HomeMy WebLinkAbout97-0751
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. ~ ,,.
COEINONWEALTH PENNSYLVANU INHERITANCE TAX RETURN i~N~M~~ ~ - --~ - -~
6EPARi4ENT QF REVENUE
wAaa~<t+uar cA,r, +
°`P"°°~°' RESIDENT DECEDENT ? a o 7 5 1
L ~
~
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ry
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W Z c i g l e r C l a y k o n I[
Q SCCLV. SECL'RRV MIMe[q DAIS U OEAiq
DAfE q yRtq
v 2 0 4. 0 1 5 9 3 5 0 5 f(0 9 ~ 1 9 9 7 0 8~ 1 3~ 1 9 1 6
Q „f APVIiCAetEI SUpvrv~NG S~OVSf S kAME Il/157. rs+sr AIrDwDDlE+atuut SCICtAC :ECVp+n NU4BEp THIS RETURN MUST BE ia.ED UI t)<1PUCIITE 4YiTH TH'
Zeigler, Jean h1. REGISTER OF WILLS
W t, Ongilal Return ^ 2. Suppkmenlal Return ^ 3. Remainder Ratum a-aa,a,
1 D~ab+1•~lart
~ a ~ a Lituted Estate ^ 4a. Future Interest Compromae tsar aauarr cr•+r ut ^ 5. Federal Estate Tax Rehm Requind
~ i m ^ 6. Decedent Died Testate tAaxnm•r awn ^ 7. Decedent Maultaned a Linng Trust Uaau+u•rar,v,d _ B. Total Number of Safe Deposrt Boses
~ ^ 9. Litgatxxl Proceeds Received ^ 70. Spousal Poverty Cred+t t"•sdarneer..«, u•sc•ac aro ,•t•ssI ~1 t. Ekctbn to lax under Sec. 9113(A) (AarA Scn
~ THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFC)RMATION SHOULD 8E DIRECTED TO:
!t4aE t0-IPIEIENAIUr+GADDRESS
c Clayton 5+1. Davidson , Esq. 2201 North Second Street
~ flRlIWWE ,"App1[Ad1, Harrisburg, PA 17110
U 1ECE~FIEafWBE>sI33-4141 (Fax 717--233-2342
1. RealEsfate(SchedukA) i1)
2 8$ 0 0 0
0 0
~ ~ ,
2. Stocks and Bonds (Schedule B} 121
, r •
3. Ckneiy Hek1 Corporation,Partnership or Sole~Propnetorship (3)
~ ~
d. Mongages d Notes Receivatrle (Schedule D) {a)
S. Cash, Bank Deposits 8 Miscedaneous Personal Property ~ ~ ,
2
(Schedule E- l51 ~ 2 ~ 5 0 0 , 0 0
6. JolnDy Gwned Property (Schedule F) (6} ~ ~
J 7 tnter•Vivos Transfers 6ldaceltaneous Non•Probate Property
(7)
~ (Schedule G or l) , ,
8. Total Grots Assats (total Lines 1.7) Ig)
,2
a7,5o o.oo
V 9. Funeral Expenses d Adm+natratne Costs (Schedule H} (9) ~ 9
3 8 6 2 0
,
~ 10. Debts of Decedent Mortgage Liab+Gbes, S Lens (Schedule I) (1D}
, ,
11. TotalDeductione(lotalLing9ii10) (TT) 9
3 8 6 2 0
~ ~
12. Net Value of Estats ILme B minus Line 17) {tp) 2 7 8 1 1 3 8 0
13. Chantabte and Governmental BequeswSec 9113 Tnuts fdr whit an election to tas has ndt been ,
{U) ,
made (Schedule J)
, ,
,
sa, Het Vatw Sub}ect to Tax ILIne 12 rnnus une 13) {ta} 2 7 8
1
, t
1 3 8 0
~ z
O
I F
~~
~ ~a
i ~
O
t?
i ~. Nrrpum DI nna ca raxaD+e
at the spouse! tax rate , 1 5 8, 8 1 6 5 2 x •0 0 {i5) , , 0. 0 0
See instructions on re+rerse sido for appliabk percentage
16. Amounto! tine to taxable 1 1 9 2 9 7 2 8 7 1 5 7 8 4
at 6!i rate , , x 06 (I6) , , ,
11. Amowtoltine t/ to:able
at t5%rate , , x .15 It7- , ,
tg. Tax Ove {tg) ~ 7~ 1 5 7 8 4
t9. • - , • •
> > BE SURE Tp ANSWER ALL QUESTIONS ON REVERSE 51DE AND~~RECHECK MATH < <
~ :roe DMrDES d pequry, i Oedare mac I naa eAamnea SM +e0pn, x~auanq axaroanrnq srrbauks anC ssa•rnenn, and >o me xst a rrq u,a~eoge •M oa~ef, a n tna. ctneti aw mrnyete Decwaoon a D~•oarer CCer
rr Te x+sonr ~•aetiapam~e ~s Dasea on aA ~+41rmaogn d +.na+ ortobrr nos aRf ~ro++euae
SIGNATURE CF PERSON RESPCNSiBLE FOR FILWG RETURN ADDRESS DATE
SIGNATURE CF P)i AR€RATHERJHAN ¢EP ENTA IVE/ ADDRESS DATE
Decedent's Complete Addross:
siwcet Facrsfss
544 Wilson Street
qtr '
Carlisle ,r~iE PA ~~ 171713
Tax Payments and Credits;
1 Tax Due (Page t line 18)
2. Cred,tstPayments
A. Spousal Poverty Credit
8. Pria Payments
(f)
C. Discount
Total Credds (A • B + C) (21
3, tnterestlPenalty,f applicable
D. interest
E. Penalty -
T4tal InteresUPena4ty (D • E) (3)
4. If line 2 is greater than line 1 + line 3. enter the difference, This is the OVERPAYMEt~T.
Check box on Ptige 1 Llne 19 to request a refund (a) -
5. If Nne t • line 3 is greater than line 2, enter the diAerence. This is the TAX DUE. (5)
A. Enter the interest on tGe lax due. (5A!
f3. Enter the total of Une 5.5A. This is the BALANCE DUE. (59)
~+~~~ Make Check Payable fo: REGISTER OF WILLS, AGENT ____
.r. •.T:».:km.T.~=+~~iSi.'a~`i~c:S64r'!~~'.i, ~1 - e" +`•.~(~L'r. -iw.~w:~uli'.-.~>`A't~.~i~~.stb~~~f«Yr}.:w~ia ~, C+:+.t.a:
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" 1N THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income at the property transferred : ............................................................. ^ d
b. retain the right !o designate who shall use the property transferred pr its income : ................ [~ ,[_.~/
c. retain a reversionary interest; or ............................................................................................. Q lJ
d. receive the promise far life of either payments, benetils or care? ......................................... [] [~
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? It death occurred
after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? ............................................................................................. Q
3. Oid decedent own an 'in trust toy' or payable upon death hank account or security o
at his or her death? ......................................................................................................................
4. Did decedent own an individual retirement account, annuity, or other non•prahate property?.... [] [~
tF THE ANSWER TO ANY OF THE A80VE QUESTIONS !S YES,
YOU MUST COMPLETE SCHEDULE t3 AND FILE IT AS PART OF THE RETURN
rt+±tL~?LK .. - ~ a i1-w",..~,M, ~Tt~GG7i~iir.'~!~1 ..~Cw'.7_3.T:'-•;r+,~r'Y: ~'~_ :ra':r .,~iw~
72 P.S. §9116 (a) (1. t) (i) provided for the reduction of the tax rate trnposed on the net value of transfers to or for the use of the
surviving spouse from 6% to 3°!o for dates of death on or after Juiy f , t994 and before Janvary 1, 1995.
72 P.S. §9116 {a) (1.1) (iij provided far the reduction of the rate imposed on the net value of transfers to or /or the use of the surviving
spouse from 3°lo to 0% Fos dales of death an ar after January 1, 1995. 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 beneriaary.
FOR DATES OF DEATH ON OR AFTER JANUARY i, 1995 - Please answer the foilawing question by placing an 'x' in the
appropriate space.
Did the decedent create trust or stmltar arrangement which is solely for the surviving spouse's benefit for his or her entire
ItfetJme? Yes ~ No Q
If you answered yes to the above question, the tax on the trust or similar arrangement is postponed until the death of the second
spouse, at which time it will be fatty taxabte at the rate(s) applicable to the remainder beneficiary(ies), Enter the value of the trust on
Schedule J, Part it, in order to remove it -rom the calculation of the tax due in this estate, You may wish to fife Schedule 0 in order to
make she erection available under Section 9113. 1f the election is made, the trust ar similar arrangement is taxed in the estate of the
first decedent spouse, the portion of the trust or similar arrangement which benefits the surnving spouse is taxed at the zero taz rate,
- ~ and the remainder is taxed at the rate(s) applicably to the remainder benefiGarytiesl. if you choose to maks the election, you must
attach Schedule 0 to a Timely-feted taz return. along with 5chedulels) K andlor tN in order to show the apportionment of the trust or
similar arrangement between the surviving spouse and trie remainder beneficiaryties).
^~^
q SCHEDULE A
CQAw0NWtAl1H 0/ /(NNSYlVAN1A REAL ESTAYE
!NM[RI1AN~[ fAx R(tURN
++sm+wr meratwr
C1aytQn H 2.eigler County ~~,99~-0071 P~_„y~1-97-Q751
(Property;olntly.ownod Yvlth Ripht of SurvEvont,tp mu+t bo dl+clo+rd an Schodulo f) All nal o>fta[a +hould b• roportRd of !o{r rrtorM~! volu•
wfi{ch {+d~Fln~d o+ the prk• at which property would b~ ~~chanp~d bNw~sn a wlillnp buyer and a w3{Ilnn sdt~r, n~{th~r b•{n9 comp~ll~d
to buy or +~li, bolh hoVinp na+onoblo knowl~dp• aF the rolovae[ fact+.
ITEM J VALUE AT PATE
NUMSEfi DESCRIPTION 4 OF QEATN
i.
1235 Ritner liighway ~ $285,000.00
Carlisle, PA 17013
Cumberland County ~ {see attached
Parcel ~ 49-08-0579-007 appraisal, this
size 4.126 acres ~ value represents
conveyance; dated 11/21/94, recorder' 12/30/94 ~ the decedent's
Deed Haok 116-1042 (Cumberland County ( l/2 interest in
' I the entire parce_
} 1/2 interest (tenant in common with Jean Di. ~
Zeigler? ~
i
I ~
I s
I ~
f
i
TOTAL 'At+o sm~r ~n ,~n~ ' . ~~cao,+u~m~onl 2 8 5 , 0 0 0. 0 0
t
!
1
S. W. BARRETT REAL ESTATE & APPRAISAL SERVICES
'. Appralu4 • amtenp • CounwUa~
124-126 N. Hanover Street Carlisle, PA 17011.2453
Ptrona (717y 23.66+6 FAX (7tTy 21J•A627
Slexa W. liarreN, SAPA, SM, ASA
Start Ctrtilltd Gtnrnf appnu+~
...'.9".' at Q ~ '.
Januan• 1.i, l99$
Clayton Davis, Esq.
?201 North Sccond Strut
Harrisburg, PA l71 l0
5U63ECT: Rea! Property Appraisal
1235 Ritner Highway
Carlisle Borough Annez
Cumberland County
Dcar Wr. Davidson:
CtrrlJltd .1 pproutn
William A. Oaetieil
Diane OIII
Cauandra C[ockeu
Sun A. 5kowtonek
rluocrare rtpproue~r
d. Harry Slu[eer
Donna K. Shultz
leancc[e J<nkin~
I have reviewed the appraisal that [ completed on the above prapc:rt<•. It is m}• opinion that there
has bren minima! to no value change on this propcrt}• since the"AS O1?" date, November 23, t99a,
of m}• appraisal.
[ ha~~c phpsicali~• inspected the exterior of this propert}• and am knowledgeable of current market
conditions. Therefore, t hcreb~~ certit<• the value of ~: 7~,OOA zs reported in the original appraise!
of December 7, 1994.
If ~~ou should have env questions, please contact me.
Thank vou.
S ~ i~~
STEVEaY W. BARRETT, S1tPA. SRa. ASA
PA CER i IFIED GENERAL APPRAISER - GA000298-L
ors
31(rtc~ Mfll~~ doll Pnrrelrl9 0A 0,579 007
T111R h1i1iU
MADE. 1'31f:~t~ dny of ~)vtrn~X(in the yenr of nor Intl one thmesand nine hnndted
ninely•faur (1031).
RL+TWrF.N CLAYTON H. 7.G1RLF:It and J[iAN t+l. 7.C1C1.[:R, his wife, of Cnrlfde,
Cumberland Counly, Penmylvenia, hereinnfler rekunl M ns:
iiMnlnM,
and CLAYTON 1I. ZI•.ICL[iR an+l .1F:AN M, 7,F,IGLCIt, husl,nnd and wifrt, of Cnrhele,
CunrberLnd CaunlY, Pennsylvanin, as tenants in common and not ns tsnnnU by Ih•
entintlee, IurelneRer n6rred to ae:
flrnnleea,
NRTNESSR'T1l, that in rnnsiderntion of ONG ANA XX/100 {SLOOI Dnllnr In hand pnld,
the receipt whanaf is hereby naknowlnlierl, the snid Crnntore do hereby CronL and ton rey
to tl+e etdd Ornatees, ee lennnU In common and not ne lannnta by ll+a entirnliee, thole help
to
, end nniCnc - r,
;
O
Ai.l, that cerlniu Irnct of land siUueie in lho Rntnnclr of Cnrlisla, Cumlrcrlnnde"~s : a,
~a ~, ar
~ y u
County, Pennsylvenin, baunrltr) and dreerilrerl ns follows: w a ;,
o
ORCINNINC nt s point In the center ltne of tfie US. II1Chwny No. lh •
~: r, -e
~~ o ~~
ICovernor Rilnar IfiChway) msd nt line of Innd now or formerly of Grarce Ifs ~ ";:+
~
ltnissly nnJ Dorothy S. Kniaely, I+is wife; thence nlunC Innd now or fnrmer(yco T ,`.:
of Kniulys sod lhreu{h a wnereta monument North 17 deprn 41 minnla JfE,e ~ N ;e
seconds West 250 feet to nn iron pin; thrnte ley Innd now or formerly oF~ a
1{nisalye North 7I deC+en 12 minutes 00 seconds lime IOD feel to nn Iron pin
on Ilne of Innd na+r or former ly of avliles R. Rxle nnJ wife: thence by lend now
ar formerly f note North 19 dr~reea d 1 minutes 10 sreonds Wmt 2,12.74 feet to
e ennaete monument; Ihcute by bmd now nr funnerly of hnnla North 7{
drCrtn 42 minutes 00 seconels final 100 fret In a concrete maswment; thence
by land now or formerly of tinny 1Vrnvcr North 19 decrees 14 minute 10
seconds West 761? feet to n paint iu the southern line of ll+e sight of way of
' the Penna. Railroad Cumpnny; tbnnce lq cold line North 88 degrees 19
minutes 00 seconds Wet 428 2 fact to n alakrt; llrrna by Innd now nr forrnarly
of Carlitla Corpornlian Sculls 19 dcaacee 41 minutes 30 saonda lime 705.5 foal
lhrauClr an iron pin n paint in tiro canter line of lho sole) hiChwny; therm by
the center line of snid hi¢hwny Nods 7t decrees 12 minute a1a sreonds linst
200 foot la a point dre place of beCrnninC. Cantninins; 4.I2G n<rn.
Afi1NC the enure premises winds C.uli~le Coel,nrnlinn, lye ds drrtl doted Mnrrlr
i 17, I!160 and recorder{ in the orrice of lha Itcnsnlcr of (teals in and fur
Cumhtrlnnd Counly in fkrvl Ronk 'S', Vnlnnm f9, Pncn 101, Created and
emweyed unto Clayton il. Y.etCler and Jean tit. ?.eiclar, his wife, Grnntnta
i
lserein.
i
600 i1G lar•1~.042
,. _ .
•
•
'('Ills nnrrrynu.r iF from 1n~+hnud ron) wd+ In hnebmul and w{frr, and iF
tlrrinfnrrmrnq+l hnm llrnhy'I'rnnsfro'I:~r
AN)) Otr snid fLaulnre hrtrrby rnrrnnnl and ngrrr Thal thry will wnrrnnt qurielly
the proprrty hrrrby rnnv+y+d.
1N lVl'TN~SS WI IF:ft1i0F, snid t;rnnlnr a hour hrrruntn eel lh+ir Imnde and amts the
4ny nnJ y+nr fir+t nbmrt written.
Sif)Nf:[), SF:ALCn ANIJ UfsLlViiitl{f)
1N'TIIF h1tL•'SF:NCfi ur•
,,
~,~~~~,~trw~~
'r ~' Lr ~ ':Y~4- ISF.A1.1
fanylmr IL 7,ei~Ier
n M. 7,eiRl~
COMMONWfSAI,T[l f)F hf;NNSYLVANfA )
~~ )' Fa.
COl1NTY OF ..l.LntfrPl.Q~rx~ )
On Urie, Ihr rl~~.1/ dny of A~?.'~rr~'('1 1!194, Urfine me, the undrtrFignrd nlTirer,
prremrally npprnrrd t:l.AY'T)JN fl. 7,f;lfil,l'sll and.)t;AN M. 7,faOLf+ft, known to me for
FnlJiafndnrdr hrnrrn) M hn thn prtrannF whmo mm~rF ore eubecribal In llu within indrtrmeni.
g ~hF ntknnwlnl[rd Ihnt thry rveulnd lhn come Tnr dre pnrpmre thrrein ranlninnl.
M:~"`r~~';`~i'/~'•)N, WI'1'NI:SS W1il:RIiOP, I hereunto ert m h nd and niT'ict~ aen
~j,~t~'~f~r~.:t t_t;~rt~ uwMb•~.-rVb.vy .~..~~ )111e11SfiAl,)
4~-• t •rtirl.l+...
„~r,w 't~iil,r: 6t KC'unw*r.ir,+nrMN.~09r
- 'r'1 vt, 'r ..
%;`:~4Yt.~,f~~"1 hrroby rnrlify Ihnt the~ frrtisn r+eidrncn and conrpl+ln peel ofFice nddreee aT the
y4ttlsthin OrantrrF ie `~'~~ ~l5llrl ,d~<e.~' rnQ~ ra~f, f~ 9~1/.~
-~ ]
Attnrn+j •rnntee '"
COhiM1tONWEAL'TI1 OF f FNNSYI.JANIA )
): ae,
COIJNTY OF~~rn~of~~r'ti.t~ )
r
nr•.coaor•.o nrt uric ~~ riny of dec.. A. f). 19 ~ in the Tlecorder'a Office al tha
snid County in 1}ccd Ilnolr~(lo . Volumn , hole ~pl~'~,,,
nder my bond mul thn aon) of the wid etlirn, the dolt, obnve written.
' ;;~rt'r "~~y
u
l~ioli 11G rAa~.Q47
!
fA11'+IS t;l ..S.r i~1~
IIr4T-~1.r 1,~ Ir,wN/w YNPrlN,1 M fM~,NW../..H
w,.,1 nNl, 1..~ +M.... r!
i
~ _
M,tnE t'!lE ~ 7 t•: ~ ,trey o/ Mnroh iw tAr year ~/
our lard owe tAowond wirer Awwdr,d !f ! It Ly ,
afiT)VREN CAAL[ULi: COSt,'OSTAT[Otl, a corporntlon orRnnited under
the lows of the State of Delnwnre rend nuthorixed to do buelnene
in Ponnsylvnnln, hnvlnq ltn prissclpnl office in Carlisle,
i i
Cumbarl~nd County, F~nnay[vnnln, onrtins of the first port, i f
s~~ ~,`~ ~„ .A u D
S'~. ~ Ck.~1YT0ti 7t. ?.F:ICI,F'A rend J1:At7 M. 7,?ICi.iT.R, hIs wife, of Carlisle, ~
;( N[Ai 1 .
AAS~RR ~ N 1D60' Cu~~lend County, P~nnsylvenin, pnrtlns of the second part,
~9~IE._.____ A~~ (ro1
f fti..a..5 TV.'7S1 ~''t' ,1
t r~
,~.~., mf A„a _. I1 ~
! 1
WITNESSETIi, that tAr raiA Cnrllsle Corporation i
Jor rend iw mnrideration o/ tAe runs o/ tree thosisnnd ($1U,90O, ~ dol lore !E{
'~ lard/ut +nonry d/ tAr Ilwitrd State r/ ,(mrriort, unto it sorlt rend truly va+d ~
! IAr en7d Clayton H. 2olgler rend ]Prep lA. 7,PS~er
at and br ore Ih• rea rep and dtlivrry n/ tAroi preatntr,
tkr rrctiyt wArreol it AerebV ntk+snwledptd, hn ~ prnnted, bo-peiaed, ~otd, alttnrd,
rn/rodrd, rtfrarrd and ranflrmrd, and by tAti•prrirntr do'a Qrant, parpafr, sell, +
allot, rn/ro~, rrlrrttr nor! cnn![rns unto lAr said CLnyLOn R. Zeigler end Senn ,
lA. 2elgler, his Kilo, Lhhlr )~Pirn awdartpnr, t
ALT, that aertein tract of lend situate in South
Stiddleton Township, Cs>m6arlnnd Co+tnty, i'~nnsylvenia, bounded ,
and described ns tallowA:
BEGIt7t7It7C nt n po1nL in trio center line of the U. S.
Highway No. 1t (Cavprnor Rittsrr [titxhwny? and at line of land
of Ceorgn H. Knlsoly rend Dorothy S, Knlsnly, his wife; thanes ~
nlons; land of XninPlys and through n eonarote monsaaent north
19 degr~ns 41 minutea 30 seconds West 25t) feet to nn iron pin;
thence by Xnis~lys ;7ort4 71 dnRreee 12 minute~ UO anconde Peet
190 feet to en iron pin on line of Miles A. Foote renal rife;
thpnoe by Foote )lorth 19 deKreen 41 talnutes 30 seconds west
232.74 feRt ton conerate mon+ment; thence by Foote ltorth
71 degrees 43 minntea 00 seconds Eeet 199 feet to n oonornte
monsmsent; thence ny lend now or formerly of Fierry Weaver
North 19 dngrPAn 44 minutes 30 aPr~onds worst ?6.49 f~~t to n
polo! in the sout)sPrn ling of the right of way of Lhe Panne.
Rnilrond Comonny; th+•nce by avid ltne t7orth t3t3 degrr.~s 47
minutes Or) seconds ~:P:+L 4^t3.^ fr.et ro n stoke; thanes by land
of Cnr11s1~ C~~rporntlon 3n+sth 19 dPRr9e9 41 minutes 10 secoade
East 705.5 fast t!srouQh nn Iron S,in n point in the cnntnr line
of the sni+l hlzht.ny; thnrca by the renter line o! said hiRhwny
t7orth 71 degrees 12 mlautes 09 seconds Crest ?.90 feet ton point
the place of be3inning, CantntninR 4.126 setae.
I Being Dart of n lerg~r !rent of trend «hloh ltntbrya S.
Ak*rs, w1+Sow, by her dPsd rSeted ftnrch •"0, 1957, reoorded in the
Reoorderts Office in ,red for Cumb~rlnnd Co+mty in Dnnd S§ook "R*
•rol, 17, peKP 46:) convoyed to Cerllst! Corporation.
This couveynnce is sonde purs~snnt ton resy~lution of Lhn
Bon rd of blrer,tors of Cartisl~ Corpornttaa nt n rGitaf~t tae+tlnq
tharnot on LSsa ~'' day of r4j "' ~ 'f t?bO•
Iyx'+ J I.1 ~.+~.+ 1 (lI
i'OCliTN1CR rttA a!1 tad n•prl.r ih~ Lfnct dl lan+l, wl lh tll•
ItY/1, M)Ma, N'Atfr~MMf~Y, r't/At1, ltbfrlt/l, Jertftt~paf,
Aarw'itraen4a awl appwlrev+aa rAstaoww {Arrss,ata brksply, ar tel ssytrtal spparWnM~, awd
! tAa rmrsietr and -r+satsdara, rawta, tare and proltla tArna/; and a; q1 iM~fs. -lOAI, bttl/. b.
tarurt, yrnp+.fy, atatxt aed Lrstan/ wA.bawtr, et ~ l' '. t \ '
4 e ~ ~ .Y
to Lev, rprily, or olArrrirr Awtervrr, eJ, in •wl to tAa gene •nd wary per! lArrte/,
TO NAYIC ANl) t01JOLt)W ratd treat ~f lend, with the
ArrrdiWnenta aed prre,eiaaa Araby prte-tad w
+ wawlloaad and lrlMlal ao to be, tvili tAa •ppsrl.,uencta,
+ vnAtAaaatd Clayton !I. 7nlgl~r and J~nlt !4, ?Bigler, hte e~ifn,
t hn i r hn 1 r s tetd urtpna, to and for tJU only
proper wa aad b+A.w/ a/ tAt qid Cl••yton R. 7~1v,1^r and Jinn 14, 7nlglnr,
hls wlf~e th^ir h^Ira
and uatpna /rrrvrr.
And fAa asid C.^r! i+1^ Cnrporntlon
do ea 6Y lAut
pnrrnG, tovrnant, prat[ aid eurra, fa awd eoitAtde raid r.leyton It. 7nlgtnr and
Jnen tJ. 7niglarr thnlr h~lra
aw)u.ipna,tAat It tAataid Cartlale Corporation
aU snd tinpyler
lAr Arrrlitnesrnlr snA per^,ura Aerrin aAovs durribrd and prented or +nrntionrd and inttndad M
le be, emlA tA• npprrtrMnrrr. r,tla tA• said Clny ton H. ?~ig1Rr end Jenn M, ~.
<~l,;leer th'lr 'I~~tra
ondutipw+,apoiiu! !t tAetoid C~ec11~1e COrpOretldII
and apninat att snd eeesy person or ptrtona whnnt-arvrr laenJrlly
tlain+inp or to tlniee tAt rnene or ony pa-! lArrtol,
tAnl1 and n~R
'Marntnt and /orwar dr/tnd.
TA. C~erlir:l•~ Corporation
dsfA Atrt6y ran.tilrft asd appoint W. !'• 3 .J vM /4 t~
fo 6e ita allorwry Jor it, awd in i4 nn+na and u and Jar itr rnrpnrafs aet and datd to atke+otr4dpe
tAit dttd 6t/art any prayers Anvinp aNlAority aylha leeoa of !Ae CostatontorollA o/ Prnnay!oania
la take rrtA atkwaeotedp,nenl, to tAa inltwt lAst t- . ta,na envy ba defy rttordad.
JN li'JTNfiSS NllfiRfiOP, tAa.atd Cnrlt+le Corporation
Aaa towed tAtt lwdnttsra to ba aipnrd
in fA torporata nasea by ib P-aatda+tt, and Au eowart to ba aQ[:ad Aarnutt8 tks eowmaa end ear.
porata aaat aJ tAa raid oorperatton, sttptrd by tbSteratary, tAa day and year Ib'tt abava srtttlrn.
.
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Reuiurd.tJ-a day Y/ t,e dato a( UN at«Aw I~d.wtwnl q( IAn o/w~ Iloallj
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Counly o/ C 1•ai A EitL AN) rtn.{rtruw
0+1 IA4, tAe 1 `1 r ~ 1 day of iLl q a e N , J1 ~ d, baJero nAe,
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tAe urvlereipned oa[eer, pereonalty appearrd 1,L . / ~ 5 N L M rl K
known to nlr (nr ralb/aetorily yroven) fo 6e tAs pereon mho is tM attorney nalnrd (w tAa JerepoinQ
Drrd, End aeknowledprd that M e:eevtrd tAe port ae the act of Afi prineipa( /or tAe prrpeerr
• tAerein cb+ltained.
/n u,:tnar mArreoJ, ! herrunto ut o+y pond and odtcial reo1, ~ , ~ ~ f t yh ~` .
CaRT1F(CATr OP RESIAJCNCB ^•~•• `
Aer by ertt~y tAot tAe pry ntetdalrea a/ tAa AottAil{ nanAad prantea U
.
~J/ l~ tQ ...t~r~.~Ct.. _ _ ......_....»..._ ..............
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R6CORD6D on thU...,..1~,_ .............. day nl . .
A. A. 1?.~.Y, in the Rarordtr'a O//QE/a o/ laid County, rn Drrd Rank s
I'nl........_~.Q.._........ Pape ._...l,.V,.~._......
t:ivtn under/ An an d~tAe uat of fAe enid o~Qkf~, IAe datr nt+nvc wntte•.
~V~~'~'k*L4Zc1rR.7x,.~ ...,/w~-s!~r:SI.",G~ Re.ardrr.
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(t! morn space it rt~ed~d, ins~r- odditionol sh~~h of som• cix~.)
~ I f~f'
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aMroer~•ll•n
C011WONWEALIN PENHSYIVAkIA
6EPAAiVEN1 pF REVENUE
OEPf 7E0601
WappicnupG Pa t] V~rY111
1"'
2
W
w
U
W
Z e i g l e r
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... ..__. _.. .. 1 .r.:Y• __
REV-1500
INHERITANCE TAX RETURN F~~~~R ~ --~ - -~
RESIDENT DECEDENT 2 >. ~ 7 0 0 7 s 1
CfYl1IY KM M}rrl
~ VN a Wla DIO[l E N4/r.ve~
C l a y t o n II
2 0 4~0 1-5 9 3 5
~ ~ Zeigler, Sean hi.
W r 1. Onglnal Retum
~ a ~ 4. tended Estate
~ 4 ~ ^ 6.Oecedent fired Testate t~aacnmerawal
°< ^ 9. L~tgabon Proceeds Reserved
THIS SECTION MUST 9E COMPLE'
IAI[ tw vulM o.rE p eINIH -~
0 5 0 9 ~ 1 9 9 7 0 8~ 1 3~ 1 9 1 G
E aaru>.r SOGUi SEl:lxrrtY M1+BER THIS RETURN MUST BE itLED Ul DUPUCAIE WfTH TN'
REGISTER OF WILLS
^ 2. Suppkmenlal Rehm ^ 3. Remainder Retumtarda,n,lvn l]~+un
^ 4a. Future Interest Compromise Isar chum Ufr rib] e]t ^ 5. Federal Esate Taz Retum Reduired
^ 7. Decedent hla~ntaned a linng Trust t~aau+m•ra rnna _ B Total Number of Sate Deposd Bozes ~
^ 10. Spousal Poverty Credit tearaaatnat.a«. tASt•it an• t•t•4sr ~11. Eketgn to lax under Sec. 9113(A) cAaau xn
CORRESPONDENCE AND CONFIDENTIAI. TAX INFORMATION SHDULD EtE DIRECTED T0:
a Clayton SJ. Davidson, Esq.
~ FlNIa NNaE Ir WPr+or!
x
U Tf~~~E~BEr~33-4141 {Fax 717--233-2342)
2201 North Second Street
Harrisburg, PA 17110
z
0
g
N
0.
a
V
W
1. RealEslate(SchedukA} (t} ~ 2 8 5' 0 0
2. Stocks and Bonds (Schedule 8) {2) ~ +
3. CloseyHeldCorpora6on,PartnershiporSole•Propnetorship (3} ~ ~
d. Mon~gages d Notes Receivable (Schedule D) {d} ~ ~
S. Cash, Bank Deposit d Miscellaneous Personal Property
(Schedule E) {51 , 2, 5 0
d. Jorndy Owned ProoeRy (Scnedule F} (6) ~ ~
7. Inter•Vtros Transfers d Idiscellaneous Non•Probate Procerty
(Schedule G ar L} (7) , }
B. Total Gross Assets ttotal Lines 1.71 {e} , 2 8 7 , 5 0 0 . 0 0
9. Funeral Expenses d AdrnmatraWe Ctnts (Schedule H) (9)
4
3 8 6 2 0
,
,
10. Debts of Decedent, Mortgage L~aD+liDes, b Liens (Schedule t} (1D}
t +
11. Total Deductions {total Lines 9 d 10} {11} 3 8 6 2
9 0
~
~
t2. Net Vslue of EsUts Ilene 8 minus Line 11) (t4} 2 7 8 i 1 3 8 0
13. Chantable and Gavemmental BequesttrSec 9111 Trusts for whKh an ekctiar to fax has not been
(13- + ,
made(SchedukJ) , ,
14. N•t Value Subject to Tax (Line 12 menus une 13) (14- 2 7 8
l 1 3 8 0
,
1 S. Amount of tine 11 tazaDle
at theslxwsal~trate , 1 5 8, 8 1 6 5 2 x •D 0 {ts) , , 0. 0 0
z
O See inst<trcaons on rererse side for apd~Dk percentage
~ 16. AmOUntof sine ft taxatrle 1 1 9 2 9 7 2 8 7 1 5 7 8 4
I ~-a- at6xrate l + x O6 {16) , ,
! F- a 17. Amount o! tine 14 to:able
I O at t5!4 rate s + x .15 (17) , ,
r, 19. Tax Due {18) ~ 7~ 1 5 7 8 4
19. • - +• •
' > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
~,oer xnsoes d Ox1wy. i oena• out 1 nab •xarrrrlea tnls re•An. Irlpl411Q axmpslr+q sri~eauks anC srararcnn. /d b e+e tx!31 d Irq u+o.~eogs aro Dales. ~= n tn,e. correct aw cm+nere Deoanoon d P+e6ara cQUr
~+an K+• ~ersorlar rroresengnre Is twee on a• nbrmaean d w«cn rxeearer nos sl+ rno~.leoae _ _
SIGNATURE CF PERSGN RESPCNSiBIE FOR FILING RETURN ADDRESS DATE
SIGNATURE CF Pji AR~RATHERJHAN ¢EP ENTA IVE ADDRESS DATEJ~~~-
0, 0 0
o,a o
Decedent's Complota Address:
;1HffTFDGRfSS
544 Wilsot~yt_rs~t
GiY i1FIf AN
Carli ? s~
Tax Paymonts and Credits:
1. Ta,i Due (Page t Line 16) (t)
2. CreddsrPayments
A. Spousal Poverty Credit
8, Pria Payments
C. Discount
Tote! Creods (A • 9 • C) {2)
3. lnteresUPenalty if applicable
D. interest
E. Penalty
Total InteresuPenaity (D • E) (3)
4. !t fine 2 is greater than line 1 • line 3, enter the difference. This is the OVERPAYMEfiT.
Chock boa on Pigs t t.lne 19 to request ra refund (4)
5. If line t .line 3 is greater titan line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on tt~e lax due. (5A)
8. Enter the total of floe 5 • SA. This is the BALANCE DUE. (58)
Make Check Paya6Je to: REGISTER
O
F
WJLLS, AGENT
_
____[G~~
~
~
,
..... '. t~.:~~,"s~T,.' •"~i..~i ~'~ - ' ;~ ~ ::.1.`" '~.t~w"µ.T1S:.~'.~~ .~;~f~..:.r ~:a:..ii.+..1~Yi~,TJ
PLEASE ANSWER THE FOLLOWING QUE5Ti0N5
9Y PLACING AN "X" tN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes Na
a. retain the use or inwrne of the property transferred : ..................................................... [] [r~
b. retain the right to designate who shall use the property transfierred pr its income : ................ [~
c. retain a reversionary interest; or ............................................................................................. ^ ,_/[f/
tJ
d. receive the promise for fife of either payments, benefits or care? .....................................
^
2. If death occurred on ar before December 12, 1982, did decedent within two ysars
preceding death transfer property without receiving adequate consideration? if death oxurred
after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .............................................................................................
3. Did decedent own an 'intrust far' or payable upon death bank account or security
at his ar her death? ...................................................................................................................... ^ ~.,{'
L"J
4. Did decedent own an individual retirement account, annuity, or other non probate property?.... [] (~
tF THE ANSWER 70 ANY OF THE A60VE QUESTIONS 1S YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART Of THE RETURN
n ~~,~:.r ':Y'St..i'firr a1 Y ~i " ^~""nS-' ~~.."PY'•'_'".~°i'r)°f_"•.,...•``r~
72 P.S. §9116 (a) (1.1) (i) provided for the reduction of the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse from 6% to 3% for dates of death on or attar July S, 1994 and before January S, 1993. -
72 P.S. §9116 (a) (i.1) (ii) provided for the reduction of the rate imposed on the net value of transfers to or for the use of life surviving
spouse from 3°!a to D% for dates of death on or after January t. 1995. The statute does not exemat 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 it the surviving spouse
is the only beneficiary.
FOR DATES OF DEATH ON OR AFTER JANUARY i, 1995 -Please answer the following question by placing an 'x' in the
appropriate space.
Did the decedent create trust or s(mllar arrangement which is solely for the surviving spouse's benefit for his or her entire
Ilfetlme7 Yea {~ No (]
If you answered yes to the above question, the fax an the trust or similar arrangement is postponed until the death of the second
spouse, at which lime d wits be fully taxable at the rate(s) applicable to the remainder beneficiary(ies). Enter the value of the trust on
Schedule J, Part tt, in order to remove it from the catcufation of the tax due in ihrs estate. You may wish to file Schedule 0 in order to
make the election available under Section 9113. tf the election is made, the trust or similar attangement is taxed in the estate of the
first decedent spouse, the portion of the trust or similar arrangement which benefits the surviving spouse is taxed at the Zero tax rate.
and the remainder is taxed at the rates} appiicabl9 to the remarnder beneCparyties3. If you choose to make the election, you must
attach Schedule O to a timely-filed tax return, along wrth Schedulels) K andlor M ;n order to sho•x the apportionment of the trust or
s+mdar arrangement between the survrvrng spouse and the rema+ntler benefiraary(ies).
9lY.U01 [X• (12•!!1 ~~
SCHEDULE A
CCAwONW2AliH Of f[NNSPlVAN1A REAL ESTAYE
INM ~R~~~N41!w1A% RltURN
lt.M.uf
ESTATE Of f{LE NNMGEK
C'tayt~, H 2A~gler County N 1~Q~$Z;~0751 F'A N 21-97-0751
(Piaparty jolnilyownad wlt1+ RIg6f of Sutvivafsl~ip mu-t bs ditc{olsd on Schadula ft Al! na) •Rtaia should b• nporfad of lolf morka[ Yoiw '
whlcl+i~ dafin~d a~ the prlcr of wh{[h p-opaAy would b• •~chanq~d bNwt~n a w{fitnq buys and a wiltlnq i~ll~r, n~ltba~ balnq comp~tlad i
to buy or +~II, both havlnq no~enobla knowladga of tha niavort! (nci><.
ITEM VALUE AT PATE
NUMBER DtcStRIPT10N ~ QF DEATH
1,
1235 Ritner Highway 5285,000.00
Carlisle, PA 17013
Cumberland County (see attached
t?arcel ~ 49-08-0579-007 ~ appraisal, this
size 4.12b acres value represents
conveyance: dated 11/21/94, recorder' 12/30/94 ~ the decedent's
Deed BooSs 116-1042 (Cumberland County ~ 1/2 interest in
~ the entire parce_
~ 1/2 interest (tenant in common with Jean M.
! Zeigler? i
1 ~
I
TOTAL 'Alpo enutr an ;~n~ ' . 7eeaonu~ee+om 2 8 5 , 0 4 0 , 0 0
S. W. BARRETT REAL ESTATE & APPRAISAL SERVICES
Appniula • aroti+ap • Couwtlla~
12d-124 N. Hanover Street CarIGIG PA 17013.2453
phone (717) 247.66+6 FAX t717) 213•Ab37
SteYCn W. llarnlt, SRPA, SM, ASJ1
Stau Ctn~/fed Gc+~arl ,~ppaun
~~ii it ~ ~ Q ~ Q
lanuan• 1~, 1998
Clayton Davis, Esq.
2201 North Second Street
Harrisburg, PA l7l l0
SUBJECT: Reai Property Appraisal
1235 Ritncr Hishway
Carlisle Borough Annez
Cumberland County
Dear dlr. Davidson:
CorIJ(cd .1 ppmuerr
wuuam ~. aastctt
Diane dill
Cusandn Crockett
Sun A. Skowtanek
rluociau ~ppmtscrr
d. Harry Slutier
Donna K. Shultz
Jeanette lcnkln~
l have revien•ed the appraisal that 1 completed on the shove propem•. It is m.• opinion that there
has bt:en minimal to no value change on this property since the"AS OE'" date, November 23, 1994,
of m}• appraisal.
[ have physical[}• inspected the t:xterior of this propem• and am knawledgeabte of current market
conditions. Therefore. 1 hereb~• ccrtit<- the ~~alue of S~ 7.004 as reported In the original appraisal
of December 7. 1994.
!f ~~ou should have arty questions, please contact me.
Thank you.
S ~ i~~
STEVEY W. BARRETT, SItPA. SlL•~. ASA
P.a CER i IFIED GE~ER~L .APPRAISER • G~000298-L
pr's
3"1(rf~~ rlrnl oan rnrrele~9 oR nSTS onT
~rnls tllit:u
y
h1ADfi T}If:c~l dny nt~~Jlrnll'(in the yenr of nor Inrd non thnu~and aloe hundreJ
ninely•four (IDDI).
[IIiTWRF:N CLAYTON lf. 7.GIQIS:Jt and JIiAN ill. 7.EICLI:fi, his wife, of Culltle,
Cumberlond County, 14nnsylrenin, hereinnRer refer red to ns:
17rnnlon,
and C[.AYTON H. ZIs1CLIsR nn+l ,tidAN hi 7.EICrLCIL huel+nnd and wifrt, of Cnrl(ele,
Cumberland Co~mty, t•ennsylvanin, oe lenanU in common and nnl as lannnU by Ur•
mtlntlae, berelnaller nfined to ~~:
Rrnnteee,
WITNBSSF.'fl f, that in consideration of ONG ANQ XX/1001SL00) tlnllnr in hand paid,
the nnipt whenaf is hereby acknowleJged, the said Crnnton do hereby ~rnnt and con vey
to the sdd Oronlees, ae tmranla In common and not ns lenm+te by lha ealireliea, their heln
co
and ntsirnr. _ rt
,.
b
ALT, lhnt cerlnin tenet of (nod silnnlo in Ibo flnrnugh of Cnrlislc, CumborinnJ~ ~~ ni ~+
~ a ~~
County, 1'ennsylranin, bounded and Jtsenhed na follows;
w ,
o
tIRCINNINC nt s point In the center line of Iha U S. Illghwny No. 11~ 1. v ,
,;, a. °,
r, o
(Covernar Ahner Illgbway) and nt lino at Innd now or formerly of ReorCe III ~ " • ~
lCnlseiy nnJ Dorothy S. Kniaely, his wife; thence alunp tend now or tnrmeryra cc'i~
rw
of Kniselye and llrroa~h a tnnertte monument North 19 Jepres 4! minntes 0~ K v r~
setanJs West 250 feet to nn iron pin; thence by InnJ now nr formerly oP ~, ~'
i{niselye Notch 71 de¢ren IZ minnlb 00 seconds Rmt 100 feH to nn iron pin °
online of Innd now ar formm ly of Aides R. Fnale and wilt; thence by Innd now
ar formerly Fonts North t9 de;tees 41 minutes 10 sreonJs Wmt 2a2.T~t feat to
n rnnnala mnnumeni; Ihtuot by bmd now nr funnerly of Fnnle Nmth TI
dtt;rem ~~ mingles 00 seconds find 100 fee! In a roncnte monument; thence
by I:md uow or formerly of Ilnny Weaver Nmfh l9 degrees 1~ minatn 10
seeouJa West 76 ID feet to n paint in the southern lino of lire right of way of
the Penno. Rnilread Cumpnny; lhents 11y sold line North BR degrees 47
minutes 00 strands West 42A 2 last to n stnkn; thence by Innd now er formerly
of Carlisle CaryoraGon South ID dutaccs <1 minutq JO sccomla F.nst?05.6 foot
through nn iron pin n rolnt in thn ennter line of tha sold highway; lhenn by
the renter line of cold Isithwny Nar lh 11 Degrees 12 minutia 00 aeronJs last
200 feet to o point lire place of belrnaint;. Cantnininx x.126 Here:.
[IGINC the corns premises which C.nlisle Cor Irnrnlinn, Ly +ta dent Jntnl Mnrrh
1T, 1960 and recorJed lot the nllice of the Iltrnnlcr of Ilenls iu and fur
Cumberland County in nerd Hoak 'S', Vnluma 19, Pngn 11i1, created nnJ
emrvoytd unto Clnytan fl. %rglcr Had Jenn dl. Zeigler, his wife, Crnnlms
herein.
bao>< iiG I>;clio~Z •
'i'I115 rnurrynu~r ie (rmn h..+bmul m+d wdr In hneLnnd and wife, and i•
tlrrirfmr errn~pl (inm Ilrnhy 'I'rmr+frr 'Tor
ANII ihr anid l7rnulore herolry rn.rnnnl and n;rrr llrnt Miry will wnnnnt eperinlly
the prnpnty hrrcLy rnnrryrd.
1N tVl'TN~S5 WII1:ItI:OC, enid 1lrnnlor a hnvn hrrrunln eel their hnnde and eenle the
dny mnl yenr fir+l nhn~n written.
51(;NFI), Sf:AI,)sT) AN4 []I:I.IVliill•:f1
IN T[IC PItER[:NCf•, ur
r~
/ --7
•
-r ~~'~'L,,,, 7i ry~c~- ISiiAl.l
f:laylnrr 1{.7.ei~ler
n M. 7,eiRl~
COMMONWGALT[l OC p~NNSY1.vAN1A )
/~ / lr Re.
COtINTYOF l.-l.~n\lu'>-Q~r~ JJ 1
On this, thr =~ ~y dny n( /t/!41('N>l~('1, 1994, Lrfnre me, the undnr•iRnrd oRrrr,
prrenunily npprnrrd f:1.AY'fON II. Zfsl[1LI;Il and .If?AN M. 7,[aOLi:R, known to mo for
enli+cfnelmily prnrrnl In bn Ihn prrenn+ whmo mm~r+ ore eah+cri6al to th• within luelrumcnl,
jp~1 ncknnwlnlerd ILnI Ikry rrreulr~l lhn come Tnr the purpoere tlerrein conlninrd.
i~~1~1~11~ ' ~
M;~"~`!`~~~~S.~i'%~lr; WI7'NrSS W11EflIiO~, 1 lieraunlo ert my Ir nd and n0iel~ un
~ i «;• ~~ ~ l,/
/!t `~(~~ ~ fairs+~ rrMr+T..r `L~t C1.4~.~... 3'1D~ (SF.At,)
Thrr L L+r
!-: i '
~lJXi•1 4\~~hN,~pMlyv }~, 109/
- _~ \ V\;.
-~~'at~!'~ Jr'1 hrrrlry rrrlify thnt the f rrcisn rneidrncrgand conrplrln poet ot<te nddreee of ihn
`~j~$tv~lhin Cianlrr+ie V r/'~ ~/SQr) }~~1.[e./,' `CI t, /a/I, f~ 9/?/.3
-t~
Atlnrnrj ;rentee '~
COMM1tONWEALTII OF PF.NNSYI:MANIA )
): ~~.
COI7NTY OF{vrn~oh~M~ 1
t
1lI:COAOI;D mr lhie ~~ dny of ~t1C. A. n. 14 ~ in the Tlecorder'e ORin of the
enid County in pcrd 14rrok~~fo , Volumn , Pot;e (pt~'L
nder my bond and tlrn cool of the wid nllire, the dole n6nre written.
C~
Fns 11G rAtlf,a43
lpp~AS f:J •t,~ iI)I
I Aw, IT xNA1~N. r.Mw wM y1.M„H,1 w M.. lf,w..l....
~e~~u~~
~~ ~
!
.,
MAf)F: TlIF. / 7 t.~ - ~Iny of Mn rah ~n IAe year xr
our JAId one !l+a,ua+td nixr bandied n 1 x t y .
DF.TtV£lilJ CAAI,ISt,E COItF'OftAT[Op, n curporntion orRnnizad under
Lhe lnwa of the State of Delnwnra and euthorized La do 6+reineae
in Ponnsylvanin, having itn prinr.lpnl office in Cnrllaie,
~~~~„„ ,~~y~CumbPrl~nd County, Pann!+ylvanln, onrtirta of thr first part,
S'~ 1 C.{,~1Y'1`Otl f{. ?.l:IGI.6'A and JF.At! M. 7,?ICI.rT.A, his wife, of Caritaln,
It kl~t ~
1 B I~6U~ ~ Ctmr~lend County, Prnnsylvenin, pnrtian nt the neeond part,
'~~----- ~~; ~~ Ito'
4 14
' ~~ 4
W{TNF,SS£T7i, that the paid Cnrllale Corporntlon
~ l~ /or and in eoxrideration o/ the rurx o/ tau thousand S~1U,000. ~ dollara
•i tam/a! ,nonry aJ the tJnitrd Statu of A+xrriar, unlo ! t tact! and trtJy yatd b1
! ` fbe said Clayton H. 2o{gier and Jpnpp M. 7.rl~lar
at and 6rlore the era np aul dtiivrry n/ [Are• pruenle,
tbt rrcript wbrrea/ ie Aereby atlnunaUdped, has prnxled, 6arOrtiatd, cold, a!{exrd.
en/ro0rd, rrftaard and eoxlSr,ned, axd by threeprrerntr doe4 grant, !,argot*. cell,
alirn, rn/ratl, rrlrrttr and raxRrnr auto for said Clayton A. Zeigler end Jenn
tA. Zeigler, his wifa, their ti•irn °1d°ef~"e~
Aht. that oertein tract of land altuetn in South
tliddleton Townnhip, Cumberland Cortnty, P•nnnylvanie, bounded
and described ns follows:
SEGItItlIt1G nt n po1nL in the centrr line nt the U. 5.
Highway No. 11 (Covprnor Ritner lttRh«ny} and at line of land
or Onorge li. Knlsely and Dorothy S. Knlsnly, his xife; them e
alone, land of Knlnalys and through n conorete monument tlorth
19 degreca 41 minutes ~0 soconds weal 25r) feet to an iron pin;
thence by Knisnlys tlorth 71 dnRrPee 12 minutea UO seconds P,nsG
100 feel Lo en iron pin on line of 1411na R. Toots and wife;
thanoe by Foote !forth 19 deKreen 4I rnlnutes 30 aeconde wret
232.74 feet Co n aoncrete monrmant; thence by Foote tlorth
71 degrees 43 minutes 04 snconda T.aat 100 feei to n oonarete
monument; Lhrnce Ly land new or rormnrly of !{city weaver
tlorth 19 degr~aa A4 rninntrn :SO strands weal 78.44 feet to n
point in the souttr•rn line of th• right of way of the Penns.
Railroad Company; Lhrnce by said liar tlorth Ot3 dngrena 47
minutes 0~) seconds 'licit 4^t3.^ font ton atnke; theme by land
of Cnrlisla C~rrporatlon ..^:mtth 14 drgrana 41 tnlnutss 10JACOAde
Enat 905.5 f4Pt trrrnuRh nn Iron pin n point in the renter line
of Lhe sni~l :ri,thr.ny; th~rrn by the renter line of said highway
tlorth 71 dagrena 12 nsinutes 00 srnonda Y.nst 200 feat to a point
the place of hn3inninq. C.sntainlnA 4,126 sates.
~ Beina, part of a lerg~r !rent of lend «hioh .!Cathryn 5.
Akers, widow, by her deed dated l,tarch "0, 1957, recorded in Lhe
Reoorder'a Offlc• in ,nd for Cumb~rlnnd Corusty in Dand Book `R"
vol. 17, p„K• 48:i conveyed to Cnriiat~ Corporation.
This canvayanee is mode purlunnt toe ras~iutton of the
9onrd of Directors of Carllsla Corporntian nL a r~tufer me•tinr;
thnrrof on :!r~' ,~ day 7f iti~ •'•~ 'f l?A0.
{ T{t7CATHRR swtA eJt u~1 r+wrpsler the trn0t +7f lnmlr r<tth t.11+
rvyl, twttrr, +nstrtiawrtu. -tpAta. tibtrt4t, tri~W~pu,
~ Atr«Ytaoarwlt eat epyrrfr*r+a+t rAatwpw tArrta++le brMr fiy, er tN wYtrttf hrr{ila/y. art
~ ! tie rsNrrie+++ ewa rr.+eiete+e, r+r+tt, Letree nwt pra,Alf tArrrrJ; aRI af• Ietrit. rlpAl. flilti, ia' ~
~ taut. y+rryrrty, elnlnr tat ttww[ oi+atoe+~rer. e/ ~
/ l ! , ~ ~ ,u
is layr, rQuity, w olArnivr Aevrwot-, eJ, in ew1 fa tAs qn+• ext rwry par! IArrre/, ~
i I
i` TO NA YSANtfTOUOld1WaY treat of txndr vrlt.h the
Arrrdila,nrxb ant yrrxsitu Araby prsnted K
t '
~ wsrtteeed wI lwttwtat eo b b+, r+iti IAe pptnrr+nxrrr,
s r+AtRraeld Clayton !{. 7n1f;l~r and Jr+nrs fa. ?nlgler, h1a Nlfer
the 1 r hnl re ar+d arlpet, la end /or !Monty
prvprr wr eed twAveJ eJ rAr aid C1~+yton R. ?~lrl~r and Jnnn tt. ?elglerr
hls +r1f~, sh-tr h~lre
i and uttipwt /orryrr.
1
And 11u raid' I;~rl 1+1++ C+srporntlon
de ee 6y lAur
prtrrxts, rovrnanl, praa! and aQrrt, le awl aitAlAt raid +:leyton R. 7algl~r end
Jinn G, 7~igtarr thnlr h-irs
anJu.ipxt,cAat it IAsraid Corllele Corporntlan
eiJ axt fixpwiar
fAr Arrr.lifna+rnlr end prr~+irra krrrix abovr darribrd axd proxled er mrxtioxrd and ixirxdad fa
l0 6t, un1A tAr n~purrr++anrrr, unto tAr raid Glnytnn H. T~ir4~ar and Jenn M. ~.
i!l,tlrr, th•lr 't••trs
and a.rrip++r, apai+ut 1 t tAr raid Cart 111! Gorparntioa
and apnintt ail end ei~rry nrnow or prrrant wAnm-arVrr lake/rffy
rlain,inp yr to rtni+x fAr rnmr or axY Dart [Aural,
tAn!{and a+U
rarrax! and /ortoer dt(rnT.
TA. C•+rliel~ Corporation
dotA Atrrby tnntfitult and appaixt W. !'• 3 r/ uM M lv
to br itt sJlornry Jor it, aw{ in ilt namt oxd at and Jar i!t rnryarutt att and lord to e.kxakGdpa
IAit bred 6rJort any peytox Aavinp nrlAority try fAt {nwr a( tAt CommonroraltA of Prxxtytvanin
~ la takt surA sekwa,rlydpmtne, to tAt idrxt tAs! tl . Drat may be duly rtrorded. ,
tN H'ITNSSS t1'HSR1atJF, G4 soid Garii5l+s Corporation
Aat oaxted lA4 lwdt*as,rs to br ripnrd
ie ib roryorett na+nr by i4 Presidtwt, awl Aat rowed to be ap[:td Ae-txelo tAa eowntgt and ear.
peratr rtat eJ tAt said ooryeratiox, attrrtsd by ita Srcrttary, tAt day sRd yws:r ~ above wriKr+t
1
. ....,., ..C LI~~L+P.(..~~JItPilRA71Qt{ ..........................
b~` ~ +.a a~~ D ~ Ry ... KJ .,,yf/1~LG[-C~~...Prrridrxt, f
~ ' ~ Ylflir0~ ~
t3 '. • ,jf~1~ ~
t`
0
n
INp'n `v 1 . ! ••.• 1 • 11.1
Rruwed.lA~ day r~ IAr dale rJ IAr abOw lwdawfOnl +J fA0 alrvl Maud
,,,,W:IY JIIaI W illl
#111 W CWIIt i
I NMI~ItM 11 91i0t ~
f /0•'SSq'~ .
' stair aJ prHU: r•1.I.a u!~
II p, WYIIIIWO COJI111
1 COYwty o/ C 1'tii /S Yl~t RN ~ rlxnlttru111
On tAG, tAe / ? T ~ i dsy OJ it,t q 4 e Ja , 10 ~ d, brJerr wle, S
fAe Ilntrrs{pned odlter, pereowaUy apprared I.L . 1 ~ S ~ L A! r) If
knmuw fo mr (Or rafir(aelOrify provrw) fo 6r !Ar prrron IoAO it tAr attorney named {w fM JO-rpoin p
bred, and rekwowledprd tAat Ar rzeer/frd tAr eansr ar tAe aet e/ Ab prineipol !or IAr pNrpeerr I
• fAereiw eowla{ntd.
'~•ilfly~"•,, ''
fn u>:fnae ioAtrre(, J Arrwwt0 nt my Aand and OQtcia! real. ~ h '
..........._._._.,.t~~~~_ ,•W ~
............ate~t~..i::.~naiA~.~:eC~iI~T.'!1~ i
• ~yt'1 11Ft~
CSRTIp'JCATP 011' 8E8JDJCNCa ^•~•• ~
`''~ ~~l _-,/ An by erN,(y f'AaJt,G+IO,~pro rtifdOwu 0/ fA0 IoifAln nawled prawtr0 1s '
~~~ ...,
,~ uprwey for .~..~ .._.~. f.~....a.»..__. r
1
I
1
Ir~•'. ~ j • ~ ~
~ f r Pf ~~ ~,.. I
I i T ~ ~~
i t ~ ; ,
I
R sraer o! . .... ... "..... ...........
1 CoYnfv of .. __..__ _.... ~ u. ~
R6CO/~RDF,D on lAir......~~ ................ day M . .
A. A. 195?Q, in tAr RarOrA[r.l OQfer wJ laid COYwtY. in Drrd Rm~A 5
I•ni....... _~~._....... rape ._...~.G../..........
fiYrn under Anww~~ and NI rral of tAe ew4f OQSer, tAr dafr ndnOr canter+.
~VZG~ZctR.7s/ ....Y.'..GC~ ReM.d.r.
~,
TOTAL Also enter on line 3, Recapit,,lationM ~ 5
(t( morn space it n~~drd, ins~r- odditional sh~~h o! som• si:~.)
.trga ei. p•.q
~~ scHEOU~E o
.. MORTGAGES AND NOTES
COA4MONWIAUN 0~ ~[NN31'IVANfA RECEIVABLE
tN 1~ 3I01?1i D1C101t+i~" Pleole Prlnt or
} S
t
TOTAL Also entar on line d, Recopitulotion~ $
{!f man ~ooce ~s nrea~d. ~rtt~A oddrlional snNn of some srs~.)
ESTATE Of FILE NUMBER
Clayton H. Zeigler County I~ 1997-00751, PA ~ 21-97-4751
"""°'"'"~n SCHEDULE E
CASH, BANK DEPOSITS AND
COMMONWLAUN Or IlNNSYtVAHIA M15CELLANEOUS
INHI~IfANCI tAII A_nuRN PERSONAL PROPERTY Please Print or
TOTAL (Also emer on line 5, Recaoitutotion) ~S 2, SQO. 00
(Aerate addifionol 8K" x Sl" ~i+Nn ~! mon foax ~~ nxw~o.1
Clayton H Zeigler County ~ 1997-40751 PA ~ 21-97-4751
~~
COMMONWlA11H R~ I[NNSYIVANIA
iNNlIITANC! TAX !lTUXN
4lSIDENT 0!C!0lNT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF FILE NUM9ER
Clayton K Zefgler County # 1997-00751 PA # 21-97- 751
Joint Nnanf(t~t
A.
NOT APPLICABLE
B.
C.
'IONSHIP TO DECEDENT
Jointly-owned property:
f~
{TE/y{
NUM9E LFpRR
JO{NT
TENANT DAT£
MADE
JOSNT
DESCRIPTION OF PROPERTY TOTAL VALUE
OF ASSET DECD'5
% iNT, DOLLAR VALUE OF
DECEDENT'S INTEREST
1.
i
j ,
{{{j {
I
~
i
! I
`
I
TOTAL (Also enter on ,in• 6, 2acopituiationj 5
(t( mare rcou n na,edae ,nurt odddional snaus or score :~zaj
0.,.
~` SCHEDULE G
CO+AAtCNW[AITN Of fENNSYlVAN1A TRANSFERS
'NNiis oiNrEO CEDINi RN PLEASE PRfNT OR TYPE
ESTATE OF FILE NUMBER
Clayton H. Zeigler County # 1997-00751 PA # 21-97-0751
THIS SCHEDULE MUST BE COMPLETED ANOFIIED IF THE ANSWERTO ANYOF THE CIUESTtONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
ITEM ( DESCRIPTION Of PROPERTY ~ ~ TOTAL VALUE ~ DECD. DOl1AR VALUE
NUMIERIIndvd~nw+r~olt~+~rronifire~,rh.~rnlanonthptodc.d.~,dotrolrrontl~r, EXCLUSION I OF ASSET ~' OFDECEOENT'S
t INTEREST
~ ~
NOT APPLTCABL~ I ~ ~ ,
1
~ ~ ,~
~ ~
i
I I ' ' i
.
I
4
i
+ ~
• ~ ,'
i
' ~ !
~ 1 r '
I I
• I
f
~ ~ ~
i
I i '
I ; f i
I I
I
i
i
TOTAL (Alw ~nnr on tiM : , ~KaoirYimion( S
(ff mon upon ~i nnaw, .nun v0adronol snNrs of loen~ r~t~ )
. _ , ....
' "~~11 "~ °~'" SCHEDULE H
'~ FUNERAL EXPENSES,
COMMONW(AUH Or IINNSI'iVAN1A ADMINISTRATIVE COSTS AND
INNERIrANCE iAS RliURN MISC£LLAN£Ot15 EXPENSES
RlSID[Ni0[tEOENi
Claytan H. Zeigler County N 1997-00751 PA ~ 21-~7-0751
{TEM i)ESCRlPTlON
NUMBER
A. Funerol Expenses:
{. Hoffman-Roth Funeral Home
B.
Please Print or
Administrotive Costs:
1. Persona! Repressntotive Commissions ,_
Sociai Severity Number of Personal Representative:
i xxxxxxx
i Year Commissions paid
2. ;Attorney fees Claytan W. DAvidson
3. ~ Fomi{y Exemption
Uaimam xXxxXXxxXxXX Relationship
Address of Uoimant a! decedent's death
Street Address
City Stots Zip Code
d. ; Probate fees
C. ' Miscelloneous Expenses:
t~
AMOUNT
X58,515.00
5600.00
S 314.00
i~ ~ Advertising (2 places} S 94.20
2. Appraisal ~ 25.00
3.
d.
5.
6.
7. `
8. jI'
TOTA{. (Also enter on live 9, Recapitulation) ' $ ~ . 3 ~ fi . 2 0
(IF more spoee is needed, insert odditionai sheets of same site.)
I ~'
. fit? 2A~ 3~~
~ •.
~'
pth Ftl~Yd` ~ ~ ~ O d
~ ~-
,~ s¢
• m
o ,
0 00°.
o ~ o ~~{{ '
~p ~ ~ ~ H w ~
N
~~
~.
~-
u~
$- ~ ~ ~' 'S
~~
a S '~ '
~r~ ~ ~
~; ~ m ~
~ ~~
~ ~
~ ~~
o ~~ ~ a "
J
Q J ~
$ N p M
u O
~~~
a ~'
~~
u. r vitt,~,
`.
.;
'File~ umber IlWOiCE
r~~
. -
S'I~xYF.,N-~: BA.RREZ"T; SRPA SR~r ASA~. For~.Your Records
-~hrtftis, PA:17023a - Dem Received:
~.
Dam Paid:
~lmouat Paid:
Check Yo.:
Reletences:
Ltasr: n.m :l e~i~r i ctme cx x„o~r I xr~eoa Br Iran al rro. > .:.I~m rt,~r . _ f ~ t~rr ., ..:
e" Pun:haxr/Borrower
;i~ F'rvperry Address 1235 $it:ner Highway
"s< Ciry Carli.ale 9orouah Annex
`c`• County Ctittoberland Snm PA Zip 17013
f 6,
AppraisalFce.~mount ..................................................................... ...5 2s.00
/: t< Mail or Handling Fee ..... ... S
v: ddinonalChavesl..... Recertification of Value ..;
,~~, didonal Charges :..... , , . 5 ~
~•: dditional Cturges 3 ..... ... S
;N< SslcsTaa ...................................................................... ...5 i
P: real Aa>oon<ortavo;ce s zs.ao I
.a.
Relercace Due Chcck Vo. A~raauat Rcc:ive4
t. S Tan! Amount Received S
S
~. s Balance Dues z s . 00
o. Thank You
•M
'M
r
N
P1ea`se detac3t and factude the bottom portion writh your paymeat ... Thaak you
-------------------------------------------------------------------------------------
tar. Dra ~ D1es Aypcaraa Qlmt Caa ttaotsa Yogresaod 9y Fels Nv Qieot Pecos Nomhe: i
lli :i~ )~ ::~:~~ 94 ~ ~.+9 .:.:avid, esq. :.WCI."I.
>~. ,- _,
flsleoetDlttLs,.Fagnf>nr .
RE.tiQTT~~iCE COPY
.1~ ,
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CUMBERLAND LAW .TOURNAL
2 LIBERTY AVCNUE
CARLISLE, PA 17013
~~ . R'~CE1VEp N~V ~ y 1
99T
Cumberland Law Journal is published every Friday by fire Ctunband County [3ar
Association and is designated by the Court ofConunon Pleas as fire official legal publication for
Cumberland County and the legal newspaper for pcrblication oflegal notices.
TO: Francis M. Socha, ESQUIRE
RE: Clayton H. Zeigler, ESTATE
Legal advertisements must be received by Friday Noon. All legal advertising must be paid
in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on following dates:
OCTOBER i7, 24, 31, 1997
Advertising Cost
Proof of Publication
Second Proof Request
Payment received
Total Amount Due
Payment received OCTOBER 14. 1997__
by Sec jj. Morgenth 1 ~;cecutive Directo
_._,.. _ .
:.~.---
~ ..~
S G0.00
$ 0.00
$ 0.00
$ G0.00
S 0.00
i.
j ti
~'
PROOF OF f i)[fL1CATfON Of+ NO1'!CC
{N CUMIICRLAND LAW JOURNAL
(Under Act No. SS7, approved May 1G, l929), P. L.17R4
.,
STATC OF f CNNSYLVANIA
COUNTY OF CUNIBCRLrIND
ss.
Roger M. Nfargentiinf, ESgtiire. Editt~r of the Cuinbcrl;tnd L;tw Jtsurn;il, ~3t' tliC Cttllfity
and State aforesaid, being duly sworn. accrndin~ to law, dcpnscs and says that the Camber{;nul
Law Journal, a legal periodical published in the 13orough cif Carlisle in the Ct~unty and State
aforesaid, waa established 3anuary 2, f 952, and designated by the local crnirts as the official
legal periodical for the publication of all lcga! natives, and has, since January 2, 1952, been
regularly issued weekly in the said County, and that the printed notice or publication attached
hereto is exactly the same as was printed in the regular editions and issues of the said
Cumberland Law Journal nn the fallmvine; dates.
viz•
OCTOBER 17.2d• 31997
At'fiaiit further deposes that he is authorired to verify this statement by the Cttmbct•lantl
Law journal, a legal periodical of ~:ener;tl circulation. and that he is not interested in the subject
matter aF the aforesaid notice or advertisement, and tliat all ullecutions in the ti~regoing
statement-a as to time, place and character of publication are true.
Rove M. Morgenthal, Editor
Za[ijie4 Cta~toa R., decd.
Late orCazllalc. SWORN TO AND SUBSCRIBED before me this
t;,:ecuu~u:: Jean u. z~~gter. 544 31 -day of OCTO~R . j~)t~7
wtiaon Street. Cartiate. PA 17013.
Attorney: Fnnctd fit. Socha. Ea-
quire. 2201 ;locth Second Street. t Y / ~J ~ ~~,.
Harrtebura. PA t7t i0. ~ •
Notary
r~orAaut. seAt
tas t:. srrroER, Nowry PubNc
Corf;d~ Dora, Cv~nh«fond County, PA
My :'nmr, {uion E:p;rM Mc+refi S, ~i
' HF: ~~~N'1'1t~EL -LEGAL
' P.O. F,QX i30~ CARLISLE PA 17013
' D Ntih~!1~T1'_.-'. C1A55
115315 10 LEGAL
cS7'1-'.i'E L1t•' I;T,AY'I'UN fi. ZEIGLER, late
~:at%FT+•?;...... .___.. - ins
~3 Tli?, '.~;;t.'r :Nt:I~ - LEGAL
'ftYl'r~l:~ r!t) talARt;E
3' pRUOr• ;~I' t"UEt1.ICATION
RETAIN TNt5 PURIIUN FuR YUUH RE(.URUy
1. 1 U
SOCHA & MAFFETT
SAI SI'f nSgN Dn.lirr(i OAIE IPJFS ~ ~'
15 lo/z4/97 10
s nR sT~T~ unZE
IO/10/97 10/29/97
IarJS RAZE Nf r nMUUNi cinUSS AMtuR1I
3 LGL 28.20
28,20
PROOF 6.00
`'"' ~ AY THlS AMOUNT 34.20 4 1 . oa
-;layton H. Zeig _ __ _ _ __ _
ME S:u~GF.
Thank you fol.• advertising with The Sentinel.
Deadlines fa.r. in-column legal advertisements: Monday is Friday at
ii a.m.; '.Cue:~'lay is Friday at 4 p.m.; Wednesday is Monday at 12 Nc:on;
Thursday i.x ?'uesday at 12 Noon; Friday is Wednesday at 12 Noon; Sun(i,~y
is Thursday :; t. 12 Noon .
Ii,}ou have any.,questions regarding your Legai bill please call
Sherry Clif!',:Ird, Classified Manager, at 243-2611, extension 204.
Fax pour:iegr;ls to 243-3754, attention Sherry Clifford
DETACH AND RETURN THIS PORTION WfTH YOUR PAYMENT
THE SENTINEi. • lEGA1 Cla tvn H. zei
P.O. BOX 130 CARt.fSi;~~ PA 17013 y 9
AO NI1MD 1 1 .;Et<S.rio SIAni OAIE Sr01' Dni
_ 1153ir~ ~ t,EGAL 10/10/97 10/24/97 GRC,sAMQUNTOF
_ D D scna''twr3 ......... - -' -' on wr, on r: LEPIIpN rluMee ,t t o9
ESTAT>r I)l: C~.j-Y't'UN H. ZETGLER, late 10/2}/97 717-233-4191 pUf.:1f*F,R "It~2n~:;7
rorn~ ~::ari,lril'i:'r ' "-~
;i 4 . ~ C~ I
•FH1ER A.'"~'NI ENS lc)'~(;,~
SOCt;,~ & MAFFETT _
2201 NORTH SECOND 5T
fiAFRI5I3URG, PA 17110 ~~
I, ~ ~ 11 L„1,,, l!,„NIL„I I„J
2020L7-~OOOOb153150Ut1DODi]ODO000OOD4104000flD034203
E}
~...•`.
In.ull u. ~s.Ir,
M
CQ.wQN W ! ~1 tN QI It NN S ~lYJ1N1~
NINIIIt~-NCI f1111 IItYeN
1/IIDINf o1C101Ni
SCHEDULE J
BENEFlCIARlES
Clayton H. Zeigler County N 97-00751
ITEM NAME AND ADDRESS OF BENEFICIARY
NUMBER
A. Taxable Bequasls:
I' Jean M. Zeigler
544 Wilson Street, Carlisle, PA
17013
2.
3.
Brenda Davidson
1101 Regent Court
Carlisle, PA 17013
Kim Zeigler
544 tVilison Street
Carlisle, PA 17013
FIIE NUMBER
P+A ~ 21-97-4751
# REtAT1ONSHIP~
~7i f e
Daughter
Daughter
AMOUNT OR
SHARE OF ESTATE
Life estate in
real estate,
all of the
decedent's
personal propert
'1/2 remainder
interest in real
!estate in trust
for Jean Zeigler
1/2 remainder
interest in real
estate in trust
for Jean Zeigler
ITEM NAME ANO ADDRESS Of BENEFICIARY i AMOUNT OR
NUMBER ~ I SHARE OF ESTATE
l 8. Charitable and Governmental Bequests:
i ~
i
I
i
TOTAL CHARITABLP aND GOVERNMENTAL BEQUESTS (Also enter on ~~~. IJ, ~ecoQftulQaanl 5
(If mere spoc• ie needed, insert addittenal sheeli of tame sit:e~
uv.rfi~ea•tlaY.l
~ `
CO-v+ONWlAIiM Of rlNN1YlYAN1A
INNlft1TANC! fA1t RLTURN
RlSID[Nr OtClDlNT
SCHEDUIE K
LIFE ESTATEIANNU17Y/
TERM CERTAIN
ClaYi:nt1 fi. Zeigl~>~C43b1LY # y i-(JU r51< _..t Nn ~ ti-7 r-~ r~~.
This schedule is to be used for all singgle life, join! or successive life estates and term certain calculations, For doles of death aher
12.31-b1 and before 5.1.89, actuarial Factors for tingle life calculations tan be found in Revenue Booklet {REV•1501F!}. For dotes
of death on or after 5-1.89 actuarial (actors con be found in IRS Publieatian t! iA57 Aet_uarial Values, Alpha Volume.
T~ instrument creating the life inleresr is a: (Please Mach o copy of Instrument)
WIII (- tnf..vwna rTurt ni Truat n ~lher
Nama(t) of llfe Tenant(s) pate of Birth Prasant Apa
(Nearest 8frthdoyl Tarm o4 Years Ltfa Estate is Payable
~.
~
3eat1 .11. lei ter 4 6 19 79 I ,,,,
,
~,~life or ~' Term of Years
..
( I
r- _,
G life or _,; Term of Yaort
, + ~ Lila or "_~ Term of Years
~ ~ UIe or '_.; Tarm of Yeon
1. Value of Fund from which li{e Estate(s) is payable: 285, 000 .00
......................................................... S
2. Actuarial Factar par appropriate Table ....................f......:.............................................
Interest Table rate - ^ 3t/iSb G b°k C 10% .~ Venable Rate 6 • 60
3. Value of life Estate {tine 1 x Line 2) ........................ ,,,, y 16 5 , 7 0 2.7 2
Name(s) of Annuitant(s) Date of Birth I Present Ay Tarm of Years Annuity ft Payable
f I{Nearest e(rthday)
}~ life or ~ Tarm of Years
._ life or _, Term of Years
.._ life or -..., Term of Years
~ ~' ,life or ~ Term of Yaart
1. Value of Fund from which annuity is payable ............................... S
2. Check appropriate block below and enter Corresponding {number) in column ...............
Frequency of payout • r.~' Weekly (52) '_, Bi-weekly (2b) ~ Monthly (12)
-.. Cluarterly {4) '_ 5emi•Annually {2) ~ Annually (I) ~ Othor { )
~. Amount of payout per periad .......................................................................................
d. Aggregate Annual payment, line : r line 3 .................................................................
5. Annuity Factor (see instructions) _
lnterost Table rate • 3'h°•6 b°tO ~ 10% ~ Variable Rate s~
b. Adjustment Factor {see instructians) ...............................................................................
7. Value of Annuity - if using 3'h%, b96, 10°4 or if vanacte rote ono aerioo payout is at end
of period, calcufotian is: tine S r Tina S ti lint 6 .......................................................
If using varioole rote ana oenod aayout is nt begrnning ~f ~enaa.:arculoraon .s:
{tined < Line 5 < Lin• 6) -Line 3. ...................................
NOTE: 'he ~aiues of •ha funds wnic'r create 'he :oove ~uturo nrer~rus rust oe *ecor•ea os aorr cf •ne Fsrate •asws. _.ne ' •nroucn
Line ' .he Rewtting LiferAnnulty Inreresrlsl snould 7e •eoor•ec :r •ne :ooroorrcte •oA •are :n _.nes '=. .,, 'a :nc 'i
os reouired,
SEAT BY~110K0 1- rdti tii~'~S l~uns,v-• , i r ~a~ ~~~~.: ~~ ~ -
teglerP.xls
Zeigler Estato
Cradit Trust Oato of Death
000 Value or Trust 5285,000.00
age of Ills Tenant 79
Rate of Return 6.60°,'0
ProSent valua S 165,702.72
Remainder 5119.297.28
Trust Annual Mnuat Total Annual PV of Annual
Year Value Invasbn income Oisiribution Factor Payout
1 5285,000.00 514,250.00 518,810,00 333,080.00 0.9133522650 530,195.43
2 5270,750.00 513,537,50 517,869 50 SJ1,407.00 0.8096643520 525,429,13
3 5257,212.50 512,860.83 518,976.03 529,836.65 0.7139550900 521,302.03
4 5244,351.88 512,217.59 516,127.22 528.344.82 0.8257538980 517,736.88
5 5232,134.28 511,806,71 515,320.86 528,927.58 0.5447187420 314,667.90
6 5220,527.57 511,026.38 514,554.82 325.581.20 0.4748240180 512,039.13
7 5209,501,19 ;10,475.06 513,827.08 524,302.14 O.a033257770 39,801.68
8 5199,026.13 59.951.31 313,135.72 523,087.03 0,3427023780 57,911.98
9 5189,074,82 59,453,74 512,478.94 521,932.68 0.2884972620 36,327.52
10 $179,621.08 58,981.05 111,854,99 520,838.05 0.2403507100 55,007.96
11 5170,640.03 58,532.00 511,262.24 319,794.24 0.1980003120 53,919.27
12 5162,108.03 58,105,40 510,699,13 518,804.53 0.1512594310 52,844,36
13 5154,002.82 57,700.13 510,164.17 517,864.30 0.1298249770 52,319.23
14 5148,302.49 57,315.12 59,655.96 516,971.09 0.1032133420 51,751.64
15 5138,987.37 56,949.37 59,173,17 516,122.53 0.0808815170 31,304.02
16 3132,038.Q0 58,801.90 58,714.51 31$,316.41 0.0623858210 5955.53
17 5125,436.10 56,271.81 58,278.78 514,550.59 0.0472611640 5887.68
18 5119,164.30 $5,958.21 57,864.84 513,823.06 0.0351580950 5485 99
19 5113,208,08 35,660.30 57,471.60 313,131.91 0.0255830970 5335.95
Zo 5107,545,78 55,377.29 57,098.02 512.475.31 0.0184145210 3229.73
21 5102,168,49 55,108.42 56,743.12 511,851.54 0.0129728730 5153.75
22 597,060.06 54,853,00 58,405.96 511,258,97 0.0089847680 5101.16
23 592,207.06 54,810.35 56,085.87 310,t19d.02 0.0081225130 588.88
24 587,596.71 54,379.64 ;5,781.38 510,181.22 0.00410594t}0 541.72
25 583,218.87 54,160,84 55,492.31 59,653.18 0.0027154910 526.21
26 579,056.03 13,952.80 55,217.70 39,170.50 0.0017712020 516.24
27 575,103.23 53,755.16 54,958.81 58,711,97 0.0011387490 59.92
28 571,348.07 53,567.40 54,708.97 38,278.38 0.0007218750 SS.97
29 387,780.86 53,389.03 54,473.52 57,362.56 0.0004524880 53.56
30 364,391.63 53,219.58 54,249.85 57,489.43 0.0002805940 52.10
31 361,172.05 33,058.60 54,037.38 57,095.98 0.0001723830 51.22
3Z 258,113.45 52.905.67 59,835.4$ 56,741,18 0.0001052880 30.71
33 555,207.77 32.760,39 53,843.71 56,404.10 0.0000388021 50.25
S 165,702.72
Tax on Present Value of Remainder 57,157.34
Tax on Current Valw of Remainder 517,100.00
Tax on Future Valut o! Remainder 324,a39.91
,f
' ' SCHEDULE 0
COMA10rANEALfHOFCENNSYIVAHU ELECTION UNDER SEC. 9113(A~
INNFRIFANtE TAX RETURN innni ~n • ~ n~n~rn~n~ ~•in~~n~
Clayton 1i. Zeigler County # 97-00751 PA # 21-97-0751
po not complete thts uhedule untese the estate is meking the election to t:x esseb under Section 9113(A) of the tnharltance b Estate Tax Act.
It the election applies to more Ihan one trust or stm+far arrangement, a separate form must be filed for each 1NSt.
This election applies to the ,(,(n? >` i A cf rPCf i c: Trust (manta!. residual A, B, 9y-pass. Unified Credit. etc.-.
Ii a oust or similar arrangement meet the requirements of Section 9113(AI, and:
a. The trust or slmitar arrangement is fisted on Schedule 0, and
b, The value of the tNSI or similar arrangement is entered in while or in part as an asset on Schedule 0,
rhea !tre transferors personal representative may speafically idenDty the frost (all or a fractional portion or percentage)torte included in the election to have such (rust or
similar property treated as a taxable Uanster in this estate. ti less than the entire value of the wst or similar properly is included as a taxable transfer on Schedule 0, the
personal representative shalt be considered to have made the election only as to a traction of the trust a similar arrangement. The numerates of this fraction is equal to
the amount o1 the Irusl or similar arrangement included as a taxable asset on Schedule 0. The denominator is equal to the lolal value of the trust or similar arrangement.
PART A: Enter the description and value of all interests, both taxable and non•tazabie, regardless of location, which pass to the decedents
Credit Trust: Life Beneficiary is Jean t4. 1285,000.00 date a£ death
Zeigler, Wife value for trust)
Present value of life
estate is $155,702.72
PART B: Enter the description and value of all interests included in Part A for which the Section 9113 (A} election to taxis being made.
Remainder interest (1/2 to Brenda Aavidson,
daughter, 1/2 to Kim Zeigler, Daughter)
p(mae space +s neeoed, +nsert adoit+onat sneers ci the same saes
remainder value
$119,297.28
119,297.28
ZeiglarP.xls
Zeigler Estate
Credit Trust Qete oi' Death
DQD Value of Trust 5285,000.00
Age of Life Tena nt 79
Rate of Return 6.60°/0
Prpseni value $165,702.72
Remainder 5119.297.28
Trust Annua! Annual Total Annual PV of Annual
Year Value invasion 1nCame Distribution Factor payout
i 5285,000.00 514,250.00 518,810.00 333,060.00 0.9133522650 530,195.43
2 5270,750.00 513,537,50 517,869.50 $3t,a07.00 0.8096643520 S25,a29.13
3 5257,212.50 512,860.63 518,976.03 529,836.65 0.7139550900 521,302.03
4 5244,351.88 512,217,59 516,127.22 528,34d.82 0.6257538980 317,736.88
5 5232,134.28 511,606.71 St5,320.86 528.927.58 0.5447187420 514,667.90
6 5220,527.57 511,026.38 514,554.82 525,581.20 0.4706240180 $12,039.13
7 5209,501.19 510,475.Q6 513,827.08 524,302.14 0.40332.57770 59,801.68
8 5199,026.13 59,951.31 513,135.72 523,087.03 0.3427023780 57,911.98
9 5189,074.82 59,453.74 512,478.94 521,932.68 0.2684972620 56,327.52
10 3179,621.08 58,981.05 511,854,99 520,836.05 0.2403507100 55,007.96
11 5170,640.03 58,532.00 511,262.24 519,794.24 0.1960003120 53,919.27
12 5162,108.03 58,105.40 510,699.13 518,804.53 0.1512594310 52,844,36
13 5154,002.62 57,700.13 510,164.17 517,864.30 0.1298249770 52,319.23
14 5148,302.49 57,315.12 59,655.96 516,971.09 0.1032133420 51,751.64
15 5138.1}87.37 56,949.37 59,173.17 516,122.53 0.0808815170 51,304.02
16 5132,038.00 58,801,90 58,714.51 515,316.41 0.0623858210 5955.53
17 3125,436.10 56,271.81 58,278.78 514,550.59 0.0472611640 5687.68
18 3119,164.30 55,958.21 57,864.84 513,823.06 0.0351580950 5485.99
19 3113,206,08 55,660.30 57,471.60 513,131.91 0.02551130970 5335.95
20 3107,545.78 55,377.29 57,098.02 512,475.31 0.0164145210 5229.73
21 5102,168.49 55,108.42 x,743,12 511,851.54 0.0129728730 5153.75
22 597,060,06 54,$53.00 56,405.86 311,258.97 0.0089847680 5101.16
23 592,207.06 54,610.35 56,085.87 Si0,S9t3.42 0.0081225130 588.88
24 587,596.71 5.4,379.84 ;5,781.38 ;10,181.22 0.0041059400 541.72
25 583,216.87 54,160.8a 55,492.31 59.653.16 0.0027154910 526.21
2fi 579,056.03 53,952.80 55,217.70 59,170.50 0.0017712020 516.24
27 575,103.23 53,755.16 54,958.81 58,711.97 0.0011387490 59.92
28 571,348.07 53,567.40 54,708.97 58,276.38 0.0007218750 55.97
28 567,780.86 33,389.03 34,473.52 57,882.5& 0.0004524680 53.56
30 564,391.63 53,219.58 54,249.85 57,489,43 0.0002805940 52.10
31 581,172.05 53,058.60 54,037.38 57,095.98 0.0001723830 51,22
32 558,113.45 52,405.67 53,835.49 56,741.18 0.0001052880 50,71
33 555.207.77 52,760.39 53.843.71 56,404,10 0.0000388021 30.25
S 165,702.72
Tax an Present Value of Remainder 57,157.8+
Tax on Currant Valuf of Remainder 517,100.00
Tax on Future `!slut of Remainder S24,a39.91
.~,~ ~_
1 r,AST W11.I. AND TESTA~IFN'[~ -
I, CLAYTON EI. ZEIGLER, of the Borough of Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, da hereby make, publish and
declare this to be my Last Will and Test-anent, hereby revoking :u~y and all former Witls or
Codicils by me made.
I?El4t ONI~
I direct that all my just debts, funeral expenses, testamentary expenses and all
inheritance taxes shall be paid to the extent possible from those assets held or passing under
ITEM FOUR hereof as soon as practicable after my decease and as part of the administration
of my estate.
ITE1~1 'ItiVO
I give all of my personal and household effects, automobiles, boats and collections, if
any, and any insurance policies thereon, unto my wife, JEA,~1 VI. Z1ilIGLER, if she survives
me by thirty (30) days, otherwise to my children who so survive me to be divided equally
among them as they agree. ivly Executor shall sell any property as to which there is no such
agreement within sixty (fi0) days after the admission of this Last WiII and Testament to
probate and shall add the proceeds to the residue of my estate.
ITEM THREE
If my wife, JEA~t VI. ZEIGLER, survives me, in order to obtain the portion of the
marital deduction allowed in my estate by the Federal tax laws that will eliminate alI Federal
estate taxes payable as a result of my death, my Executor shall divide my residuary estate
into two portions known as the "l+iarital Fund" and the "Credit Trust."
The Marital Fund, which shall not be reduced by any taxes payable by reason of my
death, shall be that fractional proportion of the entire residuary estate determined as follows:
The numerator of such fractional proportion of my residuary estate shall be the
smnllest amount which, if allowed as a marital deduction, would result in the Least passible
Federal estate tax being payable as a result of my death, after allowing for the unified credit
against Federal estate talc and all available credits and deductions claimed. The numerator
shall be reduced by the value of any other property which passes to my said wife, JE~#.v 1~3.
ZEIGLER, which qualifies for the marital deduction and reduced by that amount, if any,
C H.Z
Pale ! ~~t 4 Paces
which, when added to my uixable estate, will result in Federal estate t~uc no larger than the
credit for State death taxes allowed in my estate without increasing any State death taxes
payable as a result of my death.
The denominator of this fraction shall be the value of the entire residuary estate.
Values assigned to the property for the purposes of this computation shall 6e those values
finally determined for Federal estate tax purposes.
The 1~Iarital Fund shall be distributed outright to my wife, JEAN 1~I. 7.EIGLER, as
soon as practicable after my death.
The Credit Trust shall be held and managed by my Trustee{s) in accordance with
ITEM FOUR of this my Last Will and Testament.
~iy Executrix shall have the power to distribute assets in cash or in kind to the
l~iarital Fund and to the Credit Trust and to select specific property to be distributed to the
Marital Fund ar the Credit Trust without regard to the income tax basis on such property.
In making these allocations, my Executrix shall use the value of the assets as of the date or
dates of distribution so that each distribution shares proportionately in the appreciation or
depreciation of assets between the date of my death and the date or dates Far distribution.
However, no allocation of assets shall be made to the Marital Fund which does not qualify
for the marital deduction. To the extent that other assets which qualify for the marital
deduction are available, there shall not be allocated to the Marital Fund fa) assets with
respect to which an estate tax credit for foreign taxes paid is allowable ar (b) any payments
under an employees trust or retirement annuity contract of the type described in Section
3039{cl of the Internal RQVenue Code ar subsequent provisions of similar import or {c) United
States Treasury Bonds that are eligible far redemption at par value in payment of the
Federal estate tax. In computing the marital deduction all generation-slapping transfers for
which I am the "deemed transferor' shall be disregarded.
Tf I am not survived by my wife, .JEAIv ~f. ZEIGLER, I give, devise and bequeath all
of the rest, residue and remainder of my estate, both real and personal property, unto my
'T'rustee to be held or distributed by such Trustee under ITEM FOL13 (c) through ~e1 hereof.
If my said wife, JEA.~I 1~i. ZEIGLER. Survives me and disclaims any portion of the
-.
_..~
?ale . of 'i Paces
. ,~,
~ ~ ~
Marital Fund, such portion shall be added to the Credit Trust.
If my said wife, JEAl~1 iVi. ZEIGLER, and i die simultaneously, ar under circumsti<~nces
which render it difficult to determine who died first, my said wife shall be deemed to have -
survived me for all purposes of this my Last Will and Testament.
ITE1~I FOUR
CREDIT TRUST
ti1y Trustee(s) shall hold the assets received under ITEi~1 THREE hereof, if any, for
the following purposes:
(a) To pay the net income, at least quarter-annually, to my wife, JEA,~I ~I.
ZEIGLER, for life. In addition, the Trusteeis>, in their sole discretion, may invade the
principal of the trust to provide for the proper and adequate support of my wife, JEAl~1 1~I.
ZEIGLER.
(b} The Trustee(s) shall pay to my wife, ~IEA.N 1~I. ZEIGER, annually, such sum
from the principal of the trust as she may request in writing, provided, however, that said
sum may not exceed the greater of Five Thousand Dollars {5,000.00} or five percent (5r/c) of
the aggregate value, at the time of said request, of the principal of the trust hereunder.
~c) Upon the death of my wife, JEr11~1 VI. ZEIGLER, my Trustee shall distribute
the principal of the trust to my children, BRENDA Z. Dr1VIDSON and KIMBERLY C.
ZEIGLER, in equal shares, absolutely.
(d) In the event that any of my said children shall fail to survive my wife and me,
but steal! leave issue surviving, then such deceased child's share shall be held by my Trustee
and the net income therefrom shall be used for the support, maintenance and education of
the issue of such deceased child. ~Iy Trustee shall use as much of the principal as it shall
deem desirable for said purposes. ;1dy Trustee shall distribute absolutely the principal of such
share of such deceased child to the issue of such deceased child per stirpes as each shall
attain the age of twenty-one (21}years. In the event that any of my children shall fail to
survive my wife and me and not Leave issue surviving, then such deceased child's share shall
be added to the shares of my other children as if originally a part thereof.
(e) Notwithstanding any other provisions to the contrary, in no event shall any
share be distributed to any beneficiary later than twenty t24) years after the later of the
,.
~. ~.L
Paue ~ of 4 Paties
death of my wife or me.
I~F.;~ I:IVI~;
FOWER~~CECUTRI!C(CrS} AND TRi1STF.P:(S}
In addition to the powers conferred by case law, by statute, and by other provisions
hereof, my Executrix(ces) and Trustee(s) and their successors, shall have Lhe foliowing
discretionary powers upplicabie to all property held by them which powers shall be effective -
without order of any court and shall exist until final distribution:
(a) To retain any property of any nature received by them for whatever period they
shall deem advisable;
(b) To invest and reinvest all or any part of said property in such stocks, bonds,
securities or other property, real or personal, as in their discretion they shall deem proper,
without regard to statutes limiting the property which a fiduciary may purchase;
(c> To sell, transfer, exchange or otherwise dispose of, any part of said property,
for cash or on terms, publicly ar privately, or to lease, even for a term exceeding five f 5) years
or the duration of any trust herein, without liability on the purchasers or lessees to see to the
application of the proceeds, and to give options for these purchases without the obligation to
repudiate them in favor of a higher offer;
fd) To execute and deliver any deeds, leases, assignments or other instruments as
may be necessary to carry out the provisions of any trust hereunder;
(e) To borrow mosey, including the right to borrow money from any ban#c and to
mortgage or pledge any asset of the estate as security;
(f) To assume continuance of the status of any beneficiary with regard to death,
marriage, divorce, illness, incapacity and the like in the absence of information deemed
reliable without liability for disbursements made on such assumption;
(g) Ta pay from the trust, or the income therefrom, alI debts or claims against my
estate, or any taxes or similar charges oa my estate;
(h) To make any distribution hereunder either in kind or in money, or partially in
kind and partially in money. Distribution in kind shall be made at the market value of the
property distributed, and my Trustee(s), in their absolute discretion, may cause the share
distributed to any distributes to be composed of property similar to or different from that
C H.~
• Page -~ ur 3 Pages
ai8trlbuCecs [O Any OC110I' nletrfbuCCO~ _
(i) To exorcise any subscription right in connuction with any security hold
i
hereunder, to consent to or participate in any recapitalization, reorganization, consolidation
or merger of any corporation, company or association, the securities of which may be held
hereunder, to delegate authority with respect thereto, to deposit investments under
j agreements, to pay assessments, and generally to exercise alI rights of investors;
I (j) To invest in endowment, insurance or annuity policies an the lives of
I
beneficiaries of any trust hereunder;
(k) To continue in any partnership, joint venture, joint ownership or other business
enterprise of which I am a part at the time of my death;
(1) To compromise claims;
(m) To continue for whatever period of time as they shall deem necessary any
ownership as a tenant in common or as a partner, in real estate or other property and to act
as I could have done had I been living;
(n) To lend money to my estate or to any trust created hereunder or to purchase
from the estate or from any trust created hereunder, at the market value thereof at the time
of purchase, any securities or other property tendered to them by my estate or any trust
created hereunder at any time and from time to time within a period of nine l9) months after
my death;
lo) In the event that any amounts are payable hereunder or under any trust
created hereunder to a Honor, or to a person otherwise under legal disability, or to a person
not adjudicated incompetent, but who, by reason of illness or mental or physical disability
is, in the opinion of fiduciary(ies) hereunder, unable to properly administer such amounts,
sucK amounts maybe paid by the fiduciary(ies) hereunder in his, her or their sole discretion
in any of the fallowing ways as he, she or they may deem best:
(1) Directly to such beneficiary;
(2) To a legally appointed wazdian of such beneficiary for the benefit of
such beneficiary;
l3) To a person having custody of such beneficiary for the benefit of such
C H.Z.
pale ~ of 3 ?ages
.-r•• .. . l.~r s _
t7CriCflGilry;
., a. ..
(4) Qy tho Gdueiiuy(ies) heroundor usin~,- such .unounts directly to thi
benefit of such beneficiary.
(p) To employ agents, attornoys and proxies and to delegate to them such power
as my personal representatives and 'T'rustees consider desirable and to pay reasonable
~ compensation for such services as may be rendered by such agents, attorneys and proxies;
~ (q} To do all other acts in their judgment necessary or desirable for tho prober
f
~ management, investment and distribution of my Estate.
ITE~r sIx
ROT~CTIVE ROVISION~
All income or principal held for the use and benefit of the beneficiaries of any trust
hereunder shall not be in any way or manner subject to anticipation, assignment, pledge, sale
or transfer, nor shall any such interest, while in the possession of my Trustee(s), be liable for
or subject to the debts, contracts, obligations, liabilities or tarts of any beneficiary, or to
attachments, executions or sequestrations under process of law.
~TF1~I SEVEN
APPOINTMENT OF EXECU,TQRS AND TRUSTEES
I nominate, constitute and appoint my wife, JEr~~1 y1. ZEIGLER, as Executrix of my
estate. In the event that my said wife shall predecease me or fail to act as Executrix, then
I nominate, constitute and appoint my daughters, BRENDA Z. DAViDSON and KIMBERLY
C. ZEIGLER, as Executrices of my estate.
I hereby appoint my wife, JEAN Vii. ZEIGLER, and my daughters, BRENDA Z.
DAVIDSON and KIMBERLY C. ZEIGLER, as ca-Trustees of any trust created hereunder.
In the~vent that my said wife,-JEA.~1 M. ZEIGLER, shall fail or be unwilling to continue to
act as co-Trustee, then my said daughters shall continue to act as co-Trustees of any trust
created hereunder.
In the event my Trustees cannot unanimously agree an any issue. a majority vote
shall control. In the absence of a majority vote, the vote of my spouse as Trustee shall
~_
C H.Z
Page b of 3 Pages
a
control.
j~'EM EIGEiT
WAIVER O~ BOND
I direct that neither my Executrix(ces) nor my Truatee(s) shall be required to file any
bond in any jurisdiction to secure the faithful performance of their duties, nor shall they be
required to obtain any order or approval of any court for the exercise of any power or
discretion set forth in this Will.
IN WITNESS WHEREOF I have hereunto set my hand and seal this 2 ~ day of
Nv~~c.r.b... , 199'!.
Clayton . Zeigler ~ "'
SIGNED, SEALED, PUBLISHED A~YD DECLARED by the above-named Testator, as and
for his Last Will and Testament, in the presence of us, who at his request, have hereunto
subscribed our names as witnesses thereto, in the presence of the said Testator and of each
other.
_.~---,
" i , ~ j '''~, ~' ~~•
-~ - '~~?
Pa~ze " of 3 Paces
COM1~iONWEALTH OF PENNSYI.VA,~JiA 1
. SS.
COUNTY OF CUvIBEIZLr1ND )
I, Clayton H. Zeigler, Testator, whose name is signed to the attached or foregoing
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.
. ~ ; .__.
Clayton`H. Zeigler' '
Sworn or affirmed to and acknowledged before me by Clayton H. Zeigler, the Testator,
this a ~~ day of -•C1clvfrc~L~- , 1991. , ~ ~
N.^,!?":! 'sal A I A ~} t~.J
trice L Ja.~, ,i ~.:y ~,~
C^"'°=~'~• ~~~+.,t+',rnCa.~i Notary Public
GOIti11~I0NWI;ALTH OF PENNSYLVr1NIA )
. SS.
COUNTY OF CUMBERLAND )
We,
the witnesses whose names are signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were present and saw Clayton H.
Zeigler, the Testator, sign and execute the instrument as his Last Will; that the Testator
signed willingly and that the Testator 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 1~Vi11 as witnesses; and that to the best of our knowledge the Testator was at that time
18 ar more years of age, of sound mind and under no constraint or undue influence.
Address ,/ !2-y~~- ~• - •;
0
Address
Sworn or affirmed to and subscribed before me this
199 .
day of
Notary Public
Page 3 of 3 Pages
....~ . ,
~ ~ ^o~u rr 'tlMI1M^~MMYN
ysl ~ T: f~+ iM/YI^ 1N~r WI
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08594008022006
ROW820
Payment Inh Tax
Date Rcpt No
7/03/2006 CD 6912
7/03/2006 CD 6913
7/03/2006 CD 6914
7/03/2006 CD 6915
7/03/2006 CD 6916
Cumberland County - Register Of Willa
Itemization of Inheritance Tax
Receipts Issued for 7/2006
Bureau Void or
(LAST, FIRST, MIDDLE) File No Replace Rcpt
HERSHEY A ARLENE 2105-0940
THOMPSON MARY E 2104-1066
LAVERTUE ERNESTINE A 2105-0640
HOLLENHAUGH ANNA K 2106-0367
CRISP CHARLES H 2106-0357
Inheritance Tax
Citation/Liens
Cr. MemoJCorz.
Total For Day
7/05/2006 CD 6838 RUSSELL VICTOR S 2105-0568
7/05/2006 CD 6917 REEDY EVA R 2106-0384
7/05/2006 CD 6918 ORRIS MARION B 2106-0349
7/05/2006 CD 6919 RUSSELL VICTOR S 2105-0568
7/05/2006 CD 6920 LAVANTURE TERRY LYNN 2106-0168
7/05/2006 CD 6921 RAILING RUTH R 2106-0386
Inheritance Tax
Citation/Liens
Cr. Memo/Cory.
Total For Day
7/06/2006 CD 6922 BECKER LAURA C 2106-0378
7/06/2006 CD 6923 FLOHR FAY ANN BARHOUR 2106-054?
7/06/2006 CD 6924 WIRT EVELYN R 2106-0414
7/06/2006 CD 6925 LINE FLORENCE E 2106-0014
7/06/2006 CD 6926 CLARKS CATHERINE W 2106-0352
7/06/2006 CD 6927 HOMER IRMA M 2106-0599
7/06/2006 CD 6928 HOMER IRMA M 2106-0599
7/06J2006 CD 6929 HOMER IRMA M 2106-0599
7/06/2006 CD 6930 HOMER IRMA M 2106-0599
?/06/2006 CD 6931 HOMER IRMA M 2106-0599
?/06(2006 CD 6932 HOMER IRMA M 2106-0599
7/06/2006 CD 6933 MOSES TIMOTHY P 2105-0953
7/06/2006 CD 6934 HROWN AMY B 2106-0336
7/06/2006 CD 6935 WIRT EVELYN R 2106-0414
Inheritance Tax
Citation/Liens
Cr. Memo/Corn.
Total For Day
7/07/2006 CD 6936 FRY HELEN I 2106-0371
7/07/2006 CD 6937 SIMMONS ROSEMARY D 2105-0955
7/07/2006 CD 6938 THOMPSON RUTH C 2106-0604
10230901052007 ~ Cumberland County - Recister Of Wi'_15
ROW820 Itemization of I nheritance Tax
Receipts Issued for 12/2006
Payment Ina Tax Hureau
Date Rcnt No (LAST, FIRST, MIDDLE) File No
2/11%2006 CD 7549 MIXELL NANCY L 2106-0818
12/12/2006 CD 7446 CALKINS CLAIRE S 2106-1015
12/12/2006 CD 7550 MCMAHON KATHERINE A 2106-1098
12/12/2006 CD 7551 h]CMAHON KATHERINE A 2106-1098
'_2/12/2006 CD 7552 MCMAHON KATHERINE A 2106-1098
12/12J2G06 CD 7553 LEBO PAULINE G 2106-1104
12/12/20C6 CD 7554 LEBO PAULINE G 2106-1104
i2/13/20G6 CD 7555 BOWERS RUTH M 2103-0457
12/13/2006 CD 7556 BEARD DOROTHY R 2106-0889
12/13/2006 CD 7557 HARPSTER SARA ELIZABETH 2106-0080
12/13/2006 CD 7558 PETERSON RICHARD N 2106-1101
12/13/2006 CD 7559 PETERSON RICHARD N 2106-1101
12/14/2006 CD 7560 BURKE JOSEPHINE A 2106-0968
12/14/2006 CD 7561 CHILENSKI MICHAEL J 2105-0098
12/14/2006 CD 7562 BELTZHOOVER DOROTHY I 2106-0851
12/14/2006 CD 7563 DIERICH ERNEST R 2106-1095
12/15/2006 CD 7564 OTSTOT JOHN F 2100-0352
12/15/2006 CD 7565 WATERMAN HELEN L 2106-0884
12/15/20C6 CD 7566 BURKETT JANE F 2106-1063
12/15/2006 CD 7567 BUP.KETT JANE F 2106-1063
12/15/2006 CD 7568 BURKETT JANE F 2106-1063
12/15/2006 CD 7569 HURLEY JACQUELINE T 2106-0283
12/15/2006 CD 7570 EVANS RUTH R 2106-0916
12/15/2006 CD 7571 BURKETT JANE F 2106-1C63
12/15/2006 CD 7572 MARTIN MARY E 2106-0726
?age .,
1/0 5/07
Void or Total Amt
Replace Rcpt Collected
825 .00
Inheritance Tax $28,409 .73
Citation/Liens $ .00
Cr. Memo/Corr. $ .00
Total For Day $28,409 .73
4,270 .71-
191 .25
112 .65
22 .55
341. 58
4. 70
Inheritance Tai: $3,597. 98-
Citation/Liens $. 00
Cr. Memo/Corr. $. 00
Tota'_ For Day $3,597. 98-
250. 00
7,195. 00
137. 00
1,448. 35
546. 56
Inheritance Tax $9,576. 91
CitationjLiens $. 00
Cr. MemojCorr. $. 00
Total For Day $9,576. 91
48. 46
3,413. 90
85,477. 86
14,976. 44
Inheritance Tax $103,916. 66
Citation/Liens $. 00
Cr. Memo/Corr. $. 00
Total For Day $103,916. 66
44. 41
4,615. 90
142. 79
222. 81
73. 65
388. 24
9,000. 00
239. 26
598. S6
veraawavaluvr - - Cumberland Zourity =Register Of Wills
ROW820 Itemization of Inheritance Tax
Receipts Issued for 3/200 7
Payment Inh Tax Bureau Void or
Date Rcpt No (LAST, FIRST, MIDDLE) File No Replace Rcpt
3/01/2007 CD 7852 BIANCO LULU E 2107-0073
Inheritance Tax
Citation/Liens
Cr. Memo/COrr.
Total For Day
3/02/2007 CD 7853 HRUNGARD FRANCES T 2106-1147
3/02/2007 CD 7854 BRUNGARD FRANCES T 2106-1147
3/02/2007 CD 7855 NEAL DELMAR 2106-1088
3/02/2007 CD 7656 LONG PAULZNE H 2106-1134
3/02/2007 CD 7857 VANBUSKIRK STEPHEN J 2106-0763
3/02/2007 CD 7858 WITTHOFT JEAN E 2105-1032
3/02/2007 CD 7859 SHOAP LESLIE RICHARD 2106-1135
3/02/2007 CD 7860 LAVGHLIN VERYL R 2107-0053
Inheritance Tax
Citation/Liens
Cr. Memo/Corr.
Total For Day
3/05/2007 CD 7861 GRAMM HARRIET F 2106-0525
3/05/2007 CD 7862 BRANDY LLOYD E 2197-0847
Inheritance Tax
Citation/Liens
Cr. Memo/Corr.
Total For Day
3/06/2007 CD 7662 RETTBERG CLAIRE ANN 2105-0059
3/06/2007 CD 7704 VONDRA ROSEANN C 2106-0983
3/06/2007 CD 7863 WALL RAYMOND E 2106-0555
3/06/2007 CD 7864 TEMPLE WILLIAM G 2106-0792
3/06/2007 CD 7865 LEACH ELIZABETH S 2106-0704
3/06/2007 CD 7866 MILLER CARRIE J 2107-0209
3/06/2007 CD 7867 SHAMBAUGH LAURA MARY 2106-1122
3/06/2007 CD 7868 HAYS GLENN B 2106-0567
Inheritance Tax
Citation/Liena
Cr. Memo/Corr.
Total For Day
3/07/2007 CD 7869 MCKZNNEY DORIS H 2106-0699
3/07/2007 CD 7870 KASUN JEAN M 2106-1164
3/07/2007 CD 7871 JOHNSON JAMES KENNETH 2106-0367
Inheritance-Tax
Citation/Liens
Cr: Memo/Corr.
Total For Day
voravo~vauaw~r _ - - - ~ CSmberland Zourity - Register Of wills
ROW820 Itemization of Inheritance Tax
Receipts Issued for 3/200 7
Payment Inh Tax Bureau Void or
Date Rcpt No (LAST, FIRST, MIDDLE) File No Replace Rcpt
3/01/2007 CD 7852 BIANCO LULU E 2107-0073
Inheritance Tax
Citation/Liens
Cr. Memo/Cory.
Total For Day
3/02/2007 CD 7853 BRUNGARD FRANCES T 2106-1147
3/02/2007 CD 7854 HRUNGARD FRANCES T 2106-1147
3/02/2007 CD 7855 NEAL DELMAR 2106-1088
3/02/2007 CD 7856 LONG PAULZNE H 2106-1134
3/02/2007 CD 7857 VANBUSKIRK STEPHEN J 2106-0763
3/02/2007 CD 7858 WITTHOFT JEAN E 2105-1032
3/D2/2007 CD 7859 SHOAP LESLIE RICHARD 2106-1135
3/02/2007 CD 7860 LAUGHLIN VERYL R 2107-0053
Inheritance Tax
Citation/Liens
Cr. MemofCorr.
Total For Day
3/05/2007 CD 7861 GRAMM HARRIET F
3/05/2007 CD 7862 BRANDY LLOYD E
2106-0525
2197-0647
3/D6/2007 CD 7662 RETTHERG CLAIRE ANN 2105-0059
3/06/2007 CD 7704 VONDRA ROSEANN C 2106-0983
3/06/2007 CD 7863 WALL RAYMOND B 2106-0555
3/06/2007 CD 7864 TEMPLE WILLIAM G 2106-0792
3/06/2007 CD 7865 LEACH ELIZABETH S 2106-0704
3/06/2007 CD 7866 MILLER CARRIE J 2107-0209
3/06/2007 CD 7867 SHAMBAUGH LAURA MARY 2106-1122
3/06/2007 CD 7868 HAYS GLENN B 2106-0567
3J07/2007 CD 7869 MCKINNEY DORIS H 2106-0699
3/07/2007 CD 7870 KASUN JEAN M 2106-1164
3/07/2007 CD 7871 JOHNSON JAMES KE2TNETH 2106-0387
Inheritance Tax
Citation/Liens
Cr. Memo/Cory.
Total For Day
Inheritance Tax
Citation/Liana
Cr. Memo/Corn.
Total For Day
Inheritance Tax
Citation/Liens
Cr: Mama/Corn.
Total For Day
08120504032007 Cumberland County - Register Of Wills Page 4
ROw820 Itemization of Inheritance Tax 4/02/07
Receipts Issued for 3/200 7
Payment inh Tax Bureau Void or Total Amt
Date Rcpt No (LAST, FIRST, MIDDLE) File No Replace Rcpt Collected
Inheritance Tax $47,420.33
Citation/Liens $.00
Cr. Memo/Corr. 5.00
Total For Day $47,420.33
3/20/2007 CD 7924 WHITEHEAD ROBERT A 2105-0283 208.00
3/20/2007 CD 7925 LAY GORDON W 2106-D368 7.56
3/20/2007 CD 7926 COSNER CORDELIA E 2106-1165. 1,709.01
3/20/2007 CD 7927 STERRETT HELEN B 2107-0265 5,000.00
Inheritance Tax $6,924.57
Citation/Liens $.00
Cr. Memo/Corr. $.00
Total For Day $6,924.57
3/21/2007 CD 7928 WZLLIAMITIS VICTOR A 2106-0888 46,351.44
3/21/2007 CD 7929 FARMER GLADYS K 2106-1159 1,071.88
3f21/2007 CD 7930 HAKE ELNORA E 2107-0151 1,066.87
3/21/2007 CD 7931 KISTER KATHRYN 0 2107-0166 144,400.00
3/21/2007 CD 7932 SMITH JESSE F 2107-0046 6,000.00
3/21/2007 CD 7933 HARE ELNORA E 2107-0151 789.50
Inheritance Tax $199,679.69
Citation/Liens $.DO
Cr. Memo/Corr. $.00
Total For Day $299,679.69
3/22/2007 CD 7934 SUNDAY BETTY P 2106-0742 456.83
3/22/2007 CD 7935 HOFFMAN VERNON PAULINE 2107-0042 20,000.00
3/22/20D7 CD 7936 TRIMBLE RANDI LEE 2103-0169 170.91
Inheritance Tax $20,627.74
Citation/Liens $.00
Cr. Memo/Corr. $.00
Total For Day $20,627.74
3j23j2D07 CD 7528 WOODS CHARLES J 2106-0472 270.00-
3/23/2007 CD 7557 HARPSTER SARA ELIZABETH 2106-0080 137.00-
3/23/2007 CD 7937 THOMPSON MARY E 2104-1066 250.00
3/23/2007 CD 7938 MINZCH JOHN E 2106-1118 70.39
3/23/2007 CD 7939 ANDERSON RUTH L 2106-0620 4,784.28
Inheritance Tax $4,697.67
Citation/Liens $.00
Cr. Memo/Corr. $.00
Total For Day $4,697.67
3/26/2007 CD 7940 HAWKZNS LENORE E 2106-1086 6.86
3/26/2007 CD 7941 GREENAWALT GENEVIEVE R 2107-0001 41,600.00
3/26/2007 CD 7942 WEAVER ELLEN C 2105-0102 1,254.96
3/26/2007 CD 7943 PAYNE CHARLES T 2107-0286 68.74
_
08'_20504032007
_.
_._ -
--
Cumberland County - Register Of
ills
age 4
4/02/07
ROW820 Itemization of Inheritance Tax
Receipts Issued for 3/200 7
Payment Znh Tax Bureau Void or Total Amt
Date Rcpt No (LAST, FIRST, MIDDLE) File No Replace Rcpt Collected
Inheritance Tax $47,920.33
Citation/Liens $.00
Cr. Memo/Corr. $.00
Total For Day $47,420.33
3/20/2007 CD 7924 WHITEHEAD ROBERT A 2105-0283 208.00
3/20/2007 CD 7925 LAY GORDON W 2106-0368 7.56
3/20/2007 CD 7926 COSNER CORDELIA E 2106-1165. 1,709.01
3/20/2007 CD 7927 STERRETT HELEN B 2107-0265 5,000.00
Inheritance Tax $6,924.57
Citation/Liens $.00
Cr. Memo/Corr. $.00
Total For Day $6,924.57
3/21/2007 CD 7928 WILLIAMITIS VICTOR A 2106-0888 46,351.44
3/21/2007 CD 7929 FARMER GLADYS K 2106-1159 2,071.88
3/21/2007 CD 7930 HAKE ELNORA E 2107-0151 1,066.87
3/21/2007 CD 7931 KISTER KATHRYN 0 2107-0166 144,400.00
3/21/2007 CD 7932 SMITH JESSE F 2107-0046 6,000.00
3/21/2007 CD 7933 HAKE ELNORA E 2107-0151 789.50
Inheritance Tax $199,679.69
Citation/Liens $.00
Cr. Memo/Corr. $.00
Total For Day $199,679.69
3/22/2007 CD 7934 SUNDAY BETTY F 2106-0742 456.83
3/22/2007 CD 7935 HOFPMAN VERNON PAULINE 2107-0042 20,000.00
3J22/2007 CD 7936 TRIMBLE RANDI LEE 2103-0169 170.91
Inheritance Tax $20,627.74
Citation/Liens $.00
Cr. Memo/Corr. $.00
Total For Day $20,627.74
3/23/2007 CD 7528 WOODS CHARLES J 2106-0472 270.00-
3/23/2007 CD 7557 HARPSTER SARA ELIZABETH 2106-0080 137.00-
3/23/2007 CD 7937 THOMPSON MARY E 2104-1066 250.00
3/23/2007 CD 7938 MINICH JOHN E 2106-1118 70.39
3/23/2007 CD 7939 ANDERSON RUTH L 2106-0620 4,784.28
Inheritance Tax $4,697.67
Citation/Liens $.00
Cr. Memo/Corr. $.00
Total For Day $4,697.67
3/26/2007 CD 7940 HAWKINS LENORE E 2106-1086 6.66
3/26/2007 CD 7941 GREENAWALT GENEVIEVE R 2107-0001 41,600.00
3/26/2007 CD 7942 WEAVER ELLEN C 2105-0102 1,254.96
3/26/2007 CD 7943 PAYNE CHARLES T 2107-0286 68.74
12061707022001
R0~1820
Payment Inh Tax
Date Rcpt No
6/11/2007 CD 8276
6/11/2007 CD 8277
6/12/2007 CD 8019
6/12/2007 CD 8278
6/12/2007 CD 8279
6/13/2007 CD 8280
6/13/2007 CD 8281
6/13/2007 CD 8282
6/13/2007 CD 8283
6/13/2007 CD 8284
6/13/2007 CD 8285
6/13/2007 CD 8286
6/14/2007 CD 8287
6/14/2007 CD 8288
6/14/2007 CD 8289
6/14/2007 CD 8290
6/14/2007 CD 8291
6/14/2007 CD 8292
6/15/2007 CD 8293
6/15/2007 CD 8294
6/15/20C7 CD 8295
Cumberland County - Register Of Wi'_ls
Itemization of Inheritance Tax
Receipts Issued for 6/2007
Bureau
(LAST, FIRST, MIDDLE) File No
SANTO JOSEPH A 2105-0179
WOLF GLENN E 2107-0087
FALCON SARAH E
FINN DENNIS E
MONTGOMERY MILDRED L
DONOVAN HELEN ARLENE
JOERGER ELEANOR E
BANKSRT EVELYN Z
BEAR JANE H
ANOKA RUTH A
JEFFERIES MARIAN L
HEELER GLENROY G
NAGLE LAURA JANE
SANDERS WINIFRED E
WILSON CHARLES A
MATHEWS OPAL M
BITNER REBA M
ECKSTEIN CLARA E
I(ALEY MIRIAM D
EINSZG RACHEL E
KALEY MIRIAM D
2107-0080
2106-1102
2107-0550
2107-0288
2107-0360
2107-0282
2107-0306
2105-0722
2106-0313
2107-0305
2106-0878
2105-0377
2106-0722
2199-0298
2106-1133
2107-0477
2106-0088
2107-0280
2106-0088
6/18/2007 CD 8296 SHARTLE GERALDZNE MARIE 2102-0103
gage 3
7/02/0`
Void or Total Amt
Replace Rcpt Collected
378.28
29,707.66
Inheritance Tax $29,589.59
Citation/Liens $.00
Cr. Memo/COYr. $.00
Total For Day $29,589.59
1,500.00-
1,837.09
169.85
Inheritance Tax $506.94
Citation/Liens $.00
Cr. Memo/Corx. $.00
Total For Day $506.94
6,000.00
8,550.00
17,906.24
28,056.20
42.02
669.62
8,500.00
Inheritance Tax $69,724.08
Citation/Liens $.00
Cr. Memo/Corr. $.00
Total For Day $69,724.08
133.40
90,000.00
794.06
200.00
11.11
16,550.40
Inheritance Tax $107,688.97
CitationJLiens $.00
Cr. Memo/Corr. $.DO
Total For Day $107,688.97
.OD
36,000.00
166.34
Inheritance Tax $36,166.34
Citation/Liens $.00
Cr. Memo/Corr. $.00
Total For Day $36,166.34
7.43
_22542CcO1~CC7 Cumberland County - Register Of Wi11s Page 1
P.O[4~20 Itemization of Inheritance Tax 8/01 /07
Receipts Issued for 7/200 7
Payment Inh Tax Bureau Void or 'total Amt
Date P,cpt No (LAST, FIRST, MIDDLE) File No Replace Rcpt Collec ted
7/02;20C7 CD 8359 BLESSING DONALD J 2106-0230 7,568. 78
7/02/2D07 CD 836C BOWERS RUTH M 2103-0457 267. 57
7/02/2007 CD 8361 KNOWLTON AVIS ANN 210?-0351 15,766. 18
7/02/200"/ CD 8362 MUNDIS EVELYN G 2106-0037 308. 98
"7/02/2007 CD 8363 ALBRIGHT FERNE E 2107-0352 432. OC
7/02/2007 CD 8364 ALBRIGHT MARCUS R 2106-0432 347. 92
7;D2/2007 CD 8365 HECKMAN JUNE E 2107-0372 10,572. 7E
Inheritance Tax $35,264. 19
Citation/Liens $. GO
Cr. Memo/Corn. $. OD
Total For Day $35,264. 19
7/C3/2007 CD 8366 FLEZSHER LESTER W 2102-0235 68,000. 00
7j 03/2007 CD 8367 WIERMAN DOROTHY D 2106-0941 10,923. 09
7/G3j2007 CD 8368 LEONARD ANNA 2107-0449 45,000. 00
7/03/2007 CD 8369 FORNWALD LILLIAN H 2107-0329 16,340. 76
Inheritance Tax $140,263. 85
Citation/Liens $. 00
Cr. Memo/Corr. $. 00
Tocal For Day $140,263. 85
7/05/2007 CD 6170 KEHEW JAMES G SR 2106-0749 307. 00-
7/OS/20C7 CD 8370 ZAJAC HENRY L 2107-0634 1,544. 74
7/05/2607 CD 8371 WALLOWER EVA 2107-0552 . 00
7/05/2007 CD 8372 HOCH MARGARET R 2104-0926 4,553. 89
7/05/2067 CC 8373 FISHER DORIS ELIZABETH 2107-0281 215. 44
7/05/2007 CD 8374 WALLOWER EVA 2107-0552 27 .33
Inheritance Tax $6,D34 .40
Citation/Liens $ .00
Cr. Memo/Corr. $ .00
Total For Day $6,034 .40
7/06/2067 CD 8375 FRIES CHARLES S 2105-0683 36,817 .34
7/06/2607 CD 8376 MARTIN OLIVE M 2107-0640 2,058 .87
Inheritance Tax $38,876 .21
Citation/Liens $ .00
Cr. Memo/Corr. $ .00
Total For Day $38,876 .21
7/09/2007 Cn 8377 MONTIJO FLORENCE S 2107-0643 1,614 .19
7/C9/2007 CD 8378 DENNISON CATHERINE 2107-0041 240 .97
Inheritance Tax $1,885 .16
Citation,/Liens $ .00
Cr. Memo/Corr. $ .00
Total For Day $1,885 .16
7/10('2007 CD 8379 REEfiER JEAN E 2107-0512 1,500 .00
`Cv~~1MONWE4l'M OF PENNSYLVANIA
^6ARTMENI' DF REVENUE
BU9EAV DF INDIVIDUAL TAXES
DEPT. 280601
HAFRISBU RG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DUPLICATE
JAMES SMITH DOETTEROCL ET AL
PO BOX 650
HERSHEY, PA 17033
-"_'-- ,old
REV-1162 E>:(11-96)
N4. CD 008795
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: ssN: 5~a-22-ss3o
FILE NUMBER: 2106-0122
DECEDENT NAME: PHILLIPS LINWOOD B JR
DATE OF PAYMENT: 1 O/ 1 O/ 2007
POSTMARK DATE: 10/08/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 02 f 02/ 2006
101 ( 582.50
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY NEIL YARN
SEAL
CHECK# 65985
582.50
INITIALS: WZ
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
~~~~ 1~_ ~~~~~~~~ ~
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