The URL can be used to link to this page

Home My WebLink About81-00058 Ace..1 (H)lIl APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28, 1956, P,L, 1757, and Act of June 15,1961, P,L. 373, os amended) *' COMMONWEALTH OF PENNSYLVMIIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Application is heroby filed for Ihe opproval of an exomption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 1. Bureou File 11____2_~_.81__5Jl_ -- ---.------------ 2. Dale of Deolh .___ January 4, 1981 3. Date of Approval _l(p_1Li. ~ If.PI 4.. f 0 d Ylorence S. Nyberg . !'''Iome 0 ece ent. 5. The Commonwealth's appraised value of the property for which on exemption is claimed is $ 100.00 (Note: Where the property is other than 0 specified amount of cash, the exemption cannot be approved until the value of the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases enter such fractional or percentage amount above). 6. Check the manner in which the transfer was effectod and submit a copy of the document authorizing the transfer, unless such material has been previously filed. WILLldl; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Brotherhood Fund of Stuyvesant Masonic Lodge No. 745 ADDRESS 71 West 23rd Street, New York, NY 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. Address 01 Applicant diU'.., JBLULhc 0 P4-IO II Farmers Trust Company P.O. Box 220, Carlisle, PA 17013 Signature 01 Applicant Official Titl. Executor of Estate Date 4/2/81 This form must be completed In triplicate and all three copies delivered fa the Register of Wills for the County in which the decedent resided, or in which letters were iuuod for a non_resident decedent's nloto. If the decedent was 0 non_resident of Pennsylyonla and letten were not Issued by 0 Pennsylvania Registor of Wills, delivor all three copies to the Director, Bureau of County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po. 1 I I , ' 1- Do not write below this line. For Officiol Us. Only Approved: For the Secretary 01 Revenue Referred to Bureau Headquarters Approved 0 For Secretory of Revenue Denied* 0 (Initials of Register 01 Wills) (Authorized Signature) (County) (Titl.) (Date of Relerral) (Date 01 Action) '* See reverse side for rlasons MUST BE FlLEO IN TRIPLICATE Rce. 3 11'601 APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28,1956, P,L. 1757, and Act of June 15,1961, P.L. 373, as amended) ;~- ~,j!l COMMONWEAL TN OF PENNSYLVAtllA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Application is hereby filed far the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below, 1. Bureau File" _ ____2.Li;lL5JJ...._ 2. Date of Death __. January. 4, 1981...._._.. 3. Date of Approval _7/::"-[0 3.rLff! 4. Name of Decedent orence S. Nyberg 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 100.00 (Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of the property has beon established by appraisal by the Commonwealth, except in those cases where the amount of the gift or bequest represents a stated fractional or percentage portion of the entire estate or the entiro residue. In those cases enter such fractional or percentage amount above). 6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the transfer, unless such material has been previously filed. WILLlQl!; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (II ather, explain) 7. Correct Business Helme and Address of Charitable Organization receiving property: NAME St. Paul's Evangelical Lutheran Church ADDRESS 201 West Louther Street, Carlisle, PA 17013 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. Signature 01 Applicant -, ~IIUU .J I~/(,~ h, _ V (J ~ \U Farmers Trust Company P.O. Box 220, Carlisle, PA 17013 Addre.. 01 Applicant Official Title Executor of Estate 4/2/81 Date This form must be completed In triplicate and all three copies delivered to tho Register of Wills for the County In which tho decedent resided, or In which letters were issued for 0 non.resldent decedent's estate. If the decedent was a non.resldont of Pennsylvania and letters were not Issued by a Pennsylvania Register of Wills, deliver 011 three copies to the Director, Bureau of County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, Horrlsburg, Pal Do not write below this line. Far Official Use Only For the Secretary of Revenue Referred to Bureau Headquelrters Approved 0 For Secretary of Revenue Denied* 0 (Initials 01 Register 01 Wills) (Authorized Signature) :/ ounty} S,/1n , . (Date 01 Approval) (County) (Title) (Dote of Relerral) (Date of Action) * See rev.rse side for reasons MUST BE FILED IN TRIPLICA TE r ~ ( o ~ J j ~ .' , . 3!la,l 3:tIill (Ut~ ([~5htllu'ltt I, PLORENCE S. NYBERG, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this to be my last will and testament and revoke all wills and codicils which I have pre- vious ly made. I I give and bequeath my one and one-half carat diamond solitaire with a platinum mounting to my step-granddaughter, Pamela H. Nyberg, my smaller diamond ring to my step-son, Kenneth H. Nyberg, and other jewelry in accordance with a letter of instruction. II I give and bequeath my household furniture, furnis - ings and the contents of my apartment to my nieces and nephews as my executor shall determine, the pictures in my apartment bearing the name of Kenneth H. Nyberg on the back, I give and bequeath to him, an - I give and bequeath my dishes to Alma Boldosser.- III I give and bequeath the sum of One Hundred ($100.00) Dollars to the Chancel Fund of the Gilead Lutheran Church at Center Brunswick, Troy, R. D., New York, or if said fund shall have been discontinued, then said bequest shall go to the Memorial Endowment Fund of said Church. IV I give and bequeath the sum of One Hundred ($100.00) Dollars in memory of my late husband, Harry R. Nyberg, to the Brother- hood Fund of Stuyvesant Masonic Lodge No. 745 at 71 West 23rd Street, New York City, New York. V I give and bequeath the sum of One Hundred ($100.00) Dollars to St. Paul's Lutheran Church of Carlisle, Pennsylvania. VI I give and bequeath all the rest, residue and remainder of my estate wherever situated to my step-son, Kenneth H. Nyberg, if living, otherwise to his three children, Kenneth S. Nyberg, David A. Nyberg, and Pamela H. Nyberg in equal shares, and if any of said step-grandchildren shall be deceased, to his or her surviving issue, per stirpes. " CODICIL I, FLORENCE S. NYBERG, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare the following to be a Codicil to my Last Will and Testament, dated September 17, 1976. I give and bequeath unto The Huntsdale Church of the Brethren the sum of One Hundred ($100.00) Dollars as a memorial to my father and mother, Abner D. Shenk and Florence M. Shenk. I hereby ratify, confirm and republish all of the pro- visions of my said will dated September 17, 1976. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of September, 1976. dl;:h!l-.W/ .)' ~ /4/Vf-CSE L) Signed, sealed, published and declared on the date thereof by the above named Florence S. Nyberg as and for the sole codicil to her last will dated September 17, 1976, in the presence, of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. OATH m' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND Before me, the Register for the Probate of Wills and granting of Lellers of Administration in and for the County of Cumberland, personally came Dennis C. Caverly, Senior Vice Pres. and Trust Officer of Farmers Trust Company who. being duly sworn ,do e s depose and say that as Executor of the last Will and Testament of Florence it will well and truly administer the goods and chattels. rights and also will diligently comply with the provisions of lhe law relating to Transfer I ;(/ January 16 A.D" 19~ Register ,'ti ~, :Q) : "' ao; :<<l : ~ .....0 :Q) ,P u.. ~l <1': r.:I: co: 0 Ill: *" ~\ ~ r-: \1) co -.J .: g N~ III lIIi r:Q LI") I -.J t'\ \ ~ r.:I: - .: - OD - u: .~ u: III I S z: i:: r<: ::l ..-\ ~ ~i I'l r.:Ii c I N ,~ III , ClOi 0: 'tl l':l ~, Q) 0\: I: r..: 'tl 0\: .,... : Z ... co: i 0 *j C\l\ " \ $ ~ ~ al 0 .g 'tl - I'l <<l .~ "' p.. r... Z r<l as DECREE Be it remembered that on the 27t." day of Jil:1lJCll:',r recorded the last Will and Testament of "]on'I1CC ':'. 'jyb: r'j 3' .A.D..19"':"'::"-. there was probated and late of :: lrlis12' , Cumberland County, Pennsylvania, D d L tt Tcst.::..n',enlar\' ecease. e ers . were granted to Witness my hand and official seal the day and year aforesaid. ~rf15 ":'~1.r;i',C;J:?, Trust CQwpany t:J1fuy (!J, rL~~ . , Register COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF EXAMINATION COUNTY FILE NO: TO: ,',; ,J, (,,' IY' .". J .I / ': ./,~ I ::'{ II ./- 0' ,( / / ;'- -, ,/ f ,,"// ,/F,..).f . - '. ..,"~ Appraised Value of Estate: Real Estate Personal Property Jointly Held Property/Transfers 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 Amount Taxable @ 15% Rate OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT '. ,"/ , .' i) ',"'-~ ..'-- '/~,.-' . I ...; $ + " " I': if'/ DATE ESTATE FILE NO. COUNTY OATE OF OEATH F/ , (. ,. <', , -, .'f) ,/ :.s' tax due tax due * * . * * * A five percent discount totaling $ will be granted if the Inheritance Tax is paid by less Credits: DATE OF PAYMENT /1- ~ - :r I . AMOUNT PAlO $//;(/4,/)( + $ , . '/ '/ 'j :,,' .I /.. J ,-' / ~'i { "'j . $ . , ,/, /. .\ (i ~JII' , ,::; /,.'-1J ,'/ (/,) (/ $, " 'II J _ $ I I 5/ t/ , .~ / / ? , , , ','7" , .' TOTAL PENNSYLVANIA INHERITANCE TAX OUE DISCOUNT INTEREST + $::/'/ 'I - s + + Interost accrues at the rate of si}t (6) percent per annum on the unpaid balance of Inheritance Tax from to date of payment. Interest due jf paid by = s = = BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE is See InformBllon on RlIverse Side TAX CREOIT ;';'/,- /~) '/ .,/,,' , 1/ ,,; ,~, ~ 1',' :' /".. ,/ ; ,f / I II ' / (/'(',/'1-')',- /.1 ,// ,,', ' {/ ....',' :,;~,/ > ,/ .- .- /, I / ,( v':'r /,: ...1."...~.r......"'__ , ,.j /1/1 .,' , ,'," '/'1/ $ ">7 ) <;-/(,.. (.' ,-).- II,f, 7"- $ I;' q -:;: :Ill s 7"/. , , ('1 " ~/ J; . ". , //, Ll.'/ ! HEV.455 EX'" IJ.HOI COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT ,;2/ - 'i? I -,~1" SCHEDULE "'" '* STATEMENT OF DEBTS . , AND DEDUCTIONS . " \ -_'-:-.::;..:...:..:.::-~-,,---_.~-----'"~ Estate of Florence S. Nyberg Date of Death_lJ.A/.81 WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: Claimant Claimant's t\ddress ITEM NO. DATE 1 2 3 4 5 6 1/22/81 1 22 81 1/22/81 1/28/81 1/30/81 NAME OF PAVEE 1a d As ociates Inc. u Corn an Closin and Filin Costs File No. 21 81 58 Relationship to Decedent_. REMARKS Balance due Balance due Balance due Balance due Balance due Advertisin Advertising Balance due Letters Testamentar Letters Testamentary 11 Register of Wills Masland Associates. Inc. United Telephone Co. Carlisle Radiology Assoc., P.C. Presbyterian Homes, Inc. Hoffman-Roth Funeral Home The Evening Sentinel Cumberland Law Journal Pa. Retired Persons Pharmac Belvedere Medical Cor Harold E. Boldosser Balance due Services rendered as Power of Attorn 10/1/79 to 1/10/81 Balance due = Minimum Commission NEY/FIDUCIAR't OFFICIAL USE ONL Y DEBTSANDDEDUCTIONSAREALLOWEDINTHESUMOF S i 3 (,6~t)t. AT ~ ~, . , ,.,../ AMOUNT 27.40 14.00 1 500.00 250.00 7,365.06 PERCENT. /i-//-f/ DATE GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estate. In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration, attorney 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 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania. If there is no spouse, or if the spouse has forfeited his/her rights, then 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. The family exemption is allowable only against assets which pass by a will or bV the Pennsvlvania Intestate Laws. r- "" I:i n > tTl > ~ z > 0 0 I:i r.n I:i Cl n C I:i ~ Z s: Z t'" tTl m ;;:: Z 9 9 t'" ;::l - z Z m -i m -i Z 9 9 -i -< r.n m - r.n Z 0 r.n 0 -i 9 ." ." :>:I ~ ~ 0 ." - ." 0 ~ Z n : ~ " > ~ " t'" Er. ~.., \_"' c:: l~.. .::'.:c; '" l,.,l. f"') .-t::~. m c; 'c.,:: C:II' I ',~~{::l 0 l1J\.:;' 0:. ..)lJ.J Z 01- I~ t'" CGlfJ "" r'! 'OZ;;' ~....- -< -< -< !)......- (.)u": ._:;> m m ~ wo: ~ :,jw > > ,,0:: ' ~ '-' ;::l ::0 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 "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 rem"rks column for each debt claimed. 6. Enter the amount of each debt being claimed. 7. The form must be signed by the person who has assumed the responsibility for paying the debts. QUESTIONS CONCERNING PROPERTV TRANSFERS 1. Did decedent, within two years of death, make any transfer of any material part of l1is estate witl10ut receiving valuable and adcQuatc consideration? (Answer "Yes" or "No".)_~ 2. Did decedent, within two years of deatl1, tfnnsfcr property from himself! herself to himself/l1erself and anotl1er party or parties (including a spouse) in joint ownersl1ip? (Answer "Yes" or "No".) ~ 3. If the answer to one or two above is "Ves" and the transfers are claimed to be nontaxable, provide the following information: a. Age of decedent at time of transfer. b. Copy of death certificate. c. Affidavit by the attending physician indicating the state or decedent's health at time of transfer. d. All other information supporting nontaxability of transfer. 4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".) no a. Was there any possibility that the property transferred might return to transferor or his/her estate or be subject to his/her power of disposition? (Answer "Yes" or "No".) b. What was the transferee's age at time of decedent's death? 5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her death: a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Ves" or "No".) -1l!L b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answef "Yes" or "No".) no 6. If the answer to five b. above is "Yes," state whether the right was reserved in decedent alone or others. 7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit or care of transferor? (Answer "Ves" or "No".) no B. Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Yes" Of "No".) "~ 9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved in the decedent alone or the decedent and others? (Answer "Ves" or "No".) REV-453 EX+ (3.60) COMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE "D" BENEFICIARIES ~.'~- ~\ (Instrurtiofls on Reverse Side) Estate of Florence S. Nyberg BENEFICIARI ES AND ADDRESSES RELATIONSHIP SURVIVED DECEDENT DA TE 0 F BIRTH INTEREST OF BENEFICIARY Chancel F Lutheran Church at Center Bru wick $100. 00 R.D., Troy, New York Brotherhood Fund of Stuyvesant Masonic Lod e No. 745 71 West 23rd Street 100.00 St. Paul's Luthera Chur 201 West Louther Street Carlisle, PA 17013 nn Pamela H. N ber 34 Morris Street Brentwood NY 11717 ste - randdau hte es over 21 rs Diamond rin8. a~_____ appraised $1,125.00 Kenneth H. Nyberg 34 Morris Street step-ssm _yes over_?_urs Qi!!!1lc)J1c:LrJ_ng,__,,-_,,-_ a raised $75.00 and 100% of Residue Brentwood NY 11717 Huntsdale Church of the Brethre~ Huntsdale, PA _0_0.00 The above beneficiaries are living at this time except for the following: NAME DATE OF DEATH INSTRUCTIONS FOR COMPLETING SCHEDULE "E" . Schedule "E" must include all property, real and personal, owned by the decedent jointly with another party or parties as joint tenants with right of survivorship. Both tangible and intangible property are to be included. List real estate first. 1. Describe all real property as indicated in the instructions for Schedule "A". Describe all personal property as indicated in the instructions for Schedule "B". Include the name, address and relationship to the decedent of the co-owner (s) and the date the joint ownership was established. 2. Indicate the total market value of the jointly owned property. 3. Indicate the percentage of the decedent's interest. 4. Indicate the market value of the decedent's interest. C ''tl 0 n > r.; >- :; z :> 0 0 0 <Jl 10 - C'l n C- O .., Z ... Z t"" i"1 tTl ~ Z :>- 0 - !=l t"" ;::i Z z z r.; ....; r.; ..., ~ !=l .., ..e: i"1 - ,.. !=l <Jl (/l Z 0 <Jl 0 ..., :l' 1.., 0 ." ." ~ ~ Et' .- >- 0 , ~n,-. 1.1.1 ~~ ..., ." ('); (V) 0 'Tl - Cl:'. I Z 0 I.d~..,J c:l.... C. 6f5 > c.. ",en "" t"" 08 '00 Uw :C::,,:. c:: n:- ~"" ~ w::O C/l ~ -,u tTl '" 0 Z ><: ><: g tTl i"1 > > ~ ~ "" '" ~ '" ~ bll Q) "" " C"1 \0 I.. c:: ~ ~ Q) Q) 0 ~ p:: ~ .0 > t'-- :>. .. ~ -< Z Z ~ ~ '0 .. 0 :>- c:: "" Ul OJ '0 ~ ..... c:: C/l Q) Q) Q) OJ ;:l <J I.. 0-\ ..... c:: 0 1Il I.. ,.;I Q) 0 .... Q) ~ '" C"1 -< I.. :;: 0-\ .0 ~ CO ... 0 I.. ~ ~ U Z ..... 0 OJ ... r.. '" 0 0 l>o 0 l>o ... 0 ~ a ~ l>o l>o !;; 0 '" 0 z ci ... ~ '" ~ f- a ~ 8 gj ~ z z ,.;I ci ci z ~ ~ :E 0 0 u ~ ~ ,.;I z z z ... ~ '" ~ 8 0 ... :;: ~ Q p. ..l IN THE COURT OF COMMON PLEAS OF Cm1BERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN THE ESTATE OF FLORENCE S. NYBERG, LATE OF THE BOROUGH OF CARLISLE SCHEDULE OF PROPOSED DISTRIBUTION g==h~~~=~g Balance for distribution as per First and Final Account filed July 24, 1981 DISTRIBUTION Kenneth H. Nyberg 7,144.38 413.68 g==b,!.~~~=~g principal Cash Income Cash STATE~ffiNT OF THE REASONS FOR THE PROPOSED DISTRIBUTION The above distribution is proposed in of Florence S. Nyberg, late of the Borough Pennsylvania. Vice President COMMom~EALTH OF PENNSYLVANIA: COUNTY OF Cm1BERLAND Dennis C. Caverly, being duly sworn according to law, deposes and says that he is Senior Vice President and Trust Officer of Farme ~rust Company, the Accountant in the Estate above named, and that the facts set orth in the Statement of the Reasons for the Proposed Distribution are true and corre / .".,' :' 1~.f:~,F~?;' ,; .;~:.~ -\ ::1 ;~ ._ .,..:,...r. 1 ..... .i:. , A1B~\G\\1 l;on,~nUULlC ..J , .,.t},:: :":",::1,'".,; ,:,:, ",\ '1'., .: OClnCfi.S ~~r,[ll\ ' rU~I~n~?\ /l.:"n r.O\lH~"" .;:>...../.>::.;.:':.'.'...;.,'... .:o,RI.\S\.( uur,'., . ":'~,'-. ,,.. c. 1(\~7 . .. ~ '. . '.1', ~, . -....., . '(':c .,.... f-'1\'\"['. hI -',' \'J, .,. . ~;" ~. ":' "'1;. . ;"'!"', / tW c'):":111\.,,~'I\..' ","','..'" '-, ,j ;"'l~l\fI,(') '.J... . ..... ....~. C-,;ll....\",v,,:.,a I""'~'_"'\\.~'\ t: . . j Y M.r,.,;.'l~'." ,-, . -. ".'":::.:~",,,..,.., " litH 99 I,...~E 3H 7 1.'_ ;~' .7 <-. ld '':;' CO ""- t~ -. "- c:c C'J( 6(~: I .. l.L.L;~ .. , 01-- ::~(, 0,::1,,' . 05 '-'uJ fj'::~; ~et: - cD _.I." . ~, fil <f.l o p.. lins p..H E-l f%<::> Oo:l r>l~ slri "'H [;j'" U <f.l oj '+-4 (1) "d 0 ~ ~ ..... ~ 'C .r. d.l ...... ~! -:-; So,,;:: ...: ~.,,: H ....:l 0 Z tJ) E-l ~ ~H::> !;:l g:j~~~ f%<tJ) ><o~~ oj;!iz Z ~ ~G1g ,[:;E3~. P-ltf.l tf.l 0 H IIlU Pl~~ tj8:BJ '" z~ 0 ~E31;l lilo~u ~8::>oo:3o:li::llri o O"'f%<~f%<lil USO.....r..iS~E-l f%<:oJ- 00 0 O;l<f.l.....r>l[:; gj 1;lr<l~N~r>lE-l~ ::> E1l p.. 'E-l E-l gj Op"':O<f.l"'lH UOOZ~....:lf%<r.. ~o~.gg.:~~~ ~rO~~..';--"":;jb '+-4 j: 0. f./) ..... '0 V f./l 0) t3 15 ~ c';: t1 o;j ..c. Co) c.~) C) .., ~ :-;: ~ .... c ..' ..... '+".9 ~ ..... ; :,.1 ~ ;3 o~~c8(...o'[j ~~ES~~J::)o;'._~ '.0 I;1r~:2>~;-4:i o~q;o.~cno~ ~ 0 (J ::: "0 B ~ .S c:: ~ 0.... "'. ~ .J ... "9. ...- .... ~,1" '.Il :E~~t1IJ}.~S~ 'E 0 ~ E B "Q y:. ~ ~g.~;';:(/J~g ..... r< CJ ~ ::: Q) ... a:5 p.. {.J 0 ("..; Q) H (; -S.....r:1u.{3,I:]: >. C P l;: .~ ~~ c "~ ~ ~ ~1 4::; ..g .-" 1:. d.l r.: I' .':.:':: .:. w ill E t: ... ~ ~) ~ ~~e0g~~~.~ e tn .~ .2 .~ :S :: 1 0-\ co .....'" 000-\ '" ..... . ... .N ... :>. .0-\ <:: " all-) I-) .." ~~ "'f%< r..~ 00 r<l~ ~~ "'''' ~-s~g2Q~ " ,<:: ~ - :~ >- ~ ~ c; Q) Ct .s 1.~1 ~ ~t::; .. Cf.) '-':.... $-1-'" ......... OJ ~ ...... r' a a: ~~ 'jo(t-- ;!- E~ :E ~. ~" ~ :)~' ~ w ,. rfl l "='0: ':} ~ .::; ,<:: if. <( C'"':: ~ " - ',g ~ 'cu ;. '" ~ ~ ~ ~.' 0( z 0( > oJ . ,.'l lIl"l z~ z': .. " ",lI . E .. . ~:ll ::i. 0: 0( U / COURT OF CO~~ON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 21-81-58 INCOME ESTATE OF FLORENCE S. NYBERG LATE OF THE BOROUGH OF CARLISLE FIRST AND FINAL ACCOUNT OF FARNERS TRUST CONPANY, EXECUTOR Date of Death: January 4, 1981 Letters Granted: January 27, 1981 First Complete Advertisement of Grant of Letters: February 20, 1981 Account stated to July 24, 1981 SUNMARY & INDEX Pages PRINCIPAL Receipts Less Disbursements 2 2 16,789.79 ---.8,045.41 8,744.38 1,600.00 Less Distributions to Beneficiaries 3 Principal Balance Remaining 7,144.38 Receipts Less Disbursements 3 3 440.08 26.40 Income Balance Remaining 413.68 COMBINED BALANCE REMAINING g==Z~~~~~Qg l+~,I.': ::;8 1.'I;~~ 394 Cash Cash 4/3/81 COMPOSITION OF NET BALANCES PRINCIPAL ~==z"'~~~=~~ INCOME ~====~~~=g~ PRINCIPAL RECEIPTS Inventory Filed Per Copy of Inventory Attached 16,674.19 Subsequent Receipts Refund, Pennsylvania Blue Shield 115.60 g=~g",m=b~ Total Principal Receipts 1/22/81 1/28/81 1/30/81 2/11/81 2/12/81 2/17/81 3/9/81 4/1/81 4/3/81 4/8/81 4/14/81 PRINCIPAL DISBURSEMENTS Register of Wills, Letters Testamentary Masland Associates, Inc., balance due United Telephone Co., service Carlisle Radiology Associates, P.C. Presbyterian Homes, Inc, balance due for laundry Hoffman-Roth Funeral Home, funeral expenses The Evening Sentinel, advertising Letters Tp.stamentary Cumberland Law Journal, advertising Letters Testamentary Pa. Retired Persons Pharmacy, balance due Belvedere Medical Corp., balance due Harold E. Boldosser, services rendered as Power of Attorney from 10/1/79 to 1/10/81 Masland Associates, Inc., balance due Elizabeth Schiffman, appraisal of jewelry Register of Wills, filing Inventory and Debts & Deductions Register of Wills, Pennsylvania Inheritance Tax in full Postage for mailing jewelry Commonwealth of Pennsylvania, 1980 income tax due Reserved: James R. Humer, Esquire, attorney fee Farmers Trust Company, commission Closing and Filing Costs 30.00 750.00 10.66 61.00 3.00 2,233.00 18.00 18.00 27.40 14.00 370.00 580.00 25.00 6.00 604.01 6.34 39.00 1,500.00 1,500.00 250.00 Total Principal Disbursements ~==~"'~~~=~~ 2 Li~lf. 99 fA~t 395 ., .,~ ;";.1;1 4/3/81 4/9/81 4/20/81 4/27/81 4/30/81 PRINCIPAL DISTRIBUTIONS TO BENEFICIARIES Diamond ring, as appraised, to Pamela H. Nyberg Dismond ring, as appraised, to Kenneth H. Nyberg St. Paul's Evangelical Lutheran Church Brotherhood Fund of Stuyvesant Masonic Lodge No. 745 Chancel Fund of the Gilead Lutheran Church at Center Brunswick Huntsdale Church of the Brethren 1,125.00 75.00 100.00 100.00 100.00 100,00 Total Principal Distributions g==!",g~~.;.~~ INCOME RECEIPTS 2/11/81 Interest, SaVings Acct. 8927, Carlisle Building & Loan Assn. Interest, Certificates of Deposit, Farmers Trust Co. 5/8/81 to 7/6/81 96.71 343.37 Total Income Receipts g====~~~.;.~~ INCOME DISBURSEMENTS Farmers Trust Co., income commission g=====&M~ COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND Company, is true thereof Vice President ~; ,. J,:.,~;~,~\\('.:"':",i_~' :':~:\-,:_ ":. \ ' , ,::: 9:J,:;~ t, .bORC^Sj~.AL8RIGIIT. NOTARY PU811C ) 'die'I::,';;";" C~RIfl\l.i 1;(1i1'). CUM8ERlAIID COUflTY ~.~ -;:.;,~",;~ ~\r; ~:Ml\r:a;'.1~t'tt:)i~ EXHRES MIG. 1 G, 1 ~82 .'. 00, :..'~l:"~Jj\l,eL~';){iyh'o.nji:l At\OC!illion 01 N{lf~'lfS (' r. ......, ,-y .,.' , ,,1 .,' .", 3 [:ll: 99 fAut 39u .~, ~.'TO'lltJj[ lJnOl) C V-I m liJ4l,(S' Ma~ 4 uOl1nqln . ~ 81" .pit4~9 pOSodOJd 41!M a;,uepJo:>.-:e. UI peOJ:Jop uoUnql.llSIP pUt! iil&lTllOW2 paUJJllOIeO lunooo"7'J'b7'5'f';''5i'iV Ie ',".; '" \.) 0' ~:':,' = r;' .- u.\I. <:c 0'. Of'':: I ,,- WOJ "- ct.. -- , c<v> ""5 , C- " u'" Cl~ WW ~ LL'. ' :e.Ct: ~ ,u (J. c ~ .... ~ ... a C B ~ f:j @5 ~ ~~ t: ~ f;l~!j~ f><~ ><'-' r.:I O~~ :;!: ~ ~~H .!js~ ~j:4~ Ul=8~ ~><'i:i tlg~~ E-fA :40 0 :;!::;!: gjP:;~'-' ~H5t1 olil?-;E-l :>1'-'::>"'~ HtIl o OIl'lf><r.:If><iij '-'A~U.-!f><~AE-l f%. - '" 0 f>< ~ o ~.-!r.:Io ~ E-lr.:liil"'t! E-f~ ~ e:I". . E-l ~ gl OScz:jOUl-....H '-''-'O:;!:r.:I~f%.f>< .... c:: o " 'olI :: ...... 0 n .5 g.- - :;:: Q) u 'tJ u ...... g l-I ,~..:g cu....... o..n ~j ..cO'......oP- .... >;j "t ~ '5 '08gJJi>- 1l "u of: 0: '.p S Q.l ;:. ~ o'.p~~ 0 s:= Q) 0 ;;: .... ~ ~ ..... 0 ~ Q,) roc rei ..... ~ :t: ":>. ,- "J: .Q,) 1:: ~ t:l) ~ -5 ClJ_"O C on ') .......... Cl.l to .j,!. dOl... i'l ' ,.c "0 0. ~ Vl ..... c: G.l C,.l '.' >- C'J ..":J. ...Ci ..r.: ~ . - ~ ,: l:'ET'Q C 8 :j ~ - ;:::; o Cl.l ~ s 10" e e a ~~ l-I -< ~ -= .-~ " " " .... o u u u " on " ;~ ~ ...~ t:l " ~ " " .c .. ... :- o " c:: ,- ~.q; ...... _ " 0 o [j on ... tl C ~1. r: ~.. n pt~ r..: '0 .~ ;.0.'0 ,.. 'J .... ;.. 0 " " u 2 ?; ;~ '" - >- Q) ~ ;::!: ::l 0 g'u r.:I .~ ~ :::l Q) ex: ~1- ~ olw 1Il :!: ~ ex: ~tI: J - <>= 'u "" ::; 0-\ '" 0-\'" "'..... '" 0-\ . ... .", ... ':0 ~ r.v) ~ Z <l > .J . >~ 1Il"1 Z,,! Zr. ... " ".!I Ii! ~:lI :i, ll: <l u Ii :.;;:..... u. .,,, ... ,.. :>. .0-\ c:: ::l OJ''' .., ~ ~ , ~'\( o .... 'iij .c ..C!J :I::;!: t!~ r.:IH Af>< f><f%. 00 ~~ AA ~ .... .z. .', ';,; ~ _, ..... ...... .... ~ 'JJ