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Home My WebLink About95-0136This is to certify that the certificate hereunto attached is a true and accurate copy of the original death record on file with the Division of Vital Records, and that Frank Yeropoli, whose name is subscribed thereto, was at the time of subscribing the same and now is Director, Division of Vital Records of the Department of Health, for the Commonwealth of Pennsylvania, duly appointed and commissioned as directed by Act 66 of the General. Assembly, approved 29 June 1953, P.L. 304. auG ~ 6 2~T Date H105. f A3 Rw.2ATT TrPE/PaNr w PERYANEgT BLACK NBC Z ? • Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLWWIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH 21 ~gSVOr~ ^14611 _ scaEPNENwIBER NAME OF DECEDEIJTIFYM, Middx. Laep SEX SOCIAL SECl1RI,V NUMBER pAaIMI, DaY•1kw)_ _ +• JOHN H. CORNMAN = MALE ~• 174 - 20 - 1359 ~ y ~ALiEp.warow.v) LNiDER,YEM urKIE/1,DM DATE OPewT„ BIRrIVLACE (CaYwa PLACEDPDEATH(Geck adyale-sr:twta:ea.maNr aidy Mattlr . Dqs Nan ~ WaAr )LWalI, DaY.1b•d sub«caagncanr,~ - / 83 Vn 09-29-1911 CARLISLE ~wNN+LL/ ERpapatlaN^ DoA^ ~~„ ^ ^ ~•,_ , PENNSYlV~11VIA rslbarn^ couNarOPDEQH TWPDPDEIarI NAMEprnot:telaian.pN•aYaalaMmnArq w,s DEerroPNISIANICOaowa RACE_Ataakrlbdr,ebtlt,wllN.,ale. DAUPHIN COUNTY "°~"°^N~~c~, ~°°"'') Rfrl r ~ LlWcan,PtwrbWrn.ab, WHITE ,. OECEOEIR'bUBUALOxA1PiNaN SEDUCATgN MARIpLLBWU$ ManMd 10. (BIYaI~IdaN«kaaXr ~p mop ~~ use M ~ NavwMaMW, WIdoNad, - ait~trns) aawNnp M« y na w.~l.had.) • GARDNER , }~orT~C.ULTofe ,~. W^ NaUd ,. 8 ~d n°o°5" ,~ WIDOWED DEC~ENT'B MANJNO ADDRESS (StrM,CYy/TOwn, SYb, ZIP Cnde) DECEDENT'S +N• ,,.,~,„a PENNSYLVANIA D„ ,~~'w,,,,~,,,,,~, 108 2ND S#neet ,. ~ .a ,,,SOWMANSDALE, PA 17008 alw:dy ,,, CUMSERLAND ~'"'4~ I "'~0~0in1w0 {~~~y~ ~y/~~~,~~~ ,TS..J atl1ln acgyNlNp ni_ ,~C•H~~RLGS CVRIYM1'V~N Mdf/ERSNMIE LNdda MaiOn SuMms) - - ,~ GERTRIIFD~ S1iUGHART NNaDR14WT'S NAME trrP•'~dnp 9 MAn»w ADDINi3B (SYatl, Cily/farn. srl.. Zp Cade) MEn,oooPD~a~r1~ oATEOPDISVOBrra,l PlACEDP -Nrractlr,ry L - , Day Bl.wldl Cranulbn^ Rwnwtlrtonlsttl.^ IMaINt,Deµvlw) «OMwPlace •=1p r "~°"^ °tlif~"' ^ r, 02-08-1995 MT. PLEASANT CEMETERY „~ 210 MONAGHAN TWP, PA 17019 I . L CQIBEE OR PERSON ACTNq AB Sl1C11 NAME ANDADORESS OF iACA1TV Hw,Qma L ' COCKL N _ , ,,,. ~ _ „~ I FUNERAL HOME 3ofU.C ?w~sr. ~;t(~,~ PIMkMnYtnlara4el~tl tltn•tldrmro ~ ~Tyl'IawNdpa•tbalA ataendtl dw tw., dtl•rdWau lftlad. LICENSE NUMBER DATE SXiNED cwtlyctlraddaatn. ~. DM.1M Ntlr NF2B muel MtantlPllledh aF 716 - tNe. Pataon •,lovanoulcrdrm. ~ ~' DQE ~DS'+aa'.Dry M°') ~ ^~~ WLS CASE REPERREDro MEDICAL E)IAINNERA:ORONena !6 Y ~•^ N~' "' / M . . r.PARrI: EawtM dr.r..,in~ww«rnryaXCNiapa,tidlaXAaa,Nba.tln.DOnotsawdlamodeae wdlraaNr« ,aMdtaltrrt,Wlae. i W on1/arouron aadl Nrro. AppwI141Wa PART N: ONrapllNeaa mrldNOn mat6tAMpbdIM,OW NB11m1ATE CAUBEIPYw IaaMl atMdaaM t'•t dbW p adlOllbn I n1MINLlp„~ na11r pavan F RWT I. t•~andrw)-~ • ~ /a . ... DUEro(OR ASACONSEOUENCE CF): ~- I _ j ;~ f~ / o ~ Nalp, baitpbMnmadab _ DUEro(DR I oamr EtlwVMpE1N.YNq ~ CMNIE )Oierea «"rMry c i1Yai~ aw l.+rrd a ~ .v« . DDE TO (OR ASA NDE DFJ: larMinp indWl)LANT I d WAS AN AUIOPSV WERE AUIDPSY FNJpNO9 MANNER OF OE1V11 WRE OF NIJVRY TIME OFIWURV IWURV AT NC7RKa DESCRIBE NOIVIWURV OCCURRED. PERPORMEDa /YINABLE PRNJR ro wY ~ . . COMPLETKIN OFGAVSE OF DEIRM Nalurtl ® ~twid, ^ AccidwN ^ P•M p InvaatlWMlla. ^ W ^ No ^ Yr ^ No Yea ^ No ^ Sadde ^ CqW net De dtlamWNd ^ M. ]Oa PIACE OFIN,NMV-At ))Dols latm alrM haa oMq LOCAT ' , , , y, ION ~. r ~. ~~ f3o aeI.CT'lWwn. State) JNI. ~~) SIGN •eBITrIPYUG P T A URE ANDTITIEOF FlER I,VSle1AN (PnYeicien cana,;.g caw. a deeM w~wtanonw MYekun has Prorouaxe dean and carpeted rem za) Ts tM 6aa1M w blo l d d N r e pe, .. Y t oeeunW dw b Uw eaaaya) antl awnrr r aY1ad ..................................................... ]10. 'PRONOINICNIp AND CERTMNING PNYNICIAN LICENSE Nl1NBE To the wtlw ~I'YOB^boa panaavinp deew erM dmlyvprocewad dean) SX3NFA( ,Day1'rr) mYtmawbdpa,drtlt aaMnA MlM wna,dab. and pbr,aM dwblM rtNyy and nnnrelrr Nabd .......................... ^ 7i 914 NAME ANOADORESS OF PERSON WIK) COMPLETED CAU mam 27)Typs«Pda GARY 1. LUTTERMOSER MD ON Nts ~ W wwinw tl~1on~Ranyon I^watipary°^ In mY a Mlon daal~ ". , . P oao«rW at tM Nma. axle, wM Phea. wNt du. ee,na eauaNa) and ^ 12 2 S . F I18ERT STRE~T nultnwr Wl.d ................................................................ ... •~~~~~ "" ~. REOt 'S SMiNATURE AND NINABER MECHANICSBURG PA 17055 // ~ ~~ O Q DATE RLED (Mm». ~Y aT ~,'tn f~ (J I r ~ I ~ % "`' ` - - --- Ev.lso, EX+ 12•en FILE NUMBER ,~ ~ INHERIT NCE TAX RETURN .~; 2195-0136 RESIDENt DECEDENT ~oMMpNWEALTH OF PENNSYLVANI (TO BE FILED IN DUPLICATE DEP.IRTMENT Of REVENUE ~~ ., ~ posT o FICE aox e3v WITH REGISTER OF WILLS] ARRIS G, PA 17105-8327 COUNTY CODE YEAR Z EG HT'S NAME ILAST, FIRST, AND MIDDLE INITIAL NUMBfR I DECEDENT'S COMPLETE ADDRESS W CORNMAN, JOHN H, o 108 Second St, C SOCI.Y URITY NUMBER DATE DEATH IOATE OF BIRTH BoWlClansdale, PA 17008 I I 1 4-20-1559 5 95 9 29 1911 ,c°°~~Y Cum W ~ Original Return !! 2. Su lemental Return i avs PP L_ 3. Remainder Return =00 ~ '~' Limited Estate ; (for dates of death prior to 12-13.82) 4a. Future Interest Compromise L/ 5. Federal Estate Tax V a~ (for dates of death after 12-12-82 ) Return Required a. b. Decedent Died Testate [ 7. Decedent Maintained a Livin Trust 1 Q (Attach copy of Will) (Attach copy of Trust) g - 8. Total Number of Safe Deposit Boxes Af:L C RESP!Q1~flENGE ~NFiFCi)NFFL?ENTt4l TaC]C Il~IFORMATCGIGt~<5H~7ifLD BE:QIf~£TEtkTCte t z, I NAM i COMPLETE MAILING ADDRESS VI W W ~ z AN M. WILEY, ESQUIRE ~ 2 Barlo Circle, P,O, Box 288 O a TELEPNONENUMBER i Dillsburg, PA 17019 (717 ) 432-9666 Z O Q I- a a v W ae 2 O f= -Q-~' a 0 u x Q r- 1. Real Estate (Schedule A) 7 5, 4 2 4, 3 2 2. Stocks and Bonds (Schedule B) ' ~11 , $25 - $6 3. Closely Held Stock/Partnership Interest (Schedule C} (3) i 4, ,Mortgages and Notes Receivable (Schedule D) (4) S. Cosh, Bank Deposits & Miscellaneous Personal Property( 2_ 6 ~, 9 7 8 80 ]Schedule E) ~ 6. ointly Owned Properry (Schedule F) (~ '] 6 0 6 i / 7. Transfers (Schedule G) (Schedule L) (~) 8. Total Gross Assets (total lines 1-7) 9. Funeral Expenses, Administrative Costs, Miscellaneous ( 3 8 , 0 0 7 . 0 0 i Expenses ]Schedule H) , ~ 10. Debts, Mortgage liabilities, liens (Schedule I) (jg~ 9 , 4 4 6 . 5 5 1 1. Toral Deductions (total lines 9 $ 10) d" • 12. Net Value of Estate (line 8 minns line 11) 13. Charitable and Governmental Bequests (Schedule J) 14. Net Value Subject•to Tax (line 12 minus line 13) ~'U'l/8 15. Amount of line i 4 taxable at 6% rate (15) 2 $ 3 (Include values from Schedule K or Schedule M.) .~ 16. Amount of line 14 taxable at 15% rate (16) 2 5_,~-G'~ b x (Include values from Schedule K or Schedule M.) 17. Principal tax due (Add tax from line 15 and from line 16.) ~~~/~ ~/ 18. Credits Prior Payments Discount Interest 15,058.00 + 752.90 _ 19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT. ~C 20. If line 17 is greater than line 18, enter the difference on line 20•This,is the TAX DUE. A. Enter the interest on the balance due on line 20A. B. Enter the total of line 20 and 20A on line 20B. This is the BALANCE DUE. Make Check Payable to: Register of Wills. oa...~ ( s) 357 , 305 , 04 (11) 47,453,55 (12) 309, 851.49 (13) 0 , 00 ~1~ . oe =,,~ 309851,49 17_._0-4~"~3 / 74 ¢~? ~ .ls .~ 3,87 ~~,~y 2 0 ~0 9~¢. } (18) i~ 15,810.90 (19) (20) 5, 104 , 07 (2oA) 0.0 0 (toe) 5 , 104.07 •--• r-„~„~Q. ~• No~lvey, ~ aecaare that I have examined this return, including accompanying schedules and statements, and to rheRbest of my knowledge and belief, is true, correct and complete. I declare that all real estete has been reported at true market value. Declaration of preparer other than the personal representative is I on all inf rmation of •+rhich rer has any knowledge. ATURE R RESPONSIBL I RETURN ADDRESS '~'~ ~ - Ct 1023 E- Lisburn ATE I E. IRLEY M, CORNMAN VIRG A. CRESSLER Mechanicsbur PA ~a~y' 'NA F P EPARER IHE. HAN ENTATIVE ADDRESS /V / 9S ~' DATE - WILEY, ESQUIRE, Barlo Circle, P,O, Box 288, Dillsburg, PA 17019 1G~ z ~_ ~ S~ ask dill ttn~ (~estttment OF JOHN H. CORNMAN BE IT REMEMBERED, that I, JOHN H. CORNMAN, of 108 Second Street, Bowmansdale, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking an making null and void any an all Wills and Testaments and writings in the nature thereof by me at any time heretofore made. ITEM l: I direct that all my just debts and funeral expenses be paid as soon after my demise as may be convenient. ITEM 2: All the rest, residue and remainder of m y estate, of whatsoever nature and wheresoever situate, whether it be real, personal or mixed, including property over which I have a power of appointment, I give devise and bequeath into the the following shares: ~~~ ~~, A. I give and bequeath two (2) sha es to my daughter, BERNICE E. MUMMERY and my son-in-law, CARL D. MUMMERY, her husband, or the survivor of them. B. Z give and bequeath two (2) sham to my daugh er, VIRGINIA A. CRESSLER and my son-in-law, HARVEY R. CRESSLER, her husband, or the survivor of them. C. I give and bequeath two (2) sham to my daughter, SHIRLEY M. CORNMAN. • D. 2 give and bequeath one (1) s~re to my grandson, RICHARD H. CRESSLER E. I give and bequeath one (1) share to ~ granddaughter, SHARIE A. CRESSLER. F. I give and bequeath one (1) sha~ to my grandson, _. WITNESS: ~~ (SEAL) %~ `' '/'JO/ H CORNMAN ~ ~~~~~+ ~ ( r i~ E ~ MICHAEL K. MUMMERY. - L G. I give and bequeath one (1) share to my granddaughter, CONNZE E. MUMMERY H. I give and bequeath one (1) share to~ granddaughter, BRENDA L. MUMMERT.~ I. I give and bequeath one (11 sha~ to JAMES D. FISHE~,. SR. ITEM ~: I direct my Co-Executrixes to pay all inheritance, estate, succession and legacy taxes of whatsoever nature and kind, to which my Estate or the transfer of any property passing hereunder otherwise passing by reason of my dimise, may be subject and to charge such taxes against my residuary estate, it being my intention that none of the aforesaid taxes, either federal or state, on any property requiered to be included in my gross estate, under the provisions of any state or federal law now in force or hereafter enacted, shall be prorated amoung the persons interested in my Estate to whom such property is or may be transferred or to whom any benefit accrues. ITEM 4: I direct my hereinafter named Co-Executrixes of my estate to sell all of my property, both personal and real at either public or private sale as soon after my demise as may be convenient. ITEM 5: I appoint my daughters, VIRGINIA A. CRESSLER, SHIRLEY M. CORNMAN, and BERNICE E. MUMMERY, as Co-Executrixes of this my Last [dill and Testament. ITEM 6: I direct that my Co-Executrixes, guardian, or WITNESS: ~ E .Ci. . J 11~~C.~'r; G --- ~JJOHN H.~ CORNl4AN r their successors shall not be"required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal L~, ; this ~~1 day of ~. ~.,L!1 I it. 1989. WITNESS: (~~ ~ , . _~ .~ ~/T /r'i l ~ ;C % ~ r'fi ' i•% s, (,.SEAL ) JOHN H. CORNMAN ~ ~ ~ COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF YORR We, JOHN H. CORNMAN, JAN M. WILEY, ESQUIRE and S. DAWN GLADFELTER, the Testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last will and Testament and that he had signed willingly (or willingly directed another to sign for him), and that he executed it, as his free and voluntary act for .the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator signed this Last Will and Testament as witnesses and that to the best of their knowledge, the Testator was at the time, eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. i.~ -Y! ~ i~J-~~--~.-r (SEAL ) JOHN H. CORNMAN ~' ~ WITNESS _.. l WITNESS Sworn to and subscribed to before me this /~~ day of 1989. Notary Public /MY COMMISSION EXPIRES: ~ tk\'tCE9. ttll:i'A. =i,'c':4T~LHY WJBL]C PRL'.S~'iR:. i]:;ra'~{r~rSt, Y4iRC. fltitlTY Fi !:t;3;irii5:lt.ii ~tietifl~5 J=R.Y @, ilYit REV•1502 EX + (7.8a) COMMONWEAITM OF PENNSYLVANIA INHERITANCE TAX RETURN ~ RESIDENT DECEDENT TE SCHEDULE "A" REAL ESTATE JOHN H. CORNMAN 1995-00136 (Property jointly-owned with Right of Survivorship must be diselesed on Schedule "f") All real estate should be reported at fair market value which is defined os the price at which property would be exchangid between a willing buyer and a willing Seiler, neither being compelled to buy or :l11, both having reasonable knowledge of the relevant facts. ITEM NUMBER DESCRIPTION VALUE AT DATE Of DEATM • Sale of home & property situate at 108 N. Second St. Bowmansdale, Upper Allen Township, Cumberland County, PA: $75,000.00 2. Tax p=oration due estate from sale: 4.24.32 TOTAL (Also enter on line 1, Recapitulation) I $ 7 5 ,3 2, COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "B" STOCKS AND BONDS ESTATE OF JOHN H. CORNMAN FILE NUMBER (All property )ointlyowned with Rlpht of Survivonh(p must be disclosed on Schedule "F") 19 9 5 - 0 013 6 ITEM NUMBER ~ DESCRIPTION VALUE AT DATE OF DEATH 1. Proceeds from Series E Bonds $11,825,86 (See Lock Box Inventory} TOTAL (Also enter on line 2, Recapitulation) I $ 11 5.86 (If more apse is needed invert additional sheets of same size) ~tev.tsa ex. ~.a~ a SCHEDULE E CASH, BANK DEPOSITS AND COMMpNWEAITFI OP PENNSYLVANIA MISCELLANEOUS IN R[S~IDINT`DK oe~"" PERSONAL PROPERTY C C T / T (A!I property ITEM NUMBER jointlyowned with Ihs Right of Survivorship must be disdosad on Schedule NU Please Print or DESCRIPTION r PNC Brokerage Corp. Acct. #227388695 (Colonial Trust II US Govt FDA): PNC Bank Savings #5030000805 Interest to date of death: PNC Bank Savings #5030109421: Interest to date of death: ~! PNC Checking #5070078017: Interest to date of death: PNC CD #0463200183641: Interest to date of death: J°' PNC CD #0463200183628: `~ Interest to date of death: ;7. Rent checks received (8 months @ $170.00/mo.): ~. Cash found in lock box: 9. Sale of 1993 Chev. Truck: Sale of Personal Property: 11. Credit from phone company: X12. Refund from State Income Tax: i '13. Refund from IRS: I I TOTAL (Also enter on line 5, (Attach additional 8'h" x 11" :heats if more space is needed.) VALUE AT DATE OF DEATH $103,607.48 $ 959.03 ~ $ 2.03 '`~ $ 9,569.62 `~ $ 20.29 $ 6,092.74 `~ $ 4.68 $ 60, 000.00 $ 248.63 $ 65, 000.00 `~ $ 204.80 $ 1,360.00 $ 13.00 $ 8,000.00 $ 14,323.00 $ 6.50 $ 56.00 $ 511.00 oirulation) S 2 6 9 9 .$ REV•1509 EX + R.86) > ~ C~hMONWEAITH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT 'A SCHEDULE F JOINTLY-OWNED PROPERTY JOHN H. CO RNMAN NUMBER 1995-00136 Joint tenant(s): NAME ADDRESS A• Shirley M. Cornman 131 Glenwood Road Dillsburg, PA 17019 B. C. Jointly-owned property: RELATIONSHIP TO DECEDENT daughter ~flt1311 pI. ~Jn ~ ~ ~ ~ ~ CClNMONWEALT}I OP PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DKEDENT ESTATE OF JOHN H. CORNMAN ITEM NUMBER A. 1. 2. 3. runeral Expenses: Cocklin Funeral Home Shirley M. Cornman, Bernice. E. Mummert & Virginia A. Cressler (reimbursement, funeral meal): Mt. Pleasant Church: 8• I Administrative Costs: Bernice E. Mummert, Virginia A. ~• , Personal Representative Commissions I Cressler & Shirley M. ~ornman:~ Social Security Number of Persona! Representative: i Year Commissions paid 19 9 5 i I 2. (Attorney Fees - Jan M. Wiley, Esquire i 3• ;Family Exemption Claimant Relaticnship Address of C;aimant at decedent's death Street Address j City State Zip Code 4. i Probate Fees - Register of Wills I C. ~ Miscellaneous Expenses: 1. ~ York Legal Record i I Z, i Patriot News: I 3. I Filing Fees: I 4, ; Notary Fees: ; I g. Escrow for taxes, add'1 expenses, etc: j 6. 7. 8. I ~ ; i 6,700.00 200.00 100 .00 13,700.00 13,700.00 302.00 40.00 220.00 25.00 20.00 3,000.00 70TAL (Also enter on line 9, Recapitulation) ~ S ~ R (If more soaee is n~edo2~. ine~.~ nwld:i:......1 .L,..., ~j ~~~~ ~•-~ 1 SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Please. Print or Type 3Elt 1995-00136 DESCRIP'T10N AMOUNT ,OrP17.00 'COMh~oNWlADfi p{,ENNSYLVANIA INHERITANCE TA71 RETURN RESIDENT OKEOENT JOHN H. CORNMAN SCHEDULE i DEBTS OF DECEDENT, MORTGAGE LIABLITIES AND LIENS. ITEM NUMBER DESCRIPTION Pl~as~ Print or 1995-00136 AMOUNT 1 PP & L (electric): $ 387 87 2 Bell Atlantic (phone): $ . 146 82 3 Sammons Communication (television): $ . 60 60 4 Thompson Eye Assoc: $ . 80 00 5 Luther Critebly (income tax prep.): $ . 50 00 6 State Farm (homeowners insurance): $ . 287 00 7 8 Behney Oil: Marlin A. Yohn, Sr. Tax Collector: $ $ . 145.15 176 9 LuAnn E. Knudsen (appraisal on property): $ .07 125 00 1 Harrisburg Hospital (last illness): $~ . 18.97 1 1~ Waste Management of Central PA: W $i 40.17 . ayne D. Yinger (painting roof & porch): $ 260 00 1 ~ State Farm Insurance (truck insurance): $; . 136 72 1 . 1~. Marlin A. Yohn, Sr., Tax Collector: Miscellaneous billings: ; $, . 59 2.43 16. ' Waste Management of Central PA: $i $ 48.34 40 17 1 ~. Bernice Mummert (storm door): $: . 73 14 18. Associated Products (toilet for sale): $ . 82 50 19. 2d Mt. Pleasant Church (food for helpers at sale): $! . 105.25 • 2~• Lancaster Newspaper (ad for sale): Miscellaneous billing: $ 121.00 2~. Lester W. Erb, Inc. (fuel oil): $,i $~ 71.13 120 12 23. Pump Doctors (water tank): $~ . 386 78 24. 2~. Auctioneer Expense (personal prop. sale); Sharie A C $' . 891.32 . ressler, (debt owed by estate): $', 5,000.00 I ,... I i i I i I i i OTAL (Also enter on line 10. Remoituh„~~I c (If more space is needed, insert additiono! sneeh of some size) vn.~,si~ ex-, (un o fOMMONWEALTH Of rENNSYlVAN1A ~NMNfrANCi TA7I R~TNRN R/t10rNr DlC~HIT OF SCHEDULE J BENEFICIARIES JOHN H. CORNMAN NUMBER ~ 9c15_nni ~G • TOTAL CHARITABLE AND GOVERNMENTAL BEDUESTS (Also enter on line 13, Recapitulation) (lf more space is noadad, insert additional s6aats of samo size) ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Governmental Bequests: 3 n e ESTATE OF .JOHIV H. CORrflKAN NO, 1995-00136 BEIVEFLCIARIES ; ~Bemice E. & Carl D. MURmert 85 Wilow Rd. Wellsville, PA 17365 Virginia A. & Harvey R. Cressler 1023 r.. Lisburn Rd. Mechc?ni csburg, PA 17055 "! Shy ley M. Ccr-~crian 131 G~enwcod Rd. Dillsburg, pA 17019 '/ R1Ch2i~ H, Cressler 123 SEcond St., ?ox 53 Bowm~~sdale, pA 17008 '/ Sharie A. Cressler 1023 ~ . Lisburn Rd Mec'~nicsburg, PA 17055 `~Mi.ci-~el R . Mu~rn 2225 Ceasarville Rd. Wetiarmka, AL 36092 'Connie E. Mtarmert Bricker 1147 S, Mountain Rd, r Dillsburg, PA 17019 renda L . Murrme~- t The Seville -Apt. 2A rioll=caysburg, ~A 16648 ~~s C. Fishel 239 Cld Gettlsburg pike Mechanicsburg, PA 1705:, 2 shares daughter & son-in-law 2 shares 2 shares daughter & son-in-law daughter `~ 1 share 1 share 1 share r! I sahre 1 share ~ 1 share ~ grandson granddaughter grandson granddaughter granddaughter friend d I' .. ,~ inventory of the real and personal estate of HN H ('nRNMAN deceased 'SEE ATTACHED LIST' COMMONWEALTH OF PENNSYLVANIA '~ i~~~ ss: COUNTY OF 6YMEiR~B ~"- 1 . _Bernice E Mummert Virginia A Cressler and Shirlev M Cornman_ being duly Sworn according to law, deposes and says thatt he y arA the Co-Executors of the Estate of John H. Cornman late of U~Ler Allen Townshi_Q___ _ ,Cumberland County, Pa., deceased and that the within is an inventory made by them __ - ,the said Co-Executors of the entire estate of said decedent, consisting of alt the personal proparty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value a~ ~f +6e date of decedent's death , Sworn ~ and subscribed before me, ~'L_... ~~ 19 9.5~ Nc`aN`a; Sea! S. Dawm G.l::~Fe;ter, No~ary Public Carroll ; ~n~., YUrk County P~":;r C~m~ '`:u~;;~i , `=xP+res Nlay 17,1997 Date of Death Day h ~r ~/ Executor -Administrator ~, Virginia A. Cress~er Address: 1023 E. Lisburn Rd., Mechanicsburg, PA 17055 Month INSTRUCTIONS Year I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. a ~ ~ } z 3 m .o ~ ~ ~ E' m H `~ ~ W O I ~ M ~.. W Q ~ ~ ~ n- F- O ~i p ~ W S W ~ cW N O r ~ a ~ U ~ Z J 0 ~ ~ , oa O, LL W °' > O Z~ x N C Q3 .. 0 ~ Z o o z a 'o ~ o' Z x a v r. ~ z 0 Z a s o ~ ~ z a w ` h ~ o d i .~ -p ~ .°~' E m o ~ U ii m INVENTORY OF REAL AND PERSONAL PROPERTY OF JOHN H. CORNMAN FILE NO. 1995-00136 1. PNC Brokerage Corp. Acct. #227388695 (Colonial Trust II US Govt FDA): $103,607.48 2• PNC Bank Savings #5030000805: Interest to date of death: $ 959.03 $ 2.03 3. PNC Bank Savings #5030109421: Interest to date of death: $ 9,569.62 $ 20.29 4. PNC Checking #5070078017: Interest to date of death: $ 6,092.74 $ 4.68 5. PNC CD #0463200183641: Interest to date of death: $ 60,000.00 $ 248.63 6. PNC CD #0463200183628: Interest to date of death: $ 65,000.00 $ 204.80 7. Proceeds from Savings Bonds: $ 11,825.86 8• Rent checks received (8 months @ $170.00/mo.): $ 1,360.00 9. Cash found in lock box: $ 13.00 10. Sale of 1993 Chev. Truck: $ 8,000.00 il. Sale of Personal Property: $ 14,323.00 12. Credit from phone company: $ 6.50 13. Refund from State Income Tax: $ 56.00 14. Refund from IRS: $ 511.00 TOTAL: $281,804.66 REAL ESTATE: 1• Sale of home & property situate at 108 N. Second St., Bowmansdale, Upper Allen Township, Cumberland County, pp,; $ 75,000.00 2• Tax Proration due estate from sale: $ 424.32 TOTAL REAL ESTATE: $ 75,424.32 N _. INVENTORY OF JOHN H. CORNMAN (CONTINUED JOINTLY OWNED PROPERTY: 1. Series EE Bond L2847972EE 12/18/80 Shirley H. or John Cornman ($50.00), value as of date of death: TOTAL (;ROSS ESTATE (PERSONAL PROP. & REAL ESTATE): $ 76.06 $357.305.04 rn ~} ;mss C~ i "_? t'°7 i.i~ r r REV-1547 EX AFP (12-95) C~MMDNNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX ACN 101 BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPT. 280601 HARRISBURG, PA 17128-0601 OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 02-12-96 """'~ " FILE N0. 2 9 - 1 DATE OF DEATH 02-05-95 COUNTY CUMBERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM MITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT T0: JAN M WILEY ESQ 2 BARLO CIRCLE PO BOX 288 DILLSBURG PA 17019 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE - RETAIN LOWER POR_TION_ 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 CORNMAN JOHN H FILE N0. 21 95-0136 ACN 101 DATE 02-12-96 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estat• (Schedul• A) (1) 75.424.32 2. Stocks and Bonds (Schedul• B) (2)_ 11.825.86 3. Closely Hsld 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) 269.978.80 6. Jointly Owned Property (Schedule F) (b) 76.06 7. Transfers (Schedule G) (7) .00 8. Total Assets (g) 357,305.04 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedul• H) (q) 38,007.00 10. Debts/Mortgage Liabilities/Liens (Schedul• I) (10) 9.446.55 11. Total Deductions (11) 47.4~~ r,5 12. Net Value of Tax Return 309 851 49 13. Charitable/Governmental Bequests (Schedul• J) (12) , . 00 14. Nat Value of Estate Subject to Tax (lg) . 309 85 (14) , 1.49 NOTE: if an assessment was issued previously, lines reflect figures that in l d 14, 15 andior 16, 17 and 18 will c u e the total of ALL ASSESSMENT OF TAX: returns assessed to date. 15. Amount of Line 14 at Spousal rate (15) . 00 X .00_ .00 16. Amount of Line 14 taxable at Lineal/Class A rat' (16) 284,036.88 X .06. 17,042.21 17. Amount of Line 14 taxable at Collateral/Class B rat' (17) 25,814.61 X .15. 3,872.19 18. Principal Tax Dus (lg) 20,914.40 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST (-) AMOUNT PAID 04-28-95 11-02-95 AA023100 AA082279 792.53 15,058.00 .00 5,104.07 TOTAL TAX CREDIT 20,954.60 BALANCE OF TAX DUE 40.20CR INTEREST .00 TOTAL DUE 40.20CR * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU MAY BE DUE ~ ~ i REV-Id70 EX (b-88~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME INHERITANCE TAX EXPLANATION OF CHANGES FILE NUMBER ACN l;:)1 SCHEDULE ITEM NO. EXPLANATION OF CHANGES ;; - )OIFJL ~'~ ;~e~.'' 'r no I ~ o,,~rty listed. r.r; pct F-+rtu1:~ T' r;1u~;lr fto ~_lea~tlctc~+_ out of rJet 1.~c`~±lZl'.:` Gf cSt~3 tE: JC'.~(~r~.. 3.~tO i.,t P,t:i Catl E7~ t$X?~i c t jtC l'Ct?.i 1; 3t?P_ 2'c~CC S..•. 1 TAX EXAMINER: PAGE