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No.
'21-80'
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PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
Wayne H. Mendenhall
, deceased.
Mary c. Le_is
To ni~l.fil eI C. AI"I8erBElR, Register of Wills for the County of Cumberland,
in the Commonwealth of Pennsylvania.
IS
Petitioner(s) sa the execut 01' named in the Lost Will and
Testament of Wayne H. Mendenhall doted February 17. 1.978
Decedent was a citizen of the United States and a resident of
"f~
Borough, Cumberland County, Commonwealth
Carl isle
of Pennsylvania.
Decedent died on
Thursday
the 29th
day of
May
A. D. 19.JliL, in the County of
Cumberland
State of
Pennsylvania at the age of 85 years.
km lhooc :her
Decedent has not been married and has not had children born to him
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
unestimated and of real estate to the value of
unestimated
as near as can be ascertained; said real
AI 0 (U(':=
estate situated os follows
cppby
Therefore, your petitioner(s) respectfully applies for the probate
of the said Last Will and Testament ond for Lette~:; Testame~t~1lhereon.
Dated June 3, 1980 cyt~ orI. WJWltIf.
Name and address Wayne H. Mendenhall, Jr.
of Petitioner(s)
8 Carlton Avenue
Carlisle, Pa. 17013
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
Wayne H. Mendenhall. Jr.
named in above application, being duly sworn according to law
say(s) that the statements set forth in this petition are true to the
knowledge and belief. I'd
and subscribed before <J1~~ II.~W/IJ .
/I
me June 3, 19 80
~17h. ii' ,~ ~
.' nleR::t C. ~~~~ Register
his
best of
Sworn
~Glo
Filed:
02/-rP - 35'~
June 5, 1980
J/-~.7f'-1
Attorney: Robert M. Frey
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LAST WILL AND UiSTAMENT OF
WAYNE H. MENDENHALL
I. WAYNE H. MENDENHALL. widower. of 264 South Hanover
Street in the Borough of Carlisle. Cumberland County. Pennsylvania.
do hereby make. publish and declare this as and for my Last Will and
Testament hereby revoking and making void any and all Wills by me at
anytime heretofore made.
1. I direct my hereinafter named Executor to pay all of my
just debts and funeral expenses as soon after my death as may be
found convenient to do so. I direct my funeral services be conducted
by Roth Funeral Home. Carlisle. Pennsylvania in a manner substantially
similar to those which I arranged for the funeral of my wife. that my
services be conducted from First Presbyterian Church. Carlisle.
Pennsylvania, and that my body be interred beside that of my wife on
our burial lot in Westminster Cemetery. I direct the sum of Fifty ($50.00)
shall be paid to the First Presbyterian Church as an honorarium in
connection with conducting my funeral services in said Church. I request
that my funeral services be conducted by the Reverend Mr. Kelewae.
assisted by the Reverend Dr. Weer.
2. I give and bequeath the sum of One Hundred ($100.00) Dollars
to Presbyterian Homes, Inc., Dillsburg, Pennsylvania. to be used for such
purposes as its Board of Directors shall deem best.
3. I give and bequeath the sum of One Hundred ($100. DOl Dollars
to Thompson Bible Class of First Presbyterian Church. Carlisle,
Pennsylvania. to be used for such purposes as the members of the class
shall deem best.
2<:19 Page 1 of 3 pages
.
OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA I HH:
COUNTY OF CUMBERLAND \
This..... ........... ........... ....~~~.... ................ ............... day of ............... .... J'::~~........ .......... .......... ....... A.D., 19.~.?..,
Mary C. Lewis
before me RioboxllbB::x&RIIlOlllSllR, Register for the Probate of Wills and gmnting letters of Administration
in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally came ..............
.......... .~.!? !?~.~.!. .M.-...f.:. ~:t.. !l:!"l~..!?~ !?~.~.'!:~.~.:...S ~}.~. ~~~~p.~~.~..............................................................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and
Testament of ......w.9,y.n~..ij.,...Mf1r..c!.\!.nhi!.u.. ........ ...... .... ...... .... ............ .......... Dated ..f.~.~.~.:-!~:.y..)~.... ..~.n~!..
lateof............?RX.l?!lgh..Rf..Ql\r.;\!Fi).~,......................................................... Cumberland County Pa., deceased
who being duly ..........I?W.9X.n...................... according to law, depose and say, that .....tb~,y..~~);'.~.................
present, and saw and heard the testat.9.L........................., ....w.il-J.n~..~.,..M.~n~.~.I?:h~).L............................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h.~!'i............ Testament
and Last Will, and at the time of so doing ......h!'l..W.~f!............................~lISl:of sound and disposing mind
memory and understanding, to the best of ..............\h!'1.\r........................knowledge, observation and belief.
.............~~~~.~...................... and subscribed before
.........~t'~M:..~7Jy.........................................
.......7[/.:...............)....;.;;.(..7)(7..:..:;..:6.......:........,........
,"", ,,~/ )i ,/~/, /' /: (/ -~1A / ~1/ ~~ )..i'.>".t/
......../:.. ..t,'...,.<..........,.... .;.,;"...,......(,'. ...."...i. ..........
Deborah J/ Christopher'
.:9J#l&,t..l!... ~./d........................
xwltlWddi1~xsoot"~ter
Mary C. Lewis
AFFIDAVIT OF DEATH
COMMONWEAL'rH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND ~
.............................................w.?:y.!:l.!l..)i,...M.~!:l.9~r..~.~~...J.~.,.. ...................................... ......................being duly
...........ll.W.9.T.lL....................... says that as nearly as can be ascertained the said decedent ..........................
..........W.l!-.Y.n~..~.,..M~r.~.~.I?:h~H....................... ...................... .......... ........................ .................................died on
..........:r.h!!.~.l?~~y..................... the .....?~t.~..............:.....day of .........i'!!.l!-X................................... A.D., 19...~.9.,
at or about .........7...:..:J.~................. o'clock, e.M.
Sworn d b 'b d thO
....................................................an su SCr! e IS
...................?:.~....................... day of ......~.\!!1~...........
19, ..13.0.., before
~~.1L......................
d~f.;;~&t~........
Mary C. LeWIS
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
COUNTY OF CUMBERLAND SS:
Before me. the Register for the Probate of Wills and granting of Letters of Administration in and for
the County of Cumberland. personally came ........"."..w.l!:y.~~..g~..M.~!:I.c,l.\l.!"!h~~k}r......................................
who. being duly ......~:<<~r..l!-............ do .~~..... depose and say that as............)!;~.~.c;:.\!~!?~...................................
of the last Will and Testament of .........W.l!-.Y.!"!~..f!.~".lX'\~!"!~.~.~~~~.L...................................................deceased
.........~~............ 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. ....1?.\'I9X.t;l............. and subscribed
before me.
June 3, 80
.......;...~............~.....~........ ......:... A. D.. 19.........".
.ga ...........,................................................".
. . gister
Mary . . Lew is
..c:A~W'''' jJ...~!i..,.. ..~!..,..................
'We:yiie H. menuen all, W
..................................................................................
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DECREE
Be it remembered that on the ........~.~~......." day of .........~~!:I~................................ A. D., 19 ..?!!... there
waB probated and recorded the last Will and Testament of ....:w.?:Y.D.~..tl:r...M!mS!!moo.u....
..................,
late of .....~~:.~.l,I.~~..<?~..~.~.:.~.~~~~.........................."".... Cumberland County. Pennsylvania. Deceased. Letters
.....:r.lt!.~~!'!-.~~!:I.~!\~....................... were granted to .................:w.~y.n~..f!.,..M~!'l.c;I.~.\1lmH....J:]::.,.......................
Witness my hand and official seal the day and year aforesaid.
......~4~. .....s::.. ~~
. Illl?l.~~~Register.
ary C. Lewis
REV-449 (8078)
~/-~{)-.3rJ{)
COMMONWEALTH OF PENNSYLV ANI A
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
*
RESIDENT DECEDEln
COUNTY OF. CUMBERLAND
IMPORT ANT,
.....
Thhi r~turn Illll!.' bl~ "IJn1plclt.:d in tlL'laillllHl filed in tlllJllicillC, .....ith a!llltlllChcJ. with lhe nc~istcr of Wills of lIw
County \\hcrc dcccdcrll resided; RCIIIlII 1;0; due WilhillllHW lIlonlhfo. "fH~1' date of dl::Llh. unless un CXICIISi(Jl1 is t;rarucd
by the Secretary of I{c\lcnuc. (St'ction70] lJllhc Inl\l~lil;IlH:C and Estate Tux A..::t of 1961.)
IN TilE MATTEI! OF TilE ESTATE 01' ) AI'FIIlA VIT OF
WaYJ:l~_ !I.'__lV!.~ndenhall__________ ~ EXECUTOR
(ST.ATE FULL NAMr:: OF DECEDENT) J
C b 1 d =XlIXKXmBC
urn er an ____.____ Counl,
Late of
Stota of
Pennsylvania
)1. '"
Ctunberland
Wayne H. Mendenhall, Jr.
of tho ntoto of thu abello-named dacedont beIng duly IWO,", deposo
EXCCUJuf
County of
XlUlJIillOOOOll
and soy
Decedent died
May
29,
. 19~ IOllote lftoving a 1051 will, copy of which II; hereto attached. }
~~
(MONni)
Nome and addreu o( nttornflY or }
oth.r authorized rlJprn.entotlve to. whom
all corrupanoenee should bo muiled.
(O/,YI
Robert M. Frey, 5 South Hanover Street, Carlisle, Pa. 17013
That as such Rxe~uto~_detlonenl is familiar with the affairs of said estate and thc properly constituting
\ EX ECUTO R~ ,\DMlI~I!3T R A TO H;
the assets thcreof and their fair market vrduc.
That at the time of death therc W<IS no safe dcposil box regish:rcd in deeeJcnt's individual namc, or jointly with, or
as agent or dcputy of anothcr, or in dccedent's individual namc, with right of access by another as agcnt or deputy, with the
exception of the followin1~: -
NAME AND ADDRE5~ OF' BANK OR OTHER IN::iTITUTlON
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE OEPOSl'r BOX RENTE:O
IN NAME OR NAMES OF
REL.ATIONSHIP OF JOINT
HOL.OERS TO OECEDENl
n ealth ational Bank
Sharon Branch
665 North East Street
Carlisle. Pa. 17013
- - -
Wa ne H. Mendenhall
That the contents of said safe deposit box or boxes are itemizcd under Schedules B of this return,
with the exception of the following, for the reasons hereinarter set forth:
That Schedule A altached hcrelo and made pari hereof sets forth fully 8nd in detail all the real property
in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the
mortgage encumbrances upon each p...rcel of real property at the datc of death, giving thc amount still duc at
death, name of mortsagc~, date, rute of interest, and book and page of record thereof. It also sets forth in the
colunms provided therefore the assessed valuation of cach of said parcels, the estimated market value then:of
as of date of death of decedent.
That Schedule B attached herelo aod Inade pan hereof sets forth fully and in detail all personal properlY
whcrc[jQver situat~d owned by 'the decedcnt at thc time of death; all mone)'s k:ft by the decedent at the 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, whcther 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 tv the Jale of dccedcnt's death in all other cases; all bonds, post~J
savings, treasury certificates ur notes and other evidence of indebtedness of the United. States to the de-
cedent; all obligations) wl\cther by statute or agreement they arc ,designated as lax free, of the United States,
or any state, or political subdivision thereof, or of any foreign country, which arc owned at tlw time of death;
all wearing appluel, jewelry, silvcrwan:, pictures, books, works of art, household furniture, horses, calTiages,
automobiles, boats, and any and all other personal chattels of whatsoever kind or nature, left by decedent,
together with thc fairly estimated market value thereof; all bonds :.tnd mortgages held by decedent and of 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 decedcnt died possessed, of whatsoever nature, with interest thereon, if
any, giving the face ....alue and estimated fair malht value Ihereof, and if such estimated fair market value be
less than the face vulue, it sets forlh briefly the reasons for such depreciution as to each item; all moneys
payable 10 the estate from life insurance policies carried by decedcnt; all annuity and endowment contracts
the proceeds of which were payable upun the death of the decedent; all and lhe corporate stocks alld dividends
QUC thereon nnd unpaid as of the date or death, bonds and accrued interest thereon to the date or decedent's
death and other investment securities owned by the decedent at the time of death, with the market "alue there..
of at such lime.
In the case 0(' secnrities of clost! or fUllIl1y cOT'pCrll.t.1onfi, t.he vn111es reported are as far BS
pOl;siblo substnntll\terl by l'tn'lI1cl'\J RLflt,t!P1ellts of' U1f! c()r}lnrllt.lon~, shnwtnK the !lSSI~t.~ nnrl litlbll1t!es
tht>reof ns of the ollt.e nl' fll1nth. The 8ch~dulf! I\tso SOt.H forl.1I I.hH Int.erf~st. of ciecedent nl lhp. timo of
def\th In nnr co-pnrlnershi1' or ~JIIstn(!sst nntl In :.'Iflport. of' tJUJ Vlllll!'! of' slH'!h tnt.erest. there Is annexed to
saitl schedulo, l'lnnncl'tl st'ttpmrmt.s ~howtng Uwns~wts lwei IJ!\hl1ltli~s of snle! cn-pnrtner5htp or hllslne~s.
A copy of' th(' co-pnrtncrship (lp;r~l~mnnt., (If ornl, n st..'l.t.cmp.nt st..'f,Unll; "ort.1I t.he nelture of t.he Ill;r,~ement)
lO~t~ther with a stalmn(!nt set.till/!; fort.h t.he chll.rnct.er of tl,o' IJII.'O 1 11I0';5, Its location, Ime! snch other fllcts
lH'rtlllnlll~ t.o the huslness IlS mny hI'! pertinent. to (\ t'nlr Ilnd .lust Il.pprftlSlI1 0(' t.he cll~cl!llent,'s Int.p.rmit
ther(!lll om'il he sllllmltlprl. It should nl:;n set "ort.h In It.I'rnlzNI form, tOJ~et.hl!r wlt.h tht~ fair mllrkp,t. value
tliel.'f!uf', Ill.l~' other propert~. oWtl.l'd or hcqll.l.lul.llml hy the dl!Cf'fh!nt nt I,tlc! time of' III'nUI.
The Schedule C nt.tllched heret.o unci mnde purl hm'fwf' sets forth n t.rue !~nswer to each inquiry
contained therein and In the case 01' trunst'ers oflll."ollcrty, l'cnI or personnl, within two years of decedent's
denth, in contemplut.1on of decedent's denth, or lnt.ended t.o t.'lke f!ffect tn possession or enJoyment at or
aft.er tlentll, saicl schedule set.s rorth t.he nature nnd value 01' such propert,y, to whom trB11sferred, tlle
relationshtp of t.he transferees to the (h~cellent, the proportlonntt! shnre rec~eived hy cllch trflnsferee and
1111 other facts of Il pertinent nature rev;nrrlillg sldd t.ransfers. In the cusp. of trI109f\!rS intended t.o
tuke effect in pOSfiesslon or en.1oynlent nt or (lfter liHllth, there Is also litt.achf!rl to the schedule a COllY
of the deed, trust Ilgreement or other instrumer:tt creuting the trust. TheN~ is also set forth in said
.sehe.dule u list ~f nIl property, renl and personal, with its vnlue, whlC!h pli!:;SCS at decedene s dcnth by
virtue of the exercise by decedent, eithp.r indiVidually, or jointly w1.th another, or nny power at' appoint-
ment vested in decedent, eIther individually or jointly, by the will, deed, or other instrument of another,
wit.h a copy of t.he instrtunent creating such power llttached t.o the schedule.
That Sch(!dule D attached hereto and mnde pnrt IlCreot' sets forth the nameS nnrl addresses of all
persons beneficially interested In this estate Ilt the time of decedent's nent.h, the nature of their res-
pectIve interests, their relationship, if any, to the rl~cedent, together wi th the ages l\t the time of
decedent's death of 0.11 minors, annuitunts and benef'icinrtes for li1'e under rlecedent's Will. It also
contains l.l statement showing whic:l of the Ilcneficinries nllmerl in the decedent's will, if an)", died prior
to decedent, the dates of their death, t.he! r issue, IUld the relationship of such issue to the beneficiary.
That Schedule E nttached hereto and mfl.oe a part llel'~of sets forth fl.l! property, real and per-
sonal, owned by the decedent Jointly with anothcl' or others, inc1urling tntangllJlC, stamling in the name
of the decedent and others, plus the date and place of record of lnstrlUnents effecting the vestiture of
real estate and the date of acquisition of personalty, plus the name, address and relationShip, if any,
of co-owners to the deceden t.
That Sc/'ledvle F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate, inclurling runeral expenses paid;
f'umilr exemption, where applicable; costs of administration of this estate; counsel fees and rudiciary's
commissions paid or to be paid; cost expended for burinl trusts, tombstones or gravcmarkers, and reli-
gious services, in consequence of t.he death of the decedentj debts and claims owing ann ll.npalrl at time of
death; taxes accrued chargeable for perion IIrior to decedentl S Itenth (except those allowed under Section
651 of the InheritlUlce and Estate '!'ux Act); together with It statement of collateral pledged. for obliga-
tions, if any. It is agreed that the f'iduclal.'Y will present proof of' said claimed obligations upon re-
quest, that if the amount actually pnid in settlement of any fee, commission or d~bt is less than the
est.1mateci Ilmount clnimlng nnd nllowed, that the same will he reported to t111~ Register of Wills, and that
the tUTlount of tax assessed call. be ren.ssessefl in uccordance therewi tho
Thllt the totals of the allPl'ollriate C~)lUITU1S in Scll.fHtules "All, IIUII, II~", "Ell, ann "FII as directed therein,
huve been carried forwHrd and properly registered in the Summary.
Notary Public, Corlisle, CiJfT\ht!I'.~~t (~fiI~'X
My Comm1ssion Expire:; "'O!)ll" 1&, \~M
31~7f;!Ji'~l4~:............_-
... ...8...C.arlton..A:v.enue..................................................-.,
(Street Number)
..c?,r.H.12.1!il..P..~,....n.Ql~.......................................
(City or Town and State)
Subscribed and sworn to before me this
....;z~
. .... day of~pteIllI:>~I:L.... 19...~.Q.
~6.1-..~
SOTE: Before signing at'f'innvit make sure nIl hlll.nk spnees in the affidavit nnn schedules annexed are
fillf>fl In with detnlls or the word "NOIW", lUll' ill. cllse the usset.s include rure and unlisted securities,
securities of' close or family corporlltions or an interf!St In /lilY co-paT'tll.ersh1p or business, that the
fillt.ll ItIlrl <;tAtf:'mnnts reqlllrt'll untie I.' the pnru~I.'llpll uhO\'I~ l'elaUllg to Scht'dulp. liD" are attncherl. Also make
certnil.l. thl1t column #1 tn the "SuomaI.'Y" hus been pro}1('rly C(ll.1l111~tert as ahove-ll!rected.
Notary P'Jbllc, Corli'il(', Cumbrr:o.....: G)ut'lty
Mv COmrT'.I....,'JI1 1.J:\1irt", ,a..lJqu~~ 16, i9BJ
The rlOl property locatod In the Commonwealth of Pennsylvania should be (1) (2) C"l
ducrlbed by lot and block numb.r. street and sUeet number, togethor with Dr,PARTMENT
a general description of the praporty, with a reference to the record of tho ASSESSED VALUE VALUATION
conv'yance by which the decedent took tltlej If 0 farm state numb8r of a- FOR YEAR OF ESTIMA TED CAUTION
crUj al2lostatomont of mortgage encumbrances upon each porco I at death DECEOENT'S MARKET VALUE (Do not write
of decodent. Taxos, allGllments, accruerd Interost on mortgages, etc.,are OEATH In thl. spoco)
to be listed on Schedulo lIF" and must not b. doducted from thhl schedule.
NONE -0-
ACC'.S414.ui
:COMMOIlWIALTH OF PENtiSYL.VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
'RESIDENT DECeDENT
SCHEDULE "A"
REAL PROPERTY
*
Real property in Pennsylvania, with statement of mortgage encumbrances upan each parcel at death of dece.
dent. Property held by the decedent as tenant in common with another or other, should be identified
as ta quantum af interest and the estimated value should be that of the decedent's interest only. (Property
held as joint tenants with right of surviorship or tenancy by entireties should be reported on Schedule "E.")
Insert this totol appasite "real property", Schedule "A" in the X X X X X
"As Rerorted" column on the last page of this return.
-0-
-0-
~
REIJ-4e1 (8-76)
*y:],
I. l
.'
COMMONWEAL TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIOENT OECEOENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTIlUCTIONS: This Schedule I1lllsldisdtlse ulltungihle and intungible l1crsllllul property owned individually by the
decedent, at the time ul' his death. Property owned by the deccc.lel1t jointly wilh lInother ur nthers musl be Ii~tec.l
under Schcc.lule liE". Inlangihle pcmwlIul property, titled ill lilt.: IIIUlIC or the dccedent, hul payahle al death tllunuther
ur ulhers, including hut not limited tn p,o.n. U.S. Savings U111HIs !lud tentative trust accounts, mllst be listed, despite
the fuct thut they arc not of the udministered estute.
Tangible personal pC't1Pl:rty slwuld he listed firsl (c.g. jewelry, wl'aring upparel, household goods, and
furnishings, hooks, paintings, automobiles, hOllts, etc.)
Intungible personal properly, such liS hunds, trellsury certificates, cash on hand llnd in bunk, stocks,
mortgages, notes, together with accrued interest or dividcnds, slllnries or wages, insumnc.:.e puyuhle to the estate (lr
fiduciary in said capacity, pllrtnership interests, intllrest in all}' undistrihuted estl.lte of or incomc from any property
held in trust under the will or agreement IIf another, even though localed outside of the Stale, at the time of death,
should be listed in this schedule.
lIem rmM UNIT ESTIMATED DEPARTMENT
Nn. List IInd describe fully VALUE MARKET VALUATION
VALUE (Do not write in
this space)
1. Miscellaneous household goods 75.00
2. 1977 Chevrolet automobile 500.00
3. Commonwealth National Bank checking account
No. 182-632258-6 1,274.80
4. Cumberland Valley Savings and Loan Association
savings account No. 150282 12,487.87
Accrued interest from December 27, 1979, to
May 29, 1980 289.46
,
Insert Ihis IOtal opposite "Personal Property", Schedule uB" in XX 14,627.13 l~fea.'1.13
. the uAs Reported" column nn the last page of lids return. ~
ROC.37 .(12-63)
'.l'OMMON\n:AI.TII OF rr:NN~\'\'I.ANIA
TRANSFER INm:RITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
IlENEFICIAHlES
~~~
"~f&i.I,, "
.~ _. i' ',"
,v. Jj; d
BENEFICIARIES AND ADDRESSF.S HI':LATIONSllil' SUHVIVED IlATE
or step-children or INTEHEST OF
State full nnme8 and RddrcHses of Id t who illegitimate children DEC~;lmNT OF BENEFICIA HY
11\'e an interest, vested, cont in!;cnl or other arc involved, set STATE YES IN F.STAT!':
wlso in estato) , " forth this ract.) OH NO IJIH'I'II
First Presbyterian Church
~arlisle Pa. 17013 ~50 00
,
Presbyterian Homes, Inc. .
2 North Baltimore Street
nnl Pa, 17n1~ 4!1nn nn
- ,~~^n 'C'h'~ ,...,~~~
l'i'irst Pl""shvter;an r'hl1rch
Carlisle. Pa. 17013 11:100.00
Mrs. Marv L. Smith
R. D. 1, Box 54
Thompsontown, pa. 17094 daughter yes one-third of residue
Mrs. Donna D. Nelson
R. D. 4, Box 83
Newville. Pa. 17241 daughter ves one-third of residue
Wayne H. Mendenhall, Jr.
8 Carlton Avenue ,
Carlisle. Pa. 17013 son ves one-third of residue
,
Deponent f\lrthcr SllYS thnt ull the above-named beneficia.ries are Ilvlng at this time except below:
NAME
DATE OF DEATH
RESIDENCE
..
o .
- ~...
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'a llJ E
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SUMMAIIY
..(Seh. "A")
. ..... ...(Seh. "B")
. (Seh. "C")
.... ..... ...JSC;I1."~I')
Ileal Property .......... .................................
Personal Property .............
Transfers ......... .............. ..............
JQtntly...Ovml':dPrQP~rj;y.. ...
..............,.......................................................
Gross Taxable Estate ...
fo- ",:"0
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.
(2)
(As Determined)
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REV-484 EX+ (J.80)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
File Number
21-80-0380
Estate Name
Hayne II. Hendenhall
Dote of Deoth
5.29-80
Social Security Number
REPORT OF INHERITANCE TAX APPRAISER
I, tho undersigned duly appointed Inheritance Tax Appraiser in and for the County ef Cumbcr1:md
Pennsylvania, do respectfully report that I hove approlsod tho roal and personal property as reported in the foregoing
retum at the values set forth opposite each item In the last column to the right in Schedules llAu, liB", "C", and "Eo
Dated: November 26. 1980
A-L/1Ml" Jf(f-l'tidJf j)
INHERITANCE TAX APPRAISER
ADJUSTMENTS REMAINDER APPRAISEMENT CODE
INVENTORY VALUE AS APPRAISEO CODE (HARRISBURG USE ONLY)
Real Property (Schedule A) $ =0- 00+ 92+
Personal Property (Schodule B) 14,627 13 10+
Jolnt.Hold Property (Schedule E) -0- 20+
Transfers (Schedule C) -0- 30+
TOTAL GROSS ASSETS 14,627 13
Leu D.bts and Deductions 40- 93-
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or RATE FACTOR PRINCIPLE VALUE CODE
onnultl.s. . . . I . . . I . . I . .
FOR USE OF REGISTER ONLY ~ COMPUTATION OF TAX
TOM on $ 6% $
Tax on $ 15% $
TOM on $ $
Tax on S $
TOM on $ $
Exemptions
Total Estote
TOTAL TAX $
INTEREST FROM TO $
BALANCE $
Leu Crl!ldltl
DATE OF PAYMENT AMOUNT PAlO DISCOUNT INTEREST TAX CREDIT
S + $ S = $
, "I
+ =
BALANCE $
INTEREST FROM TO S
BALANCE DUE S
jtEV'451 (l.8al
COMMONWEALTH Or- PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
'*
Estate of \~ayne n. Mendenhall
File No. __
21-80-0380
I County Cumberland
)
Date of Death
5-29-80
In tho .vent th.t .ny u'ur.In..r...In thl. ."". I. lr.n".".d In po"''''an Dr .nloymon. to coli..." hal" of. . oc.d.n.. t.r t ,. .'p rat on 0 .nv
...... far lit. or tor Y"". 'h. Commonw..lth h.rebv ..prOSlly r....... tho right '0 .ppr.',. .nd ...... tr.n.t.r Inh.rltRnc. t.... ., .h. I.wful coll.t.r.1 r.t.
on any luch future Interest.
1. TOTAL REAL PROPERTY - SCHEDULE "A" . .
2. TOTAL PERSONAL PROPERTY _ SCIlEDULE "B"
3. TOTAL TRANSFERS - SCHEDULE "C" , . . .
4. TOTAL JOINTLY OWNED PROPERTY _ SCHEDULE "E"
PROPERTY REPORTED BY THE ESTATE
DEPARTMENT'S
APPRAISED VALUE.
-0-
14,627.13
-0-
-0-
TOTAL REPORTED PROPERTY
PROPERTY NOT INCLUDED IN'RETURN BUT APPRAISED BY THE COMMONWEALTH
$14,627.13
LIFE ESTATE OR ANNUITY CALCULATION
TOTAL UNREPORTED PROPERTY -0-
TOTAL GROSS ASSETS $14,627.13
I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day
with the Register of Wills.
..f!/?"/J},!n WJ,.,l,"fll)
APPUAISER
11-26-80
DATE
-
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RCC_314.131
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of Moy 28, 19S6. P,l, 17S7, ond Act of June 15, 1961,
P .L. 373, 01 amended)
*-
.r; ,I j
':. -. . ~
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Appllcatian is hereby filed lar the approval
of an axemptian from Pennsylvania Transfer
Inheritance Tax on the transfer of the property
described below:
1. Bureau File II 21-80-380
2. Dote of Death _ MV:_~.!JL}_~_80___-
3. Dote of Approval .Jt'U/4X/!'-CJ /~ 1tJ.'?d
4. Nome of Decedent Wayne H. Mendenhall
5. The Commonwealth's appraised value of the praperty for which an exemption is claimed is $ 50.00
(Nota: Where the property is ather than a specified amount of cash, the exemption cannot be approved until the value of
the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift
or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases
enter such fractional or percentoge amount above).
6. Check the manner in which the transfer was effected and submit 0 copy of the document authorizing the transfer, unless
such material has been previously liIed.
WILL !Z;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If other, explain)
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME
First Presbyterian Church
ADDR ESS
North Hanoyer Street, Carlisle, Pa. 17013
o See listing on reverse side for odditional charitable organizations covered.
8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct.
Signature 01 Applicant
//1, r--
r k'tvv.. h..
h
I
Address of Applicant
5 South Hanover Street, Carlisle. Pa. 17013
Official Title
Attorney for Estate
Date
November 4, 1980
Thll form mUlt be completed In triplicate and 011 three copies delivered to the Register of Wills far the Caunty in which the decedent
rellded, ar In which letters were luued far a non.resident decedent's estote. If the decedent was 0 non_resident of Pennsylvania and
letteu were not Issued by a Pennsylvania Register of Wills, deliver 011 three copies to the Director, Bureau af County Collectia'ns,
Pen"a. Department of Revenue, 26 S. 4th Stroet, Harrisburg, Pa,
Do not write below this line. For Official Use Only
REFERRED to Bureou Headquarters
Approved 0
For Secretary of Revenue
Denied' 0
A igna e of Register of Wills)
/tM-?1,? ~ ~ /1t"A --
~ (COUZ)
'I.U'/A11 -<. / / If.ffJ
)
(Dote of Approval)
(Initials of Register 01 Wills)
(Authorized Signature)
(County)
(Title)
(Date of Referral)
(Dote 01 Action)
. See reverse side for reasons
MUST BE FILED IN TRIPLICATE
RCC-3 (4-731
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of Moy 28, 19S6, P,L. 17S7. and Act of )one 15, 1961,
P.L. 373, 01 omended)
*
COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application is hereby filed far the approvol
of an exemption from Pennsylvania Transfer
Inheritance Tax an the tronsfer of tha property
described below:
1. Bureou File # 21-80-380 ,__~_____
:: :::::: :::::VOI 2~~:~:;,2~~/ ~~-2f~a --
4. Nome of Decedent Wayne H. Mendenhall
5. The Commonwealth's appraised value of the praperty for which on exemption is claimed is $ 100.00
(Note: Where the property is other than a specified amourlt of cash, the exemption cannot be approved until the value of
the property has been established by appraisal by the Commonwealth, except in those coses where the amount of the gift
or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases
enter such fractional or percentage amount above).
6. Check the manner in which the tronsfer wos effected ond submit 0 copy of the document authorizing the transfer, unless
such moteriol has been previausly filed.
WILL 1l;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If other, explain)
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME
Thompson Bible Class of First Presbyterian Church
ADDRESS
North Hanover Street, Carlisle, Pa. 17013
o See listing on reverse side for additional chQritable organizations covered.
8. I certify thot the information contained herein is, to the best of my knowledge and belief, true and correct.
Signoture of Applicant
fuv.-.r h-, I.,
Address of Applicant
5 South Hanover Street, Carlisle, Pa. 17013
Officiol Title
A ttorney for Estate
Dote November 4, 1980
This form must be completed In triplicate and 011 three copies delivered to the Register of Wills for the County in which the decedent
resided, orin which letters wcre Issued for a non.resident decedent's cstate. If the decedent was 0 non_resident of Pennsylvania and
letten were riot Issued by a Pennsylvania Register of Wills, deliver 011 three copies to the Director, Bureau of County Colledions,
Penna. ,Department of Revenue, 26 S. 4th Street, Harrisburg, Po.
Do not write below this line. For Officiol Use Only
For the Secretory of Revenue REFERRED to Bureau Heodquarters
Approved 0
For Secretary of Revenue
~{;J
Denied' 0
(lnitiols of Register of Wills)
(Authorized Signature)
,&' (Count1) )
<:!l!l'nlu-J / /, I tj,fO
/ . .
(Dote of Approvol)
(County)
(Title)
(Date of Referrol)
(Date of Action)
. See reverse side for reasons
MUST BE FILED IN TRIPLICATE
RCC.3 \4_731
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Ac' 01 May 28, 1956. P.L, 17S7. ond Ac' of June IS. 1961.
P.L. 313, as amended)
~+-
~
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application i. hereby filed far the approval
of an exemption from Pennsylvania Transfer
Inheritance Tox on the transfer of the property
described below:
1. Bureau File #
21 - 80-3.89___
2. Date of Death __.' l'flay29,. 19BO
3. Date of APprov:-~--C'4-1.'1~~<.);~ p,ftJ
4. Nome of Decedent Wayne H. Mendenhall
5. The Commonwealth's opproised value of the property for which on exemption is claimed is $ 100.00
(Note: Where the property is other than a specified amount of cash, the exemption cannot ba approved until the value of
the property has been established by appraisal by the Commonwealth. except in thase cases where the amount af the gift
or bequest represents 0 stated fractional or percentage portion of the entire estate or the entire residue. In thase cases
enter such fractional or percentage amount above).
6. Check the manner in which the transfer was effected and submit a copy of the document autharizing the transfer, unless
.uch material has been previously filed.
WILL '0;
DEED 0,
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If other, explain)
7. Correct Business Nome and Address of Charitable Organization receiving property:
NAME
Presbyterian Homes, Inc.
ADDRESS
2 North Baltimore Street, Dillsburg, Pa. 17019
o See listing on reverse side for additional charitable organizations covered.
8. I certify that the infarmation contained herein is, to the best of my knowledge and belief, true and correct.
Signature of Applicant
/iZ.tt"".::>.., kl
Address of Applicant
5 South Hanover Street, Carlisle, Pa. 17013
This form mUlt be comple'ed In 'dpllcote ond all'hree copies dellyered to ,he Register of Wills far the County In which ,he deceden'
reelded. or In which le"e" were ISlued for a non_,..ldent deceden"s osID'e. II ,he decedent wa. a non.,..ldon' of Ponnsyiyonlo ond
le"e" were not IlSued by 0 Pennsylyonla Register of Wills, deliyo, all threo copies '0 tho Dlrecto,. Bureou of County Colloctlons,
Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Po.
Official Title Attorney for Estate
Date
November 4, 1980
Da nat write below this line. For Official Use Only
IiEFERRED ta Bureau Headquarters
Approved 0
For Secretory of Revenue
Denied* 0
(Initials of Register of Wills)
(Authoriud Signature)
~ ::t-J
'/',t . 1/, /~tJ
, .
(Date of Approval)
(Caunty)
(Title)
(Date of Referral)
(Date of Action)
10: See reverse side for reasons
MUST BE FILED IN TRIPLICATE
INFORMATION.
To insure proper credit to your account. tho name of tho ustate and file number should be clearly print.
ed on tho check or money order.
This assessment is made in accordance wilh Section 708 of the Inheritance and Estato Tax Act of
1961 172 P.S, 9 2485.708).
To the extent that inheritance tax is paid within three (3) months after the death of the decaden!, a
discount of !iveI5) percent is allowed 172 P.S. 9 2485.716),
Inheritance Tax, other than tax on 8 future interest, is duo 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). Inhoritance
Tax on a futuro interest is payable within three (3) months after the transler takes effect in possession and
enjoyment and is delinquent thereafter (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 intorest 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 .00185 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 .00257 26 days .00437
7 days ,00118 17 days .00284 27 days .00454
8 days .00135 18 days ,00301 28 days .00471
g days .00152 1 g days ,00318 29 days .004B8
10 days .00169 20 days ,00335 30 days .00500
-- ------------------- _._- - --- -- --- --- ----- -- ----.--- - - - -- --------- ------
Any partY in Interest, including the Commonwealth and the personal ropresentative, not satisfied with
the assessment may object thereto within sixty {GOI days alter receipt of this Notice as provided bv Section
1001 of the Inheritance and Estate Tax Act of 1961 (72 P,S, 9 2485.1001),
Make check or money order payable to:
"Register of Wills. Agent"
Mail 10 the address listed below:
THE SUM OF ,,,......,.. . ,L/?,(a~19:!
,~D,(.. : /, } 9 t-o
~ a../
F'o,m RC C .10
DEDUCTIONS ALLOWED IN
OP'FICI 0' TI.U.
RIOl8TER 0' WILLS
,) /-->: (J _),
ST~ir~iTIOF DEBTS
~~tFOE:DUCTIONS
OF
Cumberland
COUNTY
AND AGENT 0' THI: COMMONWI'ALTH
'80 nEr.,' AI1
'}
.\Ili\~~TU^p~~ln c,:: " f'
ESTATE OF Wayne H. Mend:::.::etlffll8ll:-lllllH-I(_,qr', Borough 0 CarlLsle
,,-'t} 'v ,;; ~ , ~ .(', y
OATE OF FILINO APP'A1"M~HT Sept., 9, 1980 DATI OP OIATH May 29, 1980
OAT'!
NO. Q,
VOUCHCI\:
NAMI 0" PAYEE:
REMARK.
Register of Wills
Cumberland Law Journal
The Evening Sentinel
Mountz Jewelers
Letters Testamentary and
1 short cert ificate
dvertising Letters
dvertising Letters
Account
June rent
Account
Arlene Graver
United Telephone Co.
Bon Ton
ccount
Communit Ambulance Fund
ccount
Ltd.
60.00 less Medicare of 38.30
Trash ba s
Borou h of Carlisle
Check cleared after death
Carl isle Hos ital
Eb Granite Works
Carlisle Radiolo
Dr. Robert Thom son
TV char e
Letter in monument
228.00 less Medicare of 205.50
ccount
Dr. Ra mond Grandon
Hoffman-Roth Funeral Home
United Tele hone Co.
Belvedere Medical Center
TV Cable of Carlisle
Register of Wills
Rev. Russell M. Weer
Register of Wills
Wa ne H. Mendenhall, Jr.
Robert M. Fre
52.00 less Medicare of 50.00
Funeral services
ccount
1358.00 less Medicare of 770.0
ort of Assets
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland ..,
I, Wayne H. Mendenhall. Jr.
NY KNOWLEDGE AND BELIEF, THE FOREGOING 18 A JUST AND TRU E IrATIlMENT 0' DIEIT8,
ADMINISTRATION SUBMITTED TO THE ESTATE OF Wayne H. Mendenhall
INHIRITAN"E TAX PURPO.'., ' {
SWORN .y+p llU"C:PIBICIUFORE ME THIS 10m DAY Ofl'
z-;;;::~' /~ -- ~ I. .JiQ..
Mv~miSSion E~pilcS June 13, 198
Notary Public Cof\i~t!t, Cumberland County
AMOUMT
28 00
18 00
18 00
42 40
225 00
9 67
31 50
45 00
21 70
3 75
4 46
10 00
65 00
22 50
40 00
2 00
2,249 50
9 67
588, 00
1 40
3 00
50 00
3 00
500 00
731 36
40 00
7 00
HERltav CERTlP'Y, THAT. TO THE .EIT 0'
P'UNERAL. EXPlNU:1 AND UP!Nla 0'
DItC~' ,A, DEDUCTIONS 'OR
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DlH13UI{SEM!': NTH
Accountant claims ct'edit for the following amounts paid:
1980
June
July
4
!legister of Wills, Letters Testamentary and 1 short
certificate
4 Cumberland Law .Journal., advertising Letters
4 The 'Even ing Sentinel, adver t isi ng Letters
14 Mountz Jewelers, account
14 Arlene Graver, June rent
14 United Telephone Company, account
14 Bon Ton, account
14 Community Ambulance Fund, account
16
18
20
Neurological Surgery Ltd., $60.00 less Medicare
payments of $30.64 and $7.66
Borough of Carlisl.e, trash bags
Check cleared after death
1
Carlisle Hospital, TV charge
1
'Eby Granite Works, lettering
1
Carlisle Radiology, $228.00 less Medicare payment
of $205.50
2
Dr. Robert Thompson, account
2
Dr. Raymond Grandon, $52.00 less Medicare payment
of $50.00
14
Hoffman-l~oth Funeral Home, funeral services
14
United Telephone Company, account
USER . 8'1 i',,'L t.;).)
$ 28.00
18.00
18.00
42.40
225. 00
9.67
31. 50
45.00
21. 70
3.75
4. 46
10.00
65.00
22.50
40.00
2.00
2,249.50
9.67
~/I
Aug.
Oct.
Dec.
'.
13
Be1vcdet.c Mcdical Center, $1358.00 less Mcdical'c payment
of $770. 00 588.00
26
TV Cable or Carlisle, accou nt
26
Register of Wills, Account of Pa. Transfer Inheritance
Tax
26
Hegister of Wllls, filing Report of Assets
28
Rev. Russell M. Weer, honorarium
28 Men's Bible Class of First Presbyterian Church of
Brookvllle
2
Register of Wllls, filing Debts and Deductions
2 Register of Wills, balance Pa. Transfer Inheritance Tax
2 Wayne H. Mendenhall, Jr., Executor's commissions
2 Robert M. Frey, attorney's fee
Reserved to file Account
Reserved to record Releases
TOTAL DISBURSEMENTS
RECAPITULATION
Total Principal Received
Total Income Rece ived
Total R ece ipts
Less Total Disbursements
Balance for Distribution
um
:/7' -
_ 1.,iJL
Lv':';
1. 40
475.00
3. 00
50.00
50.00
3.00
76.43
500.00
731.36
40.00
7.00
$ 5,371. 34
$14,627.13
528.55
15,155.68
- 5, 371. 34
$ 9,784.34