HomeMy WebLinkAbout11-21-78
Form No. RCC-62 (6.70) THIS 1I'ORII. RBQVIRBD IN ALL ESTATES WITH Gaoes ASSETS UNDER '10,000. UNDER SECTION TOI OF ACT OF .JUNE ... 1Ml.
iln'I:C'I:IYJ: lANll'AItY I, ..... (FILE IN DUPUCATE WITH COPY Of WILL ATTACHED) c?--1-7 y~ tf,';?f. 'eo
.~ OFFICE OF' THE REGISTER OFWI':-LS '- k -.!)..? ..,-
~ \{)......
Cumberland
County of ........................... ~V oJ Co F'I'"
.. .~:r:~?~.~~. .~:. ~~?~~:.... ..................... of . !'.....P... .? .'7.!3.~:l;C.5... .'..~I.'~. .~~~.'. .r.S,L ;1,7013
(Name) (Add....)
being duly__m_~_~_()_;:!:l._.___uuuu______uaccording to law, deposes and says tha~e is the___~~!?_':l:~.r.;~auu_u____um_u.u______u__
(Exec., A m., Lcp~. Etc.)
of the estate OfU_~T~.~;I,_._~_!___J:?!?_l~_e._9.~_Elp.. m_m_u whose last residence wasu~u'uu~_~___~_..::__!?_?~___2_?_~_____u___uuu____ .
l m~"" (No.) (Saeed
c.~;r_~;i"l?_1!?_/uJ'.~_!______uu___._____mdec<ase ,and that the whole of the estate of said decedent, who died....?.<:_~_~___~?.-Lu~2J 8
(City, Bo'OU,h or Township)' (DateT
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA, WITH STATEJlENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT.
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES. GIVE NAIUtS, ADDRESSES A~D RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
House and Lot of Ground situate in the Borough of Carlisle, Cumb-
erland County. Pennsylvania. known and numbered as 250 Franklin
Street. Carlisle. Pa. Under contract of sale to Marlin C. Adams
and Delores V. Adams, his wife, dated Feb. 1, 1967, sold for
total price of $9,000.00. Balance due and owing under contract
of sale as of October 21. 1978. was $29u8.81 ~ /2948.81
Interest accrued to Oct. 21. 1978 was $ll.OU (21 days) ..........- ll.Ou
(See Exhibits submitted herewith)
Personal Property
Proceeds of Check No. E221'3 dated Nov. 1. 1978. issued by Farmers
Trus t Comnanv. Carlisle Pa. 1q78 Christmas Club nroceeds. . /13S.00
Proceeds of Cehck No. 62081177 issued by Pennsylvania Blue Shield
dated Oct. 5, 1978, representing medicare payment. . """. 17.00
lq6~ Four Doo?' Fnrd sedan automnbile. .. /7<).00
NOTE: You may expedite the processing of this return by filing with it, and as a part of the return,
letters from financial institutions or mortgage holders, certifying to amounts on deposit or owed by the
decedent as of the date of death. Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account, account number and the exact name or names in
which the account is registered, .
Jointly Held Property
Estimate<j -.
Value
Checkin~ Account No. 7-9554-2 with Farmers Trust Company,
Carlisle. PennsYlvania, registered in the names of Russell J.
Bo1.dosser and Prances J. -Ston~r.' Opened as a Joint Account
Sept. 10, 1974, the same being in excess of two (2) years, is
reported at 5~G value here. Balance as of Oct. 21, 1978 was:
..-
___$92S.9~ 5~ of said balance being $462.97~
None
I
~ 462.97
i
I
i
i
I
I
I None
i
I
~-
I
i
L
Transfers within TWO YEARS Prior to Death
That at the time of death there was no safe deposit box registered ih decedent's individual harne, or jointly with, or as agent or deputy of
another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of ihe following:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED I RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF I HOLDERS TO DECEDENT
None
---
I
-
BENEFICIARIES
RELATIONSHIP SURVIVED AGE OF LIFE
BENEFICIARIES AND AnDRESSES (If step-children or DECEDENT TENANTS OR INTEREST OF
(State full names of an and their addresses who havt illegitimate children STATE YES ANNUITANTS BENEFICIARY
an interest, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEIITH OF IN ESTATE
forth this faet.) DEC DENT
Frances J. Stoner Daughter Yes Entire Estate
R. D. 6 .,
Box 526
Carlisle, Pa. 17013
I-
.
I I
ESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED
TE': List first five items in the spaces so provided, observe notations thereon, and instructions.
DEBT OR CLAIM NATURE OF SAME
AMOUNT
Funeral expenses paid
$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses.
Counsel fees.
Fiduciary
commission.
(') See Note below
Total
Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is greater
or less than the estimated amount claimed and allowed.
Subscribed and sworn to before me this. . . . . . . . . . . . . . . . . . . . . .
- .~ J-r-
j'V:C-.'~e'(ki!f1J;~ir~j"""""" .
)'l~. .P!. .6..:-:. ~o.x. .$.26.......................
(Street Number)
.. .:?.I ~k' ~ day of . ~~. .,19. .78
'\.. t-.v ~,.-:]> .. ~~e~'1i~~ D.. D. '.~-:.'~.l,. NOTARY PUBLIC
..../.tt:'i...J-~...... C' .. ;~.. '>.J.... ....
/t.A-:AC.A 4- f':.tCH,,]-,IC.SLLjf-:G BOROUGH
C0:,::2Ll~L"i'.D CGUI~1'Y
.".'.
",L '. I , ;; _<.; r>~{' ')Q
1Q7Q
.c;!3,:t:'H.I.!~.~.... .Pe.z:1Ilf:i.~. .170;1,J,.............
(City OT Town and State)
Having been duly sworn according to law, I do hel'eby certify that the above appraisement is made in conformity with law on this
. . . . " . . " . " " " . . " . . . . " day of " " . . . . " . . "
...".. ".' ..,19.....
Apprailer
In the event that any futul"e interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the
expiration of any estate fol' life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer"inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for. . . . " " . . . . . . . . " . . " . . . " . . . . . . . . . . . . .. County, Pennsylvania, do respectfully
report that I have allowed debts and deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount
is set forth in the last column to the right in said schedule above, which greater or lesser amount represents the sum allowed as a deduction.
Dated: .............................................
.....................................................
Register of Wills