The URL can be used to link to this page

Home My WebLink About80-00455 ..:. H ~ ~ CIJ ; . .>< Po, ~ P< H ffi H H .~ H ; 0 ~ E-l ~ ~ ~ (.) . CIJ p:: . l!:. ~ re a In . '4""f ril P< "" E-l :::> ;;: e ..... 00 0 . - N ClJ - ~ . lU \11 0 - Z ." LLI NO. 21.80 ~:;'. PETITION FOR LETTERS OF ADMINISTRATION IN 'l'1II~ 1';STA'l'E OF ,.....,.....,:n;R'W...~.....!\P.M:I.~........................... 11I,CEASIW. To ...................,..,.........,.. ~,~:r.y,..~.~.... L..e.! ~.ll..."..,............,....................,...,.......... RegistCl' or Will, J"1I' the Couut)' or CUlllbc"'aud, iu the COIllIllOIlII'eall h or l'ellllH)'ll'allia. The Petitioll of .... ....,........ ........... ..~~~!~,I,~. .l{,~, ,!~D,{\!1~,. ........ ,...,." ...... ........,........, ,......... ............".. .. ,.. .......................................................... respeelfull)' sholl'el h that ...... ...1cJ.r.~..ll.....Mllm~..................................... waa a resident of ...........~p.p.~.~...~g.':':~......................J;::~~~p ,( 'ulllbel'lalld COUllt)', Slale of Pennsyl- vania. and II Citizen of United Stlltes, and depr.rtcd this life inte,tate ill the COUllt)' of I~4~.'!-.'!:!\............ ............................ ....... .,... and Stat e of . .......,................... .,. ..J?\!.l1l1aylv.<lnli).............................. ................. .............. on ..........W.\!.~\1g.~.~.<\y......... the ...............~?.~.~............... dal' of ................~~!!!~.......................... A. D.. 19.~R...... at the age of .....25....... years. That the aaid ....................T.~t.~y...~.'....~~!!!'!~.,.......................... deceased. left sUI'viving the following named widow or -husband, heirs and next to kin. to IYi[: Name Relationship Residence 623 William Grove Road .~~~)).<\\1~~.~.\>.\!!: &....f.lh.... J,7.Q.~.~........ .~!H!.+.t~..l{.,...Mi!!!\~............................... .y.~t.S.t\1~i!...~:...M!.!\1)!~.......................... .~!!!'!.~.~...~.'...M!!!'!.~................................. Kim S. Adams ................................................................ Father .................................,.......... .~~~l).'C!:.............................. Brother " ................................................................ " ............................................ ..............................................................,. Sister " ............................................ ................................................................ Leslie A. Adams ................................................................ Brother " ............................................ ................................................................ Debra A. Adams ................................................................ Sister " ......................."..,.,.............. ..........,....,.....,........,.,............................... ...................................,...........,................ ......................'"..........,........ ..............,................................................. .........................,...............,...................... ...."....................."............... ................................................".....,........ ................................................................ ,.................................,......,.. .......,....,..........................,............,........... That those above named include all of the next of kin, so far as known. The said decedent was possessed of personal property to the estimated value of $..P.,.9.~Q.~.9.9............. and of Real Estate, less incumbrance. to the estimated value of $...........Nll................. as near as can be ascertained, That the said Real Eatate in ao far as ia known is located in ....................................".......................... . ..... ........... ................................................. .~~!:.. .'.\p.p.:!-J.~.~!> l,~....................................................................................... Therefore, your petitionel'(s) respectfully apply(ies) for Letters of Administration in the above named estate. July 7 80 f) Dated ..........................................."",,... A. D.. 1\1......... I k.' Signature and Addre" .__.~.~,;;.....;.:..L.....(?J(::;;....................... - LESLIE K. ADAMS of Petitioner (s) ..0..?-;;'3..... ..0.!..(.f,..(,..!.!.1.(,I.1...r......c;:rf.Q!.:.4.~...:2(},80 ................../.l1..(;.~.c:.:!:!.~::::./.C:-1..d!!.::?.o.:........e/t r ..... ..................................................... .......... /..2.(~..f.I... COMMONWEALTH OF PENNSYLVANIA 1 ~ ss: COUNTY OF CUMBERLAND I ........................................................... ........ ...........f:..Ji:.~~g...~,...M.>.@.~............... .... ................. .... .........,...... .... named in the above application being duly ..........depo.sed...................".., accor,lin~ to Ill\\', sa)' that the fllcts set forth in the above appliclltion are true to the best of ...))J~?'.. kno~'le(:g; an;l,-belief. , (~ ............................Il!~.r.~.................. and subscribed 1__4""c.r:?;i~E..K:...~~~~.:::-.~,,--- before me. ~ ....".................................................................................. ...;.....Z;Jil~~.~'!....7.;;:.........~:.. A. :J~~..... I ........../.'/IC.~....L..,..;7&:f~.::~~~.;~~~~.... ........ ..................,....... ..................... ."................:~ (I i j~ (/)CJ Filed: ..~;:~Jy......~,......J.~~.9.............................IO\.el.) Attorne)':R~. ~~~SC)~;K; }li....Esq.:~.. . c:J/-ftJ-7"'S- M05<J,4M<>i"l< ,/~, !>Q./ I' .""",.....,..",.".".,.,..,.",.......,."",...,'...",..,.,....,..."..,.""...' '. (CERTIFIED COPY) GDm~PO~ROFATIO~ No......?~.~:\~....... ..... .....,.,..... Know all M.n by th.,. Pr~lfI"t': That UNITED STATES FIDELITY AND GUARANTY COMPANY.. corporation org.nized and ..i,ting under th.l.w. of the State of Maryland, and havinc ita principal office at tho City of a,hUnore, in the State of Maryland. does hereby con.titute and .ppoint Richard A. Neiderer of th. City of Carlisle its true and lawful attorney in and for the State 01 . Slat. of Pennsylvania Pennsylvania for the (aUDWin, purpotet, to wit: To ,ilD ill name u surety to, and to Ol.ccute. Ie.land acknowledge any.nd.ll bond.. and to reepectively do and perform any and all.... .nd thinp..t forth in the ....,Iution of the Board of Directora 01 th. Rid UNITED STATES FIDELITY AND GUARANTY COMPANY. a certified copy of which i. he..to annexed and mad. a part of thia Power of Attorney: and th. ..id UNITED STATES FIDELITY AND GUARANTY COMPANY, through ua, i.. Board 01 Directon. hereby ratifi.. and eonfimu aU and wh.'-ver the..id Richard A. Neiderer may lawfully do in the premila by virtue of theae prcaenll. In Witna.. Wha..o', the Rid UNITED STATES FIDELITY AND GUARANTY COMPANY h.....uocd thill inllrument to be ~.led Wlth ita corporate aeal. duly aueated by the .irnaturu of itl Vice--President and Aaiuant Secretary, thit January . A. D. 19 61 l81b day o~ UNITED STATES FIDELITY AND GUARANTY COMPANY. (Signed) By "J....,."}'.,.,,. ~mJ.t;.I1....""."..........."".".""....."."......."...... Vice.Presidenl. (SEAL) (Signed) "."....E..""W......lluf.fingtllll.".""."""".. """......."..... Assislanl Secrclary. STATE OF MARYLAND BALTIMORE CITY. ( H' , On thi, l8\l1 d.yof January . A. D. 1961. betore me poroonaUy cam. L. M. Smith Yice-Pr..ident of th. UNITED STATES FIDELITY AND GUARANTY COMPANYaod E. W, Buffington ,Aui,tant Secretary of Rid Company. with both 01 whom 1 am peraonally acquainted. who heiRS by me aevcrally duly .worn, Mid that they resided in the City of Baltimore. Maryland: th.tthey. th...id L. M. Smith and E. IV. Buffington were r"poclively the Yiee.p,..ident and the Auillant Secret.ry 01 th. aid UNITED STATES FIDELITY AND GUARANTY COMPANY. the eor- poratiall ducribed in and which executed the foregoin; Power of Attorney: that they each knew the leU of said corporation: that the K&i affixed to said Power of Attorney wu such corporate leal. that it wu 10 .ffixed by order of the Board of Directorl of aaid corporation. .nd that ~"t.y sicnocl their name. thereto by like order u Vice.Preaident and AMiltant Secretary, respectively, of the Company. My eommiHion upi... the fint Mond.y in May. A. D. 19 61 (Seal) STATE OF MARYLAND, BALTIMORE CITY. (Signed) .........A"lQ.!!...M..".P..~.~r..t~!.L"......m.."............................ No/Gry PuWc. ( Set. 1. James F. Carney . Clerk of the Superior Court of Baltimore City. which Court i. a Court of Record. and hu. leat. do hereby certify that Anne M. 0 t Brien . Esquire. before whom the annu.ed aRidavita were made. and who h.. thereto .ubecribed hi. name, wu at the time of .0 doing a Notary Public of the State of Maryland. in and for the City of Baltimore. duly commissioDcd and .worn and authorized by law to administer oaths and' take &eK.nowledemenu. or proof of deed. to be recorded therein. I further c.crtify that I am acquainted with the hAndwriting of the said Notary, and verily believe the .illl,ture to be hi, aenume .ill'&ture. In r."lmon" Wh.t.o/, I hereto let my hand and afIU. the aca1 of the Superior Court of Baltimore City, the aarne bcmlr . Court .IR...rd,thia l81b day 01 January .A. D.19 61 (SEAL) (Signed) m..n.....~lt\ll41I3...f..!..n~lt.r.~.41y........"............ CI...~ oJlh, Supnior Courl oj Bollimore .cii;j:........ ..... - F.-S.3 111.56) 0 REVoHOO E'X + (9081) BUREAU OF EXAMINATION PENNSYLVANIA DEPARTMENT OF REVENUE P.O. BOX 8327 HARRISBURG. PA 17105 INHERITANCE TAX RETURN RESIDENT DECEDENT 1/- ?f7- File Number 21-80-455 Decedent's Neme I Last, First, and Middle Initial) Adams, Terry R. DECEASED. . Social Security Number Date of Death 210-44-5704 June 25, 1980 CORRE- SPONDENT Name William D. Schrack, III, Esquire Telaphone No. CHECK APPRO. PRIATE BLOCKS i I , I I I I I I I I I I ! i i I RECAPIT. ULATION AND Decedent's Address 623 Williams Grove Mechanicsburg, Fa. Road 17055 1. Original Return ~ 2. Supplemental Return D 3. Remelnder Return D TAX CALCU. LATIDN 4. Lifa Estate D 5. Federal Estete Tax D Return Required. 6. Decedent died testate D 7. Decedent meintained a living D 8. Number of safe deposit D IAtteeh copy of Will) trust (Attach copy of trusll boxes inventoried All correspondence and confidential tax information should be directed to: Addrass City ,.. 03 Post office Box 31 Dillsburg State': . Recapitulation ,.'1 " N .:.-,. 1. 2. 3. 4. 5. 6. 7. B. 9. Real Estate ISchedule Al Stocks and Bonds (Schadule B) Closely Held Stock/Partnership Interest (Schedule CI Mortgages and Notes (Schedule 01 Cash & Miscellaneous Personal Property (Schedule E) Jointly Owned Property (Schedule F) Transfers ISchedule G) Total Gross Assets (total lines 1-71 Funeral Expenses Administrative Costs/Miscellaneous Expenses (Schedule HI Debts/Mortgages/Uens (Schedule II Total Deductions Itotallines 9 & 101 Net Value of Estate (Hne B minus line 111 Charitable Bequests (Schedule J) Net Valuesubjectto tax liine 12 minus line 13) (11) 8.807.66 (12) 12,018.67 (13) (14) 12.018.67 (1) ( 2) ( 31 ( 41 ( 5) .....$2.0....B2 Ii. 33 ( 6) ( 71 o ~ ( 81~0.826.33 ( 91 (10) 8.807.66 10. 11. 12. 13. 14. Computation of Tex 15. Amount of line 14 taxableat 6% rate (151 $12,018.67 linclude values from Schedule K) 16. Amount of line 14 taxabloat 15% rate 116) linclude values from Schedule K) 17. Principal tax due (add tax from line 15 plus tax from line 16) lB. Total Prior payments: '(a) Amount Paid (bl Plus Discount (c) Minus Interest (18) 19. Balanca Due liine 17 minus line 181 Make Cheek Payable to: Re9istar of Wills. Agent ... PLEASE RECHECK MATH'" x.06= 721.12 x.15= (17) 721.12 (191 721. 12 Under penaltias of perjury,l deelare that I have examined this return. including accompanying schedules end statements, end to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preperer other than the personal representative is based on all information of which preperer has any know e. ~ "7' ... c::<' 'c"~'--.:> (_ /tC. '<l... E ENTATIVEISI ADDRESS . DATE EPRESENTATlVE 1/L "'CL-, - DATE ADDRESS IIV.I502EX+ 19.all COMMONWEAI.TH OF PENNSVLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Adams, Terr R. (All propertY Jolntlv-owned with flight of Survlvor.hlp mu.t be dl.cloud on Schedule "F") SCHEDULE "A:' REAL ESTATE FILE NUMBER 21-80-455 tTEM VALUE AT DATE NUMBER DESCRIPTION ASSESSED VALUE OF DEATH 1. None -0- TOTAL (Also enter on line 1. Recapitulationl $ -0- (If more space ,. needed In.ert eddltlonal Iheets of lime Ilze) ) REV. 1547EX (10-821 BUREAU OF EXAMINATION i NOTICE OF INHERl'rANCE TAX I PENNSYLVANIA DEPMTMENT OF REVENUE. APPRAISEMENT ALLOWANCE OR DISALLOWANCE [ACN P.O. BOX 8327 I ' . HARRI"BURG PI. 17105 J OF OEOUCTIONS. AND ASSESSMENT OF TAX ~ . _.___ _____ ,.DATE .l.9.':.?..~~~_ ESTATE OF ADAMS TERRY R FILE Nn. 21 80-0455 OAIU!LPEATH O.6=.;);clLO________________,_,.,_bJ:P_UNTY__CJ,!Mll,t;Hl"l\.ttP._--- NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBHIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF IHLLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO "REGISTER OF WILLS. AGENT II . 101 WILLIAM 0 Sr.HRAC~ III ESQ 124 W HARRISBURG ST PO BOX 310 DILLSBURG PA 1701<) PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE <11:11:: _A_L9~~_ ,!:Hl~ _L!~E_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ u NOTICE OF INHERITANCE REV. 1547EX (10-821 ESTATE OF ADAMS TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS ANO ASSESSMENT OF T~X TERRY R FILE NO.21 80-0455 ACN 101 DATE 10-25-82 TAX RETURN WAS: (X) ACCEP~ED ASilLEp I CHANGED APPRAISEO VALUE DF RETURN BASED ON: ORIGINAL RETURN 1. Real Estdte (Schedu~e Al 2. Slocks and Bonds (5cl:edLlie 8) 3. Closely Held Stod:.JPartnership Interest (SchedUle Cl 4. Mortgages and Notes (Schedule D) 0, Casn & Miscsl!anoous PerSI:mal Propert\' (Schedule El 6. Jointly Owned Prope!'ty (Schedule F) 7. Trs:1sters (Schedule Gl 8. Total Assets ( 11 I 21 \ 31 I 41 I 51 ( 51 1 71 .00 .00 .00 .00 20,826.33 .00 .00 ( 8) 20,826.33 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Administliltivc Costs/Miscellaneous Expensp.s (Schedule Hl 1 Q. Debts/Mortgages/liens (Schedule !) 11. Total Deductions ~ 2. Net Value of Tax Return , 3. Charit.1ble/GoverJ1mental 8eqtlests (Schedule Jl 14. Net Value of Est.ate Sllbject to TaX 191 1101 .00 8,807.66 (111 8,807.66 1121 _,12,018.67 (131 .00 1141 12,018.67 ASSESSMENT OF TAX: , 5. Amount of line 14 taxable at 6% rille i 6, Amount of linf! 14 tax2ble at 15% rale 17. Principal Tax .Due TAX CREDITS: 1151 (161 12,018.67 .00 X.05; X.15; 1171 721.12 .00 721.12 47 "I I 721.12 I I 1 I I TOTAL TAX CREorr-l ~~ BALANCE OF TAX DUE r--~4.69 I I i INTEREST I .50 '_--.'I:OTAL ~_ I 65.19 Of Balance Due IS less than S 1.00 no payment IS reQUIred) I PAYMENT I DATE ~23-82 I L__J_____ RECEIPT --'1 DISCOUNT i+1 # INrEREST 1-1 "___--J____.__ 049831 i 64.69- I i I INTEREST IS CHARGED AT 06 PERCENT FOR DAYS FROM 09-24-82 TO 11-09-82'. AMOUNT PAID I , I I ___-L-. . IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST RETAIN THIS PORTION FOR YOUR RECORDS .i--------- l ~~~!(,~jtf~;')i~\\i!)!J;~;:'>.. , ..COMM()NVVEAL TH OF ~ENNSYLVANIA . . . "No.[.04 9 9 ':I. Q . DEPARTMENT OF REVENUE .. ... ~FICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX *:..,...".,i<.:....:....;.i./.;,b,..'...'.....1 .... ..... ."... :;~'\c.";:~\, ",... ~ . , m ACN m AMOUNT -"', Assessment Control No. ':CEIVED FROM: r: Willi.. I). Bohrack, III, B'CJ-!-_' P.O. lOX 310 ,_______________ Jill,blle, pa._...J..1.Q19 probate 65.19 .__.._..~...,_._------- .J L . gSTATE INFORMATION: FILE NUMBER NAME OF DECEDENT DATE OF PAYMENT JSTMARK DATE 21-80-455 ,UNTY LA~ er llRSh82 lI10vember 4 1982 CUIlberland 2 98 MI DATE OF DEATH REMARKS tijTOTAL AMOUNT PAID 65.19 ~.. I . )1 a l ---_J! RECEIVED BY /;.. _ <../ c.! I NATURE (' SEAL 1 I I J II 1 --------------------------------- I I , ! I , .1 1 I j , , "('il:', "i',' i' ,'".; ... ....- -- - -- -.... - ~~ ~- .".,.....-- ) REV. 1a07 (AS) ACN DEPARTMENT OF REVENUE BUREAU OF ACCOUNTS SETTI.EMENT P.O. BOX 2DSS HARRISBURG, PA 17105 101 INHERITANCE TAX STATEMENT OF ACCOUNT DATE - .l:'83 ESTATE OF ADAMS TERRY R FILE NO. 21 80-0455 DATE OF DEATH 06-25-80 COUNTY CUHJ;lERb1\JfD NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO: REGISTER OF WILLS, AGENT. WILLIAM D SCHRACK III ESQ 124 W HARRISBURG ST PO 80X 310 DILLS8URG PA 17019 PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE CUT ALONG THIS LINE ------ -- - -- - - - -- - - - - - - -- -- - - - - - - - -- .-- - - - - - - - -- -- -- - -- - - - - - - - - ---------- .. INHERITANCE TAX STATEMENT OF ACCOUNT .. ESTATE OF ADAMS TERRY R FILE NO. 21 80-0455 ACN 101 DATE 06-13-83 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE. THE APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-25-82 PRINCIP AL TAX DUE:.............................,.............,......,.........,...................................................................................... 721.12 PAYMENTS (TAX CREDITSI: PAYMENT RECEIPT DATE NUMBER 09-23-82 049831 11-04-82 049939 DISCOUNT +) INTEREST (-) 64.69- .45- AMOUNT PAID 721.12 65.19 'M~ ' TOTAL TAX CREDITS 721.17 ". -.. BALANCE OF TAX DUE .05CR ~ INTEREST .00 , TOTAL DUE (,,'I. .05CR I.u'. ~.., u:".- ?=' (If Balance Due is less than $1.00 no payment is required) . IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST RETAIN THIS PORTION FOR YOUR RECORDS