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No. 21 m81
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
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To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania.
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, deceased.
In the Estate of
Petltloner(S1 is (ale) the execul ,~ r named In the Last Will and Testament of
So- (' Co. I, ~ ' 1M y H J dated /!LA c...) 1-";, h~;3
Decedent was a citizen of the Uhlted States and a resident of c." ~ 'r, /-(: I'
-+Gwoohlp (Borough), Cumberland County, Commonwealth of Pennsylvania.
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Decedent died on Y'V1o,^c9 v.( the -1 day of -fe/xv'. "1, A.D. 19.E!....., In the
Cou nty of C u '...... b P r ( (, ~ ,0 , State of ..B"'~r! It ,^"' at the age of {it:., years.
Decedent I:las (has not) been married and l:las (has not) had children born to RiTTf (her) since the ex-
ecution of the above described Will. -
Decedent was possessed of personal property to the value of 8' DUO
and of real estate to the value of
/Vo'^-~
as near as can be ascertained; said real estate situated as follows
Therefore, your petltione~ respectfully apply(ies) for the probate of the said Last Will and Testa.
ment and for Letters Testamentary theron,
Dated --::;::;'brp,,,,,,," IL, !'is! I
( t'~ (!!, if->c)~W(0l
Name and address _V~r"'''h O. S'y.),,~, I?("
of Petitioner(s) Ie f C I U iJ
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COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND L ss
_V.ec\'."", 0, Sp,;>, ~c, l? r
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named in above application, being duly S'WOnA.
statements set forth in this petition are true to the best of.
sworn '
_ and subscnbed before
me, _ Feb. 12 ~g81 ,
lllJ~~- :t~~ _&AM01 (;? J~lkuUJ*
t t1 eglster !j-
_____________________________._i/.rA_::.LjeP f. -?re, """ 1/
according to law say(s) that the
h: , knowledge and belief.
Filed:
February 13, 19B1
Attorney
Ro. 6.f7 q~)/
+lc.,.r(d~'l'''' ( ! !;~, I::; Jell)....
OATH m' I'ERSONAL RI;J>RESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss'
COUNTY OF CUMBERLAND
who, being duly S\v 0 r ~
Before me, Ihe Register for the Probale of Wills and granling of Lellers of Administration In and for the County of
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depose and say Ihal as .E \ " ~ vf; r
So- ....""L, E. 1M y " .
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deceased
Cumberland, personally came
of the last Will and Testament of
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will well and Iruly adminislcr the goods and challe\s, righls and credits of said deceased according to law. And
, and subscribed before me.
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also wlll diligently comply with the provisions of the law relating to Transfer Inheritances.
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DECREE
Ill: it remembered that on the
13th
day of
February
81
,A.D.,19__, there was probated and
recorded the last Will and Testamenl of
sarah E. Myers
late of
ca1llP Hi 11
, Cumberland County, Pennsylvania,
Vernon o. spangler
-
D d L Testamentary
ecease. ellers were granted 10
Will;cs~ my'h~nd and official seal the day and year at'oresaid,
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/ / RegIster
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COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
AFFIDAVIT OF
FIDUCIARY
(In'truelions on Rovorso Sid.)
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EstDte of Sarah~r.L
Lost Address__
Dote of DDO,"
February 9 .1981
/Q<;j--44.- &-11 b
Social Security No.
Call)P-.l:lill
ICITYI
Pennsylvan ia
(STAHl (ZIP)
Bureau File No, _.
1. Decedent died,
County File No, c::?/-%/-I/ q
( ) Intestate (without 0 will)
( X) Testate (leaving 0 lost will --copy attached)
2. Is the filing of 0 Federal Estate Tax Return required for this estate?
3, (X) Executor/Executrix Administrator/Administratrix
Yes_ No
Namo
Vernon 0, 5pgnQ ler
1905 Chatham Drive
Address
romp Hill pennsylvonin 17011
(CITY) (STATEI {ZIP)
4, All correspondence should be moiled to (X) Attorney
) Fiduciary,
5, If on attorney is representing the estate, indicate,
Nome Harald R, Prowell
Address
P n ROil 201 .
Harrisburg. PA 17108
(CITY) (STATE) (ZIP,
List all safe deposit boxes registered in the decedent's individuDI nome, or jointly with, or os on egent or deputy
of another, or in decedent's individual nome with right of access by another os Dgent or deputy, Include the nome
and address of the bonk or other institution wherc the safe deposit box is IDcDted, the nome (s) in which the box
is registered ond the relationship of the joint holders to the decedent,
NAME AND AODRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT MAINTAIHED A SAFE DEPOSIT BOX
NAME OR NAMES IN WHiCH
SAFE DEPOSIT BOX IS REGISTERED
----
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
Under penalties of perjury, I declare that I hove eXDmined this return, including DCCDmpanying schedules Dnd
stotemeRts, and to the best of my knowledge Dnd belief it is true, correct Dnd complete,
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SIG~ATURE OF" FlOUtf... "
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DATE
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REV"450 EX+ (lo-ao.
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
SCHEDULE "A"
REAL PROPERTY
(Instruction, on Reyerso Sido)
ESTATE OF
SARAH E. MYERS
ITEM OESCRIPTION ESTIMA TED DEPARTMENT
NO, MARKET VALUA liON
VALUE (OFFICIAL USE ONL YI
NONE
.
TOTAL No.", I
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If Ddd,toonol space IS r.ecessary, use BYI x 11 sheets,.
R.EV.45111.BOl
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
*
(lI1S(fIlct;ons on Rovers(J Sid(!)
Estate of Sarah E, Myers
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ESTIMATED DEPARTMENT
ITEM DESCRIPTION UNIT MARKET VALUATION
NO. VALUE VALUE (OFFICIAL USE ONL Yi
Prudential Life Insurance Company- Life Policy 1,151,24/
Medicare - Refunds 192 ,00 /
Dauphin Deposit Bank & Trust Company Savings 7,B98,86,
Dauphin Deoosit Bank & Trust Company - Interest to [). ,leV A~d" E
,
Death 91,56
TOTAL THIS PAGE (9,333 .66) _LJ.'t...J~L~
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
Schedule "E" must include all property, real and personal, owned by the decedellt jointly with another
party or parties as joinl 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 instru;:tiolls 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. 1 ndicate the markel value of the decedent's interest.
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REV-4" EXt (,-eo)
COMMONWEAL TH OF PFI~NSYLYNiI,\
DEPARTMENT OF REVlNIJI.
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
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[!]ORIGINAL
o SUPPLEMENTAL
File No, 2l-8!..,-Oll.2_________.
Estate 0/ Sarah E....J1y_~rs_____
Caun ty
Cumber 11!I1d._ _____ .___.__
Dote 0/ Death
Februar.L:L 1981
In the ovent that any future inletl,:!>t In this estate is Irnnsferrud In possession or onjoyment to collatetal heirs of the decedent after the
expiration of any ostate far life or for yf'lars, tho Commonwealth hereby expressly resorvos the right to appraise and assess transfer
Inheritance taxes at the lawful collateral Talc on any such futuro Intdrost.
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
ASSET SUMMARY
DEPARTMENT'S
APPRAISED VALUE
Total Real Property _ SCH, "A" . . . . ,. S
Total Personal Properly - SCH. "B". . , . $
Totol Jointly Owned Property - SCH, "E" $
None
1,'I43.::>/j
3,995.::>1
Unreported $
Unreported $
Un rcp 0 rted $
Unroport.d $
None
o LIFE ESTATE
DANNUITY
TOT AL GROSS ASSETS
DREMAINDER
$
$
$
$
$
1,343.24
'I.Q95.::>1
Total Transfers _ SCH, "C", . .'. . . .. $ ---1InnP
Nnnp
5.338.45
TOTAL VALUE
$
I do hereby certify that the above opprDisement is mode in con/armity with Pennsylvania low and hDs boen filed this
day with the Register 0/ Wills.
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APPRAISER
06/l8/8l
DATE
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RECAPITULATION
Appralaed value 01 Personal Property....,............,..............,...............................,.... $ ..~..~~~.,~R..
-0-
Appraised value 01 real estate ,.............................................................................. $ .......,...........
9 333 66
'rotal sppralsed value ............... ..... ................................. ... ,... .... ... ..... ............ ,..... $.... ..... ....,..,..
AFFIDAVIT OF PERSONAL REPRESENT-IdWE
County of Dauphin ss'
V. 0. " /
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.........................,.. ,1..r..li.I"...... .....,)(..f\....~........................................................................,...
Executor L
,U- . .....t 01 thc Estate or..........~Qr.(lI!...f.....MlI.~.r~............,......................................................
~ece.sed, being- duly..........s.warn............................................... according to law, depose and say that the
Items appearing in the Inventory include all 01 the personal assets wherever situate and all of the
real estate in the Commonwealth of Pennsylvania of said decedent; that the valuation placed opposite
ea"h item 01 said Inventory represents its lair value as of the date of the decedeni's death; and that
~ecedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears
in a memorandum at the end of the Inventory.
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e ore me t lS........... ....;.................. ay 0 Executor. ~~
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...........,.....pUN'C'-~Ir.;\l(-Il<!url.ll\:R...,.....,~~. Add....
--111100 (,pll.' Oct.,,,. 12., !
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I\IIlIIllIli,Po. INSTRUCTIONS
1. An Inventory must be ftled within three monthe atter appointment or personal representative.
2. A 8upplemental1nvBntory must be flied within thirty days ot discovery ot o.ddltlonal a8sets,
3. Additional abaets nlay be attached as to personaltY or realty.
4. See Article IV, Fiduciaries Act of 1949.
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GENERAL INHERITANCE TAX INFORMATION
Unsalisfied liabilities incurred by the dccedent prior to I,is/her death are deductible against his/her taxable estate.
In addition to debts incurrell by tile decedent or eStHle, other items are claimable including the cost of administration,
attorney fees, fiduciary fees, funeral and burial eXpp.nSI)5 including the cost of a huriallot, tombstone or grave marker.
All debts being claimed against an eSlnte are subject 10 the approval of the Register of Wills with whom the
Inherilance Tax Return is filed, Evidence to support the decedent's or the estate's liability for the debts being claimed
should be atlacllCd to this schedule,
A family exemplion 01 $2,000 may be claimed by a spouse of a decedenl who died domiciled in Pennsylvania.
If there is no spouse, or if the spouse has forfeited his/her rights, lhen any child of the decedent who is a member of
the same household can claim the exemption. In the evenl there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same 11Ousehold as the decedent.
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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 claimed,
6. Enler the amollnt of each debl being claimed,
7. The form must be signed by the person who has assumed the responsibility for paying the debts.
REV.455 (1-80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F" (Supplemental)
SlATWErn OF DEBTS -_.
AND DEDUCTIONS
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Estate of Sarah E. Myers Date 01 Death February 9,1981
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING,
Claimant Vernon O. Spano ler _ Relationship to Decedent Nane
Claimant's Address 1905 Chatham Drive, ramp Hil~ PA
--- -- - - -
ITEM DATE NAME OF PAYEE REMARKS AMOUNT
NO.
Holy Spirit Hospita I Final Bill 166.25
-- --.
Waltz and Graf Surgeon's Ilill 450.00
TOTAL THIS PAGE I (. I /; .~s-
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 01 administration submitted to the es\~te as deductions fl'lnheritance TC;;~X purposes.
_/11, /7) \ 1 J
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SIGNATURE OF ATTORNEYj .1DUCIA DATE
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $
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AT
(p
PERCENT_
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EGISTER orP-w LlS
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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 incurrcd by the decedcnt or estate, other items are claimable including tile cost of administration,
allorney 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 allached to this schedule. .
A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania.
If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption. In the event there is no such spouse or child, Ihe exemption can be
claimed by a parent or parents who are members of the same household as the decedent.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent. Enter "family exemption" in lhe remarks column and the amount claimed in the amount column.
2. Assign consecutive numbers to each item listed,
3, Enter the date 011 which each debt was incurred and/or paid,"
4. Enter the name~ of eoch payee.
5. Provide a brief explanation in the remarks column for each debt claimed.
6. Enler the amOlll1t of each debt being claimed,
7. The form must be signed by the person who has assumed the responsibility for paying the debts.
COMMQ.NWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
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COUNTY FILE NO:
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Appraised Value of Estate:
Aeal Estate
FILE NO,
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$ ---_._+----~-_.-
Personal Property
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Jointlv Held Property/Transfers
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Total Gross Estate
Total Approved Deductions
Clear Value of Estate
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Less: Approved Charitable Exemptions
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Clear Value of Estate Subject to Tax
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$ ,1-/ /; .:.'
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Amount Taxable @ 6% Rate
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tax due
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Amount Taxable @ '5% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
'* '* '* '* '* '* 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
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Interest accrues at the rate of six (6) percent per
on the unpaid balance' of Inheritance Tax from
to date of payment. Interest due if paid by
annum
BALANCE OF PENNSYLVANIA INHERITANCE TAX OUE
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Assessed by: ,'~ ,,"/.L\ .'1,./ ..../
See Information on Reverse Side Agentf6rthtCommonwtllth" /' .
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REV-.e07 EX (4-80)
INHERITANCE TAX REFUND CALCULATION SHEET
.
ESTATEOF ~:a/... [ I1lt~..5
COUNTY OF _hw-4",)
DATE OF APPRAISEMENT ~ f IA' I
STATEFILE# P?/-RI-OII..3
DOCKET # /<7 ~ .j ~
REAL PROPERTY $ -c::::>-
PERSONAL PROPERTY /J7"-,.,:UI
'"
TRANSFERS -0-
JOINTLY HELD PROPERTY 3. "I 'IS-. ~I
,
GROSS ASSETS .r ..J.:J t?, </ ..s-
,
LESS DEBTS AND DEDUCTIONS ~c:02'co1.. 7')
CLEAR VALUE $ ~ C) ?.J. 6,g
.5~"'#lf1r.1 ()~61:s
~/~ . .,:;) .s-
c./~,. VtI/"'l'" <,/ S-'; . y":;
TAX@6%~% $ c:J?S?
LESS 5% DISCOUNT ON $ ,;; ?, J' ? /. .3?
PLUS 6% INTf~EST FROM, TO: -0-
. .-.-----....---
NET TAX DUE ~ ~.-LcL_ __
LESS TAX PAID .? S-D . O~
REFUND DUE $ ~;)3. il
CALCULATED BY: J....5 DATE: 7~/hl
REFUND CLAIMED: $ ~23, gb REFUND DETERMINED: $ .2~ .? ';>/ --