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Home My WebLink About81-00093 simple, all of my household furniture and furnishings, automobile, books, pictures, jewelry, silverware, china, linens, wearing apparel and other like items of household 01' personal use or adornment not disposed of in the pre- ceding portions of this Will to my cousin, ELIZABETH V. SWINGLE. ITEM V: I direct that Robert B. Fackler I Funeral Director, bury me beside my brother, Charles Earl Miller, in lot or lots numbered seventy-three (73) and seventy-four (74) of Section 2 in East Harrisburg Cemetery, which lots are in the name of my father, CHARLES F. MILLER. I have placed a headstone for me on said lot. ITEM VI: I direct that all of my property, real, personal and mixed, not disposed of in the preceding portions of this Will be poured over and transferred into the Trust created by myself under an Agreement of Trust with National Bank and Trust Company of Central pennsylvania, Harrisburg, pennsylvania, now National Central Bank, dated as of July 29, 1966, as amended. ITEM VII: In the settlement of my Estate, my Executor shall possess, among others, the following powers: (3.) To sell either at public 01' private sale and upon such terins and conditions as my Executor may deem advantageous to my Estate, any or all real or personal estate or interest therein owned by my Estate severally 01' in conjunction with other persons or acquired after my death by my Executor and to consummate said sale or sales by sufficient deeds 01' other instruments to the purchaser 01' purchasers, conveying a fee simple title and without obligation 01' liability of the purchaser 01' purchasers to see to the application of the purchase money 01' to make inquiry into the Pagc 3 of 5 pages validity of said sale or sales; also to make, execute, acknowledge and deliver any and all deeds, assignments, options 01' other writings which may be necessary or desirable, in carrying out any of the powers conferred upon my Executor in this paragraph or elsewhere in my Will. I 0)) To pay all costs, taxes, expenses and charges in connection with the administration of my Estate. (c) To distribute my Estate in kind 01' in money. Provided, however, that any assets distributed in kind shall be distributed at their value on the date (s) of their distribution. (d) To do all other acts in my Executor's judgment deemed necessary or desirable for the' proper and advantageous manage- ment, investment and distribution of my Estate. ITEM Vill: Any person who shall have died at the same time as Testatrix, or in a common disaster with her. 01' under such circumstances that it is difficult 01' impossible to determine who died first, shall be deemed to have predeceased her. ITEM IX: If at any time any minor child shall be entitled to receive any assets hereunder, the NATIONAL CENTRAL BANK, Harrisburg. Pennsylvania, shall act as Guardian of the assets payable to such child. Said Guardian may receive and administer all assets authorized by law and shall have full authority to use such assets, principal and intercst, in any manner it shall deem advisable for thc best interests of such child, including college, university, post-graduate 01' other education, without securing court order. Said Guardian shall have all the rights and privileges as to the Guardianship(s) Page 4 of 5 pages OATH m- PERSONAL REI'RESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND Beforc m~, thc Rcgistcr for thc Probatc of Wills and granting of Lcttcrs of Administration in and for the County of . A / 4/ r.,/7/ -'7" -I. --() kf-; , ~.Y'/- 1/ L .?' /. Cumberland, personally came . ':4/rO!" ,~/ ' 'VI( .//.'a,v1 ;oP--'W~" /fit~ 4~C I who, being duly ~ , do ~/ depose and say that as t7k~ ~./>of' C, ~~ C/ they will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And 1 also will diligently comply with the provisions of the law relating to Transfe~ Inheritances.,,~ Jivn;6. - ~I1A, /. a. of the last Will and Testament of ./Y'0V deceased Feb. 3 A.D., 19~ Register i.,; .....i :<1> <Xl: :~ 0) :<1> ...... :" :<1> iO U. "', <Xl: 0 1>'.1 *! 0, iii: ....., ...: ..!<I >,i I'l: ...J ..., 0 C'j 1-4: 0 ... ; O\i ...J :Ei >Q III ~ I: - '. :l .-I: .: - t): ~ - .~ <Xl: S t), ~ e.: ,Q I: I&I! QJ .....: :><, s:: '"' T-! Ni Pl: .~ ex) ~i "C ",i <1> .-I, . "C 0: ,....; Z ... 0 .-I: " *i ~1 .& ~ ~ 11 .5 "C '" - Z rIl s:: .~ fiI '" ~ r.z. Be it remembered that on the DECREE February 81 ,A.D"I9_, there was probated and 10th day of recorded the lasL Will and Tcstament of Mary C. Miller late of Lower Allen Township Deceased. Letters Testamentary were granted to Witness my hand and official seal the day and year aforesaid. ,Cumberland County, Pennsylvania, Hamilton Bank 1.02t /) , 0~,!/} e~ '/ //;:~, 4- ' '~G.oz.=/ . Register ' IlEV,4sa EX' 13,"01 COMMONWEALTH OF PENNSVLVANtA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT -l<lot \'YJt'-'1~9, ('1Y/ SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS ~\ ~, Estate of Mary C. Miller Date of DeathJan 16. 1981 File No, .;( ).-. )(( ,Jj 7 - . ( .. WHEN CLAIMING THE FAMilY EXEMPTION, COMPLETE THE FOllOWING: Claimant Relationship to Decedent Claimant's Address NAME OF PAYEE ITEM NO. REMARKS AMOUNT OATE 1. F~68lo Re ister Wills Cumberland Count Letters Testamentar 1 Short Certificate 38.00 37.00 1. 00 $ 2. 3. Feb 23 Steinmetz Coins A raisal f J w Mar 5 Bra s i i 5. 6. 7. 8. 9. 10. 11. Mar 10, Robert Fackler Funeral Home Mar 20, Brachendorf Memorials Apr 10, Re ister Wills Cumberland Count Apr 27, West Shore Times Letters Testamentar Funeral Ex enses Letterin rave marker 1 Short Cer i fi Publish Letters Testamentar Prof ssi Executor's Fee 16.75 1.Onn nn 1 645.50 Paul H. Rhoads Es uire Hamil ton Bank Amount retained for filin Inven or Statement of Oebts f, Oed tions and First and Final Account 100.00 TOTAL THIS PAGE 6 ,307.20 I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts. funeral expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes. HAMILTON BAN' j By: //. 05/11/81 T FIDUCIARY DATE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S ;,) S () 7. ;l 0 ,.. J.::J PERCENT. AT ) _.1:-1'.;:;'1 111\11 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 any child of the decedent who is a member of the same household can claim the exemption. In the event there is no such spouse or child, the exemption can be claimed 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 by the Pennsylvania Intestate Laws. ;- "" Ci n ~ (Tj > ~ z )> 0 0 Vl Ci C) n c:: Ci ~ Z ~ Z t"" (Tj (Tj ~ Z :>:l 9 9 t"" .., - Z Z (Tj .., (Tj z 9 9 .., -< Vl (Tj - Vl Z 0 Vl 0 >oj 9 'Tl 'Tl :>:l ~ ~ 0 - 'Tl 0 'Tl - -, Z n - - ;:;: ~...~' > " ;- , :~~: ~:~ 0' c:: C:'.. :'J :,'..:.( Vl l~.! ~ .' >- ~i5t5 (Tj C'J~ cclr.. c: 0 o~ :0::. , '" Z (.)IJJ ;:s:..... -.... ~ ~rr ~ [5~ -< -< ~ ..JU U (Tj (Tj ~ )> > :>:l :>:l 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 remarks column for each debt ciaimed. 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. 1112'1..,4:50 ~'''80' COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE" An REAL PROPERTY "1- ~' ~~t6 ... .. ,,1 .. ',' ,,:t8!'~_i (Instructions on Reverse Side) ESTATE OF -Mary_C-Millel'_ ITEM ESTIMATED DEPARTMENT NO. DESCRIPTION MARKET VALUATION VALUE (OFFICIAL USE ONLY) N 0 N E - TOTAL THIS PAGE -0- -0- -~9t1.' ~ REV"4!\1 LH IH-~(l1 COMMONWEAL TH OF PENNSYL VANIA DEPARTMENT OF REVENUE TRAtISFER INHEfllTANCF. TAX RESIDENT DECEDENT SCHEDULE "6" PERSONAL PROPERTY (1lIstructions all RL'vorse Side) Estate of ITEM HO. UHIT VALUE DESCRIPTIOH " ! 1. Hamil ton Bank Checking Account "66320669 $ 3 ,594.6 Less outstanding checks which cleared after date of death 407.9 2. State Capital Savings Association Passbook 001 00 03308 Accrued interest to date of death on Item #2 3. Various items of Jewelry - copy of appraisal atta hed 4. Miscellaneous furniture and household items - copies of appraisals attached 5. Proceeds from sale of miscellaneous furniture and personal effects in decedent I s room at Bethany Vi lage 6. Reimbursement from Medicare 7. Reimbursement from Blue Shield 8. Reimbursement from Capital Blue Cross 9. Reimbursement from Colonial Penn Franklin Insuran e Compan 10. Refund from Bell of Pennsylvania - Credit balance See also Schedule C TOTAL If additional space is necessarv, use 8\2" x 11" sheets. ~~,;.., ',,'~,~1' , " .:"'~t., '. , ,,\~lI.I{ll!LG"'" ,~ t~"'f~~~i;j'/..t; ESTIMA TED MARK ET VALUE DEPARTMENT VALUATiON {OFFICIAL USE ONL Y! $ 3,186.73 4,892.64 11. 22 420.00 791.37 44.37 576.00 144.00 34.60 283.50 5.20 10,389.63 {O PHONE CEo 4.9B38 HARRY M. WIMER Apprnl.al of I{eal Tislalli and Per.onal Properly 1919 BROOKWOOO STREET HARRIBQURG. PA. FclJruary 12, 19m To whom it m;~y cone ~rn: I J tlH~-: unr1er~,ji.~}n8(lJ (\T'prai5crl the [flllnw:i ng itCl:1Z in th{> ~state nf ~;';....:::./ C. i;li.l'''~rJ IJBthcn~' V:illu'Jf:!', to tl)(,! best of my abili ty ;\11(' 'lrlVe no i ntp.:r~s t :i n same wl1ntsOQVcr. llamilton lJ;1.11k - E~{ecutor c"t 91;\38 \la~;C :r.01Jnd '.):..':;' ~~ ;)01'11 blue r-ie):5crill gl;\sG v:,se TI1.lt .::lisl1 011Y.z clock 2 anti(1'.1~ ch;,d.YS Q '0 sm. c1J.t 91 ;\$8 V:\:;C 2 sm. cut al~~:. i!shes mnrble t0p tubi....~ foot stonl ch~st of dri\wer5 rp-ct. rni:rr'1r desk ~m. mlr.r.ell" TV 4. chn1.rs I~ 10 drC"lp J.C?~ f table white lamp .pr. pictnt'cs twc pictut'e3 dcs1-:. l<:>.mp lamp drapes ~\sst. dis11es chi'ir w(\rdroh~ $ 4n.fln :'.OQ 5.00 15.00 5.00 2,o.nO 15.00 30.00 150.00 I5.00 75.00, ZO.00 50.nO 20.')') .1n.00 4n.00 10fl.C") 1n.00 ;ZO :00 25.00 5.00 5.00 1n.on 5.00 20.00 5.nO TUT/\L $ 747.00 Col. H~rry H. \,'jJ1lcr Appraiscr and Auctioneer QUESTIONS CONCERNING PROPERTY TRANSFERS 1. Did decedent, within lwo years of death. make any \i;lIis[r!1 01 any llialerlal pari of 11is estale without receivinp, valuable and adelluate consideration? (Answer "Yes" or "No",) no 2. Did decedent, wilhintwo years of (leath, transler properly Irom himself! herself to himsel!/llOrselI aod another party or parties (including a spouse) in joint ownership? (Answer "Yes" or "No",) ---!l2.. 3. I( the answer to one or lwo above is "Yes" and the transfers are claimed to be nontaxable, provide the following information: a. Age of decedent at time of transfer.n/ a b. Copy of dealh cerli Ii cate. c. Affidavit by the attending physician indicating the slale of decedent's health at time of transfer. d. All olher information supporting nonlaxability 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 effecl in possession or enjoyment al or after his/her death? (Answer "Yes" or "No".) no a. Was there any possibility lhat the property transferred might return to lransferor or hiS/her estate or be subject to his/her power of disposition? (Answer "Yes" or "No".) n/a b. What was the transferee's age at time of decedent's death? n/a 5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor under which lransferor expressly or impl iedly reserves for hi s/her life or any period which does in fact end before hi s/her death: a, The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".) ~ b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer "Yes" or "No".) yes 6. If the answer to five b. above is "Yes," state whether lhe right was reserved in decedent alone or others. The decedent reserved the right in herself alone. 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 lransferor? (Answer "Yes" or "No".) J~ 8. Did decedent, at any time, transfer property, the bll1eficial 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",) yes 9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the inlerest of the beneficiary reserved in the decedent alone or the decedent and others? (Answer "Yes" or "No".) In decedent alone. REV.453 (1.80) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSr-ER INH"RITANCE TAX RESIO"NT OECEOENT SCHEDULE "D" BENEFICIARIES (Instructions on Revr.rsl! Side) Estate of ~Iary C. Miller .., \ , ~ , BENEFICIARIES AND ADDRESSES RELATlONSHtP SURVIVED DATE OF INTEREST OF BENEFICIARY DECEDENT BIRTH Mary Be 1 ehaL___________,_,___ _----Lri~nd --- 1--l.9 S of al'e cut ~lass vase 3008 Market Street appraised $40.00 Camp Hill , Pa 17011 Sarah Minnaugh Friend yes of age blue mexican giass 2012 Muiberry Street vase - appraised $5.0 Harrisburp Pa 17104 Heien Miller Friend yes of age TIVO (2) Antique Bethany Village Chai rs - Annraise~ .1. .. Do 17nc;c; $20.00 - ._-_._--------~-----_. - .-..------.-.- -...--.-----....- ~._,_._--~~--- ---.. Della Kent Friend yes of age Amethyst ring 5301 Trans ~Iountain Road '5.e.d $25.00 E1 Paso, Texas 79924 Bequest $1,000.00 . Florence Hoffman F.i~nd___ _Y~L__ ....Qi..i'Jl~_ Marble Table - 405 South 32nd Street _~p'p'rais,,~LH50. OQ.._ -- -------. Harrisburg, Pa. 17109 Needlepoint - Appraised - $15.00 8equest $1,000.00 , Isabelle M. Sutton Friend yes of age Bequest $1,000.00 331 North 21st Street, Camp Hill , Pa. 17011 , Elizabeth V. SIVingle Niece yes of age Miscellaneous JeIVelry 406 North Houcks Road Annraised $395.00 Harl'isbllr(J Pa ] 7]09 I I 8equest $10,000.00 The above beneficiaries are living at this time except for the following: NAME Clarence E. Berner, Camp Hill, Pa. I va ~1. VanKirk, Ilarrisburg, Pa. Residue. of tangibles CONTID ON PAGE #2. DATE OF DEATH unknO\ffi 05/09/79 unknO\m . I SCHEDULE "D" BENEFICIARIES ESTATE OF MARY C. MILLER SURVIVIED DATE OF INTEREST OF BENEFICIARIES AND ADDRESSES RELATIONSHIP DECEDENT BIRTH BENEFICIARY Central Pennsylvania Lutheran Social Services Chari ty yes NIA Bequest of 2331 Market Street $1,000.00 Camp Hill, Pa. 17011 Christ Evangelical Lutheran Church Charity yes N/A Bequest of 124 South 13th Street $2,500.00 Harrisburg, Pa. 17104 Hamilton Bank (Formerly Trustee yes N/A Residue of National Bank & Trust Company Assets under of Central Pennsylvania) the Wi 11 Trustee Under Agreement Dated July 29, 1966 and Amended January 10, 1973. Page #2. 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 rillht of survivorship, Both tan\1ible and intnngible property are to be included, List real estate first. 1. Describe all real property as indicated in Lhe instructions for Schedule" A", Describe "II personal property as indicated in the instructions for Schedule "S", Include tile name, address and rel"tiollship 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. r' '" " n :>- t'1 > ~ % :>- 0 0 CI V1 CI Cl n c: v :-i % ... % t"" t'1 t"1 '" % ,;. 0 - P t"" ;;;l - % 7- t"1 '" t"1 '" ~ p 0 '" -< V1 t"1 V1 7- 0 V1 0 '" P "'1 '," ;;;l ~ 1 > 0 '" 'Tj - :::l 0 z n - ;.. t"" C '" tt1 0 Z r' -< -< -< ~ t"1 m > S; ;;;l I I File Number INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) 21-81-0093 Q Original o Supplemental o Remainder REY-4114 EX+ l&oeol Estate Name Mary-9.. Mi1J.9.L....______..__,.. Date of Death January 16, 1981 Social Security Number 172-0l-~071 REPORT OF INHERITANCE TAX APPRAISER f, tho undersigned duly appointed Inheritance Tax Appraiser in and for the County of Cumberland Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing retum at the values set forth opposite each Item in the last column to the right in Schedules "A", liB", HC", and liE" Dated: June 18. 1981 ....W'A,du J 1f"~J1tJlj ) INHERITANCE TAX APPRAISER iNVENTORY VA~UE AS APPRAtSEa coaE AaJUSTMENTS (HARRISBURG USE ON~YI REMAINOER APPRAISEMENT CODE Real Property (Schedule A) Perlonal Property (Schedule 8) Jolnt.Held Property (Schedule E) Transfers (Schedule C) $ 00+ 92+ tat 2lH 30+ TOT A~ GROSS ASSETS Leu D,bts and Deductions (SCHEOU~E F) C~EAR VA~UE OF ESTATE o Life Estate o Annuity 40- 93- RATE FACTOR PRINCIP~E VA~UE CODE FOR USE OF REGISTER ON~ Y Tax on $ CODE COMPUTATION OF TAX $ $ $ $ $ 6% Tax on $ 15% Tax on $ Tax on $ Tax on $ Exemptions Total Estate TOTAL TAX INTEREST FROM BA~ANCE TO $ $ $ Less Credits DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST + $ S = + = BA~ANCE S TO S S TAX CREDIT S $ INTEREST FROM BA~ANCE DUE REV-457 EXt (7-001 COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT [iJORIGINAL o SUPPLEMENTAL File No. 21-8~2 Estate of Marv C. Miller Coun ty Cumberland Date 01 Death Januarv 16. 1981 ,~~.. ~'l'r." tAt;\,. '~ ,~\;'\\~ "t..:';@A~ir;. 'rA ""i';~~~? ~.~..,.~ ,l;X"~~V"''''; ....i' " , , '<i.!:!'. -~ In the event that any future Interest in this estate Is transferred In possession or enloyment to collateral heirs of the decedent after tho expiration of any estate for IIfo or for years, tho Commonwealth hereby oxpressly resorves the right to appraise and assess transfer Inheritance taxes at the lawful collateral rote on any such future Interost. PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH ASSET SUMMARY 1. Total Rool Property - 5CH. "A" . . . . .. $ 2. Total Personal Property - 5CH. "B". . . . $ 3. Total Jointly Owned Property _ 5CH. "E" $ 4. Total Transfers - 5CH. "C". . .'. . . " $ None 10, 'I8q.h'l Unreported $ Unreported $ Unreported $ Unreported $ None ;>;>,531-h3 LIFE ESTATE DANNUITY TOT AL GROSS ASSETS DREMAINDER TOTAL VALUE DEPARTMENT'S APPRAISED VALUE $ None $ 10,389.63 S None $ ;>;>.<;'11.6'1 $ 32,921.26 $ I do hereby certify that the above oppraisement is made in conformity with Pennsylvania law and has been filed this day with the Register of Wills. .-&;~dtl.J-I?II'AtJJ(J) 06/18/81 APPRAISER CATE ~ ~ ~ ~ ~ ~ <: <: z ~ ~ l>; 0 ~ Iol '" ~ 'tl ~ c ...1 01 . M <: t) ~ - U Z >< <Xl M - 0 ~ ro- ro- - 0 !;: ~ ~ ~ 0 r0- O !-< 0 '" Z 0 '" '" ;.. !-< 0 - Iol Iol Z Z !-< !-< ~ Z ...1 0 - 0 ~ ~ z ::.: Iol ;:; 0 ~ U " ~ ...1 Z Z Z - ~ '" ~ 0 0 ;;; :: ~ u 0 :l COMMONWEALTH OF PENNSYLVMIIA OEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Ac' 01 Moy 28, 19S6, P,L, 1757, ond AcI of J"e tS. 1961, P.L. 373, 05 amended) Application is hereby filed for the approval of an exemption from Pennsylvonia Transfer Inheritance Tax on the transfer of the propt'rty described below: 1. Bureou File II ____, ..;((.:::j[/::-..i='3 _'____.....__'____ 2. Date of Death__,.._,., , "JnnuII:-y16, 1981." ,__._____ ,3. Date of Approval -,,:12f;X-~? 'l; /ff! 4 N 1 D d t Mar C. ~l1ller . orne- 0 ecc en S. The Commonwealth's appraised value of the property for which an C"xcmption is claimed is $ 3,500.00 (Note: Where the prOplHty is other than a 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 coses 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 effected and submit a copy of the document authoriz.ing the transfer, unless such' ~atcr'i~1 has been previously filed. ".,,;. ,,) - -.:.;.., " .' WILL 0; DEEDLX'; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other. explain) 7. Correct Business Name and Address of Charitable Organiz.ation receiving property: NAME Central Pennsylvania Lutheran Social Services Bequest in amount of $1,000.00 ADDRESS 2331 Market Street, Camp Hill, Pennsylvania 17011 Q See listing on reverse side for additional charitable organizations covered. 8. I certify that the information contoined herein is, to the best of my knowledge and belief, true and correct. Hamil ton Bank j ~ Signature 01 Applicant A'YJ",_ ,t1 /1 _ _ Ma rsha11 J. House //I~(J , Addre.. of Applicont 222 Market Street, Harrisburg, Pa. 17108 Official Title Trust Administrator Dote 5/11/1981 This form must 1.-0 completed in triplicate and 011 three copies delivered to tho Register of Wills for the County in which the decedent resided, or In which lotters were issued for 0 non.resident decedent's estate. If the decedent was 0 non.resldent of Pennsylvania and letters were not Issued by 0 Pennsylvonio Register of Wills~ deliver 011 three copies to the Director, Bureau of County Collections, Penna. Department of Revenue, 26 S. 4th Slreet, Harrisburg, Po. Do not write below this line. For Official Use Onl REFERRED to Bureau Headquarte.. App,oved 0 For Secretary of Revenue Denied' 0 (Initials of Register of Vii lis) (Authorized Signature) (County) (Title) (Date of Ref."al) (Dato of Action) * See reverse side for reasons MUST DE FILED IN TRIPLICATE This section will bo camel ctod by Bureau Haadquarters only when the ap"p'lication for exemption has beon denied. Date, The application for exomption contained on the face of this form has been denied bocause Nate: Any party in interest, including the Cammon'Noolth, aggrieved by this action may within si.ty (60) days after the date of this notice e.ercise their ,ights 01 Protest, Notice, a' Appeal in acca,dance with the p,ovlsion. of applicable Pennsylvania Inheritance and Estate Tox Acts. Christ Evangelical Lutheran Church 124 South 13th Street Harrisburg, Pennsylvania 17104 Bequest in amount of $2,500.00 COMMONWEALTH OF PENNSYlVANtA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTtCE OF INHERITANCE TAX ASSESSMENT *' FILE NO, I I ;1 ///'/'')' , (. . " ,.,/ , , , / ",/:,..-' . /. ~;/.- ,I /,1,' / /~/ I COUNTY FILE NO: "./, ; I " ~, , , , DATE ,"Ill) /J, ;.',/ I)': , I,""-:C ",""'l";: .J I (.., 4 /' /i .._~ ..-;-./ / / .r I . ESTATE TO: , I /,' ~7/!/P l,. " ,', 'I h A IJ,. ' J' .I.J";-;: COUNTY I,' " /~'I J /:1 /J/ ,tZ._ ,'~~:' ( ,;.' /1 'j 1...'l.'I. I (/ , /" J r,> , , //t(''/ 'j' ,",', DATE OF DEATH' !,' . Appraised Value of Estate: Real Estate $ Personal Property + ;'.' :")'>',/ _.. , ;;:' ..I. .I Jointly Held PropertylTransfers + ~: ~-, .I ,/. ;'j' Less: Approved Charitable Exemptions $ .';, " / : / (/ / , ""?/ /J I , , i $ I. .. I I ,.--J r>: . ;"",. " j -./,' .. ,11 $ \ .';/) , !/ (;, / Total Gross Estate Total Approved Oeductions Clear Value of Estate Clear Value of Estate Subject to Tax Amount Taxable @ 6% Rate $ tax due $ Amount Taxable @ 15% Rate ~,' ;; /14 ,,( /' tax due , '/ 'I J ". Ii" II ..... 1') TOTAL PENNSYLVANIA INHERITANCE TAX DUE $ ;". /.'~. '7 ! I , . / /1) * * * * * * A five percent discount totaling $ will be granted if the Inheritance Tax is paid by Less Credits: DATE OF PAYMENT AMOUNT PAID DiSCOUNT INTEREST TAX CREDIT $ + $ $ = $ + = + = 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 PENNSYLVANtA tNHERITANCE TAX DUE $ ~/I /. 'J. /L,) See Information on Reverse Side Assessed by: ,I /../,;, (,' Aglnllot hi Com n~.'lh / v i/,T / r ..;.."r] /.<...>u......... , ,. !' ./ .: ~</ I "-_1' .< COMMONWEALTH Of PENNSYLVANIA COUNTY Of CUMBERLAND I J 55: l... Mar~lall J. 1I0use, a Trust Administra!or~f.Jlamilton Ban_k (formerly National ~Cl!ltr!!i Bank) being duly sworn according to taw, deposes and says that the Ilamilton Bank, i? Executor f th E t t f ~Iary C. ~1iiler __0 C saco late of the Borough of MechanicsbuTIL. , Cumberland County, Pa" deceased and that tho within is an inventory made by .__JlillllU,tQILllunk....----- ,___ ----, tho said...-l.ixcclltor of the entire estate of said decedent, consisting of a\l the personal proporly and real estate, except roal estate outsido the Commonwealth of Ponnsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of tho date of decedent's death. 1IA1>1I LTON . \.-ju .''f...'1l j By: '-(/LiLL/':) ~ t. I /( I ' ' l_A.jLlJ,) (,Ll 19 .fI (ei! ;, qo, { c! u . 222 Market Street Chri,li~c C, \'r,-;nd. I!OT~,r.Y PUBLIC ~~y ('O~i:;,:;;~'C;l [x~i:C$ re:',!lI~ry 41, 1985 Harrist:urg, PA Daupllin County lIarrisburg, Pennsylvania~710~ ,-,,' . Addreu ~?~ -~ ~... lJJ', '-ria r."" 'U 1;~,f :x :<> -< ..n';O f11~ (:10 ;na' ..;0 , ,',(T~ . .(,:1 :) ,""} Date of Death 16th Doy January Month ]981 Year N 'D ,", . r::;u; B - :"' INSTRUCTIONS -,,"'; ~: . I. An inventory must be filed within three months after appointment of personal representative. 2. A supptement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. >- .,; " I- W ~ I ~ '" I- ~ W ~ .. '- 0. , " 60 0 0 VI .. " w w C '" >- J: '" ~ .. I I- 0. LL 0.. C Z I- ...l .,; ~ --- ...l <( 0 0. 0 LL ~ v~ w 0 <( w ,;. > Z '" + Z 0 c c I ~ .; Ii VI z 0 '" U Z w <( ... 0. "tl C ~ - -.: 0 .. ..0 ... .. E "tl + ..! 0 ~ ~ 0 ...l U u: CD PRINCIPAL RECEIPTS 1981 Jun 18, Inventory Filed" Per copy attached $ 10,389.63 Subsequent Receipts 1981 May 6, Colonial Penn Insurance Company Reimbursement 189.00 Social Security Administration Lump-sum death benefit 255.00 Transfer of Income to Principal 242.27 TOTAL PRINCIPAL RECEIPTS $ 1l,075.90 ';~: '. IOu" o'~r 618 L,~ ..f. I ...~.. (2) 1981 Fei)23, Mal' 5, Mal' 19, Mal' 20, Apr 10, Apr 27, Jun 1, Jun 4, Aug 4, PRINCIPAL DISBURSEMENTS Steinmetz Coin & Currency, Inc. Appraisal of jewelry $ 15.00 55.00 18.00 3,372.95 45.00 1.00 16.75 Bronstein, Jeffries & Nipple Professional Services Cumberland Law Journal Advertise Letters Testamentary Robert Fackler Funeral Home Funeral expenses Brachendorf Memorials Lettering on tombstone Cumberland County Register of Wills 1 Short Certificate West Shore Times Advertise Letters Testamentary Cumberland County Register of Wills File Inventory and Appraisement File Statement of Debts and Deductions 9.00 Metropolitan Life Insurance Company Repayment of three (3) annuity remittances of $28.65 each, deposited monthly automatically to decedent's checking account after date of death 85.95 3,467.10 1,000.00 1,645.50 50.00 -- $ 9,781.25 Cumberland County Register of Wills Balance due on Pennsylvania Transfer & Inheritance Tax Rhoads, Sinon & Hendershot Professional Services Hamil ton Bank Executor's Fee Amount retained to file First and Final Account TOTAL PRINCIPAL DISBURSEMENTS NOTE: The $1,645.50 fee to Hamilton Bank covers the Bank's mlnlmum fee of $1,000 as Executor, and a fee of $645.50 for the Bank's services as Trustee under the Trust described in the Petition for Distribution; the assets in said Trust total approximately $22,531.63. ,,~u: 100 f'.~"[ 820 (3) ,.\} \,' ""OG ,'-.., '\ v,~ I " : ~ o ~ E-< ..: E-< Ul ~ ~ ~ H H H :E: u" , .,1.' f " 5 -'-1, ~, -""..,f U ;1 J: ,.;/,") .... ,S: .;'~ '.J '-'" () ::.....J ::l Q- 6 ~ o ':l 'J 1,,<). r +' L...~ i .( ;.J ~ ._~:~ ~! ~:l ':;,f (;-.i." .?- 0/ --: ^ <'l;;( ...~ _, 'fl'.l c.;:; r ~l '-, 11 ,- I ....... ::).... ,/) ;', ;,' V '~ 'I' " "" " -....J.::I~ E:') 8 :~:"> u >< ~ ~ ~ o ~ E-<O ZE-< DD OU U~ ux ..:~ H ..:~ zz H": ~(Q ClZ zo ":E-< H E-<H Ul- ~~ H;r: ~ ~ :: ,'ct .... .::: G J; i:: ';: .- .-- CJ ,-I :.: :..... ::; '.J .... ::~ ] ~~ r.: - ~.. '.-' cO ,- ;:)I~ I ;t"J=:U , " l"rl~ -;> ~, ;.?: 0,,==, ~ I' ,'':t) , d~J r-" r ~ '-::.1 "=' '" -'j .' ~ ..J ~ (J) >- w z a: o ... ~ <D o f' :> z ~ " >- (J) z z w a. <!J" a: OJ m (J) a: a: <: I (0 ~'.l (0 <- w w " <- III (j)l'.J o ,,;,;"> n: = ..;z: :t x .:l_ I- go ~ 00 g .~ Z o ~ <>; , , ,'.) :J No. 21.81 ~J:I PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY In the Estate of 'v1t~V!J~ {'. Inti f c- '- , deceased, To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania. Petltloner(~)'ls (a@ the execut ~-I- named In the Last Will and Testament of \/ 'A 1 r ./. ") --\'. ' ~, "LllL"-( dated :, ,..,..<--'/ I (: I I L ') Decedent w' a citizen of the United States and a resle!' nt of I ..cf~, ,c;. ,51 ((.J", , Township (Bmou{lh), Cumberland County, Commonwe Ith of Pennsylvania, Ie jL ( the -/..:;. day of A,D. 19rr, In the I I If ( ( '? County of '. ><1,"( .' ,- ,State of I) (, at the age of ~ears. Decedent 1Ta~ (has not) been married and hils (has not) had children born to Ilim (her) since the ex- ecution of the above described Will. ~". Decedent was possessed of personal property to the value of r ," and of real estate to the value of / " ,W '-- as near as can be ascertained; said real estate situated as follows Therefore, your petitloner(s) respectfully apply(les) for the probate of the said Last Will and Testa- ment and for Letters Testamentary theron, 2../3/{;-/ / / Dated ~~dn ~~ ,;{<?(-;;<' ~;/tt Jh;,/- 1k'1~~ & /7/0cf #-" ~~/~/!i 1lt~, COMMONWEALTH OF PENNSYLVANIA l (/ JV4 ~ Jk' COUNTY OF CUMBERLAND ' is,s rp>' ,/~ji;; ~ A~ ,'4'~~J! I %u.e, , (/ t/' named In above application, being duly A.""",..... according to law say(s) that the statements set forth In this petition are true to the best of knowledge and belief. Name and address of Petitioner(s) sworn ' "_,,,,,,_, and subscribed before ::qj;;:;3?!~,'''~:~ r t' ~~;1~ter /:-;% Filed: February 10, 19B1 ~,~ "d#-/!7~~A!/(~ C/ 1L0J1 4-..~;A .. - ..".. "AHorn:~'-rl:?--\) \'+1lf!-mr/~I,' \ ) J/:-[~/:~ ,I. .;. <'~^'-'fH'1-:, /'f"'~w4 111 / ')Ii'>t"~/" '1'1'5 INO 1',,-