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~O, 21-81
PETITION FOR LETTERS OF ADMINISTRATION
IN THE ESTATE OF ""John,L.",l'.l;\elE;!.y"""""""""."" """"" DECEASED.
To ....~;y..9~...~~.,...........,.....,.....................,.",....................... .......................
564
Register of Will~ flJl' the COllllt,' of ('1l1l11,edalld, ill Ih" ('OI111l1on\\'eallh of I'enns,'lvania.
The Petition of """ ,.):(;m" f.,,, ,~<l:Y!!J;'"" ,,,,,.,,,, "" '"'''' ,,,,,,,, """ '"'''''' ,",'" '"'' "." '"'''''' ,,," ",,,,,,,,,,,,,,.,,,,.,, """
."""""""""", ".""..""", ,,,,,,,,,,,.,,,.,,,, re~lll'ct filII,' ~howel h 1 ha I ",J.ahn.,L.."Eee1ey.""", """,,,,,,,,,.,,..,.,,,,,,,,.,,,
wa~ u resident of ,~~,,~.e.r.~''''''''''''''''''''''''''~J' h . ('1l1l1he1'iand Counlv, Stale nf'Pennsyl.
,flJ"OIlg' .
vaniu, and a Citizen of United States. and departed this life illte,tate in the COllnty of ".""""".""."""".
"."~Y.m9..."""",,. and State of ,,,,p'~S'y'~Y'lI.ri.:a.,,,,,,,,,,,,,.,,,,,.,,,,,,,,,,,,,,,,,,,,.,..,,,,,"""""",,,,,,,...',,,.,.,,,,,,,,.,,,
on ""."~,l;)g,@'y.."""",,,, the """)2,.,\:1)""""""",,,,,, da,' of """""S~p!;~,~r."""""""""" A. D" In,,~~,,,,,
at the uge of "..11(+"""" year~,
Thut the ~aid """"".):q!m-",~,,,,f~~~!!y.,,,,,,,,,,,,,,,,,,,,,,,,,, ""'''''' deceused, left sUl'viving the following
named widow or husband, heir, and next to kin, tn wit:
.,,,Wg~~,,~:,,,f.~~e:>.',,,,,,,,,,,.,,,,,,,,.,,
Son
Residence
1538 Brandt Avenue
,Nm-I"~~);l\mg.",:r.A..,...l?'QZP.."",,
Name
Helationship
That those above named include all of the next of kin, '0 far as known.
The ,aid decedent wa~ pos~e~~('d of pel'~onal property In the ,,~timate,1 value of $".~",QPP".9.Q""".""".
and of Heal I.;~tate. le~s hlcnmhr:lllce. to the estimat"d value of $JQ"P.9.Q"PP"."".""" a~ near us can be
ascertained.
That the ~aid Heal I';~tute in ~o far as i~ known i~ located~ il!;"l~),!.!"~r.@.9LA..~\w'...~~".""
Q.mIberland Borough, CUmberland County, Pennsylvania.
...........................................,...,.............,'....,......................,.............................................................................................
Therefore, your petitioner(!lC) I'e~pectflllly appl,'(ie~) for Lettel's of Admini~tration in the above
named estate. I:
Uated ""~/,,:/L,l:jl~,11illir:J A, 11,. l~',~.1.P
/ . .. , 'S'I~Jliattj1f!Jl~"1 Addl't,,, /
S: ,d 91 "J~f ~g; il ;OIH'" (, I
('-~- .!. ~.,
,~.,_ 1~. ,'__... ., , /
-i i'f:be. a U>'-
// cID,:F:Pwa~~P'Es"'iiirc"""""....." ~"...,,"
317 Third Street.~ 101
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New c'\mber1and, PA 17070
rfl/ .3/ - 6~ I
//-.3/1-/
b~ ,)34\
COMMONWEALTH OF PENNSYI'vANIA
COUNTY OF CU~tnEHLANIl
Jon F. Waver
""".",,,,,,,,,,,,,,,,,,,,,,,,,,,,"""""",,. "" ' '" ,."",.""",,'" ..",. .". .."""., .".""",,,,,,,,,,,,,,,,,,.,,,,,,,,,,,',,'"'' named
ill the above IIJlplication being' duly """"~!:11"""""""""",,..,,'" a<'cording' to law, ""~' that the facls set
forth in the IIbove IIppliclltion are trtlc to the 1","t of "..his."", knowledge and helid.
bef e I .....,..".."~);,,:,.'.,,(>':~;i...:q;!,',",:.',':::::::::::::',:::::
, 'I" ".,.".,"" .,..,.',..,.,,,-,1,, ,."" ",',', ,I,.,'.. 7?: ",(,..,,':,:', ",,', ,1'0/"'/"_ ",{,.~", ,(,',., ",.,','---."""".., ~ .. __.
::::~~'~:""m ':",,''''::'"'' 1. . .m~_
"..~1ld1"l!.":"~~~~'i'~~~~''''
Filed: .. """~~,p.~.~m)?,~.:r.",;rr.J"..+.9,~l",,.... '" '"''
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.......",.....".............................."..........',.......,,,.................
Altol'ney: ",,~!m .F.,,,,Y.\f!!~.r.,,,,~!lm~g~.,,,,""'"
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF P~~NNSYLVANIA
COUNTY OF CUMBEHLAND
} ss:
."..,,,...,,,,,,,,, ""'"."""'".,J.l?P."f..:."~~~~",,..,',.,"',,...,""',.,.,""""""",,,,,,,,,,,,,,..,,,,,.,,.,,,,,,,,,,,,,,,..,', petitioner (x)
being duly "...."Mm."".""...".."""""..."""". according to law do es.",,,,,. depose and "ay that as the
administra t:.9.L"".". of the estate of "'".JRJ:m"r,.,,,X~~~~y.,,",,.,,,,.,,,,.,,"""""",,..,,"''''',,.,,'',,...,,'',,.,,..,,"........
..................................................................."......................,........................,...................................................................
deceased ......J~""""".. will well and truly administer the goods and chattels. rights and credits of said
deceased, according to law, And alsu will diligentl~. comply with the provi~ion~ of the law relating
to Transfer Inheritances.
..........."""....,~m"""......."...".,'" and subscribed
before me.
"'zJ;;t:,.~m'Q. .~1."...lp,."..."...." A, D., 19,81...,.'
Re~~fLr.'.~..:~~,......."'......,,\ ""."."",.,.,....""",.",...,.................."....".................",..........
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DECREE
Be it I'emembered t.hat on the ,,,.,,....JItl1,,..,,,,,... day of ......,S,ep,te.m.be.t:......"......".. A, D.. 1981.....
Letters of Administration in the estate of """...J..o.~'?"..~,~..,f.~.~~.~Y.""......""...""........."....."."................ "" ,
..........,,,,,,,....,....,.,,...,..,.,...,,",..,",..,"" ....... ..... ........" late of .",..,..,,,,, JJ.!l.w... ,C.1,Imll e,J:.lfl,o.d, .......",...... ....."..........
Cumberland County. Pennsylvania, deceased, were granted to ......,..J.9.r.\..f..".Ll\EIU!j;,J:",,,,,.....,,..,,......
.........."..,............................................................................................................................................................,............
Witness my hand and official "eal the day and year aforesaid>)_" i . )
,.,..,',.,.,..",~1,c:~....e..".~~i;~......
Invontory 01 tho roo\ and porsonol o.loto 01
.____.:!0lu1 L. Feel~y_____..
docoo.od.
~ --~._-----_._-_.-_.._--.~--.__.~-----
-----_._-~--_.- -------
1. CCNB Bank, N. A., Checking Account f/OOO 269 072 5
2. PA Railroad Voluntary Relief Dept. - Death Benefit
3. Net Proceeds fran sale of household furnishings
4. U. S. Treasury - Railroad Iunp Sun Death Benefit
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14,608 56
1,252 55
853 34
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COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND J
5S:
boing duly ~m.____._ according 10 law, depo,e. and s.ys thot ho.. is th~._,__~._.._
___._.__.....Y~~!QJ:...._ ...__' __.' 01 tho E,tato 01 _ _.John_LJe.eley.
lote 01 J;be.ll9rQUgh of New Cumberland..._..._,.. .__, Cumberlond County, Po., deceased and thot the
within i. an inventory mode by ........Jon.F.. ..Waver.......--..... ..- -. --.-.,-, the soid Arlmin; stratrn-
01 the ontire estate 01 ,aid decedent, con,i,tlng 01 .11 the porsonal properly ond real e,tote, except ..01 estate outside
the Commonwealth 01 Penn'ylvanio. and that tho Iigure, oppo,ito each item 01 the Inyontory repre.ent it'. fair value
0' 01 tho dato 01 decedent', death.
Jon F. Waver
..-..------^...- ._---_.- ..._.-_._---~..__.__.-- ._....~..-
........-.-.---.---.--."
Mn'ch 2
19.~_
.;A./:. i-/ch f.L
~'.__ " ?)'ibS-/t::~~-
\. ~. Administrator
'-
S\oloITI
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? ,-?~_c.-'e:e-
SUtJRne M. lc~ydl~. '! ulY Publi!
MV Commiuion Exf;IU- a'l. 1), 1983
M.. Cumberi&nd. PA Cumberl..d Coon"
--.'
&-
-..---.--...---.-----.----..--
317 Third Street
New OJnberland, PA 17070
Addr."
Date 01 Death __.__._lZth-9ay....DL._.--September.--..-.
Day Month
19B1
Vu,
INSTRUCTIONS
I. An inventory mu,t be Iiled within three months alter appointment 01 personal repre.entatiye.
2. A .upplement inventory mu,t be filod within thirty day' 01 di,coyery 01 additlonalanol..
3. Additlonol ,heets may be attached 0' to personalty or re.lty
4. So. Article IV, Fiduciarie, Act 011949.
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No.21.:':.8.1.............561
Renunciation and Request
------
In the Matter of the Estate of .".."."\./~::/:!..f.I,....""4,:,.".."fi.C.?c,.(,~~/""",,,.,,"""',,..,...."",.,,,.,,,,,,,,,,..
To ...."..Il..2.d:1.s.,..""."".,.C...'''.."~-!.:1:.~{r..~!."$.:.'''''.,,.,,.'''''..''''.""."",,,.,, Esq., Register for the Probate of
Will, and granting LeUers of Administration for the Cou nty nf Cumberland, in the Commonwealth of Pennsylvania.
-
.,.-::+".", the undersigned, being the .,.".".,f..t,?:J".",,,.,,..Ci.,::'-::.,,'/,,,,,,...,,,~::~.Q./<:".,,.......I7..E..,l.>""",.....",,,,,,,
t'l1- d-CtL~'-
..................................................................................................................................................................................................
...................................................................................................................................................................................................
...... ..........................................................................................................................................................................................
.......................................................................................................................................-...........................................................
9 f '
do hereby renounce ....."",..."..?7.:~iJ:...."'.......,,..........,..right to have Letters ..,.r:.f........../.,.r!..e.,l.:.,~:!.:5,:b:.() f-<:r.-,
.,..........."..,.....,.....".."",.,..".."".."',.,'"..".,,...,.. on said Estate issued to "....J!."2:::,.~~..................".........................".....
.,....",."......",.........,.,.,.,...".....,..""..."."....",."",.,,..."."..,........ ",."""".".,...",..."....." and do hereby request you to grant
the same to .."..,~/.t;.ll..:..",....i.~.-=....?..ljl.d..f:.E~."...,.,.,...."......",.",...."..........,..,......,............................
') th,'S,.". ."...,."" ../,.,../f""./;.,..,I,..".......",..........,..".,......,"...."".......
Witncss.",.""]..,.h.nd,.,.."",,.,.,and seal...,..",..,,,,
day of .,...\'f;t..f:':'.?,:..~f.~.."....."..^, 0, 19"r.l.
Sealed and delivered in Jll'e~enee of
,/ 0
_ &,' ,', 1 01
'I /-..
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./h!::./47~::c.,.::..i!..:.&.~.f4...(L. S.'
,..",....,.,.........,..........,..............................(L.S.)
..' ....................- ..........................
.."..,..",.....,.,.""",."................,................(L.S.)
..., ................................................
.....,.............,..............,..............................(L.S.)
.,...................................................
..,.....,."....."...,.,.,.,..."..............................(L.S.)
...................................................
. ......,,, ...,.".., ........, .." ,. ........................... (L. s.)
.................,...",..,,,,,,.....................,........................ ,......,..".....,.,.,.....",..................................(L.s.)
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REV.1SOO EX"19.81l
BUREAU OF EXAMINATION
PENNSVLVANIA DEPARTMENT OF REVENUE
P.O. BOX 8327
HARRIS8URG. PA 17105
INHERITANCE TAX RETURN
RESIDENT DECEDENT
1- ((-
Fllo Numbor ..a.l:: ~ 1- 0510 i.f
Oocedont's Namo (Last, FirSl, and Middlo Initial)
DECEASED 2.2.\e.\J._~J). \...
Social Security Nulnlm Data 01 Death
og~ -lk~1
CHECK
APPRO.
PRIATE
BLOCKS
111,,-/).9.
1. Original Relurn []:I
Oeeedonl's Addrm
\ '538 fll"a. I'\d..-l 1\ 1IU\LLt.
NllJJ Q.Ul'l"I'oQ.l"I"-,,d, PA 111:"c)
2. Supplemental Return 0
3. Romaindor Return 0
4. Life Estate D 5. Foderal Estate Tax 0
Return Required,
6. Oecedenl died testate D 7, Oocedent maintained eliving D B, Number of safa depo,it 0
(Attach copy 01 Will) trusl (AlIach copy 01 trust! boxes inventoried
All correspondence and conlidenliallax information should be directed 10:
CORRE.
SPONOENT Name
RECAPIT.
ULATlON
AND
TAX
CALCU.
LATION
Computalion 01 Tn
15, Amount 01 line 14 taxeble et 6% rete (151 ~'5101(l.lS
(include values lrom Schedule KI
16. Amounl 01 line 14 taxeble a115% rate (161
(include valuas from Schedula KI
17. Principal tax due (add tax from line 15 plustax from lina 161
lB. Total Prior payments:
la) Amount Paid
(b) Plus Oiscounl
(el Minuslnlerest (1 B)
19, Balan" Oua Uina 17 minuslinelBI
Make Chack Payable to: RegiSler of Wills, Agent
... PLEASE RECHECK MATH. ..
~. \,a.:~a." t.r ~
Telephone No.
Recapilulalion
1. Real Estate (Schedule Al
2. Stocks end Bonds (Schedule B)
3, Closely Held Slack/Partnership Interesl (Schedule CI
4. Mortgages and Notes (Schedule 01
5. Cash & Miscellaneous Personal Property (Schedule EI
6, Joinlly Owned Property (Schedule F)
7. Translers (Schedule GI
8. Total Gross Assets hotal lines 1-71
9. Funeral Expenses Administralive Costs/Miscellaneous
Expenses (Schedule HI
10. OebtslMortgageslUens (Schedule II
11. Total Deductions (Iotallines 9 & 10)
12, Net Value of ESlataUine 8 minus line 11)
13. Charilabla Bequests (Schedule JI
14. Net Valuesubject totax Wne 12 minus line 131
City
'111'0
Slata
Zip
Under peaalli.. of perjury. 1 doc!a" thaI I have examined this return. including accompanying schedules and SlatemenlS, and to tha beSl of mv knowledge
and belief. it is Irue. carre and complete. Oeclaratioa of preparer other Ihan the pmon,l representative is based on all information of which preparar has
anv knowledgo.
SIGNATUI1E Of PREPAI1EI1 OTHER THAN REPRESENTATIVE
( 11
( 2)
( 31
( 41
( 5)
( 6)
( 71
11141l>~.~5
It-I"' 50 .00
(8) ~~gl~.~5
( 91
(10)
(11) ~,'g(j~.'50
(121 .:l51DIQ.15
(\3)
(141 d'Sl DICl.1'i
x,O&=~
x.15=
(17) 1)5D1. 19
(19)
ADDRESS
03//7 / K~
, , DATE
ADDRESS
DATE
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RCV.451 n.801
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT DF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "6"
PERSONAL PROPERTY
(Instructions on Reverse Side)
Estate of Jom L. Feeley
*'
ESTIMATED DEPARTMENT
ITEM DESCRIPTION UNIT MARKET VALUATION
NO. VALUE VALUE (OFFICIAL USE ONL Y)
1. rom Checking AccOln1t {/OOO 269 072 5 14,608.56
2. PA Railroad Vollmtary Relief Dept. - Death Benefit 1,252.55
3. Net proceeds fran sale of household furnishings 853.34
4. U. S. Trea8ln1' - Railroad lJJmp Sun Death Benefit 747.80
TOTAL THIS PAGE 17,462.25
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of dealh, make any (ransfer of any material pari of his estate without receiving
valuable and adeQuate considemlioo? (Answer "Yes" or "No".) no
2. Did decedent, within two years of death, transfer property from himself! herself to himself/herself and another party
or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) .!!!L-
3. If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable, provide the fallowing
information: n/a
a. Age of decedent at time of transfer.
b. Copy of death cerlificate.
c. Affidavit by the attending physician indicating the state of decedent's health at time of tmnsfer.
d. All olher information supporting nontaxability of transfer.
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".) no
a. Was there any possibi lily that the property transferred might return to transferor or his/her estate or be subject
to his/her power of disposition? (Answer "Yes" or "No".) no
b. What was the transferee's aRe at lime of decedent's death? n/a
5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her
death:
a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".) 1l9..-
b. The right to desiRnate the persons who shall possess or enjoy the properly transferred or income therefrom?
(Answer "Yes" or "No".) no
6. If the answer to five b. above is "Yes," state whether the right was reserved in decedent alone or others.
n/a
7. Did decedent in hiS/her lifetime make a transfer, the consideration for whidl was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No".) no
8, Did decedent, at any time, transfer property, the baleficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No".) no
9. If the answer to eiRht above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved
in tlle decedent alone or the decedent and others? (Answer "Yes" or "No".) no
. ~EV04:i3 EX. (3.eO}
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIAR!ES
*
(lnsrruct;ons on Reverse SIde)
Estate of Jam L. Feeley
.. BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY
DECEDENT BIRTH
William J. Feeley Son Yes Adult Entire Estate
. Kralv's Senior Citizen Center
213 W. Main Street
Mechanicsbur". PA 17055
-
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The above beneficleries erB living et this time except for the following:
NAME
DATE OF DEATH
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'lSaJalUl S,lUapaOap aql jO a5elUaOJad alll aleOlpU\ 'f:
'A1JadoJd pallMO AllU!O! aqllo anle^ la~JeW lel01 aliI ale01Pu\ 'Z
'paqS!lqclsa seM d!lISJaUMO lU!O! aliI alep aql pue (S) JaIlMO.OO aliI 10 luapaoap
alll 01 d!L1Sll0!lelaJ puc ssaJppe 'al1lCU ;)ql apnpul '"8,, ;)Inpallos JOl SUo!lOnJ1Sll! aliI UI paleOIPU! se
AlJadoJd teuosJad IIc ;)qpJS;)O '"\;/,, al',pallOS JOI SUO!lOnJ1Sll! aliI U! palCO!pll! se AlJ;)doJd IcaJ lie aq!JosaO 'L
'lSJII alelsa IcaJ lSn 'papnIOu!
aq 01 aJe A1JadoJd alq!6uC1U! pue alq!6uel 1I108 'd!ljSJO^!MnS 10 11l5u 1I1!M SlueU211U!0! se sa!lJed JO A1Jed
JalllOUe 1I1!M AilU!olluapaoap aliI Aq pauMO ',cuosJad pue IcaJ 'A1JadOJd IIc apnlJU! lsnw ,.3" atnpallJS
"3,, 31n03HOS ONI131dWOO 1:I0~ SNOll0mUSNl
. ,
REV.455 EX+ j3.HOI
COMMO,NWEAL TH OF PENNSYLVANIA
. OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT OECEDENT
SCHEDULE "r'''
STATEMENT OF OEnTS
AND DEDUCTIONS
-.-
~~-iI,""."".''''''.''
Estate of Jam L. Feeley Dilt., 01 lJ(!dll1._?-l2.-BL ....-
WHEN CLAIMING THE FAMIL V EXEMPTION, COMPLETE THE FOLLOWING:
Claimant
R.!laliollsl1iIlIO Dl!CIHlollt_
Claimant's Address
ITEM
NO.
DATE
NAME OF PAYEE
IIrMAIIKS
AMOUNT
ister of Wills tters & Certificatcs
.__._--_.~ ....-.-"".--.... ...~..._,~ --".--.
Gilbert W. parthenore F\meral.:..1! _c:_.J~'u.!.1.c:!:l1.~ J~~.!.1!1cs --------
I ;n!!J~rC1j!!~____
Cnlmay-parneS Assoc., Inc. Profclluionnl Scrviccs
.-....----. --'- --..
Bell of PA _____ rc~!?l.~~..!~J:I:l:scs ----.
RCIm oJatcr Expcnses
..~--_._. --~_..__.._._,._.._....
PP&L __ ~1~tr~_.I;;X1X!nses-_--
il Physicians Inc. 1Y0fs~'!.!Q!}!I.L?crvices ---,
The Patriot-News Co. ____I.EB~.!. Ady,tl!tising ----------
Q.Jnberland UlW Journal .__ ~al_I.avqf,tising
Bar h of New Cunber land ____ SC\\Cr ~ 1'r.:'!'?~_s.\:_~EBes
R. J. er & Sons ...___.... !~t.:ter~g.9.!.1~~!<er -------
Realt World Real Estnte Broker's Carmission
___._._._ ...._._... ._. ___.M' _..__.._
Jon F. Waver ____". l.;?r~!X~_-_-
Jon F. Waver f\lininistrator's Fee
--"._- --~"._--. . .-. ----_.__..~----
i.ster of ~lills Filing IIccount
._-_._--~..
Recorder of DeOOs Filing Releases
Register of Wills " riunr:Fces
43.00
2,85S.30
208.17
50.00
22.72
58.40
26.44
40.00
lS.15
18.00
51. 22
38.00
2,303.00
1,356.49
1,695.61
65.00
25.00
15.00
_.._._-~.~_.-
----~-_..__.. . -,.-...--.---.-.--..----....
-.--..---
TOTAL THIS PAGE! 8.892.50
'hereby certify that to ,hc be~t 01 my \'"l>wl,'dql' .11\d 111'1"'1 1111' 1"""1""1'1 "a III" 31\(j IIlJe ,talement of debts. funeral
expenses and expense'i of .ldmil1l\tlJtltlll ',llllllll1tf'tt to the ~~"t.lt~' ,:\~ dlJdt~dlon!.1(1)nhel itallce la)( pOl pO/re .
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OFFICIAL USE ONL V
----,=--~~ ~:--' . . -.~:-..~ .1-'- -: :: :_::::=== ==::=--- ---
J .._. d _._--
DEBTS AND DfOUCTIONS rdlf AI.LOWIIJIN 1111 ~;1I~'\1I S
^1
P[RCENT.
,.----...--.-....- ---
,\,,,',111.,1\,,"11' lJ/\lt
GENERAL INHERITANCE TAX INFORMATION
. "
Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estate.
In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration,
attorney fees, fiduciary fees, funeral and burial e~penses including the cost of a burial lot, tombstone or grave marker.
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this schedule,
A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania.
If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same 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 are members of the same household as the decedent, The family exemption is
allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws,
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent. Enter "Iamily exemption" in the remarks column and the amount claimed in the amount column.
2. Assign consecutive numbers to each item listed.
3. Enter the date on which each debt was incurred and/or paid.
4. Enter the names of each payee.
5. Provide a brief explanation in the remcrks coh,mn for each debt, claimed.
6, Enter the amount of each debt being claimed.
7. The form must be signed by the person who has assumed the responsibility for paying the debts.
J
Rev. 11l47EX 11-82)
BUREAU OF EXAMINATION
PENNSYLVANIA DEPARTMENT OF REVENUE
P,O, BOX 8327
HARRIS8URG, PA 17105
ASSESSMENT
CONTROL NO.
NOTICE OF INHERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS. AND ASSESSMENT OF TAX
101
DATE
ESTATE OF FEELEY JOHN L FILE NO. 21 81-0564
DATE OF DEATH 09-12-81 COUNTY CUM8ERLAND
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." IF TAX PAYMENTS ARE MADE WITHIN 3 MONTHS OF THE DECEDENT'S DATE OF DEATH. A DISCOUNT
OF 5% OF THE TAX PAID MAY BE DEDUCTED,
JON F LAFAVER ESQ
317 3RD ST
NEW CUM8ERLAND PA 17070
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
~l!!. !-.!-p~~ _ !.H.!~ .!-!f!E_ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _ _ __ _.
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF FEELEY
JOHN
L FILE NO.21 81-0564
ACN 101
DATE 04-19-82
TAX RETURN WAS: (X I ACCEPTED AS FILED
) CHANGED
APPRAISED VALUE OF ESTATE:
1, Rell Estate (Schedule AI
2, Stocks Ind Bonds (Schedule BI
3. Closoly Held Stock/Plrtnership Interest {Schedule CI
4. Mortglgos Ind Notos (Schedule 01
5. Cash & Miscellaneous Personal Property (Schedule E)
6, Jointly Owned Property (Schedule F)
7, Tflnsfers (Schedule GI
8. Total Groti:s Assets
(II
( 2)
( 31
141_
( 51
( 61
{ 71
.00
.00
.00
.00
17,462.25
16,450.00
.00
( 8)
33,912.25
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/AdministntlvB Costs/Miscellaneous
Expensos (Schedule HI
10, Debts/Mortgllles/Liens (Sch,dule II
1 1. T otll Deductions
12, Net Vlluo of Estlte
13, Chlritable Bequests 'Schedule JI
14. Net Vllue Subject to Tax
( 91
(10)
.00
8,892.50
(Ill
(121
(131
(141
8,892.50
25,019.75
.00
25,019.75
ASSESSMENT OF TAX:
15. Amount of line 14 taxable at 6% rile
16. Amount Df tine 14 In:lble at 15% rate
17. Principal TIX Due
TAX CREDITS:
25,019.75 X,06=
.00 )(,15=
"71
(15)
(161
1,501.19
.00
1,501.19
PAYMENT
DATE
RECEIPT
/I
DISCOUNT (+)
INTEREST (-)
AMOUNT PAID
THIS ASSESSMENT IS BASED ON: ORIGINAL RETURN
NO INTEREST IS DUE If PAID ay 06-12-82
IF PAID AFTER DATE INDICATED SEE REVERSE FOR INSTRUCTIONS,
TOTAL TAX CREDIT
BALANCE OF TAX DUE
1,501.19
tlf B.lance Due IS less than S 1.00 no pavment IS required>
RETAIN THIS PORTiON FOR YOUR RECORDS
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INFORMA liON
This document is the Notice required to be given under Section 709 of the Inherit.nce and Estate Tax Act
of 1961 172 P,S, .ection 2485).
If the tax is paid within three (3) months after the decedent's delth, . discount of 5% of the tax paid is .lIowed.
Inheritance Tax becomes delinquent nine (91 months Ifter the decedent's death. Interest is charged at the
rale 01 six 16) porcent per Innum on the amount 01 unpaid tax, (SEE EXAMPLE 8ELOW)
EXAMPLE: If I balance of tlx due of $2.000.00 is in I delinquent status from 3-3-80, and payment is made
on 5-23-80, the interest is calculated IS indic.ted below:
STEP 1
Oetermintt the rite of
interest from the table below.
STEP 2
Multiplv the bal.nce of
tax due by the rate of
mterest.
STEP 3
Add the interest
to the balance of
ux due.
Interest Irom 3-03-60 to 5-23-80
Results in:
2 Months =
20 Day. .
R.tl of interest c
,010
+ ,00335
,01335
B.I.nee Of ax due
Rate of ,nterftst
INTEREST
$2.JOO,00
x ,01335
$ 26,70
B.l.nee of tJx due
Plus Interest to
O.te of P.vment (+)
TOTAL tax and
interest to O.te
of P,vment
$2.000,00
$ 26,70
$2.026,70
-------------------------------.--------------------------------------
, month ,005 4 months ,020 7 months ,035 10 months ,050
2 montt'ls ,0tO 5 monthS ,025 B months ,040 , 1 months .055
3 months ,015 6 Months ,OZO 9 montns ,045 12 months ,060
1 day ,00017 11 days ,00186 21 dlYs .00352
2 days ,00034 12 days ,00203 22 days .00369
3 days .00051 13 days ,00220 23 dlY' ,00386
4 days ,0006B 14 days ,00237 24 dlY' .00403
5 days ,00085 15 days ,00250 25 day. .00420
6 day. .00101 16 dayt ,00267 2a dlY' .00437
7 dlYs .00118 1 7 day. .00284 27 day. .00454
8 dlYs .00135 18 days ,00301 28 dlY' .00471
9 dayt .00152 19 diY_ ,00318 29 dlV$ .00.188
10 day. .00t69 20 days ,00335 30 dl" .00500
----------------------------------------------------..----------------
Anv party In intern\. including the Commonwfllth and the perSONI representlhve. net satiSfied With the
,ppr.lsernent It'd assessment may object WIthin sixty (601 dlVS .fter reC4upt of lhls NOllce IS prOVided by
Slcbon 1001 of the Inhe"~co Ind Est>to Tax Act 01 1961 172 P,S. see, 2485 - 1001).
MAKE CHECK OR MONEY ORDER PAYABLE TO: 'REGISTER OF WILLS. AGENT'
DETACH THE TO!' PORTION OF THIS FORM AND SUBMIT WITH YOUR PAYMENT TO THE REGISTER OF WILLS FOR
THE COUNTY SHOWN ON THE REVERSE, 581 THE INHfRITANCE TAl< INSTllUCTIQN BOOK FOR ADDRESS
;ia
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I TN RE:
ESTATE
OF
JOlIN L. FEELEY
TN 'l1lE COURl' OF COM-xJN PlEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS I COURT DIVISION
NO. 21-81-564
FIRST AND FINAL ACCOUNl'
i
I
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I DATE OF DFATII: Septe:nber 12, 1982
I
I DATES LETTERS OF ADMINISTRATION ADVERTISED:
I
o..mberland Law Journal - October 2, 9 and 16, 1981
The Patriot-News Co. - Septanber 29 and October 6 and 13, 1981
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9-12-81
9-18-81
9-28-81
10-15-81
10-27-81
11-24-81
12- 2-81
12- 7-81
12-28-81
12-30-81
1-26-82
2-24-82
3-29-82
4-27-82
5- 6-82
9-22-81
10- 1-81
10- 2-81
10-13-81
10-15-81
10-21-81
10-26-81
11- 2-81
11-12-81
11-23-81
12-11~-81
L!l,.O"I(',
JON r'. L"""'VEflI
.'1 UIlilllCl "fill'
.t_ t......'fll...tlll......
FIRST AND FINAL ACOOUNT
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Iliyour accountant charges himself with receipt of the follo\\':i.ng items:
One-half (~) interest in real estate at 1538 Brandt Ave., New Cunberland, PA
I Close CCNB Checking Account 11000 269 072 5 $ 14,608.56
CCNB - Interest on NOW Estate CheckinB Account 23.09
II PA Railroad Voluntary Relief Dept. - Death Benefit 1,252.55
CCNB - Interest on NOW Estate Checking Account 39.60
CCNB - Interest on NOW Estate Checking Account 39.04
Bell of PA - Refund 4.47
U. S. Treasury- Railroad Ltmp SUlI Death Benefit 747.80
CCNB - Interest on NOW Estate Checking Account 49.32
UGI - Refund 92.20
I Net proceeds fran sale of personal property 853.34
ICCNB - Interest on NOW Estate Checking Account 47.06
II CCNB - Interest on NOW Estate Checking Account 47.38
II CCNB - Interest on NOW Estate Checking Account 54.13
IICCNB - Interest on NOW Estate Checking Account 47.74
i CCNB - Interest on NCNJ Estate Checking Account 13.99
ii .
ii Total $ 17,920.27
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ilyour accountant credits himself vlith payment of the following items:
Ii
JIRegister of Hills - Letters and certificates
iiGilbert W. Partbenore Funeral Hane - F\mera1 Expenses
II UGI - (',as Service
i,Crulay-Parnes Associates, Inc. - Professional Services
!i Bell of PA - Telephone Service
iiRC\oXX) - Hater. Servic7
'iPPoSiL - E1ectnc ServJ.Ce
liFamily Physicians Associates, Inc. - Professional Services
liThe Patriot-News Co. - Legal Advertising
':Cunberland law Journal - Lef',a1 Advertising
I UGI - (',as Service .
Ii Bell of PA - Telephone Service
'Borough of New Cutiberland - Sewer & Trash Service
,PPoSiL - Electric Service
UGI - Gas Service
'PPoSiL - Electric Service (Flllal Bill)
OF
J{XIJ F. WAVER
Adnlinistrator of the Estate of John L. Feeley
late of New Curriberlar~, O~erland County,
Pennsylvania, deceased.
RECEIPrS
DISBL'RSENENrs
$
43.00
2,858.30
74.17
50.00
7.99
27.66
12.3540.00
18.15
18.00
64.00
14.73
40.10
12.79
70.00
1.30
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