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last )1ill aM ~t$tattttnt
I, RUTH A. CONRAD, of Lower Frankford Township, Cumberland
County, Pennsylvania, declare this instrument to be my last will and
testament, hereby expressly revoking all wills and codicils heretofore
made by me.
1. I authorize and empower my executor to sell any realty owned
by me at my death, at either pUblic or private sale and to r,ive good
and suffieient deeds therefor, in fee simple, as I could do if livin~.
2. I devise and bequeath all of my estate of every nature and
wherever situate to my five living children, share and share alike,
the child or children of any deceased child takin~ the share their
parent would have taken if living.
3. I nominate and appoint Richard A. Hurley to be the executor
of this my last will and testament; he is to serve as such without
bond. Should he die before my death, renounce or refuse to serve for
any reason, or die leaving any of my estate unadministered, I nominate
and appoint Harold S. Irwin, Jr. and Roger B. Irwin, as substitute
executors, also to serve as such without bond, with the same powers
as are given herein to my executor.
4. I herebY suggest that my personal representative retain
the services of Irwin, Irwin & Irwin as attorneys in the settlement
of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
?6~ day of November, 1979.
Uiu~ Q.. {JcrY1/L~L
RU'I'H A. CONRAD
(SEAL)
Signed, sealed, published and declared by Ruth A. Conrad, the
testatrix above named, as and for her last will and testament, in the
presence of us, who at her request, in her presence and in the presence
Df each other have subscribed our names as witnesses hereto.
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLV ANIA I HH:
COUNTY OF CUMBERLAND I
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This....... ~';:,....... ...".. .............,.......",....,' ................ day of .......",...."". ..{,<.rf!.~,';f..... ......".,. ....."..', ..... A,D., 19.. ~,9..,
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before me Richnrd.E, Anderson, Register for the Probate 9f'Wills and granting lettcrs of Administration
". ./.
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in and for suid County of Cumberlnnd, in the COm'l>n~ealth of Pennsylvnnia, personally cume .....".......
Betzi A. Morrison and J. ~1ari,e' Jones
........................................................!..................',;..(.................................................................................................
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the subscribing witnesses to the forcig~.~ng instrument of' writing purporting to be the last Will and
Testament of ....!W~.~... ~.: ...~.9,~~f.I.~,.::<.. ..>., '.',...."....,.......".., ............,.., ..... Dated ~.c?' ~~,~~,e:.:....~.~.~...~ ~.T.?..
late of ......"..~::.~~::...!..~~!:.~~~~?::!.?.Y.J.~~~.~.p....>:.~...........,,""........... Cumberland County Fa., deceased
b. d I swor.rr . ,d' "- d d h t they
who emg u y ...............;::'........".............. uccor mg to l~ epose an say, t a........................................
present, and saw and h'e~rd the testa~!:'.~::.".""..............., .~~........~.y,T.~...~.:...~.9.~.~f.I.1?...."........................
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sign, seal, publi~1;l(pronounce and declare the said instrument ofwrlt~ as and for h.e.r........... Tes~ament
and Last Wi1l(and at the time of so doing .........~!:,~..............."..............,,~s of sound and disposing mind
7 '....
memo/~ understanding, to the best of ....."..~!?<:.~!:'....................."...knowledge,~~rvation and belief.
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.......................~~,?~!:............. and subscribed before
..... ..........BET.Z'L.. .A.:..Moltj{'L'S.(j~................. ...........
.................................................................................,
Richard E. Anderson, Register
....................................................................................
.......... "..'j'.:..'MARi'E;'.'Jo'iiES'..................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND I
........................,..........~~~.~~~.~..~.:.. .~.~~~.~~.....................,... .... ........................................................being duly
........................,,~.!'!R.r.!L......... says that as nearly as can be ascertained the said decedent ..........................
......................."......... ~.V.'F.!'!...~:... .9.9 !;l,~~ .f?.......,.................................,...................................................... .died on
...........~.~!'!~.'!:lf......................... the .......,~.~.~!:...............day of ................~~X.............................. A.D., 19..~~.,
at or about ..............}.?:.9.?................ o'cIock,P.:..M.
.......................,..~.:'!~.:.!'!...........,...and subscribed this
...................}.9.1;P.................... day of .....t:!~.:t.............
19, .?9..., before
..{.?~,~..1.1..(].&.~.1.~r.-;;...........................
HICHIIRD A. tWRLEY
../l1~..e.:...~~.......................
Ru..1._. ora"", R/glster
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I
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55:
Richard A. Hurley
is the executor
___ according to law, depo... and .ay. that he_
RUTH A. CONRAD
. _._.___.____ of the E.tate of
late of Low'er Frankford Township , Cumberland County, Pa., deceased and that tho
'th" . t d b Richard A. Hurley th 'd executor
WI. In IS an Inven ory ma 0 Y ____n_____ - .---.---" e S41
of the entire e.tate of .aid decedent, con.i.ting of all the personal prop.rty and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the ligure. oppo.ite each item of the Inventory repre.ent it'. fair value
as of the date of decedent'. death.
,-,--~"-----'--'-'-"~- - .---.----..---.--.--- --.-" --<
being duly
sworn
Sworn
January
31'"
19
81
oM? / j{.JfUl~
Executor . X~...~
and subscribed before me,
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R. D. #9
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_~rlisle,....!..A 17013
AddrllS
Date of Death
11th
May
1980
Day
Month
Yeer
INSTRUCTIONS
I. An inventory mu.t be filed within three months after appointment of personal repre.entative.
2. A supplement inventory mu.t be filed within thirty day. of discovery of additional assets.
3. Additional sheets may be attached a. to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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Inventory of the reol ond personol eslote of
RUTH A. CONRAD
deceosed.
REAL PROPERTY:
10.40 acre tract situated along T-427 and T-486,
Lower Frankford Township
Sold to Robert S. and Janet L. Conrad, for......... ........ ,.
12,000 00
13.93 acre tract situated along T-427 in
North Middleton Township
(no separate assessment).....................................
1,400'00
23.7 acre tract situate along Conodoguinet Creek in
Lower Frankford Township \
(no separate assessment)..................................,..
2,400 00
TOTAL REAL ESTATE.. ..... .... ,.. 15,800 00
PERSONAL PROPERTY:
Dauphin Deposit Bank & Trust Co.:
Checking account #23-82-136-1.......... ....... ....$ 107.49 I
Savings account #06-60241......................... 664.34
Christmas Club #1238-000000-1000.. ~n' . . . . . . . . . . . . 170..00
Prudential Ins. Co. Policy #109293000.. ...... ..... 93'( 59
TOTAL PERSONAL PROPERTy............. ........ 1,879 72
TOTAL ESTATE................... 17,6~9 72
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REV0449 t8-781
,:2 / - ,go- .3 73
COMMONWEALTH OF PENNSYLV ANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERAT,ONS
*!jj
RESIDENT DECEDENT
COUNTY OF Cumberland
IMPDRT ANT:
- -- --- .-
This rcturn must bc completcd in detnil ami filed in duplicllte, with all nOuched, with ,the ReghHcr of Wills (If the
County where dccedent rcsidt~d; Rcturn is duc within ninc months after dale or dellth. unless 1111 extension is grunler.!
by the Sccrctl\ry of RCllcnuc. (Scctiou70.l or tlH~ Inherilllllcc allll ESWlC Tux Act of 1961.)
-
Lcte of
Cumberland
Pennsylvania
Cumberland
Richard A. Hurley
1 AFFIIlA VIT OF
--J EXECUTOR
l\1S~NI!;~~Illlll.
County
IN TilE MATTER OF TilE ESTATE OF
Ruth A. Conrad
lSTATE FULL NAME OF DECEDENT)
County of
}."
State of
Executor
.MlntJKiWlllXllC
of the estato of the aboyo-namad decedClnt being duly sworn, depose
and soy
Decedent died
May
11th
19 8__~J testate IMylng a last will, copy of which is herota attached. }
~dl,*OitX
(MONTHI
Name and addre.s of attorney or }
other authorlud repr...ntotlvo to whom
all correspondence should be moiled.
(OAY)
Irwin, Irwin & Irwin
44 South Hanover Street. Carlisle, PA 17013
That as such exer.lltn,., deponent is familiar with the affairs of said estete ami the property constituting
I EX ECU TO R.ADM1NIST R A TO RI
the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or
as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the
exception of the following: -
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOIN"
HOLi:lERS TO DECEDENT
s
Carlisle
Cath J. Brewbaker
That the contents of said safe deposit box or boxes are itemized under Schedules
with the exception of the following, for the reasons hereinafter set forth:
of this return,
That Schedule A attached hereto and made part hereof sets forth fully and in detail all the re81 property
in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the
mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still due at
death, name of mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the
coluIlUls provided therefore the assessed valuation of each of said parcels, the estimated market value thereof
as of date of death of decedent.
That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property
wheresover situated owned by the decedent at the time of death; all moneys left by the decedent at Ihe time of
death, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savings
banks, trust companies, or other institutions, whether individually, or in trust for any other person or persons
giving also separately the: accrued interest thereon, if any, down to the last interest day prior to decedent's
death in the case of savings banks, and to the date of decedent's death in all other cases; all bonds, postal
savings, treasury certificates or notes and other evidence of indebtedness of the United Stales to the de-
cedent; all obligations, whether by statute or agreement they arc designated as tax frec, of the United States.
or any state, or political subdivision thereof, or of any foreign country. which ar~ owm~d at the time of death;
all wearing apparel, jewelry, silverware. pictures, books, works of arl, household furniture, horses, carriages,
automobiles, boats, and any and all olher personal chaltels of whatsoever kind or nature, left by decedent,
together with the fairly estimated market value thereof; all bonds and mort'gages held by decedent andaf all
claims due and owing decedent at the time of death, and all promissory notes or other instruments in writing
for the payment of money of which decedent died possessed, of whatsoever nature, with interest thereon, if
any, giving thr. face value and estimated fair market value thereof, and if such estimated fair market value be
less than the face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys
payable to the estate from life insuranc(,', policies carried by decedent; all annuity and endowment contracts
the proceeds of which were payable upon the death of the decedent; all and the corporate stocks and dividends
due thereon and unpaid os of the date of death. bonds and accrued interest thereon 10 the date of decedent's
death and other investment securities owned by the decedent at the time of death, with the market value there-
of at such time.
.. .
In the case ot' securities 01' close or rumlly corpcrotLollS, till! vlLllj(~S report.erl are us far as
possible 5ullstnnttnterl by rtnllncllll sttltcmunts or the corvornth.llls, showing the nS5ol,A nnd lJnh1l1t.lc5
th.~reof 85 or tile <In to of' (h~n tho The s<:llcdlll e 1\1 so set.s for l.h t.he In terost 0 f' lIeccflen t. "t the time or
denth in nny cn-IHlrtnershtp or llllstneSSt Imd in sllpport. of' Uw value of' 5uch InlerHst. t.here hi nnncxed to
snlcl SCIlCrllllp., f'lnnllclnl statements showing thellssets flnd llnhllitles 01' 5/11(1 co-pllrtrwrshlfl or huslness.
A cor~' of tlH' cO-Jlltrtnership ngrel!mcnl, (If orlll, II stnt.ell1ent. HIlt.Unl!; f'orth the 1l11tllre of tt.u n~reoment)
tog;Hther with 1\ statement set.tlnS?; f'orth the chnrllcter of' the hllStW!5S, Its lu(:Ilt.!on, nod such other fncts
iH'rtl\tnlll~ \.0 the hustncss liS mil,}' he pJ'rttnent to Ii j'lltr Hill! .IU:-it IlPJlrnl:-inl nf' t,llc clecl!dcnt's intnrost
t1lt~relll mllst he suhmlttf"!c1. It should nlr.o set forth In It.ellllzr~ll f'orm, tow!t.hel' wlt.h the fair llmrkeL vnlul~
thereof, un)' other propert.y owned or hcqlleathed by tho:! lh~c,'dpnt, nl. thl'"! time of' d'~nth.
The SChedule C attached horrd,o /lod mnde purt. hl'rr~or set.s f'orth Ii t.rlle nnswet' to each inquiry
contaLned therein and in t.he case of' trllllsf'ers of'proIH~rt.y, ronl or personal, wlt.hln two yenrs of decedent's
dellth, In contemplation of decedent's denth, or lntemlcd to t'lke p.frf!ct In possession or enjoyment at or
after <lenth, said schedule sets forth the nntllre /lnfl vlllue of such propert.y, t.o whom trnnsferred, the
N~llltionship of' the transferees to the llecctlent, Ull~ proportlonntc shure receivf!d by each transferee and
all other fncts of a pertinent nnture reglirdinJ.; Sullt transfers. In the case of transfers intended to
take ei'fect in possession or enjoyment lit or after denth, there is n1so nLtllchert to the schedule II cony
of the deed, trust agreement or other instrument crenUng UW trust. Ther.~ is IlIso set forth in said
sche(htle It list. of all property, renl Ilnd personal, with its vlllue, which pl\f.;ses at decedent's death by
virtue of the exercise by decedent, either individually, or .1ointly with another, or lU'y ~lower of appoint-
ment. vested in decerlent, either individually or Jointly, by the will, deed, or other instrument of another,
with tl copy of the instrtunent creating such power t\ttnched to the schedule.
That Schedule D attached hereto and made part hereof sets rorth the n/lmes n.nn addresses of all
persons beneficially interested in this estate at the time of' decedent.' s neath, the nature of their res-
pective interests, their relationship, if any, to the rlece1lent, together wIth the ages at the time of
decedent's deAth of 0.11 minors, annuitants and beneflcilirtes for life uneler rlecedent's Will. It also
contains a statement showing which of the beneficiaries nnmed in the rlecedentf 5 will, if any, died prior
to decedent, the dates of their death, their issue, Md the relationship of such issU'~ to the beneficiary.
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That Schedule E attached hereto and mllrte n pllrt hereof sets forth all property, relil and per-
sonal, owned by the decedent jointly with another or others, including intan!;lble, standing in the name
of the decedent and others, plus the date and place of recorrl of instruments effecting the vest! ture of
real estate and the date of acquisition of 11ersonalty, plus the name, address Ilnd relationship, if any,
of co-owners to the decedent.
That Schedule F attached hereto and mnrle n part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate, including runeral expenses paid;
family exemptian, where appl icable; costs of administration of this estate; counsel fees and f\ldiclary's
commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli-
gious services, 1n consequence of the death of the rlecedentj debt.s ami claims owing and unpaid at time of
death; taxes Ilccrued chargeable for period prior to decedent's death (except those allowed under Section
65101' the InheritWlce Ilnd Estate Tax Act); together with n statement of collateral pledgerl for obliga-
tions, if any. It is agreed that the fiduciary will present proof of said clllimed obligations upon re-
quest, that if the amount actually paid in settlement of .nny fee, commission or debt is less than the
estimated omonnt claiming nnrl allowed, that the Slime will he reported tc the HegJ.ster of WillS, and that
the amount of tax asst~ssed can l)e reassessed in accord/Ulce therewl tho
That the totals of the appropriate colunUls in Schedules "A"~ "B", "eft, "E", and "F" as directed therein,
have been carried forward and properly registered in the Suml1lliry.
Subscribed and sworn to before me this
....~!;;.i;l:.~{!(;~a.y-,,,._"----
R. D. #9
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(City Of' Town and Sto.te)
NOTE: Bef'ore Slgll1:1g affidavit mtlkl~ slIre all hlnnk AJlllcen in the nffidllvit anrl scheduleR nnnexed are
filled ill \tlth details or t.he word "Norw", lUlll in Cllse the asspts include rllrc tmd unlisted securities,
secllrlttns l)f close or family corporllUons or IUI interest in /iny en-partnership or busJness, that the
flnlb lilld stat.ements rcqulr~rl Ulldf'r the! pnl"ll,L!;rnph nhove rejattn~ tu Schf'd1l1e "H" arl! attached. Also make
cerlf:dn lhnt collunn #1 1n th(! "SultlTlnry" hus been properly complete,i as Ithove-directed.
'/'
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"" day of
:!,lll1\lllI:X" 19.",.?~.
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REV"4SI (B"18)
*
CDMMONWEAL TH DF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS: This Schedule must disclose all tlll1~dhlc ilnd intallgihle personal property owned individuully by the
decedent, III the time or his death. Pl'Ol1crty owned by the decedellt joirllly with llllother ur others must be listed
under Schedule uE". Intangible personal property, titled in the IHlllle or the decedent, hut payable at death to another
or others, including hut not limited to p.o.n. u.s. Suvings Blinds and tentative trust accounts, Rlllst he listed, despite
the ract that they UTe not or the administered estllte.
Tangible personal prnlll~rty shoultl he listed first (e.g. jewelry, wearing apparel, houscholt1 gootls, and
rurnishings, hooks, paintings, automohiles, houts. etc.)
Intangible personal property, sllch as bonds, treasury certificates, cash on hand lInd in bank, stocks,
mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance payable to the estate or
riducillry in said capacity, pnrtncrship interests, interest in any undistrihuted estnte or or income rrol1l uny property
held in trust under the will or ngreement or another, even thuugh lucated uutside fir the State, at the time or death,
should be listed in this schedule.
Item rmM UNIT ESTIMATED DEPARTMENT
No. Lislllnd dcscribc fully VALUE MARKET VALUATION
VALUE (Do not write in
this splice)
Dauphin Deposit Bank & Trust Co.
Checking acct. #23-82-136-1........... .. ~07 . 49
Savings acct. #06-60241. . . . . . . . . . . . . . . . . 664. 3~ (,(,'f. 70
Christmas Club #12d8-000000-1000........ l~O.gO
Prudential Policy 109293666......... ... 9 7. 9
TOTAL. . . . . . . . . . . ~l, 879.72)
.
.
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Insert thi's total opposite "Personal Property", Schedule liB" in X X
the "As Reported" culumn on the last page or this return. ~
. .
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(1) IUd clt'epdt'lIl, "'ll.lIln IWIl ~'l'ars 1II'd..:lIh. 1I11I!,:1' illlY 1l'llll~;I'I'I' 01' :111,\' lIl:d,I,,']ul purl. cd' Ids I'S!.IIt./!, without
rect'l\'ln~ Il \'1l11lahll! HI~d aelp/Pllll.p c'lIl1sld"I'illloll ItWI'PI'O!'? (\11 s....'p r' P's or' 1I0)-H.Q___
(2) Did 01,...,'01""", "11101" "w" y""'" "I' <1",,'10,1"'''''1',',' 1"'''1'''''')' 1'""",101",,,'11''',, 101",'''\1' ",,<1 "",,"IoO'r ""
1',thcl'S (tllclwllll~ II SpOilS..) III Joint ClWII/'I'sillp',' (,\IlS\WI' YI'S or' !l1,}.__NO_
(:I) II' tho IlIlSWp.r 1.0 (1) Ill' (:J) IlllO"P Is III 1.111' 111'f'II'It1Il.I.I)T sUit...:
(II) A!~l! 01' der:..lit'lIt at t.llIlt! Ill' lI'lIll~il'nl' Nt 1-\
(b) StalY nl' .Ipep/llnltls ill!lIltll Ill. I.lllll' I'~~le I.flll1sl'I'r'. (~nl.l' I).
(e) CUWif' fll' dlH:f'llplltl s (\I'lIth. (~;Jtl' I).
(,1) Ditl tlecedp.llt., In Ills Ilfetlfl1l', mlll.:1' Iln~' 1I'llllsf'P!' Ill' [lI'nJlI'!'t.y wllhout "f!l:I~lvlllJ,!; 11 Vlllllllllle or lIdcrIUIlt.I~
cOllsJtlurntlon thOI'I!f'lIl',y.lllell Willi 1.0 I.HI{I~ 1'I'I'l'I:L 111 pIIS,"iI!SiiIClII 01' l'Il.lOYI1IPllt. Ill. 'Ir Ilf't.OI' Ills llenth'?
(Answer rl1S or nn) NO '
(ll) WIIS tlll~rl! IIl1j' po(.sllllllt~' l.hal. till! propert.y U'llllsf'nl'rl'd L111/-!,lLt l'elul'll to trnnsl'f~I'er or hIs
I~St.Hl.ll or hl~ slIll.lncl. t.o ills IHi\\'t'I' 01' dlspflslLlo!l'! (Answer ~Ws 01' 110) NO
(il) \\'tllll WIIS l.iL,~ l.I'ansl'p.rl~els Iigf! at tilJl/~ ot' IIHef'llenl's delltll? N/A
(5) Did dcc('(lenl. IfllLl:,; 1II'et,lml! lTlnkf~ /IllY tralls!'!.'r without reeclvJllJ.!; It vlLllllthlf~llndllrll'!fl1l1ltu cOllsiderutloll
therefor limIer widell trullsf'm'or eXllI'l!ssly fir Inlplll!dly l'eserVI'S f'or Ids 1.1f'1~ or /IllY period which tloes
lIot in ('nel. end IJf?l'oT'e Ids llellth:
(n) '1'ht~ possl~sslfln or l!n,lOj'rneHt. 01' 0" tile rlAI11. to Illel)l1\c I'roU\ t.llt' prol1el't,y tranHf'nrrml?
C\nswIH' j"'!S OJ' no) NO
(h) The rl~hL to destgnntl~ the Ilf?rSOnS who sl1l1l1 possess 01' enJoy the property lruns('erreti or
lllcorne thel'I!f','olll? (Answer yes or no) NO
(0) If' the Il11S.....(!r to (5) (Il) nhnvf.! is In the It1'f'lrl1llltlvc, stlll;e whether the right. WItS reservCHI in decedent
nlone or others
(7) Din fIecedent In his J Il'etlmc muke It trHtlsf'er, I.h(~ cOflsiderlltloll {'or whtch WItS t.rllnsferee's promise to
pay income to or 1'01' t.he llenef'1 t. of' care oj' tl'llnsl't~ror? (Answol' yes or no) NO
(8) Diet clecerlent, lit allY Limn, tl'/Iwil'nr pl'npf!rtj'~ l.ht? hflllOf'tcinl t~n.lf)Yll1elll nf' whleh WIIS subJect t.o change,
beciluse of Il reserved Illlwl-'r to ul tel', Hm(?1\d, or r(!VOkH, {'r wlltell COlll d revert 1,0 Ih~cellent uncler terms
of trllnsfer or b,y opcrntlon of' luw? ('\nS\H!I' yns or no) NO
(0) If the IlnSwer 1.0 (H) IlIJlIVI~ is in tile af'('lrrnatl\'e, WIlS the power tll al U'l', I1I11(!wl, or rnvokc the inter-
est of the henel'lciarj' I'es~rvell in tlw l\t'ceclenl. alone OJ' the decedent Hull others?
(Answer yes or !lO) NO
~OTE1: The anSWers to these questions should he S\lllpol'teli hj' Ilff'illnvlt. fly the Iltte"lling phj'slcillll as
well us n copy 0(' th(~ fleath l;f!I"I,ll'l.cHle.
r\O'fI': 2{ If' l\ll~Wer t.o an)' 01' tile Illlovl'! llliesUnns 1s yns, S\~1. I'ort.h helow a descl'lption 01' the property
trnnsferrnd, itl s f'Il.lr nlllrkl!t valUf! nt clllt.e 01' (11'1II.h, llntes of t.rltnsl'l~rs anti to whom t.ransferred, wit.h
relationship of' transferees to ch.!ceflent, I r any. Sllhml t copy of' IIn)" t.rust. "el~d or inst1'ulTlent, If' trllns-
reI's llre claimed to hn nOIl-tllxllllle, 1I1so slIhmtt. detnllecl sl_llternent of' "llet.s Oll which suicl claim 1s bllsed.
~OTE 3: I~ist Il)lpltcnhle proJlert~. below in munner In wldeh provlttcrl in SChl~dI111]S A, B, or E.
ITEM
lJJo:SCltII'TION
~IARKE1' VM.ur:
(Es Umll tecl)
DEPT. V,\I.1JATION
(Dept. Onl y)
NONE
I
~
L
~I'l.l..-'
-<l9fC
lrlfoip.rt this t.otld op(losltf' "Trllllsf'ers", Sch(>tllll~ "C" 111 tile
liAs Hp.l'ortp.d" cfllulTOl on til.... tllst fl1lJ,!;.... nf this r('t.urn.
-
.
. ,.
REV-,u3 (S-78)
CO~t.lONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCIIEnULI: "n"
BENEFICIARIES
- -
BENEFICIARIES AND ADDRr:.sSES RELATIONSIIIP
(Sulle full names nnd adc.!rcsscN of 1111 who (If atep..dtiLdren or SURVIVED DATE INTEllEST OF
have an interest. vested, contingent or other- illt'gilimulc childfl~1l DECEDENT OF BE:-IEI'ICI,lIn
wiNe, in clllUte) lIfC involved, set STATE YES I\!RTI! IN ESTATE
forth this fnct,} OR NO
----
Ethel M. Hurley Daughter Yes One-fifth
-
R. D. #9
Carlisle, PA 17013
-I -
Cathryn Brewbaker Daughter Yes One-fifth
R. D. #9
Carlisle, PA 17013
Raymond W. Conrad Son Yes One-fifth
R. D. #9
Carlisle. PA 17013
- -
John F. . Conrad Son Yes One-fifth
R. D. #9
Carlisle. PA 17013
Robert S. Conrad Son Yes One-fifth
R. D. #q
Carlisle, PA 17013
.
--
.
,
- --
D@ponent further says that 011 the above-named beneficiaries are living at this time except below:
NAME
DA T~ OF o~:. Tn
RESIDENCE
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INFORMATION
To insure proper credit 10 your account. tho name of tho eSlflto and file number should be clearly print.
ed on the check or money order.
This assessmont is made in accordance with Section 708 of the Inheritance and Estate Tax Act of
1961 (72 P.S. ! 2485-7D8).
To the extent that inheritance tax is paid within threo (3) months afler tho death of the decedent, B
discount of five (5) percent is allowed 172 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. S 2485.711). Inheritance
Tax on a future interest is payable within three (3) months after the transfer lakes effect in possession and
enjoyment and is delinquent thereafter (72 P,S. S 2485.712), Calculate interest from the delinquent date shown
on the faco of this form to the date of actual payment using the following interest table:
------------ --------- --------- - -- - ------------- - - --- - --- -------- -- -- - - - -- --
1 month .005 4 months .02D 7 months .035 10 months .050
2 months .D1D 5 months .025 8 months .D4D 11 months .055
3 months .015 6 months .030 9 months .045 12 months .D60
1 days .00017 11 days .OD186 21 days .00352
2 days .00034 12 days .DD203 22 days .00369
3 days .00051 13 days .00220 23 days .00386
4 days .00068 14 days .00237 24 days .004D3
5 days .00085 15 days .DD25D 25 days _00420
6 days .001Dl 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
lD days _00169 20 days .00335 3D days .00500
Any party in interest. including the Cornmonweallh and the personal representative, not satisfied with
the assessment may object thereto within sixty (60l days aher receipt of this Notice 8S pro....ided by Section
1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S. 9 2485- 1 001).
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
HEV.455 EX-i- (:I.HOl
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT OECEOENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
-
.. - -----.=..-~-,-=~~--='"'...-"=~'-.=~'"""'-_.""- .............--.-
Estate Df RUTH A. CONRAD Date of Death!.lay 1l,1981lFile No. 21-80-373
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOllOWING:
Claimant
Relationship to Decedent_.
Claimant's Address
DATE
NAME DF PAYEE
REMARKS
AMOUNT
Hoffman-Roth Funeral Home
6-24-8 The Evenin Sentinel
Ste hen G. Fisher
Richard A. Hurle
Nina L. Poe
Register of Wills
Register of Wills
Recorder of Deeds
Roger B. Irwin
Recorder of Deeds
Irwin, Irwin & Irwin
Letters etc.
Advertising
Funeral services
1
Taxes
Inv. App. D&D
TOTAL THIS PAGE $5 612.56
I hereby 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 as deductions for Inheritance Tax purposes.
. , '.. ''3 CJ2L t/<-Ir,
SIC T RE OF ATTORNEV/r1I1UCIARV DATE
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SLIM OF S
/---t;JI:) r/
. ~ .". )(P
AT
?
PERCENT.
/j'- / ~ -,FI
DATE
GENERAL INHERiTANCE TAX INFORMATION
Unsatisfied liabilities incurred bV the decedent prior to his/her death are deductible against his/her taxable estate.
In addition tD debts incurred bV the decedent Dr estate, other items are claimable including the CDSt of administratiDn,
attornev fees, fiduciarv fees, funeral and burial expenses including the cost of a burial lot, tombstDne or grave marker.
All debts being claimed against an estate are subject to the approval of the Register Df Wills with whom the
Inheritance Tax Return is filed. Evidence tD suppDrt the decedent's or the estate's Iiabilitv for the debts being claimed
shDuld be attached tD this schedule.
A familv exemptiDn Df $2,000 mav be claimed bV a spouse of a decedent who died domiciled in Pennsylvania.
If there is no spDuse, Dr if the spouse has fDrfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemptiDn. In the event there is nD such spDuse or child, the exemptiDn can be
claimed bV a parent Dr parents who are members of the same hDusehold as the decedent. The familv exemption is
allowable Dnly against assets which pass by a will cr by the Pennsylvania Intestate Laws.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. if the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent. Enter "familv exemption" in the remarks column and the amDunt claimed in the amount column.
2. Assign consecutive numbers to each item listed.
3. Enter the date Dn which each debt was incurred and/or paid.
4. Enter the names Df each payee.
5. Provide a brief explanation in the remarks column fDr each debt claimed.
6. Enter the amDunt Df each debt being claimed.
7. The form must be signed bV the person who has assumed the responsibility for paying the debts.