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HomeMy WebLinkAbout81-00396 ,\ f:ll H ~ :> .~ (J) .~ P'l ; p., (J) >< . E-i p., ~ H ~ (J) ~ Z H Eo< ~ (J) H ~ Z 0 o.!l H Eo< (J) P'l Z >-'l H . 0 ~ ,~ ;.; 0 H H CL ~ ::;: . "",. . 0,- ~ z .~ ~ H f:ll 0 ~ ,... Ol Z H CX) . ,... - C\I 0 " <II' .' - ~ 0 co - z all 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) ~.,., /,' ~ ., ~'~ / /." ,C!. ,/- ?'-" ./ "'.."""'..".,-Z,01.:7,.,,"=,..,.~.., ,~i.(.:~~~T~.r""".. n . C?h ex> ,,'" ~ S=n ",'" ..{~ ",n _0 (,tl', = Cl'l:D rn '~-10 ~D = ;:::::--0 ,,~M , "1 I '9 ~~:c ~ ,:::" '::IZ :-, C'C:; 0 .::~ ,~ "n ., ,..; ."':"1 , ,^. " ~ q.OO IlEV.\SOOEX+(H2J ~ 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. ::, I. ," ~~~:' ~: (,', ?= >- ..; Z ~ I- UJ ~ H ~ '" I- '- ~ ;3 UJ < ~ 0.. I- 1 u 0:: 0 II> (]J .. ~ ~H 0 UJ UJ 0 '" :t '" H ~ I- 0.. LL Ul ~ 0.. c"" I- ...J ~ Z < 0 'M 0.,. LL ...J ~ H 0.. W < UJ :1:,- 0 '" H ,;. <I:: rzl > z oJ . 0> Z 0 C 0 l.l ~ 0:: II> Z 0 H .; '" ~ U Z w '" ... 0.. "0 . c Z ~ (Q - -;: H I 0 - ~ 0> I J> 0:: I ~ E "0 ... H 0 I . ~ ~ 0 ~ I ..J U u: CD I I I I I I , I ! I I I i 1 I i I i \ I I I \ I \ I I 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)