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No. 21.80 '72'1
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
In the Estate of
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, deceased.
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To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania.
Pelllloner~ns (.are) the executl1 y named In the Last Will and Testament of
C",-1-lu,.,.,(' 11M". ~e.."y.,...\ dated tJ~ve /-1 b..,/ Z ~ J'1 Co '7
Decedent was a clll n of the Unlled States and a res/dent of /J a in /7 cJ. f.,.,
Township (BQr\l\j~h'l, Cumberland County, Commonwealth of pennsylvahla.
Decedent died on Vi' J,'LI'>d.......,_ the S~ day of #0"".'''' ht...... A.D. 19E-.ln the
COl1ntyof C..J'" h."""-/iV""d ,stateofj~l../IJt.~. attheageo,-,Uyears.
Decedent.bas (has not) been married and.l:las (has not) had chll~n born to him (her) since the ex-
ecution of the above described Will. r.3 Z
Decedent was possessed of personal property to the value of I 00
Itlt) vi c'
and of real estate to the value of I'
as near as can be ascertained; said real estate situated as follows
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Therefore, your petlllonerW respectfully apply(ies) for the probate of the said Last Will and Testa.
ment and for Letters Testamentary theron.
Dated Ie ,j C"1NI &....... / 5, / l' tY '"
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COMMONWEALTH OF PENNSYLVANIA t
COUNTY OF CUMBERLAND l
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Name and address
of Petitioner(s)
ss
John R. Hanley
named in above application, being duly aworn
statements set forth In this petition are true to the best of
a9cording to law say(s) that the
h~s knowledge and belief.
sworn
and subscribed before
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et' tM Vlh <lU
me. ,. Nov.. 13th HPO
_!J!i&t;;_&-,-4..~J.
?" ,/~~ister
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November
14. 1980
Attorney
John R.
Hanley ~..
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Filed:
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INSTRUCTIONS
ASSETS:
TYPE OF ASSET _Indicate whether the asset is real estate, personal property, transfer or jointly-owned.
DESCRIPTION. _ Lis' all assets owned solely by the decedent or owned jointly with another party or parties os tenants!"
common or os joint tenants with right 01 survivorship at the time 01 death. Include the decedent's percent0ge 01 ownership,
the nome (5) and relationship to the decedent of the surviving joint owners and the estimated market value of the decedent's
interest as of the date of death. Include intangible personal property titled in the nome of the decedent but payable at deoth
to another party or parties including but not limited to P.O.D. U.S. Savings Bonds and tentative trust accounts. List any
property transferred by the decedent within two years of death for which he/she did not receive valuable and adequate
consideration.
Describe all real.estate located in Pennsylvania by lot and block number, street address, number of acres and include a
general description of the land and buildings- Also, include the book and page number in which the deed is recorded and the
eleact title as indicated on the deed.
DEBTS & DEDUCTIONS _ Unsatislied liabilities incurred by the decodont prior to his/her death ore deductible against
his/her taxable estate. In addititln to debts incurred by the decedent, other items arc claimable including the cost of
administration, attorney fecs, fiduciary fees, funeral and burial eJ(penses including the cost of a burial lot, tombstone or
grave marker. List the date on which each debt was incurred and/or paid and the names of each payee. Provide a brief
explanation of the nature of each debt claimed and the amount being claimed.
Evidence to support the decedent's or the estate's lialJility for the debts being claimed should be attached to this return
A family exemption 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 e.emptian. In the event there is no such spouse or child, the eleemption can be claimed by a parent or parents who are
members of the same household as the decedent.
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INFORMA liON
PLACE FOR FILING _ The return is to be Iiled in duplicate with the Register 01 Wills 01 the county wherein the decedent
resi ded.
TIME FOR FILING _ The return is due nine months after the decedent1s death, unless on extension for filing has been applied
for and granted by the Secretary of Revenue within the nine.month period.
FAILURE TO FILE RETURN _ Section 79101 the 1961 Statute prayides that" . . .ony person who willlully fails to file a
return or other report required of him shall be personally liable. . .to 0 penalty of 25~o of the tax ultimately found to be
duc or S1,OOO whichever is the less to be recovered by the Department of Revenue as debts of like amount ore recoverable
by law. It
NOTE: Fees paid to an estate representative; namely, an executor or administrator, for services performed in ad.
ministering an estate is reportable for Pennsylvania Income Tox purposes. This taxable income item shoud be reported on
form PA.40.lndividuollncome Tox Return.
SCII EIlULE 3
Funeral Exoenses 1
Date paid Payee
1. 12/5/0,0
2. n/lO/RO
3. n/12/"0
4. 11/l5/RO
5. ll/6/flO
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6.
7.
n/l8/flo
11/18/80
Myers-4a11 ~'un,,'ral ',1 orne
Camp Hi n. Pa.
Mt. Comfort Cemetery
Alexandria, Va.
Mt. Comfort Cemetery
Frank J. Herroll
Stephanson' 5 ;.'lowers
Camp Hill. Pa.
Father Chester Snyder
St. Joseph's Church
Mechanic5bur~. Pa.
Father John O'Hara
St. Louis Church
Alexandria. Va.
SCHEDULE 4
Administrative Expensesl
Date "aid Payee
1.
u/13/RO
2.
1215/80
3.
11/26/RO
4.
1/16/81
5.
6.
l/30/Rl
l/30/Bl
1/10/0,1
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Re~ster of Wills
Cumberl~ed County. Pa.
Myers-Hall Funeral !lome
Camp Hill. Pa.
Cumberland Law Journal
Carli sle. Pa.
Landi s Jewelers. 1 nc.
Camp !1ill. Pa.
Re~ister of Wills
John R. Hanley
John R. 4anley
!Ia.ture of claim
Unr\ertakcr
Preparation of r,rave
ann. p;rave liner
Burial plot an~ ~rave
marker
Food-funeral guests
Casket flowers
Clerr:y donation-funeral
service
Cleru,y donation-graveside
service
Nature of claim
Petition & short certs.
Death certificates
Estate publication
Estate appraisal
Inheri tance tax filing
Fi.d uci.ary fee
Hi.5C. Admini "trative
Expenses
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$ 1,940.00
364.40
731 . 60
127.23
80.05
30.00
30.00
3.303.28
Amount
$ 18.00
8.00
18.00
25.00
3.00
100.00
10.00
1.,2.00
American Gem Society
Registered Jewelers
INC.
2129 M~rket Street, Camp Hill, Pa. 170 II
737.8024 I)ecember 2~.,1980
737.4719
~:r. John .:. ! lcnlp.'/
14 Edaewood Drive
~)echan i cs burg, Penna. 17055
Concerning the jewelry pieces of the Estate of Catherine
Herron, the followin~ items have been examined and appr ised.
L~dJ's 10 kt. white gold filled case Elvin wrist
watch with stretch band. There arc ten single cut
diamonds set in ends of case, opprax. total weight
0.12 ct. Value ~ 49.00
Lady's yellow gold plated ~enrus wrist watch, mesh
band attached. '/alue:, 5.00
Ladv's 14 kt. aold ~inn, a 14 x 12 mm. svnthetic blue
stone set with"four pr~n0s, shank and underbezel white
gold with red and green gold design arcund stone. Value ~ 42.00
Lady's diamond ring, 14 kt. yellow
approX. 0.15 ct., perfe~tion arade
set in illusion head.
aald, the diamond
5, calor grade 3,
Value
:, 30.00
"nterlocking diamond and weddina band, 14 kt. white
gold, the diomond approx. 0.30 ct., perfection grade 4,
color grade 3. There are three single cut diamonds an
each side, approx. 1 pt. each. The"wedding hand has
two single cut diamonds, apprax. 2 pts. eoch, in center
and three single cut diamonds, approx. 1 pt. each, on
each side. Value $180.00
These pieces have been exam~ned without the stones being
removed from their settings and are appraised on that basis.
This is a ;fair morket value at which the property wauld change
hands between a willing huyer and willing seller if bath had
reasonable knowledae of relevant facts and neither was under
compulsion to buy or solI.
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~mcrican Gem Society
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R E V-473 (4-711)
COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
NOTICE OF DECEDENT ACCOUNT STATUS
Submit in triplicate within 10 days after knowledge of
the death.
RETURN COMPLETED
FORMS TO LOCAL COUNTY
INHERITANCE TAX OFFICE
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SURVIVING DEPOSITOR (Beneficia,
NAME[eANLI') "j tlL~Y.\JI,) .J':::-
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ADDRESS
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INFORMATION
REL A TION SHIP.6M(.... r
TO DECE01NT daw
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BANK/INSTITUTION ADDRESS
DpHPH II) gel-b-:"IT 6/1'OL -i l'f-ll:, T
(:.:057 OFF,n.. 801 2'1b I
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RANK NO.
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DATE !"ILED
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ST ATUS OF ACCOUNT NOI (JOINT. TRUST, 0 R INVE5TMENTJ
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N AMES ON ACCOUNT
ESUBCISHED DATE I b :)'U'7E/f(:'.l e le((,., f.
SOCIAL. SECURITY NUMBERCS)
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DECEDENT INFORMATION
BALANCE OF ACCOUNT AT 000
INTEREST ACCRUED AND COLLECTIBLE AT 000
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ADDRESS
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CITY
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DATE OF DEATH
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BANK AUTHORIZATION
I HEREBY CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS A
CORRECT REPRESENTATION OF INFORMATION IN OUR FILES IN ACCORD
WITH SECTION 74Z,P I 6; E TAX ACT OF lOGI.
SIGNATURE OF FINANCIAL INVESTIGATOR
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CATE
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
COUNTY FILE NO:
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FILE NO.
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Appraised Value 01 Estate:
Real Estale
$
Personal Property
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Jointly Held Properly/Transfers
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Total Gross Estate
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Total Approved Deductions
Clear Value of Estate
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Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
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Amount Taxable @ 6% Rate
$
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tax due.
Amount Taxable @ 15% Rate
tax due , r' ~
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TOTAL PENNSYLVANIA INHERITANCE TAX':oUE~.d/t.iC'1 djJ":;', 0
I
'* ... ... ... '* '* A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
$
+
$
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=
s
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=
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Interest accrues at the rate of six (61 percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by is' ,-- / ",,"':;. . ~.~
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8ALANCE OF PENNSYLVANIA INHERITANCE TAX OU.f!-......,.....s'I/C:/...-(...- c',,{.c../ A.'vy.-
Assessed by: .' ;j/{/!i./ {; ,,/~"/7_J
See Information on Reverse Side Agen\f.o~~~e~co~r~we~ /
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INFORMATION
To insure proper credIt to your account, the nnOlO of tho estate and filo number should be clearly print-
ed on tho check or money ordor.
This assessment is made in accordance with Section 708 of the Inheritance and Estate Tax Act of
1961 (72 P.S. ~ 2485.7081.
To the extent that inheritance tax is paid within three (3) months after the death of the decedent. a
discount 01 live (51 percent is allowed 172 P.S. ~ 2485.7161.
Inheritance Tax, other than taK on a future Interest, is due at the date of the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedent's death 172 P.S. 9 2485.7111. Inheritance
Tax on a future interest is payable within three (31 months alter the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. S 2485- 712). Calculato interest from the delinquent date shown
on the face of this form to the date 01 actual payment using the following interest table:
----------------------------------------------- - - -- - - --- -------- -- -- -- -----
1 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 .Ot5 6 months .030 9 months .045 12 months .060
1 days .00017 11 days .00186 21 days .00352
2 days .00034 t 2 days .00203 22 days .00369
3 days .00051 13 days .00220 23 days .00386
4 days .00068 14 days .00237 24 days .00403
5 days .00085 15 days .00250 25 days .00420
6 days .00101 16 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 (60) days after receipt of this Notice 85 provided by Section
1001 of the Inheritance and Estate T., Act of t 961 {72 P.S 9 2485.10011.
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below: