HomeMy WebLinkAbout08-28-06
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
CAMERON JOHN MILTON
1301 HIGH STREET
BOILING SPRINGS, PA 17007
____un fold
ESTATE INFORMATION: SSN: 202-20-1822
FILE NUMBER: 2106-0529
DECEDENT NAME: CAMERON MINNIE M
DATE OF PAYMENT: 08/28/2006
POSTMARK DATE: 08/28/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: OS/29/2006
NO. CD 007153
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $6,700.71
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TOTAL AMOUNT PAID:
REMARKS:
CHECK#109
SEAL
INITIALS: MW
RECEIVED BY:
REGISTER OF WILLS
$6,700.71
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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John Milton Cameron
Seing duly sworn according to law, deposes and says that he,is
the Executor of the Estate of Minnip-' M" r.rlmpron
late of Mon~~e To~nsl'!lJ?_________,_ , Cumber/a~d,younty, Pa., deceased and that the
within is an inventory made by him John Mil ton Came~on " the said Executor ~ " "
of the entire estate of said decedent, consisting of all the personal proparty and r.e:al estate, except real estate outsid~
'ne Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represen.t it's fair varue
as of the date of decedent's death.
and subscribed before me,
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Sworn
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1301 High Street
Boiling Springs, PA 17007
Address
MARJORIE A DELUCA
Notary PublIc
SOUIH~1WI!CUP.-NI)COlNV
My Commilllon ExpRa Nov 4. 2007
Jate of Death
29th
May
2006
D<lY
Month
Ye<lr
INSTRUCTIONS
2.
An inventory must be filed within three months after appointment of personal representative.
A supplement inventory must be filed within thirty days of discovery of additional assets.
Additional sheets may be attached as to personalty or realty
See Article IV, Fiduciaries Act of /949.
3.
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~nventory of the real and personal estate of,
MINNIE M. CAMERON
deceased
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Residence situated at 562 Gutshall Road, Boiling
Springs, PA 17007
2.
Select account with interest at M&T Bank
3.
Market Advantage account at M&T Bank
4.
Miscellaneous items of personal property
5.
1999 Jeep Cherokee
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78 , 0 0 0 . 0 ~_':".,
5 , 8 4 6 . 7'''J!
72,462.00
767.00
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REV-l500 EX (6-00)
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COMMONWEAlTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
OFFICIAL USE ONLY
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FILE NUMBER
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COUNTY CODE YEAR
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NUMBER
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENTS NAME (LAST. FIRST. AND MIDDLE INITIAL)
Cameron, Minnie M.
DATE OF DEATH (MM-DD-YEAR)
05-29-2006
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
SOCIAL SECURITY NUMBER
202
- 20
- 1822
DATE OF BIRTH (MM.DD-YEAR)
08-28-1926
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
[] 1, Original Return
o 4, Limited Estate
KJ 6, Decedent Died Testate (Attach copy of Will)
o 9, Litigation Proceeds Received
o 2. Supplemental Return
D 4a. Future Interest Compromise (date 01 death after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy of Trust)
010. Spousal Poverty Credit (dale 01 death between 12-31-91 and 1-1-95)
o 3. Remainder Return (date 01 death prior to 12-13-82)
o 5, Federal Estate Tax Return Required
o 8, Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
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NAME
Anthony L. DeLuca
FIRM NAME (1lApplicablel. th
An ony L. DeLuca,
TELEPHONE NUMBER
717-258-6844
Esquire
COMPLETE MAILING ADDRESS
P.O. Box 358
113 Front street
Boiling Springs, PA
17007
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1, Real Estate (Schedule A)
2, Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5, Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9, Funeral Expenses & Administrative Costs (Schedule H)
10, Debts of Decedent, Mortgage Liabilities. & Liens (Schedule I)
11, Total Deductions (total Lines 9 & 10)
12, Net Value of Estate (Line 8 minus Line 11)
13, Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14, Net Value Subject to Tax (Line 12 minus Line 13)
(11) 7,434.15
(12) 156,741.62
(13) -0-
(14) 156,741.62
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
-0-
156,741.62
-0-
x.O_ (15) -0-
x.O~ (16) 7,053.37
x ,12 (17) -O-
x .15 (18) ()
(19) 7,053.37
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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
-0-
19. Tax Due
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Complete Address:
STREET ADDRESS
562 Gutshall Road
CITY Boiling Springs, I STATE PA I ZIP 17007
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1) $ 7 , 053 . 37
-0-
-0-
352.66
Total Credits (A + B + C )
(2)
352.66
3.
Interest/Penalty if applicable
D. Interest
E. Penalty
-0-
-0-
4.
Totallnterest/Penalty (D + E)
If Line 2 is greater tilan Line 1 + Line 3, enter tile difference. This is the OVERPAYMENT;
Check box on Page 1 Line 20 to request a refund
(3)
(4)
(5)
, (5A)
-0-
5.
If Line 1 + Line 3 is greater tilan Line 2, enter the difference. This is the TAX DUE.
6,700.71
-0-
A. Enter tile interest on the tax due.
8. Enter the total of Line 5 + 5A. This is the BALANCE DUE, (58) $ 6 , 700 . 7 1
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a, Jetain the use or income of the property transferred;..............................,....,....,..............................................,.. 0 IKl
b, retain the right to designate who shall use the property transferred or its income; ............................................ 0 ~
c. retain a reversionary interest; or........................................................................................................................... 0 IX]
d, receive the promise for life of either payments, benefits or care? ...................................................................... 0 IKI
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0 ~
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ......................................................................................................................... D ~
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, 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,
Declaration of preparer other than the personal represen1ative is based on all information of which preparer has any knowledge,
DATE
For dates 0
[72 P.S, 991
For dates of
The statute ~
the surviving ~
For dates of dt
The tax rate im , from a d.eceased 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 _ ,~\"/(1.2)].
The tax rate impl,,,,,y on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1 )].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S.99116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
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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%
ADDRES
, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S, 99116 (a) (1,1) (ii)].
'Viving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
. '
REV.1502 EX+ 112.851
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SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Minnie M. Cameron
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estote should be reported at fair market value
which is defined as the price at which properly would be exchanged between a willing buyer and a willing seller, neither being compelled
to buy or sell, both having reasonable knowledge of the relevant facts.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
Residence situated at 562 Gutshall Road, Boiling
Springs, PA 17007. See attached appraisal
$78,000.00
TOTAL (Also enter on line 1, Recapitulation)
IIf. .............. .......,..,.10 ;~ nGo,..Ja"/ ;n<art nrlrlitinnnl r::hpp.ts of same sizeJ
S 78,000.00
REV,l503 e.t + (1,97)
.
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Minnie M. Cameron
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
-0-
1.
NONE
to
TOTAL (Also enter on line 2, Recapitulation) $ - 0-
(If more space is needed, insert additional sheets of the same size)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE C
CLOSELY HELD STOCK,
PARTNERSHIP AND PROPRIETORSHIP
Minnie M. Cameron
Please Print or Type
FILE NUMBER
ITEM
NUMBER
DESCRIPTION
1.
NONE
TOTAL (Also enter on line 3, Recapitulation) S
(If more space is needed, insert additional sheets of some size.)
VALUE AT
DATE OF DEATH
--0-
-0-
R~V-1507 EX+ (1-97)
SCHEDULE D
MORTGAGES & NOTES
RECEIVABLE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Minnie M. Cameron
All property jointly-owned with right of survivorship must be disclosed on Schedule F,
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1,
NONE
-0-
TOTAL (Also enter on line 4, Recapitulation) $ - 0-
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX. (1,97)
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Minnie M. Cameron
FILE NUMBER
Include the proceeds of litigation and the date the proceeds were received by the estate, All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1,
2.
3.
4.
DESCRIPTION
Select account with interest, #765767 at M&T Bank
VALUE AT DATE
OF DEATH
$5,846.77
Market Advantage account, #15004200131833, at
M&T Bank
72,462.00
Miscellaneous items of personal property. See
attached appraisal.
767.00
1999 Jeep Grand Cherokee. See attached appraisal.
7,100.00
TOTAL (Also enter on line 5, Recapitulation) $ 86, 1 75. 77
(If more space is needed, insert additional sheets of the same size)
.fV.l.s~ EX.. (l2.i8J.l}.AC
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COMMONWEALJH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
FILE NUMBER
Minnie M. Cameron
Joint tenant(s):
NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. NONE
B.
c.
Jointly-owned property:
LETTER I DATE I
ITEM FOR
NUMBE~ JOINT I MADE I
I TENANT JOINT i
I I
1. I I I
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DESCRIPTION OF PROPERTY
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j TOTAL VALUE
i OF ASSET
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DECO'S DOLLAR VALUE OF
% INT. DECWENT'S INTERE5r
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TOTAL (Also enter on line 6, Recapitulation)
(If more spoce is needed insert additional sheefs of some size)
$
-0-
REV-151O EX+ (2,871
~j~
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
TRANSFERS
ESTATE OF FILE, NUMBER
Minnie M. Cameron
PLEASE PRINT OR TYPE
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
ITEM DESCRIPTION OF PROPERTY TOTAL VALUE DECD, DOlLAR VALUE
EXCLUSION % OF DECEDENT'S
NUMBER Include name of the transferee, their relationship to decedent, date of transfer, OF ASSET INT, INTEREST
NONE
TOTAL (Also enter on line 7, Recopitulotion) S --0-
(If more space is needed, insert additional sheets of same size,)
REV,15114OX. (1,97)
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Minnie M. Cameron
FILE NUMBER
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
1,
B,
1,
2,
3,
4.
5,
6,
7,
8.
DESCRIPTION
AMOUNT
FUNERAL EXPENSES:
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City
State
Zip
Year(s) Commission Paid:
AttomeyFees Anthony L. DeLuca, Esquire
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
6,500.00
City
Relationship of Claimant to Decedent
State
Zip
Probate Fees
329.00
Accountant's Fees
Tax Return Preparer's Fees
Legal Advertising - Cumberland Law Journal
75.00
Legal Advertising - The Sentinel
158.81
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
7,062.81
REV-1510 EX+ 12-871
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SCHEDULE G
TRANSFERS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE, NUMBER
PLEASE PRINT OR TYPE
Minnie M. Cameron
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
ITEM DESCRIPTION Of PROPERTY TOTAL VALUE DECD, DOLLAR VALUE
EXCLUSION % Of DECEDENT'S
NUMBER Include name of the transferee, their relationship to decedent, dote of transfer. Of ASSET INT, INTEREST
NONE
TOTAL (Also enter on line 7, Recapitulation) S -0-
(If more space ;s needed, insert additionol sheets of same size,)
REV,'511D( + (1-97)
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Minnie M. Cameron
FILE NUMBER
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A,
1,
B,
1,
2,
3.
4,
5,
6,
7.
8.
DESCRIPTION
FUNERAL EXPENSES:
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City
State
Zip
Year(s) Commission Paid:
Attomey Fees Anthony L. DeLuca, Esquire
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
Legal Advertising - Cumberland Law Journal
Legal Advertising - The Sentinel
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
AMOUNT
6,500.00
329.00
75.00
158.81
7,062.81
REV.1512 EX + (1-97)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Minnie M. Cameron
FILE NUMBER
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
AMOUNT
1,
Met-Ed - Electric
2.
Roy D. Gottshall, Auctioneer-Appraisal of
personal property.
$26.34
45.00
3.
Diversified Appraisal Services - Appraisal of
Real Estate.
300.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
371.34
REY-151,3 EX + (1-97)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Minnie M. Cameron
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
1,
John Milton Cameron
1301 High street
Boiling Springs, PA 17007
Son
AMOUNT OR SHARE
OF ESTATE
100%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A, SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1, NONE
B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1, NONE
TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
-0-
- ..
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LAST WILL AND TESTAMENT
OF
MINNIE M. CAMERON
I, MINNIE M. CAMERON, a resident of Boiling Springs, Cumberland County,
Pennsylvania being of sound mind, memory and understanding, do hereby make, publish and
declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore
made by me.
~::;:~':fl~?~'\~
ITEM l' I direct thalallmyjtist'. .
paid as soon after my decease as the same can conveniently be done.
ITEM?' I direct that there shall be paid out of my residuary estate all estate, inheritance and
like taxes together with any interest or penalty thereon imposed by the government of the United
States, or any state or territory thereof, or by any foreign government or political subdivision thereof, in
respect to all property required to be included in my gross estate for estate, inheritance or like tax
purposes by any of such governments, whether the property passes under this Will or otherwise,
excluding, however, any property over which I have a taxable power of appointment, provided,
however, that no residuary beneficiary shall by reason of this provision be denied the benefit of any
deduction, credit, favorable rate of tax or other benefit which by law enures to such beneficiary.
ITEM l' I give, devise and bequeath my cabin situated on 2 acres of land in Tuscarora
ITEM 4' I give, devise and bequeath allofthe rest;'l"eSid{u,.l
.
4 . '\, '7
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MINNIE M. CAMERON
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LAST WILL AND TEST AMENT
OF
MINNIE M. CAMERON
personal and mixed, of whatsoever kind and nature, and wheresoever situate at the time of my
death, unto my husband, MILTON L.CAMERON, provided, however, that he survives me and is
living sixty (60) days after the date of my death.
devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed,
of whatsoever kind and nature, and wheresoever situate at the time of my death, unto my son,
JOHN MILTON CAMERON, provided however, that he survives me and is living sixty (60) days
after the date of my death.
TTEM (1' If and in the event that my son, JOHN MILTON CAMERSON, does not survive me
and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and
bequeath the interest in my estate, which my son, JOHN MILTON CAMERON, would have received,
ifliving, unto the issue of my son, JOHN MIL TON CAMERON, per stirpes.
TTEM 7' I hereby nominate, constitute and appoint my husband, :MILTON L. CAMERON,
Executor of this my Last Will and Testament, with full power to do any and all things necessary for the
comll!~t€;..~~~~P ()fW
m ~ /~')?L:':- j-1f~ f2~diJ?7Ui~;r:?~
MINNIE M. CAMERON
2
LAST WilL AND TESTAMENT
OF
MINNIE M. CAMERON
If and in the event that my husband, MlL TON L. C~QN~. q~,
Executor of this my Last Will and Testament, with full power to do any and all things necessary for the
complete administration of my estate, and direct that no bond or other surety is required of him in this
or any other jurisdiction for his perfonnance of this office.
TTFM R' If any provision of this Will or of any Codicil hereto is held to be inoperative, invalid
or illegal, it is my intention that all the remaining provisions thereof shall continue to be fully operative
and effective, so far as is possible and reasonable.
IN WITNESS WHEREOF, I, MINNIE M. CAMERON, the Testatrix, have to this my Last
Will and Testament, typewritten on three (3) consecutively numbered pages, subscribed my name and
aA)~7 ~ 4~<,~ 7
t/f>>11!fw 4:. If!" ~"'-
residing at /tL~~?'7 fk~r1#J /~d7
residing at &J!(J ";-1"71 ;il. 17~?
3
LAST WILL AND TESTAMENT
OF
MINNIE M. CAMERON
I, MINNIE M. CAMERON, a resident of Boiling Springs, Cumberland County,
Pennsylvania, do make, publish and declare this to be the first Codicil to the Last Will and
Testament executed by me on January 12, 2000, in the presence of Anthony L. DeLuca, Esquire
FIRST: I revoke and annul ITEM 6 ofrnyLast
January 12,2000; and, in lieu and substitution thereof, I direct that ITEM 6 of my Last Will and
Testament executed by me on' January 12, 2000, be as follows:
If and in the event that my son, JOHN MILTON CAMERON, does not survive
me and is not living sixty (60) days after the date of my death, then and in such event, I give,
devise and bequeath the interest in my estate, which my son, JOHN MILTON CAMERON,
would have received, ifliving, in equal shares, unto my grandchildren, JOHN S. CAMERON,
MELISSA A. MYERS and AMY J. STARNER. I specifically exclude my granddaughter,
JENNIFER E. MONGER, from sharing in the proceeds of my residuary estate.
SECOND: I revoke and annul ITEM 7 ofm
on January 12,2000; arid, in lieu and substituhoh.
and Testament executed by me on January 12,2000, be as follows:
I hereby nominate, constitute and appoint my son, JOHN MILTON CAMERON,
Executor ofthis my Last Will and Testament, with full power to do any and all things necessary
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MINNIE M. CAMERON
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CODICIL TO
LAST WILL AND TESTAMENT
OF
MINNIE M. CAMERON
for the complete administration of my estate, and direct that no bond or other surety is required of
,.
me and is not living sixty (60) days after the date of my death or does not complete his duties as
Executor, then and in such event, I hereby nominate, constitute and appoint my grandson, JOHN
S. CAMERON, Executor of this my Last Will and Testament, with full power to do any and all
things necessary for the complete administration of my estate, and direct that no bond or other
surety is required of him in this or any other jurisdiction for his performance of this office.
In all other respects I ratify and confirm all of the provisions of my said Will dated January
-..,
12,2000,
IN WITNESS WHEREOF, I, MINNIE M, CAMERON, subscribe my name, this .2f d
day of August, 2005.
,
,- '~",)~r~ '
i;'lf!i"?" M"_."-"-,--:"" '. .',."-
SUMMARY OF IMPORTANT FACTS AND CONCLUSIONS
LOCATION: 562 Gutshall Road
Boiling Springs. Pennsylvania
TAX PARCEL NUMBER: 22-31-2173-013
IMPROVEMENTS: Two-story detached single-family dwelling.
PROPERTY RIGHTS: Fee simple interest.
OWNERSHIP mSTORY: The subject property is owned by Minnie M. Cameron.
The property was purchased on April 16. 1947 for a
reported consideration of $1.00 and ownership transferred
on deed reference 13-K-586.
SCOPE OF THE ASSIGNMENT: The scope of the assignment included an analysis of the
subject's area. an inspection of the subject property, an
estimation of the property's highest and best use,
consideration of all three approaches to value, and the
application of those relevant to the valuation of the
subject.
OBJECTIVE: To estimate the market value of the subject property as
unencumbered.
EFFECTIVE DATE: May 29. 2006.
HIGHEST AND BEST USE: Continued use as a single-family residence.
COST APPROACH: N.A.
SALES APPROACH: $78,000
INCOME APPROACH: N.A.
FINAL VALUE CONCLUSION: $78.000
2
11
APPRAISAL CERTIFICATION
I hereby certify that upon application for valuation by:
THE ESTATE OF MINNIE M. CAMERON
the undersigned personally inspected the following described property:
All that certain piece or parcel of land, with the improvements thereon erected, situate
in Monroe Township, Cumberland County, Pennsylvania, bounded and described as follows:
Beginning at a point on the southwest corner of Elliott and Mountain Streets; thence
along side of Mountain Street to lot now or formerly of John A. Yohe; thence on the south by
lot now or formerly of John A. Yohe; thence on the west by an alley; thence on the north by
Elliott Street to the place of beginning. Containing 50 feet in front and being 160 feet in depth.
To the best of my knowledge and belief the statements contained in this report are true
and correct, and that neither the employment to make this appraisal nor the compensation is
contingent upon the value reported, and that in my opinion the Market Value as of May 29,
2006 is:
SEVENTY-EIGHT THOUSAND DOLLARS
$78,000
The property was appraised as a whole, subject to the contingent and limiting conditions
outlined herein.
3
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QU"M, ..,,'" NO. A"Tlelf "" CE GENERAL REPAIRS ..J
State Inspection
Phone: 258.6142
132 Race Street
Boiling Springs, PA 17007
N""'-..J () 14 r...4 aWl~'l.-O~ Dill .. J UfI/€ I L 20~
~ I~D' hJ,l!:d ~r 'hone No.
City ::6eJ ILA f\-Lt. S)j)jN~(, Stitt IJA- ZII)No. 1'71'107
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MAKIl . MODIlI. IUCIN'I NO." STATE I MOTO. NO. r II.IAL NO. I MILCAcu:
OPI"ATI~ OESC'U"ION 0'" WOIIK AMOUNT
NO.
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QUAN. ACCESSO.IES '.ICE TOT AL LABOA
TOTAL PAATS
TOTAL 'ARTS GAS. Oil, GREASE
GALl. GAl ACCESSORIES
QTI. OIL TIRES. TU8ES
L., Gill All SALES TAXIII. 'SIPIlc:.bl.1
TOTAL-a.. Oil. G"... TOTAL ACCISSOflll1S TOT Al AMOUNT
CHRISTOPHER AUTOMOTIVE
006414
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D... I'romlllcl
Dele 0II1wtred R.c.lvld 8y
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