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HomeMy WebLinkAbout95-0057~1 X15 CG57 M105.113 Ree. 2/87 TYPEAMNNT w PEIg1ANENT TTLwac Tr+,c ~1 N s C W This is to certify that the certificate hereunto attached is a true and accurate copy of the original death record on file with the Division of Vital Records, and that Frank Yeropoli, whose name is subscribed thereto, was at the time of subscribing the same and now is Director, Division of Vital Records of the Department of Health, for the Commonwealth of Pennsylvania, duly appointed and commissioned as directed by Act 66 of the General Assembly, approved 29 June 1953, P.L. 304. Date auc 1 s-r~l ~ p Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH v VL'~.~C~ STATE FAE Nuawen - - .. _ NAME OF DECEDEM IF.s. Mime. Lar BEX $0C1µ SECURITY NUMBER DATE OF DEATH IMOnn. Day,'ewl ,. Ruth I. Fishel , Female , 184 _ 05 _ 9169 ADEIw B:nWy uHDER,rEAR unoEn,Dw oATI?aF BIRTH BwTFRACE 1Cty aaa PI,~cEaFDE,vNlcn.a«+vd+•-~,..inee~a,a~•enww~.aa Mrrr D•t• Npaa MMAw IMOM.0a4. wr, F ~e~sY°eDO1""`i° "°sw°" I C ar 98 vn Nov 4.1896 PA eor«a I~( ERIOu~a,i•M ^ DDA ^ "~'",°'° ^ Rwidrrt• ^O1AI~ay) ^ a T . ~. courmocDEATH cm:eoRD.Tw-oFDE,aN FACN.TTYMAMEPMr.ww,.v»ee..lana~,r,e.i WASDElFDENTOF/pSPANICORIGwT RACE-A•NAOnMidan.ercltwMl..•le. 1b^ \Ya^Eyw.agWyCuEan. ~ Cumberland 4 East Peansboro ~G~ s i~/~ ~~~~,q ~ .,er,,Pl.~ew..n..I~1 ite DECEDENrsus,uL000tAwIDN IaraaPBUSwessnNDUSrnv vela NTEVERw oECEDEKr'sEwcvaN MARrwswus-wn.e (Give NrW anwn OO,r~•~p nnr U.S.ARMED INw Manlaq Wlm.•a. IE~ n•ni•) d ~apna E a uae ra re .) Ywt^ ib LJ ` se~ress ltanufaoturing ,oE4iMA0Yy;a e°`~ ,,..`~ Ni°~9~d""" None „ ~~R , u ~ ~~ a DEtEDEM'BMAIIlq ADDRESS (Se•rL CdT'lTOwn. sel.,ibcoar DECEDENT'S e ACTUAL ,T•.SW Dld ,h.^ Wa aacedue MAln . 423 S Aroh Street ~~~ a.~.dNe '~ ,~ Yeohaaiosburg, PA 17055 Cumberland w.w••:~aT ~Nadw.aN^w.a Yechaaiasburg ~~ ~a Joseph 1~[i~Ber '"O"'~~~F"S'E'~i~!'PI'fgSB "t ,E wroaLwrs TuAIE RYPe'Pi•U 2.. Pauline Fishel . 11OR1A"'~'"fl4~BS'$`!'b"~"l~tltflEfl9~bsburg, PA 17055 METHOD OF dSPDSTTgN DATEOP DISPQBIrION PLACEOPT118POSRpN. N.m.acrn««y, c,.mro,y LOCATgN- ~°'r^r'Oe^ R•^~i1eoin$TM•^ •OJ'k'ltbar 17 1995 r~!!f!lshnicsbur Cemeter llec~ ~u g PA u ^ y , g y ~,^ o es r r tta. 21d t1e. ~~~~~~ ~~~~~ L"EN~67 L "'""E$"9f~C~~`F4~ia ay, Yeohaniosburg, PA 17055 /iJ.a.e..~_e.._f~ zss. 2x CongNr Arw 2Eee•M'•,un ~ PM.Id.nrnaaeaaa•rue.aarnw . wOMlanrp lunwl•ay, daanom•NardN INN.ar ana p.n awMe. LICENSE NUMBER •anaree) DaESE;rJED eNey errs adrn. IMOiM. De%M•d 2Ee. SenM 242~1NM, Oa W111p1a1•a EV OF DEATH DATE PRONOl1NLED DEAD PJaM, pyy.lpr, WAS CASE REFERRED TO MEDM.AL EI(AMINERICORONER7 premMOpN,puc••G••IIL /) /~ ^ I~z W G. 1M n.Twnr. EM«n.e...w.wyi.r+am,nwlcran.w+aier..am.a.m.DOna«v.ru.~noe.aey:q.wa,. ,e..LSnoaiorn.rlr.iw... ap.ncr+ea~mom~reuu~yna.rn,aa liel ar, olw cnN•an •rT WN. i~Pp~M PART M: ntlr iwdwl/Nq<r~•y1rM~in R1NTl. E~IEDMTECAUS!(Fnr ,anrlandd•r0 ' DUE ASACONSEOUENCE OFT: 2-- n C-K `~~ 7lc7~11 __ Ea,y, MebgbinrNaw DUE TO Ip, ASA CONSEQUENCE OFy 1 aM.Erer UNOFIILYNq CAUf1E Oe ~ c I •a•• r4+Y ~ nr Ylrialaa •~^I• DUE TO TOR AS A CONSEQUENCE CF): ~•s••^D n awn) LAST a. I 1Af1.4 AN AUTOPSY WERE AUTOPSY FwDING4 MAWIER OF DEATH DIQE OFIWURV TIME OF wJURY INJURY ATWORN7 DESCRIBE NOW IWINTY OCCURRED T'ESiFl0RL1ED7 AAIUUeLE PRIOR>D P/p11,,. ~. Wr) . COMPIE'TpN OF CAUSE ^ OF DERN9 Nae•al ~ ilomkida AocibrA ^ Pendwg lmealMplbn ^ ~-- ~- Ws ^ No~ ~ ~y M ^ Ne ~ba ^ IVO L7 SukiM ^ CoW not W Or•rmuwE ^ M~ ~' PIACE OF IWURY-At OonN Nrm Geer ladwy rlk• LOCATION , _ . , Sber. Cdy/f . $Ir•) 2b. H, esq. rc.lSpecihl ao•. 3r. CFTtTlIER IC~edt ~ ~ SIGNRURE AND TrtLE OF CERTIFIER •CE1171FYND PHYSICIAN (Phye[ian cenilHng came d Wen vMen andMr onYSicwl nw praaunced Dean arb compered Itcn 231 I^~1 ~C Wl~ y~` To h 0••, a ry a'weMee•, WaN aceumd de. b tlN c•u•N•)+M nwnnr r aM40 ..................................................... J 710. ~ r- 0 - 00 ~. LICENSE NUMBER •PRONOUNCINO ANO CFATIFYING PHYSICIAN IPhyei[un Den aronounceg dean and certilynq iocause of deayq c e ^ ~T DATE SN3NEi IMOM~Oay. Ilvrl r Te IM e.•r a ry IuwwNdy, deem «currW a, IM IM,•, dr•, avq p•o•. and dw to M• eau••,a) and manrwr as ral•d .......................... T1e. ~J ~ ~ 1 (T' ^ L I J '"jJ 716 • NAME AND ADDRESS OF PERSON WMO COMPLETED CAUSE OF •MEON:AL EXAMINER/CORONER (Item 27, Type ar Print ~ u4/fT'L-T N_~2 On,M Gah a eaamineNOn and/or invsU a,ion in i i ~ , my op n 9 on, death «cu,red al,Ae time, dre, and place, and dus ro,M Wuaep) arW Jlt~ Manner aerr•d .................................................................................................. ^ g'ja c.frYL C-I.t,:,.2.c!1 REGISTRAR'S $IONISURE AND NUMBER ~ r 2 DATE FlIFDIMOnn. Day. lOnr) ~ ~. 3...J9NU,~.~ /7./99s . \ , , ,. .. .~.'~"~T~'~P1 F~~ P~t~~iATE end ~~I01T ®F LETTERS Estate of ~~ ~~ ~'~ ~ ~ / s N E"L. No. ~~ "~~~~ _ also known as _ _ To: Register of W~UM3ERLAND - .Deceased. County of in the Social Security No. _ /~ ~ - a5 - ~3 I C,P~ Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Year petitioner(s), who is/are 18 years of age or older an the execut R I X named in the last will of the above decedent, sated ~.<..~~., i c~ 1 or 7 Z , 19 and codicil(s) dated ~ (state relevant circumstances, e.g. renunciation, death of executor, eteJ Decendent was domiciled at death in (, t~ t-t ~ `' r2 L,4 ,~1.(~ County, Pennsylvania, with h~ last family or principal_ residence at y- ,2 3 S /--?-2 c t+- S-r . f-jr=c~,4nr/ccg?~~6 (~i~_ /7o55-~z~fs (list street, nurnbcr and muncipality) Decendent, then `j'~'' years of age, died T /-t- ti. J 5 19~~ at I-~ cam- S p t r~ a r ,l-1 v s P/ T.19- ~ , Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: lecendent at death owned property with estimated values as follows: ~ ~ ~~"Z ~ ~ ~ (If domici'ed in Pa.) All personal property $ (lf not domiciled in Pa.) Personal property in Pennsylvania $ (11' not dnmiciled in Pa.) Personal property in County $ ti'alue or real estate in Pennsylvania $ situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the robate of the last will and codicil(s) presented herewith and the grant of letters TES AMEN~ARY (testamentary; administration e.t.a.; administration d.b.n.c.t.a.) Theron. v ~ h , cr_~ a~ ~J ~_s C C O ~ - C :J f ~A~t'~'I ®F PERS~1Qil~L ~tE~RESENTATIVE C®Ib~tYli~i~IVVIE;AI,'I'H HF PENNSYLVANIA 1 ~s C®bJliiT'X ~I~ CUMBERLAND J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing. petition arc true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the eseate according to law. Sworn to or affirmed and subscribed ~~.,~,~~ _ z° ~~' Q..~ ~~ before me this 20TH day of ~' P~I~R1"'~C. LEWIS Register (L // -- ~r _ y~ ,~ ,. .... ~- .... ..._ -. ~ _-__._z .rr~^n.,..~.,s,~' A '!7sa - ..~v;y..~.,,,ryt,~y,. +.i:,.~n~, ,•,~, ;+~`,. ., , :' }n " ~Y. ~'~.. ..~:`cs';,.,y t~x`~ RUTH I. F"ISNE_1.--~-----~- , ~~C~~e~ ~.J`~Jr% ?.~;~~;~,, ___ JAN'.JARY 25, _ I9 95 , in consideration cf the petition on t~ e reverse si.ae: lrr~~of, satisfactory proof having bra; presented before me, ;?' IS ^~:;':`~;~.~u! tout t;`~e instrurner_t(s) datetl_ JUNE 16, 1972 ~escrh~<; tl~rr~.~«':e adtriitted to probate anti filed of record as the test wi1I of _ anti I,r:,re,.s ______TESTAMENTARY arehareb; zrast~ite ?AUJ_INE L. FiSHEL _ _ ?~~,ES Probate, Lc~t~:rs, etc. ......... $ 50.00 Short Corti ~cu?esr5) . , , , .. , , , , ~ 18.00 i~-hage J C P ~--s~Y "TF.~TAjL ~ ~ 75 JL ^iivt: ..... ~','},iui~ARY 25, 1395.......... *~ ^ ~; .~? ~~, ,~.~_ C J rl i° x - . .w. Sr; . .... wl L~~tnr~ a.r,,J n-~,,,r r:;a~i icd tc Execu~rix e~ 1-25-95. ai' .~ ~ ... ~q~yr(•!_ ( .M'. ,..v~: ~ a ~ 've, 5 1{ -1ai!.~~J~. S+~r w ~ ~ / Aegist ~ f Wills MARY L. LEJdIS .'~'YTORNEY (Sup. Ct. I.D. No.} ADDREaS t'rt~Nn qk~ k '. ~i !.!_ :j K', ~~;T. ~~°; ;;;,,~ ~ ~~ ~ a mo.`s' r __ _ r 2i _ rr, ~~ - ' l~ ~ ~t~~'I~ ®F S~BS~B1~3~1~iG W~'Tt'dESS _ , codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, deposes) as~d say(s) that present and saw the testa' ,sign the carne and that signed as a witness at ehe req>lcst of testat___ in h gresence and (in the p resence of each other) (in the presence of the other subscribing witness(es)). ~:acrn to of2irzrs'~d subscribed before _ , `- c~ ~_ O rx~„~tis _~~ day of (Name) ~.~ < ~_ ~~" 19 •~ ``~ `~ ~ - (Address) ~, '' ~ J _` Register o ~i;; ~ {.;..~' (Name) C:'. ~tll L '~~ ~~ (Address! ~E~~STER ®~' WI~i..LS ~DF CUMBERLAND Cf3UNT1' ~AsTHr ®~ lat®Ia1-STJBS~1tZIB~i1VG ~6'I'Tl'dESS J (each) a s'sbscriber hereto, (each) being duly alified according to law, deposes and say(s~ that ~~ ~~''-~ F familiar with the signature of ~'~v r~ ~ ~'S F XOkI~diK testa[ Rik of ~i~X~X,~eKXs~lSdfrl~i)4~X3fvXtY~X~ the will presented herewith and Xi#1 that _ r-~-., believes the signature on the will is in the handwridrtl; of RUTH I. FISHEL to the bet of ~~~_ ~ 0 ledge and belief. rte, Sworn to or affirmed and subscribed before C~ ~'~-~~ "~ ~ ~~~/~~ me this ?GBH day of ((Name) nn /~ / ~'ANUIRY. ~__ ~~ ~ G j' ,S~~K/1 f ~Ldt ,(/fit. ! /~G7~~s G •. f ~ ( dress) r ,,,,,. '.kl ~ ~ ti :r. ~, , ,^ ,.. A"'~".~ S. ~ tTs'.. i:, . c~ra^, . ~.,..,Q,,, ..,sr~„4:: ram....,++...-..-.,.....~..._,...z'94 ga., ~v~ 'ac"..^~i -~ Y ~ ~ ~ 1-w.~ 1 vrr. t4 rs.i. inc.~MR4?~~:"'+"tiAn _ s .,., . a w a , ~~ r_., f. ~< 'r:° ~' rt -' ~~ .wa;~'.: fY'R'w!~rsii~7~.~'~f'fJC+#~ •:~ . ._ ... ~! ~_; L; •;, S}•.' '74v. ' ~° ~. t °~ 1!~. .. [ LAST WILL AND TBSTAMIdNT I, RTJTH I. FISH3~L, of the Borough of Mechanicsburg, County ni'~~umberland and Commonwealth of Pennaylvanie, being of sound and disposing mind, memory end understanding, do make, publish and declare this ea and for my Last Will and Testament, hereby 0 revnking and making void all Former sills and eadicils by me at any time heretofore made. ,I FIRST. I order and direct that all my ~uat debts end Suneral ezponaea ba paid by my R;eoutriz, hereinafter named, as Bonn ae conveni9ntly may be done after my decease, SECOND, I give and baqueatnt~ solitaire diamond ring unto my daughter, PAIILINS L. FISH$L, absolutely. THIRD. Z give and bequeath my tlunitare, household ~furnishinga and appliances unto my daughter, PAIILINB L. FISHRL, absolutely. FOURTH. I give and devise all of my real~•estate situated in the Second Ward of the Borough oP Hechaniosburg, Cumberland County, Pennsylvania, consisting of a dwelling house, garage-shop buil•sing and the lot upon which the same are erected known as 423 ~5outh Arch Street, and an unimproved lot adjoining the fo ~n„r, unto my daughter, PAULINE L. FISHFsL, in fee simple. FIb'TH. All the rest, residue and remainder of my estate, real, personal and mined, whatsoever and wheresoever situated, I ,give, devise and bequeath unto my two sons, namely, LEO A. FISL'_E'I. end LLQYD N. FISHfiL, share and share alike, absolutely and in fee simple. LASTLY. I nominate, coastitute and appoint mg laugher, M Agr.on Ano SXLI.u AK[n ~I ii ~~ ?i.^'M~i!,2ryVn',°IFF~~r~.T.a:~c.'L.~ ,~mnw~u}r":; T:i: r .: ~.. ~n ,~ "' . _~y,. ~r ~r. r }: ~'L~ Y ~ ~ ~ ~ f ~.. ~~ y ~ i~A~ ~ J .. - ~ ~_ _ _ . -- 9AL'Ll':.~~ FISFxF,L, to be the Fk®cutxix of this , mg Last Will !~:ar_d TSSt4mant, to servo without bond. 11 ~, *'~` WITtiPsSS WHnRr~OP', I, RUTH I. FISHEL, have hereunto set II my :c~- d And anal to this, mg Lsat Will and Teatazaent which conaisa i ~y of %+r~ l,2) tgpewritten pagos to each of which I have aPfiaed peg !~ ~~ s:t¢natui•s this ((~ ~ ~ dog o*_' June A. D., Ono Thousand £dine i. ~I .t.L'.P"_~. liC ~G`wT3nt~~tHO (~g~c~). Thc~ preceding' instrument, consisting aP this and one (1) other type~eritten pogo, each identi.Pied bg the signature of th® Tesct+:er ~am3 on the dot®theraof signed, sealed, published and e~e::l~roc: bg RUTH I, rr^ISHIs'L, the Testatrix theroin named, as and :'^r ;,;~ Last Wi1T and Testament, in th® presence of ue, trho, at ,,YOr re:~t~:9st, in her presence, and in the presence of a ch other, have sascxibad our names ea witnesses a to. -~~~ ~ ~~ Uw o.~,~~b II N M.rtTC^.N nno 5.vcl.an~:^rti~ 1~ i~ ij~ II ~f' 11 ~I ~I .; .~ _, ;, ~i ~..; `, j :, ~ ~~ ~l ~_.. .A. .. . r, ~~ t~ c,. ~ - ~~ ~'~. )' I ,~. 1 ~ ~ J y ~~~f, ~~ ~ ~~~~~-~~ ~ ~, ~ ~ ~~. ~~ ~ ~t U i.~-~ _ ~_~ { ,~ ~ n ~ pct u;~~8 o~x a g9~?, p~~ ~€v~3 ;ear ~~;~ eeda~48ass es$ iia~ tccx ra4az ie~spag~ad ®.n 7~~ rost kalue a$ eaomtx$;.a~ to ser $®r ~fa~ ~~~ o~ t=~:> r~~~~a~s~. '~~~ r~a4o~ ess ~+r®scriS~ed~by t~se s4oe~e~ ~a-i4i-;ba: . ~rl~ ~.~~~ ~;Yt ~.,, ~~~.eaa°st:~'~ass fas as~atras o$ el~ce~era~t~ dyir9g on ®r cafrtor 3A?/"~4 aasd ~~rr®ea 'b/r/9~ ~ ~~m (.~;~ ~riil ~~~ uy~,~~i,celr~l~ ~ssr ®~4asaaa a~$ d+€~~adert$ dyiaa~ ~ar+ or a$tor 1l3/9b as~d before x/1/97 ~ ~~ ~.~'~~ av63i ~:~ ~P ~.i~eob~~ $~r ~sstStat~a~ .,$ de~s~denta dying era ar a$Per ~/~l97 and ~$nre 1/~/9E :~,;a~a+~~;~5 4ra,~~;°~~•,r~. ~p~aasrir~~ era gar a~oz 7A7/~'~ tvai~ ~~ ~sx~a~~e $rosn i~~e~ritc~rae~ 4dx. ~3~~5~ ~,I~S~~R THE F®LL~VP/II~IG QI3~ST1®NS ~' ~~~I~~ ~ C~~~~ I~~RK tom) IN TI~~ APPR®PRI~T~ ~LC~Cf~S~ YE5 NO ? . did c?et~ ~~rt cs';~^kt~ ~~ fresnsfer and: ~ n. r~~a,os~ .,~4~ ~:s~ sae i.~~,oms.~ of t~i~ property tra€~sf®rred, ...................................................... x !~. r~taia~ the ris~ht ?a c~~signat® who shall use the propmrty transferred or its inconso, . .............. x z. retain a ra~~sera~is~nary in}rarest; or ................................................................................... • x d. r~coi~•~ ?f~c~ pra~ni=„~ for lifc+ of eithor payments, bc+nefits or care$ x ... if d3att~ adc~!rr~d c;s or b~sfore ~¢camber 12, 1982, did d®ced®nt within. two ye®rs pr~+ceding death :rer;a$~r ro,~nr?~v without roeeiving~ ad~squrst® consid~ration~ If d®ath oceurr~sd after i~~s~ntbar ? d, 19~~, :ii+~' slargdent transfer prop®rt~ within on® yrsar of death without r®ceiving aci~qua?~ ron.=.id'~r,~+4'c;r~~~ ..............:. x 3. laid docedyrt o:~+n r~=~ 'ir=. trust for'. besnk account at liig or her death ...................................... x h~ ~c~ ¢~;~5'~R ~' cif 'G8P T~~ ~~'®~9E Q~~STi~P~S IS '~~5, "~`~.~ ~~~~'~ ~ ~ ~W~'r~`~.~~ ~ 5~~LI~ fi~ ~~L~ IT ~~I~T ~~ T~P.~ I~I~R~1. .: ~~ ._ ; ~ 6 ~, .. I I ~. +. P' ...~ , _ .... __ ". _ ._ __._ ~ .. ,. t. ..w ~_ _ . g .._ . ._. .. _.. ... ir. ~~ . ~ "~~Y ~ . e -. y.- ~,~... ,_....... _.~.. _.__...~_.... f ~4 ~ i r. a + .i ~ b~ f 1 .. .. :. Y ___ ~ ~yr~ ~. ...._ ~ b ~ r ' ~ +'? a.. ti' r , ,, . .. ~, r . .f ... ~..,. ~ ai L~'.Yw~ u~ ~ n ~~y~; ~ ti : ~~~'~. ~jp3 ~ : .. a s y t ~ .z ~~,,tt ttyyq-,r ~ ~4~a .. ~ ~ A.,:~ .~: cf ~.' .5.. !?.'~~:: Ia tea.. r s F~i ~. ~ r' i7 ~ i , ., e n .t t i • i . t! . ''. 1 ,. .,; .9 .,. , ~.. Y. , x ~{, ~y y~ ,J ~] -fir l~~t S:Ii ~~1I.4 ~wt?.JJ X~.b>~ ~ f 1 l i~ ~ r~ ^ 1 ~ y d.P~"'~?s ~~ -t ' _,._ ... .. .. .,. . .. J ies r t ', 1.::..J s A 11:..~~ .. .,. ...N f.~... ,~..+,.:~ A.: ' ` ~ ~ y`e W~'. :w ` \A ~ a'. m.s ~'~q1 .H:~ ~S~:i iSC Uy ~~i ~1~8 R I t , ' ., .. .. ..5 ~. .~ , .,. ~.. .... , ~~ ~At~~l ~'1..~~ 1~ V;.,J ~J~. ~~, a4.~wlY•'.ri.~.~~ ; p/ :8 a')~dJl 1 ^ r ~ e ~~MeM1JV _ urn ... 7 ~+ , . ~Fl ~.u .!:' a x.. x P lir ` ' am ~ Ttt~F:d:~.l.t1 i7.:.. ~_.;. :~~Iw7 ~ L : ~ r~ ~~ ~ ~ ~ ll('~ 1e 11 l -d + . 7 . ~ . J 7_d 1. "at ..r .s ! ,~.... . . =~ 1 ' ~ ( ~= ~ ~ ~ .: ?v , ^ti i l I t I ~ ~ i~ 1 r{, : s ~~ 1 i ~ - r 3 i t ___.._._____ 1 ~ _______..____._.__. _..._.,._ ._~. _._..._ ..~. _..__.___.._.. ' !J?:Y f ny ~eF°w F'r ~.s~}I p°~'Sae14'!4R !~~:n ef ~+~ vi ~._.,_~ __ __ ~ ,. r 'L~ ~~ 's :L°~ ~' "d BL: ......~-..~.._ C L' ~ . ~ i . _ ~ . ... .~-...,.. ___ ."" . _. .. -.~,+;' ~'~ i a...,..ka i' mx:^: ;~ICr.. ~, i .rte*~~.j ': r. _. .. _..._ . _.._.. _ ... rv :[ i T i ~ i r ter. ~ .:. R REV-ISOO E%~ (17.881 ESTATE OF FILE NUMBER RUTH I. FISHEL 124~~OC1L157 - Joint tenant(s): _. ~ SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF VENNSYIVANIA INHEPITANCE TAX RETURN RESIDENT DECEDENT VA,ME ~ ADDRESS RELATIONSHIP TO DECEDENT A. LEO A„ FISHEL B. PAULINE L. r ISHEL C. LLOYD N. FISIiEL Jointly-owned property: ITEM NUMBE L f~ORR JOINT DATE MADE DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSET DECD'S % INT DOLLAR VALUE OF DECEDENT'S INTEREST TENANT JOINT . ~. e;c 9/86 MERIDIAN BANK $44,806.08 33.3 $14933.87 P.0. BOX 1101 s READING, PA 17603-1101 -; A/C #8336648808 1; k NATURE OF A/C-MONEY MARKET P SBOOK , ~` 2. B g~86 PNC BANK, SOUTHCENTRALPA 4,251.22 50% 2,125.61 4242 CARLISLE PIKE ` P, o, Box 8874 CAMP HILL, PA 17001-8874 ~~ 7 O -` NATUREOF A/C9CHE CKING '3. 'B 3-18-9 XCIRK FEDERAL SAVINGS AND LOAN 1,945.51 50% 972.76 ASSOCIATION 201 SOUTH GEORGE STREET P.0. BoX 15068 70RK, PA 17405-5068 A~C #83-01-10-0000215157 _., NATURE OF A/C-CERTIFICATE OF POSIT 41~; r ~ ' v ~~. h'' ~f.F~ ~~ ~~. ' ~~ ~ ~". w ~~ ~ 9 3 v rH ~ - M ti '~ ~ - ti u, ra a a ~'i ~ ~~ ~'Y f' TOTAL (Also enter on line 6, Recapitulation) $ 18 0 2.24 ~' ,.~ '~K nfofe spocre is needed insert additional sheets of same size) k . ~8 t _ H. t, n: 4605 SEARS RUN DRIVE SON MECHANICSBURG, PA 17055-2560 423 SOUTH ARCH STREET DAUGHTER MECHANICSBURG, PA 17055-4208 101 WEST LISBURN ROAD, BOX 43 SON BowMANSDALE, PA 17008-0043 f - - _ ,. _. ,~ . T t _ ,\ 1a' ~a~a~i9'~Q~T~T9~~ 4~~`Se~ ~I+i~ CCi:tf;. (1 lr 1(ri F N*IjYL~~ANIA ~., IT C ra ~FiU+r: >~'~fS`C~-.~.:d~~~'~Qr~ ~~~~~~~~ p9eesse PrEn4 eer Type ,F.>.. , I,e_.:o •;r 3}~aCR9P~'~CjPl a~oau~a d~'~34~a~~ 1. '; j~~'.+.;=':±..>LI piiFt~"'~.L fiG~.fE' (S 'I!, A'I°TACh~D :tT'taAis'.?~TIO?T~ I $b°401.10 i .d o i ~~- ~?.:: z1 Y; '~t'lA u~'. `.CUit'",._+~J ° 114 ~ a I i 'T~J . 4r.7 I ~'' :o. ~ s''i :yi^~:T?~~dk'AY'S°d",D ~®S't3: f ±. i "r -::-,c~no; Rnpr~scnta~iiva- Commissions V I i Socioi Security Number of Pcrsoral Reprmsorotativo: ~ Yaar Corr+missions paid i ~ ?. ~, ~ ~ftarncy Fens ~ 3. Fcrri!}° exemption I !:9~imarot Reiotionship lZcfcirsss of Ciailssont of decodent's death ~.1tr9~t A~dr53 I j ~~°~~ Stato Zip Cod@ ~ ~;.. ~ firo~c•Ye Fans I I 7b.00 ~. I ~.lti RJ4>t9J01°a ~xpr3°sses: M:rEt~:^:r'ER :NCOi~1"r.~ TAX SERVICE-Iir'COt~ TAY PPtE~A.RATIOPi 10.00 ?. ~ T,•1 ~ :~'~.~?~..~~y C'iRi'. OF AI~ICA-P~2ES~CRI~IOi~.S X5.00 ~. ~u~~;~'7~.t~ .L~:~d JQVi?NAIr-AD'~TI~I2;U i kC.00 a. ! :`~~ :~Hi'r'a':L!1EZ;-L~I"~L e ADVERTISING EXE~:UTf%IX°5 PdOTICE i 43.b8 ... _ n ~~rr 7~~~~17 ~c p~[7p ~ T i ~~~: i!rt~i?? ?v'~ytre.l~~ °~.d ,PE 711`.tilu:CW ~ACLllC1~AL1 I r, /y/~ r~.VL ~• 7. i I ~. ___.___ I .I___.~_-_ 'YL3et~Z (Also ertiPer c~ro liner ~ itulctionl R.cQ ~ $ br~•~b , p - ft~ €:±®n~s c,acs¢m 9s e~3~d~,r?, ;aasaa4 a~dk^.°asa~,i s~*~°~~a a~ ~aetrsa aia~.~ r -~~~r,-3~~ ` .. ... .~ fit! n =- ,.y~ ., ~ vl t ~~ .r..~ ..YT`0' .+'°+~µar ~;vs~;,rt~'"~ i r~s~'^ri:. ~w ~ ~ k; .a ~'..- . ,_ _ _ ,, c ~-_ • ~ . \ - ~ .. ~ e. MAI_PEZZI F~UNEFtAL HOME B Market Plaza Way Mechanicsburg, PA 17055 MICHAEL,;. MALPEL?l Telephone 717-697-4696 awnor Fax 717-897-?.414 Jaa~~ary 24, 1995 Pauline L. P'ishel 423 S Arch Street Mechanicsbus~g, PA 17055 I si>acerely appreciate the confidence you have placed is me and will continue to assist you in every way I can . Please feel free to contact me if you have nay questions in regard to t!x'~s statement. k The Funeral far Ruth I. Fishel oa January 17, 1995 SELECTED SERVICES OF FUNERAL DIRECTOR AND STAFF: Automotive Equipment $ 2465.00 ~ FUNF,RAL HOME SERVICE CHARGES $ ~2465 00 SELEC'T'ED A°iERCHANDISE: r Flue Stainless Casket . $ 2495.00 Sentinel Vault . • $ 765.00 THE COST OF OUR SERVICBS, EQUIPMENT, AND MERCHANDISE t`fIAT SCi,RU k3AVE SELECTED $ 5 7 2 5.0 0 CAFrrI Fai41~Y1~CES ~ ACCOMMODATIONS nia9' Grave $ 425.00 ~at~r~ Egaxipment $ 70 00 CAt~~y $ . 75 , 00 Car>~tlf3.®d_ Copies$ $ 16.OA F3¢~s $ 90.10 5 Tt3TAL CASI3 ADVANCES AND SPECIAL CHARGES $ 676.10 ~ r~ '~' :~~ ~;~ TOTAL FUNERAL EXPENSE $ 6401 .10 ~~~~ ~ z _ ~~~>~.~ ." ~ TOTAL DUE ~ $ 5401.10 n ~ ~ ,', - .:. b ~ .+ N = ~~ .r7.. ~... .. w #~y Li'.. 1 ~ . ~ I ~ W ~ I ~~ 1 ~ K~ _• +`+ III ~- I I A ~ I ( 1 ~ { - x ~ ~~ a, 'r s 1~.. -~ M ~ ,~ r ~:i~. r.t', __ ___ .,ryq,. y 4' .. ~-.. i I .i a+ :aq"a5~' ~ ~ . -..~ ! u sx-!'rig. ~..~ ~:J~.4~5. Y~ t .. ... .... ..1~: r ' ~ i ~~ t ) yL~' ~Si~T ~.~.~.L~ b., l Cf ;.. .. ~.e4>3 ~ 3.:itf..a' ail ~. ! ~,) ~"""f) r.~G "E,`^ ••+W' P'] ~~~ 4~ y4 S i~! -..._ r' r s ', r ~,4 !; f- F k: ~'.' ~A~~ F6~E'.'.~~~f2~S~.ai `.'?~ fi3?sss":~$Ll.~;,"~`f fiitddB~F t??~ a. Cc-:saf~'~ rrr~ G~vorn~nonfal lSogves}s: 1' ,~ ~4.. • .. t~ \ _ ~.` , ,\ ~\ - 't ~ ~~ ~ - -. _ ,~ ~. ~ , ,\ - , '~ ~ ~ s '~ \ ', `\ ,, __ ~ ~. ~_._._~~. ~ - - r._~,....a...a_....m ,a..~r..n~s.,.r.-.--. ~.~.-_'-. •.:4.~~.cee~a~:~~sa~-,u..e.->-.u:~c~.:.~~.m~-.xe.~.::c-.:.:. ..a~~c.c-_.._---.....= -- =--~-==- ~. - FO(D H[RE 7 p~G~l i Ib~ L F I GHEL d~iEOH!~!N11~S~1914i3 PA 17G8°f FOLD HFRE ®. TOTAL AMOUNT PAID 'rii ~.~ t ~4 RECEIVED BY:~/~~~!r ' ~. jYi~ / ~y;/rJ y~ ~ '~.c :,1/ / REGISTER OE WILLS ~ iRIMXLLIS ~ ~ y' s.~ - __ ., .. -- - - RECEIVED s:`2~7~',: ACN ASSESSMENT CONTROL .AMOUNT NUMBER 1 ~ e REMAR!iS E' b,.~L..t ~~~ ~ )° B 8t-bER.. SEAL O~-$'~~FL~ t)"''.4~+>~#3'~7' ~.~~ ~'~'Ir I~.~ ~ +L~i~i e~ 1°~£~ ~'.~~~ I3~dfl~~ ~~~ ~ ~.5~'~~ ,:~~:~; ~~f':~=~;~tis:e~ar~t~ar.~ 1:~, 1995 p~ ~g y ~~'~Tis~t 1~,T~.-..m.-.__re...~.....,.'~~'7,~~:'-~4 ~ .~d7Y1$Zi. ~To.~~ 6S~9S-3~ t ee~=:~ y tizat notice of beneficial i~tterest required b~. R.ule 5.6(a) of ~e ~~~~~wr,-~s' "o~~~rt ~uies °Yvas served on or nnailecl to the following beneficiaries of r~~{~ ago ~~;~~cr~~~~io~.cl esaate on:_~.._~.-___ P~arc#a 1~L 1995 4695 Sears stun Iari~~e ~:~.~. '' ~ `°~`~„_,^;~i ~~?~~~-~ I~ccleaa~~csbn~-~, Phi 17055-~56~ x01 Nest LASbaarn R~aad, ¢x 43 ~~~?.:~ y%~.~+'w~i~ ~~~~aansc~a~~4 ~~ fl7~f~~-®043 €~~~;:~~~ =H~~ r~,~~,,~~, deer ~vP~a to all persons entitled ~ber~eto under yule ~.5(a). ,_ rJ ` ~_ <~ ,,~ ' ~ L~_ __ ~ .. _ ;_ ~.~ ;~~ `-.~ _ .l jl. -~ m ~~ ~; Si,~aature,~7~r,~ --~ -t-: - ,~ p J _ T" ~,1~3r~e ~ aline IJ. ~isbel ~xec~atri~ ~ddresa 4~3 ~o~atla ~.rcli 5treer ~~ea..~~ I'.~5-4~(lS ~'elepnonu~7~ ?S~-",'941 ~.;apacity:~~ ,l'erso~?al ldenxesent<~ati~v ~..,~Counsel for Personal epre`ei~tata~. U~` ~a't e- X ~.<'''(Sw~ ':"is ~FR~?~r+T~']~~y~[~:^?Frrn^'~+a..«•.w .yr~; R.m~ ` t~ _ '.M ttl~~. r 'v. YrCP ,,~~ n.T'~lm'Y~ ~[~+~!r"r"'~w^'dC.~'~r` hr'+~w~~~ ,w'Se"+Raa~"'^~^"~ qmy .. _ :. .. F _ 1~., 1FyRtlf"AbTi.ss t~ .. --. ~,~ _. _~~~ _T. ,~.~~ Z 0 W 0 W 1--~ Y Q y Y = 0 4 J V ~ m H ~ W yZj ~o ~Z 00 ~a j 1. Real Estate (Schedule A) (~) __ _ ~ 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3 ) 4. Mortgages and Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits $ Miscellaneous Personal Property (5) ~P12t616.0~ z (Schedule E) --f o a 6. Jointly Owned Property (Schedule F) 6 18 ~ 2 24 ( ) ~ 3 ~ _ ,- l I~,w ~ I ) (7) 7. Transfers (Schedule G) (Schedule L a i 8. Total Grosz Assets (total Lines 1-7) a 9 F (g) $3G 648 24 . uneral Expenses, Administrative Cosis, Miscellaneous (9) 6, 722.26 Expenses (Schedule H) . s j 10. Debts, Mortgage Liabilities, Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 8 10) I 11 6 722 26 12. Net Value of Estate (line 8 minus Line 11) 1 ( ) , . (12) X23 ~ 925.98 3. Charitable and Governmental Bequests (Schedule 1) _ : 14. Net Value Subject to Tax (Line 12 minus Line 13) (13) 23 925 98 1 15. Spousal Transfers (for dates of death after 6-30.94) See Instructions for Applicable P x . ( 4) ercentage on Reverse (15) I Side. (Include values from Schedule K or Schedule M.) X• -= 16. Amount of Line 14 taxable at 6% rate (16) X23.925.4 8 (Include values from Schedule K or Schedule M.) --x •06 = ~1 s435•~j 117. Amount of Line 14 taxable at 15% rate (17) oz ~ (Include values from Schedule K or Schedule M.) x .15 = 118. Principal tax due (Add tax from Lines 15, 16 and 17.) .- ~ i 435 X1 (18 56 19. Credits Spousal Povert Credit ~ Y Prior Pa ments f Y Discount Interest , . ) ~~ ~ + + 71.78 _ I20. If Line 19 is greater than li 18 119) 71.78 ne , enter the difference on Line 20. This is the OVERPAYMENT. j ~C • (20) ~ 21. If Line 18 is greater than Line 19, enter the difference on Line 21. This is the TAX DUE. A. Enter the interest on th b l (21) ~1 ~ 363.78 e a ance due on Line 21A. I B. Enter the total of line 21 and 21A on Line 218. This is the BALANCE DUE (21A) . Make Cheek Payable to: Reyitter of Wills, Ayent (218) 1, 3.7 A eL CUE5T10 Under penalties of perjur d'areBEhaUR ETO ANSWER N a ON R EVERSE SI DE AND TO RECH it EC MA H I u d Q K Q g Is true, correct and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other th best of my knowledge and belief, based on all information of which preparer has any knowled e SIGN t< < g . ATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRE55 ~ an p onal represemative a ~ GNATURF nc ee ~,, ..,..... _,.__ _. a -3 ~ DATE ~.~-~ COM MONWEAI?>+ OF PFNNSYL'JANIA DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17128-06C1 DECe CENTS NAME ~,IASi. F1R5T, ANC FISHEL, RUTH I. SOCIAL SECURITY NUMBER 184-os-9169 ~~- // - ~; i ~I~NE!~I~'A~,~~=~ ~'Aa.~ RETURN R~4~tD~N~~ DECEDENT (TC~ ~i` FIl.t~D IN DUPLICATE WITH REGISTER OF WI!!S) (DATE OF DEATH 1-15-95 :F >Pat~.i idlE~ $~R'/"iiryG iPOUSES .~nenE ilASi. Fi0.57 AND MIDDLE nltin~l N~A i DATE OF BIRTH 11-4-1896 IAL SECURITY NUMBER N~A 5~~~~~0~. ~~~~~ FOR DATES OF DEATH AFTER 1 Z/31191 CHECK HERE IF A SPOUSAL _ POVERTY CREDIT IS CLAIMED _ i fllE NUMBER ;~ l - X95-0057 'COUNTY CODE YEAR tvUMEER DECEDENT'S COMPLETE ADDRE55 770 POPLAR CHURCH ROAD CAMP HILL, PA 17011 co~~rY CUMBERLAND AMOUNT RECEIVED (SEE iNSTRUCTIONSI X' 1. Original Return _; 2. Supplemental Return _ 3. Remainder Return '` 4. Limited Estate ~~ (for dates of death prior to 12-13-82) ,_J 4a. Future Interest Compromise ~ 5. Federal Estate Tax Return Required (for dates of death after 12.12.82) 'XI 6. Decedent Died Testate ^ 7. Decedent Maintained a Livin Trust (Attoch copy of Will) (Attach copy of Trust) g - 8. Total Number of Safe Deposit Boxes ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME _ PAULINE L. FISHEL MIDDLE INITIAL) 423 SOUTH ARCH ST' MECHANICSBURG, PAS ;,17054208-=-~ °' 7i7 ~' ~~766-7944 N REPRESENTATIVE ADDRESS ~~~ ~ _ ~~ DATE Act #48 of 1994 provides for the reduction of the tax rates imposed on the net value of transfers to or for the use of the spouse. The rates as prescribed by the statute will be: e 3% (.03) will be applicable for estates of decedents dying on or after 7/1 /94 and before 1I1 /96 • 2% (.02) will be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97 • 1 % (.O1) will be applicabl• for estates of decedent: dying on or after 1 /1 /97 and before 1 /1 /98 • Spousal transfers occurring on or after 1/1/98 will be exempt from inFseritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK ~ r) IN THE APPROPRIATE BLOCKS. 1. Did decedent make a transfer and: a. retain the use or income of the property transferred, ....................................................... b. retain the right to designate who shall use the property transferred or its income, ............... c. retain a reversionary interest; or ................................................................................... d. receive the promise for life of either payments, benefits or care$ ...................... 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate considerotion$ If death occurred offer December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration$ ................................................................................................... 3. Did decedent own an 'in trust for'. bank account of his or her death$ ...................................... YES NO IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ~ T REV.I508 E%+ (2.87) COMMONWEALTH OP PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or RUTH I. FISHEL 1995-00057 (All property jointly-owned with the Right of Survivorship must be disclosed on Seh~dule F) ITEM DESCRIPTION NUMBER 1. THE HARRIS SAVINGS ASSOCIATION 205 PINE STREET HARRISBURG, PA 17105 A/c #i-49898 NATURE OF A/C-SAVINGS 2. ONE LADIES DIAMOND RING SET WITH AEUROPEAN-CUT DIAMOND MEASURING 4.45 X 2.5MM, WEIGHING .31CT, MOUNTED IN A 14K YELLOW GOLD MOUNTING. (VALUATION IS BASED ON IF STONE IS RECUT TO TODAY'S STANDARDS.) 3. REFUND FROM BLUE RIDGE HAVEN WEST/BEVg2LY ENTERPRISF~ 4. REFUND FROM BLUE RIDGE HAVEN WEST-PCA A/C 5. REFUND FROM PHARMACY CORP. OF AMERICA/BEVERLY ENTERPRISES 6. REFUND FROM CAPITAL BLUE CR06S/PENNSYLVANIA BLUE SHIELD TOTAL (Also enter on line .5 (Attach additional 8%" x 11" sheets if more space is needed.) VALUE AT DATE OF DEATH $ 9,428.35 875.00 1,563.84 23.61 538.80 186.40 ~ X12,616.00 REV-1509 EX+ (12-b81 'F• COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RUTH I. FISHEL Joint tenant(s): NAME A. LEO A . FISHEL B. PAULINE L. FISHEL C• LLOYD N. FISHEL SCHEDULE F JOINTLY-OWNED PROPERTY N ADDRESS RELATIONSHIP TO DECEDENT 4605 SEARS RUN DRIVE SON MECHANICSBURG, PA 17055-2560 423 SOUTH ARCH STREET (DAUGHTER MECHANICSBURG, PA 17055-4208 101 WFST LISBURN ROAD, BOX 43 (SON BOWMANSDALE, PA 17008-0043 Jointly-owned property: ITEM LFORR DATE )MBE JOINT TENANT JGAINT DESCRIPTION OF PROPERTY 1. A,C 9/86 MERIDIAN BANK P.0. BOX 1101 READING, PA 17603-1101 A/c #8336648808 NATURE OF A/C-MONEY MARKET PA 2' B 8/86 PNC BANK, SOUTHCENTRALPA 4242 CARLISLE PIKE P. o. BOX 8874 CAMP HILL, PA 17001-8874 A/c #50-7006-9807 ,~ NATURE OF A/C-CHECKING 3• B 3-18-9 YORK FEDERAL SAVINGS AND LOAN ASSOCIATION 101 SOUTH GEORGE STREET P.o. Box 15068 YORK, PA 17405-5068 A/c #83-01-10-0000215157 NATURE OF A/C-CERTIFICATE OF I TOTAL VALUE DECD'S DOLLAR VALUE OF OF ~t~SET % INT. DECEDENT'S INTEREST /,806.08 33.3 $14,933.87 4, 251.22 15~ 2,125.61 1'945.51 150 972.76 IT i I TOTAL fAlso enter on line 6, Recooitulatinnl (If more spoce is needed insert addiiiona! sheets of same size) 18.0 2 kEV.15~i Ex. 17.881 ' ' . COMMONWEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES RUTH I. FISHEL ITEM NUMBER DESCRIPTION ~-• Funeral Expenses: 1. MALPEZZI FUNERAL HOME (SEE ATTACHED ITEMIZATION) 2. BOWMANSDALE CHURCH OF GOD 3• GIANT FOOD STORES, INC. Please Print or FILE NUMBER 1995-00057 B• Administrative Costs: 1 • Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid 2. Attorney Fees 3. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address City State Zip Code 4. Probate Fees C• Miscellaneous Expenses: 1. SHOFFNER INCOME TAX SERVICE-INCOME TAX PREPARATION 2. PHARMACY CORP. OF AMERICA-PRE~GRIPTIONS 3. CUMBERLAND LAW JOURNAL-ADVERTISING 4. THE SENTINEL-LEGAL -ADVERTISING EXECUTRIX'S NOTICE 5. MUSSELMAN'S SEWELERS APPRAISAL 6. 7. 8. TOTAL Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of same size.) AMOUNT $6,401.10 50.00 40.48 76.00 10.00 36.00 40.00 43.68 25.00 6,722.26 MICHAEL J. MALPEZZI Owner January 24, 1995 MALPEZZI FUNERAI. HOME 8 Market Plaza Way Mechanicsburg, PA 17055 Pauline L. Fishel 423 S Arch Street Mechanicsburg, PA 17055 Telephone 717-697-4696 Fax 717-697-2414 I sincerely appreciate the confidence you have placed in me and will continue to assist you in every way I can. Please feel free to contact me if you have any questions in regard to this statement. The Funeral for Ruth I. Fishel on January 17, 1995 --------------- ___________ -------------------- _______ SELECTED SERVICES OF FUNERAL DIRECTOR AND STAFF: Automotive Equipment $ 2465.00 FUNERAL HOME SERVICE CHARGES . • $ 2465.00 SELECTED MERCHANDISE: Blue Stainless Casket Sentinel Vault $ 2495.00 . . . . . . $ 765.00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED . • $ 5725.00 CASH ADVANCES & ACCOMMODATIONS: Opening Grave Cemetery Equipment $ 425.00 Clergy $ 70.00 Certified•Copies $ 75.00 Flowers $ 16.00 • $ 90.10 TOTAL CASH ADVANCES AND SPECIAL CHARGES $_---676.10 TOTAL FUNERAL EXPENSE $ 6401.10 TOTAL DUE $ 6401.10 dEV 1513 Es. ~2~87 ~:~~ SCHEDULE J COMMONWEALTH OF PENNSYLVANIA ~~~~~~~~~~~~~ INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RUTH I. FISHEL ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY A. Taxable Bequests: ~ LEO A. FISHEL 4605 SEARS RUN DRIVE MECHANICSBURG, PA 1055-2560 2• LLOYD N. FISHEL 101 WEST LISBURN ROAD, BOX 43 BowMANSDALE, PA 17008-0043 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY B. Charitable and Governmental Bequests: 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) S (If more space is needed, insert additional sheets of same size) FILE NUMBER 1995-00057 RELATIONSHIP I AMOUNT OR SHARE OF ESTATE SON 50~ SON ~ 5O% AMOUNT OR SHARE OF ESTATE i LAST WILL AND TESTAMENT I, RUTH I. FISHEL, of the Borough of Mechanicsbur C 8, ounty of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. T order and direct that all my ,just debts and funeral expenses be paid by my Executrix, hereinafter named, as soon as convenibntly may be done after my decease. SECONII. I give and bequeath my solitaire diamond ring unto my daughter, PAULINE L. FISHEL, absolutely. ~ THIRD. I give and bequeath my furniture, household furnishings and appliances unto my daughter, PAULINE L. FISHEL absolutely, ' FOURTH. I give and devise all of my real estate situated in the Second Ward of the Borough of Mechanicsburg, Cumberland County Pennsylvania, consisting of a dwelling house, garage-shop building and the lot upon which the same are erected known as 423 South Arch Street, and an unimproved lot adjoining the former, unto my daughter, PAULINE L. FISHEL, in fee simple. FIFTH. All the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situated, I give, devise and bequeath unto my two sons, namely, LEO A. FISHEL and LLOYD N. FISHEL, share and share alike, absolutely and in fee simple. LASTLY. I nominate, constitute and appoint my daugher, A\Y OFFICES I N AND SNELDgKER I PAULINE L. FISHEL, to be the Executrix of this, m Last W y ill and Testament, to serve without bond. IN WITNESS WHEREOF, I, RUTH I. FISHEL, have hereunto set my hand and seal to this, my Last Will and Testament which consis of two (2) typewritten pages to each of which I have affixed my signature this ~(~ ~ ~. day of June A. D., One Thousand Nine Hundred Seventy-two (1972). (SEAL) The preceding instrument, consisting of this and one (~) other typewritten page, each identified by the signature of the Testator was on the date thereof signed, sealed, published and declared by RUTH I. FISHEL, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses a to. /~/ Law o~rioEs ON ANO SNEL9gKER c r -? ;~