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HomeMy WebLinkAbout80-00605 ~ ! ~ fIJ I .. . 114 >t 1-1 ~ := fIJ . ~ p:; ; fIJ Eo< ~ 0 ~ i j:Q fIJ m . . j:Q ~ ~ In C I ! tJ:) fIJ el Q CO .... . 0 - C'!lt< . . 6) - lIl.. . lIS \0 0 - z .. LLI ~ -~ . (' ~.rI."_} t I"'.. :C''f''j' 0 ' I I ('" ,;lu '[. ./.","1' "4' I ." r-""~ , . ," , i i , i I l \ I i LAST WILL AND TESTAMENl' I, HARRY W. EWING l SR., of Middle Pax ton Township, Dauphin County, Pennsylvania, sometimes known as R .D. 4, Lingles- town, Pennsylvania, being of sound mind, memory and understanding, do hereby ,make ,publish and declare this as my Last Will and Testa- men t. FIRST: I direc t that the expenses of my last illness and funeral shall be paid from my estate. 1. I direct my Executors to payout of my estate the cost of the perpetual care and maintenance of the burial plot in which I shall be buried, should arrangements for same not have been concluded and paid for prior to my death, and also the cost of an appropriate tombstone. SECOND: I give and bequeath unto my son, HARRY W. EWING, JR., my gold watch, my gun and my boat. THIRD: I give, devise and bequeath one-third of the res idue of my es ta te to my wife, Ah-WE E. EWING. ,'~~r.i ~~,,."/ -.: FOURTH: I give, devise' and bequeath the rema~11J.ng two- thirds of the residue of my estate as follows, viz: 1. One-fifth (1/5) thereof to ESTELLE BENNICOFF; 2. One-fifth (1/5) thereof to my daughter, ANN E. HECK; 3. One-fifth (1/5) thereof to my son, HARRY EWING, JR.; 4. One-fifth (1/5) thereof to my daughter, SUSAN MELLUPS; 5. One-fifth (1/5) thereof to my daughter, SHERRY EWING. FIFTH: I direct that each devisee and legatee shall bear any death taxes attributable to his or her distributable share. SIXTH: I nominate, constitute and appoint my son, HARRY EWING, JR., and my daughter, ANN E. HECK, as Executors of this my Will. power 1. I direct that my Executors shall have/to compromise claims and controversies; to sell at public or private sale, to exchange or to lease for any period of time any real or personal property, upon such terms as they deem proper, and to give options for such sales, exchanges or leases; and to make distribution in cash or in kind. 2. I further direct that my Executors shall have power to conduct, alone or with others, any business in which I am engaged or in which I have an interest at my death, with all the powers of an owner with respect thereto, including the power to delegate discretionary duties to others, to change the nature of the b~JDess; to organize a corporation to carryon the business; and t~invest the earnings and invest other property of ~ a: " z ~ W i5 ~ ~ Z 5 '" CD <C '" 0 H W III ~ ~ en ~ ~ ~ ~ ~ '" III ... < H '" ~ 0 ~ z u ~ ~ z ;;: 0 ~ . '" x .. @ " z '" I- 0 0 <( 0 III d <C x x ~ ~ a: III ~ ci " gn: .. :j .J W '" on .J z z i > ~ H 0 . 0 ~ ~ z .. .. < lJl N H J: 0 en 2 <C H .' -.. . . '. , OATH OF NON.SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA} 55: COUNTY OF CUMBERLAND This, the ( .fft'~ j~~/ day of A.D.19 j-t~before me, Register for the Probate of Wills and Granting Letters of Administration in and for the county of Cumberland, in the Commonwealth of Pennsylvania, personally came rlO! OTI-IL- ~~;t/?- who being duly according to law deposed and say that they are well acquainted with the handwriting of If (h:4!.,( Y II/. (~ W let/' c::-- .(' /'>- whose name is attached as 7f (" j v II) r to an instrument of writing purported to be the Last Will and Testament of ff/f /(~y it/' 15/-f!/#?- .J~. late of ~ rP.\r,~/?/).-1~ ~..J--n~/ and that the said signature is true and genuine,.andJhat the said , deceased i~n""" ~_........b.~t;;J VI C1L;:'~ld SU)CI.l.I,/ and subscribed before me, /t~ day of A.D. 199'O ~\ . .( ).....'e'xl'1 ~~(j this Register per Deputy Register :1WC4 OATil OF SUIISCRIDING WITNESS COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMIIERLAND f ,4-n"l 'J~"~ YE('"..;/ LCs-~..j~ ~ #A/l///';:,cc--< the subscribing witnesses to the foregoing inst,ument of writir.g purpo,ting to be the last Will and Testament OfPAf',,( y ~ e~I/!.{//~ s::;, Dated 'P~ ~_~ar/7? f... late of Cumberland County Pa., &ceased who being duly S~ according to law, depose and say, that ~" to//, It r p,esent, and saw and heard the testa of "'I- sign, seal, publish, pronounce and declare the said I-,~ f, instrument of writing as and for h I !,- Testament and Last Will, and at the time of so doing was of sound and disposing mind memo,y and understanding, to the best Of~' knowledge, observation and belief. ~ . l' / /' ;S {( , ,. A' ",' and subscribed before . ~ (' .-? J d77- v fP ~?l1 1'. <f~ Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA t ss: COUNTY OF CUMBERLAND \ :V /lA' h' J -::; ." -/ 6>,:/ r I-,'N/" J R <J ,fi"'C/ //AA-'-rJ --- E: II"" k being duly /h-: ,.?A!(,. / tj, .e::-;.c..-'~.-0. d/2_ U died on says that as nearly as can be asce,tained the said decedent the / .}'// ,-::; (/;; >:~.L)o' /- / eX'/ A.D.,19~, day of o'clock, _M. ,5 ,'_{A~'" /.!,A./ and subscribed this f// ~2~ ,(Jt. /~/M1e8.~~ 1.(- ;I/, "/T ~~I day of <::'") e.:-I:lt - "i/ j;t., -- (fl. ,X'-"~ / Register OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of Cumberland, pe,sonally came ;,?-If ~ /P Y IE tv/ d/,(..... \0 ,,'Y ---f?;j Y2A/J (~ 1./ IF C (r who, being duly (A' .-;0:""--11, do depose and say that as F y: P ~ fO./" f' of the last Will and Testament of ~ .If'.It. V fI: F' LA/; ;f/ t-- (' ~ 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 p,ovisions of the law ,elating to Transfer Inhe,itaneesJ ,'~>'N/ and subscribed before me. September 1B BO A.D., 19_ L / ~AAA/ g~r~ l/#Ecff.M-<-~ ~ (2. ~~ Register :...; 0- :'" 00' III :tll C> :", .-4: : " : '" \~ r1 LL. 00 C1: :IF 0 z: H: .,.: ..-: l.f.l _. 0\, U1: .-J fill 0 0 0 ~. 0: !Xl I C.[) .-J .. . \0: ~~ - tJ. .: .: - e-<: .jJ: - ~\ .~ 0: ~ ~ fill 0.: 00: Qq \: P::: s:: N: Ul ~: ~\ .~ Q: N~ '" 0: 00: '" 0: 0 '" ~: . : .... -: Z 0 =lI=i M: " ~ '" .... ~ 1l 0 .5 '" tll - a .~ III ~ r:. Z r.-. Be it ,emembered that on the 19th DECREE September BO ,A.D.,19_, there was probated and day of recorded the last Will and Testament of Harry W. Ewing, Sr. East pennsboro Township late of , Cumberland County, Pennsylvania, Deceased. Letters Testamentary were granted to Witness my hand and official seal the day and year aforesaid. Harry W. Ewing, Jr. and Anne E. Heck U7;, ~ ~n~~/ -//(~ 7L~~gister. 21-80 60S No. PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY In the Estate of H !l /!"e '-f "iF !L-/ 14/?- .5.'/J , deceased. To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania. Petltloner(s) Is (are) the execut /Jr LI named In the Last Will and Testament of !/'.-;d /z y Fe (/(,/./ t,.. (' /2 dated" 7.............A'" <~ o--? ,/.2t7'797C( Decedent was a citizen of the United States and a resident of E-.f ~i!~";-:" TownshlpTCsorou9n), Cumberland County, Commonwealth_of Pennsylvania. Decedentdiedon ,{q,L.. _.fj' the 1?~YOf (yf A.D.19~,lnthe County of , State of -1?4? ' at the age Df M years. Decedent has ( as not een married and has (has not) had children bDrn to him (her) since the ex. ecution of the above described Will. Decedent was possessed of personal property to the value of .~ ~~/.?C''''' and of real estate to the value of .r?7-..?'rt 0 - tl~9"r r ~ ~ ~~ C~/? as near as can be ascertained; said real estate situated as follows ""7,,~ Therefore, your petitioner(s) respectfully apply(ies) for the probate of the said Last Will and Testa. ment and for Letters Testamentary theron. 5/~J~ !:?/~f - , I Dated Name and address of Petltioner(s) ~/ ~v---~ ~ 114tf.f( fy t' {;Jj/t. r//J . ~n~c;~C~r#--~ t~_II~ JJ /P7<!'. E- _ // I;::C/< ;f.,{l (4,,- L, g/ /101}/ r I' COMMONWEALTH OF PENNSYLVANIA l COUNTY OF CUMBERLAND j ss -/l4;:? fJ ,Y E U// A/ 6- I/? ,,,-, -P,i /?~ A'",,? ,k named in above application, being duly -.C4~ statements set forth in this petition are true to the best of I-I'Fc.(c ~dlng to law say(s) that the knowledge and belief. and subscribed before ~w~ - {h ;/ .,8 ~ - &% Filed: September 19, 1980 1~;;J}/r;8'. ~L2:Y . Attorney ~ A ( /:~ ac;//77j/fl/4 II/tiP RW-B INVENTORY OF REAL AND PERSONAL ESTATE - -*-- lit tI}. jJ(stt.r o( l~' Eotst. o(......I,I.~~~X..~.!...?W~P..9.1...~F.................................... Cumberland . late or .J;:.?,~j;..r..li!.IJ.l\~~Q;r;9...'j:'.9.WIlIi)).iP............in the County of 1QlmplOO, State of Penna., deceased. Jnurntofll of the real and personal estate which we,e of the above-named .......Ii!!F.F.X..~!...?W:i:P..9.r...~F.................................................... deceased. Taken and' appraised the .................. day of ............................19 (Date of death ..9/.~3.l.all...........) REAL ESTATE None PERSONAL PROPERTY 1 Checking Account - Dauphin Deposit Bank and Trust Company - see letter attached Balance due on the Larry E. Wofe and Elizabeth E. Wolfe per note originally made in November 1979 for $5,796.06 Motor Home 1976 Chevrolette Station Wagon Balance due under Memorandum of Understanding made the 15th day of November, 1979 by real estate situate in Middle Paxton Township, Dauphin County, Pennsylvania, together with equipment and fixtures of a business conducte under the name "Valley Grocery" was sold to said Larry E. Wolfe and Elizabeth E. Wolfe, his wife, with a balance, as of January 1, 1980 being $56,000.00 plus interest at 11% per annum from November 15, 1979 to January 1 1980. Gun, Boat and gold watch bequeathed to Harry W. Ewing, Jr. Miscellaneous receipts from united Associated Grocers nature of refunds 50,000 00 300 00 84 99 $2,338 78 2 3 4 5 4,296 00 100 00 1,000 00 6 7 RECAPITULATION Appraised value of Pe,sooal Propmty ..................................................................... '.....~~m.fi!...... Appraised value of real estate ............................................................................... ,................... Total appraised value ...............................................,.......................................... $ ................... AFFIDAVIT OF PERSONAL REPRESENTA-TIVE County 01 Dauphin ss: ..ff.!~:~~";(..~ :... ~~~.n~.~ ...q.~:....'!-.~c:J:..!':!!-.t);..J:;.... ..I!:<<?:!=:~...... .................. ........... ........ .......... .......... ExecutOrS . Administ,at of the Estate ()f,...I;\ax;t::{...Xi......E~u,ng"....sx:....................................................... deceased, beiug- duly......f:i.WgE.!?:............................................... according to law. depose and say that the items appearing iu the Inventory include all of the persooal assets whe,ever situate and all of the real estate in the Commonwealth of Pennsylvania of said decedent; that the valuation placed opposite ead, item of said Inventory represents its fair value as of the date 01 the decedent's death; and that llecedcnt owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the encl of the Inventory. '3H/{I;(-1 'b l /f . /, . ...............v.o../Y.................. and subscro cd ,l 'b;(io I' )"', I)v,)' '*1 I , ).....--:-\1/ I .f I . Ilt7< d f ..t!.~.....{,!:.I,.. , <...,.~.,,~......\{.........~.of.I............................. >e ore me t ns................... .............. ay 0 Harry W. I:;w~ng j!:,tOlillor. Admlo tratoe ......,.....?fff:;..;;...;;:;..., A~D. 19.f..(... A--:n.-n.&.,,~....~..................................., ".........f.~I<(,./.J...I..IiM!!........"............ Ann E. Heck Adde... IH...oiMrO' t-'Uui...IC .., Commlulon hplr.. 'hIe'" 10, 198.1 INSTRUCTIONS ~bl.l'.,p... O"l.Iphln Ctlol.Intt 1. An Inventory must be died wltbln three months atter appointment of personal representatlve. 2. A supplemental Inventory mutlt be f1.led within thirty days of discovery ot additional Bllsete. 3. Additional IIheeta may be attacbed all to personaltv or reaUy. 4. ~ee Ar~_~I~ IV. Fiduciaries Act ot 1949. ':.!. r._' ... - E:: :.r,.t: ~~~ :~-<( t:, ,:: ,. k = ...., ,,.,J IO.:l .. .. " :>< d .,: , '. c: 0'.. lI.J!. Cl~' 0::"'/ c- u'" ..,w <>:"" o N ~ " 'rl: .!::; ~ :E 00: "" <=:: " .. B ~: $ Cl 0; ., E-tj - 13 I-!: 0 rn: oi ..l Cl t; < " I-!; .,; u -= .' 0: .. z iE O'i .0: '" ~ ~ 0 .... .. 0 1':; Ul: .. 'rl: <=:: u ~ .. .. Cl ~: <=:: "0 III 0.. .. I'>l: Q), - ~ .!! .. 00: ~ ~ OS p.,: Q 'So ::!J -: i::' - :;:: +Ii rtli z " Cl 00; H ~ < P: -= >i Ill' I-!, c ..l " I-!: fiI' Q), " .c ~ 0 ~ ~ I-! , " .Q U ~ - Ill; -5 ~ :..: :I:i ~ ,!: '0 u' lI. '" .. ~ 0 ~ '0 ji '0 ~ ~ .. '" : . !Ill !Q) 'rl H '00 :Q) ,0-:1 0\ - .. GO ~ GO 'lG 8! !t' :e is .~ :< II-! :Q) H !'t:l :<=: : III ':I: - 50 LO c, \0: I: c' CX)~ I' ..of N; C ;..: >, ;: " o U ..>1 o o l'Q ) REV-455 (I'SO) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEr.mn OF DEBTS AND DEDUCTIONS . > , .\ . . ~ 't\ _______~_____._ -'-.;..0;__-'-----.-. -~..~-~~ -------'- Estateof_Harrv W. Ewinq, Sr. DalCofDeath Seotember 13. 19BO WHEN CLAIMING THE FAMI LV EXEMPTION, COMPLETE THE FOLLOWING: File No. /0 , , , , , '. (' " . J. /', /- " /,',..'. J Claimant None _ Relationship to Decedent Claimant's Address j l ITEM DATE NAME ~~ PAYEE REMARKS AMOUNT NO. 1 ~1~18o Dauphin Deposit Bank Mortgage Balance 17 ll<;l 71 2 " " " " Interest on above .--- 012 125- FUNERAL EXPENSES Richardson Fnneral HOme Bnrial ex s 1,841.62 .. "...~~~ .'T,.. 4'",.. --.. lots and miscellaneous exoense s ,..0' -1-.... . - 7.91 ._Q.Q.. OUTSTANDING CLAIMS ~olvc1inic Medical ~oni-or hosnii-al ""r"i...",,, :>no .,n Health Care Rental oxygen 53.70 ~ristan Associates X-Ray 18.52 Dr. Freshman Hosoital Exam 120.00 ~ristan Associates Office visit 2.4n lIealth Care Oxvqen 6.90 ADMINISTRATION EXPE SES ... andler and Wiener Attornev fees 3,000.00 "andler and Wiener Probate fi1inq and c10sinQ cost 500.00 RESERVED FOR FUT RE - ."~,, ' nnn nn TOTAL THIS PAGE I 19.698.90 DATE OFFICIAL USE 0 LV DEBTS AND DEDUCT;;NS ARE ALLOWED IN THE SUM Of S /CZ & f t. 9 () AT ;;; <? / ;]- PERCENT. f!.. ~ 3 .-{'I DATE GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by tl1e decedent prior to his/her death are deductible against his/her taxable estate. In addition to debts incurred by the decedent or estate, other items are 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 Relllrn 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 52,000 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 ." " n > t'1 > ~ > 0 0 " rn 0 Z C') n c: " ...., z ::: z b t'1 t'1 ;;0:: Z ;l:l > 0 Z S' z Z t'1 ...., t:1 ...., S' S' ...., -< <Jl t'1 - <Jl Z 0 <Jl 0 ...., 0 "=1 ." ;l:l ~ ~ 0 - .." 0 ." Z i'i ;; r' - c: EO "'1~-' '" !.~. ~ c;" ..r- co '.:;:=: 0 C,( N ;~...-..:: Z LaJ~. . ~~: -J ~ o~ =: aG:': e::IJ"I ,"-' -< -< c- ~ u:;:l :<::~ t'1 t'1 ~~ - ffi~ > > 50 ....Jc.;, ;:::I ;l:l u 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 assumed the responsibility for paying the debts. REV-44') EX"~ (3.aO) COM"'OtlW~I'L TH OF PENUSYLVANlh DEPARTM~~T OF REVENUE TRANSFER INHERITANCE TAX RESIDENT O;CEOENT AFFIDAVIT OF FIDUCIARY (Instructions on Reverse Side) . Estate of _Haj:'.n'.....!i'-~ing-l_Sr_. Last Address__Pl!..1l.BillJa1ow Road Date of Death September 13. 19~0 Social Security No. 214-10-1043 Enola, (c,'lYI _PA {SlATE! 17025 Bureau File No. (ZIP) County File No. 21-80-605 1. Decedent died: ( ) Intestate (without a will) ( X) Testate (leaving a lost will--copy attached) 2. Is the filing 01 a Federal Estate Tax Return required la, this estate? Yes_ No X 3. Executor/Executrix ) Administrator! Administratrix Name ..llJ.-HaJ:ry~ing, .or ; (?) Mr". Ann E. Heck Address -.UJJ28 aJ.mga19JoL..ll.d.: P) Rm" 4?"l (1) F.naJ.a,-EA-17 a? 5; (2) D"nphin R D. U, 17018 (CITY) (STATE) (ZIP) Name Leslie B. Handler, Esq. ) Fiduciary. r- eO nr;; - ::0::0 S;:"l j"Tl~ ,.:..... l7)O co' '= m::O ,..,.'. :::e;:;:', ..<4'=' r~:. !':~ J'" ,_t' N :i ~. :::::> ~~ " ." B ~ ~ 4, All correspondence should be mailed to (X ) Attorney 5, If an attorney is representing the estate, indicate: Address P.O. Box 1177 Harrisburs. PA 17108 (CITY) (STATE) (ZIP) List all sale deposit boxes registe,ed in the decedent's individual namehor jointly with, or as an agent or deputy 01 another, or in decedent's individual name with right of access by anat er as agent or deputy. Include the name ond add,ess of the bank or other institution where the safe deposit box is located, the name (s) in which the box is ,egistered and the relationship 01 the joint holders to the decedent. NAME AHD ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT MAiNTAINED A SAFE DEPOSIT BOX NAME OR NAMEl IN WHICH SAFE DEPOSIT BOX IS REGISTEREO RELATIONSHIP OF JOINT HOLDERS TO OECEOENT .uanphin nepns~ Company Summerdale Plaza father - son En01a . PA Harr w. Ewi' r. Under penalties 01 perjury, I declare thot I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and beliel it is true, correct and complete. /~t14C 8. ~~I:- J'J?v~ L(} ~{f~- SIGNA RE OF FIDUCIARY '7;~7 It / DATE "REv..no EX. (3-S0) COMMONWEALTH DF PENNSYLVANIA SCHEDULE "A" DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX REAL PROPERTY RESIDENT DECEDENT None - Legal ti.tle to certa.il\ property in Middle Paxton, Dauphin CouH\:yruCl1ons on Kevcrse ~idelpennsylvania outstanding Agreement of Sale, Schedule B EST ATE OF Harry W. Ewing, Sr. -~ i~because of I ESllMA lED DEPARTMENl IlEM DESCRIPTION MARKEl VALUATION NO. YALUE (OFfICIAL USE ONLY) None -- Legal title to certain property in Middle Paxton Township, Dauphin County, Pa. included, because of outstanding Agreement of Sale, on Schedule B TOTAL THIS PAGE .~<L .;1..~ I REV.451 (1.eo) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY (Instructions on Rcvc'sl~ Side) Estate of Harry W. Ewinq, Sr. '*' ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL YI 1 Checking Account - Dauphin Deposit Bank & Trust Company - see letter attached 2,338.78 2 Balance due on the Larry E. Wolfe and Elizabeth E. Wolfe per not originally made in November 1979 for $5,796.06 $4,296.00 3 Motor Home 100.00 4 1976 ChevrQlette Station Wagon 1,000.00 5 Balance due under Memorandum of Under- standing made the 15th day of November 1979 by real estate situate in Middle Paxton Township, Dauphin County, Pennsylvania, together with equipment and fixtures of a business conducted under the name "Valley Grocery" was sol to said Larry E. Wolfe and Elizabeth E. Wolfe, his wife with a balance, as of January 1, 1980 being $56,000.00 plus interest at 11% per annum from November 15, 1979 to January 1, 1980. $50,000.00 6 Gun, Boat and gold watch bequeathed to Harry Ewing, Jr. 300.00 7 Miscellaneous receipts from united Associated Grocers nature of refunds 84.99 TOTAL THIS PAGE 58,119.77 f'f; //9. '17 AEv-.-.ul",aOI COMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT H ESTATE OF _ arry \'I. Ewinq. Sr. SCHEDULE "C" TRANSFERS * INSTRUCTIONS: 1. Answer the questions on reyerse side. 2. If the answer to any of the questions Dn the reverse side is "Yes," provide a description of the property transferred per Schedules "A," "B," or "E," its estimated market value at date of death, dates of transfer, tD whom transferred and relationship of transferees to decedent. Attach a copy of any trust deed or instrument relating to the transferred property. ITEM NO. None DESCRIPTION ESTIMATED DEPT. VALUATION MARKET VALUE (OFFICIAL USE ONLY) TOTAL THrs PAGE /J1...h....c... .,.4LC-.-..t, OUESTIONS CONCERNING PROPERTY TRANSFERS 1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving valuable and adequate considerafion? (Answer "Yes" or "No".) 2, Did decedent, within two years of death, transfer property from himself/ herself to himself/herself and another party or parties (including a spouse) in jDint ownership? (Answer "Yes" or "No".) _ 3. If the answer tD one or two above is "Yes" and the transfers are claimed to be nDntaxable, provide the following information: a. Age of decedent at time of transfer. b. Copy of death certificate. c. Affidavit by the attending physician indicating the state Df decedent's health at time of transfer. d. All other information supporting nontaxability of transfer. 4. Did decedenl, in his!her lifetime, make any transfer Df property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjDyment at Dr after his/her death? (Answer "Yes" Dr "No".) a. Was there any possibility that the prDperty transferred might return to transferor or his/her estate or be subject to his/her power of disposition? (Answer "Yes" or "No".) b. What was the transreree's age at time of decedent's death? 5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate cDnsideration therefor under which transferor expressly or impliedly reserves for his/her life or any periDd which does in fact end before his/her death: a. The possession or enjoyment of or the right tD incDme from the property transferred? (Answer "Yes" or "ND".) b. The right to designate the persons who shall possess or enjDY the property transferred or incDme therefrom? (Answer "Yes" or "No".) 6. If the answer to five b. above is "Yes," state whether the right was reserved in decedent alone or Dthers. 7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay incDme to or for the benefit or care of transferor? (Answer "Yes" or "No".) 8. Did decedent, at any time, transfer property, the baleficial enjoyment of lI11ich was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert tD decedent under terms Df transfer or by operation Df law? (Answer "Yes" or "ND".) 9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved in the decedent alone or the decedent and others? (Answer "Yes" or "No".) REV-4530-eOI COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES *, (Instructions on Reverse Sic/c) Estate of Harry W. Ewinq, Sr. BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY DECEDENT BIRTH (1) Mrs. Dallas E. Ewina Linden Terrace Apt. 806 Front & Vauahn Streets H"..-' ~~ ,"I"n wife ves oxe" 21 1/3 of residue 121 Estelle B"~ni""of-F friend vp" _..-~ '), 2/15 of residue . 131 Ann E. Heck dauahter ves over 21 2/15 of residue Box 423. R.D. III . DauDh 'n. PA 17018 (4) Susan MelluDS dauahter ves over 21 2/15 of residue 1401 N. Ni~hol~s StreetJ. Arlingt9J:1. VA (<;\ "..~-~.. .- HOS over '), ')/1<; nf .-,....- Coloni'" Rn"n ; ",hn..'" , '0" , ." hQ (6) Harry W. Ewinq. Jr. son ves over 21 beauest of <Told 128 Bungalow t)~~rl watch, qun & boat Enola, PA 17025 & 2/15 of residue ., . The above beneficiaries are living at this time except for the following: NAME DATE OF DEATH REV0454 EX+ 13.80) COMMONWEALTH OF PENNSVLVANIA 'OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT * SCHEDULE "E" JOINTL V OWNED PROPERTY {/nsrnJcr}JRli,~ Reverse Side} Estate 0 f Harry W. Ewing, Sr. P , ITEM TOTAL \ VALUE OF DEPARTMENT DESCRIPTION MARKET DECEDENT'S VALUATION NO. VALUE INTEREST (Officia' Use Only) None TOTAL THIS PAGE ~--t. ,/I'IA-x.L A .-A'''';; ::,,: .J'-..i/.~~,,:;:~.~~;.:t,,-.:..~, :,.:'::i'::....;:'.,..;,:':; ., ' .....,.. ,.,;;'.';;..', i..j,...,i!'/:h,~ .::..:.~' .', . \ ,\ "l'l \" ...........~ ~ Ii" .'to."\ ft.'''''''t......t.- . . .... .~.' ':: "'. :': ':.:',:" o,",",.oO,:!',~.~.',,\' ' ,,"..J~' .",,' ,," V.l", '. . .., ,'-'" t' .' ~.,:. I . " ..' . _ ,,, #.".' ". ." "I . . . , . ,/6I,.'i';,.::.'...\:;!:,>::";,,.,,~;":' 0 . " .. :~.,:.:;.';../.~.~.:.. '..-< .1 :.r.t.I.......,..; ,',.I~\..."..,J.... ....,1.' .., '. .~;;:(~:;:<:.?';~~'l/~\:;~i~):;' );:" . __-:0:':. ..,..:'" . . 'i.':;/{"IJ',~J"""''''I:''''~\' ';'-,,;'L'." .' .' ,..... ,:",,;. ........ a:..' ....\'"",,,, .;,"'::~"'l"""'~"'......;f~.......':;"~".::.:,,.._-. .:.'....,_ .___._....(,,0, ""\,....~.;;,.. ',.;\..1;_.'.\0<....... _......u.~ . '+ I'.""":' r f.1' ' " ,I . ,0 I"." I r" ~ " /.' , "" ,~".. I '0 LAST WILL AND TESTAMENI I, HARRY W. EWING, SR., of tJ,iddle paxton Township, uauphin County, Pl<nnsylvania, sometimes known as R.D. 4, Lingles- town, Pennsylvania, being of sound mind, memory and understanding, do hereby ,make ,publish and declare this as my Last Will and Testa- ment. FIRST: I direct that the expenses of my last illness and funeral shall be paid from my estate'. 1. I direct my Executors to payout of my estate the cost of the perpetual care and maintenance of the burial plot in which I shall be buried, should arrangements for same not have been concluded and paid for prior to my death, and also the cost of an appropriate tombstone. SECOND: I give and bequeath unto my son, HARRY W. EWIID, JR., my gold watch; my gun and my boat. THIRD: I give, devise and bequeath one-third of the residue of my estate to my wife, ~ E. EWING. .\ ", " " ,;.. ...L.! " FOURTH: I give, devise' and bequeath the remaining two- thirds of the residue of my estate as follows, 'viz: MELLUPS; 1. One-fifth (1/5) thereof to ESTELLE BENNICOFF; 2. One-fifth (1/5) thereof to my daughter, ANN E. HECK; 3. One-fifth (1/5) thereof to my son, HARRY EWIID, JR.; 4. One-fifth (1/5) thereof to my daughter, SUSAN , I 5. One-fifth (1/5) thereof to my daughter, SHERRY EWIOO. FIFTH: I direct that each devisee and legatee sha1l, bear any death taxes attributable to his or her distributable share. SIXTH: I nominate, constitute and appoint my son, HARRY EWING, JR., and my daughter, ANN E. HECK, as Executors of this my Will. power 1. I direct that my Executors shall have/to compromise 'claims and controversies; to sell at public or private sale, to exchange or to lease for any period of time any real or personal property, upon such terms as they deem proper and to give options for such sales, exchanges or leases; and to make distribution in cash or in kind. 2. I further direct that my Executors shall. have power to conduct, alone or with others, any business in which I am .engaged Dr in which I have an interest at my death, with all the powers of an owner with respect thereto, including the power to delegate discretionary duties to others, to change the nature of the bup'Jvess; to organize a corporation to carryon the business; and t07invest the earnings and invest other property of /~ r .' . my estate, but only for a temporary time, in the business. i I \ seal this in all of IN WITNESS WHEREOF, I have hereunto set my hand and 'J. ~.1.tciay of October, 1979, at the end, hereof, composed two . (2) pages. I ,) / ,'" .illl'l. ),', ,( ff.' t;"'~.,; '" c/. '((SEAL) Harry W. EwIng, Sr. I' SIGNED, SEALED, PUBLISHED and DECLARED by the above named Testator, HARRY W. EWING, SR., as and for his Las t Will and Tes tament, in the presence of us, who, at his reques t, in his presence and in the presence of each other, all bE!ing present at the same time, have hereunto set our hands as witnesses. .'" )/ Il /1 Name ?V ..f'."" /( ~ --jI.U v ., ,.' ~ 1/ ,. Address .'/,--'~,-,.-.."'1.,.' . /i.!.--'l.-~ 0\< (. /' Name Address Name Address ,., // '. 6. , .1 j '! ". i REV.51B FO \7-80) ~~ ~~ NOTICE OF FILING OF APPRAISEMENT COMMONWEAL.TH OF PENNSVL.VANIA DEPARTMEN1' OF REVENUE BUREAU OF FIELD OPERATIDNS Ms. Ann E. Heck R.D. 1, Box 423 Dauphin, PA 17018 Mr. Harry Ewing, Jr. 128 Bungalow Road Enola, PA 17025 RE: Estate of County of File No. H~rry W RwingJ ~~ rl1mh~r':::Inri ?1_RO_OI\n'i Deor Ms. Heck and Mr.' Ewing: You ore hereby notified that the ('\...igin~' appraisement in the estote of H~,..,..y H "~r)>le. s~. has been filed in the office of the Register of Wills of ClImh"l"'~nd County on 1;"pt.pmh"l" 1R . 19.B.1.. Said appraisement ,eflects the lallowing valuations: Reol Estate Personol Properly Jointly Owned Transfers Total None 'iR/110.77 Mono Non~ 5R.119 77 As to such tax thot is paid within th,ee months from date of death, 0 five (5%) percent discount is allowable. As to any 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 deoth occurred prior to December 22, 1965) from dote of death, interest at the rote 01 six (6%) percent per annum is charged. Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of said notice os provided by Section 1001 of the Inhe,itance and Estate Tax Act of 1961,72 P.S. 2485-1001, P.L. 373. Dote S"",d_~~ ~Apt~mh~r 1e 1ge1 , Title Chi"f' 4pp>:>ahp.t' NOTE: This is not 0 bill. ~ ..: ..: ~ ll"\ -< < C\I :z: ~ ~ 0 0 >- >- t'- ~ ~ \ ..; rJl ::> p.. ..J -< - u :z: \ - 0 ~ I:.. - 0 ~ 0 ~ ..: ~ 1'-0 Ii; 0 <Jl 0 Z 0 - ~ !J) >- I- 0 :z: l- ~ I- ~ Z :z: ...l 0 - 0 -< ..: z ~ ~ :0 ~ ...l Z Z l- 0 ::> u \J :z: - ~ <Jl ~ 0 0 < ~ ~ u 0 "" :l REY.414 EX+ tHO) INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) FlI e Number ::>1-1<0..0605 lia.cry--1ol.J;wing ,-Br Estate Name Dote of Death ~AptAmhAr 13,....1.91<0 Social Security Number 214-10dO.!t3 REPORT OF INHERITANCE TAX APPRAISER [] Original o Supplemental o Remainder I, tho unJortlgnoJ July appolntod Inhorllanco Tax Appraisor in and lor tho County 01 ~bArl Rfcd Ponnsylvanla, do rospoctfully roport that I havo approlsod tho roal and porsonol proporty as reporto in tho orogolng retum at the values set forth opposite each item in the last column to the ght in 5 dules IIA", "B", "C", and liE" Datod: ~Apt.AmhAr 11<, 191<1 IN AISER INVENTORY VALUE AS APPRAISEa ADJUSTMENTS CODE (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE Real Property (Schedule A) $ 00+ Personal Property (Schedule B) 10+ Jolnt.H.ld Property (Schodule E) 213+ Transfers (Schedule C) 30+ TOTAL GRDSS ASSETS _--5.8,.119 :I..1 Le.. Debt. and Deductions (SCHEDULE F) CLEAR VALUE DF ESTATE o Life Estato o Annuity 40- FACTOR PRINCIPLE ~ FOR USE OF REGISTER ONL Y Tax on S CODE 6% Tax on S 15% Tax on S Tax on $ Tax on $ Exemptions Total Estate TOTAl. TAX INTEREST FROM BALANCE TO Less Credits DATE OF PAYMENT AMDUNT PAID DISCOUNT INTEREST S + S S + BALANCE TD S = = 92+ 93- VALUE CODE COMPUTATION OF TAX $ $ S $ $ $ $ $ TAX CREDIT $ COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT *' DATE ___ ' ) /, .J /. ill/~. .'-: rj' I /' '/ COUNTY FILE NO: ./- FILE NO. ;,) , " ,0 " , / ",; ~ ~~..". " , ( , / ,I , --r:, .. ~ ' r' ESTATE TO: -." - I l -' -' : ;'',. , ~'" / ,. ../ ./ /: J /' (: " -"~" v. 1/ , COUNTY ' , ' /;, ,: , / 'A' ,1/.,,,( - .,' " / / ...I' " . I . (r .. ~, (J ' ../ ~- ." { /... . DATE OF DEATH r- / ';( 1"/'0 ) ..' ,., l>t....) /, I'/~: . ./ . ,. Appraised Value of Estate: Real Estate (; _._~-~--- + " :.. '/ -,. ) I , Personal Property + ---------- Jointly Held PropertylTransfers $ ", ,/ ',. "J I / Total Gross Estate I // .' , " {> Total Approved Deductions $ ',/ ..':';.'. 'I CI.ar Valu. of Est.te Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax G ..,.-;.... Ii '/ .,t- 'j Amount Ta.able @ 15% Rate ,', " '.~ ,;/ ~/' , I' . tax due $ I'; ,/ j"'/ .' ",..1 ..' '.. t// . //. ,,(. $ ~ '% 'i </ /.', '/ , 1 Amount Taxable @ 6% Rate $ "~ :- 1/ 'q , tax due I TOTAL PENNSYLVANIA INHERITANCE TAX DUE * * . * * * A five percent discount totaling $ will be granted if the Inheritance Tax is paid by Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREOIT $ + $ $ = $ + = + = Interest accrues at the rate of six (6) percent per annum on the unpaid balance of Inheritance Tax from to date of payment. Interest due if paid by is See Information 011 Reverse Side -' . ,.- ' .-'" ,'T. r-" i. ,';-;'/ . i ~',) :,:,,'j j,......t; :.J'- ...:.,.~ , ..,',' "f. 0' As...~ed by: /1 i, ( ? Ag.nt forth. Cbmmonw"lth /J ,"// -/" './ II ./.::.;..,,:.... / (.t. I ".~ ." / BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE $ "'j ! l;l\,1:..li'.l,; - --- --.- ------ -------- ~--- ---.----- ~------------- --- --.- .._...... __ ~ _~ ~_ __.. __ ~_ ,........, -a ...... >> R~V.'1162 EX ~".""", COMMONWEALTH OF PENNSYLVANIA 4NO K 69161 DEPARTMENT OF REVENUE ,.' . OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX If " . ., II e ~MR ~ TAX AT 15% ~l RECEIVED Harry ~I. Ewing, EEq. J] FROM TAXAT_% ADDRESS ESTATE TAX TOTAL TAX CREDIT 2. 7SI.i '9 .--ESTATEINFORMATiCiiC------------------------- OA TE OF DEATH FILE NUMBER ------------------- -------------- --- - --- COUNTY m m LESS DISCOUNT PLUS % INTEREST tfROM6--1J-Bl TO lO-1;-R1 t;t; 1"! (.020) TOTAL AMOUNT PAID .,. n" .., DATE OF PAYMENT NAME OF DECEDENT POSTMARK OA TE REMARKS SEAL RECEIVED BY _ . i .' /' /, I ~ ~ I PAID ON ACCOUNT REGISTEr. Of \-\:ILLS --- -- ----------- - ------ - -- --" l!-tJ,S- :J.. COMMDNWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT .~~);f~ rrt<'~~~.lclt~'\ llSl1'tS-~.' BUREAU OF INDIVIDUAL TAXES U1IlERlTANCE 'AX DIVISION DEPT. 280601 UARRISBURG, PA 17128-0601 ,tv.H.,UU.tll.'U DATE ESTATE OF DA TE OF DEATH FILE NUMBER CCUNTY ACN 00-05-96 EWItlG 09"13-00 21 00-0605 CUMBERLAllD 101 IlARRY w AMount ROld Hod MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subnit tho upper portion of this form with your tax paymont. CUT ALONG THIS LINE r> RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV:i&OTETAFP-fo3':m-------KiiE-iNHERii.-ANCE-i'iiif"si:ATEfiEiii'"b"F"iiccOljN'f--jiiiE-------m----------- ESTATE OF EWING HARRY W FILE NO. 21 80-0605 ACN 101 DATE 08-05-96 THIS STATEMEtlT IS PRDVIDED TO ADVISE OF THE CURREtlT STATUS DF TilE STATED ACN Itl THE tlAMED ESTATE. SHOWH BELDW IS A SUMMARY OF THE PRltlCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PRDJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 11-09-81 PRINCIPAL TAX DUE, 2,766.31 PAYMENTS (TAX CREDITS), PAYMENT DATE 10-16-81 02-24-82 08-03-96 RECEIPT NUMBER XD069761 XAOI0837 WRITEOFF DISCOUNT (+) INTEREST (-) 56.71- .25- 9.04- 2,811.42 1.40 19.49 AMOUNT PAID TDTAL TAX CREDIT 2,766.31 .00 THE DEPARTMENT HAS WRITTEN OFF THE BALANCE DUE AS UNCDLLECTABLE BALANCE OF TAX DUE INTEREST AND PEN. .00 .00 TOTAL DUE