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Home My WebLink About95-0068This 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 16 200T ? Date Fran eropoli, ' act Division of Vital Records P.O. Box 1528 New Castle, PA 16103 H705.143 Rey. 2/87 COMMONWEALTH OF PENNSYLYANIA • DEPARTMENT OF HEALTH • VITAL RECORDS f'! ~ n CERTIFICATE OF DEATH ~ U ~ ~ ' ~ TYPETRIWT _ _ STATE FILE NUMBER M NAME OF DECEDENT (Farr. Mieeb, Last) SEX SOCIAL SELURT' NUMBER DATE OF D6AH {MmM. Day. Year) PERMANENT BLACIL tNN ,. Estelle W. La[TOlev 7. Female 7. 251 - 30 5147 .. January 12 1995 Jl '/ 2 AGE (lrl BinWeYl UNDER t YEAR UNDER, DM DATE OF BIRTH BIRTHPLACE (Cgiy ana PLACE Of DEAN {Gbck o"IY ors ~- see wlruc4ane m omx see, MpkM I Deya Noura i MimAM (~gih•D•Y Yrr) Decelr(ber 13 SMbaFareipn County) Foreston HOSPITAL' OTHER: ~ ^ ^ kw+d ^ Ewoaw.t~a ^ ~,, ^ " ~° Yn. s. s. Zn ~~ ,) b . tla. COUNTY OF DEATH CT:BORO.TWPOF DERH FACILITY NAMEItl nd irmonion. piers steel and number) WAS DECEDENT OF HISPANIC ORIGINS RACE-American lneMn. Bhdr. Wilke. ab. ~r I No ~ yM ^ Hyr, apedfy Cubr, LSOec+Yl • Cumberland Upper Allen Ztvp /,,Lf I //IL SJ ~/Y Y/ (/1 LLAGE MrK.arl. PUNlo Rlrn, alt. b . tl. ~. •. ,o DECEDENT'S USUAL OCCUPANON KIND OF BUSMIESSRNDUSTRY N113 DECEDEM EVER 31 DECEDENT'S EDUC/SK7N MMIUIL STATUS- MartNd SURVMNG SPOUSE (ci~ek.,dd.arkdoraa~agmoa d kk N r 6 d u.s.ARMEDFaRCEST ~ Catls • NeyerWrtbgWkbwae. DAdcr {Sa•GI'1 (tlsle.piverneidenneme) re re wa p a:0o nal w. .) Yr^ No® 7 (P12) p Its orS~) - 11 i. 1, ,7. 17. U. 73. DECEDENTSMABINI'3 ADDRESS (SbW.Cilyl6wn. 51ale. Zp Cade) DECEDENT'S I~7 rwr Allan , hcaeeMNVeeln i~rn yLWe PannG Tlvania DM ,Te T - 100 Mt Allen Drive i I, . , ~ k.StNS ACTUAL , RESIDENCE eandNgi Mechanicsburg,PA 17055 an~dng R'° '°"in1epY ^ ~ ~ ,Te. Bt ,TncwA ~, rla,vl wd Imre. FATtLEA'8 NAME (FM. Midge. Lash MOTHER'S NAME (Frp, MieQe. MeieM Surname) ,b?~u~can M. W' )son ,,. Julia M. Flag INFORMANT'S NAME (fypalPrknl) INFORMANT'S MAILING ADDRESS (Steel, C'y!f .SIw.2p COh) ton C. Lartpley ,,,.10U Mt. Allen Drive Mechanicsburg, PA 17055 METtgOOFdSPOSITkJN DATE aF DISPOSITION PLACE OF DISPOSITK7N-NarrdCNriNy. Gemktay LOG610N-Lkv/TaNn. sur.27p toes nks ^ crenralorr ® Removal kom MlAe^ (MOnlh. Dar. Yeerl or Omar Pkrca B u DO rratiee^ OMer {srNaSyl ^ Schaefferstown PA 17088 Cremato ion-O-LiteVaultCo 13 1995 J 77 ~ , ,., 7,b, „ . an , • SIGNrvURE UNERAL SERVICE SUCH LICENSE NUMBER NA/AE AND ADDRESS OFMCILInp~hemore Funeral HCX[le Inc . - n. OFD U10654L DenlPlata k«r 7sa<odyrNrrra«BMkw a,Irertamy WMed3a. aam xoNrae Mlne rN,eMa relkace aklbd. plryMCiYrbnd ava3kbMNtka.d erbb {SpnMUrs arq Title) PAarl•t Oay,1W) - rn3yaurddaMh. iT•. 7Ja. kerr 2x-23 nlrM W mnrplaled by mrg r e..m araoA.rb TIME ~ DATE PRONOUNCED DEAD (IAOnN, OaY. Yakr) WAS CASE REFERREDTO MEDICAL E%AM RK:ORONERT B C " ' ww . P p lV • ~ ~ v Cd > y . Na^ 2 ~ (/ •I. x 33. n. 77. MRT1: Emarlr dYSaw,injurir or mnlptlrakpra wla0l earreatl rlra e.Mn. DO nd errr MS owes of eYtl3, krAdrr careikc art ,alpakalrkM /rata. IAppoaNbb MRT q: Derr kipniRfJrM torre13ona wnbibWn3bdeMn, dA LW ONyor tear onrMlM. ~k•ervalbMwaan arwt and eaath rbtrrrrllkr3 btlb lYldYlyN13GW31yn In PARTI. I MMEDIATE CAUSE IFebI _ /~ I I . Qkaake or caneilian l. ~ rasrEnp arerih)-- DuETO As ~ SagrbnNatly •R Mrrekiorb D. Karry,WdrrpblmmaAala WElO (q, ASACONSEOVENCE OFI: I aaur. Era.IN37ERLr3to CM18E(Lisers or a~.ay I c. I tlud riikMStl aveNS WE TO (IXL AS A CONSEWENCE OFy. reeukap in eeam) LAST I • e. UTA3 AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH DATE OFIWURY TIME OFIWVRY IWURY AT VYORK7 DESCRIBE HOW IWURY OCCURRED. PERFORMEDS AA/VLABIE PRIOR TO (Margin. Deµ Year) H OF CAUSE r-,/ Ntl M ld N i id ^ OF DEAT ur an c a 'he ^ No ^ Aaitlsre ^ Penelnp lmwglgalion ^ ry( Vat ^ No LJ 1ba ^ No ^ SWCide ^ CaAd not bs dN•mwrstl ^ PLACE OFIWURY-Alham.tarm. etreN. hdory. o3in M IOCATgN(SIrM.CiN/TO'un. Slab) buNbq. att. (Spedyl 730. 7f. 7r. bl. CF.RTIREII (Check ody mel SIGN RL CERTIFIER 'CEnTIFYS/0 -NYSIpAN rynyscien certilytq cause d e.adr vhM endrhar physcien has pronounced deetlr and compered kam 23) ~' ` TatM baal el my knawMepa,erMecerK,M ANbIM car.yal ane rrwNwrabbe ..................................................... ^ ,a. • •PRONOUNCEG AND CEITTIFY111G PHYSIfiAN (Pnyaicien bM ganaurgirq drm arW Cerklying to cause d arm) To tlb brt of m, knowbd3a, drYr aeerrrree al Uta tbr, dais an0 pl•Ce artl dw b,fb ekrrrLa) krrd nrkmsr r aMbe ......... ................. L ~ ~ DIPE SIG 7 •,d , , 'LAEDICAL EXAIMIER/CORONER NAME ANDADDRE3S OF PERSON WHOApAPIETED CAU,~~~~/~/e •`+ (II 7) e n 1 ~ /4/ ~ OR the brie d ramMatlon arte/or Inwa,{3atlon, in my aphtMn, eaatn oxurree n tM tlme, dar, .nd place. artA eue to rite cwae(al ane -/ /I eY manttrratated .................................................................................................. ^ ma. -~ ' 7 .V>. ' REGISi R'S SIGNRURE AND NUMBE DATE FRED (Margin, Day, Year) v r/ p'ETI.'T'I4N FAR PROEATE ~®d GRANT O'F LETTERS FsPcate of _ ESTELLE Ii. I~A30"1.R5[ To: - alsa known as Register of Wills for the County of ~~~'~ in the 5acla! S~rlt,+A/ra. 251-30-5147 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitione:(s), who is/art 18 years of a or older an the execut ors -__ _----named January 2 , 19~.._ in th=last will of the above decedent, dated and codicil(s) dated - (state relevant drnttnstanca, e.g. renunciation, death of executor, etc.) Decedent w"as domiciled at dtath in Ctiaberland .County, Petutsylvania, with " h er -last famiiY or princi resi e~tce at -_ 17055 ~G ~lrl" Mist street, number, 'Iwp. or Bo .) Tamixrr 1? , 195 Decedent, then ~1 years of age, died at liessiah Villa Except as follows, decedent did not many, 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: Decedent at dcaeh owned property with estimated values as follows: S 12,000.00 (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania S (If not domiciled in Pa.) Personal property in County S Value of real estate in Pennsylvania situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testa'entA*b - (testamentary; administration e.t.a.; administntioa d.b.n.s.t.a.) theron. ~ ~ ~ x ~~ Yr. llo Ye r 0 -~ ~~" r..~~'A TPt' T AAA y 482 Ho~drrnar T1rivE+ MechanicsbusR. PA 170s5 G1~T~I ®F PERS®NAL REPRESEN'T'ATIVE GOARM~NdVEAL'TgY ®F PENNSYLVANIA t ~ C®[JN'TY" C?fc Ct>mberland J The petitioner(s) move-named swear(s) or affirm(s) that the stateanents in the foregoing petition are true and correct to the beat of the knowledge and belief of petitioner(s) and that-as personal represen- tatives) of the above decedent petitioner(s) will well and truly administer eaf"ate according to law. Sworn to or affirpsyfi apd subscribed ~ ^_ -(r'7 r __ _ _ ~,~ ~ ~~ ~R X19. 1 - €~~ ~STFsI.LL~ 6d. L~'LEY r ~~ ANA IaxOF?+/ January 25 fl Iq 95 . in consideration of the petition on ttac averse side hereof, satisfactory proof having ban presented before me, IT IS I3ECRE~I3 that the instrummt(a) date-' Ja~~ 2: 1993 described eherei,• bs admitted 4o probate sand filed of record as the last gill of ~ste~l.e 6d. le .: ansll.ett$rs Testas~entai arr hereby ~rstnted to Margaret L Alaas and F 1~1oy i--ley i~0 _~~ Probate, Letters, Etc.......... $_ ~~~ Sham Certif9cates~(5) .......... S 15.00 aneiation ................ S__~ .Fi F_r' ~~e s T®TAL , ~~~-- Filed ,.. J~INUARY.26,,199~,,,........ r+ ~a ~' ~~ _ ,., c .a e.. -~ ~i 4 'I ~~ c - --_, o ~:,~ ~~ a> ~~' L~ i Reaiuar or wills MARY C. LEWIS Arroxi~tr tea. ct. r.n. No.) 06844 Peter J. Ressler, ]6aq. Mette >~vans ~ poodside ADDitESS P. 0. 13oz 5950 Rnrr{,ahi~ FA 17110-0950 pry (717) 232-5000 ~; I, ~` i i ~i . .. .' e ti. i ~ .y ~ , ~ .. ~~~st t11 ~ct~ Lle3~k~axs~~C~ OF ESTELLE W. LAMPLEY I, ESTELLE W. L~LEY, of 455 Brook Circle, Mechasiicsburg, Cumberland County, Pennsylvania, declare this to be :a;> last c,1i11 , hereby revoking all prig wills and codicils . ~: The expenses of my last :illness and funeral shall be paid from my estate. ~ECCNI~: I hereby give and bequeath, absolL,tely and in fee simple, to my spouse, FIILTON C. LAMPLEY, all my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment, provided that if my spouse dies before the thirtieth (30th) day following the day of my death, this gift shall lapse or be divested and I make said request to r.~y issue, per stirpes, living at the time of my death, to be c~.ivi,ied among them as they shall agree. If they cannot age-e for any reason, my Executor shall make the decision and its decision shall be final. ~~y Executor shall represent any minor child in any d~.vision of such property and shall deliver to the person .standing ~.he place of a parent to such minor, without bond, such portion o.f the ~ainor's share as my Executor, after considering the minor's wishes, deems appropriate. ~~~,~: <a) I give and devise the rest, residue a~.d remainder of my estate, real and personal, to ffry Fags :~ ~ ~w-~c +,,~, v ti a t ~'h ~ ~HMY ,n::-~~ A'v ~ wn7k6"Lt~{,y"n'"~" 1:1J,t I ~ ,~ i , "l„ ~ ~ , :. .. R ~ . , w J w~ spouse, FULTON C. LAMPLEY, if he survives me. If my spouse does not survive me, I give and devise the residue of my estate equall to my children. If any child of mine predeceases me or dies within thirty (30) days of the date of my death, that child~s share shall be paid to his or her issue, per stirpes. (b) In the event any of my children should die without issue surviving, his or her share shall be paid equally to my surviving children or their issue, per stirpes, as the case may b P_ . (c) If no issue of mine survive the survivor of my sale spouse and myself, my estate shall be divided into two equal shares, and one share shall be paid to my heirs who would be entitled thereto under the Intestate Laws of Pennsylvania in effect at the death of the survivor of myself and my spouse; and the other share shall be paid to my spouse's heirs who would be entitled thereto under. the Intestate Laws of Pennsylvania in effect at the death of the survivor of myself and my spouse as if my spouse had then died Intestate. ~'OTTR~ No provision of this Will is intended to exercise any power of appointment, including any pawei of appointment granted to me by my spouses estate planning or other documents. ~IPT~: No interest of any beneficiary under this Will or any codicil hereto shall be subject to anticipation or voluntary or involuntary alienation, and the personal receipt of such beneficiary shall be the sufficient and only discharge of my Executor unless otherwise provided herein. Page 2 :-.~-~~;A, ~~~~. -;fir -- :- res. ...,. ., ..,~.T., r, , r, _,-_ .S~.i: All taxes, interest and pex~.alties t~iereon payable by reason of my death with respect to property comprising my gross estate, whether or not passi~xg under this 'yi tl, shall be paid from the principal of my residuary :state. ~~~ bit lava, my ~ fiduciaries ac'ci.n hereund+~r sha11 applicable to all real effective without cour• In addition to powers given t and their successors and any guard7:an have the following discretionary Bowers and personal property held by him, order and until actual distribution: (a) To retain all property received by them inc]_uding the stock of any corporate fiduciary acting hereunder, provided such property remains grociuctive; (b) To sell real estate for any purpose, publicly or privately, for such prices and on such terms as he deems proper, T.aithout liability on the purchasers to see to applicatior. of the purchas ~~ anoneys; <c) To compromise controversies; (d) To distribute in cash or Kind or partly in each at valuations fixed by them; (e) To hold finvests.ents in the name of a nominee; (f) To assume continuance of the status of any beneficiary with reference to marriage, divorce, illness, incapacity ~r other change in the absence of information deemed Page 3 ale ":,y ''*, ~ {.a- -~ ~r~.^; ., Z, E :~\ iF~: ,~ r ; reli~.l,lr~ without liability for disbursements made on suc:I~ tt ,~ ' u T'i't' .~. ~1?"1 a ( Tc~ ma7~,e income or principal distr~.butions during t :.ours: of a~i~linivtration of my estate or trust created h~eretander and (h) To underta~Ce any and all acts deemed necessary and proper by it for the proper and advantageous management of any tr_5/s;: and the settlement of ny estate. ~ISz~: Any beneficiary hereunder who dies at the same time as me, within thirty (30) days of me, or under circumstances wherein it shall be difficult or impassible determine who died first shall be presumed to have predec:eased :512 . ~~ I appoint my daughter, MARGARET L. MAAS, and my son, F. MALLOY LAMPLEY, as Co-Executors of this z%ly dill. In th, event either my said daughter or son canl~lat .~c;t or continue to act for any reason, the other may ccntin~a.}, to act alone. I3o fiduciary acting hereunder shal]. be required to post bond os enter security in any jurisdiction. Iii 47ITa~'ESS WIiEREOF, I have hereunto set my hand and seal this 1 ~~~~day of_ 199,3 to t;~4i,S. and i:he pr_ec.eding three (3) pages, and I have also placed my initials on each preceding page fox better identification and greater ESTELLE kT < LEY (~ SIGNED, SEALED, PUBLISHED and DECLA~D by the above- na5aed Testatrix, ESTELLE t+J. LAMPLEY, as and for her Last i~5~.l1 and . i ~< ,. ~~. 4F 'M tw 3 p.. •.,.~'{'yS 'b.4L'n`.h'~'NS ~. •y~ti^"S 1~p ~~~ ,~, t h r. f,,._,.~...~ ...~.,.. ~.., ~..,. _. _.,.. aw..swca:an.~cfax..vr ,.ssr,-..,..~.n:S~s7Y~& i~Fwv-,v - . t „_ _ COI~~i~O>"~ti'~1.:,AL 0~ pE°s~ImSYLVANIA ) SS: :~STL~'LLF~ ~. T:e~1~PL~~, Testatrix, whose name is signed y~~ t:~c attached or foregoing instru~aent, having been duly ~~zFal3.f~.ec? according to Xaw, do hereby ac~a~owledge that I signed anal ex~cutPd the instrument as my Last Will and Testament; that s.g~z~ it c~illingly; and that I signed it as my free and Y,.o~ un.t~.ry art for the purposes therei?~ e:aprESSed . ~~i~2~ ~J~ J ^(SEAL) ESTELLE 4d. LAMPLE Sworn to sari subscribed befa~-e ~~e t~ais ~n~ day (/~, l~/ ` ~ati~.ar~o public x°i~r Co~;~~:i 9s ion ~~ires: ! : ~~1': ~.. k' j '''+~ i ` I r I .~~ 1 ~ ,} I .~^ f i i s 1 .. ; ,J.owe~ ~ ~s~ 9ss~ . ~ ~ t w _j - ~: ., _. '~ ~ .« .. -.- - ~- ...:-.'.. .-.. a'..~ ... .. i ~. , ,,. _ ~~.-.r,v. _. r_..- .-_.-. ,.. -.w...,..-,..... ~~~~~ j ~( `; J^`"sd'~~~~"f~'~4i..,TI3 0~' ~~.~'~TSYIsV~'iIY~~ ) ? SS: j C~3i,"a'w'i''Y. J~ DAiTP1€l~' ) 3 B / tie , ~- ~!U ~ ~ h~ `@- and ~ ~' ~f L- • 1~~.~ tine twTitnesses whose nat6es are" signed to the attach i ed or I f~~regoing instrument, being duly qualified according i.o law, do `~.'. ~ dnpos~e and say that we were present and saw Testatrix, ~ ~;iT~;z~ i3~. IPLEY, sign and execute the instrument as her Laet 6r?ill anal '!estament; that Testatrix signed willin 1 an t g y d _hat she executed said Will as her free and voluntary act far the gu.rposes therein expressed; that each of us in thQ hearing and sigh.~~ of the Testatrix signed the Will as Witnesses; a.nd that uo ub.e best of our knowledge the Testatrix was at that tame ~ ~'i ~:~teen Cls) or more years of age, of sound mind .and under no co~.straizit or undue influence. ~1s.tne, Witness i f j aT~Ui~l tc and subscribed ~~~ ~ befare ~.e this ~~~° day of ~r~~~w~~_~_ 1993. 1 ~:~ ~ ,~~~ ~ ~ i~3otar blic _ i I. r 2 s : J.t+~as~ S+~af {SEA?,) ~~ f4ty Canes E~res Sept. 8,18gg ~A ~ ~ .:._. A' I I • j __ r.. h . ,_ , .: .. _ :; - _ ..., _ _. ,.. ~~s~t..~~ r~a~R ~ ~~t~l ~~TH ~'~B~T ~7i~~~T t-0:~1RR I ~3~~..'8~~ PA 1711 O - ip[D HERf ESTATE INFOR0.IATION: FILE NUMBEP, 1- I ~S'9~-O~far~3 68P~ X31-X0-'3147 NAME OF CECEDENT (LAST) (FIRST) (MI) e DATE OF PAYh1ENT POSTMARK DA~~ COUNTY ~~~~l..~i~~ DATE OF DEATH ~ L O.~ till REM,ARK~ 1'"~'sl~aa'4*;~~ L « P9~1A~ .. se~,L C4~~~~~ X47 ~EGlSTER O~ HV1LIS M1~. Y. r ~+r ." _. __ ., -. ~.p, ~. 1 ~k-. 00-• t~0 i fMD MERE =. , 1 I 1 t • TOTAL AMOUNT PAID ~'~a7~•~ ~..,, RECEIVED ~Y/~_ " • ~ r'A $~ 51GNAFj'ti _+ ~'1t bN",11Y1~. ~F.~ wn.4j " 4 iF':+y~ ~~ w.wTrgl~iow R^'1!.1R!A ~~ '^_+~.. , m:y~" ~'^i~"~'/~ ~.~. ~~ REV-1547 EX AFP (12-95) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL Taxes APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPT. 280601 HARRISBURG, PA 17128-0601 OF DEDUCTIONS AND ASSESSMENT OF TAX ACN 101 DATE 07-22-96 "" " " FILE N0. 21 95-0068 DATE OF DEATH 01-12-95 COUNTY CUMBERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT'' REMIT PAYMENT T0: PETER J RESSLER ESQ REGISTER OF WILLS METTE ETAL CUMBERLAND CO COURT HOUSE PO BOX 5950 CARLISLE, PA 17013 HBG PA 17110 Amount Remitted CUT ALONG THIS LINE------- RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------- ---------------------------------------------- -- -- ------------ REV-1547 EX AFP (12-95) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR --- DISALLOWANCE OF DEDUCTIONS AND„ASSESSMENT OF TAX ESTATE OF LAMPLEY ESTELLE W FILE N0. 21 95-0068 ~ACN 101 DATE 07-22-96 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule Al 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule Cl 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule Hl 10. Debts/Mortgage Liabilities/Liens (Schedule Il 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests (Schedule J) 14. Net Value of Estate Subject to Tax (1) .00 (2) .00 (3) .00 (4) .00 (5) .00 ' (6) 9 915.00 ' (7) _ 29,900.00 ($) '39,815.00 (9) 3,488.00 (lo) 5.359.00 (111 8.847 00 (12) 30,968.00 (13) .00 (14) 30,968.00 NOTE: If an assessment was issued previously, lines reflect figures that in l d th 14, 15 andior 16, 17 and 18 will c u e e total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) . 00 X . 00_ . 00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 30,968.00 X .06. 1,858.00 17. Amount of Lina 14 taxable at Collateral/Class B rate (17) .0 0 X .1 5. .00 18. Principal Tax Dua (lg) 1,858.00 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST (-) AMOUNT PAID 03-20-95 AA022943 92.90 4,700.00 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT _ 4,792.90 BALANCE OF TAX DUE 2,934.90CR INTEREST AND PEN. .00 TOTAL DUfi 2,934.90CR ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A RFFIINn CFF pFUFRCF CTnF nF THTC Ffl DM GAD TNCTDIIrTTnNC 1 REV-1500 EX+(7-94) ~-~ '~ ~'' `~' -~- ~'' "INHERITANCE TAX RETURN HECK HERE F AE3PTMOUSA~LR 12/31191 • RESIDENT DECEDENT POVERTY CREDIT IS CLAIMED COMDEPARTMLENTOF RE' ENUEANIA (TO BE FILED IN DUPLICATE FILE NUMBER 95 ~ DEPT.2a`6°' HARRISBURG PA 17 WITH REGISTER OF WILLS) n ~ , 1?8-0607 couN coDE Y ,aR NUMBER DECEDENT: NAME (LAST, FIRST, AND MIDDLE INITIAL) DECEDENTS COMPLETE ADDRESS T ANT F''~, ESTELLE W. Messiah Village, 100 Mt. Allen Drive DECEDENT SOCIAL SECURITY NUMBER DATE OF DEATH DATE OF BIRTH McC~']dnlCSbllY~, PA :17055 251-30-5147 / Ol 12 95 12 13 1904 County Ctmtberland /tI~F APPLICABLE)SURVIVING SPOUSE'S NAME (LAST, YIRSTAND MIUDLE INITIAL) SOCIAL SECURITY NUMBER AMOUNT RECEIVED SEE INSTRUCTIONS ( ) 1. Original Return 2. Supplemental Return 3. Remainder Return CHECK (for dates of death prior to 12-13-82) APPRO- ~ 4. Limited Estate ~ 4a. Future Interest Compromise ~ 5. Federal Estate Tax Return Required PRIATE (for dates of death after 12-12-82} BLOCKS ~ 6. Decedent Died Testate a 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach copy of Will) (Attach copy of Trust} i111i:SFtRa~`POJsID~1~1G1 s~1NC~ ~!C!t!1~1D~N~lAf~ ~IN~ .. ~'1 ° 1 .: :., coRRES- NAME ~ COMPLETE MAILING ADDRESS PONDENT Peter J. Ressler e Mette Evans & Woodside i TELEPHONE NUMBER P. O. 5950 717-232-5000 Harri PA 17110-0950 RECAPIT- ULATION TAX COMPUTA- TION 1. Heal Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Sch. C) 4. Mortgages and Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) (Schedule L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses, Administrative Costs, Miscellaneous Expenses (Schedule H) 10. Debts, Mortgage Liabilities, Liens (Schedule I) 11. Total Deductions {total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests (Schedule J) (1) (2) (3) (4) {5) (s) 9,915.00 (7) 29,900.00 (~) 39,815.00 (s) 3 , 488.00 t,~ f, (io) 5, 359.00 (11) 8, 847.00 (12) 30, 9 8.00 (13) M1_' - ) 14. Net Value Subject to Tax (Line 12 minus Line 13) ~' ~ - (14) 30, 968.00 15. Spousal Transfers (for dates of death after 6-30-94). See (15) 0, 00 X ,03 c 0 ~ 00 Instructions for Applicable Percentage on Page 2. (Include values from Schedule K or Schedule M.) 16. Amount of Line 14 taxable at 6% rate (1s) 30, 968.00 x .os = (Include values from Schedule K or Schedule M.) 17. Amount of Line 14 taxable at 15% rate {17) 0.00 x .15 = (Include values from Schedule K or Schedule M.) 18. Principal tax due (Add tax from Lines 15, 18 and 17.) 19. Credits Spousal Poverty Credit Prior Payments Discount Interest 0.00+ 4,700.00+ 98.00- x0. If Line 19 is greater than Line 18, enter the difference on Line 20. This is the OVERPAYMENT. ~ :::::;::::1~ :::::::::::::::.:::::::::::::::::::::.:..:::::::::::::::::::::::::: ::: ~ :~:::::;;::::i::::::::;::::::;:::::::::::;:, :::;:::::::~ :::.::.::.:.: ~ .. :.:;c...~e~ss:>I~:..osu:~e:lr~gueadn :~:r~hc~;old::...ur:.;rove:.......ant,~ .:::::::::::::~:.:.:.:: xi. If Line 18 is greater than Line 19, enter the difference on Line 21. This is the TAX DUE. A. Enter the interest on the balance due on Line 21 A. B. Enter the total of Line 21 and 21A on Line 21 B. This is the BALANCE DUE. Make Check Payable to: Register of Wills, Agent a oeter, rt Is true, correct and complete. I declarE xesentative is based on all information of which SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN SIGNATURE OiF PREPARER OTHER THAN REPRESENTATIVE y ~~.~ mac. ~ ~ l~',-~-.~. I<".C -'( all real estate has been reporfed at ti'u Irer has any knowledge. ADDRESS See Schedule attached ADDRESS 3401 North Front Street DATE DATE .a _~~ _~~ 1,858.00 0.00 (18) 1, 858.00 (is) 4, 798.00 (20) 2, 940.0 (21) (21 A) (21 B) ildttJrrlefll5, ana i0 Lne DeSI Ot my ~ Declaration of preparer other than --- ~ ~~ ~ ~ ~-~ ~ ttarrlstx.arg, Pa 17110-0950 Copyright Forms Software Only, 1994 Nelco, Inc. N94PA001 Estate of : F4T'FT T F W . LAMPLEY SUPM'F~RY OF ALL(JCATIONS TO BENEFICIARIES Class A MaYyaret L. Maas 1,068.00 Jeff Lampley 3,100.00 Alexander Latrg~ley 1,100.00 Aaron Lampley 1,100.00 Kristen Lat~ley 1,100.00 Robert Lampley, Jr. 3,100.00 Lauren Iam~ley 950.00 Jacob Iampley 850.00 John Lanq~ley 3,100.00 Joel Langley 3,100.00 Anthony E. Maas, Jr. 3,100.00 Julie E. Maas 3,100.00 Willem Maas 3,100.00 Robert La~ley, Sr. (Michael) 3,100.00 21-1996-0038 30,968.00 Estate Of: F'STF•~T,F. p7, TA~LF.V The following persons are signing the return as representatives of the estate: MARGARET L. MAAS F. MALLIJY LAMPT Fy 482 WOODG1ZESr DRIVE 165 IzK''IldDA LANE N~ANICSBURG, PA 17055 WY~SSING, PA 19610 21m1996-0038 PA REV-1500 EX (7-94) Page 2 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 • 19'° (.01) 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 (v) IN THE APPROPRIATE BLOCKS. YES NO 1. Did decedent make a transfer and: a. retain the use or income of the property transferred . ................................................................ X b. retain the right to designate who shall use the property transferred or its income . .......................................... X c. retain a reversionary interest; or ................................................................................ X d. receive the promise for life of either payments, benefits or care? ....................................................... X 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? ............... ,.,,,,,,,,,,,.,,,,,,,._.,., X ............................ 3. Did decedent own an 'in trust for' bank account at his or her death? ..................... , , , , , . , , , . , , X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. PA15002 NTF ssao Copyright Forms Software Only, 1994 Nelco, Inc. N94PA002 ,... OF ESTELLE G1. LAI~LEY I, ESTELLE W. L~LE of 456 Brook Circle, riechanicsburg, Cumberland County, Pennsylvania, declare this to be - ~ -cam '7=, l }lcrei,:I ~°TO~lr _ ....-- ~ -i.~= Lei llg an`: rnr;C_~,! S . I FIRST: The expenses of my last illness and funeral shall be paid from my estate. ~ SECOND: I hereby give and beal:eath, absolutely and in fee simple. to my spouse, FULTON C. Lr`~?LEi, all m~ household furniture and furnishings, books, pictures, ~~e~~*elr~ , silverware, automobiles, wea_in~ apparel and all other ~,=_icies oL household or personal use or alornment, prodded that i_- L-.• souse dies before the thirtieth (50th) day following the day o= m-: death, th1S glft Shall l~a,pSe n_ be divested and I makE Scid bequest to my issue, per stirpes, living at the time o= my death, to be divided among them as t^ey shall agree. If they c,G-:loL agree for any reason, my E~ec_:tor shall make the decisio and its decision shall be final. My E.~ecutor shall re_~_esent any minor child in a-,-, d~.~ision of such property and shall deli Yer to the persc.~n standing i-n the place of a parent to Bach minor, without bond, such portion oL the minors share as my E:>~cutor, alter considering t:e minor ~ s wishes, deems appropriate. TfiIRD: (a) I give and devise the rest, residue and remainder of my estate, real and personal,~to m-~ Page 1 spouse, FULTON C. LAM?LEY, if he survives me. If my spouse does not survive me, I give and devise the residue of my estate equall to my children. If any child o= mine predeceases me or d1es within thirty (30) days of the date of my death, that child's share shall be paid to his or her issue, per stirpes. (b) In the event any o= my children should die without _~~'.:° .,u.v"_~'~n~, hzs or hey sh aye uhal~ }'•°_ pY_u °:'~.'~ui,. ~~ '_::' t surviving children or their issue, per stirpes, as the case ma~J be. (c) If no issue of mine survive the survivor o~ my said spouse and myself, my estate shall be divided iP_to two ea~.:al shares, and one share shall b~ paid to my heirs who would be entitled thereto under the Intestate Laws of Pennsylvania in eff eCt at the death Of t'fle Sir ~ i vor Of my Self aP_d R'iy SDC`iiSe ; an_d the other share shall be paid to my spouse's heirs who µrould be entitled thereto under the Intestate Laws of Pennsylva~.a in eTfect at the death of the su_vivor of myself and my souse as ii my spouse had then died Intestate. FOURTH : No provision of this t~;i ll is intended to e ~erci se any powe_ o= appointment, includir.=, any po.ae~ Gi aDpU~nt,uent branted t0 me b~ my SDOtise'S estate plan_•_~n_ or other documents. FIFTI~: lio interest of any bene=ficiary under this Will or any codicil hereto shall be subject to anticipation or voluntary or involuntary alienation, and the personal receipt of such bene=iciary shall be the sufficient and only discharge of my Executor unless otherwise provided herein. Pace 2 SI?~Tfi: All tares, interest and penalties thereon payable by reason of my death with resuect to property comprising my gross estate, whether or not passi^Q under this Wi11, shall be paid from the principal of my residuary estate. i SE'v~VTE: In addition to powers giver. theT~ _- ~_^.. r~y ~1QL1C1arieS aP_G tu='_= SuCCCSSO~:: ana a~~ _ ___~__-- I acting h2reLlnder Silall l2aVe the fOllOwlnQ d1SCZetlOnary _~^werS aaplicable to all real ar_d personal property held b~ r_ i effective without court order and until actual distribution: (a) To retair_ ali property received by them icludin~ i the stock of any corporate fiduciary acting hereunder, ~~rovided ~ _ ~ such property remair_s productive; j L b To sell real estate nor any purpose, puLlic=_: cr privately, for such prices and on such terms as he deems Lroaer, without liability on t':e pu=chasers to sew to aapl_„a~_.___ c_ the purchase moneys; (c) To co;anro:aise cctroversies; ~ ) 10 QIS~_l~ute ___ cash Gr -.__?•,~. 0= pc=t'__i _.. °_.,.:? a~ valuations 11 wed by them' ., (e ) To hold 1nVeStiu°=? ~s In the name Of a nOIIl (f) To assume continuance of the status of a beneficiary with reference to marriage, divorce, illne incapacity or other chan_e in the absence of informati Page 3 reliable without liability for disbursements made or_ SIiC!'? aSSUmDtIOn; (c~ TO IIa~Ce 1nCOme O. Dr1nClDal C11Str1bllt10nS QL''ln- the course of administration of n_'r estate or trust created hereunder; and , (f'i~ mn lei: ~.e_~.C~e a~ Gn~ Gig. ?__... ue?~`,1 ~c~r^oS ~~.-. ' .~__._ , pr^Der by It fOr the _:Oper a =;, Grvan'l.a~eOUS mana~eIDe ~ „= c:=_; triiSt aP_Q the Set~le:~enL Oi iT:~ estate. ETG~Th P.r.~~ bene~iciary hereunde_ who i dies at the Same time aS me, '-Iti'lIn thirty (3~~ days Of Iile, Or L1i1CeT C1rCumStanCeS wnerelP_ _= Shall be QIfflCUlt Or ImDOSSIble tQ d°Le=mine who d_ed ='_.St Sha'' }'° D=eSUmed t0 have predeCec...Sed ~ me. 1'jT1T~'~' 1 aDpOln~ m~i Qauchter.. r;1=~P.GPRET L . I~~~,S and my s o ~ . ~~'.LLC r L ~'rL~ E'- -' --e V L• _ , as C~ ___ Lt,,. s of this my Glill. ~ ~~ ~-~; eiLhe Q ~ ~~ In ~__~ ev,.___ ~ r my said dau~h~er r.~r s__: cannot act or continue to act for any reason, the other ma.,- COntlnue t0 aCt alO~?e. IVO fIG:iClary actin_ hereunder Sil.' ~ ~e 1'e~ulred t0 pOSt b^:iC Or ent°r SeCilrlty In any ]ur1SdIC~:_^:?. ~ //` '11`1 ~'IIT~iESS ;~1~' ~~r , ! wave hereun~0 Set my h '::_ ,..=_C Sea 1 --, J, ~~-..~~ 99 to ~ ~ s and ~ the preceding three (~~ pa~eS. ar_d I ~'?av2 alSO Dlaced iT.~i _^It1a1S on each preceding pane for better identification and ire=-er ~ - c ~- security. ESTELLE W. LP.rL~LEi' ~ /J SIG~~~D, SEALED, FUhLISHED and DECLARED by the above-- named Testatrix, ESTELLE W. LF`?FLEY, as and for her Last Mill and Testament, in the presence o~ us, who at her request, in her presence and in the presence o~ each other, have hereunto subscribed our names as witr_esses: n~~~~~ ,~ . ~~4 a ~~~~~~ ~-_ ~ / Re s i d i n~ at S' ~ z L;J~ ~.,~ ~ . • ,~ ~, Re s i d ~ n at /~ s ~ ~c~-r~ ~ ~---- ^-+-- % ~ / ACKNOWLEDGEMENT CO`?~ONG7EALTE OF PEN~TSYL'VANIP. ) SS: CCTJtiT'~ OE DAUPHIri ) -~, ESTELLE L•1. LAIvLpLEY, Testatri:s, whose name _s sinned ! to the at~ached or fere~oin~ instrument, havinP bean d~:?-r - i Gua1ZrlCd accord.^`' to l a'w, QO neTC'D~i u:._::'_r~G:~ ar~ca ;i.c_ _ ci cZph `-o~ -_ and executed the 1nStri:ment aS m:T Last Wi11 and Testa %1°_~~' tat I signed it wiliin~ly; and that I sinned it as my zrea any VOllln%ary act nor the purposes therein e.;pressed. ! I ,- / I ESTELLE sal. LAI~LEY Sworn to and subscribed before me this ~:~- -~ day ~iotarjr Public r1y Co:nr;ission E.~~_ras / T \ SEA., NCicrc ~a:J Ci'~a J. C~Fn, i~c2N Prt ~ t4iy Ca~r?msron t.~.~res Syct 8.1 ~ hT°f^CC-f, r2~~ ViV2(~!1i~~,C::.LC ~ ~' i`:C'Ci~:. P.FFIDAVIT COI~IONWEALTH OF PENNS?LVANIA ) SS: COUNTY OF DAUPHIN ) We , / /!~f ~ / %L ~: ~t it ,n 1 Y :~ and - ,r_'- - -- ' - . the Gitnesses whose r_ames are signed to the attached o= foregoing insLr~~ment , bei nQ duly qual~_ ied ~ccordi. to -_~-•~ cc e~oSe and Say that We Were DreSent and Saw leStatrl=i, ESTELLE G1. LAMPLEY, sign and execute the instrument as 'r_e. LaS~ GIi11 and Testament; that Testatrix signed willingly ar_d _ _..t she executed said Will as her tree and voluntary act To. tie purposes therein e.~ressed; that each o~ us in the hearin- Gna sight of the Testatrix signed the Will as Witnesses; anc that tC the best Oi Our Kr:OWledge the Testatrix was at t~1~.=.t __-e eigteen (18) or more years of age, or sound tnir_d Gnd once= r_o ccnstrai.nt or undue in~luence. G1i tness` Giitness Sworn to and subscribed Deiore me this _ ~ ca-~ _-_ , . Notary:Public My C omla i s s i on Expires : t~!ctaca! sad L'; da J. C!sen, t`~t~ry Publ.~c Hsrrsbur;, Dauc~:n Ccurry (~ EAL) i41y Ccmmissicn t:.cires :,E~t. 8,19 .v'2rr:ber, P2nnsy~ ~an3 ~~:.c:s c ~ c' i ~to:ares REV-°1509 EX + (12-88) COMMONWEALTH OF PENNSYLVANIA SCHEDULE F INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER FS'TTF'f T F y~j, T AMPT,F.V 21-1996-0038 Joint tenant(s): NAME ADDRESS RELATIONSHIP TO DECEDENT A Margaret L. Maas 482 Woodcxest Drive Daughter Mechanics)x~'g, PA 17055 Jointly-owned property: ITEM NO. LETTER FoR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSET DECD'S % INT. DOLLAR VALUE OF DECEDENT'S INTEREST 1 A 03/20/91 PNC BANK account 5140175606 7,851.00 .50 3,926.00 opened 3/20/91 IN the name of Estelle W. L3~ley, Margaret L. Maas A Interest on above item accrued 1.00 .50 1.00 as of decedent's death 2 A T. Rowe Price High Yield Fund 11,975.00 .50 5,988.00 Estelle W. Lesley, Margaret L. Maas, Jt. Tenants TO TAL (Also enter on lino a Rartanitidarinn~ c o' of G nn (If more space is needed, insert additional sheets of same size.) PA15091 NTFiztsA Copyright Forms Software Only, 1994 Nelco, Inc. N94PA091 , r_~t. aanx, :v.r~. 4242 Carlisle Pike Camp Hill, P,a 17011 April 12, 1995 Peter J. Ressler Mette, Davis, & Woodside Attorneys At Law 3401 North Front Street P.O. Box 5950 Harrisburg, PA 17110-0950 RE: Estelle W. Lampley Date of Death: January 12, 1995 Social Security No. 251-30-5147 Dear Mr. Ressler: PNC I~~I~ I~ As per your request for information on accounts the above referenced decedent held with us, the information is as follows: -Checking Account No. 5140175606 opened 03/20/91 in the name of Estelle W. Lampley, Margaret L. Maas. Balance at date of death: $7,850.94. Accrued interest: $1.08. If I can be of any further assistance, please feel free to contact me at (717) 730-2321. Sincerely, Edith Tancil Miscellaneous Services Supervisor Bank Operations ET/mky REV'1510 EX + (2-87) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G TRANSFERS FSTFT r .F W . LAMPLEY PLEASE PRINT OR TYPE 21-1996-0038 THIS SCH. MUST BE COMPLETED & FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF COVER SHEET IS YES. ITEM NO. DESCRIPTION OF PROPERTY Include name of the transferee, their relationship to decedent, date of transfer. EXCLUSION TOTAL VALUE OF ASSET DECD. INT. DOLLAR VALUE OF DECEDENTS INTEREST 1 With Julie Maas Maturity 11/15/2000 3,100.00 ($5,000) 2 With Anthony Maas (Maturity 3,100.00 11/15/2000 - $5,000) 3 With Willem Maas (Maturity 3,100.00 11/15/2000 - $5,000) 4 With Jeff Lampley (Maturity 3,100.00 11/15/2000 - $5,000) 5 With John Lampley (Maturity 3,100.00 11/15/2000 - $5,000) 6 With Joel Lampley (Matures 3,100.00 11/15/2000 - $5,000) 7 With Robert Lampley Jr. (Matures 3,100.00 11/15/2000 - $5,000) 8 With Robert Lam~ley, S7. (Matures 3,100.00 11/15/2000 - $5,000) 9 With Alexander La~ley (matures 1,100.00 11/15/07 - $3,000) l0 With Aaron Lampley (Matures 1,100.00 11/15/07 - $3,000) 11 With Kristen Lampley (Matures 1,100.00 11/15/07 - $3,000) 12 With Lauren Lampley (Matures 950.00 10/15/09 - $3,000) 13 With Jacob Lampley (Matures 850.00 10/15/10 - $3,000) TOTAL (Also enter on line 7 Recapitulation) ~$ k ~' 29, 900 00 (If more space Is needed, insert additional sheets of same size.) PA15101 NTF 1217A Copyright Forms Software Only, 1994 Nelco, Inc. N9aPA101 "`"-' " `"~`"-°°' SCHEDULE H FUNERAL EXPENSES, COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND IN RESIDENT D CEDENT N MISCELLANEOUS EXPENSES Please Prlnt or Type ESTA TE OF FILE NUMBER RST F'Tr,F. H7, TAMPT,F:V 21-1996-0038 ITEM NO. DESCRIPTION AMOUNT A. Funeral Expenses: See Schedule attached Total from continuation page(s) 1,400.00 B. Adminlstratlve Costs: 4*-'`~ 1. Personal Representative Commissions 0.00 Social Security Number of Personal Representative: Year Commissions paid 2. Attorney Fees - Mette, Evans & Woodside 2,000.00 3. Family Exemption 0.00 Claimant Relationship Address of Claimant at decedent's death Street Address City State Zip Code 4. Probate Fees 88.00 C. Miscellaneous Expenses: None TOTAL (Also enter on line 9, Recapitulation) $ _ _ 3, 48~. 00 ~n inure spade ~s neeaea, insert addlUOnal sheets of same size.) PA151 t 1 NTF 7218 Copyright Forms Software Only, 1994 Nelco, Inc. N94PA111 Estate Of : FS'TTF'.T T.F. W. LAMPL~Y SC~~UL,E H, PART A -- Funeral Expenses Item No. Description Page 2 21-1996-0038 Amount 1 Camp Hill Presbyterian Church 100.00 2 Violinist for Funeral Service 50.00 3 Soloist for Funeral service 50.00 4 Ftilnexal Luncheon 605.00 5 Parthemore Funeral Home - Flowers for Memorial Service/Death 162.00 C.extificates 6 Paper goods for Luncheon 49.00 7 Malloy Lampley - Memorial Service Dinner 384.00 'I'OTAL.(Carry forward to main schedule) 1,400 • REV-j512 EX+(1/93) COMMONWEALTH OF PENNSYLVANIA SCHEDULE INHERITANCETAXRETURN DEBTS OF DECEDENT, RESIDENTOECEOENT MORTGAGE LIABILITIES AND LIENS Please Prlnt or T1 ESTATE OF FILE NUMBER FSri*F~rr,F. W, rar~rFV 21-1996-0038 Copyright Forms Software Only, t994 Nelco, Inc. N94PA121 ~~~ r~rore space is neeaea, insert aaaluonal sneers of same size.) PA15121 NTFZaao REV-is73 EX+(2-87) COMMONWEALTH OF PENNSYLVANIA SCHEDULE J INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER FST FTJ,F. jti], rAMP?,F.V 21-1996-0038 ITEM NO NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR . SHARE OF ESTATE A. Taxable Bequests: See Schedule attached ~.. ~~~~~ a JFJCVC 13 IICCUCQI meet[ aaa~iwna~ sneers of same size) PA15131 NTF 1220A Copyright Forms Software Only, 7994 Nelco, Inc. N94 PA737 Estate of : FSrPFT r,F W. LAMPLEY SC[iIDUI~ J, Part A -- Taxable Bequests Item No. Name and Address of Beneficiary Relationship 1 Margaret L. Maas 482 Woodcrest Drive Mechanicsburg, PA 17055 2 Jeff La~ley 2209 Forrest Haven Blvd Edison, NJ 08817 3 Alexander Lat~ley 2209 Forrest Haven Blvd Edison, NJ 08817 4 Aaron La~ley 2209 Forrest Haven Blvd Edison, NJ 08817 5 Kristen Lampley 2209 Forrest Haven Blvd Edison, NJ 08817 6 Robert Lampley, Jr. 316 McWhorter Road Easley, SC 29642 7 Lauren Langley 316 McWhorter Road Easley, SC 29642 8 Jacob Lat~ley 316 McWhorter Road Easley, SC 29642 9 John La~ley 2040C Lorraine Road Reading, PA 19604 10 Joel La~ley 165 Lucinda Lane Reading, PA 19610 11 Anthony E. Maas, Jr. 339 Toftrees Ave Apt 317 State College, PA 16803 Page 2 21-1996-0038 Amount ~~ter 1,068.00 Grandson 3,100.00 Great-Grandson 1,100.00 Great-C~andson 1,100.00 Great-Granddaughter 1,100.00 Grandson 3,100.00 G7eat~randdaughter 950.00 Great-Grandson 850.00 Grandson 3,100.00 Grandson 3,100.00 Grandson 3,100.00 ' Page 3 Estate of : ESTF.T T F. W, L,~pI,Ey 21-1996-0038 SQ~Ui~ J, Part A Taxable Bequests Item No. Name and Address of Beneficiary Relationship 12 Julie E. Maas 482 Woodcrest Drive Mechanicsburg, PA 17055 13 Willem Maas 1131 Sanchez Street San Francisco, CA 94114 14 Robert Langley, Sr. (Michael) 2413 Wade Halton Blvd Greenville, SC 29615 Granddauc~ter Grandson Son Amount 3,100.00 3,100.00 3,100.00