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No. 21-81 .'
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
101
In the Estate of
ANNA M. GROVE
1.0'%
To Register of Wills for the County of Cumberland. In the Commonwealth of PennsylvanIa.
Petltioner(s.:) is #fteI the executrix named in the Last Will and Testament of ANNA
M. GROVE dated September 25, 19711
Decedent was a citizen of the United States and a resident of Mount Holly Springs
~lif)[l (Borough). Cumberland County. CommOnwealth of Pennsylvania,
Decedentdledon Friday the 30th dayof January A.D.19~,lnthe
County of Cumberland .Stateof_ PA attheageOf~years.
Decedent has (has not) been married and has (has not) had children born to him (her) since the ex-
ecution of the above described Will, unestimated
Decedent was possessed of personal property to the value of
and of real estate to the value of none
. deceased.
as near as can be ascertained; said real estate sitUated as follows
Therefore. your petltioner(s) respectfully applyfW&} for the prObate of the said Last Will and Testa.
ment and for Letters Testamentary theron.
Dated. February 10, 1981
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Name and address
of Petitioner(s)
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I HELEN M. KlN~
100 Sand Bank Road
Mount Holly Springs, PA 17065
COMMONWEALTH OF PENNSYLVANIA t
COUNTY OF CUM8ERLAND f
HELEN M. KINER
ss
named in above applicallon. being duly s worn aCcording to law say(s) that the
statements set forth in this petition are true to the best of her knoWledge and belief.
SWO!:!1_ and SUbscribed before
me._~. 10 19~_
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HELEN'M. KINER
----..---
----
Filed:
February 11, 1981
-------.-----
Attorney IRWIN, IRWIN &
IRWIN
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OATil OF S0I1SCIUHING WITNESS
COMMONWEALTH OF PENNSYLVANIA I >s:
COUNTY OF CUMBERLAND I
This lOth day of F"b. A.D.,19 81 ,
before me, Register for the Probate of Wills and granting letters of Ajlministralion in and for said County of Cumberland. in
the Commonwealth of Pennsylvania. personally came
Roger r~. Morgenthal and Janice E. Hertzler
the subseribing witnesses to the foregoing instrument of writir.g purporting to be th, la_t Will and T~st"mcnl of
Anna M. Grove
Dated
September 25, 197~
late of
Mt. Holly Springs
Cumberland County Pa., deceased who being duly
present, and saw and heard the test:t r i x
sworn according to law, depose and say. that. they ~Iere
sign, seal, publish. pronounce and declare the said
Anna M. Grove
iustrument of writing as and for her
Testament and Last Will, and at the time of sO doing "he
was of sound and disposing mind memory and understanding, to the best of
knowledge, observation and belief.
1~hp.i y>
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~14 )12, ' 121&1t~~
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Sworn
and subscribed before
!fr;7 (I. ~<fi~
Register
AFFIDAVIT OF DEATII
COMMONWEALTH OF PENNSYLVANIA l ss:
COUNTY OF CUMBERLAND \
being duly
Hel <>n M. Kine'"
sworn
says that as nearly as can be aseertainenthe said decedent
died on
Anna l'~. Grove
Friday
the
30th
day of
Januarv
A.D.,19h.
at or about
8:00
o'clock, -1L-M.
S\10rn
and subscribed this
/.ke;~, 7/~. J~"';1
Helen M. Kiner
10th
February
day of
19.1U-. before
OATH OF PERSONAL REI'RESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of
Cumberland, personally came
Ilelen M. Kiner
who, being duly sworn
,does
depose and say that as Executri.x
Anna r~. Grove
deceased
of the last Will and Testament of
she 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. s worn and subscribed before me.
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fI Register
Feb. 10
A.D., 19~
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Be it remembered that on the
11th
DECREE
February
,A.D.,19~, there was probated and
day of
recorded the last Will and Testament of
Anna r~. Grove
late of
Mt. Holly SprinRs BorouRh
, Cumberland County, Pennsylvania,
Helen M. Kiner
Deceased. Letters Tes tamentary were granted to
Witness my hand and official seal the day and year aforesaid.
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. Register
DEBTS AND DEDUCTIONS
Date
Name of Payae
Nature of Debt
Amount
runUril1 uxpensos paid
Pre-Paid
Helen M. Kiner
Family exomption (will not be allowed unless docudent died
residing with a parent, spouse or chlldron.l
2,000.00
Administration Expenses
138.00
Counsel Fees
310.30
Fiduciary Commission
310.30
(Other Debts amI Claims)
2/ /81 Carlisle Radiology
2/17/81 Carlisle Hospital
Belvedere Medical Center
Medical Expenses
Medical Expenses
Medical Expenses
235.00
10.00
175.00
TOTAL
420.00
Total
3,178.60
Under peMelties of perjury. I declare that I have examined this return, and 10 the bost of my knowledge and belief, it is ~rue, correct and complete,
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Date
Signature of Fiduciary
I do hereby certify that I have appraised the as~ets contained herein in conformity with Pennsylvania law,
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W ' \7 Appraiser Oat{; I
~ In the event that ony futuro interest in this estate is transferred in possession or enjoyment 10 collateral heirs 01 the decedent afler tho expiration of any
... estate for life or for years, the Commonwealth hereby expresSly reserves the right to appraise ond ossess tronsfer inheritance taxes at the lawful collateral
<[ r6te on any'such future interest.
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Debts and deductions are allowed in the sum of $
01
pnrcent.
RCGisterol Wills
Dale
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
(Slate full nomos nnd oddrllSSas of all who hovo nn internsl
eithor v05tod. contingont or other intorostl
RELATIONSHIP
TO OECEDENT
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Hpl "'11 VI Kin"'" ITOo-S-naught.
'< 0 0 San d BanlL.Rd...J1t...lLo.llY_Q)2glh., P
Edna N. Conrad Dau hter
924 GOJin St. , CarlisleL PA 17013
P. ~axii1e C~d Dau hter
21 Rife Rd.. Mechanicsbu~, PA 1 0
Martha A. Sowers Dau hter
R.D.#2 Gardners PA 1 24
Dnn::lld F.. nY'nve
Box # 4 New Kin'stown PA 1"0"2
SURVIVED
DECEDENT
STATE YES
OR NO
AGE OF LIFE
TENANTS OR
ANNUITANTS
AT DEATH OF
DECEDENT
INTEREST Of
BENEFICIARY
IN ESTATE
house trailer
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1 ewe1ry
--1les 1 w~lry
residence
ewe ry
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1~4 residence
1 4 j ewe 1ry
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1 4 residence
e 1 4 residence
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INFORMATION
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PLACE FOR FILING - The ,eturn is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided.
TIME FOR FILING - The ,eturn is due nine months after the decedent's death, unless an extension for filing has been applied for and granted
by the Secretary of Revenue within the nine.month pe~iod.
FAILURE TO FILE RETURN - Section 791 of the 1961 Statute provides that ", , ,any person who willfullV fails to file a return or
other repo't ,equired of him, , , shall be pe,sonallv liable, , , to " penal tv of 25% of tl,e tax ultimatelv found to be due 0' $1,000
whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law,"
AEV-4U EX+ (HO)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
21-81-0101
G Original
o Supplemental
o Remainder
File Number
Estate Name
Anna M. Gl'ove
Date of Death
Janual'Y 30, 1981
Social Security Number
203-10-2095
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritonee Tox Appro;ser in ond lor tho County 01 Cumbel'land
Pennsylvan;o, do respectfully 'eport thot I have app,alsod the roo I and personal property os reported In tho la,egalng
retum at the values set forth opposite each Item in the last column to the right in Schedules "Au, uB", "ell, and liE"
Dated:
April 30, 1981
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INHERITANCE TAX APPRAISER
AOJUSTMENTS REMAINDER APPRAISEMENT COOE
INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY)
Real Property (Schedule A) S None 00+ 92+
Personal Property (Schedule B) 6 206 04 10+
Jolnt.H.ld P,op."y (S,h.d.l. E) None 20+
Transfors (Schedule C) None 30+
TOT AL GROSS ASSETS 6,.2.0.6 _Oll
Leu D.bts and Deductions 40- 93-
(SCHEDULE F)
CLEAR VALUE OF ESTATE
o Life Estote RATE FACTOR PRINCIPLE VALUE CODE
o Annuity --
FOR USE OF REGISTER ONLY
Tax on $
CODE
COMPUTATION OF TAX
S
$
$
S
$
6%
T ox on $
15%
Tax on $
Tox on $
Tox on $
Exemptions
T otol Estate
TOTAL TAX
INTEREST FROM
BALANCE
$
$
$
TO
Less Credits
DATE OF PAYMENT
AMOUNT PAlO
TAX CREDIT
S
s
INTEREST FROM
BALANCE OUE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55:
liclon M. K:lncr
.-. -- ..~._.- --- -...-,.----.....-..- -'.--' --." ---.-- .'--
being duly _._._sw.orn.-.-- ,,"Gording 10 low. deposes ond soys Ihot 3ho - .l.s_._c.xc_c.u.trix--- -- _.-,-
____._____._____ of Ihe Eslale of ______ilnlJtL!.1:,.--.Qr~Qy-Q---.---,---'-
I f South Middleton 1'own"h:l') C bid C P d d d h h
ale 0 ~ , ---. um or an ounly. a.. ecoa.o an t at t 0
within is an invonlory mado by _ _llclcn.-.M.-Kinc.rc. -- --. Iho .aid_c.llc.C.U.t-I.ll.---
of Ihe onlire eslale of said decedonl. Gonsi.ling of alllhe porsonal proporly and roal o.late. excopl roal o.talo outsido
the Commonwealth of Pennsylvonia. and Ihal the figures opposito each ilom of Iho Invontory ropresont it's fair valuo
as of the dato of decedent's death.
Sworn
and subsGribed boforo mo,
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1981
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ROG~ . 8. lir:,:::,;. I ,,~.i',' 1:-':'~.iC
0\ (1 LE U0:10, SUi,~'~U!"",~l[) C(!U:HY
MY COMMISS<OH [XI',H,> GCI. 3, 198,'
,___fi1~'- HollL9.e..rings !-~..l70~_L_
Address
Date of Doath ____ _lO__,_,,____._______~_~nuary----.
Day Month
1981
YOIr
INSTRUCTIONS
I. An inventory must be filed within three months after appointmont of personal represontative,
2. A supplement inventory musl bo filed within thirly days of discovery of additional assets.
3. Additional sheets may be altaGhed as to personalty or ,eally
4. See A,ticle IV. Fiduciaries Act of 1949.
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