bd:ome~;
delinq\Jl~rH fll thp t,';(llIFltion 01 nine (9) nlonth~; idwl Iii" d,.,Ct!'I.'nt\ deal') (72 P S b 2ilB!;.?1 I~. Inherltdnce
Tax on a future jntere~t is PC:lYilblr~ within tlHf:'e (:3! monti,',: ,dlf~r lh': 'PH1'de! 'il~'."; P.1!f'Gt In [H)S',t.S:;IUfl and
enjoyment iJf\d i!', dOllnqlll!nt Ih(~re(;fter \'Il P S ?Ah;j.}l)}. C'dCI,:\!\.' H~lt;r,~~,t In.1;.1 ,ilL' (1 ;111)(111(:1\1 tlx.\~ ~tHJ'.'/n
on tile lilce of lhlS form ,0 the di.!t! d Jclu;ll pa\i1T1('111 u:;'n'.llilP. fO:llNilnlJ ink:.;!;1 t,lh:e
______ _.__ - - __ _____ - _,._ u,_ _ _ _.,_ -. .-
1 month .0<)5 4 m(\n~h<; 0'10
2 months .010 S Illomtl!:i o?r:
-"
3 months 01S U lTIon!hs .030
------.---.-'...
1 days O(X) 1 ." II (1;)1";
2 days . 00034 I ;~ Cd'I"
3 days .()IXJ51 1:1 f1,)",;
4 days .00068 1 i: Jd'y:i
5 days 00085 1 ~i d:~ v~,
6 days 00101 10 d:lY~,
7 days 00118 ~ 7 (j"ys
8 days .00135 1 ~~ ,~;IV~i
9 day~ 00152 19 rj;iYs
1 0 da~'s .00169 20 (~J,'S
__ _______.__n_. _________ _ .___ - _n.-~ -, - '.- -- --,
7 mOil:;',
03:i
.O.~O
1Um,'f1!l1s
11 llH.nlll::.
Any p,-Hty III lritl'IC:,t, IIlcluuln] th'l COilH~lonweCilth 'H'f1 lh" pl~r:;ollill leprt'SbnU~lve, no! smisfied With
the assessment may C~,;I'_".I 1~1l'fn!O Within ~;i:'ll 11)0) ILl'S af1l:r U)Celpl of th:~; Nt'l.ice i.lS plm/lded by Section
1001 of the lr.iH~rlt;H',cC df1:J b{,jle TiP Art Gl 1 ~G ~ \ ?:! PSI 7<181)- I 001 J.
b 'I'" ;n~ i,-;
~jn~,~n;:"
(');lS
i 2 I" 1l\:I',
(,\~ 113 is
U'J/rYJ
21 dOl','S
22 days
23 daY5
'JIJ:r:W
(i',X:>3!'
(:r)2~)O
7.4 ',;ay:;
:25 (j,J\,:.
O"')::'~:;/
::' (, day~;
')/ {i"y~
28 dJYs
2a day~
30 Jays
OU28.1
(I()'JIJl
U(J31B
O~)~3~)
.050
.055
.060
.00352
.003GG
,00]86
,00.103
.00420
.00437
,00454
00471
.00488
.00500
--- _.- _ ~- _...- --------- ------"
f\l1<1t.-,(l ched: ,~\ !T1tJf'~'1 ordl:1 ::dYdU!t' to:
"ReClI~ter of WIIl~;, Aql!nlu
r"'~,J:! 10 I!',' ",i(i:l>,>~ ih\,") I-I,I,:;V,'
" cO
r' ",'"
pr.., ~
.;::::tJ r"~
-'"~. 80
to" ,
r' ' ~ i/';o
:;o~ _...'::.1
,~o ,:11'''
-;>_., - "'9
~).~ \..J .~O
'-':z ...."
~.~ u~ .-n
;S ':.;;
.'1\
,'-~
'i
~~
",::a
~~ I-
~'" ~ m ~
z~~ ~ ~
'" ~ ti ~ ~
o H ffi
~~'" !2 j " ( i
.H 0<1 W "Z c
<..) ci~ E-l ~ ~. ~ Z II.
~ ~
z . ~ ~
r-.~A ~ o m z a.
oSE-l ~ Z ~ i! t5 I
E-l.8@3 I
~ <l; z ~ ~ ~
8~8 6- ~ m
~ ~ 0 ~ m ~
~
<..) - ~ a: ~ z ~
f>l '" ~ <l; <l; \'! ~ Ii.
:~~ f>l ~ ~ ~ !
!;l ~ :t
H<")~ E-l r-. (Q
'"
f>l
..
~.
.
, .
MARK AND WEIGLE
AttOml)'llt LIW
Shlppen,burt. PI.
Michael R, Cashdollar, M, 0, - Medical bill
$ 125.00
38,00
1,063.00
2,000.00
273.15
5,00
6.00
25.00
35.00
2.50
159.00
100.00
77 .06
20.00
169.92
120.00
16.71
7.78
5.93
2.00
65.00
--
$4,371.05
MDS Labs- Lab tests
Mervin O. Fogelsanger Funeral Home - Funeral Expense
Mary E. Hawley-Family Exemption
Mark & Weigle - Attorneys' Fee
Shirley A. ~illrburger - Notary Fee
Register of Wills, Cumberland County- Filing Inventory,
Appraisement, Statement of Debts and Deductions
Register of Wills, Cumberland County- Filing Family Agreement
Everett Marble and Granite Works, Inc,- Lettering
Eastern Paralyzed Veterans Assoc. - Donation
Beed1es Flowers - Flowers for funeral
Bethel Church-Donation for funeral meal
United Telephone- Telephone bill
Cumberland Valley Ambulance
E1ectrolux- payment of vacuum cleaner
Register of Wills, Cumberland Co.- Pennsylvania Inheritance
Tax
Register of Wi.lls, Cumberland Co.- Balance of Pennsylvania
Inheritance Tax
Readers Digest- Book account
Readers Digest- Book account
Good Samaritan Mission Services- Donation
Creamer Music House- Moving piano
TOTAL CREDITS
.0"',", -'I')'/'}
U' '" ~~ f',,'..:~
"'J
vv(
CC14 11 ~1~~i~n(~<7{;"!~ ";qOMMONWEALTH OF PENNSYLV~NIA' ~~~9"'i'~;,
:~i);\~~~~,;!;;~~'i:lb;A~R~h~~PT' PE~~~~~~~~~:~~~~~~~NCE AND ESTATE ,TAX 'j~'"
e RECEIVED ----------------------------SJXTDD1
.~~om'
'~ ldress
~' I
&
71/100----------------
representing Pennsylvania InheMtonce or
Estate Tax due from the following estate:
dollors
ya
Bh1ppenabul.'9.
'a.
17257
6%Toxon
s
s
s
s
s
s I
s 16.71
27c. Tax on
$
File No, 21-80-360 Dole of Deolh 12-12-1979
15'!,Tox on S
Date of Payment
S.D~r 5. 1980
Nome of Decedent
QUIIIlM R. .....OY
% Tax on S
Eslole Tox, Acl of
Moy 7, 1927
Counly cu.1lorlan4
"'AID 1. PULL-
TOTAL TAX CREDIT
Less five percentum of tax if
paid wllhln three months after
dole of deolh
Plus interest 01 the role of
_Ifofrom
to
S
1morks:
$
lfOO ~ [p [L~ @ffilfrn
5 E A l
TOTAL AMOUNT PAID
$
16.71
NOTE: this Triplicate Receipt to be retained for audit purpo,es.
Received by
NOTE: In occepllng the Ironsfor Inheritance 10K on lulure esloles, prior 10 the death 01 the life
lerianl or tenant lor year., os evidenced by this n~celpt, it Is understood Ihot the Commonwealth sholl
nal be precluded or prevenled Irom hereafter aueuing addilional InherUance to. 01 the death of the
Ill. .I.nonl or lenanl lor y.ars whene\'", It appears that luch addllionollo. may be legally duo and
colletliblelar any realan whatsoever.
n~:e 11
a~.r of Willa
(Tille)
--------.-----------------.----
--..'.
.',