HomeMy WebLinkAbout80-00793
..:,
"-.',',
,;:
,-""-'
i.
,..... '.'"
,,'
~ .)-
-
en "
~ i '.
~ ,
,
m I
.
Il<t ra
M i ~ {j
01
!" ~ I
s .
i ..
,
0
,00 .....
" 0
- '":.:(
N
. 6J ~
.. 0 - 1
Z :!
W
21-80 7~KJ
No.
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
In the Estate of
Ic'n~ 11 (' ,11'1
, /
. (~ '
F (::,r-oc Ic.u;,:;\ V
,
, deceased.
To Register of Wills for the County of Cumberland, In the commonwealth of Pennsylvania.
Petllloner(s) Is (are) the execut " " named in the Last WlII and Testament of
l(/"-\- h ('1 11 r- ' lSrc>c leU) r, v' dated .y) r--..'- .:oJ'. I 'H '1:.
Decedent was a citizen of the unite(! States and a resident of M co ,., IM"^ .,., " /."..... "1 .
Township (BOrough), Cumberland county, Commonweallh of Pennsylvania, ./
Decedent died on /)" \ I the /if:J day of A'7lr; ( A.D,19 RC.J ,In the
I -F
County of <;'oVVl<crseT ,State of ''j)i-\ attheageof~years,
Decedent -Rae (has not) been married and ~ (has not) had children born to A\fl't-(her) since the ex-
ecullon of the above described Will, q::;.-
Decedent was possessed of personal property to the value of 5" gO
and of real estate to the value of
as near as can be ascertained; said real estate situated as follows
Therefore, your petltioner(s) respectfully apply(ies) for the probate of the said Last Will and Testa-
ment and for Letters Testamentary theron.
Dated
I Co \ q X'u
Name and address
of Petltloner(s)
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND \ ss
1) r..., cd d L. b ror ~{ IA ,r>- '(
named in above application, being duly c: ( , ",.. V)
statements set forth in this petition are true to the best of
according to law say(s) that the
)" < knowledge and belief,
and subscribed before
I
m'gJl;; (J . ri:~
T tI R glster
/l
.... / ;'
_7:1) I)
1/' \. ~I -: --1' ./ (b l-r,' oJ
~.
: 7" I't
'C' \
. ,_",' ( ,
)
/ /
//
.../
,-
r .el 0
.f..
Attorney '~,5---13 1.---;)
, \ Ill" ~7(;.\~IO<fd-.
/..c.L'--'....:",(<.: J. IV(:"'-'( II I "'''
..-- ~ t7 rr/ S ;lVr"o1 IV. Jot
lV\a v\c k,., L-. ' 'J Ht VV"l '''''1 I "71, 0 l?
Filed: December 22, 1980
,:''-',
" (~
.'"
.V~' :_' ,,.. ,
':.'f':"',.'!;;;~;,
"; ~',-, "I'-~;' ' ',:, "
.?::,::;.-:,~:.~
;~;.~~\.<"y
';~;:<{
".,'
:':\ >..~",
;,\~"',:r-
" :",.. "';'."
"
'.
::'
:i.
.,'...., ",
... "-.;""
":.,.'" ','.'.
.i....,!':~:;:. -;:.
~i'~-:-.:!
j,,' ~....
".-.;'-.'.
,;",';1,';'-:'-""",
>.::,
".,..'"
".(:.::.,
;'::'.:.',n,:~; ....: OJ,
',. '/~~l'_' ~...
"
,
:.;
",-,
."
"
':-."
,,(
',-"
'r_,
'. ,',
'r'"
\'.. "
:.. ".'r;~'
,....
':
'-1,
,
\'
.,"
\,
- '~';.:,,:
.,'-
<~
..
E-l
:.rl,
E-l'
(~'
",H
.l
~<"
H,
1:1.
'~
E-l
rI.l
~.
.:.
....-as... ":;;",
~Gl'" :~" .,
'~h{~.< ~
'. 'g,;:t. :ajq ';,;. " i
w '1>0"
~~.~,~ ,"
· &.0 ;i
.p 1>>. , ,!l
,'..(1) t/l'1II' ,
' M'J:l C), ~
Gl .~' .p..... lil
.gOGlJ:l
~.p',,!sl,aS,, 9
.p ~ ,d. ill
..... as, C) .'
--...CD
...., ....:.r..
~
~
,0
'0
~
Itl
""
o
.
""
~
E<'
" ;a
,.
m
'..,
II
',,"
".....
" "c:;::'::~',i'
;,y'(~
;I~', ,.}F~
,-".,
.' .: ; :,~.;
.' ~
.11..
,
"'I:.
)-";
.;.:
:~\.:
;., l
~-. .~ L)}~~'.
. .~. ~.';':
..... '.'
"..,"
-/,'.,
r}}~
"
. ~.: '. ~...!.:,....,~.;. (,,:...;':~,['.:f,i
'. ." .. ,,,'.. 1"1',,, T'~i'.t~~
"~ :,.'':~.~..~.' :':',~'~"r:'-':r' .,r,"__.
:
,
~-
,
..,," '
,
"
~
.
,
~.
.....
LAST WILL AND TESTAMENT OF KATHRYN F. BROCKWAY
I, KATHRYN F. BROCKWAY, of the Borough of Mechanicsburg,
County of Cumberland and state of Pennsylvania, being of sound and
disposing mind, memory and understanding, do make, publish and
declare this my last Will and Testament.
1.
I direct the payment of all my just debts and funeral ex-
penses as soon after my decease as the same can be conveniently done.
2.
I give, devise and bequeath all the rest, residue and re-
mainder of my estate, of whatsoever nature and wheresoever situate,
to my husband, Donald L. Brockway, absolutely and unconditionally.
3.
In the event that my said husband should predecease me, or
should he die at about the same time as I do, such as in an accident
common to both of us, then in such event, I direct the settlement and
distribution of my estate to be made as hereinafter directed.
(a)
I give and bequeath my/.Velco sewing machine; my personal
jewelry together with my jewelry chests; my sterling silver; my cedar
chest together with the contents thereof; my fox fur coat; my man
made fur coat; my wrist watch and all my stock in Dunhill, Inc" to
my sister, Louise Whysong, of Osterburg, Pennsylvania (R. D. 1),
16667.
(b)
I give and bequeath my husband's rifle to my brother-in-law,
Gerald Whysong.
OATH OF NON.SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA} ss:
COUNTY OF CUMBERLAND
This, the
I q -t }/j
day of
7)e (~(:JJ.;>.-J"--
A.D. 19 :\,0, before me, Register for the
Probate of Wills and Granting Letters of Administration in and for the county of
Cumberland, in the Commonwealth of Pennsylvania, personally came
D(hVI \C\. ;f.. rp)(o<:kLU"'Y '1 /-IC1\l-V 'P.\5r"rJ-cwAY who being duly
( I /
according to law deposed and say that they are well acquainted with
the handwriting of {::::"c;-\--k"vvl F !;;rockwc\\/
1" /
whose name is attached as --/7-' ili!-" 1 Y to an instrument of writing
purported to be
the Last Will and Testament of
Fr;-').
~< q -r h I" y' 11 - 15 ,"(, c. k 00 10, II
I /. I ';:)
late of A? ",- I ::J I '1 PO . ;Y\"ch,ml (c, 'JUf'). i q" deceased
and that the said signature is true and genuine, and that the said kc..-\' )wv' M r.
I
_'P,r-vckl.l) r:;1 is now deceased or-absent
sworn
and subscribed before me,
this
19th
_ day of
December
3qa
A,D. 19.B~
'/k--1' ~)
Register
'!e(~
per
Deputy Register
635
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
I
\
I
I
Before me. the Register for the p:obate of Wills and granting of Letters of Administration in and for the County of
Cumberland. personally came_ 'i)l)" d \ ell ~. '""K r'C' r kw <-< ,/
/
E'Ker ..+0'r
E r.--, .
'" \Sroclru.Jc~'/
,
. do_'~depose and say that as
who. being duly " II ,Of '"
deceased
of the last Will and Testamcnt of
\7""r, -\ h '/": 11
will well and truly administer the goods and challels, rights and credits of said deceased according to law. And
I
. !
i
also will diligently c. om ply with the provisions of the law relating to Transfer Inheritances. -n--and;rbscribed before me.
'j),< I j AD, "ro ..0"'$:( (~~
/.l1 ~. pJ
Register
:~ 0:
;l& 00:
:os '"
:~ "'j
:Cll
:0
:><:
";: '1' :
u.. ~; 00:
0 u: 'I~i
0:
0:: N:
11l: .!<l
C"'.l ....J 0 Nl
~~ " 0
~: !Xl lo.d
l' ....J -' 11):
~j -' ~l
- .~ .:
~ u:
~ ~: (-I: 11):
m: = ~: u:
~j ,~ 11):
.., M: ~\
Cll
0 ~ ~: 'E M:
00 0 ,'"
. u 'II':
- .s Cll 11
M ... Ql
d .5 .., bl) -'
= ~ .~
Ul ~
Z ril os
DECREE
Be it remembered that on the
22nd
December
80
,A.D.,19_. there was probated and
day of
Kathryn F. prockway
late of
recorded the last Will and Testament of
Mechanicsburg
, Cumberland County, Pennsylvania,
Donald L. Brockway
Deceased. Lellers Testamentary were granted to
Witness my hand and official seal the day and year aforesp.id.
0Ulf a._~~
I' / Register
.___~__n___~:'-~,",'"r",..".
s-y-r;
,. .
COUNTY NO.,;; 1- f?{:i.. 113
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES
(Instructions on Reverse Side)
REV.,tQ EKt 17.~l)1
I COMMONWEAL TH OF PENHSY~VAHIA
DEPARTMENT OF REVEHUE
TRANSFER IHHERITAHCE TAX
RESIDEHT DECEDENT
STATE NO.
(lQ E.ec. (I Adm. Other
Name Donald L. Brockwav
Social Security No. :'07 f)'). J.{q7/
Estate al Kathrvn F. Brockwav
Last addre.. 617 S. 11arket street
(STREET)
Addre" 617 !';. ..,,,rkpr !';rrppr
(STREET)
>-
0:
...
U
::>
o
u:
'icchanicsburq, PA 17055
(CITY' (STATEI IZIPI
Under penalties of perjury. I declare thot I have 8lU1mlned this return and
to'p~~te bellefi,l true,carrectendcamp,ete:z /8/
SIgnature of Fiduciary
I-
%
O'
a
O'
u
w
o
Mp~h"nic~htlra. P~ 17055
(CITY) (STATE) tZIP)
DatealDeath A!lril 2, 1980
Social Security No. 1 B8-20-6828
TYPE OF ASSET
DESCRIPTIOH
ESTIMA TED MAR~E T
VA~UE
DEPARTMEHT VALUATIOH
(OFFICIAL USE ONLY'
116
Shares of Questor corporation stock
($~.5J) per share
~IJ')\~
($995.28)
5"11; .s-'C
'"
I-
O'
'"
'"
...
OFFICIAL
USE
ONLY
TOT AL 5"''/ 'f. :;fO
I do heteby certify that the above assets were appraised in accardonee with Pennsylvania law.
'i'.' Ii" I \
.....'1: ('I)" /,'1,'-. fA )f" 'Y' /
APPRAISER
AMOUNT CLAIMED
HATURE OF CLAIM
NAME DF PAYEE
$2,000.00
DATE
Family exemption - spouse
"fIn <(/
Donald L. Brock\~ay
'"
%
o
;:
u
::>
o
Ul
o
o
%
..
'"
I-
..
O'
o
_I" ~..J -;:~ 'j ,;.~rl:1
-: -c, _ - wc,~\'~i31J
'\ ",
:,. (0 V- ^~H 18
.
TOTAL
$2,000.00
.
/1 .R OF ~~.'fiud
DATE
6-//-'?/
-
INSTRUCTIONS
ASSETS:
...
..
TYPE OF ASSET _Indicate whether the asset is real estate, personal property, transferor jointly-owned.
DESCRIPTION _ lis. all assets owned solely by the decedent or owned jointly with another party or parties 05 tenants in
common or os joint tenants wilh right 01 survivorship at the time 01 deoth. Include the decedent's percentage 01 ownership,
the nome (s) and relationship to the decedenl 01 the surviving joint owners and the estimoted market value 01 the decedent's
interest os of the dote 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.D.D. U.S. Savings Bonds and tentative trust accounts. List any
property transferred by the decedent within two years of deoth for which he/she did not receive valuable and adequate
co nsi deration.
Describe 011 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
exact title as indicated on the deed.
DEBTS & DEDUCTIONS _ Unsotislied liobilities incurred by the decedent prior to his/her deoth ore deductible ogoinst
his/her taxable estate. In addition to debts inCLIned by the decedent, other items arc claimable including the cost of
administration, attorney fees, fiduciary fees, funeral and burial expenscs including the cost of 0 burial lot, tombstone or
grave marker. list the date an which each debt waS incurred and/or paid and the names of each payee. Provide a brief
e'tplanation of the nature of each debt claimed and the amount being claimed
Evidenc~ to support the decedent's or the estate's liaL.ility for the debts being claimed should be attached to this return
A family e'ICcmption may be claimed by a spouse of 0 decedent who died domiciled in Pennsylvonitlo 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 some household can claim
the evco11ption. In the event there is no such spousc or child, the exemption can be claimed by 0 parent or parents who are
members of the same household as the decedent.
... J> Z C 'tl 0 n J> m
m ~ :I: 0 ~ ::;; Z > 0 0 0 '"
... ~ III 0 C'l n c: 0 ~
m '" m 0 m m "" z '" >
- 11 .
'tl 11 m Z Z m ~ m ~
:>: '" ~ p ... -< '" m
0 ..... '" .,;; p '" 0
(Jl 'tI t< z 0
z 0- III ~ P "f1 "f1
m ~ :!: ~.
Z 11 0 11 () :s: '" :>::
p ro :>l' ~ III f-' III
::l l'j. 11 ...., rt
OJ Cl . :r ;:J'
..,
...., '<l 0 ro .... ro III OJ 11
f-' ro X . 11 ::l -<
...., ~ ::l ~ :<f:a f-' ....' ::s
... ::l ... f-' III 11 :;::
~ (Jl . 0 G);' ::l Ul III "l
'" m m ex> ZillP p. 0- 11
. f-' m '" ro ~ ~ ;r;'
<: ~ III 11 ro Ol
III 11 11
::l '< Z; 0
;-0' a Cl
III * '0 ;.;'
llJ !' '" :<:
(Jl . III
f-' .Q eo f-'
-...., ~ ...,
~f-' n
....' 0 0
:!1o 11 ?:
ex> III
INFORMATION
> !
0
z ~ ...
Z ...
P z P
'"
...
'"
>
...
(5
Z
-<
m
>
'"
-<
m
>
'"
PLACE FOR FILING _ The return is to be filed in d~e with the Register 01 Wills 01 the county wherein the decedent
resided.
TIME FOR FILING _ The return is due nine months after the decedent's death, unless on e'ICtcnsion for filing has been applied
for and granted by the Secretory of Revenue within the nine-month period.
FAILURE TD FILE RETURN _ Seetion 79101 the 1961 Statute provides that" , . .ony person who willfully loilslo lile 0
return or other report required of him sholl be personally liable. . .to 0 penalty of 2S~O of the tal( ultimately found to be
due or 51,000 whichever is the less to be recovered by the Department of Revenue os debts of like amount ore recoverable
by low."
NOTE: Fees poid to an estate representative; namely, on executor or administrator, for services performed in ad.
ministering an estate is reportable for Pennsylvania Income Tax purposes. This taxable income item shoud be reported on
form PA.40.lndividuollncome Tox Return,
DATE
'*
);~) //
/9'///
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
COUNTY FILE NO:
!
. / ...
..1 .-.... (/
-/1/ ;;.:
I ,
.' ."
,.,'"
TO:
/ , ..'
'/ ., /...l
."
..'I,
ESTATE
/>: I' ~/' -.:'::-,.. 1 ",. .: //) 1'/( '--' ./
,.' ,'.r' I ) /. 0"".,1'/ ;. ~.i / I "I'>r. ~~.('.r"
'j . /; ,
..;" ~,/ > '/'// -'J'
'.' --,'/ [/ -, 1'-'
" /
/
-'
." '.., ".' ..0-
.../ /,.//I.I;,<'--<'.~
/
, , ;. 1.1, '::.c,j'/-
.' '~.fI7!,/~
FILE NO.
'..:"~;~~
COUNTY
, ,
. i,;
,to, l/h(,;L-1r/,vf~
.
/I"jo~.~~
, I
DATE OF DEATH
I i'l.d d. / '1.Fd
j
Appraised Value of Estate:
Real Estate
i
,
Personal Property
$
/) --VoL/ "
+ ,;,(}
+ -
$ ,. (// o'j"()
.-
- ;, , .i.i....,': (}-()
..
-.----.-
$
Jointly Held PropertylTransfers
Total Gross Estate
Total Approved Deductions
Clear Value of Estate
Less: Approved Charitable Exemptions
Clear Value of Estate Subject 10 Tax
$
Amount Taxable @ 6% Rate
$
" /
. I / ,"j.
, ,',. /.."'" ,,/''- J/ / /)
lax due "/'II-b,"C-S//f',.") ." /',1. ..-I,.;l--'I-"
!
Amount Texable @ 15% Rate
tax due '" ,,~
" , t.. 1/)1 .
TOTAL PENNSYLVANIA INHERITANCE~if.iOEt-t1"l""('" (/ '. / I(:_....I~
* '* '* '* '* '* A five percent discount totaling S
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
$
+
S
S
=
S
+
=
+
=
Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from ~
to date of payment. Interest due if paid by is / I j;: ~.' I P;;/~
. 1/... r, I _,/'/( 1/ J ,I ./J
BALANCE OF PENNSYLVANIA INHERITANCE TAX OUJ /. v' (1.--$ /I,'ell ( //1"1 A ",.<-p
/ ' (PI
--- / 'I . / .. P
Assessed by: . Ii I( .
See Information on Reverso Side Agent rtl1ecommo~~ Ih /:
l-; -' I ''!J;-J
""GiS'i,:-: :...,j,- /'''7
INFORMATION
To insure proper credit to your Decoun!. Iho name of Ill(! estalc nnr1 fllo number should bo clearly print-
ed on tho check or money order.
This aSSessment is made In accordance with Section 708 of tht.! Inheritunco and Estate Tnx Act of
1961 (72 P.S. ! 2485.708).
To tho oKlon1 that inheritance tax is paid within threD (31 months after Iho doath of the decedent. 8
diseount of fivo 15) porcont is allowed 172 P.S. ! 2485.7161.
Inheritonce Tax, other than lax on a futuro interest. is due at tho date of the decedent's death and becomes
delinquent at the expiration of nine (9) months after tho decedent's dOllth (72 P.S. ~ 2485- 711). Inheritance
Tax on a futuro interest is payable within three (3) months after tho transfer takes effect in possession and
enjoyment and is delinquent thereafter 172 P.S, 9 2485- 712). Calculate interost from the delinquent date shown
on the face of this form to the date of actual payment using the following interost tnblc:
--------------------------- ------- ------------- - - --- - --- ------------ -- -----
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 .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 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
6 days .00135 18 days .00301 28 days .00471
9 days .00162 19 days .00318 29 days .00488
10 days .00169 20 days .00335 30 days ,00500
-- ------------ ------- --- - - - - - - - -- -- - - - --- - - - --- -- - - - - - - --------- -----.
AnV 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 as provided by Section
1001 of thelnhcritance and Estale Tax ACl of '~6' (72 P.S. 5 2485.10011
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below: