HomeMy WebLinkAbout02-0580Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Robert E. Weaver Np. 2 ~ • ~2. 5~~
also known as
,Deceased Social Security No.162-22-6407
Phillip Weaver
Petitioner(s), who is/are 78 years of age or older, apply(ies) for
(COMPLETE "A" OR "B" BELOW:)
of Administration C.T.A.
A. Probate and Grant of Letters
and avers that the last Will of the Decedent~r L,,,a
dated February 6, 1981, nominated two of Decedent's brothers as Executors (Lee. E. Weaver and Jay A. Weaver and Jay A. Weaver )
with Peoples National Bank now by merger Allfirst Trust Company of Pennsylvania, N.A as subsitute Executor., and Lee E. Weaver
and Allfirst Trust Company of PA have renounced in favor of Petitioner.
State relevant circumstances, e.g., renunciation, death of executor, etc
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
I-1 B. Grant of Letters of Administration C.T.A.
t~SJ (c.t.a., d.b.n.c.t.a.: pendente life, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left t~i Will and was survived by the following
theirs:
Name Relationship Residence
Philli Weaver Brother Carlisle PA
She Weaver Sister C ;> Q,q
Steven Weaver Brother t
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 42 R. Chestnut Street, Newville, PA 17241 (Borough of Newville)
(list street, number and municipality)
Decedent, then 73 years of age, died Apri12 , 2002 , at Select Speciality Hospital
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PA) All personal property .........................................
(if not domiciled in PA)
(If not domiciled in PA)
Personal property in Pennsylvania .................... $
Personal property in County .............................. $
Value of real estate in Pennsylvania ........................................................................................ $
Total .............................................................................. Undetermined....... $ 0.00
Real Estate situated as follows:
42 R. Chestnut Street, Newville, PA 17241
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
Signature Typed or printed name and residence
Weaver. 235
RW-7
I1-~~Y.~
-Ibis is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 8160602
No.
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Local Registrar
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECOROS
CERTIFICATE OF DEATH
MAME Of DECEDENT (Frv. Mime. Leal 9E% SOCIAL SECURITY NUMBER V~ DATE OF DEATN,Ma~, Day,'Mr)
'' 'Ma °• 162 -22 - Aril 2, 2002
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Phillip Weaver
235 Marion Ave Carlisle PA 17013
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Ha. (Item 27) T IK _ D CAUl~
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REDISTRAR'S SKiNATURE AND R
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GATE flLED (L1°ruh. ,,
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Oath of Personal Representative
Commonwealth of Pennsylvania
County of cuMBERLAND
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent,
Petitioner(s) will well and truly administer the est<
Sworn to and affirmed and subscribed
before me this 21st day of
J 20
MARY LEWIS
DECREE OF REGISTER
Estate of Robert E. Weaver Deceased No. 2 I - 0.2' Sg'o
also known as
Social Security No: 162-22-6407 Date of Death: 4/2/2002
AND NOW, JUF1E 21, 2002 , in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ^ Testamentary p of Administration C.T.A.
(c.t.a., d.b.n.c.t.; pendente life; durante absentia; durante minoritate)
are hereby granted to Phillip Weaver
in the above estate and that the instrument(s), if any, dated February 6, 1981
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters ...............:.................... $ 18.00
Short Certificate(s) $ 18.00
Renunciation .......................... $ 15.00
Affidavit ( ) ....................... $
Extra Pages ( ). 6.00
Codicil ................................. $
JCP Fee ................................. $ 5.00
Inventory & Tax Forms ............. $
Other ...................................... $
TOTAL .............................$ 62.00
Attorney: HAMILTON C. DAVIS
I.D. No: 10264
Address: P•O. BOX 40
SHIPPENSBURG PA 17257
Telephone: 532-5713
DATE FILED: h-?.1-02
RW-7A mailed to atty 6-21-2002
Cumberland County
RENUNCIATION
Estate of Robert E. Weaver Np, ~~' ~;2 " 5go
also known as
.Deceased
The undersigned,Residuarv leQalees under the Will of
(Relationship) (Capacity)
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of Administration CTA be issued to Phillip Weaver
Witness my hand this ~ ~ ` day of June , 2002
y~.
Sherry W aver V
lv~ /%~~~
~4 /.~.~.,,..
Sworn to or affirmed and subscribed
'r,efore me this 21 ~t day of
JUNE 2002
Notary Public MARY C LEWIS
My Commission Expires:
(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
Steven Weaver
241
~~9 nor DR. GARLI,
(Address)
(Signature)
(Address)
NOTE: Renunciations executed outside the Office of Register of Wills are
required in some counties to be notarized.
RW-3
Cumberland County
RENUNCIATION
Estate of Robert E. Weaver Np, .[. ~ " a it.'Jr g~
also known as
,Deceased
/1t.R=
Allfirst Trust Company of Pennsylvania, successor by merger
The undersigned, to Peoples National Bank of Shippensburg, designated as of
Substitute Executor (relationship) (Capacity) 1ri the Will
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of Administration CTA be issued to Phillip Weaver
Witness m ~ hand this ~~ daQQy of June , 2002 .
(Signature)
Allfirst Trust Company of Pennsylvania ~/ &-
(Address) r
(Signature)
(Address)
(Signature)
Sworn to or affirmed and subscribed
before me this 2 ~ st day of
JUNE 2002
Notary Public MARY C LEWIS
My Commission Expires:
(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
(Address)
NOTE: Renunciations executed outside the Office of Register of Wills are
required in some counties to be notarized.
RW-3
Cumberland County
RENUNCIATION
Estate of Robert E. Weaver No. ~ ~ ~ a ~' - 58'O
also known as
,Deceased
The undersigned,Lee E. Weaver brother designated Executor in the the Will of
(Relationship) (Capacity)
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of Administration CTA be issued to Phillip Weaver
Witness my hand this ~ ~~ day of Tune , 2002 .
(Signature)
Lee E. Weaver
3043 West Aster Drive, Phoenix AZ 85029
(Address)
(Signature)
(Address)
(Signature)
Sworn to or affirmed and subscribed
before me this 21 Gt day of
JUNE 2002 ,
Notary Public MARY C LEGVIS
My Commission Expires:
(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
(Address)
NOTE: Renunciations executed outside the Office of Register of Wills are
required in some counties to be notarized.
RW-3
LAST WILL AND TESTAMENT
2 ~ - 02 -5go
I, ROBERT E. WEAVER, of the Borough of Newville, Cumberland County,
Pennsylvania, declare this to be my Last Will and Testament and revoke any
will or codicil previously made by me.
ITEM I: I direct that all my just debts and funeral expenses, including
my gravemarker and all expenses of my last illness, shall be paid from my
residuary estate as soon as practicable after my decease as a part of the
administration of my estate.
ITEM II: I hereby direct that my executors hereinafter named as soon as
W
~~
Hamilton C. Davi:
3dR+x€c~lfl~
ATTORNEYS AT LAW
NEWVILLE & SHIPPEN SBIIRG
PENNA.
is practical after my death shall sell all of the assets of ray estate and
reduce them to cash. I devise and bequeath all of the estate, of every nature
and wherever situate, in equal shares, per capita, to my niece, SHERRY WEAVER,
and my nephews, PHILIP and STEVEN WEAVER, or such of them as shall be living
on the thirty-first day following my death.
ITEM III: I appoint PEOPLES NATIONAL BANK, of Shippensburg, Pennsylvania,
guardian of any property which passes outright either. under this will or
otherwise to a minor and with respect to which I am authorized to appoint
a guardian and have not otherwise specifically done so, provided that this
appointment of a guardian shall not supersede the right of any fiduciary in
its discretion to distribute a share where possible t:o the minor or to
another for the minor's benefit. Such guardian shal]_ have the power to use
principal as well as income from time to time for the' minor's support and
education (including college education, both graduate: and undergraduate)
without regard to his or her parent's ability to provide for such support
and education, or to make payment for these purposes, without further
onsibility to the minor or to the minor's parent or to any person taking
care of the minor.
ITEM IV: I direct that all taxes that may be assessed in consequence of
my death, of whatever nature and by whatever jurisdiction imposed, shall be
paid from my residuary estate as part of the expenses of the administration of
my estate. ~ ~,
ITEM V : I appoint my brothers , 'LEE~~R and ~ J-~-T~`rz~, executors
of this my last will. Should both of my said executors fail to qualify or
cease to act as executors, I appoint PEOPLES NATIONAI. BANK, of Shippensburg,
Pennsylvania, executor of this my last will.
ITEM VI: I direct that my executors or guardian or their successors
shall not be required to give bond for the faithful performance of
their duties in any jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will
and Testament written on three (3) sheets of paper, dated this _~ day of
,~ ~ 1981.
~C~'~''~" `~` ~~ (SEAL )
Robert E. Weaver
The preceding instrument, consisting of this and two (2) other typewrittenl,
pages, each identified by the signature of the testator, was on the day and
date thereof signed, published and declared by the testator therein named,
as and for his Last Will, in the presence of us, who, at his request, in his
presence, and in the presence of each other have subscribed our names as
witnesses hereto. //
residing at ~~~ P G ,
F ,~ c ,/~
~9 ~ i~~' /. residing at V~/`~~~dI,S ~u/''r / `'t_
McCREA & DAVIS
ATTORNEYG AT LAW
N EWVILLE & SHIPPENSBURG
PENNA.
- 2 -
MCCREA & DAVI5
ATTORNEYS AT LAW
N EWVILLE & SHIPPENSB
PENNA.
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
I, ROBERT E. WEAVER, the testator whose name is signed to the
attached instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument: as my Last Will; that I
signed it willingly; and that I signed it as my free and voluntary act for the
,purposes therein expressed.
~~~~ ~ ~ (SEAL )
Robert E. Weaver
Sworn or affirmed to and acknowledged
before me, by ~n n e.r~ E . W ~,._.~~_r
the testator, this ~~, day of
~~bcLtic_r , 1981.
tdetvv~"i:, ~
Notary bli M~rComrr~~ ~ ~-;; ~ ~ ~;~;~
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
We, ~ ~ .S and ~C ~G~G~ ~., ~ ~Q,,~~ , the witnesses
whose names are s gned to the attached instrument, being duly qualified accord-
ing to law, do depose and say that we were present and saw the testator sign
and execute the instrument as his Last Will; that he signed willingly and that
he executed it as his free and voluntary act for the purposes therein expressed
that each of us in the hearing and sight of the testator signed the Will as
witnesses; and that to the best of our knowledge the testator was at that time
eighteen (18) or more years of age and of sound mind and under no c straint or
undue influence.
~'
Sworn or affirmed to and subscribed
before me by /a~,.,.ti; /~~, C. arc- .u; S
and ~)~~~ ~~ , ~~s~. , witnesses,
this (,~ day of ~~,,~,~ ,
119 81.
SUSAN J. Pi~V>=T i ER, Notay Public
Newville, Cur^?~arir~r~l Ca., Fa.
M. (ors nis:; ~ L,.!tii . ~ " ..._
~~~_~,_~
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
HAMILTON C DAVIS
ZULLINGER DAVIS PC
PO BOX 40
SHIPPENSBURG PA ;1!7257
REY-1547 EX AFP ID1-D3)
DATE 03-17-2003
ESTATE OF WEAVER ROBERT E
DATE OF DEATH 04-02-2002
FILE NUMBER 21 02-0580
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS -~
----------------------------------------------------------------------------------------------------------------
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF WEAVER ROBERT E FILE N0. 21 02-0580 ACN 101 DATE 03-17-2003
TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1) .00
(2) .00
(3) .00
(4) .00
(5) 15,267.99
(6) .00
(n .00
(8)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
15,267.99
APPROVED DEDUCTIONS AND EXEMPTIONS:
7,520.80
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) [10) 3.46 3.7 0
11. Total Deductions (11) 10.984.50
12. Net Value of Tax Return (12) 4, 283.49
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule .J) (13) .00
14. Net Value of Estate Subject to Tax (14) 4,283.49
NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rata (151 .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rata (16) .00 X 045 = .00
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B ra te (18) 4,283.49 X 15 - 642.52
19. Principal Tax Due (19)= 642.52
reY r_~pnrrc.
DATE
NUMBER +
INTEREST/PEN PAID (-) AMOUNT PAID
01-23-2003 CD002075 .00 642.52
BALANCE OF UNPAID INTEREST/PENALTY AS OF
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
01-24-2003 TOTAL TAX CREDIT 642.52
BALANCE OF TAX DUE .00
INTEREST AND PEN. 1.85
TOTAL DUE 1.85
^ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A ''CREDIT'' (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF TNIS FORM FOR INSTRUCTIONS.)
~,,. ~? ~ ~ / - 5l
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
~~ n
'd3 JLI~a 20 '"" :~
HAMILTON C DAVIS
ZULLINGER DAVIS PC
PO BOX 40 ~ ' ~'
SHIPPENSBURG PA 172~~'
REY-1637 E% ~FP (01-03)
DATE 06-09-2003
ESTATE OF WEAVER ROBERT E
DATE OF DEATH 04-02-2002
FILE NUMBER 21 02-0580
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, Pp 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS -~
----------------------------------------------------------------------------------------------------------------
REV-1607 EX AFP (O1-031 ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ~(~(~(
ESTATE OF WEAVER ROBERT E FILE N0. 21 02-0580 ACN 101 DATE 06-09-2003
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-17-2003
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
642.52
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
01-23-2003 CD002075 .00 642.52
05-27-2003 CD002615 1.85- 1.85
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
^ IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN Sl,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
642.52
.00
.00
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CERTIFICATION OF NOTICE UNDER RULE S.6(a)
Name of Decedent: Robert E. Weaver
Date of Death: Apri12, 2002
Will No.: 21-02-0580
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a)
of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-
captioned estate on September 17, 2002:
Name
Address
Phillip Weaver 235 Marion Avenue Carlisle PA 17013
Steven Weaver 291 Wagner Drive Carlisle PA 17013
Sherry Stevens 105 Clarindon Place Carlisle PA 17013
Notice has now been given to all persons entitled thereto under le 5.6(a) except None
/ `-
Date: 9/17/02 phi l
Signature
Name: Hamilton C. Davis, Esa.
Address: P.O. Box 40
Shippensburg, PA 17257
Telephone: 717-532-5713
Capacity: personal representative
X counsel for personal
representative
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DAVIS HAMILTON C
P O BOX 040
SHIPPENSBURG, PA 17257-0040
tole
ESTATE INFORMATION: ssN: 162-22-6407
FILE NUMBER: 2102-0580
DECEDENT NAME: WEAVER ROBERT E
DATE OF PAYMENT: 01 /23/2003
POSTMARK DATE: 00/00/0000
couNTY: CUMBERLAND
DATE OF DEATH: 04/02/2002
REV-1162EXI11-961
NO. CD 002075
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 5642.52
TOTAL AMOUNT PAID:
REMARKS: HAMILTON C DAVIS ESQ
CHECK# 109
SEAL
INITIALS: VZ
RECEIVED BY:
5642.52
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 002615
DAVIS HAMILTON C ESQUIRE
P O BOX 040
SHIPPENSBURG, PA 17257-0040
fold
ESTATE INFORMATION: SSN: 162-22-s4o7
FILE NUMBER: 2102-0580
DECEDENT NAME: WEAVER ROBERT E
DATE OF PAYMENT: 05/28/2003
POSTMARK DATE: 05/27/2003
couNTY: CUMBERLAND
DATE OF DEATH: 04/02/2002
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $1.85
TOTAL AMOUNT PAID:
REMARKS: PHILIP WEAVER
C/0 HAMILTON C DAVIS ESQUIRE
CHECK#112
SEAL
INITIALS: JA
RECEIVED BY: DONNA M. OTTO
REV-1162 EXI11-96)
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DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
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DEPARTMENT OF REVENUE
DEPT,260601
HARRISBURG. PA 17128.0&01
/--.
REV-1500: -
INHERITANCE TAX RETURN
RESIDENT DECEDENT
10
o X 48. Future Interest Compromise (dale of death
after 12-12-82)
o X 6. Decedent Died Testate (Allach COpy 0 X 7. Decedent Maintained a Living Trust (Attach
of Will) copy of Trust)
lOX 9, litigation Proceeds Received 0 X 10, Spousal Poverty Credit (date of death between
I 1'2-31-91 and 1-1-95)
THIS~~TlOt<4,,.tiST--;8e.-<rOMPLETED.,ALL~CqRR~$POtrOENCI:-_ANP:-c-c-oNfltJi"1"t.4i.ft~-IW16-~iATIQitSliOii.DJie,jfR~g:1j"M~'.'-~---
AME COMPLETE MAILING ADDRESS
L Hamilton C. Davis
FfRMNAME-1ftapplicabliij------ ----- -- --- -\
L Zuninger - Da"is, p~__
rELEPHONE NUMBER
I 717/532-5713
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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4. Mortgages & Notes Receivable (Schedule 0)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o '\Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule 0 or L)
8. Total Oross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
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C.DECEDEN'rs}iAME(l.Asi,--PIRSfANDMIOOlE-INrl'iACf
! Weaver, Robert E.
i DATE'OF'DEATH (MM-DO- YEAR)----
I
. 04/02/2002
OFFICIAL USE ONLY
FILE NUMBER--
21
02
0580
---~ ---OATtOF' BIRTl-\(MM-OD'-YEARj--
i 05/06/1928
i(\F7''-PP-UCABlE)SURVlV1N(fspbus-E~:rNAMe: ( LAST,FfRSTANO-MIDo'lE INrTIAl)
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+ IBI Xl. OrigTnaFRetum-- ----0 -X i--'Supp'jementi!TRetu~-
o X 4. Limited Estate
----.----i
i
_ _~O~_NTY_ cg~~__'1'EA13___ _NUMBER
--SO-CTAl SECURITY NUMBER--- - ---.- ----- .--- ~--
162-22-6407
THIS RETURN MUST BE FilED IN DUPLICATEWI-TH-THE-
I REGISTER OF WILLS
---SOCiATSECURITY N-U-MBER- -----. ------
!
,
'"[fX3~Remamaer-Refu-'iiTdateOf.CJealfi.pnorr012~f:r-:a2) --
o x5. Federal Estate Tax Return Required
a. Total Number of Safe Deposit Boxes
o X 11. Election to tax under Sec. 9113(A) (Attact\ Sch 0)
20 East Burd Street, Suite 6
P.O. Box 40
Shippensburg, PA 17257
--"---~--------,-----------------------._---- -------------~--------- ------------ - --._----._---"--------------------------
--~-- ---~---- -------- - ._-~~-~------------------._--,,---~---- -----------------.
i 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not
I been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
--+--- - ---
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
! 15.Amount of Une 14 taxable at the spousal tax rate,
or transfers under Sec. 9116(a)(1.2)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
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16.Amount of Line 14 taxable at lineal rate
17. Amount of Une 14 taxable at sibling rate
18. Amount of Une 14 taxable at collateral rate
(1)
(2)
(3)
(4)
(5)
(6)
(7)
19. Tax Due
20. 0
None
OFFICIAL USE ONLY
None
None
None
15,267.99
None
None
(8)
15,267.99
(g)
(10)
7,520.80
------ ------.---
3,463.70
(11)
10,984.50
4,283.49
(12)
(13)
(14)
4,283.49
x .00
(15)
x .045
(16)
x .12
(17)
4,283.49 x .15
(18) 642.52
(19)
642.52
Copyright 2000 form software only The Lackner Group, Inc.
,"
,CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
"''''>+; :--~);:<'~
. >> BESURE; TO ANSWER A1.L QUESTIONS ON ReVERSE SIDE AND RECHeCK MA 1lf<< .
Fonn REV-15DO EX (Rev. 6-00)
Decedent's Complete Address:
STREET ADDRESS
42 R. Chestnut Street
CtTY
Newville
. --ISTKrE-
PA
illP 17241 --- - --
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
T olal Credils (A + 6 + C)
(2)
3. Interest/Penalty jf applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E)
4. If line 2 is greater than Line 1 + line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 line 20 to request a refund
5. If Une 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
S. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(3)
(4)
(5)
(5A)
(56)
Make Check Payable 10: REGISTER OF WILLS, AGENT
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred:....... .......".........
b. retain the right to designate who shall use the property transferred or its income;........ ..............,
c. retain a reversionary interest: or... ...................
d. receive the promise for life of either payments, benefits or care?.....
2. If death occurred after December 12,1982, did decedent transfer property within one year of death without
receiving adequate consideration? ................... .................. .................
3. Did decedent own an ~in trust for" or payable upon death bank account or security at his or her death?
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?........ m.m..................... ...................
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642.52
Yes
No
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Ul'\d9r penalties -Of perjUIY. I declare thai Yhave examined Ihis relurn, includin!;l aCCompanYing sChedules and statements, and 10 thebeStcir my knoWledge and belief, it is true,CC:i;:;:ect
andcompTete--
Declaration of preparer other than the personal representative IS based on all Information of which preparer has any knowledge.
SIGNATURE-OF PERSON RESPONSIBLE FOR FI-UNG RETURN -- -~DRES~f'-
Phimpweaver"~~ 235 Marion Avenue
Carlisle, P A 17013
SIGNATORE'OFP S NR ET(lRN-n -ADC-RESS------------.--'---
--J2~-3-
ERTH
20 Easl Burd Street, Suite 6
P.O. Box 40
Shippensburg, PA 17257
-~---'--'-----nATC'-'-
PRESENTATJVE-~-
'ADDRESS
r
jll
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse Is 3% [72 P.S. ~9116 (al (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116
1.2) [72 P.S. ~9116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116 (a) (1.3)]. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
-'-
ESTATE OF
Weaver, Robert E.
--I FILE NUMBEir-
I 21 - 02 - 0580
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM
NUMBER
I
DESCRIPTION
VALUE AT DATE
OF DEATH
-----~12,515.73
Fanners 1,rationaTBankChecking Account NCl.133ill8961
2
Sprint Refund
8.03
3
Carlisle Regional Medical Center Refund
800.00
4
Carlisle Tire and Rubber Refund for Hourly Employees
195.38
5
Keystone Insurance Company Refund for unused premium
12.73
6
Publishers Clearing House
124.09
7
Life and Health of America Refund for unused premium
60.23
8
Prudential Financial Insurance Company Annuity Services Contract Number DOS422529
1,051.80
9
Miscellaneous contents of apartment
500.00
TOTAL (Also enter on Line 5, Recapitulation)
15,267.99
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT D(.CEDENT
------....--- ---
----.----..-- ----
FllENUMBE-R----
I 21 - 02 - 0580
--------- -----
"--- ---.. ..----. ---- .."
ESTATE OF
Weaver, Robert E.
-------'-- ._--_..~---
Debts of decedent must be reported on Schedule I.
-itEM -\-- ---- --- ----
NUMBER
A:----1'FUNERALEXPENSEs:--.
I 'Egger Funeral Home
DESCRIPTION
AMOUNT
----1---
I
I
I
I
I
5,876.60
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
B.
Social Security Number{s) I EIN Number of Personal Representative(s):
Street Address
City
Year(s) Commission paid
Attorney's Fees Hamilton C. Davis, Esquire
State
Zip
2.
1,000.00
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
I
,
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I 500.00
\- -._---
, 7,520.80
I
69.20
City
Relationship of Claimant to Decedent
State
Zip
4,
Probate Fees
5,
Accountant's Fees
6,
Tax Return Pre parer's Fees
7,
I
Other Administrative Costs
Legal Advertising - The Valley Times Star
2
Legal Advertising - Cumberland County Legal Journal
75,00
I
L _____ ___
Total of Continuation Schedule(s)
TOTAL (Also enter on line 9, Recapitulation)
*'
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Weaver, Robert E.
3
Reserve for Contingencies
Schedule H
Funeral Expenses &
Administrative Costs continued
____ ___ ___.___ __1- __ ___ ___ .______
----- .---- -------- -- ------~- ! FILe-NlTMBER--- --- "------ -- ----.---
21 - 02 - 0580
_.__ _u ___u_ ._ ____ 1_
500.00
Page 2 of Schedule H
ESTATE OF
.
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIOENT DECEDENT
L__
Weaver, Robert E.
I FILE NUMBER
21-02-0580
Include unreimbursed medical expenses.
ITEM
NUMBER
--r
DESCRIPTION
ppl Otilities--
2
Household Bank
AMOUNT
- ---- TTs-:71'
1,947.99
1,400.00
3,463.70
3
Rent (on apartment necessitated by amount oftime required to sort through/search for records and
dispose of worthless tangible personalty and junk)
TOTAL (Also enter on Line 10, Recapitulation)
Prudential ~ Financial
Prudential Investments
Annuity Services
PO Box 13379
Philadelphia, PA J 91 0 I
(888) 778-2888
,
DEe 1 2 2002
HAMILTON C DAVIS
20 EAST BURD ST STE 6
PO BOX 40
SHIPPENSBURG PA 17257
Contract Number: DOS422529
Payee: Robert Weaver
Dcccmber 6, 2002
Dear Mr. Davis:
You recol1tIy wrote cOllc~ming the above referenced contract. The value as ofMr. Weaver's date of
death is $ l,051.80.
If you have any questions or concerns, please don't hesitate to call our Customer Service Center at
(888) 778-2888 between the hours of8:00 a.m. and 8:00 p.m, Eastern time.
Sincerely,
~x
Sherry L. Gehring
Post Issue Approver
A Division of the Prudential Insurance Company of America
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Sprint United Management Campanl/
Paying Agent on Behalf of Itself and Sprint Cor;:lOration's Affiliates
P. O. SO" 7977
Overland Park. Kansas 66211
1-377-604-8464
0005555237
55-332/J.i2
03/11/2002
PAY '''''''''''''''''''''''''',Mdd'4 COLLARS AND 03 CL'ITS ''''''-'''''''''''''''''<;'''''''''''''''4.03
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00002792 1 AS 0,280 01
*:t:~'f;**;j:;j:*':tAUTO*:i:MIXEO AADC 660
ROBERT WEAVER
42 CHESTNUT ST RR
NEWV!LLE PA 17241-1331
\/0:0 iF NOT CAShED WiTHiN 130 O.u.YS
Jutho~izea 5ignatlJPe
1",111,,,1,,1,1,1,,1,,,11,,,11,,11,,,11,,,,11,1.,1,,1,1,,,111
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II' 000 5 5 5 5 2 ~ 711'
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CARLISLE REG MED CTR
246 PARKERSTRllET
CARLISLE, PA 17013
. I =,..
. HEALTH MANAGEMENT ASSOCIATES, INC.
WtON nnOKAL BAmt 0.. FLORIDA.
APJ'.,ES,FL
VOID AFTER 90 DAYS
I,
i.
0022154
63emlm i;
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11
AMOUNT
PA Y ElGHTHUNDRED & 00/100
DATE
05/30/2002
$*******800.00
TO
THE
ORDER
OF
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Trust Company Americas 1CK001 6407 CARLlSLCRET PLAN FOR HRL Y EMP - TIRE & RUBBER 311 I
7000BL.tB55 I
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PAY lOTHE ORDER OF
ROBERT E WEAVER
. 42 CHESTNUT ST. REAR
NEWVILLE
REPLACEMENT CHECK
ISSUED TO REPLACE
CkNo. 112273920
Dated 04-01-2002
AMOUNT
$*******~**195.38
PAYA6LE DATE
07-30-2002
PA 17241
CHECK VOID AFTER 90 DAYS
00 NOT ENDORSE OR DEPOSIT
BEFORE PAYABLE DATE
................M H..Nr:REO NIf.E1Y FIVE N4V 381100 t:OLURS*...............
871 DBfeo NJ LTO PAYEE MUST PERSONALLY ENDORSE EXACTLY AS DRAFTED ~ ~ ~/.~
PAYABLE AT DEUTSCHE BANK TRUST COMPANY DELAWARE AUTHO~IZ~IGNATUR~ J
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COIT'.JTIonwe:.dth of Penns"iJ v:.mja
OFFICE OF ATTORNEY GE!'iER\L
Escro,>v' Account
CornptmiJ':r Sectiun
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I-brrisbur6. PA 17120
f\Jlfir')t BJnk
f-Idrri.''iourg, P:-\
60-83-313
No. 046825
CNTRL # 07901
O"to 10/07/02
PAY
ONE HUNDRED TWENTY FOUR DOLLARS AND 09 CENTS
Amount
$"124.09
To the
Order
Of
ROBERT WEAVER
42 CHESTNUT ST 2
NEWVILLE, PA 17241
236254835
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COMMONW!:ALTH OF PEI'I~ISYLVANIA
OFFICE OF ATTORNEY GENERAL
MIKE FISHER
ATTORf\JEY GENERAL
RE: Publishers Clearing House
Bureau of Consumer Protection
PO Bux 20il5
Scranton, P A ] 8502
(570) 963-3315
DEAR: ROBERT WEAVER
\
In January of 2000, my Bureau of Consumer Protection filed a lawsuit against Publishers Clearing House (PCH) alleging
that the company used misleading and deceptive solicitations to induce Pennsylvania residents into believing that they were or
would be winners of major prizes. The lawsuit also accused PCH of manipulating those residents into buying the products offered
by the company based on these beliefs.
I am pleased to inform you that my office, along with Attorney General Offices in 25 other states, has entered a settlement
with PCH that will dramatically change the way peH may offer sweepstakes tn the future and will provide for a consumer
restitution fund.
Recently, Pennsylvania received the entire amount of consumer restitution due to it under the court agreement. This
money is now being divided among thousands of Pennsylvania residents who spent large amounts of money buying PCB products
between 1997 and 2000.
Records indicate that you were among this group of consumers, and I am happy to present you with the attached
restitution check. This represents your prorated share of the monies received from PCH.
I am happy that my Bureau of Consumer ProtecUon has been able to assist you in recovering some of the monies you
have paid to PCH. If you have any further questions. you may reach the Bureau of Consumer Protection by writing to the above
address or by calling (570) 963-3315 during normal business hours (Monday through Friday between 8:30 AM and 5:00 PM).
Very truly yours,
,
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Mike Fisher
Attorney General
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RE: UNEARNED
DETACH HERI= KEEP T'
- - , HiS STATEJvlENT
PREMIUM REFUND
DEAR MR DAVIS
We want to take this means to express our deepest sympathy to you on
your recent loss,
Enclosed is our check which represents the unearned premium on the
above referenced policy,
Thank you for giving us an opportunity to have served your insurance
needs_ If you have any questions, please contact us at 1-800-458-7493.
Sincerely,
/y?"IJY1Jv~ Jd {YLl)J.J~-,
Monica Horulko
Policyholder Service Department
Ene,
CHECK NUMBER: 013243
CHECK AMOUNT: $60.23
220 W. Germantown Pike, Ste. 200. Plymouth Meeting, PA 19462
(610) 940-1477. Fax: (610) 940-1478. Toll-Free: (800) 458-7493
www.lifeheallhamerica.com
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Samuel Roy Weaver
Samuel Roy Weaver, 98. of great-grandchildren; and seven
Carlisle, died Tuesday, March great-grear-grandchildren.
26, 2002. in Harrisburg HospitaL Funeral services will be held
Born Feb. 7,1904, in Blair Saturday at 10 a.m. in Slate Hill
County, he was a son of the late Mennonite Church, 1352 Slate
Martin M. and Bertha A. Book- Hill Road, Camp Hill, with Bish-
walter Weaver and the widower. op Paul W. Nisly, j{arold Weaver
of Leah Hertzler Weaver. Jr. and Chester Weaver Jr.. offici-
. A farmer in York County, he ating..: :.
was the oldest living member of Burial Will be in Slate Hill
Slate Hill Mennonite Church. Cemetery, Lower Alten Town-
. Me Weaver is survived by a ship. Friends may calt Friday
daughter, Bertha M.Martin of from 6 to 8 p.m: and Saturday
Mt. Joy; two 'on" Chester C. of following services at the church.
Carlisle and Harold H. of Massa- Myers Funeral Horne, Mechan-
chusetts;a brother, Joseph of . icsburg.is in charge of the
Carlisle; a sister, Viola Weaver of arrangements.. The family
Carlisle; 13 grandchildren; 77 . requests the omission of flowers.
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LAST WILL AND TESTAHEN'l'
I, ROBERT \~. \-"'EAVEH., of the Borough of Newville, Cumberland County,
Pellosylvania, declare this to be my Last Will and Testament and revoke any
will or codicil pn'vi.ow-;l.y made by me'.
IT HI I:
I direct that all my just debts and funeral expenses, including
illY ,\',r,IVt'fl):lr!u'l" :Hld :lll l':':p('n::t'S or IllY ],'/:;1 i IIIH"'-i~;, ::11;111 Ill' ll.-lid frum my
residuary estate as soon as practicable after my decease as a part of the
administration of my estate.
ITEM II: I hereby direct that my executors hereinafter named as soon as
practical after my death shall sell all of the assets of oy estate and
reduce them to castl.
I devise and bequeath all of the estate, of every nature
and wherever ::;ituatc,
in equal shares, per capita, to my niece, SHERRY WEAVER,
and my n"phews, PIIILIP and STEVEN WEAVER, or such of them as shall be living
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ITE~l III:
I appoint PEOPLES NATIONAL BANK, of Shippensburg, Pennsylvania,
guardian of any property which passes outright either under this will or
otherwise to a minor and with respect to which I am authorized to appoint
il ~;(I:.ll-lli,l!l ;llld 11;-IVI' llnl Iltllt'rwlsl' ~;p(-'c;ric;-ll-Iy dOfH' ~~O. provided thnt this
appoLullllenL ol a guarJ l<.lll slwll lwL 1:>L11H.'rSL'dt..: L!I(~ rigllt o[ any Cldllclury La
its discretion to distribute a share where possible to the minor or to
another for the minor's benefit.
Such guardian shall have the power to use
IprinciPai as well as income from time to time for the minor's support and
Il'dtLl.';)tion (including college education) both gr-aduute and undergraduate)
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milton c. LJdvi~withotlt regard to his or her parent's anility to provide for such support
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,....:.;:::':,;;,~::'d: Il"nd education, or to make payment for these purposes, without further
. reSPOnSibility to the minor or to the minor's parent or to any person taking
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care elf the minor.
IT~}i IV: I direct tlldt all taxes tllat may be assessed in consequence of
my death, of whatever nature and by whatever jurisdiction imposed, shall be
paid from U1Y resilJuury estate as part of tile eXl)ellSeS of the administration of
my estate.
[TI':H V:
<Jppll.l.nt my hrothers, LEE E. WEAVER 3nd JAY A. Wr':AVCR, executor~
of this my last will. Should both of my said executors fail to qualify or
cease to act as executors, I appoint PEOPLES NATIONAL BANK, of Shippensburg,
Pennsylvania, executor of this my last will.
ITE~1 VI: I direct that my executors or guardian or their successors
shall not be required to give bond for the faithful performance of
their duties in any jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will
and Testament written on three (3) sheets of paper, dated this c::d day of
;,L"e b,rll tl/V
I
, 1981.
d-~d f~t{?1-J
Roh(~rt I';. WC'ilvcr
(SEAL)
The preceding instrument, consisting of this and two (2) other typewritten
pages, each identified by the signature of the testator, was on the day and
date thereof signed, published and declared by the testator therein named,
as and for his Last Will, in the presence of us, who, at his request, in his
presence, and in the presence of each other have subscribed our names as
witnesses hereto.
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Ii COi'!:'fONhfl<:,,\Lf'H OF Pl':NNSYLV^:~TA
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Cllt~~TY <ll,' CUNI',\':I{\,i\H\)
I. l\i))~l':l~T I,:. h/]'~^Vl':l{, tl\(' tl~sldtor whosl' 11:lllll' is SigllL'd tp Lill'
,ltl;ll_~ll\.-'J iIISlLlJllll'llt. ll~Jvirlg IH'L~ll duly qll~Jlili('d ;rc("IJr.dLllg t,l law, Ju hl'rchy
acknowledge::.' that I signeJ arld executed the instrument ;IS my Last HILL; thdt 1
signed it willingly; and that I signed it as my free and voluntary act for the
purposes tllerein expressed.
S~vorn or afEirmed.-) t9 and acknowledged
before me, by /((!h~rf &:. /l./~t,-,,:el,
the testator, this 6fl, day of
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,9S~(}l.t~ '. Il w? tti.
Notar ublic
COc~10~WEALT~ OF PENNSYLVANIA
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'R6bert E. Weaver"
(SEAL)
COUNTY OF C~/BER.LAN!1 : ,
We. JJtVYJl r (1,/)'1 C. !lv,s and V", I "L Jlr. G~ f(" , the witnesses
whose names are signed to the attached {nstrument, being duly qualified accord-
ing to law, do depose and say that we were present and saw the testator sign
I and execute the instrument as his Last Will; that he signed willingly and that
he executed it as his free and voluntary act for the purposes therein expressed
that eactl of us in the lle~lring and sight of tlle testator 5i_goed the Will as
witnesses; anu that to the best of ouC knowledge the testator was at that time
eigllteen (18) or more years of age and of sound mind and under no constraint or
undue influence.
MCCREA [. OAVI~
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lisworn,or.J.[f1.~~.ed .t.o and subsSJ\ibed
!jhcll()rl' In!' hy fj_!i12L~f?,-_(. L1iVI..J
Ii "n'l_J/e..ldJ'"Jzi-c:,,[fE-~J....,.' witnesses,
!llhjst,r1K day u[ /,('6/uA. ry ,
111981. -- /
11 s(~"""-'o ~ ~ 1#;
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STATUS REPORT UNDER RULE 6.12
Robert E. Weaver
Name of Decedem:
Date of Death:
Estate No.
04/02/2002
2002-00580
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with
respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete: Yes X No
If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
Date:
3. If the answer to No. 1 is Yes, state the following:
Did the personal represemative file a final account with the Court? Yes
No X
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
Did the personal representative state an account informally to the
parties in interest? Yes X No
gO: id [-8d~/ ~.
Copies of receipts, releases, joinders and approvals of formal or
informal accounts may be filed with the Clerk of the Orphans' court and
may be attached to this report.
Hamilton C Davis, Esquire
P.O. Box 40
Shippensburg, PA 17257
(717) 532-5713
Capacity: __
Personal Representative
Counsel for Personal
Representative