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LAST WILL AND tl'l~H'I'^}lnmr
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1, IIVlil.YN ^. 111\R'l'Zl,lin, Df: Curl:l", n" Guml111rl nnd COlmt.y, ,
penn aylV'l1n 11,1 , hflinrr. of'Bound m1ncl, memDl'y nncl undqr.Atnndj,nl\.
do matte, puhl.:tah nnd dllolnr.\l th:~A nn Ilnel for: my lLln\:, \~il1 und
, testament, hereby rE.lvold,nrl nml mnld.ng vold nn former wi.11R by
me at /lny tjme heretofo'l!e mode.
FIRm'. I c1ll'cet n 11 my ,'UAt de.hCll llnd funera l. e.xpenAeA,
'including 1111 i,nhori,tnnl'.o tI1K(1A \:hnt nviy Ie uAtWAfwd IIgal.nat my
eRtace ,he. fully pnid nnd f1Ilti.l'1f1.rH1 all\: of I"yeAtnte by my per.aonal
rl;\prNlentnttveh01:elnnf:tor nllmed 119 Roon nil l1Olwt\l1i.ontly may be
done aftqr my decenAD.
SECOND. "J give nnd bequenth the fr./lIlled mard.n ge eert ifi.cn te
of Gteat Grandfs the-r ;John Hertzler /lnd Gl'eo t Grnndmothor, the' metal.
flowerA in Vtl se, the two pi.oturC1A hand pLdntecl ny my aon' ,101m, t:.he
dt'op l,!;lIlJ' cher.!'y table, LInd the c1tllfl\Onrldng in the hank bax 11 t:
FI1r.nlerA Tr\\st Company to my Aon, ,lohn V.. Hortzler, .Jr.
THIRD. T. give and bequeath the, A ilvel:war(\ to my. Aon, .John V.
Hertzler, Jr., and my daughtor, Ann II . Hertzler, t.ohe dtvi,ded
equolly hetween them.
,11OlffiTlI. 1 gtve and heq\lt\flth my wn1.ll1.lt rocker. nnd the round
walnut tanJ.C! 1.n my fI(m .16hl1' fI npartmont and "011 other per!lonal
property l.ocn,ted j,J, my room III: 1I0mowo(ld no\: apee i.f'tclllly bequeathed
he,r(1tn" i.nohlc!l.ng my cl01'hlng find pcn:nol1n1 (jf:f'11CtB, to my dallghter,
Ann 11,. Hort:y,le,r.
FIFTH. 1 gi.ve, d(\VlAC flnr1 hoqttG(\ th f\ 11. \:hl1 rel1t, to~ j,due 'and
rO\11t1i.nd.rd 'uf: my f'fltlltll, \1hn\:fI00\1('1: find l1h,.,rovl'\1' flHttnl:~, to my Bon,
,lohn 'v~ Hatl'iler, ,Jr., ,nnd my dl1ugb,tI1t', /\1111 lI.llert 7.1,01:', ,in eqUAl
~1:\~~.~1l r 9,\'Ia'tte"ahd al\lltQ .a1t\(G, I ,~~ t;.~ \hl' Aurvir,or of th~11\ :I.ntne
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ev.ent either 'at th~I1\'iihouldprq~~ceal\e mo.
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OATH OF l't;ltSONAI, ltl';PRI~St:NTATIVF;
COMMQNWEALTH OF I'I~NNSYI.VANIA SSI
,COUNTY 011 CUMUlJRLAND
Boforo 1110, \he Reglsler for tho Probaln of Wills andllranl,ina of Lelton of Admllllsl~atlon fllund for theConnty of
CUlllborlnndi porwnully clime
, j
~ho, bolna duly Swort,
',TOI'IN v. HmR'l'ZLER, JR. ANI1 ~NN A. HJi1R'l'ZLER
,
, do depose and sllY thaI as tDxeuutors
"
of tho last Will and rOslnmonl of_ Eve~yn A. !.Jertzler deoeased
ttheYwllJ wo,llalld.t'ruly adlhlnlsler l'hosoods an'd chattels, rights and orudlts of said deceased accordlns to law, A~d
' " Sworn'
also will diligently comply Wllh the prOVisions of the law relating to Tr,ansfer JIl"rltances, and
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Be It romomberod that on the
QJJ:CREE
20th. day of M~y
81 . .'
,1\,0.,19__, there was probated and
!/ate ot,.
-, Cumberland COunty, Peitnsylvanl~t
V .HEI*ler, Jr. .8cAnn .A.lter.~zler
rOQordod tho last Will and rostament ~f" 1<1",.1)1n A, J.ler~ler
. , Carlisle
Deceascd. Lotton r:re~tamentary wore granted to John
Witness my hand and official sonl tho day and year aforcsuld.
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'. . -;Y"." ,,~esllter,'
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ICl'V"'IO I,)(t(o~ol ,
COMMOllWHA~ TH OF PHNNS\LV~NI~
DBPARTMHNT OP RHVHNUB
TRANSPBR INHRRITANCB UX
RUIDHNT DHCBDBNT
STATEMENT OF
FIDUCIARY
(Inltruutlonl on ReverlO Sldo)
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e.tote of EVELYN A. HERTZLT~R
La.t Addr8l~42 Wa1.t1U~ BO::.~~ Road
oarlisle~~70l3
ICIHI (It AT <<J 11I"1
Data of Death __~~y._J!l.-1.~~.!____,.___~~,__._._
Soc.lal Security No, 161-3'1-12~~_______.___
Stoto Fila No, ___,
County Pile No. ~1-31A'
1. D.c.dent dledl
( ) Int..t"te (without n will)
( X) Tlltat. (leaving a /o.t wlll--copy atla9hed)
2. I. th. .fIling of a Fed.ral E.tateTax R.turn requlreffor thl. IItate? Yu_ No x
3. (x ) Executjo~~ V. HeAIJe~~mIJ~.~rator 210~26-708l .
Nom. Ann A. Hert~:j.er Soclcll Socurlty No, ..liT~-M.7 _
Add JVH - 256 S. Hanover St" Carl isle, Pa. 17013
r..s
AAH - 911 Buchanon Dr" Blacksburg, Va, 24060
Iclnl , ("''Tn( (l.H'J
4. All carr..po~d.nce .hould be mailed to (' X) Atlorney
) Plduclary.
.,
5. If an attorney I. repr..entlng the ostate, Indlcatel
Name Georll:e B, Stuart. P .0. Tolephono No. ---C.ll.ll..llt3-3737
Add,.u _ 3 South Hanover. Street
Carlisle Pa. 17013
(rolTYI
IBTA.TU)
.lllPl
List all .ofo depq.lt boxesregl.tered In th'e de~ede(1t"flndlvlduql namehor 10lntly with, or 08 a" ag."t or deputy
of onother, or In decedent'. Individual name with right 0 acclls by anat er 01 agent or deputy. Include the noma
and addr..s of ,the bank or ather Institution where the safe deposit box..ls located, the name (.) In which Ih. box
I. regletered and therelatlon.hlp 01 the lolnt hold.,. 10 the decodont. ,
NAMB AND AaQRBi! OP BANK OR OTHBR INSTITUTION
IN WHICH DBCBDBN.T "'AINTAINBO ~SAPB DBPOSIT BOX
Farmers Trust Co., 1
Carlisle, Pat 17013
W. High St,
an
RB~ATIONSHIP OP JOINT
HO~DeRS TO DHceDeNT
ren
At Clfnepu~
e Power 0 eputy)
.
Under penaltl.. of perlury, I declare that I hove exomlnod thll relurn, Including accompanying .ch.dules ond
.tat.ment., and to the best of my knawledg~ O)1i belief J.\ I. trur: ~O.~,~ a~d tomplete.
Ct-J1I' a 'l:yc.J;./?-ff/?I,. ,
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/ IIO~ATURB OF PIDUCIARY
__.s~5-.'981
DAn
QUESTIONS OONCERNINO PROPERTY TIlANSFEIlS
l. Old decedeol,wlthllltl'/O yoms ef doolh, mnko ooy lrollsrol of OilY molorlal pml of his ostolo wltholll rocolvlllR
voluoblu nnd ndeQunte consldernlloo? (Allswor "Yos" 01 "No",) NO '. . " .
2, Old docodol\l, within Iv,u yonrs of donth, trnnsror IlIep'o.rly rrom him sol f/ horsol f te him sol f/horsoll nnd ;lI1olhor party
01 partlos (IncludlrlR n spouso) Inlolnl ownorshlp? (Answor "Yos" or "No",) ..R(L
3, If tho answor 10 ono or lwo olJove Is "Yos" and tho transfors oro claimed to bo nontaxablo, provlllo the rellowlnR
Information:
a, ARe of decedent nt time ef transfer, , ...
b, Copy of death corti fI cote,
c,Affldavlt by the atlondlnRPhyslclan 'IndlcnlhlR Ihe state of docedent's heallh at tlmo of Imnsler,
d. All othorlnformatlon supportlnRnontoxnblllly of transfer, . .
4, Old docedenl, In his/her lifetime, mako any trnllsfer of preperly wllhollt rocelvlnR n voluublo or udeC/uolo collslderutlon
therefor which WoS 10 tako offoct IlIpossessloll or enJoymellt at or aHor hls/hor death? (Answor"Yos" or "No",) NO
.0, Wos thoro ony possibility Ihotlho properly tronsferred mlghl rotulllto transforor or his/her eslute or bo subject .
to hls/hor power ef dlspesltlon? (Answer "Yos" or "No" ,) .. "
b, ,Whot Wos tho transferoo's nRo ot llmeof decedenl's deoth? U. '
5, Dip docodontln his/her IIletlmu moko onY tronsfor Without rocolvlnR u voluoble ondlldoC/uoto consldorntlonthnrofor
under which trunsforor oxpressly olllllplledly roserves forhls/hor Itfe or ony period which does III facl end before his/her
doath: .
a, Tho pessesslon or enjoyment of Or the rlghlto Incolllo frolll the property tronsferred? (~lIswer "Yos" or "No" ,) NO '
b, Tho rlRhlla doslllllote Iho pO,UlDns who sholl possoss or onjoy tho proporty tronsforrod or In.como therefrom?
(Answor "Yes" or "No",) NU ,
6, If the onswor to IIvo b,ohovo Is "Yos," wos Iho right resorvod In docodont olano ( ) or docedont Wid olhers (),
7,. Old docedentln hls/hor IlIolll11e I11nke n Iransfer, tho consldorallon for which was tronsforoe's 11101111 so 10 pay Incol11o
to or for Iho bonoflt or care of transferor? (Answor ','Yes" or "No",) NO ,
8, Old decedont, al any time, transfer proporly, the hll10flclal onjoYlllent of MIlch Wns sUbJoct to chnnRe, becousoof
a resorved powor 10 aller, amend, or rovoke, or which could rovortto decedontunder lellns of Ironsfor or by oporotlol1 of
low? (Answer "Yes" or "No'.' ,) )10
,9. If the answer to olRht obove Is "Yes," was tho power 10 allor, OInend or revoke Ihe Interest of tho benollclnry reserved
I,ll tho decodent alone ( ) or decodonl and olhors ( ), .. .
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GENERAL INHERITANCE l'AX INFORMATION
Unsatlllltd'llabllltloalncurrod by tho docodont I1rlor 10 hls/hor dooth urodoductlblo against hls/hor tOKablo
eltale, In addition to dobts Incurrodby Ihe docodont or ollulo, olhor ItOIl1I (Iro clalmablo Including the coat 01
admlnlltratlun, atlQtnoy 'Ioes, fidUciary 1001, lunoral anlt burial o~ponsol 111clydlng tho cost 01 a burial lot, tombltono
or gravo mQrkor ,a,nd Qthor related burlaloKponsol,
" .- _ ~ . 'i lit- I
All dobts being clalmod against an ostato ora sublect to the approval 111 tho Reglstor 01 Wills with whom the
Inheritance TaK Return II filed, Evldonce ,to lupport, tho docodont'l or th'o oltate'lllablllty lor the debts being
claimed should bo attached to this schodule, ," ,
, A lamlly eKtmptlon may be olalmed by a IpOUle 01 a docedent who died domiciled In Ponnsylvanla, ,If there II
no Ipou~e, or II the spouse hallQrfeltod hls/hor rights, then any child 0/ tho decodent who Is a member 01 tho same
hous,ohald can ~Ialm the oKomptlon, In tho ovent ther~,ls no such spouse ~rl,qh,'l~,.t~o '~"f1~tlo,n.,aanbe claimed by
a.paront or parents who are memborl 01 tho samo housohold as tho docede~t, ,rho Idmlly i1Kom~tIQn Is allowablo only
IIgalnst assots which pass by a wlll,or by the rRn~sy)v,~rIQ Intostatq I,.a~f'r' ',' ,.' ,. ,
., '
. 'NOTEI Componsatlon PQld.tb an1oltdtotropro.lioAtb'i1vol namely, an eKecutoi!il'l adMln~Ii"atoi, 'for services
r perfor,mod In admlnlstorlng an osta, tel sr~po'tabtol,,~r Ponnsyl vqpl,a: Il1oom',JJaK PUmOI,O,S, ..Thll taKablo Income
'Item should bHoportod on lorm PA.40.'ndlvlduallncome TaK Rolurn" , ,
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INSTRUCTIONS FOR COMPl.ETING SC~EDUl.E "~"
'11-,\
1. Iii tlio family eKemptlon Is being clalmod, Indicate tho claimant's name/addrols ,and hls/~or rolatlonship to
. Iho decodont. Enter "lamllyeKomptlon"ln tho remarks co.lumn and tho amount clalmod In Ih.amount column,
2,'Autgt):ool1socutlvenumbers to each Itom listed, '
3,Ento'r tHo'dQte on which each debt was Incurrod and/or paid,
4. J;!nter tho namos 01 oach payeo.
~; Provldo a brlol oKplcnallonln the romarks column for oach dobt clalmod,
6, Entor the amount al oacH dohbolng claimed,
7, Tho IQrm m~lt bOllgned by the person whohQS assumod tho rosponslblllty/or. PQylng tho debts,
IF ADDITIONAL SPACE IS NECESSARY usa:aw' K 11" SHEETS,