HomeMy WebLinkAbout95-0164~-I-gS-Dlmy
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 16 200 ~ ? .
Date Fran eropoli, ' ect
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
H103.iq RN.?I37
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Moyer, Emily K.
172-01-5188
® 1. Original Return
^ 4. limited Estate
b. Decedent Died Tsstats
(Attach copy of Will)
ILL CORRESPONDENCE AND
INHERl1'J~I~C~ Tea( RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
A
FOR DATES Of OtATH AR[S 14/31/91 CHECX HI
if A SItOUSAft
95
21 ~ 164
ITY CODE ve~e
2 Hunter Lane • • ,
~r OF DEATH DATED etattt Camp Hill, PA 17011` ~~ ~•.:
01/16/95 04/09/07 Cumberland
^ 2. Supplemental Return
^ 40. Future Interest Compromise
(for dotes of death ahsr 12-12.82)
^ 7. Oscsdertt Maintained a Living Trust
(Attach copy of Trust!
TAX
Mandy R.•Hicks, Trust Administrator
717 _) 255-2225
^ 3. Remainder Return
(for dotes of death prior to 12-13-•
^ 5. Federal Estate Tax
Return Required
1 @. Total Number of Sofe Deposit Bo:
Dauphin Deposit Bank and Trust Company
P.O. Box 2961
Harrisburg, PA 17105
1. Real Estate (Schedule A) (1) 92,000.00
2. Stocks and Bonds (Schedule @) (2) 49, 178.85
3. Closely Held StocklPartnership Interest (Schedule C) (3) 0.00
4. Mortgages and Notes Receivable (Schedule D)
. (4) 0.00
5. Cosh, R6nk Dsposifs d~ Miscellaneous Personal Property( S)
(Schedule E) 20, 032.49
6. Jointly Owned Property (Schedule F) (6) 4 , 000.00
7. Transfer: (Schedule G) (Schedule y (7) 0.00
8. Total Gross Assets (total lines 1-7)
9. Funeral Expenses, Administrative Costs, Miscellaneous
Expense; (Schedule H) (9) 32, 289.20
10. Debts, Mortgage Liabilities, Liens (Schedule I) (10) - 515 00
11. Total Deductions (total lines 9 b 10) ~~
12. Nat Value of Estate (line @ minus line 11) (11) 32 , 80'4.20
13. Charitable and Governmental Bequests (Schedule J) (12) 132.407.14
14. Nat Value Sub'sct to Tax
I (line 12 minus Gne 13) (13) 2 , 000.00
15. Amount of line 14 taxable at 696 rate (15) 0
00 (14) 130, 407.14
.
(Inducts values from Schedule K or Schedule M.) x •~ _ - 0 00
16. Amount of line 14 taxable at 1596 rote (ley) 130.407.14
(Include values from Schedule K or Schedule M.)
x .15 =
1 .561 08
17. Principal tax due (Add tax from line 15 and from line 16.)
18. Credits Spousal Poverty Credit Prior Payments Discount
0.00 + 0.00 Interest
+ 0.00 _ 0.00
19. If line 18 is greater than Gne 17, enter the difference on line 19. This is the OVERPAYMENT.
L•Z!^
20. If line 17 is greater than Gne 18, enter the difference on Gne 20. This is the TAX DUE.
A. Enter the interest on the balance due on lino 20A.
B. Enter the total of lino 20 and 20A on line 208. This is the BALANCE DUE.
Make Check Payable to: Reylster of Wills, Agent
~- ~- BE SURE TO ANSWER /ILL QL
Under penohies of perjury, I declare that I have examined this return,
h is trt-e, correct and complete. I declare that all real estate has been
6~ed on all infogp-fin of which preparer has onv Itee...t~,1.._
_---' ---
( e) 165 , 211.34
(17) 19,561.08
(18) 0.00
(i9) 0.00
(20) 19,561.08
(20A) 0.00
(2oB) 193561.08
IS ON REVERSE SIDE AND TO RECHECK MAl
i oaompanYmg sc!-sdvles and statements, and to thi
at hva market value. Dedoration of prsporsr other
u n lie os' an & •Trust~Co. PRps Box 2961
~ Fvo....~,.- .'
t
or my knowledge and beG
the personolreprssentative
DATE
10/05/95
DA
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (rj IN THE
APPROPRIATE BLOCKS.
1. Did decedent make a transfer and:
a. retain the use or income of the property transferre , .......................................
b. retain the right to designate who shall yse the property transferred or its income,
c. retain a reversionary interest or ....................................................................
d. receive the promise for life of either payments, benefits or care? .......................
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death
occurred after December 12, 1982, did decedent transfer property within one year of
death without receiving adequate consideration .................................................
3. Did decedent own an 'in trust for' bank account at his or fiat death? ......................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS ISHE RETURN.
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF T
SCHEDULE A
COMMONWEAITM Of nNNSYLVANIA REAL ESTATE
INMEBLNLE TAY !lTIIlIJ
ESTATE OF FILE NUMBER
Emily K. Moyer 21-95-164
(Property ieintly-owned with Right of Survivorship must be diselo:.d on Schedule F) All real estate should be reported at fair market value
which Is deRned os the price at which property would be exchon9ed between a willing buyer and a wiilinR seller, neither being compelled
to buy or sell, both having reasonable knowledge of the relevant facts.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
i• Lot and dwelling located in East Pennsboro Township, Cumberland
County, Pennsylvania, between Charles A. Holmes and Bessie Guy
Holmes, his wife; and J. Donald Moyer and Emily K. Moyer, his
wife; more fully described in Deed Book A, Volume 16, Page 150
dated September 30, 1954 -Sale Price 92,000.00
TOTAL (Also enter on line 1 Recapitulation) I $ 92 , 000 00
fr( -}r rq n.e
'n- ~a r~~?7, ~rsclri addifiana! sheah of same size.)
~e~G•iS~o3 Fx+.µ.~q ~~Y
SCHEDWLE B
STOCKS AND BONDS
Emily K. Moyer 21-95-164
(All property jointly-owned with Rlpl~t of Survlvor:htp must be diulesed on Schedule F.)
ITEM
NUMBER DESCRIPTION VALUE AT DATE
Of DEATH
~• 50 shares General Motors Corp., Common 2,090.63
2. 2 shares General Motors Corp., .Class H, Common 70.50
3. 1,313 shares Prudential Government Income Fund, Class B 11,002.94
4. 2,654 shares Prudential GNMA Fund, Class B 36,014.78
TOTAL (Also enter on line 2, Recvpitulaticnj $ 49, 178.85
(If more space is needed, insert additionvl sheeh of some size.)
~~~~~~`~~ SCHEDULE E
CASH, BANK DEPOSITS AND
COMMONWEALTH Of -ENNSYLVANIA MISCELLANEOUS
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
Please Print or
Emily R. Moyer 21-95-164
lan --owrty iotntly~wn•d with th• Rtyht of Survhronhlp nsu.t b• dtseb.•d on Sch•dui• F)
ITEM
NUMBER DESGRlPTION VALUE AT
DATE OF DEATH
1. Dauphin Deposit Bank and Trust Checking Account ~~62004867 5,524.52
Accrued Interest 7.78
2. U.S. Treasury, Series EE Savings Bond 59.96
3. First Federal Savings and Loan Association
Passbook Savings 6,318.21
Accrued Interest 6.93
4. PP&L - Accrued Dividend 83.50
5. Household Effects - Appraised Value 3,579.00
6. 3,636.08 shares Prudential Moneymarket Assets 3,636.08
7. David and Charlene Daniel - Adjustment of sewer expense 1.08
8. David and Charlene Daniel - Adjustment of 1995 County and 71.89
Township Real Estate Tax
9. David and Charlene Daniel - Adjustment of 1995/96 School 743.54
Real Estate Tax
TOTAL (Also enter on line 5, Recapitulation) I$ 20,032 49
(Attoch additional 815' x 11" sh•ats if mon spot. is nssdod.)
iev~uov ex. ,p~~
COMMONWEALTiI OF PENNSYLVANIA
INHERITANCE U1l( RETURN
RESIDENT DECEDENT
Emily K. Moyer
SCHEDULE t~
JOINTLY-OWNED PROPERTY
21-95-164
Joint t~nant(sa):
ov.mry-vwnw property:
L...,vra space ~s needed mseA additional sheets of same size)
^ssa» ri. p+q
SCHEDULE H
FUNERAL. DCPENSES,
ALTN or -ENNSTIVANU ADMIN15tRAtIVE COST'S AND
~cE Tex ~~~ MISCELLANEDUS EYPt~tu~et
(ENT OECEOEN?
Emily K. Moyer
ITEM
NUMBER DESCRIPTION
A• Funeral Expenses:
~• W. Orville Kimmel - Funeral Expense
2. R.J. Romberger & Sons - Completion of Headstone
Ptoa:• Print or Ty
t
21-95-164
AMOUNT
4,472.00
125.00
d• Administrative Costs:
I• PsnonalReprossntatiwCommiuions Dauphin Deposit Ban_k'& Trust Co.
Socio) Security Number of Psrsonol Reprosentotiw: _ 23-1 9'~Ag -
6,829.50
Ysor Commissions paid
2. (Attorney Fsss Killian & Gephart
6,500.00
3. I Family Exemption
Claimant Relationship
Address of ClaimoM of decedent's death
$freet Address
City State Zip Code
4. Probate Fess
Register of Wills of Cumberland County-cost of Probate and
~• Misnllo ~ovs Exp~nuis
~• Cumberland Law Journal - Cost of Advertising and Proof of
Publication
2• Duty's Lock and Key - Replace locks on real estate
3• Alicia G. Stine, Tax Collector - 1995 East Pennsboro Township
Tax
<• Costea's Auction House-Appraisal fee for household effects
S. Sammons Communication - final cable bill
6. UGI Corp - Utility Expense
7. Dan Barrett - Removal of debris at 2 Hunter Lane, Camp Hill
8. PP&L - Utility Expense
-CONTIN[TED_
TOTAL (Also enter on line 9, Recopitutotion)
(IF more space is needed, insert additional sheets of sans size,)
247.00
40.00
85.00
273.55
125.00
9.90
239.61
125.00
64.58
S 32,289.20
SCffi:DDLE H
ffiILY R. MOYER
21-95-164
9~, Mark E. Hilbert & Assoc. - Real Estate Appraisal Fee 250.00
10. East Pennsboro Township - Expense for trash and sewer 58.32
11. PA American Water Co. - Utility expense 8.38
12. Real Estate Appraisal Specialists, Inc.-Real Estate Appraisal Fee 250.00
13. Alexander & Alexander - Liability Insurance Premium on 2 Hunter Lane 3.00
14. UGI Corp - Utility Expense
18.68
15. PP&L - Utility Expense
20.63
16. Renovations Company, Inc. - Replace rear steps and stringers 220.00
17. Home Helper Service - Mow grass on April 14, 22, and 29th 95.40
18. Credit Bureau of Greater Harrisburg-Property Report 42.00
19. UGI - Utility Expense
27.70
20. PP&L - Utility Expense
18.42
21. Home Helper Service - Lawn Care
127.20
22. Bell Atlantic-Final Telephone Bill
8.51
23. PA American Water - Utility Expense
8.38
24. Environmental Services and Products - Asbestos Testing 80.00
25. Patriot-News Co. - Cost of Advertising and Proof of Publication 141.16
26. UGI - Utility Expense
6.30
27. PP&L - Utility Expense
20.25
28. Home Helper Service - Lawn Care
254.40
29. East Pennsboro Township - Utility Expense
49.50
30. Patriot-News Co. - Proof of Notice for sale of real estate 177.66
31. American Water Co. - Utility Expense
8.38
32. Alicia D. Stine - 1995 School Real Estate Tax
966.28
33. PP&L - Utility Expense
36.99
SCHEDULE H
EMILY R. MOVER
21-95-165
34. UGI - Utility Expense
35. PA American Water - Utility Expense
36. Home Helper Service - Lawn Care
37. UGI - Utility Expense
38. PP&L - Utility Expense
39. F&GUI - Home Owner's Insurance
40. Patriot News Co. - Proof of Notice for Sale of Real Estate
41. Home Helper Service - Lawn Care
42. PA American Water Co. - Utility Expense
43. David and Charlene Daniel - Buyers Closing Costs
44. Dauphin Deposit Bank and Trust Company - Broker's Commission for
sale of real estate
45. C.M. Detweiler, Inc. - Co-Broker's Commission for sale of real
estate
46. Cash - Notary Fee
47. Capital Region. Land Transfer, Inc. - Disbursement Fee
48. Recorder of Deeds - Realty Transfer Tax (Seller's portion)
49. Bowers Pest Control - Wood Infestment Treatment
50. UGI - Automatic Utility Payment
51. PP&L - Automatic Utility Payment
11.48
8.40
127.20
18.62
39.39
164.00
159.42
127.20
8.37
2,760.00
2,760.00
2,760.00
6.00
35.00
920.00
238.50
79.36
32.58
"~~
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SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE UABLITIES AND LIENS
Emily K. Moyer .
Please Print or Type
JMdER
21-95-164
REM
NUMBER OESCWPiION AMOUNT
~, Conner -Rich -Kearney Associates -Balance due on physicians 100.00
services
2. Bell Atlantic -Telephone service 53.01
3. Homedco -Balance due 60.24
4. PA Department of Revenue - 1994 Personal Income Tax Due 100.00
5. American Red Cross -Balance due on Lifeline Service 95.00
6. PA American Water Co. -utility expense 26.65
7. East Pennsboro Township -Trash and sewer expense 80.10
70TAL (Also enter on iine 10, Rewpitvlotion) I S 515 00
(li nwne space is needed, insert addifiona! sheep of some size.)
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ESTATE OF - ~ ,
Emily K. Moyer
SCHEDULE J
BENEFICIARIES
NLE NUMBER
21-95-0164
NUM ER NAME ANO ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR
SHARE OF ESTATE
A. Taxable Bequests:
i. Tillie R. Willier Sister 1/3 Residue
516 E. Maple Street
Hegins, PA 17938
2. Larry Willier Nephew 1/3 Residue
628 E. Main Street
Hegins, PA 17938
3. Carol Stutzman Niece 1/3 Residue
301 Ashford Drive
Lancaster, PA 17601
ITEM AMOUNT OR
NUMBER NAME AND ADDRESS OF BENEFICIARY SHARE OF ESTATE
6. Chcritabls and Governmental Bequests:
~ I. Valley View Church of God 1,000.00
Valley View, PA
V
2. Market Square Presbyterian Church 1,000.00
Harrisburg, PA
TOTAL CHARITABLE ANO GOVERNMENTAL BEQUESTS (Also enter on Gns 13, Rscopitulation) I5 2 , 000.00
(If mote spore is needed, insert additional sleets of same size)
r
___ _ _ .w--- __ _ - -- --.~-
OF
EMILY E. MOYER
I, EMILY 8. MOYER, of Cumberland County, Pennsylvania, declare
this to be my Last Will and Testament and hereby revoke all prior
wills and codicils made by me.
BIRST: My Executor shall pay from the residue of my estate
all my debts, funeral expenses, administration expenses, and all
estate, inheritance, succession, and transfer taxes imposed by the
United States or any state, territory, or possession which shall
become payable by reason of my death. It shall not be TP[~taccar-~r
to file any claims therefor, nor to have them allowed by any court.
The Kimmel Funeral Home shall handle my final arrangements as
per my instructions and I shall be buried in Rolling Green
Cemetery, Camp Hill, Pennsylvania.
SECOND: I bequeath such tangible personal property as is set
forth in a separate, dated and unsigned letter of instruction,
which I shall place with my Will, to the persons therein
designated. If I have not left a letter of instruction or for
those articles not distributed under this letter of instruction,
I bequeath such articles in as nearly equal shares as is practical
to the then living of the following people: TILLIE R. AILLIER,
LARRY WILLIER and CAROL STIITZMAN. If there is disagreement as to
distribution, I direct my Executor to make such distribution. The
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LAST WILL AND TESTAI~II:NT
OB
EMILY E. MOYER
decision of my Executor shall be binding. Any tangible personal
property not disposed of in this manner shall be distributed by my
executor through the residuary estate.
BIRD: I bequeath One Thousand ($1,000.00) Dollars to
Valley View Church of God, Valley View, Pennsylvania, in memory of
my mother and father, Maria and William Kehler.
FOURTH: I bequeath One Thousand ($1,000.00) Dollars to
Market Square Presbyterian Church Memorial Fund.
FIFTH: I give, devise and bequeath all the rest, residue
and remainder of my estate, of whatsoever kind and nature and
wheresoever situated, in equal shares to the following named
individuals:
(a) One share to Tillie R. Willier, 516 East Maple
Street, Hegins, Pennsylvania. If Tillie u_ w;ii;e.. a___ __~
survive me, her share shall be distributed equally to her
children, Larry Willier and Carol Stutzman, per stirpes.
(b) One share to Larry Willier, 628 East Main Street,
Hegins, Pennsylvania. If Larry Willier does not survive me,
his share shall be distributed in equal shares to his then
living children.
(c) One share to Carol Stutzman, 301 Ashford Drive,
Lancaster, PennsylvaniaLancaster, Pennsylvania. If Carol
Stutzman does not survive me, her share shall be distributed
in equal shares to her then living children.
2
LAST 1PILL AND TESTAMENT
OF
EMILY 1C. l[OYER
BIB: I hereby nominate, constitute and appoint the
DAIIPHIN DEPOSIT BANK AND TRIIST CO., Executor of this my Last Will
and Testament, to serve without bond or security, and I hereby
authorize, empower and direct it to sell and convey any and all of
my real estate, at public or private sale, for such price or
prices, upon such terms and conditions as in its judgment is best
for my estate, and to that end to sign, seal, execute, acknowledge
and deliver all deeds or other instruments necessary therefore, as
effectively as I could do if I were personally present.
IN WITNESS WHEREOF, I, EMILY R. MOVER, the Testatrix, have to
this my Last Will and Testament, typewritten on three (3)
conse~~cu//tive numbered pages, set my hand and seal, this 9 74, day
of / (.~~J~1~E3 ~ 19 ~'~ .
EMILY R MOVER (SEAL)
Signed, sealed, published and declared by the above-named
Testatrix, as and for her Last will and Testament, in the presence
of us, who have hereunto subscribed our names at her request, as
witne ses hereto, in the presence of the said Testatrix, and of
eac other.
residing at/ UI
~~-e- residing at _?~'; ~{ ~~~ ,,~~~. ~,~
3
ACl~tnp~,g~. AND ~F'IDADIT
CO1~II~IONWF,ALTg OF PENNSYLVANIA )
COUNTY OF ) ss:
The Testatrix and the witnesses whose names are subscribed to
the foregoing instrument, being first duly sworn and qualified
according to law, do hereby acknowledge and declare to the
undersigned authority that the Testatrix si
instrument as her last Will in the presence of the witnessesedthat
she signed willingly or willingly directed another to sign for her,
that she executed it as her free and volunta
therein expressed, that each of the witnesses in the the purposes
hearing of the Testatrix si ~ presence and
to the best of their knowledge the Testatrix lwass at that time
eighteen years of age or older, of sound mind and under no
constraint or undue influence.
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fitness
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Witness
Sworn to, subscribed and acknow~ dc,~ed before me b
named Testatrix and witnesses this ~. y ~e above
19 ~, day of `}t,s-v.,.~,,.,~n,;~
t
_ti,,.s.~t ~.~-,. (SEAL)
~ Notary lic
or
Attorney-at-Law
Notarial meal
Bsrrics Jennings, Notary °i,:biic
HarrisE;urg, Dauphin ~ehty
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