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Home My WebLink About88-0249 � PETITION FOR PROBATE and GRANT OF LETTERS Estate of HELEN LOUISE DEUBLER rio, O�I —'�� -a�9 also known as To: Register of Wills for the Deceased. County of CUMBERLAND in the Social Security No. 2 0 8—2 4-1917 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut or named in the last will of the above decedent, dated NovemEer—3D , 19 8 4 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent w�as domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at 440 Fairwav Drive, Camp Hill, PA �+�� r�<1��.�.vwn - (list street,number,Twp. or Boro.) Decedent, then �� years of age, died Mareh 2 6 , 19 8 g , at Holy Spirit Hospital, Camp Hill, PA . 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 ki!ting and was never adjudicated incompetent: Decedent at death ow�ned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 3D�0 0 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ 5, 0 0 0 Value of real estate in Pennsylvania $ situated as follows: ��,�}�,��}�e East Pennsboro Township, Camp Hill WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary (testamentary; administration c.t.a.;administration d.b.n.c.t.a.) theron. v � �� ,:��'� � -�- bN o� C �o n e ee �.o �� 456 Pinehurs Road _ Na York, PA 17401 �w � o � a ao �n 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 correct 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 well and truly administe the estate according to law. Sworn to or affirmed and subscribed ��`�' '�� " before me thiMare 31st da of A 19�$ � . � Register �- Ma C. Lew� ; r � . ..; ► � �IG _-. l �� 'T -- I� NO. 21 - g8 - 249 Estate of HELEN LOUISE DEUBLER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW March 31 , 19 8 8 , 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 November 3 0, 19 8 4 described therein be admitted to probate and filed of record as the last will of Helen Louise Deubler and Letters Testamen ary ' are hereby granted to John R ,S te f f ee WILL BOOK #106 � �' � PAGE 7 7 7 ETC. Register of Wills MARY C. LEWIS FEES Probate, Letters, Etc. . . . . . . . . . $ 12 0. 0 0 Jo h n E S 1 i k e E s q Short Certificates( � . . . . . . . . . . $ 8 . �� ATTORNEY(Sup. Ct. I.D. No.) �n�nciation . . . . . . . . . . . . . . . . $ B o x 7 3 7, C amp H i l l, PA 17 011 a ge s �p-p $ ADDRESS TOTAL $ 132. 00 737-3405 Filed . . . . . . �F?GH, 31,,. , 198,8, , , . , , , _ YHONE L; -- 1- L.'i�: ... -- �:_ '�. . : � _.}" Mailed letters to attorney on 3-31-88. ` �ti:?�"? .; �_ =.a.. ��iiv :s ru rrri=��,� that d2e inic�rrn�,r�vu i.� . _ _n �> >�rir-�r}�. �_ i �c a, r,��r1� ,u u i��rai �c��tt;�,�ti° �� c'.curl, �t��l�� r��; �� c'�� mc:_��: i uc.�a Rcnistr�.ir. Ch�� t�ri�,in�,�l ccrrifi,, u_ �._;:1 �, ,.�:ii��lcd t:. ;,�;� ' ��ar� Vttal E2cc��,r�1; i)f1ic� t�;� ptrn?�ai��ent fi!i��. 11Y�1FiNihE�: Ik ds aiiE=.;��+� ��s rlu�afi�ate this �t��y by p�otvstat ar photograph. � � ,{, �,„-,- f ec •�;i titis ceriti t��re '' ' +'' ��(jf ' �r''"''� ':.. ,�y� ��,'��.p, ., —��`N,q;'� �'l• � :, _. __ _ re,�� ,, �� I.��<ai i , -��,,�; , f. ��. � � ~' � Iht� ' f �_ .-S �t±/ � . ' 1e l 192840 � 9a$ �-. zs ;��.t; , �,� ��c�� MAR 2 8 1 ___ _ ___ _ -_ . , ��n ,�� No. � _.;�„�u�- _ _ 1�•_ift� � COMMONWEAL7H OF PENNSYLVANIA DEPARTMENT OF HEALTH . VITAL RECORDS CERTIFICATE OF DEATH (PIfYfICl8f1) STATE FILE NO. Name of decedent (First) (Middle) (Last) Sex Date of death(Mo.,Day,Yr.) ,, Iielen Louise Deub'Ler �'ema.le 3�ch 26, 1988 Race—(e.g.,Whita,Black, Aga last birth• tf under 1 yr. If undar 1 day Data of birth,Mo,Day,Yr State or foreign country o( County ol birth City,Boro,or Twp.of birth Am9ili��'�".°".� aey 77 ""°i � °i'� � "°"� � �"^� ��a,y 2�1,191 "'�,pA �ycoming Williamspor� 4. 5A. 58. 5C. 68. 6D. County of death City,8oro,or Twp.of dath Hospital or Institution(lf not either,give addresc) If hosp.or inst.�ndicate DOA, �A Cumberland �East Penneboro �Holy Spirit Hospita.l °o�Inpa.tient�sPe��fYi DecedanYs Mailing Addrats(Street or HF Ilo.) fCity or Town) IState) IZip Code) Marital Status Surviving Spouse(If wife,give maiden namel 8 440 F'airway I�cive� Ca.mp Aill� PA' 17011 �Iidowed �o Citizen of what countryT Was decedent ever in U.S.Ar rcetT Socisl Secu�ity Number Usual Occupation(Kind of work done during most Kind of business or industry �Ves �lo of work�ng Iife) ,,.U.S.A. 1z. �3208-24-1917 ,aAHouBewife ,4B Home Whare did �5a,Stato PennsYlvania Did decedant live 15c.� Yes,deeedent lived in �st Pennsboro township. decedant xtually IiveT �5b.County Cumberl.and in a township� 15d.0 No,decedent lived within acwal limits of city or bo.o. 15. � Father's name (First) IMiddle) Ilatit) Mother's maiden name (First! (Middle) (Last) �s Edgar Nichols �.� Fannie Rathmel Informant't nsma(Type o�Vrintl Informsnt't (Street or RFD No.) (City or Town) (State) (Zip Code) tBA.James L. Miller MBBingaddress66 Greenhi'll Rd,� Mechanicsbux�, PA � �Burial �Removal Dste oi burial,etc. Name of cemetery or crematay location (Ciry,boro,twp.l (Statc) 19A. [�Crem�tion �Other 19Bt'ia.+•. 28�198 ,�ollisig Green Memorial Park er All.en Twp.�Cumberland Co.�Pa. Signature of funenl director and license numbe� Name n i ad r s f fu r I es ��' 20A. - FD—� � y -� �U��l�'��V ��i��Al HOME. INC. � Registrar's ignature Date received y registrjr 324 Hummel Avenue � �%� ,�,,. � / � � '� z,e. .j �� r9•� zoe. Lemoyne, PA. 17043 21A. To the best of y knowledga,death octurr t the time,date and place and due to � m the wuselsl stated. �--� 6 � M.D. �'� Signature /r� g£ C Y2A.andtitle D.O. Date igned 1Moq.,Day,Vr.) Hour of � �g0 �.r• 28 1988 Death �A.�1 . � P.M. �� 228. Y2C. a�� me an�Addr ss of rtifier IPhysi Medial e� oner)(V' t Or Name oi Attending Physician ~zo. Franc s 7�. �erna� `l�.� 1�j��' �e`�a,r �.ifi��Dr.� Camp Hi.11,PA z5. � 28. IMMEDIATE CAUSE: Enter only one�use cer line for(A1 I81 and(C) Interval between onset and death 1 IA1 i Due to,or ai a consaquence of: �Interval between onset�nd death PAHT C� � � �.�� IBI Dua to,or as a consequance��'� Interval between onset and death I I Ic1 PART II Other Significant Conditiona—Conditions co�tributing to death but not ielsted to cause given in Part i(a) Autopsy Was wae raferred to Medical Ex �YBS aminer or Coroner� 27. [�No 28. ❑Yas �No , qcc., iicide,Hom.,Undet.or Drte oi In�ury(Nb.,Day,Yr.) Hour of Oescribe how injury occurrad: � MndinQ Irnatipation(SWcity) In�ury A.M. . , Y9A. YBB. YOC. P.M. 780. n ury at wor ace o n�ury t ome, srm,street,atc. ocation treet or R D No. ity, ro,or Twp. tate � 1dE. �Nu �Y�� 4@I�. ipG. � � ! a II y ' I ! LAST WILL AND TESTAMETdT OF I HELEN LOUISE DEUBLER II i I � i I, HELEN LOUISE DEUBLER of East Pennsboro Township, Cur.iberland � I� i County, Pennsylvania, declare this to be my Last Will and Testament, � i ' �� hereby revokina, any will previously made by me. � � I l I - I direct the payment of all my just debts and funeral ( expenses out of my estate as soon as may be practical after my death. II - I bequeath my rings and other jewlery to my daughter, Joanr�Louise Steffee. � III - I devise and bequeath all tl� rest, residue and remainder of my estate of whatever nature and wherever situate unto my husband, James Deubler. IV - Should my said husband predecease me, then I devise and bequeath all of my estate of whatever nature and wheresoever situate unto my children, James Leroy T�Iiller anc� Joanre Louise Steffee, or their issue per stirpes. V - I appoint my daughter ' s husband, John R. Steffee, Execu- tor of this, my Last Will and Testament. Should my said son-in-law fail to ctualify or cease to act as such, then I appoint my daughter, Joanr.eLouise Steffee, to act in this capacity. Neither of my personal .�� -' ' � Page 1 / -r. y�ti, ' �'2� �r`"-{-�L�;1 t'. �i�t;v_V.��etif=' � ARNOLD & SLIKE� ATTORNEYS-AT-LA�h',2109 MARKET STREET,CAMP HILI.,PA 1701I ' �i � � . „� • �� I ;� I ' I ; s ' � i , representatives shall be required to post bond in this or any juris- j � � diction. ; � IN WITNESS WHEREOF, I have hereunto set my hand and seal on this, ; the �-'�� -� day o f ��'��_�,,;�� , 19 8 4 . � I I i i� � �;��' J( �.-t'.L�C�:�:: �; �,�,L��/u:�' (SEAL) ! Helen Lpuise Deubler I Signed, sealed, published and declared by HELEN LOUISE DEUBLER, Testa- trix therein named, on this and one (1) other sheet of paper as and for her Last Will and Testament in our presence, who, in her presence, at her request and in the presence of each other, have hereunto sub- scribed our names as attesting witnesses. ,� .� ��„�'l-`�� ,5�,,�'�'t.�- Camp Hill�, Pa. f � Name Address r � � �� .��-,�,�.� . . / ,.�. �� Name ' � Addres Page 2 ARNOLD & SLIKE,A7TORNEYS-AT-LAW,2109 MARKET STREET,CAMP HIL.L,PA 17011 , s,`�`.�d ' . ' ' , � . • i COP�IP�ONTaEALTH OF PENNSYLVANIA) . SS . COUNTY OF CUMBERLAI�ID) WE, the undersigned, the testatrix and the witnesses , respectively, whose names are signed to the foregc�ing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last 6di11 and Testament and that she signed willingly (or �aillingly directed another to sign for her) , and that she executed it as her free �aill �nd voluntary act for the purposes therein expressed, and that each of the witnesses , in the presence and hearing of the testatrix signed the will as witnesses 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. f � ��,�' . _ ��F2��L� ,.%� G�-C-t-C-2� /�/�G[.,� _�".� Testatrix `�� ,.� ',,'� Flitness ' i' . ,��,� - Witness Subscribed, sworn to and acknowledged before me by the testatr�'ix, and subscribed and sworn to before me by both witnesses , this �� day of �, , 198�` _. ' r �' ; / � / Notary Public ( ?HELPAA S. McGAUSLIN, NCTARY PUBtSC hiy Commisslon Expires July 3, 1988 i ; Carr�p I-iifl, PA Curr�erland County , �� y '�� ' :12NOLD ,� :�I ': ':. ,�. , , ,, . -.:; :�„ � � , , i _ ,... �t._ . . LAW OFFICES ABNOLD 8C SLIKE 210fl MAAHET STREET P.O.BOX Z3Z JOHN E.SLIHE CAMP HILL�PENNSYLVANIA 1Z011-OZ3Z JAMES R.ARNOLD(1958-1985) (Z1Z) Z3Z-3�L05 June 10, 1988 � -�� - - ?. Register of Wills' Office Cumberland County Court House Carlisle, PA 17013 Gentlemen: Enclosed is a check in the amount of $7 ,000 to be applied as an inheritance tax payment for the Estate of Helen L. Deubler, Account No. 21-88-249. Very truly yours, A OLD & SLIKE . 'f�--� ✓.i �< X�� .�4 . �� ' / ' �'oY�n E. Slike �. � JES/Mc , 1.f.. � Q N .t'`_` � 0 � .. "'1 :�' �..r�+MF��...,�,...,� � � � r�,>..,�.,.� Q r a� x - j`� � `'`'�t. .�1�-1 ��-I � " + O O U M .,•:� {.` :� � . �---►' tn ?, o � � � � � � �g... •r+ � � � U a �� p � �..i rd N � � � �i � � � � � .,.�.� � �—I �! � � � f� U U ;,: i i`' �! w.w cF - [L''— C,� -_ O ^/��1� w 6 ��f f,f �4.G �'� 7/'" � /. "� w ri ~ w C U � N ti � H � � � � z W � a c o a a � � a � Z o � � x � N a �. � U — —+ x _ _ . � _ ___.___.. T..—..-_. _.._.�... ___._ w __._.. __.._.__��.____ .__ ___. � ... _ _ � �.._____ __._ __._ _.___ ___. �...._. �___._ __._ _ � ' C�MAll��11�{/�ALTN C�F'PEI�N'S'rYL'11AN�14 �`: NO. ��i�'� : I�EPARTMEM�IT C�E REY�Nl:lE Y '�` '�. RBV.77(r3[X{F$.Sb�- C�F�ICIAL RE+��(h"C' +� PEfitNSYL"�Al+IiA�FtF��I�ITAN�E At�lO ESTA�'E'fiAX .� A�N RECEIVED FROM: ,Jphri �;� ��$��F,@ � ASSESSMENT � AMOUNT CONTROL NUMBER . . i.o� s�aon,00 John E. ��.�l�,e, Est�. P. 4. E3�x 737 Cam� H�.1.1, FA 17+D11 - FOID HERE FOLD HERE- ESTATE INFORMATION: � FILE NUMBER ��-^'��—�4� � NAME OF DECEDENT (LAST) (FIRST� (MI) D��.�bl�r H�,l.en Loui.�e � DATE OF PAYMENT � .�une I.3, �.988 � POSTMARK DATE �7t1TYG! �_O, �.�� :OUNTY C UCCI�?C'.Z'�.�1I2L� DATE OF DEATH Ma�ch ?� , 1.g$II � TOTAL AMOUNT PAID ��p °�� REMARKS , ��- SEAL � ' �, , RECEIVED BY +.;��" "'�-�" � • ;�� - �'4 �� yf NATURE REGtSTER OF WILLS _ .._ __._.— _._..._.. ..._. ._._ ...._. _... .___ _._. ..._ .,_ _._.._._.�..._.._ .__ ___._ � ____ � ._,. + `.�-,—.�—,.—.. . - REV. 1543EX (12-861 �j COM1IPAO�K'EAiTN OF PENNSYLVANIA ��_ � etP�R-MeNr oF �e�evue :�i': +�, I IPlFORMATION NOTICE IFILE N0. 21 88-0249 BUREAO OF INDIVIDUAL TAXES �<'��'� `� - P.o. sox eaz� `��';� �� i��"� ANp 88044,.60 AGN � HaRRisBURG, a� nio5-e32� �-�: �ay'�' i TAXPAYER RESPONSE DATE O9 O9 $$ TYPE OF ACCOUNT: ESTATE OF DEUB�ER HELEN L � SAVINGS S.S. N0. 20�-24-1917 ❑ CHECKING DATE OF DEaTN 03-26-$8 � TRUST COUN?Y' C'JNiBr�RLI�ND 0 TIME CERTIFICATE STEFFEE JOANNE M THIS IS NOT A TAX BILL 440 FAIRWP_Y DR CAMP HILL PA 17011 ', F,t�'��JaE Tp RESFOl1lD .tV7 L L: RES(JI.T 1 N A5�L��MENT;' CCNB BANK N A has advised us that the ownership of the bank account reported belovv was transter�ed tp you as a result ef the de2th of the above peceden;. This transfer is taxabfe in accordance with th� irheritance Tax Law; of the Cemmonwealth of Penrsylvania. Questions may be answered by calling (7171 7g7-g32�, COMPLETE PRRT 1� BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Accoun; No. 17152006 Date 10-04-84 7e insure proper credit to your account a Established copy of this notice must accompany your pay- ment to the Register of Wills of the county Account Balance 6,704.16 indicated above. Make check payable to: Percent Taxable X 50.000 ��Register of Wills, AgenY'. Amounts Subject to Tax _ 3,352.08 NOTc: If tax payments are made within 3 months of the decedent's date of death, you Tax Rate X .15 �:=` may deduct a 5% discount of the tax paid. Potential Tax Due 502.81 �p/ �L Any inheritance tax due will become delinquent nine (9) months after the date ot death. FART� TAXPA�fER RESPONSE � -, A. � The abo�ie information and tax due is correct. i1. You may choose to pay the Register of Wills with this notice to obtain CHECK � a discount or avoid interest. �R ONE I 2. You may await the officiai assessment from the Department of Revenue. I BIACK � ONLY B. �I The above asset has been or wiil be re orted and L � �J P paid by the estate fiduciary. C�The above information is INCORRECT an�/or debts and deductions are being claimed. You must complete PART 12 and/or !3� below. PART�I TAX RETURN - TAX CALCULATION OF JpINT/TRUST ACCOUNTS I FOR OFFICIAL USE ONLY � AAF �/ ,/ IPAD Qate Fstablished i . _._��' '_ 7',-./ 1� `f- � , Account Balance 2 ��, �l�7"' r � 2 T_ Percent Taxable 3 —X --�—x' � � 3 Amount Subject to Tax 4 n-��-5-� �� ` 4 Debts and Deductions 5 '� - � 5 Taxable Amount 6 �� =^�- � 6 Tax Rate 7 h � � Tax Due g �o � / Z- 8 PART� DEBTS AND DEDUCTIONS CLAIMED DATE PAlD PAYEE DESCRIPTION AMOUNT PAID I i � ' TOTAL (Enier an Line 5 of Tax Caiculation) $ Under penalties of perjury, f declare that i have exarnineC this return, a��d to the best of my knowledge and belief, it is true, correct and complete. � ) r AYER SIGNATUR� TELE?HONE IVUMBER AT � ,� REV. 1543EX (12-86) +� � COMMONWEALTH OF PENNSYLVANIA DEPARTMEN7 oF Reveraue � �'�� INFORMATION NOTICE FILE N0. 21 88-0249 BUkEAU OF INDIVIDUAI TAXES �.�.�4 � P.O. BOX 6327 � �k AND ACN ' 880445.58 HaRRiseuRc. aa 17105-6327 ,�'^� ' .,, • ^�" TAXPAYER RESPONSE DATE 09-09-8$ TYPE OF ACCOUNT: ESTATE OF DEUBLER HELEN L � SAVINGS S.S. N0. 208-24-1917 � CHECKING DATE OF DEATH G3-26-88 ❑ TRUST COUNTY CUMBEFtLAND ❑ TIME CERTIFICATE STEFFEE **JOANNE M THIS IS NOT A TAX BILL 440 FAIRWAY DR CAMP HILL PA 17011 ! FAI�.U�E �� E:,$PON� W1'LL! RESUL� 1'�1t ASS�'�5A'I�NT' CCNB BANK N A has advised us that the ownership of the bank account reported below was transferred to you as a result of the death of the above decedent. This transfer is taxabie in accordance with the Inheritance Tax Laws of the Commonwealth of Penrsylvania. Questions may be answered by caliing (717) 787-8327. COMPLETE PART � BELOW * * * SEE REVERSE SIDE FOR rILING AND PAYMENT INSTRUCTIONS Account No. 60060233 Date p�-2?_87 To insure proper credit to your aecount a Established copy of this notice must accompany your pay- ment to the Register of Wilis of the county Account Balance 7,939.16 indicated above. Make check payable to: "Register of Wills, AgenY'. Percent Taxable X 100.00 NOTE: If tax payments are made within 3 Amounts Subject to Tax 7,939.16 months of the decedent's date of death, you Tax Rate X .15 may deduct a 5% discount of the tax paid. Potentia� Tax Due 1,190.87 Any inheritance tax due will become delinquent nine (9) months after the date of �eath. PART� TA)CPAYER RESPOl�JSE � A. � The above intormation and tax due is correct. 1. You may choose to pay the Register of Wills with this notice to obtain CHECY. a discount or avoid interest. ONE Z. You may await the official assessment from the Cepartm�en�t of Revenue. BLOCK ONLY The above assst has been or will be reported and paid by the estate fiduciary. L _J C. I� The above information is IPJCORRE�T andlor debts and dedu�tions are being claimed. You must complete PART � and/or J below. PART�� TAX RETURN - TAX CALCULATION OF JOINT/TRUST QCCOUNTS FOR OEFICIAL USE QNLY I� AAF PAD � - �' ,�_ Dat= Established 1 -------------- i , T " � -_ — ___.�___.. . _.— .__ '_- _ - -- Accouni Balance 2 � 2 Percent Taxable 3 X 3 Amaunt Subject to Tax 4 I 4 -� Debts and Deductians 5 � 5 Taxable Amount 6 6 Tax Rate 7 �� I � Tax Due $ i 8 PkRT❑3 DEBTS ANQ DEDUCTi0N5 CLAI�IED QATE PRID PAYEE DESCRlPTION I�MOUNT PAID I I � TOTAL. (Enter on Lin� 5 a' Tax Calcutation) S Under penalties of perjury, I declare I have examined this return, and to the best of my knowledge and belief, it is true, correct and complet�. � -� -- � _� AYER SIGNAT RE TELEPHONE NUMBER D TE . . ��., REV. 1543EX (12-86) ��, COMMONWEALTH OF PENNSYLVANIA , oEFaRrMEnT oF REVENUE � � �� INFORMATION NOTICE FILE N0. 21 88-0249 BlIRE4U OF INDIVIDUAL TAXES P.o. aox esz� ��s_r:� '�_ � �lt!i AND ACN 88044559 HARRISBURG, PA nio5-ssz� � t�� ••••s� TAXPAYEk RESPONSE DATE 09-09-88 TYPE OF ACCOUNT: ESTATE OF DEUELER HELEN L IX SAVINGS S.S. N0. 208-24-1917 ❑ CHECKING DATE OF DEATH 03-26-88 ❑ TRUST COUNTY CUMBERLAND ❑ TIME CERTIFICATE STEFFEE JOANNE M THlS IS NUT A TAX BILL 440 FAIRWAY DR CAMP HILL PA l�o�� ' FA1L�,1R� i'C� RESPO`ND W��.L 1�ESlJLT �N ASSESSMENT' CCNB BANK N A has advised us that the ownership of the bank account reported below was transferred to you as a resuft of the death of the above decedent. This transfer is taxable in accordance with the Inheritance Tax l.av�,�s of the Commonweaith of Pennsylvania. Questions mav be an�wered by callina (717� 787-832�_ COMPLETE PART i1� BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 60522497 Date 03-31-83 To insure proper cred�t to your account a Estabiished ��PY of this �otice must accompany your pay- ment to the Register of Wiils of the county Account Balance 4,234.50 indicated above. Make check payable to: Percent Taxable X 50.000 `�Register of Wills, AgenY'. Amounts Subject to Tax 2,117.25 NOTE: If tax payments are made within 3 months of the decedenYs date of death, you Tax Rate X .15 may deduct a 5% discount of the tax paid. Potential Tax Due .s17.59 Any inheritance tax due will become delinquent nine (9) months after the date of death. PART[] TAXPAYER RESPONSE 1 A. � The above information and tax due is correct. 1. You may choose to pay the Register of Wills with this notice to obta:n CHECK a discount or avoid interest. ONE You may await the official assessment from the Departm�en�t of Revenue. BLOCK ONLY B. The above asset has beer or wili be reported and paid by the estate fiduciary. L C. � The abo��e information is INCORRECT and/or debts and deductions are being claimed. You must complete PART �2, and/or � below. PART 2 � TAX RETURN - TAX CALCULATION OF JOINT/TRUST ACCOUNTS FOR OFFICIAL USE ONLY �^I qaF PAD _ �o � LJ �BTP Es±abl!C�+p.fj ? .. -�- � �� .._. . _._______ -_-____-._ i i _-_._ ... _._,:._.=.�� Account Balance � _ 2 Percent Taxable 3 X 3 Amount Subject to Tax 4 4 Debts and Deductions 5 i 5 Taxable Amount g 6 Tax Rate 7 X � Tax Due g i 8 PART u D�675 AND DEQUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID I TOTA! (Enter on Line 5 of Tax Calculation) S Under penaities of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct and compiete. ( ) .3 5�-� �'� � AXPAYER SIGNAT RE TELEPHONE NUMB�R A � �:�� , a,��. � T O� m rn p n o �3 0 ' Q � � � °Z �m � �O c �e�n m� co D Z � � � � � � c � �f �� rn D � � S �G _ �+ � S '� � C r � N� C � � *ryf ... � � Q- �n• � r^ � � � rn � .. rn Z 3 � zy N � �. � m ,^S ^' D ` � Q� Z � � ^ D D � � T Q.... 7 O � ' -� a � ° o > > � < p c fD � 3 0 3 m � Q � m — = -- � o O n =a n cD �r n V�p` N T Q f* ^' 7-�.. �•�, �fp C 7',�..� V� 7 � ��' � � - ��. 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( �...� � " .. �E �4�y� . �:: "n ,�--.,_ � . !�i "^� (�-l: i iu. � M � � � �- .�� A:'.f -1 .�'�9 '`.t 4., .,� i "t �� „r .,, ,�^�,e� i 4 'a��-,.. � N s � : _^ y � � �';" g ,N � � ^� � S , g � S�. 0 � ��.� � 11 U M � � � �A ln N � �� O K UD •r r �--� n �j 3 r C .—I N •'— � � J 3 O � • 4— U � � U O Z7 ^ C � Z � � i � r— r rt5 �F-> Z N � ln Ql •r 'e- .Q r— ' a1 E S.. �/1 N � t0 � �C U U � .� � �9 � � � � �..�.'�'�7 C'Y � ��— �p •..�- �r��CCJ-�.:. . . �� .� ��._.�� C� 4;,� N � �� F:r� �- � -r� �:„ r-4 ;.;, �;, u: A,. ;. "�'. `.;: y"' L � ,$ � � f� � +� U� �.....n«. �� /;'/ \.� .. �. � . � • .,..�,,..._...., pr�o. �'��.�� CC?MMt��[WEA�.T�i �l� PENN51tLVANta ;�= ' l3�PARTM�NT f)�f�E1fENUE ' REv.,,��x{�2,8b� C3FFlCIAC RECElPT s PENN5XLVANIA 1NHERITANCE AND ESTATE TAX "K *� X — — ----_ RECEIVED FROM: ACN � ASSESSMENT CONTROL 4 AMOUNT NUMBER ' . � �3oanna M. �t��'fee --fi.f��ta__��__ ��t�� 44p F�tirar�y Drive �t�mp HiII, k�A 1701�. - FOLD HERE ESTATE INFORMATION: Foi�r+eae � FILE NUMBER ---____ � NAME OF DECED�NT�� (LAST) (FIRST) (MI) � DATE OF PAYMENT �� T_,£)2,��g . � POSTMARK DATE — "'OUNTY � 'DATE OF DEA7H 2daz c� 26 19$8 REMARKS Q TOTAL AMOUNT PAID __ ��.. �� SEAL : � � �., RECEIVED BY �"�,�'� r�i l,r,� ` �� ,.. t�;�,��. �„,....�,,/: ��IGNATURE ' � — REGISTER QF W��.� r' � � REv-�5oo Ex+ (2-e�� i `�'� � �� ~ � `� 'FILE NUMBER INHERITANCE TAX RETURN `��` RESIDENT DECEDENT COMMONWEALTHOFPENNSYLVANIA (TO BE FILED IN DUPLICATE 21 - 88 - 249 DEPARTMENTOF REVENUE �/ITH REGISTER OF WILLS) POST OFFICE BOX 6327 HARRISBURG, PA 17to5-83v COUNTY CODE YEAR NUMBER F DECEDENT'S NAME jLAST,PIRST,AND MIDDLE IN171NL) DECEDENT'S COMPLETE ADDRESS o DEUBLER HELEN LOUISE 440 Fairway Drive V �SOGIAL SECURITY NUMBER DA7E OF DEATH DATE OF BIRTH Camp H111� PA 0 208-24-1917 � 3/26/88 5/27/10 - Cumberland County � �1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return Y a�n (for dates of death prior to 12-13-82) W�au ❑ �1. Limited Estate ❑ 4a. Future Interest Compromise ❑ 5. Federal Estate Tax u�� (for dates of death after 12-12-82) Return Required a00 � ti. Decedent Died Testate LI 7. Qecedent Maintained a Living Trust �8. Total Number of Safe Deposit Boxes Q (Attach copy of Willt �Attach copy of Trust) ALL�GO Ft�SPIJNDEN��AND�C)h!'FIi�ENT1AL TAX INFC?RM,+kTlf�l�SHOUL�BE 1�11tEC1`EC1�'CJ: : N � NAME � COMPLETE MAILING ADDRESS � o ohn E. Slike, Esquire 2109 Market Street � P. O. Box 737 Q O TELEPHONE NUMBER a Camp Hill, PA 17'011.�; ( 717 � 737-3405 __ �;�, -. ,� 1. Real Estate (Schedule A} ( �) _ 1 0 0� 0 0 0 . 0 0 _ 2. Stocks and Bonds (Schedule B) ( 2) __ ___ _ 3. Closely Held StocklPartnership Interest ($chedule C) ( 3) 4. Mortgages and Notes Receivable ($chedule D) ( 4) 5. Cash, Bank Deposits&Miscellaneous Personal Property� 5) _ 3�, 3 4 5. 4 8 Z (Schedule E) � 2 , 117. 24 a 6. Jointly Owned Property (Schedule F) ( 6) F 7. Transfers (Schedule G) (Schedule L) ( 7) 7 . 9 3 7 . 7 3 Q 8. Total Gross Assets (total lines 1-7) ( 8) 14�� 4�� . 4 4 ---____. _ .. 14, 121 . 26 W 9. Funeral Expenses, Administrative Costs, Miscellaneous ( 9) _ � Expenses (Schedule H) 10. Debts, Mortgage Liabilities, Liens (Schedule I) (�p) 4 r 6 61. 4 8 1 1. Total Deductions (total lines 9 & 10) (1 1� 1 8� 7 8 2 . 7 4 _ _ 12. Net Value of Estate (line 8 minus line 11) (12) 121 r 617 . 7�_ _ ___ 13. Charitable and Governmental Bequests (Schedule J) (13) 14. Net Value Subject to Tax (line 12 minus line 13) (�4) 121 � 617 . 7� 15. Ar�ount of line 14 taxable at 6% rate (15) 121 � 617 . 7� _x .06 = 7 . 2 9 7 . �6 __ __ (Include values from Schedule K or Schedule M.) 16. Amount of line 14 taxable at 15% rate (16) x .15 = --_._ Z (Include values from Schedule K or Schedule M.) � 17. Principal tax due(Add tax from line 15 and from line 1 b.) (17) � � 18. Credits Prior Paymenis Discount Interest a 7, 000 . 00 + 368 . 41 _ (�g) 7, 368 . 41 ---- __ � 71 . 35 O 19. If line 18 is greater than line 17, enter the difference on line 19. This is the QVERP�YMEN7, (�g) _ _ _ X � 20. If line 17 is greater than line 18, enter the difference on line 20. This is the TAX DUE. (20) A.Enter the interest on the balance due on line 20A. (20A) B. Enter the total of line 20 and 20A on line 20B. This is the BALANCE DUE. (206) Make Check Payable to: Register of Wills, Agent .�r.�-s�su��rf�A�[Sw�R nt.�.au�sTlc��s�lu a�uE�SE 5�u�,�Nn�'t� R�+��tECK�!A'�H�r.wr 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. Oeclaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSI FOR FILING RETURN ADDRE55 DATE !� , n York Pennsylvania // _ r� . ��: SIGN RE F R R O f;.T REPRE TATIVE ADDRESS DATE � Camp Hill, PA ��//��/��f' � � ; REV-1502 EX+ (12-85) �: I �;;�� SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTAT@ INHERITANCE TAX RETURN RESIDENT DECEDENT __- ESTATE OF FILE NUMBER Helen Louise Deubler 21 - 88 - 249 (Property jointly-owned with Right of Survivorship must be disclosed on Schedvle 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 sefler, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. _ ITEM � VALUE AT DATE NUMBER DESCRIPTION OF DEATH �� Single family stone ranch dwelling with attached two car garage situated at 440 Fairway Drive, East Pennsboro Township, Camp Hill, conveyed to decedent and her husband (who predeceased her) by deed recorded in Deed Book "G" , Vol. 28 , Page 42, Cumberland County records. , Actual sale price 100 , 000 . 00 TOTAL (Also enter on line l, Recapitulation) $1�0� �� . 0 0 __ (If more space is needed, insert additional sheets of same size.) RE�,S°BEx+ ,z.e', SCHEDULE E � � CASH, BANK DEPOSITS AND COMMONWEALTH OF PENNSYLVANIA MISCELLANEOUS INNRE51 ENTEDKEDENTRN PERSONAL PROPERTY Please Print or Type ESTATE OF FILE NUMBER Helen Louise Deubler 21 — 88 — 249 (All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F) ITEM DESCRIPTiON VALUE AT NUMBER DATE OF DEATH 1 Furniture and household goods per attached appraisal 2 , 552. 00 2 CD#13-65-003784 at Hill Financial Savings Association 27, 128 . 10 Interest accrued on above account 140 . 38 3 1977 Chevrolet Nova, actual sale price 400. 00 4 Jewelry, per appraisal 125. 00 TOTAL (Also enter on line 5, Recapitulation) $ 3 0, 3 4 5. 4 8 (Attach additional 8Yz" x 11" sheets if more space is needed.) REV-1509 EX+ (3-86) COMMONWEALTHOFPENNSYI.VANIA SCHEDULE F INHERITANCETA%RETURN �OINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Helen Louise Deubler 21 - 88 - 249 Joint tenant(s): NAME ADDRESS RELATIONSHIP TO DECEDENT p. Joanne Steffee 456 Pinehurst Road Daughter York, PA 17402 B. c. Jointly-owned property: ITEM �ETTER DATE NUMBE FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF JOINT �OINT OF ASSET /o INT. DECEDENT 5 INTEREST TENANT �• A 3/83 CCNB Bank, NA savings account #060522497 4, 194 . 51 50°s 2, 097 . 25 Interest on above 39 . 99 500 19. 99 TOTAL (Also enter on line 6, Recapitulation) $ 2 � 117 . 2 4 (If more space is needed insert additional sheets of same size) REV-1510 EX+ (2-87) I �� SCHEDULE G COMMONWEALTH OF PENNSYLVANIA TRANSFERS i�tH�E TqX RETURN PLEASE PRINT OR TYPE 8B€EDENT ESTATE OF PILE NUMBER Helen Louise Deubler 21 - 88 - 249 THIS SCHEDtlLE I�MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES. DECD. DOLLAR VALUE ITEM DESCRIPTION OF PROPERTY EXCLUSION TOTAL VALUE % OF DECEDENT'S NUMBER Include name of the transferee,their relationship to decedent,date of transfer. OF ASSET INT. INTEREST 1 Checking Account #060060233 at CCNB Bank, NA in name of deceden and her daughter, Joanne M. Steffee opened 7/22/87 3, 000 10, 937. 71 1000 7, 937 . 72 TOTAL(Also enter on line 7, Recapitulation) $ 7� 9 3 7 . 7 2 (If more space is needed, insert additional sheets of some size.) RE�.,�„ EX� `a_ab, SCHE�ULE H 4�..;,�. �.;�:,� FUNERAL EXPENSES, COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND INHERITANCE TAX RETURN MISCELLANEOUS EXPENSES RESIDENT DECEDENT Please Print or Type ESTATE OF FILE NUMBER Helen Louise Deubler 21 - 88 - 249 ITEM DESCRIPTION AMOUNT NUMBER A. FuneralExpenses: 1. Musselman Funeral Home $3,861.74 2, Village Deli Restaurant - funeral buffet 252.28 3. Pealers Flower Shop - funeral flowers 132.24 B. Administrative Costs: 1. Personal Representative Commissions _ _ Social Security Number of Personal Representative: 1,000.00 Year Commissions paid 2. Attorney Fees 6,616.00 3. Family Exemption Claimant N�A Relationship Address of Claimant at decedent's death Street Address City State Zip Code 4. Probate Fees 132.00 C. Miscellaneous Expenses: � Landis Jewelers - appraisal for jewelry 15.00 2. Les Connor - appraisal for property 200.00 3, Claude C. Wolfe & Associates - appraisal for furniture 130.00 4, Patriot News - legal ads 41.00 5. Cumberland Law Journal - legal ads 30.00 6. Register of Wills - filing fees 15.00 7. Register of Wills - reserved for account and future debts 350.00 8. Costs of selling house - transfer tax 1,000.00 9. Mark Haas - lawn care 301.00 10. New Way Pest Control - inspection 45.00 TOTAL (Also enter on line 9, Recapitulation) $ 14,121.26 (If more space is needed, insert additiona) sheets of same size) REV-1512 EX+�10-86) �a SCHEDULE I � DEBTS OF DECEDENT, COMMONWEAITHOFPENNSYLVANIA MORTGAGE LIABLITIES AND LIENS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Helen Louise Deubler 21-88-249 ITEM DESCRIPTION AMOUNT NUMBER � Bell of PA 117.84 2. PA Water Company 65.24 3, Pennsylvania Power & Light 302.74 4. East Pennsboro Township - sewer & sanitation 175.50 5. Holy Spirit Hospital- balance due 43.20 6. Patriot News Company - balance due for delivery 1.00 7. C. S. Willis & Son, Inc. - fuel oil 436.67 8. Alicia Stine, Tax Collector - county, township taxes 255.60 9. William A. Sullivan, M.D. - balance due 10.00 10. Sammons Communications - balance due 3.05 11. Community Physicians - balance due 40.00 12. U. S. Treasury Department 816.00 13. State Employees Retirement System - refund 135.55 14. EKG Associates - balance due 262.88 15. Alicia D. Stine, Tax Collector - School tax 705.95 16. R. L. Zeiders - painting of house 950.00 17. Checks clearing after death 340.26 TOTAL (Also enter on line 10, Recapitulation� $ 4,661.48 (If more space is needed insert additional sheefs of same size) REV-1513 EX+ (2�87) . ��" SCHEDULE J COMMONWEALTH OF PENNSVLVANIA BE N E F 1 C IARI ES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Helen Louise Deubler 21-88-249 iTEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR NUMBER SHARE OF ESTATE A. Taxable Bequests: 1• Joanne M. Steffee Daughter 50% 456 Pinehurst Road York, PA 17402 2• James L. Miller Son 50% 66 Greenhill Road Mechanicsburg, PA 17055 ITEM NAME AND ADDRESS OF BENEFICIARY AMOUNT OR NUMBER SHARE OF ESTATE B. Charitable and Governmental Bequests: t. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation� $ (If more space is needed, insert additional sheets of same size) Inventory of the real and personal estate of HELEN LOUISE DEUBLER deceased Single family dwelling located at 440 Fairway Drive East Pennsboro Township, Camp Hi11, PA actual sale price 100,000 00 Furniture and household goods 2, 552 00 Hill Financial Savings Association C.D. #13-65-003784 dl 27, 128 l�� accrued interest on above � 140 38 i 1977 Chevrolet Nova, actual sale price 400 00 Jewelr �� 125 00 Y 130, 345 48 1 � r �;`-._ .... �:, - -. � I COMMONWEALTH OF PENNSYLVANIA '� f ss: COUNTY OF CUMBERLAND JOHN R. STEFFEE being duly sworn according to law, deposes and says that he ___ is Executor of +he Es+ate of Helen Louise Deubler late of _—.—East__Pennsboro __ToWnship _ Cumberland County, Pa., deceased and that fihe _ ---� within is an inventory made by _him _ _. , the said executoz' 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 fhe figures opposite each item of the Inventory represent it's fair value as of the date of decedent's dea+h. SWOY'n t0 and subscribed before me, - � � �� L/ `+� f�� / Ezecutor - dminis4rotor � � 19 d'� �% � . 456 Pinehurst Road / ` �� -��- ��.t.�C� Nni�RIA�.— ;,��"'�-----, York, PA Ta-iELMA S. P1!cCA±i�Lt�l, i,1o[ary PubI;C Addre:: Camp !-1ill, I'A Cur7iherfar�d '„ounTy �+�y C�mmissiU=��t� 3, 1992 Date of Death __ March 19 8 8 Day Mon+h Ysar INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representafive. 2. A supplement inventory must be filed wifhin fihir+y days of discovery of additional assets. 3. Additional sheets may be attached as to personal+y or realty 4. $ee Article IV, Fiduciaries Acfi of 1949. � -� � m f�A O � � Ei � -o W � r � � Q � m N N f x' � � N v! �.�.( � m � J Q w � w H m � � ,� y �y, F— � °- � LL � � - a � � vr� Z ,i J Q O ° � � a � o � ; j � Z � z ' a � w ¢ �° �� _Z � Q w � U � � z a x w � h � � � ; � � d I �, � I ' � � °' o � � � U ii m REV-1547 EX (12-88) ,%'t2� COMMONWEALTH OF PENNSYLVANIA �� d � � + DEPARTMENT oF ReveNUE 'i ;j ., �� NOTICE OF INHERITANCE TAX ACN . 101 suReau oF INDIVIDUAL raxes "`��: �;�=- APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPT. 280601 � OF DEDUCTIONS, AND ASSESSMENT OF TAX HARRISBUP,G, PA 17 728-0601 DATE 02-13- 9 ESTATE OF DEUBLER HELEN L FILE N0. 21 88-0249 DATE OF DEATH 03-26-88 COUNTY CUMBERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT". REMIT PAYMENT TO: JOHN E SLIKE ESQ REGISTER OF WILLS 2109 MARKET ST CUMBERLAND CO COURT HOUSE PO BOX 737 CARLISLE, PA 17013 ,CAMP HILL PA 17011 Amount Remitted CUT ALONG THIS LINE _ _ � RETAIN_LOWER PORTION_FOR YOUR RECORDS � - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1547 EX (12�-88) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DEUBLER HELEN L FILE N0.21 88-0249 ACN 101 DATE 02-13-89 TAX RETURN WAS: (X ) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) ( 1) 100,000.00 2. Stocks and Bonds (Schedule B) ( 2) .0 0 3. Closely Held StocklPartnership Interest (Schedule C) ( 3) .00 4. Mortgages/Notes Receivable (Schedule D) ( 4) .00 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) ( 5) 30,345.48 6. Jointly Owned Property (Schedule F) ( 6) 2,117.24 7. Transfers (Schedule G) { 7) 7,937.73 8. Total Assets ( 8) 140,400.44 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Administrative Costs/Miscellaneous Expenses (Schedule H) ( 9) 14,121.26 10. Debts/Mortgage Liabilities/Liens (Schedule I) (1 Q) 4,661.48 1 1. Total Deductions (1 1) 18,782.74 12. Net Value of Tax Return (12) 121,617.70 13. Charitable/Governmental Bequests (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 121,617.70 NOTE: If an assessment was issued previously, tines 14, 15 and/or 16 and 17 wi11 reflect figures that include the totat of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of line 14 taxable at 6% rate (15) 121,617.70 X.06= 7,297.06 16. Amount of line 14 taxable at 15% rate (16) .00 X.15= .00 17. Principal Tax Due (17) 7,297.06 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST (-) 06-10-88 365655 364.85 7,000.00 TOTAL TAX CREDIT '7 3 4.8 BALANCE OF TAX DUE 67.79CR INTEREST .00 * IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION TOTAL DUE 67.79CR OF ADDITIONAL INTEREST (IF BALANCE DUE IS LESS 7HAN S 1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED) REV-1548 EX (12-88) �y COMMONWEALTH OF PENNSYLVANIA - � � DEPARTMENT OF REVENUE �� NOTICE OF INHERITANCE TAX BUREAU oF INDIVIDUAL TAXES �� " „� . �� APPRAISEMENT, ALLOWANCE OR DISALLOWANCE � �ePT. zeosoi �A ' '`� OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG, PA i�ize-osoi JOINTLY HELD OR TRUST ASSETS DATE 02-21-89 ESTATE OF DEUBLER HELEN L DATE OF DEATH 03-26-88 COUNTY CUMBERLAND FILE N0. 21 88-0249 S.S./D.C. N0. 208-24-1917 ACN 88044560 STEFFEE JOANNE M REMIT PAYMENT TO: 440 FAIRWAY DR REGISTER OF WILLS CAMP HILL PA 17011 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1548 EX (12-88) � NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 02-21-89 ESTATE OF DEUBLER HELEN L DATE OF DEATH 03-26-88 COUNTY CUMBERLAND FILE N0. 21 88-0249 S.S./D.C. N0. 208-24-1917 ACN 88044560 TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: CCNB BANK N A ACCOUNT' N0. 17152006 TYPE OF ACCOUNT: ! ) SAVINGS ( ) CHECKING ( ) TRUST ( X ) TIME CERTIFICATE DATE ESTABLISHED 10-04-84 NOTE: TO INSURE PROPER CREDIT TO YOUR Account Balance 6,704.16 ACCOUNT, SUBMIT THE UPPER PORTION Percent Taxable X 50.000 Amount Subject to Tax 3,352.08 OF THIS NOTICE WITH YOUR TAX Debts and Deductions - '�� PAYMENT TO THE REGISTER OF WILLS Taxable Amount 3,352.08 Tax Rate X .06 AT THE ADDRESS SHOWN ABOVE. Tax Due 201.12 MAKE CHECK OR MONEY ORDER PAYABLE TAX CREDITS: T0: "REGISTER OF WILLS, AGENT. " PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST (-) 10-07-88 402033 .00 201.12 TOTAL TAX CREDIT 201.12 BALANCE OF TAX DUE .00 INTEREST .00 TOTAL DUE .00 * IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST (IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED) REV-1607 EX (12-88) � � �� COMMONWE4LTH O� PENNSYLVANIL. �$ f�� ;i DEPARTMEN? OP REVENUE '^'" ' ACN � -�+`:��, �"��4'' INHERITANCE TAX ; 1Q1 BUREAU OF INDIVICU/aL T4XES �.t� ��1�,��`,. �eaT. zaoso� �"'�a_�`== STATEMENT OF ACCOUNT HARRISBURG, PF 17126-060� IDATE � 02-27-89 ESTATE OF DEUBLER HELEN L FILE N0. 21 88-0249 DATE OF DEATH 03-26-88 COUNTY CUMBERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE ADDRESS SHOWN. MAKE CHECK PAYQBLE AND REMIT PAYMENT T0: � JOHN E SLIKE ESQ REGISTER OF WILLS 2109 MARKET ST CUMBERLAND CO COURT HOUSE PO BOX 737 CARLISLE, PA 17013 CAMP HILL PA 17011 � Amount Remitted � � I CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR FILES � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1607 EX (12-88) ** INiiERITANCE TAX STATEMENT OF ACCOUNT ** ESTATE OF DEUBLER HELEN L FILE N0. 21 88-0249 ACN �O1 DATE02-27-89 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, THE APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT; 02-06-89 PRINCIPALTAX DUE:................................................................................................................................................... 7,297.06 PAYMENTS (TAX CREDfTS): �PAYMENT � RECEIPT DISCOUNT (+) � i ! AMOUNT PAID i DATE i NUMBER � INTEREST (-) I I 06-10-88 � 365655 364.85 7,000.00 � '� aj I 02-09-89 i REFUND .00 , 67.79- I c'?; � ,-.��m I I 3' �?o tl6 � = tn� ' �C: 3'+ _.�s'_ r.-� � ,-n�n I � � � A` W �'� i ��. c=� � � Ct j. -�:�'1 I j i i>,... � _� I � I i �'�:.. � , i � I -,�:: o I � `a � I� , i � TOTAL TAX CREDITS ��29�,06 BALANCE OF TAX DUE .00 INTEREST .00 I TOTAL DUE .00 * IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST (.IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED) � y f� REGI3TER OF WILL3 OF CUMBESLAND COUNTY REPORT OP 3TATUS OP ADMII�TISTRATION (For Resident Decedents Dying After July 1. 1984) E3TATE NO. 21- "' �� f;r r , /f � �71.1 ��1 � ) 'r'�, Name of Decedent: 7�✓��,f �-C.� i.�r��, � � v'��-- � " 3 �� I..� Social Security Account No.: .Zo � - Z 4� - 1�/�� i Date of Death:��[ � � l Name of Personal Representative(s): �=�c��,cJ � �� r r�-�, Capacity Executor `�_ Administrator c.t.a. (check one) Administrator Administrator d.b.n. is the administration of the estate complete? Yes No If "yes", how was the administration ended? (check one) By court accounting By account stated to parties in interest `� Did the parties release the �f � personal representative? Other (explain) Total amount paid to date to creditors and for funeral and $ ,��.'' ";rf.�' �`f� administrative expense 1'otal value of distributions to date to beneficiaries $�'J �� %'-��` �: ti if administration is not complete, estimated value of assets $ still in administration NOTE: This status report is due no later than the due date f�r filing the Pennsylvania Inheritance Taz Return or� if no Inheritance Taz Return is required� nine (9) roonths after the date of death; if the administration of the estate has not been concluded, a summary report shall be filed annually thereafter until the administration is complete. I certify under penalty of perjury that the foregoing information is correct to the best of my knowledge, informxtion and belief. • Date:_ ��'`,�'�s� - � lg %�_ J � ', ` : � e �-_ ___ , Attorney for F.sfate �- This report must be signed by the personal representative, or one of them when more f than one, or by counsel for the estate.