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Home My WebLink About95-0070~, I -95-Cx~7a 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 16 2001 Date ,~ Z J~ '/ N1O5.1A9 Rev. 2/87 rFVERRR~T ., rEiwurExr NAME M.ACIC r r Q r~ Q O W 2 ~ • Fran eropoli, ' act Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLWINIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ~'88~20 A( _. __~~~• r .~~.~ast SEX BOCCIE SECURT'NUMBEA._.__ DATE OF D&VH(MOrah, DaN lhar) 1. AGE (Laq BaBaday) UNDER, uN ,~. ~~~,,,, 2. a ]• 161 - 26 - 9802 •• Se t. 6 1994 ModM ; D•Y. Ibura i MYana (MaM, Day. Near) s C~ouMr~11 ~ DEATH (Cla9ck aayona-sea irMrucaoryon ollaar aitla) OTHER: Vra. RADUpatlwa ^ DW ^ - ~~~ Se t . 28 ,190 W sox , PA ;; ""'" ® E II"o~ ^ RaaWeaca ^ ~,,,, ^ ~ CTTY, BORO, TV/P OF OF RH F#C0.RY NAME M nd aoaaa8on, 0're sreNantl nrMer) NITS DECEDEM OF HISRINIC ORIGIN? RACE-Am•darr IMaq BIacA VIhAe sta _~,~ . , . - Cumberland Carlisle Carlisle Hospital ~ fa ® ~ " „ ~Ky'Cu°'"• ' ~ ~ , ,,, q, ~ . White DECEDENTS USUAL OOCUPIGKJN KIND OF BUSNJESSMIWSTRY V813 DECEDEM EVER IN DECEDEM'S EDUGVION f• MARffAL S,RUS-~~ 10. fGn.Mradarorlraonayrao moN u.s.ARMED s7 ode NawrMNrbd sURVIVINGSPOIISE dwalraglMa;mrptuaeredred.l Wltloaad , , ~Y [nwia..waraNmtrauna) „~ Geneolo ist ,,, Own Business "" ^ "° ^ ~ n~*, °"°"° - . DECEDENr3 MAw,G aIDORESS 11 ,]. 4 14 Widowed 18• tstrNe, cNiw~rra, sra, z,Ia catla) DECEDENrs Alliance Home AcruAL ,T.. Slab_ pA ae ,TO.^ Nq, tlayde,plMtlln 770 South Hanover St. ~••"a ""'d°'" ""° w m . . ,.. • onarbraide> 1i0. Np7 "oi°"` na .waa a.l~a. FQHER'S NAME (FrN, Miele, Lmq MOTHER'S NAME (Fret. Midde. Heiden Srrrnraae) cllyl0o~. ,. Orlin W. Hoa land - ,..A nus Sara Coolbau h INFGRMANTS NAME (TYfa•'Prin) INFORMANTS MAKTNO ADDgES.4 (Strati. CNlTOarn, slab. ZiP Cab) 20 Alliance Home a• 770 South Hanover St. Carlisle PA 17013 METHOD aF DISPOS IT I O N ~ , T - ~ DATE OF DISPOSITKNI PUCE OF OISPOSRION-Nomad Bur1NA..J Cr•abtian^ RNnovN hqn Stale^ (Mana1 D•Y•)bar) arOmN CernNNy, CramNOry LOCATION-Cpylibwn, Slala. Ilp Deda - DorMtwn^ otnN '7fgsox Cemetery ysoRnTwp. Bradford Co. , PA "` ^ ],b. Se t . 12 1994 2,i , ~~~ ING AS SUCH ucENSE"`RISE" NAME AND ADDRESS OF FACILffY Hoffman-Roth Funeral Home 2,, 010343 L . aA«roz3K _ rn phyaida brat avaaWMNtlmedb (SignaNre dn,y a' ,aeam ocarrW Ntlr Wia.AW and pbea Natad LICE D °'""°"°°f° " R 33{`173 L (Monm/,TDa.Neu)/~ " , ~a UumGcrrdsn. ~ 9 ~ . Mma 2428maN wcDalpbbdfay Aff OF DERH ~• 2]0. V ~ Ulo parson rrlb prarauncw tleNh. I h ro ~ D~'Oa `~ ~ NMSCASE REFERRED iO MEDICAL EXAMINEgA;pgONER7 JS ( ( • M. ~ / x1. IT wa ^ No LN 27 M11T 1 ~ . : EMN ~.bA•bs oroompBCNp,ba,aictr eNraetl tlra tlatlh. DO nol anbrtlb nwdadtlyap, sudr as wdaec arrNpir.bry yraN•allp:kahuRiNlura I.iN pray tlWaons Yabr rA oAlmN . . pp a MRT N: OtMralpnMCad cp,dlWna contrl6dagb hMh, bul f atlr not raeuaaq kl ma urleadyig aaaafyr•nb MRTI. MIMEDUITE CAUSE (F'vaal jamNantl de tlieaeaewcwgition -, t,,, rwc^a exam)-~ a ~ ah~ P f~l ~r~ ~l l ~ k 1'e . -, DUE TO(IXi AS A CONSEQUENCE Of7: SNTaNaleNaa carrdWOrb b. ' M b d Nry, a nV loamisdlga ( IwEro(oR gsgcoNSEOUENCE D~: I earw.EnbruNDERLrNq c I uusEtT>treaaaor,aNry ~ i t 81N rNbteO eranis WE ro (OR As A CONSEQUENCE OF): reauArg in eeem) LAST d. ~ MM3 AN AlgOPSY V/ERE AUTOPSY flNpNGS MANNER OF DEATH DATE OFIWURY TIME OFIWURY INUURY AT V/ORK7 DESCRIBE HOA'IWURV OCCURRED. PERFORMED? AVAILABLE PRN)R TO (MOrlm, DeY. Nrer) COMPIETpN OF CAVSE ,may OF DEATHT NeNrN 10- HomkWs ^ Accidera ^ Pandrq MN•NlOatioa ^ Yn ^ No ^ Nee ^ No ~ Yea ^ No ^ Suiclda ^ Could notWealNminM ^ ]80. M. ]80. PLACE OF INJURY-Al Mma farm NraN bcbr ili , . , y, o ca LOCATION (Strati. CilyR .Sole) h•- 2b. ~ b"aelr'9, Nt. +SP•cM1 ]M. ~N ~ a T IFYING ' PNYSICIANIPhYai®ac•rMY~n9 cweedtleam-laenarioeaa PMbdenlw Pronauncetl eaem antl ~nlabbd Item 23) To iM baN d my wr•.rdl.. Mash eeeurrad erN to tlb eaun(a) arq mNaw r NNed V AND T~R~E .............. . . ................................ ^ • • ~ 710. •L.J a TPRONOUMCIND ANO CEIITIFYIN6 PMYSIGAN (PhYSidan bam gaawncinp tlea]a arq c•'taY+'0 to cause d tlwm) ~ a'Yk^a'M•IP.eMMOecurrae NlM,A•., Bala. and pbe•,aM da.tam•rarr.yq aerem.mrN as Nabd .......................... LICENSEfIU ~~,n O ~ ~ - F DATE SIGNED ~yvy Qay, y ) ]ie./r V 314 I/!Y7'/LY 'MEDICAL EXAMINER/CORONEp NAME AND ADDiIESS OF PEgSON VMO COMPLETED CAUSE OF DERH (ttem 27 ) Type or Priut ,rrannM p ffN ntamMNlon NM/OI InVeall9NlOn. M mY eplRber. fMi"r OCCYIMd N MN Nrlb. tlalar Yltl pMCe. arM dYa tO,h• CaYN(i~ alld ._ ~u r ,M r\ / \ - }c a (A ~ ~y I e r Vl ],,. ................ .... ^ REGISTRAR'S SKiNATURE UMBER ..•.:. •••.•••.•. •.••..•••..••..••... .•••.••..... -~ 220 v.11)3 ~ /n~ CIS I` /~ ]2. 0.rI~S•IlT P,4 ~ 1v~~ C DATE FILED IMmm, Day, r) r~ 37. _ ~,~.~~. ~ H ('}'I. 31. SQ~... ~ ~ l~~ _ . ~, ~,_.. P~','L'YT~®N F4R PROBATE and GRANT OF LETTERS ,Mate of Edward Coolbaugh Hoaglan~o, ~~--- 7 ~ `7® also kno~vr as Edward C. Hoagland To: Register of Wills for the _ Deceased. County of Cumberland in the Sxiai Sect~riey~ Flo. l C 1- 2 6 -9 8 0 2 _ Commonwealth of Pennsylvania ' The petition. of the undersigned respectfully represents that: Your petitioner{s), who is/are 18 years of age or older an khe execut named in the cast vriIi of the above decedent, dated Apr i 1 4 , !g 92 and codicil{s) dated (state relevant cirenmstances, e.g. renunciation, death of executer, eteJ ' l3ecende,tt tiwas domiciled at death in Cumberland County, Pennsylvania, with .'t. i u ~ 1 ost far.~ily or principal residence at _ 770 S ~__ Hanover St . ,Carlisle, PA 17013 ` (list street, numbtr and muncipality) Decendent, then 85 _ years of age, died September 6 ~ 19 44 at~~~le Hospital, Carlisle, 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 kilLng and was never adjudicated incompetent.: . Decendent ar. death owned property with estimated values as follows: (If domiciie~~, in Pa.) All personal property $ ;. J ~ 6 ~y d (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: W1FiEREp'ORE, petitioner(s) respectfully request(s) the probate of the last will and codicil{s) presented herewith and the grant of letters testamentary (testamentary; administration e.t.a.; administration d.b.n.c.t.a.) thPron. ~---~ (~ v ~~ ~ ~ K neth A. Baker T2<~rSc~a.~~t..- a v ,~ ~ ~.c cn :''I-tR ~-r'ti7-.~.t/ 7~JlX~ci CTj i"1/~- „`~v G'.N.~~ST1/N 1.~,~~ M~SJb~/~~h /lt.~-i,F.vtF ~a ~`o -J C OATH ®F PERSONAL. REPRESEi~iTATIVE C®I~itd3[~N`VEALTH OF PENNSXLVANIA ~ ss :~ ~ C'LlICTN'FY ~~ _~Cumberland i.:' i ~,, ' The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- -~ tative{s) of the above decedent petitioner(s) will well and truly admi 'ter the estate according to law. ~.~`' f _ ~ t::-~ ,;;. Sworn to or affirt~c~~ and subscribed r„ before me this day of ,r-°~~w`~' - _ Dec ~r 19 4 m tom. ~~ ~~~ ~itr~~T o, ~x-~ o ~~. •i f~~,4f'c~n' ., . L E W I S Registe r ,•~~. '~: - -- ~' ~: ,, ,, -- - --- __ ~ dt 5err ,~.~. .. :", y-^"~y,~~,~±f"F~': .a;~r[ .. .91'Ma '^F~F"95 r?.+led r-n+'g~.»..,, -.:.:p+1~'y -4Y -,_ „n... s. ~ ,.,, y .. "G _ _ .. ...~., '~t`!V-;i's"ra- - ,, .~ ~v'~'w'~`~'•=1~"^W'~. AC's '•~ `^~._ '4'.. \~ ,, .'.' ~,a;' cf;WARQ COQLB~,!iGH i-iQ%±uLAivD ~,/lt/a ~} ~~~~~3~g'~` *to~5~~~a ~^ i%s , cL.i+aM 5 ~~!'i?.~~ i~m.~~~+ ~%.4.~A.t 1~l'~T~ ~3''S= 3e.s~~E. 3}7J. .J;~°~ii1aRY CF a °" _._._~.T_____~_ ~___________._. I"__ S _, it ~ ~~~tir=4icTf ~i .':~° ?.~titi 3:'. ar. ' ._':t .. .s._.`~, _, :7Ctnrsl 7F'COf ~::t.'Yi~ '~~.. r';'G",'~k~t4Ci }:~+~ ~ .. , :.a ,... ~'}_ ~..... ~i' ?.a:...: `.~ ??'Sr.S'i.?.~''dE:l?1y~3 ~^.t~d.~.._- FSt=~~~ i~_- T i ~ 1 C __~._. .~_ rI'd,v t ~'::~'~: '.t i;1; ~:?d7t!t:~ii t0 ~.'Q~i'31t ?22::+. FI^u'~ ~''tr T4:C~YCY =?S i,~2v tL'„1 'WZ~~ C3: __ __ ___iR"~,'"~.RO CQuLSr°lUah -;OAGLfi~~' all:/a i:;a~~~l1 C. iiQ~GL~NQ ,.~ _t ~,_,,.x, i'~~Piidi:ii~ A. 3~`',l!rft.Tlttr~sSE3^~Ci: Q~ ~F;L ;=~;T~Rt~ DiSi~IC~ `?~ TriE • - ----r,i'iSTxi;P! tar. ~iCJk4~ i~,.~',l_~i,",!l;t ~ ~~~-- I-T>uS ~. ti' ~?a' `:'z'c ,.'. I:..':.f b,SF nl .......... .D 1 O . V O U;.~ .. ~ J. VV\ s~zic~ .....4,.<,"~~1Jc'1pY..2w.,..i9~.~.......... '_. _. __ k r"~.egis:cr of Wills J i~i,~RY C. LEY~TS F?."d'iQRNcY "3up. Ct. F..v). "do.) F ~r;x~,ss ~i-~oiti~s .~ ~ ~ ~ ~~ wv„ f '~ ' ~ ' :s lTi ( , • --~ - ~ ~ .~ ; fS . ~ ~ ~ ;~:. t_..r _ ~ ~ ~; 1 "'.y c Jt ,may {~ _. ~ "^ . _ ~~ ' : r . 'r~ ~ ' tK, ...... ,r-.. ,. ~. ?_ 1 - 9 5 - ? 0 ,~'s~~IS'I'I;' ~ ~I' ®VI~LS ~I' CCIUi~1'I'Y C3A,~'~ ~F SUI3SCI~II®d~ ~I'I'NESS ~~ codicil (each) a subscribing'wilness to the will presented herewith, 11!'l, depose(s) and say(s) tliat~. _~ ---- -1 the testat ._, sign the same ana tttal~- x reciuest of testat in t~_ preseatce other subscribing witness(es)), j /. Sworn to or affirmed and sd~scribed before me this ~' ~ day of Register being duly qualified according to _ present and saw signed as a witness at the (in the presence of each other) (in the presence of ehe (i~Iame) (Name) (Address) ~IS'I'I•JR ®Ia V~IIY,LS ®I± 1~~.-ml~~ l wd _ C®U1~T'I'x €IA~'~I ®F 1V~~Ri-SUIISCIIIT;Ii~1G vVI'Y'3a1I+ SS G /~ is ~ l o~v ~ -5 y`' /,~~e S /~ ~ lea ~-r,~ (each} a subscr~_ber hereto, (each) being duly qualified according to law, depose(s) and y(s) that ~~~ i S familiaz with the signature of ~D f~~r~ ~.~ 6~~//..U codi 7 tistat^ of (one of the subscribing witnesses to) the well presented herewith and codicil that ~~ ~ be- lie/ves the signature on the will is in the handwriting of C~~ ~/~~.yQ .~ ~s~~~iy D to the best of --~,q,c.-,c-•~~lCnowledge and belief. Sworn to or afficsned and subscribed before me this ~~ ~ ~~ da of , Y C. L i= al I S Register ~3~ ~ l/ (/Name) (Addr+~ss) ~ 7~3'a7 ~; '' , ,, .. ~.,~>~._.. x ~--:'^ - _-,gym W .,,.T%,..,. .,,~,,,...~„ , ,.~.,., ,.s._ ,~.+~,~+,~,g;~,;.. ~"~~"s ~5?ci"rtP+,^;~5?'x x ^~<, ..,;. ..+~ .,y., ~, .:a? .,d:'S~'" M_-'^L^,I-~.ti~iv,',fit4klrs;~^=+r~rr. ~~" L.,t N ~ A ~~: .?./d . ;'ICAS'';'~-7 ?, EDWARD C. HUAGLAND of ;he Township of Wysox. County of ~ I 1 Bradford and Commonwealth of Pennsylvania, do hereby make, publish and I~ declare this as and for my Last Will and Testament. hereby revoking any wi21s by m.e at any time heretofore made. i j ~ I order and direct that all my administration and funeral expenses 1 i be paid as soon as conveniently m4y be done after my decease. I ;i ~ I I give all my books to the Bradford-Wyoming County Library i situate at R. D. #3, Troy, Pennsylvania. • ~ ~ ~/ ~ i give the sum of Twenty-five Hundred ~($~2, 500.00) Dollars to my ~°Ywa~ 1 -~ ;~-ti'•^~- daughter. i~iaybeth Agnes Hoagland Newcomb of ~shawa, Ontario, Canada. 1 give and devise my residence property located in Wysox Township, Bradford County, to The Christian and Missionary Alliance with headquarters ;,. at 260 West•44th Street, New York, New York, with the request that it be used in the establishment of a Christian and Missionary Alliance Church if ~ this seems feasible and practical. In the event that it is not feasible and practical in the judgment of The Christian and Missionary Alliance, I request that the said residence property be used as a home for retired missionaries and tivorkers. If this request in the judgment of The Christian and Missionary Alliance is neither feasible nor practical I direct that the residence property ~ be used as The Christian and Missionary Alliance deems wise. -~ i Ail the rest, residue and remainder of aiy estate I give and f devise to the following in equal proportionate shares: 1) The Living. Endowment FZind of the Nyack Missionary I College, Nyack, New York; ti, ~ ~ I~ ~ ~ .,;; ~ ~ ~i ~ I _. y r ,,.,~. .,.~ - . ~. +~ . .., y ,. „ ~~ F`-` /.. ~ ~~,p :.: „ ,~ .s ~~ a > ~ ~ x~ ~~~ r`k~ ~~ °~.~ r f ~~:.P ~: ... a ~' 2) The American Aible College of Chicago, Illinois; ` 3) God's Bible School of Cincinnati, Ohio; 4) Shelton College, Cape Canaveral, Florida. Should any of the four above named be non-existent at the time of my death, I direct that its share shall be divided among the others, share and share alike, I do hereby empower my Executor hereinafter na-ned to sell any real estate of which I might die seized, other than that heretofore given to'Ihe Christian and Missionary Alliance, at public or private sale, upon such terms and conditions, and for such prices as in his discretion and judgment may be deemed best, and to make, execute and deliver to the purchaser or purchasers thereof, good and sufficient deed or deeds therefor, without petitioning the Court to do so, the same as 1 could if living, without any obligation on the part of the purchaser or purchasers thereof as to the proper and faithful application of the purchase money. I appoint the Treasurer of the Eastern District of'Ihe Christian and Missionary Alliance to be the Executor of this my Last Will and Testament, and direct that no bond of any nature be required of my Executor. I further direct that the usual Executor's commission be paid into the Eastern District fund of The Christian and Missionary Alliance, IN WITNESS WHEREOF, I have hereunto set my hand and sea3. to this my Last Will and Testament this ~~day of ~ 1972, ~ D,.,..z..~ ~.~ ,~, O csEA Signed, sealed, published and declared by Edward C. Hoagland ~ ~' I `~ / ~f '~'. ~ _ ,~ ~ ~ ~ ~ - ~~ V .. a~ __. .~ i i I 1 1 g ~~ '~ '. :k: C i,he above nr=med Testator as and for his Last Wi21 and Testament, in the prese:xe of us, who in his presence, ir_ the presence of each other and at hi.s re;,uest have subscribed our names hereto as witnesses. WltneSS ~ ~ ~j'Q~~ i yy ~__~S ~L'itness ~,7.~ --M~ ~' e~ ~~ ~ t 4 ~ kf~ ~ i i ~ -- , ~' d :2'f "` i ~~ ~ -- ' \ ~~~ "-~ f~ ,Y~ r r r `~+ r !tl f ,~_, !rk ~ •~ ~ ~~ +.w ~~~. ~nh way ~r ~ i ~~ f i ' v ., ~i REV-1547 EX AFP (12-94) CDMMDNMEALTH OF PENNSYLVANIA AC N 1 0 1 DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX BUREAU•OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPT. 280601 OF DEDUCTIONS AND ASSESSMENT OF TAX 4HARRISBURG, PA vlzB-o6ol DATE 10-02-95 ESTATE OF HOAGLAND EDWARD C FILE N0. Zl y5-UUiU DATE OF DEATH 09-06-94 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: HAROLD S IRWIN III REGISTER OF WILLS 36 S PITT ST CUMBERLAND CO COURT HOUSE CARLISLE PA 17013 CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t ---------------------------------------------------------------------------------------------------------------- REV-1547 EX AFP (12-94) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HOAGLAND EDWARD C FILE N0. 21 95-0070 ACN 101 DATE 10-02-95 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOT IC E RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL AND SUPP LEMENTAL RETURN N0. O1 1. Real Estate (Schedule A) (1) .00 2. Stooks and Bonds (Schedule 8l (2) .00 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 4. Mortgages/Notes Receivable (Schedule D) (4) .00 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 116,604.74 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 8. Total Assets (g) 116,604.74 APPROVED DEDUCTIONS AND EXEMPTIONS: 2,234.00 9. Funeral Expenses/Adm.~Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (101 15.490.10 11. Total Deductions (11) 17.724.10 12. Nat Value of Tax Return (12) 98,880.64 13. Charitable/Governmental Bequests (Schedule J) (13) 108,968.48 14. Net Value of Estate Subject to Tax (14) 10,087.84- NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17 and 18 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) . 00 X .03_ .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) •00 X .06. .00 17. Amount of Line 14 taxable at Collateral/Class B rate (17) .00 X .1 5. .00 18. Principal Tax Due (lg) .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+l DATE NUMBER INTEREST (-) AMOUNT PAID 07-24-95 AA048030 .00 147.38 TOTAL TAX CREDIT 147.38 BALANCE OF TAX DUE 147.38CR INTEREST .00 TOTAL DUE 147.38CR * IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN 51, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE ~~ ~ REV-1 d70 E% (6-881 COMMONWEA}TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU Of INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 DEG~DENT'S NAME Aoat~land. Edward C. INHERITANCE TAX EXPLANATION OF CFIANGES FILE NUMBER 0 TAX EXAMINER: .awr n Szollosy PAGE ~~~ I, EDWARD C. HOAGLAND of the Township of Wysox, County of Bradford and Commonwealth of Pennsylvania, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any wills by me at any time heretofore made. I order and direct that all my administration and funeral expenses be paid as soon as conveniently may be done after my decease. I give all my books to the Bradford-Wyoming County Library situate at R. D. #3, Troy, Pennsylvania. `' J i I give the sum of Twenty-five Hundred ($2, 500.00) Dollars to my is > '~--~wv daughter, Maybeth Agnes Hoagland Newcomb of Ashawa, Ontario, Canada. I give and devise my residence property located in Wysox Township, Bradford County, to The Christian and Missionary Alliance with headquarters at 260 West~44th Street, New York, New York, with the request that it be used in the establishment of a Chri t an and Missionary Alliance Church if this seems feasible and practical. I~e-~"vent that it is,*riot feasible and practical in the judgment of The Christian and Missionary Alliance, I request that the said •residence property be used as a home for retired missionaries and workers. If this request in the judgment of The Christian and Missionary Alliance is neither feasible nor practical I direct that the residence property be used as The Christian and Missionary Alliance deems wise. All the rest, residue and remainder of my estate I give and devise to the following in equal proportionate shares: '° 1) The Living Endowment Fund of the Nyack Missionary College, Nyack, New York; . ~, 2) The American Bible College of Chicago, Illinois; 3) God's Bible School of Cincinnati, Ohio; 4) Shelton College, Cape Canavaral, Florida, Should any of the four above named be non-existent at the time of my death, I direct that its share shall be divided among the others, share and share alike. I do hereby empower my Executor hereinafter named to sell any real estate of which I might die seized, other than that heretofore given to The Christian and Missionary Alliance, at public or private sale, upon such terms and conditions, and for such prices as in his discretion and judgment may be deemed best, and to make, execute and deliver to the purchaser or purchasers thereof, good and sufficient deed or deeds therefor, without petitioning the Court to do so, the same as I could if living, without any obligation on the part of the purchaser or purchasers thereof as to the proper and faithful application of the purchase money. I appoint the Treasurer of the Eastern District of The Christian and Missionary Alliance to be the Executor of this my Last Will and Testament, and direct that no bond of any nature be required of my Executor, I further direct that the usual Executor's commission be paid into the Eastern District ', fund of The Christian and Missionary Alliance. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament this ~~~~day of CL• ~(`` 1972, {~. ~- \ ~ ,. ~ ~ / (SEAL Y Signed, sealed, published and declared by Edward C. Hoagland She above named Testator as and for his Last Will and Test am ent, in th e presence of us, who in,his presence, in the presence of each other a his re nd at quest have subscribed our names hereto as witnesses. Witness - ~ G~ Witness / ~~ ~ ~/ n ~ / L ~ (.~' ~ 1 REV.1500EX+17-9a) ~~ ~~~~ .r. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 1 7 1 2 8-060 1 DECEDENT'S NAME (LAST. FIRST. AND h r+u ~v+cR~rVt~lutDiCE ANO NAME Hoa land Edward C. w SOCIAL SECURITY NUMBER - DATE OF DEAT 1 1-26-9802 9 6 p (IF APP~ICA BIEI SURVIVING SPOUSE'S NAl1E (LAST, FIgST AND MIDDLE INITIAL( ~ ®1 • Original Return YQTn Y oo ^ 4. Limited Estate = U a m [~' b. Decedent Died Testate (Attach copy of Will) ,~ to z w u.l a: p ¢Z O ~ U ~ z 0 a J a a z 0 a 0 a 50124402 INHERITANCE TAX RETURN RESIDENT DECEDENT ~~ (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) FOR DATES OF DEATH AFTER 14131191 CHECK HERE IF A SPOUSAL POVERTY CREDIT IS CLAIMED ^ FILE NUMBER ,~~ 11'95 - X10070 COUNTY CODE YEAR NUMBER 770 S Hanover Street EOF BIRTH Carlisle, PA 17013 9 28 08 coDDlYCumberland ^ 2. Supplemental Return ^ 4a. Future Interest Compromise (for dates of death aher 12-12-82) 7. Decedent Maintained a living Trust (Attach copy of Trust) ~tlAl TAX (NFQRMAit~N s-~teu~n ~ ^ 3. Remainder Return (for dates of death prior to 12-13-82) ^ 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes w' III ELEPHONE NUMB R ••,•~~ •~~~,L11..~r.vuRCaa ~ ~1`, 3[T019 ~ /! E 717 243-6090 ~ ~ lJ ~ ~ ~' ~ 1 . Real Estate (Schedule A) (1) '~ NONE- 2. Stocks and Bonds (Schedule B) (2) NONE 3. Closely Held Stock/Partnership Interest (Schedule C) (3) NONE 4. Mortgages and Notes Receivable (Schedule D) (4) NONE 5. Cash, Bank Deposits 8~ Miscellaneous Personal Property (5) 1 16 , 604.74 (Schedule E) 4~ ,__- b. Jointly Owned Property (Schedule F) (b) NONE `~ 7. Transfers (Schedule G) (Schedule L) (7) NONE e o a o Ine 21 and 21A on Llne 218. This is the BALANCE DUE. (218) Make Check Payable to: Register of Wills, Agant ~-. . C I •-.,I 8. Total Gross Assets (total lines 1-7) (8) 116 , 604.74 9. Funeral Expenses, Administrative Costs, Miscellaneous (9) 2 r 234.00 Expenses (Schedule H) 0. Debts, Mortgage Liabilities, Liens (Schedule I) (10) ~ 5 490 10 1 . Total Deductions (total Lines 9 & 10) (1 1) 17 , 7 2 4 . 1 0 2. Net Value of Estate (Line 8 minus Line 1 1) (12) 9 8 , $ $ 0.64 3. Charitable and Governmental Bequests (Schedule J) (13) 10$, 968 .48 4. Net Value Subject to Tax (Line 12 minus Line 13) (14) ~ 10, 087.84 S. Spousal Transfers (for dates of death aher b-30-94) See Instructions for Applicable Percentage on Reverse Side. (Include values from Schedule K or Schedule M ) (15) x. _= _ ~ _ . 5. Amount of Line 14 taxable at b% rate (16) (Include values from Schedule K or Schedule M.) x .Ob = _ (1 _ ~. Amount of Line 14 taxable at 15°/a rate (17) ~ (Include values from Schedule K or Schedule M.) x 15 - 3. Principal tax due (Add tax from Lines 15, 16 and 17.) - ~ _ ~. Credits Spousal Poverty Credit Prior Payments Discount Interest (18) I. If Line 19 is greater than Line 18, enter the difference on Line 20. This is the OVERPAYMENT. (2p) - 0 - If line 18 is greater than Line 19, enter the difference on Line 21. This is the TAX DUE. (21) - 0 - A. Enter the interest on the balance due on Line 21A. - 0 B Enter th t t l f L' (21A) - - ~ ~ BE SURE TO ANSWER ALL QU Under penalties of perjury, I declare that I hove examined this return, ~t is true, correct and complete. I declare that all real estate has been r based on all information of which preparer has any knowledge. :jf~i~URE9f PER~tJ RESPONSIBLE FOR FILING RETURN ennocec PARER OTHER - 0 - - 0 - SON. REVERSE SIDE AND TO-RECHECK MATH ~ ~' accompanying schedules and statements, and to the best of my knowledge and belief, at true market value. Declaration of preparer other than the personal representative is DALE -- Pottstown PA 194 4 "`~ SENTATIVE ADDRESS - ~ C) C) ~j ~~36 S Pitt St, Carlisle, PA 17013 ~ ~~ 1995 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% (.D3) 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 l/1/98 will be exempt from inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK ~,~) IN THE APPROPRIATE BLOCKS. YES NO 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, 1962, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................................... 3. Did decedent own an 'in trust for'. bank account at his or her death? ...................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. REV.1502 Ek. (12~85i COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Er~ward C. Hoagland 1995 - 00070 (Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All rea! estate should be reported at fair market value which is defined as the price at which property would be exchanged between o willinst buyer and a willing seller..,.~,,i,o~ I,es.,............~~_~ to I ' r TOTAL (Also enter on line 1, Recapitulotioni I S N(1NF. " REV-1303 EX+ (4-86) r COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT !lTAT~ fir" SCHEDULE B STOCKS AND BONDS Edward C. Hoagland 1995- 00070 (AII property jointly-owned WItF~ RIaI1t of Surviver~6in .....d Le .1i..1~._J ~~ !_L_J__1_ ~ RE V.I50? Ex. p_681 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES AND NOTE5 RECEIVABLE Please Print or ESIAIE OF FILE NUMBER Edward C. Hoagland 1995 - 00070 i^•• r••+rQ••Y Ivmny-owned warn the K~ght of Survivorship must 6e di~do:ed .... G6ed..le c ~ (If more space is needed, insert additional sheets of some size.) aev.uoe ex+ iz-eel ~.+~ ~~ SCHEDULE E CASH, BANK DEPOSITS AND COMMONWEALTH OF PENNSYLVANIA MISCELLANEOUS INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ~~ IAI r Ur Edward C. Hoa land (All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F) ITEM NUMBER DESCRIPTION Please Print or T E NUMBER 995 - 00070 1. Balance of Assets in Living Trust (value based on date of death valuation as attached). 2. Proceeds of Checking Account - Farmers Trus Company,, Account No.: 10-32712 (statement attached). 3• Personal Property (value based on sale price - statement attached). TOTAL (Also enter on line 5, Recapitulation) $ (Attach additional 8y:" x ll" sheets if more space is needed.) VALUE AT DATE OF DEATH $108,968.49 7,369.25 267.00 ,604.7 HEV-Ijp9 E%+ !1288) 1~ rr~~ ~ !U COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF _ Edward _C. Hoa land ' Joint tenant(s): NAME A. N/A B. C. SCHEDULE F JOINTLY-OWNED PROPERTY ILE NUMBER 1995- ooo~n RELATIONSHIP TO DECEDENT Jointly-owned property: ITEM NUMBE LFORR R JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSET DECD'S ~/a INT. DOLLAR VALUE OF DECEDENT'S INTEREST ~ ~ I i NONE IVTAL (Also enter on line 6, Recapitulation) $ NONE (If more space is needed insert additional sheets of same size) S , ' REV.1F10 EX+ (2-87) ~. ~~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT - - ESTATE OF SCHEDULE G TRANSFERS i i PLEASE PRINT OR TYPE r~~c ~wmoeK Edward C. Hoagland 1995- 00070 THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER T[1 eNV nc ruc ni reenr.ae .... ~.._ .._.,____ _.__ _ _ __ __ I NU . - -----, ..-~.. ~~~~~....,~. ,nrers or same s¢e.) 2EV-1511 EX: (78 8) ~. ' .:~ SCHEDULE H ~., ~> ~;.~. FUNERAL EXPENSES COM , MONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND I NHERITANCE TAX RETURN MISCELLANEOUS EXPENSES RESIDENT DECEDENT ESTATE OF Please Print or Type FILE NUMBER Edward C. Hoagland 1995-00070 ITEM NUMBER DESCRIPTION _ AMOUNT A. I Funeral Expenses: 1. I Hoffman-Roth Funeral Home ($1,262.00 g• i ~ Administrative Costs: I ~. ~ Personal Representative Commissions ~~ i _ _ Social Security Number of Personal Representative: Year Commissions paid 2. Attorney Fees Harold S. Irwin, III ~~ ~ ~ 3. Family Exemption 7 • 00 Claimant Relationship ~ ' Address of Claimant at decedent's death "'- j Street Address !' City State Zip Code 4. Probate Fees Register of Wills C• Miscellaneous Expenses: 69 • 00 I ~~ j Harold S. Irwin, III - 1994 Income Tax Preparation 50.00 2. ' IRS - 1994 Income Tax 66.00 3. Register of Wills - filing fee 25.00 4. Harold S. Irwin, III - notary fees 12.00 5. b. 7. 8. ~~ TOTAL (Also enter on line 9, Recapitulation) ~, $2 , 2 . 00 'V~' (If more space is needed, insert additional sheets of same size. ~ ~11'I~~~ ~~ y ~.F v.!512 EX. (1931 ~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Edward C. Hoa land ITEM NUMBER DESCRIPTION ~ Alliance Home - medical bill I 2• ~ Masland Associates - medical bill i i 3• Carlisle Imaging Associates - medical bill 4• ~ ATS Medical - medical bill 5• RWC Emergency - medical bill 6• J. Edward Dagan MD - medical bill 7• I Penrose Place Pharmacy - medical bill 8. ~ Belvedere Medical Corp. ~; medical bill 9. Healthcare Billing - medical bill 10. Carlisle Hospital AMOUNT $ 171.43 1,086.00 199.00 222.50 172.00 110.00 36.02 395.00 181.20 / 12,916.95 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Please Print or FILE NUMBER 1995-oon~n TOTAL (Also enter on line 10 Recapitulation) $ (If more space Is needed, Insert additional sheets of same size.) L' ~° ~''~~ SCHEDULE J _~-`-~°~"FA`T" aF PE"NSVtvANIA INHERITANCE TAX RETURN BENEFICIARIES _ _ RESIDENT DECEDENT F ST~TF f1c Edward C. Hoagland . ITEM ' NUMBER i NAME AND ADDRESS OF BENEFICIARY A. Taxable Bequests: May Beth Agnes Hoagland Newcomb (listed as beneficiary in will; how- ever, no assets available in estate for payment of this bequest.) ITEM NUMBER FILE NUMBER 1995-00070 RELATIONSHIP AMOUNT OR SHARE OF ESTATE Daughter $2,500.00 NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE i~ ~. ~.nunrawe and Governmental Bequests: ~ Bradford- Wyoming County Librar however all books Y (listed in will; given to library in decedent's lifetime.) 2• The Christian & Missionary Alliance (listed in will however, property conveyed to Christian Missionary Alliance in decedent's lifetime.) 3• Christian & Missionary Alliance (25% of living trus 4• ~~ Nyack College (lts.75% of Living Trust) 5• American Bible College (18.75% of Living Trust) 6• God s Bible School (18.75% of Living Trust) ?• Bob Jones University (18.75% of Living Trust) - TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) Books Real Estate $27,242.12 20,431.59 20,431.59 20,431.59 20,431.59 c .~~,. (If more space is needed, insert additional sheets of same size) 1 ~ o , y o is . 4 tl a ~~~~~~.~~. ~~--/off- ~` REV-1500 EX+(7-94J ~, __AMENDED FOR DATES OF DEATH AFTER 12131191 CHECK HERE INHERITANCE TAX RETURN pOVERTOYUCREDIT IS CLAIMED ^ -~ RESIDENT DECEDENT FILE NUMBER COMMONWEALTH OF PENNSYLVANIA /'~ (TO BE FILED IN DUPLICATE DEPARTMENT OF REVENUE V ~I X95 - X070 DEPT. 280601 WITH REGISTER OF WILLS) HARRISBURG, PA 17128-0601 COUNTY CODE YEAR DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) NUMBER DECEDENT'S COMPLETE ADDRESS Hoa land Edward C. 770 S. Hanover Street Z SOCIAL SECURItt NUMBER wo DATE OF DEATH DATE OF BIRTH Car 11 s 1 e , PA 17 013 W 161-26-9802 9 6 94 9 28 08 ccuN ~ V M , ~~~ ~ ~. tV +? O IIF APPIICABLEI SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAIt SOCIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONS) x a h ,_ 1. Original Return ~ 2. Supplemental Return ^ 3. Remainder Return '~ (#or dates of death prior to 12-13-82) c c ^ 4. Limited Estate ^ 4a. Future Interest Compromise ^ 5. Federal Estate Tox Return Required c' ~ m `1 (for dates of death after 12.12-82) c ®6. Decedent Died Testate ® 7. Decedent Maintained a Livin Trust 9 .Total Numb (Attach copy of Will) (Attach copy of Trust) - er of Safe Deposit Boxes ALL`COt~R~~ . ,.. r ~, `.~ ~ - E f- NAME ,. . .5~`4" !_~~',, w w COMPLETE MAILING ADDRESS 0o Harold S. Irw'n III 36 S. Pitt Street ~~ TELEPHONE NUMBER Carlisle, PA 17013 1. Real Estate (Schedule A) (1) NONE C7C~ ~ 2. Stocks and Bonds (Schedule B) (2) NONE ~ ~°; ~.~_? 3. Closely Held Stock/Partnership Interest (Schedule C) (3) NONE - - 4. Mortgages and Notes Receivable (Schedule D) (4) NONE ~.- 5. Cash, Bank Deposits & Miscellanwous Personal Pro ert 5 1 ~ 1 , ~ ~ r4 - (Schedule E) P Y ( ) - 01 Z i~t a 6. Jointly Owned Property (Schedule F) (6) NONE - ~ 7. Transfers (Schedule G) (Schedule L) (7) NONE 8. Total Gross Assets (total Lines 1-7) ~ (~) ~ ~~ , 399 ~ O1 9. Funeral Expenses, Administrative Costs, Miscellaneous (9) 4.484.00 ~ - ' Expenses (Schedule H) 10. Debts, Mortgage liabilities, Liens (Schedule I) (10) 15 , 490.1(_1 11. Total Deductions (total Lines 9 8 10) (11) 19 , 974.10 12. Net Value of Estate (Line B minus Line 11) (12) 111 , 4.24.91 13. Charitable and Governmental Bequests (Schedule J) (13i 108, 968 .49 14. Net Value Subject to Tax (Line 12 minus Line 13) (141 2 , 456.42 15. Spousal Transfers (for dates of death after 6-30-94) See Instructions for Applicable Percentage on Reverse (15) _~_ Side. (Include values from Schedule K or Schedule M.) x' -_ 16. Amount of Line 14 taxable at 6°k rate (16) 2 , 456.42 ~ ~- (Include values from Schedule K or Schedule M.) x .06 = 147.3 $ 17. Amount of Line 14 taxable at 15°x6 rate 17 ~ _ oz (Include values from Schedule K or Schedule M.) ( ) x ' 15 ° - ~ a 18. Principal tax due (Add tax from Lines 15, 16 and 17.) (16~ 147.38 a ~ 19. Credits Spousal Poverty Credit Prior Payments Discount Interest f a '~ 20. If Line 19 is greater than Line 18, enter the difference on Line 20. This is the OVERPAYMENT. (2p) -0- F- ~ ^ , 21. If Line 18 is greater than Line 19, enter the difference on Line 21, This is the TAX DUE. (21) 147 , 3 $ A. Enter the interest on the balance due on Line 21A. (21A) -0- B. Enter the total of Line 21 and 21A on Line 21B. This is the BALANCE DUE. (21B) _147.38 Make Check Payable to: Register of Wills, Agent Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it 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 based on all information of which preparer has any knowledge. SIGNA OF PERS ESPONSIBLE FOR FILING RETURN ADDRESS -~~~ ~ DATE 830 N. Hanover Street Pottstown PA 19464 July SIGNATURE OF PRE PARER OTHER THAN REPRESENTATIVE ADDRESS 19 9 5 DATE - Carlisle, PA 17013 July , 1995 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% (.02j wilt be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97 • 1 % (.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 (-~) IN THE APPROPRIATE BLOCKS. YES NO 1. Di.d decedent make a transfer and: ~, / a. retain the use or income of the property transferred, ....................................................... V 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 ....................................... v 2. If death occurred on or before December 12, 1982, did decedent within two years preceding V 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 considerationi' ................................................................................................... ,• 3. Did decedent own an in trust for .bank account at his or her death$ ...................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. REV-1502 EX+ (12-85) ~ ..~ - ~ .MENDED SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTA' FILE NUMBER Edward C. Hoagland 1195 - 00070 (Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value which is defined as the price at which property would be exchanged 6e+wo..., ., .,.;Ili.... i....,e. __J _ ...:u:__ __u__ __ _..~ .. REV.1503 EX+ (4.86) ~. G.~~ y .~ ~tiLcirS~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Edward C. Hoagland AMENDED SCHEDULE B STOCKS AND BONDS LE NUMBER 1995 - 00070 (All property joit>fly-owned with Ria6t of 5~~...:.....~60........• a._ ~:_r___~ __ ._. ~ _ . REV.IS07 EX + 16-86) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Edward C. Hoagland 1995 - 00070 (All property jointly-owned with Right of Survivorship must be disclosed on Schedule F) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ~ ~ NONE A.:MENDED- SCHEDULE D MORTGAGES AND NOTES RECEIVABLE TOTAL (Also enter on line 4 Recapitulations I S (If more space ~s needed insert additional sheets of same size.) REV-1508 EX + (2-87) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT _ _$NIENDED SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or Type CJIAIC yr FILE NUMBER Edward C. Hoagland 1995 - 00070 (All property jointly-owned with tho Right of Survivorship must be disclosod on Schedule F) ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH 1• Balance of Assets in Living Trust (value based $108,968.49 on date of death valuation as attached). 2. Proceeds of Checking Account - Farmers Trust 7,369.25 Company, Account No. 10-32712 (statement attached). 3. Personal Property (value based on sale price - statement attached). 4 • Refund 5. Life Insurance Proceeds made payable to the estate - Mutual of New York Policy No. 333-22-78. 6. Life INsurance Proceeds made payable to the estate - Mutual of New York Policy No. 414-84-27. TOTAL (Also enter on line 5, (Attach additional 8Yz" x 11" sheets if more space is needed.) 267.00 14.48 ..`7,382.03 .,..~ 7, 397.76 S 13,01 REV-1509 EX+ (12-88) _. `: COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OP Edward C. Hoagland AMENDED SCHEDULE F JOINTLY-OWNED PROPERTY Joint tenant(s): LE NUMBER -- 1995 - 00070 • ~ --- •- ••--~~~ •••~~•• ~aa~nono~ sneers of same size) REV-1510 EX + (2-87( 4` "' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN _ RESIDENT DECEDENT ESTATE OF Edward C. Hoagland FILE NUMBER 1995 - 00070 THIS SCHEDULE MUST BECOMDIFTFneuncuen~er..~..~...,~..__ _.._._____ PMENDED SCHEDULE G TRANSFERS PLEASE PRINT OR TYPE • ------, •••--• • ~~~••.~~~~~ sneers or same sae.) RE V.1511 EX+ p-88) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN _ RESIDENT DECEDENT AMENDED SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Edward C. Hoagland ITEM NUMBER DESCRIPTION A• Funeral Expenses: ~~ Hoffman.-Roth Funeral Home Please Print or NUMBER 1995 - 00070 B• Administrative Costs: 1 • Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid 2. Attorney Fees Harold S. Irwin III 3. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address City State Zip Code 4. Probate Fees Register of Wills C• Miscellaneous Expenses: ~• Harold S. Irwin III - 1994 Income Tax Preparation 2~ IRS - 1994 Income Tax 3. Register of Wills - filing fee 4. Harold S. Irwin III - notary fees 5. 6. 7. 8. TOTAL (Also enter on line 9 Recapitulation) $ (If more space is needed, insert additional sheets of same size.) AMOUNT 1,262.00 3 , O~Qf, p p ~ ~~I.~~~ 69.00 50.90 66.00 25.00 12.00 t 1 ~ (~ REV-1512 EX+ (1-93) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Edward C. Hoagland Please Print or 1995 - ~nn~n ITEM NUMBER DESCRIPTION AMOUNT 1. Alliance Home - medical bill 171.43 2• Masland Associates - medical bill 1,086.00 3• Carlisle Imaging Associates - medical bill 199.00 4• ATS Medical - medical bill 222.50 5. RWC Emergency - medical bill 172.00 6• J. Edward Dagan MD - medical bill 110.00 7• Penrose Place Pharmacy - medical bill 36.02 8• Belvedere Medical Corp. - medical bill .. 395.00 9• Healthcare Billing - medical bill 181.20 10. Carlisle Hospital 12,916.9 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of same size.) 15, 490.10 AMENDED SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS • REV~1513 EJ(+ (2.67) ~~ AMENDED • ~ CO SCHEDULE J MMONWEALTH OF PENNSrIVANIA INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FriT.i~,•-.a n .,- - - - FILE NUMBER ~~un NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR B. Charitable and Governmental Bequests: SHARE OF ESTATE ~• Bradford - Wyoming County Library (listed in will; however all books given to library in d BOOKS ecedent's lifetime). 2• The Christian and Missionary Alliance (listed in will; however r REAL , p operty conveyed to Christian Missionary Alliance in deced ' ESTATE ent s lifetime) 3• . Christian & Missionary Alliance 25 ( % of livin t ~ 4• g rus Nyack College (18.75% of Livin T 27, 242.12 ~' ; 5 g rust). 20,431.59 ~' • American Bible Colle e g (18.75% of Living Trust) • 6. . God's Bible School (18.75% of Living Trust) 20 431.59 f ,f' , 20,431.59- TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also e t , n er on line 13, Recapitulation) ... 5108 , 9~R _ a4 ~~~ more space is needed, insert additional sheets of same size) See Next Page 8. 9. 10. 11. AiMENDED SCHEDULE J B. Charitable Requests (Continued) Living Endowment Fund of Nyack Missionary College, Nyack, New York. American Bible College of Chicago, Illinois God's Bible School of Cincinnati, Ohio Shelton College, Cape Canaveral, Florida ~A'~ ~' 25% -ofj'~2esidue 25% o Residue 25% o~i~esidue 25% of Residue