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OATH OF PERSONAl, REPRESENTATIVE
COMMONWCAI.. TH OF rCNNSYL VANIA $II
COUNTY Of' CU~IBCRI..AND
Beforo me, the Realster for the Pt\>bate !If Wills an~ arantlna ,of Lottors of Admll'llstratlon In an~ for tho County of
Cumborlan~, personally came
, who, bolnll duly slj'orn
~~Viola~aoaooerJ
I do~L-depose and say that as ElxecU t,r ix
of tho hlSt W\lJand Testament of
J. Harold Wag'i!oner
deceased
she w\IJwell and truly admInister tho aoods and chattels. rlllhts and credits of sl\ld deceased acoorcllnato law. And
also will dlllaently comply with the provisions of tho law rolaUna to Transfer Inhortlancos.Sworl1 andsubmtbed beforo me.
December 7 .0\.0., 19 R] . UJ
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to!
Bo Ilremembered that on the
7th day of
DECREE
December
.A.0,,19
~horewas probated and
laloof
recorded the last Will and Testament of
Lq~er Frankforq Township,
J, HarolqWagqoner
Deceased. Lotters Testamentary wtre iranted,to
Witness my hand and officii'll seal the day and year aforesaid.
B. Viola
, Cumberland C;ounty, Penn,ylvanla,
Waggoner
94
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IU'V.ltiOO r:XI ((I.OIl l '
P~NNSV~~RJI~UO~~:~:'xJ~;~~~fiVfiNUE IN~'EAITANCE TAX ABTUIlN
,,~,:.:~:;. :;"" ''''''NT ..OID.., '", N"..,;~9
~pc!dont'l Namo (Lall. Fllll.fnd Mld,IO InltlaU Oocodont'l Addlen
DECEASED WAQ,Q,On.u.I_~~C1.\"'O\o. " 'D q" &0)(, \~ ~
Soolal8eOii\lYNiiiii1iii Oato of Os,th C' " P A 1'0 , ,
___. _li(,...:t~~5.9lo~ . ~ 'Q' ~ L 0. r \ \ S. f I _
CHECK 1. Orlglnol Return [] 2, Supplementol Return 0 3, Remainder Retum 0'
APPRO.
PRIATE
4. 'LIfO Ella to 0 6, Foderal 61tote Tax 0
- , Return Roqulred.
BLOOKS 6. Oecodent diad IGllate 7. Deoedont mslntelned allYing 0 B. Number of lefe dopollt 0 '
(A\\oOh oopv of WIIU tlUlI (Attach CO of trUII) ,box8llnyontorled
All corrolpondenco end oonfldontlal tex Informetlon Ihould bo dlrooted to:
CORRE.
SPONDBNT Neme
-
Slete
ZI
~--
=
TAK
Recepllulatlon
1. Rool Ellele (Sohedole A)
2, Slockl and BondI (Bchedula B)
3. Clolelv HO,ld Stook/Pa,ltnGrthlp Inlorell (schedulo 01
4, MortgagcI end NoloI (Schedule 01
6. "oelh &Mlloolleneool Perlonel Property (Schodule E)
6, JOlntlv Ownod Proportv (Sollodule FI
7, Tronlfe,. (Sohadule III
S, Tolal O,oll Aneullotal IInol \.71
9, Funeral E~penlOl AdmlnlllrOtlye Com/Mllcollaneoul
Expenl8i (Sohedule H)
10, Debu/Morluagol/L!enl (Schedule II
11, Tolel Oedootlonl hotelllMIB & 10)
12, NOI Value of Eitato !line B mlnolllne III
13, Oherlloble Baouel" (Sohedulo .JI
14, Net ValuBlublaot!o tox !line 12 mlnul fino .131
(1) ~'1150C,~O
( 2)
( 3)
( 4)
(6) ~91~
( B)
, ( 7)
I'
RECArIT;
ULATlON
AND
(B)~_
( B) -9, ~l,l, .<:\4-
(10) A~, 00
(\1)
(12)
(13) ,
(1413Ll.i"l ;'5, OIS
CALCU.
LATlON
Compulatlon Of Tax
16, Amount of Ilno 141eKeblo at B% rata,
Unoluda valuel from Sohedule K)
16, Amounl olllna 14 tBKoblo at 16% reta
(Inolude yeluel from Sohedule KI
17. P,lnclpoltax due (odd tax from line lhluI tax from line lB)
1 B, Total Prior pavmentll ' ,
(e) , Amount Paid _
(b) PluI ollooont
(e) Mlnullntarllt
lB, Bllanoe Dua (line 1.7 mlnuI IIno 1S)
Make Cheok Povablo tOi ~egllter of WillI, Agent
, . . . PLEASe RECHECK MAtH · · ·
(16)~__ x.08"~IOl,~.5P
(IB) x.1B"_
(171
'-\) Q I.o~, SO
(lBI
(lB)
,
Under nenaltlol of porlUry, 1doolarolhet Iheye examlnod thll return. Including aocompanvlng Ichodulel end ltatamantl, end to Ihe bUI of mv knowledga
and bollo!, It II true, cprm,t nd oomplole, Ooola",tlon of preperor othar than the purlonal repr"ontatlye II bllod on all Information 01 Whloh preparer h.I
~~ ~~
AOOR~8e ' , liAts
___~._.__._,_..,_.._____.__~____n~~.__
Si(j-NATUi1,,'oFPi'ifpAI1ErlciTH-liii 1IiAN R EPR ESENT A TIVE
AODRESS
OATS
I~Ji '.1.....9 I '.!lll)
COMMOHWftll~TH o~ PftHHIV~VIIHIII
OaPIIRTMftHT O~ RIVIHUI
TR^Ht~IR IHHftRITIiHCft TIIX
ROtIOIHT OICIOIHT
AP{lh~~)lt$F
(lrultvotlollt 011 R.ytt~o Sid,)
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Eltate of J \ 'JAROf.D Wl\GGON1!l1l ,_._._.__
LOIt Addrm ..!h-D..!.J!.LBO,1L.l:l L~_.
Cl.\rlisle, 1l~.~__-170p_
lelT", PITA l !-:I (1.IP)
Ooto of Dea~l ..__...,J1.Qv~J!\bar 2~.L...198.
Social Socurlty No, 186-18-0596
Buroau File No, ~_____~.~
Ceunly Fllo No. __.21-81-739
1, O.codent dlod\
( ) Int"tate (without a will)
( x) Tutat.(leavlng a lall wlll--copy attached)
2. II the fillno of a Federal Eatate Tax Return requltod for this os tate? Yos.JL-. No ---
3, ( K) ilWQllXlltlExocutrlx ( ) Administrator/Administratrix
Name a, Viola \'1l.\ggon~r
Addre.. _ R. D. 9t20)( 123
Carlisle, I'A. ,
(CITY) ISTAin)
17013
(ll"l
4. All correspondence should be mailed to ( K) Attorney
5, If an attorney Is representing the estate, Indlcatel
Name Tom '11. Bietsch (Bietsq,h & Morgentllal)
) Fiduciary.
Address .:.1:..!.tV in~...llilli
Carlisle,
IC'rYI
I'A.
ISlA il!l
3.7013
(1.11'1
List all aale de~Qslt boxes" ro;lstered In the dec,edePt's IndlYld~q,11 name. at jOintly" with, ot as ana;lnt or dop"'Y
of another, or In decodont's Individual nama with right 01 access by anotner as agent or deputy, In~lud. tho lion",
and ad.dress of tho bonk or pthnrlnslltutlon whore the s,aledllposlt box Is located, the namo (s) In whlchlhll hI'"
Is registered and the rolotldnshlp 01 the lolnt holders, to the decodent.
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HilMa IIHP IIbDRI.. o~ 811Hx oR otHBR INSTITUTION
IH WHICH be ceDeNT MIIIHTIIIHIO Ii SIIPI Oft~OllT BOX
F~rm~tBTrust Company
bauphin Deposit Bl.\nk and Trust
-:.;. Company, Catlisle, ,I'A. 17013
commonwealth National Bank
Cl.\rlisle A, 17013
HilMI OR HIIMU IN WHi~H
SAPI DIPOSIT BOX IS ReOISTeREP
, J. I1l.\rold Wagc;loner I<
a.g
J. Waggoner &
n a 0 ar
J. aggoner &
B. WaggoML-
RP.LA TIOHtHlr or,IlWI'
HO~OBRI TO !CHanHI
-...,r~"',7:"-n--
, surViving wi~JL
.Jl.Y.l:vivincr' wife
su~vivinlJ wif~.",.
Un~or p~a1tl.. of porjury, I doclare thot I hove e~amlned this roturn, Including accompanying achedulos and
sta,temonlS, and 10 the bost 01 my knowledge and beliellt Is true, Cbrreet and complete.
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Il0HIITURB OP F IIIAY
~,
'\,\ 1982.
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IJ:IIRV9TIONS rOAOOMPLB!ING SCHEDULE "E';
" " Soh.d~Le "Ell mU8t Includa all propertY, real and personal, oWlletl by the denadont Jointly wIth ,anothar
, party or part!aus Joint tanante with right I)f survIVQr~hlp. Both tangible and Intangible prop arty ara to be
Inoludad. List real a.tate flrat.
1. De.orlbea,lIrael proporty aa Indloated IIi the instrLiPtlons for Schedule "A", Describe all personlll property
as Indloated In tI1elnslructlon,~ .for SclWdula, "~". Include tho llama, addrass ond relationship to the '
deoedent of the oo,owner (s) and the dato tho Joint ownorshlp was ostabllshed. '
"
2, Indicate tho total market value'of the Iplntly ownodproperty.
,
13. I ndloate the percantage of tha deoedent'& Interest.
4. Indloate. tho market value of',lhll dooedent'~ Interll~l,
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COMMONWIALTH 01' PINN'VI.VANIA
INHllRITANOI TAX AITURN
AlII DINT DIO,oINT
80HIDULI "H"
PUN IRA I. I)(PIN8~8 .
ADMINI8TRATIVB C08 8 AND
MISCBLLANeous BXP NSBS
J, HAROLD WAGGONIllR
-
"rIM
OISORIPTION
AMOUNT
t.
A. Punerel bpln.."
Ewin9 Brothen Funeral Home,
Funeral Expenses
Carlisle Membrial Servioe, 1no".
Memorial and lettering
271,00
4,226.50
2,
, t.
,2.
lI, Admlnlmltlvl Oollll
"-l1onll Reprftentetlve Commllllonl
Attornev PHI - Bietsoh & ~1orgenthal
2,500.00
0, Mllallllnloul bpenl"'
" Regi"tlilt' of Wills, r.,etters 'I'estamentary
2, ' Tha Evening sentinel, Advertising Letters
3. eumberland Law Journal, Advertising Letters
4, Regilter of Wills, Short eertifioates
5, ROY,D, Gottl!lhallf Appraising
6. Reoorder of Deeds, Reoording Deeq"in Distribution
7, Janioe Ill, Hertllller, Notary
'B. B, Viola Waggoner, Reserve for elosing Expenses
9, B. viola ~ag~oner, Family Exe~ption
62,00
17,44
18.0.0
B.OO
75.00
3.0,00
9,00
150,00
2,000.00
9,366.94
III mo.. IP'.' II nMdt<! Inl"I Oddl'lon.' 'hit" of ..m. '1111
COMMONWIALTH 01' PINNIYLVANIA l
COUNTY 01' CUM'IRI.AND J
...
B. VIOLA WAOQONmR,
...._....m...._.;'._ ._~..._~.H __'___~_-"".'~~"__~__' "-.-___ ..-.,..--~..,_._-.,.-- ....- ., - t ,.._,--, _......_~_~......_H~~~_._...._.....*~--rih'_C,....__~~,~____..._._ ._-......+~.._+._.._,.
being duly ___fth'Q1'Pc__ ". -_c'-' according to law, do pOlO! e'ld UYI that she_jo!i_tJl!f..nE.K!30J:lJiF.JJL~---
_o__,_,_~_o_o~om_'__~_o-,____ ..~,_ nOO, of tho Elta" of _ILL Ha!;o).q _\i~:J51.Ol'l.er '-
la.. of ~.nr,.oW~.;r,D'r~n~~OrQ 'fownsh~p ,_0_"0_ __--,nO Oumberlllnd Oounty, Pa., (jeound anl/th.t the
within II an Inventory mad. by .____.n'nn_oJWll;_,~_....,_.____ '0____"_' the ,aid Elxecll.lt.UL_
of the, entire estato of ulddeoedent, oonllstln\! of 011 Ihe personal prop'~rty and re,,1 ulate, exupt re,1 ellet. ouhll/e
the Oommonwoelth of Penn,ylvanla, and thellhe figure, oppollle euh Item of the Invenloryrepruent II', felr velue
II of the del. of d.oedonl'l duth,
Sworn
and lubsorlbed before me,
'L~~;~~--_o~--
B. Viola 'Waggoner, , -
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.-9J&lW ~ '( !l.1 J 19.62
%~t.t- (, N OJJ to" ,,_,
.I" ,tlCI! f:, Hf::r:>T7I.F.P., NOTARY Plml ,Ie
r', I,?;h,"\r1(1IY" C'nl !lit~.' C'({llh!..:, 1/'
tv '. If 'll\ois~lon E)(pirc,; JeillllCli'Y 21, 1983
Pele of Duth __~__2.3.r.,L___..________.___~_Q.Y,l)lmbeoL~_-
, DIY M..th
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.~al?_1.is_l~t..J:~!__ 17013
Addrt'"
1981
Y,"t
INS~RUCTIONS
I, ~n Inventory mUlt be mod wllhln three mo~lhl after appolnl""nt of perlOnal ropre..ntotlve.
2, A,lupplamenl Invenlory mUlt be filed within thlrly deYI 01 discovery of addltlonala...h,
3. Additional ',hoeh m y be a.ttaehed 0110 perlonally or really
4. See Artlole IV, Flduo arlu Aol of 1949.
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INFORMATION
Thl,dooum.nl II Ih. Nollo. required to ~. given under Seollon ,709 of thl Inhlrll.noe .nd S"lle T.~ Aot
of 1901(72 p,S, ..otlon 24BII),
" Ihe ta~',I. Plld wllhln Ihr.., (3) monthl Ifter Ihe deoe~enl'l dOllh, . dlloounl of BII of Ih.' I.x pli~ I, .1I0Vl'~'
'Inherlt.noe T.~ becDm'" delinquent nine (9) monlhl .fter Ihe' deoedenl'e dll\h, , Inler"t II ch.rged It the
r.le of Ilx (S) peroenl per .nnum on Ihl .mount 01 unpaid t.~, (seS SI(AMP~e BS~OW)
eI(AMP~s: ". b.l.no. of IIX due of U,OOO,OO II In I dellnquenl II,IUI Irom 3-3-BO, .nd pevmlnl II m'~1
on 6-23-BO, Ihe Inter III II c.loul.led .. Indlc.led below: , '
ITIP 1
Ottermlne Ihe r.le' of
Inte,..1 ,from the I.ble below,
iTlP 2
Mulllplv Ihe b.l,noe 01
IIx dlll bvlhe 'r.le of
Inlert",
ITlP 3
Add Ihe Inler..t
to Ihe b.llnce of
I'X au.,
Inler"t from 3-03-BO 10 6-23-BO
R8IullI In:
2 Monlhl. ,010
'20 OIV~' . .L..%0~311
R'te, Of Inl.r,,1I . ,I 36
BII,noe 01 tax due
Rite Df Int1N~t~EST
.2,000,00
x ,013311
. 26,70
B~llnoe of IIX due
Il UI Intertlt 10
~'Of P,vW"Qt 1+)
'fb L IIX I~
Inler,,1 10 Pile
01 Plvmenl
$2.000,00
. 26.70
$2,026,70
--~--------~-----~-~---------------------------~---~---~-------------
I monlh .OOB 4 monlhl ,020 7 monthl ,0311 10 monlhl ,O~O
2 month, .010 " 6 month I ,025 B monthl ,040 II monthl ,0 1.1
3 mon,thl ,Ol~ 6 monthl ,030 9 monlhl ,0411 ' 12 monlhl ,0sO
I dlV ,000 \1 II dlV' . ,OOla6 2 I dlVI ,003112
2 d.VI ,00034 I 2 dlVI ,00203 12 dlVI ,003S9
3 dlVI ' ,00011 f 13 dm ,00220 23 d,vl .0036S
4 dlVI ,OOOSB 14 dlVI ,00237 24 d'VI .004~3
II dlVI .OOOS& I & dlVI ,00260 26 d'VI ,004 0
6 dlVI .00l~' 16 ~IVI ,00267 26 dm ,0~4 3 7
7 dlVI ,001 B \1 dlvl ,002e4 27 dIl'l ,0 41.14
B ~IVI ,00131.1 16 dlvl ,00301 2a d'VI .00471
9 dm " .0011.12 la ~m ,0031e 2 a d'VI .0046B
I 0 dlVI .00l6a 20 dlVI ,003311 30 d'VI .001100
---------------------------~------_._-~--~~------~-----------~--------
A~Y Plrty Ihlnl.r"l. Inoludlng thl Commonwellth lrid Ih. perlonll rep'flenl,lIve. no\ IIlIlfI.d Wllh Ihe
,pprllllmenl end ......m.nl mlv obleot within alxlv (SO) dm Ifter reoelpl 01, thll Nolloe II provl~ed bv
,6e6110n 1001 of .th. Inherll.no. Ind SlI'" T.~ Aol of IllSI (72 P,6, leO, 24S& - 1001),
,MAKI CHICK OR MONIV (IRtllR PAVAI~I TOI "RIQlITlR Of WIL~', AQINT"
DeTACH THE TOP PORTION O~THIS FORM AND SUBMIT WITH YOUR FA VMENT TO THS ReGISTER OP WI~~s POA
THe COUNTY s~IOWN ON THe ReveRSE, sEe THe INHSRITANce TAX INSTRuCTION BOOK FOR ApDRESS,