HomeMy WebLinkAbout80-00448
No. 11.80 1.18
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
BJ:1"fV I"~. SHAFFEll
, deceased.
To Mary C. Lewis , Register of Wills for the County
of Cumberland, in the Commonwealth of Pennsylvania.
is<
Petitioner(s) are the executnr.. named in the Last Will and
Testament of nf'tty \~. Sh"ffpr. dated Januarv 16. ~973
Decedent was a citizen of the United States and a resident of
Township
rr"mp,l"n BGl'DlXgN, Cumberlond County, Commonwealth
of Pennsylvania.
Decedent died on Satl1rrlilY.
the nth
day of
1\pril
A. D. 19 80 , in the County of
Dauphin
, State of
P.".'n"yl"~nb at the age of 54 years.
Jhos kro5 he r
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
~l<;n nn
and of real estate to the value of
Nonp-
as near as can be ascertained; said real
estate situated as follows
apply
Therefore, your petitioner(s) respectfully 1I!I~i:es for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated ,Tnly ? lqRn
Name and address
of Petitioner(s)
~ ~? 4h~
'J /J7Mv' . \;<.. 1 .n)
92 Princess Bevard
Mechanicsburg, Pa., 17055
[( ) (t/r,,,., ?/J1. ..A. t".~
909 Nixon Dri4e
Mechanicsburg, Pa., 17055
COMMONWEALTH OF PENNSYLVANIA ~
COUNTY OF CUMBERLAND \ ss
SHARON L. 1l0FFr1J\N
and
IHLLINl M. SHAFFER.
named in above application, being duly ",mrn according to law
say(s) that the statements set forth in this petition are true to the
best of their
knowledge and belief.
Sworn
and subscribed before .
.(4t...)
h70
me .T111 Y ? r 19 ~n
Z1 - ~ )
/}1L1A/ @.. ( 'bUw/ .
Register
Filed: July 7, 1980
':</-,r~ ~ $l~
Attorney: GEORGE M. 11011CI~ rJ$l
r,r,S1' ~IIJ"I, AND 1'FS'J'M1EWI' OF nr:'I"l'v \'!. f"IIAFI'T:H
--------....----... -.-..--.-.....- .-.-... '. .-......-.-..-,---.-... -- .....--------.--.-
I, HE'f'l'Y ~!. f"J1l\PPl'p., of tllp. 'I'mmship of Silver
Sprin9, County of Cumberland and State of Pennsylvania,
beina of sound and disposina mind, memory and understand-
ing, do make, publish and declare this to be mv Last will
and Testament, hereby revokina and making void all former
\'1i11s by me at any time heretofore made.
1.
I direct the payment of all my just debts and
funeral expenses as soon as convenient Iv may be after my
decease.
2.
I give and bequeath JllY automobile to my son, l~il-
liam M. Shaffer.
3.
1\11 the rest, residue ana remainder of my estate,
real, personal and mixed, whatsoever and whp.resoever situate,
I give, devise and bequeath to my dauqhter, Sharon L. Hoff-
man, and my son, William M. Shaffer, in equal shares.
4.
LASTLY, I nominat.e, consti tute aml appoint my
daughter, Sharon L. Hoffman, and my son, lHlliam M. Shaffer,
to be the Executors of this, my Last 1'1ill and Testament.
IN NITNES~~HEREOP, I have hereunto set my hand
and seal this 16 day of January, A. D. 1973.
.li~ ~'44-k::.:-)
(SEAL)
Signed, sealed, puhlished and declared by the
above-named BETTY ~I. SI11\'I'FER, as and for her Last Ni11 and
Testament, in the presence of us, \~Ilo, at her request and
in her presence, and in t.he presence of each other, have
hereunto subscribed our na~tnesses ther~to.
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH Ol~ PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
This................. .......... 2nrl, .................,........"" ....... day of, ......,..,..',.. .....\1lJJ.V.............,. ............', ..... A.D., 19.. .~, 9."
/1ary C. l.e\1i5,
before me ltid~xAMIl&mlll1, Register for the Probate of Wills and granting letters of Administration
in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally came ..............
.,.....,...,..." ... ..."", ........~.J;';Q.B.G.r,...~l......I.\Q),l,c.!S,., ...' ".. .ilps1..., ,. ........~~.RX...~., ,..m?!? UL$.Q!'!,r........,.. ............, ......,..
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and
Testament of ., ....... ......... ......lm:r.T.y.. ..\'r_...SflJ),F.E'RR~..."" ...... ..........""....,..... Dated ".. .J.i'ln.uar.Y...l,().,....L~..'D
late of............,..........);!ilmP.R!i!,I;\..:l'.mm,\'!o,t,p..................,..,....,..........."....... Cumberland County Pa" deceased
who being duly ........s.<lOrn....................... according to law, depose and say, that ....t;h~y...w.<;!.m................
present, and saw and heard the testa.trix......................, ........".....Ile.tt~...~I.....Sh.af.f.e.!:.........................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h..er.......... Testament
and Last Will, and at the time of so doing .................sh.e.............."..........was of sound and disposing mind
memory and understanding, to the best of .......their...................".......knowledge, observation and belief.
&27fft1.....r1..:...:i4u~...,.....................
R."tu :E).v .d_~~llL, Rlgister
(). .)
.,.......~::..:,~{;::\.(;i:....H(..;...~2':r:.L........
........$/..X~~"='''''\-:2.......................,...
..................................................................................
......."...Sw.o!:n........................ and subscribed before
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
......................... ...............,.............fiJ.U'lRO.t1..l. A..J.\QF.'J?~IDN ,.........,.,...,..........., .............. ......................being duly
.............!?~!Qx.n........................ says that as nearly as can be ascertained the said decedent ..........................
.................. ......................... ,....... ........ ,..........~~:r.?:X.. .\1.,...m.I.N:!:,.f;;Rr.. ,..... ,.... ... ,.......,. ........., ,... .... ,....... ...died on
.........Saturilajt..................... the .........2,6.th..............day of ...................../),P.r..:iJ..................... A.D., 19.e.O....
':J' ~AO ' '?
at or about ....................:....,'................ 0 clock, /....M.
...............swor.n..........................and subscribed this
d/./" ,; /7~ A0 .
"'. .'. "', :' . . ,'I .' /J?'L '
..,.... . .",:1..'./.."::v.-.....;~.,....,.... ,tl;;... ........f!.;;'I1.:.........
...............2n.d.......................... day of ...,I.uly.,..........
19, e.o...... before
g;ltJ!'#,e,~<dm
RklHud. . J'''u o:>vu, RegU;-'=
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
COUNTY OF CUMBERLAND SS:
Before me. the Register for the Probate of Wills and gl'llnting of Letters of Administration in and for
the County of Cumberland, personally came ....m!!),RR!J...H.'...!!9.f.f.r:V\n...i\n.Q...!YJ.HHJ,N~...r:!.,...?~!!.\f.!':!?.R.c..
who. being duly .....~w.m:I)............, do .......... depose and say that as.......J~r..e.t;)).tQX'.:;;...................................
of the last Will and Testament of ......................13,W::r.):..)x~..SlII\F.F.E.R,............................................deceased
......j;)).~~.......... will well and truly administer the goods and chattels, rights and credits of said deceased
according to law. And also will diligently comply with the provisions of the law relating to Transfer
Inheritances. .....SW.QX')),........... and subscribed
before me.
..........................\1).\J.Y....;1.~.............. A, D.. 19...l}.9......
R1?lf~~~.~...................,.,..
Mary C. Lewis
.~4dJi:::!!r!...0~L.gj#n,(k.:rt!.............
t~.?,tlf-.../J2:....d/~........................
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DECREE
Be it remembered that on the ..........?~~........ day of ..................J.ull,l.,...................., A. D.. 19 .8.0.... there
was probated and recorded the last Will and Testament of .............nL:'l:'.r:y...I~.....SJ.ll\r..F.lm...........................
late of .........\~il))1mJ!i!.l1...r.Q!1D.~!},~.p..............................., Cumberland County. Pennsylvania, Deceased. Letters
... .......'J:~ II ".?'\1)~!.\!;il.r.Y................. were granted to .... .:11 i i:.RmJ,. ,T.....,.. lJ9.f.f.l:IDl'l... fi.. ):l;I;lII~;I;N:l..t'. ,... m.ll\f..tf:~,
Witness my hand and official seal the day and year aforesaid.
....,.~?44#...rJ..,'..;(}~~...
f'jU~r4~)(~n. Register.
I.lary C. Lewis
. . . ..
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..........
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INHEHlTANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
COUNTY OF
Rcc-103 (3-731
COMMONWEA~ TH OF PENNSY~ VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY CO~~ECTIONS
INHERITANCE TAX DIVISION
-*
CUMBERLAi'\lD
This return must be completed in detail and flied In duplicato, with the Register of Wills In the County whoro the decodent resided within nine
months after date of death, unless an extonsion is grantad by tho Secretory of Rovonuo.
and
Wi WILLIN4 M. SHAFFER
q% Admn. No. 19....M... \'1~. SHARON I,. HOFE'HAN
J (NAMEl
~" b Mise,
being duly sworn according to law, ..h:lluscs and says IbxC'~xxbc.
Ill' 92 Princess Blvfh.. Me
chanicsbu~90'!"e"tmsyl vania
the~"A t:h", r~XAcutoxS_-..-_-_-
It::XEC., ADM., LEGATEE, ETC.!
of thc cstalc nf T1Wl'1'V \'I..--8llAEFER...-.----- talc Ilf--liamode.n...Townshio---------
ICIT;r,-BOROUGH, OR TOWNSHIPl
deceased, and that the whole of the estate or said dccl..aJcl1t. who died on ___._April-_26_,~19.8-0.___~_.,_.__._.__~______
(DATEI
consisted of the assets listed below and that ul10wable dehts .lI1d deductions cxce.:t.:dt.:d the.: fair market value of tht.: i.lsscts and
no Pennsylvania Transfer Inhe.:ritancc Tax is due.
Sworn and subscribed before me
Type f Auot:
Real Eltate, Pen.
Property, Jointly
Held Prop, or
Transfers
ASSETS
(Attoc:h additional sheets if necessary)
Description of Asset
personal
Property
"
Checking Account i~7935364, C.C.N. B.Bank,
N. A.:
Refund Check, Bell Telephone company:
Refund Check from Safeco Insurance Com-
pany:
Refund check from Sammons communications:
U. S. Savings Bond #Q2400798663E, issued
March 1969:
U. S. Savings Bond #Q2416508568E, issued
May 1969:
U. S. Savings Bond#Q2432305968, issued
July 1969:
"
"
"
"
"
TOT ALS
Executl?L-
..--Executor-
( TITLE)
Estlmotod
Markat
Value
Deportment
Valuation
CAUTION
(Do not write
in this space)
$33.55
5.72
44.36
13.31
34.42
33.34
33.62
$198.32
If?, .3L-
REPORT OF INHERITANCE TAX APPRAISEI{
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have.:
appraised the real and personal property as reported in the foregoing schedule at the values set forth opposite each item in
the last column 10 thc right. .JIh ' J-:f?1' /I ( J
'5 1 80 8tJ . t ,H, ,
Dated: Auo:ust . 9 UNHERlTl\NCE TI\X APPRAISER)
Nome of Payee
DEBTS AND DEDUCTIONS
Nature of Cloim
Register of wills
Letters Testamentary and Short
Certificates
Filing CostS:
At torney 1 s Fee:
Register of ~lills
George H. Houck, Es-
quire
Myers Funeral Home
Funeral services:
TOTALS
Amount
Cloimed
Amount Approved
by Register
11.00
3.00
50.00
1702.18
1766.18
REPORT OF '1'111'. REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for the above County, do respectfully report that I have allowed
deductions in the amounts set forth in the ahove schedule as claimed, except where 1 have set forth ;1 greater nr Icsst~r amnunt
in the last clllumn (u thl' righi, which greater or lesser amount represents the Stl!i1 allu"cd as a deduction.
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8
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
TO:
DATE
ESTATE OF
FIL.E NO.
COUNTY OF
For County Information purposes only
COUNTY FILE NO:
DATE OF DEATH
---------------------------------- -- - - ---- -------- ----------- -- - ..--- ----
Appraised Value of Estate:
Real Estate
Personal Properly
Jointly Held Property/Trilnslers
$
Total Gross Estate
$
Total Approved Deductions
Clear Value of Estate
$
Less; Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
$
Amount Taxable @ 6% Rate
$
tax due
Amount Taxable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $
*'
$ .
Less Credits:
DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT
$ + $ $ = $
+ ..
+ =
--- -- --
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE $
{oterest will accrue at the rate of six (6) percent per annum on the unpaid balance of
Inheritance tax from. to the date of payment.
Assessed by:
AgtJflIlor Illu Commonweallh
SEE REVERSE SIDE FOR INSTRUCTIONS
REGISTEH ~)F ;,\/iLL'S Cl~P\'
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