HomeMy WebLinkAbout80-00613
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3lietst ~t\lill aub illtgtetm:ent
OF
MEADE F. HOUDESHELL
I, MEADE F. HOUDr:SHELL, of the Borough of Wormleysburg, Cumber-
land county, pennsylvania, declare this to be my Last Will and
Testament, and revoke any and all Wills previously made by me.
1.
I direct that all my just debts and funeral expenses, including
my gravemarker and all expenses of my last illness, shall be paid
from my residuary estate as soon as practicable after my decease as
a part of the expense of the administration of my estate.
II.
I give and bequeath unto my grandson, WILLIAM F. HOUDESHELL,
JR., my tools, diamond ring, station wagon, two refrigerators,
color TV and freezer.
III.
I give and devise unto my grandson, WILLIAM F. HOUDESHELL, JR.,
my residence at 221 South Second Street, wormleysburg, Pennsylvania
and I bequeath to him my insurance policies on the same,
IV.
I give and bequeath the sum of One Thousand ($1,000.00) Dollars
unto each of my great grandchildren, STEPHANIE ANN HOUDESHELL,
WILLIAM HOUDESHELL, III and SCOTT DALE HOUDESHELL, and I direct that
their father, WILLIAM F. HOUDESHELL, JR., as natural guardian
deposit the said legacy in his name as guardian for each of said
minors in an insured savings institution withdrawable only upon the
attainment by the minor legatee of the age of eighteen (18) or upon
earlier order of court, and that no security be required to be
filed by him.
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V.
I give and bequeath unto my grandson, WILLIAM F. HOUDESHELL,
JR., the sum of One Thousand ($1,000.00) Dollars.
VI.
I give and bequeath my double-headed cameo ring to my great
grandson, WILLIAM F. HOUDESHELL, III, and I direct that the same
be held for him by his father, NILLIAM F. HOUDESHELL, JR., during
his minority without the entry of security.
VII.
I give, devise and bequeath all the rest, residue and remainder
of my estate of every nature and wherever situate in three equal
shares, one of said shares to each of my grandsons, WILLIAM F.
HOUDESHELL, JR., of East pennsboro Township, cumberland County,
Pennsylvania; and HARRY M. HOUDESHELL, of Camp Hill, Cumberland
County, Pennsylvania; and the remaining share to my niece, GLORIA
RENA RADOS, of West Fairview, Cumberland County, pennsylvania.
Should either of my grandsons predecease me, I devise and bequeath
his share of my estate to his issue, per stirpes, surviving me, and
in default of such issue, his share of my estate shall be added to
the share of the surviving grandson or his issue. Should my niece,
GLORIA RENA RADOS, predecease me, then her share shall be added to
the share going to my grandson, WILLI~1 F. HOUDESHELL, JR.
VIII.
I direct that all taxes that may be assessed in consequence of
my death of whatever nature and by whatever jurisdiction imposed
shal~ be paid from my residuary estate as a part of the expense of
the administration of my estate.
IX.
I appoint my grandson, WILLIAM F. HOUDESHELL, JR., to be the
Executor of this, my Last Nill, and direct that he not be required
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to file bond for the faithful performance of his duties in any
jurisdiction in which he may be called upon to act.
this
IN WITNESS \~IlEREOF, I have hereunto
,; Ivfday of A ~1 ~~rJ n ,
_,\\:y. OJ.d <<Y
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(SEAL)
Meade F. Houdeshell
Signed, sealed, published and declared by the above-named
Testator as and for his Last Will and Testament in the presence of
us, who, at his request, in his presence and in the presence of
each other, have hereunto subscribed our names as witnesses.
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OATIl OF SUIlSCRIIIINI; WITNESS
COMMONWEALTH OF PENNSYLVANIA I 55:
COUNTY OF CUMIlERLAND f
This 2.4 n dill' or ..s;. pie.... 6M-- >\.D.,1980,
berore me, Register ror the Probate of Wills IInd granting lellers of Administralion inllnd for sllid Couoty of Cumberland, in
the Commonwealth of Pennsylvllnill, personally clime Th oma s 1. Myers and Je an E, Gree n
the subscribing wilnesses to the foregoing instrument of writil,g purporting to be thL IlIst Willllnd Testament or
Meade F. Houdeshell
Dllted _August 21, 1980
late of
I'/ormleysburg
Cumberland County I'a., deceased who being duly
sworn IIccording 10 law, depose and Sill', thllt, they were
present, IInd SIlW and heard the testa to r
sign, selll, publish, pronounce and declare the said
instrument of writing liS and ror his
Teslllment and Lllst Will, IInd lit the time of so doing he
was of souod and disposing mind memory IInd understllnding, to Ihe besl of
knowledge, observation 1I0d belier.
th e i r
Sworn
and subscribed before
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Register
AFFIDAVIT OF nEATII
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} ss:
William F, Houdeshell, Jr.
being duly
sworn
Sill'S Ihllllls nellrly liS CliO be a5certllineclthe 511id decedent
Meade F. Houdeshell
died on
24th
the 14 th day or
9 o'clock, ~M.
SWQ rn 1I0d subscribed this
dill' of Sept.
September
A.D.,19~,
Sunday
at or about
Zl.a;.., ;-- d~/l,A~
19, 80 ~re
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Register
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
Before me, Ihe Register for the Probate or Wills and granting or Letlers of Administration in and for the County of
Cumberland, personally came (j/:/(;U~1 F, Ho,^At'./J...../1. J"....
who, being duly Sw u. "
n<!c. '^ 'to",
I do e J
depose and say that as
of the last Will and Teslament or
f\1c:'<\J... r-
H 01/1. cI e J J.. e (/
deceased
h e. will well and truly administer the goods and challcls, rights and crcdits of said deceased according to Jaw. And
Blso will diligently comply with the provisions of the law relating to Transfer Inheritances. ~...... }nd subscribed before me.
{'e YI f-r.._ t., ~... 2,1..1 .<\.D., 19..fL tZl;:/!',~./ ,/ IlfY-<..A.-74~
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DECREE
Be it remembered that on the
24th day of
80
.A,D,.I9_. there was probated and
September
recorded the last Will and Testament or
Meade F. Houdeshell
late of
Wormleysburg
. Cumberland County. Pennsylvania.
William F. Houdeshell, Jr.
Deceased, Letlers Testamentarv were granted to
Witness my hand and official seal thc day and year aforesaid.
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REV-455 EX. (J-SO)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
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Estate of MEADE F. HOUDESHELL Date of Death 9/14/80 File No. 21-80-613
WHEN CLAIMING THE FAMIL V EXEMPTION, COMPLETE THE FOLLOWING:
Claimant's Address at time of Decedent's Death
DATE
NAME OF PAYEE
REMARKS
AMOUNT
1
Letters & Short Certificates
,
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ews
Advertise L t rs
Funeral ex enses
4
Musselman Funeral Home
nt
7 Hal S irit Hos Hal Decedent's Account
8 Pol clinic Medical Center Decedent's Account
9 Ro H. Cohen M.D. Decedent 's Account
1
1
12 Pa. Dent. of Revenue Decedent's 1980 Income Tax
13 Bell of PA.
14 PA Power & Li ht Co. Decedent's
2
5
Reserve for close-out cos
Jul
Grave marker
1980 School Ta
75.00
610.00
193.00
TOTALL $12,285.59
I hereby certify that to the best of my knowledge and belief the foregoing is a just aod true statement of debts, funeral
expenses and expenses of administration submitted to the estate as dedY~Dns for Inheritance Tax purposes.
1J./'li:.:,~~;; /-L,~~,..!!-d" 7/',;'("./J?'/
SIGNATURE OF FIDUCIARY '/ DATE
OFFICIAL USE ONL V
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $ Ie:(,:;< % j-' "i q AT
,
&.
% TAX RATE
LIlia/It
(2 , ~/."t&J
REGISTE OF WILWi
/d -6--?/
DATE
GENERAL INHERITANCE TAX INFORMATION
Unsatislied liabilities incurred by the decedeot prior to his/her deoth ore deductible ogainst his/her taxable
ntate. In addition to debts incurred by the decedent or estate, other items ore cloimable including the cost 01
administration, attorney lees, fiduciary fees, funeral and burial expenses including the cost 01 a buriollot, tombstone
or grove marker ond other related buriol expenses.
All debts beiog claimed against an estate are subject to the approval of the Register 01 Wills with whom the
Inheritaoce Tax Return is filed. Evidence to support the decedeot's or the estate's liability lor the debts being
claimed should be attoched to this schedule.
A family exemption may be claimed by 0 spouse 01 a decedent who died domiciled in Pennsylvonio, If there is
no spouse, or if the spouse has lorleited his/her rights, then any child of the decedent who is 0 member 01 the same
household con claim the exemption. In the event there is no such spouse or child, the eXlIl1lption coo be claimed by
a parent or pareots who ore members 01 the some household os the decedent, The lamily exemption is allowable only
against ossets which pass by 0 will or by the Pennsylvooio Inteslale Lows.
NOTE: Compensation paid to on estote representative; namely, 00 executor or administrator, lor services
perlormed in administering an estate is reportable for Pennsylvania locome Tax purposes. This taxable income
item should be reported an lorm PA.40.lndividuallocame Tax Return.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
""'''j;""irt'Iie'1amily exemption is beiog claimed, indicote the claimant's nome, address and his/her relotionship to
the decedent. Eoter "Iomily exemption" io the remarks column aod the amount claimed in the amount column.
2, Assign coosecutive numbers to each item listed.
3. Enter the dote on which each debt was incurred aod/or paid.
4, Enter the names of each payee.
5. Provide 0 brief explanation in the remarks columo for each debt claimed.
6, Eoter the amount 01 each debt being claimed.
], The form must be sigoed by the person who has assumed the responsibility lor paying the debts.
IF ADDITIONAL SPACE IS NECESSARY USE B\i" x 11" SHEETS,
-
IN THE COURT OF COMMON PLEAS OF CU~mERLAND COUNTY
PENNSYLVANIA ORPHANS' COURT DIVISION
NO. 21-80-613
IN THE ESTATE OF MEADE F. HOUDESHELL
LATE OF THE BOROUGH OF WORMLEYSBURG
DECREE AWARDING REAL ESTATE
AND NOW, this l.1...tday of December, 1981, the First and Final
Account of William F. Houdeshell, Jr., Executor of the will of
Meade F. Houdeshell, deceased, having been confirmed by the Court
on November 24, 1981, together with a Statement of Distribution
awarding the hereinafter real estate to WILLIAM F. HOUDESHELL, JR.,
it is ordered, adjudged and decreed that there be awarded to
William F. Houdeshell, Jr. legal title and the interest of the
seller under agreement to:
ALL THAT CERTAIN piece or parcel of land situate
in the Borough of Wormleysburg, County of Cumberland,
and Commonwealth of pennsylvania, being the northern
half or twenty-nine (29) feet of Lot No. 54 in the
Plan of Lots known as the Plan of Wormleysburg, said
lot being more particularly bounded and described as
follows, to wit:
EXTENDING twenty-nine (29) feet in front on the
easterly side of Second Street, and extending back
the same width one hundred fifty (150) feet to River
Alley. Bounded on the west by a street known as
Second Street: on the north by lands late of W. H. Zinn,
now or late of John Sowers: on the east by River Alley;
on the south by lands late of Martha Felsinger, now
or late of Alice Mutch, widow of William Mutch, deceased.
HAVING THEREON ERECTED a two and one-half story frame
dwelling house, known as No. 221 South Second Street,
Wormleysburg, pennsylvania.
~~:;. l08 l'tGE 890
Under and subject to the rights of Terry E. Wagner
and Heather L. E. Wagner, his wife, as purchasers under
Agreement dated February 13, 1981.
BY THE COURT,
I~l=:. St0
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prr(":)..~,' :.
n2.:';'", L, ;:, l'.." 828 Magaro Road
E10la, PA 17025
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TAX AT 6%
TAX AT 15%
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TAXAT_%
ESTATE TAX
ne
17043
TOTAL TAX CREDIT -n, 010, if),
21-80-613
LESS DISCOUNT
% INTEREST
. TO__I
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Jul 30 1981
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PLUS
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REGISTER OF WILLS
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, "DATE OF DEATH .,
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":-,' FILE NUMBER
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171M3
TOTAL TAX CREDIT
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':(DATE OF. PAYMENT
21-80-613
. Dea. 12, 1980
LESS DISCOUNT
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TOTAL AMOUNT PAID
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REY"44; (f80,
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDEHT
AFFIDAVIT OF
FIDUCIARY
(InstructIon. on Reverse Side)
Estote 0/ MEADE F. HOUDESHELL
Last Address 221 South Second St.
Wormleysburg, Pa. 17043
Date of Death September 14, 1980
Sacial Security No. 195-07-9434
Bureau File No,
(CITY)
(STATE)
(LIP)
Couoty File No,
21-80-613
1. Decedent died:
( ) Intestate (without a will)
( x) Testate (Ieoving 0 lost will--copy attached)
2. Is the filing of a Federal Estate Tox Return required for this estate? Yes_ No x
3. (x) Executor/Executrix
) Administrator/ Administratrix
Nome WILLIAM F. HOUDESHELL, JR.
Address 828 Maqaro Road
Enola
(CITY)
17025
PA
(STATEI
(ZIPI
4. All correspondence should be mai led to (x ) Attorney
) Fiduciary,
5. \I on attorney is representiog the estate, indicate:
Name Myerc. My~rC!. t;'11"\t.'er $:. Tnnl1C!nn
Address
P. O. Box 125
Lemoyne,
(CITY)
17043
PA
ISTATE)
(ZIPI
List 011 safe deposit boxes registered in the decedent's individual nome, or jointly with, or as an ogent or deauty
af another, or io decedeot's indiyidual name with right of access by anotner as agent or deputy. Include the .;ome
ond address of the bank or other institution where the sofe deposit box is located, the oome (s) in which the box
is registered and the relationship of the joint holders to the decedent.
NAME ANa AODRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDEHT MAINTAINEO A SAFE DEPOSIT BOX
NAME OR HAME~ IN WHiCH
SAFE OEPOSIT BOX IS REGISTERED
RELA TIOHSHIP OF JOINT
HOLDERS TO DECEDENT
None
Under penalties of perjury, I declare that I have exomioed this return, including accomponying schedules ond
stotements, and to the best of my knawledge and belief it is true, correct aod complete.
'2 ~ /4. :.,/.7 ~llwJ~.J /10'
,
SIGNATURE OF FIDUCIARY
Y'A /f-./
/OATE
'.
PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION
1. PERSONS RESPONSIBLE FOR RETURN
Section 701 of the Inheritance and Estate Tax Act of 1961 provides that the following persons shall prepare and file
a return:
a. The personal representative of the estate of the decedent as to property of the decedent administered by him
and such additional property which is or may be subject to Inheritance Tax of which he/she shall have or
acqui re knowledge;
b. The transferee of property upon the transfer of which Inheritance Tax is or may be imposed by the 1961 Statute,
including a trustee 01 property transferred in trust, provided that no separate return need be made by the transferee
of property included in the return of a personal representative,
2, PLACE FOR FILING
The return is to be filed in duplicate WiUl the Register of Wills of the county wherein the decedent resided,
3, TIME FOR FILING
The return is due nine months after the decedent's death, unless an extension for filing has been applied for and
granten by !I12 Secretary of Revenue within the nine-month period.
4, FAILURE;O FILE RETURN
Seclion791 of the 1961 Statute provides that" , , .any person who willfully fails to file a return or other report
required of him. . .shall be personally liable. . .to a penalty of 25% of the tax ultimately found to be due or $1,000
whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by
law,"
5. TAX RATES
Inheritance Tax is payable at the rate of 6%on transfers to lineal descendants, such as father, mother, husband, wife,
son, daughter, grandchildren, grandparent, son-in-law and daughter-in-law and at the rate of 15% as to all others,
6. PAYMENTOF TAX
The tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death. Interest
at the rate of 6% per annum accrues thereafter until payment is made. All payments received are first applied to any
interest which may be due with any remainder applied to the tax, IF TAX IS PAID WITHIN 3 MONTHS AFTER THE
DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED.
All checks should be made payable to the Register of Wills of the county wherein the decedent resided and are
received subject to the final determination of the Department of Revenue,
7. FAILURE TO PAY
The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until
the taxes and interest have been paid in full. The taxes may be sued for against any real property in the decedent's
estate or against any property belonging to a transferee liable for the tax,
8. FILlNGOF FALSE RETURN
Any persen who willfully makes a false return or report required of him shall, in accordance with Section 793 of the
1961 StoMe, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding
$1,000 or undergo imprisonment not exceeding one year or both.
INSTRUCTIONS FOR COMPLETING SCHEDULE "A"
Schedule" A" should include 0 detoiled description of 011 reol property located in Pennsylvania
ond held solely by rhe decedent or held jointly with another individual (s) as tenants in common. Listthe
decedent's percentage of awnership and the estimated market value of the decedent's interest. (Property held
as joint tenants with the right of survivorship or teoonts by eotireties should be reported on Schedule "E".j
All reol estote located in Pennsylvaoia should be described by lot and block number, street
address, number of acres and general description of land and buil dings, AI so, ioclude the book ond page
number in which the deed is recorded and the exact title os indicated on the deed. If the property hos been
sold, olloch a copy of the selllement sheet. If the property is subject to 0 mortgage eocumbrance, include
the nome of the mortgagee, dote, rote of ir.terest and the outstanding bolance on the dote of death and
alloch a statement from the mortgagar verifying the autst'Jnding balance.
Property toxes ond interest an mortgages as of the dote of deoth, assessments ond ather
encumbrances should be listed on Schedule "F". Do not deduct them 00 Schedule "A".
'.
REV-4510.80}
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
Estate of
ITEM
NO.
1.
SCHEDULE "a"
PERSONAL PROPERTY
(lnstructiollS all Reverse Side)
MEADE F. HOUDESHELL
DESCRIPTION
UNIT
VALUE
ESTIMATED
MARKET
VALUE
Harris Savings Association
Christmas Club Account No. 4-18-000664
(Jt. with Alva Houdeshell - deceased
4/11/80)
308.55
4 Yr. Certificate No. 4-09-131783
(Jt. with Alva Houdeshell - DOD 4/11/80)
4,869.25
Optional Passbook Account No. 1-35359
Dauphin Deposit Bank & Trust Company
Checking Account No. 44-29-8455
Christmas Club No. 296-326
736.64
2,261.85
100.00
1974 Ford Station Wagon - Torino
800.00
55.05
Blue Cross - premium refund
Social Security death benefit - Alva
Houdeshell
254.90
Blue Shield and Medicare payments
Cash
55.00
36.80
50.00
Diamond Ring -
Double-headed Cameo Ring -
5.00
TOTAL THIS PAGE
9,533.04
*'
DEPARTMENT
VALUATION
(OFFICIAL USE ONL Y)
INSTRUCTIONS FOR COMPLETING SCHEDULE "B"
Schedule "8" must include all tangible and intangible personal property
owned individually by the decedent at the time of death. Property owned
jointly with another party or parties should be listed on Schedule "E" - - Jointly
Owned Property. Intangible personal property, titled in the name of the decedent,
but payable at death to another party or parties, including but not limited to
p, 0, D. U. S, Savings Bonds and Tentative Trust Accounts, must be listed on
Schedule "B".
Tangible personal property should be listed first, Examples of tangible
personal property are jewelry, wearing apparel, household goods and furnishings,
books, paintings, automobiles, boats, snowmobiles, aircraft, etc,
Intangible personal property includes cash,on,hand and in the bank, stocks,
dividends, bonds, mortgages, treasury certificates, notes, together with accrued
interest, salaries or wages, insurance payable to the estate or fiduciary in said
capacity, partnership interest, etc. An interest in any undistributed estate or
income from any property held in trust under the will or agreement of another
even though located outside of Pennsylvania at the time of death should be
listed on Schedule "B".
A completed Partnership Interest Report (REV-B94) must be attached for
each partnership or joint venture, and a completed Closely Held Corporate Stock
Information Report (REV,893) must be attached for each closely,held business
interest or sole proprietorship reported on Schedule "B".
The H A R R . S Savings Association
.,ll \., n' ".1 ; I'd
, : I ! ,."" , I , . I '.. ' ; ~. I I I I .. . ,Iii ..
r ","/"
AI..,( t ',,,l,' '" .',It, .1,,: 1
OUrltJl(Ji1'f\, , I.UI din.I, '.; ,!,. .. ,....:'.,1/1 J .,: :J,:ofd.fi . (,r.'/IIN 01 ,'u.ill
~Jvv\...a;h,. r ~ C) ,
,. :"
.,
C~II'lrA.l. 1/ " r . r..' II' (1.Ir.~lit II: .If./J . '-'Ill"- _ .',1 'IPMl /iil,.,l"
t!r _ Th'.llf::.'; I _ t!~:",.,
~Iy(rt;, 'ly.-~r.,)J F':,...,~_r .".'1.'1->...
lL"d !. ~~~d~~l ::t:..
1'. o. Bux 125
~fi~uiHr6rm~~ioA7~~{ch you requested on
:::~l.~_~t... nr !'l'..~....!='_ 1!."h!I..:..!.,_1' (Social
is as follows:
Account Number(s)
1,-l'J-i..:~:O(: (..i
Class of Account
Chl' i.) ll;,;' '; ~~ '.JL
Date Opened
Principal Balance
~3r)().(\(\
Accrued Interest
g.55
Balance at
Date of Death
$~O~.~S
Account
Ownership
'! .;n~~.. t.o* ~J' t:.-,
('Iltirl.:ty ",,-it!, ribhL of
""~lr"',-". l,; 1
Name of Joint
Owner,if any
the account(s) of
Securi ty II
19~-"7-9!~ "!!.
)
^-~~-1~:7P' J-35359
4 Yr. r.~rt. (71/2%) Optional
~~ J 70,'f. 77
$ 728. 16
7.'1. ~IFI
8.28
$4,B69.25 $736.64
Tenants by lh~
enr:rety ;ij rh
right of survIvorship IndiVidual
:.lV.'1 L. !{()uJL'~hcl1 :.lva 1_ I!r,U.1\!")lcll
NONE
Date Ownership
w"s Established
,'~lI6o.J'~t :, lC)f17
Additional Infor-
mation requested
th ,;A
<<C~~f~~ ~c;, 0< 1/" ~oL-.J
r ..... (".0 ..1 . f. _ _ . '. . ~r.;... Il
~.l\,jr,(', r:'"l'-n,.-,.l: r - '.1';0 .'rr',
.:.. ... . - . .. '.. .-to:
,
.\Ugl.:.....t 7, 1967
,..~~-......,.J--
D
Dauphin Deposit Bank
and Trust Company
MAIN OfFlcr; 213 MARKET:) TREE', HARRISUURG, PENUS nV^"IA 1l10~
"/112S5.2121
~;()v\:II;1ar 7, 19cO
Hyers, My"rs, Flowers Eo Jol:n6on
Third Eo Market Streets
I'. O. Box 125
I.en,oyne, I a. 17C43
l\c: M"ade r. lioudeshell
Septcnbcr 14, 1980
Attn: Thomas 1. ['.yers
Dear ~lr. l-;y~rs:
In regards to the above lII"ntione;l, w" subn,it the following inforn,ation as of the
da te of dea th:
Ch"ckinll account II 44-29-8455 opened 4-11-80 balance $2261.85 closed 10-14-80
(In the name oC Ileade only)
Christn,as club 11296-326 balanc" $100.00
If W~ c~n be of any further assistance, please do not hesitate to contact Ub.
Very truly yours,
;'--'';' " ~ J. l"( [Jet
Barry ~. Ll1iott
Assistant 1reasurer
h ~ \. C~
r J
BI.I:;/lf
Rliv..,a IiX. (3.801
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSfER INHERITAHCE TAX
RESIDENT DECEDENT
ESTATE Of
SCHEDULE "C"
TRANSFERS
*
MEADE F, HOUDESHELL
INSTRUCTIONS:
1. Answer the Questions on reverse side,
2. If Ihe answer to any of the Questions on 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, to 1'I110m Iransferred and
relationship of transferees to decedent. Attach a copy of any trust deed or instrument relating to the Iransferred property,
ITEM
NO.
OESCRIPTION
ESTIMATED DEPT. VALUATION
MARKET VALUE (OFFICIAL USE ONLY)
1. Decedent on August 21, 1980 gave to his grands n,
William F, Houdeshell, Jr. and Debbie, his wif ,
by Deed of Gift, his tools, household goods,
appliances, china and glassware.
(Most of the above items were sold at auction
producing net proceeds of - 2,382.06
2. Refrigerator - 75.00
3. Washer - 50.00
TOTAL THIS PAGE
2,507.06
.2fO 7 or;
A
QUESTIONS CONCERNING PROPERTY TRANSFERS
'.
1. Did decedent, within two years of death, iIIilke ,lilY transfer of ilny matel i:11 porI of his estale \',ilhout receiving
valuable and adequate considemlion? (Answer "Yes" or "No".) Jsw_
2. Did decedent, within two yeals of deilth, trilnsfcl property lrom himself' hels!!11 to himself/herself and another party
or parties (including a spouse) in joint ownershi;l? (Answer "Yes" or "No".) -
3. If the answer 10 one or lwo ilhove is "Yes" and tile [r,iI1olers ilre cl:limed to he nonl:lxilble, provide the following
information:
a, Age of decedent at time of trnnsfcr.
b. Copy of dealh corti Ii catc.
c, Affidavit by the attending physiciiln irHllciltin~ the state 01 decedent's 11calth ai limp. of transfer.
d. All other information supporlinp. nontaxability of transfer.
4. Did decedent, in his/her lifetime, make ilny tr"nsfer of property willlOul rcceivilH~;1 '/illuahle or adequate consideration
therelor which was 10 take effect in possessinn or cnjoyme:11 at or after his/her deilfh? (Answer "Yes" or "No".)
a. Was Ihere any flossibilily Ihallhe plOperly transferred might retulll to transferor 01 his/her estate or he subject
to his/her pOVlel of disposition? (Answer "Yes" or "No".)
b. What was the transferee's ilge at time of decedent's death?
5. Did decedent in his/herlifelime lli<1ke <lny tmnsfer without receiving a valuable <lnd adequilte consideration therelor
under which transleror expressly or ill1pliedly reserves for his/her life or <lny period which docs in fact end before his/her
death:
a. The possession or enjoyment of or the right to income fromlhe property lransferred? (Answer "Yes" or "No".) -
b. The right to designate the persons who Shilll possess or enjoy the ploperty transferred or income therefrom?
(Answer "Yes" or "No".)
6. If the answer 10 live b. above is "Yes," state whether the right '1'1<:5 reserved in decedent alone or others,
7. Did decedent in his/her lifetime make a transfer, the consideration for which W<15 transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No".)
8, Did decedent, at any time, transfer propelty, Ihe bmeficial enjoymeat of which was subject to change, because of
a reserved pOVler to al ter, amend, or revoke, 01 which could revert to dccedentunder terms of tr<lnsfer or by operation of
law? (Answer "Yes" or "No".)
9, If the answer to eight above is "Yes." was the power to aller, amend or revoke the interest of the beneficiary reserved
in tlle decedent alone or the decedent and others? (Answer "Yes" or "No".)
"
"
REV0453 (loBO)
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
*'
(If1structians an Reverse Side)
Estate of
MEADE F. HOUDESHELL
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY
DECEDENT BIRTH
William F. Houdeshell Jr. Gri!nds9n YP" ".-1,,11- Real F.state
R'R M"n"~~ Dn~" Car, Rinq, Tools
Enola. PA 17025 Household items
$1,000.00 Bequest
1/3 Residue **
*Stephanie Ann Houdeshell Weaa Sl 000 Be
,ran daughter Yes Minor
*William Houdeshell III Ig~;~J"nn VOQ M;"~~ I <:~iRfln &
*Scott Dale Hou.-1eshell " " VP" M; "" ~ Sl.OOO BAollesl-
* ".,,, M, ,~~~ Dn~"
Eno1a PA 17025
,-
1/3 Residne** .
Harry M. Houdeshell Grandson Yes Adult
601 Third Street .
West Fairview, PA 17025
Gloria Niece Yes Adult 1/3 Residue**
** ;" ho nn
residuary Estate for
.-1; "l-~; 1)nH,,"
NAME
The above beneficiaries are living at this time except for the following:
DATE OF DEATH
" .
REV-454 (1.80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTL Y OWNEO PROPERTY
(I"strucrions on Reverse Side)
'*
,. ,
.', \
ITEM
NO.
OESCRIPTlON
TOTAL
MARKET
VALUE
P
E VALUE OF
~E DECEDENT'S
N INTEREST
T
DEPARTMENT
VALUATION
(Officia' Usa On'y)
Estate of MEADE F. HOumSHELL
NONE
TOTAL THIS PAGE
~
J
p:: p:: H +J
ril Ul
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~ ~ Ul 'tl 1><'
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p U ~ -
Z ~ Q) :il ~:n ~n
0 Ul ~. S~ :"_0
-I 1";1.2. ~ ("I:::C
~ C"l I ,a, ril 'Xl~ -,~O
Vl .--I ~ . Ill' ~ ,-" ,rTl
;:l '" ul :>1 ... ~, V.; ,0
::::"oT:
...l I I ,..j Q), ::> "",-',. 0 ,:;,
0 ril .--I, U -.:1;:. '1
< CO ~ N e I ~ , "
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ti: 0 .--I il I g, '" .: ,
- N
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'lSaJalU! s,luapaOap aql )0 a6elUaOJad aYl aleOJPU I 'f:
'A1JadoJd paUMO AI1U!0! aql)O anje^ la~JeW IBIOl aql aleolpul '1:
'pays!lqelsa seM d!YSJaUMO IU!O! aYl alep aql pue (S) JaUMO,OO aYl)O luapaoap
aYl 01 dlysUO!lelaJ pue ssaJppe 'aweu aljl apnlOuj '..8.. alnpayos JO) sUopOnJISU! aYI U! paleolpu! se
AuadoJd leuosJad lie aq!Josaa ',:'if.. alnpayos JO) suoJ10nJ1SU! aYI U! paleoJPU! se A1JadoJd leaJ lie aqJlosaa 'l
'lSJ!) amsa leaJ lSIl 'papnlou!
aq 01 aJe A1JadoJd alq!6uelU! pue ajq!6uel Yl08 'd!ysJO^!^JnS)O ly6Jl Yl!M slUeUallU!o[ se sa!ued JO AlJed
JaYloue Yl!M Anu!o! Iuapaoap aYl Aq pauMo 'leUosJcd pue leaJ 'A).JadOJd lie apnloLJ! lsnw ..3.. alnpayos
..3.. 31na3H:lS DNll31d1l\JO:l ~O:l SNOll:ln~lSNI
" ..
COMMONWEAL TH OF PENNSYLV,\NIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
~.
~'~'
, ~.
: ji;'
,', '.... ',.
. ,...~... '.. 'iJ.-'.....
':\:'~';\~0t'.l..t.
REY-U7 EX+ '7-eO)
[i]ORIGINAL
o SUPPLEMENTAL
Estote of Meade F. Houdeshell
File No, __;!l=8,O=D613
Coun ty
Cumberland
Dote of Death September 14. 1980
In the o...ent that any futuro Interest In this utote I. transferred In po..eulon or onforment to collatoral heirs of tho due.de,"' ofter tho
oxplratlon of any e.tate for IIfo or for years, the Commonwealth hereby expressly reservos the right to appraise and ouau transfor
Inheritance .oxo. at tho lawful colloloral rate on any such futuro Interolt.
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEAL TH
ASSET SUMMARY
DEPARTMENT'S
APPRAISED VALUE
1. Total Real Property - SCH, "A" . , . , " $
2. Total Personal Property - SCH. "B". , . . $
3. Totol Jointly Owned Property - SCH. "E" $
4. Total Transfers - SCH. "C", . ,', . . " $
34.500.00
9.533.04
"li\'f..1'P.
Unroported S
Unreported S
Unreportod $
Unreported $
$ 34 .500.00
$ 9,533.04
$ NrlIJR
$ ?,~n7 n,;
$
46,540.10
?~n7 n"
LIFE ESTATE
DANNUITY
TOT AL GROSS ASSETS
DREMAINDER
TOTAL VALUE
$
I do hereby certify that the above approisemeot is made in conformity with Pennsylvania low and hos been filed this
day with the Register of WiIlS'~'?_ j)~,
c ~j_~_.u>- September 25, 1981
APPR ER DATE
~ ~ ~ ~
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REV-484 EX+ (HOI
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
I[) Originol
o Supplemental
o Remainder
File Number
21-80-0613
Estote Nome
Meade F. Houdeshell
Dote 01 Death
Septanber 14, 1980
Sociol Security Number
195-07-9434
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly oppolnled Inhoritonce fox Approlser In and for the County of Currberland
Pennsylvanlo, da respectfully report thot I have opprolsed the real ond personol property os reported in the foregoing
,elum al the values sel Iorth opposite each Item In the last column 10 the rlJlhl In Sch es "A", "B", "C", ond "e"
p:'
Doted: Sept:enDer 25, 1981 ~~
ER
AOJUSTMENTS REMAINDER APPRAISEMENT CODE
INVENTORY VALUE AS APPRAISEO CODE (HARRISBURG USE OHLY)
Reol P,ope,ty (Schedule A) $ 00+ 92+
Perlonal Proporty (Schedule B) 10+
Jolnt.Held Property (Schedule E) 20+
Transfer. (Schedule C) 30+
TOTAL GROSS ASSETS 10
Lou D.bt. and Deduction. 40- 93.
(SCHEDULE F)
CLEAR VALUE OF ESTATE
o Life Eslote RATE FACTOR PRINCIPLE VALUE CODE
o Annuity
FOR USE OF REGISTER ONLY
Tax on $
CODE
COMPUTATION OF TAX
$
$
$
$
$
6%
Tax on $
15%
Tox on $
Tax on $
Tax on $
Exemptions
Total Estate
$
$
$
TOTAL TAX
INTEREST FROM
BALANCE
TO
LeIS Credits
DATE OF PAYMENT
INTEREST
TAX CREDIT
AMOUNT PAID
DISCOUNT
S
+ S
S
$
=
+
=
INTEREST FROM
BALANCE DUE
BALANCE
TO
S
Invontory of the roal und per500nul e.'o'c of
..11I;;l\I;>!,. F', HOUDIlSHELI.
.-- "-_. --~..__ .. '. __ U...n... .
-------.--- .--.-'---...-,-..-..,----,-..,. -..
1. Real Estate - No. 221 South Second Street, in
the Borough of Wormleysburg, Cumberland County,
Pennsylvania in the name of the decedent and
Alva Houdeshell (died April 11, 1980) by Deed
Dated May Q, 1948, recorded May 11, 1948 in
Deed Book U, Vol. 13, Page 461.
2. Harris Savings Association
Christmas Club Account No. 4-18-000664
(Jt. with Alva Houdeshell - deceased 4/11/80)
4 Yr. Certificate No. 4-09-131783
(Jt. with Alva Houdeshell - deceased 4/11/80)
Optional Passbook Account No. 1-35359
3. Dauphin Deposit Bank and Trust Company
Checking Account No. 44-29-8455
Christmas Club No. 296-326
4. 1974 Ford Station Wagon - Torino
5. Blue Cross - premium refund
6. Social Security death benefit _
Alva Houdeshell
7. Blue Shield and Medicare payments
8. Cash-
9. Diamond Ring _
10. Double-headed Cameo Ring _
. dacoo50od,
TOTAL
34,500 00
3081 55
4,869 I 25
736 64
2,261 85
100 00
800 00
55 05
254 90
551 00
36 80
50 00
5 00
44,033 04
"
.:r\t:.~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
u:
,~ILLIAMF. HOUDESHELL, JR.
being duly, .sworn
. dccording to
low, dopo.o. olld .oys thot he is, Executor
of 11.0 Estote 01 ... MEADE 1'.., ,Ho.UDESHELL
lete 01.. Borough of Wormleysburq , CumberlenJ County, Pa., decea.ed end that the
within i. an invenlory mode by.. him ---, the said-__ExecutoJ;-,____
of the entire 0.1010 of said decedent. cons;,ting 01 oil tho pononel property end reel o.tate, except rul estate outside
the Commonweelth of Penn.ylvenie. end thet the figures oppo.ite eech item of Ihe Invontory reprosent il'. fair velue
.. of the deto of decodent's doath .
Sworn to
-2 / {,!-. . " lie 4d;//
._(__"--~!d..~L:'..Y:_ ..,__!L~~~_,.' 'tL~
En.,to, , lI~ktlll.'
william F. Houdesherr, Jr.
828 Hagaro Road
and sub.cribod before me,
~~~1
.....;, '..,-,-" ~~. -.:.-
~IOTARY I've C G
M, Com:nl,~... up!,., Doc. 21, 1961
!...JCOJ1l4l, Pa. Cumberl:1ad Ccuatj
19 ~ I
..~no!a/_P!i.j,}OlL_,
Addrou
Date of Death
14th
_ ~,e.t~mber,
Month
1980
Vu,
Day
INSTRUCTIONS
I. An inventory must be filod within three months after appointment of penonel representative,
2, A supplement inventory must be filed within thirty day. 01 discovery 01 edditional assels,
], Addition.1 .heets may b. attached.. to penonalty or reelty
4, , See Article IV;'. Fiduciaries Act 01 1949.
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COUR'r OF COMMON PLEAS OF CUMBERLAND COUNTY
PENNSYLVANIA ORPHANS I COUR'r DIVISION
NO. 21-80-613
ESTATE OF MEADE F. HOUDESHELL, Deceased
LATE OF WORMLEYSBURG BOROUGH
FIHS'l' AND FINAL ACCOUN'l' OF
WILLIAM F. HOUDESHELL, JR., EXECU'rOR
Dilte of Death: September 14, 1980
Lerters Granted: September 24, 1980
First Comple te Advertisemen t of
Grant of Letters: Cumberland Law Journal - October 10, 1980
Patriot-Eveninq News - October 8, 1980
SUMMARY & INDEX
Pages
PRINCIPAL :
Receipts
Less Disbursements
Balance before Distributions
Distributions to
Beneficiaries
2
2
$44,033.04
7,788.32
36,244.72
3
855.00
Principal Balance Remaining
$35,389.72
INCOME :
Receipts
Less Disbursements
3
3
$ 2,296.28
2,296.28
Income Balance Remaining
-0-
COMBINED BALANCE REMAINING*
$35,389.72
*Consists of House, specifically
devised - inventoried at - $34,500.00
and cash - 889,72
$35,389.72
lIitr. .iUc. r~~[ 246
PIHNCIPAL HECEIP'I'S
7/30/81
Inventory Filed
Per Copy of Inventory Attached
TOTAL PRINCIPAL RECEIPTS
PIUNCIPAL DISBURSEMENTS
Register of Wills - Letters & Short Certificates
Cumberland Law Journal - Advertise Letters
patriot-Evening News - Advertise Letters
Musselman Funeral Home - Funeral expenses
Gingrich Memorials - Gravemarker
Jerome Van Nest, Tax Collector - 1980 School Tax
Howard Roy Cohen, M.D. - Decedent's account
Blue Ridge Haven West - decedent's account
Pennsylvania Power & Liqht Company - decedent's account
Pa. Dept. of Revenue - decedent's 1980 income tax
UGI Corporation - decedent's account
Riverton Water Co. - decedent's account- 8/19 - 11/19
Register of Wills - Inheritance Tax payment -
Register of wills - File Inventory, Debts & Deductions
& RCC forms
Register of Wills - File Insolvent return - Estate of
Alva Houdeshell
Notary Fees - all documents
Register of Wills - balance of Inheritance Tax
Myers, Myers, Flower & Johnson - attorney fee reserved
Reserve for filing Account & Distribution
and close-out costs
TOTAL PRINCIPAL DISBURSE~ffiNTS
U~t'i .luG r~LE 24'7
-2-
$44,033.04
$44,033.04
31. 00
18.00
25.11
2,507.40
610.00
193.00
45.00
45.10
10.13
9.15
59.87
9.40
1,000.00
9.00
3.00
3.00
1,010.16
2,100.00
100.00
$ 7,788.32
Invcntory of tho roal ond per~on(J1 o~totc of
~!r;;[lDE: F, 1I0UDESlIEf,L
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1. Real Estate - No. 221 South Second Street, in
the Borough of Wormleysburg, Cumberland County,
Pennsylvania in the name of the decedent and
Alva Houdeshell (died April 11, 1980) by Deed
Dated May 6, 1948, recorded May 11, 1948 in
Deed Book U, Vol. 13, Page 461.
2. Harris Savings Association
Christmas Club Account No. 4-18-000664
(Jt. with Alva Houdeshell - deceased 4/11/80)
4 Yr. Certificate No. 4-09-131783
(Jt. with Alva Houdeshell - deceased 4/11/80)
Optional Passbook Account No. 1-35359
3. Dauphin Deposit Bank and Trust Company
Checking Account No. 44-29-8455
Christmas Club No. 296-326
4. 1974 Ford Station Wagon - Torino
5. Blue Cross - premium refund
6. Social Security death benefit -
Al va Houdeshell
7. Blue Shield and Medicare payments
8 . Cash-
9. Diamond Ring -
10. Double-headed Cameo Ring -
~I~L~ .Luti j'~L[ ~~:'i8
dac.oo$od.
TOTAL
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34,500 00
308 55
4,869 25
736 64
2,261 85
100 00
800 00
55 05
254 90
55\ 00
36 80
50 00
5 00
44,033 04
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