HomeMy WebLinkAbout94-00015
.,
'I,,'
I'" ",,'
; .',i 'j ;~ < ,.
~r- ~ .
I/!"'",
::\.~,' ~ ro' ,
W:: 1.\,1::,
W,,~I"
"'-j',
}jvl'_': .
1\,',
'I" ..
~J:I::!_, .
i"I',Y,
r.:iX,I'
~:..'} t~:, ,I
!,~:r\, \ ,;' , ,
'I\~i:' '-,: '
'i""" ,
J\~U;
tl~:f):1
,:,({~.\\-
\\;.
~,~\:' I,
',I_j-,:
.
I ~";;. ~
'11';
/_1;:-"'\,').
1'- I',"
'~~lf;-)'; ,
.;~~i-I~~i-, ~:
~: Ie ~
i-'
t, "
t}-:
-t' ,;1;
:;;,~~?i' ~ '~l~..'!"
d~ "",'-1 '
'~lYI' :.\; ."
~:Vi_': :\1' '(
{jl',-'I,>,\!-';,:
~l_ J.'-" ", I' 1,--
t"N_l" .,~;
iV.,\'; I".
j~<~.:I_\::-j~
1\,,-_, "I"
f.l' i 'f.'
.11'. 'i i,':\, ~, '
1...' (I.JIL\'
'\-,-",-1,
L\!.~{';- j,
!jI-fl'I'i,"f"
,,,if,:I/.':, ,
ill",'J'j\.,'
ii}j;, '"
,~,_"j '_' L,
'III';;'""
'Ie~ ,
'Ill, ,
to:\(' :-1
(~l!;-'-:;:lr~
W,(I':,:/ .
~'t ; L_p
_~ ~ J" ;:'"
~iX':;
w,t:
~'U\ 'I,
~~'1"
'.,:L)"
~W,l !i,
i"
~~'~'
"
...EstateoF ~.,J),(l~
~;UthZ.l
r-I.t~-
. ,
I~
'-
,1
&.d-.J.
I
"
1-,.'
"
Ij:":,, , ,
j' I I,'" )-L ':I'I;'"!-,, -,.\
j ,. ",.I'. !1I };t'l;'~"
f "I' ,II} ,\' , I- ..10111 ('.i ~ IJ
" " I',. ,"" j:h,\'> .II/JIll '.,
',I I j I I ( ," \:" 'r I, ~l 'j 'F\:'~~i <"lr ;
1\ ' ;, p' i\ ,..,y,lr'/;i1\Jll.t ,jl>h~~"\i~ ~
" " '\r'::i JI;Jl,.L'~i}~"i :,1,~i':"l~r\ .'!
l'1'! ,i,l. ~11\f"~ H'I'" [1'j!r{~\"I~/~J]tI-'~ ~I':
' " \ '1~ ~"" 1.1~'i~t{. 1
(11, \) ",I: /\1 "":1 J~~:J.I;:, 1I.\'ll~~~\\'llihJl'tl ,ill.... 'j
, " , I'" I' \ P,' ",I~ I~)\,,'):~ y; l~'~~
, " " ,',,,,,' I :,: :,:,:\:' ,,:',:IW\ ~~"~.'i?f,\M!r"~
. , 1,' I' , "T' " ":\' I 'tJ'.v ,\ ,11,1 ~
I, I ~ "'I \ 'Ii"'-' f,~\' f :., 1 j~I'I' J
" ,"V r' ",(;, 'I ':_ '\'\II~';,"I~~
" ,'+ I,., ',.J '::"I:',.~, \~(\l
1'1 d, 1'1 \' l'/\~"l" :,\'/lj'--";t! l~~~\I~
.' " " 'i".", I ,,'..1,' I~\ hl',\!J~VJW:\rl~; .
. : \1\;1,',\ \..I\V,,/I' 1}t;11k~~o~t;~,/~(,t:\~~ ~!~"~';
, ,I,; . I " "/~'1",,~t J.' ,\
f~ ',' ,'.~ "l"/ ,,.l.tlJ,.'J fl\tJ.. ~.' ~".:t fJ'
" 'I ~'r, 'I,' 'I '~'J\l ~ "t,(iI,f." tfJ \!h,
'I t' :" /:1,::, 'J:~l~I/~~\)1i~h!i~ih~t4~!.)~~1~1
I, I,' (II'" ,,,,,J'H"""'~\"\'\"':j
I '1""'I....~T"'r',1 <,' ,1"'1\ '~~
:\ \!' ", I II, t"I!'"; ~~i~'rl.p" f:fl!~I,;':/~::\~J
" "li~I' ,/ ~ '111 ,.,' 'f'J,'\ ~~'
{I 1,,'1', t'lIl'.',! ",t\~' \r"'/'t ,);~ '
i "'1\11,//'\1" 'Vlj/WHII;,l'
'.' ' I ~ 'L , ,'" '" 't !,\.I I ~, ,,\ ~I\lh~f.
' , 'I '). . j ~ "J'
I ',I"111t '; ': '."",~I-(~); li:~,'t'~,(ll\
"" , . r ',"~ "I',~t' 'tl~{,hM,\J~~li
, . I , ,1" ~\ t.r ".. "~, i,(~
" I/"} J/,'I, :\';J'~WW~;"ll'.
(':" j'" I \,} " IL V1j'!, ~.'" ',~/111
J, ': j " , 'I ',' \l\} '1,,/,. ',"
/",,:,," "t :'\I":"tJ-1..Vf'Q"
\ i I If", \ I \J JJ 1.. "If 1\1.ll~~ft':'J'"
L J ,. ': ~ I , U "1 I' ( \1(i:'}'~ '<\1
' ".'.; "'"'' ,,\1j,;"(".')'1~!1"
1 {, ~,I)\"" j I" !I.,J\\1)9j} I!
""1,- 1'\" ,,11'1' "1'(1'
' "I '\ f ~ ~I ~l) .':,' 'I' ,
, " f ", JI 1\,,,,. \ I ~ ,A' , I
, ' I ' ; '. :1.l,:J,r'l hi' ,;.~/,~~;j~
' -l \1' ," "',1. 'j;>,\, ',o..:~~" ,
"L'I,'/ill",'!,.; ,t...,\'r\I(\1
'(, "',I, ;\'j'III'{l .I)\l,',r/t, '\'~!!J,\,tJ(J.ti\~
I: ,,' ': ,,' ': 1Ji.n H'\, ~.), .1j JIWlrM
I ", ':, ~1"',:I'if/~;\J!'~}1t~'4',~(i~~("_'~J~
loll' ,'It ~I,l" ,"':l."tN!jf~;'\'I"'"
" ,/ ' ~,1':,' ~,l ,1:' l~'ti'~~'l\":'~'iljl
. ~'\' 1\\ '. ":1' \~::::"~'I<1-.~t~f~P,lr\"d\m
'I" ,'", '\1 (",t,.. '\'1' t,1 ,
'I' ')0 " ;" {' /if,'~,~~I, II'~, \'(l'l'fil.'l.;~,1' IIi'; \ ,j;'l" '
(\; I \' t' '1",1," ,.1" t1..~ _')' ,y". Jt.PiII
11'1 ", '_1'l., , ~'I'I "tl ;\1/1 t~'"
," I 1,.. ',ii h ~ I~'r."", I "'l~I~(rf;'\ ,. (I",,:
I ,;,1 '. ,l~ :['i'/~. {.:1t\ >'\\'lU,'-'i;/'iI,,\l\& I,JF
" ,,' '\ Hr I 1<,,1': ': '1< {j'l 'J.1 \ l~u\\lthrl!,] i1 l~
'i. 't.. ) t j' :.~I,"L""i; ,j"~ f'~ll}!Vn.lt,'~~\it'"'I~~' ,!'
, ,1' ",,,\ jr\\)'",'j_''''~.,!
.1 t ," I i lit' I .111Il"ll"11~ 'i. 1"'~I;rj h~\~
,I' ::'/\: ", ,\ f: 1/\ f:\,,1f/~\:l'I\'l'~; '~lv,1\1j{~\\r>\~ir{;~~"
.' ,r It' 'It 'H~, '<"'1')\1 <1',', \-.l,~\"'fil.'l;;co)l',
\1. "'\. 1,1". J'."", '!~'\\":~':'~"::';lj~.fu:I!Ii':~I,t:4l-
I, ,I , ~ j if.j'l." 1.1'./'h~. hJ;:.I~':'tI"lf1il ;,
\' I.'.. I,." ,) _"lrlll'~;, i, ,>' fI '\ '. I :)' {'i.~~' r,~"" I.
11 \"II'J' "1,,,1 ,,'," "\"'~'I' I~~.td ~!}';'h! ~I
II ,"11 I;': 'N}'/;J~'J,(J\'I' #~W~'~"'lj<".i.tiW)~l^'~"
I '1'1' I, ," 'J' .""11, "'''';;'j''i'",!.I/! ~~. 1J/"t1R(1,':t'fi; f~~:
; ,\', J ,{;, '1'\ H,tl .i' '11.1/,) ',d J/ I''', 1.~f: l;.,,~
, II;; ~ ,'. . ::/ :~/ :',' !/II~rl"'i~j ";:I~tJ',I'~.~~~~; ;(':lt~):'t/I~~')],~l~I'J.~"~
'1'\ ,,' /"', J" "I j) ',1) l, I', ,\ ~.c.1 t .i'l, ~ ~'~J' . .,
'I ""'~' II' ~I ",\1 JI.. '.i~~,I' ...,'l,'t.\,},
, ""1' jl \ '~:i"\h'\\"!I'~"'l""'r ,~,"V' ("'}:~~;f"I,~I;'l'i tJ
Of,. " "f :\" ',," ;,,'1 "~IV("i\.\U'1'ii"I'~ri'(/I''1-,~}'i{~:Z'';
, 1" .", ,'t ,; ~ 1/1 t';,}",,;, ,,\Ij~ ";.1\'1 :f1'1:;\~' { (',J 'J " '\' 'f\;Y;';i\)i'\l~};l~i';1J
I,! , , ,''I.', ", '~\"", ,f~ 1 I'" I' !..K1 '<liJl".j'Ui.\
\,1".,- ' It,. .,"\ll"t ,I, "/i1'lJ~,(.~,;!1',~!~I\Vt,I:j:lu:
' II "1 J 11,'\1, 'I '. I, \, ) r"I\:~ I'. 'I"~ ,;",,\'ll,<l\"l'ifl~'i;*JI II'f'll\.V'('t
" "I'I"I,';J '/"" "il' "!' ""Ii 'll:'~V'\'~' ~'{II
',',: I' J I' Ilr" \ ',,~ 'II'!'.~\ \" V"'tlhllj.',"ll'rH ~~b\1'
" I, 'If / tl, '.! I ',~., ~',' ','" .{~!'.Ii\:)~II~' '
I '\", ,,1"1 >', I'. I.' I' , ~HI'll~}JI',',h'''I,tH!, Jl I:'
,I ,,' '1/, \ "il,";I'I' ll""':~~';i tl'''II~)J!J~k~itl~ ~
i ," ). . 'I'" '1', ') '{ ,." II' " "~'!'j ','; 1~,1 1il'l~"~\\'\(i'{;:;ril"'11
.. , , ,'" ,fl.. ',' I' { , \ I .\01 .J~,~,l' "ill'
' "" Ijl, 'I '\'1' '~"'i'" (llr"~,:..'h,1 .~I~~J I,.~
'Jill '.' ,', ,. /I'j~\';')"j,.,\"': '-I':;'I'{',i liriA ~"{'"
t II ' .(, 1'1 \1 ~I/, . \1, ,,,, Ii ~ I .' ." I'l'~f\l' f Iff!\
II'," If' I~" 1::~;,'/II",r'-'l1,)),tt~H~~~Jl,\,
<'11'1. f. ,/1 ~'Jj" .,t'I~'~" 1'''1 "~I' h J,!'H1
" ",,, f' . J\ I " 'Ii I ,. ,
I' "I' '\" '. \'1/' " I'" JI """'11f;i'i'\la'~.'I/;I{ 1
, 'I" /' J 'i \~':II\, ,,11/ ..:,f'I'\'~":j f-.\tl~";!/;k
" J' 1"'1' Ij'" , (' . IS. "JI'V ',. ~~'"
" \, ,', :,j' ','" \ I'" Jj~" J 1,;1\~1.;\'1; :tl~l\f"
~ "/' 'I "I l~" lNll 'll"l'~JII'" i.U
,!Ii' '1,\' ,q "I; ,~\ 1!!,j,~;1',,,,\11'1 ;l}~',
' "~I I, '\ j , '1'l'l,1 "t /1 /1'" t\1
"i', ':';1,' "I ( ,./.1:' , "j.(:J~lrl{'~I';/i~~~'~'''/i{(:'Wr.~. f\~i(
',I' f' ," ,1'1'\' \'t, '~:f.;!'~},'W~~i~:,'1)1J'
" 'V I, ",'.' "1" ,,' ,\\/dl \I~tli'
'J'{i l!~',' 1\1<___ ,t,,' 1~1"q ~".: .~",rl\l~f,l;;~,~r/jYlil
"\- ., , I ,1 "", I" 'l ,/ 'r, ,~
,I ! I ""'::; I, I , ',~I ~Ij : ,\ ,l , ~II
1.1-,--,-, "', ",t. II '\1 ,1,,-;\
' '" I ' ,,. h" j ,,~' f '!t"-ll', ,'r.~If.
," h' , ,I ,; J),)t ~I ;V.'It.I1{-
I ;'.f ' .:' 'l\,,'\'?\lltt'\'~r~)~t;
I "1/1/"" /jll""I;'1"P1h:\
' !",1 'l ,," "\~\ I II ' '1, \A'~I
~, \ I ,11), 'J; \i li" \.'(.
, ,Ill'.,.. ",1\/,
1 / r ~ i ,: -. , ~ \ '.\ II
"!
,','j..
'1'1
, !i
II'
, ,
,,,
.
"
" ,.
II,
"
"
.I
,No.
"
...
',IIi
.'"
"
'I'
1
Ii,.
'"
~~&/
~~....) ~~{LA4~1~t P1"
I:
"
',.
,'11,."1 :'1
,1 111,"
i:i,
"
!!
'."1
'-~
!
,\'-,
.
'Ii"\,
.t./j
,I'
"
',;
"
\ ~,
':
I ~ '
"\1
"
I',
"..
,.
'I'
" >,'
, '!/ ~
"
.
\ . ,~ '
:1"
,
"
,
'..
I,
:{J'
"
,
"
I. I'
" ,(
",
,"l',
"';
:1'
~ '
,I
';,
" I'
.',Ij
,
, ,
"
"
"'i'-: 'J'
",I'
"
.
, ,
,1 '
"
,'.
",1
'"
"
'I'"
"
,-.'
,
,
"
"
"
';'i::'"
,/,
;\
1
.' ll'"
. "
" . ~ '
Jll,
,
..
'.
I'
,
,
1,'11
,,,'
, .
.'
\';1
"
,'.I
"..,
.\'
.'
,
.'
li'f,.
,
"
"
,
,,'
',.1
",I":
"
'."
,
,,,
f'
JU..
.
"
";
'"
:1
I,"
,'II
I' ~
. ~ \ .
",
",
'.1'"
..
'"
,"
,),/;
I.
"
" 'I ;/,I.~
i,,'
'"",
,'.
'"
"
"
, 'I,
'I!'
,,'
,,,
"
"
,
'h
;""
,\
.Ii,","
'"
'.
'.'
1".1',
'j, ,;;_l,'
,",::
"
"
"
,;1.
.,
d'
I'
'.'.
"
"
I",
"
',I
I'
,
,
"
'f'
'"
"
,I~' "
"
!
",
I"
'.,
,,"
. ~ I :
"
"
..
..
"
",
.
..
";'1
"t
"II
rJ.
"
"
Ii
"
1,1 .,
",
,:
PETITION FOR PROBATE llnd GRANT OF LETTERS
IC
Estate of Pearl 1. Cook
also known as
No. 21-94
To:
Register of Wills ror the
. Deceased, County of Cumberland In the
Social Security No. ,I 71-28-2225 . ConHnonw~alth of Pennsylvania
The petition of Ihe undersigned respectfully represents that:
Your petltloner(s), who Is/are 18 years of age or older an th~ emut ors
In the last will of the above decedent, dated -AuiUJl.Ll.
and codlcll(s) dat~d
named
, 19~
(Slate relcvant circumstances, C.8. renunclatlon, death or executor, elc.)
Decendelll was domiciled at death In Cumberland . County, Pennsylvania, with
II er last family or principal residence at 9 " \
Cumbel'1and Crossing!!-~etirement Community 1 C a.,. \ 1"\ e ,30. .l.-<';, m ;JA':\Z>>tr )
. (list streel, nllmher and Illundpallty)
Decendenl, Ihen _~_ years or age, died December 3D, ,19 93 _,
at Cnmhetlawi..Gl:JUlainilLReJJIJlIIW.llt CnmlllllIl1tv ,
Except as rollows, decedent did not marry, was not divorced and did nol have a child born or adopted
after execullon or the will orfered ror probate; was not the victim (Ir a killing and was never adJudlcaled
Incompetent: ___
IX.eodent at dealh owned properlY wllh estimated values as follows:
(If domiciled In Pa,) All personal properly
(If not domiciled In Pa.) Personal property In Pennsylvania
(If nol domiciled In Pa.) Personal property in County
Value or real est ale In Pennsylvania
situated as rollows: None
$ 40.000.00
$
$
$
WHEREFORE, pelltloner(s) respeetrully request(s) the probate of the last will and codlcll(s)
presented herewith nnd Ihe gram or lellers testamentary
(tcslamclluuYi administration c.I.Q,j admlnlslration d,b.n.e.l,a.)
theron.
t
'il ~
~l
~'il
';;'..
{'o
J
\\~;, '. \'\\. 0, '\
Robe~t J. Cook. Sr.
-lLKiulliLP.xill
r.n~Hol., Pn 17011
;\~\.w ~\.,'''<. ~,-tl;.,\
Lois A. Kelly
l) Kit,.ell Drlve
Cnr1~t:I.'A, Pn 17nl~
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA }' I5lS
COUNTY 01<' Cumberland
The petltioner(s) abov~'IlP,med swear(s) or errlrm(s) Ihal Ihe statements In the roregolng petition are
true and .orreclto the best or ihr knowledge and beller of pelltloner(s) and that as personal represen.
tatlve!s) of Ihe above decedent petltloner(s) will \Yell and truly admlnlsler the eSlale according to law.
Sworn 10 or afrlrmed mId SUbscrlb~d \, <\.\~\':::' '~"\II ~'.. ~
berore Ple this .....b.th-==___g day or l~b~~'l L :00~\1,~~ l:i
'.aIJJY<>7I0iJJjf '~j~ ~ II;~~ \ ii!
~' T, ~
MARY .. LEWI S Reg Isler , ~
/ t.( - (If I - / 3
No. 21-94 - 15
,
Estate of Pearl 1. Cook
_., Deceased
DECRI!;E OF PRODA TE AND GRANT OF LEITERS
AND NOW January 7. 19..2.L. 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 AIIl"Rt I, 1989
described therein be admitted to probate and flied of record as the Jut will of
-----PEARL I. COOK
and Letters TESTAMENTARY
are hereby granted to '\NN
ROBERT J. COOK. SR. AND LOIS KELLY
~~.
Reabter 01 Will, V -r
MARY C. LEWIS
. FEES
Probate, Letters, Etc. ,. . . . . , ., $
Short Certlficates( ~ . . , . , . , , ,. $
~~~unclatlon ,,,.,,,,..;,,,.. $
$
TOTAL _ $ 99.00
Flied ,,,., .~~~WA~Y .7", ,m,4" , , , , . , . " .
~ J-DGO
70.00
24.00
William A. Duncan
ATIORNllY (Sup, Cl. I,D, No.)
1 TruinA Rnw
ADDRESS
Carlisle. PA 17013_
PHONE
(717) 243-7780
~.oo
Called attorney on 1-7~94;
21 - 94 - 15
REGISTER OF WILLS OF COUNTY
OATH 01<' SUBSCRIBING WITNESS
,
,
....
..~/....
"
/
/
, codicil , ~
(each) a subscribing wllness 10 the' 'wll! presentcd herew(thdcach) being duly qualified according to
law, depose(s) and say(s) Ihat present and saw
"
~", - t
the teslat__, sign the slime IInd that "-..... _ signed as a witness al the
request of testat_ In I~ presence and (In the pre~6,of cach other) (In Ihe presence of the
other subscribing wltness(es)),
Sworn to or affirmed and subscribed before
me this day of
19_
(Name)
(Address)
Register
(Name)
(Address)
REGISTER OF WILLS 01<' ~v. \M ~~(C:~ ( l'\:rV il) COUNTY
OATH OF NON-SUBSCRIBING WITNESS
. ~(O~:;'(If..'\ 'J ((X)~_I S~ VWJ'J) lUI':, V\ 1< 'LLLCL
(each), a subscriber herelo, (each) being duly qUllllfied according to law, depose(s) and say(s) that
(,\ \1(,' familiar with the slgnllture or ---..t~\t1V~l '-.1 CCf.)l~
CQlIIIIt
testat!-lL of (one of the subscribing wltnmes to) the will presented herewith and
codicil
that t\N0J believes Ihe signature on the will Is in Ihe handwriting of
testat.ILJ.L believes the slgnaturc of the will presellled herewith and that
codicil 11' \. [\ -t- <! COk
believes the slgn~ture on the will Is In the handwriting of \ Y-V ld_ ~ \-.,
to the best of -L~\L._ knowledge and beller.
Sworn 10 or l\fflfJneq_~nd subscribed before \1, >~ J ~~ r '~i~'~ {\
me this ( c) t \ _ day of . "II ,I) \::) !Nalile)' "0(,
, d~ l{ _ (t9~L1f' Lt V n L, '2, ',' L C,_ uY'\ \):>
() f~Ul[ll1JLW;;\, (Address),
LEWIS Reglsrer '-',\I..&. \\JIN~ ~~(;,''I\
i> \ <:, (1\ 1\ .:t"lLfl
, (Name)
(, .lSJI'.:, '2 '/ l L ~,0(
( V\l.ll (r,l t (Address) \'V\. \ 'I() ('5
I ( tt\(/c.' L(~CC
~) cA:-
,I.
'(? !2
to) F~
1
.\. ".1
,,'
;\
/-')' III
.(..1 '(1)
\j J(~J
~c'c
a:
"
"
co
'I'"
1,'
t....
1',;
Ip
~
-,
'<J'
PI
" i
"
.. '
t:s1:'
':'0: .'
iJ
,'J
"
" C'
,il) ::l
UU
;
tIl
~
,~
'~
H
j
I><
o
"
g
.
H
~
I'<
"
.
,
('
I'
'"
'I"~
I,
~
,"
'I
I'
. 1
,
,"
,
, ,
',' ~
.'
, I "
"
,1
"
"
"i' ..
"
I,
I'
"
Ii
, ,
"
"/ "
"
I'
,,,
.'
'I
I,
.
.'
d J;'I
'"
';'.:!
,'"
p' J\"
"
.
I.,
1\'
",
I
"
,"
1:'
,'0
,1\
.
i,l,
'I
I
,I
'1 I
'.
,
'I
",i
',I
',r,
I"
u
n:
~d~
~T
I
.'
I'
'I,
.,'
";lfl'j.i:h;;:':_i~'- ,
~\l~-i,-H;'h""" .
";}-;J,CHi" l'
,~-~\I..II'._\ I -,', .
"lr1JV"! < -' \, '\ ,-'
, \.._11 i , ',;
,
~,'
<<
,t,
'II.".
'l}}\
'i\i
iii"'\
{' rb.
" to"
II,_l,.,
,2"
W:Ji'
~"L'
JF _ ~~"-~~'
... '. ,_, - -i~'I,::. ,/\,
- :JAft~31:~\~/.'I:t'(!~,,..---:.. -',
: ';~\"','d.i":,,
~.
,,' '4':
,.":
, \-'
',' ,l->, .--. ... --~..
, !.. I. _van ITMIIT . i.
, llAi'WILR, !"A,'.7lll.
d" ,.
" I.4i.
7'
, ;"
,
,.
LAST WI LL AND TESTM1ENT
-.---------.--
/1, PI,^RL 1. COOK, of Cal'1lHlo, Cumherland County, I'onn"ylvanill, being
of Hound mInd, memory IInd underHtnndlng, do milke, puhUHh 1I0l1 doc1l1t'e thl" II"
IInd fo'( my 1119t wll1 /lnd teBtnmont, horeby re,<,king 1111<1 m.,king vold all ,former
will" by me /It any tlmo horotoforo mndo.
FiRST.
direot all my JUHt debtH IInd funerlll exponHOH, includ.lng /Ill
Inhoritnnco, OHt/lto /lnd Huccl'HHIon t/lXOfl, Ill' full y paid /lnd "lItl"fIed out of
my oHtato hy my pl'rsonll1 ropreHontlltlvofl herelnllftor n/lmed as soon ,118 oonvenient1y
mllY bo IIftor my docolI"e.
SECOND. I give, dovlse and hoqueath /Ill of my estllte, real IInd personlll,
as tollowsl
a. '1'0 e/lch of my grllndchildren and my gr('lIt grllndchildren, it living, the
followIng sums:
1. Robert J. Cook, Jr., tho Bum of one thouflllnd ($1,000.00) doll ill'S .
2. Debra Ann Field, tho Hum of one thousand ($1,000,00) dollars.
3. Pnmela Sue Garrett, the Hum of one thouBand ($1,000.00) dollars.
4. Kelloy N. Hold, thl! Hum llf uno thlluHand ($1,000.00) dollars.
5. Horgan E. Gllrrett, the sum of one thollHllnd ($1,000.00) dollars.
6. Klorston fl. F.h.Jd, tho Hum of one thouHllnd ($1,000.00) dollnrs.
b. 'fhe balance thereof. aH follow,,:
1. Ono-h.,lf (1/2) thoreof to my dllughtt'r, Lois Ann Kelly, or her issue.
2. Ono-half (1/2) Llll'reof to my aon, Robort .I. Cook, Sr.. or hls issue.
LASTLY, I nomlnntt>, consttLute ane! appoint my Hllid two children, Robert J.
Cook, Sr. IInd LoIs Ann Kelly, Executors, or tho Burvivor, Executor or Executrix,
of thIB my la9t will IInd tOBtanlElnt.
IN WITNESS WHEREOF, I hnve hereunto sot my hancland selll thIS L4ay at
a~
, 1989.
-1/e-:ad, i'P~ t'%:r,"-'
(SEAL)
Signed, selllod, puhll shed IInd declwed hy tho IIhove nllmecl Teat lit rix, POlld 1.
Cook, IIH /lne! (or llE!r 1119t \~1l1 .,nd tost/lmont In tlw preHonco or UH, who. lit her
requl'st IInd In her prosencl' 1111<1 In l:lw presonc(' of "/lch other, hllve hl'rounto
HubHcrllwd ollr naml'H liS wftm,ssl'H t!wrnl:o.
, \"
--J~~.~4,--
l. f/ ,'// I . "'(. ,
---.!L:~~,_ ( . '/rl' :('.1 ,\ .;; ~
, .', 1/7-:,S7;.'7;rNJI1!J0'Il\
,,", 11',;.': '''.'.<,-.._."h_,,~~,\lIW..yii
~..;.,
._ _4 ~_ __. __,
. .__,., ,.._.. .".__ __ ....4. _._ _~_ __ .._~ ..:.-:... _ _ _ ---i._
RECEIVED FROMI
a
AMOUNT
m
llllNCAN W] LI.l AM 1\
MxiN)(~WICxMMW
1 Irvine Row
CARl. 'l BI-I: PA 1'7013
----t() 1
.et.3.f.!(I
!:JSN I? 1'-f.!lH?P.l~~
IfIRST' I
0'1/11:1/<,'4
MA K AE
C tHY 0 i(l() /00
CUf1BEHI.ANll
O~ATH
.1/::1) /93
REMARKS
ra TOTAL' AMOUNT PAID
sa
.e6:i.t!o
ANn
SEAL
ROBE RT .1. CrmK
1.0/ SA. I<I,\.LF:Y
CH(,:r;KH II'i
IJ' ,'. U '
, I,', I I, ',' )
RECEIVED BY / , ,,' 1j( b' i~I/1 I iJI . J("
. . II NA U, .' I I ,.J..
l,c'Y C I'"WI./" ,. , ./ I ,,(I,
M ". . L' " \I 't,:w: ',},J ~1'
REGISTER OF WfL'ti I ,
REGISTER OF WillS
_ _ _ ~_, _ ___. ___~ ("_ __.:_ _.:.~ _ ~_. ,___ __.__ __ ..__ ,___ _.~_ __ ...~ __. _ ___ __~ u_. _._ __ _ _ _ _. ~
,
'. .
\, :\, V
'~1: ,,-, . 'i ...
,l,I, "
:r',/p
/1-/&'/-/3
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
REV,1500[~+ IlJ.lHI
.01 DAns O' DIATH Anll 12/31'" CHICK HIli
" A SPOUSAL
"OVIITT CIIDIT II CLAIMID 0
PILI HUM..I
rOMI,IOHW{AlTtI 0' PENNSYlVANIA
OErAIl.1MftlT or REVENUE
OU'l 290601
HARlllSlIUW, PA 11120.0601
==--==~-'-'N(t6ITir't NA.ME (lAST. 'IRST, M~l> MIDDlE INlTlAll
~
,..gtl\
.~. t'-""
fLlLO
..00
00:-'
..1<1
~
21
COUNTY CODE
m'nl5lmmAlloml
Cumberland Crossings
1 Longadorf Way
c,""Carlisle. PA 17013
...
z
~
Q
Cook. Pearl 1.
_. ~~~T;~':~';~~;~:;R.-~--.--r:E 2o~-~~; 3lb~ 2o~ ;';':;-
1-' []
II I, Original Relurn _, 2, Supplemenlal Relurn
1994
yeAR
0015
NUMBER
3, R.malndor Relurn
(for dolll of dealh prlorto 12, 13,B21
05, Fedoral Eltote Tax
Relllrn Required
_ B. T 0101 Number of Safe Depollt Boxol
n
; .. ,to t1milElcl ellalo
o do. Fulure Inloreu Compromise
(for dol II of d.alh ahor 12,12.B2)
r~ ,\, Docnd.nl Dlod T..lal. 0 7, D.c.d.nl Molnlalned a lIvlne TrUll
IAllach copy of Will) (Allach copy of Trultl
--- . ALlI::-)aneSrONDENCE AND CONPIIlENTIAL TAX INFORMATION-SHOULD 81 DIRICTID TO.
I .NAi;"IY-..... -. MPl MAllTt1CiA5BitESS
!!jl:;
_ m William A Duncan, ESQ. 1 Irvine Row
" c
o z ffiD"'0Tii'r,iiMiifR carlisle, PA 17013
\J 0
..
J. Ronl ""010 (Schedule A) I 11
2, Slock. and Bond. (Schedul. B) ( 21
J, CI,,,nly Hold SlocklParln.rohlp Inl.rll' (Sch.dule q I 31___
.1. Mort~C1~IOI and Nol.1 R.colvabl. ISchedule 01 ( .1
5, COIh. Bank Depollll & Mhc.llan.ou. Poroonal Prop.rly( 51
ISchndul. EI
6, Joinlly Owned Property (Schedule F) I 61__3.4.827.71
7, Trnnllors (Schodule G) ISchedule LI I 7) 3,823.76
O. TOlol Groll AII.II (10101 line. 1,7)
9, funorol Expo",", Admlnl"'allve Co.II, Mlsc.llaneou. I 9)
Exp.nlo, (Sch.dul. HI
10, D.bll. Morleaee llabllllle., lie.. ISchedule II
1 J. T olnl DoduC1lons (lata I line. 9 & 101
12, Nol Value of Eltale (IIn. 8 mlnulllne 111
13, Chndlabl. and Gavernm.nlal aequelll (Sch.dul. JI
__,_ L\,.~I~~Yalu. Subloc!IO Tax (1In. 12 mlnul Iln. 13)
15, Amounl of line 1. taxable 016% role
{Includ. valu," from Sch.dul. K 01 Schedule M,I
16. ,~mounl of IIn. 1. laxabl. 01 15% role
(Includn valu," from Sch.dule K or Schedul. M,I
17, Prlnrlnnlloxduo (Add ladrom IIno 15 and from Iln. 16,1
111. (:,I.r;iri Spousal Poverty Credit Prior Paymonts Discount
_______ + ---1.JllCl.1lD + R q , 47 -
I? !! Iln,) IB II er.aler than IIn. 17, enler Ih. dlfferenc. on line 19, Thll h Ih. OVERPAYMENT,
:!\II[-,
.,A~ ._J
1'10, IIlio. 17 I. erealer Ihan line 1 B. enter Ih. dlfferenc. on IIn. 20, Thl'lllh. TAX DUE.
A, Enlor Iho Inter,"t an Ih. balance due on line 20A,
B, ::nlor Ih. 10/01 0' line 20 and 20A on line 208, Thh h Ih. BALANCE DUE.
____.,__.,~ake Check Payabl. to. R.gl,t" 01 Will" Ag.nt
n__" -"-.... 81 SURE TO ANSWIR ALL QUESTIONS ON REVIRSI SIDI AHDTO RICHECKMATlf...
Undor ponalll~i~-ori~,,~, I declare that I hDye flllomlned 'his relurn, Including accompanying Ichidulel and Itallmantl. and to ,h. bill of my knowl.dgl and belief,
it IIIrUO, corroc.' nnd roml.,I\lIO, I d.clare thai nil r.el "'ale hat bun reported allru. mark.t yalu.. D.clarallon of pr'par.r olh.r than thl pltfSonal r!prellnlatlye II
basad on lllllnlorrlmliOn Fll '~'hkh prepare' hel Clny knowledge. . R. - \~ p t\ "
5:(lF{-'1uRrmTi'~(5~i-(,.\(j'N~iBlf1OR 'llINO~mURN ADORnS 5'Al'r"
!\91?,err.,!."S;90k ~ ~i.t.sz,elL Dl'iv~._.g_arlislc ,.PA 17Qll. 1,< ,:i,:" I. \) ,
. ,,\'..\rIJI.~ \ll Hld':"I. r:, Ild(RlHAN iffrffiE"lwlvt AOf>mr
,~ ' ,
I._O~~ A.!(elley 9_!<Hs_1,!!lL!>dy_~_.,_{;{!rlillle....U.l7013 ~ "" ~~~.~., ,
~,~Ul.7,_oJ.__.24.2.::}7 80
295.20
z
o
3
E
..
~
co
4.735.46
(l0)
{l51-3!i..211. 21
,)( ,06.
(l6) _,
)( .15 os
z
o
g
~
o
u
Inl.r.l'
"
a
CllllCkdtcro .f you (U(' 'N1UU.,lllHI (I refund bl your oVI"pc'ynlClll
(20)
120AI
(2081 ..
,*,
"
, 'J
18) 38.946.67
(II)
(121
{l31
{l.1
4,735.46
11..'11. , I
14,']1.21
2,052.67
(171
(181
{l91
1.789.47
263.20
~ -\~, 1\'\
rnr -- ,
IIV.!.SOI".IU7)
w
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Pita.. Print or l t
FilE NUMBER,
21-94-0015
COMMONWIA~H O. ~INNVYWANIA
INHIIITA CIIAI In IN
miD HI DIC DIN
ESTATE OF
har 1 1. Cook
(All prop'HY I,'nlly_n.d wNh tho ~Itht .f Iurvl..."hlp mull ~! dl"I...d on Sch.dul. '1
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
1.
Harris Interest Check
4.
IRS Refund 1993 Income taxes'
,
160.86
40.86
23.48
70.00
2.
(lIGNA Insurancs Refund
3~
Meridian Interest Check
, "
,
.
",
i;
."
.1 ,.
TOTAL (AIID tnl.r on lint 5, Rtcapltulallan
20
(Allach addlllanal 81'/' M II' ,htt',I! ma" 'po.. II nttd.d,)
.
1I\l1S091hllJ.UI
'*
COMMONWIAllH O. P1NNaYlVANIA
INHI!IlANCI TAX !ITURN
RUIOINT OICIOINT
SCHEDULE F
JOINTLY -OWNED PROPERTY
ISTATI OP
Pearl 1. Cook
I PILE NUMIER
21-94-0015
-
Jol.II..o.t(.11
NAME
RELATIONSHIP TO DECEDENT
ADDRESS
9 Kitszell Drive
Carlisle, PA 17013
A.
Daughtel'
Lois A. Kelley
I.
C.
Jol.llv..w..d propertVI
ITEM LmER DATE
NUMli, POR MADE DESCRIPTION OP PROPIRTY TOTAL VALUE DECO'S DOLLAR VALUE OP
JOINT JOINT OP ASm % INT. DECEDENT'S INTEREST
TENANT
1, A 9-80 ~leridian Bank 10,017.42 50% 5008.71
Acct n 3034009369
2. A 1-90 Harris Savings 6,015.25 50% 3007.63
Acct n 17-15-163810
3. A 8-90 Harris Savings 10,025./12 50% 5012.71
Acct II 17-54-181855
4. A 8-90 Harris Savings 20,050.85 50% 10,025.43
Acct n 17-54-181885
5. A 8-92 Hards Savings 19,557.51 50% 9778.76
Acct II 17-54-229019
6. A 8-90 Mellon Bank 3988.93 50% 1994.47
Acct n 182-262323
.
. " ; '?!i;
,
, , !.>L\)
" .\
I.',
't"
, . " ,
, '
TOTAL (AI,o ..t., o. II.. 6, Rocapitulatlo.) $ 34.827.71
.
. ' ,;,I!~,l
",'
'"I" :/l-:r
'.'ll,,'}j'
~ , ," ,.i\{l
L'~.!~
;;i\'t,a
I!~
";',;{j]/!
";_.'1'"
;,~,\I';'f
(1/ mort.poc. I. nllel.el/'I,rl adell//onal .h.." 0/ .am. "..)
RlY,U)O Ih 11"1)
l6&
COMMONWIAUj!, Of P1NNnlYAtllA
IHHIIITAiHI'~ !nUIN
ISTA'i{oi{,.,.',~!,1~L=..,,, .'~,~.,'''"'''u' .
SCHEDULE G
TRANSFERS
UP '.hm "_!,I,~~n~!~!,~R.rYPi=~~=
-, - -'----piLfNuMBlif'
Pearl 1. Cook 21-94-0015
.._____._~____._ ._..._u._____._._u...o____.__.___.__. _____ _. _. .n___n ..._._____ .___u_. _MO. _ __._.._____......___m___.
THIS SC!!I~U.L.I. ~~s:r.II~ ~O"''-~Jl.A.~.Il.~~IIl.!P.!~I.ANSWERTClA~!.ClP THI.~U~!T~ClNS O~TH." RIVIRSI.S1DI <:l.P.T,!I"COVIR SHIIT IS VIS.
._~;~' DESCRIPTION OF PROPERTY TOTAL V~\~; ". DECD. DOllAR VAlUE
NUM8E~ 1~""-d!.".~~",.!~~."'!It"~~~h;!,./~d,,.~.n(~~"."r~n.(.r:. EXCl~51~~_"O,F.ASS~'-_.Jt~t.. ._~~I~T1~~1~T'~_
1.
Harris Savings
Acct 0 17-54-168289
Transferred tOI
Robert J. Cook & Arlene C. CooK on
October 28. 1993
6.000.0 10.996.0 50%
o
2.
Harris Savings
Acct.O 17-05-006626
Transferred tOI
Lois A. Kelley & Jack F. Kelley on
October 12. 1993
6,000.0 19,647.5 50%
$3,823.76
.' ,
.__'__"..___~TAL IAI.~on "n!!!..~"opltul.llonl, 1-3,823..7.6--.._
I" mort 'pOCl ,. n"d.d, In..rladd~lonol.h"~ 0' lam. 11.../
,
\:\
,'I'
."
'1:,
"Voltll.h "'''1
1 SCHEDULE H
fUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCILLANIOUI IXPENSIS
~~~
...~
COMMONWIA~lH or "NNlIlVANIA
INHUIlANCI lAX !llU!N
~IIIDINl OICIO NT
mATI OP
Pearl 1. Cook
21-94-0015
ITEM
NUMBER
A, funlralllcplnllll
DESCRIPTION
AMOUNT
1.
Hoffman Roth Funeral Home
$1,550.53
a. Admlnl.tratlv. co.t..
1, Personal Representative Com millions
Social Securlly Number 0/ Personal Representatlvel
Year Commllllons paid
2. Attorney F.es $1.947.33 ,
Duncan & Otto P.C.
3, Family Exemption
Claimant Relationship
Addreu 0/ Claimant at decedent/s death
Street Addrell
Clly Stat. Zip Code
4. Probate Fees Register of Wills 400.00
C. MI.e.llan.ou. bp.nllll
1. Cumberland Crossings Billing 393.37
2, The Sentinel (Legal Adv.) . 68.84
3, Cumberland Law Journal (Legal Adv.) 40.00
4, Care Apothecary Billing 335.39
5,
6.
7,
8,
TOTAL (Also enter on IIn. 9/ Recapllulatlon) $ 4.735.46
(If more .pae. I. n..d.d, Inslrt additional .h.... of .am. .111,)
-IY,UU.1t 11111 ~ L
. " SCHEDULE J
COAl.wONWUl!H O. ,INNmYA.NI'" BENEFICIARIES
IHMllltANCI fA. IItUIN
It''otHt OIC.DfNt
ESTATI OP FILE NUMIIIR
Pearl 1. Cook 21-9/,-0015
ITlM NAMI AND ADDRESS OF BINIFICIARY AMOUNT OR
NUMIIIR RlLA TIONSHIP SHARI OF ISTATI
A. Taxablo 804U11111
1. Robert J. Cook son 50%
4 Kits~ell Drive Residue
Carlisle, PA 17013
2. Lois A. Kelley daughter 50%
9 Kttszell Drive Residue
Carlisle, PA 17013
3. Robert J. Cook Jr. Grendchild 1,000.00
889 Alexandsr Spring Road
Carlisle, PA 17013
4. Debra A. Fields Grandchild 1,000.00
42 Brookwood Drive
Lititz, PA 17543
5. Pamela S. Garrett Grandchild 1,000.00
631 N. Eaat Street
Carlisle, PA 17013
6. Kelly N. Fields Grandchild 1,000.00
42 Brookwood Drivn
Lititz, PA 17543
ITlM
NUMBIR
AMOUNT OR
SHARI OF ISTATI
NAMI AND ADDRISS OF BENEFICIARY
B. ChalllQbl. and Ga..rnmontal Itaulltll
"
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (1.110 ontor on IIno 13, RtCQpllulatlDnl S
(If mort .paco I. o"dod, lolt" additional .hoo'. of .amo "11'
UV.U,UI.~ ll,lIj
L
SCHEDULE J
BENEFICIARIES
J
AMOUNT OR
SHARE OF ESTATE
1.000.00
1,000.00
, AMOUNT OR
SHARE OF ISTATI
, 1 ~
"
$
.,
,"
~,~',
If ( ,
....~
COMMOtlWIA\!tIOl"..mlnVAtlIA
INHnllANCI1AX .IlUIN
IlllDIHIOttlOINT
ESTATE OF
Pearl 1. Cook
, FlLl NUMBER
21-94-0015
ITEM
NUMBER
NAME AND ADDRESS OF BENEfiCIARY
RELATIONSHIP
A, TaKOble Beque.tll
r,.
Morgan Ii. Garrett
631 N. East Street
Carlisle, PA 17013
Grandchild
8.
Kieraten M. Fields
42 Brookwood Drive
Lititz, PA 17543
Grandchild
ITEM
NUMBER
NAME AND ADDRESS Of BENEFICIARY
B, Charllablo and Gavernmenlal Bequo'llI
1.
TOTAL ctlARITABlE AND GOVERNMENTAL BEQUESTS (Aha enler an line 13, Recapltulatian)
,(II m.r. .pac. I. nood.d, Inlort addltl.nallh.... a'lam. 11.0)
.
. .
LAST WILL AND TESTAMENT
,'I, PEARl, I. COOK. of Carlisle. Cumberland County, Pennsylvania. bei~g
of sound mind. memory and understanding. do make. publish and declare this as
and for my laat will and testament. horeby re~oklng and making void all fermer
wills by me at any time heretofore made.
FIRST, I diroct all my ,just debts and funeral expenses, inc1udinll all
inher HaneD. estate and succession taxes, Ill! full y paid IInd aatisl led out of
my estate by my personal re\lrOsentatives hereinafter named as 900n as convsniently
may be after my decease.
SECOND. I givo, devise IInd bequeath all of my ostate, real and personal,
as follows:
a. . To each of my grandchildren and my great grandchildren, if living, the
following sums 1
1. Robort J, Cook, Jr.. the 8um of one thousllnd ($1,000.00) dollars.
2. Debra Ann Field. the sum of one thousllnd ($1,000,00) dollars.
3. Pamela Sue Garrett, the Bum of 01lP. thousand ($1,000.00) dollars.
4. Kolloy N. Finld, the HUIO of ono thuusllnd ($1,000,00) dolll1l'H.
5. f1orgl1n E. Garrett. tho sum of one thousand ($1,000,00) dollars.
6. Kiersten fl. Field, the sum of one thousand ($1.000.00) dollars.
b. The balance thereof. as follows:
1. One-half (1/2) thereol to my daughter, L01s Ann Kelly, or her issue.
2. One-half 0/2) thereof to my son, Robert J. Cook. Sr.. or his iesue.
LASTLY, I nominate, constitute and appoint my said t~'o. children. Robert J.
. Cook, Sr. and Lois Ann Kelly. Executors, or the survivor, Exocutor or Executrix.
of this my last will and testament.
. t
IN WITNESS WIlEREm', I havo hereunto set my hand and soal this ,L~ay of
CLrL_, , 1989.
,
_(J-8tad, ,-.P., ~J--
(SEA),)
Signed, sealed, published and dawred by the above named Tostat rix, Pearl I.
Cook" liS and for her last wil) and testllment In tip I . , '
RE~EIVED PROM,
I
AMOUNT
m
nUNC AN WI~LIAM A
1 IRVINE ROW
.de~.I'
Jul
..'
CARLISLE PA 17013
fOtDHUI
-~
ESTATE INFORMATION,
m L M8 R
m
II A
m
saN 171-ee~eaat5
IFIRSTI
TY
e OF fe~T~BEBhAND
'0193
.__~J
m TOTAL AMOUNT PAID teB9. 19
/'"SQ,
/1/)' (j' ;J
I ~"
(~.... /:
RECEIVED BY - ~J.fUl , )
MARV c. Ll!WI[r"
REGI STER OF Wll.L,a
REMARKS
ROSERl J. COOK AND
LOIS A. KEL.LY
CHECK" ee
SEAL
REGISTI'lR OF WILLS
-. - -.. ._.- --~ ..-. ...-. .--_. ._-- _.-.. -.... ~~_. '.....- . -.. ..,.... _.-.-, ..- _..... ...... ._-- ....-. ....-.
._- ....-- .-_. ---. --.. --- -- --- --....- ..-.
, ,
I
"
.
.
,1'-()-)( v
j'
kEV-1547 EX AFP (10-93~
tGHMOHOEALTH OF PENNSVLVANIA
DEPARTHENT OF REVEHtJE
BUREAU OF INDIVIDUAl TAXES
DEPT. 210601
HARRISBURG, PA 1712&-0601
U;" I
ACN 101
NOTICE OF INHERITANCE TAN
APPRAISENENT, ALLOWAHCE OR DISAI,LOWANCE
OF DEDUCTIDNS, ANO ASSESSNENT OF TAN
DAT! 09-1~-94
D:T! OF DEATH 12-30-93 b~h~T~O. CUMBERLAND
NOTE I TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBNIT THE UPPER PORTION DF THIS FORN WITH YOUR TAN
PAYNENT TO IHE REGISTER OF WILLS. NAKE CHECK PAYABLE TD "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TOI
WILLIAM A DUNCAN ESQ
1 IRVINE ROW
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
f
A.ount R..IU.d
'J
CUT ALONG THIS LINE ~ RETAIN LOWER PORn ON FOR YOUR RECORDS ...
iiiV: iS4?" EiC Ai: ji' n 0-:93")"' Nei'''-i or-oF' INH Eiifi'AN'cE' T"A'i("'ApiiiIA"i sEi.fiNr;" Ai. rowAN'oR . Iiii' .. ..-........."..
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF COOK PEARL I FILE NO. 21 94-0015 ACN 101 DATE 09'13'94
TAN RETURN WASI ( I ACCEPTED AS FILED ( x) CHANGEO: SEE ATTACHED NOTICE
. ,
RESERVATION CONCERNING FUTURE INTEREST . SEE REVP.RSE
APPRAISED VALUE OF RETURN BkSED ONI ORIGINAL RETURN
I. R.1l Eatoto ISoh.dul. Al 1I1
2. stookl .nd Bondi (Sch.dul. B) 121
S. Clollly H.ld Stcck/P.rtn.rlhlp Intorut ISoh.dul. CI IS)
4. Hort~.g.I/Not.. Rlc.lvlbl. (Sch.dul. DI 141
i, C..h/Blnk D.polltI/Hllo. P.r.onll Prop.rty ISch.dull EI IiI
6, Jointly Ownld Prcplrty (Sch.dull FI 161
7. Tr.nlf.rl ISch.dul. GI 171
e, Tct.l A...tl
.00
.00
.00
.00
295.20
34,827.71
18,643.58
leI _ 53,766.49
APPROVED DEDUCTIONS AND EXEMPTIONS,
9. Fun.r.l E.p.n.../Ad.lnl.tr.tlv. Co.t.1
Hhc.ll.n.oul E,pln..1 ISchldull HI 191 4 ,735.46
10. D.bh/Hcrtg.g. LhbllIU.I/LI.n. ISch.dul. II 1I01 . DO
11. Totol D.ductlon. (11)
12. N.t V.lu. of T.. R.turn (12)
15. Ch.r U.bh/Gcv.rn..ntol B.quuh (Sohldul. J) (15)
14. Nit V.lu. cf Elt.t. Subj.ct to T.. (14) ______
If .n ......m.nt w.. is,usd previou.1Y, lin.s 14, 15 .nd/or 16 .nd 17 will
r.fl.ct figurss that inolud. the total of !hh rsturn. ..a....d to d.t.o
ASSESSMENT OF TAXI
15. A.ount of L1n. 14 to..bh It 6% r.t. lIS) 49,031.03 N.06 . 2,941.86
16. AMount of L1n. 14 to..bIo .t 15% r.to 1I61 . DO N.li . . DO
17. Prlnclpll To. Du. 1I71 2 ,941. 86
TAX CREDITS I
PAYHENT
DATE
4.735.46
49,031. 03
.00
49,031. 03
!lOTEI
RECEIPT
NUNBER
DISCOUNT (+)
INTEREST 1-)
AMOUHT PAID
03-23-94
05-18- 94
856073
886094
89.47
.00
1,700.00
263.20
PAYMENT MUST BE MADE BY 09-30-94M,
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
2,052.67
889,19
,00
889.19
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FDR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN 81, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY IE DUE
A REFUND. SEE REYERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
Q)
.'
I
Rt!I!RVATlOttI Elt,t.. of dlcedlnh d~lng on or bl'ar. Dle.en 12, 1912 'U If InV future Int.rllt In the utlt. h trenlf,rrtd
In pn.....lon or ,nJovaent to el,.. . (coll,t,r,l) blneflcl,rll' of the decedent .ft.r thl ..plr.tlon 0' thy I.t,t, for
11'. or 'ar v..r., the Coaaonwetlth hlr,bV IMprl.llv rt..rve. th, rtght to tppr,I,. Ind ...... trlnt'.r 1nh1rltano. 'IM_.
It the .Iwful Cl,., I (col11'.rtl) rlt. on any luahfutur. Int.r..t.
PUIlPOIE OF
NOTlCEl To fulfill the rlqulr...ntl of Section 2140 0' the InhlrlhnCl end Est.t. TII( Act, Aat 22 0' 1991. 12 P.'.
Seotle", 21'.10.
PAVttENTl D.tlch the top portlan of thit Hotlel and tub,U with your ply..nt to thl A.,lttlr of N11l1 prlntld on the rIV"I. .Ide.
"-HMI chick or lonty order PlY,blt tOI REGISTER OF HILLS, AGENT
All ply..nt. r.c.lvld thall flr.t bt applied to eny Int.r..t which .'V b. due with .ny r...lnder ,ppllld to tht t.x,
REFUND (CR)I A r.fund of . tlX cr.dlt, ~hlch ~.. not rlqul.tld on th. Tax Return, WIV bt r.quelted bv no.,l.tlng In ~Appllc.tION
for R.fund of P.nntvl....,,11 Inh.ritance and Estat. lex" (REY'llllJ. Appllcationt Ir. IV11hb11 It thl OffiCI
of t~ A.gltt.r of Willi, anv of th. 21 Rlvlnu. Dlttrlct OffiCI', or bv cllllng th. 'Plol~1 24-hour
an.w.rlng ..rvlo. ou.b.rl for for.. ord.rlngl In penn.vlvtnla J-IOO-562.2050, out.ld. P.nn'Ylv.nl. Ind
wUhln 100.1 Harrhburg Irll (7171 717-5094, TOOl (717) 772'2252 (H..rlng I.p.lrtd Onh),
OIJECtJOHSI Anll partv In Intlr..t not "thfted with th. apprah...nt, 1J1Iowln~. or dh.UoNlncl of d.duotlon., or ......Nnt
of tlX (Inoludlng dllcount or Intlr..t) .. shown on thl. Hotlc. autt obj.ct within .lxtv (60) dlY. 01 rec.lpt 0'
thll Notlcl bYI
.-wrltt.n prot.,t to thl PA DtPlrt..nt of Rlv.nu., 'a.rd of App..II, DEPT. 21102J, Hlrrl.burg, PA 17121-1021, OR
.-QJ.otlon to haVI the ..tt.r d.t.r.ln.d It audit 0' the Iccount of thl Plr.on.1 r.pr...nt.tlv., OR
uIPP..1 to the Drph.ns' Court.
ADMIN
ISTRATlYE
CORRECTlONII
FactuII .rrors dllcov.r.d on thh ........nt thould b. Iddrt..ad In writing tal PA aaplrt..nt 0' R"jtnUfl,
BUr..U 0' Indl...ldual T.x.., ATTHI Post A.......nt Rlvlaw Unit, aEPT, 2ft0601, Hlrrl.burg, PA 1712.'0601
Phont (717) 7.7-6505. Sal p.g. ] of tn. bookllt "Inltruotlon. for Inh.rltane. Tlx Rlturn fer I R..ldent
DeCl.d,nt" (REV-150J) fat In upllllatlon of .dllnhtr.U....h eorrletlbl. .rror.,
DISCOUNT I
If any tlx dut II paid within thr.. (J) e.l.nd.r ItOOth. .ftlr the cMQtdlnt" d..th, . flv, par'Ctnt (SX) d"e~t of
the t.x paid I. allow.d.
INTER!IT.
Intarnt II chlrllad ballMI~ with first day of cftllnqueney, or nine (9) ~thl and on. (11 d.V frOll thl data 0'
d'lth, ta thl d.t. of pay..nt. Tax.. which b.e... d.llnqu.nt b.for. January I, 19.2 b.ar Int.ra.t It tt.. rlt. 0'
I1x (6X) p.re."t per InnuI cIlculat.d at a d.llv rat. of ,000I6~. All taxu which bac... d.llnquent on and aft'r
JlnUar~ I, J9.2 will b.ar Int.ra.t at a rat. which will vlry frol elland.r y.ar to e.landar y..r with that r.tl
annaunoad by the PA a.part..nt of A.....nu.. ThI .ppllcabl. Int.ra.t rat'l far 19.2 through 1994 arll
,II
.' ..
" ,
,
"
,\\!.
':
'!!!! Interl"t Rita O.llv Int.ra.t Faoter !!!r Inttrut R.t. nlllv Intarut Factor
1911 lOX ,OOOSU 1986 lOX ,000174
1915 16X .OOOUI 1917 9X .ooom
1916 III ,000301 1911-1991 lIX .000301
1911 m ,000356 1991 9X .ooom
1991-1994 7X ,000191
-"Int.r..t I. c.lculltld a' folloWl1
INTERElT . IALANCE OF TAX UNPAID X NUKIER OF DAYS DELINQUENT X DAILY INTERElT FACTOR
...Any Notle. I"uld .ftar thl tax becott. delinquent will r.fllct an Int.r..t oalculltlan to fl.teIM CII) dlV'
beyond the date 0' thl ......IInt. If pay..nt I' ..de aft.r the Int.r..t eo.,utatlon dat_ .hewn on thl
HotlcI, addltlonll I"tarllt IN.t be ealcullttd.
. . ",..
, ,. .".-~._,~..
-,
REV. 141U EX (8,88)"
"
'COMMONWEALlH Of PENNSYLVANIA
DEPARlMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXI!
DEPT, 28060 I
HARRISBURG. PA 17128,0601
DECEDENT'S NAME
INHERITANCE TAX
EXPI.ANA TION
OF CHANGES
FILE NUMBER
rnR~LC(lok
t-.---,
2194-0015
ACN
101
SCHEDULE
ITlM
NO.
EXPLANATION OF CHANGES
G
1,2
The $3,000 exclusion haB been applierl to the valu~ of t~i8 item. Section
1707(c)(1) of the 1982 Act provides that A transf(lr made within ane (I)
year of the death of the transferor is subject to tax only to the extent
that the value of the tunsfer exceeds $3,000 during any calendar year.
"
01] ~l: ; . ~rJ
r-; 1:" " 111'\
., , I'"
l"\
u
r..'
,. I,j
; . .'
. h
,,'
" , , ,',
~l . ,..Ii II)
"'J
~)
TAX EXAMINER:
Dllnielk T8111,nn
\
PAGE __
\
, v
3 - () J(
RIVo1607 IX AFP (1091).
COHHONWEAL1H OF PENNSVLYANIA
DEPAATHENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
Ot:PT. ZlOIiOI
HARRISIURO, PA 11121-0601
10-03-94
)f/
AC~I
101
INHERITANCE TAX
STATeMENT OF ACCOUNT
DATI!
DATI OF DEATH ~~~~0-93 PEARL I ~~b~T~O. ~bM8~R~g~B
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAK
PAYNE NT TO THE ADDRESS SHOWN, NAKE r.HECK PAYABLE AND RENIT PAYNE NT TO, "
WILLIAM A DUNCAN ESQ
1 IRVINE ROW
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
[-
A.ount R..Ut.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ....
Ri-y:i6o-i-ix--AFP--fl:-9ii-------M..--iNHE-RiTA-NCE-iFAx--sTAT-EHEN-f-ofi-AcbiiuNT---..-M----------------------
ESTATI! OF COOK PEARL I FILE NO.21 94-0015 ACN 101
THIS STATENENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NANEO
ESTATE. SHOWN BELOW IS A SUNNARY OF THE PRINCIPAL TAK DUE, APPLICATION OF ALL PAYNENTS,
THE CURRENT BALANCE. AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE 10-03-94
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 09-06-94
PRINCIPAL TAX DUE, 2,941.86
PAYMENTS (TAX CREDITS),
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST (-)
03-23"94 856073 89,47 1,700.00
05-18-94 886094 ,00 263,20
09-13-94 912937 ,00 889,l.'
TOTAL TAX CREDIT
BALANCE OF TAX DUI
INTERIST
TOTAL DUI
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL OUE IS LESS THAN fl,
NO PAYNENT IS REQUIRED.
IF TOTAL OUE IS REFLECTED AS A "CREon" ICRI,
VOU NAV BE OUE A REFUND, SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS,
2,941,86
,00
,00
,00
, ,
PAYHENT.
Detach thl top portlon of this HoUel and luo.1t NUh your PIYH"' "eM Plyablt to the nMt Ind Iddr... printed
on thl t.v.r.. ,Ida.
All ply.,nt. ,.ollvld .h.l1 flr.t b, Ippl11d to .nv lnt.r..t whleh ..y be dUl with Inv ,...Inder Ipplled to the tlk,
REFUND (eM)l A ,.fund of a tftX crldlt, which IoIIt not requut'd on th. Till R,turn, "v b, ,.quelted by QOIlpllUng In
"Af'pUc.tlon for A.fund of PIM,ylvlN'll, Inh.rlhnce and Elht. TeIC" (REV.lSU), AppUcatlon. It. Iv,l1lbl, .t
the OffiCI of the RIght.r of WHI., any of the Zit Row'nut Ohttlot Offic.., or b~ oll1lng the 'Pfol,1 24~hour
unl..lrlng l.rvlcl nYlblr. for for.. orderlngl NEW IN PENNSYLVANIA 1-800-562-2050. out.lde P.nn'Ylv~l.
"nr! within thl local Harrisburg ar.. <7\1) 187-'D9".
REPLY
TO.
QUI.tlont r.g.rdlng .tror. contftJnld on thli notlcl .hould b, .ddr....d tOI PA Dtp.rt.ent of R.venue, lurttu
of Jndlvldu.l Tu.., 'TTN. Po.t .......lIlt R.vll" Unit, DEPT, 210601, Ulrrhburg, PA 1112&-0601, phone
(717l 717.mS,
If .nv tlM dUI 11 Plld within thr.. (1) clllnd" "onth. afht the d.cedint'. dllth, I flvl perctnt (5:<) discount
of the tlM p.ld I. ellow.d,
OlSeoUHT I
INTEREST I
lnt.t..t I. ehargld btulnning with flr.t dl~ of d.iinqulnc~, or nlnl (9) lonths loci on. (1' d_y froe the dlt. of
dl.th, to the dlt. of pey..~t. TIMe. which b.e... d.IJnqutnt b.for. Janulry 1, 19.1 b.er jnt.re.t .t thl rlt. of
.IM (6:<) pere.nt pit annul eeleuhted ut e dDlly r.t. 0' .000164. All teM" Nhleh b.c... dtJlnquent on Ind eft.r
Janulrv I, 19'2 will b..r Jnt.r..t .t I rlt. which wllj vlry frOI ell.nd.r v..r to Cllend.r y..r with thlt r.t.
,""ounc.d by the PA Cep.rt..nt of Rlvtnut. Thl tpplj~lGi. Int.re.t r.t.. 'or 1912 through 1994 .rel
'!!!t Intlrett Aftt. Clllv Int.r..t rtletor !!!! Int.rut htl Olllv IlItlr..t Fletor
IIIl lOX .00054. 19lb lOX ,000170
IIU 16X ,000431 1907 9X ,000t47
1914 m ,000501 1911.1991 Ill:' ,00nOl
191i m ,00n~6 1991 9X ,000147
1991-1994 n ,000191
"Int.r..t I. ellroul.t.d .1 follow..
INTEREIT . IALANCB OF TAN UNPAID N NUHIER OF DAYS DBLINQUENT N DAILY IHTBRBlT FACTOR
-"'IV Hotle. 11111'" .fter thl tlM bleD... dlllnqutnt wll1 reU.ct M1 Inter..t Cllculttlon to HUlin (11) din
beyond thl dltl of 'hi ........nt. If ply.snt It ..cis tfter the Interllt c9f!uhtlon d,t, .hcMfn on the
NoUet, additlon.1 Intlrllt IU.t bl <:Ileul.'.d.
',;
.;1
,\,,';
,01'.1
I,},
.1,'(
'1
"
"
,'~
""
,,~j
STATUS REPORT UNDER RULE 6.12
Pearl 1. Cook
Name of Decedent I
Date of Death I D2cember 3.Q... 199'1
Will No. 21-94-15
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate I
1.
State 1hether administration of the estate is complete I
Yes---\.L- No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I
3. If the answer to No. 1 is Yes, state the following I
a. Did the personal representative file a final
account with the Court7 Yes No
b. The separate Orphans' Court No. (if any) for
the personal representative's account iSI
c. Did the personal representative sta~ an
account informally to the parties in interest? Yes I~ 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 attached to this report.
Datel 1/18/96
.
~~AA~
Si at.ure
--
William A. Duncan
Name (Please type or print)
1 Irvine Row Carlisle, PA 17013
Address
, .
j"l:
;'"
':.1,
elU
( 717) 249-7780
Tel. No.
Capac ity I, Personal Representative
x Counsel for personal
representative
(MAHarmf/AM3 )