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HomeMy WebLinkAbout80-00671 ;.' , ~;; .,.,' ." < H . ~ ~ - ~ ~ ~ ~ ~ I = 0 ~ = ~ ~ . tl ~ ~ ~ ~ . ~ H H = ~ ~ ~ ~ ~ 0 ~ ~ ~ CO 0 I ... N ~ ~ . ~ ~ 0 ~ ~ Z ~ No. PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY 21.80 (,71 In the Estate of HAZEL M. SHOVER , deceased. To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania. Petltloner(SO is lfImI the execut or named In the Last Will and Testament of Hazel M. Shover dated Februarv 25, 1980 Decedent was a citizen of lhe United Stales and a resident of Carlisle ~(Borough), Cumberland County, Commonwealth of Pennsylvania. Decedent died on Sunday thB 2]!;t dayof ~pptpmhpr A.D. 19.B..O..-, Inthe County of Cumberland , State of PA. at the age of .2L years. Decedent has (has not) been married and has (has not) had children born to him (her) since the ex. ecutlon of the above described Will. Decedent was possessed of personal property to the value of llndetermi ned and of real estate to the value of undetermined as near as can be ascertained; said real estate situated as follows 415 South Pitt Street, Carlisle, Cumberland County, PA. Therefore, your petitioner~ respectfully apply(ies) for the probate of the said Last Will and Testa. mBnt and for Letters Testamentary theron. Dated October / '7 , 1980. Name and address of Petitione$j: j~ /(~.~ ~ Ted R. Shover R. n. 6. Box 195 Carlisle, PA. 17013 COMMONWEALTH OF PENNSYLVANIA l COUNTY OF CUMBERLAND J Ted R. Shover ss named in above application, being duly sworn statements set forth in this petition are true to the best of . according to law say(s) that the hJ.s knowledge and belief. Sworn and subscribed before lPro me, October 17 1.9 --8Jl. ~2' f' /j!~f.) _.-!::'LL ~_~ t!U4-C~ P R grster ,~k'P~ Filed: October 21, 1980 Attorney Torn H. Bietsch, Esq. Bietsch & Horgenthal , ~[j' 1 /":1 It! , L :2-- . " . . LAST WILL AND ~'ESTAMENT or HAZEL M. SHOVER I, HAZEL M. SHOVER, of the Borough of Carlisle, Cumberland County, pennsylvania, declare this instrument to be my Last I'lill and Testament, in manner and form following: 1. I hereby expressly revoke all wills and Codicils i,: heretofore made by me. 2. I hereby direct my Executor to pay all my just debts, funeral and administrative expenses out of my estate, as soon as '. practicable after my death. 3. I bequeath such of my tangible personal property as is set forth in a separate signed memorandum, which I shall place with my will, to the persons therein designated. 4. I devise and bequeath the remainder of my estate to my issue, per stirpes. 5. I nominate and appoint commonwealth National Bank, Carlisle, Pennsylvania, Trustee of the share of any beneficiary who may be under the age of twenty-one years. I i The income and/or I I i , I , I I i for such purposes, may,i without the interven- : , I , .1 principal of said trust may be accumulated or expended for the i: ,. .; maintenance, education and support of such beneficiary as my '. Trustee in its sole discretion may determine; and my Trustee in , the expenditure of income and/or principal ,. '. at its discretion, apply the same directly ,i tion of a guardian i :. or control of said ., or pay the same to any person having the care beneficiary or with whom the benef.iciary , :1 :i resides, without duty on the part of the Trustee to supervise or inquire into the application of the f.unds by any person to whom any payment is so made. The balance of such income and/or principal shall be paid to such beneficiary upon reaching the age ,i of twenty-one years, or to such beneficiary's estate in the event ,. 'il of death prior thereto. II iI - 1 - " It' Huel M Shover, am ~Iith the unu.erstanding accoming to my LawjElr, Mr Bietsch, that I..have a open end 0111, and that I may add to that l'lill in thll fonn of a codicu.. This being c,1dicU #1. The Executor of my estate b resC'Ondbltl 1'01' tLc direct exec.~tion of +.his codicU. If the :;xccu~or needs a3sist:mce :in fullJ'illinB the resp:mdbilitibs ..f the codicil, then Ch":'leo E i3raugl'.t shJuld be consultbd. I leave the following items to t.he p"rsons sOl1 desienated: The follOWing bequests are to be madel C...lleen E Brs.ucht - $10,000.00 dollars. Maryl. cUe ThimgBn - $10,000.00 dollars. Linda Seltzer - $10,000.00 dollars. and to Charles E BrauGht, I leave $10,000.00 for services rendered thru the yearso The following l.ersonal items are to be eiven 05 follows: To my Son's & Daughters ITEH /I 1 - Grandfather'S Clock - Colleen BrauBht 2 Six (6) piece place setting of Silver - Colleen Braught 3 B & G II,0ther's Day Plate" 1969-1979 - Clllleen B:'r;ught 4- Set of Apple Blossom Dl:hes - Colleen Braught 5. Corner CupJoard - Return to Ted and Ka1;e with thanks for it use. 6. Dry Sink - Roturn to Ted upon his asking. 7. Hall Table - Ted or Tern [Ted's lnt choice]. 8. Chest 01' Drawers-(back bedroom) - 'fed or Tim's de~end:ing up?,n above choice. 9. Car - I'lhite Cariillac - Ted Shover. 9A - Bedroom Hurricane amps - Ted 10. Hall Table 11' Chest of Drawer::; - Tom Shover [depen:ling on Ted's choice] 11. Joseph & Mary (HuTllIlel Figurine) - Return to Tom & Betty 12. Carpet - Tom & Betty 13. Bedroom Suite-(front Bedroom) also mattress Sheets (Queen Size)-Marybelle 14. - Six (6) piece place setting of Silver - Mal1<belle. 15. - Haviland China Xmas Plates(12 days of Xmas) - 1970-1980- Marybelle 16. Silver Tea Service - Linda Seltzer 17. - 8 (Eight) piece pl:J,ce setting of Silver. - Linda Seltzer lB. - Goebel HUllunel Xmas PJ.ates - 1971-1980 - LiJ1da Seltzer 19. Hanging Kitchen Lamp - Ronald Shover. 20. I-Ihite Reclining Chair - Ronald Shover. 21. - Silver Coins - To be divid~d equally among the Six children. Divided equally both in quantity & in value. Brymesser Chairs - (m.ack '1) - Eldest Boy f:irst pick to youngest Girl.. Raudabaugh Chairs- (BrOl'lll 1) - Eldest Girl :first pick to youngest Boy. TilfallY Hanging Lamp in Dining Room - To B'3 appraised. Youngest Child first choice to buy. Contents of Corner Cupbo'.rd. - Colleen,Marybelle,& Linda. IN THIS MANN3Re Items will be displaJ'ed prior to selection. Items will be grouped according to pairs, sets, units & individual pieces. Selection will be in ~Hs manner: 1st pick, 1 st Pick - Colleen Harybell, Linda. 2nd Ilick - Marybelle, Lind:!., Colleen. 3rd. pick - Linda, Colleen, l.larybelle. Each Daughter Selects one choice at a time in the above rotB.tion until they want no more Or supply is 'ezhamrtedo 26. - After the above(item #25) has been completed, the three sons will have there sdection in the same manner from the Comer CUpllOardt China Closet, and Kitchen Cabinets. Ted,Tom,ROlmie,-Tom, Ronnie, Ted- Ronnie-Ted-Tom. 27.- After the above (Iten#26) The boys, starting with the eldest, will have their pick of one piece of fUrniture(il there is anything bhey wish to have for their personal use~ I'll'll! hte exceP!don of tte Dining Room table, Dining room set and Sofa. 28. - After the above (items 25,26 & 27) have been completed the remaining items will be offered to the children (Sons l', Daughters) at a appraised price determined by Elde3t Boy & Eldest Girl. 29 - If there are sufficient items remaining - there will be a Public Auction with Charles Braught as manager. 22. 23. 24. 25. P'lge 1 Codic:l..l # 1 - Page 2 Item # 30. _ DISl'C SITION 'lIlLL Hi:: Willi: OF THS FOLlO\UNG ITC}lS ]}l THS MANNER LISTill BELOW: . _ House If at all possible, sdl privately wit.hout realtors. If a!'lY membe1' 0; the f:mily is interested in purchasing it. Average price of t\;O realtors picked by Executor an<: another son or daughter depending whose is interested. B _ United Fund _ Will remain as one block and be enpured into estate. c _ }larybelle _ $5000.00 This money ~IaS given - and as discussed at the time WIIL NEVER BE ASKED FOR. D _ Stock _ Stock \;ill. b" 'lis~sed of in view of the Market Conditions that exist. at. timet l.e - If a rising market is eXFected stocks should be kept so they can participate in this market. The i'ollowing items are t.o be given to my Grandchildren as follo\;:>: I Item I a. b. .\ i c. ! do eo f. g. h. 10 j. k. Joan Knull _ $250.00 cash and a H\IllUIlel Figurine. Bonnie Piatt- Kitchen Table w!noards, Bluminkinder Figurine, Hummel Figurine. Mike Thimgan _ Cancellation of Note - Hummel Bird Fi!;urine. \ Nancy Mercade- Chairs (which she is noH using) Set af dishes in attic(A & p) RC Xmas Plates en Plate Rail - Hum'1lel FigUl'ineo 1 Rebakah Seltzer _ Goebel Hummel Wildlife Plates, Apple tree Boy "0 Girl Figurin e- Hummel Figurine. Allen _ Old Chest in Attic - (middle chest), Hummel Bird Figurine. Nina _ B & G Xmas Plates en Plate Rial in Kitchen, Hummel Figurine. Todd _ $25.00. i Suzie _ ~ledgewooi Nothers Day plates, R C Moth"rs Day P~ates, Hwrunel Figurine I Scott - $25.00. I Greg _ Kitctlen ~Iantle Clock, Hununel Bird Figurine, 1-1979 Proof Set. I This is the comple.tion of this codicil # 1, and I Hazel M Shover, do give my approval of the above listed items, and it is my wishes that the Executor of my estate with the assistance ~f Charles ~~ Bra~ght, if needed, execute this codicil in its entirtlt,y. Signedtl''YM ..1 j, "'"' ""-+ ,. Signed at this time and. date: Wit~essessS / Page 2 Codicil # 1 - Page 2 Item # 30. _ DISPCSITION WILL Bj,; !.!AD;> OF THE: FOI.LO~lnlG TI&oIS l1'l THE MANlIER LISTID BELOW; a _ House _ If 9.t all possible, s"lJ. privately wi\'hout. realtors. If allY memoe" 0:. the f:mily i3 intereste<.l in purchasing it. Average price of two realtors picked by F.xecutor ane. another 30n or duughter depending who se is interested. B _ United Fund _ WilJ. remaill as one block and be enpured into estate. c _ ~larybelle _ $5000.00 This money ~IaS given - and as discussed at the time WILL NEVER IB ASKED FOR. D _ stock _ Stock liill be 'lisp"sed of in v:l.ew of the Market Conditions that exist at tiJltt,. i.e - If a rising market is eXj.ected stocks shou1d be kept so they can participate in this market. The following items are to be given to my GTandchiJdren (.s !:OllOliSI Item a. b. c. d. e. f. g. h. io j. k. Joan 7Jlull _ $250.00 cash and. a Hummel Figurine. Bonnie Piatt- Kitchen Table w/!loards, Blwn:in1dJ'der Figurine, Hununel Figurine. , Mike Thimgan _ Cancellation of Note - HUJmIel Bird FiGurine. Nancy Mercada- Chairs (which she is no\~ using) Set of dishes in attic(A & p) I RC Xmas Plates 1m Plete Rail - Hum:nel Figurineo Rebekah Seltzel' _ Goebel Hummel Wildl.i.:fe Plates, Apple tree Boy i'c Girl Figur:in \ e- Hwnm81 Figurine. I Allen _ Old Chest in Attic _ (middle chest), Hummel B:tro Fi.gurine. i Nina _ B & G Xmas Plates en Plate Rial in Kitchen, Hwnrnel Figurine. i Todd - $25.00. Suzie _ Wedeewooi ~lother3 Day plates, R C MothLrs Day P:)..-ates, Hwnmel Figurine i Scott - $25.00. j , Greg _ Kitcnen ~lantle Clock, !Iununel. Birl Figurine, 1-1979 Proof SBto This is the completion of this codicU # 1, and I Hazel. M Shover, do give my approval of' the above listed i.tems, and. it is my wishes that the Executor of my estate with the assistance of Charles E Bra~eht, if needed, execute thlls codicil in its entir<:t.yo Sil!Jledt/<~JjM ../ ~ -. "'-4 , Signed at this time and datel Witnessessl PaGe 2 9/16/80 CoddeU # 2e The Executor of my Estate is responsible for the direct execution of this codicU. If t.ae Executor needs as~is~anye in fullfilling t.he responsibilities of this c01icil, then Charles E Braught should be connulted. I I i I I I I i The FsllO\'ring personal items are to be g:i.ven as rol1o~IS: $5.00 GoB I?!eee - Ted Shover Wllsh Starrl Leack bedroom] - R.na1d Shover Gold Mans watch - Tom Shover Hawaii [Fostoria Plate] - Retum to Ronni.e & Norma ID.ock Radio - Return to l-larybelle & Larry Telephone - Return to Colleen & Charlie Di.amorrl Ring _ll~".~~ - Changed 9/18/00 - Appraised -SOld - Money Divided Birthst'One Ring _ lhnni.e Hubbert Piatt 6 Ways. Old Roc:king Chair - Rebekah Seltzer Cedar Chest - Suzie Cedar Chest - Nina Desk &: Secretary - Joan Knull End Table - Tom Shover (in Attic) Mirror in Back Bedroom - Alan Shover f~Il44~ &~t(~ }j '},V} IY! MfilrV"" 10(")"" ("t, ( CODICIL CUMBERLAND COUNTY, ss: This ................~.?~.h.................... day of .......................g9.!:?~.<;!.r .......................... A. D., t!ltk19.8,O, before me .....m~!)..!::y...)',..l?WJ.~........................................................, Register for the Probate of Wills and granting It'tters of Administration in and for said County of Cumberland, in the Common- wealth of Pennsylvania, persDnally came .. ..'r.e.o...;a,....Sh.o.~e.l:...an.d..C.haxl.es...E.....Bx:a:ught..... ............................the subscribing witnesses to the foregoing instrument of writing purporting to be a ...firs.t.....codicil to the last Will and Testament of ........Haze.LM~...Sha:ll.er..... .......................... on or about September 11, 1980, Dated ....1................. late of..tb.~...aQ.:r;.Q!J.gil...Q.f..C.arl.;i,s.l,e.,......... Cumberland Connty, Penna" deceased who being duly ....s~Q);'.n.... according to law, depose and say, that .they...W.erEjlresent, saw and heard the testa.j:;);'.;i,z......, ..Hazel..MA...ShQ~.e.r.,................sign, seal. publish, pronounce and declare the said instrument of writing as and for a .ls.t... codicil to h..er ......Teslament anel Last Will, and at the time of so doing .she........was of sound and disposing mind, memory and un. derstanding, to the best of ...J;be:ix.. knowledge, observation anel belief. .........~~~E.~....................... and subscribeel before .......~~.~;-z;;v~:..-:--:::..:::....-::.....:::... .........a... ..l....'...E-...~.................. .................... ...................................................... ... ......... Register. ,.t. C. ......... . 'ftif. .............. .. .. ...... ...... ................... Charles E. Braug lC~ l'~k:i \ CODICIL CUMBERLAND COUNTY, ss: This .................L7.~.b.................. day of ..................2~.~~.l?~.~..... .......................... A. D., JljiliU9.8f) before me ...........J.,~l;Y...L.ewi.~...................................................., Register for the Probate of Wills and Rranting Il'tters of Administration in and for said County of Cumberland, in the Common- wealth of Pennsylvania, personally came .:r.lF.d...R.....S.l1R.v.er......nd..Cha.r.le.~..EA...Br.allgh.t........ ............................the subscribing witnesses to the forl'going instrument of writing purporting to be a se.cond.....codicil to the last Will and Testament of .......ffi!-.?;~.L!:I......~D.9.Yg:J:'............................... Dated .U;I,.E?.!..~.9....... late of...:t.h~...~9.1=:!?gg.h...9.t..~i!-.+.;J,J.~llF.~....... Cumberland County, Penna., deceased who being duly .sw.orn....... according to law, depose and say, that .they..weJ:e. present, saw and heard the testa...trix...., ...II~.:::.lF.;I,...M.,...ShR.Y.~);'.................sign, seal. publish, pronounce and declare the said instrument of writing as and for a .~.nd.... codicil to h!';!.+........Testament and Last Will, and at the time of so dOing she.........was of sound and disposing mind, memor)' and un- derstanding, to the best of ..t.h.e;i.;r;.. knowledge, observation and belief. ......?~C?*!\.......................... and subscribed before ........L~...~~.......... Ted R. Shover .qn. (j tf7.,... -'-) '. .........751/..-;....'tJ.......... ..................................... ..~/J.(~............. . ~...... Reglstel. ........~~f!....S::...... .......... ....... .................. t1 Charles E. Braug t 188 " '. '''. OATil OF SUIISCRIIIING WITNESS MMONWEALTH or PENNSYLVANIA I ss: cou Y or CUMBERLAND f This day of before me, Register for t Probate of Wills and granting lellers of Administration in and for said the CommonweaIlh of Penns ania. personally eame men! ofwrilir,g purporting IQ'~ast Will and T~stam~n! of , /' ~ Dated L ~mberland County Pa.. deceased who being duly according to law. depose and say. that ./ present. and saw and heard the testa / sig , eal. publish. pronounce and declare the said instrument of writing as and for hLTesta:nent and Last Will. and at the time 0 was of sound and disPosin~Lemor: and understanding. to the best of knowledge, observatio lid belief. the subscribing witnesses to the foregoing ins ,. la!i:of - . and subscribed before Register AFFIDAVIT OF DEATH COMMONWEALTH or PENNSYLVANIA I ss: COUNTY or CUMBERLAND f Ted R. Shover Sworn says that as nearly as can be ascertainenthe said decedent Hazel M. Shover Sunday 21st the day of September at or about 4:30 o'c1ock. ~M. Sworn and subscribed this October -r;:. .....-G /C #~_ Ted R. Shover 17th day of 19.~-. before ;;1;. tf?{d'7 ~. ur~ Register .D..19 , . ounty of Cumberland. in "" ""- . being duly died on A.D..19J!Q.... OATH Of' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND Before me, the Register for the Probate of Wills and granting of Lellers of Administration in and for the Connty of Cumberland, personally came Ted R. Shover who, being duly sworn Executor ,does depose and say that as of the last Will and Testament of Hazel M. Shover deceased he will wcll 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. Sworn and subscribed before me. Oct. 17 --r-~--6 /? d-<~ Ted R. 3P~her /] 'f . ,'/.1#' ~ "7~ . RegIster A. D., 19-1iQ...... ~ 1" ~ :-cl 0: :", 00: m ;<0 en :~ ....~ :'" i~ lJ.. '<l': 1>:;: 00: :jt-' 0 w -: :>: ~ 0: 0;:: .><: ~ --.J 00: 0 0 k: --.J " i:Q Q): I>:;j - '. ,.Q; - - .- u: 0: S 0: s: E-<: +I: 1il: .5 1ili U: E-<j 0; "" N: '" 00; "" ..;: ... 0 :jt-i <J ~ ~ 1 "" - Q Cd .- ed ~ r:<. ..; l' \0 I o 00 I ..; N ~ - N .; Z ~ .5 <Il [:il .; Z DECREE Be it remembered that on the 21st day of October ,A.D.,19.J1.L, there was probated and recorded the last Will and Testament of Hazel M. Shover late of the Borouqh of Carlisle . Cumberland County. Pennsylvania. Ted R. Shover Deceased. Letters Testamentary were granted to Witness my hand and official seal the day and year aforesaid. 1l(a/1f t2.~ - 1'}.O ..' - -- -.---.---.------.-.-----.---------- ..._.... """<--__ r __ __ II AEV."'G2EX ~... COMMONWEALTH OF PENNSYLVANIA I 4 NO.Ko00340 DEPARTMENT OF REVENUE I'.. OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX ;' II ~ . ., II = 1II ~ ~I RECEIVED JJ FROM "'--""__LJl.___....... ~--...- TAX AT 6% TAX AT 15% ADDRESS ESTATE TAX q. TAX AT_% Carlisle, Pa, 17013 TOTAL TAX CREDIT l2,DDO.00 '--fSTATEINFORMATioNS-';pt--- 2'i- 1980 DA TE OF DEATH ., FILE NUMBER 21-80-671 DATE OF PAYMENT December 9, 198D lESS DISCOUNT PLUS % INTEREST !FROM TO_I 600.00 ~AME OF DECEDENT HAZEL M. SHOVER Cumberland m m TOTAL AMOUNT PAID COUNTY 11,400.00 POSTMARK DATE REMARKS .PAID ON ACCOUNT" SEAL / / /'.' ./ .>,:' -:__/"'L--,.r(..~.../; ( IIIry/~N-:tWi. Reqlater of Wills RECEIVED BY REGISTER OF WILLS --- --- -- _. - -- -- - - - -- -- ---. - -------------. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 55: boing duly _Sw.aro___ _________ according to law, deposes and says that he is-.t.he-Executor---- __ __ _______________. of the Estato of Hazel M. Shover I.te of the Borouqh of Carlisle , Cumborland County, Pa., decoased .nd th.t the within is .n inventory made by ____ __ ..' _.________ __him___ ---- - ----, the s.id Execul:.or of the entire est.te of said decedent, consisting of all the personal prop.rty .nd real estate, except re.1 .d.te outside tho Commonwo.lth of Pennsylv.nia, and that the fi9ures opposito each item of the Inventory reprosent it's f.ir value as of the date of decedent's doath. __,!,eg R. Shover -_.--- --- -------- --- ----.--- --.------ ----------.-------------- - Sworn .. d ..b",.d b.lo,. mo, \ ,.,-~4-~ Ex.cuto, .~~!t~ ~~ ~~J 1981 9 Ck-:,., G. I:JP.l1~~(J,,--,,-/ 'AN ...r- E. HERT7LFR. 1'1()TARY PUBLIC r, :,.,,~'~r'and Cr'l 'n''! Carlisle, P/I lIlY Commission Expires January 27, 1983 R. D. 6, Box 195 Carlisle, PA. 17013 Addr." D.y September Month 1980 D.te of De.th 21st Y.,r INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovory of addition.1 .ssets. 3. Addition.1 sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. QJ M Ul 'M M 14 III () >- ..,; w IH " li< ~ M ~ < p:; 0 .. Ul .... LU g: " ~ \D 0- .... .<:: u " I 0 0 VI 0 " . >- LU W 0 '" 0 J: '" :x: ::l . .<:: .. I- 0- '" C co Z I- -' U. Ul 0 .. 0 ~ I -' <( 0 I 14 0- Ul 0 u. ~ M W 0 -< w ~\ 0 .;. 4.l N > Z " l!l - QJ Z 0 0 c 'M I QJ " l!l .; II VI z 0 '" ~' .<:: () z LU <( ~\ 4.l .... . , 0- ~ :x: , c (. U', :x:! .. I .. - -;: IS ~.l._. 0: '.. 0 .. C:'.' c:t: t:~~. .D 0 j"J.~ -~ " E '" .>< Eo< - ~ 0 u. ~, I ~~~ .. " 0 c..) ( , N -' () u: CD c,!:'. N c:< hI'. - (,;-' u' -- 00:: Q:lJJ == ,u. oG ":1-:$ U"" n:- ~a: - ,,,,=> 1'0 -'u u f Inventory of the real and personal estate of HAZEL M. SHOVER deceased, 1. Real estate premises 415 South Pitt St. , carlisle,-';A. -=C:O-l 2. Cash. 3. Checking Account No. 182-832581-9, Commonwealth National Bank, CarliSle, PA. 4. Account No. 1215, Carlisle Building & Loan Association, Carlisle, PA. A. Accrued Interest on Item No.4. 5. Account No. 11-00-2909, Carlisle Building & Loan Association, Carlisle, PA. A. Accrued Interest on Item No.5. 6. 45,000 shares of Temporary Investment Fund at $1.00 per share. A. Accrued Dividend on Item No.6. 7. 3364.467 shares of Lord Abbett Income Fund, Inc., formerly American Business Shares, Inc., at 2.825 per share, 8. 400 shares of Avien, Inc., conunon. 9. 200 shares of Carlisle Corp., common, at 60.2188 per share. 10. 5 shares of Carlisle Fair Association, common, at 300.00 per share. 11. 22 shares of Coastal Corporation, formerly Coastal States Gas Producing Co., at 31.9375 per share. A. Dividends on Item No. 11. 12. 2 shares of Coastal International Ltd., common, at 11. 25 per share. A. Dividend on Item No. 12. 13. 2776.798 shares of Delaware Fund, at 15.55 per share. 14. 25 shares of General Motors, common, at 57.6875 per share. 15. 2830.637 shares of United Income Fund at 9.76 per share. 16. 22 shares of Valera Energy Corp., common, at 26.9688 per share. 17. 46 shares of Walter Kidde & Co., common, at 41.375 per share. 18. 204 shares of Worlco, Inc., Class A common, at 1.1563 per shar 19. Medicare Reimbursements. 20. Pa. Blue Shield Refunds. 21. World Life & Health Insurance Co. of PA., reimbursement. 22. World Life & Health Insurance Co. of PA., unearned premium. 23. Proration of real estate taxes. 24. $5.00 Gold piece. 25. Mike Thimgan note. 26. Household goods. TOTAL 42,000 00 250 00 1,278 55 1,824 05 I I I 140,000,00 I) 680166 45,000 00 25 12 236103 9,504 62 worthl ss 112,043 76 1,500 00 702163 4140 22 50 20 43,179 21 1,442 19 27,627 02 593 31 1,903 25 235 89 524 40 119 60 413 00 83 00 164 22 175 00 100 00 9,816 18 241,448 79 1- .u-J'I R,E Y./,AQ (1-1501 COMMONWE~L TH OF PEHHSYL VANIA DEP~RTMEHT OF REVEHUE TR~NSFER INHERITAHCE TAX RESIDENT DECEDENT AFFIDAVIT OF FIDUCIARY (In$lructions on Reverse Side) ~.. ~, EstatD 01 Hazel M. Shover Do te 01 Dea th September.-n.., 1980 Last Address 415 South-P..llt.-S.tr.e.et Social Security No. 206-36-0320 Carlisll'!, PA. ] 7 D.L'L_ (lIP) Bureau File No. (CITY' (SlATE) County File No. 21-80-671 1. Decedent died: ( ) Intestot~ (without 0 will) ( X) Testate (leaving 0 last will--copy allacheJ) Is the liling 01 a Federal EstatD Tax RDturn required far this estate? Yes.A- No 2. 3. ( x) Executor/&oI!KOmx ) Administrator! Administrolri x Name Ted R. Shover Box 19 5 PA. 17013 C"> cD nr- =0=0 c:;m ~ _OU l'TIl'TI ~;l: ",C'> .._0 i":"1~ :;;: ",=0 ~:n z: -.,0 ~: ~g ,n, N 'c'.' ;..:. --:0 N - " :::> ':) :;0 '-' ~ .. (STATEl 17.11-" 4. All correspondence should be mailed to ( x) Af\orney ) Fiduciary. 5. If an attorney is representi ng the estate, indicate: Name Torn H. Bietsch, Esq. Address --1 Irvine Row Carlisle, PA. lCITY) {<;TATE.) 17013 (ZIP) List all sale deposit boxes re!listered in the decedent's individual nome, or jointly with, or os an agent or deputy of another, or in decedent's individual name with right of access by another os agent or deputy. Include the name and address 01 the bank or other institution where thD safD deposit box is located, thD name IS) in which thD box is registered and the relotionship of the joint holders to the decedent. NAME AND ADDRESS OF BANK OR OTHER INSTITUTlO" IN WHICH DECEDEHT MAIHTAIHED A SAFE DEPOSIT BOX HAME OR "AMES IN \'IHICH SAFE DEPOSIT BOX IS REGISTERED RELATlOHSHIP OF JOINT HOLDERS TO DECEDENT Commonwealth National Bank Hazel ~l. Shover Carlisle, PA. 17013 Under penalties of perjury, I declore that I have examined this return, including occompanying schedules and statements, and to the best of my knowledge and belief it is true, correct and complete. -r-~d./~ /- 2. 2- - ~ / OATE SIGNATURE OF FIDUCIARY -. REV.'UO EX+ (3.S0) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY '* (Instructions on Reverse Side) ESTATE OF HAZEL M. SHOVER ITEM NO. ESTIMATED MARKET VALUE DEPARTMENT VALUATION (OFFICIAL USE ONLY DESCRIPTION 1. Real estate premises 415 South Pitt Street, . / Carlisle, PA., sold for the sum of i-~ I:-(-C. 7r $42,000.00 V tuU.v R fk~?l,tl!--n/ tLJA..,..-&1f.J7/.1, TOTAL THIS PAGE $42,000.00 REVw451 (1.eo) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT Estate of ITEM NO. SCHEDULE "B" PERSONAL PROPERTY (Instructions on Reverse Side) HAZEL M. SHOVER DESCRIPTION 1. Cash. 2. Checking Account No. 182-832581-9, Commonwealth National Bank, Carlisle, PAt 3. Account No. 1215, Carlisle Building & Loan Association, Carlisle, PAt A. Accrued Interest on Item No.3. Account No. 11-00-2909, Carlisle Building and Loan Association, Carlisle, PAt A. Accrued Interest on Item No.4. 4. UNIT VALUE 5. 45,000 shares of Temporary Investment Fund at 1. 00 6. A. Accrued Dividend on Item No.5. 3364.467 shares of Lord Abbett Income Fun , Inc., formerly American Business Shares, Inc., at 400 shares of Avien, Inc., common 200 shares of Carlisle Corp., common, at 5 shares of Carlisle Fair Association, common, at 2.825 0.2188 300.00 10. 22 shares of Coastal Corporation, formerl Coastal States Gas Producing Co., at 1.9375 A. Dividends on Item No. 10. A. Dividend on Item No. 11. 2776.798 shares of Delaware Fund, at 15.55 25 shares of General Motors, common, at 57.6875 2830.637 shares of United Income Fund, at 9.76 22 shares of Valera Energy Corp., common, at 26.9688 16. 46 shares of Walter Kidde & Co., common, at 41.375 11. 12. 13. 14. 15. 7. 8. 9. 2 shares of Coastal International Ltd., common, at (CONTINUED ON ATTACHED SHEET) 11. 25 ESTIMATED MARKET VALUE 250.00 1,278.55 1,824.05 25.12 40,000.00 680.66 45,000.00 236.03 9,504.62 worthless 12,043.76 1,500.00 702.63 4.40 22.50 .20 43,179.21 1,442.19 27,627.02 593.31 1,903.25 *' DEPARTMENT VALUATION (OFFICIAL USE DNL Yl REV.4'Z II.aQI CO"'MO~WEALTH OF PE~HSYLVA~IA DEPARTME~T OF REVE~UE TRA~SFER I~HERITA~CE TAX RESIDE~T DECEOE~T HAZEL M SHOVER ESTATE OF _ . SCHEDULE "en 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 Df death, dates of transfer, to whom transferred and relationship of transferees to decedent. Attach a copy of any trust deed or instrument relating to the transferred property. ITEM ESTIMATED I DEPT. VALUATION NO. DESCRIPTION MARKET VALUE (OFFICIAL USE ONL YI I I NONE \ - ! I I I TOTAL THIS PAGE NONE /\/\ . . .I.,\\I) ~ " 'y./IJ/ OUESTIONS CONCERNING PROPERTV TRANSFERS 1. Did decedent, within 111'0 years of death, make ony transfer of any material port of his estate without receiving valuable and adequate consideration? (Answer "Ves" or "No".) NO 2. Did decedent, withintll'o years of dealh, transfer property from himsel fl herself to himself/hersel f and another party or parties (including a ,pouse) in joint ownership? (Answer "Ves" or "No".) ..N.O- 3. If the answer to one or two above is "Ves" and the transfers are claimed to be nontaxable, provide the following information: a. Age of decedent at time of transfer. N/A b. Copy of death certificate. c. Affidavit by the allending physician indicalinR the state of decedent's heallh at time of transfer. d. All other information supporting nontaxabilily of transfer. 4. Did decedent, in his/her lifetime, make any transfer of property without receivinR a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Ves" or "No".) NO a. Was there any possibility that the property transferred might return to transferor or his/her estate or be subject to hiS/her power ofdispositiDn? (Answer "Yes" or "No".) N/A b. What was the transferee's aRe at time of decedent's death? N/A 5. Did decedent in his/her lifetime make any transfer without receivinR a valuable and adequate 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 Df or the right to income from the property transferred? (Answer "Ves" or "No".)..BL b. The right to desiRllate the perSDns who shall possess Dr enjoy the property transferred or income therefrom? (Answer "Ves" or "No".) NO 6. If the answer to five b. above is "Ves," state whether the right was reserved in decedent alone Dr 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 Dr for the benefit or care of transferor? (Answer "Ves" or "No".) NO 8. Did decedent, at any time, transfer property, the bmeficial enjDyment of which was subject to change, because of a reserved power to aller, amend, Dr revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Ves" or "No".) NO 9. If the answer to eight above is "Ves," was the power to alter, amend or revoke the interest of the beneficiary reserved in the decedent aloneor the decedent and others? (Answer "Ves" or "No".) N/A HE.V.453 11.80) COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHWITANCE TAX RESIDENT DLCEDENT SCHEDULE "D" BENEFICIARIES . (lmtfIJctinlls on Rl?VI!rst.! Side) Estate of IIIIZEL M. SHOVER BEflEFlclAnteS AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY DECEDENT BIRTH -- Todd R ~. ...E.!!~YC.F____- Grandson Yes S 25.00 - Winchester Gardens Carlisle, I'll. 17013 Su Zl1 nne (Suzie) S. Hayes Granddaughter Yes specific Green Park, I'A. 17031 personal ty Scott Shover Grandson Yes $25.00 - Groen Park, I'A. 17031 Gregory (Greq) Shover Grandson Yes specific - 901 Sndler Court personal ty ----.- . ..... -...--------- -- Carlisle, I'll. 17013 ... -- --,-..-..-.---. ______.... _... ..__ n'. ------- - - Tho abovo bBnaficiaries are living at this time except for the following: NAME DATE OF DEATH NONE REV~54.(1.80) COMMO'NWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE HE" JOINTL Y OWNED PROPERTY ~A~. Wii (Instructions on Reverse Side) Estate of HAZEL M. SHOVER P TOTAL E VALUE OF DEPARTMENT ITEM R DESCRIPTION MARKET cE DECEDENT'S VALUATION NO, VALUE INTEREST (Official Usa Only) N T 1- Account No. 1231, Carlisle Building & Loan Association, Carlisle, PA., estab lished July 8, 1960, in the names of decedent or Paul E. Shover (decedent's husband who predeceased her) or Ted R. Shover (decedent's son who survived her) , and having a balance of $1,406.62 with accrued 1,424.27 50% 712.14 interest of $17.65 for a total of $1,424.27 at the death of decedent. TOTAL THiS PAGE 712.14 ~!\ \:.J. '\ ~.L_ ~rij ..."..\1" au tHOI INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) [:) Original o Supplemental o Remainder FII. Nun,ber 21-80-0671 Estate Name Hazel M. Shovel" Date of Death 9-21-80 Sacial Securi ty Number 206-36-0320 REPORT OF INHERITANCE TAX APPRAISER I, the unde..lgned duly appolntod Inheritonco Tax Appral.or in and lor tho County 01 Cumberland Pennoylvanla, do re.peclfully r.port thot I hove oppral.ed the roal and p."onal properly a. reported In the loregoing r.tum at the value, let forth opposite each item in the last column to the right in Schedules "A", 118", "CU, and IfE" Dated. March 27 , 1981 {lIt ,,'./ J'1f'/,.Jnl) INHERITANCE TAX APP RAISER INVENTORY ADJUSTMENTS VALUE AS APPRAISEO COOE (HARRISBURG USE ONLY) 5 42 000 00 00+ 199 448 79 10+ 712 14 21H None 30+ 242...16_0_ --9.3 40- REMAINDER APPRAISEMENT CODE 92+ Reol Proporty (Schodule A) P.uonol Prop.rty (Schodule B) Jolnt.Hold Properly (Schedule E) Tronsf.r. (Schldule C) TOT AL GROSS ASSETS 93- LI.. D.b.. and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE OLlie Eotat. o Annully ~ FACTOR PRINCIPLE VALUE COOE I FOR USE OF REGISTER ONLY TOI( on $ CODE COMPUTATION OF TAX $ $ 5 5 6'. " TClIl. on $ 15~;' T ox on $ Tal( on $ 5 TalC on $ Exemptions Total Estate TOTAL TAX INTEREST FROM BALANCE TO 5 $ 5 TAX CREOIT $ .... CD b >Ill M \0 ~ ~ ~ ~ ~ CIl 0 ~ to- 1 .... ~ Z I.:i I.:i .... 0 ~ ~ .... ~ r>I .... 'tl rJ> fi ~ ;::l . CD ..:I :c ::l M ~ 01 < .-l i i ~ ~ M ... CD ~ 4' ~ Z ~ In ~ 0 - lo. 4' lo. ... 0 ~ 0 '-' lo. lo. !-< 0 '" 0 z 0 rJ> I.:i '" ~ !-o 0 ... gj !-o I.:i Z :z: !-o z :l 0 ~ 0 ~ z ~ I.:i I.:i Z Z 0 ;:l U \.:l Z - ~ '" ~ 0 0 < - == I.:i U 0 Po ....l Estate of HAZEL M. SHOVER Date of Death 9/21/80 WHEN CLAIMING THE FAM'l Y EXEMPTION, COMPLETE THE FOllOWING: I~EV.45S Ex+ (J-HOJ COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEOENT Claimant Claimant's t\ddress ~ ITEM NO. OATE NAME OF PA YEE Re ister of Wills The Evenin Sentinel CUmberland Law Jo rnal Ewin Brothers Euneral H9Ire Carlisle Hos ital Carlisle Radiol Associates Masland ASSOciates, Inc. Robert L. Thorn SOll M.D. B A Rice Memorial Works PP&L Company UGI Unit d Tele on Co. Borou h of Carlisle Z. Bender R. MCBennie N. V. Peale O. Roberts B. Graham First I\brld Methodist Church Voice of China The Evenin Sentinel Fr COmmunications, Inc. , SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS _.~---._~..._--- Relationship to Decedent REMARKS Letters Testamentar Advertisin Letters A FUneral E enses Statement Statement Statement Statement Grave Marker Statements Statements Statement t\Tater and Sewer Statement Statement Statement Statement Statement Statement Statement Sale Advertisin Sale Advertising ~\ ---~ File No. 21-80-671 AMOUNT 3 049.00 256.00 114.00 740.00 40.00 165.00 29.12 15.18 25.33 20.38 140.00 150.00 50.00 250.00 250.00 120.00 100.00 129.20 33.65 , GENERAL INHERITANCE TAX INFORMATION 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, attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker, All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being claimed should be attached ta 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 allawable only against assets which pass by a will or by the Pennsylvania Intestate Laws. ["" "" 0 C"l > r:1 > ~ z ;;.- 0 0 t:l ~ Z 0 Z C) n c: t:l ::: t"" t'1 r:1 ;>; Z ;::> ~ 9 - 9 t"" Z Z r:1 ..., r:1 Z 9 9 ..., -< Ul r:1 - Ul Z 0 Ul 0 ..., 9 ":1 ":1 " ~ ~ 0 L. .." c..' ~,_.. - .." I..: ~, ,. 0 - ." r. ':.OJ i.~., Z n ~ - ". ~~~~I > 1/..-.' 'r~ -. 0\ t"" ~ :t:=:; c: '-". ~~ ~t;' C& Ul 0'.- o<L r;j"'- r:1 oc'-' :>:: ,l.. 0(3 :,:~ 0 Uw ~~..L. Z ~a: ~ wG !( 50 -' w -< -< r:1 r:1 ~ > > " " 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, . . Commonw.alth at Ponn'vlva"l. Olpattm.nt of ROVlnUI T,,"lf.r Inharltance TI" "Mldlnt Decedant R....-464 ex... (\.801 SUPPLEMENTAL INHERITANCE TAX RETURN FOR ESTATES WITH GROSS ASSETS UNDER $10,000.00 'j ( I /,.{,J,l . f c' -~. '-" 1 (I""'/~~ Estate of HAZEL M. SHOVER Date of Dealh September 21, 1980 Last Addrass 415 South pitt St. Social Security # 206-36-0320 - Carlisle, PA. 17013 Bureau File # ICIlV) (S,It.) (Zlpl County File # 21-80-671 ~ 1, Decedent died: o Intestate (without a willI I3il Testate liaaving a last will - copy allached) 2, GO Executor/llJeCl)lpQ( o Administrator/Administratrix Name Ted R. Shover Address R. D. 6. Box 195 Carlisle, (City) PA. (Stale) 17013 (tip) 3, All correspondence should be mailed to j@ Attorney 0 Fiduciary. 4. If an attorney is representing the estate, indicate: Address Tom H. Bietsch, Esq. (Bietsch & Horgenthal) 7 Irvine Row Name Carlisle, (City) PA. (Stato) 17013 (Zlpt I REAL PROPERTY _ Identity real property located in Pennsvlvania bV lot and block number, street address and Estimated Include 8 statement 01 mortQage encumbrances as of the date of desth. Market Value I Department Valuation (Official Use Only I Total BENEFICIARIES " BENEFICIARIES ANO AD OR ESSES (State full names and addrusos of all who havo an interMt either vested, contingent or othor inter85t) RELATIONSHIP TO DECEOENT SURVIVED OECEDENT STATE YES OR NO AGE OF liFE TENANTS DR ANNUITANTS AT OEATH OF OECEOENT INTEREST OF BENEFICIARY IN ESTATE c " C n l> m l> :; l> 0 0 C en C Z G) n c C -i s: r- m m ^ Z ::0 ~ 1r. 'llo r- ~I, ~I' m -i m Z -i -< en m u; .11, en 0 -i 0 "Tl ::0 "Tl l> :! 0 <::' 0 z .., '-'J 0'< .., I' e:::: n c. " " j) 1..~.l ,,~ <? 'or r- c:,;:. I "- -< C h.li< ,.. t.Ct.: -< m '" QI' "" 01,." m l> m a:v~ :t: :~~ l> ::0 0- ::0 0 u'" 1"- Z ""W 0::"" - tJJ;:) !( ~ -'u u INFORMATION PLACE FOR FI LING - Tho return is to bo filed in duplicate with the Register of Wills of the county wherein th. decodent rosidod. TIME FOR FI LING _ Tho return is due nine months after the decedent's death, unlllSs an extension for filing has been appliod for and granted by the Secretary of Revenue within the nine.month period. FAILURE TO FILE RETURN - Section 791 of the 1961 Statute providus that ". , . any person who willfully fails to file a return or other roport required of him. . . shall ho personally Iiahle . . . to a penalty of 25% of tile tax ultimately found to be due or S1.000 whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law." REv...n7 EXt (70080) CO~MONWEAL TH OF rE~lNSYLY^NI^ DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX OECEOENT INHERITANCE TAX APPRAISEMENT .* r~~~~)1i ." .'?~~~.!.'t "", .".".:~,~~.../...... , ~ . '",' ,.,.....: ~'... , ' OORIGINAL [21 SUPPLEMENT AL File No. 21-80-0671 ------. -- .-.-.--..-- Estate 01 Hazel M. Shover ... -. ----.------ ...---------- Date of Death _ Sep_~r 21, 1980 Coun ty -_._--~-----_..__.- Cumberland In .h. "v.n' thot any fuMO 'n.mo.t ;n .1.,. .,'oto ;. ',on.r.".d ;n oo.....',n ., ,ni"ym.nt '0 <o/loterol h.;,. .f .h. d.<.don' ol.or .ho ..pi,.Ii.n .f any esto'. ror life ., fe' y..tS, .1.. C.mmenwe.lth her. by .'O,...ly r.'.'VO' the tight .. oPP"". and ...... ...n.f., Inheritance toxoS 01 the lawful collateral rate on ony such future interest. PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH ~.- none Unreported 5 Unreported 5 Unreported $ Unreported $ \ DEPARTMENT'S APPRAISED VALUE $ none $ 481.00 $ nane $ none $ 481. 00 ASSET SUMMARY 1. Total R.ol Prop.rty - 5CH. "A". , , , .. $ 2. Totol P...anal Prop.rty - 5CH. "B". , . , $ 3, Total Jointly Own.d Prop.rty - 5CH. "E" $ 4. Total Transl... - 5CH, "C". , ,', . , .. $ none 481. 00 none o LIFE ESTATE OANNUITY TOTAL GROSS ASSETS OREMAINDER ----- --------.-----.- TOTAL VALUE $ I do hereby certily that the aLove appraisement is made in conformity with Pennsylvonia law and has been filed this day with the Register 01 Wilis. ..L//I'"/":~,,.,.jj May 29, 1981 APPRAISER DATE .. .. .. ... ~ .. ~ i:>:: ~ en <: ... .. .. :z: ~ ~ :> .. 0 >- ~ ,g .... ..; '" '" ~ en '" en .c . ~ ... ;:J i .. .. '" ::l ..... ..... ,..l 0 "' ... <: ..... en .... .. - .. ..... 1 u Z N '" ... ..... - sa ld ..... ld ..... .". '" :t: .". U U ..... ..... O"l '" ~ 0 0 ~ l:- e;: l:- E- 0 Vl 0 Z 0 Vl t.:l Vl >- E- d - z z ~ ~ E- ~ Z ,..l d - ci e;: z ~ ~ t.:l ,..l Z :; Z Q ::> u " z - ~ Vl ~ 8 0 <: - :;:: I:.l Q '" ..l " ~ FIRST AND FINAL ACCOUNT OF TED R. SHOVER, EXECUTOR OF THE ESTATE OF HAZEL M. SHOVER, LATE OF THE BOROUGH OF CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED. HAZEL M. SHOVER DIED ON SEPTEMBER 21, 1980. LETTERS TESTAMENTARY WERE ADVERTISED IN THE EVENING SENTINEL ON OCTOBER 20TH AND 27TH, AND NOVEMBER 3RD, 1980, AND IN CUMBERLAND LAW JOURNAL ON OCTOBER 24TH AND 31ST, AND NOVEMBER 7TH, 1980. ESTATE NO. 21-80-671 DEBITS PRINCIPAL OF PERSONAL ESTATE The Accountant charges himself with items of principal of personal estate received by him, as follows: October 21, 1980: Cash. . . . . . . . . . ", . . . . . , . . . . . . . . . . . . ., ., . . . . . . . . . . . $ 250.00 Checking Account No. 182-832581-9, commonwealth National Bank, Carlisle, PA....................... 1,278.55 Account No. 1215, Carlisle Building and Loan Association, Carlisle, PA............,............ 3,771.60 Account No. 11-00-2909, Carlisle Building and Loan Association, Carlisle, PA......................... 40,000.00 45,000 shares of Temporary Investment Fund........ 45,000.00 3364.467 shares of Lord Abbett Income Fund, Inc., redeemed for...,...................."............ 9,285.93 400 shares of Avien, Inc., common................. worthless 200 shares of carlisle Corp., common, sold for.... 16,150.00 5 shares of Carlisle Fair Association, common, redeemed for...,....................,..,....,..... 4,145.25 22 shares of coastal Corporation, sold for........ 1,034.00 2 shares of coastal International Ltd., common, sold for......,.....................,............. 22.50 2776.798 shares of Delaware Fund, redeemed for.... 40,346.87 25 shares of General Motors, common, sold for..... 918.75 - 1 - I, ,~ :JJ2. r'~<~~ 532 PRINCIPAL OF CONVERTED REAL ESTATE The Accountant charges himself with items of principal of converted real estate received by him, as follows: Real estate premises 415 South pitt Street, Carlisle, PAlO, sold for..........................................................$ 42,000.. 00 TOTAL.......... .............$ 42,000.00 TOTAL PRINCIPAL OF PERSONAL ESTATE.............. ..$204,867.20 TOTAL INCOME OF PERSONAL ESTATE... ................ 13,309.44 TOTAL PRINCIPAL OF CONVERTED REAL ESTATE.......... 42,000.00 TOTAL DEBITS........... .$260,176.64 CREDITS ADMINISTRATION EXPENSES, ETC. The Accountant claims credit for items of administration expenses, etc., paid by him, as follows: Register of Wills, Letters Testamentary................$ The Evening Sentinel, Advertising Letters.............. Cumberland Law Journal, Advertising Letters............ Ewing Brothers Funeral Home, Funeral Expenses.......... Carlisle Hospital, Statement........................... Carlisle Radiology Associates, Statement............... Masland Associates, Inc., Statement.................... Robert L. Thompson, M.D., Statement.................... Beachy Associates, Statement............................ Rice Memorial Works, Grave Marker......... .......................... ...... PP&L Company, Statements............................... UGI, Sta temen ts .. .. .. . .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. . .. .. .. .. .. .. . .. United Telephone Co., Statement........................ Borough of CarliSle, Water and Sewer... ................ Z.. Bender, Statement.................................................................... R. McBennie, Statement............................................................. N. V. Peale, Statement................................. o. Roberts, Statement.......................................... B. Graham, Statement............................................... First United Methodist Church, Statement............... First World Methodist Church, Statement................ Voice of China, Statement..................................... The Evening Sentinel, Sale Advertising. ............. ... Fry Communications, Inc., Sale Advertising...,......... Valley Times Star, Sale Advertising.... . . . . . . . . . . . . . . . . Perry County Times, Sale Advertising... ................ - 5 - l..'.' .j () 1 ,.~;. ..... -- ~I"r: "":'0'. ;'\"''- J'_' 65.00 18.00 18.00 3,049.00 256.00 114.00 740.00 40.00 104.70 165.00 29.12 15.18 25.33 20.38 140.00 150.00 50.00 250..00 250.00 135.00 120.00 100.00 129.20 33.65 8.40 15.00 S. Kling, Auctioneer & Clerks.. . . . . . . . . . . . . . . . . . . . . . $ Commonwealth of PA., Realty Transfer Tax.,.......... Commonwealth of PA., Income Tax..................... Register of Wills, Short Certificates............... Register of Wills, Filing Inventory and RCC......... Register of Wills, Filing Debts and Deductions...... W. H. Newbold's Son & Co., Inc., Securities Sale.... Ted R. Shover, Reserve for Closing Expenses......... Ted R. Shover, Accountant's Commission.............. Bietsch & Morgenthal, Attorney Fee.................. Commonwealth of PA., Income Tax..................... Internal Revenue Service, Income Tax................ Commonwealth of PA., Pa. Inheritance Tax......,..... Internal Revenue Service, Federal Estate Tax........ 423.00 420.00 191.64 15.00 6.00 3.00 353.90 350.00 10,250.00 10/250.00 500.03 2,253.65 12,265.28 16,148.73 TOTAL.... ...... ... .... $ 59,471.19 DISTRIBUTION The Accountant claims credit for items of distribution made by him, as follows: November 21, 1980: Coleen E. Braught, Cash...........................$ 10,000.00 Marybelle Thimgan, Cash............ .... ....... ,... 10,000.00 Linda Seltzer, Cash............................... 10,000.00 Charles E. Braught, Cash.......................... 10,000.00 Joan Knull, Cash.................................................................. Mike Thimgan, note cancellation................... Balance of nonpecuniary bequests in Codicils 1 and 2 to decedent's Last Will and Testament, in kind, inventoried at..................................................................... 250.00 100.00 5,990.00 November 22, 1980: Coleen E. Braught, Cash........................... 10,000.00 Marybelle Thimgan, Cash........................... 10,000.00 Linda Seltzer, Cash............................... 10,000.00 Ted R. Shover, Cash................................ 10,000.00 - 6 - ... .. (J" l:;,.... .i... ..:L :'...i:r t)- .:. " I .~ _. '. .... - - r-I r-- \0 I o <Xl I r-I C\l :c Ii<Ii< l!l 00 is 81>: Il:: Q ZO .0 Z t:If:"i :z c:Q t:t: ... 0::> ..:l"; UU..:l~ Ir. H Ufill>ltI:fil Z ~X NE-<!Xl"; ..:lfil~rz..S ~ ~, OU>< Z P:: Ii< Ul ~g:O~r,;-~ 0r.l";1-l~ ~tI: E-<.-:/ t/) P< Ul<l; H Cl E-< -.-:/ -r.>:I .tJlP:~><Ul E-<P::r.lr.>:l.o:: 1:-<"; tJl :>UZr.>:I !l:Clr.lO ::>U Hr.>:IlI:tt:l'40r.>:l r.,E-<EHJlOUCl '-' ... .E ~ E :: :B ._,~ ~'2 0'(;;; Q.) ~C)8'~uot - g w ,g ~ tl U1 Co) ..... O,.Q cS ~ (:1 .:::A.....Or-.~.E -'"Ot:t:~..c.E - C' ::t CJ ~ i-" en O('Jo~co~ Cl.I C} U'C C) ... c,) ,:! e Ql a: ;;.. r.: ..c ...... . c.l ~ _ O''::'';:}-100.8 c4io~-s:::~ z:::: .... ..... 0 r:=..x ';) .E.g"'d.......~-c> ~ c:J..._ a ... 't:: (1J U '': ~ Vl Q.) ..c J:: t. _ ~ ~ ..... Cl.l""O t:: e.l .::;. ......... ~ .... g r::. ~ dOl-.r~~l-.o~ -:S "d Q, - ~') ~ r: C.l C) 0'::"1 E J:. d ..0 -5 ..!:: 0 "8 't:~~~Q1fcu ~ ::t ~< .... ... tU \..I On" () ;,.. 0 :;:"~8d~~~ , .<:: t) Ul +> <l) '(5 '<'l _I'll t~ d :;;; .... o .... .. " Cl .... o .... '0; .J:l 6 '" ';j . o z ~ ~ Ul r.>:I - :r1T~ )~ 'm /~oo a~l I\'e "4l1M9J64 uOllnqill~ JO GJn .pa4::>s pesodOJd 4.l!M 9':l:Jl.!PJo.:>:;,e Vf pi!la":lap uonnq,.l.}S'!P PUi! r.la~:'ll~ _ P."UII""O ~unoo"v~EbTT~ru.... ~ 11 .g .- - ;.. ..., ...~ .- .' z M 05 ",'" n~ ~;.u N fTl~ . -.. . J.~ C')(.~ .~'. Z ;~;o '-'l!;. .~ -;c-J " ~ ";r'"l ~ Ie-.; '..:;.. .0 . <'.J .' , ;. , '0 " .' ~ 0' Ul l>l .J ( :t I- Z Id 3: ~ S 0: I- o < ~ S z ell ~ :t S u Ul I- Id (II (j 3: ~ o ~~ !;Ili > .J .!OUl ,,:J ~ - m . ' t:\? ~ 1:') w-, <.~ -, c... oM o '\"; ~~ ,.. .~) :':i STATEMENT OF PROPOSED DISTRIBUTION OF TED R. SHOVER, EXECUTOR OF THE ESTATE OF HAZEL ~I. SHOVER, LATE OF THE BOROUGH OF CARLISLE, CUMBERLAND COUNTY, PENNSYL- VANIA, DECEASED. ESTATE NO. 21-80-671 The Accountant proposes to distribute the assets remaining in his hands, consisting of cash in the amount of Thirty-Four Thousand Three Hundred Sixty-Five and 45/100 ($34,365.45) Dollars, as follows: TOTAL.................. .$34,365.45 1- 2. 3. 4. 5. 6, 7. 8. Todd R. Shover, cash..............................$ Scot t shover, Cash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Colleen E. Braught, Cash.......,.................. Ted R. Shover, Cash.............,................. P. Thomas Shover, Cash..........,................. Marybelle Thimgan, Cash........"................. Ronald E. Shover, Cash............................ Linda s. Seltzer, Cash............................ 25.00 25.00 5,719.25 5,719.24 5,719.24 5,719.24 5,719.24 5,719.24 The above distribution is proposed because the Last Will and Testament of the decedent, with Codicils thereto, after bequeath- ing certain personal property, in kind, and pecuniary legacies in the amounts of Ten Thousand Dollars ($10,000.00) to Colleen E. Braught, Ten Thousand Dollars ($10,000.00) to Marybelle Thimgan, Ten Thousand Dollars ($10,000.00) to Linda S. Seltzer, Ten Thousand Dollars ($10,000.00) to Charles E. Braught, Two Hundred Fifty Dollars ($250.00) to Joan H. Carns (formerly Knull), TWenty-Five Dollars ($25.00) to Todd R. Shover and TWenty-Five Dollars ($25.00) to Scott Shover, devised and bequeathed the remainder of her estate to her issue, per stirpes, being colleen E. Braught, Ted R. Shover, P. Thomas Shover, Marybelle Thimgan, Ronald E. Shover and Linda S. Seltzer. The distribution hereto- fore made together with the distribution herein proposed carries out the intent of the Last Will and Testament and Codicils thereto of the decedent, Hazel M. Shover. ~d~ Ted R. Shover , ". ~ . ~ '~''''l. -: l"~ "Irr ...... J 2.. ! .-~..'~ -'0 :)(! - 1 - r-l l"- ID I o GO I r-l N , I>: r.l r.l:> .::<lOr.. OI>:E-t::<lO ' r.l CIl O~ tIlOr.. ::<lZH Or.l 0 .t.!J~Z P<E-t ::;:P ~ o I>: 0 :> I>:r..O...H>::r.lH P<OE-tr.lO~>< P""~::;:tIl r..ZU~ PZ OOr.l::<lr.lUZ H:< ::<l r.l E-t E-t r.l r.. E-t ,p< ZP 0 r.l 0 ffi ~, r.. H 'r.l HI>:r.lOCll><tIl 1>:r.lE-t HE-t~ ~E-t:>~r.lHZr.l ....CIlOE-tE-tI>:PU E-tH::<lCll~~Or.l tIlOCllr.lHUUO 'O"ce.>..'::''O...-.: -..... ~ ':'J S 0 to c~oE ~..- "....0 ~ d 0.'- "E:S '- IU ~ C ~ :::s CU G"CJ a... .... l-t U 0 ~ C r:l. tn ~ U U CI) ~ lU..E _ "'0 U rn .::: ..0 C> 0 '(3 d = -C-..s:::_Q.e)C1) .....O:r_~C-C~ O<';::;:_C.l::1-~+J "::l,,oEc.8~ .~ :t e "0 ~ IV C C1) O.....C3C~;...~~ c::: <~ en d ~ Q) ;;. ~ O~S::'tj.BSc 5"O-.,g'dC:~': :::: (lJ C c: In (lJ C :a ''; ~ :!! '" 0 ,> 0 iil ~c.::;c:.....Q~_ ?'O....c::(f),...vc ..... J.,o c:J c :: C) c.'- ttS P-c t.J 0 C (J J,., = ..s _ -= u',;:: _..., C.) = ~o'C.J,.I;{V~':::e ..... c.;;. t':-o . c"g-_'J,J;; :: c.J -.... C ..:;..- Q)~=S4 C:.-tI U t::;; Co\ ::=: ~ ::. Q t.. >-~:::..~~'-=~O . o Z r.l E-t ~ CIl r.l n 05 c-:.~ r--.:> ","" ~;:-:! ","" f..,g :.~<~ ::x ,';:;0 ~~: ,-, := ~'-::l <:: .~ !'Tl :.~: 1~ ~ ....~ ~- .,':'1 ~J"l: ;" - '.~ tj ',,:: e .J " <( ~ :t w .z: .... ,~tl'Z III "" fJl III ~ 0 lil.r.lC!l:5~!: 1l:,,\ 'D:...CO~ <;c.<:O o:~ C'=1~'; ~:l! E ~ ~~ 4J zs:~ _:::: Q)ctSa:.!cn ~ ~-,Ciil :t ~ ... ~ Ql~,J.l ~ ~ !t~ ~ o g ... ... r/'I a .- 0 III ~=E [:-t- ." 07. m ~.... ;; c ~cn -..=:::'i:-:::~;:- QI CD .s - .... ~ '"= J: g ~ ~.;::: 1:: ......-- "",",,::"'OEE~ aEJ5< . RE V. 13G.AEX 19 831 ~ ACN 202 NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF ACCOUNTS SETTLEMENT P. O. BOX B903 HARRISBURG, PA 17105 OATE OI-.21-'~D ESTATE OF S Ii.~ VfJ~ IIAll:L FILE NUMBER d >J(.l-Obll ,., OATEOFOEATHU'J-Zl-ilu COUNTY C:JHt,Ei,LMILJ NOTE: TO INSURE PROPER CREOIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WilLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO "REGISTER OF WILLS, AGENT." TEa R SHOvER R lJ Q JOX L <J:, CAKUSL!: P,\ L 70 i3 PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE CUT ALONG THIS LINE X-----------------.------------------------------------------------ NOTICE OF OETERMINATION ANO ASSESSMENT OF PENNSYlVANIA ESTATE TAX BASEO ON FEOERAL CLOSING LETTER ESTATEOFSHOVER liAIlL ;,1 NG~gER;:L ~O-0c71 ACN20.! OATEOL-2L-86 ESTATE TAX DETERMINATION 1. Credit For State Doath Taxos as Verified l,t..Q9.Jb 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interost) 3. Inheritance Tax Assossed by Other States or Territories of the United States (Excluding Discount and/or Interest) , :J. ., ,., ~; 1 I . ~)i J l2, 205. Jl 4. Total Inheritance Tax Assessed 5. Pennsylvania Estate Tax Due .00 6. Amount of Pennsylvania Estate Tax Assessed Based on Federal Estate Tax Return .00 7. Additional Pennsylvania Estate Tax Due .00 TAX CREDITS: Payment Date Receipt Number Interest (.) Amount Paid Total Tax Credit '. * If PAID .\F rcK TillS DATE SEE R[VU.~::' SlOr, FUR (;\LClJL.1.T [Oti Uf ADJ iT IIlHt.L IId!:'i:LS r Balance of Tax Due Interest .00 Total Dlle .00 (If Balance Due is less than S1.00 roo payment is required) COpy 2-AEGISTER OF WILLS