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OATH m' SUBSCRIIIING WITNESS
COMMONWEALTH or PENNSYLVANIA I ss:
COUNTY or CUMBERLAND f
This 1st day of September A.D.,19 81 ,
before me, Regisler for the Probale of Wills and granting letters of Administration in and for said COUl1ly of Cumberland, in
the Commonweallh of Pennsylvania, personally callie
W. R. !1Jore
the subscribing witnesses 10 lhe foregoing instrnment of writir,g purporling to be the last Will and Testament of
Ethel L. Miller
Daled
December ,1957
late of Camp Hill Borough,
Cumberland County Pa., deceased who being duly
sworn according to law, depose and say, thaI. he was
present, and saw and heard the lesl. trix
Ethel L. Miller
sign, seal, publish, pronounce and declare the said
instrument of writing as and for h er
Teslament and Last Will, and at the time of so doing
she
was of sound and disposing mind memory and understanding, to the best of his
knowledge, observation and belief.
Sl.um
~~
and subscribed before
~ ?tf.
. 7' (t,. /'lU~~ ,
j RegIster
An-IDA VIT OF DEATH
COMMONWEALTH or PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND f
Earl L. Miller
being duly
sworn
says that as nearly as can be ascertainerlthe said decedent
Ethel L. Miller
died on
Sunday
the 25th
Jan~
A.D.,19 81 ,
day of
at or about._______o'clock, _----1>1.
Sl.um
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and subscribed this
.10th day of
19. 81;~;J?
_ L./ '/''-4,
Aup:ust
X.J-"/'
Register
4dlJ
OATH Qt' PERSONAL REI'RESENTATlVE
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 eame
who. being duly sw:>m
Earl L. Miller
,do es
depose and say that as Executor
of the last Will and Testament of
Ethel L. Miller
deceased
will well and truly administer the goods and challels, rights and credits of said deceased according to law. And
also will diligenlly comply with the provisions of the law relating to Transfer Inheritances. Sworn and subscribed before me.
August 10. A.D., 19JiL --_/~ ~)..Jl\(I)l'LCh /0,
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DECREE
Be it remembered that on lhe Is t
day of
September
,A.D..19~. there was probated and
recorded the last Will and Testament of
Ethel L. Miller
late of
camp Hill
, Cumberland County. Pennsylvania,
I)c(:easrd. Lelters Tes tamentary were granted to
Witness my hand and official seal the day and year aforesaid.
/13:&
Earl L. MilleT
, '
I~'
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(l{;~(/.~/
/ Register
REV-51l1 U-eO}
COMMONWEA~ TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
, RESIDENT DECEDENT
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES
(Instructions on Reverse Side)
COUNTY FI~E NO" ," _.(/'-
/1- J{)S- 'f
*
:)"3(; BUREAU NO.
INAMtol
of l713 Cedar Cliff Drive, Camp Hill, PA 17011
(A DU'~ ", S~,)
Earl L, Miller
heing duly sworn acenrding lOlaII', deposes and says Ihal he,~ is Ihe Executor
(EXl-_C., ADM., I.FOAlId:, ElC.1
of the estale of Ethel L. Miller
laic or 1700 Market Street, Camp Hill. PA 17011
(Sll,EET AOtJRF.SS)
deceased and thai the whole of Ihe eslate or said decedent, who died on
Januarv 25, 1981
IDA Tn
consisled of the assets listed he low and that allowahle dehls and dClluelions e,xece,kd Ihe r,dr Illarkel vnlne of the
assets and no Pennsylvania Transfer Inheritance Tax is dne. _c:;(':L, (1.1') /) \.lV~,,- Executor
{~I(jNATUREV' (TITLE)
TYPE OF ASSET
ASSETS
ESTIMATED MARKET DEP.'RTMENT VA~UATION,
VALUE OFFI;. s '
Pamsylvania Rent and Property Tax Rebate
400.00
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TOTAL
400.00
(OFFICIAL USE ONl Y)
I do hereby certify that the ahol'e asscls wcre appraised ~n acco anee with Pennsylvania law.
....- t<.,,)
APPRAIS R
/11-../ t-i/
DATE
NAME OF PAYEE
DEBTS AHD DEDUCTIONS
NATIlRF OF ('LAIM
Funeral Expenses
Final Bill
Legal Fees
Letters, Certificates & Filing Fees
AMOUNT C~AIMED
2,462.00
513.23
lOO.DO
17,00
Gilbert W. Partherore Funeral Hare
Nightingale Nursing liane, Inc.
Jon F. LaFaver, Esquire
Register of Wills
TOT Al
(OFFICIAL USE ONl Y)
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~)Cht,' n c,d uctions arc allol','d in :Vbe UIll of ~ - ,<',,_....:::L~
e ~ ,/) 0;( !"
'a'f ?'. /' "IJ/'€" -A--=:..Z:::""'~
[0;1:;'- Of' 't.,:..LS- / l'All'
A~~ET~ _ Doscribo all Raal Estato located In Pennsylvunia and held ,aloly by decedent or held lolntly with another party
or partlos os tenants in CORman or os loint tenants with right of survivorship. Include tho decedent's percentage alawnonhlp
and the estimated markot valuo. LI.t all tangible and intangible personal p,aperty awned individually by tho decedent or
lalntly with anathor party or portio. o. joint tonants with right 01 .uryiyorship at the timo of doath. Include intangible
ponanal property titlod In tho namo of the decedont, but payable at death to another party or portio. including but not limitad
to P,O,D, U,~, ~aving' Bands and tontative trust accounts. List ony proporty translerrod by the decedent, within two years
01 doath lor which he/.ho did not roceivo valuable and adequate con,ide,atian.
DEBT~ & DEDUCTION~ _ Un.atisfied liabilities incurred by the decedent prior to hi./her death aro doductiblo again.t
hl./her ta,abla estate. In addition to debts incurred by the decedent, ather items ore claimable including the ca.t of
admlnl.tratlon, olfarnay leos, fiduciary I.e., funeral and bucial e'pen.e. including the co.t 01 a burial lot, tamb.tano or
irava marker.
Eyidence to support tho decedent'. or the Estate'. liability lor the debt. being clalmod .hould be olfachod to thl. roturn.
A lamlly e.emption of $2.000,00 may be claimed by 0 .pou,e of 0 decedent who died domiciled in Penn.ylyanio. II there
I. no .pou.e, or if the spouse ho.lorlelted hlsfher rights, then any child of the decedent who is member of the .ome household
can claim the exemption. In the event, there is no such spouse or child, the exemption can be claimed by a parent or parents
who ore members of the same household as the decedent.
INSTRUCTIONS
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INFORMATION
PLACE FOR FILIIolG _ The return Is to be filed in duplicate with tho Reglst.r of Wills of tho county whe..ln the decedent
re.ided.
TlMEJ'.OJ.Lflb.ING _ The return i. due nine month. after the decedent's death, unle.. on ..tension lor filing ha. been
applied lor and granted by the Secretory 01 Reyenue within the nine-month period.
E.~I-"URJLI0J'I_L_EJtEIVJlli _ SeClion 79\ of the 1961 Statute proyides that" , . .ony penun who willluily fail. to Iile
a retum or other report required of him .holl be p.rsonolly liabl.. . .to 0 penalty 01 25% 01 the tOK ultimately lound
to be due or $1,000 whichever i~ the less to be recovered by the Department of Revenue os debts of like amount ore
rCtcoverable by law."