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HomeMy WebLinkAbout95-01672~ -q5- dll~~ Tr~ErnBwT NAB sugc ( 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 2'OOT ? . Date Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLWINIA • DEPARTMENT OF HEALTH • VITAL RECORDS . CERTIFlCATE OF DEATH ~14~86 M( ,. M . Joann Holmes eEx Sac,A~ sECUR1Tr NuMeER wTe DEN„dAain• D..''•rl ~~~~ ~~~ ~~~ ~~~ Female a. 159 - 24 - 9423 ..~ ^^m~,ADEla,ra R.r7E0^oENNla~.u,,,+roo.-,..~..,,•ew...,n.,e.l Marts j Da,. Nrr = 11Y..1• IMOn.:. O•F `Art) ~•r F•~u^nCelr.fA 66 vn. Sept. 10, 192 Harrisburg, PA •o.bnc~ CO 1 T• erwl.nrw.^ DD.^ „~ ^ ~~^ a~ ^ ~J tN fYOF DErEN CRY,BORO.TW-OF DERV FACE.RY M ararm.Wwarwn+ro•r1 Cumberland East Penn b T ~ ~~S Y^.S DECEDEM OFNIBPANIC 01^OIN7 RACE- N• ~ Mr ^ p,.., i•al,CWr:, ISOraN YNr, BYIa, Nw^•. •Ic ~ %'7/ / ~ .,, s oro ~ ~ ~. -~+^~~..•~ White IDwasaustNessnNOUSrRr rwaoecE w andr•rxmr YA.r u.s. RYYC~EB/ oECEDENT' r.rMwrca.s ~t a ~~~.~ ~~~ "rr ~" ~ 0' , Ma^ N•LT Clerk Hills Dept. Store CaYp• ww c.a isn~ a'°3'I ~ ! ,a. ~ MAE^r{ADOnEast3..r.DaWa.n.3rl.mcon.I Dons ,~ Widowed u. 10 Wayne Avenue RES^7oE;E "`~"" PA Old "~'^Ma. d•o•or•MOi~ x New Cumberland, PA 17070 ~~ Cumberland Ma"'w^~ ~~ ,n N - Rvr,ER•aNAMEIRnc Mid01•.I~alq „~ ew Cumberland ^ r MOTIIER'ENAMEIF+t MiOS•, M~0•n3yrnnr, , Edward Miller ,,, Mar Lutz MORMANT'SNNKRYO•(PM1+1 ^E`DIYIANT'9 AMINgADDIFEll3.M4 CWBwl3Nr. LOCOdq Matthew E. Holmes aFa^aoe1T,D,1 DNEOSDISrosrr,aN RADEas BurYQ d.m•Y..^ RraYr ••.,9tl1•^ .DwcMrl rOOw Rw ~~^ ~ •Nrraarr.,KC,.,.,r,y •C^,Nlb.n, 91.1•, 71. Cob ^ o^r.~A Februar 21 1995 7,w , ,e, Rollin aF uceeEE ACI11p A9 Green Mem. Park i,~ Cam Hill PA 17011 ~~ NUANER NAl1E ANDAODRESBOP R1C71lIY ^rr2S•ear, a,r rnaaq 1 7x. 4r,.rYbbr^r.rbrnb ~a•MOp•. b7ol o.arr•dr Orl4r.br.n00Yr rr•d. UCO19E nl~rbrw GRE SID/IED lrann.D•xMrl ^.nr w~+wolaw~iawM OF "J~ ONE DEADIIap.n, Mµ[N-rl ' ~! NNS CA.9E REfFARED RIM®ICK OGMINERICOROI/EM ~KJ I~ .J ».^ ~T M. 70. A. RMR 1: Err Or rl•rr, MN.W rOrrp•CaYr•wrd:err•dlMd.rn. D•nr rbrtlr nabrO,Yq, aurr r Vr.•Mwcwroe..te r•. r10IY•aT rr.r. •Iadlrh.n r0i•.. iApp,rY.r• M1RT ^: DOrr •IpKhr••..alrr mnYWYgntlr^4W ff.al ~ a5•ro a7i i ~b.N n01^~gintlw r:arN•Vealr•ON•.in MRf 1. a m -..~nbr~,_._. Cap a (ac c c~,~.,~ ~ i{ 2 ~ Ul l DUE 1D (OR ASACOKSEOUENCE CFl~ . i ~ -l 4 d ~» ( ru ~rLti,-~ c.(?~.v-nc z•~,ti~ en 5~,.1 ^ ~ ? i 2 l~0 1 g o DUB WpOR ASA NCE OFk Err UlO61~T^101 ~ e CAIMEIPrrr rgay •r::•.,la.wr I 1 DUE lD ICR AS A CONSEQUENCE Dfk n b••d WT • I . MME AN AUDOP9Y MANNER OF DENH ' ~ COM0.ETIDN Of CAUSE ~ ~~ TIME OF DiIURY IWURYNWpry(7 DESCRIBE YgWINRNiYOCLURRED. aR DERNT Nrur.l +~ 1,,,„;~d~ ^ ACCN.r ^ Pwarq lT'.MlOrbn ^ WI ^ NO^ N• ^ No~ Yr ^ No ^ Sukk. ^ Caad nMWb1•mWrO ^ M' RACE Of MJURY.N1ana ,rrn rr l.~,p ~ . , 7•w lf. bWIA:y re. (Spxly) , ,, ~ ~acNay ISaK C•Y/fpAn. Savl C6RIRd1IC,rck arY p:N ~' 701. 'ACERTIR'MD RMCUIr P'nYac..n urYY~9 taurGbM Wri ario.r pMxwn nr Pdawritl drtl~ ana canOMleOllan 231 •q•Y,saMr/0..4•MO•arr•b•rlMerrNMra.,r.rrr.r,.d ................................. .................... ' ~ SNiNRURE IWD` `tITIE OF ~/E9,!~I~E A Y'Y'MV., l.( L.~CA.'~.L1 ~'_. l_l~ 7M AND AND O^7,TIiY010 R1T91CIAN IPnYa9n ban paaunr pdsaN •M,~rpwgrocaumdbrn) r, lao-1•a.. d.nn «•~.Y..,e,n. u....r...w vlr...:d aN.,o e» ~.,.q.).m mwu,...wa .......................... ^ LICEN3~NUMBER ONE SIfYEDIMaiI1:.DW.`hrl 7, . f"`'D () 2- 6 Q a ~( L. 7, (^'~.4~ i ~' (v a S ']OEDICAL E7UIMWER/COpprEp NAME AND ADORESSOF PERSON WIq CQMREfEO CAUSE OF DENN (ttem 271 TYP• r PdrO On u,• e.•M a •a•rMrlon ~aro.IIIVNIIB.ilon, In my oplMOn, brll «eumo r,B.,Im., er•, and p.c•, ra du• r tl,• o•. W.) •M rw,•1 r sw.d ............... ..... (~ i~ ti~ +T S U (t l'~ -Z-(r~ ~'1 ! J ........ ............................................ 7,.. ...................... R'3 SIONNURE AND NU ^ ~ 3 C•2 i;' 1Jl a~u,cc- ~r - Caw..n F{; ~ 1 ~ ~} I Z o l i ~ _ ~, /I~r~c, ~ , /L/1~ ONE EKED (Mmin. DaY. ~rl E ~. .. ,~ / ~ `.l S r ~ REV-1500 EX+ (7-94) ' r. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT, 280601 HARRISBURG, PA 17128.0601 ~ HOLMES, M. Joann Z SOCIAL SECURITY NUMBER W 159-24-9423 W D IIIF AFVIICABI EI SURVIVING $VOUSE'S NAf1E (LAS , I FOR DATES OF DEATH AFTER 12131191 CHECK HEF IF A SPOUSAL POVERTY CREDIT IS CLAIMED ^ FILE NUMBER 21 95 016'J COUNTY CODE YEAR NUMBE 10 Wayne Ave. New Cumberland PA D,,, Cumberland AMOUNT RECEIVED (SEE INSTRL "'' ®1. Original Return x a H ^ 2. Supplemental Return =oo ^ 4. Limited Estate ^ 4a. Future Interest Com romise ~ c m ^X b. Decedent Died Testate (for dates of death after 12-12-82) (Attach copy of Will ^ 7• Decedent Maintained a Living Trust ) (Attach copy of Trust) A11 [•nooeee.~u..~.,..~ N ~ W yZj ~o ~z 0 v °o_ z 0 J f- a a s z 0 o_ f 0 v x ~- ^ 3. Remainder Return (for dates of death prior to 12-13-8: ^ 5. Federal Estate Tax Return Required ~ 8. Total Number of Safe Deposit Boxes - - •-~-• •.•a+ wrsrrv~ryl7AL IAJ~ INFORMATION SHOULD BE DIRECTED TO: COMPLETE MAILING ADnQFtc 7171 774-7435 5~~~~~5~3 INHERITANCE TA"X RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) DATE OF DEAT~H= „-~ DATE OF BIRTH 02-18<95 09-10-28 AND MIDDLE INITIALI SOCIAL SECURITY NUMBER Stone,LaFaver & Stone P.O."Box E 1. Real Estate (Schedule A) (1) 9 5 n n n _ n n /'~ 2. Stocks and Bonds (Schedule B) , (2 ) 3. Closely Held Stock/Partnership Interest (Schedule C) (3 ) 4. Mortgages and Notes Receivable (Schedule D) (4 ) 5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) (5) 1 3, 630.1 4 b. Jointly Owned Property (Schedule F) (b ) 7. Transfers (Schedule G) (Schedule L) (7 ) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses, Administrative Costs, Miscellaneous Expenses (Schedule H) (9) 12, 528 80 ~r 10. Debts, Mortgage Liabilities, Liens (Schedule I) (1Q) 4, 553.68 1 1. Total Deductions (total Lines 9 8~ 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) 15. Spousal Transfers (For dates of death after b-30-94) See Instructions for A plicable Percentage on Reverse (15) ' Slde. (Include values from Schedule K or Schedule M.) x'-- 16. Amount of Line 14 taxable at b% rate (16) 5 91 r S d 7 h F x~.~,~ ,' _ ~ d 9 ~ R ti (Include values from Schedule K or Schedule M.) 17. Amount of Line 14 taxable at 15% rate (17) (Include values from Schedule K or Schedule M.) x .15 = 18. Principal tax due (Add tax from Lines 15, Ib and 17.) 19. Credits Spousal Poverty Credit Prior Payments Discount Interest + $4,900.00 + $257.89 !0. If Line 19 is greater than Line 18, enter the difference on Line 20. This is the OVERPAYMENT. 1. IF Line 18 is greater than Line 19, enter the difference on•Line 21. This is the TAX DUE. A. Enter the interest on the balance due on Line 21A. B. Enter the total of Line 21 and 21A on Line 218. This is the BALANCE DUE. Make Cheek Payable to: Register of Wills, Agent (18) 5,492 86 (19) _ 5,157.89 (20) (21) _ ~~4 97 (21 A) (21B) X34 97 > > BE SURE TO ANSWER ALL DUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~ ~ 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 i<. based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ennoccc _ i/ ,~- DATE F ,_,,;,~ 8024 Devonshire Heights, Hummelstown, PA 17036 G TURE / PREPARER OT R H N REPRESENTATIVE ADDRESS 1 '<<7-~ ~~ DATE P.O. Box E, New Cumberland, PA 17070 ~ . ~l (8) 108,630 14 (11) _ 17.08 48 (12) 91 , 547.66 (13) _ '~ n0 (141 91,547.66 Act #48 of 1994 p-ovides 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% (.0S) will be applicable for estates of decedents dying on or after 7/1 /94 and before 1 /1 /96 • 2% (.~) will 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. Did decedent make a transfer and: x 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, ............... x x c. retain a reversionary interest; or ................................................................................... d. receive the promise for life of either payments, benefits or care? ....................................... x 2. If dee#h occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after x December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................................... x x 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) t K COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER M. Joann Holmes 2195-0167 (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 - i I OF DEATH 1• ~ All that certain lot of land situate in the Borough of New Cumberland, Cumberland County, PA, being the same premises which Frank R. Leib II and Willa F. Leib, his wife, by their deed dated August 24, 1954, recorded in Cumberland County Deed ~ Book 16N, Page 104, granted and conveyed unto David Olmstead Holmes and Mary J. Holmes, his wife. The said David Olmstead Holmes having died August 20, 1980, whereby title was vested in Mary J. Holmes, by ric'-a of s;~rvivorship by operation of law! ~ The said property was appraised by Mark E. Hilbert. (See copy attached.) $95,000.00 TfJT4L IAlcr~ enter nn line 1. Rernnitnlnrinnl - ~ 95, 0~0. DO REV!508 EX+ (2871 6 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or T ESTATE OF FiIE NUMBER M. Joann Holmes 1 0167 (All property IoinNy owned w~Ih the Right of Surnvorship must be disciosad on Schedule F) ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH 1. PNC Bank Checking Acct. #5140131988 - Principal $657.46, Interest $.56 $ 658.02 2. 1981 Ford Sdn.-Title No. 33822154203H0 VIN#1FABP27B3BG167816 at appraised value 500.00 3. Erie Insurance Group-cancellation onhomeowners insurance & refun 217.00 4. AARP-refund 10.12 5. Erie Insurance Group-property claim pending at decedent's death 11,745.00 6. Miscellaneous personal property 500.00 ~ I TOTAL (Also enter on line 5, Recaoituiation~ ~ $ ; ~1 3, 630.14 Re~~-isn ex. n.'9e k., ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Please Print or T LE NUMBER 2195-0167 w~ru ~ yr M. Joann Holmes ITEM NUMBER DESCRIPTION A• Funeral Expenses: ~• Stone & Murray Funeral Home-funeral expenses B. 2 3 4 C. 1 2 3 4 5. 6. 7. 8. AMOUNT Administrative Costs: Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid Attorney Fees Stone LaFaver & Stone Family Exemption Claimant AT /~ Relationship Address of Claimant at decedent's death Street Address City State Zip Code Probate Fees Letters Testamentary & Short cert. ( $217.00) , filing Inh. Tax Return & Inventory ($25.00) Miscellaneous Expenses: Cumberland Law Journal-adv. grant of letters The Patriot News Co.-adv, grant of letters PP&L-electric service Bell Atlantic-telephone service Sammons Communications-t.v. service UGI-gas service Reserve for closing expenses ~$ 6,008.00 5,431.00 242.00 40.00 59.08 43.32 54.24 57.12 344.04 250.00 TOTAL (Also enter on line 9, Recapitulation) $1 2, 528.80 SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES (If more apace is needed, insert additional sheets of same size.) ?EV-1512 E%+ D~86~ ~. '~` ~~~'" SCHEDULE i COMMON WEAUM OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITAN CE TA%RETURN MORTGAGE LIABLITIES AND LIENS RE SICENT DECEDENT i Please Print or Type ESTATE OF FILE NUMBER M. Joann Holmes ~~AS ni ~ ITEM NUMBER I DESCRIPTION AMOUNT i 1. (Prime Option-debt of decedent ' $3,414.00 2. IJCPenny-debt of decedent 190.89 3. (Sports Illustrated for Kids-debt of decedent 23.95 4. (Credit Card Center-debt of decedent 909.84 5. ITne Patriot News Cc.-debt of decedent 15.00 TOTAL (Also enter on line 10, Recapitulation) I $ 4, 553.68 (If more space is needed, insert additional sheets of same size.) ;..75:3 Et+~2-b7 ~'(~~'~ ~> 1 r..f~.t~ COMMON WEAIiH OF PENNSVlVAN1A INHERITANCE TAX RETURN RESIDENT DECEDFNT SCHEDULE J BENEFICIARIES M. Joann Holmes ITEM FILE NUMBER 2195-0167 NUMBER ~ NAME AND ADDRESS OF BENEFICIARY ~ RELATIONSHIP A. 7oxable Bequests: i ~ ! Mat-=hew E. Holmes son 8024 Devonshire Heights, Hummelstown, PA 17036 i 2. T~.^.crea P~. Holmes Flowers daughter 10 Wayne Ave., New Cumberland, PA 17070 i I I ITEM ~ NUMBEP, NAME AND ADDRESS OF BENEFICIARY B. Charitable and Governmental Bequests: i ~ ~ I NONE AMOUNT OR SHARE OF ESTATE 1/2 ~'Asic.ue 1/2 residue AMOUNT OR SHARE OF ESTATE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $ . 00 (If more space is needed, insert additional sheets of same size) T ,.- '~E~C Ci;;,;BERLAtiD, PEVtiSI'LV,~,;~;Ip, 17070 II LAST WILL AND TESTAMENT ~~ '! OF M. JOANN HOLMES I, M. JOANN HOLMES, of New Cumberland Borough, Cumberland County, ;~ U ,~ 1 ~. ~~; ~J t _~, ~_' .~ l IlPennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking I ~~and making void any and all other wills by me at any time heretofore made. z I. z I direct that my Executor hereinafter named shall pay all my just s ?debts and funeral expenses as soon as conveniently may be done after my decease. z II. m All the rest, residue and remainder of my estate, whether real, a :~ personal or mixed, and wheresoever situate, I hereby give, devise and bequeath ''<as follows: z i A. One-half (}) unto my son, MATTHEW E. HOLMES. B. One-half ;~ (~) unto my daughter, ANDREA M. HOLMES FLOWERS. ~" III. i a I hereby nominate, constitute and appoint my son, MATTHEW E. HOLMES, as Executor of this, my Last Will and Testament. If the said Matthew E. Holmes I ii should predecease me, fail to qualify or cease to act as such, then I nominate, ~iconstitute and appoint my daughter, ANDREA M. HOLMES FLOWERS, as Executrix. I I I IV. ~ No fiduciary acting under this Will shall be required to post bond ~~in this jurisdiction or in any jurisdiction in which he may act. I! ~~ i Page one of two Pages ~ IN WITNESS WHEREOF, I, M. JOANN HOLMES, the Testatrix have unto this, my Last Will and Testament, set my hand and seal this ~-'~`"~' day of June, A. D., 1988. ~ z""-'" ~ ~ /•`-~~ (SEAL) z Y h Z 2 G7 G L^ Z S :~ s f U a w Z m w .~ z 0 -, c m ~ SIGNED, SEALED, PUBLISHED and DECLARED by M. JOANN HOLMES, the 0 ;above-named Testatrix, as and for her Last Will and Testament, in the presence of us who have hereunto subscribed our names as witnesses at her request, in Ilthe presence of the said Testatrix and in the presence of each other. ~~ i i~ i ~: Page two of two Pages ~ -- Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters Testamentary No. 1995-00167 PA No. 2195-0167 ESTATE OF H_OLMES M JOA}NN ~~~~~~~, r iRAl 171ll i Late of NEW CUMBERLAND BOROUGH 'rmw+u v Deceased Social Security No. 159-24-9423 WHEREAS, on the 6th day of March dated June 1995 an instrument 6th 1988 was admitted to probate as the last will of HOLMES M JOANN ( , late of NEW CUMBERLAND BOROUGH CUMBERLAND County, who died on the 18th day of February 1995 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to MATTHEW E HOLMES who has duly qualified as Executor(rix) and has agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 6th day of March 1995. ~~~ ~~ i **NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) :f17 7F I172D STREET // t NEW CUMBERLAND, PENNSYLVANIA 17070\ LAST WILL AND TESTAMENT OF M. JOANN HOLMES I, M. JOANN HOLMES, of New Cumberland Borough, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking Land making void any and all other wills by me at any time heretofore made. I. I direct that my Executor hereinafter named shall pay all my just m \ Zdebts and funeral expenses as soon as conveniently may be done after my decease. \p~ II. ~ ~ All the rest, residue and remainder of my estate, whether real, L.Personal or mixed, and wheresoever situate, I hereby give, devise and bequeath w _' has follows: J (~~ ~ A. One-half (}) unto my son, MATTHEW E. HOLMES. 0 1 Z ,~ B. One-half (}) unto my daughter, ANDREA M, HOLMES FLOWERS. ~ 4 0 ~_..,`~ ~ ' " III. c ~ I hereby nominate, constitute and appoint my son, MATTHEW E. HOLMES, as Executor of this, my Last Will and Testament. If the said Matthew E. Holmes should predecease me, fail to qualify or cease to act as such, then I nominate,.' constitute and appoint my daughter, ANDREA M, HOLMES FLOWERS, as Executrix. IV. i No fiduciary acting under this Will shall be required to ~ post bond ~~ in this jurisdiction or in any jurisdiction in which he may act. ~ i, ~~ ,' i Page one of two Pages ~ ~ IN WITNESS WHEREOF, I, M. JOANN HOLMES, the Testatrix, have unto this,; my Last Will and Testament, set my hand and seal this ~.'"'~-: da of June A. D., 1988. y i I i L ~ ~~ i t;/(sEAL)i w a 0 z 3 s m U P m L 4' w 4. Z O ~ i 0 c SIGNED, SEALED, PUBLISHED and DECLARED b y M. JOANN HOLMES, the above-named Testatrix, as and for her Last Will and Testament, in the presence of us who have hereunto subscribed our names as witnesses at her request, in I i the presence of the said Testatrix and in the presence of each other. I i. I ~I ii I.' i; I; i; Page two of two PagRS I~ I i This is ro certify char the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the Stare Viral Records Office for permanent filing. ~ WARNING: It is Nlegal to dup~cata this coptr GY phoNostat or p'h4~greph. Fee for this certificate, $?,Op ~ µTN L/~/~_' _ f i -l f Laca egiStrar w . 2753958 ~ ~" FEB 2 ~ 1995 No. I}ate ~° COMIONNfGL7M Of NMtltYL1111M~ • OOMR-AIp1f Of IAALTN ~ t/~ ~01~ . - CERTIf(CATE OR DBATM ,,. _.._ .. _., M. Joann 8oise• ~TiiwTiM 66 •+ 10 i-ayae Aranue Nm e.._~~_~__. _. _-'-- ~~ ~ ~y wwary-. O ..p9 "~~~p~~~"~"y"y""°~~""~' ~rr"M""...w~,rwe"~n°rr..w ~::""'+rwaw'.r:::..w............~ ............. . . ^ ~•+tiMt......:-„~~~~~~~MM~brwl~«wrw/~I~MIr.w.r.r.. ~.W~____ .. pu.,,~s~,,: w:« O ~irw:.Qe.,, ~O s Nhies ;M M3~~ ~ .~Kt~ M "wy ua Mlw..r~ ,~ .. !~~ ~ Ctrb~r2 awA ^rl M•~~Mr;..,. /i1t~`^: 'I~. CERTIFICATION OF NOTICE UNDER RULE 5 6(al Name of Decedent: M. Joann Holmes Date of Death: February 18, 1995 Will No. 2195-0167 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court rules was served on or mailed to the following beneficiaries of the above captioned estate an June 5, 1995. Matthew E. Holmes 8024 Devonshire Heights Hummelstown, PA 17036 Andrea M. Flowers 10 Wayne Avenue New Cumberland, PA 17070 Notice has now been given to all persons entitl thereto under rule 5.6(a). Date•_ ~ _ Z?JIs' v H ne, Esquire 414 edge Street New Cumberland, PA 17070 717-774-7435 Capacity: PeFaonal Representative X Counsel for Personal ~O Representative "~ Q t': ; _ r N CC cam. T' ll 3 UU STATUS P.EI+OR~' iNDER R 6 12 Name of Decedent: Joann M. Holmes Date of Death: February 18, 1995 Will No. 21-95-0167 To the Register: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes ~_ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yea, state the following: (a) Did the personal representative file a final account with the Court? Yea No _~ (b) The separate Orphans' Court No. (if any) for the personal representative's account is: N/A (c) Did the personal representative state an account informally to the parties in intere t? s Yea X No (d) Copies of receipts, releases,. joinders and therCl k f n O nf rur l s eaa be e w er o the rphans Co t and may b ched to this report. Date • 2.2 ,~- ~'} ~ ' o r._ Q ° D i t ne, Esquire ~ -_ 41 Bridge Street _ c ~~ New Cumberland, PA 17070 717-774-7435 N - Capacity: Personal Representative ' ~'~ ~ ~ j X Counsel for Personal ~ U U Representative • REY-1647 EX AFP (12-95) COIel01AlEAlTN of vE(wrtvwNlA uETARTMENT ~ sEVENUE NOTICE OF INHERITANCE TAX ACN 101 lUREAU OF IIaIVISUAL TAXES APPRAISEMENT, ALLOMANCE OR DISALLtN1ANCE OE9i. 2e0f01 MAIIRISelX10, PA )nze-osol OF DEDUCTi0N5 AND ASSESSMENT OF TAX DATE 01-09-96 awr[ OF DEATN 02-18-95 - FILL N0. - NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT COUNTY CUMBERLAND PAYMENT TO THE REGISTER OF HILLS. MAKE~CHEq(IPAYARLEPTOR^RERISTER OFTNILLS,~AOENT^ YOUR TAX REMIT PAYMENT TO: DAVID H STONE ESQ REGISTER OF WILLS STONE ETA[ CUMBERLAND CO COURT HOUSE PO BOX E CARLISLE, PA 17013 NEW CUMBERLAND PA 17070 Aaount Reaitted CUT ALONG THIS LINE - RETAIN LONLR PORTION FOR YOUR RECORD! ~ RfV.1a67 a.r ~c~c. ,.w .-. ..--_ __ ---- ---^•--- ~ ..~w..•avns wwa waa[SaNLNT OP TAX ESTATE OF HOLMES M J FILL N0. 21 95-0167 ACN 101 DATE 01-09-96 TAX RETURN MAS: (X) ACCEPTED AS FILED ( l CNANRED RESLRYATION CONCLRNIINf FUTURB INTEREST - SE[ REVERS[ APPRAISED VALUL OF RETURN BASLD ON: ORItiINAL RETURN 1. Real Estate tSoMdale A) tl). 95, 000.00 2. Stacks and Rends (Schedule D) (2) .00 3. Closely Nald Stook/Per'tnershiP Interest (Schedule C) (3) .00 4'. Mort/pss/Nptss Raeeiveble (Schedule D) t4) .00 5. Cash/Mrrc Deposits/Niso. Parsarnl Property tSelydule E) (5) 13.630.14 6. Jointly (AwNd -ropertY (Schedule F) 16) .00 7. Trensfars (Sehadule 6) t7) .00 R. Total Aswta ts) 108,630.14 APPROVED DLDUCTIONS AND EXEMPTIONS: f. Funeral Expanpe/Ada. Ceets/Misc. Expensaa (Schedule N) (4) 12,528.80 10. Debts/Mer4RaRa Liabilities/Liens (Schedule I) (lq 4.SS3 ca 11. Totel Dedwtions -- 12. IMt Valw of Tax Return tll) 77.Ow? 68 13. Charitable/Oowrrrsntal (12) 91,547.66 Regwats (Schedule J) (13) .00 14. Net Valw of Estate Sub~ee4 to Tax tl4) 91,547.66 NOT[: if ~ assassRatnt was iswsd prwiousll-, iin•s 14, l~f and/or 16, 1T and 13 viii ra?latst fiBuras that ineluda the totaii of ~, returns assessed to data. ASSESSMENT OF TAX: 15. Aaount of Line 14 at Spouael rate (15) . 00 X .00, .00 li. Aaount of lino 14 taxable at Linal/Claw A rate tli) 41,547.66 06: 17. Aaount of Lina 14 taxable at Collataral/Class R rata (17) .00 X • 5,492.86 lR. Principal Tax Dw g ' 15s . 00 TAX CREDITS: tls) 5,492.86 PAYMENT RECEIPT DISCOUNT (r) ATE NIRO3ER INTEREST (-) AMO(INT PAID 05-17-95 AA047774 257.89 09-20-95 AA082163 00 4,900.00 334.97 TOTAL TAX CREDIT 5,492.86 BALANCE OF TAX DUE .00 INTlREST .00 TOTAL DUE .00 • IF PAID AFTER DATE II®ICATED, SEE REVERSE ( IF TOTAL DUE I3 LESS THAN •1, NO PAYMENT FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A ^CREDIT^ (CR)REQ~IR~v RE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RECEIPT FOR PAYMENT HaoveraandCHinhYStreegister Of Wills pt Date 9/20/1995 q Recei Carlisle, PA I7013 Receipt Time 14:28:27 Receipt No. 1005970 HOLMES M JOANN File Number 1995-00167 Remarks DAVID H STONE ESQ ------'----------- Distribution Of Receipt ------------------------ Transaction Description Payment Amount Payee Name INH TAX RETURN 15.00 CUMBERLAND COUNTY GENERAL FUN INVENTORY 10.00 CUMBERLAND COUNTY GENERAL FUN Check# 15 25.00 Total Received......... 25.00 fnventory of the real and personal estate of deceased xEAL PROPERTY All that certain lot of land situate in the Borough of New Cumberland, Cumberland County, PA, being the same premises which Frank R. Leib II and Willa F. Leib, his wife, by their deed dated August 24, 154, recorded in Cumberland County Deed Book 16N, Page 104, granted and conveyed unt David Olmstead Holmes and~Mary J. Holmes, his wife. The said David Olmstead Holmes having died August 20, 1980, whereby title was vested in Mary J. Holmes, by right of survivorship by operation of law. The said property was appraiset by Mark E. Hilbert. (See copy attached.) PERSONAL PROPERTY PNC Bank-Checking Acct. #5140131988-Principal $657.46, Interest $.56 1981 Ford Sdn.-Title No. 33922154102H0 VIN# 1FABP27B3BG167816 at appraised v< Erie Insurance Group-cancellation on homeowners insurance & refund HARP-refund Erie Insurance Group-property claim pending at decedent's death Miscellaneous personal property TOTAL PERSONAL PROPERTY Total real property $95,000.00 Total personal property 13,,14 Total $108,630.14 95,000 658 500 217 10 11,745 I 500 $13,630 1 I00 02 00 00 L2 10 0 4 Inventory of the real and personal estate of deceased xEAL PROPERTY All that certain lot of land situate in the Borough of New Cumberland, Cumberland County, PA, being the same premises which Frank R. Leib II and Willa F. Leib, his wife, by their deed dated August 24, 154, recorded in Cumberland County Deed Book 16N, Page 104, granted and conveyed unt David Olmstead Holmes ahd Mary J. Holmes, his wife. The said David Olmstead Holmes having died August 20, 1980, whereby title was vested in Mary J. Holmes, by right of survivorship by operation of law. The said property was appraised by Mark E. Hilbert. (See copy attached.) PERSONAL PROPERTY PNC Bank-Checking Acct. #5140131988-Principal $657.46, Interest $.56 1981 Ford Sdn.-Title No. 33922154102H0 VIN# 1FABP27B3BG167816 at appraised v Erie Insurance Group-cancellation on homeowners insurance 6 refund AARP-refund Erie Insurance Group-property claim pending at decedent's death Miscellaneous personal property TOTAL PERSONAL PROPERTY 95,00 65E i 500 I 217 10 11,745 500 513,630 ]I 00 02 00 00 12 00 00 14 Total real property $95,000.00 Total personal property 13,630.14 Total $108,630.14 REV~IStM EX+ 17-9A1 ,~ ~ HOLMES, M. Joann W SOCIAI SECURITYCURITY NUM~~-- 159-24-9423 W O I11r ArrIICARIE) SUlVIVINC SPOUS!- y N,y l! IIA7r I IP A EIFWIEAL INHERITANCE TAX RETURN ~R~T~OFD~ RESIDENT DECEDENT ~Rn ~"[°n' (TO BE FILED IN DUPLICATE rlu NuMEER WITH REGISTER OF WILLS) 21 INITIALI COUNTY CODE DECEDEN 'S COM/LE E ADDRESS 10 Wayne Ave. DATE OF DEATH DATF Of EIRTH NE?W Cumberland PA 02-18-95 09-10-28 Cumberland AND MIDeI! INIiIAII SOCIAL SF['IIFITV u~i,., en CGY~ _ W ®1. Original Return Y~~ =oo ^ 4• Limited Estate V~J m t ®6. Decedent Died Testate (AHach copy of Will) ~W C~ O= V~ 0 I~- d t s 0 v ^ 2. Supplemental Return ^ 4a. Future Interest Compromise (for dates of dwth after 12-12-82) ^ 7. !Decedent Maintained a Living Trust AP~ER 1Zp1f91 CN[CKN[R[ :LAIM[° ^ 95 0167 YEAR NUMBER ^ 3. Remainder Return (for dates of death prior to 12-13.82) ^ 5. Federal Estate Tax Return Required _18. Total Number of Safe Deposit Boxes TELEPHONE NUMBER 717 774-7435 Stone LaFaver & Stone P.O. Box E 1. Baal Estate (Schedule A) (1) 95 nOn nn 2. Stocks and Bonds (Schedule B) _ (2 ) 3. Closely Hdd Stock/Partnership Interest (Schedule C) (3 J 4. Mortgages and Notes Receivable (Schedule D) (q ) 5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) (5) 13.630.14 6. Jointly Owned Property (Schedule F) (6 ) 7. Transfers (Schedule G) (Schedule L) (7 ) 8. Total Gross Assets (total Lines 1.7) 9. Funeral Expenses, Administrative Costs, Miscellaneous Expenses (Schedule H) (9) 12, 528 80 (B) 108 6~0 14 10. Debts, Mortgage Liabilities, liens (Schedule I) (10) 4.553 68 1 1. Total Deductions (total Lines 9 6 10) 12. Nst Value of Estate (Line 8 minus Lins 11) (11) 1 7.08 48 13. Charitable and Governmental Bequests (Schedule J) (12) 91 , 547.66 14. Nat Value Subject to Tox (Line 12 minus Line 13) (13) n0 15. Spousal Transhrs (for dates of dwth after b-30.94) Ses Instructions for A lic bl P (14) 91, 547 , 66 pp a e ercentage on Reverse Side. (Include values from Sch d l K (15) T~, -- x e u e or Schedule M.) 16. Amount of Line 14 taxable of IS% rats (Include values fr S h ------ (Ib) S91 Sd7 66 •-~ om c edule K or Schedule M.) , x .OA = _ S 4q~ p~ 17. Amount of Lins 14 taxable at 15% rate (Include voluss from Schedule K or Schedule M.) (17) >< .15 0 18. Principal tax due (Add tax from Lines I5, 16 and 17.) 19. Credits Spousal Poverty Credit Prior Payments Discount Inronst (18) __ 5.4 A6 . + $4,900.00 +.$257.89 _ 20. If Line 19 is greater than Lim 1B, enter the differwrs on Um 20. This is tM OVERPAYMENT ~ (19) 5,157.89 ^ . (20) 21. If Line 1 B is greater than Line 19, enter the difference on Line 21. This is the TAX DUE A. Enter the interest on the balance due on line 21A. . (21) ~ 24 97 B. Enter the total of Line 21 and 21A on Line 218. This is the BALANCE DUE (21 A) Make Cheek Payable te: ReoisNr eF YVllls, As»nt . (21 B) ~ 3 a 9 7 -- ~"""'°' °' t•°~wry. I aectan that I have examined thisrNurn, including accom nYm sch sv ~~ MATH _ Po 9 edules and s-otemems, and to the best of my knowledge and belief, is true, correct and complete. I declare that all rwl estate has been reported at true market value. Declaration of prsparsr other than the personal representative is seed on all information of which prsparsr has any knowledge. uNATURE OF PERSON RES-ONSIRLE FOR FILING RETURN ADDRESS 8024 Devonshire Heights, Hummelstown, PA 17036 DATE NATURE Oi PREPARER OTHER THAN REPRESENTATIVE ADDRESS P.O. Box E, New Cumberland, PA 17070 DATE REV.1502 E% + (12-BSI r ~" SCHEDULE A s COMMNHERETANCET,U(ERETURNANIA REAL ESTATE RESIDENT DECEDENT ESTATE OF M. Joann Holmes FILE NUMBER (ProPer-Y iointlY-owned with Rlght of Survivorship must be disclosed on Sehedule F) All real eetaN should bo roported srt falr market value which is defined as the price at which property would be exchanged between o willing buyer and a willing seller, neithe- being compelled to buy or sell, both having reasonable knowledge of tM rolevant facts. ITEM ____ _ NUMBER DESCRIPTION VALUE AT DATE (- OF DEATH All that certain lot of land situate in the Borough of New Cumberland, Cumberland County, PA, being the same premises which Frank R. Leib II and Willa F. Leib, his wife, by their deed dated August 24, 1954, recorded in Cumberland County Deed Book 16N, Page 104, granted and conveyed unto David Olmstead Holmes and Mary J. Holmes, his wife. The said David Olmstead Holmes having died August 20, 7980, whereby title was vested in Mary J. Holmes, by richt of s::rvivorship by operation of law The said property was appraised by Mark E. Hilbert. (See copy attached.) x$95,000.00 ---- ___ _ _._- - -- - - ----- -- --- _ 70TAL (Also enter on line 1, Reca rtulation) $ 95, 000.00 - -- ---- ~hest~ of some size.l Mark E. Hilbert & Asso i s c ate _ Property Deacriptlon UNIFORM RESIDENTIAL APPRAIS AL REPORT ! e v ue ch ew C b a ' a A i r, t= P . i' rew.r awe David A . & d T v r T Y 8 --~~ <i Pr t NeM Curem owns e i : ' Nm L•wehold Pr 'sc T Oce i +5 PO be 1 n u na Now. Iran I I Corr - +~+~ toe.uon E. it art r S to ~ u '~r•+• 14 Nor Walnut Street echan csbuirs~ urban s a a: eWlt w oYr Tsx ~ t vbrt RuN ^ zs-TSx ^ u d O00a'n' SYlple rarely h•rrrto PA Preertr t.m tr x %~ ' arewth rate Pte Mpid l er zsx ®~~ ^ Slow ~ ®Owrrr PRICE r 10001 AOE IYnI ~ One IemNy . : prtY vane Iner• ••ine ^ SteNO ^ Deelirdrq ^ T Lew Zi lemuy :i: Mm•rrd/•riWY ehrtpe ®In bJrre ^ Ovr eWWY eneN ®Veerd p-Bxl B 0 ~. ~::; %.J: y~p MWr4lrNly YS. ,~„_ m v r Mm ~ CommrdN 796-9595 File No. 95055HN ~eM tae drag '~ Not Mkdy ^ likely In prec•w Te: N•ke Ilea d era rdN errp•Nlisr w tlr rrNyrb•rlreod n tr •PprekN feetere, V v.t 1 0 V 0 N.qtlbrl'°°°b°",d"k""°`"r•~,„;+Nq: Property is located along Wayne Avenue in the Borough of New Ctanbarland,Cttmbarland County, Pennsylvania. PMen that Mreet dr• mrketebWty of tM p•prtk• In ttr rrieMrhood Ipro>rimiN to rnpleyment rid rrrenitae, employment etebYitY. WwN to mrpt, etc.l: Property has good access to employment and services. Mrk•t corrdelrr M er etrgeet rrNelrborhood Endudlnp report Ir tlr above conekruolr relN•d to tlr trend of property vNwe, demand/+ cemWlitiq preprike ra eW N tM roiphborhood, daerlPtlon al tM prevelena of eelae erW en•nelrp cenc••NOrr, ete.l: With the Y..rrd mrkeurq time ... eueh r dre m are not required to offer sales or financing consessions. Financing ismreadily availableefroms a variety of sources. Aetep lrlf~wrrrrr for Pllq - ___ __-ter.. .,a rrrrL t:dO111L of •ppMe•d•1-k tM rkwlopr/buildr M conuN of the Home Ownsr•' Auodeuon MOAIr ~rrim•te trN rtterrbr er Wp kr tlr • p•i•ct N A y No ubj•ot ~ Appoaim•a totN rwnbr or wvu Ir •W in the • rear fonN •dktl A ublect prgeet ~L '~~' Oknwiwr sluwrn 1.10 Ares Topography Rp•drk •rdrp drnNfkrkn eM drwiptlen Nes Crrrr tot iiantiat ya ®No Slie '' ' Zenbtp campeelre ®LpN ^ l N Shape p nonetv Hkdr••1 a hwt tw r+ Improved ®Prewp w Mrmirq IttraWlrhred uel IIIpN ^ Oth ! No ro N na s Drainage O r u• kxpleiM View $ S Ublhies Public Other Off-sits T brlprovarttsnta YPe Public Private Landscaping ~ r Electricity ® 0 G Street i~Cadam ® 0rti•w•r sl•rr ' ~ sa ® ~ Curb/Gutter Concretfl ~ Mpr.m Erem m. ' Water ® Sidewalk NOne Sanitary Sewer Street lights Ye8 ® ^ FEMA Spacial Flood Hezerd Aree ^ Yet ®No ® ^ FEMA Zone C Mep Dets 2_16_77 Oe E A ~N 4206 - Cemmen4lepprem •dvru ••••m•nt•, ert°o•eMrnls, •pedN ••M•emrrr, NiM wr. III N r hotrever to reservations, easements, conditions andNrightmof way of~~reot-d8pparent. Subject ~" GENERAL DESCRIPTION EXTERIOR DESCRIPTION FOUNDATION No. of Units BASEMENT INSULATION Foundstion Sleb Aras Sq. Ft. l ti No. of Stodu a Exterior Walb ~~ Roof ( ~ Crawl Specs % Rniehed 0 lr'~J ~"' TYPe(Oet./Att.) 8 Roof Surface C o Basement Cslhng Design (Style) 1 Ceiling J t Walb ^ atatw a Owrrpb Sump Pump a Wells B k ExktNp/Propoeed S Window Type Dampness O d Floor Floor ^ ' Aps IYrs.) Storm/Scrsens a rte None ^ Settlement ?~`~ • n 0-12 Nt .er H Outside Entry 88 unwwwn „~_.._ nfO~etlOn NOttel1lntaA INTERIOR MprltdlJC - - - atditl«+ HEATING ° ° s ' KITCHEN EQUIP - ATTIC Bath 96 / S ua F o G I r Floors Type C . Refrigerator . ® None ^ AMENITIES ' Fl CAR STORAGE Fusi Reng /Oven ® S i repiecels) vw g -~-~ © None Trim/Fldsh Bath Floor 9 Die osel ^ ta rs ® Drop Stair ^ Patio ^ © Dsck I~~ Gsre s g ~ w cr. P' COOLING ei11iWib1GOt Central Dishweaher ® Scuttle ^ __ porch ~Qp , an•cn.d o 3' ` Dooro Other Fen/Flood ® Floor ® Fence ^ .t.drd e condlu Miorowavs ® Hseted ^ Pool ^ Wlt•In C aedwrwr.al...ap.dN«rrer.nickmlteme,.tearlOne noted. Wseher r er Finished arport D vow 3 ~. '~} ~# - CorrNtion el tM Improwmsme, d•wedevon (phYeieN, IrrretirW, end utrnNl ftmctional or external obsoles , npein waded, arrwry of eerrtruetion, nmoaelir p/Wdiuerr, etc.: NO evidence of : :;;# its cence. : t Advra rwirorvnenttl eontlltlon kueh r, btd not Ymited to, h•rrdou wrtee, tole eubetrrw, •te.l pecan[ M tM Imprevmenn, on tM Nta, r M IM immedir~ vICINtY el tM erLleel w•wrtr:Ziiere are nb visible or apparent adverse environmental conditions that would negatively impact the value of the subiect °•---- - - IZ1{) eee-77110 Pepe 1. Mark E. Hilbert & Associates Va1oa°O" Saobon UNIFORM RESIDENTIAL'APPRAISAL REPORT File No. 95055MH + ESTIMATE LUE .... - _ _ C ESTIMATED REPRODUCTION COST-NEW OF IMPROVEMENTS: S 20 000 Comments on Cost A pproach (such as source of coat 0 Dwallinp 1964 Sq. Ft. @ $ 41 85 estimate, site value, square foot c,dculation :md for HUD, `~ Hasemant = 9 82.193 1104 Sq. Ft. @ S 10 = VA, and FmHA, the ostimated ramaininQ econortiic life of 2_ Dac ,Q Rr.,.... 11 040 the property): In reproduction cost of Garsps/Carport s Ft. @ g = 3.500 improvement, Marshall & Swift Handbook <:> q. _ %^ Totel Estimated Cost New _ and local contractors are re€erenced. Physical Functional External 8 96.733 :t Lsss 22 X :.: $. '' Depreciation $ ~~~ s 21.281 Deprecietsd Velue of Improvements ........ >a "Aa-ie" Value of Site Improvements ' ' S 75 52 ~. mnrn.x........- --- - - ................. S '~ AAn ' .. -" ayne Avenue 522 8Th Street ~.r. «xv« solos « Fkw,cine Cencaroio„e A[+or. ans. Room Coax eremur,r a FlnioMd I F1111 C.P.M. L. RIP1 DOM 29 t - 8-9 v e ee Sim cr v e sp,~,~v-,G ck Fr. 30+/_ Gerd rm. 0 6 Full Street C.P.M. L. C. P. M. L. DOM 6 I ~)M 13 them - 800 6 1- + 800 6 - -1 + 800 032 Fr. 1_;65 se Fr. 3 0 0 Full P trtial + B00 -4 000 -De -4 000 Frm.Rm -2,000 •------ urooort- D - - G -- - 000 Paz . ,~- P«ch, Potlo, Dock, Z D@CiCS Patio a - 0 ; Gt +1,000 None +3,000 Porch !~e~ F Insert F3 rant n.. a. .. _. _ iW~.rwsr..Pdn '~• ~~'~ .:...~ -lo suv ;..,;+ - -9 700 + _ 5,~~3,, f ~as~s ~~ -1 90( M C«nPwoWo ~ ~ ~.<..; .:', f> ~ . . • ~ ~ ~ ~; ~'.~ , ; ~ , lye'tY. a .~::~R~ ':~ c°m'"e"r' °" a'"' c«eP°"°" k^o'xarro rn.+vw.er waartY. camP.oakty ra en nsiohn«hood, .tc.l: Comparables chosenOwer~ e~the best Closed sales available within a reasonable distance of the subject. Part of the lot is in the Flood Hazard Area. its present conditiono yThaseffective age isensignificantlyslessethan 30ayears.~rketable in The property's heating, plumbing, and electrical systems appear to be fw ctioning properly to ,the best of the appraiser's knowledge and expertise.. It is noted that comparable No(s), 3 is/are located more than three miles for suburban location. These comparables wwere selected after a thorough search of the area. They are located in a neighborhood similar to the subject, and era considered to be the best comparable sales available. It is noted that the price per square foot of gross living area for comparable No (s), 3 varies by more than $10.00 per square foot compared to the sub~.act. The comparables chosen are the best available. It is noted that comparable No(s). 2-3 occurred over six months prLor to the appraisal date and is/are considered to be the bast available. I am unable to verify the insulation 'R' factor. The presence of UREA-gO:tMI,LDg;yDg F0~ INSULATION could not be determined. If UFFI is present, the a adversely affected or voided. Any information about insulationpstatedlon thetavalue may be provided by inspection, owner, or agent, and is assumed to be accurate, PPraisal was The appraiser is not aware of the existence of Radon Gas and/or Radon Daughters, and does not have the necessary equipment to test for the presence of same. If a future test shows unacceptable levels of Radon present, the appraised market value may be adversely et'fected or voided. Mac F«m 70 6~8J " MCS, Richardson, TX 76081 12141 6887793 Paso 2.1 Fannie MN F«m~ jppb 9-83 Mark E. Hilbert & Associates e V°~"°O" SeCOOn U~JIFORM RESIDENTIAL APPRAISAL REPORT File No. 85065MH ',>. ~; . firstelineaandsgrossalivingharea/roomdctount aresiad~stedbtogether ages ad3usted for on the >' the second line. single adjustment on ~; ,: All comparable sales are settled to the bast of the appraiser's knowledge. Verification of ..... ITFIV ~.._.___ Form oae, race end Oeu C PA None None L N M A seta r« 1Ni« .ree N/A N/A None Nona wfehin ye« et Wweier N/A Orner`$ ~ N/A McIYeN at arty ttereM preemeM a ere, (~' . N/A option, « lietirp of tM .object wopvty end .nryeie of any pri« Wp or e object end eomp«ebla within one ye« of iM deu of epweur; INDIC/-TED VALUE BY SALES COMItAR~ON APPROACH..... . .............. A RO f iceble • Mr tnw ~ ...................... s 95.000 TM epprrer N made ••N y IMe. x W t M r .... ~ .object to cempledan per qem atd eWdfieederr. ce^~~MefNwrrw:The appraiser a stomas a rmarketable tit a and that all of the a ui with the improvement is Ln working order. 4 pment associated "^rs.e«Kw.uen:The msarket approach reinforced by the coat approach is a good indicator of Fair Market Value. The fact that the seller is or is not paying any portion of the closing costs has no affect on this appraisal or resale. TM paper of thh epweier Ole eaimae tM m.nlut vrw of tM nr wepany Chet ie tM etbjett of this rep«t, beead on tM Were oorxlitiora uq fM c«tiliution, contingent «xl IGnINp turxlltiarr, end m«k.t vela. de6nirion tMt w crated in ut. aLeited Freddie Mec Fam 13g/Fennie Mr Form 10040 IMWer 6/93 1. ~ IMIE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUBJECT OF THIS REPORT, AS OF 995 lCt~'I jn'1E TE OF INSPECTION AND THE EFFECTIVE DATE OF THIS REPORT) TO BE 8 X5.000 8igne / _ SUPe111180RY APAiAISFJI IONLV IF REOUIREDI N«ne Spnawe. Name ^ Did ^ Did Nee Da. Ilpert slgrtw Aril 18 199 lt>,peet weperty eta. C«uRwtun rte,, 000388 _T. Den Repare SWrrd -- st t P gut. c«mkaion s Or State Lie«rer J~_0~9755-A - Sute pA Or Sou Licene l Fennn Mee F«m ~- MCS, Rahardton. T% 76061 17111 0997763 - P«oe z :~ Mark E. Hilbert & Associates File N~7. 95~55uiT'I~ ~~ I certify that, to the best of my lmowledge and belief: - the statements of fact contained in this report are true and correct. - the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions, and are my personal, unbiased professional r.nalyses, and conclusions. - I have no (or the specified) present or prospective interest in the property that. is the subject of this report, and I have no (or the specified) personal interest or bias with respect to the parties involved. - my compensation is not contingent upon the reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value estimate, the attainment of a stipulated result, or the occurrence of a subsequent event. - the appraisal assigmnent was not based on a requested minimum valuation, a speci]ic valuation, or the approval of a loan. - my analyses. opinions, and conclusions were developed, and this report has been prepared in conformity with the Uniform Standards of Professional Appraisal Practice and also requirements of the Code of Professional Ethics and the Standards of Professional Practice of the Appraisal Institute. - the use of this report is subject to the requirements of the Appraisal Institute to review by its duly authorized representatives. - I have (or have not) made a personal inspection of the property that is the subject of this report. - no one provided significant professional assistance to the person signing this report. <If there are exceptions, the names of each individual providing significant assistance must be as stated.) - as of the date of this report, I, Mark E. Hilbert have completed the requirements under the continuing education programs of the Appraisal Institute. review of this agreement of sales has been determined that personal property items, at~d/or Cntangible items, that are not real property, NAVE NOT been included in the agreement o]~ sale. 'ersonal property items, and/or intangible items HAVE NOT been considered in determinant; the subjects estimated market value. NO YES 1• % The subject sold during the last year. Sale price $ Date 2• -g __ The subject was listed for sale at the time of inspection. Listing price $ 3• _x The subject was under agreement at the time of ins Agreement price $ pection. ~ril_ 14,1995 ate Appraiser (%) did ( ) did not inspect ~7roperty Form FN6 M f, S, Oich uAaun. TX 76001 1^141 !!10.7 l00 - - _. - _. - APP A SAL CERTIFICATION Borrower/Client File R Property Address City -----.-.. Count State Zi Code lender BUILDING SKETCH f3c n /2 ~~ir/ ~ TN ~ o ~ ~I r ~r !~ /i ~'a/~~ ~~ / .zzt a ~: ~~,~ y' /G $ to N F/P ~ ~7 ~ `J ' ,~ 00 ,ds~ 1, Q/ b (r/c-r1 ~D~ ~ I~ F1 (3,aTN Q ~,tv/r/G ~r a~, ~~,' ljOUril - ~~~ ,Lt ,~;ek ~/,~i ~iG J~~~D I ~ 0 G /)~ ~oa l,,i / 7- / y~ , Mark E_ Hiihprr A.. n~ . ___,.,,.w.~~ Estimated Cost of repairs and re-decorating. Sanding and sealing floors(to remove Cat odor) Nev Floor Covering $10,500 Painting/Wallpaper $6,000 TOTAL $16,500 ~~~~ April 14,1995 <'/ ?lark E. Hilbert t ~ CCY C O M i 8 a h i~ i~ i~ 1r /~ i i DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT = F~doral Insurance Administration o BOROUGH Of NEW CUMBERLAND, PA (CUMBERLAND CO.) APPROXIMATE SCALE ~ n00 1600 210p FLOOD HAZARD BOUNDARY MAP H - FL000 INSURANCE RATE MAP I - Mark E. Hilbert & A::sociates APPRAISAL REQUIREMENTS MANDATED BY FIRREA 1 certify that the epl~reieal conforms to the Uniform Standards of Professional Appraisal Practice (USPAP) promulgated by the Appraisal Standards Board of the Appraisal Foundation. The subject ^ (isl ®(is not) listed for sale, the lietin period of the subject property is g Price is S _ My estimate of the reasonable marketlng If an approach to value was not used, the followin Coat: 9 ie an explanation why it wee not considered. Market: Income: n/a The appraisal assignment ^ (weal ®(was not) based on requesteu minimum or specific valuation or on the e of a loan, pprovel I ^ (have) ®(heve no) financial interest in the loan transaction end do not stand to benefit in any way from the value placed on the property. I ®Ihavel ^ (have not) included a separate eaaessment of personcl property, fixtures, or intangible items which ere sttaahed to or located on the roal property. Thaee items real property. ^ (do) ®(do not) affect the market value of the Any creative financial or solar conceasione that are known to the appraiser have been adjusted in the comparables of this appraisal. In performing this appraisal, I wee not able to review the: Taxes (insert N!A if inapplicable) The above items should ba obtained by the lender when reviewing the appraisal report. This eppraiaal valuation of the subject property is in en "ae is" condition ea of the date of inspection. 1 certify that 1 have the appropriatn knowledge and experience that wee necessary to complete this assignment. Mark E. Hilbert April 14.toos DATE This appraisal report conforms to the Uniform Standards of Professional Appraisal Practice (IISPAP) adopted by the Appraisal Foundation. The builder/seller is paying X points ($ and/or $ in concessions on the sub act ) j Property. The aollowing personal property, fixtures, and/or intangible items are not included in the ppr ised value but are a part of the sale of the subject property. ITEM 1. Refrigerator ESTIMATED VALUE 2• Range/Oven/Hood S350.00 3. Dishwasher $300.00 4. Washer/Dryer $200.00 $400.00 It should be noted that the appraiser is trained in the valuation of Real Property, not Personal Property, therefore, the above estimated values tray have dicrepancies from real value. r~.,., r.. COMPARABLE 1 522 8Th Street Nsv Cumberland, Pi ,, rr, ~ ~~ ~: r j .' ~ ~ i y ~-~L - ~ ~, - ~ '~ ~' %f ~~1 .~. 1 COMPARABLE 2 502 8Th Street Alamo Cumberland, PA COMPARABLE 3 1604 Chatham itoad Camp Bill, PA en~~.. ..._ _. _. t~ ~' ~ ~ ~ ~: 1. r ~ ~' ~w;~ ~~- -_n z ~ '~ -_- _- ~. ,t_ ~t ~~~r,' f ,y h , ~ ~ ~ FRONT REAR _ _ ~_~ - .~% .t ~; :~ i~ ,. ~,: _:~ r'r, l ,.L.-. ~ _ 'I _ i ~i ~ ~~. ~ ~ ~;; .. ~. L STREET SCENE atv.,;or tr. n.en SCHEDULE E CASH, BANK DEPOSITS AND COM NM<RRA`~~AX~RN}{jRNANIA MISCELLANEOUS eRStosNr oscswNr PERSONAL PROPERTY :STATE OF Please Print or Type C~~r ..~...--- M. Jo Holmes (All progeny jointly-oweed w;th the Right of Survivorship muu be disdo~ed on Schedule F) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1• PNC Bank Checking Acct. 55140131988 - Principal $657.46, Interest $.56 $ 658.02 2• 1981 Ford Sdn.-Title No. 33822154203H0 VINSIFABP27B3BG167816 at appraised value 500.00 3• Erie Insurance Group-cancellation onhomeowners insurance & refun 217.00 4• AARP-refund 10.12 5• Erie Insurance Group-property claim pending at decedent's death 11,745.00 6. Miscellaneous personal property 500.00 TOTAL (Also enter on line 5, RscaaitulotionJ ~$ 13,630.14 ..\:. Ban,.. ^- - - - ,.. _ .L I' (.,i ~ ii.ly I'i w. s March 21, 1995 David H. Stone PNC~E~N][~ Stone, LaFaver, & Stone Attorneys At Law 414 Bridge Street P.O. Box E New Cumberland, PA 1707 0 RE: M. Joann Holmes Date of Death: February 18 1995 , Social Security No. 159-24-9423 Dear Mr. Stone: As per your request for informati referenced decedent held with on on accounts the above us, the information is as follows: -Checking Account No. 5140131988 opened 07/20/87 in the name of M Joann Holmes. Balan ce at date of interest: $0.56. . death: $657.46. Accrued If I can be of any further assistance, me at (717) 730-2321. please feel free to contact Sincerely, >,, i Edith Tancil Miscellaneous Services Supervisor Bank Operations ET/mky AC V. i51i E%. I].881 " COMMONWEAITN OF PEI ' INHERITANCE TA% R _ RESIDENT DECED SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES M. Joann Holmes ITEM NUMBER DESCRIPTION A• Funeral Expenses: 1~ Stones Murray Funeral Home-funeral expenses Please Print or .E NUMBER 2195-0167 AMOUNT 6,008.00 B• Administrotiw Costs: 1 • Personal Reprosentative Commissions Social Security Number of Personal Reprossntative: Year Commissions paid 2. Attorney Fees Stone LaFaver & Stone 5,431.00 3. Family Exemption Claimant x~~n Relationship Addross of Claimant at decedent's death Street Address Clry State Zip Code 4. Probate Fees Letters Testamentary & Short cert. ($217.00) , filing Inh. Tax Return & Inventory ($25.00) C• Miscellaneous Expenses: 242.00 )' Cumberlans] Law Journal-adv. grant of letters 40.00 2' The Patriot News Co.-adv. grant of letters 3 59.08 ' PP6L-electric service 43.32 4' Bell Atlantic-telephone service 5 54.24 ' Sammons Communications-t.v. service 6. 57.12 UGI-qas service ~ 344.04 ' Reserve for closing expenses 8. 250.00 TOTAL (Also enter on line 9, Recapitulation) $12, 528.80 (If n-o-e space is needed, insert additional sheets of some size.) .'S~2 E.r. ~l-BED COMMONWEAITN OF /fNN31'WANIA .~ INMfRITAN~! TAR RETURN RESIDENT pE~EDFNT M. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABLITIES AND LIENS Pl~a~~ Prinf or - - -- ~~---- ........ uuun~vna~ snNR OE SOT! 312.' ~f V. ~S tJ Etc. ~7 AT ~~ ~ ~~ e GOMMONWEAITN Of PEN SCHEDULE J BENEFICIARIES iTATE OF FILE NUMBER M• Joann Holmes 2195-0167 NUMBER i NAME AND ADDRESS OF BENEFICIARY I RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxable Bequests: 1, i Matthew E. Holmes ! 8024 Devonshire Heights, Hummelstown, PA 17036 son 1/2 z9sidue i ! 2• I Andrea M. Holmes Flowers daughter 1/2 residue 10 Wayne Ave., New Cumberland, PA 17070 ITEM NUMBEP. NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE 8. Charitable and Governmental Bequests: 1' NONE TOTAL CHARITABLE AND GOVERNMENTAL BEQUE575 (Also enter on line 13, Recapitulation( S .00 (li rnen space is needed, insert cddhional sheefs of ssstne size( , SAFE DEPOSIT BOX INVENTORY page of INSTRUCTIONS (1) Cash: Report total only. (2) Stocks: list in detail every common or preferred certificate, warrant or other rights found in box. Stocks are to be designated by name of company, certificate number, date of certificate, name in which stock is registered, and number of shares and class of stock. (3) Obligatioes of U. S. Government: Number of items, date of issue, face value, names in which registered and type of ownership, i.e., jointly held, payable on death, etc. (4) Bonds: Designate by name, 'amount, serial number, or other designation. (Bearer Bonds) (S) Bank and Savings and Loon Passbooks: State name of de ositor, number of book, last date a book, name of bank and branch, and balance. p ppearing in (6) Jewelry, Coins, Stamps, Manuscripts, efts list and describe as fully as possible. (7) Deeds, Mortgages, Current Insurance policies or other evidences of indebtedness: list and describe as fully as possible. (8) All ofher contenfa. ITEM NO. ITEM DESCRIPTION /Jcfp Tc ~/~~~Fi'! I" G oc ~ ~ w/9 of 1/,C ti erl< o, ~lL~~ CQi'S l.c~co`~0~~-.n c _. _ ~~Ge-'y/fr.~It/li.J/~I'J ~'µ S~' Cc^^-S - /sac ~6 ~ CORR ""` rEnALTY OF PERJURY TNAT TNF A ECT AND COMPLETE TO iNF HEST OF MY KNOWLEDGE AND IIELIEF. P FE DE I NA FINING CQPY OF / BOX INVE OR A~ NA r !N NAM '~'~ C,n ~/ 7`/~~~~- /7 I/ C~C~~~ INT N K A A 8 X L W: PIN TIL y~ CH K ,~ r ~/~t Cn ^Ex.c„rorlnix) ^Admin'i.frororlni~) NOTE: Aftoch addlfioeal 844" x 1 1„ Q~` Repnrenlotiw ^ Janr owner of wh d~poiil box sheer (s) if necessary or use du lieates of this p Po9e of form. ~~ Ali 7'f IIRU STREC' ti EU" CUAtBERLAN D, PEN NSI'LVANIA X7070 I~ ~ II LAST WZLL AND TESTgp{ENT j' OF M. JOANN HOLMES I, M. JOANN HOLMES, of New Cumberland Borough, Cumberland County, -Pennsylvania, being of sound mind, memory and understanding, do hereby make, lipublish and declare this as and for my Last Will and Te ~ stament hereby revoking ;and making void any and all other wills by me at any time heretofore made. _< = I. I direct that my Executor hereinafter named shall pay all my just z odebts and funeral expenses as soon as conveniently may be done after my decease. y: s tv m II. ~ ~ ~ All the rest, residue and remainder of i my estate, whether real, z ersonal or mixed, and wheresoever situate I hereb y give, devise and bequeath ~ ~'e~as follows: ~ A. One-half (}) unto my son, MATTHEW E. HOLMES. z 0 ~ ~ (}) unto m dau hter ~ B- One-half y g ANDREA M, HOLMES FLOWERS. U III. .~ o r I hereby nominate, constitute and a ~ = ppoint my son, MATTHEW E. HOLMES, i 1 as Executor of this, my Last Will and Testament. If the said Matthew E. Holmes' (should predecease me, fail to qualify or cease to act as such, then I nominate, ~iconstitute and appoint my daughter, ANDREA M. HOLMES FLOWERS, as Executrix. IV. No fiduciary acting under this Will shall be required to post bond I ~~in this jurisdiction or in any jurisdiction in which he may act. I, !~ i; ! Page one of two Pages '~ II IN WITNESS WHEREOF, I, M. JOANN HOLMES, the Testatrix, ha mY Last Will and Testament, set m Ve unto this, y hand and seal this ~!'-'""~' da '°'• D•, 1988. Y of June, .~ / ~ ~ -,.'~.~ :•-rf _ (SEAL) z 3` z z m 6 C z s m m z 0 v R z a w • z O 0 4 SIGNED, SEALED PUBLISHED and DECLARED b ° Y M. JOANN HO above-named Testatrix ~S, the .~ as and for her Last Will and Testament, in the presence I of us who have hereunto subscribed our names as witnesses at her request, in ~Ithe presence of the said Testatr ix and in the presence of each other. ~I ~~ ~I ,' Page two of two Pages I M38WTiN 1NT10WV . lOalNO~ 1N3WSS3SSV H3Ab'dXVl ~WOad 03A13~3a G 3tl3N OIOa lfllNAp rQ illy - - --'~- vINVA7A ~ M~,„,~„o, ~91Z80 1D~H'0N a '~~ S'~IM d0 ~l31SL93Li ,may/.~~ SIM31 3 AayW I ~I as trN~is A8 43AI3~38 . 'J zn L6' bEES OIVd 1NnOWV 1V101 ~_ ----- -.-__- 13M 0103 L6'bPF4 TO S'I~IM 30 L131SI~J3L! ~Y~x~Y~ ~ SIM31 'O ~ItIHW N~JK Ae a3nla~3a Hd ~_~~~~ 011/d 1NnOWr 14101 ------_ -~- ------_ 1 aloe ~- C10'0~16`bt TOT - --__ kl3AddXV1 ET M~03H3 1r3S S3W'lOH 3 M3H11dW -- --- _ - _ _ - S)•aVW3a 3 7iaVW1SOd 1N3WAVd i0 310'0 a NNHOf W S3WlOH (IWI (lsaldl (1Sr1) 1N303~30 i0 3WVN E2b6-ya-bS[ NSS L9I0-S66T-Icy a39Wf1N 3114 NOI1WVa0i N l 31r1S3 3tl3N aloi OLOGT Hd QNH'1>y39WT10 M3N 133L11S 39Q I L19 y T y SAl1H 3NOlS '8 ly3nH3d~ 3NO1S a3ewnN 1NnOWV ~ lOa1N0~ 1N3WSS3SSV Nay ~WOad 03~13~3a Xrl ~ ~ ~ 7~~ ~ ,~. M1r+l x;t rnle~a ' vrNVn~~ o 3 ti111b0 y~/ ~+~ OLOL I Hd `QNH12i3HWTla M3N 1332l1S 39Q I2iH y i y Nti3H QIntJQ 3NOlS y T IkJ133H3 1r3S S3W~OH 3 M3H11HW S8arW3a Act 848 of 1994 provides for the reduction of the tax rates imposed on the net value of transfers to or for the use of tl~e spouse. The rates as prescribed by the statute will be: • 3°y6 (.03) will be applicable for estates of decedent: dying on or offer 7/1/94 and before 1/1/96 • 2~6 (.A~) wiN be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97 • 1°i6 (.O1) wiA be applicable for estates of decedents dying on or after 1/1/97 and before 1/1/98 • Spew~l transfers occurring on or after 1 /1 /98 will be exempt from inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS sY PLACING A CHECK MARK (r) IN THE APPROPRIATE BLOCKS. 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, 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 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. COM4iAONWEALTH OF PENNSYLVANIA 'l ~• COUNTY OF CUMBERLAND f Matthew F Hnlmag being duly sioorn according to law, deposes and says that hs ; ~ the Fxe~-»~nr of the Estate of M T^~nn~iolmes late of 10 _W~ne_Ave.,_New__Cumberland, , Cumberland County, Pa., deceased and that the within is an inventory made by Matthew E. Holmes __ _ ., the said Executor of the entire estate of said decedent, consisting of all 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 as of the date of decedent's death , and subscribed before me, 19 I Matthew E . Holmdis.eutor • -+~dw~i~-is~rabr Hummelstown, PA 17036 Addn~• Date of Death ~ g o2 1 A95 DaY Month Y~~r INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal reprstentative. 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. I 0 Z O W Z H W W < Qr ~ W O N ~ W 1=- ~ J LL ur .~ < O O z ~ ~ ~ Z W a e N 4 m y u ~ O ~ ~ ~ r-1 x d l d c' ~ O c o h » c ~ q ~ .~. O m ~ i ~ m E ~ ..~c ~- e ° ~ o J U W m 7- m it 0 < COI~fMONWEALTH OF PENNSYLVANIA ~ ss: COUNTY OP CUMBERLAND 1 Matthew F. unlmes being duly suiorn according to law, deposes and says that he ~ G he Fxer„tnr of the &tate of M •T~a~.Holmes late of 10 _W~ne_Ave. ,_ New__Cumberland, ,Cumberland County, Pa., deceased and that the within is an inventory made by Matthew E. Holmes __ _ ,the said Executor of the entire estate of said decedent, consisting of all 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 as of the date of decedent's death, and subscribed before me, `~h:u~~ ~` i%'-> ~-- Y 19 Matthew E. Holmdeseeutor - tos Hummelstown, PA 17036 Addns• Date of Death ~ R n2 ~ q q r, Day Month Year INSTRUCTIONS 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. $ee Article IV, Fiduciaries Act of 1949. I 0 Z ~" O I~ Z W Z J = F- LL O ice- W a. ~ d J Z O W ~ < W J W ~ o L O ~ .-•i x ~ ro ~ e w u ~ o_ .~ 4 d ~ W Z ~ O ~ o U M a. ~ ~ ~ ~ O ` y, ~ ~ ~ ~ q -+ ~ U ~ ii O m i+ O O