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No, 21-80' 493
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estote of Dorothy H. Hartman
, deceased.
MARY C. LEWIS
To ~i8Ra~9!:: llnrl~r~nl1, Register of Wills for the County of Cumberland,
in the Commonweolth of Pennsylvania,
IS
Petitioner(1a)2IIE the execut or named in the Lost Will and
Testoment of Dorothy H. Hartman doted Feb. 7. 1952 .
Decedent wos a citizen of the United States and 0 resident of
~ipcx
Shiremanstown Borough, Cumberland County, Commonwealth
of Pennsylvonia.
Decedent died on Saturday
the
10th day of May
A. D. 19~, in the County of Cumberland
I State of
Pennsylvania at the age of 87 years.
xkmJsx xhGlPC her
Decedent hos not been married and has not hod children born toxhimac
since the execution of the above described Will,
Decedent was possessed of personal property to the value of
$800.00 and of real estate to the value of
None
as near as can be oscertained; said real
None
estate situoted os follows
x~x
Therefore, your petitioner(~ respectfully opplies for the probate
of the said Lost Will and Testoment and for Letters Testamentary thereon.
Doted July 21 , 1980
Name and address
of Petitioner(s)
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Steward Harding Hartman
5 South West Avenue
Shiremanstown, Penna. 17011
COMMONWEALTH OF PENNSYLVANIA t
COUNTY OF CUMBERLAND, ~ ss
Steward Harding Hartman
nomed in above application, being duly sworn according to law
say(s) thot the statements set forth in this petition are true to the
best of his knowledge and belief. r f
SWOT'n ond subscribed before -f~...""---t( -~J:~l ~i~~",s-.')
me,~ July 21 ~ 19 80
o ~ (iJ, ;~
~ ~. AFl OR, Register
Filed; July 22, 1980
02h/'1) - ~~.3
Attorney: J. Robert Sto.Uffer~
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OATH OF SUBSCRIBING WITNESS
OMMONWEALTH OF PENNSYLVANIA I ss:
CO Y OF CUMBERLAND (
This,,,,..,..,,........ ..".,.."....,..."...,....".....".......,.",., day of "..... ,..,..,. ,.."",.,. "..,...." "..,..",..,.....
before me Richard . nderson. Register for the Probate of Wills and ;,'Tanting I
in and for said County of mberland. in the Commonwealth of Pennsylva a. personally came .............,
....................................................... ........................................................... ..........................................................
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late of....,.,.."....".........,..,.."",.."..""......"...,......,,..~ ,..""..,."...."".,..,.. Cumberland County Pa.. deceased
who being duly...........,....,................."....... acco mg to w. depose and say. that .............,..........................
present. and saw and heard the testa...... ...,.............,....... ~.........................................,...................,.....
sign. seal. publish. pronounce and
as and for h................ Testament
and Last Will. and at the ti of so doing ......................,............"............w of sound and disposing mind
memory and understan ' g. to the best of ......................"............,.........knowled
.................... ......................... and subscribed before
....................................................................................
..................................................................................
Richard E. Anderson. Register
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUN'fY OF CUMBERLAND I
.................~.t'!l.l'!!l-.r.~...~~E.~~~.f:..!:l:!:~,~,l!!~!.1...................."...,......................................."......................being duly
........!!!'!.'?,r.!)............................. says that as nearly as can be ascertained the said decedent '...........'.............
..... ...... ,...... .?~::,~ ~~.!...!!.~....~ ~:..~.:':~,12...............,.,.,........".."",.,...."",,,,.....,.,.....,,..,.,,....,,....,..,......, ,....,... ,died on
..~!1-.t~!,~~.~:.........................., the ......}.?~!:................day of ........!:::.?.............................,......., A.D.. 19...~Q.
at or about ..1.:.~.?..................,....,....... o'clock. ~.~M.
.........."SwO'Im.............."..,.....""and subscribed this
......................~.~~!:................, day of ...~~~;(............
19. a~L., before
~~~:d.::,C!::O'l:~"'''=>
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, mR(. Reg;;tf-r.,
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OJ~ PENNSYLVANIA} .
COUNTY OF CUMBERLAND S8:
Before me. the Register for the Probate of Wills and Hranling of' Letters of Administl'lllion in and for
the County of Cumberland, personally came "!?,~,~):1.\lJ:,r)..J!,E,I.r.~.\,!1B.}~!lr,~~,~.\'!,.""""."""".".,,,"",,,,,,,,,,,,,,.
h b. d I sworn d es d ,d' th t . Executor
w 0, emg u y "..".."".."..,,"'...". 0 ..".."" epose an say a as...,,,,,..,,.........,,..,,,,...,,,,,,,.....,,,,..,,............
of the last Will and Testament of ..,...J!R,tR!i,I:\;{,)l...}~!l:~:,~,!l),~,t;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. .~.WgX'.n"""."."." and subscribed
before me.
............~~~)(...~~................""........ A. D.. 19,8,Q"....
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DECREE
Be it remembered that on the ..."..."~~~~",,. day of "."""..."..~~,~y."""".....,,,,....... A. D,. 19 ~,Q...., there
was probated and recorded the last Will and Testament of ,.."""p.,~r..9,t:h,1...!j.:",ff.~~~~!l:::,,,..,,,,...,,,...........
1 te f Shtremansto,ln C b I de PI' D
a 0 ..............."..:"""...""..........""..""".".""".,,",,.,,.. urn er an Jounty. ennsy vanIa. eceased, Letters
.......",."."..T.e,s,t,a~.ntllr.:f".".." were granted to .,.."~!i,~.:-!~,~:~"~,~r..9:~::.ff,,,.~.I;l:~~.~~::,""",,.,,,.,,''''',.""......
Witness my hand and official seal the day and year aforesaid,
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1:E. Ai.. Register,
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. REV-BIO ca-7I}
JCOMMOIIWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
TRANSFER INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES om,'{
OF RESIDENT DECEDENTS
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COUNTY OF
Cumberland
This return mUlt b. completed In detail and f1lod In duplicate, with the Register of Wills in the County whor" tho docedent resided within nino
monthl after date of death, unle.. an extension is granted by the Secretary of Rovonue,
Will 01 PlJ 'fg-?
Admn. Nu. -;( ~ 9_ I, St~...nl l"d Hnt'di n[ :'[n.rtT'1an
(NAME:.I
Misc.
heing duly sWorn according In law. dcposes llnd says thai he is the Exocl.ltor ________._____
l EXEC., ADM.. LE'JATEE, I;;T C.l
. laiC "fe; oS .-.\'IQ.~_t_A_VSl_...__Sl1J,~El!!L~!:I.~,t_QW,!)J_EJh
ICITY, UOROUGH, Ol~ TOWNSHIPI
deceosed, ond tllaC the whule of the estate of said decedent, who uied ol1___~~lay_1..QJ_~93;~.Q________._.__
(DATEl
consisted of the assets listed below and that allowablc dehts amI dcductiuns cxceeded thl: fair lII11rket value of the aSsl'ts <tmI
01'5 South ',Jest Ave_ I
IAIlOI~ r. ~;~I
"f Ihe eslale "f Dorothy Ii. Hartman
110 Pennsylvania Transfer Jnheri.nnce Tnx is due.
th.~CY of "-'--"
~~~I&!lWRG BORO, UMBERlANO COUNTY
R.p',oliY:MtY~lmpN EX RES MAY 13. 1984 ~
!Mddlir.o&lmsylvalll3 SliDelallon 01 NolanfS (Attach additional sheels If necenary)
Tranl'e"r. Description of Anel
'5'k.......1-~LL:'I,_,~~~cu~_~~~
(SIGNATURE), (TITLE)
Sworn and subsctl bod be fate me
Estimated
Market
Value
Department
Valuatien
CAUTION
(Do nat write
in this space)
Personalty
Account No. 130-295-9 (Checking Accounr,)
with The First Bank and Trust Company of
Mechanicsburg, Pa.
Checks of Blue Cross(Hospital Service
Association of Northeastern Pennsylvania
Wilkes-Barre, Pa.) Blue Cross Extended
payments as follows:
Payment of 5/19/80
Payment of 5/28/80
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1~39 .69
Personalty
352.58
19.20
TOT ALS
$
811.47
IPlI. ~1
8ft.
REPORT OF INIlERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritancc Tax Appraiser in ami for the above Cuunty do rcspcctfully rcport that I ha\'c
appraised the real and personal properly os reported in the foregoing schedule at the \'alllc~ set forth llppflSilc each itcm in
Ihe lasl column 10 Ihe riShl. g~
Daled:--8Apttll!lmhA'I'" 4, '980 IINHERITANCE TAX APPRAISER!
Name of Payee
DEBTS AND DEDUCTIONS
Nature af Claim
Amaunt
Claimed
Amount Applaved
by Registe,
Myers-Hall Funeral
Home, Camp Hill, Pa.
Register of Wills
Medical Personnel
Pool, HarrisburB, Pa
J. Robert Stauffer
Register of Wills
?uneral Expenses
Letters Tes tament,ary
',J
426.00
12.00
408.40
20.00
3.00
Nursin;;: Care
Attorney's Fee
Filing RCC-I03
TOTALS
$
869.40
REPORT OF TilE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for the above County. do respcctfully rcport that I have nllowed
deductions in the amounls sct forlh in the above schcdule as claimeu. exccpt where I ha\'e ~ct furth a greatcr or lesser amount
in the lasc column 10 the ighl, which greater or lesser amount represenls lhe sum' lowed as a deduction.
e,
Dale of Approval:
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18,771
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
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TO:
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ESTATE OF
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FILE NO,
COUNTY OF
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For County Information purposus only
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DATE OF DEATH ,/,,, 1,1 I,
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_________________________________ ____ ___ _ __ _____ _ _ _______.i:::_ ___ .._ --- ---
COUNTY FILE NO:
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Appraised Value of Estate:
Real Estate
Personal Property
Jointly Held Property /Transfers
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Total Gross Estate
$
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Total Approved Deductions
,. /, ;' ,-I ,.,:
Clear Value of Estate
$
------
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
$
Amount Taxable @ 6% Rate
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Amount Taxable @ 15% Rate
t~x'9ue/-',""~
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tax due
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TOTAL PENNSYLVANIA INHERITANC):(TAX-DUEt:',~/t, .)1/ /'1 ?,.L-'
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Less Credits:
OA TE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREOIT
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+ S
L-_
= S
+
=
+
=
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
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{nterest will accrue at the r ate of six
Inheritance tax from
(6) percent per annum on the unpaid balance of
to the date of payment.
SEE REVERSE SlOE FOR INSTRUCTIONS
REGISTER OF VJILL'S COPY
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