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OATH OF PERSONAL REPRESENTATIVE
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
Hartha Sillers
who, being duly sworn
,does
depose and say that as
Georgia O. Sillers
Executrix
of the last Will and Testament of
deceased
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 Inheritance, Swo
nd subscribed before me,
I>1arch
27.
A,D., 19~
U-)
Register
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DECREE
Be it remembered that on the
30th
day of
~Iarch
.A.D..19~. there was probated and
recorded the last Will and Testament of
GEORGIA O. SILLERS,
late of
North Middleton T01\'Ilship
, Cumberland County. Pennsylvania,
Deceased, Letters Testamentary were granted to
Witness my hand and official seal the day and year aforesaid,
~r::-'r-
.if .~
Hartha Sillers
fl!!/tAJ t?-, +L~
~Iar. C. ~is Register
REV-449 EX" (a.eo}
COMMONWEAL TH OF PENNSYLYAllIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEOENT
AFFIDAVIT OF
FIDUCIARY
(Instructions on Roverse Side)
*
Estote of GEORGIA O. SILLERS
Lost Address 801 Harrt~bUIg Pike
Carlisl~ PA
Date of Death
~larch 15, 1981
Social Security No.
208 - 28 - 68 28
17013
Bureau File No.
(CITYI
(SrATE)
(ZIP)
County File No.
21-81-210
I. Decedent died:
( ) 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? Yes_ No X
3. X) J&r<ltXC<<Ol'Executrix
) Administrator! Administratrix
Name
Martha Sillers
Address
147 Wilson Street
Carlisle, PA
(CITY) (STATE)
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4. All correspondence should be mailed to (X Attorney
) Fiduciary.
5. If an attorney is representing the estate, indicate:
Nome
Robert R. Black, Esquire
Address
36 South t~nover Street
Carlisle. PA
(CITY) (STATE)
17013
(ZIP)
List 011 safe deposit boxes registered in the decedent's individual nome, or jointly with, or os on agent or deputy
of another, or in decedent's individual nome with right of access by another os agent or deputy. Include the name
and address of the bonk or other institution where the safe deposit box is located, the name (s) in which the box
is registered and the relationship of the joint holders to the decedent.
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX
NAME OR NAMES IN WHICH
SAFE DEPOSIT BOX IS REGISTERED
RELA TIONSHIP OF JOINT
HOLOERS TO OECEOENT
None
Under penalties of perjury, I deelure thCJtl hove examined this return, including accompanying schedules and
statements, and to the best of my knowledge an~~elief it is true, !:ect and complete.
J%l/Ii: ~f!I/;~4./ .July 7-1 . 1981
'1 I )illiNtTURE OF FIDUCIARY DATE
J'artJa :":>JLerS
PENNSYLVANIA INHERITANCE TAX GENEIlAL INFOrlMATION
1. PERSONS RESPONSIBLE FOR RETURN
Section 701 of the Inherilance and Eslate Tax Act 011961 plOvides thai the following persons slwll prepare :md lile
a return:
a. The personal representative of Ihe estate of lite decedent as tu property of lite decedenl adntinistered by him
and such additional property which is or may be snbjectto Inheritance Tax of which he/sh ~ shall have or
acqui re knowledge;
b. The transferee of property upon tlte transfer of which Inheritance Tax is or may be imposed by the 1961 Statnte,
including a trustee of property transferred in trust, provided thai no sep:lrate return need be made by the transferee
of property included in the return of a personal represenl:llive.
2. PLACE FOR FILING
The return is to be filed in duplicate with the Register of Wills of lIle connly wherein the decedent resided,
3, TIME FOR FILING
The return is due nine monllls alter the decedeot's death, unless an extension for filing has been applied for and
granted by the Secretary of Revenue within the nine-month period,
4. FAILURE TO FILE RETURN
Section 791 of the 1961 Statute provides that" . . ,any person who willfuHy fails to file a return or other report
required a! him. . .shall be personally liable, . .to a penalty of 25% of [he tax ultimately found to be due or $1,000
whichever is the lesser te be recovered by the Department of Revenue as debts of like amount are recoverable by
law."
5, TAX RATES
Inheritance Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife,
son, daughter, grandchildren, grandparent, son-in-law and daughter.in.law and at the rate of 15% as to all others.
6. PAYMENT OFTAX
The tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death. Interest
at the rate of 6% per annum accrues thereafter until payment is made. All payments received are first applied to any
interest which may be due with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE
DECEDENTS DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED.
All checks should be made payable to the Register of Wills of the counly wherein the decedent resided and are
received subject to the final determination of the Department of Revenue,
7, FAILURE TO PAY
The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until
the taxes and interest have been paid in full. The taxes may be sued for against any real property in the decedent's
estate or against any property belonging to a transferee liable for the tax,
8. FILING OF FALSE RETURN
Any person who willfully makes a false return or report required of him shall, in accordance with Section 793 of the
1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding
$1,000 or undergo imprisonment not exceeding one year or both,
INSTRUCTIONS FOR COMPLETING SCHEDULE "A"
Schedule "A" should include a detailed description of all real property located in Pennsylvania
and held solely by the decedent or held jointly with another individual (s) as tenants in common. List the
decedent's percentage of awnership and the estimated market value of the decedent's interest. (Property held
as joint tenants with the right of survivorship or tenants by elltireties should be reported on Schedule "E".)
All real estate located in Pennsylvania should be described by lot and block number, street
address, number of acres and general description of land and buildings. Also, include the book and page
number in which the deed is recorded and fhe exact title as indicated on the deed. If fhe properly has been
sold, alfach a copy of the selflement sheet. If the property is subject to a mortgage encumbrance, include
the name of the mortgagee, date, rate of interest and the outstanding balance on the date of death and
attach a statement from the mortgagor verifying the outstanding balance.
Property taxes and interest an mortgages as of the date of death, assessments and other
encumbrances should be listed on Schedule "F". Do not deduct them on Schedule "A".
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No" ,) NO
2. Did decedent, within t\lll years of death, transfer property from himself! herself to himself/herself and another party
or parties (including a spouse) in joint ownership? (Answer "Yes" or "No",) ..llil.-
3. If the answer to one or two 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 death certificate,
c. Affidavit by the attending physician indicating the state of decedent's health at time of transfer.
d. All other information supportingnontaxability 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 effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".) ~In
a. Was there any possibility that the property transferred might return to transferor 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 transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her
death:
a, The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".) l!!:L-
b, The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".) NO
6, If the answer to five b, above is "Yes," state whether the right was reserved in decedent alone or others,
N/A
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 transferor? (Answer "Yes" or "No".) NO
8. Did decedent, at any time, transfer property, the b€l1eficial 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".) Nn
9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved
in the decedent alone or the decedent and others? (Answer "Yes" or "No".) N/A
REV;1153 (l.001
COMMONWEALTH OF PENNSYLVANIA
, OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
'*'
(Instructions on Ravnrse Sic/oJ
Estate of
r.mRmA O. SILI.ERS
BENEFICI,o.RIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY
DECEDENT BIRTH
Everett n. Sillers lIusbamL. .:1."" 10/11/06 Entire
14 Garden Drive
Carlisle PA 17013
.. .----.
,
,
.
,
The above beneficiaries are living at this time except for the following:
NAME
DATE OF DEATH
None
REV0484,El<+ (3,80)
COMMONWEALTH OF PENNSYLVANIA
'DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTL Y OWNED PROPERTY
'*
(Instructions on Reverse Side)
Estate of GEORGIA O. SILLERS
ITEM TOTAL p\ VALUE OF DEPARTMENT
DESCRIPTION MARKET DECEDENT'S VALUATION
NO, VALUE INTEREST (0 fflclel Use Only)
None
,
,
TOTAL THIS PAGE o.no /14-,c..L ,.of
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INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
, .., Schedu'le "E" must include all property, real and personal"Qwncd by the decedent jointly with another
party or parties as joint 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 instructions for Schedule "A", Dcscribe all personal property
as indicated in the instructions for Schedule "B", Inciude the name, address and reiationship to the
decedent of the co.owner (s) and the date the joint owncrship was established,
3. Indicate the percentage of the decedent's interest.
2, Indicate the total market value of the jointly owncd property,
4, Indicate the market value of the decedent's interest.
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INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
o Original
o Supplemental
o Remainder
File Number
21-81-0210
Estate Name
Georqia O. Sillers
Date of Death
March 15, 1981
Social Security Number
208-28-6828
REPORT OF INHERITANCE TAX APPRAISER
I, tho undorllgnod duly appalntod Inhorltanco Tax Appraiser In and lor the County of CUmberl~
Pennlylvonla, do rOlpoctfully roport that I nave appraised tho roo I and porsonal property os reported In t e forogolng
retum at the values set forth opposite each item in the 'la5t column to he right in Sche s "A", liB", IIC", and flE"
Dated. REWh>mhPr IB, 19B1
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AaJUSTMENTS REMAINOER APPRAISEMENT CODE
INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY)
Real Properly (Schedule A) $ None 00+ BZ+
Perlona! Property (Schedul. B) 24 1 10+
Jolnt.Held Property (Schedule E) None 21H
Tranlfers (Schedule C) 30+
TOT AL GROSS ASSETS 24,157 78
Len D.bts and Dedul;t1onl 40- 93-
(SCHEDULE F)
CLEAR VALUE OF ESTATE
o Life Estate RATE FACTOR PRINCI PL E VALUE CODE
o Annuity
FOR LISE OF REGISTER ONLY
TQX on $
CODE
COMPUTATION OF TAX
$
$
$
$
$
6"
..
Tax on $
15%
Tax on $
Tax on $
Tax on $
Exemptions
Total Estate
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
$
Less Creolts
OA TE OF PAYMENT
AMOLlNT PAID
OISCOUNT
INTEREST
TAX CREDIT
S
+ S
s
=
$
+
=
INTEREST FROM ---
BALANCE OOE
BALANCE
TO
S
S
S
REY"487 EX+ <7-eO)
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COMMONWEAL TI-I OF PfNNSYLVANIA
DEPARTMENT OF IlEVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
[!JORIGINAL
o SUPPLEMENTAL
File No. ~1-81-0210
Estate of
Georgia O. Sillers
Coun ty
CUmberland
Dote of Death March 15, 1981
In the ovent tl10t any future Interest In Il1is eslate is transforrdd In possession or onjoymunt 10 collateral heirs of the decedent after tho
expiration of any estate for life or for years, the Commonwealth horoby olCpressly reserves tho right to appraise and assess transfer
Inheritance taxes at the lawful collateral role on any such futuro Interost.
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
DEPARTMENT'S
APPRAISED VALUE
ASSET SUMMARY
1. Total Real Property _ SeH, "A", . , , , , $ None Unreported $
2. Total Personal Property - SeH. "B". , . . $ 24,157.78 Unreported $
3. Total Jointly Owned Properly - SeH. "E" $ None Unreported $
4. Total Transfers - SCH. "e", . .'. , . , . $ None Unreported $
$ None
$ 24,157.78
$ None
$ None
$
o LIFE ESTATE
DANNUITY
TOTAL GROSS ASSETS
DREMAINDER
24,157.78
TOTAL VALUE
$
I do hereby certify that the above appraisement is mode in conformity with Pennsylvania low and has been filed this
day with the Register of Wills. ~:i.. /J ~/
c::::-~~L~,<.A- Septanber 18,1981
- APP 15ER DATE
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COMMONWEALTH OF PENNSYLVANIAt
COUNTY OF CUMBERLAND J
55:
_.2~Rl] '^ SILLERS,
SIVorn according 10 law, doposes a"d says thatS he is
Executrix ____ of the Estale of GmRr:IA O. SILLFRS
lale of __ _.._tI!QrtJL~lidcll.etonJoJI'I1Ship , Cumberland Counly, Pa., deceased and that the
wilhin is an invenlory made by .-her, the said Executrix
of the entire estate of said decedenl, consisting of all the personal propdrly and real estate, except real estate outside
Ihe Commonwealth of Pennsylvania, and Ihallhe figures opposite each item of the Invenlory represent it's fair value
as of Ihe dale of decedent's dealh.
being duly
1981
7;J~ fiJAJl
Executor ~ Administrator
~fartha Sillers
147 Wilson Street
SIVO rn
and subscribed before me,
MARY ANN ORMAN, Notary Public
Carlisle, C berland Co., Po.
My Commission Expires Sept. 19, 1983
Carlisle. PA 17013
Addr.n
Dale of Death
15
Ooy
Harch
Month
1981
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appoinlment of personal representative.
2. A supplement invenlory musl be filed within Ihirly days of discovery of additional assets.
3. Additional sheets may be attached as to personally or really
4. See Article IV, Fiduciaries Act of 1949.
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INFORMATION
To insure proper credit to your account, tho name of the estate and file number should be clearly print-
ed on the check or money order.
This assessment is made in accordance with Section 708 of the Inheritance and Estate Tax Act of
1961 (72 P.S. ~ 2485-708).
To the extent that inheritance tax is paid within three (3) months after tho death of the decedent, a
discount of five (5) percent is allowed 172 P.S, S 2485-716),
Inheritance Tax, other than tax on a future interest, is due at the date of the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedent's death (72 P.S. 9 2485.711), Inheritance
Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. 9 2485.712). Calculate interest from tho delinquent date shown
on the face of this form to the date of actual payment using the following interest table:
--------------------- --------- ---- --------.-- --- - - --- - --- -------- -- -- - - - -- --
1 month .005 4 months .020 7 months .035 10 months .050
2 months .010 5 months .025 8 months .040 11 months .055
3 months .015 6 months .030 9 months .045 12 months .060
1 days .00017 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 days .00369
3 days .00051 13 days .00220 23 days .00386
4 days .00068 14 days ,00237 24 days .00403
5 days .00085 15 days .00250 25 days .00420
6 days .00101 16 davs .00267 26 days .00437
7 days .00118 17 days ,00284 27 days .00454
8 days .00135 18 days .00301 28 days .00471
9 days .00152 19 days .00318 29 days .00488
10 days .00169 20 days .00335 30 days ,00500
- - _________ __________ ____________ ____ - ___ ___ ___.___ - - - __ _________ _____a
Any party in interest, including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (60) days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estale Tax Act ot 1961 172 P.S. S 2485-1001).
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
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REV.45S EX+ (3.80)
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
~
.
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
Estate of GEO!\GT^ O. S fLLERS Date of Death VI S/81
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
File No. 21-81-2Ifl
Claimont
None
Relationship to Decr.dent
Claimant's Address at time of Decedont's Death
ITEM DATE NAME OF PAYEE
NO.
1 4 21 Westminister Cemetcr Inc.
2 4 21 ~~I Phannac
3 4/23 Hoffman-Roth Funeral 1I0me
4 5/21 Stearns f, Williams
5 5/21 .JW1e Reed - WCSC
6 5 21 First Church of God
7 Various La dis f, III ad
8 7 23 Landis f Jl1ack
9 Various Reserve for Closing & Releases
REMARKS
AMOUNT
I1n!!rave Tomhstone
() en . ccotlnt
FW1era1 Bill
^ raisa1
n en ^ccoun t
_IIKlII
a ..1
'.
TOTAL 4,611.51
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 ded tions "r I heritance Tax purposes.
./) " ' f)/# .JulY 7--1. 1<181
\f'll~1"h~ C::i 11 nl"C SIGNATURE OF FIDUCIARY DATE
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $ L/ t / /. .7 -/
I
t
% TAX RATE
AT
~} c._~,_
DATE
1~~,t-<j1
DATE
GENERAL INHERITANCE TAX INFORMATION
Unsalisfied liabilities incurred by the decedent prier to his/her death ore deductible against his/her taxable
estate. In addition to debts incurred by the decedent or estate, olher items ore claimable including the cost of
administration, ottorney fees, fiduciary fees, funeral ond burial expenses including the cost of 0 burial lot, tombstone
ar grave marker and other related burial expenses.
All debts being claimed against an estale are subiect 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 thi s schedule.
A family exemption may be claimed by a spouse of a decedent who died domiciled in Pennsylvania. If Ihere is
no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is 0 member of the same
household can claim the exemption. In the event there is no such spouse or child, the eXlll11ption can be claimed by
a parent or parents who are members of the same household as the decedent. The famil y exemplion is allowable anly
against assets which pass by a will or by the Pennsylvania Intestate Laws.
NOTE: Compensation paid to an estate representative; namely, an executor or administrator, for services
performed in administering an eslote is reportable for Pennsylvania Income Tax purposes. This taxable income
item should be reported on form PA.40.lndividuallncome Tox Return.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the family exemption is being claimed, indicate the claimont's name, address and his/her relationship to
the decedent. Enter "family exemption" in the remarks column and the amount claimed in Ihe 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 celumn for each debt claimed.
6. Enter the amount of each debt being claimed.
7. The form must be signed by the person whe has assumed the responsibility for paying the debts.
IF ADDITIONAL SPACE IS NECESSARY USE 8\1" x 11" SHEETS.
" .." ,"_' ~... ._u~..'
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~~iMii(t,\;ji~1f,!;:i;::t;i;:j>",!'< . COMMONWEALTH OF PENNSYLVANIA
'4 t~6;K*:2967i3i;'i.;:., ".' > ,. DEPARTMENT OF REVENUE
r !!;~,!>, "OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
! !'''"...,',..". " .
~
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a
I I ~ RECEIVEO
i ]1 _ ij FROM
I 0 ESS 36 S. Hanover st.
. \ A DR
I Carlillle, PA 17013
i I
,
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-
TAX AT 6%
TAX AT 15%
Martha Sil1ers
Landis
TAXAT_%
ESTATE TAX
TOTAL TAX CREOIT
$1,172.78
'--ESTATE INFCiRMATiej;r- ------ - ----- --------
DATE OF DEATH Maroh 15 1981
FilE NUMBER
2l-B1..210
NAME OF OECEDENT
m
lESS DISCOUNT
% INTEREST
TO_I
DATE OF PAYMENT
July 27. 1981
Georgia O. Billers
PLUS
(FROM
COUNTY
C umber land
------- - ------ ---- - - m
TOTAL AMOUNT PAID
$1,172.78
POSTMARK DATE
: REMARKS:
SEAL
RECEIVED BY
~
"PAID ON ACCOUNT"
I
REGISTER OF WillS
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IN RE:
TN TIm mURT OF ro1r'10N PLEAS OF
m1IWRLi\ND COu~nY, PENNSYLVANIA
ORPIIANS' CC"/JRT DIVISION
NO. 21-81-210
ESTATE OF GEORGIA 0, STLLERS,
DECEASED
FIRST AND FINAL AcmUNT OF MAR111A SILLERS,
EXECUTRIX OF THE ESTATE OF GFORGIA O. SILLER..C;,
LATE OF NOR1H rnDDLETON TaI'NSHIP, CUNBERLAND COUNTY,
PENNSYLVANIA, DECFASED
Date of Death: ~farch 15, 1981
Letters Granted: March 30, 1981
First Complete Advertisement of Grant of Letters: April 10, 1981
Account Stated as Final
SlJIt.IARY 1\ HlDEX
Receipts
Less Disbursements
Balance Before Distributions
Distributions to Beneficiary
Principal Balance Remaining
Pages
2
2
2
$24,165,53
. 5,539.79
18,625.74
-18,400.00
$ 225.74
PRINCIPAL
INCOME
Receipts
Less Disbursements
Income Balance Remaining
3
3
$ 0.00
0.00
- $ 0.00
$ 225.74
COMBINED BALi\NCE IIDfAINING
LAWO,"ICU
LANDIS 6: BLACK
CARLISLE, PENNSVL.VANIA
,:" \. l()O I" r: QOt'l
..~'..II .....11. Uvv
.~
I
I
I
. " I LAW OFFICES
I LANDIS 8: BLACK
I CARLISLE, PENNSY~V~NI"
I
I
,I
]
J
J
'..
PRINCIPAL RECEIPTS
1981
4/16 Proceeds - Certificate of neposit, Cumber-
land Valley Savings & Loan Assn., No.
BRl-1l-710518 20,095.88
4/16 Proceeds - Checking Account, Fanners Trust
Company, No. 9-53016 2,781. 98
4/16 Interest - Certificate of Deposit, Cumber-
land Valley Savings & Loan, No. BRl-11-710518 206.12
4/16 Interest - NOW Account, Farmers Trust Company,
No. 9-53016 13.30
4/30 Diamond Ring (in kind), containing 16 diamonds 400.00
4/30 Refund for Prepaid Care, Church of C,ad Home 668.25
TarAT, PRINCIPAL RECEIPTS $24,165.53
PRINCIPAL DISBURSEMENTS
1981
4/21 Westminster Cemetery, Inc. - Engrave Stone 10.00
4/21 o Phannacy - Invoice 193.01
4/23 Hoffinan - Roth Funeral Home 2,486.00
5/21 Stearns & Williams - Appraisal 25.00
5/21 WCSC (June Reed) - Contribution 100.00
5/21 First Church of God - Pledge 1,000.00
7/27 Register of Wills - PA Inheritance Tax 1,172.78
Reserved:
Landis & Black - Probate Costs Advanced 78.00
Landis & Black - Attorney's Fees 400.00
Closing and Filing Costs 75.00
TarAL PRINCIPAL DISBURS~ffiNTS $ 5,539.79
PRINCIPAL DISTRIBUTIONS TO BENEFICIARIES
1981
4730
7/27
7/27
Everett L. Si11ers - Advance Distribution
Everett L. Si11ers - Advance Distribution
Everett L. Si11ers - Diamond Ring (in kind)
15,000.00
3,000.00
400.00
TOTAL PRINCIPAL DISTRIBUTIONS TO BENEFICIARIES
$18,400.00
L,,:~f: 1UO i.'.[ 700
-2-