The URL can be used to link to this page

Home My WebLink About80-00543 ^.., ~ ! ~ . tf.l i ij I I ! ~ . ~ 1Zc '0 C":) I . ~ 0 ll<4 It:l :. ~ tl ~ 0 - 00 0 . - ~ N - ~ III . - 0 III z No. 21-80 543 PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of Winifred F. Rodgers MARYC. l.EWIS , deceased. To . Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania. is Petitioner(S:,) ~ the executnr named in the Lost Will and Testament of Winifred F. Rodgers dated July 25. 1977 Decedent was a citizen of the United States and a resident of ~ Borough, Cumber/and County, Commonwealth New Cunberland of Pennsylvania. Decedent died on Thursdav the 14th day of AUg'lQt' A. D. 19 80 , in the County of Currberland , State of Penllllylvani;o ot the age of 85 years. Xaa ~ her Decedent has not been married and has not hod children born to ~ since the execution of the above described Will. Decedent was possessed of personal property to the value of $12,000.00 and of real estate to the value of $25,000.00 estate situated as follows as near os can be ascertained; said reo I 207 Reno Street, New Cumberland. Cumberland Qmntv. Pennsylvania ~ Therefore, your petitioner(s:) respectfully applies for the probate of the sai ast Wi/I and Testament and for Letters Testamentary thereon. Doted / /7 /fj'r;1 .' /~. ~V / f Ll Nome and address .., '{f11/\ C/?~tU' ~ of Petitioner(s) / J~}. LaFaver- '- 317 Third Street New Cumberland, PA 17070 COMMONWEALTH OF PENNSYLVANIA / ss COUNTY OF CUMBERLAND Jon F. LaFaver named in above application, being duly sv.um according to law say(s) that the stotements set forth in this petition are true to the best of his knowledge and bel ief. St.um and subscribed before ,-~ ~ ~ /'>J); 7 .~. r!-Z- ( ./. ...... me~ 19BO .. . ~ f!... ~~ . . Register MARYc. LEWIS August 19. 1980 1/-/07-'/ Attorney: Jon F. LaFaver ~cr1] , j I I ~.)... ~ . LAW C",.ICCS JON F. LAFAYER 317 THIRD STRCCT :. NCW CU....ERLANC. lIIA. \ .,. -. .Ie' " LAST WILL AND TESTAMENT OF WINIFRED F. RODGERS I, WINIFRED F. RODGERS, of New Cumberland, Cumberland County, Pennsylvania, being of sound mind, memory and understand- ing, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all other wills by me at any time heretofore made. I. I direct that my Executor hereinafter named shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease. II. I hereby give and bequeath the sum of one thousand ($1,000.00) dollars unto each grandchild of mine who survive me. III. ~ All the rest, residue and remainder of my estate, j hether real, personal or mixed, and wheresoever situate, I here- by give, devise and bequeath as follows: -- A. One-fourth (1/4) unto my son, EDlvARD D. RODGERS. B. One-fourth (1/4) unto my son, THOMAS N. RODGERS. C. One-fourth (1/4) unto my son, JOSEPH F. RODGERS. D. One-fourth (1/4) unto my son, CORNELIUS A. RODGERS. IV. - >t- 'j . ' ) , , ~ ~ ~ ) I hereby nominate, constitute and appoint each of my sons as Guardian for the share which any minor child of his may receive from my estate, and I authorize my Executor to distribute the specific bequest in Item II under this provision. Page one of two Pages ,. 8:1-3 . LAW O,.,.ICltS .JON fI'. LAFAYER .-. an THI"D STRUT . New eUlollCItLAND, ,.... ~'. ;...... V. I hereby nominate, constitute and appoint my attorney, JON F. LaFAVER, ESQUIRE, as Executor of this, my Last Will and Testament. VI. No fiduciary acting under this Will shall be required to post bond in this jurisdiction or in any jurisdiction in which he may act. ~\ \i , \., IN WITNESS WHEREOF, I, Winifred F. Rodgers, the Testatrix, have unto this, my Last Will and Testament, set my hand and seal this .11:::r1;day of July, A. D., 1977. -[( i l~' ~A uA =/, n,<-tA.."J-c,'t.-J(SEAL) , " SIGNED, SEALED, PUBLISHED and DECLARED by Winifred F. Rodgers, the above-named Testatrix, as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names as witnesses at her request, in the presence of the said Testatrix and of each other. ~~ / /' ) 0 llhffJ,.tU f71 h->J- II I I I Page two of two Pages 814 ~ ~'l"(\' CIl R 0 ~' p:: ~ "'~:s.;.!".i:IO "'$ "'< 't ~ ~. J_." ~ ~ :S , -t'o- ..... ; ~ ~ ~ ... _..( ....~..,:7 ~ .-.-1' ~, !;; ~ -..UM'1t ~} ~ L,_'_jl ~ ~ w :z - ,t w ~ ;-':'-B ~i...... l<< u ~ @ ii: r-, .. ~ Q 0. , .~!. - ~{> ~ ~ 0 ... ci ,~",~,",~,'.~.:,. - ~ ~ r.; ;: ~ - ,.. ~,i .- ~\ l<< .. .~"\ ~,_ l';'t'-.. H Z ;;; ~,; w ",)::\ ' -t z e " H ::; ~.t> ..., ' :3 ~ ::> ..... _.~"",.l; ':;.fl u ~.;~~. (,~ (~\ ~ t-~": il. '........~ ~ :z ~/ '. '" oj '. . , , . . OATH OF SUBSCRIBING WITNESS COMMONWI.;t\LTlI OF I'I;;NNSYLVANlA / "" COUNTY OF CUMBl;;RLAND \ This....... ..'........... ...... .....~~.~~.. ........ ,.................... day of ....... .......' ....~.~<;!~.~~...... ..... .........,. .......'. A,D., 19~.l:l...., Mary C. Lewis before me ~, Register fol' the Probate of Wills and granting letters of Administration in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally came ....,......... Jon F. LaFaver and Darlene M. lDng ................................................................................................................................................................................ the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of ........W:i:m,~'?~,f.,..J:lP.~g~!'!...................................".................. Dated .}~y.}?}...~m.............. late of...........\if?l.i[..~.lgM!!'!4..~r.9.~,........,.........,...........,.......,......,....... Cumberland County Pa., deceased who being duly ,...~~.,........................... according to law, depose and say, that .........~y.,~.~,..,........, present, and saw and heard the testat);'~...........,.............. ....,....W~g-.~c;l..f.,..J@.9g~p............................,... sign, seal, publish, pronounce and declare the said instrument of writing as and for h.I':1:....,...... Testament and Last Will, and at the time of so doing ...........!?b~..........,......,....,.........was of sound and disposing mind memory aold understanding, to the best of ..,thl':;i.t,.........,......................knowledge, observation and belief. ....,........~m........................ and subscribed before D 1/.J1i I '/'! /~-_/" ~k;:~~:-~ ..,...."....,....,............................ff..............,.............. ~:~~..................... !-my C. Lewis AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA! ss: COUNTY OF CUMBERLAND \ .................,.......~c;!!;..~:..~~;:~...,.............,.....................,.........,...........................,.....,..,..".......,..,.....being duly ..,.........~~,..................,......, says that as nearly as can be ascertained the said decedent ....,..................... "................................W~E::'?~..!:,:..~~~?....,.......,........, .......,....,.....,.............,...............,...........,..........died on ..........~~~!:...................... the ...)A~h...,...............day of ,..,....~.~....................,......"..., A.D., 19f:!fL., at or about .....W.:.RR....,........,............. o'clock, ~,.M. ...................~m.......................and subscribed this ....................J.~!:~...,......,........ day of ..,...!.\\!g~.!!!:.... 19, !!.l:l...., before ,0, ~ (; /! '::::' V,~/'iV/ ..,..,.~'.:...~:j},.i.{.~.(,.ii?.:({~,!;l.~. (, / r;' . -' ~/~ (j,' J/ . / ',/ ' { , ~ _ t. I /-, ..... .-t // /V' _ . .J/ .(..- ........:...;.....-- ....... .. .. ,'/.l...... ..... ........4-.<.:...................,.......... 'v . Register !-my 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 Lcttcl'S of Administration in and for the County of Cumberland. personally came ......J!?!}..f......:w.f.~y.l?:t,.............,...................................."............., who, being duly ....~.:m.......,......, do\!.L.... depose and say that as......~~~~!:9.F............................,.............. of the last Will and Testament of .........W.ID;i,fi~d..f.,...Ro.Qg,~,l;'.l?..................................................,........deceased .......h~......,....... 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. .~E!:,...........,.... and subscribed before me. ...............~.':I:'i{~.~.~...~~....,....,..,..,.... A. D.. 19.!'!.9......, ...9)~, .....(1.:.~f~~..................".. M9ryC. 's ~Jt~,M~ .................................................................................. ''ti 0' :., :Ul co: ,,, Ol .., :" ~f :., lO u.. en: ~, M' 0 bli co, '0: *'l ~ M' &i ~ 0'1' ~ ..-1 0 ....~ <l', ~j 0 l.f.) Ill: ..-1 I:l:l .jJ: I: '0: :::: Ill, 0: - QJ: .. ::I: co, $ J::l ~ U, 0\: I: 8: ::I, ~, '~j = ril~ F(j l'l ,~ Q . h:~ "tl C"1: OC) Q) ,,; '0 ...., I Z .... - 0 co: oN E " *" ., S .... ., "tl ~ "tl l>O ., '" - ril = ~ .~ " t<. DECREE Be it remembered that on the ..........~.?~~..... day of .............!,\:~~~.~:.........,............ A. D., 19 ~~...., there was probated and recorded the last Will and Testament of .......~~.'?:~~.7.~~,..~.~...~~9.~,7.7:.......................... late of ........,.....~~.~..9.~~~.~,~~~....,........................., Cumberland County. Pennsylvania, Deceased. Letters .........................~~~.~~~!?-.~~?:X.. were granted to ..,.......,..... ,......!.~.'?:..~,~ ,..!:-.~~.':':~?:,..,.................................. Witness my hand and official seal the day and year aforesaid. J . Register. - . . ' i ; i i I I i I , , . I I I I I I I I I I I I i , , i REV-451" (l.SO) COMMONWEALTH OF PENNSVLVANIA . DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY * (Instructions 011 Reverse Sido) Estate of Winifred F. Rodgers ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL Yi 1. State Capital Savings Assoc. Acct. #001-00-04028 5,711.77 2. State Capital Savings Assoc. Acct. 41001-20-25918 7,561.83 3. Proceeds fran sale of household furnishings 3,334.76 TOTAL THIS PAGE 16,608.36 \/1O.lt 1)'1J . ;) l, .~ is) STATE CAPITAL SAVINGS P6SOCIATlON m Jon E'. LaFaver Attorney at Law 317 Third street New cumberland, Pa. 17070 DATE: Aug~s~ 2l, 1980 DECEDENT' W~nLfred F. Rodgers . D.O.D.- 8-14-80 #OOLOO_04028 BALANCE AS OF DATE OF DEATH $ 5,674.79 ACCRUED INTEREST 36.98 DATE OF DEATH VALUE $ ~,7J.l.77 DATE ESTABLISHED MA'f~ITY DATE ACCOUNT TITLE W1nLfred F. Rodgers #001- ~_ 25918 BALANCE AS OF DATE OF DEATH $ 7,501.12 ACCRUED INTEREST bU./J. DATE OF DEATH VALUE $ 1,:JbJ..tiJ DATE ESTABLISHED MATURITY DATE ACCOUNT TITLE UII #_- BALANCE AS OF DATE OF DEATH $ ACCRUED INTEREST DATE OF DEATH VALUE $ DATE ESTABLISHED MATURITY DATE ACCOUNT TITLE #_- BALANCE AS OF DATE OF DEATH $ ACCRUED INTEREST DATE OF DEATH VALUE $ DATE ESTABLISHED MATURITY DATE ACCOUNT TITLE THE PENALTY ON PREMATURE WITHDRAWALS OF TERM INVESTMENTS IS WAIVED PRIOR TO THE INVESTMENTS RENEWAL DATE. TO ACT UPON ACCOUNTS HELD IN AN ESTATE WE REQUIRE A SHORT CERTIFICATE'OF CURRENT DATE: A DEl\TH CERTIFICATE ON JOINTLY HELD ACCOUNTS. CONTACT US FOR ANY FURTHER INFORMATION. BY: __1/,1,-. :'.' . ,_ \./' '!;..'.~ ... " . I .. , ." . ..:. "i' /", .,-'. ". .... , .. "_ r.- " 'l'~' ~. .. . 108-114 NORTH SECOND STREET. PO BOX 1861, HARRISBURG. PENNSYLVANIA 17105 (7171238-8252 ~f~~1 REV-4llZ (1-1101 COMMONWEALTH OF rEHHSVLVAHIA , DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT Winifred F Rodgers ESTATE OF _ . - SCHEDULE "C" TRANSFERS ~^ ~ INSTRUCTIONS: 1. Answer the questions on reverse side. 2. If the answer to any of the Questions on the reverse sjde is "Yes," provide a descrjption of the property transferred per Schedules "A," "8," or "E," its estjmated market value at date of death, dates 01 transfer, to whom transferred and relationship of transferees to decedent. Attach a copy of any trust deed or instrument relating to the transferred property. ITEM NO. DESCRIPTION ESTIMATED I DEPT. VALUATION MARKET VALUE (OFFICIAL USE ONL YI NONE TOTAL THIS PAGE o D QUESTIONS CONCERNING PROPERTY TRANSFERS 1. Did decedent, within two years of death, make any transfer of any material part of his estate without recejving valuable and adequate consjderation? (Answer "Yes" or "No".) 1.1,,_ 2. Did decedent, wjthin two years of death, transfer property from himself! herself to himself/herself and another party or parties (includjng a spouse) jn joint ownership? (Answer "Yes" or "No".) .//'- 3. If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable, provide the followjng information: a. Age of decedent at time of transfer. b. Copy of death certi ficate. c. Affjdavit by the attending physicjan indicatjng the slate of decedent's health at time of transfer. d. All other information supporting nontaxabiljty of transfer. 4. Did decedent, in his/her lifetime, make any transfer of properly without receivjng a valuable or adequate consideration / therefor which was to take effect in possession or enjoyment at or after hjs/her dp.ath? (Answer "Yes" or "No".) t /j a. Was there any possibjlily that the properly transferred mjght return 10 transferor or his/her estate or be subject to his/her power of djsposjtion? (Answer "Yes" or "No".) b. What was the transferee's age at lime of decedent's death? 5. Did decedent in hjs/her lifetime malle any transfer without receiving a valuable and adequate consideration therefor under wili ch transferor expressly or jmpl jedly reserves for his/her Ii fe or any period whi ch does in fact end before hi s/her ~: ~ a. The possessjon or enjoyment of or the rjght to income from the property transferred? (Answer "Yes" or "No".) ,it ( b. The rjght to designate the persons who shall possess or enjoy the properly transferred or jncome therefrom? (Answer "Ves" or "No".) A/I) 6. If the answer to five b. atove is "Yes," state whether the right was reserved in decedent alone or others. 7. Did decedent in his/her lifetime make a transfer, the consideration for which \'Ias transferee's promjse to pay income to or for the benefit or care of transferor? (Answer "Yes" or "No".) A/ C 8. Djd decedent, at any time, transfer property, the b61eficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Yes" or "No".) (1./[, 9. If the answer to ejght above is "Yes," was the power to aller, amend or revoke the jnterest of the beneficjary reserved in the decedent alone or the decedent and others? (Answer "Yes" or "No".) REV-4SJ EX. (3.60) COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT OECEDENT SCHEDULE "D" BENEFICIAR! ES (Instructions on Rcverso Side) Estate of Winifred F. Fodgers BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DECEDENT 1. Edward D. Rodgers Son Yes 203 Canford Dr.. Broomall, PA 1900 2. Thomas N. Rod ers Son Yes 314 '~el1' ton Ave., Elk Grove Vil a e, Illinois 60 07 3. Jose h F. Rod ers Son Yes 111 Diller Road, New Cumberland, P 17070 4. Cornelius A. Rodgers Son Yes 128 Carol Street, New Cumberland, t-. 17070 5. Patricia louise Bradford Grandda ter Yes PA 1900 Grandda hter Yes PA 1900 Grandson Yes e, n. 60007 Grandson Yes e 11 60007 Grandson Yes e, 11 60007 Yes Yes Granddaughter PA 17070 Granddaughter PA 17070 Granddaughter Yes Yes Yes . 128 Carol Street New CUnberland The above benaficiaries are living at this time except for the following: NAME DATE OF BIRTH Adult Adult Adult Adult Adult Minor Adult Adult Mult Minor Mult Mult Hinor Minor *' INTEREST OF BENEFICIARY 1 4 Residue 1 4 Residue 1 4 Residue 1/4 Residue $1,000.00 Bequest $1,000.00 Bequest $1,000.00 Bequest $1,000.00 Bequest $1,000.00 Bequest 1,000.00 Bequest DATE OF DEATH REV0454 (1.80) COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT * SCHEDULE "E" JOINTLY OWNED PROPERTY (lnstrucrions 011 Reve."o Sicle) Estate of Winifred F. BQdgers p TOTAL E VALUE OF DEPARTME[~T ITEM R DESCRIPTION MARKET cE DECEDENT'S VALUATION NO. VALUE N INTEREST (Official Use Onlv) T 1. am Bank. N. A., Checking Acct. 11746-192-4 dated July 8, 1977 in the nane of Winifred F. Rodgers or Cornelius A. Rodgers. One-half (1/2 470.21,1 value included herein. " - - TOTAL THIS PAGE 470.21 11-'1/1 . I 4IM- INSTRUCTIONS FOR COMPLETING SCHEDULE "E" Schedule "E" must include all property. real and personal. owned by the decedent jointly with another party or parties as joint tenants with right of survivorship. Both tangible and intangible property are to be included. List real estate first. 1. Describe all real property as indicated in the instructions for Schedule" A". Describe all personal property as indicated in the instructions for Schedule "B". Include the name. address and relatiorship to the decedent of the co,owner {sl and the date the joint ownership was established, 2. Indicate the total market value of the jointly owned property. 3. Indicate the percentage of the dccedent's interest. 4. Indicate the market vallie of the decedent's interest. C ." 0 ~ ;?- m > - Z ;.- 0 0 0 V'l " :::; 0- n c: 0 ...; % ::: Z t'" t'1 '" ;I- 9 9 t'" :..-: z ::0 - Z Z t'1 ...; t'1 ...; Z P 0 ...; -< V'l t'1 - V'l Z 0 V'l 0 ..; <. 0 '":1 '''1 ;::: ~ !olJ. ~". ,,' , I ~ 0 (.- 0 ~ , ." Lf)'" , I 0 '":1 ~ l . ' u , ".." ZCJ I ;:; l=?, N ....-. Z -::,.... I ! ;; N "<1 c:: ;:~ ~~. _i I w' , t"" _. :z: -.~ , "'.' CO; QbJ I I c: a:Vl '<0 I 0- VI u'" "'z Ww oc:::> I"l a:'" ~ ~<.> I 0 50 (,J I I Z I ~ I , -< I -< , I t'1 t"1 I I I > :> \ i ::0 ;::: I I I , I \ I ftIY-41& EXt tHOl File Number Estate llame Date of Death Socia' Security Number INHERITANCE TAX SUMMARY SHEET {BUREAU USE ONL Yl 2l-80-0543 Winifred F. Rodgers August 14, 1980 REPORT OF INHERITANCE TAX APPRAISER III Original o Supplemental o Remainder I, tho undo..ignod duly appointod Inherltonce Tax Appraisor in and 10, the County of Cumberland Ponnsylvonia, do ..spoctlvlly roport that I !lavo appraised the ,oal and p.rsonal prope,ty as reported in the la,egolng rol\lm of tho valuo. sot forth opposlto each Item In the last column to the ,j ght in Schedule. "A", "8", "C", and "E" Dated: March 27, 1981 INVENTORY Rool Prope,ty (Schodule A) Per.onal Property (Schedule B) Jolnl.Held Proporly (Schodulo E) Tron.ferl (Schedule C) TOTAL GROSS ASSETS Len D.bt. and Deduction. (SCH EDUL E F) CLEAR VALUE OF ESTATE o Life Estate o Annuity FOR IISE OF REGISTER ONLY Tax on S Tax on S Tax on $ Tax on $ Tax on S Exemptions T otol Estate l.ess Credits DATE OF PAYMENT P.Y'(I7/J J,f(/j,)b'/) INHERITANCE TAX APPRAISER AOJUSTIoIEHTS VALUE AS APPRAISED CODE (HARRISBURG USE ONLY) $ 27 000 00 00+ 16 608 36 tOt 470 21 21>+ none 30+ $44,078 57 40- RATE FACTOR ,-- 6" " \5':0 TOTAl. TAX INTEREST FROIol BALANCE AIoIOUNT PAID s INTEREST FROM BALANCE DUE PRINCIPLE s;.Q.ll TO REIoIAINDER APPRAISEMENT CODE 92+ 93- VALUE CODE - \ : I COMPUTATION OF TAX $ S S S - S S S S TAX CREDIT S REV.SIB FO (70801 r~~ . . '"", ~ ,'. COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS NOTICE OF FILING OF APPRAISEMENT Jon F. LaFaver 317 Third Street New Cumberland, PA l7070 RE: Estate of County of File No. Winifred F. Rod~ers Cumberland 21-80-0543 Dear Mr. LaFaver: You are hereby notified that the Original appraisement in the estate of Winifred F. Rodgers has been filed in the office of tha Register of Wills of Cumberland County on March 27 ,19 81. Soid appraisement reflects the following valuations: Real Estote Personal Property Jointly Owned Transfers Total $27,000.00 l6,608.36 470.2l none $44,078.57 As to such tax that is paid within three months from date of death, a five (5%) percent discount is allowable. As to ony tax that remains unpaid after nine (9) months (fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when death occurred prior to December 22, 1965) from date of death, interest ot the rate of six (6%) percent per annum is charged. Any party in interest who is aggrieved by this notice may abject thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961,72 P.S. 2485-1001, P.L. 373. Date March 27 , 1981 Si gned ---!lh-t!J ) .tC1d..vuI.J. Title Chief Appraiser NOTE: This is not a bill. '" " <: ~ ., Po< ~ ll:: ~ 00 <( .., ... . 0 Q) .., z ~ ~ 0:: ., " 0 >- " ..., . ... .... ~ ~ '" " .., ~ '" ., c '" ;l .., 0 ~ '" .. " .... ....l " Q) " <( .... ~ u ., '" ~ - " ,... :> '" u z - 0 '" 0 ., .... 0 '" :;: N Z U .... .... '" ~ - 0 ~ ci ~ ~ ~ !;; 0 '" 0 z 0 ~ '" >- f-< ci - ~ z Z f-< f-< ~ Z ....l ci :E 0 is ll:: ~ ::<: ~ ~ ...l Z Z 0 U t..:l Z - ~ '" ~ 0 0 <( - ~ ~ U Q Po. ...l COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND Jl IS: Jar;. F. LaFaver boing duly sv,um is according to law, doposos and lays that ho RxecutQr_ of tho Estato of _Winifred F. Rodgers late of th!L~):O!Jgh oLtiew _ ~l<!I19,__ , Cumberland County, Pa., deceased and that the within is on inventory made by ----J.on..l'.-J..afwer " the ,aid Executor of the entiro edate of ,aid decedent, consisting of all the penonol pro~erty and real estate, except real edate outside the Commonwealth of Penn'ylvania, end that the figures oppo,ite each item of the Inventory repre,ent it's fair value a, of the dote of decedent's death. , . ~ tJ r t(>fi and ,ub,cribed before me, . ()'J!t-' ~ 't,,.J{ (.L~ r.",) I r..../ Executor. ~ . ..-~, ....----~.... 19 t ,/ ':1A';.. ",. ;;'ccL L-P......J30x 101. 317 'Third Street Suzanne M. Leavelle. Not Pubij( My Commiuion h?!ces) . 23. 1983 Now CumbelIand, PA-Cumbedond Co"o" - New cumerland, PA 17070 Addr... Date of Death 14th day of Oay August Month 1980 Y..r INSTRUCTIONS I. An inventory must be filed within three months after appointmont of penonal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional a"els. 3. Additional sheets may be attached .5 to penonalty or realty 4. See Article IV, Fiduciaries Act of 1949. >- -ti a> ::r- ~ w ~ ~ < OJ 1 W rn a> 0.. l- t! '0 u I 0 0 '" ~ a> i ~ w C ,.. 0:: w a> 0 l- I 0.. u.. '0 ,,; c Z .... ...J & j ~ \)0 ...J <( 0 0.. ~ 0 u.. ~ I W 0 <( w ,;. .... > Z 0:: ~ - '1I Z 0 c C ~. " ',; n'"\nlJ38,m~ ~ VI Z al 0 0:: U:ICJ'S 1.l-,"~.'J'.!ri-~\B31:J Z w <( ~ ,j .,' . I ......._ ... ~ 0.. "tJ ~ c OJ - 0: ZZ N~I' lB. 0 a>" hi ~ -",. a> E "tJ -'" - ..! 0 OJ " 0 ...J U . .' ,,'lSi~3~ u: '" . ;~.d;iO'GJOllO:l311 Inventory of the real and personal estote.f Winifred F. Rodgers deceased. l. House and real estate situate at 207 Reno Street, New Cumberland, CLuTberland County, Pern1Sylvania. Sold to Uoyd Tyson, Jr. and Jacquelin G. Tyson for 27,000 00 2. State Capital Savings Association Account 1/001-00-04028 5,711 77 3. State Capital Savings Association Accaunt 1/001-20-25918 7,561 83 4, Proceeds fran sale of rouseho1d funli.shings 3,334 76 REV.455 (1.80) COMMONWEAL Tll OF PENNSVL VANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEr.1Ern OF DEBTS AND DE DUCTIONS *' ______~~_~....:;-___'___.~~c...._ ~_.__:_:....~-_ .~~:.:-_..... File No. 21-80-543 Estate of Winifred F. Rodgers Date of Death August 14, 1980 WHEN CLAIMING THE FAMILY EXEMPTION. COMPLETE THE FOLLOWING: Claimant Jon F. LaFaver, Executor Relationship to Decedcnt None Claimant's Address P. O. Box 101, 317 Third Street, New <lllI'ber1and, PA 17070 ITEM - NO. DATE NAME OF PAVEE REMARKS AMOUNT Regis.t.eL~b Let~ers & Certificates 34.00 Dt>&l, Electric.....S.enric" c;'>. 01 Borousrh of New Cunberland Sewer & Trash 51.00 Edith Seipe, Tax Collector Real Estate Taxes 198.15 M & S Distribution Blue Cross & Blue Shield Contract 14.45 R. J. Rombere:er & Sons EnI'Xave Marker 34.00 ,..,T Gas Service 26.40 Bell of PA Telephone Service 12.11 Harrisburl! Dairies Deliveries 3.78 Patriot-News Co. Lel!al Advertising 17.28 Gilbert W. Parthem:>re Funeral HrT e Funeral es 2 489.40 Cunber land Lalv Journal LeI!a1 Advertising 18.00 Jo~"n" IRpJ'll E~r"'te Annraisal 100.00 .- ,- Water Service 19.12 Brinton Bros. Inc. ~lumbin" Services 37.90 CCNB Bank, N. A. lDst safe deposit box key 2.00 Harrisburl! Hospital Professional Services 59.60 Patterson, Litton, lDnergan & Yu ha Professional Services 374.00 Lewis B. Buchanan F\Jrnace Inspection 20.00 Recorder of Deeds 17, Transfer Tax: 270.00 ~~sf~a~~~l!s & Loan l.1mfJ:'~ees l- ~pe j; settlement costs 5 ~ t- 5fi~st:er or ~'. r ~~n:v for fll.iJ 19 accoUJ.1L 1 3 1'r.,;o1;;:oer Qr lJt<eo" f1.t~ ~leases 22 . Jon F. LaFaver ;';;ecu or' s Fee TOTAL THIS PAGE I 7,993.39 I hereby ccrtify that to the best of my knowledge and belief thc fOregOi'l. 9 is. ~ Just ilnd true statement of debts. funeral expenses and expenses of administration submitted to thc'estate ~s dedu.;lipn~~ol. inheritance Tax purposes, ',' 7J), l-(1?;:;?d,):'L-~ / .02/ - f / 'SIGNATURE OF ATTOqNEY/FIDUCIARV DATE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $ 1 CJ tj '1". .3 '1 I AT I: PERCENT. ~ (t'1 v-:: . '( :;" '/. &1tJ'f--('f J EGISTER WILLS ~- ~-j/ DATE GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by the decedent prior to his/hcr death are deductihlc agai nst his/har taxable estate. In addition to debts incurred by the decedent or estate, other items arc claimable including the cost of administration, attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker. All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the Inheritance Tax Return is filed, Evidence to support the decedent's or the estate's liability for the debts being claimed should be attached to this schedule. A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania. If there is no spouse, or if the spouse has forfeited his/her rights. then any child of the decedent who is a member of the same household can claim the exemption, In the event there is no such spouse or child, the exemption can be claimed by a parent or parents who are members of the same household as the decedent. c "" v ('l > t:'l > ~ Z > 0 0 v ~ z v Cl ('l c:: v 3: z f: t:'l ~- 0 ~ t:'l ~ Z ;;;l -- - Z Z t:1 ..., t:'l ..., ~ 9 0 ..., -< [fl t=l '" Z 0 [fl 0 ..., " ~ "=l "=l " ~ " 0':' ~ 0 , w "r\ c: 0, ~1')8 - 0 ':1 " - L.' ~.~ Z n a' ce - ea;:. ~ ~..... > wo.1 c:. t'"t~-J t"' Dr- 60::: 0::<1> ~ ,"-' c: 00 ~_Cl:l 'II ~w x~ !'l ~o; - ju ~ ~ u -< -< ~ t=l t:'l ..... > > ;::l " 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 "family exemption" in the remarks column and the amount claimed in the amount column. 2. Assign consecutive numbers to each item listed. 3. Enter the date on which each debt was incurred and/or paid, 4. Enter the names of each payee. 5. Provide a brief explanation in the remarks column for each debt claimed. 6. Enter the amount of each debt being claimed. 7. The form must be signed by the person who has asslImed the responsibility for paying the debts. ---------------------- --------- - ..~.. ...... *- -- .............-,- -- ~ _-A"--- .~_..... ~ REV-,,62EX d . . COMMONWEALTH OF PENNSYlVANIA 4 NO DEPARTMENT OF REVENUE . oK 29416 OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX I '" .. If II = . ~ TAX AT 6% TAX. AT 15% TAX AT_% RECEIVED FROM .Tftn'" I.a..v.",.. '-<1. ESTATE TAX ADDRESS '480_90 TOT AL TAX CREDIT '--ESrATE~FoRMAnON~-------------------------- DATE OF OEA1H LESS DISCOU NT % INTEREST TO_I FILE NUMBER DATE OF PAYMENT PLUS 1FI10M G m NAMEOFDECEDENT Cumb TOTAL AMOUNT PAID ,.an an COUNTY ------------------------------------------ 'OSTMARK DATE REMARKS "PAID IN FULI." /, RECEIVE~ BY .' SEAL ; I REGISTER OF WILLS -,---- ..--. ---~ ---_._~------------ ----.-..-- ~--- ---- ~. , , " I I J -~,......:'"~~~u~~~....~, "\,__~"tl!lIiI:;._ ~~~~~~