HomeMy WebLinkAbout80-00702
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2'-80 702
IlECISTEIl OF \I'II.I.S OF ..,c.~,~,B.~~,~f.\I:I.o............ C:()U~TY
~O.
I'ETlTIO~ FOil 1'1l0BATE OF \1'11.1. A~IJ I.ETmllS OF A\l~II~ISTIlATIO~
Cl'\1 TESTA\m~TO ,I~~EXO
I.ETTEIlS OF ..IIJ\II~ISTB,\TIO~ DE BO:-;IS :-;0:-;
I.E'rrEIlS OF AD\II:-;ISTILITIO:-; DE IIO:-;IS :-;0:-1 CU~I
TEST.I~IE~TO A:-;~EXO
in III(' E,lilh' of ...~.~~.~.~~.~.~~~...~.~....~~.~~~.~.~..............".... dt'l'e.lsetl.
I'l't iti.II1l'r( 1<1. J.\l.~",!?~!?P.J,.~~,...!!~~. :l"()"'!'.!...~;m-",..9..f....~.\1JP,P.~"''i.P.M,,g,....!?~'''n'iy.lx\\f.\:\..<!.
alle~ds) that:
is ;\\1j1l9'
I. Pt.titiolll'r( s) :KK "n'nty-mHo y..ar.. 01 "!!(' III nldt'r and appli('s for Idh'TS of administration
......~.~.!.~~.~"......".."....................................................... in ttll' aho\'(' (.aptimll'd l'sfaft',
2. Del'l,dellt died IIn ...Ih.!!.PH!.<!Y.,....9..9.~.9.J?".,....?J.>..)..9..~9.. al Z.;J.Q...A.,~I. ill the COllnty 01
...~.~~~.:.~.~~.~.~................... Statf' of .~~~.~.~Y..~y.~~~.~.............. at thL' a~(' of .........!.~.............. Yl'ars, having
made ...!!.~:r...... Last \I'ilI and Testament daled till' ....~~.h..... day of .........J.\!.ty........................., A.D: 19.~9....
Wherein ......'in!;!... appointed .....J.~i!,D...Jl.,...I:I;l,~,~he.n,~...i!,D,<;\...O,ay.id...Henx:y..................... Exec Mt.Q.l:S,...
Which Exec ..~.~.9.r.~.. If.lI sinl'e ...x.~,\1!?!!.\1.9."A...:!,n..J~y.9.L.9J...r..~.!;:\..~J9.!).~.r..,..........................................
have 011
On ................ day of ............................................. IH......... Letters of Administration Wl'rc grantl'd to ..................
................................................................................................."...............................................................................................
ddxx.
tldxKl!%.ll.
3. Leth'rs uf Administration c.l.a. an' IIl'cded hl'c:.ltlsc' ....9.t"..~h~...f,I;~.c;U::glll.~J:\~.!Q[l,~.g.................
xllil\ll~
.!:.~~.~~~~.~.~~.~.~...~.f....E.~.~...~.~I!!!:'.~...~~.~.c::~.~.'?E~.. and pl'liliuner(1f) appiies in .....g.'!.......... l'apaeity "'
.\\!?P.\!.\\~.~...!?t...!;n"...~.;1J.g...[l.mn"'.g...~l!.~.~M!;.9.:+.!l.. .
4. Dect'dl'nl diNI domidlcd in .....?.~nP:~.Y..~y.~n!~""....."........" with his last family or principal
(state I~ countr\')
residenee at .....~.~9....~~~.~.~...p.E.~~.~.~...~.~.7.~!:.~.!....~...:!:p..p..~~~!?!-,l~Jh...~.~~~.~Y..!.~.~~!.~...!.?f.;??.............
\\';is ,,,'as
5. (\\'here dccedt.nt died testate) Decedent was not milrried .Hul a child was not horn to or
adoptt.d hy decedent after ('Xl'cution of the will (ami when' applimnt is allt'gcd spouse) nor w:\s decedent
divorced from "pplicant afteT execution of will and at death.
6. The s,lid ueccd('ut was posses'icd of Coods. Chattds, Rights and Credits to the estimated
value of $..}9.>.9.9.Q.,..qQ..... lInd of Ileal Estate. to the estimated value of $A9..,.Q.Q9..:9..Q....... as near as
can he ascertained. ThOll the said Heal Estatl' in so far as known is located in ....~.h.1:p.I?~~~.p..'Hrg,....."....
.'!;9.lf.1J.'ih;!,p......C.\!mp.l:.l:la.D,<;\...C.QMl).tY.,...P.~nDs,y.lyania..................................................................................
i, (\Vhcn~ uee(.dent died intestah' as to any portion of this ('stah.'). Petitioner after a proper
search has ,lscerhlincd that decC'c1cnt was sur\'i\'(.'d hy the following-naml'" persons cntitl(.d to distribution
under the Intestate Act of 1947:
Name Helationship Hesidence
N/A
1. .............................................................................................................................................................................................
2................................................................,.............................................................................................................................
3..............................................................................................................................................................................................
4................................... ..........................................................................................................................................................
5. .............................................................................................................................................................................................
6..........................................................................................................................................................................................
..................................................................................................................................................................................................
.~ ,;,-,77
Thcrefnn', lll'litiUlll'r(x) rt'~p(,{.tfully applies for (prohatt.> of till' will presl'nh.d hcre\l..oith and '"r-:-~
lor) lellers nf administration .....!;.,.t.,.;!.,.......................................I!!.~...r..~Qr..j..}}?;..~Al);~~I:\........i Lt
Dated: ().c::.~.~.!:!.~.J;,.;i1. .,....1.~~O Si~lled: !lY..L..AIat{.t.AR'i~;;-It..".t:;I~~~~rust Officer
Address; .......P.;1J;....BoX..'9';....ghi:P1>enshuf'g.;....Pa, 17257
fiJo/b
o:l/-cfo-'7-':>... - 11'1'f?-3
c:mt~I():\\\'E.\I.TII OF I'E:\:\SYI.\'A:\IA I SS
..............................................., ,,' ................................ ..... ..........~!!.~~,\l~~!.,I\l'!.P,...... ...............COU:--;TY: ,I .,
.... .......A,l~.I1.., 8.,.."" ,R,i.I1,(!ll,~",t .", ^~,s,~~.~.l1,I1~.. ,.~.~,!l.S.,Lg.r..U.(!,:,,,,.. "."", ,..,...., ,................ II... pO'! il """,r(X)
ill tilt' allow ;ll'pli('.tliOIl, Ill'ill~ dilly ......f?~qJ.n.......... a('t'Clnlill~ I" 1.lw ..ay( 'i) Ihat thc' !'Itatl'mt't1ts ,(.t forlh
ill thb 1lt'litillll aTc' Inlt' 10 11ll' h"'il III . ..)~~_~.......... kllowlt.t1~I' .llIlllll,ht,1. /
.....~.\>I,~,r.I1...,~.'?.....,',...,..,',.,' ",,,\ ",I"'Til".d I...t"", ,..,MA."'....:t:.-i:../?~~..
Alan B, Rinehart, Assistant Trust
':9Ji;;;3:..~=~::" ',,~".=-=-:=
Fih.d,
Altorn(:y's ~;'mc and Address
Hamilton C, Davis
..................................................................................................
..........2.~...~.~~.~..~~.I1.l\...~.~.~~.!:.~.........,...........................
Shippensburg, Penna. 17257
OATH OF PERSONAL REPRESENT A TIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} ss:
Shippensburg
.~J.~!1..!!.:...~~!).\!.I.1!H;.~.... .M!~J.~. !;!'!)).J.. In!,9J...Q.uJ.!;~.J;.. !?.LhJ:t.~ ..r.~.9.P.l,fl~...l).i\l;;J.9.\\?;J... 1l.'il.\1k..l? f petitionerl's)
being duly ..............~.':'.?!:!!.................................. according 10 law do e.9.......... depose and say that as the
administra t.9.h...~...!;.,.aof thn estate of .J::.U~ilb.e.!;o..llA..lie.nry............................................................................
........................................................................................................................................................................................
deceased .......I,t.!L............ will well and truly admini<ter 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.
....~.':'.~~.'.'...~?..................................... and sub<criIJed
before me.
...iJl~~E,7.:........;.(,.J}........~ ........ J" 19..?9.....
..7(fU<;l....e..:.. ..c ~~............................
Register f"
.:.~:...&:~~~~~~tz~~~~..
Alan B. Rinehart, Assistant Trust Officer
............................................................................................
DECREE
Be-it remembered that on the ................................ day of ................................................ A. D., 19..........
f--d--'--' . c. t. '1h . . f "" b.o J.l II ------
Letters 0 A mll11strlll1on 111 t e e"tate 0 ......"",,.~.'il .e.. .. ..... ~jJ.J:y..............~._.-...........................................
....,........................................=::::::~.';;;"'h...",........~.!2.I',!;!)~.~~.9.J:1.~p..t....................................,
Cumberland County, Pennsyl\'ania, d~ea-;;e;f; were granted to :~.~!:..~.<:'.?p.~.<:'.~...~!!.~.~.?!!!!t....~.?I1~...?~........
.~.\\~p.p.I'.l\~n:iy~~...........................~:::-::::-,.:;;.......................................................................
__Witness my hand and oOicial seal the day and ~'ear aforesaid.
.................... ...., .......... ................. ......' .......... 'R~gi;;t~'~""""
McCREA & DAVIS
AnallHUS AT LAW
H[WVILU & SHIPP[NSlUllG
PENHA.
~
'.
lAST \'1ILL l\ND TF,sTlIl'lENT
I, ELIZABETH B. HENRY, a resident of Shippensburg Township, Cunberland
county, Pennsylvania, being of sound mind and rrenory, do make, publish and
declare this to be my Last \'Iill and Testarrent, hereby revoking any and all
IVills by rre heretofore rrade.
I: I hereby direct my Executors, hereinafter narred, to pay all my just
debts and funeral expenses as rray conveniently be done after my decease.
II: I bequeath as follows: to my grandson, Christopher E. Hitchens, the
sum of $1,000.00; to my granddaughter Jeannette H. Dilegge, the sum of
$1,000.00; and to my granddaughter, Julia H. Hitchens, the sum of $1,000.00.
III: All the rest, residue and rerrainder of my estate, be it real, persona
or mixed, of whatever kind and wherever situate, I give and bequeath to my two
children, H. David Henry and Jean H. Hitchens, equally, share and share alike,
provided they survive Ire.
IV: In the event my daughter, Jean H. Hitchens, should predecease rre,
then I give and bequeath her share of my estate to my grandchildren to wit:
Christopher E. Hitchens. Jeannette H. Dilegge and Julia H. Hitchens, equally,
f2. share and share :llike per stirpes.
l:r V: In the event my son H. David Herry should predecease Ire, then I
give and bequeath fifty (50) percent of his share of my estate to his wife,
,
Martha J. Henl:}', provided she survives Ire, and the rerraining fifty (50) percent
of his share of my estate to my daughter Jean H. Hitchens or her issue then
living, their heirs and assigns forever per stirpes.
VI: I hereby nominate, constitute and appoint my son, H. David Henry,
and my daughter, Jean H. Hitchens, or the fl.urvivor of them, to be the executors
McCREA & DAVIS
ATTlIRNns AT LAW
NEWVILLE & SHIPPENSlURG
PENNA.
,
\
of this ItTf Last nill and Testarrent.
~
-
IN I'IITNESS I\'HEREOF. I hereunto set ItTf lli.'r,d and seal to this ItTf Last
\1ill and Testarrent written on two sheets of paper and dated this 8 ~ day
of July, 1980.
~IL~~ 11> ~
Elizabeth B. Henry :t:-
The preceding instw:rrent. consisting of this and one other typewritten
page each identified by the signature of the testatrix, Elizabeth B. Hem:y,
was on the day and date thereof signed, published and declared by Elizabeth
B. Henry, the testatrix therein narred, as and for her Last l'lill, in the
presence of us, who at her request, in her presence, and in the presence of
each other, have subscribed 0
I) ~JLJI C ld:uv.-M)
274
residing at ;k(",/;!i; h
~ ,')
!,./ "
residing at '"'1/' J-h, /. U d )? J-) 7
OATH m' SUBSCRJlIING WITNESS
C IMONWEALTH OF PENNSYLVANIA I ss:
COU Y OF CUMBERLAND \
This day of A.D.,
before me, Regis r for the Probate of Wills and granting letters of Administration in and for said County of C
the Commonwealt of Pennsylvania, personally camc
the subscribing wilt1esses to e foregoing instrllmcnt of writihg purporting 10 be the last Will and T
Datcd _
Cumberland County Pa., dete:sed who being duly
present, and sa~nd heard the tesf'
sign, seal;~blish, pronounce and declare the said
'\ /
TestatrieJ,!t and Last Will, and atth'iti;"e of so doing
", /
was of sound and disposing mind memory and understa!lding, to the be 1st of
knowledge, observation and belief. \,
-', /
and subscribed befor2', /
, /
'./
/"
/ "-
/1 \.-_>,
late of
~
according to law, depose a~aY, that
'"
instrument of writing as and for h
Register
,
/
/
/
)\FFIDAVIT OF DEATH
./
COMMONWEALTH OF PENNSYLVA~!,il ss:
COUNTY OF CUMBERLAND / \
/
\\
'.
""
being duly
,/
/
says, that as nearly as can be ascertained the said decedent
died on
A.D..19_.
the
day of
at or about
o'clock, _M.
and subscribed this
day of
19,_, bcfore
Register
'"
2'.80 '(102
No.................................
Renunciation and Request
.-----------
[n the Maller of the Estate of .............~~~...!h...!lliNR'i......................................................................................
To .............~....~:.~~......................................................................................, Esq., Register for the Probate of
Wills and granting LeUers of ^dministration for the County of Cumberland, in the Commonwealth of Pennsylvania.
...~...., the undersigned, being the .......n~.q...~:::~~G!,t!;Q~?..p.f....j;))g..~.j;..Wj,J.J...@.g..?;'g~~.\;..Qj;,
of the said Elizabeth B. Hero:y
................................................................................,.................................................................................................................
..................................................................................................................................................................................................
..........................................................................................................................................................................................
..................................................................................................................................................................................................
do hereby renounce ................9.~......................................right to have Letters ......'!::.~~~............................
.......................................................................... on said Estate issued to .............~..........................................................
................................................................................................. ........... ......................, and do hereby request you to grant
the same to ....~~..g~.()p.~~~...~.~!7!.()!)~!...J?~...<?~...?l1.i.p.J?e.I1.5.I?':!r.9.!..X~y.:L~.i.~.....................................
Witness.......9.u.r.....hand!;.......,......and seal..5........... .,this...." ,.........2.t~.......................................................
day of ..........~.+....................................^. D. 19...f30.
Sealed and deli\'ered in presence of
\: ....f2~l..Y...&L'-_.........................._.......
t/
..........................,.................fiz....'.'...........................
../1/ . / / f .
~. ;Y!1.......~.. ..'4(..~...............
\ ~. j;;~1 ;ktr-'-<~'
,.............'.............:........................ .......... (L. S,)
H. Dav~d Hero:y
.............................................. ................(L. S,)
, 'i'"
...........I.,~!~.(,!... .!....N::~~_k~~:................ (L. S.)
()Jean H. Hitchens
............................... ................................................
................................................................(L.S,)
................................................................................
................................................................(L.S,)
................................................................................
................................................................(L.S,)
................................................................................
................................................................(L.S.)
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 reknowledge;
b, The transferee of property upon the transfer of which Inheritance Tax is or may be imposed by the 1961 Statute,
including a trustee of 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 with 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
granted by the Secretary of Revenue within the nine-month period.
4. FAILURE TO FILE RETURN
Section 791 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-Iaw and at the rate of 15% as to all others.
6. PAYMENTOFTAX
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.
a, FILING OF FALSE RETURN
Any person who willfully makes a false return or report required of him shall, in accordance with Section 793 of the
1961 Statute, 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,
NOTE: Compensation paid to an estate representative; namely, an executor or administrator, for services performed
in administering an estate is reportable for Pennsylvania Income Tax purposes. This taxable income item should be
reported on form P A.40-lndividuallncome Tax Return,
"oJO'-..
-:-'
\~
.
McCREA & DAVIS
A.UDIlNUli At lAW
HtN"JILLt & SHIPPlHli8UAG
PtNNA.
IJIST l'IILL AND TFSTl\MENI'
I, ELIZl\BImI B. HENRY, a resident of Shippensburg Township, CuITberland
County. PennsylVill1ia, being of sound mind and rrenory, clo nake. publish and
declare this to b':! ~ last \~ill and Testanent, hereby rewking any and all
Hills by rre heretofore made.
I: I hereby clirect %' Executors, hereinafter narred, to pay all %' just
dE'.bts and funeral eXpenses as nay conveniently be done after %' decease.
II: I bequeath as follows: to ~ grandson, Christopher E. Hitchens, the
S\.Dl\ of $1,000.00: to ~ granddaughter Jeannette H. Dilegge, the sum of
$1,000.00: and to ~ granddaughter, Julia H. Hitchens, the sum of $1,000.00.
III: All the rest, residue and rerrainder of %' estate, be it real, persona
or mixed, of whatever kind and wherever situate, I give and bequeath to %' two
children, H. David Henry and Jean H, lIitchens, equally, share and share alike,
provided they survive re.
IV:
In the event %' daughter. ,lean H. Hitchens. should predecease rre,
,
~
.-i
.....
then I give and bequeath her share of my estate to my grandchildren to wit:
dlri.stophcr E, Hitchens, Jeannette H. Dilegge and ,lulia II. lIi.tchens, L'CjUillly,
~.(
,
share and share alike per stirpes.
V: In the event %' son H. David Henry should predecease rre, then I
1.\-
,."t
;.
give and bequeath fifty (50) percent of his share of %' estate to his wife,
1,l3rtha J. Henry, provided she survives Ire, and the renaining fifty (50) percent
'-.J
'"
of his share of my estate to ~ daughter Jean H. Hitchens or her issue then
living, their heirs and assigns forever per stirpes.
VI:
I hereby nominate, constitute and appoint %' son, II. David Henry,
and my daugh ter. Jean Ii. Hitchens, or the s.urvi wr of them, to be the executors
,-
I
of this my Last Ilill and Testarrent.
IN I-IITNESS HIIEREX:lF, I hereunto set mf lli.'r,d and seal to this my Last
\'11.11 unci 'r"stun'Cllt wri.tten on two sheets of paper and duted this 8 ~ day
of July, 1980.
I" .
~<L~n, "B 1-Lv,~
Elizabeth B. Henry
The preceding insturrrent, consisting of this and one other typewritten
page each identified by the signature of the testatrix, Elizabeth B. Henry,
was on the day and date thereof signed, published and declared by Elizabeth
B. Henry, the testatrix therein na.rred, as and for her Last 1'lill, in the
presence of us, \'1ho at her request. in her presence, and in the presence of
as witnesses hereto.
residing at 14-(",...;/;) h
I
",
residing at,.<,/)>y, , ;17.. /. ./\ J?:t i'l
,f' J. i (.
./ /
/ {I ..i. \ .j' J','
McCReA & DAVIS
ATlORNtn AT LAW
Nlt:VlLlt & SlllrptN!lIURG
P[NN....
INSTRUCTIONS FOR COMPLETING SCHEDULE "A"
Schedule "A" should include a detailed description of 011 real property located in Pennsylvania
and held solely by the decedent or held jointly with another individual (s) as tenants in common. List the
decedent's percentage of ownership and the estimated market value of the decedent's interest. (Property held
as joint tenants with the right of survivorship or tenants by entireties should be reported on Schedule "E".)
All real estate located in Pennsylvania should be described by lot and block number, street
address, number of acres and general description of land and buildings. Alsa, include the book and page
number in which the deed is recorded and the exact title as indicated on the deed. If the property has been
sold, attach a copy of the settlement sheet. If the property is subject to a martgage encumbrance, include
the name af the mortgagee, date, rate of interest and the outstanding balance on the dote of death and
attach a statement from the mortgagor verifying the outstanding balance.
Property taxes and interest on mortgages as of the date of death, assessments and other
encumbrances should be listed on Schedule "F". Do not deduct them on Schedule "A".
.....
. .
J:moo
rP~Wl111o )1@@rnl1~~~~.ITi-
jJ@roD@~~ro~@
PAUL L. t'OOELSANGEft. &';11 tdlt.'" I1rl1krr
t;U\1r' ARU A. DASIXR, ~'11ILl' ~.:al E.OILl' Urul....f
34 WEST Klr-:G STREET.SIIII'P~:NSllllllr.. I'ENNSYI.V.\NI,\ 172m
TELEPHONE: (7171 fi:I~.4t5.1
November 10, 1980
The Peoples National Bank
East King St.,
Shippeneburg, Pa. 17257
Attention: Mr. Alan Rhinehart. Asst. Trust Officer
Re:Elizabeth Henry ~state
Real Estate: 220 N. Prince St.,
Shippensburg, Pa.
Dear Mr. Rhinehart;
In compliance with your instructions, I, the undersigned, have made an
inspection and appraisal of the 2t story, brick dwelling property sit-
uated in Shippensburg Township at the above address. The structure
contains approximately 2500 square feet living area and has undergone
partial modernization since it's construction more than 70 years ago.
The lot has a frontage of 45ft on North Prince Street and a depth of
175 ft to a 14' public alley at the rear.
In consideration of the present economic situation and the condition
of the property it is my openion that the current market value of this
property would not exceed Fifty-Three Thousand ($53,000.00) Dollars.
If you should have any questions relating to this appraisal please call
me.
Very truly yours,
r;/ .:{{i-J. )"', ,.1 .
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P:Ul L. F~~~~~~, ~feai" Estate!~roker
~ \.,
. SERVICE
· SECURITY
· SATISFACTION
,
,
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Four Qllices Serving AU 01 Franklin and Cumberland Counties. Pennsylvania
m
REALTOR'
:7/ush.erman :JJros.
REAL ESTATE
Shippensburg, PA 17257
Hornlt\
FlIlIn~
~ppr.1,,"I.
InVlIIllllunlM
Coul1!';nllnQ
69 West King St.
717.532-6680
PEOPLES NATIONAL BANK
SHIPPENSBURG, PENNA,
NOVEMBER 12, 1980
Dear Sirs:
I AENOLD S. MYERS do hereby state that I have made an investigation and tlJl
analysis of the Property at 220 North Prince St. Shippensburg, PEllmA, and
I find the Property adequat in size, comfortable in design,solid in conotructioll,
with a desirable location.
I find that it also needs the electrical service updated including new wiroo,
the kitchen modernized including cupboards, a bathroom modernized,also it dOOB not
have storm windows in most instances , the second story woodwork needs paintinG,
and much of the interior needs cosmetic attention.
Also taking into considerationthe condition and sale priceor other Property in
the neighbor hood, I would place the Market Value of this Property with tho land
and improvements thereon including garage and garden shed at ($53,000.--)
FIFTY THREE THOUSAND DOLLARS.
I further state that I have no present or future interest in this Property as
a purchaser, and my inspection was visual, and to the best of my ability tho
evaluations are correct.
RespectfullY au~~ittcd
" .' v~.,."
.6-,-",.t:.i..J!..:- {:l.fi-'S._'-~-
ARNOLD S. mERS '
"
Other Offices in Chambcrsburg, Waynosboro and Grooncostlo
SCHEDULE "B"
PERSONAL PROPERTY
~E'V-~:J'.c.."t \1l"eO)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERtTANCE TAX
REStDENT DECEDENT
(Instructions on Reverse Side)
Estate of F.1; 7." hAth R. Henry
21 -80-702
ITEM
NO.
1 .
2.
3.
4.
! 5.
6.
DESCRIPTION
UNIT
VALUE
ESTIMATED
MARKET
VALUE
1973 Plymouth Scamp Coupe (Appraised val e)
(See Attached Appraisal)
Miscellaneous jewelry items (Appraised
value - see attached appraisal)
Miscellaneous household items and
furniture (Appraised value - see attache
appraisal)
$ 1,175.00
3,724.50
7.
Household contents - Public sale proceed
Cash (Coins and currency found in house)
100 shares Reading Co. common stock
at $8.75 per share
Checking Account #28-611-7 - Peoples
National Bank, Shippensburg
Savings Account #028-611-7-20 - Peoples
National Bank, Shippensburg
(Bal.$8061.97, Int. to 1~23/80 -$62.45)
18,588.20
779.68
1,900.00
875.00
4,573.68
8.
8,1 24.42
9.
Savings Account # 139978 - Cumberland
Valle:y Savings and Loan, Shippensburg
(Bal.1ll81.14, Int. to 10/23/80 -$12.12)
93.26
10.
Certificates of Deposit - Cumberland
Valley Savings and Loan, Shippensburg (2)
#14-707800 _ $16,000.00, Int. to 10/23/8
$458.1 6
#08697717 _ $20,000.00, Int. to b/23/80
$484.90
Refunds: Safety Deposit
Forest Park Nursing Home
Readers Digest Asso.
L. Fogelsanger Ins. - Auto Ins.
Policy No. PAP31256404,USF&G
L. Fogelsanger Ins. - Homeowners
Ins. Policy No.NE3301711, USF&
Capital Blue Cross
Medicare
1 6 ,458 . 1 6
20,484.90
2.50
350.82
2.31
149.00
68.00
14.45
9.60
11 .
TOTAL $ 77,373.48
If additional space is necessary, use Bl," x 11" sheets,
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DEPARTMENT
VALUATION
(OFFICIAL USE ONL Yl
608 W. KI NG ST.
SHIPPENSBURG,PA. 17257
717,532.4136
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Appraisal of Personal-~perty of_ihe ~stute of_~abeth B. Henry, dec'd.
Location _ 220 North Prince Street, f3hipponsburg, Pa. 1725'7
Appraiaal Date - October 28, 1980
Attorney - McCrea & Davis
Appraisal by - Daniel D. Hersho:!, Aact ioneer
Sectional gold frame wall mirror $']" 50.0g
Walnut oval 4- leg extension table w/2 extI'o boards ( c.h.:,,,) 200.00
Set of 5 matching walnut finish dining room chairs @ ~~.OO~.'~' 175.00
Oak 4 shelf book case w/double glass doors w/small door. & drawers 225.00
Grandfather's time & strike EXllll~X calendar clock w/flO~ler & dove
. design on face(Goodwin Jewelers, Des Noinse, Iowa # 158218)
Coffee table w/multiple color green marble top
Small ottoman
, Drawer cherry finish sewing cabinet
BrasS floor light(reproduction)
Reproduction sofa
Walnut finish cane seatei arm chair
,Captdn's plank botton:. chair(:narked on bottom' H.B.)
. Small softwood stand
Small wall picture
Wall picture
water & tree scene wall pic cure
Small wall picture
2 Small table lights ~ $ 5.00 ea.
Planter base brass light
Small Maganavox record player
Wing back living room chair
Cherry finish end table
Copper base table light
Small kerosene lamp
Living room platform rocker
'Approx. 18" l'lagnavox table model b. & w. tel,evision w/ stand
Small Seth Thomas shelf clock
Hixed woods 2 pc. dutch cupboard \~/double doors over, , drawers in
center & double doors on bottom
Dark finish sheet music cabinet
Cherry finish reproduction plank bottom settee
Gold frame wall picture .
:Jark finish :'la50n & Hamlin upright piano & stool(older model)
Metal food warmer
2100.00
25.00
8.00
-:r+. 55.00
20.00
75.00
,0.00
65.00
25.00
5.00
12.00
8.00
5.00
10.00
10.00
15.00
"J"+. ,5.00
12.00
25.00
15.00
25.00
45.00
25.00
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Pa!'!) 2
May tag elec. clothes dryer
Small kitchen utility cabinet
Flat top trunk
S:nall basket
Double door wardrobe
Metal kitchen utility cabinet
5 Foot aluminum step,ladder
1862 Tower # 25 cap & boll rifle w/bayonet(ramrod missing-fair cond.)
Charcoal grill
5 Gallon crock
7 Gallon crocks(some cracked) @ 3 2.00 ea.
Small work table
Canning jars
Misc. common bottles
2 Child's sieds @ $ 3.00 ea.
Wooden wall towel rack
Oak rung back side chair
Small stand
4 Pc. dark finish bedroom suite w/flower design & spring & mattress
Wooden double door wardrobe
~ark finish cane seated choir
Small stand
"'arble base table light
Maple single bed complete w/spring & mattress
Tin map tube
Com:non books of various kinds
Maple finish plank bottom chair
Victorian type side chair
Early American type hide-a-bed
Wicker stool
Table light w/brass coffee pot base
2 Miniature Swiss music boxes @ $ 8.00 ea.
Dark finish revolving book shelves
Small wicker trash baslet
Reproduction cherry finish low slant front secretary desk w/4 drawers
3 I1isc. common table lights @ $ 3.00 ea.
wall painting by H. Henry
Small wall picture
Oak frame wall picture
Wall mirror
('
;)
50.00.
10.00
5.00
6.00
10.00
8.00
10.00
2l0.00-V
3.00
10.00
14.00
7.00,
5.00
6.00
6.00
15.00 J
45.00
5.00
375.00
25.00
10.00
20;00
20.00
55.00
10 .OOT
120.00
25.00.
25.00
95.00
5.00
30.00
16.00
50.00
5.00
225.00 J
9.00
20.00
5.00
8.00
15.00
side refrigerator/freezer
kitchen
-
Pap;e 3
Walnut stand w/brown marble top
Small dark ~inish.oval gate1eg table
Wooden coffee mil~ w/drawer
Victorian type walnut carved back sofa
Oak captain's chair
Living room platform rocker & ottoman
Small round plank top stool
Gold Medal wood, coal & gas range(gas burners
!'Iagic Chef 40" kitchen gas range~older model)
May tag automatic washer(older model)
Small Zenith AM-FM table model radio
4 Pc. chrome breakfast set
Round plank top kitchen stool
Frigidaire Gemini 159 side by
Misc. pots & pans in pantry &
Common dishware in kitchen
Common tableware(1MXx forks, knives, spoons,
Small walnut slant top desk w/drawers & door
Small oak stand
Small dark finish stand
Open front 2 shelf bookcase
Matching pair of raised enamel flower design
Flat top trunk
Small stool
Small oak stand
Small oak stand
Set.o~ 6 oak dining room chairs @ $ 12.00 ea.
Maple side chair
Misc. porch & lawn furniture
Roll-a-way bed(frame only)
El~ctrolux vaccum cleaner(complete)
9' x 12' Oriental type rug (shows wear)
9' x 12' Oriental type rug (shows wear)
9' x 12' Oriental type rug (shows wear)
'Common throw rugs of various kinds
Reproduction cast iron boot jack
Maple plank bottom side chair
Curved front oak dresser w/mirror
\I
.
75.00
125.00
j) 25.00
'T+. 450.00
T 45.00
J 45.00
10.00
100. 00
30.00
40.00
10.00 .
22.00
20.00
220.00
50.00
35.00'
25.00
225.00
J 15.00
8.00
8.00
missing)
etc)
on end
vases(approx. 10" hiGh)
@ 1) 3.00 ea.
16.00
15.00
5.00
20.00
15.00
72.00
18.00
~
-'~dO
125.00
45.00
60.00
175.00
75.00
5.00
25.00
95.00
"
:.D
..
Pap;e 4
Jak wash stand (towel rack missing)
Double oak bed w/spring & mattress (cut down)
Frigidaire 8000 btu window air conditioner
Belt driven elec. window fan (2a~
Dark finish 3 drawer low chest of drawers
Small, marble base table light
Globe map'of world
Panasonic AM-PM clock radio
Barometer
Oak ~ drawer file cabinet
Tredle type sewing machine
Misc. wall pictures & frames
Oak dresser (in' rough),
Oak library table (in rough)
Oak pigeon hole filing desk
Small stand
~amel back trunk
Oak arm rocker (in rough)
Bowl for bracket kerosene lamp
Camel b~ck trunk
';Ticker hamper
Oak rocker (in rough)
Cane ,seat & back walnut rocker
Dar~ finish side chair
Dark finish swivel desk cUair
Arm rocker w/spiral posts
Plank bottom kitchen chair
Small soft seat
Flat top trunk .
Double door metal wardrobe
Cedar blanket chest
Cane seated ch~ir
Walnut white'marble top dresser w/mirror
Dark finish softwood curved front bureau
Metal double bed w/spring & mattress
Small metal base cabinet
Maple plank bottom side chair
Softwood nigbtstand w/drawer
Wooden wardrobe w/sliding doors
4 White marble base candle holders @ $ 5.00 ea.
11 J 105;00
-
75.00
50.00
25..00
, 45.00
15.00.
15.00
15.00
10.00
15.00
25.00
45.00
25.00
20.00'
55.00
3.00
25.00
15.00
20.00
25.00
25.00
5.00 '
25.00
10.00
20.00
12.00
10.00
10.00
5.00
12.00
:T 65.00
12.00 :
250.00 ;
60.00 :
25.00
5.00
25.00
25.00
25.00
"T 20.00
.
.
...,
Pap;e 5
Small German china clock # 2640
Common misc. costume jewelry
Dishware in cupboard in dining room
Wall shelf in dining room
Various types of dishware in china clo~et in dining room
Vooden 7 ft. step ladder
IUsc. lawn & garden tools
2 Pair of ice tongs @ $ 2.00 ea.
Appraisal total
-:::i... +e.;o.A-S */<:.<?-<o- " (0... k i AJ.... :
JJ!AH-. I.f. H',fcJ.."_.H
J+.j)CMJ-' tk 1f-e.Nd
-rc...k~...... JO"I'-+I'd
-7
- Y.
- Tt.
It
40.00
65.00
125.00
75.00
175.00
7.00
20.00
4.00
;) 10,173.00
~ ;s---;;iE~L;Y /.Jss<l- Ta0;;-()f.Ir~
.
THE PEOPLES NATIONAL BANK, SHIPPENSBURG, PA. 17257
10+6-/$ "'" S}..H:TI
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paee 2
SAFE DEPOSIT ooX INVENTORY
nstructions: 1 CASH: Report total only. 2 STOCK: List in detail every coDmlOn or
preferred certificate, warrant or other rights found in box. Stocks are to
be designated by nome 01' company, certificate number, date of certificate,
name in which stock is registered, number of shares and class of stock.
(3) OBLIGATIONS of U.S. GOvERNMENT: Number 01' pieces, dates of issue, face
value, names in lIhich registered. (4) BONDS: Designate by name, amount,
serial number, or otherwise. (5) SAVINGS BANK or PASS BOOKS: State name
of depositor, number of book, last date appearing in book, name of bank and
branch, and balance. (6) Jl>i'lELHY, COINS, STAMPS, MANUSCRIPTS. ETC.: List
and describe as fully as possible. (7) List Deeds, Mortgages, Current
Insurance policieB or other evidence 01' indebtednBBS 8 All other contents
1) n"ne
2) none
3) n"ne
4) none
5) nl""\ne
6) none
7) n'"'ne
8) none
And now this ~ day of N"vember
certi1'1 under pBnalty of perjury that t.h" above record
to the best of lI1:f lmowledge and belief.
, 19~, I hereby
i.s correct and complete
" -- /
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1/ '/ ~.. ,'~:. /---:-I/"j.,~ ',' ~ 4 "'~{./
SigJ'l!l.t11r"
A 1 an B. j!WJlehart
Print Name and Title
NOTE: UOB separute she~t~ if necB9sary.
Peoples National Bank
Shippensburg, PA 17257
REV.'''2 EX+ U.ao)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERtTANCE TAX
RESIDENT DECEDENT
SCHEDULE "C"
TRANSFERS
Estate of R';?:~hAth R. Henrv
21-80-702
INSTRUCTIONS:
1, Answer tlle 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," "8," or "E," its estimated market value at date of death, dates of transfer, to \\110m transferred and
relationship of transferres to decedent. Allach a copy of any trust, deed, or instrument relating to the transferred property,
ITEM DESCRIPTION ESTIMATED DEPT, VALUATION
NO. MARKET VALUE {OFFICIAL USE ONL Yl
NONE
TOT AL .~ ~.....~
, .
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If additional space ,s necessary, use BYz x 11 sheets.
QUESTIONS CONCERNING PROPERTY TRANSFERS
I. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No".) NO
2, Did decedent, within two years of death, transfer property from himself/ herself to himself/herself and another party
or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) -1:ill...
3, If the answer to one or two above is "Yes" 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 certi ficate.
c. Affidavit by the attending physician indicating the state of decedent's health at time of transfer.
d, All other information supporting nontaxability of transfer.
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Yes" 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 of disposition? (Answer "Yes" or "No".) N/ A
b. What was the transferee's age at time of decedent's death? N/ A
5. Did decedent in his/her lifetime make any transfer without receiving 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 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 tllerefrom?
(Answer "Yes" or "No",) NO
6. If the answer to five b, above is "Yes," was the right reserved in decedent alone ( ) or decedent and others ( ). NI 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 change, because of
a reserved power to al ter, amend, or revoke, or whi eh could revert to decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No".) NO
9, If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved
in the decedent alone ( ) or decedimt and others (). N/ A
REV-454 (l.SO)
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
~,
~1
SCHEDULE "E"
JOINTL Y OWNED PROPERTY
(Instructions on Reverse Side)
Estate of Elizabeth B. Henry
21-80-702
P
TOTAL E VALUE OF DEPARTMENT
ITEM R
OEseR I PTION MARKET C DECEDENT'S VALUATION
NO. VALUE E INTEREST (Official Usn On(y)
N
T
NONE
TOTAL THIS PAGE /l1.A'1 L(.. .,....,"\....-(.'-J.~
~
/~b
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
Schedule "E" must include all property, real and personal, owned by the decedent jointly with another
party or parties as joint tenants with right of survivorship. 80th tangible and intangible property are to be
included. List real estate first.
1. Describe all real property as indicated in the instructions for Schedule" A". Describe all personal property
as indicated in the instructions for Schedule "8". Include the name, address and relationship to the
decedent of the co-owner (s) and the date the joint ownership was established.
2, Indicate the total market value of the jointly owned property.
3. Indicate the percentage of the decedent's interest.
4. Indicate the market value of the decedent's interest.
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; ~:(:r:;\;;"'~;"::k':"'";:''''::''' " ' , COMMONWEALTH OF PENNSYLVANIA '
'4 f~o;K:k29653:<,' ' , DEPARTMENT OF REVENUE '
. (:,(t.::, ,', ,'OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
.-
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=
,
~ RECEIVED
,j fROM
f-'. ADDRESS 22 S. High Street
TAX AT 6%
TAX A1 15%
.
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Hamilton Davis. Esq.
PeD lea National Bank
TAXAT_%
ESTA1ETAX
Newville, PA
'--~f~~Tg[~i.~~TiON7--o;t-~b;~--ii~-i980-----
TOTAL TAX CREDIT $6,599.'98
ftLE NUMBER
21"80=702
LESS DISCOUNT
PLUS % INTEREST
tFROM TO_I
DATE OF PAYMENT
July 16. 1981
Elizabeth B. Henry
C umber land
TOTAL AMOUNT PAID $6,599.98
NAME OF DECEDENT
m
m
COUNTY
-- -- ---------------------
.----------
POSTMARK DATE
: REMARKS'
~
fi ,~~&'-cJ
SIGNATU
"PAID ON ACCOUNT"
/J IUL-cJ
, (!
SEAL
RECEIVED BY
t
REGISTER OF WILLS
------
----
-----------
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I
J
55:
___l'l1.j)_ P '::.oRl_e)3 N aJ;.i.on.!l1 J?~nk _0 f., ,Shi ppen s bur.g ,Janna y_lllaniB------------
being duly swo~_____ accerding to law, deposes and says that ;ill[.it is the --
Administrator C..1'...l\....,_________ ef the Estate of ElizabAth B. HAn~
I.te of Shiooensburg: Township , Cumberl.nd County, P.., dece.sed .nd th.t the
within i! .n inventory mado by ___, ____,_i.1;_ ,.__ - , tho s.id-Adm...-C. T .A.
of the ontire ost.te of said decedent, consisting of all the person.1 prop..ty .nd real est.te, excopt re.1 ostate outside
the Commonwe.lth of Pennsylvania, and that the figures opposite each item of the Inventory r.present it's f.ir v.luo
.s of tho date of docodent's death. The Peoples National Bank
of Shippensburg, PA
l2Y: dL~ j3. /d~ Lv
Kiici\it6iC.. Adminidrator c. T . A.
,
~hip2ensburg. PA 172~7
Addr."
and subscribed beforo me,
P. O. Box 9
, j'
fllZ/.[::ill [! r:-r-ril I':)'''''''' q.
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. . J., /. J.
My Cc;;:,...,,~_..1I Crill; S~f:' 1:'/1 '03
o.t. of O.ath
23rd
O.Y
October
Month
1980
Vu,
INSTRUCTIONS
I. An inv.ntory must be filed within three months after appointment of p.rsonal reprosentative.
2. A suppl.ment inv.ntory must be filed within thirty days of discovery of .ddition.1 ....ts,
3. Additional shoets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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Inventory of the real and personal estate of
Elizabeth B. Henry
deceased.
Renl Estate: House and lot of ground situated in Shippensbur
Township, Cumberland County, known as 220 North Prince St.,
Shippensburg, PA, and recorded in Cumberland County Deed Book
"L", Volume 15, Page 317. (Appraised value)
Personal Property: 1973 Plymouth Scamp Coupe (Appraised value)
Miscellaneous Jewelry items (Appraised value)
53,000
1,175
00
00
3,724 50
Miscellaneous household items and furniture (Appraised value) I 1,900 00
Household contents - Public sale proceeds \ 18,$88\ 20
Cash (Coins and currency found in house) I 779 \ 68
100 Shares Reading Co. common stock at $8.75 per share I 875\ 00
Checking Account #28-611 -7, Peoples National Bank, Shippensburgl 4,573l 68
I
Savings Account # 028-611-7-20, Peoples National Bank
Shippensburg, Bal. $8,061.97 + Int. to 10/23/80 - $62.45
Savings Account #139978^ Cumberland Valley Savings & Loan,
Shippensburg, Bal. $91:14 + Int. to 10/23/80 - $12.12
Certificates of Deposit (2), Cumberland Vplley Spvings and
Loan, Shippensburg
#14~707800 - Prin. $16,000.00 + Int. to 10/23/80 -$458.16
# 08697717 _ Prin. $20,000.00 + Int. to 10/23/80 -$484.90
Refunds and Miscellaneous:
Safety Deposit Box rent - Peoples National Bank
Forest Park Nursing Home
Readers Digest Asso.
L. Fogelsanger Ins.
II II II
_ Auto Ins. Policy #PAP31255404,USF&G
Homeowners Ins. Policy #NE3301711
USF&G
Capital Blue Cross
Medicare payment
Total
8,124 42
93 26
1 6,458 1 6
20,484 90,
2 50
350 82
2 31
149 00
68 00
14 45
9 60
I
$ PO,373 48
INFORMATtON
To insure proper credit to your account, thu name 01 tho estate and fdo numbor should be clearly print-
ed on the check or money order.
This assessment is made in accordance with Section 708 of the Inhcri1iJnce and Estate lax Act of
1961 (72 P.S. ~ 2465.708).
To tho extent that inheritance tax is paid within three (3) months after the death of the decedent. a
discount at live (5) percent is allowed (72 P.S. 9 2485.7161,
Inheritance Tax. other than tax on a future interest. is duo at the date of the decedent's death nod becomes
delinquent at the expiration of nine (9) months after the decedent's death (72 P.S. ~ 2485-711). Inheritance
Tax on a future interest is payable within three (31 months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. S 2485.712). Calculate interest from the delinquent datu shown
on the face of this form to the date of actual payment using the following interest table:
---------------------------------- ------------- - - --- - --- ---------- -- -- - ----
, month .005 4 months .020 7 months ,035 10 months .050
2 months ,010 5 months .025 8 months .040 11 months .055
3 months .015 6 months ,030 9 months ,045 12 months .060
1 days .00017 11 days .00186 21 days .00352
2 days .00034 12 days ,00203 22 days ,00369
3 days .00051 13 days .00220 23 days .00386
4 days .00068 14 da'is ,00237 24 days ,00403
5 days .00085 15 days .00250 25 days ,00420
6 days .00101 1/; days ,00267 26 days .00437
7 days .00118 17 days .00284 27 days .00454
8 days .00135 18 days .00301 28 days .00471
9 days .00152 19 days ,00318 29 days .00488
10 days .00169 20 days .00335 30 days .00500
- - --------- ---------- -------- - --- --- - ---- -- - --- -- -- - - - ---------- ------
Any party in interest. including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (601 days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961 (72 P,S, ~ 2485.1001),
Make check or money order payable to:
"Register of Wills, Agent"
Mail to Ihe address listed below:
GENERAL INHERITANCE TAX INFORMATION
-
Unsatisfied liabilities incurred by the decedent prior to his/her death ore deductible against his/her taxable
estate. In addition to debts incurred by the decedent or estate, other items ore claimable including the cost of
administration, attorney Ices, fiduciary fees, luneral and burial expenses including the cost 01 0 burial lot, tombstone
or grove marker and other related burial expenses.
All debts being claimed against on estate ore subject to the approval 01 the Register 01 Wills with whom the
Inheritance Tax Return is filed. Evidence ,to support the decedent's or the estate's liability for the debts being
claimed should be attached to this schedule.
A lamily exemption may be claimed by a spouse 01 a decedent who died domiciled in Pennsylvania. If there is
no spouse, or il the spouse has lorfeited his/her rights, then any child of the decedent who is 0 member 01 the some
household con claim the exemption. In the event there is no such spouse or child, the exemption con be claimed by
o parent or parents who ore members 01 the same household as the decedent. The family exemption is allowable only
against assets which pass by 0 will or by the Pennsylvania Intestate Laws.
NOTE: Compensation paid to an estate representative; namely, an executor or administrator. lor services
perlarmed in administering on estate is reportable lor Pennsylvania Income Tax purposes. This taxable income
item should be reported on lorm PA.40.lndividuallncome Tox Return.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
,
GENERAL INHERITANCE TAX INFORMATION
-
"
Unsatislied liabilities incurred by the decedent prior to his/her death are deductible ogainst his/her toxable
estate, In oddition to debts incurred by the decedent or estote, other items ore c1aimoble including the cost 01
odministration, attorney lees, liduciory lees, lunerol and buriol expenses including the cost 01 a buriollot, tombstone
or grave morker ond other reloted buriol expenses.
All debts being c10imed ogoinst on estate ore subject to the opprovol 01 the Register 01 Wills with whom the
Inheritonce Tox Return is filed. Evidence.lo support the decedent's or the estate's liability lor the debts being
claimed should be attached to this schedule.
A lamily exemption may be claimed by a spouse 01 a decedent who died domiciled in Pennsylvania. II there is
no spouse, or il the spouse has lorfeited his/her rights, then any child 01 the decedent who is a member 01 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 01 the same household as the decedent, The lamil y exemption is allowable only
against assets which pass by a will or by the Pennsylvania Intestate Laws,
NOTE: Compensation paid to an estate representative; namely, an executor or administrator, lor services
perlormed in administering an estate is reportable lor Pennsylvania Income Tax purposes. This taxable income
item should be reported an lorm PA.40.lndividuollncome Tax Return.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. II the lamily exemption is being c1oimed, indicate the claimant's name, address and his/her relotionship to
the decedent. Enter "Iamily 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 ond/or paid.
4. Enter the nomes 01 eoch payee.
5, Provide a brie{ explanation in the remarks column lor each debt claimed.
6. Enter the amount 01 each debt being claimed.
7. The lorm must be signed by the person who has assumed the responsibility 10, paying the debts.
IF ADDITIONAL SPACE IS NECESSARY USE BYz" x 11" SHEETS.
COMt,\ONWEAL TI1 OF PENNSYLV"'''''
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
~
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REV..4Ei7 EXt 17-4101
Estate of
I>lillabeth_B._ Henry_,
.---. -_..- . ------------
o SUPPLEMENTAL
File No. ____.21-80~0702
G10RIGINAL
Coun ty
c.umberland ------
~-_.__._._-- ---------
Dote of Death ~_ctobeV_3_,_19.aQ
In the event that any futuro inll:tuSt In this eslolC' is trollsferrtld in posscnion or enjoymenf '0 col!alClrDl heirs of tho decedent after the
..pt,atlan of .ny a.t.t. f., III. ., I., Y'.'" .10. C.",,,,.nw..t.h h."hy ..p,a"ly '.'0""' .10. ,tght ,. app,.i.. .nd ...... "an' f.,
Inheritance tauS at the lawful collatoral rofu 011 any such fuluro interest.
_..-
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
-----------.
ASSET SUMMARY
DEPARTMENT'S
APPRAISED VALUE
1, Total Real Property _ SCH. "A". . . . .. $ --53,000.00
2. Total Personal Property - SCH, "B", , . , $ ~-r313-,4R
3, Total Jointly Owned Property - SCH. "e" $ ~nn"
4. Total Transle,s _ SCH. "C". . .'. . , .. $ ---NoD"
Unreported S
Unreported S
Unreported S
Unroported S
$ 53,000.00
$ 77, 17". 4R
$ ---1:Ilme
$ None
$
130,373.48
o LIFE ESTATE
DANNUITY
TOT AL GROSS ASSETS
OREMAINDER
---"-' ----.
.---------- --------
TOTAL VALUE
$
I do hereby certify that the above appraisement is mode in con far 'ty with Pennsylvania low and has been filed this
doy with the Register 01 Wills,
--'-- ..--" - _._---~-- -- ...--
L~
September lR, 1981
DATE
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REV-414 EX+ tHO)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
File Humber
28l.o~02
REPORT OF INHERITAHCE TAX APPRAISER
[1] Odginal
o Supplemental
o Remainder
I, the undersigned duly appolnled Inhe,ltance To. Appraiser in and lor Ihe Counly 01 ~berl"fcrl
Pennsylvania, do resp.clfully report Ihat I have app,alsed Ihe real and porsonol plOperty as reparte in Ihe orogolng
retum at the valu.s sel farth opposite each ilem In Ihe losl column to Ihe righl In 5 edules "A", "B", "C", and "E"
Estate Home
ElizabetiLB._.Hewy
Date of Death
Or.tobe~,__1~80
Sociol Securi ly Humber
182-2<?~8:l0!l
Doled: Seotember 18, lQRl
INVENTORY
VALUE AS APPRAtSED
I I
CODE
R..I Prope,ty (Seh.dol. A)
P.rlonal Property (Sch.dule 8)
J.tnl.H.ld Pr.p.rty (Seh.dol. E)
Tron.f.r. (Sch.dule C)
$
No
TOTAL GROSS ASSETS
130,373- .!IS
Leu D.bts and Deductions
(SCH EDULE F)
CLEAR VALUE OF ESTATE
OLlie Estol.
o Annuity
~
FACTOR
FOR IISE OF REGISTER ONLY
Tax on $
6'.
..
15':;'
Tax on S
Tax on $
Tax on $
Tax on S
Exemptions
Total Estate
TOTAL TAX
tNTEREST FROM
BALANCE
TO
Less Credits
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
S
+ S
+
tNTEREST FROM
BALAllCE DUE
ADJUSTMENTS
(HARRISaURG USE ONLY)
00+
10+
211+
30+
40-
PRtNCI PLE
CODE
INTEREST
S
BALANCE
TO
S
S
S
REMAtNDER APPRAtSEMENT
CODE
92+
93-
VALUE
CODE
I
COMPUTATION OF TAX
S
S
S
S
s
S
S
S
TAX CREDIT
=
s
=
NCC'72 Ig-UI
*'
COMMOIlWEAL TH OF PEIlIlSYLVAIlIA
OEPARTMEIlT OF REVEIlUE
BUREAU OF COUIlTY COLLECTlOIlS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
DATE 1I11(/1I'(
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made lor coosent to the trons/er 01 the lollowing securities 01 0 Pennsylyania
Co'poration or a Notionol Banking Association located in Pennsylyanio:
(a) 100 (b) \(eadin)\ Company _________(c) Common
(NOTE: In describing securities enter in (a), ab Ole, either the number 0/ shores 0/ stock or the /oce amount a/
,egistered boods. in (b). the name 0/ the issuing company and in (c) the closs 0/ stock or the stated interest rate
and maturity date a/ registered bonds.)
, and haying a TOTAL MARKET V AWE OF $ 875.00
ISSUED ON Mav 8, 1972
(o.to)
as a/ the date 0/ death 0/ the decedent.
Elizabeth B. Henry on
----,
(Noma of Docodont)
October 23, 1980
(Date 01 death)
who was late of
220 North Prioce Street, Sh~nHburgl.. Cllmherlnnd, Pennsylvania
(S'rool and Number) (Post OHico) (County) (Stato)
The securities are ,egistered as /ollows: Elizabeth B. Henry
(Namo or names in which cortllicotes oro registored)
ADMINISTRATOR) C,T,A, The Peooles National Bank, P. O. Box~ Shippensburg, Penna, 17257
~) (Il.mo) (Add....)
NAME OF APPLICANT Hamilton C. navis, Esquire
----1 f7- Easl--K i ng Stn,et
::~:: ::~: :~::::-Zl''';IOL :::':.7 :::~:~:;::!"""""""~!"" '"r.''12,~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL Nor1rE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION,
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES DAT~J7 ~I'I
I hereby consent to the trons/er a/ the above securities now registered in the name of the a/aresaid /
Decedent and waive the filing 0/ a certificate certifying to the payment a/ the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the praYisions of the Act of June 20, 1919, P,L. 521.
as amended and the Act 0/ June 15, 1961. P,L. 373. as amended. This is also in accordance with the proyisians
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate a/ the
aboye.named Decedent,
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Capital Blue Cross - Refund of contract...........................
t-Iedicare payments.................................................
Social Security Admimistration - Lump Bum death benefit".,......,
Readers Digest Association - Refund of subscription.,"...,..,...,
Forest Park NursinA Home - Refund.................................
100 Shares Reading Company, first Preferred Stock -
Date of Death value......... . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . .
Gain on sale of Reading Company, first Preferred Stock on 11/20/81
14.45
9,60
255.00
2.31
393.82
875,00
579.67
Income transferred to principal for inves tmen t - 2/27/81,."."... 1,900.00
Income transferred to principal for investment - 5/15/81"" ,."" 1,600.00
Income transferred to principal for investment - 7/03/81", "."., 1,000,00
Income transferred to principal for investment - 7/17/81,..,...,.. 575,00
Income transferred to principal for investment -10/05/81"",..,.' 1,000.00
Income transferred to principal for investment -11/13/81.,. """. 850.00
Income transferred to principal for investment - 1/05/82.. . .. .. . .. 750.00
Income transferred to principal for investment - 3/24/82",..."'. 900.00
Income transferred to principal for investment - 4/28/82..." .",,' 450,00
Inco",e transferred to principal for distribution - 5/02/82.,..".. 12.33
TOTAL $132,064,59
THE ACCOUNTANT CREDITS ITSELf WITH THE FOLLOWING:
Register of Wills, Cumberland County -
Letters Administration C, T ,A. ....................
Short Certificates................................
Renunciation certificate..........................
Cumberland Law Journal - Advertising Letters,......
I
I
,
I
,\
\
\
\
,
The News-Chronicle - Advertising Letters"...,.,.,'
Alan B, Rhinehart - Reimbursement for mileage to
probate Will and appraisals..",.,.".,.,',..,""
Reimbursement for duplicate house key..,'.....'."
Bricker funeral Home - funeral expenses...'..,',.,.
Eby Granite Works - Lettering monument..,",..,.,"
Long Jewelers - Appraisal of jewelry".,.," .."",
HAMtLTDN C. DAVIS
AlTDRIIlY AT LAW
NEWVillE Si SHIPPENseURD
PENNA.
Arnold S. Myers - Appraisal of real estate,..'..,"
BGf,K lilL P~CL 7~;;)
- 2 -
$ 49,00
7,00
1.00
18,00
17.00
14.44
,73
2,311.00
45,00
20,00
35.00
HAMILTON C. DAVIS
"noun AT LAw
t1EWVILLE &; SHIPPEHSOURlI
PEN"A.
Snyder & Shuman, C.P,A, - Preparation of 1980
Fiduciary Income Tax Returns.......... I . . . . . . . . . .
33,00
Register of Wills, Cumberland County -
Filing Inventory & Appraisement and Statement of
Debts and Deductions............................
Payment on Inheritance Tax.......................
Filing First and Final Account,..,.""".,.",.,
9,00
6,599,98
75.00
Recorder of Deeds, Cumberland County - filing
10,00
releases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The Peoples National Bank - Executor's fee,.,.""
6.372,96
Hamilton C. Davis, Esquire - Attorney's fee".""
4.500,00
Reserve for taxes and miscellaneous expenses,..,..
500.00
TOTAL - $38.647.29
INCOME ACCOUNT
Debits
The Peoples National Bank - Interest on Savings
Account #028-611-720 from date of death to 11/10/80"".""..,., $
21. 25
Cumberland Valley Savings & Loan Association -
Interest from date of death to 11/14/80
Certificate of Deposit 1108697717,...,.,.",..,..,.,.",..",.,
Certificate of Deposit 1114707800..,.."...,........""..",.,
Savings Account 11139978.......................................
94,10
95,81
.17
Estate Investments:
The Peoples National Bank -
Savings Account interest from 12/1/80 to 7/7/81..",."'...,.,
Certificate of Deposit #3610 dated 11/17/80.
182 days @ 13,48% due 5/18/81. $25.000,00..,."...,..,.....,.
Certificate of Deposit #4729 dated 5/18/81.
182 days @ 15.78% due 11/16/81, $10.000.00............,......
40,48
1.684.98
789,00
Merrill Lynch Government Fund. Inc, - Dividends 12/11/80 to 4/5/82 6.311,54
TOTAL DEBITS $ 9,037,33
Credits
Income transferred to principal for investment
2/27/81....... ........ ........ .................. $ 1,900.00
, ....- ~
Bl"'O' It'r.L' p"- ,~
1\ _ tut I ~u
- 5 -
..........
~... Co
.......\r-.:... \.\. "~l ,1 ';:"
.,:':'v' ....r ~'~:"'"
~ :"'''v ...f\'p'{ :s ....c... t d b ib d
,,~(:., . ,~",., 7 Va." 0 an su scr e
:.; p./$',,; ~s "'=(1-11. day of Hay,
~'.'~":u nr" -:r.: ;
~:;", ~-'t.l .:"'-
'. ~ . -.(. ,,\:",,,
-:.,1.... -./1.".\. ...
. ........ (.; .:"::!.~ .~ .....~ Notary Public
......',,1 'l'{ ') .,"..'"
-f.,' \\\\
"111111"
HAMILTON C. DAVIS
AnD'Nt\' AT LAW
NEWVILLE & SHIPPENIBURO
PCNN....
COHMCN\m.\J.TH OF PENNSYLVANIA
ss.
COUNTY OF CUHUERLAND
Alan B. Rhinehart, Assistant Trust Officer of The Peoples National
Bank. of Shippensburg, Pennsylvania, Administrator C.T.A, of the Last
"ill and Testament of Elizabeth B, Henry. deceased, being duly sworn
according to law, deposes and says that the foregoing Account is true and
correct, both as to charges and credits,
THE PEOPLES NATIONAL BANK
By:
/ -, /
if ,fA-. /~<;,' s''-;':;"",I"""
Alan B. Rhinehart,
Assistant Trust Officer
v--
before me
1982.
VelDA lit. SEASE, Notary Public
Shippensburg, Cumberland Co.. P..
Nr( Commission Expires lItarch 3, 1986
BGCK ]_;~n. fl.Ct 800
- 7 -
...-',
McCREA & DAVIS
AnaIM[1'5,1.TLut
Ht ",,'o'lLU & SHIl'P(NSlUllll
PCNNA.
L1\ST l'IILL 1IND TFSTAMENl'
I, ELIZMIIDI B, HENRY, a resident of Shippensburg 'J.'a,omship, CUllberland
County, Pennsylvania, being of sotnld mind and JreITOry, do nake, publish and
clecl,)re t.his to be ny Last lVill and Testamant, hereby revoking any and all
lVi l.ls by Ire heretofore rode,
I: I hereby direct my Executors, hereinafter nanl2d, to pay all mr' just
debts and ftnlera1 eXpenses as nay conveniently be done after mY decease.
II: I bequeath as follows: to mr grandson, Christopher E. Hitchens, the
sum of $1,000.00; to mr granddaughter Jeannette H. Dilegge, the sum of
$1,000.00; and to my granddaughter, Julia H. Hitchens. the sum of $1,000.00.
III: 1\11 the rest, residue and rerrainder of mr estate, be it real, pers
or mixed, of whatever kind and wherever situate, I give and bequeath to mY b.I:l
children, H. David Henry and Jean H, Hitchens. equally, share and share alike,
provided they survive rre,
~<; .
IV: In the event mY daughter, Jean H. Hitchens, should predecease rre,
~ then I give and bequeath her share of mY estate to mY grandchildren to wit:
.3
..t O1ristopher E. Hitchens. Jeannette H. Dilegge and Julia H. Hitchens. equally,
;!? share and share alike per stirpes.
)
\.~
V:
In the event mr son H. David Henry should predecease Ire, then I
..!
.
give and bequeath fifty (SOl percent of his share of mY estate to his wife.
-
.~
."
r,tlrt.hil .J. J10.nr.y, provided she surviws rre, and the renaining fi fty (50) percent
01' hi,s shaw of my estatc to I1\i daughtl~r ,JCilll H. !Ii tchens or her issue then
living, their heirs and assigns forever per stirpes.
VI: I herl?.by nominate, constitute and app:lint mY son, H. David'Henry,
and mr daughter, Jean H. Hitchens, or the :;;.urvivor of them, to be the executor.>