HomeMy WebLinkAbout94-00002
I ~ ,;(.
J:
...,
/7
'"
i;
:\t\~~'tiitt
'.1'"' ,'I",,'},":l
, 1.' ,i j'-{iJ./' ;':<,
, 1''-'tl''1(\li id~
, ',:>\,1 \ \'/' .\iL';'~
,. , ". "'; .1'''' "l'd" I
I" I r '\ t, f', ~ ,I" f 'f.'!' ~,~ f: I ,;
"""."\"""'I"lii"I\tll;'!':\\'\~\I:i
t)' Ii' 'I' 1"\ \ P \ \'i1'AIJ 'X~,\(ij;r\l,i ~
'~"~-" ",'. I, <':1' '\II"I'!'I'\l;'\ll"~~'l\~"'.
, l' "11 'I, " f 11,\.,.1, '\il,r'l I
", if 11'1 ,jI.,:' 1 ' ,I i~"i,,' ',ff _
. " ,', ,'. "'::'ii:,,'":Ii"'\ti:it'\\\I'
' .!'~\ . ,1\,1, "J"',,'~"!{lljJ~'
., II' ,'" 'j'\ d~ih .~ '\i(' '.
,,' II" " I: '\";1\ I 'j,l}" I~(r,:t:'fl"
'. I' ""1";'\) i~"'\:\\J"it'"
I ',~. /'1' I, ,', :"f,f~\~t~h~~ jl~{." ~
I,~ I I'" I, . J i 1,,'11 i~':"t ",.'~l~W\l'~~
'; ." 'I, VI : ;""ll'~:\fIR,.r;.~, ",
' , 'f",'" I' '(hl'l ~
II " .: f''j!. 1(<'\" r:l\i,\,~ ,.f l ~
", , ,,' ",;:"',. :~~'i. f.jll\''!i~~''t
.' ,. . II" ,~,' 'tJ ni1{,- \ ;~I
, .J. ',,' :..,\:' ,1"1' }'I,I t }t.';t;rill ;~t\.
, ,I,J."~ If ;'r....jt\\11ili'!
,,-..,,1" ""'I~'
I j J,' 'llir;, !11\~ii2;f:J' t!
: I:' ,i i..,}'( \J.,':I'r\"~}\~'1,{
,,' I/!:: .,{lr;/"I'\\f':'i1,\'.~t
'.1', -~~., ;>}f':-'I;','i!'J!;1tl'1r1~
,-i ,",'_1\ "--':'J:'r-1;'~40.,~,
, '. .. ' ;_1 -'. ~ rl '_.. /1" 1.'1, \ '!,'!I- l
,,' ',:_I.~C~,",; ::':--;tqWJ'_:-1;~
, \" " .;:~, \ "1\'\ 1..inf:r'!J:~
". \ IU' l'''' ll'~
,d 1 ,".' ";fJ' "rll '4~J~~ l'
I' i.. ~ ;/\ .. itl,\11t,{lil~f
, ',I II 1\\,., 1j~Jr,*_~
J I ,f,' 11'1' ,\ id'il,Jllr,I"~\I:, ~
it' ',4" ,,<I;' \ .t,~~,~ )U1 ~~
." ''''j.!{t'-;:C1'I'j'
',"\..../,\.,1 \:'(',~
' , '.J "rlljl} '{I\!l
, ",> /J 1 "",..,\11j I
"" ,j,l"/W'\~~"
/. I' ., ~ '1\'" "''''1' ,
I 'I" '{\~~ ./'
,j'. i '~'" or'l'r'!:
'i . ""'J;-:\JlhH,' OJ
":. i,,,,:'::";J'f{'{{~_~:it~
~', '::" P\'-lhr~,1'i"I"
,"I :\'ll'\'J'\"I'~"J"}_ '
..,::; .', ,'::i-:Xi(:{f;;~~:)l'
\'\':'_}; ,; l...~ ') t,';(1:; ,'I~~~t:~~~t~
_",,1\', 1i,',;,;}J.( i!i\,','11..y,-i.-~,,) {'
,', 1''- ,:.1.: :"A'..Y ~_~ir;::;~;':r~::' r-!;N~\ii
'-":1 ,-',,'( ',", ',\', ;,~.!t~"'~.'"'~I '_' ,
::; c', (hr ,:'I,:_','...-h: '\-a:I"t~
." ',\~, .. 1"-\,',_-,.' '/1\1 .... h
. ", i" I ,'-: .:.~;-".,.1 ;;'i~ ;'i'~_' "~~;N'~: _,,:,
\\j"l1 ),1" i"~I\",';'\I:",;,~/?,\,',,';(')';"!"i'..l' .,~~
I, '\ I{. ,', '\.1 q~ \((\ '
I /, ','''1 r"", ) \', ',j~' I' ,'\'(.
'I:' ll) "J .h.', '[f J . .~~', .hl~\, 4
.. .,' ":1.' r,I,\',.' ',..'I'! l," ~',< I ':l/--ff:'~fnm' '~l'L
. '''''''.i'l:~.'"" " ,iii, :,'" ~ I."f,"" \:,i~!J)Jj" '1I'1!>'
....~'"~. ,;",11' {, \, \Ii,;; 'j "fll < \ J';:';i~~~'i!' .k'
'; :'\..)"i~:'" .; "1' /, il i,i. I' i/\';'.i !{/~~~
","1'"":,,,. '-I_",.'{l' " I,' /\,f'fll,' "\1" -II J. .')il,ft,~I... "A ii~
t, 'L"',L'I,-".fI. I "'I" , ", ~ '~) "~ :, ,ll
' "'-- PI'!; , " , -' I;' 'J ~ ( .' "I i;: ~. c-
' ',,:;";', );;)\(:',"\11 "\'.'., :~.':l' :,1';,.: !~ ,1,\ i.~, 1: ,l~))~rt~tl' ~~~~l~i~~l
1,_,.',,' 1,.,. ,J I',', l' j"I"'" 1/('; j\",I....,I';\{I~ ih~l
. '/' ,., {,' : I,;. (" ,t:, ,,)" ,',\\ ~ .,\Jh'\~'{."IVtS'-'.',
- 1 ".,ll L', j " ., I{]~'
' l"'! li" l1:!; 1 I I~' tj-OHfl-t\
' "',;' .; I; \~\~ ~\; ',',1 dl~ ;,'~' !rf}'i:;1t~UW?t~:
"j, 'I", 'J. \. "'1 j'11 ""IL -I~\
",. ,~,t") 01\" 'j \.:,t"i, 1 11' < '~
. ' II:' ,':',:' 'f' 'j ~ I, l\tf~I')~,"V~:~~~, k
" , I ;';,:lq'I~,~',"il,,\;'rtj)J, "'~'~~.
." 1" it, (',II'" I ':9, J '~,Jl 1"
\ , ,I 'i~ , \ r. t " } \' \ , ~~
, ", I,lt" "Il,,:\ :"1,~1~ V'{'l !'<:.(
. ';,~'l,,;V ' \, )\':, nU/';~'l';;X~lr..~t
' 'I ;H",: 'I r.h\!II,"bjr., ~tlil'
. ".1 II, I 1 ~" i
' . '1.)1' ':" '//'/,: l (/~\~
'I" 1 , '.., , \, ("~II t,ll~~ ,n
'.':" 11'\1 .I'j .,I}~ I r,: '~"i N
. \ q , t'. \' HI'II}'1 ~~I,
\ ('-\jr: ,\I; -. 'i:li"-'-"":~(~\H
,::,{'I;Nt.-,,:',:';t;;J\i.:;WJt?:"/.{,flA
"';',_d",-'\"....i'~.!__:.'}(;{.'ll, .t'
,,"''-'jl.. ,,',.I 'ic,; I' t, ',(I ,,' ~j~
'" ,', ' "I I, !,\ '. '",- l' ':I.i\;~,.tl\
.:1.' ' ' , I ~ " 'J.. i ~ ~1' i' r,'il \"~,:
i, , , .' it j, ~'I'I'
'.. 1.;- '_\'i.(j:jj'I,"-/ij~
";:I,"f;:"r'II.:';I-h1,'t1
, I' - t',' _, ,J'i'\~. \;(I~,~
"/_" (I !~J \_;'_-1 i\J,ll,.~,y,
,'". ,,:~ \ ~;;J,: \' :~i/;,;:.!,(: ;:'
,\' .1.::'/fl<I/', ,,; ;.:
II
,.
!I
"
"
N....'.'
',"\ " -,:1
'. o\~
'\, ".',
"
"
,
II'"
,
:i
\\"
J.tl:BI O~
II
"
,
'I"
I'"
/,
'.\
"
"
\- '
,I"
'.'
.....E,state of
,I'
"
JP~#.m,'-~~~/
. ' /. ,
,-I
..
"
I
"
I
,.
l,l,
".'
,.
,
"I
i,:
, ~i,
"
,
"
,
\
I'
,-t".
i,
,
,
l"
.1, ,
'"
"
: '~.
1,'1'"
"I
,
"',
'I
,..'
:",,'
.
";
,.1
'.'i-
!i
, ,~,
101
"I'
"~I'
. ,
"~I,
"
"
."
"
,:-tl"
\1.,'
..
'il
",}l_t,'
"
/" ;""1.1.;,
,
"
f.:,
'(,'!
'i:
';1
.1'
"
1,\
"
,.
i_'
,.,
,.'
I-,i
,I',
,
"
..
i'
"
",.
.-,...
'-e. -
\.. PETITION .'OR PROBATE and GRANT m' LETTERS
Hslal>;;'__~bd ~h.~rroubMn_____. No. _011- ~~(),;v
also know" as _________.____________ To:
.-- Register of Wills for the
-- Deceased. Counly of __CJJMBERLAND In the
Social SeclJrlty No.. 209-12-68"57 Commonweahh of Pennsylvania
The pethlon of Ihe undersigned respeelfully represenls that:
Your petitloner(s), who IS/lire 18 years of "8e or older an the exeellUlL_
In the IlIst will of the above dece.lenl, dated _..l3~~~r 1.12L
and codlcll(s) dated --..!:lone .______
_ named
, 1911L-
(\laIC ICleVltllt CirCllllHllIIICC~1 c.g, renunciatloll, dealh uf C'<CClllor. eIC,)
Decendent WIIS domiciled lit de"th In Cumberland _ County, Pennsylvaola wilh
her last family or prinCipal resldellce lit Camp.Hill Care Center, 46 Erford Road,
.CamP Hill, PA 17011 __
(list \trccl, numher (llld lllunclplIllty)
Deeendent, then 80 years of 118e, died _~cembeJ,".Jl, , 19 93
at Camp lIill Car!.! Center _.
Except as follows, decedent did not marry, was not divorced IInd did not hnve II child born or adopted
after execution of the will offered for probllte; WIIS not the victim of II killing and was never adjudicated
incompetent:
Decendent III death owned property with estlmlltcd vallles as follows:
(If domiciled In Pa.) All personal properly
(If nol domiciled In Pa.) Personlll properlY in Penllsylvanla
(If nol domiciled In Pa,) Personlll properly In County
Value of real cst lite In Pennsylvania
shuRted as follows:
~ 1 ,999.46
)
L
$
WHEREFORE, petitloner(s) respectflllly
presented herewith and the grant of Iclters
theron.
reqllesl(s) the probate of the iast will and codlell(s)
test~tary
(Ic~talllclltar~': administration c.l,n.; admlnlsuatlon d.h,n,c,t.a.)
11 (<'I) {J (( Y '~.-
j~~/ }c'\)',) ('/l-lw' ,
u D -.2llo....cclurnbiaJMmu ,
~.~ CamP HillJ'A 17011
;'v
~'"
u~
a 0
a
Vi
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH 010' PI<:NNSYLV ANIA } 1:18
COUNTY 01<' CUflBERLAND
The petltloner(s) above. named swear(s) or urnrm(s) Ihnllhe statements In the foregoing petition arc
true and correct to the b~M of the knowledge und helieI' of petltioller(s) and that lIS personal represen.
talive(s) of the above decedent pclitloner(s) wlllwcll ~t'llrl~lr IIdl~llnisle~,lhT.cslate )lcf;ording to law,
. , "1 (.}1'(,',1 ( AJ..), (
Sworn 10 or afflflmd ,and Sllbscnled~' __.___ ___.__ VI
J( I I r. ....
before n e ~hls .__~_._ dny 01 _ ___._________.______ :.
)'0,,,,,., 1~\j?!1E "
( ---;:;'>>1 ~ -- . -- ;;r-----------.-. ~
';;.Lti..~__ll.-0 ,LIf' '. - 0 ~
M RY LEWIS Renl.\ler ___ __.__. ~
( /.j -I S() -IL(
Thi~ I'" iii t'{'11i1r lhill du' illllJfJlI,llilJIl hl'I(' ,1:iv(,1l b llll'I'I:1I l_lll\(l'd 1111111 ,'f1l1li~:III,d t ('II ifi"ll(' III d('lllh tllIl)' filt'd \\'1111 IOl' il\
1.(,t'.lIllt,t~islt.H, Tilt, 01 i.ldl1,d I('nifit ,Ill.' will be 1'1' w,lldl,d 1,1 1IIl' "'t,tll' Vi{.11 Hl'uwl\ (1IIilt, 101' Il{'llILlllt'1l1 filillg,
,
WARNING: It Is 11I8gallo dupllcato Ihls copy by Ilholoslat or photograph.
No.
/) /:Y7vr-' .
(.(~,. .,',.,,") " '~.~<~~~~~.~,,'-:' '..l(~(~.;'_'"il.1JL
hl(al'H('g;,\t1l1r //
'.
!ll'l' fur Ihi\ll'rtifit,Ht., ~,~.oo
2075913
Ole 1 4 1993.
ll,/l(' .
COMMOIlWEAI TlI o. pnllWYIVAtllA' Oli'AHIMU'H Of' tfEAl.lIl' \'I1AllIlcon06
CEftTlFICATE OF DEATl1
cd)fkTJi7\t;~l;')!
\t...,...II'IIJ'~lIU\
.... ~.....__...._.. .-...- ii l" ....--J~.i~:'A~~t~~i:n;,;'n,l.-'llfl1 --'-~;;i::Af:III'~ 1II,Irlll
..I.......... ..........- ~.r~malQ '..2Q9...::'-12 - 6857 J.'_~
(lllII'''(_d i.', ,.' 'L_,~for(l~r!t",I"., ....,.'''''.1'.,1I1.,...~.1
"__.n ... -1 -._L:If _ _~. __'[ .. L~ar.l..1~ l~.~!'~:..... t:~~I_";'~:'O":'~~:[' _~~~~:;~"-'.~':~~[~;- ~:=~~~._~~;':~~..-
~Io'lf "".o\fti 11'/ IlOl1.J ""'m llM!! t \ ,'\011"'"' Ir' ',," .' "., "" 1"1 .' .....A~~(LErIf'jIClf'tl~NJIICOfll\:il"*l ""Cf.""t'.u~ItdIIIl.I...U YlflLft.fl<
I 'l' \, . \ \ I ,. I ~ . (, I , '. II..> r.., Y" ( J "I'" 'P<<.t/(....r_~ .Sl...."
.....C~,~.b~r~~~~L~D!1tl!2".. j~mP:~~!~~"'!m;;;'\i'T'"!!! I~L I.\: iii. rlri~iiiiiTl' _.~..~, ','r,(iiii{f'I'Tfiii~:'TK.ij--. "_"'II.'_~~;:'::;I'::~~I'C~;';;l_ ~h!~~:,f'OtJl6
i":"",I"~I"""."I.r.'jn'I' ,.. ""J,(lf.lld!.1 . 1;".'..'t.':::...",.'~lHI'l.','.'i ." tI"'.IL'~"+J,^''''''.1J p.,.",.""'l.",..~,,
QI,...~"",~.. <i.J'...~I.tMII,1l I I IXl 1I.''''~~'I''..1 U~..I'IJ ("t_vo (\"'(.'1..' ",\
, .f.l~rk . .. !l......lli!!!.L!1ShJ!!!l...... !L:..'...._~....'.. ".......'...'.:_.12 __~~'.:'.::"...... ~fr__.JIlar.r..i.lld..... II
DlC'OUH'6~I'JtI''''AOC~L~'I''''\I'I ('1"""" ...'" /1" ',~l ~,~~,~~f'il ~ 1'~ !1,"1 PA li,j lie I) Y", "t,""'.llf~~"'_. ,__._. _._P..__..__._~_..____r.p
46 EJ'ford Rd r,!tIIJUllL ' .MIIt'
, , C b 1.1 ...".
"Canlp 11111. PA 17011 :',.:, 1I~1"'1 _ ~Ill Cf llllu. " 1''''\\~>l1 11411~:~'~~'~1~1~~:;'d,...
t"illcilbltAI.lI J;'"i-~,:;::i;:;;--------_. --.- h_ . n -. ... h ..l...._n.___...._... li,:iiil;JiS;;~iir:~'l~j:::\;7,::-.-,;;:::-::j------- _'m.,_. _.__....c
1I~__.!E~.!!!L~cJroutlllall""__""__""'_''''..h' .. ..... ......._............. 11. n!J~.I!Qr..L'!..qt\!IQ...
i~i\"'IL4A, rht,AlJlI'I(' I' (I '1",I,~I~ln 'IUA;lI'jUAL{~lt ,~,,;" t 'I, 1..-." :'1'.. .'(OI:""'j
.......M~ry...sjlJlQ/L..........._______.]....... _....................._ 1"..1!.f..U~~.Q~f~!'.!!J\cL...tJ:1eChaCll1CSp!![Jl PA 17055
;;ifftl<iOLifl\!\'O'>>IWt~ I'llt ,i'''.I'I'"i",aj , riAl I t,lll",I'ot.llllIl 11.,,'.'1\ f~~I' I (I'~ .', ') (OC"IIO'l,t~I!1Q"n 8111, I>flCllllt
1I"".IIXIXCIt'r<4t<lll1 11_"'''lllrw\~I.'tll ~. ,f' " I "I,lr,rf'Jl~
""",~,f 1 ",..,.. ."..............-. ...._...........11.. [JU1.1J.199J II_ lIoodlawn ftemorial Gardens IIarrisbur PA
IOHAJIiI\l.~"'~'~(HViCW;-'iTot~ ,ut!!Ii'i!P- <<~.... .. -jii.:i,i:l.iiuiliil'i" ---.. '-.. -- 1I4Al,Ir'i'il~"itil;;'T:;;iTfM7UiY-~eu~KAr '~nerd oTf
n..=' -........ / ~:..:_:.... '1"..91Ei1~.:1........._...__..lll.J.J31'JN"'.?'lld St. rris ur P ,
t~ 1114 .."jf"",,''''l-I,l'o;' T~lNw,1 fTII"..'"lp ,~".I ('. ,,~,t .1" '..... "01".. .11":" 1\.11',' L1fUj~,~IHJLltlU' OAlE IIGNIO
"",' ""'" "'.~., '4:.... tll..... d :lo"~ t" " ;' .'." " T i " , Ul'W~" 114, "'_I
(tfI.t,;~.4.~IIlottl~
1eIM"4'iir:.\jj;;.';;..,.,.,.,..Jb1 11oItOr IAit'j---~"~.'.-I.; "'ll' il,'d.iii ';~:.iii{'DI-.1 F:~'FI'-;-;'7'.Uh,.------1l~rc..i~rliITi1imOTOl,I(llIl;.L [IAl,li'-jff\IC /lRl ll'
Pfnllll.F\j""'~~""".00I411' / '~'I.l . ""1 r. 'I.' /'.'/~'~ ~lIr'l 11,,'1
_'__'.._h I "/~._.._.f;.__'i. ..\,. '.-L:L.LLlL(lj.Lt_~.j,'. ,...._~'(}1 !____~ lL__
".""'11 f' 1~11~I~U.tl "'001'" O"'~lo:.llo,)<" 'h~It(",~I't<H "~ I~U: t '.HI I.. ,..J"t,I". I,' r..., "'_J4' ("01",1' "j~-'\\t "t~,c-.;;;'It~"" -""'''"4'' ,.un N; Olf."I....,"'rolCOI'ol\l0'11I;1)N'W'"91Q4o!'IIt.bo.l
I ".1 ~'''l UO"" ~..." "" ....:t, ~I" I."".tl l..t",Hn '1~ r"""'\tlll Ihf ~"""1J'I'9 ,.~U..," " rAnt t
.-- '~.."J~)(ii~UlUl,I(II...I':.;'II:(!"6I.LU(L '1' 1'''''''''''''''' })!{df..L~l.~t;..d~~
t, O,('jA,H,n'l",Vol!~. '_ I ,I', I J 9 '11 -r-
,......'~ ji'}J...J'(fLI' //1 J"Jld.'I},:~. .(;,:'~k.,r.t':>p, ~j~');'l' j.,S'lAb... _. .
JIWJIIAH""'dr,.,,r\ I'. . I (/ r T.
-.. ---'-... I
,
, .. . . .' I.... ..
w.,iiij.i.iJf." ;"-];;;ViiAiiiiM;iiril~"1l1 ".JI'ltIlOf 1.ll.'.'. .~-----.'.. .. _... ...-..... ~. iji.ji'(,T~~iilj;7--.'- "li'li'ii'\7i7riiiil;;.'-._]'IlI\'IIY M \YO/'1I1 i"SCMIE IION.NlUR1'OC(.lIR11f.O
HIlI(I,lAl{l' \.AI(.",l,j(( 1110 J ." , I'", "
.Ot.tf'ltllClll"Ull'l ..,J
~{Inhtl IW.~,I (~ .,....,'.' II . I]
1 J I I 1" Ll No .
Atc"~1 I.. .~ 11 01'11 "It. "
~, I: .. ;~I '" [I ... [I ,,"" II ,,,,,,,,,",,,,,,,! I ~~l."""'ii"",i,,,;,;.,,,:'~,.,i,.,,,,,,,,. ~I, 1.....J\(X;:ii5~:"..~~(,i;r~,~-fl~..I--'._._------
~ii,..Aj ,:-:-;..~'.tl, - It -;...__.~.... ... '., \,-,",',:'..'_":~~~~~.'."'.-"_,- ,'1'- ~k-".",i.I.'.'{lr_I~"I;.ff.'t"t~(Ot:/~..'(~' ."t', '1 t.,!,
'Clllllt'l'''f(j'H''ltIA".It''''II.'.'I,,,,,~....d.)..I,'I'.'.'''''''I'\"""1" ,,,,11".,1"1" 1 ~. t
,o..."'.tO''''~te''If-I9~,...lt,OCC~fI.d'<I4lOlt''U\jUllJ'nd~'ln'''IU'llI'd fJ II ~ Z
':::".:'::(;:~,~::;~~~::'''''=:::~::'::'':;;;':'~;~;~;~,,: .;.,;; I';,~;,;~j,i,,"",,~~', .....", [ 1 ;,~:i;:~:::;~:?i;~~~(.';li.,6:"J;~;1r~'i:{'Fft.~=
,:\0, .'1, 111"'1I'''',,,t 1 f "!.~:,? A IV' Ilt) .
'MIOiCAlIUM,NIAtCOIlOHlft {.. . ( . . I ()
Jt. ~~~~~:n::.'r,"II'o'llon'ndl,,~w"h"I~n,lllnlr 09IIlIQn.I1'llh It':~UIt~~~' 'h~ ::~':~:~~~~::~h~,'~'~'~~~t:~::~ ~~u~.:~_~~_~~ ~L"._~'r~ l~L.--1J:~. t:?'"lL1LS /( i~ I- tl
'ii.i;j"i:iiii1<;;;ijo.7~~~,";'-"------"""'-----" ( '"'' ,,, ?i" ,,,,,, ,,'
I, g!./! .:;h~,;..:'.7:=-.............. .!~~~:~..H ~L... ,!/_;J~ - ../...:i,...L.t'L i
17109
~c
1:""r"4" '''If,'')oI.,nt
,:;:,. ~~~:t~Dt~:~
CAlItI,I',","""
T II . .." ~
Il.. ~"I ,.,...,w ,LAIT
, . ~
- "'[Jut i(j,(~ll,;~',.:(i'/j ;', ;1/..'1 ,,:-
..
'.
"
..
LAST WILL AND TESTAMENT
OF
REBA M. TROUTMAN
I, REBA M. TROUTMAN, of the City of Harrisburg, County
of Dauphin, and State of Ponnsylvania, baing of sound mind,
memory and understanding, do make and publish this, my Last
Will and Testament, hereby revokjng and making void all former
Wills by me at any time heretofore made.
ITEM II I direct that my Executor, hereinafter
named, shall pay all my just debts and funeral expenses as
soon as conveniently may be done ~fter my decease.
ITEM II:
I give, devise and bequeath all of the
residue of my Estate, whether real, personal or mixed, of what-
ever kind and wheresoever situate, to the Green Street Church
of God, at 1336 Green Street, Harrisburg, Pennsylvania.
ITEM III: I nominate, constitute and appoint Robert
Deitzel of Harrisburg, Pennsylvania, as the Exeoutor of this,
my Last Will and Testament. If Robert Deitzel should be unable
or unwilling to serve as Exeoutor for any reason, or should
be unable to oontinue as my Exeoutor, I appoint Eugene Harbold
of Harrisburg, Pennsylvania, as my Exeoutor.
'.
.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal thi's /() ~'1 day of Septembel', 1986.
') ji ~
/. I /,' .1--- t--
/;;' I "-'1." _.'-
(I' /' 1:.".. /~~ \ /,') c\ul/-"''U.:JA'L.
, Keba .,' Troutman '
The preceding instrument was on the date thereof signed, pub-
lished and declared by the said REBA M. TROUTMAN, 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 pr~sence
of each other, have sub~cribed our names as witnesses hereto.
/
~
Residi.J:lg at
~'( 'j)
~, _.::;i(.17t:J//
/
A" )
~.v,..{.
~"0u!.1..I
Residing at
19 c:l:t--u.u-'tH4f!;'{)~ ~(1(
Pa--I;nu>J4d, A
t? .
/ '7<:' 'lefT
I'
.'
-2-
21 - 94 - 02
REGISTER OI~ WILLS 01<' CUMBERLAND COUNTY
OATH OF SUBSCRIBING WITNESS
Cheryl A. Swartz and Lois A. Fonner,
-,
ll~
(each) a sUbscrlblnK wilness 10 the will presenled herewilh, (each) being duly qualified according 10
law, depose(s) and say(s) lhnt _~~ey were present and saw
Reba M. Troutman
Ihe tutal r ix, sign Ihe sallle and thai __ t hey signed as a wilness at the
requesl of testal r i x_ In It.~ presence and (ill the presence of each olher) (in the presence of the
olher subscribing wilness(es)).
V
~tl~l" (;.1, Y':'!:c'-;l (r13-
i/'
(Name)
412 Ap.2.letree Rd., Camp Hill, PA 17011
vi::-(.~(l/ ~~ess) ~t/~!()i/
I
(Name)
19 Lynwood Drive, Palmyra, PA 17078
(Address)
Sworn to or afflJ!TIed and subscribed before
mC~~J~/ - day of
. 192-.2.
\~ 1. (~.~C--)
Nota Public ~ lt~
NOTAfllAI SIAL
FAY l. POTTEIGER. NOlary Public
HarriSburg. Dauphin COl/llly
My CommissilH' f:'i(lirr.~ ,July 1, 1995
----.....
REGISTER OF WILLS OF COUNTY
OATH OF NON.SUBSCRIBING WITNESS
(each) a subscriber hereto, (each) being duly qualified according to law, deposc(,s) and say(s) that
~-
familiar Wilh thc slgnaturc of
codic
will
teslal_ of (one ~(1he. subscribing wilncsses 10) the
".
'.....
presented hcrewilh and
codicil
'~"'" b~l~nature on the will is In the halldwrlllng of
// ............
10 Ihe best of kn~~d bcllcf. ~
Sworn 10 or affirmed angsttb;crlbcd bcforc ~
me this /' /' . day of (NamiJ--....
19_
thaI
~/
(A ddress)
Register
(Name) .
(Address)
" "
'. :i,
'\ II
, " " , I'
I
,
,
" ,.
'I " "
:,' ,
,. ,
" '.
'1
" "
I',. , I "
I' I' " ,
" " "
1',' ,.11 ,i
, I' , I"
I " "t,
'ie, ,
:' ... ',\', , "i,
,. "
,.
" ~ !/ ,1,'; "I 'I q,
': I' , (, )'
, , ,,, il:
f:, ,. '.
., I .'
" ,
" '.'
, .\, 'I'
,I .. : " '!/j'
" "
i ii'
" " '"~ "'.,
""I! ,
" ,. , "
.' '1 " "
, , ,;
,
,.
I E..' ,.
" ,.
,
., L I' I,
j; , 1\ "~,I
",,! ,.
" " I.;
I' I
I"; I,'
'I " "
,
i' , 1\ ,
f"-", '\:'.:it: , I-
,. ~'l', :;, , I
'all) ? .. , ','I, , .} 'I ,:1' .,
(i~ f:~ c:::l '\ ;'. " 'i'.- ,
r::.e (~l j. I " ! ,.
, ,,~l'j :t.:', I, "
U 0 I,).
Ii , ('1 , ,
',', , ftl iij I' "I'
d',iU,YJ. .,
TJ.'/J ,I:!:J ;i) ..' ,"~
"lj,.., ~..l3 ,
Cl (,1) ,
() (~ ~' ~a I'
~~ "
" ',',' ,. 1< I' ,
" >! h,
I, , , I'
,
I' " "!',,
i " " "
., ;1' I I' " ,
'.
" " I'
'I, ,. " I'
<!"
.. I
I " "
,'I'
'" I, il;
ii d' ',.
it
"
"
..
"
, , ,.
" " ,.
" ,. {' ., I I.
:. .1', ..,'
'I
" ,.
I' I' ','I ,.,
t': I
."i , " I'
i" ',,1
I', ,.
" ,. , ,.
", " "
, ,1\ " " " " '"~
" "i'
I'
I. "
" "
" "
()I/.-
~
CERTIFICATION OF NOTICE UNDER RULE 5.~.
Name of Decedentl
.Reba M. Troutman
Pate of Death I
12/09/93
WJll No,
199~-00002
__Admin, No.
To the Registerl
I certify that notice of beneficial interest required by
Rule 5.6 (a) of the Orphans' Court :Rules was served on or mailed to
the following beneficiaries of the above-captioned estate on
1/6/94 I
Name
Address
Green street Church of God, 1330 Green street, Harrisburg, PA 17102
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except None
Datel.j/6" IqL(
/7c6:ztf)---
SitJ~ ,~; ;~-------_.
Name TimLthy W. Romberger, Esquire
Address 3631 North Front street
Harrisburg, PA 17110
'"
\,),1'1
...;t 1:: .~r.
'"
" :In':.
,. ,
I'.:
.
,'-
I
~~
"
'SI' " ~.
pI 08
Telephone( 71)7 232-7661
Capacity I
Personal Representative
. X Counsel for personal
representative
!) ;:1
eI.> r,-
"U.
1. R.al E.lal. ISch.dul. A) I II __..__________.____________
2. Slack. and Band. ISch.dul. B) I 2) ____..
3. Cla..ly H.ld SlocklParlnerlhip Inl.r.'1 ISch.dul. q (31 __ '"___._____
4. Marlgag.. and Nol.. R.c.lvabl. ISch.dul. 01 ( 4) ________________
5. Ca.h, Bank D.po.lt. & Mlsc.llon.ou. Penonal Properly( 5) _______1 , 9~7 .2l_____
(Sch.dul. E)
6. Jolnlly Own.d Prop.rly ISch.dul. F) I 6) _
7. Tra..f." (Sch.dul. 0) IS'h.dul. L} I 7) '_..
8. TOlal Groll AII.II (Iolallln.. PI
9. Fun.rol Expon"" Admlnlslratlv. COlli, MI".IIanoou. I 91
Exp..... (Sch.dul. H)
10. D.bll, Mongag.L1abllltl.s, LI... ISch.dul. II 1101 _.._,._____
11. Talal D.ductlo.. (Iolallln.s 9 & 101
12. N.I Valu. 0' Ellal. (IIn. 8 mlnuslln. II)
13, Charltabl. and Gov.rnm.nlal B'qu..ls (Sch.dul. JI
1~, N.I Valu. ~ublocllO Tax Ilin. 12 mlnu.lloo ~3)
15. Amaunl of IIn. 14luxabl. 016% ral.
(Includ. volu.. 'rom Sch.dul. K or Sch.~ul. M.I
16. Amounl of IIn. 14 laxabl. 01 15% rato
(Includ. valu.s from Sch.dul. K or Sch.dul. M.)
17. Principal lax du.IAdd lax from llno 15 and from 1100 16,}
18, Cr.dlll Spou.al Pov.rly Cr.dlt Prior Paym,," DI"ounl
------------ + ..------ +~---_.
19, II IIn. 13" groal.r Ihan Iin. 17, onl.r Ih. diHor.nco on IIn. 19. Thl.ls Ih. OVERPAYMENT.
IiIO
20, II IIn. 17 i. grool.r than IIn. 13, .nl.r Ih. dIH.r.nco on IIn. 20. Thl." th. TAX DUE.
A, Enler Ih. Inler..1 on Iho blllaneo duo on IIno 20A,
B, Enl.r Ih. 10101 of IIn. 20 and 20A on IIn. 20B, This I. Ih. BALANCE DUE.
M.~. Ch"k Payabl. '01 R.gll'" of WillI, Agln'
.. II SURI TO ANIWIR AU QUIITIONI ON RIVIR.. SIDI AND TO R.CHICK MATIf...
Under p.nolll.. of perjury, I dedar. Ihot I have IKomln,d tnll reI urn, Including accompanying Ichedulel and I!alemenls, and 10 th, bill of my knowledge an b,ll.fl
Ill, 'rUI, corr.ct and cample'e. I dlldor. Ihat all "01 "Iale has bien reporled alltue market value, D.darallon of pr.par., olh., than Ih. plnonal "pt..entall", I,
brllod 0 IIlnformallon of which p'O~HH r ha any knowledge,
!f(lN: , lAjON ill INIf TUA" A01i'iil1r----------- - bAT! __
or. 'I/~ H ~~vr--~i~~lllI11l.?~^ve.,-~.ame...!.~ill,-P^ _17011--,-_ rnr.J,!Jj}jtj...-
3631 N. I'ront st., Harrisburg, PA 17110 Z/lt/rtI
.
.
A!V.tlOO EX+ 111.911
&1
~
Q
I!!
~ie
:z:2..
U...al
...
<l
Ii
~Q
oZ
U2
z
o
~
E
~
z
o
j::
g
...
~
u
g
. ,
t
/l/'/S'O-/l{
INHERITANCE TAX RETURN
RIlSIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
.0. DATlS O. DIAlH Am. 12/31/91 CHICk HIU
If A SPOUSAL
POVIRTY CUDIT IS CLAIMID 0
PILI HUM".
~ " ~
~..:~0.~
COMMONweALTH Of PENNSYlVANIA
DEPARTMeNT Of REVENUE
om. 2.0601
HARIl;ISBURO, PA 17128.0601
21
COUNTY CODE
fNT'S COMPlETE ADDRESS
1994
YEAR
00002
NUMBER
____L
,
o
Troutman, Rem M.
OC';IOS~~U1A~~~;:; _ -----r~7:;;~';~--TAT;;;~~;~
IXI 1. Original R.lurn [I 2, Supplomonlal Roturn
o 4, Llmlt.d E.lalo [J 40, Fuluro Inloro.1 Compramho
(for dol.. of doolh .kor 12.12.821
IX! 6, Docodonl Dl,d Tellalo [] 7. D,cod,nl Mainlalnod a Living TrUll
IAllach copy of Willi IAlloch copy of Tru'l)
ALL CO.R.SPOND.NCe AND CON'ID'~IAL lAX INPORMATION SHOULD .1 DIRICTID TO,
AM [OMPI!T! MAILING ADDRESS
Timothy W. Ranberger, Esquire CALDWELl, & KEARNS
!l liD'! MIfA ______n____ ------- 3631 North Front street
717 I 232- 7661 Harrisburg, FA 17110
Camp Hill Care Center
46 Erford Rood, Camp !lill, PA 17011
~ Cumberland
- ----
o 3, Romalndor Rolurn
Ifor dal., of d.alh prior 10 12.13.82)
o 5. Fodoral E.lolo Tax
R.lurn R.qulr.d
_ 9, Tolal Numb.r of Safo D.pa.1t Boxo.
1,240.84
( 91
1,987.02
(111
(121 _
1131
(14)
746.18
746.18
~O~
-0-
(15) __._
___K .06 a
(16)--__________.______K .15 a
-0-
(17\
-o~
Inleroll
Cht,(~ 11l'11' I' VOU (If I' H'III' !>linO II 'UfUlld of VOUf OVt"pIlVllll'nl.
118)
(191___
-0-
-O~
(201
(20AI ___
(20BI
-0-
----_0-
-0-
-lb_
,
I',
I .
,
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (I"') IN THE
APPROPRIATE BLOCKS. .' '. .
YIS. NO
1, Did decedent make a transfer and:
a. retain the use or Income of the property transferred, ..................,........,......,....
b, retain the right to designate who shall use the property transferred or Its Income,
x
x
c. retain a reversionary Interest or .............,...........,.."...,.....,............"..............
x
d.' receive the promise for life of either payments, benefits or care? .......................
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death
occurred after December 12, 1982, did decedent transfer property within one year of
death without receiving adequate consideration? ,............,......,................,......,....
3. Old decedent own an 'in trust for' bank account at his or her death?......................
x
x
x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
. ' .
, ,
,
,
t.
I ,
RlV.1502 IX+ 112.811. o..,l.o
_ . SCHEDULE A
COMMONWEAlltl 0' ,ENNlYlVANIA REAL ESTATE
d . IN1\~'lbAE~~ED\~~~:mANd"___d
ESTATifo'p . :FILB NlJ"MI'iR"' m_.__m~
Troutna,n, Reba. M. .. 21..94-2 dd._d__h.._____
(P,aper1v lalnllv.awned wllh Right 01 Survlvallhlp mull be dl"la.ed on Schedule PI All real e.late .hauld be reported at 101, market valve
which II de/lned a. the price at which praper1v would be ..changld betwun a willing bvV" and a willing lOll." nlUh., bllng compelled
to louV or lOll, both having ..alanable knawlldgl 01 thl 111.vant lact8,
"....____._ _, n,_ .. ..... ...._ ,... --,... ,- ..
ITEM
NUMBER
,.
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
None
"
..
,.'
,
"
,.
,
i-I.
..'
,
,I' ",
" ,
"
;1'
, '.
"',
, .
"
, ,
"
"
, ,
"
,l' ,
,,'
,.
,.,.
. ,,,
'j,
" H
.1
" I
"
1-'-
"
'-, '
',J
"
------ _._-----_..--._._~-_.. ----.-----.'.-------.,.
....-. .. -p-' --.-.- ..... .------.".----.---- -..---.-----.
.___.__...______..__u__ _h' h_ d ....__ . "'d TOl'ALI~llalnll' a.nllnl.I,R..apltulatlanl.
III ma.. Ipnce /1 nlldld, /01,,1 addillanal shill, 0' laml tI...)
. .d.h.... J__.-____._._._
.. .
IIV.lj09lJ1tI12.1I1
*
,MMONWUUH 0' PiNNIYlVANIA
INH!RITANC! TAX mURN
RUIO!Nl O!CIO!NT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATI OP
._-~--
---
I PILI NUMIIR
21-94-2
--
TroutmDn, Reba M.
None
I,
"
C.
Jaln.tly.awnld praplrtYI
ITlM LmlR DATI " TOTAL VALUI DOLlAR VALUI OP
POR DICD'S
NUMII~ JOINT MADI DISCRIPTION OP PROPERTY OP ASm % INT. DICIDINT'I INTlRIST
TENANT JOINT
1,
I
, , . ,
" ,
"
,
,
" ' ,
..' ,
, i . ,
, .'
, ,
.' , ' ,
,
" ,
"
, ,
I ,
, , , "
, I ' ,
" "
I ,
,I'
I' ,
,
,.
. ,
TOTAL (AI.a Intlr on IInl 6, Rlcapltulatlan) $
" Ii)
,
"
. "
"
, ,
,
"":,
. ')
'"
;,i,J~
"'.
-,','\
(/I mOil 'pacI I. n..dlr/lnlt" cddltlono/Th.." of IOml Ii..)
,
RIV.ISle Ii. 1l,811
~~~
COMMONWfA,L1H (if PENNSYlVAt%\
d .. .. INH~m;,WJli:M":VRN ..
ISTATIOP
Troutman, Reba M.'
OJ',
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TYPE
~ ,,';; ...:" : ,; .--,;:; I ~.,..:
Fill NUMBIR
. ... -...-.-
_ .~_ ._.~u_ __ __...'~..
21-94-2
. -I' ," __...._,..________...
THISSCHIOULI MUST 81 COMPUTIO AND PI LID IPTHI ANSWIR TO ANY OP THI QUISTlONS ON THI RaVlA1I SIOI OPTHI COVIR SHIIT IS VIS,
. ITfM" ,,'d', . ~~SCRIPlICl~Of~ROPCR;V d .. .... . ..... ... lCllA~~~L~e.hDecD.DoiiAirVAiuim
, eXCLUSION % Of DECEDENT'S
NUMBER In<iud. nam. 0' i/,. I,.n.'"", ''',I'ltla''on/hip /0 doctdon/, dal. of ''''''ft, Of ASSEl . .INL. .... ..I!'ll~~~S!.
. None
,'.
"
'. '
,.
il
{.
"
,.
"
'Il, ,
, ~.
"
ii
"
'1-;
\,
"
'I
,',
"
Ii!
"
""
,',',
, '
1\;
t,'.'
,.
1','1.
,.
,,"
....-....-- ...~-..-----,,-----~7'C--c-....-....:..-.-.......--.-,...-.. ...:........-- n ..m..;_..... ....,-... '."-j ~--:'._._--~:..:.~--.:.~.
....:._..._._____.__~_..:~.,,,.-"..;-.---~.-~.-.--.--..-.-. _.... Tl?!~L_ (~I~".!~I.~..~Ii~~.7j .R.,,~e!l.u!~.II~nL~..:_..~:....__..'T-.
" .' ,," " '. ,III molt.pact'lo n..d.d, inlft' addillonall".." a, 10m. II...) .. '. '
, ,II'! .
"
.,
, .
.,V.UIl U.I'.'"
~ SCHEDULE H ~L
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLAN~O.~~ EXPENSES PI.al. !"n' 01 TVp.
Lf.lmiiIR
Troutman, Reba M. 21-94-2
---------.-._---~-
DESCRIPTION
~1~'9.
." ~~J;ft
COMMONWWltl 0' P!NNIVLVAN'^
INHeRITANCe TAX R!lURN
RUIO!NT O!C!OeNT
ISfAn o.
ITEM
NUMBER
AMOUNT
A. Funeral Exp.n...,
1.
Woodlawn Memorial Gardens, Headstone and gravemarker
595.00
B. Admlnl,',atlv. COIIlI
1. Perianal Representollve Commllllonl - 12
Social Security Number of Personal Representollve: _ 188 - 4017 1 00.00
Y~or Commllllons paid 1994
2, Attorney Fees - Caldwell & Kearns 350.00 .
3. Family Exemption
Claimant __ Relationship II
Addrell of Clalmanl at decedent's death
St...et Addrell ..
City Slate --.:.._ Zip Code
4, Probate Fees 42.00
C. Mllullan.au. Exp.n.."
1. Publication - Cumberland Law Journal 40.00
2, Publication - The Carlisle Sentinel 68.84
3. Caldwell & Kearns - Administrative expenses, Notary, 45.00
postage, etc.
4.
5,
6.
7,
8,
TOTAL IAlso enter on line 9, Recapltulatlonl S 1,240.84
I
llf more .pac. I. n..d.d, In..rt addltlanallh.." of .am. .1...)
"
H"I'.1J\)U. !l.111
~.'~.t
~,U
COM"',OtIWIA\H1 0' ,tmunVAt-lIA
INHlllfANCI fAlC UfUlN
._~UIO'~N' OleIOlN'
SCHEDULE J
BENEFICIARIES
l.
:.== --
UlATE OF
Troutman, Reba M.
FiLl NUMBIR
, 21-94-2
1
A, Ta,able BequI''''
~-- -
AMO'JNT OR
. RELATlO~~ SHAR" OF ISTATI
N~~~ER NAME AND ADDRm OF BENEFICIARY
-_...~_..- -------.-.- .----------- --..-.---------
1.
. ITEM
NUM8IR
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARI O' ESTATE
B. Charitable and Ga,"rnn,"nlal BequI'IIl
1.
Green street Church of God
1330 Green street
Harrisburg, PlI 17110
100%
/i
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAI.a enllr on Itnl 13, Rlcapltulallan).
(II mar. spac. Is n..d.d, Inll" addltl.nalsh.... .'sam. silO)
$
746.18
, I
c....
~
C'Il
o
C'Il
(I)
a:
@l ~ ~
~~ ~ ~
;:1 '::~
\!! ~ \J'-
'g
..() '-
Cj
.
\
\
-
-
"
-
~
~ ..
. -
(,) =
z ~ r1'l
- t'-
S '"
~ ..
! c r1'l
~ ..
i!~ ~ r1'l
0
..
~ ~ -
~I~~: . c ~ "
J
'"
S!~b ~z ~ 0
'"
. ~~:; 0
I II" 'I 0
3 ~;; "
b -- ~ ~~j
r u ';
~ ~ r:; ~f~
I ~
Ill.. ~
~Ill
~~
EXHIBIT 11
-.....:..__...~-'" ~....-.LtIL..lf..'r..... "'J"~
, "
-...~
-
RT.._....
,-.....
-..----
':"
,
1,IIS'I' WILL IIND fN~S'rll~1EN'I'
OF
!llmll M .~'HOU~
I, ~EBI\ M, TROUTMAN/ of the City of Harrisburi/Cciunty
of Dauphin, and State of Pennsylvaniu, being of s6und mind,
memory and understanding, do make and publish this, my Last
Will and Testament, heraby revoking and. making void all former
Wills by me at any time heretofore made.
I'rEM II
I direct that my Executor, hereinafter
"
named, shall pay all my just debts and funeral expenses ,as
soon as. conveniently may be done after my decease.
I'L'E~l II I
I give, devise and, bequeath all of the
residue of my Estate, whether real, personal or mixed, of ~hat-
ever kind and wheresoever situate, to the ~reen Street Church
of God, ~t 1336 Green Street, Harrisburg, Pennsylvania,
~B!l
I nominate, constitute and appoint Robert
Deitzel of Harrisburg, Pennsylvania, as the Executor of this,
my Last Will and Testament, If Robert Deitzel should be unable
or unWilling to serve as Executor for any reason, or should
be un~ble to continue as my Executor, I appoint Eugene Harbold
of Harrisburg, Pennsylvania; as my Executor.
'" -.
., '"..,-.,
w "
-
.....~-
seal this
IN WITNESS WHEREOF, I have hereunto set my hand and
l/'
IC. . day of September, 1986.
. ..':,...) . /) - .' ;.... , ......,...
/'... '. 1~ ,'I .-.
'j " I . - .'r,
i; , .(ifeba' ~.T~o~~m~~/." 1.1!--i~,'L.
The preceding instrument was on the date thereof signed, pub-
lished and declared by the said REBA M.TROUTMAN, 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 subpcribed our names as witnesses hereto.
/
I,
,,{
~/. ~,t.-?u!/U
Residing at
'I
/9 c~ ~ ~~ .y.Ja..-h--n~44d, A / '7t7 '??
'7 't?'
'I
'1
-2-
,
()(',
t;
:'1]
I"
....
--
,
,
STATUS REPORT UNDER RULE 6.12
Name of Decedent I Reba Troutman
Date of Death I 12/9/93
Will No.
2194-0002
Admin. No.
1994-00002
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 estatel
I. State whether administration of the estate is complete I
Yes X No
2, If the anSWBr is No, state when the personal
representative reasonably believes that the administration will be
completel
3, If the answer to No. 1 is Yes, state the following I
a. Did the personal representative file a final
account with the Court? Yes No X
b. The separate Orphans' Court No. (if any) for
the personal representative's account iSI
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
Cerk of the Orphans' Court and may be ~ed to this r rt.
.,.---- / ..p----/'
Datel 7/15/94 >y~?'~ __ ::.----________.
gnat. c:
Timothy W. Romberger, Esquire
Name (Please type or print)
3631 N. Front st., Harrisburg, PA
Address 17110
12.17) 232-7661
Tel. No.
CapacitYI ___Personal Representative
X Counsel for personal
representative
(MAHlrmflAM3)
.t-
,,'
REV-1547 EX AFP (10'93~
COMMONWEALTH OF PENNSVlVANIA
OEPAATHENT or REVENUE
BUREAU Of INDIVIDUAL lAMES
DEPT. !IOUl
HARRISBURQ, PA 17121-0601
ESTATE OF~ REBA' R" FILE NO.
DATIl OF Dr.ATH 12-09-93 COUNTY CUMBERLAND
NOTE I TO IHSURE PROPER CREDIT 1'0 YOUR ACCDUNT, SUB HIT THE UPPER PORTION OF THIS FORH HITH YOUR TAR
PAYHEHT TO THE REOISTER OF HILLS, HAKE CHECK PAYABLE TO "REaISTER OF HILLS, AaEHT"
REMIT PAYMENT TOl
NOTICE OF INHERITANCE TAK
APPRAISEHENT, ALLOHANCE OR DISALLOHANCE
OF OEOUCTIOHS, AND ASSESSHENT OF TAR
ACN
101
DATI! 06"20-9~
TIMOTHY W ROMBeRGER ESQ
CALDWELL 8 KEARNS
3631 N FRONT ST
HBG PA 17110
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
t
Alount ROlit ted
I
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
iI IV: ii'4"i" iif - APP - i i'ii:m - - NOY i ciS" -OF - IN'iiiiiifANCE - 'fAx "'A-piiii'A"i 9 iH!'Nr;-AL. rowAifcE - cili- -" --- ---- - -" - -"-
DISALLOWANce OF DEDUCTIONS AND ASSESSMENT OF TAX
UTATE OF TROUTMAN I/EBA M FILE NO.21 94"0002 ACN 101 DATI! 06-20-94
TAR RETURN HAS I I X) ACCEPTED AS FILED
I I CHAHaED
RESERVATI~N CONCERNING FUTURE INTEREST . SEE REVERS!
APPRAISED VALUE OF RETU~N BASED ONI ORIGINAL RETURN
1; Rul Eltoto ISchldulo A) CI)
2, stockl ond Bondi ISohodulo B) (2)
s, Clollh Held Stook/Portnorlhlp Intor..t ISohodulo CI IS)
4. HortOlgol/Hotol RloolYoblo ISohldule D) (4)
S. Co.h/Bonk Dopollt./Hllo. Por.onll Proplrty ISohodul. E) (5)
6. Jointly O.nod Proplrty I Sohldulo F) (6)
7. Tron.forl (Schodulo a) (7)
8. Totol Alioto
1I
.00
,00
.00
.00
1,987.02
,00
.00
(8)-
1,987,02
APPROVED DEDUCTIONS AND EXEMPTIONSI
9, Funorol Exponooo/AdllnlotrotlYo Coot II
HlIolllonloul Expln.ol (Sohodulo H) (9)
10. Oobh/Hortgogo LlobllIU../Llon. ISohodulo II ClO)
11, Totol Ooduotlonl
12, Hit Voluo of llx Roturn
IS. Chorltoblo/aoYlrn.ontol BOoul.tl (Sohldulo J)
14. Hit Voluo of E.toto Subjlot to Tox
1,240,84
,00
lll)
(12)
US)
(14)
1, 240 84
746 '.18
746.18
,00
If .n ......m.nt w.. iB.u.d pr.vioU.ly, Un.. 14, 15 .nd/or 16 .nd n will
rdfl.ot figur.. th.t includ. the tot.l of ~ r.turn. a......d to dat..
ASSESSMENT OF TAXI
IS, Alount of Line 14 to.oblo ot 6% roto
16. Alount of Lln. 14 toxoblo ot 15% roto
17, Prlnclpol Tox Duo
TAX CREDITS I
PAYHENT
DATE
NOTEI
lIS)
116)
.00 R. 06 .
.00 R.IS .
(17)
.00
,00
.00
RECEIPT
NUHBER
OISCOUHT (.)
INTEREST (.)
AMOUHT PAID
l
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
,00
.00
,00
. IF PAID AFTER DATE INDICATED, SeE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN H, NO PAYHENT IS REQUIRED. .'
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUt,'
A REFUND. SEE REVERSE SIDE DF THIS FORH FOR INSTRUCTIONS. I .
ReSlRYATIOHI E.t,t.. of decldlnt. dying on or blfor. OlollOlr JZ, I'IZ .. If tnV fut~rl Int.rl.t In the ..t,tl t. trtn.f.rrtd
In po.....ton or ,nJov..nt to CII.. I (collet.r.l) bln'flclerll' of th, d,o'd.nt ,ft'r the IMPlretlon of InV I.tet. for
Ilfl or for v..r., tn. Co..onw..lth h.r'bV Ixpre..lv r...rvI. thl right to .ppr.I.. .nd ...... trln.f.r InheritInG' Tlx"
It the IINful CI... . (colllt.,l1) ret. on .nv .uch 'utur'lnt.r..t.
PUlIPOSE Of
NOTtCEI To fulfill the requlr...ntl of Slotlon ZUO of the Inh.dt.nc. and fttltl hlC Act, Aot ZZ of 1991. 12 P.'.
IlOtlon i!140.
PAVMEHTI Dlt.ch thl top portion of thl, Hotlc. .nd .ub,lt with your PIV.lnt to th. R.gl,t.r of Wills prlnt.d on the rever.. ildt.
--Kakl chick cr Ion., crdor p","bl" tc. REDISTER OF HILLS, ADENT
All PIY.lnts rectlvld 'hlll first bl Ippll.d tu any Inter,.t which ,.v b. due with .ny r..elnd.r Ippllld to the tiM,
REFUHD (CAll A rlfund of . t.M cr.dlt, which WI' not r.qul.t.d on tht Tlx Aeturn, .IV b, r.qut.t.d bv oo~lttln, an "Appllcttlon
for A.fund of P.m.vlvlnl. Inhlrlttnct Ind E.tltl TlIC" (REY-UUL AppllcltJon. lire IV.Ulbll .t the Offlol
of the R.gl,t,r of Will., .ny of the Z5 R.v.nut DI.trlot Offlc.., or bv olllln, the .p.ol,1 Z~-hour
answer In, ..rvlc. nutb.r. for for.. ord.rlngl In P.nn'Ylvlnla 1-100-56Z-Z050, cut.ld. Plnn'Ylv,"l. Ind
within 10011 H.rrl.burg .r.. (717l 787'809~, TOO. (717) 77Z-ZZ5Z (HI.rlng IIP.lrld Only).
OBJECTIONS I Any plrty In Intlr..t not ..tllfl.d with tht .ppr.I....nt, tllowlne. or dl,.llowlnc. of d.duotlon., or ........nt
of ttlC (Inoludlng dl.ccunt or Int.rl.t) .. .hown on thl. NotJct IU.t obJ.ct within .ixty (60) dov. of r,cllpt of
th1l Notice bYI
.-wrltt,n prot..t to the PA D.p.rt..nt of A.v.nu., BClrd of APP'll., DEPT. Z8l021. Hlrrl.burg, PA 171ZI-1021, OR
--el.ctlon to h'vI the ..ttlr detlrtlnld at ludlt of tht Icccunt of thl ,..rsonll r.pru.ntttlv., OR
--,ppIIl to the Orph.n.' C:lurt.
ADltIN
IITRATlVE
COAllECTlOHS.
Flctull error, dlsooy.r.d on thl. I.......nt .hould b. addr....d In writing tal PA D.,lrt..nt of A.v.nue,
Bur.ty of Indlvldull Tex.., ATTNI Post A...w...nt Revllw unit, DEPT. 210601, Harrl.burg, PA 17\21-0601
Phone (7171 787-6505. S.. plgl ! of thl book lit "In.tructlon. for Inherltlno, Tlx Rwturn for I A.lldlnt
OIe.dlnt" (REY-1501) for .n .lCpl.h.tlon of adllnl.tratlvllv corr.ct.blt .rror..
If any t'M dU4 I. paid within thr.. (3) c.l.ndlr .onth. after the dlc.dtnt'. d..th, . flvl p.rclnt (5~) dl.count of
the t'M plld 11 tllow.d.
Int.rut It chargld b.glnnll" Nlth flr.t dlY of d.llnqu.ncv, or nlnt (9) lenthl and on. U) dlY 'row the dlb of
d..th, to the dati of PIYltot. Tax.. which blc... d'llnqu.nt btforl January I, 1912 bl.r Int.rtlt et the rlt. of
.IIC (6X) plrolnt per ennu. CIlculltld .t I dailY r.t. of .OOOI6~. All t'XI. which b.e... d.llnquent on Ind I'ttr
Jlnu.rv 1, 1982 will b..r Intlr.st It I rlt. which will vlry frol cal.nd.r y..r to clllndlr y..r with thlt rlt.
tnr~.d by the PA O.p,rt..nt 0' Rav.nu.. Tho IPpllcabl. Int.r'lt rat.. for 198Z through 199~ .rll
DISCOUNT I
INTEREST.
'!!!!: Int.rlU R.tt O.lly Int.re.t Fector Y!!r IntlrtDt R,tl O.lly Int.r..t Fletor
1911 ?O~ .000541 1916 10~ ,000276
1915 16~ .000611 1917 O~ .000261
1916 IU .000101 1911-1991 IlX ,000501
1915 IS~ .000156 199! 9~ .000!67
mH996 7~ .00019!
--Int.rllt II ollcultt.d .. follow.1
INTERCRT . BALANCE OF TAX UNPAID X NU"IER OF DAVI DELINqUENT X DAILY INTEREST FACTOR
.. Any Notlc. ".ued Ifter the tlM b.cOlttI dollnquent will refl.ct In Int.rllt c.1culltlon to. flft"n ell) diva
bavond thl date of the ........nt. If pav'tnt It lid. Ifttr tht Intlr"t OOIlpUtlUon dlt. .hewn on the
Notlo., IdcUtlonal Interut ...,.t b, cllcullted.