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HomeMy WebLinkAbout81-00539 ~ H ~ es >< t1l Z Z [il . I>< >< E-< . ~ :t: r" IX: ::> . [il g IX: 0-1 ~ 0-1 0 H I%l :lE: r.. :3 ItS . ~ 0-1 H :t: . 0-1 r.. (il ~ ::rl Z ~ E-< 0 (il U t") T- GO I ..... or- 0 C\I ~ ". .... \D . :J -1. w (. , 4 ., 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 C' / ->:::., C. f~)' G(; .~- J. \- ,.) . \ ,00,<- ,\ , ! I} '.L.. 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, 'l)J '~ I 0/(1ul'/ @.' 'v ~/.~ . j" RegIster he :..,; .-i 1 ~ ex::< :Ol 01 . III ~r :" \.0: : III jO CXl: u.. ~ ~..: ..-I: 0 QJ: ",i ..-I: a') ..-I: Ql: ;f; ~ .0: M ~ -I 8 s; lI'J .-l; Ql: II'< -I I:l:I ..,: " .....: - 0; ..-I: - Ql: - Ql: .~ 00; ~ -Bl ~ till " ,... ; ..-I: ~~ .5 enj N; 'tl 00: N: III "='~ . 0 'tl ,... j .. Z 0 " N~ .s ~ &b 1l 0 S 'tl - ~ ~ .~ <Il r.. Z ~ Ol 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~' / / . I,' -- /1///11' / I :/ (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 ." c.:\~ " , -- c." . . , I W. - ", ~~.J ",c, -", 0.. ~.:~"? u'-' """ ::.0:,:1 '" - a: F> ~;w <.' 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) q A'l5? -i ' ~)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 r \l 0 n > m > ~ z > 0 0 0 VI 0 r C'l n c: 0 ~ Z 3: Z m > r m ;>; z ;0 P Z P z m ~ m ~ p Z ~ -< VI m VI p VI 0 -l Z 0 ;0 P ." ." > -l 0 Z \ \ \ -< m > ;0 -< m > ;0 o '11 :!! !:2 :I> r c: l/l 111 o Z r -< 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."