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Home My WebLink About81-00045 .~ i . ~ l';! e:; ~ :z H . ~ rJ) , IfJ ~ .... .-j1 It: rJ) fil 3 {l. ,,- ~ CX) . . ,... -. <1 C\I 0 . .tJ '3} -J. IU - u:i me, January 21 19 81 r::.'/7d? ~ e. .d./</~..../ I;~O " /( f l' Register ,.::t/-rs'J-'Is Filed: January 21, 1981 , 11-18(0 -I No. 21.8 11~j PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of Chester S. Hockensmith , deceased. To Mary C. Lewis , Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania. )jsx Petitioner(s) are the execut O1"q named in the Last Will and Testament of Cl1eRte1" S. f-In")(PMmHh dated June 2 3 , 19n Decedent was a citizen of the United States and a resident of Township ;B'crrNJ'gli; Cumberland County, Commonwealth Upper i4ifflin of Pennsylvania. Decedent died on WF>rlnp~rJRY the day of 1 Urh ,January A. D. 19~, in the County of Cumberland , State of Pennsylvania at the age of 53 years. I-lIU llxas: xh~]'{ Decedent has not been morried and has not had children born to him since the execution of the above described Will. Decedent was possessed of personal property to the value of unestimated and of real estate to the value of unestimated os near as can be ascertained; said real Upper Mifflin Township, Cumberland estate situated as follows County, Pennsylvania apply Therefore, your petitioner(s) respectfully QjXJl{(){i!!( for the probate of the said Last Will and Testament and for Letters Testamentary thereon. Dated January 21, 1981 ,D..4--~ :s~~ Name and address Dennis S. Hockensmith of Petitioner(s) Box 498, R.D. 1 Newmanstown, PA 17073 COMMONWEALTH OF PENNSYLVANIA f ss COUNTY OF CUMBERLAND Dennis S. HockenRmith nomed in above application, being duly say(s) that the statements set forth sworn according to law in this petition are true to the best of their knowledge and beliff.\ ;/, and subscribed before )1J--h~S/~,.,.~ Attorney: ,I~q Dale F. Shu(lhal't, Jr. ~ Fowler,Addams & Shughart 28 South Pitt, P.O. Box 208 .' Cal'lisle"PA 17013 MCCREA & MCCREA ATTDRM[Y1l AT LAw NEWVILLE & StllPPENSDURG PENHA. LAST WILL AND TESTAMENT I, Chester S. Hockensmith, a resident of Upper Mifflin Township, Cumberland County, State of Pennsylvania, being of sound mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking any and all Wills by me heretofore made. FIRST: I direct my Executor hereinafter named to pay all my just debts and funeral expenses as soon as may be conveniently done after my decease. SECOND: I give, devise and bequeath all of my estate, be it real, personal or mixed to my two sons, Dennis S. Hockensmith and Keith E. Hockensmith, or their heirs equally, share and share alike. If my son, Keith E. Hockensmith, has not reached the age of 21 at the time of my death, I then give, devise, and bequeath his share of my estate to his brother, Dennis S. Hockensmith, in trust, nevertheless to pay the income and as much of the principal as he deems necessary for the care, main- tenance, education and support of Keith E. Hockensmith and to pay the principal and any accumulated income to Keith E. Hockensmith when he reaches the age of 21. THIRD: I hereby nominate, constitute and appoint Dennis S. Hockensmith to be the Executor of this my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, written on one (1) sheet of paper, dated this )-3 ...-'day of June, A. D., 1973. ~ ~2L ~ ~ " ....;;1, ,-rCI.c" .-__~.d~ ester S. Hoc ensmith (SEAL) This instrument was by the Testator, Chester S. Hockensmith, on the date hereof, signed, published and declared by him to be his Last Will and Testament, in our presence, who at his request and in his presence and in the presence of each other, we believin him to be of sound mind and memory, have hereunto subscribed our names as witnesses. Q'tn CJ' ';1 !tJ,~ 1(/ ,<! ;i,., /.' 1/ : \ '/ II) (,i /; ;(cl...t& \... &-t<k. ' - ((....(..(_ c. ". . ",,- """ " COMMONWEALTH OF PENNSYLVANIA OATH OF SUBSCRIBING WITNESS " ! ss: COUNTY OF CUMBERLAND > ~;. , ~ , ,7 Th is......."......".."...., ............. .......'",.., ........"........, day of,...." ................"" .............. ,,,::.,,....... ........, A.D., 19..,....., -;/ before me Richard E, Anderson"Register for the Probate of Wills and gr~g letters of Administration ~ / in and for said County of Cumberlartd, in the Commonwealth of Penn's'ylvania, personally came .............. / / / ...................................................................... ...................................-..................................................................... the subscribing witnesses to the foregoing in rument 9f~riting purporting to be the last Will and ~ Testament of "......"..,....,....'....."...."............."""..,........ .~..,..........,.............,..... Dated ............,..,......,.................. // . late of ..................................,......".....,..,..................;:::.."..,..",.~..............,..... Cumberland County Pa" deceased ;.;,'/ '""-" who being duly .........,...........................,..... ac~ording to law, de'Posc and say, that ......................................., " " . , .~ present, and saw and heard the testa./........,.....,......,......, ..............................................................,..,........'.. j ",. sign, seal, publish, pronounce and"a~clare the said instrument of writing ~and for h:........,...... Testament / , and Last Will, and at the ynie' of so doing ....,...............................,............was of~nd l),nd disposing mind memory and unders;..a,n~g, to the best of ........,....................................,knowledge, ~~rvation and belief. / . ....................:<....................,.. and subscribed before .........................,...............,.......,................ .............. // .................................................................................... Richard E. Anderson, Register AFFIDAVIT OF DEATH C. OMMONWEALTH OF PENNSYLVANIA / ss: COUNTY OF CUMBERLAND I Dennis S. Hockensmith . '...'.........,..., ............,..,....""",.,..,....'."" ..",'..'"""", ",' .."" ".. ,. ,. ,." ...."" ,......"""", """ "",." ",.., ...".......,.bemg duly ............................~.~~~~.~..,...... says that as nearly as can be ascertained the said decedent .......................... Chester S. Hockensmith , ...............,...........................,..,.,...,..,'..'.,.,.",..,..,..".",...""'........,.."..,'..'.........,...",,.........,.,.... ....'.'""",,'.... .dled on .............,............~.~~~.~.~~,~.,.. the ........~~,~.~,........,.....day of ......J:::~:.t.;.:::~;[........,.................... A.D" .19..~.~,.. at or about .......,?:}?.......................... o'clock~.:..M, .................".,......~.':I.~~.I!:.......,..."and subscribed this ............................?,~~.~............ day of ..~!!-.~!::'!-.~~..,... 19. ...~~., before .f122~~";s....iIn,.k""'::t ,:;;7 ." {2 v/ iii~ii~~i'd~~;:F~,/,..,....,............, Mary C. Lewis 8,~1 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA} COUNTY OF CUMBERLAND SS: Before me, the RegistCl' rOl' the Probate of Wills and granting of Letters of Administration in and for the County of Cumberland, personally came ....);~~!:lX\~.f;1,..~.:"J!.9,9.!~~X\~!'(I.g.f:1.,.............".....,................,....... who. being duly ....~.Yi~.~,!)..,.........., do ,....,.... depose and say that as.....~.J;!:,<;:~!:l.~~!:'.:....................................... of the last Will and Testament of ..........9.11~.f;1,~~.:r...!?,:...!f.9,9.)j:.~.\1~mH}!,..,....,....................................deceased .........,..~~......... will well and truly administer 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 subscribed before me. ...............:!.\I.!:!-!.\I.r.y...3.~......,........ A. D.. 19....~.~.... ~~~~~,~~t.cd..................,... Mary C. Lewis a~.x,d4~~......... ..,...............................~............................................. .. '''Ci ..., : '" :<Jl lX): : Ol '" : ~ ...... : '" ~ir:l 1-4: u.. :1:' "'" l/f 0 lX), ~l *i ..., l.I) ~ 1"1, ~~ --I 0 ~ 111' tll, 0 "": --I j:Q II: I' .' ~ ...: - lIl, .: ~ 'F', lX): s: ~, t! II: OC~: I' ." .' ...: r.l: ,5 .:"': Ni f<' " . 1Il: "Cl 'T.r.a; flli '" 0\, ~;Jj! 0 "Cl C'l: Z ... lX), 0, 0 u *, $ '" ,g ... ~ "Cl ~ "Cl ~ <Jl ~ ~ ,~ r<1 Ol '" DECREE Be it remembered that on the ...,;2.+.5:1;,........... day of ...........,~,~,\1~)!?,~y...................... A. D.. 19 ...~,~.. there was probated and recorded the last Will and Testament or ....S,J:\~i'?,~~.r...~.:...!j.9.S)::,~,!'!!'?~~,~!:..,..,............... I te f UJ?p'er Mifflin Township C bid C t PI' D d L tte a 0 ................. .. ...................,............,....,..,...,.........., urn er an oun y, ennsy vanIa. ecease. e rs .........:r.r;,!?!;?m~n.t?,r;y.".......,."..,' were granted to "" !?,~.::!!,~,~, ..~.~....[~?~~.~~.~.~:~ ~,~....,..,' ....,......................... Witness my hand and official seal the day and year aforesaid. ~ ." , -;' 'J L../' '( C,' ,/ ,.. ~ ...., ..~k~...~....e....., :~.v.~.....:....... . F' . ~Reglster.. , '. ary C. Lewis. . . '. r#"~ ,1/ in the Office of the Recorder of Deeds in and for Cumberland County in Deed Book R, Volume 15, Page 116, granted and conveyed to Chester S. Hockensmith and Gladys P. Hockensmith, husband and wife. The said Gladys P. Hockensmith died on November 20, 1972, vesting title in fee simple in Chester S. Hockensmith. The said tract of land is subject, however, to the equitable ownership interests of Robert O. Bouder and Ruby J. Bouder, husband and wife, pursuant to written agreement of sale dated November 18, 1981 entered by Dennis S. Hockensmith, Executor of the Estate of Chester S. Hockensmith and joined by Dennis S. Hockensmith and Keith A. Hockensmith, residuary legatees under the will of Chester S. Hockensmith. $ 32,955.84 TOTAL REAL ESTATE $ 32,955.84 INCOME To: Keith A. Hockensmith, residuary legatee under Item Second of Will To: Dennis S. Hockensmith, residuary legatee under Item Second of Will $ 366.23 TOTAL INCOME COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 366.23 732.46 $ SS Dennis S. Hockensmith, being duly sworn according to law, deposes and says that he is the Executor of the Estate of Chester S. Hockensmith, deceased, and the foregoing Statement of Proposed Distribution is true and correc.t to tJhe best of his knowledge, information anlie~. , II j . /~---.S./~ Sworn and sUbscriW before me, ,."""""!".:...,,, the ..ti:... day of '/Yl.lfIJ/7A.1' , 1982. ...i"'~~~\C'< l. J:.t~..,. I J-;"':j>:.\<u;::'" ;,;.:....,i/7 .tJ./J/.J- l'2;,;:::':'C;" ' '<":',ll' ~ /tl/l1&,.i /5. (/,U/,?/~ ,='~.". - ~ :.,:."" ~ -(/ , ::;X~ : "" ',i.:: - :'::,',;. NM;"Y L [ijPF tt"Jry t1L,/ "c '.: " ,\ :"~".' ........;,': ""'1,' '. ," .', 'VL .," '., ... \,:'"_ /": {": Ci]rll~",', (I,;:::~".. .j '~'I' ,/, :'~. . ,'j ", \,.... A(.,r,"!", ,,' ,', .'" 'i ' '. ". '. s.,'\\ \. \. '".' LJ >,,! H'l;"..\l\!l: l. ",,;-;'1. ,,'.., . .."',:~:: ?:,;:'~\:\),:5.,>'" ! "i': 1.01 r:ov( ~)'1 c, ::; ~ I , ~ ,~ .-'" "f"'l r1n ;"0 ,7,:;:, .:J {,..) ..0 .... " "" E "" ,- ~ 0 '.c " OJ ~ ~ ""' '" .g ~ "~ " f- a "' , :I: '" OJ .,g ~ E. ., "() ~ E-< "g '" ij OJ ~-~ .E: ~~ " -5''\.\= tl fL...: CIl~ ," ~ Co. '" a 0 z 0 '=.J " " '-1-1' 0 t: Z CIl P-i 0 .g ~ 'I~ ., ';'-' <~'R f- .' .- " w ~ r.>.l OHP:: H ~ " , ~ <( ~3 c' ~ '" ,-= ~ w P-i ~ZO .fz.,:I: CIl " ~ ~ " a OJ '"C ". ( rr ~i ,.. ., .=W \~12-, ~ z P ll'l CIlZE-<CIlOCll ..: ~ ;:; .s 00 f- ~ 0 -..;t o ~ p ~-~ ., <.:1-1 'ill f- a lI) (.1 ><~E-<jE-<~O o:-':bjJ',-,fIorI [ '.' " m :<;:lV~ ~ 0 z CIl P-il'Q~CIl ~i ""' " - v, G a m z ~ Or-! ~ ZO .. :!:. '" t '" .. '2E 'Z I W UN ~?-; -:I: -H U ..: e. - ';-r; r.: C) ~ or. l,i:l rr 0 f- 0. ., OO:I:U:I:...:i H :;.: ;,;.: ~i " :> .::: " 6 \-i:l 0 ~ :J ~ !: H[-l [-l~~Z ~ " ,:1 c '" ~ e..< ~ 0 w E-<E-<Hfz.<Hfz.< ..: " :0.. u C } I, r. I. lI) ~ u " " 0 . J'<! lI) 0 ZP:;::O::C~j:> ~. ~d. I,J ,- - '=: III J E;1l'QCIl CIl ~ a .., .. Co ,9 .., ~ r.1 1\1 O<l .' .::; ".,> j~ a '8 0: ....HZfL1Z P:: r.: ~~ cl .c ,,,,,,.()>l <( :I: ~E-< ~P::~E-<~P::~CIl " ,^, ~0 " - :.:: " u E-< ~~ E-<E-<~":i><:~~~ S - - '" I. ?-.::? ~ ":CIlUE-<UP-i '" OJ () {~ ,- " ;: c Q Z E-<HOCllOP-iP~ ~ - U " r...: ~ OJ ;:2 2 r. H U~ "'O:I:~:I:pup.. ., .Z " '1: c ~ ~ .~ ~ 2 ,'- v .c E Q " S Z ,/ -. ~ " " IN THE ORPHANS' COURT OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE NO. 21-81-45 FIRST AND FINAL ACCOUNT OF DENNIS S. HOCKENSMITH, EXECUTOR OF THE ESTATE OF CHESTER S. HOCKENSMITH, LATE OF UPPER MIFFLIN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED. DATE OF DEATH: January 15, 1981 DATE OF ISSUANCE OF LETTERS: January 22, 1981 DATES OF ADVERTISEMENT: THE EVENING SENTINEL: February 2,9,16, 1981 CUJ:1BERLAND LAW JOURNAL: February 6,13,20, 1981 PRINCIPAL ACCOUNT - PERSONAL ESTATE DEBIT The Accountant charges himself with the following principal items of personal estate: January 22, 1981 - Household goods and furniture, personal effects and other personal property more fully described in appraisement filed: $ 18,614.41 ADJUSTMENTS: 1981 ITI711 Item 8. Life insurance proceeds inadvertently issued to estate - returned reissued to named beneficiaries ( 2,000.00) 10/31 Item 2. Cash proceeds of public sale inadvertently omitted 1,856.52 1982 ~ Internal Revenue Service, income tax refund GROSS ADJUSTMENT - TOTAL PERSONAL ESTATE - PRINCIPAL RECEIPTS: ( 101.00 42.48 ) 85 $ 18,571.93 -1J'( ,/., I,_~~~~i: .,:.,' ~ I..".. 1/26 Adams Electric - electric Reserve for the following: Register of Wills - filing account and statement of Proposed Distribution Bonnie L. Coyle, Notary fees Fowler, Addams & Shughart, attorney fees ., I I i I j I I I I I I I I I j , I I I ! 1981 6/10 6/11 6/11 7/11 8/7 9/18 10/6 10/13 10/14 11/30 12/8 1982 - , . Erie Insurance - homeowners 60.00 44.37 10.39 50.00 39.48 50.00 44.51 Adams Electric - electric United Telephone Company - phone Shane Hockensmith - lawn maintenance Adams Electric - electric Wayne Hockensmith - lawn maintenance Adams Electric - electric bill Register of wills, filing debts and deductions 10.00 202.63 44.00 Register of wills, final inheritance tax Federal Express, deliver to Keith Federal Express, return delivery to Fowler, Addams & Shughart. 50.45 20.19 100.00 10.00 3,150.00 3,150.00 Dennis S. Hockensmith, executor commission TOTAL PERSONAL ESTATE _ PRINCIPAL DISBURSEMENTS PRINCIPAL ACCOUNT - REAL ESTATE DEBIT $13,614.08 .1 The Accountant charges himself with the following principal items of Real Estate: ~ 1/22 Tract of land, Upper Mifflin Township, situate along lihiskey Run Road lISE;: 101 P~~l 8'7 RECAPITULATION DEBITS: -,- Principal Account - Personal Estate Principal Account - Real Estate $ 18,571.93 TOTAL PRINCIPAL DEBITS 43,117.26 $ 61,689.19 CREDITS: Principal Account - disbursement - Personal Principal Account - disbursement - Real Estate Distribution Account - principal TOTAL PRINCIPAL CREDITS BALANCE OF PRINCIPAL FOR DISTRIBUTION INCOME ACCOUNT: DEBITS: Income Account - Personal Estate Income Account - Real Estate TOTAL INCOME DEBITS CREDITS: Income Account - Real Estate Total Income Credits Balance of Income for Distribution BALANCE OF PRINCIPAL FOR DISTRIBUTION CONSISTS OF THE FOLLOWING CASH: L'3t'~ 1:)1 r~Cl 91 $ 13,614.08 2,795.55 8,938.52 $ 25,348.15 $ 36,341. 04 $ 7.82 824.64 832.46 $ $ $ 100.00 732.46 $ 2,585.20 ~...: OZ Z ~~ ::> tI'l o -"" U> I ZO..... ~UN P-<O . P::ZO O<;JZ ~Ea~ ::C~E-< E-<r;;JES Z!03C1l HU~ I [J ~ ~ 00- E-< -E-I >< ~::c-\:l~d~[;l OE-<"':HH;:JCIl UHE-<::E:....lO"': U:;::CIlCll~U~1 <: 00 ~ Z ~, U Z ~HCl~ >..Hil~:'::::E:ZCl "':::<:::CU ...: ZUE-<OP::....l - HO ::c~P::"': ~::cr<< P-<~H o 'P-<r;;JZ ~uip::CIl::>S~ ...: OP::~U....l CIlE-<~O >< E-< H::> E-< -00 CIlZUCll~P-<Z p::Z~~E-<HZ H[LI~::c-<:::c~ ~A~U....:ICIlP-< " " cxi :=:';"1 .,:0 I . ~, '" i~1~ I. 'e:> ]f~' ,;u .., I N Xl C " , ..7"".....'::>.......--:;' , ) " , ,. ---- ~'~.- 0'0 . e,l l' 1!>"O.c C II: OJ .... :: u'5 >. +: ~.J 111 Q) . 0 " '0, 'J C W J: o 1.o1:~ ...._ 0 ~ c :J ~. W 5!le~Vj ~ E 0.,C .\ :;t ,~ -5 c: ('N ,'0 ,0 I d ~ ~ 'g -~~I " c: ~).c ~ C>:.; III t.';: OJ 0-, > " ~,.... ~ ....! fi,' ,j ,:2'-""i Q;,;'OC)I ) .~ ,~, '3 '-~ ....,: y', l' C) :J ,gj:" c'" 0 f.{~._:l U ~ ~ ;:: 5 ~ ~, ~ .c ~ ... .. " > t;:; ... " ~..-:::;:' II: ~ - .s 0 ~~ " 1.:V\ ~ ~ " " 0 '2 ~ " " u III -P.. " ~ " "'\ \...:.~ 0 " :-~. u I.'l " " " f- to I~ .c ~.. "- " ,," b w O'l - '" .. ~ ~ - III ~ w ( ~ 5 ~:.~ ';'; n C>,l-l Il: 0 .' '" ~\';H III z -' ;.. 2 OJ ~ III f- ~ " " U . ~~ s; '"",'" . ~ 0 <II W-' ," ... OJ "'1gb N ~ ~:) " ;.. .' f: f- ~ ..( g " ':;:: III f- L\.. ~ ... ..s~ S Ii .E <II x <II .. 0 <S ;.;:; .... .:: :;;; " ~ a. z 'r~ c t: ... ~ - r: "" - 00 ~ w m :r z 0 B " ... Z 'tl "" - (! 'n ~ 0 f- W ,- r: <\l 0 Il: a. ~.l .~ <\l ... :J ... :S " ..., '~r. " <\l - = 0 n: 0 .g '>> .. ~ W " ,~ ~~ ~ ~ " r: " " <II ~ (,.~ - '0 '" '.:/ ~'.l.. r;: <ll <II ~, ;: " .. , ... II: III "" ... k ..... J .' ,--. N --' ':;:: ...' .... ., " 0 '" fol Il: ~2 ," ... ... 0 .:I ( ;... ':: 0' r: 'OJ ~ '" '(1 ~ U '';:: .' " u "" ... ... .... ~ ," e " r.,; ... 15 u ~ S " ... II. 0 " " " 0 <\l .;: (1 .. o' S ". t;:; ... v, ~ ,g ~ .~ " .~ ~ " ," ~ ~ ., ~ , " , EXCERPT FROM STATEMENT OF PROPOSED DISTRIBUTION OF DENNIS S. HOCKENSMITH, EXECUTOR OF THE ESTATE OF CHESTER S. HOCKENSMITH, LATE OF UPPER MIFFLIN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED DECREE AWARDING REAL ESTATE IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE NO. 21-81-45 AND NOW, this ;), "':1.., day of March, 1982, at c/o'S- () o'clock(-\ M., the Account having been confirmed and the Statement of Proposed Distribution awarding real estate, in kind, to Dennis S. Hockensmith and Keith E.. Hockensmith, as tenants in common, having also been confirmed, the following described tract of real estate is hereby awarded to Dennis S. Hockensmith and Keith E. Hockensmith as tenants in common: ALL those two certain tracts of land situate in the Township of Upper Mifflin, County of Cumberland and State of Pennsylvania, bounded and described as follows, to wit: TRACT NO.1: BEGINNING at a limestone in the Whiskey Run Road, near the old Mennonite Church; thence by lands now or late of Addison Barrick North 38 degrees 30 minutes East a distance of 180 feet to a stone; thence still by said lands now or formerly of Addison Barrick North 57 degrees \-lest a distance of 99 feet to a stone at corner of Tract No. 2 herein- after described; thence by said Tract No. 2 hereinafter described South 38 degrees 30 minutes West a distance of 180 feet to a stone in said Whiskey Run Road; thence by said Ifhiskey Run Road South 57 degrees East a distance of 99 feet to a limestone at the Place of BEGINNING. The above described Tract No.1 contains 17,820 square feet. TRACT NO.2: BEGINNING at a stone in ~~iskey Run Road at corner of Tract No. 1 above described; thence along said Whiskey Run Road North 59 degrees 15 minutes \-lest a distance of 42.3 perches to a stone; thence by lands now or late of Israel Sollenberger North 43 degrees 15 minutes East a distance of 180.6 feet to a stone at corner of lands now or late of Addison Barrick; thence by said lands now or late of Addison Barrick South 59 degrees 15 minutes East a distance of 41.8 perches to BOOK 10~ r " .".. '.~ , ., .' , '- ~ a stone at corner of Tract No. 1 hereinabove described; thence by said Tract No. 1 hereinabove described South 38 degrees 30 minutes West a distance of 10.9 perches or 179.85 feet, more or less, to a stone at the Place of BEGINNING. The above described Tract No. 2 contains 2 Acres and 136 perches, more or less. The above described Tracts Nos. 1 and 2 collectively contain a total of 3.259 acres, more or less, and have thereon erected a frame dwelling house and frame barn. BEING the same two tracts of land which Joseph B. Hurley and wife by deed dated March 29, 1954 and recorded in the Office of the Recorder of Deeds in and for Cumberland County in Deed Book "R", Vol. 15, Page 116, granted and conveyed to Chester S. Hockensmith and Gladys P. Hockensmith, husband and wife. The said Gladys P. Hockensmith died on November 20, 1972, vesting title in fee simple in Chester S. Hockensmith. The said Chester S. Hockensmith died testate on January 15, 1981, and in his last Will and Testatment dated June 23, 1973, and duly probated in the Office of the Register of Wills in and for Cumberland County, Pennsylvania in Will Book 84, Page 839, appointed Dennis S. Hockensmith, the Executor of his Estate. The said Dennis S. Hockensmith and Keith E. Hockensmith are the residuary legatees under the last Will and Testament of Chester S. Hockensmith. Under and subject nevertheless to the rights of Robert O. Bouder and Ruby J. Bouder, husband and wife, pursuant to written Agreement of Sale dated November 18, 1981 between the said Robert O. and Ruby J. Bouder, husband and wife, and Dennis S. Hockensmith, Executor of the last Will and Testament of Chester S. Hockensmith, which written Agreement of Sale was joined in by Keith E. Hockensmith and Dennis S. Hockensmith as residuary legatees. Said Agreement of Sale is recorded in the Office of the Recorder of Deeds aforesaid in Misc Book 271, Page 570. AND, the Recorder of Deeds in and for Cumberland County, is directed to record a certified copy of this Decree and index the Decree as a conveyance from Chester S. Hockensmith to Dennis S. Hockensmith and Keith E. Hockensmith, as equal tenants in common. By the Court, J~,~,f (~ r ~~'1 c:/-J. BOOK 10::-: f ;.:\ '.;" cd ;u::r" N n',"" ; " :-)g ,;; '. ' ,:~ J 'r~ f", I ) ,'0 - ~. r;J~ >< ~ E< H !;1 II: ....lZ ~ ~ Z <en ~OH<<:HHoen ....l := ~ w .c..E-lH1.J') HHH:;::....1~<<: <<: III III 0: Z o !~F>.j O<lH::::enen~ ~ ~ ~ f- ~ U HI H;:Jen~z~ U ~ oil ~ 0 III 1\1 :.J OO.-l <<:I<lZ ~H ~ III f- ,. ~U CO HH~~ :;::~o " III X f- III o HI en~ :r:u I<l Z ~ ,. 0 n: z O~.-l HUHO~- - H 41 III ~~~~ HO<l O~~H....l II: III ::; ~enenH~o:r:>< ~ r.1 1\1 0: OH;:JH Vlen gJ ..:i ~ H U <<: ~Po<zuen~~z 6 u Z~~~ ~~~~~H Z U ~~:r:<<:o~ ~ H OOO<l ~Po<O~U....lHPo< 0 10 . ... ,~ j .- " COMMONWEALTH OF peNNSYLVANIA DEPARTMeNT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX AsseSSMENT '*' i COUNTY FILE NO' : / ' .,', - ...,' ".' DATE ,"/ ,,/( } '/ /1JI / ' /'''''-,,,,,,,L . ( .~ .I ~i.> .' I , /;1;' ,/ ESTATE l .;:... '..f'~'~r . I /, ,I <,(,-t TO: ':,' /. ~ / " :/; / . 1# ;', ,.,,: ,< "j .A ./ / ..7'" ,. , FILE NU, .-",""; ,'- ,I._/,/_ll/' , ',' <' . t> , /1 .',' ,,.I <~__" ,,r ..- ..... ... ,< .' " / COUNTY ':// l "-'I .I~-/ '" fA ~... ...(' ._ e - DATe OF OEATH ~. I' .~ , / ':' . /,(/ :? / / Ii Appraised Value of Estate: Real Estate $ .::/:-; .\....~..., ,."f'; Personal Property / t / '.-' I." /4 "~I / - ; jointly Held Property/Transfers . -,' }l'7 / ;?Ir. Total Gross Estate $ , : ""j . I / ,-" II I '7 />, Clear Value of Estate - /'./ :.'Jt; / ''/7 / $ -1 :)'/f/ )/) / Total Approved Deductions Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax $ .:/ -1 ,?~/ {j ;? () Amount Taxable @ 6% Rate $ /);,; "j /.,/(.,1 >0 / tax due $ ".;'1'1..)-"11 ; Amount Taxable @ 15% Rate tax due TOTAL PENNSYLVANIA INHERITANCE TAX DUE $;j/'l'l(/I ; .. * 11: 'It' ... .. A five percent discount totaling $ will be granted if the Inheritance Tax is paid by less Credits: OATE OF PAYMENT /. /" " ./" , .(/ /(!-/7,-?1 /,) -/;)-%/ AMOUNT PAID DISCOUNT INTEREST TAX CREDIT :j I) t /") I.~Y $ -; (,. :;'1. -9 $ '.f! ,,:'1.1 $ .' ,,/, ," = $ " /,? , i-/ /:-; '7 t = -//.:: (j 7 (, , ; "/ '1 ;/il t = //11 /1 c) -- 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 BALANCE OF PENNSYLVANIA INHERITANCe TAX Due $ 7'/ ..../) ( '. .-:""j .-~,.:~,/)/~ I ...L..- /__ . r~:7:'-"''-''-'C:-~--' / ,:- :~::~~.1 ___ ,..1 ....J '-/-- . .-; /'" Assessed by: ,." " . I., , , Agent forthe,(:ommo 11th See InformatIon on Rwverse SIde . / .. ~ t.. (,' 1 ", '''':7 '".ci..A.,-'- . ,.-. , / ./ HEV"4!HI18~7&) DEDUCTIONS ALLOWED IN OFFICE OF THE REGISTE R OF WILLS OF Cumberland COUNTY AND AGENT OF THE COMMONWEALTH STATEMENT OP DEBTS AND DEDUCTIONS THE SUM OF ESTATE OF Chester S. Hockensmith LATE OF Upper Mifflin Township DATE OF FILING APPRAISEMENT10/14/81 DATE OF DEATH 1/15/81 DATE NO. OF VOUCHER NAME OF PAYEE REMARKS AMOUNT Register of Wills etters & Short Certificates 40 00 Cumberland Law Journal letters 21.50 18 00 2568 00 The Evenin Sentinel dvertise letters ~ Funeral Home Fun~ral expenses Donald Diehl Realtor's commission &. appra~sa ee, Transfer tax 2655 00 430 00 88 15 24 08 Recorder of Deeds Steven Jones Repair bill. Final bill Amerigas Erie Insurance Insurance remiums 296 00 Phone bill, 45 46 Electric bills 266 13 Gas bills 147 74 Fuel oil bills 242 67 Count & Twp real estate tax s 36 76 1980 state income tax 16 37 d T~~ one Com an Adams Electric Tanner Inc, Kou h' s Oil Edward Oiler PA Dept of Revenue The Evenin Sentinel Advertise sale of house 62 40 125 00 187 50 l~OJ 00 Wa ne Hockensmith Edward Oiler Re ister of Wills Lawn care School district taxes Filing debts ,5c deductions &. ac ount~ng. Dennis S. Hockensmith Executor's commission Fowler, Addams & Shughart Attorney Fee . vOYLe ULaLY L~~~ COMMONWEALTH OF PENNSYLVANIA I $14,3~~7. 47 COUNTY OF Cumberland ss: I /,(, oj I, - Dennis S. Hockensmith HEREBY CERTIFY, TliAT TO TH't.i{P/iJ7 MY KNOWLEDGe AND BELIEF, THE FOREGOING IS A JUST AND TRUE. STAT:EMEN.l OF.DEIl.T~ FUN"R4L EXPENSES AND expeNSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF (;nes er ::;. HocK",nsm~tn DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. uJ , // / ~ ~j ,tj ~..u'^--S.~~-~(L.S.) SWORN AND SUBSC~IBED BEFORE ME THIS /'3 . DAY OF & W..{'-"...: 19 '31 B~~~":J~:,~1~~: - Mi. ,/ "J~';" r'l't"i"-';~~';'I'(I PI] !-".f C.'.." .!~..,::',:.. ':'l!: ,~~,::. -:!~', 19'5:' 3150 00 3150 00 c~ 1- [-'I .. '1_<"- 1/ -/t~ - / '* Form-nCC-33 COMMONWEALTH OF PENNSYl VAN IA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF CUMBERLAND ..,..............,.,..... RESIDENT DECEDENT IMPOIlTANT: ThIs return must he completed 111 detntl Ilnct f'Ued In duplicate, with will attached, with the Ileglster of' Wills 01' ll10 Connt.y whorl? d(?codent resldod; Hctnrn Is due within one year after dut.e of' <lonth, unless nn oxtem'llotl Is grllnl(~d hy the Secrct.nry of Ilevenuc. (SectIon 703 of tile Inherltnncc nod Eslllt.e Tux Act of' HHH.l IN TilE MATTER OF TIlE ESTATE OF ....,.,gl::l.~,?:.r.~~"~,....EIOg.~ENSMITH .................}:.:::u::: OF ADMINISTRATOR Ceunty n 00 nj,; ~ ",'" S~ m'" ~-, ",,'"' lU';' '=' ..0 "'c c-:: ':"7:::0 ~::.() -, ~'1CJ '. .-) :~;r'1 ......-. ~ --"::1 ~t :.~ U1 .. "" ":]2' ~~r and ..y ..~ .. " ~0 " (State lull name of decedent) Late or _...., CUMBERLAND Slale or ,....PEN:N:Si'L 1J1\N:~I\.. '......".,}ss, 'OM'_' County or . .CUMB.ERLAND....,., ... .. ...,. ........I)~t:lN:I 5S ...!:I.QG.!\J<;N,~.I1!J.'H Administrator or the esta.te of the above-named decedent being duly sworn, depose J.:!'I:!\lary ~.?, (MlInlh) Name and acldreu of attorney or} other authorized representative to whom _II correspondence should be mailed. Decedent. dJed .., 19~J. ...f testftte leavinll a lost will, copy of which iiJhereto:'~ttached. ;~} (Yl"ir) L intestate (Ih1y) Dale F. Shughart, Jr.,.. E;!lq'...m P. O. Box 208, Car1is1e~ PA 17013 That as such ....,~,~,~,s:.Y.,~.9.:;:.................. deponent is familiar with the affairs of said estate and the property eon- (":lI,'rulnr.Adml11IKlr:llur) stituting the assets thereof and their fnir market value. That nt the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:- NAME AND ADDRESS OF DANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX armers at~ona an Newville, A THIS SAFE DEPOSIT DOX RENTED RELATIONSHIP OF JOINT IN NANE OR NANES OF HOLDERS TO DECEDENT Chester S. Hockensmith That the contents of said safe deposit box or boxes are itemized under Schedules B&E of this return, wi th the exception of the following, for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth fully and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still due at death, name of' mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the columns provided therefore the assessed valuation of each of se.id parcels, the estimated market value thereof as of date of death of decedent. That Sch~dule B attached hereto and marle part hereof sets forth f\llly and in detail all personal property wheresover situated owned by the decedent at the time of death; all moneys left by the decedent at the time of death, whether in decedent's immediate posseSSion, standing to decedent's credit in banks of dep~8it, savings banks, tr'ust companies, cr other insti tutions, whether i~ldividually, or in trust for any other person or persons giving also separntely the accrued interest thereon) if any, down to the last interest day prior to decedent's death in the cnse of savings banks, and to the date of decedent's death in all other cases; all bonds, postal snvings, treasury certificates or notes and other evidence of in- debtedness of the United Stntes to the decedentj all obligations, whether by statute or agreement they are designated as tax free, of t.he United States, or any state, or political subdivision thereof, or of any foreign country, which are ownerl at the time of death; all wenring apparel, jewelry, Silverware, pic- tures, hOOks, works of art, household furniture, horses, carriages, automobiles, boats, and any and all other personal chattels of whatsoever kind or nature, left by decedent, together with the fairly estimated market value thereofj all bonds and mortgllcr:es held by ctecedent and of all claims due and owing decedent at the time of death, alld all promissory notes or other instrmnents in writing for the payment of money of which decedent died possessed, of \'t'hatsoever nature, with Interest thereon, if any, giving the face value and estimnterlfair market value thereof, and if such estimated fair market value be less than the face value, it Rets forth, briefly the reasons for such depreciation as to each item; all moneys payable to the estate from life insurance policies carried by decedent; all annuity and endowment contracts the proceeds of which were pa~'lthle upon t.he death of the decedent; and all the corporate stocles and dividends due thereon and unpaid as of the date 01' death, bonds and Accrued interest thereon to the date of dece- dent' 5 death and other inveRtmanl sccuri ties owned by the decedent at the time of df:!ath, wi th the market value thereof 8 t such t1 me. , III the tlllse 01' sl'ellrlt.les of' close or I'umtly eor'porlltlulIS, the vII111llS retHlrled 1I1'I! liS 1'111' liS posslo\o sllhs tOll !. I ot,,,1 hy 1'I1101lclol stoto"","ts 1I1' tho ollrpo,'ol,loll', showtll~ 1.1", o""ts "'01 1101" 1 I 1.1 os thereol' os 01' the doll' 01' dooth. Tho soh"dolo olso '01.' I'orth 1.110 IlItorost 1I1' ,loo,,,lolll. 01. tho tlmo of dent.h III ooy eo_portllorshlp or Im,llIoss, oll,l III sllpport 0\' 1.1", VO]1I0 01' ,,,,,h IlItorost thero ts olllloxed to sold ,ohodllt", 1'I110llelol stot,,""'"!s showlll~ l.I",ossds ond tlohlllUos 01' ,,,1<1 eo-portllorshlp n,' hll,IIIOSS. A CliP)' of th,' eo_porto"rshlp o~reo"ollt, (II' orol, 0 ,to!",,,ont sott.!lI~ I'o,'th tho 1I0toro 01' tll" o~r"o"'ont) togeth"r wtth 0 sl.ntement setllll~ I'orth 1.10' ",>I"'>I""or 01' th', hIlSI'''',S, It, loeotloll, >1'0\ ,lIeh ot.hor I'octs I'ertl"ntn~ to t.ho hoslllOSS os ""')' h" p"rtlnollt to 0 I'olr 0,,,1 .I"st opl'rol,ol 01' 1.1'" d"codont', 11I1"r"st. t1",reln mn,l hesohm\l.l"d. It. ,hnllld Il]SO set. I'orth tn It.omlz,,<I I'o,'m, !o~ether with tho flltr ",ork"t. VIl]1I0 thereof" 11IIY other Ilr{)(l{Jl'l~' owned or hel}llent.hnd hj' the decedent, Itl. the time of death. The Schedule C l\t.tnchecl hereto ntHI I1Il1cle 1mrL hereof Sl~ts forth II true IlIlSwer t.o onch inquiry contl,lnor! thorelll ,,",lln t.h" enso ot' trllll,l'"rs ol'property, r"ol 0" p"rsonlll, wlt.hlll two y"nrs of d"oodont's donth, In oontomplnt!oll or deeed,'"t' s ,Ienth, or Int.owled to IAko ,,(Toet 10 possessloll or oll,loymcnt nt or aner denth, snl,t schmlu]o sots I'orth 1.1'" noturo oll,l VlllllO nl' slleh I','opel'ty, to whom trl\l15l'orro<l, the relntiollshlp of tho tronsferees to the ,leee,lollt, tho proporl.lOllotc slo",e rocotvo,1 hy ooeh trollsferee nlld nll nther focts 01' 0 I'ert.lnellt 1I0tllre ro~or'l\lI~ sol,1 t.rollsl'el's. ]n the coso or trollsl'ors 11Itellded 10 tnke efl'eet III possession or en.lo)'I1lent, ot "" III' tor ,Ient.h, thero Is ol,n otl,nehe,1 t.o the ,ehedll]e n cony of the deed, trust. ngreemellt or other Instrumellt crent.llIl; the trllsl.. Ther" Is nlso sot. ('ort.h In said schedll]e II list of 0]] proport.y, relll IIl1d p"rsolllll, wtt.h lts vllllle, whIch p""OS at cloee,lellt.'s deat.h hy virtue or tho exercIse hy deeedellt, ell.her Indlvldlllllly, or Jointly wllh 1I11other, nr IIIIY pow"r of' IIppoint.- ment vest."dlndeeedent, eitller Indlvl,h,"lly or Jointly, hyt.he wHI, deed, or ol.l",r Instrument 01' IInother, with n copy of the instrument crenting such power HUnched to the schedule. Thnt Scl>edvle 0 lIt.tnehe<l heret.o lIucl mllll" 1'"1'1. lu:oeo\' set.s I'orth t.ho UHJlleS 'u,,1 lIc1drosSes of II]] persons beneficinlly Int.erested In t,hls estllte HI. t.he tlm" 01' deeeclent.', ,Ienth, tile nnt.llI'e 0(' t.heil' res- pective Interest.s, their relllt.lonshlp, \I' nny, to the cleeeclent., to~ether wllh t.he ngos nt. the t.lme of decedent.' s dent.h or 0]] minors, nnllllll.ants lIucl henorlelllrles ('or 11('0 IInder deeeclent.' s Will. It. II]SO contains n st.nt.ement showing which of t.he henertdnrles nllmed In t.he ,leee,lonl.'s wll], t.l'lIny, ,\led ]lrior to decedent, the dlltes of t.helr clellth, t.hetr ISSII", I",d t.he r"IIIt.lonshlp 0(' slleh Issue to l.he henef'lelary. That. Scl>edvle E: 1It.t.llehecl heret.o IInd mlule II 1'"1'1, hereof sets I'lIrt.h 1111 property, reol IIn,lper- son.l, owned hy t.he decedent. Jointly wi th anot.her 01' others, ine]wllnl; Intnnglble, stllndlnl; in t.he nllme of the decedent. nnd ot.hers, p]ns t.he d~t.e nnd plnee of' record 0(' Instrument.s effecting t.he vestiture of rea] estnt.e ,md the dat.e 01' Ileqlllsltlon of ]lersonlllty, p]IIS the nllme, Hd,lregs nncl re]lIt.1onshi]l, If nny, of co-owners to the decedent. Thnt Scl>edvle F 1lt.t.llehed hereto II!HI mllde II pnrt. hereof set.s ('ort.h fully and In det.lI11 nil debts nnd deductions elnlmed I'or and Oll hehn1\' 0(' thill de"edent.'. est.llt.e, Inelu,ltng flll",rll] expenses ]lllld; f.mlly exemption, where 01'1'] lellh]e; eost.s of Hdmlnlstrat.lon 01' this estate; counsel I'"es Ilnd fudiclnry' 5 commissions ]loid or t.o be pnld; cost expended ('or bllrla] trusts, tomhstones or grovemHrker5, nnd rel1- glouS services, In conseqllence 01' t.he dont.h or t.he decedent; deht.s 11I01 claims owll1l; 1I11d unpalcl lit t.ime or deat.h; t.axes necrued chllrgelll,le ('or period prlur t.o deee,lent' s ,Ienth (except. those 1I110w"d un,ler Se"t.1nn 651 or the Inherlt.llo"e IIn,t Est.llte TIIX ,let); togeth,,1' wll.l, n stllt.ement 0(' coli IIterlll ple<ll;e,1 I'or ohllgn- t.1ons, if IIny. It. Is Ilgreer! thllt. t.he f1dllclllry wlli pres<mt pl'on(' nl' ,"101 ehlme,I ohll;;lIl.1ons n]lon re- quest., tlu,t. if t.he nmount. oet.ullllY 1'"1,1 In sett.!emeut 01' ony I'ee, commission or deht. Is less thall t.he est.1mat.ed amount c1111J11lnl; 1I11d 1I11uwed, t.hllt. t.ho Sllllle wi1l he re]lorted to the Ilel;lster oj' l\'lllS, 111101 thnt the amount of' tax Ilssesscl\ ellO he reassessed in uccordllTlCe thernwi th. Thnt. t.he totn]s 01' t.he n1'l'ropl'tnt.e colllmns In Sehe,llIles ',I', 'II', 'C', 'E", 01101 'F' liS directed therein, hllve been carried forwnrfl Imd llropcrly re~lsterect in thl! SUlnJIIllry. Subscribed end sworn to before me this ,,-.fit rY1:.c--C ..,.,,,..,,,,..,,,..,.,,..I~?,= ,.. day of . .. ....( m...."f~k ...."".,.,............' ..)fJ..iT""-,,-:cc&,,',,.,r.. fj~s.,,~.m...'..........,.."" m (E:recutor-Administrator ) P '()~m~<:>?',A2,~!."...l3:"..,1?.."L"..".....,.._..,_.... (Street Number) Newmanstown PA 17073 /, " ............"................................L.,..................................................... N.f [,'..Ii"".''';' :oe,,:" .,.:: 19 (City or Town and State) SOTE: !l"fore st~nln~ nl'l'tdnvlt. milk" s"r" 1111 h]'lllk splleos tn U", ItI't'I,IIIVIt. IIn,1 s"',e,I"I'" 1I",,,,,ed IIr" rUled In wll.h det.lll1s 01' the wor,1 'Son"'. lI11>t In "liS" the "",>1., Ind",I" rllre lI",t nnllsteol ",>enrIU"", seenrlt.\es or e]ose or 1'lImlly corl,orlll.lonll or IIn Inl."ro,1. In >lnl' cO-I'"I'.,o""hlp or hllslneSS, thllt. lI," ,lnU nnd sl..,t"ment.s re'lnlro.d nnder I.h" I'''rll~rllph 111'0,'0 rdllt.ln~ 1.0 ScI".,lnl" 'II' lire IIl.tllch",I. ,\lsn milk" e"rUtln thllt co]nmn #i III th" 'Sllnlllllr)" 1011I he"n I'l'op"rl)' eomplete,1 liS IIhove-,"r"ct.<"I. . 19){( ...(~~.L RCC-34 '(1-04) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT OECEDENT SCHEDULE "A" REAL PROPERTY - Real property in Pennsylvania, with stntemont of mortgage encumbrances upon aoch percol at clcoth 01 dece- uent. Where property held os joint tenent or tenancy by entireties, report on Schedule "E", Property held by the decedent os tonont in common wi:h another or others, should be identified os to quuntum 01 interest and the estimnted value should be II,ot of the decedent's interest only, Tho real property locatod In tho Commonwoalth of Pennsylvania should bo described by 101 and block number, streot and slroot numbor, togethor wi th o gonornl description of tho proporty, with 0 roforonce to the record of the convoyance by which fhe decedent took tltlc; If 0 form .tole numbor of o. crCUj 0110 statemant of mortgago encumbronces upon each parcel at death of decedent. Taxas, assessments, occruod Interost on mortgagos, etc., ore to be Ihlad on Schedule "F" and must not be doductod from this schedule. (I) (2) (31 OEPARTMENT VA LUA TlON CAUTION (Do nof write In thIs .pace) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEA TH ESTIMA TED MARKET VALUE 1. Tract of land, Upper Mifflin Township, Cumberland County, Pennsylvania. Improved with a two-story aluminum side dwelling house, small barn, chicken house, wash house and other out buildings. Containing 2.8 acres of land, more or less. Deed reference: Book "R", Vol. 15, Page 116. Value $3,750.00 $43,000.00 based upon agreed sale price to purchasers, Robert O. and Ruby J. Bouder, pursuant to Agreement of Sale. Inserl this total opposite "real propcrty", Schedule "A" in tho X X X X X "As Reported" columr on thQ lost page 01 this return, .f "! Q-f~' MJ . 7,,/ ,.4.tJ RCC -35 COMlIONWEALTH OF PENNSYLVANIA 1'RANSnm INHF.IlITANCE 1'/\X '* IlESIDllNT DECEDENT SCHEllIJLI~ "B" PEIlSONA/. PIlOPEIlTY ISSTIlUCTIONS: This Schedule must dtsclose /Ill tllllgl!>le IUlllllltllllgl!>lc personlll property ownod Individually hy the deceden!', III tlw t.1me of htH IIcnth. Proflerty owned by the dcccdont .Joint.ly with another or others must be listed under SclwrluJo "E". IntllngilJle pcrsUlull propcrt)'J tltled In the name of the decedent, but IIIlYllhl(! nt llenth to another or ntlmrs, including but not 11m! led to P.O.D. U. S. Savings Bonds And tenta.. tJve trust uccounts, mllst be I1sto(l, despite tile filet thllt tlley ure not of the lulmJnlstered estat4f. Tllngibl e pcrsonlll propert.y 5110111(1 he J hitert "lrst (c. g. .!ewelry, wearing apparel, household goods, und furnishings, hooks, pRintings, uutomobilcs, hoats, ctc.) Intnngible personnl property, such <<s hands, trensury certificates, cash on hand and in bank, stocks, mortgages, notes, together with Itccrned interest or rllvldends, slllnrles or wages, insurance pay- able to the estut.e or fiducinry in slliel CllpllCJtj',. l>llrtncrship interests, interest 1n any undis tr1buted es tate or or income from nny propert.y held In trus t. nnder the will or agreement of another, even though loea.ted olltsllle of the Stllt.e, nt t.he time of Ilel1tl1, should be Ustel! In this schedule. Item No. ITEM List. and elescrilJe f\llly UNIT ESTIMATED V AWE MAIIKET VALUE DEPARTMENT VALUATION (Do not .rite in this space) 1. Clothing and personal effects. 2. Household goods and furnishings, value based on actual sale price at public auction. 3. 1971 Chevrolet Impala automobile valued in accordance with actual sale price. 4. 1973 Jeep Waggoneer, valued in accordance with actual sale price. 5. Boat and trailer, value based upon appraisal by Arthur Rife, auctioneer, copy attached. 6. Washer and refrigerator, valued in accordance with actual sale price. 7. U.S. Treasury, final wages. 8. Letterkenny Federal Credit Union: Life insurance proceeds Share savings account Share draft checking account: Principal Accrued interest 9. Farmers National Bank of Nelvville: Checking account Savings account: Principal Accrued interest 10.00 3,161.83 750.00 1,750.00 800.00 125.00 2,303.93 2,000.00 2,691.56 696.23 7.82 1,004.71 3,356.13 7.20 Insert this total opposite "}lerson/i] Propcrt)''', Schedule "U" in the "As" Heported" column on the last. pnge Gf this return. x X $18,614.41 /~ ~/'/: ~& RCC- 16 '~~I "~~r' t\ ~..,j"I.JJI.!'1' CllMMO,WEA 1.'1'11 liF I'ENNSYLI'AN [A .TltANSF!-:I\ INIII':IIITANCJo: TU Selll';!lIll.I'; "e" TII\NSVI';IIS I\ES I !lENT !l!-:CI':IlENT (1) Did decedent, within 1,.....0 yellrsof'df!/Lth, I1Iltkn /III)' trullsf'el' {If' /lny mltl,l~rlnl purl gJ' Ills cstute, wJtll01lt receiving It vltllluhlc nnll Udcfjllllt.e clll\si(h~rllt.lon 1IIlH'et'nr? (Answer ~'cs or no) NO (~) Did dooo.I""I" wi I.htll I.wo y""rs 01' """I.h, Ir""sl',,r "rop"ny f'rom hlms"l I' 10 himsolf' "nd ,,"olhor or nt.lwrs (jllclUlllnl!; n SIH1WW) In .lolnt. nWlll~I'shl(l? (AIlSWI!r j'CS or 110) No (3) I l' the 11Ilswcr t.o (1) or (~) nhovc is In t1m ILl'f'j rlllH U vc stl1 te: (n) AI~e of decedent. III tl.me of tl'llllsf'er (b) State of decedent.'s hettlth l~t time 01' milking the trl!nst'cr~ (Note 1)# (c) Cnllsc of' tlecl]chmt's dcnth. (Nole 1). (4) Did dcccrlent, In his 1J fctlme, lIIuke IHl)' transfer of' property without receiving Il VIllUlllllc or tldcflunt.e constcterllttoll t.herefor which WIlS t.o tuke cfl'ect. in possession or cn.1oym~nt Ilt. or nfter his death? (Answer yes or no) No (ll) Wns there !lny possihility thut. the property transferred might return to t.ransferer or his l!st.ut.e or he subject to 1Its pO 1'1e I' of disposition? (Answer yes or no) (b) What was t.he trnnsferee's Ilge Ilt t,ime of decedent's death? (5) llid decedent in llis lifetime mukn uny trflnsfer without. receiving II vul1mhlc /lntl adequute considerntion therefor uncler wlli ch trunsferor expressly or impliedly reserves for his 11 fe or nny period which docs not in filet end bef'ore his deuth: (0) The PossP.ssion or enJ<"!rment of or t.he right t.o income from Ull' property transferred? (Answer yes or no) No (I>) The right. to flesignnte the persons who ~IJall possess or enjoy the property transferrell or income t.heref'rom? (Answer yes or no) NO (0) Ir the answer to (5) (b) ubove is in the affirmative, stute whether the right wus reserved in decedent alone or others (7) Did decedent in his lil'et.1me mnke Il transfer, the consideration for which wns transferee' 5 promise to pay income to or for the henefit of cure ai' trtlhsferor? (Answer yes or no) No (8) Did deccdent, at any t.ime, trnnsl'cr property, the benefic1nl enJoyment of which was sub.lect to change, because of n reserved llower to al ter, nmend, or revoke, or which cOl\ld revert to rlecec1ent under terms of transfer or by operation of Inw? (Answer yes or no) No (9) If the unswer to (8) Ilhove is in the urfirmntive, wus the power to nIter, umend, or revoke the inter- est of the benef1cillr~' reserved in the decedent alone or the decedent and others? (Answer yes or no) NOTE 1: The answers to these questions shaul d be supporterl by affidav 1 t hy the attelllling physician as well as a copy of the deuth certU'icnte. NOTE 2: If' nnswer to any of the above questions is yes, set fort.h below Il description of the property transferred, it' 5 fllir mnrket value at date of death, dnt.es of trllllsfers nnd t.o whom trnnsferrerl, with relationship of trllnsferees to decedent, if Ilny. Submit cop~" of nnj' trust deed or instrument, if'trans- fers are claimed to be non-tllxnble, tllso suhmit detnllert stlltement of fncts on which suid claim is based. NOTE 3: List applicable property lJelow in mUIlTlCr 1n which provided 1n Schedules A, U, or E. ITEM UESCHIPTION !IAIUillT VALUE (Es timn lod) m:PT. VALUATION (I}opt. Only) None. Inl5crt this tot.fll opposite ftTransferMft, Schl'cJule "eft 1n the "A,. Reported" collUm on the lllSl I'fI~e of tilts ret.urn. ~-,.....L AJ:9 RCC-3? (12-63) ('uM~1UN\n:ALTII OF I'ENNSYYLANIA TIIAN~FF.H INIIEHITANCE TAX RESIDENT DECEDENT SCHEDULE "1)" IlEt';ErICIAI\IES IIELA TIONSIIIP I BENEFICIARIES AND ADDRESSES (If slep,childl'cn or SURVIVED DATE INTEHEST OF State 'full nnmes anu addresses of nIl who illegitimate children DECf:or;NT OF BEN~;FICIAHY ll\'C nn intC'l'cst, vested, contingent 01' othel' lire involved, set STATE YES IN EST AT!'; wise. in estate) forth this [act.) 011 NO BIRTH -Aennis S. Hockensmith Son Yes 11/12/51 1/2 . P. O. Box 498 . R. D. 1 , Newmanstown PA 17073 K"irh E Hock"ncmith Son Yes 5 /10 /60 1/2 Myrtle Beach - . .. (;",.0 I ;n~ - I . - - I I nepOII"nt ('urther snys thnl. nil the above-named benel'tcillrles are living at this time except below: NAME DATE m' DEATH RESIDENCE .--.-- .. o ' -~~ " .. .. '. iiP c: 'c III E 's ~..= '"CIc.8 < s. &:. Q ~ Q'-'~ o'ti:t:: " 0 0 ~S~ f:!. =: (I) SUMMAHY (As H"porl"d) (Seh, "A") $43.000.00 (Seh, "B") $113..614.41 (Seh, "C") $ -D- . .~SC~"E:') $ .5.987.26 $ $67.601:67 Heal Property . Personal Propcrty Transfers ............... Cross Taxable Estate. ..c: p; '"' .w, '..1' Z ...1 '0 ..c:' i:L " CIl' a f,.l ~ ::;:; C/}: " ~. ....l " ~ :>< S:' u 0( f,.l Q) " 0 ~ Vl Q - '" ,"" 0( <- u " ~ ~ ~ 0' S:' 'a "'" ::r:~ M' "0 .. 0 . , " .. "'" ,-( g ..2: '" <- " 0( ~ ~ f,.l 4-( :-, f,.l f-< Ul, 4-<, ..... ~ Q 0 ~ :I: .. <- '..1' l-l S Z 0 '"' l-l ::;::, Q) " Z '"' Vl Q) .g "'" 0( ~ ~ f,.l .w l-l' ~ f-< 0 CIl Q)' ;:l 0 ~ c: ~ Q) p.. U - 0 0 ..c:, :5' .. :c f,.l U ~ ... " ~ ~ ~ ~ '" 0 ~ ..e, ~ 'a ~. ~ ;;;: 0 '5 '5 ~ ,- - j 0 ::- ~ U ,;..e, u (2) (As D"'"rlllillcd) $ $ $ $ $ . '. 1:\.sTIWCTIllSS: '1'111:; 'H'lll'dllll' I1Il1s1 dlsl~I(lsP 1III Pl'opp,'I,)'. 1'1'111 1111'1 P"I'Sllllal, o\\'lll'd hy I,llt-' d"I~,'dl'lIt Jointly \'ilth IlllotlLl'r or ollll'l's, 111I~llldlll~ 11I1.1I11/!,ltJ11'S, sllllldiltl'. III rill' II/tllll' 01' tli,' liPI~l'dpl\t UIII! ulllel's. Llsl, fl'all'slult-' I'II'SI, as 1'111.lrl't.lps, 01' ,101111. 1,"1l1l1lt.~.;. Alvlll).!, 111'1,,1' dl'S'~I'lpllllll. liS Illdlellll'd IIlldl' I' Sl:hl!dull' "A"" plus tltt! dnt.!' Hill! pllll~l' or "1'1'01'" of IIlSII'IIllII'1l1 "I'l'I"~111I1!. "I'sl.l 1.111''', hilI. do rlol. 11l1;I\Il"~ PlIli,'cl,)es or 0111. uf' stat.. "I'ltl ..state \'lIlut! III I!SIIIl.I! \'/tllllll,loll I'olumll. 1'1','so11l11 pl'~llll'l.ty Sllollld Ill! Ilstnd ILS In Sclwdtll1~ "H", 11111S dnl.l' 1I1' Ileqlllsll.llllI, /11111 UII! IIHIlII', IIdlll'I'S."i /lllll ,'('llll.lol1s)llp (II' /IllY) 01' (~()-[Jwlwrs to t1w dCCI!lltmt, -..---,------..- Oescr I pt.loll II f' 1~~~f)I;n~. f.~'l nlj,~t~;~---fl f: 't\~ ~11I1~..i.tl~~~;~..-SI\IllI;' In"i-.;;; it: P~!'~clm Ul~ll ... i,;~-i,;ll,f! Atlcll'(lSS IUIlI Hl!llltlnnshlp of' CO-Owlll_'rsl IlIlfl P)lIllH VII I lie Sllllr" VII I lilt t!oll 01' Hocorlt 01' Illstl'UIl1l!llt, wilerI' Ill'1I1 Estllte. , , .. . .. <<J.? ,;;~':r~}:0~~ /(~5{wY~"-' , . %'%/0,/ , :8<<;0%a. I I I CCM\h)~\VI':I1.TII Ill-' I'I'S~~YJ.I'I~ 1,\ T1i,\~~1'F1I 1~IIFIIIT\~n: T\\ HF~IIII':n PI,:n:IlI.:n ~1'1I1':IlI'J,I': "1'-" .IIIINTJ,\, II'(~FIJ l'IIII1'I.:Il'J'\' 1. Savings certificate, Farmers National Bank, #AR2408, dated July 6, 1973 in face amount of $700 at 5% interest. In joing names of Chester S. Hockensmith and Keith E. Hockensmith-joint owner son of decedent. Principal Accrued interest 2. Series "E" Bonds, face value plus accrued interest, in joint names of Chester S. Hockensmith and Keith E. Hockensmith. All in $25.00 denominations: 2/79 (20.52); 3/79 (20.43); 5/79 (20.27); 7/79 (20.18); 8/79 (20.02); 9/79 (19.94); 10/79 (19.85); 12/79 (19,69)- in possession of Keith E. Hockensmith at death of deceden 3. Series "E" Bonds, face value plus accrued interest, in joint names of Chester S. Hockensmith and Dennis S. Hockensmith -all in $25.00 denominations: 3/75 (26.08); 5/75 (26.08); 6/75 (26.14); 7/75 (26.14); 9/75 (25.32); 10/75 (25.32); 12/75 (25.38); 1/76 (25.38); 2/76 (23.67); 4/76 (23.67); 5/76 (23.67); 7/76 (23.67); 8/76 (22.97); 9/76 (22.97); 11/76 (22.97) - joint owner son of decedent -in possession of Dennis S. Hockensmith at death ' of decedent. 4. Savings certificate, Letterkenn y Federal Credit Union, dated 9/19/80 in face amount of $5,000.00 at 11.30% interest. In joint names of Dennis S. Hockensmith and Chester S. Hockensmith. Principal Accrued interest 100% $700.00 100% 22.09 I 50%1 80.45 I I I I I I I I I I I I I 50% 184.721 I , . I i I 100% 5,000.od 100% 20.181 5,987.2 lnsert this totlt] oPJluslte ".}oIIlUy 011'11(11\ 1II'o)wrty", Selll'duli~ "E" In tlie "As H(!Jlort.ed" co!tuml on t.hH lust IlIl~11 of' this rptllrn. \'1.. ~m~~ "......, , l -~.,. /j 'tr"l.', (\ (li,.~."....J ..l,'.,.,.'{il;y.......;r. IlJo:i'AIlTl.Il\NT VALUAT ION C I\lJTION-lJo no t. Wr I t.e [n This SflltCe. \'IlIIH! f)f' Vlllu€ of' Ell il re Dec(!lIen it s Pr{lJlert.~' Interest .,(9'Yl.?e J<itl ~tk~, IC~VJ.,~, )1:\ '7t~~-lJ;' ~r Loll? 11\ "t C:O~:!':0:!,!E!,1:J'H OF' PEIJI1SYJ.\'Id;I1, D(:F1rt..!rI...mt.. of n~vcntJc SAFE DEPOSIT KiX DiVEIJ'fORY -J,;i IJ d 3 - /9'l / -----.,- -(D;,te of Entry) 1. Name of decedent. ~J7eS1..-r::R s , /-J~, r:s../~r;~tI 2. Address of decedent. - 12h Ii z ^ )e '..JV ,'II.. 3. Date of death. ;t1 ^~ ILf.. I q '( I 4. Name and address of pereon who requeated the opening of the box. n", 1J1J;s. S /-I"c..i:e.J.!. S ^"t II 5. lIFJOes, addresses, and relationship, if any, to decedent of persona present at opening of the box. ~,l,) Ko"t 49'1 ~ ,. /7cY!:? 72'D+J / Np",,, r" ~/V; ro<<J;J 6. Name and address of the financial institution where the aafe deposit box is located. Ihr' 0<R/I1d!<; IJ'il7 ~J 1?",~t::. OF /,J.. w-' "i.., {/r,. '00'1:' /5(.- NeLoJY' rl.> ~ 1/21J.1 7. Date of contract to rent box. A.hv, .Q8' - /q'1?.. 8. Number of box. /9/ 9. Title under which box is registered. c..j.,~ ,,'(':01 s, Hoc Ke IUSIk ,'t1/ 10. Names and addresses of persons having access to box. "[),.,..h "'5. 1-/0e. K~ II c; ^' rZ 1/ 11. Name and title of employee charged with the duty of making the inventory. Jv11'.(~,;,iJ rl. AA"I'<RIS'OLJ _ f;"...c -Y/C~ ~c.., 12. Was there a will in the box? (Yes or No) "yes 1.3. If yes, state date of will, name and address of pereonal representative, if named in the will, and name and address of attorney, if any. cl:A'r :;}]-1913 Thm.J..... ~ I-Iocl("I.J......,r:tI ,u" A7t111~/..H 'f Iv'tf"u,l ! ... s U'':PO.3lT ,l~X DiVEl;'fOr.Y , . 1) C/\~H: E~port. t.ot.al CJ:1J.,r. (2) 3'j\)Cr:: Lint in det.F.il c'J~rr CO:7zn:m or profeTrod certificI,te, \,,';,n''-,nt or oilier dehts found in box. Stocks are to be dosi{;natcd by 1'I1.me of COlr,P!'-~', ceriific:,ie 111lJnbor, dat.e of certificf:te, nMle in which stock is rl':sistl':rod, rJllJl.!.;or of shf1res Md class of stock. (3) OBLIGATIONS of U.S. GOVERlMElI'f: !lumber of pleces, dp.tes of isslle, face vallle, np.11Ios in n1lich reeisiered. (4) 00:105: Dcsienate by nwne, amount, serial nlllnber, or otherwise. (5) SAVllJGS BAliK or PASS ooor.s: Stete name of depositor, /lllmber of book, last date appearing in book, nWlle of bank and brill1ch, Md balance. (6) Jl::'1F:LRY, cams, STIJlPS, JI.AlJUSCRlP'fS, ErC.: List and describe as fully as possible. (7) Liet Doeds, Horigages, Current In811rp~ce Policies or ot.her evidences of indebtedness. (8) All other contents. atruct.ions: : Ke/z::;./- J:. /-hc J:'e/JSn,,'l;H 0 I? C~e3"t:cR S, 11oc.t;~ps"",'-r:i/ A tl'-f{){).OD. mo~/.JC ,. lJo. drJ , -A/?:l'f64" 7ltiLy to J /913 sk:. 9c; -r;-r&. Ch..st:..~ !focK~1J SI>f,i.t! /913 "tkep os TJe~d ho If'oQ q Coo z::r ,,,,,, ~ ~ II c.r( *'S C he~z<".e :s J-Ioc~/Jsm (l:1/ 6b'ilDY.s 7, ,J" / 3' ~!;d,s; AJJJ And now this & day of ~ 1\)..." ~ ~ . 19-XL. I hereby certify under penalty of perjury that the ab e record is correct and complete to the best ot IIl;y knowledge and beliet. NOTE: Uee'eeparate eheets it necessary. ./)./kJ'1'.<ri... (J /)4,..,,..,, A .-2 Si~ture Mr-R~lIi) J:" MA /l.tl./ruiJ Print Name and I ~ ... r=;:;:- ".----=-==.:-. -------. - -- ---:="\ i..JTTBB.KBHNY jl 17..D::nJ~L ! "~8JJ,=~-'D)'.j', tf~'r~ri.~ ~- l---'- , .. -_.._____n____. Iftal'ch 16, 1981 Mr. Dennis S. Hockensmith Box 498 R. D. 111 Newmanstown, Pennsylvania 17073 RE: Chester S. Hockensmith, deceased Account #9461-014 Dear Mr. Hockensmith: We are writing to you as we have received the settlement from our Insurance Company on the claim which we filed on your late father. We are enclosing our check in the amount of $2,000.00 representing the Life Savings Insurance proceeds . We are also enclosing our check in the amount of $3,395.61 represeniing the Share Savings Account balance which is $2,691.56 in rhe regular Share Savings Account and $704.05 in the Share Draft Checking Account, which accounts have now been closed. The Share Certificate in the amount of $5,000.00 will remain until maturity at which time the proceeds including the interest will be forwarded to you. If you have any questions with regard to this matter, you may contact the undersigned. We extend to you our sincere condolences with regard to this untimely event. Very truly yours, F7(!.~ ~: c. Turner(?") General Manager ECT/ejh Enclosure REPL V TO: X LETTERKENNY ARMY DEPOT, CHAMBERSBURG, PENNSYLVANIA 17201 {7171264'1122 FORT RITCHIE, CASCADE. MARYLAND 21719 (301) 241.4444 MAIN oFFICe BRANCH OfFICE .... .,. o . . hp.Tllun W. nlFE AI/{!;&1:rrr !3 oy. 3 Gk, R. D. 1, NeWVILLE, PA. 17241 PHONE: 776.3645 Il/';Jrc:./( ?-7 / /,F/ 4l'F /,.. ii-, ')'? 1- C/!<? r j /- /1:<~;fC:1,.J/.~;,,7t eJ~~. S-eCZI-5 @(J'7ll- ,~je;j/Iy ~/~/-- ~6dO/ ()C; ,?CJt)I{JJ" --- .;fY~tJ) dQ ~j2;,%~;a;:;) lJ~A:-. -~A " . . . '. . / . . .- . ...---- "'-.-.. LAST WILL AND TESTAMENT I, Chester S. Hockensmith, a resident of Upper Mifflin . Township, Cumberland County, State of Pennsylvania, being of sound mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking any and all Wills by me heretofore made. FIRST: I direct my Executor hereinafter named to pay all my just debts and funeral expenses as soon as may be conveniently' done after my decease. SECOND: I give, devise and bequeath all of my estate, be it real, personal or mixed to my two sons, Dennis S. Hockensmith and Keith E. Hockensmith, or their heirs equally, share and share alike. If my son, Keith E. Hockensmith, has not reached the age of 21 at the time of my death, I then give, devise, and bequeath his share of my estate to his brother, Dennis S. Hockensmith, in trust, nevertheless to pay the income and as much of the principal as he deems necessary for the care, main- '~~i. tenance, education and support of Keith E. Hockensmith and to pay the principal and any accumulated income to Keith E. Hockensmith when he reaches the age of 21. THIRD: I hereby nominate, constitute and appoint Dennis S. Hockensmith to be the Executor of this my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal to ;,1' this my Last Will and Testament, written on one (1) sheet of -' ~3 day of June, A. D., 1973. ':'j ~l \ . :.., ~.. paper, dated this , " , , (SEAL) This instrument was by the Testator, Chester S. Hockensmith, on the date hereof, signed, published and declared by him to be his Last Will and Testament, in our presence, who at his request and in his presence and in the presence of each other, we believin him to be of sound mind and memory, have hereunto subscribed our names as witnesses. I I /.'. // ;.~~ 1(/ t. , , , ,/I{.<.i.l.',' '/ .c..(':( !c,. -/ t<"...::~ . .' 1/ '*~,l~ '-- , :~.'~ .. <_...~~~..4!...' :"_p",;,_::~~; "'A:" .r;"':' . '.. REY.4114 En (5-80) INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) File Number ?l_Hl _nol.f.\ EJ Original o Supplemental o Remainder Estate Name Chester'S. Hockensmith Date of Death January 15, 1981 Social Security Number REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and lor the County 01 cumb5rlaRd Pennsylvania, do respectfully report that I nove appraised the real and personol property as reporte in t e loregoing return at the values set forth opposite each item in the last column to';lthe ri tin 5ch les uA", liB", "cu, and If Elf Dated: November 23, 1981 SER INVENTORY VALUE AS APPRAISED ADJUSTMENTS CDDE (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CDDE Real Property (Schedule A) Personal Property (Schedule B) Jolnt.Held Property (Schedule E) Transfers (Schedule C) $ 43 000 00+ 18,614 41 '0+ 5 8 26 2Ilt 30+ $67 601 67 40- 92t TOTAL GROSS ASSeTS Leu D.bts and Deductions (SCHEDULe P) CLeAR VALue OP ESTATE o Life Estate o Annuity 93- RATe FACTOR PRINCIPLe VALUE CODE I FDR USE DP REGISTER ONLY T ax on $ CODE COMPUTATION OF TAX $ $ $ $ $ 6% Tax on $ 15% Tax on $ Tox an $ Tax on $ Exemptions Totol Estate TOTAL TAX INTEREST FROM BAI.ANCE TO $ $ $ Leu Credits DATe DF PAYMENT AMOUNT PAID TAX CREDIT S $ INTEREST FROM BALANCE DUE "" '" P. 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