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HomeMy WebLinkAbout80-00781 '.". ,;,. ., '" '''; I.l';' -,> :r. :j ~ . 8 :.-: . lil ~ ..:Q 0 c>; E-l rJ) :j ~ ~ 5l :r. ~ .;"Q .:L.~ - o . '0 .Z 1<..... ." ... . IU ... ..:J ~~. ..0 '::~~~~ ":"i\:SiI~~ ., .;".'~J'.M ".".t~<.,):~ ..n{~I:~ .",l{'l, .::~t,H'~ '..,;.ffJ!:,1 .....,".'t~ .);;~:18~ . "b:;t'!,< . """, ".';~: . ,I:t~ .;,:~~,:,~ :",:6;" '.,1 ',: ;:~~ ,; ~ :..........,. .1~'.r. .,.:;~)~ . ,;.!~ ,~::i.~1~ "-"j'/( '( .\~:(:<~~ "" :':',~'~i}~ ~:; ':'~Jff ",,'.'. ,..;" . t.~'. .,~. ,. .\. .f ~. , .,,-<<:.',~.'-;';.,~;,..::-; .1~'^~r~ .':)~\'Hj{-~~~1~fJ .'".'..',.;'....l~(l::". . 'l"'.'~' ~ ",' )(.l::t::fj]:' ; ,.... ..:..~~:.:}i,/:::'~~i ~ "'~"'5'~~ .';.;~'W(~II I .\." .~ ',:.., ',7:~~i~t:7M ~ ~ , 'L~' ,'\, ~~~ .. ~<~~: '.~:.~Z!i~~~ ...' ". ,,'\1"11 -,~:.:i"~ _ , ,~I:Sc'} '.~: - Y~\~:j&~ .~ :/'(~:~~li{J .,.:,4:;-rt~:~~~ ~);i:'Jiif~ '., ......,...'!J!. ,.'_;:.~::~~-);ji:R:~ . -.....-:.-:y~y..~ ", ,.:..'~~ ,(~~.....).\~ .:':l~~~~ ., ,'-c','.., K,~lI.V .. .. .1 l""':"\'l"';"~';~ ~.:',!.~:;(,:].t~~.;.~ ',.; Z"...:.~~- .~ .' :'l .,..' I ~ "., '-.-,:,': No. 21.80 7f.il PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY In the Estate of J. } I 1/ ~JA ILl. , deceased, {,oJ;s / 1 , To Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania. Petltloner(" Is (ate) the execut r/'" named In the Last Will and Testament of {,{) I 11,,0/ fll IJ~, 1/ dated {/(' /" /UI /7 I 'I 7'1 Decedent was a citizen of the United States and a resident of j.j, m ",A'", ,1 I Township (Ooretl!:jn), Cumberland County, Commonwealth of Pennsylvania. Decedent died on .:;; I ,.,} ~ v the 2,..,J day of /V~'NA..I:> cr A,D. 19 '<<0 ,In the , County of (',1m /,,,.../.,, ",IJ ,Stateof P,,,,,.,,/,.,,,,.attheageof~years. Decedent lieS (MS 'ii'Otl been married and nae- (~a6 Rot) had children born to him (-) since the ex. ecutlon of the above described Will. Decedent was possessed of personal property to the value of $7' ,,:' c;'cJ. CO c and of real estate to the value of r>"'" " as near as can be ascertained; said real estate situaled as follows ,/, ,c ,., C. Therefore, your petitioner(s) respectfully apply(les) for the probate of the said Last Will and Testa- ment and for Letters Testamentary theron, Dated -p e ( IE "., L, e.r / '2. / '? 8 (j Name and address of Petitioner(s) w~jr~~ , 1/" ,'. t':' - /.L- /)r'lc./c ? I' L ,r(' 't. b,~ ~i I /) I <'j' "" , . I.. 'I no!': .-} ",rr / ," L -;J ......J COMMONWEALTH OF PENNSYLVANIA l COUNTY OF CUMBERLAND I p" dU, j" T L<.; '" / / ss named in above application, being duly'" c. '" " ,.., statements set forth in this petition are true to the best of ~a.Ld- and subscribed before me, Dec. 15 1980 9ll,(~_f1~ 4/~ e-?I ~'ster according to law say(s) that the h 61.,.- knowledge and belief, 61A~i1, }LUldC / [-% Filed: December lB, 19RO ~ ,\-3'1 '.~~ Attorney .J.\r"r-S /-1. ~'I'.'!I "r?.::, r~,. r/a"'r'Sb"""J of/Ii 17/C'S .c ~ ,-, u ::r ~'~/E Lo... ~~ 1..,_1 N '.:. . C:;' - ;~.....-::: -..J W....! c..:: ""0: Cl~ ~ Ow 0:;:(1, '0> oc; :':::1: <'>w "':;) l::1"" C> ~U 10 u 0 03 ",'" or- a m~ c::'" f:lo :(~ ~ ;n~ Ol, _.~ '0 !,llO n '''jr-r1 ;1):;1) ~""':l r-." - .=' ~.. .-" N "-.o. ;'/l ~-:'. )... ." ~-, :::. .;~ '..:\u; E ,> .-0 - -"-- Eo< Ul I't. ,.:j cJ P-< i ~ ~ ~ t; "<1 0( < ~ ;0 0 - u. ~ ~ 1ii ~ O~t~~ ~ ~ ~ It! Iii ~~~tJ~ u. 0 ~ u: w 0""'0": 1""'" I- 0 ~.q I;; ~ ., z 2 '" l'i 0 II) :S" 2 S >- ~ ~ ... ~ ~ Eo< I ~ 1:-' <>: U"I s: fiI Eo< ..: -, Cl "" I ~Oiil <>: ...1 ,.:j ,.:j H H H s: ::: i) To pay over to the guardian of my daughter BARBARA SUSAN WALL (formerly Barbara Susan Withey) all of the income and so much of the principal as they in their sole discretion deem necessary for the proper support, main- tenance, welfare and education of my daughter BARBARA SUSAN WALL (formerly Barbara Susan Withey) . ii) The Trustees shall distribute the balance of my estate to my daughter BARBARA SUSAN WALL (formerly Barbara Susan Withey) when she attains the age of twenty-one (21) years. iii) Neither the principal nor the income of the trust estate shall be liable for the debts of any beneficiary hereof, nor shall the same be subject to seizure or attachment by any creditor of any beneficiary under any writ or proceeding at law or in equity, and no beneficiary hereunder shall have any power to sell, assign, transfer, encumber or in any other manner to anticipate or dispose of the principal or income in the trust estate produced thereby. (uJjrwi 1r1, ()/CJJ - 3 - h) To assign to and hold in the Trust an undivided portion of any asset. i) To do all other acts in his judgment deemed necessary or desirable for the proper and advantageous management, investment and distri- bution of the Trust. ITEM 6: I hereby nominate, constitute and appoint my wife, PAMELA J. WALL, to be my Executrix. In the event that my wife is unable or unwilling to serve as my Executrix, I then nominate, constitute and appoint, RICHARD S. FRIEDMAN, Esquire, to be my Executor of my Last Will and Testament. It is my desire that my Executor or Executrix and my Trustees shall specifically be relieved from the duty or obligation of filing any bond or bonds. IN WITNESS WHEREOF, I have set my hand and seal to this my Last Will and Testament, consisting of this and five (5) other typewritten pages, this 17th day of October , 1979. !I.w~J 7')), ?t/tdC (SEAL) r ~ ~. , .. t ,........ ::::7;. b / h IiLr; 6.'(\" l.l<;' . ..'.~,.~ .' i" A€~.1500 E>>. "(9.a1) BUREAU OF EXAMtNATlON PENNSYLVANIA DEPARTMENT OF REVENUE P,O, BOX B327 HARRISBURG. PA 17105 11-/(,/1-3 ~ INHERITANCE TAX RETURN RESIDENT DECEDENT ,__.. File Nu.:nbe'. 21-80-0781 DECEASED Decedent'. Name (Last. Fil$l, and Middle Initial) WALL, Willard M. Social Security Number Data of Death 161-24-0870 11/2/80 Decedent's Address 473 Brook Circle Mcchanicsburg, PA 17055 CHECK 1. Original Return ~ 2, Supplementat Return D 3. Rem.inder Return D APPRO. PRIATE 4. life E.t.te D 5, Federal E.t.te Tax D Return Required. 6, Decedent died tastate Q 7, Oecedent maintained a living 0 8. Number ohafe deposit f()l (Attach copy of Will) ~ tro.t (Attach copy of tru.t) boxes inventoried ~ All correspondence and confidential tax information .hould be directed to: 8LOCKS CORRE. SPONDENT Name John C. Howett, Jr., Esquire Addre.. 2 North Market Square P. O. Box 810 Telephone No. (717) 234 -2 616 ;: I City Harrisburg StaIB PA Retapitulation 1. Real E.tate (Schedule A) (11 2, Stock. and Bond. (Schedule B) ( 2) 3, Clo$Cly Held Stock/Partn",hip I nterest (Schedule CI ( 3) 4, Mortgaga. and Notes (Schedule D) ( 4) 5, Cash & Mi"ellaneou. PClSonal Property (Schedule E) ( 5) 4,000.00 RECAPIT. 6, Jointly Owned Properly (Schedule F) ( 6) ULATION 7. Tran.felS (Schedule G) ( 7) 8. Total Gross Assen (total lines 1-7) AND 9, Funeral Expenses Administrative Costs/Miscellaneous Expenses (Schedule H) ( 91 4,024.82 TAX 10. Debt./Mortgages/liens (Schedule I) 1101 6,896.50 11, Total Deduction. (total lines 9 & 10) 12. Net Value of E.tate Wne 8 minu. line 111 CALCU. . 13. Charitable Bequest. (Schedule J) LATION 14. Net Value subject to tax !line 12 minus line 13) '. (81 4,000.00 Computation of Tax 15. Amount of line 14 taxable at 6% rate (include valu.. from Schedule K) 16, Amount of line 14 ta'Oble at 15% rate (include valu.. from Schedule K) Principal tax due (add tax from line 15 plu. tax from line 16) Total Prior paymenn, (a) Amount Paid (b) Plu. Di"ount (cl Minu.lntemt 19. Balance Due Wne 17 minu. line 18) Make Check Payable to' Register 01 Will., Agent ... PLEASE RECHECK MATH. .. (15) - 0 1111 10,921. 32 (12) 0 - (13) 0'- (14) 0 - x.06= x.15= (171 - 0 - (16) _----=-~-____,__ 17. 18, I1BI - 0 - (19) _._- 0 - Under penalties of perjury, I declare that I have examined this return. including accompanying schedules alld staliHnr.nts. and to the ucst of lilY knowledge and belief, it is true....col{ect. and complete. Declaration of prcp<lIcr olln:r th<illlhc ll(!rsollallcpfC~enl<lti\'c is based on all infonl1iJtil111 of wl.it:h pr(:(larcr hilS ,nyknul'llcdge, r:~ ) /) ~ ) /:~... Q. 8" COllntry N,lnor \ jCt.)) ., ((rv It ,'ff. "" l.l,l'!l' Y ["me , 9L111 '84 :~G-NA~J~r, Oj1E;;NA~i;u',;S( i1J~tz':'I;f' _ r-.1 r~": 1 n_, _ .~~DH[SJ _)~,~3_-~=~ __= . - IlA ~E ,- _-_ lu 17 J/",. jf, .John C. I ':J'.oJ"tt, .Jr., E'YJUHC \..,' ./..u.. \t. f, <.:1/,' I' .' P. O. p,,:, 810, 1l.,"'hh'lnJ, PA 1 'll08 .j(~::\'!'.n' 11'1'..\H.HOllllli I,U:J(;fltl':-1lr':IAllvE I .1 I I ! \ I I \ , , ~ tJ' c "- CL .,', - 0:~ I G._ 0',: :-::_1 UJ,..I >- :.:..:..~ , 0'" ~ '-.W I cr.'" c:: '", oz::; :'S:i: '-'w '-::> I ~'" ..,. ~u I ~ W SCHEDULE "'" DEBTS OF DECEDENT. MORTGAGES, AND LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT. DECEDENT ESTATE OF ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 10. 11. 12. i I I I i i 1 i I-- I WILLARD M. WI\I,L DESCRIPTION 9. GroSSIl\'lJ1 & Cohn, M.D. 's c/o M::rlical Bureau of Harrisburg 217 State Street HarriSburg, PA 17101 York Hospital 1001 South George Street York, .PA Rllyclinic ~ical Center 2601 North 'IDird Street Harrisburg, PA 17105 owley 1\Ssociates 425 Nortil 21st Street camp Hill, PA 17011 Bristol l'cI1Orial Hospital Bristol, Tennessee Ohio Valley ~wical Center Wheeling, West Virginia 26003 Seidle ~~rial Hospital ~hanicsbur9, PA 17055 The loJheeling Clinic 16th & Ebff streets Wheeling, Ivest virginia 26003 /obTDrial osteopathic Hospital 325 South Belnont Street York, PA 17402 Butler and Paul Associates c/o 'lSC of Pa., Inc. 2550 Kingston Bead York, PA 17402 Kruper ounyo Eagle Associates 908 South George Street York, PA 17403 Holy Spirit Hospital R:ldiology 1\Ssociates r.amp Hill, PA 17011 Holy spirit Hospital Camp Hill, PA 170n l-1heeling H:>spital Vedical p,wk 1~1eel.ing, Ivest Vir<Jinia 26003 l3. 14. FILE NUMBER [)cl)t - l>'c<lical services not covered by insuran Debt - Hospital charges not covered by insurance Debt - Hospital charges not covered by insurance [)cl)t - \))Coor bill not covered by insurance [)cl)t - Hospital charges not covered by insurance Debt - Hospital d1arges not covered by insurance [)cl)t - Hospital charges not covered by insurance Debt - Hospital charges not covered by insurance Debt - Hospital charges not <.'Overed by insurance Debt - O::lctor bill not covero::l. by insurance Debt - \))Ctor bill not covered by insurance r>-..,bt - X-ray char<.jcs not <...."Ovcn:x.1 by insur.ance i:l2bt - Hospital chargcs not covera:! by insurance D:~bt - Hospital chargcs not covercd by insurlll1ce TOTAL (Also enter on !i~e 10, Recapitulationl ------- (If 'ncrd 'loplcl.lls fl,~"dltd iI,~.l"l\ddit;Ulloll ..11l,t.llS of o;,.llTHl 0:.110) 21-80-0781 AMOUNT 30.00 .635.25 122.00 35.00 103.10 495.00 91.00 287. 50 i;l. 20.00 59.00 25.00 245.00 493.65 30.00 $ CON\'JNUEQ ON .._~)::'\:1..J1'iGJL. ---- JIlV.tll:'lX+ (till COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT. DECEDENT ESTATE OF SCHEDULE "I" (CONT . DEBTS OF DECEDENT, MORTGAGES, AND LIENS . ) ITEM NUMBER 15. 16. 17. lB. 19. 20. 21. 22, 23. 24. FII.E NUMBER 21-80-0781 \~IUJ\HD M. WAIL DESCRIPTION AMOUNT Miller, D.O.-Dipietro, D.O. P. O. Ibx 3057 York, PA 17402 David Schlossberg, M.D.. p, O. Box 3057 Hardspurg, PA 17105 eornnimity physicians" Inc,' P. O. Box 411 . Carrp Hill, PA 17011 Cardiac Diagnostic Associates York Hospital York, PA 17405 Drs. Barger & OJrdon, Inc. M3rshall COW1ty Professional Bldg. 426 Eighth Street Glendale, West Virginia 2603B Richard E. Snell, M.D. 1112 pennsylvania Avenue York, PA 17404 Liberty l\rIDul.ance Service 11 Sherry Drive York, PA 17404 Douglas K. Sunderson, M.D. 502 ~ical l\rts Building 890 Poplar Church Ibad Cump Hill, PA 17011 Debt - I:bctor bill not covered by insurance 15.00 Debt - I:bctor bill not covered by insurance , 10.00 Debt - I:bctor bill not cover.ed by insurance 141. 00 8.00 Debt - I:bctor. bill not covered by insurance Debt - I:bctor bill not, ooveJ:ed by insurance 9.00 Debt - I:bctor bill not rovc:red by insurance 11. 00 Debt - l\nbulance service not covered by insurance 50.00 i., Debt - I:bctor bill not rovered by insurance . . 141. 00 Benjamin A. Hoover, II, M.D. 924B Colonial l\venue York, PA 17403 Debt - I:bctor bill not rovered by insurance 13.40 Suzunne M. Wall (Decedent I sex-wife) c/o Daniel F. IIDlfson,. Esquire 29 F~st Princess Street York, PA 17401 Claim for sUP],Xlrt arrearages 3,826.60 -------_.._------_.__._-_.-~----_.- $ 6,896.50 ,_,______,_.:r~!AL (Also "~cr o"-'i<.l~q,,_RcC"pitul"lionl (If morl! ~l':lCI'l h Ilf'od.~,l In':'1I1 illJI'ltl'Jnalo.I-"..,t\ of ~.'lnll silO) j REV, 1S47EX t 07-84) l'!5' .~~~;~ ! NOTICE OF INHERITANCE TAX, ~.'::~~;;..; ! APPRAISEMENT, ALLOWANCE OR DISALLOWANCE IACN , ,.~..., I OF DEDUCTIONS, AND ASSESSMENT OF TAX i ---' __~ 'DATE U-:.Q5-IH WILLARD II FILE NO, 21 80-0781 CO.!JNT.Y~\!Jm~E.VilID YOUR ACCOUNT SU8MIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX ('/ILLS OF THE A80VE COUNTY. MAKE CHECKS PAYA8LE TO "REGISTER OF WILLS, COIU"'-ltjl'.:"'~'" Jf q:M.~I\. ':'\1':' D[f':'''H.'tll~ ot "[.(I-/:Jt B~IIlE':'j or L:~::l~"'S SE';'T,EII[". P,C'. E10X ~S~3 H~;;"'ISEH;flC.. r:. \71Z'!. 101 ESTATE OF WALL DATE OF DEATH 11-02-80 NOTE, TO INSURE PROPER CREDIT TO PAYMENT TO THE REGISTER OF AGENT II . JOHU C HOWETT JR ESQ 2 II 11ARKET SQ PO BOY. 810 HBG 1'A 17108 PLEASE RETURN THIS i PORTION TO REGISTER OF WILLS IF PAYMENT DUE ! Amount Remitted 10 RegIster of V\(ills C!l,I'!: _A!-9~~.. ,!:HJ~ _L!~E_ , _ _ _a:- _ R~T~I~ _l:C?~~R.. !'9~'I19~ _ F.C?R_ Y91,J'3.. ~E~9fl~~ .. ~ - .. -- - .. - - - .. -- .. NOTICE OF INHERITANCE REV, lS47EX (07-84) ESTATE OF WALL T~X APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX WILLARD M FILE NO,21 80-0781 ACN 101 DATE 11-05-84 TAX RETURN WAS: (X I ACCEPTW AS FILED RESERVATION CONCERNING FUTURE INTEREST .. SEE REVERSE APPRAISED VALUE OF RETURN 8ASEO ON, ORIGINP,L RETURN 1. Meal Estat': (Schedule A) 2. Stocks and Bonds (Schedule 8) 3. Clo:;el~' Held Stock/Partnership Interest (Schedule C) 4. Mortgage~motes Receivable (Schedule D) 5. Cash/Bank Ocposits/MIZC. Persona; Propert~' (Schedule El O. Jointly O\o'med Propert..,. (Schedule F) 7. Transfers (Schedule G) e. Total Assets ) CHANGED I 1) .00 ( 21 .00 ( 3) .00 ( 41 .00 ( 5) 4,000.00 161 .00 ( 71 .00 ( 8) 4,000.00 APPROVED DEDUCTIONS AND EXEMPTIONS, 9. Funeral Expenses/AdministratIve Costs/Miscellaneous Expen... (Schedule HI ( 9) 4,024.82 10. Debts/Mortgage liabilities/liens (Schedule II (101 6,896. 50 11. Total Deductions (11) 12. Net Value of Tax Return (12) 13. Charitable/Go\lernmental Bequests (Schedule J) ( 13) 14. Net Value of Estate Subject to Tax (14) NOTE, If an assessment was issued previously, lines 14, 1S and/or 16 and 17 will reflect figures that include the total of ._~LL returns assessed to date. ASSESSMENT OF TAX' 15.' Amount of line 14 taxable at 6% rate 16. Amount of line 14 taxable at 15% rate 17. Principal Tax Due TAX CREDITS: 10,921. 32 6,921.32- .00 .00 PAYMENT RECEIPT DATE . I- I i ! I I (15) .00 X.06= .00 1161 .00 X.15= .00 (17) .00 -. AMOUNT PA'D i DISCOUNT 1+1 INTEREST H I i I 1- I TOT AL TAX CREDIT ~ 8ALANCE OF TAX DUE INTEREST TOTAL DUE .0 .00 . .00 .00 . IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST (If Salance Due is less than $1.00 no payment is required) RE({Fii! ~ ,'t, R:-::.. ' '84 N~V -9 PI'J:" :~L:!:" .: 't ".~d C, iJ ;.~ :": i.. RESERVATION: Estates of decedents dying on or before December 12. 1982 -- If any future interest in the estate is transferred in possession or enjoyment to Class B (collaleral) beneficlanes of the deceoent after the eXpiration of any estate for life or for years, the Commonwealth hereby expresstv reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class 8 (collateral) rate on any such future Interest. PURPOSE OF NOTICE: PAYMENT: REFUND lCRI: OBJECTIONS: To fulfill the requirements of Section 1740 of the Inheritance and Estate Tax Act, Act 255 of 1982 (72 Pa C.S. Section 1740), Detach the top portion of this Notice and submit with your payment to the Register of Wills. --Address information IS listed on page 13 of tne booklet. "Instructions for Inheritance Tax Return for a Resident Decedent." --Make check or money order payable to: REGISTER OF WILLS, AGENT. A refund of a tax credit. which was not requested on the Tax Return, ma)' be requested by completing an "Application for Refund of Pennsvl....anla Inheritance and Estate Tax" (Form REV-1313). Applications are available at the Office of the Register of Wills, any of the 24 Revenue District Offices, or from the Department's Forms Service Unit by calhng (717) 233-3443. Any party In interest not satisfied with the appraisement. allowance or disallowance of deductions. or assessment of tax (including dIscount or interest) as shown on tnis Notice may object within sixty (60) days of receipt 01 this Notice as 1 allows: --by written protest to the Department of Revenue. Board of Appeals. P.O. Boy. 1874. Harrisburg, PA _ -by election to have the matter .determined at the audit of the account of the personal representative - -by appeal to the Orphans' Court. 17105 OR OR ADMIN- ISTRA TIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue. Bureau of Accounts Settlement, P.O. Box 8903, Harrisburg, PA 17105. See page 3 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" for an expla~ation of administratively correctable errors. DISCOUNT, INTEREST: If any tax due is paid Within three 131 calendar months after the decedent's death, a five percent (5%1 discount of the tax paid is allowed. Interest is calculated on a daily basis at the following rates: Delinquent Date 5/27/43 to and including 12/31/B1 1/1/82 to and including 12/31/B2 1/ 1/B3 to and including 12/31/83 1/1/84 to and including 12/31/84 Interest Rate D.nlv Interest Factor 6" ,000164 " 20% .000548 16% .00043B 11% .000301 before December 31. 1961 will maintain a constant interest rate until the - -Estates that became delinquent on or delinquent balance IS paid In full. --Estates that became delinquent on or after January 1, 1982 are subject to a variable interest rate that changes each calendar year. --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Nollce issued after the tax becomes detmquent will reflect an Interest calculation to fifteen (15) days beyond the date of the assessment. If payment IS made after the interest computation date shown on the Notice, additional interest musl be calculated. COMMONWEALTH 01' PENNSYLVANIA I COUNTY 01' Illllla......... DAUPHIN J 55: PAMELA J. WALL ._~---_.._--------- ..--" -~ ~--- SWORN _.._ accordin9 to law, depos.s and says that she ..~5_,th.ELEX~,c..u.t;.,rilL-,- ....___..__u____._ ...,..' _ 01 the Estate of _ Willard M. Wall late of _"_ .. .Hampden.. Township _____ ___, Cumberland County, Pa" deceased and that tho 'th" . t d b her th 'd Executrix WI In IS an I"ven ory ma 0 Y...______________H --- -----1 0 S41 of tho enlire estate of said decedent, consjslin9 of all the personal prop..ty and real eslate, except roal estate outside the Commonwealth of Pennsylvania, and that the fi9ures opposite each jlom of the Invontory represent it's fair value as of the date of decedent's death. bein9 duly r .., "b:""" bol.," mo, \ 1 j 19 84 taw~-..b.Id.#- Sworn to S tember lB MARtE KRISE. tlo'ary P IIc Harrisburg, Oeuphin C " Pa. My Commission Expires July 23. 1987 __..RLJ:L._8..._C.QJIDtrv Manor 59 Cherry Lane Carlisle, PA 17013 Address Date of Death 2nd Day November Month 19BO Yur INSTRUCTIONS I. An inventory must be filed within three months alter appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional aSlets. 3. Additional sheets may be allached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. " " ~- ~. ',' I, ~y:: ~. -. c.- ~ .....-; ':'1' I - LUl. , ..... Q' c.:J ::;l;-. o:v'. c=. 1:-,' 02j _.~ ;Jo.'- c..J1..t ~L3 ~u.: ... ::it..} !P ~ 0. ,~ >- ~ ,; H UI " I- W ~ ~ '" I- :;j! ~ .. w <( " l1. I- ::: u " 0 Vl " 0 w C '" ,.. '" w .. " J: . t- l1. ::;:: l1. " I- -' U. .. ~ Z <( 0 l1. 0 U. -' ~ W 0 <( w 0, 'd ,;. > Z '" ~I ~ - Z 0 " C ~ .; Vl Z H, 0 '" <( H, U ... Z w HI l1. :::1 ." " , .. I - -;: 0 " ..0 ." -" ~ E - ~ 0 .. ~ 0 ..J U u: '" \ I I I I , I I , I ).~.; .... '@[~ u~ l.;.J~ 0: ::. " ~. Iou ~ c '. t. tt~ d "'" !P