HomeMy WebLinkAbout81-00097
I
.
CI
tIl
M
.
Po ., .
H .~ ,
tIl iIl
~ .~ N
.
f'o ~
l5 ':1
c.) ..
.
tIl ~
tIl tIl
.-I i i .
CXl ,Al
CI\
.-I , .
,... . ~ i
.CX) tIl
I i
,...
C\t -
0
I' "
CI\
....
. lIS
0 ....
VI
Z U.I
in the presence of us, who, at his request and in his presence and
-,1:>\':' '-':";"/,;/..,,
':;~, ,
~. ;:::i~~: :,.:,~;~t::. ;,,'
::l~i~?i5,,'.,:';:;"':~';.j~i: .
LAST WILL AND TESTAMENT
I, CHARLES S. LEWIS, of CarliSle, Cumberland County,
Pennsylvania, being of sound mind, memory and understanding,
do make, publish and declare this as and for .y Last Will and
Testament, hereby revoking and makingVoid all former wills by
me at any time heretofore made.
FIRST. I direct all my just debts and funeral expenses be
fully paid and satisfied out of my estate by my personal representative
hereinafter named as soon as conveniently may be after my decease.
SECOND. I give and bequeath all my estate, real and personal,
to the Carlisle Fraternal Order of Eagles Aerie No. 1299, of Carlisle,
Pennsylvania.
LASTLY, I nominate, constitute and appoint ~William E. Hoffman,
Executor, of this my last will and testament. ..
IN WITNESS WHEREOF, I
Ifl day of ~
have _hereunto set my hand and seal this
. 1980...
.' ,
~JJ,)~
(SEAL)
Signed, sealed, published and declared by the above named
Testator, Charles S. Lewis, as and for his Last Will and Testament
in the presence of each other, have hereunto subscribed o\lr DalleS
as witnesses thereto.
/Id,?/}~, /6~~e-r-
I ,
/aJl,d (,;{ hrt'~-~
EXllIBIT "A"
n o:l
n~ -,,'"
S,:n ~ ;"I~
(0:::; ~ 1:;0
. ~;T.I
1'.1.;" - ~ r:J
2! :I; .'" .m
, "r1 .l;;:'
;~'r
::.-t;- ~ -:l
::"J:-:: ,,".,
..,
~? r~.i "" .,
., \C ..,
, , b:
OH
:z:
r/l<O:
<0:> r/l ~
"'1>-=1
>-=1:>< r/l i':
P-<r/l .-i "'1 ~ .
:z::z: CD H 0 6
:Z::Z:O 0\ 0:: "'1 ri~ ~
O"'1H M <0: r/l .
Z;P-<r/l :I: <0: tJ::l ~ i
Z; H U "'1 !~ 0 .
0 "> UJ U :z: . >
U:><H :z: rc. "'1 0 . ~
>
80 <0: 0 0 H Z .
rc.:z: :I: 8 ;; z
! .
0:::>8 P-< 4.l " H .
00:: 0:: 8 r/l [-i 0: . ~
8U:::> 0 <0: H 4.l .0 Z oJ
0:: 0 8 ... p., ~H 0 ~
r;i .
:::>OU UJ J
O:Z: 4.l H 0(
. .
U <0:' ~ .
>-=IUJ u
"'10:::Z:
:I: "'1<0: "'1
80:1:<: 0::
Z;P-<
:z::::>o:: 0 z
-i :z: H
. .
"
" .
,",.
'\,.'
,
a/-f/-9'?
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
COUNTY OF
CUMBERLAND
RCC~I03 (3-731
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
Thll roturn must be completod In dotall and filed in duplicate, with tho Register of Wills in the County whore tho decedenl resided withIn nino
months after doto of death, unless on extension is gronted by the Secretary of Rovenue.
Will
Admn. No.
19_ I. WIL_L.IAM E .JlQEEMJ\lL_____ol
(N AM!:)
North Hanover Street
Carlisle, Pennsylvania 1701~
IMlDRE55l
Misc.
heing. duly sworn acclll'lling to Iii\\'. dt.:puscs and say:-; that he is thc
Executo_r -.------
(EXEC., ADM., LEGATEE, ETC.l
01 Ihe eslllle ol_C1lARLES--S-,.-LEIVIS---.--------.----- laIC ol.--!1Lddles~JC.._ToWILs_b:iP----.---.-----
ICITY, BOROUGH, OR TOWNSHIP)
October 9 1980
..-..--'- ,--.,..----.--..,-....-.....----.--...--......-..--..- --...--..--------
(OATEI
consisted of Ihe IIssels lisled hclol\' a",lthal allol\'ahle dehls and lleduelions eseeeded Ihe fair lIIarkel \'allle 01 the assets und
deceased, and that thc whole or thc cslatt.: or said llcccdent, who died on
no Pennsylvania Trnnsrcr Inheritancc Tax is due.
lIJ ~t~ C~jJ~d/ufL~-_-_----ExecJJ.tOI!-
<SIGNATURE' 1~~ ITITLE'
, ,Ie
Type of Asset: Lalli Ie, Cumberland County ~
Rea I Estate, Pers, . . . ' 01- ASSETS
Property, JointlyMy Omml$SIOn ExplIel 7, -
Held Prop. ar &~ I~ additional sheots if necessary)
Transfers Otlscription of Assot
Estlmlltod
Markot
Value
Department
W~
CAUTION
(Do nat write
in this 5 ce)
Personal Prop.
Savings Account No. 18-0021616-8,
Commomlealth National Bank, Carlisle, Pa.$ (929.38)
'111, II
Personal Prop.
Cash on hand at Cumberland County
Nursing Home, Carlisle, Pa.
256.00
Personal Prop.
Patient Account, Cumberland County Nursi g
Home, Carlisle, Pa. 548.98
TOTALS $6,734.36)
REPORT OF INHERITANCE TAX APPRAISER
I. the undersigned dnly appoinled Inheritance Tax Appraiser in and lor the abnve Cllullty do respeelfully report that I have
appraised the real and personal property as repurted in the fllreglling schedule at the vallles scl fll.lh IIppllsite each itelll in
the last eolullln to thc right. (/./.. '. / "-. I j
. J'"./ III' JIll
Dated: (1- 1",\" I (INHERITANCE TAX APPRAISERl
Nema of Payee
OEaTS ANO DEDUCTIONS
Neture of Claim -
Amount
Claimed
Amount Approved
by Register
Hoffman-Roth Funeral
Home, Inc.
Funeral
$1,640.00
270.00
Carlisle Memorial Servo Grave marker
William E. Hoffman
Executor's commission
100.00
Wm. A. Kramer, 2nd
Attorney's fee
100.00
Allowance for closing costs
25.00
TOTALS
$2,135.00
:<. /3!;-: t'-fJ
,
,
REPORT OF TilE REGISTER OF WILLS
I, the undersigned dnly eleeled Register IIf Wills in and for lhe ahllve CllllnlY. dll respeclfnlly repllrt thai I have allllll'ed
deductions in thc amounlS set rorlh in thc abuve schedule as c1aimcd, except whefC I havc set fmtll a greater or Icssl~r amount
in thc last column to the right. which greiltcr or lesscr amount represcnts Ihe Sllll1~ lowed as a lIeduction.
~) . .-) /fr."/ //,/ , /}
Dille nf Approval: eLP" ~_ . c.(/ C.
~ l,j!::~
(/~
{I- (9 r ~ 1/
~
\
~ !-<
~ ;;
u 15
~ w
.
\ ~ <
w
u
'" w
:;;: 9
0: -J
0- tJ-, -<
~ II>
0 Ul ~ Ul 0 .c :<
z: '" '" ~ ~ DO
>
I- ~ I- ~ ~ 0-
= i5 .. '" 0-
0 !-< = -<
=
tJ-, '" . Q
,..-.. 0 ~ Q.. ?i
= 0: ~
.:: 0 l-
'd ~ ~ DO
!-< 0
::: !-< ~
'" . 0-
.c ..: ~ ~ w
0
_E :s ~ = DO
0 ~ 0
.. '0 U S e
il'< ~ e
~ 0 0
..l U U
n
cor- eD
e'" ~ :0'"
:::~ fr1rr1
tI):>' ",n
fyI' ;:::j ._0
:u~ (,.);::1
r-- :0 -~IO
~~ I "'1[""
.::1".;1
o~~ cr- ';::::
2(/~ ,,-r.
E .~.,
(") - :::)
T,t".";; ,~...
- ..:....:
.- :::0
':.
,