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IN TESTIMONY WHEREOF, I have affixed my hand and seal this
.~~ay of May, in the year, nineteen hundred and seventy-
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Testator, as and for his Last Will and Testament, in the presence I
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GEORGE F EDERICK LUCAS
SIGNED, SEALED, PUBLISHED and DECLARED by the above-named
of us, who, at his request, in his presence, and in the presence
of each other, have hereunto subscribed our names as witnesses
. hereto.
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OATH OF PERSONAL REPRESENTATIVE
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 came
Jack B, Lucas
who. being duly
sworn
depose and say that as
Executor
es
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of the last Will and Testament of
George F. Lucas
deceased
he
will well and truly administer the goods and chattels. rights and credits of said deceased according to law. And
also will diligently comply with the provisions of the law relating to Transfer Inheritances. Sworn and subscribed before me.
September 25. A.D., 19~
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DECREE
Be it remembered that on the 28th day of
September
81
.A.D.,J9_. there was probated and
George Frederick Lucas late of
recorded the last Will and Testament of George F. Lucas alkla
East Pennsboro Township
Deceased. Lellers. Tes tamentary were granted to
Witness my hand and official .eal the day and year aforesaid.
,Cumberland County, Pennsylvania,
Jack B. Lucas
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, 0/ ,.. Replier.
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'COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEOENT
INHERITANCE TAX RETURN
FOR INSOLVENT EST A TES
(Instructions on Reverse Side)
George F. Lucas, a k a
Estate af George Frederick Lucas
Lostaddre..17() Poplar Church Road
(STREET)
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17011
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DuteolDeath September 14, 1981
Social Security No. 192-01-8453
TyPE OF ASSET
DESCRIPTION
OFFICIAL
USE
ONLY
DATE
NAME OF PAYEE
Myers Funeral Home,Inc.
Professional Pharmacy
U-Haul Storage
Sara Jane Parsons
Bell of PA
United Telephone Co.
Rer,ister of Wills
Cumberland Law Journal
The Eveninp, Sentinel
Rep,ister of Wills
Fowler, Addams &Shup,hart
Jack B. Lucas
Fowler, Addams &Shup,hart
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OFFICIAL
USE
ONLY
.
COUNTY NO.
21-81-591
21-81-591
STATE NO.
k) Exec. () Adm. Other
Name Jac~ B. Lucas
Social Socurity No. 217-26-4461
Addre.. R. D. 1, Box 312
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Carlisle
(~THEYTI
PA
17013
{ClTrl {STATEI fZIPj
Undp.r penalties of perjury. I declare that I have e~8mined this return and
to the b..cst 3J ~ my knOWI~~geZnd b~,./;tt is true, correct and complete.
C..--/ / /'l c... / . 11/ /81
//","'''_ /? ..f?c..., 30
/ Signature of F'lduClary ~. Date
ESTIMA TED MAR~E r
VALUE
DEPARTMENT VALUATION
(OFFICIAL USE ONL Yl
Pers.Prop.Cash on hand.
Pers.Prop.Clothing and personal effects.
Pers.Prop.Household furniture as per attached
appraisal.
Pers.Prop Reimbursement due from Capital Blue Cro s
Pers.P~op Refund due from Blue Ridge Haven West.
Pers.Prop.Farmers Trust Co., burial reserve
E account #1-29065-7; accrued interest.
~Joint CCNB, NOW account #015-000498-4, with
.. Jack B. Lucas, joint tenant, establishe
7/16/79, as per attached letter;1/2 rep rted
1/2 accrued interest.
Transfer Chevrolet 4-door Impala Sedan, 1976
model, Serial No. lL69L6J135596-
Transferred to Jack B. Lucas
on 8/7/81. TOTAL $4,264.02 ..;..z~'1.t.2A'
I do hereby certify that the above auets were appraised in accordance with Pennsylvania law.
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484.00
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14.75
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1,400.00
AMOUNT CLAIMED
.65
55.26
240.00
100.00
.64
57.27
32.00
18.00
24.02
5.00
35.00
NATURE OF CLAIM
Funeral expense.
Last Illness
Debt
Debt
Debt
Debt
Letters Testamentary and
1 Short Certificate
Advertising Letters.
Advertising Letters.
Filing Insolvent Return
Debt
Executor's Fee and
Attorney's Fees
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INS1RUC110NS
ASSElS:
TYPE OF ASSET _Indicate whether the aHct is rCQI estate, personal property, tran!lfcr ar jointly-owned.
DESCRI~TIOH _ Lt.. all ouch owned solely by ,he decedent or owned jointly with nnother party or parties or. tcnanh in
common or o. loint tenont. with right 01 .urvivo..hip ot the time of deoth. Include the decedent'. percentoge of ownership,
tho name (s) and relationship to the decedent of the surviving joint owners and the estimated market value of the decedent',
intere.t o. 01 the dote 01 deoth. Include intongiblo pe..onol property titled In the nome of the decodent but poyoble ot deoth
to another party or parties including but not limited to P.O.D. U.S. Soving'::io Bonds and tentative trust accounts. Li sf any
property transferred by the decedent within two years 01 deoth for which he/she did not receive valuable and adequate
consideration.
Dncribe all real estate locotcd in Pennsylvania by lot and block number, street addreSSo, number of acres. and include a
general description of the land and buildings, Also, include the book and page number in which the deed is. recorded and the
o.oct title o. indicoted on the deed.
DEBlS & DEDUC1IONS _ Unuti.lIed Iiobilities incurred by the decedent prior to hi./her deoth ore deductible ogoinst
hls/hcn talCoble estate. In addition to debts incurred by the decedent, other items orc claimable including the cost of
adminls.tratlon, attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or
grave m"rker. List the date on which each debt was incurred and/or paid and the names of each payee. Provide 0 brief
explanation of the nature af each debt c1oimr.d and the amount being claimed
Evidence to suppo,t the decedent's or the estate's liaLility {or the debts being claimed should be attached to this return
A family elCemptian may be claimed by a spouse of 0 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 con claim
the elCcmption. In the event there is no such spouse or child, the exemption can be claimed by a parent or parents who ore
membe.. 01 the .ome hou .ehold o. the decedent.
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INFORMAlION
PLACE FOR FILING _ 1he retum i. to be filed in duplicote with .he Regi.ter 01 Will. 01 the county wherein .he decedent
,'uided.
TIME FOR FILING _ lhe return i~ due nine month~ ofter the decedent',; death, union an cktcf\~ion for filing has boen applied
fo, and granted by the Secretory of Revenue within the ninc.month prriod.
FAILURE 10 FILE RE1URN _ Section 191 01 the 1961 Stotute provide. .hot" . . .ony p....n who willfully loil. to Iii. 0
retlJrft or other report required of him sholl be per!oonolly liable. . .to a penalty of 250c of the talC ultimately found to be
due or S '.000 die"'e""r j, the II'S' to be recovered by the Department of Revenue a' debts of like amount arc recoveroble
by low~"
NOTE: Fe.. paid to on estate ,epr...,,'otive; namelv, an GJCecutor or odmini.trotor, for services performed In ad.
minIStering an o"ote i. reporlobl"ll)f P.r.n.ylvenia Inc"me Tow pvrpo\... Thi. towable incon'e it..m .houd be reported on
form PA,.O.lndlviduallncome TOK Return.