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Residence
6 Green Meadow Dr., Carlisle PA
...............................,................................ 17013
2112 Barkley Dr.,Clarksburg,TENN
6 ..,~;~'~~...~~'~'~~'~..,~.~':..;...~~'~~'~.s i ~? ~ A
6 ...G;~'~~..'M~.~.d;~...D;.:..;...c~';'ia12; 3p A
................'.....................'........................'17013
6 Green Meadow Dr., Carlisle, PA
..........................................................'.....17013
NO. 21-81
PETITION FOR LETTERS OF ADMINISTRATION
IN THE ESTATl~ OF .~?-.:r.~,?-.~~.".I~.~....~.~.~~,ry),~,,,....,,.......,,,...,,.... DECEAHEU.
To """',.~,~!:':!(, "9,:,, "~~,"!.~,~ "","""",' """". ,,' ",',' ,',"'" ,..,. "'" """, ,,', """'" "'" ",. ,,'
Registel' of Wills 1'01' the ('011 II t)' of ('lIll1bel'lalld, ill the ('Oll1lllOlIWl'alth of l'l'lIl1s,I'lvallia,
The Petition of ....,......, ~J,'!-,l1~,L, !~:," ,0,~,'?~,I,l,\l!:,t.... ..,.....", '...., ,..,...',......,..".... ..,.." ......,..,,'.. ....,..,. ....'
....,........ ....,...." .......... ........, "'" ..,.. ...., respect full)' shOWl'1 h I ha I ., ~"l,r:~,a.~',il,. ,1<, ,'" ..~,!:!!~I,lI,~ ......, , ......,...... ,..........
'I t I' North Middletoll TowlIship (' I, '1' I (' I' !-it. I' of P' ns'l
Willi Il reSH en 0 .................."......,,,...............,"""....."HMcmagb:x ' 11I11 WI ,UJ( ,OUIl.\ I' It c. en.) _
vania. and II Citizen of United Stlltes, Ilnd departed Ihis life intestale in the County of ..9.),l.~,i?,!'!.r:.+,i!-.n9,
Penll" y' v'lnia
",.,..",....... '...,....,." "',' "'" 111111 State or "",""" "',..~,',:c".c,' "" ""'" """ ""'..""",, """""""..""",."""..", ""." .""",.."..
14ednesday 10th June 81
on ........,............................, the ..............,......................, day of .................................................. A, D.. 19...........
at the age of .......~.~.... years,
That the said ~~~E~,~,~~....~,:....~~.~!~~.........,.......................... deceased, left surviving the following
named widow or -husband, heirs and next to kin, to wit:
Name
Relationship
Mother
Nancy F. Goodhart
................................................................
............................................
Homer D. Simms
................................................................
Father
............................................
Bonita D. Simms
.~~.~~.~,~..\!'!-W7,.,m."",',..
Sister (age 16)
............................................
.~:!-,?~,!'!,!:..\~~e."~~),,.,"" "
................................................................
Karen R. Simms
................................................................
Ami J. Goodhart
................................................................
................................................................
............................................
................................................................
................................................................
............................................
................................................................
................................................................
............................................
................................................................
................................................................
............................................
................................................................
That those above named include all of the next of kin, so far as known.
The said decedent was possessed of personal property 10 the estimated value of $......,;::9:::...................
and of Real Estate, less incumbrance, to the estimated value of $..............::-,Q.-::............ as near as can be
aseertained.
That the said Real Estate in so far as is known is located in ,I.'!!.~........................................................
........................................................................................................................................................................................
Therefore. your petitioner(,() respectfully appl)'(ies) for Letters of Administration in the above
named estate,
Dated .............................;r~.1.y...,?"...., A, D., I !)..~,L
Signature and Address
of Petitioner(s)
""',.,""~z;~~~,~:CJ;;~~~.::t,..,',..,...
6", M);',(I,~n"M~,a,dD,w..,D.r."",.."..."",.....".....,......"......
Carlisle, PA 17013
........................................................................................
........................................................................................
COMMONW~;ALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
1
1 RS:
....., ....",.."....,." '..,.".."..,.."""",."""", ,~J':l!1,~;{.",~,:",,~ ~.~9. !1,a..r.~"..""""",."""""""""",.."""""..""....""", named
in the above application being duly ....,:?,):/P.r.l)............................... accordini( to law, sa)' that the facts set
forth in the above application are true to the best of ,!!,'?r......., knowledge and belief.
........................................... .............., and subscn Jed 1 ~]};~:..;.~~';..:'..,~....,....>Z..:,~;;X~";"f-...........
""l'..'NAN61."f?'G'iiODii~RT"".....,"",.,"""',......
~r:~::S::g. A " ,,:: Imm
....,?:?./:.(/f;~. ..",{/,.,,,;)';:i,;..7>,,.,:/,..,,,,., ,.".,......,.
\. 7
.. Register
........................................................................................
Filed: ,..."."...,r,\!ly..,;;!...";!.9,al.".."..".",..",, "".."
// -.;{7/- 'i rs -2m.
Allol'lle)': l,nl:l~~~tN~~~~bte~~~~~e'~t..'..,
(o,'er) Carlisl.e, PA 17013
OATH OF PERSONAL REPRESENTATIVE
COMMONWgALTH 01' PI';NNSYLV ANI A
COUNTY OF CUMBI~HLAND
1 ss:
Nancy F. Goodhart
".."....,..""..,','" ,..""""""......""""",.."""",.""",.,""""',..,,..,"",.... .""."."..",.",.",.."""",.."",.,',.,.".." peU lioner (")
being duly .........................~~.?~~..................... accoJ'dill!( to law do ?,~......, dellO"e and Hay that a" the
admini"tra t<r.J..l\....... of the e"late of ...."aax:b,(l,r.a..,K....S,1.IIIlU.s..........,.......,..,..............................................
..............................................................,".............".........................."."........,.....".........................................................
decea"ed ......................., will well and Irllly admini"ll'r Ihe l!oodi\ lUll' chattel;;, r-ig-hli\ lUlll credit" of "aid
decea"ed, according- to law, And al"o will diligent I)' COlllpl,\' with the provii\iOllH of the law relaling
10 Tran"fer Inheritance".
,..' "..,..""..,."",,',.., "~:~!:?,!;,~""""",.. and Hub"cribed
before me.
....."................,....J.)),;J..Y...,?,........... A, l)" 19..$.:1....
&11/1.//... ,if;;""..",;"...,.,....""..
DECREE
=!.l!:~:~'~rd"i!'G.6~~~?(.0;.~t..,.."......
..........................."...............................................................
Be it remembered that on the ...........?mL.........., day of .................,J:ulY..................... A. l)" 19...~.)"..
Letters of Administration in the estate of ........!?,'!:!::I;>,~,f.~..,K.,....?t.ml))~...........................................................
., ...........,.,....",..,......,..",..,...."..""',.......,"",....,',...,,.. la te 0 f ~,() !;.~J:1",~,1-, ~,?.~, ~,~:?, 0." ,1'.~~n,.~ D. ~,ll..."", ,.." ,..........
Cumberland County, Pennsylvania, deceased, were granted LO .......Nanc:y..,F.,.....Go,odhar.t.........,.........
........................................................................................................................................................................................
Witness my hand and official "eal the day and year afoJ'e"aid."), ,y)
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COMMONWf"~~N~VlV"NIA
Of.I'AR1MI,NT or A(V(NUf
IUUAU 0' IXA"'INAnON
P. o. Boxn311
UAIlRISI\lIIlG,I'^ 11105
L
INHERITANCE TAX RETURN~
RESIDENT DECEDENT
1/-)7/-'-/ FileNumber :.;,I-~\ -Ylin
DECEASEU
CHECK
APPRO.
PRIATE
BLOCKS
Decedont's Nomo (Lost, First, ond Middlolnitiol)
SIMMS BARBARA K.
Sociol Socurity Numb" 0010 of Ueath
June
10, 1901
Docedent's Address
lJ Ur'een r'leaclovl Drive
Carlisle, PennGylvania
17013
1. Origin.1 Ratu", lliJ
2. Supplemental R.Mn 0
3. Remainder Return 0
4. Lil. Estato 0
CORRE.
SPONOENT N.mo Albert H. ~lasland, Esquire
Irwin, Irwin & Irwin
Telephon. No,
(717) 249-2353
5. Fedoral Estalo Tox 0
Return Required.
6. D.cod.nl di.d IOStat. 0 7, Oec.d.nt m.intained. living 0 8, Total Number of safe 0
(Att.ch copy of Will) trust (Attach copy of trust) deposit boxes inventoried
All corr.spond.nco .nd confidenti.1 tax inform.tion should b. direct.d to:
Compotat!on of Tax
15. Amount of lin. 14 tax.ble at 6% rate (15) -0-
Uncludo values from Schedul. K}
16. Amount oflino 14tax.bloat 15% rate (16) -0-
Unclude v.lues from Schedule K)
17. Principol tax due (add tax from line 15 plus tax from line 16)
18. Tot.i Prior paym.nts:
(a) Amount Paid
(bl Plus Discount
(c) Minus Intarest (18) -0-
19. 8.I.nco Due (lin. 17 minus lino 181
M.k. Check Payable to: Rogistar of Wills, Agent
... PLEASE RECHECK MATH'"
RECAPIT.
ULATION
AND
TAX
CALCU.
LATION
Recapitul.tion
"
2.
3.
4.
5.
6,
7.
8.
9.
Rool Estat. (Sch.dule A)
Stocks ,nd 80nds (Schedule 81
Clo58ly Held Stock{p.rtnership Interest (Schedule CI
Mortgages and Notes (Schedule 0)
Cash & Miscoll,neous Personal Property (Scherfule EI
Jointly Owned Property ISchedule FI
Transfers (Schedule GI
Tot.1 Gross Assets (total lines 1-7)
Funar.1 Expenses Administrative Costs/Misc.llaneous
Expenses (Schedule H)
Debts{Mortgages/Liens (Schedule I)
Tot.1 Deductions (total lines 9 & 101
Nel V.lue of Estate (line 8 minus line 11)
Charitable 8equests (Schedule J)
Nat V,lue subject to tax lline 12 minus line 13)
Address
44 south Hanover Street
10.
11.
12.
13.
14.
City
Carlisle
State
PA
Zip 17013
11)
( 2)
( 3)
( 4)
( 5)
I 61
I 7)
-0-
-0-
-0-
-0-
2,~00.00
-0-
-0-
I 8} $
2.~00.00
( 9).
(10)
;>,~04.00
-0-
(111 ;>,')04 00
lI2) ( 4.00)
(13) _0_
(14) (4.00 )
x,06= -0-
x.15= -0-
(17) -0-
lI91
-0-
Undar penalties of perjury. I decl.re that I have examined this return. including accompanying schedules and statements, and to the best of my knowledge
and belief. it is tru., ER.\rect, and .compl.te..Declaration of preparer other than the personal representative is based on all information of which preparer has
~ owledg.., '.J g~ . j "'.. ;, !
Ci:.,U::. r. _~/(,--;.rrJll (':.,1..- lJ Green ['1eadovl Drive q 9 23
SIGNATURE oF PERSONAL REPRESENTATIVE(SI AODRESS I 10ATE
Na~cyv. Goodnart
'I'( 5cuti, fI",..,"'- JL
AODRESS
f}//f/3
DATE
COMMONWEALTH OF PENNSYLVANIA j
INHERITANr.E TAX RETURN
RESIDENT DECEDENT
REV.1513EX+ IUIJ
ESTATE OF
ITEM
NUMBER
1.
ITEM
NUMBER
1.
SCHEDULE "J"
BENEFICIARIES
BARBARA K. SIMMS
-.
FILE NUMBER
,') I - Y f <VI ~
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT
A, Taxable Bequests:
NONE
NAME AND AODRESS OF BENEFICIARY
AMOUNT
B. Charitable Bequests:
NONE
TOTAL CHARITABLE BEQUESTS (Also enter on line 13. Recapitulation) $
(If more .pace I. natdad Inlart addltlonal.he.tl of .ame Ilzel
COMMONWEALTH OF PENNSYLVANIA I
COUNTY OF CUMBERLAND J
55:
__'_NAiiCY F. GQQDJ!.~H'r _____.__d'____'__
b.ing duly Sl-lOrn according to taw, dopos.s and says that she is t J'IO
Administra.t.ti;L_____,_______ 01 the Estat. of ---DarbaI'a K. Simms
lat. of ____,..,.,_'m _, ,__ _CJ'\l~lis],c,. __, ,__,____, Cumb.rland County, Po., d.c....d and that the
within is an inv.ntory mad. by __lJanc..\L-.-E-.-__QQ,Q,dI1AI't ____.__, the said Administratrix
of the .ntir. .stat. of said d.c.d.nt, consisting of all the p.rsonal prop.rty and raal estate, excapt real estata outside
th. Commonw.alth of P.nnsylvania, and that the ligur.s opposite .ach it.m of the Inv.ntory r.pres.nt it's rair valu.
as of the dat. of d.c.d.nt's d.ath.
\
L/}/f /;/ tI I 1
I ( u-->\.A..-'-j -;, ,;ynJ--v[A( o.-..-t..-
~R~or . Adminhtrat.. rix
NANCY F. GOODHART
6 Green Meadow Drive
lOR
,I,,; r t
, '( CC~;':,lISSION EXPIRES IlF ,',' ,
Member, Pcnnsylv:mia t'i~,~ot;ialI\JlI oj NUi~l!l',j
CarliRle, Pennsylvania 1701~
Addr."
Date 01 Death
10
Day
June
Month
1981
Yair
INSTRUCTIONS
I. An inventory must be filed within three months aft.r appointment of personal repr...ntativa.
2. A .uppl.m.nt inventory must be filed within thirty days of discovery of additional asseh.
3. Additional .h..ts may be attached as to p.rsonalty or r.alty
4. . See Articl.IV, Fiduciari.s Act of 1949.
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REV, lS47EX 13-831
BUREAU OF ACCOUNTS SETT,EMENT NOTICE OF INHERITANCE TAX '
PENNSY,VANIA OEPARTMENT OF REVENUE. APPRAISEMENT, A,LOWANCE OR DISALLOWANCE ,ACN 101
HARR~S~U~g,ip~OS~7\05 .! OF OEOUCTlONS, AND ASSESSMENT OF TAX 10m J -l1- :<
._'-.~_"'.-'-.-<-~ .'.~.. _,__~~..".,_.,..~_.,"__~__"_.,-.,,_ " _,___,..."''''..._. ,.....,--..Q,,, ___8, ~~_.,.~
ESTATE OF SHIMS BIIRBARA !: FIl.E NO, 21 81-0396
Q,ATLoF O~TH ...JL6,::J.o-=ll.1.---,--- ,________ ______.' ,_____.c;,OUNIY.---,c,VMB~RLl\N,Q,--- -----,----
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY, MAKE CHECKS PAYABLE TO "REGISTER OF WILLS.
AGENT II .
~LJ~ ..A!-9~~ _ ~H]~ _L!N.E. . _ . .--: _ .R~~~I~ _ ~q\J~~R. ~9f'l~19~ .F.O_R. '(91,lf'l.R.E~9.R~~ - ~-- - . . . - . - - - - - --
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR OISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
REV, 1547EX 13-831
9, Funeral Expenses/AdministratIve Costs/Miscellaneous
Expenses (Schedule HI ( 91 2,504.00
10. OeblslMortgages/Llens (Schedule II 1101.00
, 1. Total Deductions (1)
12. Net Value of Tax Return (12)
'3. Charitable/Governmental Bequests (Schedule Jl (13)
14. Net Value of Estate Subject to Tax (14)
NOTE: If an assessment was previouSlY issued, lines 14, 15 andfor 16 and 17 will
reflect figureS that include the total of JaiL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of line 14 taxable at 6% rale
16. Amount ot line 14 taxable al 15% rate
17. Principal Tax Due
TAX CREDITS:
J
ALBERT H MASLAND ESQ
IRWIN ETAL
44 S HANOVER ST
CARLISLE PA 17013
EST ATE OF SIMMS
BARBARA
K FILE NO,21 81-0396
T AX RETURN WAS: I >: I ACCEPTEO AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISEO VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate {Schedule Al
2. Slocks and Bonds (Schedule 81
3. Closely Held Stock/Partnership Interest (Schedule Cl
4. Mortgages and Notes (Schedule 0)
5. Cash & Miscellaneous Personal Property (Schedule E)
6. JOintly Owned Proper tv (Schedule Fl
7. Transfers (Schedule Gl
8. Tota\ Assets
APPROVED DEOUCTIDNS AND EXEMPTIONS:
f-
I
\
I
I
PAYMENT
OATE
RECEIPT
#
DISCOUNT I+)
INTEREST H
. IF PAlO AFTER THIS OATE SEE REVERSE FOR CALCU,ATION
OF AOOITIONA' INTEREST
PLEASE RETURN THIS
PORTJON TO REGISTER OF
WILLS IF PAYMENT OUE
ACN 101
DATE 10-n-83
I CHANGEO
I 11 .00
I 21 .00
I 31 .00
I 41 .00
I ~ 2.500.00
161 .00
I 7} .00
181
2,500.00
2,504.00
4.00-
.00
.00
1151
1161
.00
.00
.00
.00
.00
X,06=
X.15=
1171
AMOUNT PAID
TOT A, TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
.00
.00
(11 Balance Due 15 less than $'.00 no payment is reQuired)