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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.
auc i s-xool
Date
N706,1q Rsv.7/E7
,r.eRnuT
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NAME
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Fran eropoli, ' ect
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
COMMONWEALTH OF PENNSYLWN{A • DEPARTMENT OF HEALTH • VRAL RECORDS
CERTIFICATE OF DEATH
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` of,A:cmENr(Faa4 Mi[kla, LeeO - socIAL SECURITY NUMBER DREOF DERH(MaOt Day.,ieN
'• Goldie S. Reed :Female ~. 192 - 14- 6568 .. Jan. 23, 1995
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PRNER'S NAME IFrr, Midela, Ia!) MOTlER'SNAME (FIRE M(ODa, Mraan Srewny
Walter S. Smith ,,
Frances B. McGough
EIPORMiWT'S NAME (rypw,:p ,
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NAME AND ADDRESS OF PERSON WHO COMPLETEDGUSE OF DERV
'MEDICAL EXAAMNER/CORONER
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'S SIGNRURE Afm R ,
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.E.stntr fir" Gelctie S . Reed No. a ~ "- 4,~' = (~ ~ ~_
~Is.~ k~^oo-.~;i crs _~ To:
___._ ~ 2egister of V!%itls for the
_ 1?eceased. County of Cumberland in the
:ic~•inl ~r_ ~~••>ty 1.00. ~ ~ - 68 Commonwealth of Petmsylvania
'ti he p>~•eit:on of the underssgned respectfully represents that:
"~ ra; OF:i.tioner(s), who is/are l8 years of a e or older an the executors _ named
in t~.~ ~: ,* .Rill of the above decedent, dated November 30, , lg_94
d.'.'?C :'O::t!:;t.(S) ci:,ted -
_ i (stare relevant circumstances, e.g. renunciation, drath of executor, etc.)
{~ecenver,t was domiciled at death in Cumberland County, Pennsylvania, with
n_, E"~ ~ last family or principal residence at 308 Walnut Street __
____°~%----`~nc; Springs, PA 1?007 ou is eon wp.
Qist street, number and muncipality}
ecendent, then 80 years of age, died January ?3 ~ lg 95
at_30c3 ~•~alr~ut Street, Boiling Springs, PA 1700 i _,
Except . s fallews, decedent did not marry, was not divorced and did not have a child born or adopted
after exw:ution of the wilt offered for probate; was not the victim of a kilting and was never adjudicated
iT1CU.Tlp°tCT3t: N~ `~ _
I'c:cendent at death owrsed property with estimated values as follows:
(If domicil~zd in Pa.) All personal properly $ 2 0 , 0 0 0 . t10
(1 no' dc::ai; ii~~d in Pa.) Personal property in Pennsylvania $ _
(If not domiciled in Pa.) Personal property in County $ ~_
`~%alue o,`' real estate in Pennsylvania $
situat°d as follows: 308 Walnut Street
Boiling Springs, PA 17007
W3-IEREEOIiE, petitioner(s) respectfully requ~sl~s~AM~N I AR1~te of the last will and codlcii(s}
- presented herewith and the grant of Letters t
(testamentary; administration e.t.a.; administration d.b.n.c.t.aJ
til^.'rOi2.
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~~ Delbert H. Smith, Sr. Catharine S ea -
~.~ X22 Walnut Street 50 School Lane, Apt. 10
R.~i1.j_n_g Springy, PA 17007 F.lizabethtc~wn, PA ~ 70~
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~-, ~ ~;~ ~ ~'~ ~ '~ ~~ CU1~iBERLAND ~ S~
~:~_~ ~~=~iiti^r_er(s) a'oove-named swear(s) or affirm(s) that the statements in the foregoing petition are
tru;; s-c correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tai:.ver~s of ;,~~: ra?rove decedent petitioner(s) will well and truly administer the estate according to law.
S•.vcrn to cr affirmed d subscribed - ~t ~_ rn
before me this r d of ~~;~ ~o'
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~~ ~. -+~~'':~ _~` rlta: the izzstrtzzneztt(s) ciatefL1loyett`rber 30 { ~.9r34 _q
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/~ Register of Wdtls
j, t~iAR`f C. LEWIS
r'~n Lhonv L,~Ee..~Lc.,~Z_.__
.arz• r~X (suo. . i n. rto.y
lI3 ~`ron~: Et:. r ~`.b. Eox :i58
Eoilinc~ Sayings, PA ? 70()7-
a~nr~~ess
7i7-258-6844
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.F"m.'~' ~~' ~~J~~~~~~I~~ ~r~'~~'NESS
~~~•~horl~a L. D~Luca, Esquire and Marjorie A. DeLuca
pi~Gc~Z~ Tian
(etch) a subscribing witness to the will presented herewith, (each) being duly qualified according to
la~x~, dcpase(s} and say(s) that _ they were present anal saw
G~?_~?ie S. Reed
__. _.__
t~3e test^':_.=~~ ,sign the same ar_d that They signed as a witness at the
r~Ltst ot~ test~~:t?~lX in h ~x .presence and (in the presence of each other) (in the presence of the
otc,r su{>scribing witness{es}). ~
~.. S~a~orn to or affirmed and subscribed before Ar`5'thony ~LDeLuea, Esquire
:nP this ~ f TH day of (Name)
~.7anu~,.rv ~ ~ 9 113 Front St. , Boilin ri s, PA
.•~r'r~`. n.,,, ~~ ~e~{,! ~n,Q~i-~~ . v?,' ~"~ ~~~uA..(Address) .E ,
~~~~?`~ ~u. !_~WiS d~eA-s Marjorie A. DeLuca -
(Name)
113 Front St., Boiling Springs,. PA
(Address)
_ ,--
(~ach) a subscriber hereto, (each) being duly qualified according to law, depose say(s) that
familiar with the signature of _ ,
i
S
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test~t___-- of ~(c~;
thy- -
to the oes± of
and belief.
Sworn tc or affirified and subscribed before
.~~e ti-.i; _ _ day of
_~ i9
Ke~ister
(Address) ` ,~~ .
(Name) ~• ,
(Adc'rp..ss)
-. ,._~.
~.,:;:, ;~ mmr°
the subscribing ~~.ztnesses to :, will pr~ented herewith. and-
, ~- codicil
`'~- _ beaie6es the signature on the will is in the handwriting of
_..; .
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LAST WILL AND TESTA24EIdT
qF
CDLDIE S. REED
, CgLD1E S. x'~EED, a resident of 308 Walnut Street, Boiling
Spring;, Cur!berland County, Pennsylvania being of sound mind,
~;caior..y a.n~.~ u~•aderstanding, do hereby make, publish and declare this
.c br. 4~; ~,as~t 5~i11 and Testament, hereby revoking all Wills and
rcciici7_s ~aeretofore ra~ade by me.
~;~~~_ ? direct that all my just debts, the expenses of my
last illncs^ and funeral expenses be paid as soon after my decease
as u~~ s«m.e ^an conveniently be done.
Z'1~Y~r ?_ z direct that there shall be paid out of my residuary
estate x.11 estatQ, inheritance and like taxes together with any
interest ar penalty thereon imposed by the government of the United
Sta'ces, or ar_y state cr territory thereof, or by any foreign
~o~r•~•rnmer~t or political subdivision thereof, in respect t'.o all
property renuired to be included in my gross estate for estate,
in:ser_ i ~k~anc=: or li}:e tax purposes by any of such governments,
,.3~.ether .~h~, property passes under this Will or otherwise,
e;,.c;.~v,d. i n~ ; l~ o~aever , any property over which I have a taxable power
cr ~.~~pci_:~~~:~nt, provided, however, that no residuary beneficiary
s~,,~li ~v re~~son of this provisir~n be denied the benefit of any
de~:~zcticn, credit, favorable rate of tax or other benefit which by
1~.~~t ~:nL~res ~:.0 5uc:a beneficiary. y D
r / ~o~.~ ~ - /l. -~.r''
G(?LDIE S, EtEED
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LAST '~~3ILL ?~dD TESTA~YEi~T
OF
GOLDIE S. REED
:C'S~~;;;_' 3: To the ind~.viduala listed below, I bequeath the
~ PEARL BRYIdESSER, of Boiling Springs,
To my friend
, ,
Pennsylvania, if she shall survive me, the sum o:E Five
mI?causand D611ars ($5, 000.00} ;
sc~ my friend, BRAD GROUP, of Boiling Springs,
if
Pennsylvania he shall survive me, the sum cif One
,
'Thousand Dollars ($2,000.00};
t,. To my friend, CRAIG GROUP, of Boiling Springs,
Pennsylvania, if he shall survive me, the sum of One
Traousand Dollars ($2,000.00};
?~;. To my friend, JOANAt KECK, of Boiling Springs,
Pensylvania, if she shall survive me, the sum of Two
Theuaand Dollars ($2,000.00); and
1;, T~ my friend, P~INDY GROUP, of Boiling Springs,
P~,~:~;~;~yl <°ania , if she sha17. survive me, the sum of One
a'~.iC:u^u-xnd Dollars ($2,000.00} .
,~~'~~" G : I give, devi se and bequeath all of the rest, residue
and. g ^z~~asnder a~: ray estate, real, pQrsonal and mixed, of whatsoever
?;in~l :~~s~~ :-nature, and wheresoever situate at the time of my death,
i~ c;i :~ ~ ~' equal sharer, unto my brother, DELfiERT ~I. SMITH, SR. ; my
C~/oc.rolc:a ~- /L .-~--pg~
GOLDIE S. REED
2
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C.=L1.~~~~~`. ~. SEE
C. g.~ i. ~': ~' , ~~ ~-1~SE.f~::~i3 dX 'L ~L32::Ci7.'~ L~ S'a~1; 1~. y nep~~'~ ~ 61Q3d11 Eri ~713.i. 1r1; my neplde~kAl and
?~ is t.•r~.f~~, ,~I--~SEY~~' ~I. SF~ATIs, Pub. , and JAN SMITH; my nephew, ~`T~-M.ES
~si.'~:e;;'~:^:?~' ° r ~~.c: r.,A.~' F4 FCx~ REED, provided, however, that they
:Y?_i3"+.'-..'o''~. :'i~+'' ~'.~'3<p ~+.i ? !. ~.Si 7.7F.s~ .*-. 3.3:t~' ~ 6 C3 ~ dc~~ c3 ~~ to ~' the G~~te ~~'L ICiy
- ~T~~iri °_ :,.f and in the event that any one of the
be~Wfic~.«rie,s set forth hereinalbove under ITEM 4 does not survive
~.~= -w.~.~. n-^ :zot living sixty (60) days after the date of my death,
_~:._~.a~ ~,~~. W.. ~~z ~h event, I give, devise and becqueat.h the interest in
m~° ~~~ i~« ~..~ ; ~:rhich such deceased parson would have receives!, if
1i.vi~a~, ti.~•~ ~:~~.al shares, unto the remaining survivors of the
. be~efic~.ax~irs set forth hereinabove under IT~i ~.
.'=~'~'~`~_f~ e .~ hpreby~ nominate, constitute ,:end appoint zny brother,
'~'~-r'".TM'" ..:.. :"'~;.:~TH, SFZ. a.nd niy aister, CAT.~.T',RTPiE SHF~IFFER, CoT
~:~°:~a:;rs.~ ° v-f ;.,hi:~ my Last ~'i~.l and Testament, with full power tca do
~~
~` ~' :^1• an,~~ ~~i +~~.a.ngs ~.ecessary for the complete administration +af' my
~ ~=:~_ ~.._~~~ ~~-:c ~,~ir.^ct wA~at no ~Qnd or other surety is x•equired of them
~;~, _.._ ~?_ ;A~f .:athar ju~i^d?.ction kor their p^.rformance oL this
(.?.S f .i. M :rte
:?_~`~`a~a~~`~ sf any provision of this Fill o?~ of any Codicil
~>
~,~~-"'~:~w-~ :~~~~ ei~. to be inoperati•~e, invalid or il~.:~gal, it is my
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;_i'i~='3i^3'"..:i":3hi ~.t:ci: rti A.l T~'Yu l:'~3;~ti:.~_xllli3~ ~T'7viSi'JnC3 ~~9E3r~t3f sha~.l COTltinti@
~~ ':.. . ; ~_ij' ~pex~a't.v~ and wfteo'tivp, spa far as is poss~.l~le and
~. ~ ~~.~ ;;r~"'w~:~SS ~iTti3E~LE+.)~', s, COLLIE S, xi.~;FD, the Testatrix, Piave to
v~:_~; :~, :~;~=yt '<~7ill and Testament, ~.ypekaritten on foa~~- (4)
~~Y- ~ ~- .+'~~:_ ~r; ~ ~tr n~z;.~~ered pees, sazb:~~crt~ed ray a~aEoe anc~ of ~€:ix:ed ray
J ~ ,.g '7 ~ ~ s ) 1
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~ic~;t~t'., ::~e.^:s.ec~, puk~l3slzed artd deelax'~ed by t~~e a~®ve named GOLDIE S.
'i~L,U, ..... ~r~~, f'or heL has'` Will and Testament, in the pres~er.~ce of
'.;'~,r i~l~"`.~' i2+~."ti<;~ ia!??:°21ii3ta ::L1~Sa^~C~i~ed o~,lY' naIROu at her reC~UE'.E3t, as
;,a2.'?':f't~'•"a ^a-~ Z:~:~.i_~»to` ~.a"T. ~:1"le p~eS~n00 ''~'a~. ~,'.'f~@ ~a~iCE T~ts'tavY'~.~a'~ end Of
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INNRRfTMKY TAX D1VI340N
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SlBFE ®EPOSIT SOX
~~l~/En3TORY
MAP.alSaUFO, t6 p127~s6Q1 I ~ Plaaee Prinf eT Type
MUST @E COPAP! ETED 8Y REPRESENTATIVE OF FINANCIAL INSTITUTION WHERE SAFE DEPOSIT 80X IS IOCATED AND RETURNED TO A90VE AUD"°SS
~±~ CC!!IHdTY CC?wE
FELE NUMBER SOCIAL SECURITY OR DEATH CERTIFICATE NUMBER
:
`~~
~ - ~('j ` ~~
I ~ 192-14-6568
_
isC UE~,- 'S ~ LAST, f1A5T, ;a!IDDIE) A H
Reed, Goldie S. Janua ry 23, 1995
• ADDRESS OF DECEDENT (STREET) (CITY) (STATE) (ZIP CODE)
308 Walnut St., PO Box 95 Boiling Springs PA 17007
NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE. SAFE DEPOSR BOX
(NAME)
Antho_~ DeLuca
(STREET I OD±?ES') (CITY) (STATE) (ZI- CODE)
F.rent St. PO Box 358 Boiling Springs PA 17007
NAME, ADDRESS AND REL.kTiONSkiF (IF ANY} TO DECEDENT, OF PERSON(S) PRESENT AT THE BOX OPENING
a. (N4M~L} (RlLATIONSHIn
' Delbert H. Smith, Sr. Brother
(STREET ADDRESS) (CITY) (STATE) (ZIP CODE)
422 Walnut St. PO Box 358 Boiling Springs PA 17007
b. (kdAh!E) (RElAT10NSH1P)
Anthony DeLuca attorney
{STREET ADD°.ESS) (CITY) (STATE) (ZIP CODE)
_Front St., PO Fox 358 Boiling Springs PA 17007
c. (NAME) (RELATIONSHIP)
(STREET ADDR*SS) ~ (CITY) (STATE} (ZIP CODE)
' NAME ANO ADDRESS OF FINANCIAL INSTITUTION MVHERE THE SAFE DEPOSIT BOX IS LOCATED
(NAME)
PNC Bank, N. A.
(STREET AD7RESSi (CITY)
(STATE)
(ZIP CODE)
3 E. First St., PO Fox 400 Boiling Springs PA 17007
" k NAA,i,f• OF PESC1i~i MA%11~?Cr !.AST E?'dTRY
:r DATE AND TIME OF LAST ENTRY
Goldie S. Reecfi Aug. 6, 1993 10: 16 ~I.M
DATE OF CONTSiAC7 TO RENT BOX NUA+.BER OF BOX TITLE UNDER WHICH BOX IS REGISTERED
Mar, 7, 1990 165 Goldie S. Reed
NAh55 AND ADDRESS OF PRRSON(S} HAVING ACCESS TO BOX
ca. (Nf ME) b. (NAME)
Goldie S. Reed Delbert H. Smith, Sr.
{STREET ADDRESS) (STREET ADDRESS)
308 T1'a1nUi St. ~O Box 95 42~ Walnut St. PO Box 358
(=1~ (STATE) (ZIP CODE) (CITY) (STATE) (ZIP CODE)
Boiling Springs PA 17007 Boiling Springs PA 17007
• NAME AND 71TLE OF E,RSPLOYE e'AiK1NG THE INVE!dTORY
Beverly R. Steinour, Branch Manager
i~'JA5 A C?16L+. !h' THE BOn? ^Y53 C~10 If yvuu, a. De4eo of wi!!:
b. Nrsrna end %klt)raeaa o'f psrar~a~l rs~rasaentativo, If rtekrelek! Irt files will
(PiAhi°)
i
(STREET ADDRESS) (CITY
)
ISTAT!)
(ZIP CODE)
c. Narrao aid adr~rraaa of c4kcrnsy, tf any -'-
(NAME)
(STPEf7 AD~?LESS) (CITY) (STATE) (ZIP CODE)
F, t ry ''_`(!`Yt ~1i>.` =b a.~Y^r~ 5~'1~"5! +~b~q~
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IY h
REV-1547 EX AFP (12-941 ACN 101
CDlp10NNEALTH OF pElRlSV~vANIA NOTICE OF INHERITANCE TAX
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
DEPT. 280601 OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 11-06-95
HARRISBURG, PA 17128-0601
ESTATE OF FILE N0. ~l y~-uuoo
DATE OF DEATH 01-23-95 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 OREMIT PA MENT TO:
ANTHONY L DELUCA ESQ REGISTER OF WILLS
113 FRONT ST CUMBERLAND CO COURT HOUSE
PO BOX 358 CARLISLE, PA 17013
BOILING SPRINGS PA 17007
Awount Rewitted
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t _______________
-------------------------- ----------------------------------------------------------------------
REV-1547 EX AFP (12-941 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
e~rere ne RFE)) GOLDIE S FILE N0. 21 95-0088 ACN 101 DATE 11-06-95
TAX RETURN WAS: ( )ACCEPTED AS FILED ( Xl CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estat• (Schedule Al
2. Stxks and Bonds (Schedule B)
3. Closely Held Stook/Partnership Interest (Schedule CI
4. Mortyayes/Notes Receivable (ScMdule Dl
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule 6)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adw. Costs/Misc. Expenses (Schedule H)
10. Oebts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governwental Bequests (Schedule Jl
14. Net Valw of Estate Subject to Tax
(1) 91.000.00
(2) .00
(3) .00
(4) .00
(s) 151.892.06
(6) .00
(7) .00
(B) 242,892.06
21,683.09
(9)
cio) 2.354.28
(11) 24.037.37
(12) 218,854.69
(13) .00
(14) 218,854.69
NOTE: If an assessment was issued previously, lines
lude the total of ALL
t i
s th 14, 15 andior 16, 17
returns ass®ssed to and 18 will
date.
nc
a
reflect figure
ASSESSMENT OF TAX:
•00
X .00=
.00
15. Awount of Line 14 at Spousal rate (15) 34,809.12 X .06. 2,088.55
16. Awount of Line 14 taxable at Lineal/Class A rate (16l 184,045.57 X .15. 27,606.84
17 Awount of Line 14 taxable at Collateral/Class B rate (17)
. (lg) 29,695.39
18. Principal Tax Dw
INA YRGYi~v•
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST (-)
OS-02-95 AA048060 .00 29,695.39
TOTAL TAX CREDIT 29,695.39
BALANCE OF TAX DUE .00
INTEREST .00
TOTAL DUE .00
^ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN 91, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A ^CREDIT^ (CR), YOU MAY BE DUE
~ REV~1470 EX Ib-88) INHERITANCE TAX
1
COMMONWEALTH OF PENNSYLVANIA EXPLANATION
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME FILE NUMBER
AC N
affil
SCHEDULE ITEM EXPLANATION OF CHANGES
NO.
~<jrrect~~d li.r,t 1~~ of thF coti~cr s'~~•^t o~ thE: inh~-ri.t~lrst_ t~~;~ r^turrz,
TAX EXAMINER: L~'t"' ``~`~``F' ~ a3 lc~s}- _ PAGE
~nr. v-iJW tR+ liatstsj - - '"' `~ i FILE NUMBER G 170-VUtSO
~ INHERITANCE TAX RETURN
~
t ' ; ~.
RESIDENT DECEDENT
G~OMMONWEALTH OF PENNSYLVANIA
DEPARi'MENT f'I'O BE FILED IN DUPLICATE
1
OF REVENUE
DEPT. 280601
HARRISBURG
PA 17128
060 `
WITH REGISTER OF WILLS) y i
~
~
,
.
1 OOUNTY CODE ~ YEAR
j
NU
R
~ DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) DECEDENT'S COMPLETE ADDRESS
Reed, Goldie S. 308 Walnut Street.
W
6J SOCIAL SECURITY NUMBER DATE OF DEATH DATE OF 81RTH Boi 1 ing Springs , PA 17 0 0 7
0 192-14-6568 1/23/95 8/28/14 Cu
b
l
d
m
er
coonry
an
~
Q H ~ 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return
Y
W a V
O
^ 4. Limited Estate ^ 4a. Future Interest Compromise
^ 5. (for dates of death prior to 12-13-82)
Federal Estate Tax
V~
J (for dates of death after 12-12-62) Return Required
a m
d [~ 6. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust L 8. Total Number of Safe Deposit Boxes
Q (Attach copy of Will) (Attach copy of Trust)
~
N Z
NAME COMPLETE MAILING ADDRESS ~4l~z~a;~+
.i
`~` ~-
~ W
0 Anthony L. DeLuca, Esq. 113 Front Street
U 0 TELEPHONE NUMBER P• ~• BOX 3 5 8
~' 717 258-6844 Boiling Sp rings, PA 17007
1. Real Estate (Schedule A) (1) 91 , 0 0 0 . 0 0 ~ ~'` ;
2. Stocks and Bonds (Schedule B) (2) 0.00 -'
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 0 • 0 0 ~ °
4: Mortgages and Notes Receivable (Schedule D) (4) ~ ' ~ 0 ''f~
5. Cash, Bank Deposits 8~ Miscellaneous Personal Property( 5) 151 , 8 9 2 . 0 6
1
Z (Schedule E) '
O
Q 6. Jointly Owned Property (Schedule F) (b) 0 • 0 0 _ _
-°.
F 7. Transfers (Schedule G) (Schedule L) (7) 0 _ 0 0
Q 8. Total Gross Assets (total lines 1-7) (g) 2 4 2, 8 9 2. 0 6
W 9. funeral Expenses, Administrative Costs, Miscellaneous (9) 21.6 8 3 . 0 9
~ Expenses (Schedule H)
10. Debts, Mortgage Liabilities, Liens (Schedule 1) (10) ~ , ~ S 4 _ 2 8
1 1. Total Deductions (total lines 9 & 10) (1 1) 2 4 , 0 3 7 . 3 7
12. Net Value of Estate (line 8 minus line 11) (12) 218, 854.69
13. Charitable and Governmental Bequests (Schedule J) (13) 0 _ 0 0
14. Net Value Subject to Tax (line 12 minus line 13) (14) 218 , 8 5 4 . 6 9
15. Amount of line 14 taxable at 6% rate (15) 3 4 8 0 9.12 x .ob = 2 , 0 $ $ . 5 5
7
(Include volues from Schedule K or Schedule M.) Q ,~
16. Amount of line 14 taxable at 15% rate (16) 18 4 , .lr~-¢-r'~4~ x .15 = 2 7 , 6 0 6 . 8 4
Z (Include values from Schedule K or Schedule M.)
O 17. Principal tax due (Add tax from line 15 and from line 16.) (17) 2 9 , 6 9 5 . 3 9
~ 18. Credits Prior Payments Discount Interest
a
f + - (18) 0.00
O 19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT. (19) 0.00
X ~^
•
~ 20. If line 17 is greater than line 18, enter the difference on line 20 •This
is the TAX DUE. (20) 2 9 , 6 9 5 . 3 9
A. Enter the interest on the balance due on line 20A. (20A)
B. Enter the total of line 20 and 20A on line 208. This is the BALANCE DUE. (20g)
Make Check Payable to: Register of Wills, Agent
~- ~- . R QU , ~ T CK 14{ATtf
Jnder 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,
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 rep esentative is
used on all information of which preparer has any knowledge.
~1~~,T1~ f.F1f.
I R RSO SPONSIBLE FOR FILING RETURN ADDRESS / ~Z W r ~ Q / DATE
.IGNAT RE OF PREPA ER ER HAN REP SENT TIVE ADDRESS DATE '
- X11' S~ L~ ~b
s r~vv r --
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, ....................................... - 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.
` REV•1502 EX+ 17-83)
1
COMMONWEALTH OF PENNSYLVANIA SCHEDULE "A-'
INHERITANCE TAX RETURN
RESIDENT DECEDENT REAL ESTATE
`°'^" "' FILE NUMBER
Goldie S. Reed 1995-00088
(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 between a willing buyer and a willing seller, neither being
compelled to buy or sell, both having reasonable knowledge of the relevant facts.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
Of DEATH
~' All that certain tract of land situate in South
Middleton Township, Cumberaldn County, Pennsylvania,
known as 308 Walnut Street, Boiling Springs, PA,
containing a two story frame bungalow erected thereon
recorded in Deed Book J, Vol, 34, page 949,
SOLD AT PUBLIC SALE $91,000.00
TOTAL (Also enter on line 1, Rscapitulotion) I g 91, 0 0 0 0 0
(!f more spoce is needed insert add-honal sheets of same size.)
t REV-1508 EX+ (7-g 3j r
SCHEDULE "E"
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS AND
INHERITANCE TAX RETURN MISCELLANEOUS
RESIDENT DECEDENT PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Goldie S. Reed 1995-00088
(Ali property jointly-owned with the Right of Survivorship must be disclosed on Schedule "F")
ITEM
NUMBER DESCRIPTION VALUE AT
DATE OF DEATH
~. Proceeds from public sale of personal property
including furniture, furnishings, jewelry, tools,
books, dishes, 1986 Pontiac Bonneauville, and
miscellaneous items 8,596.75
2. Large collection of Indian jewlery, appraised value 10,315.00
3. Costume jewelry collection, appraised value 500.00
4. Stamp collection, appraised value 875.90
5. Rock, mineral, ofssil, Indian artifact and shell
collections, appraised value 845.00
6. ~ Various pieces of Ladies & Men's gold jewelry,
appraised value 503.61
7. Savings Account # 513081967, opened 2/6/90, PNC Bank,
Balance at death 25,076.59
Accrued interest to death 49.47
8. Checking Account # 5140449259, opened 2/6/90, PNC Ban
Balance at death 11,543.17
Accrued interest to death 21.26
9. Cash found in home 1,015.10
10. Certificate of Deposit # 1773160120477, opened 3/5/90,
at PNC Bank, N.A. 20,000.00
Accrued interest to date of death 38.52
11. Certificate of Deposit # 1773160120478, opened 3/5/90,
at PNC Bank, N.A. 50,000.00
Accrued interest to date of death 96.30
12. Certificate of Deposit # 1773160120479, opened 3/5/90
at PNC Bank, N.A. 10,000.00
Accrued interest to date of death 19.26
13. Certificate of Deposit # 1773160120504, opened 3/5/90
at PNC Bank, N.A. 10,000.00
Accrued interest to date of death 22.13
14. Refund, Internal Revenue Service, 1994 income tax 2,374.00
TOTAL (Also enter on line 5, Recapitulation) $ 151, 892.06
(If more space )s needed insert additional sheets of same size)
r REV-].511 EXi (7-83)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ATE OF
Goldie S. Reed
SCHEDULE"H"
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
FILE NUMBER
1995-00088
- ITEM DESCRIPTION I AMOUNT
NUMBER
A, Funeral Expenses:
1.
Hoffman/Both Funeral Home - services prepaid
B. Administrative Costs:
1. Personal Representative. Commissions 2 0 3 -10 - 2 2 6 4
Social Security Number of Personal Representative: 187' 16 - 5 6 6 7
Year Commissions paid 19 9 5
10,280.00
2. Attorney Fees 10 , 2 8 0. 0 0
3. Family Exemption
Claimant Relationship
Address of Claimant at decedent's death
4. I Probate Fees
C• Miscellaneous Expenses:
~' Cumberland Law Journal, advertising
2. The Sentinel, advertising
3. PNC Bank, drill open lock box
4. Steven W. Barrett Real Estate, appraisal
5. Morrison's Auto Sales, car appraisal ~-'"~
6. Roy Gotshall, personal property app isal
7. R. Colberg Enterprises, appraisal ~--'stamp collection
8. Dr. Marcus M. Key, Jr., appraisal o~ f fossil collectio
9. Mr. Henry Line, appraisal of jewelry
10. Register of Wills, additional probate fees
232.00
40.00
82.28
105.50
250.00
25.00
45.00
173.31
50.00
95.00
25.00
.'
r"'s
TOTAL (Also enter on line 9, Recapitulation
(If more apace is needed insert additional sheets of same size)
REV-1512 EX+ (7_g3)
COMMONWEALTH OF PENNSYLVANIA SCHEDULE "I"
II'dHERITANCE TAX RETURN DEBTS OF DECEDENT,
RESIDENT DECEDENT MORTGAGE LIABILITIES, AND LIENS
ESTATE OF FILE NUMBER
Goldie S. Reed 1995-00088
ITEM
NUMBER DESCRIPTION AMOUNT
1. Dauphin Oil Co., fuel oil 127
99
2. he Sentinel, newspaper for January .
8
33
3. Troy Laundry & Dry Cleaners, dry cleaning bill .
17
87
4. United of Pa., telephone bill .
36
29
5. Metropolitan Edison Co., electric .
35
00
6. Robert C. Cairns, Tax Collector, taxes .
123
84
7. Dauphin Oil Co., fuel oil .
138
44
8. North Light Book Club, subscription .
18
65
9. South Middleton Municipal Authority, water, sewer .
99
00
10. Metropolitan Edison Co., electric service .
71.00
11. Dauphin Oil Co., fuel oil 45
54
12. United of Pa., telephone service .
59
63
13.
14 Carlisle Pathology Association, medical services .
5.11
. Brian Doyle, lawn care 20
00
15.
16 Michael D. Staney, repairs to carport .
1,500.00
. Tru-Green Chem Lawn, lawn service 47.59
TOTAL (Also enter on line 10, Recapitulation) I $ 2, 354.28
REV-1513 E% + 12-87) ~
SCHEDULE J
COMMONWFAITH OF PENNSYIVANiA B E N E F I C I AR 1 ES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Goldie S. Reed
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY
A. Taxable Bequests:
1. Pearl Brymesser
149 Glenn Ave., Soilinq Springs, PA
2. Brad Group
119 Third St., Boiling Springs, PA
3. Craig Group
P.O.Box 191, Harrisburg, PA
4. JoAnn Keck
205 Race Street, Boiling Springs, PA
5. Mindy Group
• 441 Ford St., West Conshohocken, PA
6,. Delbert H. Smith, Sr.
• 422 Walnut St., Boiling Springs, PA
7. Catharine Sheaffer
50 School Lane, Elizabethtown, PA
8. Walter Smith
422 Walnut St., Boiling Springs, PA
9. Delbert H. Smith, Jr. & Jan Smith
7 Edge Row Lane, Carlisle, PA
CONTINUED
FILE NUMBER
1995-00088
RELATIONSHIP AMOUNT OR
SHARE OF ESTATE
friend $5,000.00
friend $1,000.00
friend $1,000.00
friend $2,000.00
friend
1,000.00
I
', brother
/6 residue estat
sister /6 residue estat
nephew /6 residue estat
,nephew and : 1/6 residue esta
his wife ~
ITEM NAME AND ADDRESS OF BENEFICIARY AMOUNT OR
NUMBER SHARE OF ESTATE
B. Charitable and Governmental Bequests:
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) S
(If more space is needed, insert additional sheets of same size)
'REV-1513 EX+ (7-83)
COMMONWEALTH OF PENNSYLVANIA SCHEDULE "J"
INHERfTANr,E TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Goldie S. Reed 1995-00088
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP AMOUNT OR
SHARE OF ESTATE
A. Taxable Bequests:
BENEFICIARIES CONTINUED
10. James Sheaffer nephew 1/6 residue esta~
267 School Lane, Mt. Joy, PA
11. Larry Fleck Reed
4754 N stepson 1/6 residue estai
. Bonadelle Ave., Fresno, CA
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY
B. Charitable and Governmental Bequests
1.
NONE
AMOUNT OR
SHARE OF ESTATE
NONE
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enroer on line 13, Recapitulation) ~