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Two-Ihtl'ds Ihel'eol' r give' and 1"''1nealh unln illY daughi.<'I'. Suzanne, absolutely.
'I. The balance 01' illY eSlale', [give, devise and b("lucath in equal shares
unto illY said son. Leon. and my said daughlel'. Suzanne, absolutely,
8. [hel'eby nominale, constitute ancl appoint my saicl son. Leon. I~xecutor
ancl my sair! claughtel'. Suzal1lll', Exccut1'lx, of Ihis my last Will ancl Testament.
IN WITNESS WHERJ~OF I have hereunto set my hand and seal to this my
last Will and Testament, this 27th clay 01' July. iDG4,
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Signed, sealed. published and declared by Pea 1'1 E, Myers, the testatrix
above named, as and for her last Will and Testament, in our presence, who,
In her presence, at her request, and In the presence of each other, have hereunto
subscribed our names as attesting witnesses.
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OATH Of' I'ERSONAL REPRt:SENTATlVE
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
Cumbe,land, personally came
Leon D. Mvers
who, being duly sworn ,does
depose and say that as
Rxpel1t-nr
of the last Will and Testament of
Pearl E. Mvers
deceased
he 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 lnhedtanees, Sworn and subscribed before me,
December 9 A.D,. 19~ ~/A..D,'n.-...1~-<--J
1/(//jl !2, Ytv;J ,
Register
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Be it remembered that on the
5th
DECREE
February
day of ~r
Pearl E. Myers
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,A,D,,19_. there was probated and
recorded the last Will and Testament of
late of
West Pennsboro Township,
. Cumberland County, Pennsylvania.
Deceased, Letters Testamentary were granted to
Witness my hand and official seal the day and year aforesaid,
T ,eon 0, Myers
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QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No",) No
2. Did decedent, within two years of death, transfer property from himself! herself to himself/herself and another party
or parties (including a spollse) in joint ownership? (Answer "Yes" or "No".) --.lliL
3, If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable, provide the following
information:
a, Age of decedent at time of transfer.
b. Copy of death certi fi cate,
c. Affidavit by the attending physician indicating the state of 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",) 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 t,ansferor 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 "Yes" or "No".) 2!2-
b, The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "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? (Answe, "Yes" or "No".) No
8. Did decedent, at any time, transfer property, the b61eficial 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" or "No".) 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 "Yes" or "No".) No
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
Schedule "E" must include all property, real and personal, owned by the decedent jointly with another
party or pa'ties as joint tenants with right of survivo,ship, 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 prope'ty
as indicated in the instructions for Schedule "B", Include the name, address and relationship to the
decedent of the co,owne, (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 ma,ket value of the decedent's interest.
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ITEM DATE NAME OF PAYEE REMARKS AMOUNT
NO.
Leon D. Myers I<'amily allowance 2, 000.00
, 3, 253.50
Hoffman-Roth Funeral Home Funeral services
Carlisle Memor ial Service rnc Grave marker 295.00
Re,.,ister of Wills Letters Testamentarv and 2 short
certificates 26.00
First Church of God Balance of church pledge 200.00
Re,.,ister of Wills Filin,., Renort of Assets 3.00
Register of Wills Filing Debts and Deductions 3.00
Reserved to record Release 9.00
Robert M. Frey Attorney's fee 553.87
IU!V.45' EX. (J.HOI
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT OECEDENT
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SCHEDULE "F"
STATEMENT OF UEBTS
AND DEDUCTIONS
Estate of Pearl E. Myers Date of Death Nov. 13. 1981file No, 21-81-88
WHEN CLAIMING THE FAMll V EXEMPTION. COMPLETE THE FOllOWING:
Claimant
Leon D. Mvers
Relationship to Decedent __. Son
Claimant's Address
R. D. 4, Box 262, Carlisle. Pa, 17013
TOTAL THIS PAGE r 6,343.37
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 ~ate as .deductions for Inheritance Tax purposes,
,5I(.iJ'[, )'J-~~, -<'-LU. March 17, 1981
SIGNATURE OF ATT RNEV/FIOUC1ARV DATE
OFFICIAL USE ONL V
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S ~ ' 5/g 31 AT /,
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DATE
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