HomeMy WebLinkAbout04-1088 PETITION FOR PROBATE and GRANT OF LETTERS.
~,stateof THELMAM. DAIHL No. _A~!- 0.//--/0 ~
also known as To:
Register of Wills for the
, Deceased. County of CUMBERLAND in the
SocialSecurityNo. 205099017 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut or named
in the last will of the above decedent, dated APRIL 27, 1995
and codicil(s) dated APRIL 27, 1996
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in GUMBERLAND County, Pennsylvania, with
h is last family or principal residence at 19 HOLLAR AVENUE, SHIPPENSBURG BOROUGH.
CUMBERLAND COUNTY, PENNSYLVANIA 17257.
(list street, number and municipality)
Decedent, then 83 years of age, died 11/18/2004 ,
at CHAMBERSBURG HOSPITAL, CHAMBERSBURG, PA 17201
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ 140.000.00
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters testamentary
the.,r.~l~ ..... (testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
~ PaUL E. STOUFFER ~,,,~J ..,,, NEWVILLE Pa 17241
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA '[
ss
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and currect to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will wel~mad-gluly admin)ster the estate according to law.
Sworn 'o or affirmed and subscribed ~-~l~'"' tO 5~ ~ [[,~...-
before me this o~ ~I day of [ ~.~30
NO_VEM__.BEI?.~004. ~ ,7
Estate of THELMA M. DAIHL , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW NOVEMBER ,2004 , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated 4/27/1995
described therein be admitted to probate and filed of record as the last will of THELMA M. DAIHL
;
and Letters TESTAMENTARY
are hereby granted to
PAUL E. STOUFFER
FEES HAROLD S. IRWIN, ilia'
Probate, Letters, Etc ......... $ 29920 \ I
Short Certificates (5 ) ...... $ ATTORNEY (Sup.X'~,C.L_~o.)
Renunciation ............ $ 64 SOUTH PITT STREET
CARLISLE PA 17013
$ ADDRESS
TOTAL ~ $
717-243-6090
Filed ........................ ?HONE
lhi, is ~o certify that the information here given is correctly copied from an original certificate of death duly filed with me as
I ,,~{ .tl P, egistrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No. ~ ~te
~t~m~*~t ~. ~helma ~. Daihl I~pemale. la. 20~ -- 09 -- 9017 ~November. 18, 2004
AGE (Last B~day) ~ UNDERIYE~ ~Np~RI~AY DA~OFB~RTH ] BRTHP~CE(Ci~and IP~CEOFDEATHtChe~onI~e ~einslm~on~ql~r~0
~ M~s ~ Da~ ~ H~m I Minutes J (~. Day. Year) I -- S~[e ~ Fmign C~nW) I H~PIT~; I OT~'
Ym ~. ~ewto~ 'J.'w . i t '
19 Holla~ Avenue iRESiDENCE 171. State Pennsylvania d~ent
~s~hippensburg, PA 17257 ~on~ers~e) t7b. Coun~ C~berland ~s~? ~a.~ No.~dent~ed
~Z *~u.l limim o~Shippensburg ci~m~o.
2o., Glenn R. Stouffer ~2ob.8 Midland Read, Newville, PA 17241
D~a,~ ~ Bur/al ~Cr~afion ~emoval ~ State ~ (~.m. Da,. Year) I or ~er Pm~ Shippensburg,
2~a. , Omer(S~).Q -- - ~12~b. 11/22/04 12~c' Spring Hill Cemetery 21a. C~berland County, ~A
I
Yes~ NO~ I YesR NoR ISuic.e ~ ~uMnot~dete~ined mia°"'
m ;C E~ ,~ ,lNG PHYSICIAN (Ph. ~n ~,ng ~u. ~ death ~ ..... ther phys~i.n h ........ d dealh a~ ~eted ,~ 23)
~ *~RONOUNCING AND CER~F~NG PHYSIC~N (~ian bolh mo~un~ng ~a~ and ~d~ing to ~u~ of death~ LICENS~ ~ ~ ~ J DATE SIGNED (~nlh. Day~ Year)
~ .~~~; ~, DATE FILED(M~th. Day. Year~ · .
PERSONAL PROPERTY MEMORANDUM TO
ACCOMPANY WILL OF THELMA M. DAIHL
As provided in ITEM II of my Will, I hereby designate that
the following listed property shall go to the persons whose names
are designated hereon.
ITEM NAME
1.A. Grandmother's Green Shade Ray-O-Light 1.A. Patricia Deutsch
1.B. Charm Bracelet 1.B. Patricia Deutsch
2.A. Grandmother's six chairs 2.A. Glenn Stouffer
2.B. Silverware set (5) 2.B. Glenn Stouffer
3.A. PA History and Law Books 3.A. Samuel Stouffer
3.B. Grandmother's Rocking Chair 3.B. Samuel Stouffer
4.A. Grandmother's Table w/ 5-6 boards 4.A. Paul Stouffer
5.A. Cedar Closet 5.A. Deborah Barnhart
6.A. Lane Cedar Chest 6.A. Janice Stouffer
7.A. Duncan Phyfe Drop Leaf Table 7.A. Amy Stouffer
8.A. Diamond Ring 8.A. Michele Stouffer
9.A. Pearl Ring 9.A. Jennie Stouffer
10.A. Hamilton Watch 10.A. Julie Stouffer
ll.A. Cup/Saucer Collection ll.A. Claudia and
Caroline Stouffer
12.A. Oval Cut Glass Dish w/ handles 12.A. Paul Stouffer
13.A. Round Cut Glass Dish 13.A. Patricia Stouffer
14.A. Pink 3-legged Dish 14.A. Samuel Stouffer
14.B. Yellow Glass Cake Dish 14.B. Samuel Stouffer
15.A. Amber Cut Glass Dish 15.A. Glenn Stouffer
15.B. Leaded Cut Glass Egg Dish 15.B. Glenn Stouffer
16.A. Amber Glass Dish 16.A. Claudia Stouffer
17.A. Amber Glass Dish 17.A. Caroline Stouffer
18.A. Large Crock 18.A. Ryan Stouffer
18.B. White Bible 18.B. Ryan Stouffer
19.A. Small Crocks (3) 19.A. Byron Stouffer
19.B. White Bible !9.B. Byron Stouffer
20.A. Army Blankets 20.A.~?~ason Stouffer
Thelma M. Daihl
F:\gP51\g[LLS\PAgORK\DAIHLT.gLL 4/27/95 lO:20am Thu
L~ST W'~LL ~ TESTAMENT
I, THELMAM. DAIHL, of the Borough of Shippensburg, Cumberland
County, Pennsylvania, declare this to be my Last Will and Testament
and revoke any Will or Codicil previously made by me.
ITEM I: I direct that all my just debts (except as may be
barred by a Statute of Limitations) and my funeral expenses
(including my gravemarker and expenses of my last illness) shall be
paid from my residuary estate as soon as practicable after my
decease as a part of the administration of my estate.
ITEM II: I bequeath those articles of my household furniture
and furnishings and those articles of my personal effects and
personal property as set forth in a separate memorandum (which is
signed by me, dated and makes specific reference to this Will and
memorandum, which I shall place with my Will or deposit with my
attorney), to the persons therein designated.
ITEM III: I give and bequeath the sum of Five~Hundred ($500.00)
Dollars each to such of my stepchildren, DOROTHY ~R, FRANCES
MARTIN, LUCILLE McGEE and DELORES PARSON, as shall ~urvive me.
Should any of my stepchildren, DOROTHY HAMMER, FRANCES MARTIN,
LUCILLE McGEE or DELORES PARSON, predecease me or die ~ or before
the thirtieth day following my death, the share of such predeceased
stepchild shall lapse and pass as a part of the residue under ITEM
IV below.
ITEM IV: I devise and bequeath the residue of my estate of
every nature and wherever situate in equal shares to such of my
children, PAUL E. STOUFFER, PATRICIA DEUTSCH, GLENN R. STOUFFER,
and SAMUEL K. STOUFFER, as shall survive me by thirty days.
ITEM V: Should any of my children predecease me or die on or
before the thirtieth day following my death but leaving descendants
who so survive me, such descendants shall receive, per stirpes, the
share that such predeceased child would have received had he or she
so survived me.
ITEM VI: If any property passes outright (either under this
Will or otherwise) to a minor (which shall be defined as anyone
under twenty-one (21) years of age) and with respect to which I am
authorized to appoint a guardian and have not otherwise
specifically done so, I decline to appoint a guardian but instead
authorize my Executor to distribute such property to a Custodian
selected by my Executor (and my Executor may act as such Custodian)
as Custodian for the minor under the Pennsylvania Uniform Transfers
to Minors Act. Provided, however, that this appointment shall not
supersede the right of any fiduciary to distribute a share where
possible to the minor or to another for the minor's benefit.
ITEM VII: I direct that all taxes that may be assessed in
consequence of my death, of whatever nature and by whatever
jurisdiction imposed, shall be paid from my residuary estate as
part of the expenses of the administration of my estate.
ITEM VII: I appoint my son, PAUL E. STOUFFER, executor of this
my last will. Should he fail to qualify or cease to act as
executor, I appoint my son, GLENN R. STOUFFER, executor of this my
2
last will.
ITEM VIII: I direct that my executor or guardian or their
successors shall not be required to give bond for the faithful
performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my
Last Will and Testament, written on four (4) sheets of paper, dated
this ~7~ day of /~, [ , 1995.
(SEAL)
Thelma M. Daihl
The preceding instrument, consisting of this and three (3)
other typewritten pages, each identified by the signature or
initials of the Testatrix, was on the day and date thereof signed,
published and declared by the Testatrix therein named, as and for
her Last Will, in the presence of us, who, at her request, in her
presence, and in the presence of each other have subscribed our
names as witnesses hereto.
~, ~, ~ ~//~ residing at /~9~d~ /~ ~~~~
/
/~~Z_ ~~~ ' residing at /~,'~/ ff.
3
COMMONWEALTH OF PENNSYLVANIA :
: ss.
COUNTY OF CUMBERLAND :
I, THELMA M. DAIHL, the Testatrix whose name is signed to the
attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will; and that I signed it willingly and
as my free and voluntary act for the purposes therein~xpressed.
Thelma M. Daihl
Sworn to or affirmed andAacknowledged
before me by ~/~ ~. ~: k! , the
Testatrix, this ~7~k day of
r; I , 1995. ~ ~.~.~
Notary Pubiic ~ ......
COMMONWEALTH OF PENNSYLVANIA :
: ss.
COUNTY OF CUMBERI~kND :
witness Qh6SW names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and
say that we were present and saw the Testatrix sign and execute the
instrument as her Last Will; that the Testatrix signed willingly
and executed it as her free and voluntary act for the purposes
therein expressed; that each subscribing witness in the hearing and
sight of the Testatrix signed the Will as a witness; and that to
the best of our knowledge the Testatrix was at that time eighteen
(18) or more years of age and of sound mind and under no constraint
or undue influence.
Sworn to or affirmed and subscribed to
before me by f~6~ ~. ~,'lz~ and
~.: ~+~ ¢. 'D~L~ ~ , witnesses,
this ~7/~ day of /~ / 1995.
Notary Public
4
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: THELMA M. DAIHL
Date of Death: 11/18/2004
Will No. 2104-01088 Admin. No. 21 - 04 - 01088
To the Register:
I certify that notice of (beneficial interest) estajadministration required by Rule 5.6(a) of the Orphan's Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on 11/29/2004 :
Name Address
PAUL. STOUFFER 1315 DOUBLING GAP RD
NEWVILLE PA 17241
GLENN R STOUFFER 8 MIDLAND RD
NEWVILLE PA 17241
SAMUEL K STOUFFER PO BOX 266
NEWVILLE PA 17241
PATRIClA A DEUTSCH PO BOX 165
NEWBURG PA 17240
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except:
NONE
Date: 8/29/2Q04
Address: 64 SOUTH PITT STREET
CARLISLE PA 17013
Telephone(717) - 2436090
Capacity: Personal Representative
,~ Counsel for Personal
Representative
REV-l500 EX+ (6-00)
COMMONWEALTH OF
PENNSYLVANIA
. DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
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DECEDENTS NAME (LAST. ARST. AND MIDDLE INITIAL)
DAIHL THELMA M.
DATE OF DEATH (MM-DD.Year)
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONl V
FILE NUMBER
2 1 -0 4 1 0 8 8
""'OOO"'"NTYCOOE ---VEAR- - - NUMBER--
SOCIAL SECURITY NUMBER
DATE OF BIRTH (MM.DD-Year)
205-09-9017
THIS RETURN MUST BE ALED IN DUPUCATE WITH THE
REGISTER OF WILLS
11/18/2004 12/24/1920
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. RRST. AND MIDDLE INITIAL)
[RJ 1. Original Return
D 4. Limited Estate
[RJ 6. Decedent Died Testate (AtlachcopyofWiIQ
D 9. Litigation Proceeds Received
SOCIAL SECURITY NUMBER
D 2. Supplemental Return
D 4a. Future Interest Compromise (dateofdealhafler12.12-82)
D 7. Decedent Maintained a Living Trust (Attach oopyolTrusQ
D 10. Spousal Poverty Credit (date of death belwgen 12-31-91 and 1-1-95)
o 3. Remainder Return (dateotdeelh priorto 12.13-82)
D 5. Federal Estate Tax Return Required
_ 8. Total Number of Safe Deposit Boxes
D 11. Elec1ion to lax under Sec. 9113(Ali_Soho)
::Dilll:SEC'l'ti:lNi:Mus!lliBE,i:ooliii!liErtl!~i'UWL:MRResPONIll!ll/(jEjrMJ)'iji:lNl!IDEllmilLitlllil<1NFORII.iM.'lli:lNVSJiti:llilllltl:BellIREll!I'Ell,m:'.'
NAME COMPLETE MAILING ADDRESS
HAROLD S. IRWIN III 64 SOUTH PITT STREET
FIRM NAME (If Applicable)
JRWIN LAW OFFICE CARLISLE PA 17013
TELEPHONE NUMBER
717-243-6090
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1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Close~ Held Corporation, Partnership or Sole. Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Properiy (Schedule F) (6)
D Separate BiJling Requested
7.lnter.Vivos Transfers & Miscellaneous Non.Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts at Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
....
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0.00
0.0 ..2
0.00;"
0.00
156,031.96
OFFICIAL USE ONLY
~'1
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0.00
(8)
156,031.96
8,717.60
44.55
(11)
(12)
(13)
8,762.15
147,269.81
0.00
14. Net Value SubJect!o Tex (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SlOE FOR APPLICABLE RATES
(14)
147,269.81
15. Amount of Line 14laxable at the spousal lax
rale, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
0.00 X _(15) 0.00
147,269.81 X .045 (16) 6.627.14
0.00 X .12 (17) 0.00
1 ,500.00 X .15 (18) 225.00
(19) 6,852.14
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
. .' > :>,." BE SURE TOANSWI!RAL~ QUESTIONS ON REVERSE SIDE ANQ,RECFlECK:MATH'<< .:: .
Decedent's ComDlete Address:
STREET ADDRESS
, 1!; HOLLAR AVENUE
CITY I STATE I ZIP
SHIPPENSBURG PA 17257
Tax Payments and Credits:
1. Tax Due (Page 1 Une 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
6,852,14
342.60
Total Credits (A+ B+ C)
(2)
342.60
3. InteresVPenalty if applicable
D. Interest
E. Penalty
T otallnteresVPenalty ( 0 + E ) (3)
4. If Une 2 is greater than Une 1 + Une 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (5A)
B. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (5B)
Make Check to: REGISTER OF AGENT
0.00
0.00
6,509.54
6,509.54
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
I. Did decedent make a transfer and: Ves No
a. retain the use or income of the property transferred; ........................................................................... 0 1RI
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 1RI
c, retain a reversionary interest; or ...................................................................................................... D [&]
d. receive the promise for life of either payments, benefits or care? ............................................................. 0 1RI
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?.............................................................................................. 0 1RI
3. Did decedent own an "In trust for' or payable upon death bank account or security at his or her death? ................. 0 1RI
4. Did decedent own an individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ..................................................................... .................................. 1RI 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of pe~ury, J declare that I have examined this return, includinQ accompanying schedules and statements, and 10 the best of my knowledge and belief, It is true, correct
and complete.
Declaration of preparer other al representative is based on a1llntonnation of which preparer has any knowledge.
SIGNATURE OF PER N RE~~LE 5JR G URN DATE
~ 7-'-. - 2/ / /2005
ADDRESS 1315 DOUBLING GAP RO
N VILLE PA 17241
SIGNATURE P A ER OTH AN DATE
2/' /2005
ADDRESS
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. ~9116 (a) (1.1) (i)).
For dates of death on or after January I, 1995, the tax rate Imposed on the net value of transfers to or for the use of the surviving spouse is D% [72 P.S. ~9116 (a) (1.1) (ii)].
The statute does not exemDt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July I, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)].
The tax rate imposed on the net value of transfers to orlor the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(I)].
The lax rale imposed on the nel value of transfers to orlor the use of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has at ieast one parent In common with the decedent, whether by blood or adoption.
REV-1502 EX + (6-98)
.W
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
[)AIHL THELMA M 21 04 1088
All real property owned solely or as 8 tenant In common must be reported at fair market value. Fair market value 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.
Real nrO-'" which Is 10lnHv-owned wlth rl"hl of survlvorshln must be dlaclosed on Schedule F.
SCHEDULE A
REAL ESTATE
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
NONE
0.00
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
0.00
REV-1503 EX + (6-98)
.W
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEOENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
DAIHL THELMA M.
FILE NUMBER
21 04
All property jolntly-owned whh right of survivorship must be disclosed on Schedule F.
1088
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
NONE
0.00
TOTAL (Also enteron line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
0.00
REV-1504EX+ (6-98)
..
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE C
CLOSELY-HELD CORPORATION,
PARTNERSHIP OR
SOLE-PROPRIETORSHIP
ESTATE OF
DAIHL THELMA M
FILE NUMBER
21 04
1088
Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a
sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
NONE
0.00
TOTAL (Also enter on line 3, Recapitulation) $
(If more space is needed, insert add~ional sheets of the same size)
0.00
REV-1S07 EX + (6-98)
*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES & NOTES
RECEIVABLE
ESTATE OF
DAIHL THELMA M.
FILE NUMBER
21 04
All property jolntly-owned with the right of survivorship must be disclosed on Schedule F.
1088
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
NONE
0.00
TOTAL (Also enter on line 4, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
0.00
REV-1508 EX + (6-98)
'*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
DAIHL THELMA M
FILE NUMBER
21 04
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jolntly-owned wtth right of survivorship must be disclosed on Schedule F.
1088
VALUE AT DATE
OF DEATH
675.00
806.00
2,393.39
13,046.15
10,006.54
10,004.54
10,005.74
11,350.20
80,059.73
277.00
108.20
258.36
34.40
4.06
17,002.65
ITEM
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
DESCRIPTION
DIAMOND RING
Value based on appraisal attached as Exhibit "B"
MISCELLANEOUS HOUSEHOLD FURNITURE AND PERSONAL PROPERTY
Net Proceeds of Public Sale
Documentation attached as Exhibit "C"
M & T BANK
Checkin9 Account No.
Value based on letter attached as Exhibit "D"
M & T BANK
Certificate of Deposit No. 31003914519889
Value based on letter attached as Exhibit "D"
M & T BANK
Certificate of Deposit No. 31003913794341
Value based on letter attached as Exhibit "D"
M & T BANK
Certificate of Deposit No. 31003913794367
Value based on letter attached as Exhibit "D"
M & T BANK
Certificate of Deposit No. 31003913794375
Value based on letter attached as Exhibit "D"
AIG ANNUITY INSURANCE COMPANY
Annuity Policy No. AN202080
Value based on letter attached as Exhibit "E"
F & M TRUST
Certificate of Deposit No.
Value based on letter attached as Exhibit "F"
ERIE INSURANCE
Unearned Premium Refund
M&T BANK
Interest Income
F& M TRUST
Interest Income
COMCAST
Refund
SPRINT
Refu nd
M & T BANK
Certificate of Deposit No. 31003914492556
Value based on bank receipt attached as Exhibit "G"
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert addUional sheets of the same size)
156031.96
REV-1509 EX + (6-98)
.W
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTL V-OWNED PROPERTY
ESTATE OF
DAIHL THELMA M
FILE NUMBER
21 04
If an asset was made lolnt within one year of the decedent's date of death, n must be reported on Schedule G.
1088
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A.
B
c
JOINTL y-oWNED PROPERTY:
LETTER OATE OESCRIPTION OF PROPERTY %OF OATE OF OEATH
ITEM FOR JOINT MAOE INCLUOE NAME OF FINANCIAL INSTITUTION ANO BANK ACCOUNT NUMBER OR SIMILAR OATE OF OEATH OECO'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTL Y-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. NONE 0.00 0.00
TOTAL (Also enler on line 6, ReCBpilulalion) $ 0.00
(If more space;s needed, insert additional sheets of the same size)
REV-1510 EX + (6-98)
,W
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
DAIHL. THELMA M.
FILE NUMBER
21 04
1088
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV.1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY
ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RElATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER THEDATEOFTRANSFER ATTACH A COPV OFTHE DEED FOR AEAl ESTATE. VALUE OF ASSET INTEREST ~F APPUCABlE) VALUE
1. NONE 0.00 0.00
TOTAL (Also enter on line 7 Recapituletion) $ 0.00
(If more space is needed, Insert additional sheets of the same size)
REV-1511 EX + (12-99)
....
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
DAIHL THELMA M
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
Debts of decedent must be reported on Schedule t.
FILE NUMBER
21
04
1088
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (5)
Social Securtty Number(s)/EIN Number at Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. AttomeyFees IRWIN LAW OFFICE 8,000.00
3. Family Exemption: (If decedenfs address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 282.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. SHIPPEN HOUSE APARTMENTS - Rent Payment 368.00
8. BAILEYS DIAMONDS - Jewelry Appraisal 37.10
9. REGISTER OF WILLS - Filing Costs (Original & Supplemental) 30.00
TOTAL (Also enter on line 9, Recapitulation) $ 8717.60
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (6-98)
".w
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
DAIHL. THELMA M.
FILE NUMBER
21 04
1088
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1. CARLISLE REGIONAL MEDICAL CENTER
Medical Bill
VALUE AT DATE
OF DEATH
44.55
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
44.55
REV.1513~+(_.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
n^'WI . .Jl::I"^ M 71 n", 1nRR
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
L TAXABLE DISTRIBUTIONS [indude OUtritt ~ousal distributions. and transfers under
Sec. 9116 (a (1. )]
1. DOROTHY HAMMER Collateral 500.00
27 Scenic View Drive
Miffiintown, PA 17059
2. LUCILLE McGEE Collateral 500.00
9867 Possum Hollow Road
Shippensburg, PA 17257
3. DELORES PARSON Collateral 500.00
11 Renee Avenue
Shippensburg, PA 17257
4. JANICE STOUFFER FISHER Lineal
6048 Sundra Circle Cedar Chest
East Petersburg, PA 17520
5. AMY STOUFFER RUNYON Lineal
1876 Walnt Bottom Road Drop Leaf Table
Newville, PA 17241
6. MICHELE STOUFFER Lineal
23 North Union Street Diamond Ring
Middletown, PA 17057
7. SSG BYRON STOUFFER Lineal
165 Cavalier Drive White Bible
Raeford, NC 28376
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV.1500 COVER SHEET
TI. NON. TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE
1. NONE 0.00
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1. NONE 0.00
TOTAL OF PART n - ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON LINE 13 OF REV.1500 COVER SHEET $ 0.00
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
DAIHL; THELMA M. .
Decedent's Name
Page 1
21 04 1088
File Number
Schedule J. Beneficiaries. 1
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
1\1 UMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s\ OF ESTATE
I TAXABLE DISTRIBUTIONS (include outright spousal distributions)
8. PAUL E. STOUFFER Lineal
1315 Doubling Gap Road 25% Residue
Newville, PA 17241
9. PATRICIA A. DEUTSCH Lineal
P.O. Box 165, 7 West Main Street 25% Residue
Newburg, PA 17240
10. GLENN R. STOUFFER Lineal
8 Midland Road 25% Residue
Newville, PA 17241
11. SAMUEL K. STOUFFER Lineal
P. O. Box 266 25% Residue
Newville, PA 17241
Collateral
Collateral
Collateral
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m M&fBank
"'~N"LnVE IMMEDIATELY
APlease Send All (Dat~th Balance Requests)
ttorney Letters to:
M&T BANK
Records Management
DE-MB-12
PO Box 900
Millsboro, DE 19966
Phone: (888) 502-4349 option 2, option 3
Fax: 302 934-2955
,
499 Mi1clJeI] Road, Millsboro, DE 19966 Mail Code DE-MB-12
Irwin Law Office
Attorney At Law
64 South Pitt Street
Carlisle, Pennsylvania 17013
Fax; (302) 934-2955
Phone (888) 502-4349
December 6, 2004
Re: Estate of: Thelma M. Oa/hl
Account Number's): 310039137943431,
31003913794367. 31003913794375,97200115
Date of Death: November 18 , 2004
31003914519889,
Dear Sir or Madam:
Per a memo from Tammy Brickner at the branch dated November 26, 2004, please be advised that at the time of
death, the balance on the above referenced accOlmts was:
I.
Type of Account
Certificate of Deposit
Account Number
031003913794341
Ownership (Nomes of)
Thelma M Daihl
Opening Date
3/29/99
Balance on Date of Death
$10,000.00
Accrued Interest
$
6.54
Total
$10,006.54
2.
Type of Account
Certificate of Deposit
Account Number
0310039/4519889
Ownership (Names of)
Thelma M Daihl
Opening Date
5/21/96
Balance on Date of Death
$13,000.00
$ 46.15
Accrued Interest
Total
$13,046.15
,
. Page 2
December 6, 2004
3.
Type of Account
Certificate of Deposit
Account Number
031003913794367
Ownership (Names of)
Thelma M Daihl
Opening Date
4/5/99
Balance on Date of Death
$10,000.00
Accrued Interest
$
4.54
Total
$10,004.54
4.
Type of Account
Certificate of Deposit
Account Number
031003913794375
Ownership (Names of)
Thelma M Daihl
Opening Date
4/12/99
Balance on Date of Death
$10,000.00
Accrued Interest
$
5.74
Total
$10,005.74
5.
Type of Account
Checking Account
Account Number
97200115
Ownership (Names of)
Thelma M Daihl, Paul E Stouffer
Opening Date
1/28/80
Balance on Date of Death
$2,393.32
$ 0.07
Accrued Interest
Total
$2,393.39
For further account information, regarding ownership, closures and/or reimbursement of funds, etc.,
please call the Walnut Bottom Office # 717-532-2414.
Sincerely,
/1afruyrydl
Nancy Clagett
Records Managemeut
. ,~" ,.'
1m)
AIG knnuity Insurance Company
P.O. Box 87\
Amarillo, Texas 79105-0811
800.424.4990
THELMA M DAIHL
19 HOLLAR AVENUE APT 206
SHIPPENSBURG, PA 17257
POlicy No. AN202080
Issue Date: 10/30/2001
Annuitant: THELMA M DAIHL
Report of your Annuity for the Contract Year Ending 10/30/2004
383.82
10/30/2004
Accumulated
Value
11 ,350. 20
10/30/2003
Accumulated
Value
10,966.38
Deposit(s)
.00
Withdrawa 1 (s)
.00
Interest
As of 10/30/2004 the composite annual yield is 3.50%.
This is your annual report and is provided for your information. NO ACTION
IS REQUIRED ON YOUR PART.
Thank you for your continued confidence in AIG Annuity.
We realize that your AIG Annuity contract is an important part of your
financial plan. We are dedicated to providing you with safety, liquidity
and a competitive return on your annuity.
If we can be of service, or should you have any questions, please do not
hesitate to call our service center that is located in Amarillo, Texas.
Our toll free number is 1-800-424-4990.
A!G Alllwit:\' bl.~unmcf' COl11P{lIl'y
/\'kmber of Ail/eriC/ill !nrcr/!wiolli/! Group. !ue
" ,,,\,. ,- '
RE: Thelma M Daihl
DATE OF DEATH 11/18/2004
ACCOUNT INFORMATION
CHECKING
SAFE DEPOSIT
SAVINGS --K-CERTIFICATE OF DEPOSIT
SHARES OF STOCK
DATE OPENED 07/13/2001 DATE CLOSED Still Open
ACCOUNT NUMBER 014-2966676
ACCOUNT BALANCE AT DATE OF DEATH $80,000.00
ACCRUED INTEREST $59.73
TOTAL ACCOUNT BALANCE $80,059.73
NAME(S) ON ACCOUNT Thelma M Daihl
REGISTRATION OF ACCOUNT Individual
ACCOUNT INFORMATION
CHECKING
SAFE DEPOSIT
SAVINGS ___CERTIFICATE OF DEPOSIT
SHARES OF STOCK
" ..." r. ~
I ~m nn.m__.___ m__m_
,,~_ ~lf
I ORIGINATING
COST
I CENTE~
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DEBIT: WIP TRANSACTION
AUTHORIZATION
GF-269 (5i9B)
" /'
DATE'
CUSTOMER NAME (PRINT)' - {i
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ll,
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I 'Orig'inaT - Processing Work
Copy 10. Central Balancing
r Copy 2 - Branch/Dept.
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CU .OMER SIGNATURE
ORIGINATING
POSTING COST CTA. JULIAN DATE COST CENTER
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CDA 31003914492556
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REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
INVENTORY
Estate of THELMA M. DAIHL
, Deceased
No.21 04 1088
Date of Death 11/18/2004
Social Security No. 205099017
also known as
PAUL E. STOUFFER
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We
verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Name of
Attomey: HAROLD S. IRWIN, III
1.0. No.: 29920
Address: 64 SOUTH PITT STREET
c-~;;;pr~"jl/ _
PAUL E. STOUFFER
Dated FEBRUARY , 2005
CARLISLE PA 17013
Telephone: 717-243-6090
Description
Value
DIAMOND RING
675.00
MISC HOUSEHOLD FURNITURE AND PERSONAL PROPERTY
Net Proceeds of Public Sale
,........
-rj
r 1 806.00
C~
I
M & T BANK
Checking Account No.
~,393.39
',_J
1"]"'1
M & T BANK
Certificates of Deposit
:~/') C)
~,062.97"
AIG ANNUITY INSURANCE COMPANY
Annuity Policy No. 202080
11,350.20
F & M TRUST
Certificate of Deposit No.
80,059.73
Total
(Attach Additional Sheets if necessary)
156,031.96
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may I at the election of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
RW-4
Continuation of Inventory
THELMA M. DAIHL
21
04
1088
PaQe 1
Description of Inventory
Description
Value
ERIE INSURANCE
Unearned Premium Refund
277.00
M&T BANK
Interest Income
108.20
F&M BANK
Interest Income
258.36
COMCAST
Refund
34.40
SPRINT
Refu nd
4.06
M & T BANK
CD No. 31003914492554
17,002.65
Subtotal $
17,684.67
156,031.96
Grand Total $
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA 17128.0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
IRWIN HAROLD Sill
64 SOUTH PITT STREET
CARLISLE, PA 17013
------- fold
EST A TE INFORMATION: SSN: 205-09-9017
FILE NUMBER: 2104-1088
DECEDENT NAME: DAIHL THELMA M
DATE OF PAYMENT: 02/01/2005
POSTMARK DATE: 02/01/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 11/18/2004
NO. CD 004907
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $15.23
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 09394
SEAL
INITIALS: CCP
RECEIVED BY:
REGISTER OF WILLS
$15.23
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
IRWIN HAROLD S III
64 SOUTH PITT STREET
CARLISLE, PA 17013
uun__ fold
ESTATE INFORMATION: SSN: 205-09-9017
FILE NUMBER: 2104-1088
DECEDENT NAME: DAIHL THELMA M
DATE OF PAYMENT: 02/01/2005
POSTMARK DATE: 02/01/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 11/18/2004
NO. CD 004906
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $6,494.31
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$6,494.31
REMARKS:
CHECK# 09395
SEAL
INITIALS: CCP
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
STATUS REPORT UNDER RULE 6.12
Name of Decedent: THELMA H. DAIHL
Date of Death: 11/18/2004
Will No. 21 - 04 -1088
Admin. No. 2104 -1088
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 X 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 Yes, state the following:
a.
account with the Court?
Did the personal representative file a final
Yes No X
b . The separate Orphans' Court No. (if any) for
the personal representative I s account is : N/A
c . Did the personal representative state an
account informally to the parties in interest? Yes X No
d . Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Clerk of the Orphans' Court and may be attached to thi repo .
-UXn
Date: 8/3/2005
Signature
HAROLD S. IRWIN. III
Name (Please type or print)
64 SOUTH PITT STREET
CARLISLE PA 17013
Address
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RELEASE
I, GLENN R. STOUFFER, hereby acknowledge that I have this day had and received
from the executor and HAROLD S. IRWIN, III, the legal counsel for the ESTATE OF
THELMA H. DAIHL, deceased, the final sum of Seventeen Hundred Fifty-seven and
35/100 ($1,757.35) Dollars in full satisfaction and payment of my share in the estate.
AND THEREFORE, I, the said GLENN R. STOUFFER, by these presents remise,
release, quit claim, and forever discharge the said executors and attorney, their heirs,
executors and administrators, of and from the said share and of and from all actions,
suits, payments, accounts, reckonings, claims and demands whatsoever, for or by
reason thereof, or any other act, matter, cause or thing whatever, from the beginning of
the world to the day of the date of these presents.
And I hereby consent and agree that the Orphans' Court of Cumberland County may
discharge the said executor and legal counsel as to this share upon application, without
further notice to me.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the
)G'( I{ , 2005.
2'isf-.
day of
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
:SS:
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COUNTY OF CUMBERLAND
On this, the '2 S;A day of Jl.d'i:1 ' 2005, before me, the undersigned officer,
personally appeared GLENN R. ST UFFER, known to me (or satlsfactonly proven) to
be the person whose name is subscribed to the within instrument, and acknowledged
that he executed same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
(SEAL)
OMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Jane Adams, Notary Public
Carlisle Bo'O, Cumberland County
My Commission Expires Sept. 6, 2008
RELEASE
I, PATRICIA A. DEUTSCH, hereby acknowledge that I have this day had and received
from the executor and HAROLD S. IRWIN, III, the legal counsel for the ESTATE OF
THELMA H. DAIHL, deceased, the final sum of Seventeen Hundred Fifty-seven and
35/100 ($1,757.35) Dollars in full satisfaction and payment of my share in the estate.
AND THEREFORE, I, the said PATRICIA A. DEUTSCH, by these presents remise,
release, quit claim, and forever discharge the said executors and attorney, their heirs,
executors and administrators, of and from the said share and of and from all actions,
suits, payments, accounts, reckonings, claims and demands whatsoever, for or by
reason thereof, or any other act, matter, cause or thing whatever, from the beginning of
the world to the day of the date of these presents.
And I hereby consent and agree that the Orphans' Court of Cumberland County may
discharge the said executor and legal counsel as to this share upon application, without
further notice to me.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the ~ 71- day of
J LoL'-'1 ,2005.
~~a ~SEALJ
PATRICIA A. DEUTSCH
COMMONWEALTH OF PENNSYLVANIA
:SS:
COUNTY OF CUMBERLAND
On this, the '1.G^ day of "}wz--t..., ,2005, before me, the undersigned officer,
personally appeared PATRICiiADEiJTSCH, known to me (or satisfactorily proven) to
be the person whose name is subscribed to the within instrument, and acknowledged
that she executed same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
(SEAL)
MMONWEALTH OF PENNSYLVANIA
Notarial Seal
Jane Adams, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires Sept. 6, 2008
RELEASE
I, PAUL E. STOUFFER, hereby acknowledge that I have this day had and received
from the executor and HAROLD S. IRWIN, III, the legal counsel for the ESTATE OF
THELMA H. DAIHL, deceased, the final sum of Seventeen Hundred Fifty-seven and
36/100 ($1,757.36) Dollars in full satisfaction and payment of my share in the estate.
AND THEREFORE, I, the said PAUL E. STOUFFER, by these presents remise,
release, quit claim, and forever discharge the said executors and attorney, their heirs,
executors and administrators, of and from the said share and of and from all actions,
suits, payments, accounts, reckonings, claims and demands whatsoever, for or by
reason thereof, or any other act, matter, cause or thing whatever, from the beginning of
the world to the day of the date of these presents.
And I hereby consent and agree that the Orphans' Court of Cumberland County may
discharge the said executor and legal counsel as to this share upon application, without
further notice to me.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the
)k.rCC/S1--; 2005.
/<(
_ day of
r
,
:i:.2 )*
PAUL E. STOUFFER
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
:SS:
COUNTY OF CUMBERLAND
On this, the / ~y day of ~..s;;2005, before me, the undersigned officer,
personally appeared PAUL E. STOUFFER, known to me (or satisfactorily proven) to be
the person whose name is subscribed to the within instrument, and acknowledged that
he executed same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
(SEAL)
WEALTH OF PENNSYLVANIA
Notarial Seal
Jane Adams, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires Sept. 6, 2008
RELEASE
I, SAMUEL K. STOUFFER, hereby acknowledge that I have this day had and received
from the executor and HAROLD S. IRWIN, 11\, the legal counsel for the ESTATE OF
THELMA H. DAlHL, deceased, the final sum of Seventeen Hundred Fifty-seven and
35/100 ($1,757.35) Dollars in full satisfaction and payment of my share in the estate.
AND THEREFORE, I, the said SAMUEL K. STOUFFER, by these presents remise,
release, quit claim, and forever discharge the said executors and attorney, their heirs,
executors and administrators, of and from the said share and of and from all actions,
suits, payments, accounts, reckonings, claims and demands whatsoever, for or by
reason thereof, or any other act, matter, cause or thing whatever, from the beginning of
the world to the day of the date of these presents.
And I hereby consent and agree that the Orphans' Court of Cumberland County may
discharge the said executor and legal counsel as to this share upon application, without
further notice to me.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the Q 5~ day of
)IA\ IA , 2005.
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COMMONWEALTH OF Pl:NNSYL'v'ANIA
r
SAMUEL K. STOUFFER
COUNTY OF eUMBERLAND ~\''''9-/)Y\
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On this, the f)5 day of ~"'\~ ' 2005, before me, the undersigned officer,
personally appeared SAMUEL K. S OUFFER, known to me (or satisfactorily proven) to
be the person whose name is subscribed to the within instrument, and acknowledged
that he executed same for the purposes therein contained.
~SS: /5(;; 3 c;. 09 fj/:)
In witness whereof, I hereunto set my hand and official seal.
_OJ1~f~"h)
Notary P i c-...c.50f"1 P"r 1C.e.--
70? 76'1 -09':)lf
(SEAL)
My Commission Expires December 31. 2008