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Home My WebLink About80-00361 ""., .!-(:~,~..; ':: ~;tr 1?~g;j:~{:j!? :~~;i:si~;;-~;7:,:(.L'M ".:~' 'i)i~~;~ii{;:i;'<.' .~1f.1'4('.:'h" :' t1W~;~'~\:!,:;: ' '.1~t .,1// ": \'\"\',. ~~:_,'" f4~iL'~.;~:, , , ~$'f'i' r;~:}~':.f: >~ ,i;:')': ~~,~ '.", 'j ,:' 'j' ~'~ ' 'I:' . "~", " ,V' i: , '.",:': :"., ...',.' "'''..,,: ~. ...., f.- , i::::~ 'l"," ,. " h,',,' 'I: ,.f,:"-";',; ....". if' ", .r;, ',' ',-, l'i~:~:~;'::),r~ .. '..).::.:~,.{.",:i.': ".:;'. ;:-~:':>:" '-, ,;'- ;r,-' - - " '::,:"'-.r.!~::':~:..,' .n.L>;~\ \..'::;" I "T'" . ;J}::f~~/ti\,~:~;_.~ ',:r:_ ;);::~r:(;-!:,:':, '.. ,,".- " '~'; ::,: ";.."5,;,,; -:" . ",.-.;', ': (\~': ".'.:, . , ~ . ,'-:. ,-..' :.-i:.' ,;:;';.' ~ '.'" ,:'-, c", /::-:";' " ~1 ;'-{ :~ ;-' -;'. .:.: u :8 .,.!i! ..Ia ,,' . .' ~ ..,~ ....~ .... '10 .. III . ., !"'" '. .. .J, ,;. i.' ':'; 'jJ~:' ',,:, ,,': ~:': ,.-. \ ""'/'" I,. , lH ~. :;j! " ",:;1:: "...',: "', . }'-":~:, ~';~" .'.. '; ~:-; "J" ',~.ffi .. >- i:l. .....~,..~ I .~ .~ I', I:t: ,Itl ,....~ ::,,::'~~ ';..: '."....-.". , ..~ U .. ;'. ,( , .\' d", 'l 'r.'" ~ .:~,..... ~ M ',' ~ ~. '.' "~: ' ',;', " '~~f.~. 21-80 No. PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY .. J !.~ .Ie: ._.'1..) } In the Estate of /1.1 <J...y y f{. R '"'n-J..do c I( , deceased. To Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania. Petltloner(s) Is (are) the executo -y named In the Last Will and Testament of M c'-Y Y !\, !j,-a...Jr-/(Jcf( dated Oc-Cdey 1,('77.3 Decedent was a citizen of the United States and a resident of C;L ?>- P 1-/ 1/ / J:ow.A&tIlp (Borough), Cumberland County, Commonwealth of Pennsylvania. /'f! o~a-)I ~ / Decedent died on _:1 /,i. the ,:) grt;- day of ~ 'l / A,D. 19...M, In the County of ( ,() ?->-,be-y /7),..->-r-) ,State of Pe "'-?>. -a- at the age of x..:L years, Decedent Ile&(has not) been married and '-(has not) had children born to him (her) since the ex. ecutlon of the above described Will. Decedent was possessed of personal property to the value of 1/ 7;, crotr: cr~ and of real estate to the value of )Jor€..- as near as can be ascertained; said real estate situated as follows Therefore, your petitloner(s) respectfully apply(les) for the probate of the said Last Will and Testa. ment and for Letters Testamentary theron, Dated /VI c"/-Y d- ( '7 ;r 0 , Name and address of Petltioner(s) ~JL-~~~ 101 r/~rq;~~ /Icz/V1.~:2}' /iZ /7 10/ COMMONWEALTH OF PENNSYLVANIA l COUNTY OF CUMBERLAND j. ss E7S-Y! f(lc/va.-:ycl E-67vvel/eY named In above application, being duly ,( W 0 Y '>-' according to law say(s) that the statements set forth In this petition are true to the best of h.-I r knowledge and belief. ~.-, fl--&-;.A-1~ ~ n G<-. sworn and subscribed before me May 2 -31J~~ a. 198~ ,1kd [tJiJ Attorney ~-tfL-~ IO/~jJ~~~ /,fcA.,tM..IZ~ r::. ( 7/01 15~" Filed: Hay 29. 1980 11- I."S-- J c ~ I 0: .; I1J ~ .J ; ~ jjj m o. ~ ~ !: a ~ H tIl ~ N ~ ;; ~ . ~ .. c 4 Iil ~ I- .; h E-i u I1J ~ ~ a : ~ ;: Z 0 ~ .; ~ .; A ~ 0 ~ Z Z ~ 0 0: 0 ~ 0 S 'p, < ~ ~ : . :r ~ m ~ ~ ~ 5 0 c U ~ ~ ~ ~ ~ 0 ~ ~ m ii: : ~ ~ H ~ ~ ~ .J i z :s: 0: 0 ~ E-i < ~ I1J ~ tIl u ;:!i c ~ m .', .. '. ". . " ~ .' ~ . . " . ... IJI S 'I.' WILL AND 'rESTAMENT OF MARY K. BRADDOCK I, MJ\IIY K. 13.1IJ\DDOCK, a resident of the City of Harrisburg, DauphIn Count,y. Penn sylvan :La, be ing of sound and disposing mind, memory and understanding, do hereby make, publish and declare this instrument to be my Last Will and Testament, hereby revoking any and all wills by me at any time heretofore made. ITEM I: I direct my hereinafter named Executor to pay all my just debts, funeral expenses, administration expenses and inheritance, estate, succession or excise taxes, which I owe or may become due on account of my death, as soon as may be convenient after m~ decease. ITEM II: I give, devise and bequeath my dry sink, my ant ique chest of drawers and the sum of' Five Thousand Dollars ($5,000.00) to my sister, Christina Ulsh, of Port Royal, Pennsylvania. ITEM III: I give, devise and bequeath the sum of Five Thousand Dollars ($5,000.00) to my niece, Christine Crowley, of 188 Pines Lake, Wayne, New Jersey. ITEM IV: I give, devise and bequeath the sum of Five Thousand Dollars ($5,000.00) to my nephew, Robert Ulsh, of Port Royal, Pennsylvania. ITEM V: I give, devise and bequeath my stands, my dining room chairs and the sum of Five Thousand Dollars ($5,000.00\ to my niece, Joanne Swartz, of Port Royal, Pennsylvania. ITEM VI: I give, devise and bequeath my davenport, swivel chair, lazy-boy chair, poster bed, mahogany dresser, dining room table and the sum of Two Thousand Dollars ($2,000.00) to my friend, Betty Burgess, of 2228 South Third Street, Steelton, Pennsylvania. ITEM VII: I give, devise and bequeath my antique marble-top ~tand to my friend, Mary Lucas, of Lucknow Lane, Harrisburg, Pennsylvania. ITEM VIII: I give, devise and bequeath all the rest, residue and remainder of my estate, be it real, personal or mixed, of whatever nature and wheresoever situate which I may own or have the -24 a/~ I~. l1-vo.A.~'( Mary. Braddock. 201. (SEAL). " OATH m' SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND r This ,:;r-,.....J day of j'vl a.-y A.D.,19 tTo , before me, Register for the Probate of Wills and granting letters of Administration in and for s~\! County of C~mb,erland, in lhe Commonwealth of Pennsylvania, personally came E <- Y / R I C ).... ?--7 ,./ 1- -(-,7..-1,ve / Le'Y' yI- -Awl E 131lK'r-/? th~ subscribing witnesses to the foregoing instrument of writir,g purporting to be th.la.t Will and T~st"ment of /VI a..;- y B-r&Jdock laic of C G",- f I-I I /1 fJ 0)'0(1 {?J- I\'. Dated 0<- to/; r: y I, / '7 a 0 Cumberland County Pa., deceased who being duly " ,,",,0')' "-according to law, depose and say, that A..<L (,7 !-1&:y'Y k. I5'Y8-c/')Cc- Jo( vvCl- \ present, and saw and heard the testa -(." r " sign, seal, publish, pronounce and declare the said v; instrument'of writing as and for h e 'V Testament and Last Will, and at the time of so doing .r ).--. e ", was of sOli~d and disposing mind memory and understanding, to the best of ,(.1 \" knowledge, observation and belief. 5lt'l'RII) and subscribed before P 17'/)' ~ ~.{7_ /A;S y-iX. ~ ~.' ~ ,,-~~-":JL 'f - Rc- .Q/1 tlJ?(.I ft!. ?p{~~ Register AFFmAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA t ss: COUNTY OF CUMBERLAND \ /:C},-yl R,cA-ZJ..yrl E-f,7__wel ley ,f....o y r- says that as nearly as can be ascerlainec\ the said decedent being duly M'iL.'YY K 'f?'Y~joc I( j'vt~""I~l. J-, tl- _, the g- , at or about 7 . . 4t- cJ ~ VVtJ -y 'I- died on day of A rf'Y I / o'clock, A~. A.D.,19L and subscribed this cD a '/J~- (//7,~vl~ ~~~ 2nd day of ~lay 19, 80 j/)' {1~:?Afore ~ u.. /f,,'_ f!.. , tt(~ . ( Register OATH OF PERSONAL REPRESENTATIVE 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 R, cAe-I" J E-c,z,w-e. / Je.-y F(3,.-rl Cumberland, personally came of the last Will and Testament of M a.-y y depose and say that as l( i:::::.)(eGutLlr By at/do cK deceased who, being duly S If" 0 T '>- ,do e s .f...- e.. ..will well and truly administer the goods and chattels, rights and credits of said deceased according to Jaw. And also will diligently comply with the provisions of the law relating to Transfer Inheritan;97 and subscribed before me. Ma.y J- A.D., 19~ ~/;.t~JfJ:'U" G--, ~J7 (l, ~f~ - Register :.,; !~ :Ql i~ :~ C'l: LL 11): ~i =l!:, 0 81 0-1: Q: ..-= Il): ..J ~~ 8 , C'l: I:Q ~ I ..J r.t:J 0: Illi ..... ': ..... <Xl: - .~ u: '" I ~ ,. ::= &11 0-1' ~i s:: Ni ~! .~ 0 "C:I 0-1: 'E 0: 00 ci N: I Z 8 =l!:~ - N. .fl ~ &b , ~ ~ "C:I s:: ~ I'.t< <<l 0: 11): en ... , (II: N~ >,: Ill, ~I 11 ..... .~ ~ DECREE Be it remembered that on the 29th d f ay 0 Nay 80 ,A.D.,19_, there was probated and recorded the last Will and Testament of Camp Hill r"lary K. Braddock late of Deceased. Letters Testamentary were granted to Witness my hand and official seal the day and year aforesaid. ,Cumberland County. Pennsylvania, Earl Richard Etzweiler , 20<:l ~l,uy- e. ,f~ . R~lster " GENERAL INHERITANCE TAX INFORMATION Unsatisfied licbilitic" ill"'" rocll,y tile decedell! prior to his/her dnatb are deductible against his/her taxable estate. I.n addition to debts incurred by tbe decedent or estcte, other items are claimable incl.uding the cost of administration, attorney fees, I.iduciary feos, fUlll!r,,1 "nd burial expensos including the cost of a burial. I.ot, tombstone or grave marker. AU debts being claimed ngainst an estate are subject to the approval of the Register of WHls with whom the I.nheritance Tax Return is fHed. Evidence to support the decedent's or the estate's liability for the debts being c1.aimed should be altached to this sch€uule. A family exemption of $;~.OOO may be claimed by a spouse of a decedent who died domiciled in Pennsyl.vania. If there is no spouse, or if the spouse has forfeited his/her rights, then any chil.d of the decedent who is a member of the same household can claim the exemption. I.n the event there is no such spouse or chHd, the exemption can be c1.aimed by a parent or parents who are members of the same household as the decedent. c "" t:l n :>- tTj ~ ~ > 0 0 0 CJ1 t:l z C1 n C t:l ...., Z s: z f:: tTj tTj ;>; Z :<l ~ 9 - 9 z z tTj ...., tT1 Z !J ...., -< tT1 - !J CJ1 Vl Z 0 CJ1 0 .., - 0 .." .. :<l ~ ~ 0 '%l (5 '%l - Z n - ~ t'" C Vl t'l 0 Z -< -< ~ tTj tTj ~ ~ ~ ;:::I :<l INsmUCTIONS FOR COMPLETING SCHEDULE "F" 1. If the family exemption is being cl.aimed, indicate the c1.aimant's name, address and his/her relationship to the decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column. 2. Assign consecutive numbers to each item l.isted. 3. Enter the date on whicb each debt was incurred and/or paid. 4. Enter the names of each payee. 5. Provide a brief explanation in the remarks column for each debt claimed. 6. Enter the amount of each debt being cl.aimed. 7. The form must be signed bv the person who has assumed the responsibility for paying the debts. RCr.-72 (9.(j61 COMMONWEAL TH OF PENNSYLVANIA I APPLl.CA TION FOR AND CONSENT DEPARTMENT OF REVENUE TO TRANSFER SECURITIES BUREAU OF COUNTY COLI.ECTIONS L' REGI.STERED IN THE NAME OF A RESIDENT DECEDENT ------------------ '* APPLl.CATION (MUST BE FILED IN TRIPLl.CATE) TO THE PENNSYLVANI.A DEPARTMENT OF REVENUE: Applicotion is hereby made for coosent to the transler of the foHowing securities 010 Pennsylvanio Corporation or a Nationol Bonking Association located in Pennsyl.vanio: DA TE _S.ep,t...._5, 1980 (aLl~ shs. (b) Hershey Chocolate C~. (c)_3ommOJLI.t:.o.ck (NOTE: In describing securities enter in (a), ob ",e, either the number of shores 01 stock or the face omount of registered bonds, in (b), the name of the issuing compony and in (cl lhe class of slock or the stated interest rate ond moturitl dote of registered bonds.) 'CQ77007 - 5 shs. issued 2/1/55 Is~iHAA96 - 20 aha. 1ss,\~~i~ ~(i~~106foTAL MARKET V AtUE OF $529.75 (O.t.) os of the dote of deoth of the decedent,. Mary K. Braddock (Harne of Decedent) , on April 28, 1980 (Dote of death) who w~s lote of CAmp Hill NtlrAing Home ----CnmhArlAnd (Stroot and Number) (Post Office) (County) Pal (St.t.) The securities are registered os foHows: 11ary K. Braddock (Nomo or namos in which certiflcatos ore registered) ADMINISTRA TOR) EXECUTOR l Earl Richard Etzweiler, Eaq.10l N. Front St..Harrisburg.Pa.1710l (Name) (Address) NAME OF APPLl.CANT , COUNTY FILE NUMBER ~ J -J>tJ -3jd ADDRESS OF APPLl.CANT 101 N.Front St. . HarrisburR.Pa. BUREAU FILE NUMBER SIGNATURE OF APPLl.CANT ~ //fLI!r-jir[{~:'CJ, NOTICE: IF YOU FAIL TO PROPERLY FILLIN ANY PORTION OF THIS APPLICATION, IT WILL NOT B .... CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE ~.. .... CONSENT TO TRANSFER SECURITIES ..... 'p,/ DATE 0 v I hereby consent to the transfer of the above securities now registered in the nome of the of said ,'. Decedent and waive the fi ling of a certificate certilying to the poyment 01 the tronsfer inheritance tax to which the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, os amended and the Act of June 15, 1961, P.L. 373, os o",ended. This is olso in accordance with the provisions of the Act of April 9, 1929, P,L. 343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-nomed Decedent. Signed far the Secretary of Revenue , '- PENNSYLVANIA INHERITANCE TAX GENERAL I.NFORMATION 1. PERSONS RESPONSIBLE FOR RETURN Section 701 of the Inheritance and Estate Tax Act of 1961 provides that the following persons shall prepare and file a return: a, The personal representative of the estate of the decedent as to property of the decedent administered by him and such additional property which is or may be subject to Inheritance Tax of which helshe shall have or aCQuireknowl edge; b. The transferee of property upon the transfer of which Inheritance Tax is or may be imposed by the 1961 Statute, including a trustee of property transferred in trust, provided that no separate return need be made by the transferee of property included in the return of a personal representative. 2. PLACE FOR FILING The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided. 3, TIME FOR FILING The return is due nine months after the decedent's death, unless an extension for filing has been applied for and granted by the Secretary of Revenue within tlle nine-month period. 4. FAILURE TO FILE RETURN Section 791 of the 1961 Statute provides that" . , .any person who willfully fails to file a return or other report required of him. . .shall be personally liable. . .to a penalty of 25% of the tax ultimately found to be due or $1,000 whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law." 5. TAX RATES Inheritance Tax is payable at the late of 6% on transfers to lineal. descendants, sllch as father, mother, husband, wife, son, daughter, grandr.hildren, grandparent, son-in-law and daughter-in.law and at the rate of 15% as to all others. 6. PAYMENT OF TAX The tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death. Interest at the rate of 6% per annum accrues thereafter until payment is made. All payments received are first applied to any interest which may be due with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED. All checks should be made payable to the Register of Wills of the county wherein the decedent resided and are received subject to the final determination of the Department of Revenue. 7. FAILURE TO PAY The taxes impo~JL.lAgether with anyj9l~t IrClJl1~~ a IlllQ upon real property, which lien remains in effect until \ the taxes and inT~t~s't'have been paid'in Jlli '1lrnrllrtsued for against an~sI.lPr~jil:i>ifelQe WIl$}~@I estate or against any property belonging 0 ~ ns erEre iable for the tax. . a:t2 tIo.l:a.l:v.l:a ,0 rl:t~ 8. FILING OF FALSE RETURN ..B'I · 8"Iuda.l:".t'X.BH Any person who willfully makes a false return or report required of him shall, in accordance with Section 793 of the 1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding $1,000 or undergo imprisonment not exceeding one year or both. IJ\::;'rJ~U,L ..i1i'1 Jl 'J'E:';1~1.1J~:W!'..J!}~ ).:J\li.LJ';..'..._~Ji.^~J:!':!.(:I: I, MAl1Y Ii. 13l1J\DDOCK, IJ rr,[ddcnt of' tlw City or II,J1T.l,;burg.. DDl..lphin County, PennsY}'Jania, being of' !"()lllld .'Jnd dj;;pO:~.iI'Jf.'. m:i.nd, memory and understnnding, do hereby make, publish nnd dp~llJre this instrument to be my Last Hill and 'I'est.oment.. hereby revoking any and all wills by me nt any time heretofore made. I'I'E'J~ I: I dil'l".t my hc']'('in',ftc'1' nnm"d E:.:"r'utor to PIlY nIl my just debts, j~nerBl expenses, adminlrtretion 'Xp~nJe8 end inheritance. estate, succession or excise taxes, which I owe, 01' moy beC'ome due on account of my death, as soon as may be ('onvrmi"nt nftc)' my.' decease. ITEM II: I giv(~, devise Gnd bequefJth my rlry fJlnll, my ant:Lque chest of drawers and the Eum of Five Thousnnd DollArs ($5,000.00) to my sister, Christina Ulsh, of Port !1c'Y1,l, POll'l:;ylvcmi:l. , ITEM III: I give, devise Bnd bequeath the sum of Five Thousand Dollars (4)5,000.00) to my niece, Christine Crowley, of lee Pines Lake, Wayne, New Jersey. ITEM IV: I give, devise Bnd bequeath the fJum or Five Thousand Dollars ($5,000.00) to my nephp.w, Robert Ulsh., of Port Royal, Pennsylvania. I'l'EM V: I give, devlr;e and bcquefJth my stands, my dining room chairs and the sum of Five Thousand Dallal'S (4)5,000.00\ to my niece, Joanne Swartz, of Port Royal, Pennsylvania. ITEM VI: I g:Lve, devise and bequeath my davenport, swivel ehair, lazy-boy chair, poster bed, maho~Dny drrsuer, din:Ln~ l~om table and the sum of ~'wo ~'housand DollorlJ (~;2.,(\O().<.\0\ to my fr.[,'nd, j)()tty Burgess, of 2228 South Third Street, Strclton, Pnnnsylvnnla. ITEM VII: I give, devise and lir''lu',;l1:h lilY untJ1l'I[' m,'rblF.:-t0r, stand to my friend, Mary Lucas, of LllcknNI Lan(.. Harrisburg, ppnnsylvonia. ITEM VIII: I give, devise ond bequeath all the rest, residue and remainder of my estate, bp it real, personal or mixed, of whatever nature and wheresoever situate \~hich I ma,Y own 0)' have the u /JI 9Jbt ;{ ~ ecl~ (SEAL) .f .'.; REV-453 EX+ (3.S0) COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE "0" BENEFICIARIES (InstrucriOlls 011 Reverso Side) Estate of Marv K. Braddock '*' BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY DECEDENT BIRTH ('k~~ .' TT'~k Sister no of all:e S5 000.00 Port Royal, Pa. rk..i, . ^U Ni ",." ""~ nf "a" .::~ nnn nn 188 Pines Lake lI"th $'1.000.00 : "J , "'6. o.J. : i , . TI1 ,~h "l",n: ,., "o~ of oa" ~ nnn nn I Port Royal, Pa. 11 /<=;j,h ~<=; nnn nn I I Joanne Swartz Niece of age 5,000.00 I yes I Port Koya.L, Pa. 1/5th $5,000.00 I I lIetty Burgess none yes oj: age l:,UUU.UU I 2228 S. Tfii:ni 8t. I Steelton Pa. I I i I , Joanne Swartz Niece yes of all:e Residue I I Port Royal, Pa. i , , Note: All articles of furn ture were disp sed of pr or to I VoL LI. I Donald Ulsh Nephew yes of aO'e l/<=;i'h ~<=; onn nn I 714 Penn Drive .,. , I . - , , - I Richard Ulsh 1/5th $5,000.00 I 2008 2~ A.5L6~ ROAd. i Bakersfield. Cal. Q'30q I I , I I I ! I i I ! i - I The abova beneficiarias are living at this time exr.ept for the following: NAME Christina Ulsh DATE OF DEATH April 28, 1978 INSTRUCTIONS FOR SCHEDULE "0" 1. List ful.l. names and addresses of aU who have an interest in the estate either vested, contingent or other interest. 2. Indicate the beneficiary's relationship to the decedent. Specify if stepchildren or i1l.egitimate children are involved. 3. Indicate "Ves" or "No" if the beneficiary survived the decedent. 4. Indicate the date of birth of the beneficiary if the interest is a life interest, term certain interest or a future interest. 5. Indicate the interest of the beneficiary in the decedent's estate. For example: SpecifiC bequests of a diamond ring, savings bonds or cash of $5,000; bequest of 25% of residue; remainder interest; etc. 6. At the bottom of Schedul.e "0" state those beneficiaries who are not l.iving at the time the return is being filed and incl.ude date of death. . R..EV:4~4 (1.S0) COMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT (Instmctions on Reverso Side) '* SCHEDULE "E" JOINTL Y OWNED PROPERTY Estate of Mary K. Braddock TOTAL Pe VALUE OF DEPARTMENT ITEM R DESCRIPTION MARKET c DECEDENT'S VALUATION NO. VALUE E INTEREST IOfficial Usa Dilly) N T None , , -u- - TOTAL THIS PAGE I -0- OH1A , INSTRUCTIONS FOR COMPLETI.NG SCHEDULE "E" Schedul.e "E" must include aU property, real. and personal., owned by the decedent jointly with another party or parties as joint tenants with right of survivorship. Both tangible and intangible property are to be included, List real estate first. 1. Describe aU real property as indicated in the instructions for Schedule" A". Describe aU personal. property as indicated in the instructions for Schedul.e "B". I.nclude the name, address and relationship to the decedent of the co'owner (s) and the date the joint ownership was establ.ished. 2. I.ndicate the total. market val.ue of the jointly owned property. 3. I. ndicate the percentage of the decedent's interest. 4. Indicate the market value of the decedent's interest. r '" ti n ;.. t'1 > ~ z ;.. 0 0 ti 'fI 1:1 C1 n c:: tJ ~ Z ::: z r t'1 t'1 ;>:: Z ;:;:l 9 - 9 r :l Z Z t'1 ..., t'1 ..., ~ 9 t'1 9 ..., -<: 'fI 'fI Z 0 'fI 0 ..., 9 "1 '<1 ;:;:l ~ I ~ 0 "T1 - "T1 0 - Z n - > r' c:: 'fI to1 0 Z -<: -<: :< , ~ I to1 to1 > > ;:;:l ;:;:l , ; I. I , I I I I I i I C "d 1:1 8 E; trl ~ ~ z ~ 0 '" trl n ~ 1:1 ~ Z == Z t'" trl :;0:: Gl 9 ... 9 t'" Z Z trl ..., ..., z 9 9 ..., -< '" trl ... CIl Z 0 '" 0 ..., 9 ." ." ~ ~ 0 C'l C'l ~ ... ." 0'> .... ~ ~ 0 ." .... \l1 .... Z - n m - '1 II: ;.; )- .... .... . t'" [ .... c .... ~ '" trl ~ ~ 0 z ;.; ~ ~ ~ ~ ~ COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE aUREAU OF COUNTY COLI.ECTlONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT . DATESePt.22. 1980 APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby mode lor cement to the transler 01 the following securities 01 a Pennsyl.vania Corporation or a National Banking Associolion locoted in Pennsylvonio: (a) 2 shs. (b) Penn-Texas Corp. (c) conmon stock (NOTE, In describing securities enter in (a), ab ",e, either the number 01 shores 01 stock or the loce amount 01 registered bonds, in (b), the nome 01 the issuing company and ;n (c) the class 01 stock or the stated interest rate end meturity dote 01 registered bonds.) ISSUED ON Sept.30, 1956 ,and having 0 TOTAL MARKET VAWE OF S 80.50 (Dot.) as of the date 01 death 01 the decedent, Mary K. Braddock . on April 28, 1980 (Name of Docedent) (Dote of doath) who was late 01 Camp Hill Nursing Home (Street and Number) Camp Hi11,Cumher1and Pa. (Post OHlco) (County) (Stat.) The securities are registered as lollows: Mary K. Braddock (Namo or nomos in which certificates ore roglstered) ADM INISTRA TOR) EXECUTOR ) Earl Richard Etzwei1er 101 N. Front St., Harrisburg, Pa. (Addr...) NAME OF APPLICANT _ Earl Richard Etzweiler COUNTY FILE NUMBER /) J- J'tJ -3" / ADDRESS OF APPLICANT 101 N. FronLSl:.. HarrisbYHoial BUREAU FILE NUMBER SIGNA TURE OF APPLICANT NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. (Name) COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE~.2f;/f$ I hereby consent to the transler 01 the above securities now registered in the name 01 the a resoid Decedent ond waive the Iiling 01 a certilicate certilying to the payment 01 the transfer inheritance tax to which the property 01 said Decedent is made subject pursuant to the provisions 01 the Act 01 June 20, 1919, P.L. 521, as om ended and the Act 01 June 15, 1961, P.L. 373, as amended. This is also in accordonce with the provisions 01 the Act 01 April 9, 1929, P.L. 343. This Consent to Transler the herein described property operates only in relerence to the estate 01 the above-named Decedent. Rcc-n (\'1.681 APPLICATION FOR AND CONSENT TO TRANSFER SECURI.TIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT * COMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF COUNTY COLI.ECTIONS ------~--- DATE Sept. 30,1980 APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANI.A DEPARTMENT OF REVENUE: Applicotion is hereby Inode for coosent to the transfer of the following securities of 0 Pennsyl.vonio Corporotion or a Notional. Bonking Associo1ion I.ocoted in Pennsylvonio: (0) 5 shs. (b) H. J. Heinz Co. (~.65% Cum. Pf.d.' (NOTE: In describing securities enter in (0). ab Ole, either the number of shares of stack or the face omount of registered bonds, in (b), the nome of the issuing company and in (c) the closs of stock or the stated interest rote ond moturity dote of registered bonds.) ISSUED ON Feb. I, 1955 ,and hoving 0 TOTAL MARKET V AWE OF $ (Oato) os of the dote of deoth of the decedent" Mary K. Braddo.ck (Name of Decedent) 290.00 . onApril :>R, 19Rn (Dctc of dcath) (Post Office) Dauphin (County) Pa. who wos lote of Camp Hill (Street and Number) (Statc) The securities ore registered os follows: Mary K. Braddock (Name or names in which certiflcatos arc registered) ADMINISTRATOR) EXECUTOR ) Earl Richard Etzweiler 101 N. Front St.,Harrisburg,Pa. (Address) NAME OF APPLICANT Earl lIichard Etzweller COUNTY FILE NUMBER..,(I- ,S"t/- 3&/ ADDRESS OF APPLICANT 101 N .Front St. .Harrisburg. Pa. BUREAU FILE NUMBER SIGNATURE OF APPLICANT ;1: ~(;-er-.4...jf?,i,r ~ HOTlCE: IF YOU FAIL TO PROPERLY FILL 11'1 AHY PORTIOH OF THIS APPLlCA TIOH, IT WILL N~, \.0 COHSIDERED COMPLETE AHD WILL BE RETURNED TO YOU FOR COMPLETIOH. (Name) COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE ~L. ~ /'1jg I hereby consent to the tronsfer of the above securities now registered in the nome of the aforesaid Decedent ond waive the filing of 0 certilicote certifying to the payment of the transfer inheritonce tox to which the property 0/ said Decedent is made subject pursuant to the provisions 0/ the Act 0/ June 20, 1919, P.L. 521, os amended and the Act 0/ June 15, 1961, P.L. 373, as amended, This is also in accordance with the provisions 0/ the Act 0/ April 9, 1929, P,L. 343. This Consent to Trans/er the herein described property operotes only in reference to the estate 0/ the obave-named Decedent. ';'''''0' .h. s""~ Ol~' I ~ . By ..,~ (5; n ro) 1),' f" :dt _' (-J ~;xl~-- /lZ~ T 0) (County) INFORMATION To Insure proper credit 10 your Decounl, the name 01 Iho estate and filo number should be cl~arly print- ed on the check or money order. This assessment is made in accordance with Section 708 of tho Inheritance nnd Estate Tax Act 01 1961 (72 P.S. ~ 2485.708). To the extent that inheritance tax is paid within three (3) months after tho death of Ihe decedent. a discount of five 15) percent is allowed (72 P.S. ~ 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 the expiration of nine (9) months after the decedent's death (72 P,S. 9 2485.711). lnheritcnce 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 deys .00085 1 ~ days .00250 25 days .00420 6 days .00101 1 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, nol 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. ~ 2485.1001), Make check or money order payable to: "Register of Wills, Agent" Mail to the address listed below: INFORMATION To insure proper credit to your flccounl, the name of the estate and file number should be clearly print. ed on the check or money order, This assessment is made in accordanco with Section 708 of tho Inheritance and Estate Tax Act of 1961172 P,S. ~ 2485,708), To the extent that inheritance tax is paid within three (3) months aiter the death of the decodent, a discount of five (5) 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 the expiration of nine (9) months after the decedent's death (72 P.S. 9 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 thereaft'er (72 P.S. S 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 davs ,00220 23 days .00386 4 deys .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 __ ___ ________________ _______ _ ____ __ ___ ___ _ _ _ ___.____ _ _ _ _ _________ ____..a Any party in interest, including the Commonwealth and the personal representative, not satisfied with the assessment may object thereto within sixty (60) days ofter receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 P,S, ~ 2485.1 001J. Make check or money order payable to: "Register of Wills, Agent" Mail to the address listed below: ORPHANS' COURT DIVISION COURT OF COMtlON PLEAS OF CUI1BERLAND COUNTY, PENNSYLVANIA ESTATE OF MARY K. BRADDOCK, LATE OF THE BOROUGH OF CAHP HILL, CUMBERLAND COUNTY, PENNSYLVANIA PROPOSED SCHEDULE OF DISTRIBUTION , Testatrix had moved into a nursing home and disposed of all her tangible personal property prior to her decease and therefore all specific bequests of personal property have adeemed. The Cash Bequests came to $22,000.00, but there was only $8,733.73 left for distribution so that each cash bequest was paid on a prorata basis of .396987790. Christina Ulsh, sister of decedent, predeceased the decedent having died on April 28, 1978, leaving five children to survive her, namely, Christine Crowley, Robert Ulsh, Joanne Swartz, Donald Ulsh and Richard Ulsh. TO: CHRISTINE CROWLEY ROBERT ULSH JOANNE SWARTZ DONALD ULSH RICHARD ULSH BETTY BURGESS $2,381. 92 2,381.92 2,381.92 396.99 396.99 793.99 Total amount for distribution as shown by First and Final Account $8,733.73 I hereby certify that the above proposed Schedule for Distribution is in accordance with the Last Will and Testament of Mary K. Braddock, and that the facts set forth in said proposed Schedule of Distribution are true and correct to the best of my knowledge and belief. Sworn and subscribed to ) before me this 10 +I day ) of September, 1981. ) till. 'turfi;, / ) " ..E,~\' . ".",,<..... 7, ,"1.!-:-l.l'..-d: )' , .:J'. ~"'Ir P.&J~ PubX~c , t', /'( '1'3) : ..' :'!(,' )'lJJ'~'(!4hP ~I .Ielll', ttrriJ'1 , ) : ;-: I, ..;t'~~I!:"~hv, ~ 4i':: (j ; u: '! .!)~i.. cV\-- .1.i"~::;<l( :~1,f "~"'; ". ~-;::,::,~'.... i:.~.:j: i;:ci: ;.. .",' ...~~ '~'.r:.~;, " ..\""": ~ ~~L'" ,,0/1 -', \, o,On..""''- "',1 v. '" I. ,.' v.' t....?r ~.Il.;;..,~~.. r.,..........,.':..... [!;/J2!fl~L~~ Executor, Estate l1ary K. - Braddock, Deceased .;BER 99 rAGE 636 " .::; ~ i. "" o:i ""r- ",:0 ~;] - (TIm _....~ .C")n ro, "R _0 ~~]CI '.1>'" '0 ....fO r,.:r1 ....., 'TO ;S~;; ~ :c, "r:, "0' : ~:,; n "" , ,OJ cc d. ,;"j E '.~. , ., e .' ~ ... ~~ ~ ~ . H ~ " f,j .8 L. "' a A ~ Jf ~ :-2 " ~ :.a 0 Iil P, .? '8 " ;j " E ~ Ul 0 ^' u u 'u 0 ... ~ ;J H ~ u " " 0: '-' '" i 13 >< E-< .. :3 ':;:; u '" I1J " 'ii O::j " '" u Ul 13 p:: .r: ,., ':. "- " .J ; Ul Iil ::> ~ Iil - ~ :'! jjj .; '" ~ ~ G Iil A 2 0 H - .- r:; " ::; " 3: !: ~ ~ 0 ,~ ~ ~ Iil U H 0 " ,,", '" N ~ a m .. ~ 0 Il< U ~ :.5 " " ~ ~ c .. " .. " ~ l- I. ::<i j:Q <11 " ., '" .', " ~ ii: ;, .~ u I1J ~ a U .g ~ ~ .- f3 ;: z ,0 ~ ~, ", L;l '. " .; ~ C .. 0 H ~ ~ E-< g .::! :- d ~ 0 ~ 0 0 .9 0 0: " ~ Z .:Z:"t...' P, A H Iil oJ 0 ~:; ;,-, ::1 :;;; ~ 0 Z 0 ~ H 13 z t:: ," " .:.: ~ < ~ m : Ii 0 ::t: H ~g; ~ " ";j 0 :.3 "' .... :r ... ~ ~ : ~ - p:: 0 ~ .~ " .:) 0> r. 0) 0 U .. ~ ~ ~ ~ " ", oi.,; 0 ... Ii 0 ~ ~ Z ~ Iil j:Q ~ U pg~ " '" ~ r ~ ~ tiI {~ .., ~ 0 E-< A :< (.j " i.I .S ~ ~ e: f', ;", OJ .J i ~ ~ A ~ UU '. ~ <=I " " t'l ~ 0: ::<i u ~ t;j~ .. ... r , ,- ... 5 <t Ii: - ....; - , ~l 0 I1J ~ P, E-< Iil d ~. (1 ... 0 Iil, 0 ~ ~ :+;' -" .-- 0 '@ 'a:J z ::t: ~ Iil . " U ..0 2 ... ,.. - ;.., E-< Iil ~ H " ~ .~ 0 " ... j P, Iil " ~i ~ ,,' ... ~ 0 'S :> 0 Z ~ ~. " ~ u " H 0 U .,. ~ 8 <" ~ '0 ,..- o. :;.; 1! -' ~ :', :~ ~'1 '? ..0 =; 8 " . ';r~- l)no:) .. .c .. (sf .411N1a~84 uonnqlJ IP SO ern pBsodoJd 4t!M a:>ue-pJo::>~e UI uonnqlJtslP pUB Ji,9J1ll0sqg ~U"O~~'dm/'r/' =PC] .. . .. PRINCIPAL RECEIPTS BY EXECUTOR Checking Account fl17 26 1252 in Dauphin Deposit Bank & Trust Co. Certificate of Deposit fl08 14 018692 in Dauphin Deposit Bank & Trust Co., including interest to date of death 2 shs. Penn-Texas Corp. (now Colt Industries) 25 shs. Hershey Chocolate Corp. common 1.242 shs. Delaware Fund Washington National Insurance Co.. Annuity Property Tax Rebate, Rent 5 shs. H. J. Heinz Corp. Cum. Pfd. 3.65 Total Principal Receipts . . PRINCIPAL CONVERSIONS INTO CASH 2 shs. Penn-Texas Corp. (exchanged for 6 shs. Colt Industries) 25 shs. Hershey Chocolate Corp. 1.242 shs. Delaware Fund 5 shs. H. J. Heinz Corp. Cum. Pfd. 3.65 Totals L13LR 99 pm 633 - 2 - $3,751.11 5,966.10 80.50 529.75 15.36 10.08 400.00 290.00 .. $11,042.90 Gain Loss $63.83 68.59 4.12 13.94 $136.54 $13.94 .' PRINCIPAL DISBURSEMENTS Register of Wills Paul E. Baker Cumberland County Law Journal Hetro-West Rolling Green 11emorial Park Cowley Associates R. B. Brown, M.D.. John E. Neumyer Funeral Home, Inc. Register of Wills Register of Wills Register of Wills Register of \nlls Corroon & Black Company, Pa. Dept. of Revenue Earl Richard Etzweiler Earl Richard Etzweiler Barbara L. Etzweiler Earl Richard Etzweiler Register of Wills Letters Testamentary and 2 Short Certificates Witness Will Advertise Letters Advertise Letters Inscribe scroll Medical bill l1edical bill Funeral bill File Inventory & Debts File Inheritance Tax papers 2 Short Certificates 6 Short Certificates Surety bond 1980 Income Tax Attorney's Fee Executor's Fee Notary Fee Postage and Telephone File Final Account, Schedule for Distribution & Adv. l1edicare Hershey Foods Corp. Capital Blue Cross Nedicare Hershey Food Corp. John E. Newmyer Pa. Blue Shield Commonwealth of Pa. Dauphin Deposit Colt Industries Total Principal Disbursements INCOl1E RECEIPTS Payment Dividend Refund Payment Dividend Refund Payment Inflation dividend Interest Dividend Total Income Receipts - 3 - L15lR 99 PACE 634 $ 21. 00 15.00 18,00 17.38 45.00 520.00 60.00 426.16 6.00 '.3.00 2,00 6.00 3.00 6,82 552.15 552.15 5.00 20.00 58,00 $2,336.56 $ 276.00 8.75 34.60 44.00 10.00 .10 11.00 95.00 465.59 1.45 $ 946.49