HomeMy WebLinkAbout95-0179This is to certify that the certificate hereu ~ I ~~ ~ O I
death record on file with the Division of Vital Recordssand that FrankuYerocoly of the original
subscribed thereto, was at the time of subscribing the same and now is Dire cor1~Diviosion of Vis
Records of the Department of Health, for the Commonwealth of Pennsylvania, dul a oin ital
and commissioned as directed b Act 66 of the General Assembl a roved 29 June 1953 Pd
304. Y Y, PP
.L.
AUG 16 2001
? •
Date
Fran eropoli, ' ect
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
H/05.,~8 Rev. 2/87
COINMONWEALTH OF PENNSYWANL~ ~ p~ARTMENT OF NEALTN • VITAL RECORDS
r- MRwT CERTIFICATE OF DEATH Q 14 4 ~ 9
IEIIMMIM NAME OF DECEDENT(R,p. Mype.~ -
~~""~ +• Bertha V, aTATEVnENUMEER
Diffenderfer $~ axuusecunmuuMEER
'~ t~ 8Ma~0Ay+ UNDEq 1 YEAa UNDER 1 DAY ~ - - -
Moalr DAye ~,,, aaEOFa1RTN a• a. _ _ DATEOSDEaNIMaw~.oe,..+s„+
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Cumberland "AMaa•a:i.ine°a°"°'e°°' eunwp ~ '"`°"'°e0 0
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100 Mt. Allen Drive RESwENCE +T~glr. Pa. ,,. widowed
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,E-Mechanicsburg, pa, 17055 °ieMM+
iAr„ER•s NAMEn-.r. M;eEle, V,y ,Tk Cumher~ a~_ , ~~/
,s. William M. Gann-,.,,,_ ,Tl.14wy'fa°i~°~'a'.~'°_. /yl .._ J_ _ (
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-REV-1547 EX AFP (12-951 i
COMMONWEALTH OF PENNSYLVANIA ~,~+ ~
DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX ACN 101 v
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
DEPT. 280601 OF DEDUCTIONS AND ASSESSMENT OF TAX
HARRISBURG, PA 17128-0601 DATE 08-19-96
ESTATE OF DIFF ND RF ER A V FILE N0. 2 95-01 9
DATE OF DEATH 02-24-95 COUNTY CUMBERLAND
NO'T'E: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT'•
REMIT PAYMENT TO:
KENT H PATTERSON
. 221 PINE ST
HBG PA 17101
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Amount Remitted
CUT ALONG THIS LINE - RETAIN LOWER PORTION 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 DIFFENDERFER BERTHA V FILE N0. 21 95-0179 ACN 101 DATE 08-19-96
TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOT IC E
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF .RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule Al
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
(1) .00
(2) .00 '
(3) .00
(4) .00
(5) 455.01
(6) 63.213.17
v) .00
(g) 63,668.18
9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schedule Hl (9) 7,51 2.8 3
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2.924.37
11. Total Deductions (11) _ 10.437. 0
12. Net Value of Tax Return (12) 53,230.98
13. Charitable/Governmental Bequests (Schedule Jl (13) 2,00 0.00
14. Net Value of Estate Subject to Tax (14) 51,230.98
NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of line 14 at Spousal rate (15) .00 X .00_ .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 51 , 230.98 X . 06. 3, 073.85
17. Amount of Line 14 taxable at Collateral/Class B rate (17) •00 X •1 5. .00
18. Principal Tax Due (lg) 3,073.8 5
TAX CREDITS: .
INTEREST IS CHARGED FROM 05-08-96 TO 08-27-96 TOTAL TAX CREDIT 3,022.18
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 51.67
REVERSE SIDE OF THIS FORM INTEREST AND PEN
* IF PAID AFTER DATE INDICATED, SEE REVERSE
CAA (`AI /`111 ATTRN AF AnnTTTflNAI TNTFRFCT
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST (-)
AMOUNT PAID
11-24-95 AA082345 .00 2
500
00
05-07-96 AA112814 ~ 23.39- ,
.
545.57
• 1.43
TOTAL DUE 53.10
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
TF TOTAI DUF TS RFFI FCTFD AS A "CRFDTT•' (CR] . VOU MAV BE DUE
T ~
REV.1470 EX 16-88) INHERITANCE TAX
i
CJMMONWEALTH OF PENNSYLVANIA EXPLANATION
BUREAU OF IND VIDUAL TAXES OF CHANGES
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME
FILE NUMBER
:r,rt~~a ;ifs ~ t~.x:ic~r ' :~~>-'_'•I7 ;
ACN
A~_~1
SCHEDULE STEM
NO. EXPLANATION OF CHANGES
~ ~ _.~~:dliC(=.u C(3 ,.°I'(J. ~i'}tilS uCCU11Ci.1= ..~.~ ,3i i.i .z~.iE;~`_. ~ .:1C~c j%i.c". ...:1 -{ il_, 1;.. . .I 1"
1C1l~it ~?CCU _.~~ .',~.~
.'Ycti'c ~1. i.Oli:L~!:
TAX EXAMINER:
PAGE
~. ~__
REV.1500 EX+ (11.51) ~ O
ei,../. ~~~~~ V
PA lrl~e.oaol
u°L~
u~~
a.
Q
O°z
u Q
5
sm
O
>:
u
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO dE FILED IN DUPLICATE
WITH REGISTER OF WILLS]
r, ~~ r-
WR OATi1S OR DEATH AIRR 12131191 CNECK Hf
IF A sPOUSAI
rov[RTr cRED1T Is cf.AIMeD ^
It1u NuMBE~
Diffenderfer, Bertha V.
182-62-1253
® 1. Original Return
^ 4. Limited Estate
® 6. Decedent Died Testate
(Attach copy of Willl
100 Mt. Allen Drive
Mechanicsburg, PA 17055
2/24/95 17/29/1894 I
^ 2. Supplemental Return
^ 4a. Future Int~r~st Compromise
(for dates of death after 12-12-82)
^ 7. Decedent Maintained a living Tru:t
(Attach copy of Trustl
^ 3. Remainder Return
(for date: of death prior to 12-13-!
^ 5. Federal Estate Tax
Return Required
~ 8. Total Number of SaFe Deposit Boy
- -----_ ___~.~..~ ....,..wv,~r~n~n~l~y J~san.lsai•VS[NtAT
NAM 1ON il'lDULD K DIRECTED TOt _~ --
Kent H. Patterson M M 1 N 5
221 Pine Street
" Harri sburg r ;~1~A 17101 ~
717 238-4100 _-, ~~
~~
1. Real Estate (Schedub A) (11 - ,w ~~
2. Stocks and Bond: (Schedule B) (2) v -`-`
,
r"~
3. Closely Held Stock/Portnership Imerest (Schedule C)
(3)
~ i ~ ,
j
---=
4. Mortgage: and Notes Receivabb (Schedule D) (4) "= `~
S. Cash, Bonk Deposits d. Miscellaneous P~rsono) Property( 5) __
(Schedule E) 4 Ol r~ ~
-''
6. Jointly Ctwned Pro Schddule F
Perk' ( )
(6) /
F~7 ~ ~ n 7 (.~' +~`~ r l ~~
7. Transfers (Schedule G) (Schedule L) (~ j
8. Total Gross Assets (total lines 1-7)
9. Funeral Expense:, Administrative Costs, Miscellaneous (9) 7 51 2 ~ $ 3 (B)
Expenses (Schedule H) ~~ „~ ~ z ~~,~~~
10. Debts, Mortgage liabilities, liens (Schedule I) (10) ~' 9 ~ d ~ ~
11. Total Deductions (total lines 9 A 10) ,~ ry „~ ~ ; . Q~' (11) 10 r 4 3 7 . 2 0
V y` t
12. Net Volus of Estah (line 8 minus line 11) ~ '""~ `"~~
(12) _ 5~ '7 1 2~
13. Charitable and Governmental Bequests (Schedule J)
(13) _ 7.000 00
14. Net Value Subject fo Tax (line 12 minus line 13) ~~ ~ '~
15. Amount of line 14 taxable at 696 rote (1 S) ~+ 1 f 7 51 ~ ~ x .06 :
(Include voiw: from Schedule K or Schedule M.) 5 . 0 7
16. Amount of line 14 taxable at 1596 rate (16) ~ () ~`~ ~ -~
(Include values From Schedule K or Schedule M.) x .15 :
17. Principal tax due (Add tax from line 15 and from line 16.) (1 ~
18. Credits Spou:al Poverty Credit Prior Payments 4iscount
Interest
19. If line 18 is greater than line 17, enter the difference on (ins 19. This is the OVERPAYMENT. (19)
~^
20. If line 17 is greater than line 18, enter the difference on line 20. This is the TAX DUE. (20) 5 2 4.12
A. Enter the interest on the balance due on line 20A. (20A) _ 2 n _ d ~
B. Enter the total of line 20 and 20A on line 20B. This is the l1ALANCE DUE. (20B) __ r, d d ~ 7
Make Cheek Payable to: Register of Wilis, Agent
_ r- t1- BiE SURE TO AN3WER ALL QUESTIONS ON REVERSE SIDE AND TO RECHE -
unasr psnalNes of perjury, I declare that I have
it is true, correct and complete. I declors shot all
based on all information of w6ie6 ~~..,..... -...
once this return,
estate has bwn
CK MATH 4it ~ii1
accompanying schedules and statements, and to the-best of my knowledge and bslir
of true market value. Declaration of preporer other than the personal re resent t'
P awe
17011 A~ r' 7 6 196
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (~) IN THE
APPROPRIATE BLOCKS.
YES NO
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred, ....................................... X
b. retain the right to designate who shall use the property transferred or its income, X
c. retain a reversionary interest or .................................................................... ~
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 X
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.
~~~~~~~ SCHEDULE E
GASH, BANK DEPOSITS ANO
COMMONWEALTH OF -ENNSYlvAN1A MISCELLANEOUS
INMlRITANCE TAx RlTURN PERSONAL PROPERTY
RESIDENT DECEDENT Plsase Print or
ESTATE OF FILE NUMBER
Diffenderfer, Bertha V.
(AIFOeh addMionel •Yi" x 1f' ~b.F. N wren M~ h e.d.e.)
RE1~1lOV OI• (II.Rp
/~~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF Diffenderfer, Bertha V.
Joint fonant(s):
A• Harriet J. Shoop
B• Janet L. Beshore
C.
3904 Chestnut Street
Camp Hill, PA 17011
12 Sandalwood Drive
Davenport, FL 33837
teu-TIONSNIP TO
Daughter
Daughter
J
i
l
o
nt
y-ewnod property:
ITEM ~FORR DATE
NUMBE JOINT
TENANT MADE
JOINT DESCRIPTION OF PROPERTY TOTAL VALUE
OF ASSET DECD'S DOLLAR VALE~ OF
% INT• DECEDENT'S~INfii'EREST
~• A 1981 Meridian Bank 1,040.50 50
-~~~ 520
25
Account #3228-9681 .
-
2• A, B 1993 500 shares of PP&L 10,250.00 .333
3,416
67
common stock at $20.25 .
per share
3. A, B 1993 Active assets money trust 4,723.09 .333 1
574
36
4. A, B 1993 North American Govern- 17,241.36 .333 ,
.
5,747
12
ment Fund .
5. A, B 1993 Continental Bank 82,267.40 .333 27
422
47
C.D. #6000 95MH06 ,
.
6. A, B 1993 Advantage Bank 60,142.71 .333 20
047
57
C.D. #6150 98AU10 ,
.
7. A, B 1993 Continental Bank 15,014.94 .333 5
004
98
C.D. #5150 98FB17 ,
.
~F~
dP i
~ ~.,Q ~Q
bra'
Y~ bn.",
TOTAL (Also emir on line 6. R.ene~tf~dr.~l....l S
(If more space is needed insert additional sheep o/ some size)
REV•1d10 EX~ (4.87 ~~~
SCHEDULE G
COMMONWEALTH OF PENNSYLVANIA TRANSFERS
INNERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Diffenderfer, Bertha V.
PLEASE PRINT OR TYPE
THIS SCHEDULE MUST dE COMPLETED AND FItEe IF TIRE ewemee rn euv ne rue nueerr.ue ...-.::~ -` --~-~- - - - -
pr mw~ qwe~ n nNwa, mMrt atleiNonW ~hNb of tonN iis~.)
Re~lsn,ex. paq
SCHEDVLE H
.~,: , ' FUNERAL EXPENSES,
COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND
INHERITANCE TAX RETURN
RESIDENT DECEDENT MISCELLANEOUS EXPENSES
ESTATE OF
Diffenderfer, Bertha V.
ITEM
NUMBER DESCRIPTION
A. Funeral Expenses:
~• Neumyer Funeral Home
Please Print or
AMOUNT
B• Administrative Costs:
1 • Personal Rsprosentatiw Commissions
Social Security Number of Personal Rsprosentatiw:
Year Commissions paid
2. Attorney Fees
Kent H. Patterson
3. Family Exemption
Claimant Relationship
Addross of ClaimanT at decedent's death
Stroet Addross
City Stah Zip Cods
4. Probate Fees Register of Wills
C• Miscellaneous Expenses:
1• Patriot-News
2• Cumberland Law Journal
3• James Shoop - postabe/envelope
4• H & R Block
5• Meridian Bank - checks
6• Register of Wills - filing fees
~• Reserve for Costs
8.
TOTAL (Also enter on line 9, R~copitulation) I $
5,348 .20
1,750.00
70.25
66.34
40.00
8.59
90.00
14.45
25.00
100.00
7,512.83
(If more space is needed, insert additional sheets of same size.)
" REM"1llt LX• p~q -
. ~ ,~
COAMAONWlALTM 01 /ENNbY/MANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Di f f enderf er, Bertha V .
Pl~as~ Print or
ITEM
NUMBER DEfCRIRiON AMOUNT
1• Messiah Village 2 739.20
2. Messiah Village 110.90
"3. Lawrence Zimmerman, M. D. 74.27
TOTAL (Also onMr on lino 10, Rocapitulotioe) s 2 , 9 2 4. 3 7
(If mor. spore is noedod, ins.r/ odditionol sh«h of same sizo.)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABLITIES AND LIENS
REV~1313 EX • (2.87)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TA% RETURN
RESIDENT DECEDENT
ESTATE OF
Diffenderfer, Bertha V.
ITEM
NUMBER
1,
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
ITEM
NUMBER
SCHEDULE J
BENEFICIARIES
NAME AND ADDRESS OF BENEFICIAR>F
_ __ _____
A. ja able Be nests:
Ricxhard H~. Beshore, II, 85 Livingston Street,
Apt. 9C, Brooklyn, NY 11201
Ronald C. Beshore, 362 Martingale Drive,
Camp Hill, PA 17011
Cynthia L. Sheaffer, 4241 Puma Drive,
Casper, WY 82604
Lisa J. Boyer, 665 Gregs Drive, Apt. 94,
Harrisburg, PA 17111
Virginia A. Robinson, 2009 Juniper Street,
Longmont, CO 80501
Donna L. Sutton, 8502 Wyckham Place,
Pensacola, FL 32514
Alyssa Beshore, 362 Martingale Drive,
Camp Hill, PA 17011
Mark C. Beshore, 1917 Upland Avenue,
Boulder, CO 80304
Andrew Sutton, 84 Rollin Hills Drive,
Westampton, NJ 08046
Carrie Watson, 52 Erford Road, Apt. F,
Camp Hill, PA 17011
Kimberly Kent, 316B Vairo Boulevard,
State College, PA 16803
Nancy Gray, 1105 Bridge Street, 1st Floor,
New Cumberland, PA 17070 13.
William Robinson, 2009 Juniper Street,
Longmont, CO 80501
Janet L. Beshore, 12 Sandalwood Drive,
Davenport, FL 33837
Harriet J. Shoo 3904 Chestnut Street
Camp Hill, PA 17011 '
I
NAME AND ADDRESS OF BENEFICIARY
B. Charitable and Governmental Bequests:
FILE NUMBER
RELATIONSHIP I AMOUNT OR
SHARE`OF ESTATE
Grandchild
Grandchild
Grandchild
Grandchild
Grandchild
Grandchild
tat-grandchil
tat-grandchil
lat-grandchil
lat-grandchil
:at-grandchil
gat-grandchil
at-grandchil
Daughter
1,000.00
1,000.00
1,000.00
1,000.00
100.00
100.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50~ of residue
f estate
e
of estate
AMOUNT OR
SHARE OF ESTATE
Cystic Fibrosis Foundation of Central PA
55 South Progress Avenue, Harrisburg, PA 17109
2. Shriner's Crippled Children's Hospital
c/o Zembo Temple, 2801 North Third Street,
Harrisburg, PA 17110
3. Judith Ann Shoop Memorial Scholarship Fund,
c/o Zeta Lambda Chapter of Sigma Theta Tau Sorority,
Indiana University of PA, 210 Johnson Hall,
Indiana, PA 15705
4. Second United Church of Christ
251 Verbeke Street, Harrisburg, PA 17102
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation)
500.00
500.00
500.00
500.00
S2,000.00
~If more space is needed, insert additional sheets of same sire)
S'
J '
~tt~t ~i11 ~n~ C~Ip~tttmPnt
of
BERTHA V. DIFFENDERFER
I, BERTHA V. DIFFENDERFER, of the Borough of New Cumberland, Cumberland
County, Pennsylvania, declare this to be my Last Will and Testament, revoking any
and all Wills by me at any time heretofore made.
L
I direct my Executrices hereinafter named to pay my just debts and funeral
expenses as soon after my decease as conveniently may be.
II.
If my husband, CHARLES T. DIFFENDERFER, shall survive me, I give and bequeath
unto him all my tangible personal property, recognizing that the household goods used
by us in our joint household are held by us as tenants by the entireties.
If my husband, CHARLES T. DIFFENDERFER, shall fail to survive me, I give,
devise and bequeath my tangible personal property unto my children who survive me,
they to divide the same in equal shares as they may agree, any property as to which
they shall be unable to agree to become a part of my residuary estate.
rv.
All the rest, residue and remainder of my estate, I give, devise and bequeath
unto my husband, CHARLES T. DIFFENDERFER, if he survives me.
V.
Should my husband, CHARLES T. DIFFENDERFER, fait to survive me, I dispose
as follows:
A. I give and bequeath the sum of One Thousand ($1,000.00) Dollars to
each of the following, the issue of any who may predecease me to receive the legacy
` II
I1 ,
of the deceased parent: RICHARD W. BESHORE, III, RONALD C. BESHORE, CYNTHIA L.
SHEAFFER and LISA J. SHOOP.
B. I give and bequeath the sum of One Hundred ($100.00) Dollars to each
of the following: VIRGINIA ROBINSON and DONNA SUTTON.
C. I give and bequeath the sum of Fifty ($50.00) Dollars to each of my
following great grandchildren, and I appoint the parents of any who may be a minor at
the time of my death to be the Guardian of the estate of the minor with respect
thereto: ALYSSA BESHORE, MARK BESHORE, ANDREW SUTTON, CARRIE WATSON,
KIMBERLY WATSON, NANCY WATSON and WILLIAM ROBINSON.
--~- D. I give and bequeath the sum of Five Hundred ($500.00) Dollars unto the
HARRISBURG CHAPTER OF THE CYSTIC FIBROSIS FOUNDATION OF CENTRAL
PENNSYLVANIA, in memory of Judith A. Shoop.
-~ E. I give and bequeath the sum of Five Hundred ($500.00) Dollars unto the
SHRINER'S CRIPPLED CHILDREN'S HOSPITAL, c/o the Zembo Temple, Harrisburg,
Pennsylvania.
F. All the rest, residue and remainder of my estate, I give, devise and
bequeath unto my daughters, JANET LOUISE BESHORE and HARRIET JEAN SHOOP,
share and share alike, the issue of either who may predecease me to receive the share
of the deceased parent by representation.
VL
I direct that all estate, inheritance and any other taxes due by reason of my
death, including taxes on any property not passing under this Will, be paid by me
Executrices from my residuary estate.
VII.
I appoint JANET LOUISE BESHORE and HARRIET JF,AN SHOOP to be the
Executrices of this, my Will.
-2-
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ ~- day
of 1984.
~ ~ AL
Bertha V. i f rfer"
Signed, sealed, published and declared by the above-named Testatrix, as and for
her Last Will and Testament, in the presence of us, who, at her request, in her
presence and in the presence of each other, have hereunto subscribed our names as
witnesses.
u !nom
-3-
t ~.
FIRST CODICIL TO LAST WILL AND TESTAMENT
OF
BERTHA V. DIFFENDERFER
I, BERTHA V. DIFFENDERFER, of Harrisburg, Dauphin County,
Pennsylvania, declare this to be the First Codicil to my Last
Will and Testament, dated August 8, 1984.
ITEM I - Paragraph IV of my Will provides for certain specific
bequests should my husband, CHARLES T. DIFFENDERFER, fail to sur-
wive me. I hereby add the following subparagraphs to paragraph
IV of my Will:
H. I give and bequeath the sum of $500.00 to the Judith
Ann Shoop Memorial Scholarship Fund established by the Zeta Lambda
Chapter of Sigma Theta Tau Sorority at Indiana University of Penn-
sylvania, 210 Johnson Hall, Indiana, Pennsylvania 15705.
I. I give and bequeath the sum of $500.00 to SECOND
UNITED CHURCH OF CHRIST, Harrisburg, Pennsylvania in memory of
my granddaughter, Judith Ann Shoop.
ITEM II - In all other respects, I hereby ratify, confirm
and republish my Last Will and Testament, dated August 8, 1984,
together with this Codicil, as and for my Last Will.
I-~N.,WITNESS WHEREOF, I hereunto set my hand and seal this
~'1 <<- day of ~~V-~-~..~0'~J
1987.
t
G .C~
RTHA V. DIFFEND ER
Page One of Three
Signed, sealed, published and declared by the above Testatrix,
BERTHA V. DIFFENDERFER, as and for her First Codicil to her Last
Will and Testament in our presence, who, at her request, in her
presence and in the presence of each other, we believing her to
be of sound mind and memory have hereunto subscribed our names
as witnesses.
of a,~ ~ ~'~ s ~
J6~4~ 1_: o f ~ - 1 d ,~
r
Page Two of Three
w
_-
} ,
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF DAUPHIN
We , BERTHA V . DIFFENDERFER , ~/i ;~ ~ ~,,~ ~~~~ t /~~~~~`
•and `~Y)Grd~~._,~. ,~5 0~~~t~~,..~ , Testatrix and 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 Testatrix signed and executed the instrument as her First
Codicil to her Last Will and that she had signed willingly, and
that she executed it as her free and voluntary act for the purposes
therein expressed, and that each of the witnesses in the presence
and hearing of the Testatrix, signed the Codicil as a witness
and that to the best of their knowledge, the Testatrix was, at
that time, eighteen years of age or older, of sound mind and under
no constraint or undue influence.
Subscribed, sworn to and acknowledged before me, by BERTHA
V. DIFFENDERFER, Testatrix and ~.~ j(.~ ~. ~,CC.-~-f~__. , Witness,
and ~~~~«_~(~~__ ,,S ~)/~~'~,/ _~. Witness, this day of
1987.
~~ ~~ _ , -
Not ry Public :-
My Commission Expires: KATHY E. FOLK, NOTARY PUBLIC
My Lamm:en cn t.xpires hSarch 7, 188
Page Three of Three Harrisburg, ~a Dauahin Counq~
40 pennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
P —, EICE OF
H=gd"\PT:1�7'�2 -0 01
REGI -,E C F DATE 02-09-2015
ESTATE OF DIFFENDERFER BERTHA v
NIS FEB 17 F DATE OF DEATH 02-24-1995
FILE NUMBER 21 95-0179
L E
- t-'% COUNTY CUMBERLAND
0 RIMTtTg,Rjso)4,-,U RT
.1 KENT H ACN 101
F2-1,IPINE� ST, r'
C U I-A , I Amount Remitted
PA 17101 1
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4-
REV-1607
- -- -------- - ---
-
TAX O� ACCOUNT EXAFP'-Cli 176 klHiiffAE Al
ESTATE OF:DIFFENDERFER BERTHA V FILE NO. : 21 95-0179 ACN: 101 DATE: 02-09-2015
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-12-1996
PRINCIPAL TAX DUE: 3,073.85_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-24-1995 AA082345 .00 2,500.00
05-07-1996 AA112814 23.39- 545.57
08-24-1996 AA146662 1.39- 53.10
TOTAL TAX PAYMENT 3,073.89
BALANCE OF TAX DUE .04CR
INTEREST AND PEN. .00
TOTAL DUE .04CR
IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.