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No. 21-80 8Ht-!
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
Martha E. Deihl
, deceased.
In the Estate of
To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania.
Petltloner(s) ill (are) the execut ors
named In the Last Will and Testament of
Martha E. Sli:lSlld: Deihl dated october 19. 1979
Decedent was a citizen of the United States and a resident of Lower Mifflin
Township (~~, Cumberland County, Commonwealth of Pennsylvania,
Decedent died on
Thursdav
the 25th day of December A.D. 19~, In the
County of Cumber land ,State of Penna. at the age of - years,
Decedent has (has noll been married and has (has not) had children born to him (her) since the ex.
ecution of the above described Will.
Decedent was possessed of personal property to the value of undetermined
and of real estate to the value of
Ten Thousand($10,OOO.OOl Dollars
as near as can be ascertained; said real estate situated as follows Lower Mifflin Township
Therefore, your petitioner(s) respectfully apply(les) for the probate of the said Last Will and Testa.
ment and for Letters Testamentary theron.
Dated Dec. 31. 1980
I:') " -d E" ~ (7 JffJ
' -I' '- -, ;' 1
Lecll-<'t-t-.. /, '-<C-O <Z .E.J!.z
Name and address Richar L. Diehl Lee E. Diehl
of Petitioner(s)
R.D.Jl3, Box 241
3642 Orrstown Rd.
Newville, PA 17241
Orrstown, PA 17244
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND l ss
Richard L. Deihl and Lee E. Ded;h1
named in above application, being duly sworn ' according to law say(lS) that the
statements set forth in this petition are tru~e toP0 best of their . knc~ledg:~d belief.
-Sworn- and subscribed before . '. );- (~f)' 1 (~7,'i J;; iP C7"
me,_Dec. 31 19 80 "'''' 2'. _ r?<_:f1J
?JJ2. /J 7i(1~~.J
~LLfL}Y--C-'-~~~-
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Filed:
January 2. 19aT
....\~hV\ Mc.Crt?~L
;).;). <;:",,:th H 14 I,
Newu,llF' I rA
Attorney
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LAST WILL AND TESTAMENT
I, MARTHA E. DIEHL, of Lower Hifflin TOI'lllship, Cumberland County, Pennsy1-
vania, declare this to be my Last Will and Testament and revoke any will or
codicil previously made by me.
ITEM I: I direct that all my just debts and funeral eKpenses, including
my gravemarker and all expenses of my last illness, shall be paid from my
residuary estate as soon as practicable after my decease as a part of the
administration of my estate.
ITEM II: I devise and bequeath a~l of my estate of every nature and
wherever situate in equal shares to such of my children hereinafter named,
Richard L. Diehl, Lee E. Diehl, Viola Johnson, Paul E. Diehl, Evelyn Varner,
Emily Eutzy and John D. Diehl, as survive my by thirty days.
Should any of my children as above-named predecease me or die on or before th
the thirtieth day following my death, I devise and bequeath the share of such
child or children to his or her issue, per stirpes, living on the thirty-first
day following my death; and should any of my children as above-named leave no
issue living on the thirty-first day following my death, I devise and bequeath
the share of such child or children to my other children as above-named or
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their issue, per stirpes, living on the thirty-first day following my death.
ITEM III: I devise and bequeath to my daughter, Cecil Negley, the sum of
two hundred ($200.00) dollars to compensate her for the care and attention she
gave to me during the period of time when I was recuperating from my cancer
operation, she having refused to accept any payment for such care and attention
during my lifetime.
ITEM IV: I direct that all taxes that may be assessed in consequence of
my death, of whatever nature and by whatever jurisdiction imposed, shall be
paid from my residuary estate as part of the expenses of the administration of
my estate.
ITEM V: I appoint Richard L. Diehl and Lee E. Diehl, executors of this
MCCREA & "AVIS
AnoANt't!l AT LAw
Ntwvn.Lt & SI1IPPtM'IURr;
PENMA.
my 1as tWill.
ITEH VI: I direct that my executors or their successors shall not be
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required to give bond for the faithful performance of their duties in any
jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will
and Testament, written on three (3) sheets of paper, dated this fl:th. day of
October, 1979.
'f J~I,,-ji{l d /L /i1'
Ma tha E. Diehl
(SEAL)
The preceding instrument, consisting of this and two (2) other typewritten
pages, each identified by the signature of the testatrix, was on the day and
date thereof signed, published and declared by the testatrix therein named,
as and for her Last Will, in the presence of us, who at her request, in her
prE:sence, and in the presence of each other have subscribed our names as
witnes es hereto.
,.,,,"', "J1Y,W,J"'J1 J.
residing at fU1V1rrlJ! p ,Lj
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V
MCCREA & OAVIS
ATTQAIIUG AT v.w
NtWVILl[ & StlIPPttt'aUIlG
PlMMA.
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COHMONWEALTIl OF PENNSYLVANIA
ss. :
COUNTY OF CUMBERLAND
1, MARTHA E. DIEHL, the testatrix whose name is signed to the attached
instrument, having been duly qualified according to law, do hereby acknowledge
that I signed and executed the instrument as my Last Will; that I signed it
willingly; and that I signed it as my free and voluntary act for the purposes
therein expressed.
'1, '(iA,ti<LL e iO~,~/J. (J
M'artha E. Diehl
(SEAL
Sworn or affirmed to and acknowledged
before me, by Ar.",.f!;" t., v,,-t,/ ,
the testatrix, this f'dLday of
~INr ~79.
"L~ ^ ''1'~ j/~'./,.,,-<,-
NOTARYf/u'tirc
SUSAN J. ~OVll1eR. Notary Public
Newville. Curr,bcrland Co., Pa.
My cornm~ssion Expires Sept. 6. 1982
COMMONWEALTH OF PENNSYLVANIA
5S. :
COUNTY OF CUMBERLAND
We,
Jt (ri.c.- 1)1.
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A1c L/'",~ jJ3
and
tT"/)!,/,
the witnesses whose names are signed to the attached instrument, being duly
qualified according to law, do depose and say that we were present and saw
the testatrix sign and execute the instrument as her Last Will; that she
signed willingly and that she executed it as her free and voluntary act for
the purposes therein expressed; that each of us in the hearing and sight of
the testatrix signed the Will as witnesses; and that to the best of our
knowledge the testatrix was at that time eighteen (18) or mo~e years of age
and of sound mind and under no constraint
or undu)linf1uence. ~
-r~tL. /J1. olut4-<-
(We.:., Aft (0.9<-,- $
U
MCCREA & DAVIS
^TTDRMU5 At \.A.w
NEWVILLE' SHIPPt"''BURlI
PtNNA.
Sworn or affirmed to and subrcribed
before me by t<;' __ \. ~<?....s "'-
and :J, ito, !vi ( ,~.e' 1"'T , witnesses,
this 1','/1. day of f'>/1c/Ji r
1979.
'....EhU-'~J_ ~.g..<< -( )
N~~-mC
SUSMl J. HOVETTER, Notary Public
Newville, CumbcrliJnd Co., Po.
fl,y r,~fllm:!si(\[~ rxp;rc~ Sept. 6. 1982
6g!3
- 3 -
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of
Cumberland, personally came
Richard L. Diehl and Lee E. piehl
who, being duly sworn
,do
depose and say that as
Martha E. Diehl,
Executors
deceased
of the last Will and Testament of
they
will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And
al~" will diligently comply with the provisions of the law relating to Transfer Inheritances~worn and subscribed before me.
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DECREE
Be it remembered that on the
2nd
January
81
,A,D.,19
, there was probated and
day of
recorded the last Will and Testament of ~;artha E. D:ei"'.:l~
late of
Lower ~ifflin Township
. Cumberland County, Pennsylvania.
Deceased, Letters Testarr,entary were granted
Witness my hand and official seal the day and year aforesaid.
to Richard !.rl, Dciihl & Lee E. Deihl
C" t:'
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rJ , ____ Regis\er,"
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REV...49U."OJ to.. 1-
COMMONWEAL TN OF. PENNSYL VANI^
DEPARTMENT OF REYENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
AFFIDAVIT OF
FIDUCIARY
(lnstruction!t on :~eYerse Side)
*
Estate of ,
MIX RTI1IX F. nF.T1H,
DClle of Dearl, --1)pt'pmho>Y ?~. 10Rn
Last Addtess R. D. #.3__
Social Security No.
199-0'i-71n7
Newvi ll~, J"a4
lelT'O (~'A1U
17241
( /IPI
Burenu File No.
County File No.
::n-Rn-ROR
1. Decedent died:
( ) 'ntestate (without u will)
(x) Testate (leaving 0 last will--copy attached)
2. \s the liIing of 0 Federal Estate Tox Return required for this est ale?
Yes__ No "
3. (x ) Executor/Executrix
) Administrato,,' Administratrix
Name
Richard L. Deihl
Lee E. Deihl
Addtess
R. D. #3, Box 341
Newville, Pa. 17241
3642 Orrstown Road
Orrstown, Pa. 17244
(CITVI
IST""l'EI
{ZIPI
4. All correspondence shl!uld be moiled 10 ( x) Attorney
) Fiduciary.
5. If on attorney is representing the eslote, indicate:
Name
John McCrea III
Address
22 ?ou~!lili9!1_.St~t,.__._-
Newville
tCITYI
Pa. 17241
:;TATf..)
IZIPl
Lisl all sofe deposit boxes reqistered in the decedent's individual namehar jointly with, or as an agent or deou"
of another, or in decedent's individual name with right of access by anal er as agent or deputy. Include the no,r['
and addtess of the bank or ather institution where the sofe deposit box is located, the nome (s) in which th," k;
is registered and the relationship of the joint holders to the decedent.
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT MAINTAINED A SAFE OEPDSIT SDX
NAME OR NAMES IN WHiCH
SAFE DEPOSIT SOX IS REGISTERED
RELATIONSHIP or JOi';~
NOLDE RS TO OECE o,~"-lo,'
The Farmers National Oank
at Newville
P. O. Box 156
__.---Mar.l:.ha-E,., JJuihl_ ,,--
____~/~__..
Newville, Pa. 17241
.-.---------
Undet penalties of perjury, 1 declare Iholl hove examined this return, including occompanying schedules and
statements, and to the best of my knowledge.and belief it is true,~orrect ond complete.
,,/ {tvc J,,< vi / 'J (<,j. /
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lilGHA 1 uni: uf t1lhJClAln
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QueSTIONS CONCLRNIN(; ['1l0PEPTY fll,\NSFERS
1. Did decedent, within two ye,us of dCilt:I, 1Il;'ff: allY tra:Jolel ,:: ;m',,' :: 'Ite, ,lIp.HI of his c5tate Wllhoulreceivinr,
valuable and adequate cOIIsidefJtloll7 (Ansl\!:' "Ves" .]1 "!~o"., _-N~::.
2. Did decedent, wilhilllwo yeills of death, !r;lIl3it:IIHOjlelly 1r0lll him,>!'lf' helst:ll to hiq",e!f/herself ,1I1l1 i1110Ii'N party
or parties(incl~dinp a spolIsellllloillt uW:fO:I:,llip'! ,Alls,vel "Yes" or "No",/ --No-
3, If the allswer 10 Olll'llI Iwu ,lhuv!' is ''Yel;'' I" I 1',': :1;'W,;cl~ alt: '.I;li';Wltlo"~ Iloilfilxilhl,,\ provide Ihe followlag
infolmation: N/A
a. Ageof decedent ilt timeof lrilnslcr,
b. Copy of death celli licilte,
c. Affidavit by the illlellding phY$iclillllndicilllll{llllc :~I:i1e of deccdcnt'~, !E:IJilh ~i lim., of \ransler.
d. All other information sllppolhllp'l1ont:lxilll!lill o! 11"1\',11:1,
4. Did decedent, in his/hellifetime, make ilny Il:lw,I'I' of fllofl(!lly wilhoulr!'u'iViII!! ~ vill:llhle or adeqilate cOIl'sidel~lion
therefor which WilS 10 lilke effect in /illS",:sc,'U:1 III 1::IJlly'Ioe:11 at Of ~I!,," 11l:::lwr (I\):II!I':' ,,\'Iswer "Yes" 01 "No".) NO
a. Was lhere any possifJilily lilallhe prope'ly 11",1"!"'Ie<l 1I11~~!lt rdulIIlo :r.lllsleror 01 lil\ her estate or he subJecl
to his/her power of disposiliun? (An';\'It'r "Yes" 01 "/in".) N/A
b. Wlwl was lhe Irillderee's al~1: .11 l'Ine ollll:e~t1enls i1e:,liI' N/II
5. Did decedent in i1is/IIl:1 lilellllll' Iii:lk~: 'lilY Il1l1Slel wilhr"lt I,reclving il '!,lli/;t1:I,: :Hld iltfeqll,lle consirhtatlUn Iherelof
under whicil transferOlI~xprr:s:;ly 01 ilnplledly HJ,mVeS :ullw, III'; Ille 01 :3,Y puricil whirll does in [<1el end before his,her
dealh: No
a. The possession 01 enjoYlllenl of 01 the 11!~htlo incollle lrom tilt: PlfJpf!ltv !rans!ellccI', (Answer "Yes" 01 "No".) llc--
b. The righllo designate the p.ersons \l'hn silallllos<;es~; 01 l!nJl1V lile properly liilnslerred or income IIwrelrolll?
(AnswCl "Yes" or "No".: __li.Q___
6, If the answer to five h. abwc ic, 'Yes," slale whether tile rrgllt Vi:IS res~lvetl ill deccdcnl illone or olhers.
-1\1 / II
7, Did decedent in his/I]!!: lifetill1e lI1<1ke a lr,luster, lhe consideration lal which Vias tlilnsferee's promise to pay income
to or for lhe henefil or Cille of !1,Hdclnr? (Allswer "Yes" or "No".) No
8. Did decedent, at allY time, liansfl:1 propLlly, Ihe hmeficl<ll enJol/men, of which wns subjeclto change, heciluse of
a reserved power to alter, <111I['111', '1r ,evol\e, or which cOIlI~lle',ert to t!r.ccd';llluilder lc:rms of transfer ill by operation of
law? (Answer "Yes" or "No",! Wo-
9. If the answer to eighl8bovc is "Yes," was IIlc poww to aller, ~H1cnd UI levokr. lile interest of Ihe beneficiary leselved
in the decedent alone 011111: d':w!(:nl and othels'! (An:,wc'l "Yes" 01 "Nu"; N/A
Rt:V-4~3 EX" (3.801
COMMONWEALTH OF P~NNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
*'
(Instructions 011 n,werSH .'iiu'l.'/
Estate of
MARTHA E. DEIHL
BENEFICIARIES AND ADDRESSES
RELATIONSHIP
SURVIVED
DECEDENT
DATE OF
BIRTH
INTEREST OF BENEFICIARY
John D. Deihl Son
Country Manor mobile home ark
1 . ~ 1
Car,1s1e. Pa. 1703
Yes
Sui iuris
1/7 residue
Mrs. Eve1vn Varner
1'(. D. ,#3, Box 336
., ~ ,~~"
Dauqht;e~,
Yes
Sui iuris "'1 ~o~; ,,""0
Mrs. Viola Johnson
Scotland, Pa. 17254
Dauqhter
v"'"
<:,,; ;"~;,, 1/7 ~~~'''"..~
~ " -
R.D.#2, Box 200
Newville, Pa. 17241
Yes S,,; ;"~;,,
"'1 ~"''';''''o
.
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R. D. #7
Sh1ppensburg, Pa. 17257
Dauah teL_I-'i.as
en; ;,,~;~ 1Qr",,;dn..
Le.. F. _ n..i hl
3642 Orrstown Road
<>~~"., rd.. .L/~'t't
. ;~~: ~ ,.0910y - __ _~u.'''"" __~.~-___ S uU uc;, f---" ~O . ;~_.. _
\ 'uP' "-10, ,.. "W _ __ _ ~ . =::-:: --:-+::_ -:-__ +d:-::__. ~:=
\ The above beneficiaries are living at this time except for the following: no exception -
Son
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_ Yo, Sui ;uc'tlLUP'; d"o
~ e,,; jnri" 1 ''1 _o~, -"ne
----...---.---
____ ____ _n_ __ ._. ------
Rir.hrtrn To n~;h'
R.D.#3, Box 341
"CWV.L.L.LC, rd.. .L,,'t.L
Son
DATE OF DEATH
NAME
------------------ ------
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REV-454 (l'SO)
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
.
SCHEDULE "E"
JOINTLY OWNED PROPERTY
(fmlrllr:tions nn Roversl'St'r/C!)
i Estate of
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MARTHA E. DEIHL
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P
TOT AL ~ VALUE OF DEPARTMENT
ITEM R
DESCRIPTION MARKET \ DECEDENT'S VALUATION
NO. VALUE INTEREST (Official u... O"lyl
T
---- - --, ~= - -
None None
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TOTAL THIS PAGE None
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INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
Schedule "E" must inclurie ail propertv. real and personal, owned by the decedent joint IV with another
party or parties as joint tenants with right of survivorship. Both tangible and intangible propertv are to be
included. List real estate first.
1. Describe all reai property as indicated in (he instrlJC1'"ns for Schedule "A", Describe all personal property
as indicated in the instructions for Schedule "U", Include the name, address and relationsllip to the
decEdent of the co.owner (sl and the date the joint ownership was established.
2, Indicate the total market valuc of the iointly owned properly,
3. Indicate the percentage orthc decedent's interest.
4. Indicate the marklH value uf thl! decedent's inw(t:sl.
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TO: Pennsylvania n"partment DE Rev",,,,,,
Burellu DE County Co U"ct 10nH
\""\ 9
lIb
FROM:
Commonwealth National Bank
RE: Estate of
MnTttnp P' D91111
Deceaaed
Date of Death:
December 25. lGaO
It is hereby certified that the above-named decedent had. on the abo.ve date,
the following accounts with us:
A. CHECKING ACCOUNTS
B. SAVINGS ACCOUNTS
C. CERTIFICATES OF DEPOSIT
Type of &ccgunt Registration Balance Accrued Int.
Account um er
ctf. of deposit 8004 Martha E. Deihl 1,000.00 13.50
ctf. of deposit 9137 martha E. Diehl 1,000.00 8.17
/ ')
Date: ..oj 3/ j /
BY: .
'}'J (,-' ,),] 7 r t-l"L-<~
-,
. ,
~-
i
!
j MCCRCA' OAVI!i
I AI '!lllIi' ,', III I"~
Hl""'fUll & Utlll"'I"r,IlIl~I;
PCNNA.
LA~:r wrLl, ANI! TE~TAHI':.NJ:.
I, MAHl'lIA 1'. DII'IIL, of Lower HlfflJn Township, CumherIand County, Pennsyl-
vania, declare this to be my Last Will and '!'<,stament and revoke any will or
I codicil previously made by me.
I
ITEM I: J direct thilt all my .lust dehts "nd funer,,[ expenses, including
my gravemarker and all eXl'enses o[ my IasL i tIness, shill I be paid from my
I reslduul:'Y ~Hl':lle as Hoon as prn..:tlcuhlc al tcr my d~ccaHc as a part. of th~
administration of my estate.
ITEM Il: I devise and bequeath all of my estate of every nature and
,
I wherever situate in equal shares to such of my children hereinafter named,
I Richard J.. Diehl, Lee I,. Diehl, Viola Johnson, Paul E. Diehl, Evelyn Varner,
I Emily Eutzy and John D. Diehl, as survive my hy thirty days.
I
I
i
Should any of my children as above-named predecease me or die on or before Ith
the thirtieth day following my death, I devise and bequeath the share of such I
child or children to his or her issue, per stirpes. living on the thirty-first I
I
I
day following my death; and should any of my children as above-named leave no
issue living on the thirty-first day following my death, I devise and bequeath
the share of such child or children to my other children as above-named or
their issue, per stirpes, living on the thirLy-first day following my death.
ITEM III: I devise and bequeath to my daughter, Cecil Negley, the sum of
two hundred ($200.00) dollars to compensate her for the care and attention she
gave to me during the period of time when I was recuperating from
my cancer I
and at ten t ion I
operation, she having refused to aecept any payment for such care
during my 11 fet lme.
ITEM IV: I direct that, ~~l taxes that may be assessed in consequence of
I my death, of whatever n"tllre and by whatever jurisdiction imposed, shall h',
i'
II paid [rum my ccSiduary estate as part of the expenses of the administration of
:;my I?statc.
,
ITEH V: J appoint IUchard L. Illehl and Lee E. Diehl, exccuLurs of this
lilY Iilst \~lll.
ITEH VI: I direct that my executors or their successors shall not be
Ii
II
" ,
COHHUNWI,ALTII 01: I'ENNSYI.VAIHA
SH. :
COUNTY OF CU~ll\lml.ANIJ
I, MARTitA E. DUWL, the testatrix whose name is signed to the attached
instrument, having been duly qualifled according to Jaw, do hereby acknowledge
that 1 signed and executed the instrument as my Last Will; that 1 signed it
willingly; and that I slllned it as my fre'" and volunlary act for the purposes
t1leruin exprcsNcd.
11 . 'I' ,
.' ....L ....... r..~.'..,I: {/
Martha Il. Diehl
(SEAL
,-,
Sworn or affirmed to and acknowledged
before me, by /.~/.':, .'. ,. ,;: ,
tbe tcstatrix, this : 7' day of
...c.. ::...~ -:-I9 79 .
,'1 ~iA J
vJ.u.() ... q'1. "tJ-ri7A' -,..~ j
i;OTARY/ U IC
I
SU:)/\N J, HOV[ t fER. Nnl.lf\' Puhlic
Ne.....ville' (umH.:r\61'd Co., plJ. I
My COIlII1'I$~IOI\ h;pin:!J Sept. 6. ,~U'l
II
COMMONWEALTH OF PENNSYLVANIA
SSe :
COUNTY OF CUHlllmLAND
We,
Ii'
JI,.ft;/.L- tJr.
,
~.( ~ {"
/.~ .. ,'. ",".
"'. ...'.
ilnd
, \:1
the witnesses whose names are signed to the attached instrument, being duly
qualified according to law, do depose and say that we were present and saw
the testatrix sign and execute the instrument as her Last Will; that she
I, signed willingly and that ahe executed it as her free and voluntary act for
.,
"
the purposes therein expressed; that each ur uS in thc hearing and sight of
the testatrix signed the Will as witnesses; and that to the best of our
knowiedge the testatrix was at that time eighteen (18) or more years of age
and of sound mind and under no constraint
or un~due ,tnfluence.L.
_.'1" . J /1,1
( ".A!,( PI<- ,//1. ' "f.'~
I, ---
l: ,. /: ./. .r J$;-
-,
. .
\",\.
\ . .,....
McCR[A &. DAVIS
"
;1 Sworn or afflrm!"tl co and sub,?cribed
II be fore me hy ~., '-,-Ll~~-l~.
'\ and .. ," ,w L lIWSHl.'H,
, ~~~~.~_'lay of I, ".___n.
I
1
11 J~~i:~-r'
NOYil~lit\c
'/
,:: j';:':;
^', D R NI t~, '" LA.~
.;:,.j: j'
:....., ;,'bli:;
NIUlUI & S"IPPtH!:~IlIlC
PUW""
"
II
1\
- 3 -
REV-"8" EX+ CHO)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
[] Original
o Supplemental
o Remaindet
File Number
:>1-RO-OROR
Estate Name
Martha E. Deihl
Date of Death
December 2S, 1Q80
Social Security Number 1QQ_OS_7307
REPORT OF INHERITANCE TAX APPRAISER
I, thl undersigned duly appointed Inheritance Tax Appraiser in and lor the County 01 ;;;;f.::;tp,.,&~ n
Pennsylvania, do respectfully teport that Ibave appraised the real and personal praperty as reporte In t e ~aregolng
return at the values set forth opposite each iiern in the last column to the rjght ::lln Sc dules itA",. II Bit , fie", and "E"
~ /
Dated: November 16, 1Q81 U4U ~1....f:1::14j,~
IN'" RITA-NeE TAX AP~AISER
IIIVENTORY
YALUE AS APPRAISED
CODE
ADJUSTMENTS
(HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE
Real Property (Schedule Al
Personal Property (Schedul. B)
Jolnl.Held Properly (Schedule E)
Transfers (Schedulo C)
s
92+
TOTAL GROSS ASSETS
93-
leu D.bts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
o Life Estate
o Annuity
40-
PR1IICIPLE
VALUE
CODE
FACTOR
!!.ill
\
FOR USE OF REGISTER ONLY
Tax on $
~
COMPUT ATIOII OF TAX
$
$
$
$
$
6%
Tax an $
15%
T 0;( on $
Tax on $
Tax on $
Exemptions
Total Estate
TOTAl. TAX
INTEREST FROM
BALAIICE
TO
S
$
S
Less Credits
DATE OF PAYMENT
TAX CREDIT
AMOUNT PAID
$
S
INTEREST FROM
l
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REV.455 U.80)
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEaTS
AND DEDUCTIONS
" , File No.c2/ - JJ - iN
Estate of Ml\RTHl\ R nRTIIf. Date of Death . 12/25/80
WHEN CLAIMING THE FAMI LV EXEMPTION, COMPLETE THE FOLLOWING:
Claimant John D. Deihl Relationship to Decedent Son
Claimant's Address Country Hanor Mobile Home Park, Bernheisel Road. Car]isl~* Pa. 17013
ITEM DATE NAME OF PAYEE REMARKS AMOUNT
NO.
I ,
! Reaister of thlls Letters Testamen tarv 29.00
I 2 Register of Wills Short certificates 3.00
I ~ Cumberland Law Journal Advertise Letters 18.00
,
i A Valley Times Star Advertise Letters 8.00
\
~ Garv L. Blacksmith M.D. Medical "ccount 25.00
i .". -::1
, , Eaaer Funeral Home Funeral exoense ;:--. 2282.00
i
I r",.1i ", p D~rH "', "rm .. M~'n; ,..", lI"c":'unt 36.nn
I ~
! - ,,~,.1i,,'~ u~_, '1-,,' ~ ,,,I- "A nn
i n ...-~~ .-' - ,,--- 1I"",,,""t 30.97
I 10 Uni ted Te1eohone Co. Account 13.90
I
I , , 10.00
, M. ,+-~. ,~ ,. ~ Tn~ Letterina Stone
1 ? Milton Hershev Med.Ctr. Account . 108.00
, .., .. . Fuel book account 80.26
'4 ,
.,.- """" , " ", 82.15
15 ,-, ,~ 1:'1 . '~ """~ Account 38.72
\ 16 1>;"'''''''''; no;h1 Reimb. auto insnection 9.54
17 1Im.7"" Fuel account 139.35
I
\ 18 - p,..~h' - Sh"n 1\,..""",,1- 167 03
. n Harrv Killian Constable Assistance removal of P .P. 30.00
I
I 20 John D. Deihl Child 's exemotion 2000.00
I '), Adams Electric Cooo Account 42.77
I ..,.., r R Tn"n_ ~
I ,+- 21.00
,
I n~ Richard Deihl Reimb. for furnace nozzle 3.75
! TOTAL THIS PAGE I
I 5.232.44
__~_4~. _.4."__ ______.___
.(i-,C.* ~ (
, .
I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral
expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes.
( ~ '1---' j .
\ .~.' ,l,f ":r- q / , <""/ "~I
/ u [/1/:,'. i 1'1 ( ..IJi' -t :!5- ' ( /'. 6
/ SIGNATURE OF ATTORNEV/t'"n..Ju~"V DATE
OFFlflAL USE ONL V
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S /Ij- X' /1-1,1/ 7 AT
/
fJJ
PE RCENT,
/ / -,:).' -8/
DATE
GENERAL INHERITANCE TAX INFORMATION
,
Unsatisfied liabilities incurred bV the decedent prior to his/her death are deductible against his/her taxable estate,
In addition to debts incurred bV the decedent or estate, other items are claimable including the cost of administration,
attornev fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker.
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this schedule.
A family exemption of $2,000 mav be claimed bV a spouse of a decedent who died domiciled in Pennsylvania.
If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption. In the event there is no such spouse or child, the exemption can be
claimed bV a parent or parents who are members of the same household as the decedent,
. ~
t""' "C 0 n ;I> t'l ~ ~
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the familv exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column.
2, Assign consecutive numbers to each item listed.
3, Enter the date on which each debt was incurred and/or paid,
4. Enter the names of each payee.
5. Provide a brief explanation in the remarks column for each debt claimed.
6. Enter the amount of e3ch debt being claimed.
7. The form must be signed bV the person who has assumed the responsibility for paving the debts.
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred bV the decedent prior to his/her death are deductible against his/her taxable estate,
In addition to debts incurred bV the decedent or estate, other items are claimable including the cost of administration,
attornev fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker.
I
I
,
I
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this schedule,
A familv exemption of $2,000 mav be claimed bVa spouse of a decedent who died domiciled in Pennsvlvania,
If there is no spouse, or if the spouse has forfeited h is/her rights, then anv child of the decedent who is a member of
the same household can claim the exemption. In the event there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent.
, I
r- "'tl 0 (') E; tTl E; ~
z > 0 0 Vl
Cl (') c: 0 ~ z ::: z t::
tTl t%1 ~ Z ::<l 9 - 9
z Z tTl ..., tTl ..., z
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent. Enter "familv exemption" in the remarks column and the amount claimed in the amount column.
2. Assign consecutive numbers to each item listed.
3. Enter the date on which each debt was incurred and/or paid.
4. Enter the names of each payee.
5. Provide a brief explanation in the remarks column for each debt claimed.
6. Enter the amount of each debt being claimed.
7, The form must be signed bV the person who has assumed the responsibility for paving the debts,
.'
INFORMATION
To insure proper credit to your account, the n<lmo of tho estbte and file number should bu clearly print.
ed on tho check or money order.
This assessment is made in accordance with Section 708 of tho Inheritance and ESUHe Tax Act of
, 961 (72 P.S. 92485.7081.
To the extent that inheritance tax is paid within three (3) months after the death of the decedent. a
discount of five (5) percent is ellowed (72 P,S, S 2485.716).
Inheritance Tax, other than tax on a future interest. is due at the date of the decedent's doath and becomes
delinquent at the expiration of nine (9) months after the decedent's demh (72 P.S. S 2485.711). Inheritance
Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. 9 2485- 7121. CalculatD interest from the delinquent date shown
on the face of this form to the date of Bctual 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 ,015 6 months ,030 9 months ,045 12 months .060
, days .00017 11 days .00186 21 days ,00352
2 deys ,00034 12 days .00203 22 days .00369
3 deys ,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 deys .00152 19 days .00318 29 days .00488
'0 days .00169 20 days .00335 30 days ,00500
. --------------------- ------------ ------------------------------- ---..--
r
Any party in interest, including the Commonwealth and the personal representative, not satisried with
tho assessment may object thereto within sixty (601 days after receipt of this Notice as provided by Section
, 001 of the Inheritance and Estate Tax Act of 1961 (72 P. S, S 2485.1001),
Make check or money order payable 10:
"Register of Wills, Agent"
"
Mail to the address listed below: