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OATH OF I'ERSONAI, REPRESENTATIVE
COMMONWEALTH or PENNSYLVANIA ss:
COUNTY or CUMBERLAND
Before me, the Register for the Probate of Wills and granting of Lellers of Administration in and for the County of
Cumberland, personally came
Beecher M. Dubbs
who, being duly sworn
,do es
depose and say that as Execu tor
of the last Will and Testament of
Louise P. Dubbs
deceased
he will well and truly administer the goods and chattels, rights and credits of said deceased according to law, And
Pebruary 13
A,D" 19~
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DECREE
Be it remembered that on the
18th day of
Pebruary
,A,D,.19~, there was probated and
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recorded the lasl Will and Testament of Louise P. Dubbs
.Jate of
the Borough of Carlisle,
, Cumberland County, Pennsylvania,
Beecher M. Dubbs
Deceased. Letters Testamentary were granted to
Witness my hand and official seal the day and year aforesaid.
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eglster
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INHEFUTANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
CO~,,~ONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
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*
COUNTY OF__CUrnP.e):"J'!119
Th'. ,,'um mu" h. oempl...,1 in dn..H "d 'il.d 'I' dup1l,",", w"h .1,. Rog"to, 01 WHI. ill ,100 Coun'Y whOlo .ho do,odont ,,,.'d," w"hh, ",,,,
months aftaf dalo of duolh, un'os~ nn Illdor\!ilon h; gronlr,d hy .Ilf' $ncfulary of Rovunuo,
~._ .u.__n _"______. u__ __.
..____u.__wo._'
Will :< /-<;];-/ / &'
Admn, No, t 1)_ \, .J3-,~_e_che._M._D.ubbs__------ nf Car JJ..s...J.e.,_p_enn.sy-ly.ania------------
ItlAMEI IAnDHf551
Misc.
being duly sworn lll.::cording. 10 law, llcposcs and says lhut he is the __~.,~...c_Qt.OJ:___._---++--+-.. -'-+'
IEXf,.C" ADM., LEGATEE, ET":.I
of the estalc of _I,9_~i_!ll:! _1"~DubbS
I a Ie oLl;:.i:\!'1;lEJe_J3Q.J;:9J,j9b-- -- ------
iClTY. AOHOUGH, orl ToWt~SHIPI
-_._----.--~-
deceased. lllllllhal the whole d the cs!:lIC or said dcccJcnt. who Jil:d on
December 26, 1980
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consisted of the assetS listed hcio" and thai allowahle dehts and dednclions e",eeeded Ihe fair market valne of the asscls and
REPORT OF INHERITANCE TAX APPRAISER
1, the undersigned duly appointed Inheritance Tax Appraiser in and for the ahove County do respectfully reportlhatl have
appraised the real and personal pwperly as reponed in the foregoing schedule althe values set for,oPPoxite each item in
the laxt column to the right, //!4If1't{. .rlfljJlIJ}fj/
Dated: June 18, 1981 \INHERITANCE TAX APPRAISERl
no Pennsylvania Transfer Inheritance Tax is Jut.:.
Sworn and tscrlbad before me
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lSIGr~ATUREl
Be cher M. Dubbs
81
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Type of Asset:
Real Estate, pors.
Property, Jointly
Hold Prop. cr
Transfers
Corli,le, Cumberland c:c.nty
ItA Commlulon bp"" Mardi 26. \985 ~~~~_s_
(Alloch additlonal ~h.,cls if nocouoty)
Description of Assllt
Pers.Prop.
continental American Life Insurance
Company policy No. 357292
The Baltimore Life Insurance Company,
policy No. l8ll65
Pers. Prop.
TOTALS
Namo of Poyee
DEBTS AND DEDUCTIONS
Nature 01 Claim
Beecher M. Dubbs
Hoffman & Roth Funera
Carlisle Memorial
Mrs. T. Grissinger
Carlisle Hospital
Dr. Ronald M. Schlans
Dr. Thomas A. Gr~en
Dr. Gerald Martin
Belvedere Medical Cen
M.G.M. Pharmacy
Register of Wills
Register of Will
Myers,Myers,Flower &
Family Exemption
Home, Funeral Services
Grave i<l5.rker
catering services after funera
Statement
y, Statement
Statement
Statement
er, Statement
Drugs and medication
Grant of Letters
Filing fee
ohnson, Attorney's fee
TOTALS
E~ecllj:9L.___.______
( TITLE)
Estimated
Market
Value
Oopartrnnnl
Valuation
CAUTION
(00 nol write
In Ihll s co)
5,119.42
RU'lItU Ill' 'till' REC;lSTER 01' WILLS
I, the undersi~ned duly cicCICd Ilc~ister of lI'ilh 01 "ml f,n ,hc "b"vc County. do rcspcctfully reporll'hat t have all"\I'cd
"educti"ns in the am"nnt", scl f"nh III Ihc ;11>ove sdll'd,,1e a' daimed, ",<'cpt" herc.1 ha\'e set fonh a grea.er nr JeSSCI 31ll0unt
in the la~t l.:oIUI111\ ri right, whidl glcalcr llr k..,~t.:l. ,tl1llHlIlt n.'tHCscnts thl.: SUiJ1 ';\1 nw~~d as n deductiun.
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Ilatc or ,\pprllval: / c!2c27--/~11l_.--- t...../ .' /2<--- '
II )) -'lfJ
1/- ~ dL/-.;( /-, .
2,960.39
1,645.60
4,605.99~
'Ij t,..0->',11
Amount
Claimed
Amount Approved
by Register
2,000.00
2,249.40
283.80
80.00
40.00
80.00
30.00
25.00
35.00
22.22
21.00
3.00
250.00
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
COUNTY FILE NO:
/1" II ,-/'"
TO: ie". ___/:'DC {/!:v //J
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DATE i (. ( 'I ( . ..... ....> .-
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ESTATE 'I .{ I. (/.,1 ,)_" -' ,"/, ,f" .,L',(..l:'~ /.1._
,,oj '/_ :- /' V
FILE NO, ' ..f: .- ,?/-- /, jI
COUNTY /"1; Cpl..l.t..-{.l4./,,/,.(. :
, '" / ) // F /r.-/ <:0
DATE OF DEATH/l i! (!,..:,I..iA:~.(. ..,/ '11/ / ,./
Appraised Value of Estate:
Real Estate
-
$
Personal Property
/i ,- ;/" t)
+ ",/(;et/"J' I
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Jointly Held PropertylTransfers
+
Total Gross Estate
$ .; (p),;-Y'l
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Total Approved Deductions
j-I/'!. :1':<
-
Clear Value of Estate
$ .-----
Less: Approved Charitable Exemptions
Clear Value of Estate SubjecI to Tax
$
Amount Taxable @ 6% Rate
$
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ia;~1.4t1- '~&'~'1"/-.VCY
tax due Ii.
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TOTAL PENNSYLVANIA INHERITANC~.1'i&'El'&' .t$'Ut (-') ~
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Amount Taxable @ '5% Rate
'* * * '* '* * A five percent discount totaling $
will be granted if the Inheritanco Tax is paid by
L.ess Credits:
DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT
$ + $ $ ; $
+ ;
--
+ ;
--
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