HomeMy WebLinkAbout80-00652
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LAST 1HLL NlD TI,STNlENf
of
GRACE 1.. WILSO~
I, Grace 1.. Wilson, ~Iarried, of the TOIoJIlship of LOI'ier Allen, County
of Cumberland and State of Pennsylvania, heing of sound mind and mcmory,
do make, publish and declare this my last Will and Testament, hereby
revoking any and all wills by me heretofore made.
FIRST: I direct that all my just debts and funeral expenses he paid
by my Executrix, hereinafter named. as soon as possihle after my decease.
SECOND: All the rest, residue and remainder of my estate, real, personal
or mixed, I give, devise and bequeath to my daughter, Carole H. Boose, provid-
ing she shall survive my death by sixty (60) days.
THIRD: Should my daughter, Carole H. Boose, predecease me or fail to
survive my death by sixty (60) days, then I direct my F~ecutrix, hereinafter
named, to convert all the assets of my estate into cash and to make distribut-
ion of same as follows: .
a) One-sixth (1/6) thereof, I give and bequeath to my granddaughter,
Denise E. Sproul.
b) One-sixth (1/6) thereof, I give and bequeath to my grandson,
Charles E. Boose.
c) One-sixth (1/6) thereof, I give and bequeath to my granddaughter,
Mary E. Boose.
d) One-sixth (1/6) thereof, I give and bequeath to my granddaughter,
Elaine A. Boose.
e) One-sixth (1/6) thereof, I give and bequeath to my granddaughter,
Marjorie 1.. Boose.
f) One-sixth (1/6) thereof, I give and bequeath to my husband,
Floyd E. Wilson.
Shall It. any of the above predecease me, the share of said decedent shall
be equally divided among the survivors thcrcof.
FCXlRTH: I appoint my daughter, Carole H. Boose, guardian of any property
which passes, either under this will or othen'iise, to a minor and with respect
.
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to Nhich I am authorizcd to appoint a guardian and have not otherwise
specifically done so. Such guardian shall have the pONeI' to use principal
as well as income from time to timc for the minor's cducation, support and
welfare or to make paymcnt for these purposes, without further responsibility,
to the minor 01' to any person taking care of the minor. Should my daughter,
Carole H. Boose, fail to qualify 01' cease to act as guardian, then I appoint
The COlmlIomvealth National Bank, of Harrisburg, PetIDsylvania, j..'lIardian in her
stead.
FIF'IlI:
I appoint my daughter, Carole H. Boose, the r~ecutrix of this
my last 1~i11 and Testament. Should she fail to qualify or cease to act as
Executrix, then I appoint my granddaughter I T}enise E. Sproul, r~ecutrix in
her stead.
IN l'lITNESS I'HEREOF, I have hereunto set my hand this <..):. '6 day of
'f,cO~...J\.......\ ,1975.
6
c~) . ,...<.A...-ili- \-- \..0~~--r--
~ace L. Wilson
Signed, sealed, published and declared by the above named Testatrix as
and for her last Will and Testament in our presence, \~ho, at her request,
in her presence and in the presence of each other, have hereunto subscribed
our names as attesting Nitnesses.
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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, personally came
rnl""l,.. I-t Hnnl.:.n
T=yprlrt-r-iv
who, being duly ~\.O'"
, do (>~ depose and say that as
deceased
of the last Will and Testament of
r,r:lr(' J. l\'11o;;nn
she _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. S,.om and subscribed before me.
october 14
BO
A,D., 19_
Register
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DECREE
Be it remembered that on the
15th
october
BO
,A.D,,19_, there was probated and
day of
Grace L. wilson
recorded,the last Will and Testament of
,Cumberland County, Pennsylvania,
carole H. Boose
Lower Allen Township
Deceased, Letters Testamentary were granted to
Witness my hand and official seal the day and year aforesaid,
late of
0{/(41 ~.~/~ .
Register ..
,
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IlCV..U9 EX. (3.801
'COMMONweAL TH OF PEHH5YLVo\UIA.
DEPARTMENT OF REVENUE
TR~NSFER INHERITANCE T.\X
RESIDENT DECEDENT
*
AFFIDAVIT OF
FIDUCIARY
(Instructions on Roverse Side)
Estate of G~CE)",..W!L~ON..____
Lost Address ,_... .124_S.__LDcust..Street
September 24, 1980
Do te of Dca th
SDci 01 Secu ri ty No.
193-14-7330
.Shiremanstown,_PA_._UOll
(CITYI (!:T.ATE) 11_IPI
Bureau Fil e No.
Coun ty FiI e No.
?l-RO-fi~?
1. Decedent di ed:
( ) Intestate (without 0 will)
xX ) Testate (leaving a lost will--copy attached)
2. Is the filing of a Federal Estate Tax Return required for this estate?
Yes_ No
3. ::boo}. ~Executrix
Admlnistratarl Administratrix
Nome
Carole H. Boose
Address
124 S. LDcust Street
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(CITY) (!;oTATE) (ZIPl
4. All correspondence should be moiled 10 ~) Attorney
( ) Fiduciary.
S. If on allorney is repre5enting the estate, indicate:
Nome
J.:amaJl.J)~-E5q1,ir'"
5.J\Tes.tJ1ain_StI:eet
Shirernanstown, Pennsylvania 17011
(CITY) (STATEI (ZIP)
Address
List all safe deposit boxes registered in the decedent's individual name, or jointly with, or as an agent or deputy
of another, or in decedent's individual name with right of access by anatner as agent or deputy. Include the name
and address of the bank or olher institution where the safe deposit box is located, the name (s) in which the box
is registered and lhe relationship of the joint holders to the decedent.
..
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICIIl)ECEDENT MA:NTAINED A SAFE DEPOSIT BOX
NAME OR NAMES IN WHICH
SAFE DEPOSIT BOX IS REGISTERED
RELA TIONSHIP OF JOINT
HOLDERS TO OECEDENT
Coom:mwealth Nati,QooL.;
Shirernanstown, Permsylvania
Undet penalties of perjury, I declare thaI I have examined this return, including accompanying schedules and
slatements, and to the best of my knowledge and belief it is true, correct and complete.
C (.... "'d"-"'''- \ r\. C\- ,'..<.:-
Carole H: ~ATURE OF FIDUCIARY
-!llt-f /77
DATE
REV0450 EX'" 13-S0)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE" A"
REAL PROPERTY
'"
(Instructions on Reverse Side)
ESTATE OF
GRACE L. WII.5ON
DESCRIPTION
ESTIMAT ED
MARKET
VALUE
DEPARTMENT
VALUATION
(OFFICIAL USE
ONLY
Real Estate bing improved with ~lling house being
known and nunbered as 124 S, Locust Street, Shiremans-
town, ~r Allen Township, Ctm1berland County,
Pennsylvania. Property was acquired by deed dated
April 9, 1956 and recorded in the Ct.unberland ColIDty
Recorder of Deeds Office in Deed Book "e", Volurre
17, Page 14, by Floyd E. Wilson and Grace L. Wilson,
his wife, the decedent, The said Floyd E. Wilson
died September 14, 1976, whereupon title became
vested solely in Grace 1. Wilson, the decedent
herein. At the time of her death, decedent owned the
property free and clear of any and all incumbrances
(see copy of attached appraisal) Iff~D,
59,000.00
TOTAL THIS PAGE
59,000,00
AEV-451 EX+ (3.80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
'*'
(Instructions 011 Reverse Side)
Estate of GRACE L, WILSON
ESTIMATED DEPARTMENT
ITEM DESCRIPTION UNIT MARKET VALUATION
NO, VALUE VALUE (OFFICIAL USE ONL YI
TANGIBLE PERSONAL PROPERTY:
1. Furniture. personal possessions and contents
of horre (see attached appraisal) 2082.00
TOTAL THIS PAGE ~^O~ ^^ ~. fl .~:I t.,1
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STATEMENT OF SERVICES I
October 28, 1980
FOR APPRAISAL OF PERSONEL CONTENTS
GRACE WILSON I EXECUTOR
124 South Locust Street
SHIREMANTOWN I PA
ESTATE OF CAROL H, BOOSE
TOTAL AMOUNT OF APPRAISAL
$2,082.00
FEES FOR APPRAISAL SERVICE
$ 55,00
+"'-.~
MR. CLYDE GOUSE
MECHANICS BURG , FA
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October 28, 1980
SECOND FLOOR BEDROOM
One High Back Bed w/part of
in attic, complete
$240.00
One Marble Top Dresser
w/ Mirror in attic
$375,00
One Marble Top Stand
Marble chipped, needs repairs
$95.00
$25,00
$55.00
One Old High Back Chair, Wood
One Old Desk
Complete Modern Maple Bed
with dresser and mirror,
Spring & Mattress
Chest of Drawers
$125.00
Lamp & Misc, Small items
$16,00
$931.00 Total
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October 28. 1980
ATTIC
Part for Bedroom (Included in Bedroom Listing)
Two Old Chairs ($35.00 each)
$70,00
BASEMENT
Kenmore Washer
$55.00
Kenmore Dryer
$35.00
$90,00
....-.~ .-
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Total
Total
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REV-452 EX'" {3.BOI
COllllQHWEALTH OF PEHNSYLVANIA
DEPARTllEHT OP REVENUE
TRAHSFER IHHERITANCE TAX
RESIDENT DECEDEHT
UTATE OF GRACE 1., WIlSON
SCHEDULE "C"
TRANSFERS
*'
INSTRUCTIONS:
1. Answer the Questions on reverse side.
2, If the 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 whom transferred and
relationship of transfelees to decedent. Attach a copy of any trust deed or instrument relating to the transferred property.
ITEM
NO.
DESCRIPTION
ESTIMATED DEPT. VALUATION
MARKET VALUE (OFFICIAL USEONLYJ
None
TOTAL THIS PAGE
QUESTIONS CONCERNING PROPERTY TRANSFERS
I. Did decedent, within two years of dealh, make any transfer of any material part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No".) Nn
2. Did decedent, within two years of death, transfer property Iroll1 himsel f! hersel f to himsel f/hersel f and another party
or parties (including a spouse) in joint ownership? (Answer "Yes" or "No",) ~
3. If the answer to one or two above is "Yes" ilnd the trilnsfers are claimed to be nontaxable, provide the following
information:
a. Age of decedent at time of transfer,
b. Copy of death certi Ii cate,
c. Affidavit by the attending physician indicilting the stilte 01 decedent's heillth ilt limo of trilnsfer,
d. All other information supporting nontaxilbility of trilnsfer,
4, Did decedent, in his/her lifetime, make any trilnsfer of property without receiving a valuable or adequate consideration
therefor which was to tilke effect in possession or enjoyment at or after hiS/her death? (Answer "Yes" or "No",) Ne
a. Was there any possibility that the property transferred might return to transferor or hiS/her estilte or be subject
to hiS/her power of disposition? (Answer "Yes" or "No",)
b. What was the transferee's age at time of decedent's death?
5. Did decedent in his/her lifetime malle any transfer without receiving a valuable and ade~uate consideration therefor
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her
death:
a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".) No
b. The right to deSignate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".) Ne
6. If the answer to five b, above is "Yes," state whether the right was reserved in decedent alone or others,
N/A
7. Did decedent in hiS/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No".) No
8. Did decedent, at any time, transfer property, the bmeficial enjoyment of which was subject to chanr,e, because of
a reserved power to al ter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No".) No
3. If the answer to eight above is "Yes," was the power to aller, amend 01 revoke the interest of the beneficiary reserved
in the decedent alone or the decedent and others? (Answer "Yes" or "No" ,) N/A
REV<45.3 EX+ (3.eO)
, COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
.
(Instructions on Reverse Side)
Estate of
GRACE L. WIIBON
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY
DECEDENT BIRTH
Carole H. Boose
124 S. l.JJcust S""'''~r
Shiremansrrn.n PA ~~ HOC ^~..1.. -^^ ,- ,-~, ~
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The above beneficiaries are hvmg at this time except for the followmg.
NAME
DATE OF DEATH
REV04'~ E)H (3.80)
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
. RESIDENT DECEDENT
SCHEDULE "E"
JOINTL V OWNED PROPERTY
*
(Instructions on Reverse Sldo)
Estate of
GRACE L, WILSON
TOTAL PE VALUE OF DEPARTMENT
ITEM DESCRIPTION MARKET \ DECEDENT'S VALUATION
NO. VALUE INTEREST (0 me/el Use Only)
, T
Cornronv.ea1th National Bank, Shirananstown, PA, Q28.96) j :t\',gl"
l. O1ecking Account No. 162-107110-7, owned joint 'y 50%
with Carol H. Boose, Date of Death Value: $657, 71
Established: 7/11/75
2. Conm:mwealth National Bank, Shiremanstown, PA,
Savings Account No. 16-0004757-3, owned joint1)
with Carole H. Boose, Principal: 447,30
Established: 5/24/71 A.I. : 1.54
D.G.D. Ba1.: 448.84 50"/. 224.42
3. Carm:mwealth National Bank, Shiremanstown, PA,
Savings Account No. 16-0010613-0, owned joint1
with Carole H, Boose, Principal: 6476.19
Established: 8/31/79 A,I. : 89.57
D.G.D. Bal.:6565.76 100/'. 6565.76
4. Corrm:mwealth National Bank, Shiremanstown, PA,
Christmas Club No. 16-3000107-9, owned jointl
with Carole H. Boose I 100/'. 210.00
TOTAL THIS PAGE h 329.14\ 1~ 2-1. 0 'I-
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Commonwealth "
National Bank
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October 28, 1980
James D. Bogar
5 West Main Street
Shiremans town , PA 17011
Re: Estate of Grace L. Wilson
Dear lIr. Bogar:
In reply to your letter dated October 9, 1980 on the above estate, the
following information listed below is as of D.O.D. September 24, 1980:
Checking Account - #162-107110-7
$657.71 Opened - 7/11/75
SavinRs Account - #16-0004757-3
$447.30 Accrued Interest - $1.54
Opened - 5/24/71
Savings Account - #16-0010613-0
$6,476.19 Accrued Interest - $89.57
Opened - 8/31/79
Christmas Club - 1116-3000107-9
$210.00
All of the above accounts are joint with Carole H. Boose.
If you have any questions, please feel free to contact us.
Very truly yours,
-/~,,/~~..~-"'"~ {/
J. Hichae1 Troutman 7-;;-
Credit Analyst
JUT/cg
Th~ CommonwclIllh National Bank. 10 South Mnrkot SqulIro. Harrisburg, Po. 1710B ("71 664.9600
REV_"'" !)(+ (HO)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
[!J Original
o Supplemental
o Remainder
FiI e Number
21-80-0652
Estate Name
Grace L. Wilson
Date of Death
September 2~ 1980
Social Security Number
193-14-73}0
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of ---.C.uIlIhAl"J ROd
Pennsylvania, do ",spectfully report that 1 have appraised tho real and personal property as reported in tho foregoing
return at tho values let forth opposite each itmn in the last column to the right In Schedules "A", liB", lie", and "E"
Dated: June 10, 1981 ,-&',1",., ;., J'-/ff"A(}I(,L)
INHERITANCE TAX APPRAISER
INVENTORY
VA~UE AS APPRAISED
ADJUSTMENTS
CODE (HARRISBURG USE ON~Y) REMAINDER APPRAISEMENT CODE
Reol Property (Schodul. A)
P.r.onal Property (Schedule 5)
Jolnt.Held Property (Schedule E)
Tronaf". (Schedule C)
s
00+
92+
10+
21l+
30+
TOTAL GROSS ASSETS
68_._lJ].1 ~
Leu Debt. and Deduction.
(SCHEDULE F)
CLEAR VALUE OF ESTATE
o Lifo Estate
o Annuity
40-
93-
RATE
FACTOR
PRINCIPLE
VALUE
CODE
FOR USE OF REGISTER ONLY
Tu: on $
CODE
COMPUTATION OF TAX
S
S
S
S
6%
T ax on S
15%
Tax an $
Tax on $
s
Tax on $
Exemptions
Total Estate
$
$
S
TOTAl. TAX
INTEREST FROM
BA~ANCE
TO
Less Credits
DATE OF PAYMENT
INTEREST
TAX CREDIT
AMOUNT PAID
DISCOUNT
5
+ S
5
s
=
=
+
INTEREST FROM
BA~ANCE DUE
BALANCE
TO
5
S
5
REV.518 FO (7.00)
~~
....t->1.....
NOTICE OF FILING OF APPRAISEMENT
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FiElD OPERATIONS
Ms. Carole H. Boose
124 South Locust Street
Shiremanstown, PA 17011
RE: Estate of
County of
File No.
Gl"ace L. Wilson
Cumberland
21-80-06')2
Dear Ms. Boose:
You are hereby notified that the original
appraisement in the estate of Grace L. Wilson
has been filed in the office of the Register of Wills of Cumbel"land
County on June 10 , 19 Jll.. Said appraisement reflects the following valuations:
Real Estate
Personal Property
Jointly Owned
Transfers
Total
$59.000.00
$ 2,082.00
$ 7 I 1:>q ,04
None
$68.411. 01,
As to such tax that is paid within three months from date of death, a 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
death occurred prior to December 22, 1965) from date of death, interest at the rate of 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 as provided by Section 1001 of the Inheritance and Estate Tax Act of
1961,72 P.S. 2485-1001, P.L. 373.
Date
June 10. 1981
--flb"f.;" /-Ifff'A'HI)
Si gned
Title
Chief Appraiser
NOTE: This is not a bill.
,
COMMONWEAl.TH OF PENI~SYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
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REV.U7 EXt (7-eOt
GJORIGINAL
o SUPPLEMENTAL
Estate of
Grace L. ._W:il:'1.911__________ un_
File No. -l!_1-8Q~0_652_
Caun ty
Cumberland
Oate of Oeath
September ~ 1980
In the avent thot any future Inler~st In lhis esluto 15 transferred III possession or enjoyment to collateral heirs of the decodent after the
Clxplratlon of any "state for life or for yenrs, Ih" Commonwealth hereby cJCplessly rlliiCrVQS the right to appraise and auess transfer
Inheritance foxas 01 the lawful collateral rote on DI~ such (ulu,o. in-,cf~-=,t.
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
ASSET SUMMARY
DEPARTMENT'S
APPRAISED VALUE
1. Totol Real Property - 5CH, "A" , , . , . , $ --52...00.0...00
2. Total Persono,1 Property - 5CH. "B", ,. , $ ?,08a..o.o_
3. Total Jointly Owned Property _ 5CH. "E" $ 7 .329.04
4. Total Transfers - 5CH. "C"., ,',"" $ ~
Unreported 5
Unreported 5
Unreported 5
Unreported S
S <;9,000 00
S 2.082.00
S 7,32Q.04
S None
$
68,411.04
DUFE ESTATE
DANNUITY
TOTAL GROSS ASSETS
DREMAINDER
TOTAL VALUE
$
I do hereby certify that the above opptaisement is mode in conformity with Pennsylvania low and has been filed this
day with the Register of Wills.
J "L)
.u,/J,II/1.~MptlA..J''t/ '
APPRAISER
June 10 I 1 QRl
DATE
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"- REY., 102 EX
~" . COMMONWEALTH OF PENNSYLVANIA
4 NO K 29521 OEPARTMENT OF REVENUE
.' . OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
If
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TAXAT 6~o
TAX AT 15%
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Carole II. Boo.e
c/o Jame. B. Boqar,
5 . Main 81:1'..1:
Bsq.
TAXAT_%
ADDRESS
ESTATE TAX
8hireman.1:own, Pa.
'--EsiA;:EINFOil~-T~lN7 24 -1-980
DATE OF DEA'tIl' . ,
17011
TOTAL TAX CREDIT
38.49
~
1#
SB
I
FILE NUMBER
21-80-652
May 15, 1981
GRACB L. WII8011J
CWllberland
m
o
LESS DISCOUNT
PLUS % INTEREST
(FROM TO_I
DATE OF PAYMENT
!' POSTMARK DATE
I' eo"^"" .PAm OR ""CO....
SEAL
TOTAL AMOUNT PAID
NAME OF DECEDENT
COUNTY
.----------- ---
--- -----------------------
38.49
RECEIVED BY
. .. / ,'-1' . J
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. (... \--t., _ fA/
f ,.. SIGNA TUBE'
Ma~c. Lawl./
Reg~.1:er of Will.
REGISTER OF WILLS
"'
Page 1 of 2 Pages _ _
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CUMMONWEALIIl Of P(NNSVLVANIA
UEPARTMENT OF REVENUE
'~ANSFER INHERITANCE TAX
RESIOENT DECEDENT
........I"tl..... ... _'- I
STATEMENT OF DEBTS
AND DEDUCTIONS
Estate of r.RAr.F..l.-101ll-.cnN Date of Death C:;"rr ?6., 1 qlflle No. ?1 _RO_"')?
WHEN CLAIMING THE FAMilY EXEMPTION, COMPLETE THE FOllOWING:
Claimant Carole H. Boose
Relationship to Decedent
Thn l~hrj::l"r
Claimant's Address 1'4~. TO(,l1~t: Sh"Ppt !=;ni,..~nqrrn.1n ppT'lnc::ylu!7n;!;J
REMARKS
AMOUNT
(continued) , TOTAL THIS PAGE 4889.72
I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral
expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purp~es! /
o _ ~ ) \, -' ~ fl'l Lf?
Carole H. SIGNATURE OF ATTORNEY/FIDUCIARV DATE:
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S .1;2, IP 1. 1~ AT
DATE
NAME OF PAVEE
0..)1 r. T
9/30/80 Carole H. Boose
0/06/80 Mech. Oil Company
0/06/80 Arrerican Express Credit Card
0/06/80 pomeroys
0/06/80 Master Charge
0/06/80 Sears
0/06/80 Dr. Litton
0/08/80 Raynond B. Martin - Treasurer
10 0/10/80 Reader's Digest
11 0/10/80 PP&L
12 0/10/80 Harrisbur Dairies
13 0/10/80 Holy Spirit Hospital
14 10/14/80 Re ister of Wills
15 10/14/80 Cumberland Co. Law Journal
16 10/15/80 M ers-Hall Funeral Home
17 10/30/80 Lower Allen Township
18 11/13/80 Dr. Hatfield
19 11/14/80 M.C. Walker
20 11/14/80 Patriot - Evenin News
FlIDeral Wake
Final Fuel Oil Bill
Final Bill
Final Bill
Final Bill
Final Bill
Expense of Last Illness
1980-81 School & Personal Taxes
Accrued and due rior to date of
death
Final Bill
Final Bill
Final Bill
Final Bill - ense of Last Illness
(copy attached)
Probate of Estate
Advertisin
Funeral & Burial enses
Final Sewer Bill
ense of Last Illness
145.00
235.00
126.14
172.72
50.69
10.08
73.78
324.78
7.30
35,98
&
PERCENT.
tJ;7d~ ~ ~'ff;')
( EGI$TER OF I 5
~-,;(~/i
DATE
I 'YjJ- II IJI 11.11 ", IlII,,,,,,,", "d.'" IlIrlAL irIS 1l'l122 (pin';
~ . HOIN SI'IHIT HOSPITAL ' . '
12 J NORTH 21STSTf1EET ATE OF BIRTH 10/26/11
CAMP HILL, PENNSYLVANIA 17011 $EX-F MS-W
.~----_. ---~. -------. ----- - ----- - --------------
i I ~1~~S~;~~~N;~~::AT~~T---.--III'^~IENt;~~;-::~I-~;.;~~~~~\ 1~~;;:O;~~:l~\ fD~~~;~~~~~
, T ~~L~D'k"!,1~ENT. NO. ".15"'"
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DA lL: IS EITHEIt POSTNG DATE
OR DATE or ll.~'lY~..L-_
PLEASE REFER TO PATIENT NUMBER SUOWN ABOVE
ON ALL INOUlnlES OR CORRESPONDENCE.
REFER ALL QUESTIONS TO THE BUSINESS OFFICE
17171763.2141.
TIllS Bill. ODES NOT INCLUDE PRIVATE PHYSICIAN
rEES WHICH WILL BE BilLED SEPARATELY BY TIlE
PIIY!:jlCIAN.
IU',IJH'\IU;1 UtVIUAlil
OL CR SPEC 19BO
--.--.--------
Dr~:cruprION or CHAnGES
I '.I"~I~AII Y Ij' ell Alnil: ~
I Kldl r: I,
I rMEkl,rl/CY Roor~
I v ';CJLUT IOtJS
Lf\lIOR A lOll Y
1'1 f. 51 SUPPLIES
NUCLEAR MEDICINE
PHARI~"CY
RESPlr.ATORY THERAPY
TELEVrlS ION
TE LEf' lONE
HOUSE PHYSICIAN
R~C r3 SEM 2 DAYS
SUB-TOTAL OF CHARGES
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III' rUIIN \VITII YOUR
Ht.:1'v1111 MJCE.
19314733CA
GRACE WILSON
124 S LOCUST ST
SHIREMANS10WN, PA.
------'
17011
. _m_.__ _ _.. ". ____.____.__..-______u ;;;.;.~ ':",' j.!'. "!. '!/:(} (t
ICIIAIIGE c(ii~rrl101AI c;IAi;,;!:~ :!,Nr.llnANcr - "\'NSUI1ANCE ';:-\ iNslJilANcr, 4J 'II''' 111 r-n C'IMIGE
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82.,'0
61.60, 50.35
173.00 I
196.55 i
149.00 II
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15.00 I:,'
260.00
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1054.35 II 180.00
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nd.
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AT13 .OO/DAY
93.00
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t.5.511
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11.25
173.00
196.55
56.00
1.00
.70
15.00
260.00
R74.35
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1054.35JI 150.00
PLEASE SEND PA YMHlT TO:
HOLY SPIRIT HOSPITAL
NORTH 21ST STREET
CAMP HILL. PA. 17011
PLEASE PAY TO HOLY SPIRIT HOSPITAL
ADD1TIONAl PATIENT BILLING MAY liE NECE~SARY fOR
ANY CtlARGfS Nor POSTW WIlUlllitS bill \'I^.5 PREi'Afteo.
OR IF IN5lJIlANCE CAHtmHS DO NOT rAY ANY l'AHl OF TIlE
AMOUN IS SIlOWN UNO[fl [STIMAll D IIl$UIlMlCE cnV[lIAGe.
-------.--
ul;NERAL 1,\diERII ANCE TAX 11\1 FOlii..." IIUI~
Unsatisfied liabilities incurred by the 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,
attornay 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
Inharltance Tax Return is filed. Evidence to support the decedent's or the estate's liabilitY for the debts being claimed
should bo 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, The family exemption is
allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws,
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1. I f 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.
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IN TIlE OOURT OF co.v,y.o~ PLF.~ OF
CUMBERUND OO!JNI'Y, PDlNSYLVANIA
ORPHANS I OOURT DMSION
Estate ~b. 21-80-652
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ES"'.ATE OF GRACE L. HILSON
rATE OF THE BOROUGH OF Sh'IREVA.\'SIO\oN
ClMBERL/Il.'ID COill,TI, PENNSYLVANIA
STATEMENT OF PROPOSED DISTRIBurION
REASO~S FOR DISTRIBurION
Carole H. Boose, Executrix of the Last Will and Testament of Grace L.
'I Wilson, Deceased, proposes to distribute the balance i,.. her hands, to wit: $51,382.29,
" in accords...ce widl the said Last Will and Testarrent as heretofore filed in the
"
,I
'i Office of the Register of Wills of Cumberland County, Pennsylvania, as follows:
I,
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To Carole H. Boose, the rest, residue and remainder,
including real estate $ 51,382.29
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Carole H. Boose, Executrix
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99 PAGE 8'71
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OJ~NWEALTIi OF PENNSYLVANIA
COUNlY OF CUMBERL\ND
SS
Carole H. Boose, Executr:Lx of the Estate of Grace L. Wilson, being duly
=m according to law, deposes and says that the foregoing Statement of Proposed
Distribution is true and correct.
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S\o.DRN to and subscribed
before me thi~Ay
of ~ ,198l.
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Y;l/ff;?of.~'~ .1bi;;", f .i Jh J.JJ ~
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99 PAGE 8'72
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i'l DATE OF DEATII: SepteI1'ber 24. 1980
, IEITERS GRAt~: October 15, 1980
i FIRST (x)MPLE1'E ADVERTISEMENT OF GRAtW OF LEITERS:
I
I,
I ACCXlUNl' STATED TO: August 20, 1981
IN T'rlE OJOO OF OJW.oN PLEAS OF
aJMBEllli\ND OJUl\'TY. PENNSYLVANIA
ORPH.tu'lS I CDURT DIVISION
Estate No. 21-80-652
ESTATE OF GRACE L. WILSON
LATE OF TIlE BOROUGH OF SHlREMANSTOWN
aJMB~1J) OJUNTY, PENNSYLVANIA
FIRST M'D FINAL ACCOUNT OF CAROLE H. BOOSE, EXEClJrRIX
T'ne Cumberland Law Journal: 10/24,
10/31 & 11/7/80
The Patriot-Nevis, Co, Marro Hest: 10/20,
10/27 & 11/3/80 '
I
!' Principal
i
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celpts
Less Disbursements
Sl.M1ARY & INDEX
Pages
2
3&4
$ 61,082.00
9,699.71
Principal Balance Remaining
$ 51,382.29
$51,382.29
Incorre
Receipts
Less DisburSenElts
Income Balance ReI1'aining
II Combined Balance Remaining
I
4
4
None
None
None
None
$51,382.29
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UBER 99 PAC;; 865
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I PRINCIPAL DISBURSEMEL\T.3
I 9/29/80 U.G.I - Final Gas Bill $ 37.76
9/30/80 Carole H. Boose, Funeral Wake 145,00
10/06/80 Mechanicsburg Oil Company - Final Fuel Oil Bill 235.00
10/06/80 ArlErican Express - Final Bill 126.14
10/06/80 Potreroys - Final Bill 172.72
10/06/80 Master Olarge - Final Bill 50.69
10/06/80 Sears - Final Bill 10.08
10/06/80 Dr. Utton - Expense of Last Illness 73.78
10/08/80 Rayrrond B. Martin - Treasurer - 1980-81 School &
Personal Taxes Accrued and due prior to date of death 324.78
10/10/80 Reader's Digest - Final Bill 7.30
10/10/80 PP&L - Final Bill 35.98
10/10/80 Harrisburg Dairies - Final Bill 40.99
10/10/80 Holy Spirit Hospital - Final Bill - Expense of Last Illness 1054.35
10/14/80 Register of Wills - Probate of Estate 40.00
10/14/80 Cunberland Co. Law Journal - Advertising 18.00
10/15/80 Myers-Hall Funeral Home - Funeral and Burial Expense 2192.00
10/30/80 Lower Allen Township - Final Sewer Bill 50.50
11/13/80 Dr. Hatfield - Expense of Last Illness 119.90
11/14/80 M. C. Walker - Appraisal 100.00
11/14/80 Patriot-Evening News - Advertising 54.75
11/14/80 Clyde Gouse - Appraisal 55.00
12/19/80 Register of Wills - Prepa)'lTl'!nt of Pa. Inhericance Tax 3391.50
5/15/81 Register of Wills - Paymmt of Pa. Inheritance Tax 38.49
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Reserves:
Closing Costs $ 175.00
James D. Bogar. Esquire - Attorney's Fees 1150,00 I
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'IOTAL PRL'iCIPAL DISBURSEI,E1;TS $ 9699.71 I
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INCO}lE RECEIPTS \
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INCOXE DISBURSEMENTS \
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0' ~~~ v-l Gr,o~
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UBER 99 P~CE 869
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IN 'lliE ESTATE OF GRACE L. WILSOO
lATE OF 'lliE BOROUGH OF SHIREMANSTO~
CUMBERLAND <XlUNIY, PENNSYLVANIA
IN 'lliE <XlURl' OF CXJl1.'1JN PlEAS OF
CUMBERlJ.ND mUNIY, PENNSYLVANIA
ORPHANS' moo DIVISION
ESTATE NO. 21-80-652
DECREE AWARDING REAL ESTATE
-
......
AND NCM, this \ 3. day of
0(.. rl1 ~ ,1981, at lei : d<Jo'clock, ~
.M., the First and Final Account of Carole H. Boose, Executrix of the Estate of
Grace L. Wilson, deceased, having been confirmed by the Court, on 0 C.,....d.l3.Jf IS.
1981, IT IS HEREBY ORDERED that the real estate hereinafter described be and the
same is hereby awarded to Carole H. Boose, her heirs and assigns:
AU. THAT CERTAIN lot of ground situate in the Township of ~r Allen, Cotmty of
Cunberland and State of Pennsylvania, bOlmded and described as follows, to wit:
BEGINNING at an iron pin in the public road leading from Shiremanstown to the
Harrisburg-Gettysburg state highway, said road now being known as Locust Street
and at comer of lands now or fonnerly of Robert Stoner; thence along Locust
Street North 31 degrees West seventy-one and six tenths (71.6) feet to a
point in said road; thence by other lands of the grantors herein of which the
herein described parcel was fonrerly a part, South 65 degrees 30 minutes
West ~ I-nmdred eighteen (218) feet to a pin at land now or fonnerly of
Robert Stoner; thence by lands of the said Robert Stoner South 31 degrees East
eighty and six tenths (80.6) feet to a pin in the center of a fifteen (15) foot
wide private alley; thence along the center of said fifteen (15) foot wide alley
and by lands now or fonnerly of Robert Stoner, North 63 degrees 15 minutes East
~ lnmdred seventeen and five tenths (217.5) feet to a point, the place of .
BEGINNING .
HAVING 'lliEREON ERECl'ED a three-story frame dwelling house and garage known
and numbered as 124 South Locust Street, Shiremanstown, Pennsylvania.
BEING a part of the same pranises which George G. Anderson and Edith B. Anderson,
his wife, by their deed dated April 9, 1956 and recorded in the Clmberland Cotmty
Recorder of Deeds Office in Deed Book "e", Volurre 17, Page 14, granted and conveyed
\IDto Floyd E. Wilson and Grace L. Wilson, his wife. The said Floyd E. Wilson died
BGCK 108 fl.CE 668
SeptEmber 14, 1976, mereupon title in same became vested solely in Grace L. Wilson,
the decedent. The said Grace L. Wilson died September 24, 1980, and by her Last
Will and Testament duly probated and recorded in the Cunberland ColIDty Register of
Wills Office in Will Book 21, Page 652, provided as follows:
"SECXlID: All the rest, residue and remainder of my estate, real,
personal or mixed, I give, devise and bequeath to my daughter,
Carole H. Boose, providing she shall survive me by Sixty (60) days."
AND the Recorder of Deeds in and for Cumberland County is directed
to record a certified copy of this Decree and index the Decree as a conveyance
from the Estate of Grace 1. Wilson.
By the Court,
\-{~E.~
}<J.
I hereby certify that the precise address and complete post office address
of Carole H. Boose is 124 South Locust Street, Shiremanstown, Pennsylvania.
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