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Home My WebLink About95-0061~I ~5-COLI 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. auG ~ ~6 2~~ Date H105.1U Rev. ?!87 TYPEJPgINT Bi PFAM IiLAp( w 2 w D O Z r Fran eropoli, ' act Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH 1I~~4~ T NAME OF DECEDENT (Pita. Middle. Lab SEX SOCIAL SECURITY NUMBER DATE OF DEATH IM«ep. Dey.'Al«I ,. Catherine Pauline Hoover :Female ,. 186 - 38 - 1213 .. December 6, 1994 AGEM1r B:Ineaq uNDEn1rEAR LBIDEII1 or D.vE aF9gTN elaT/w,wcE (CilyaAd vtALEaF DERNICtie AONyme-tee ereuLUa arM«a~M, M«YO ~ DeM Ilaeaa ` MY•Ab (MwgP. Day.M«I StW aFvagn Canny) NOSW7AL: OTHER: _ 76 Yn. , 7-8-1918 eWpOrt, Pa. 7. poYla• ^ ERIOWYbn ^ OLW ^ ,~ j~ R..k.nn ^ ISPec1y1 ^ M COUNTY OF DEIPN CTTY. BOFq.TWP OF OEATN FACRJTYNAME (i na nraufart.9n+atnt and nlnro•ri VMB I) E CEDEMOFHISPANIC ORIGn/7 11ACE-Am«bb b6ML Bock WNla. efe Cumberland a Carlisle Leader Nursing Home p ~ ~ Ne M 1M ^ E yeR spataly Cup«e. lSpxNl ft\ 6¢ fM. MNedII.Pa«bRben,eec f. White 10. DECEOENT'9 USUAL OCCURQgN qND OF BlISN1E55IWDI/3fRY MMS DECEDEM EVERW DECEDENT'S EDUCRION MAWNL STQUB.M«rNd SUfMVMKi SPOUSE MK~dp n~ol w~i nq~ a r.MrY Hired) U.S. MMED FON~CyEST ~ N ~ ~Wle~olweq e IS..~e.9n+n~eidn rumy p MM ^ No tl/L (p.,~ (, y v 5~ 1 ------------------ ,,. ,,.. Domest'c ,:. ,,. ,.. Widow ,,. DECEDE/TS MAE.MO ADORE58,9'r, Chrtown, Sbla, zaCodel DECEOEM'S 1Tt^M db a W e b Pa 940 Walnut Bottom Road .. ac N ye p, ACTUAL l7a. sbb . Old "~~"'~ d'~dMe Pa 17013 Carlisle «.rrNp~ Carlisle ~ ~ l (` ~ '°'"iM1°p4 h ~ r , ,~ , . „p. anT .,Tm r ,T6.L F ~ Atlr1IlrY ba dbAnro FaP11ER'S NAME ~ sL Mkae. Lag) MOTHER'S NAME (Fve1. Midde. MYdn Sunwnsl ,.. E. Fulton ,~, Myrtle Neidigh YIFOMMNT s NAME (TrnYPrirq s iMB1N0 ADDRESS CeMrbM4 zq 7304 Pa 1 e Rd As ens c~ svi°~ -W d ~ 1 wlr9 B ,.. Barbara K. Garretson . p , . . . , e c en ersv e „ METIgD OF DEiPOSfTIOIi DFE OF DISPOSITION PLACE aF DISPOSSITION-NemeY CamY«y, CrwnMay LOCATION. CAylfowl. SMb. Z7pCOde ~ ^ ~~^ « ~^ o ~ ~ ^ December 8, 1994 Newville Cemetery Newville, Pa.17241 tta „p. me. ltd. SIGNRURE OF FUNERAL VICE LILE /A:TSIO AS SUCH LICENSE NUMBER NAME ANDADOHESS OF FACRIfY ,`.~ ,,.. Fd-010086-L „~Du an FuneralHcane,Inc.,Bendersville,Pa.17306 C«rlpab 2,ee Nllan ae,Ey+g lb tln peYOl my irloeMd2a. daalA OU«rad YrM pma. wla «kp•L+YYad. LICENSE NUMBER DATE SIGNED pryYCVnrr«waeYlin.dd..mro (SpalMaand Tps) OAaan.Ory, Meal aayrarb.otd..nl. 6errIe 2426 mu1MawnpMWDy p«wlnpp pmrgoncw deYA. ME OF OEAfN DATE PRONOUNCEOOEAD(MpM. Day. Meer) WA9 CASE REFERRED TO MEDICAL EXAMINERMARONERT ^ / ^ a: 3p Am Mb Ne L!Y :.. M. :s. ~. n. gArtrt: EY«,Mdh•us.+7labs«c«rDicatbrn wllkh cured dls d.sdr. Do nd r«dle nndaold,:rE.eernorrY.a«neP:elory,rnN. Ylon«n..d roil~r.. ~Mimbr.M PAm n: alwYyrlincan canaimsmwiaALgwa•rn. wt Lnlary ab raw.dn wain.. Ikeerval ea,ween d nan.Iwigln m.InrMnylni ou.. d•«rln PUrtl. rlr BtHEDMTE GUSE (Faal imiY arrd ~~ ~ rwdbgndaeNl-+~ a. ere r0. i ,5. R/4Cl ~~yp t.. s ii ~[ DUE TOR ASACONSEOUENCE OFT: ~ ~rs%~ L II r/` ~/ 1( (( // ~~t( '~ ~ rdL~ H 74 9epbnfe6y bloarai«n e. F S.a+ -~6K1aT c-t ~Y \o,l lu a KK•.. ~ 1~Y,1 . Ee f. ~~~~ OUE TOI ASACONSEOUE EOFY i ( r ~f 1~ 1 ~ GUK(Diberar vMay c r -e a.~ C~i ball i.i-Yed w«aa rwlirq'n deYp) LAST 1 DUE TO (OR AS A CONSEQUENCE OFi: I d ( P Up.Jt $CO lyolcA o'C I ~H E , WAS AN AUlT7PSV WERE AUTOPSY FNIDINO$ MANNER OF DEATH DATE OFINJURY TIME OFINJURV INJWiYR WORK7 DESCRIBE NOWINJURY OCCURRED. PERFORMED? AMXABIE PRIOR TO (Mandl. Dal'. Mar) CO~ ETgNr]F GUSE ~t ~ NYWY 1 /, i id ^ N . OT c e Yp ^ N• ^ Accidaa ^ P«rwq Invwlip,bn ^ ,y ,w ^ No L7 Wa ^ No ^ Suidd• ^ Crwb rpl ee tlslsrmirwd ^ pLACE OF IWURY-M Iqm•, farm, slrM. ladory, ollka M• ~• LOCATION (Strr. Gry/k«r. $Gel 26b. h. puildF.4 Yc. ISpealy) ]de. ,01. fIRTIFlER ICMCk dd1'cnN SIGNATURE TITLE OF CERTIFIER 'CFATIFYNIO PHYSICIAN (Ppyncan uM/yng cause d deYt+nnen andh« d,ysK~an Ins pranuncM death and canpNled Han 231 _ Ta Mb bast W mY irlaMbdb•, Medr •cewra0 dua b Una e«+se(e, ark manner w e1MW ......................................... ^ ............ „p. ' LK:EN NUMBER DATE SIGNED (MpMn. Day. PIN)NOUNGNO ANO CERTIFYING PHYSICIAN Te db peal o/ (Plrysicien poet acncwcug Oeam and teNfyag to cause d Beam) my Wgvrladbe, deals oeewrW M U+e tlrrre, dab, ark plau, and aw b tlra cauteta, and mwmr s s41ad ......................... M •~ p 2 s ~Q ~ (: f z ~ •n/' ~ 1^„~ L~ „e. V ,td. ~M NAME ANO ADDRESS OF PERSON W NO COMPLETED CAUSE ()F' DEATH 'MEDICAL EIUMINERICORONER On NN Dwb o, enmfnatlo d/ i ,I I tl i i h Olen 27,1 T\ype «plnM n y~4V iQ L- - ~ y^^P ~ "` ~`~'- n an or nvp ga on, n my op n on, deat occurred at ttb time, dab, and Plate, and tlue to,tb eaose(e( menn« as abtr ............................................................................. . ................ and ^ ,,.. // //'~ ~ L JZ 337' tzL/~:S Ie ~• [k.K,an Yf .fl (732 I REGI T A Sq AT AND NU _ DALE FI D (MOnM. Day. Veerl ~+ / ANEiK ~ y ¢is^ .~tantv,^~ as _._-- 'For g Pegister of Wi>,J,~1f~~r~~AND _- ---_ _ _ ~ec~rrsed. County of - ~ _ in the Scci~I.S:=c:.a?ity h'o.-I ~~ ` ~ ~ /x~~ Commonw:~Altn of Pennsylvania Tire rctitior, of the ttndersigned respectfully represents that: Your petition<r(s), who is/are 1$ years of age or older an the execut,S?B named in the fast will oi'the above decedent, dated /"~A~S-e!f J- ~ lg~~- cna codicit(~~~) dntcd _ -- --~ -- - (state relevant circumstances, e.g. ra:unciation, death of executor, etc.) s Decerident was domiciled at death in ~ ~ ~''t' ~ ~~.!~ ~ County, Pen :sylvania, with ' ~~. last family or principal residence at _Z~`~' °~~- !~!y ~~/NG- ~•°f o~ ~ __ __~ vo ;~~,~ t~'v r ~ o r- ro~P Ray C~dR ~.,s c ~,,~~ (list street, number and munci~a[ity) Decend~nt, then 7 ~ years of age, died ~ ~~-~"`'y ~'~`~ ~' , 19~.~_, ` at .~~~4.'~~xi.._ NvF,.s~/u'G- >'-I o/°1 ~ C /-/Zt~~ S 4~ Pr4 Except as follows, decedent did not marry, was not divorced and did not have a cl-,tld born or adopted after execution of t'tte wilt offered for probate; was not the victim of a killing and was never adjudicated ~ .. competent: _ Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ '~t-7~~• ~~ (lf not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situatrd ac follows: ~~ ~~ ~VHEREEORE, petitioner(s) respectfully r l ESTAMENTAl~Y bat:: of the last will and codicil(s) presented herewith and the grant of 1_~ters 1 E (testmmentary; administration e.t.a.; administration d.h.n.c.t.a.) theron. J n ~ - "_- w r_~~_ Ox/504~7 ~t-`~ c '.- R. N ~.- O C Ul I __ -_~. ____ ~if)"i1~~t$t~iLd'!~~ S:~:I,'~'>l.$ 'L-~' 11'Ei@1PdS~I,aAi,11~. ss ~~3j1'~~'.y, Cl~ CUf~i3ERLA19D ~ i The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are u true and correct to the best of the knowledge and belief of petitioner(s) and that as personal rcpre;en- ~` ,,~ :ati~r,;s} of tk;e above decedent petitioner(s) will well and truly administer the estate aceordtng to Iaw, yi ~ ` Sworn to or affrm~~ and subscrit,~r_d ~~-'~- rr,_ C"~. bvfoec m~ this ~~~'-- d of ~ ~,,•~r}n ~r,1 rlf°~ • t ~ j `1~;2, ~ L. LEt~lIS is • .' ~ _ ~ _ -- - r_;,;x? ^r; *`?51~t~=vY"'wta.~ x" ~'t,.. W,. : ?"G±it"'rw`Nv , w:*, ^Y _ _"^v~'a,r'"^~~,^~ _`,~~- ~ ,., °~r .i`n; ~.~ . o- . ,::. ~.. .. .. ~ ~~: ?~ - '~5 - G i .,`;'."wC~ ~~ CJ~.TNERiP,fE P. NOi~VE?_ 9 ,4f.i'~ifa:~«.~.~?~PL~ x~ F'r~v $i 9~.~ ~ 1C ~0'1d'1 ~I~`n i FYa ~i `~ )ta C.~1P~at~ L~ .ti "~9.TU'~ k":_+H~I~ 3 :4a~°+i,~ 1 ., °r, ~wC,~J~, -,_ ~3r1hUARY 2~, ____ i9_ QE._, in consideration cf ti:e petition on ti?4 reverse s;de ~~ereaf, sRtisfactory pro4. ?aavirtg been presented bekare rnr, I: ar ~`sF.C~i.F.II? that tt1:. instr~rmerat(s) d~R~! MARCfi 5, 1991 -_ cl~~stin.~°,~ ti°:creist 've atirriittee t~s grcbate ~n% tilesl cif r~~;,nrd as the iast viii of ~- __ CAiHER?[W~ P. HOOVER __._ > ---~'--...~ T A U 7 rt n Y rc her; `~~~ rtant~: to COsi.1L0 RLOCNER _ - ~/ ~., ~ ~ a ~~ ~te~ister of l~Jitfs ~~~~~~~ J MARY r. ~E~,s FEES Prt+bate, ~ettcrs, c,tc. ......... $ 40.00 S?~crt C^rti~cates(2) , ......... $ ti .00 r;rL~nci~tian ................ $ -Pages $ 9.00 JCP T®'TyI. ~ $_ ^;sea ..... ~~~1ivI,~AI~Y . 2.'-).3..1 ~ ~~r-ro~NEV tsUp. cc. s.r~. rse.> r~DDRESs PHrJN~ ~ ~c?~ ~ r ~ ~ °~ ry J ~J r~ r~«~ %. ~ c: ~ - :,.~ G:^ ' : = c? .:~5.. ~ , .,~ }~". ;>f~~lec: 12t~.~rs acct order to Executor e:~ i•-2;-~95. ~ i ~ -rev. ~,~ ~.,», a4'~. ," N~~ !Y`r ~. ~r.+k.~~" ciy:,,,,ti*n q.. ^;,x`.+~ m' ,~ .r"}. - ~.. rt' ~,~~r~~„ "*`r" 'S ~ ~ ' ~~ i . 'i '4RTn~ v rel~y~,ya{,,.~~ ~ir+,sy.'r H .3' ..S" r+:~ ~,~5'~'^~*~n~..~ s ,~.~ _ _ _ _ :x ' I..~3t E~:s~.l zans'1 ~^staxoaent of Catherine F. Hoover. i I, Catherine P. ~7zov~e:r, of Tyrone: Tawriship, Adams County, . i' ~er±n~;~~l~cr,~,nia do Make rind publish this ~zy Last Will and Testament, ' '; he--.repay revoking and making veld alI foraner Wf1Is by me at any time. 'sleret4!core made. i ~'.RST: I direct that my Executor hereinafter nalaed first pays , aui~ s;:~ ~y c~ex*_eral estate alI of md.• dust and legally collectibles ~ debts, f11I1ei-a1 expenses, erpensea af" administration of my estate, l l and all state and federal transfer inheritance taxes, estate taxes; ~' axtd any and all other death taxes becoming due with respect to anyj and ~:~?~. praperty required to be included in my gross estate for tax; purnases; regardless of whether such praperty passes by the terms; - ®f this Will; and the transfer of all such property shall be freer a' !: and clear of such taxes. This provision shall apply only to ' tra:ISSers I have made of my own property. SE~OPBD; I make the following pecuniary bequests: ,{ ' z. ., ~,. One Thousand ($1,000.00) Dollars to Donald Blocher, of! ,, F3iglerville, Pennsylvania. E. One Thousand ($2,000.00) Dollars to Thelma Bobo, ofd I Gard;°ser:,, Pelnsylvania. ~', One Thousand ($2,000.00) Dollars to Jennie E. Garretson,l of Aspea^s, Pennsylvania. j D. One mhousand ($2, 000.00) Dollars to gay brother atId sistPr_i ,, ~ , 1 '1 ~~n ~ ~+ ~ P7 ~_ra--1~. as'v.an .azlton and Cynthia Y~~altean, husband a.nd. *~i.~w?, ear thP,..I r {1jA; ~'~.~'='~-'~'e=''° theareof, of Shippensbure;, PennVy~.van~a, j 4 _a® :ne Thousand ($1,000,00) Dollars to Apple L~.n~ Inc. I , , ! G~ttvs'~~~re~, Pennsylvania. ! ~'. One Thousand ($1,000.00) Dollars to the Biglex-vi3.le Senioz~ ~` r ' ~ e"~''n~ar, BglW~rvi2ls, Pennn;~l~rania. , . ,, ri~ - ,~ ,~ s ~ ~~ p4~ge 9. c>i ~~? 11 dated i rr~i ~ I 2G~2. ~ s ff h=-~ -~~ ~. a i "~~Yg^.Ds ~ s~i~le, C~egli~L" c"$i79~i b<3&"~t::".~~`t..l! a3.t.~ *.~~ 4~..'?~'. .=.:'.e^:,°~e ~E3^~Citis: aadc~ r.:~m~ainder of nay praper_ty of every ~ir.3 and mature, real, ,~~:r-ssora~1 or m9_xed, and wheresoever situated to m~ brother and,. ,.,,:~,~;;:,r~:-~~.aa~lzaw, Brvira F'aal~:oa°a anc3 Cyrzt~ai~. Fu:Ltoaa, husbaa~d axacl caiae,` c-.,:~' •1~~:1.z.~ ::;~.z~°aitio~° tha^At~of. ~:n s:h~ evcn'~. both Brvm Fulton and; .u«°:;.,~arx~w,~ naz~.ton prec~ecea~e me, l c~i3eF cFevise arad. L~egueath s=z id: r~=~:w•?., residaa.e an:~ reraa~.nder a~ fo~.~.ca~as o ,, t~zae~-half fl~'2) •~he~e~+f to Rpp~.e LineP lr?c~, Cettyshurg,! ~, Cr+e-hat! ~ if ~ ~ t'.taereai: ~.^ tI°ae ~igler<a:.?.la Senis~r Center, ~3i~*3.erville, Pennsylvania, ct3'e3FZTFF. I nominate, constitute grad appoint Donald Blocher,.., ~, of_ Biglervil.le, Pennsylvania, as Bxecutar of this any Fast Will arch ?'~~.~:;~~ierat. ?direct that gay Ex~cut.ox• n,Qt be required to give bond.; i ~. ~z~,;.~~a~:x~.~e. my Frxec~.atar to sell an;~ end all of ~v ,~eal and persona:A ~.r.,~ses`ty at public yr private sale grad to m,a~e, wxecu':e a~rsd dela.ver u~°x~; y.~ ;:ta+~ pu~•chasgr or purchasers tPaereof goad and sar.f:~icient aeec3s,i ",..1..~ ,~,A sale zarad assurance; saf title the~°efcx°. i i _ - - -- _ ~. .S. l~~v s°w 3_~:~"U~~~ ~U~AiZi3elS' 2p L~. L,LSn4'r.~.~i~ d"e ll®~vC~2.` ~h'~ f~~•Y~..'.~9 t.G;.~~3i~~ ~ea.'i, U '~: P '.:.'L:9~ ~.A~ ~sfi W1~A c'1YD.C1 TC3^~'~c'SICl63ET~b s Fs~''~ ~.1~1' hc1X~G~ ~iT',G~ 5~33~ ! . .~ __ i ~~ i ~ ,,y.,, ~_. ,.:i^r €?~ r~~,~.c.:t_ 9 ~ae.:, '.~`~'3C}4x^~2t3^.L~l ~~.1£gc~. ~Citt°1~~"~C~ ~3Y4C'i' • ~ ' ' ~ ~ 5 ~ • ~"~ 4Edt~'.'~~~~r A'~ s Ewer ~~l G^~~L v ~( ti; ~ ~ . ';SJ~ .~`i. h :y 5=1'~i:.. ~~ i ~ ~ ~i'~~".~:'e'~f / C' t ,~ }} ~ y ~ yq ~ y , (:if~~ .mod 4~2. :,Z .i. ~~~~ ~`d i~Ys.ll.v A~.e'21. t'~~~'~. ~'+g °.:ca~ C.'s."~«''k:: xr. ~1'dSP9Y3~$'s ~S c'F..TLCI ~ ~ ;.' ~~ I : r~ e~~y }` ^^f {'~~ 'S gym p ]. wq Gf„ ~SJ?s ~'l..b .V..4 CYw F6 .~h.L~ lA1l~ r~_,4S4+~J.Sii lA~e . +p.•. ~,.~z ~:~~ ~:r~:~se:~CP a£ u~, whs~ a~4 k2E3t' ~ CLi~'St: ® A32 hC:' pY°E' s@'I'1CC' °t' 4'.3'?~~ ~_?3 l`31G. ~~'~'52T1C~' O~ ~aCh G'w~'~£'~ i2~`Jw° :[1+~Y'E'.L1Z4~0 5'.liSSGr'1b~Cr~ ~~~.?~' S't:"3iSA~is old, TdJ:r~11P ~SQS. ; ~ ~ >~ -~ ,, ~ ~_ 1 i i jf / ' t / / t I j > e ~. 1 1 ' I ~ R- %n~ I' ~~qn ` i ~ i I i e+. ~ E 1 i f ::c~T~~"4^1~AL~k3 E3F P~:1V~ibSXL~7a~..AbZFi :~ ~~ u~ti l~~ ~6J~ ~56f'%1'.l~ y tie, Cathsrir-_L P. sioaver, Pickard E. Thrasher arzc~ ~'att~,Pa. ~C. ,; ~a^,..~'ea,~$~ tlae Testatrix and the hritnesses, respectively, whrs~e Yza;~es aye signed to the attached or ~oregoinq irastruanant, being _m__..~-a: duiy ~~~aorsz, d4 lxc~:reb~,~ dcc3ax+~ to tl:e u~acl~:rsic~zaed authority. ~`~.,:~- ~'~~ me^>t~atrix! s.~rzect a~sd c:;ec~zte~~ tine irzs;;r~~r~erzt as last Z,:ast. t •~_'.~. 1~~zad tl~.at she land s:~aared willingly, and ~.laat sloe eatecuted it a.^, '^~r frc?A ansl voluntary act for the purposes tiaer~:i:a eacpressed; ~_r~:.~ ,,~°~~.:: Qach of tlae witrz+~sse:a., in the pr~:serzce ar~w l~:earing of the r`~ -: ~1~~:ri~z, sigae:d tla^ 6nT.ili ~^ ~a;trvss and that Lo the best of ~.he ',.=ic:a~~~*c~~e of each af' ~.Pae ~~~.tn~ssses, the Testai rix ~•da~; .fit that tirnc ~i> o:r ~®re years cif ache, of sound ;min¢3 arzd under azo constraint or ,~' ~ r r Ca-~laerine P. i~oo ,=a~;~ ^ ~ /~ ~ ~ c~ '` :i ~ 2ichard ~', Tlarastaer ~~ "f ~ ~ ~. e ~u:~scr~bed, s~.~orn to and acknowledged befo:~~ ^zc av Ca eher.~.n~ ~, r~G3C1;~.i, the R'E?~tc1t~'l:t, and subSCrib°d a3r3d SL3©rla `4`C ~~fC)r~' IIl@ b~ ~ -->a{ ~i~:~.G;rd E. Thrasher and ~P~7~~ K. G~rra~:z,~n ' -I ; ~ ~.G7~.~ ~'p'~ Gisy Of _ ~(~1'~ - '.~.~~1. ~ s ~ h,.Q '~• 7'~a- l`TOtc ~"~ ~tabl iC ^? i i ._._ ~ Iv ~ ...°L,4~ t P'~y COIL':A1.~.-1.+~]a ~sa.~.+ires z ~ ICY / h~rf, ~3 r r ..~,l,:r~, i I , r f ,- 78, 159; ~ i "{ Pi^.v for^,~^issir c -~--.~.__.~._._ ~ ..._,,..._._..q e 7f:. x IR ~U ~.~~1. ~GA+.~bS ~.t ir:4~.~Y~.l ~.,..~ `~, +.~~l~.e S { ri E`.-150ii EX+{ (7-941 ~, FOR DATES OF DEATH AFTER 12131191 CHECK HERE INHERITANCE TAX RETURN IF A SPOUSAL PO ^ /4 VERTY CREDIT IS CLAIMED ~• ~. RESIDENT DECEDENT FILE NUMBER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE (TO BE FILED IN DUPLICATE `~~.~.-....~.,..,...,..,.,...•...-.M....~ ,.,»~-_.,._,,.-<.`, 1" DEPT. 280601 WITH REGISTER OF WILLS) HARRISBURG, PA 17128-0601 COUNTY CODE YEAR i R DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIALI DECEDENT'S COMPLETE ADDRESS Hoover, Catherine P. Leader Nursing Home ~~ W SOCIAL SECURITY NUMBER DATE OF DEATH DATE OF BIRTH 940 Walnut Bottom Road W 186-38-1213 12/6/94 7/8/18 C~rlisle, PA 17013 C b l d W ~ um er an p (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIALI SOCIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONSi ,W. 1. Original Return ^ 2. Su lemental Return pp ^ 3. Remainder Return ac a x (for dates of death prior to 12-13-82) u~a a ~+ ° ° ^ 4. Limited Estate ^ 4a. Future Interest Compromise ^ 5. Federal Estate Tax Return Required ~a c m (for dates of death after 12-12-82) a [~ 6. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust ~ B. Total Number of Safe Deposit Boxes (Attach copy of Will) (Attach copy of Trust) . - - ;. ~.- uy'J u~Zi NAME COMPLETE MAI IN ADDRESS oZ Donald E. B1 ocher 5986 Oxford Road v~ TELEPHONE NUMBER 717 677-8535 Gardners , PA 17324 1. Real Estate (Schedule A) (1 ) 2. Stocks and Bonds (Schedule B) (2) 1 ,000.00 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) 9 ,146.90 Z (Schedule E) g 6. Jointly Owned Property (Schedule F) (6 ) ~ 7. Transfers (Schedule G) (Schedule L) (7) a 8. Total Gross Assets (total Lines 1-7) (g) 10 146.90 9. Funeral Expenses, Administrative Costs, Miscellaneous (9) 575.00 Expenses (Schedule H) 10. Debts, Mortgage Liabilities, Liens (Schedule I) ()p) 4,338.86 11. Total Deductions (total Lines 9 & 10) (11) 4,913.86 12. Net Value of Estate (Line B minus Line 11) (12) 5,233.04 13. Charitable and Governmental Bequests (Schedule J) (13) ° ~ 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 3,489.04 15. Spousal Transfers (for dates of death aher 6-30-94) See Instructions for Applicable Percentage on Reverse Side. (Include values from Schedule K or Schedule M.) (15) x,_= 16. Amount of Line 14 taxable at 6% rate (16) x .06 = (Include values from Schedule K or Schedule M.) 17. Amount of Line 14 taxable at 15% rate (17) 3,489.04 x .15 = 523.36 pz (Include values from Schedule K or Schedule M.) ~ a 18. Principal tax due (Add tax from Lines 15, 16 and 17.) (18) ~- a 19. Credits Spousal Poverty Credit Prior Payments Discount Interest 20. If Line 19 is greater than Line 18, enter the difference on Line 20 . This is the OVERPAYMENT. (20) ~ ~ ^ .. 21. If Line 18 is greater than Line 19, enter the difference on Line 21 . This is the TAX DUE. (21) 523.36 A. Enter the interest on the balance due on Line 21 A. (21A) B. Enter the total of Line 21 and 21A on Line 21B. This is the BALANCE DUE. (21g) Make Cheek Payable to: Register of Wills, Agent ~ ~ ~E';SCJIf;Ie 7'C7 AMSWER'ALi'~I,fkS I~15~IN'1tE1(!'RS$ ~' * R}~K~M7L,'i`it ~ ~ ~ `' x a • ' . Jnder penalties of peryury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, r is true, correct and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other than the personal representative is used on all information of which preparer has any knowledge. ATURE Of PERSON RESPONSIBLE OR FI I URN ADDRESS DATE IGNATURE OF PREPARER O ER THAN REPRESENTATIVE `~~ADf( D~ESS OX FO~{/v R~+~j ~~ AN~~ ~ f ''~ Aug. 31 , 1995 DATE J 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: • 3% (.03) will be applicable for estates of decedents dying on or after 7/1/94 and .before 1/1/96 • 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 applicable for estates of decedents 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 inheritance 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 consideration$ If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration$ ................................................................................................... YES NO X X X X .. 3. Did decedent ¢wn an -`intrust for'. bank account at his or her death$ ...................................... IF TIC ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU~M-UST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. p ~ .~ c.~ c3 - •REV-1503 EiC+ (4-86) ' SCHEDULE B ` COMMONWEALTH OF PENNSYLVANIA STOCKS AND BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Catherine P. Hoover 1995-00061 (All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.1 ~~~ ~~~~~~ ar,vcr rs neeaea, rnsen aaairronal sheets of same size.) REV 1508 E%+ 12~8~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or ""^" "' FILE NUMBER Catherine P. Hoover 1995-00061 Ilan propsny jolnTty-owned with the Righf of Surviarorsitia must be disclosed on Se6•dul• FI (Attach additional B~/s" x 11" sheets if more space is needed.) REV-1511 EX+ (7-~8) ` s COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Catherine P. Hoover ITEM NUMBER A. Funeral Expenses: 1. SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES DESCRIPTION Please Print or E NUMBER 1995-00061 B. Administrative Costs: 1. Personal Representative Commissions Donald E. Blocher Social Security Number of Personal Representative: 207 30 6900 Year Commissions paid 2. Attorney Fees 3. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address AMOUNT 500.00 City State Zip Code 4. Probate Fees 60.00 C• Miscellaneous Expenses: ~. Register of Wills -Filing Fee 15.00 2. 3. 4. 5. 6. 7. 8. TOTAL (Also enter on line 9, Recapitulation) I $ 575 00 (If more space is needed, insert additional sheets of same size.) } REV•1512 EX+ (1i93( COMMONWEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS .OF DECEDENT, MORTGAGE LIABILITIES AND LIENS yr Catherine P. Hoover Please Print or LE NUMBER 1995-nnntii ITEM NUMBER DESCRIPTION AMOUNT 1• Leader Carlisle 372 3,269.94 2. Carlisle Hospital 747.50 3. Belvedere Medical Corp 176.68 4. Carlisle Community Ambulance 72.32 5. RWC Emergency Physicians 39.71 6. Carlisle Imaging Assoc 21.34 7. Adams Cumberland Medical Ctr 11.37 TOTAL (Also enter on line 10, Recapitulation) $ Q. ~ 338.86 (If more space is needed, insert additional sheets of same size.) REV-1513°El(+ (;2-87~ S' SCHEDULE J COMMONWEAITHOFPENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Catherine P. Hoover 1~q~_nnnFi ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE i4. Taxable Bequests: 1• Donald E. Blocher None one sixth 5986 Oxford Road Gardners , PA 17324 2. Thelma Bobo None one sixth P.O. Box 44 Gardners, PA 17324 3. Ervin & Cynthia Fulton Brother & one sixth 1539 Mainsville Road Sister-In-Law Shippensburg, PA 17257 4. Jennie Garretson Gordon None one sixth 74 E. Hi 11 crest Dri ve Biglerville, PA 17307 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY B. Charitable and Governmental Bequests: ~1• Apple Line Transportation, Inc. 257 N. Fourth St., Rr /• Gettysburg, PA 17325 V 2. Biglerville Senior Center N. Main Street Biglerville, PA 17307 TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) AMOUNT OR SHARE OF ESTATE one sixth one sixth s 1,744.00 (If more space is needed, insert additional sheets of soma size) .. y3 ~,r~i p"a r, • A* A - ~ , Register of Wills of CUMBERLAND County, Pennsylvani, Certificate of Grant of Letters Testamentary No. 1995-00061 PA No. 2195-0061 ESTATE OF HOOVER CATHERINE P Late of CARLISLE BOROUGH , Deceased .Social Security No. 186-38-1213 WHEREAS, on the 24th day of January 1995 an instrumen dated March 5th 1991 was admitted to probate as the last will of(HOOVER CATHERINE P late of CARLISLE BOROUGH , CUMBERLAND County, who died on the 6th day of December 1994 and, WHEREAS, a true copy. of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills. in and for the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters _ TESTAMENTARY to DONALD BLOCHER who has duly qualified as _Executor(rix) - ~znd has agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 24th day of January 1995. ~ n ~ ~-~;, ,.. _ ~ __ `" _ lie~l~ter_-0~-W1`.[-ls -~ 1 .. - Last Will and Testament of Catherine P. Hoover. I, Catherine P. Hoover, of T rone Y Township, Adams County, Pennsylvania do make and publish this m y Last Will and Testament hereby revokin .and makin void all former Wills b g g heretofore made. Y me at any time I i FIRST: I direct that my Executor hereinafter named fi ~ rst pay -out of my general estate all of my I . ,ust and legally collectible debts, funeral expenses, expenses of administration of m and all state and federal transfer inheritance taxes, estatestate, and an taxes; y and all other death taxes becoming due with respect to an - and. all propert Y Y required to be included in m Y gross estate for tax purposes, regardless of whether such property passes by the terms of this Will; and the transfer of all such property shall be and clear of such taxes. free This provision shall a transfers I have made of m Pp1Y only toI y own property. SECOND: I make the following pecuniary bequests: I A. One Thousand ~ ($1,000.00) Dollars to Donald Blocher; ' Biglerville, Pennsylvania. of B• One Thousand ($1,000.00) Dollars to Thelma Bobo, of ', Gardners, Pennsylvania. i C• One Thousand ($1,000.00) Dollars to Jennie E. G' of As ers arretson, P Pennsylvania. I •. D• One Thousand ($1,000.00) Dollars to my brother and si in-law, Ervin Fulton and Cynthia Fulton, husband and w•• ster- survivor thereof ife, or the j of Shippensburg, Pennsylvania. 1`" ; E• One Thousand ($1,000.00) Dollars to Apple L' Gettysbur ine, Inc., 9, Pennsylvania. ~ F, one Thousand ($1,000.00) Dollars to the Biglerville Senio Center, Biglerville, Pennsylvania. II Page 1 of Will dated ~ln.r~ ~_ I~ , 1991. .~ THIRD: I give, devise and bequeath all of the rest, residue) and remainder of my property of every kind and nature, rea1,I personal or mixed, and wheresoever situated to my brother and sister-in-law, Ervin Fulton and Cynthia Fulton, husband .and wife,; I or the survivor thereof. In the event both Ervin Fulton and I Cynthia Fulton predecease me, I give, devise and bequeath said rest, residue and remainder as follows: A. One-half (1/2) thereof to Apple Line, Inc., Gettysburg, Pennsylvania. B. One-half (1/2) thereof to the Biglerville Senior Center., Biglerville, Pennsylvania. FOURTH: I nominate, constitute and appoint Donald Blocher,] of Biglervilie, Pennsylvania, as Executor of this my Last Will and Testament. I direct that my Executor not be required to give bond. I authorize my Executor to sell any and all of my real and personal property at public or private sale and to make, execute and deliver unto the purchaser or purchasers thereof good and sufficient deeds,:' bills of .sale and assurances of title therefor. I i Page 2 of Will dated march S J 1991. • ~, 0 IN WITNESS WHEREOF, I, Catherine P. " Hoover, the Testatrix, have to this my Last W~11 and Testament set m this '~ ~' ~ ~ ~ ~ Y hand and seal day of ll~ ~•~~~._ ~, One Thousand Nine Hundred and Ninety-One (1991). l~ Catherine P. Hoover r ~ (~ ~~ ' signed, sealed, published I and declared by the Testatrix Catherine P. Hoover, 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 hereunto subscribed our names as witnesses. ;~ % I -- -' % •c II Page 3 of Will dated ~t'~t S ~ 1991. COMMONWEALTH OF PENNSYLVANIA : COUNTY OF ADAMS ~ SS. We, .Catherine P. Hoover, Richard E. Thrasher and d~bur0. K, ~'~t~'son the Testatrix and the witnesses, respectively, whos names are signed to the attached or foregoing instrument, bein 1'.N.. ~.:• 1 first.,duly~sworn, do hereby declare to the, undersigned authorit that the Testatrix signed and executed the instrument asyher Ira s Will and that she had signed willingly, and that she executed i~ as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of the knowledge of each of the witnesses, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint o undue influence. ~' ~ _ 1 ~ Catherine P, Hoov r ~'',~J Richard E. Thrasher ~ ~ ~ Subscribed, sworn to and acknowledged before me by Catherin P• Hoover, the Testatrix, and subscribed and sworn to before me b Richard E. Thrasher and --darhare K Gnrrs.l-ran witnesses this ~'~- day of l~dr~ , 1991. ~ ~ ucx,,ax. Notary Public NO1"ARIAL SEAL 1"Iy COmm1SSlOri expires; LESt.IE R. F'. Et: E, P!r_iry ^u,':>lic Gelfyrhur~ Coro, ,,;art; County, Pa. h1y Commission E;`pires Nov. 2p, ~q94 ~~_------r...__. I Page 4 of Will dated (-~~-~{~ ~ II , 1991.