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PETITION .'OR PROBATE and GRANT OF LETTERS
~/- 9'1- -5"1
Ellall! of Mildred M, Kee~~____ No,
also kllolVlI as _________.____ To:
...---___ Rcglstcr of Wills for thc
.--~ [)crea.l'ed. County of Cumberland In thc
Social Se""rlty No, ..Q..2l.::1.5 - 5340 Commonweallh of Pcnnsylvanla
The petlllon of thc undcrsigncd rcspeclfully represcnts Ihat:
Your pClltloncr(llj. who is/llJJC 18 ycars of age or oldcr anlhc CXCCUI rix
lathe last will of the abovc dccedcnt, dllted _.--'lctubeL..22.,...
amI codlcll(s) dated ....JUA...________.
named
I 19~
----_._---------~_.._-_.
(~Ull~' ,t.'IevlInt cJr(Hrmllln~'c" qt. rCllllnclullol1, death of C\Cculor, cle.)
l>ecendent WIIS domIcilcd at dcath In____-Cumb.er] and County, Pcnnsylvanla, with
1Uli:___lasl family or principal rcsldcncc at __._21LJi....--15.th.Ji.tree t ,
~amp III 1l.....J'ennsyl vania--.lZOll
(lht ~lICCI, IIII111hcr and IllUlh:lllillil)')
l>ecendent, Ihcn____&2,..... yeurs of agc, died __._...~mb.e.L.2.3 , ,19 93
al 237 S .....lith _S.treet .__Camp......llill._..Glltnhpr1.aruLC.olln ry, VA .
Exeeptas follows, dccedcnl did nol Illllrry, was not divorced and did nill have a child born or adopted
aftcr execution of lhc will offcrcd for prohlltc; was nOlthc victim of a killing and was ncver adjudicated
Incompeteul: ____.____..
Dcccndcm al dcath owncd propcrty with cstlmatcd valucs as follows:
(If domicilcd In Pa,) All pcrsonal property
(If not domIcilcd in I'a,) Personal property iu Pcnnsylvanla
(If not domIcilcd In Pa,) Pcrsonal properlY in County
Value of real cSlate In Pennsylvania
situated as follows: -.2.1LS.._litJL.S..treet. CWIl!L.Hill..
Ctlmhe.r.laruLCD.llIll:.)L,...,Eenns..}CbzaniR 17n11
$ 95,000. 00
$
$
L.9.o.. nnn nn
WHEREFORE, petltloncr(s) rcspcclfully rcqucst(s) Ihc probate of Ihc last will and eodleil(s)
prcscnted hcrcwlth und thc grunl of ICller.s,_t:.esf"Atnpnf"Ary
(testamelllary; ndmlnlslratlon C,I,Q,j udmlnl!tratlon d,b,n,c,l.a.)
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OATH 01<' PERSONAL REPRESENTATIVE
COMMONWEALTH 011 I)ENNSnV ANIA l 88
COUNTY Of' CUMBERLANO f
The pelitloncr(s) ubove-nllllled swcar(s) or affirlll(s) thai Ihc sllllCllleUlS luthe foregoing petition are
truc und wrrCCllO tlw bcst of Ihc knowledgc and belief of pelllloner(s) aud lhat US pcrsonal represen-
tllllvc(s) of thc ubove dcccdent pctllioncr(s) will wclland truly udlllinislcr Ihc eSlate according to law.
s..'" '" "' .ffi",,," ."d "b,,'boo ,~"'""- .
before me th:sl77- ',,(':III!: ~. day of. ._______ ~'
~_=--'ft'!(l;~7i::;.ctM'f:1.fl -- -~:.. =.-- I
'MtR~ LEWIS RI'Ki.\/{". .__ _,,_. ~
II.I - / I! ,/ .- '/
N 21 - 94 - 51
o. .
Estate of
Nl LDRED M. KEENE
I Deceased
DECRIi~Ii~ 01<' PROBAn~ AND GRANT OF LETTERS
"'NO NOW JANUAR V _~5, 19~, in consideration of the petition on'
the reverse side hereof, satlsfuctory proof huvlng been preseuted before me,
IT IS DECREED that Ihe Instrument(s) dated OCTOBER 22 I 199?
described therein be udmilted 10 probute and filed of record as the lasl will of
MILDRED M. KEENE
and Letters TESTAMENTARY.
areherebygranledto___ LORETTA P. WEIR
&iftj
FEES
Probate, Letters, Etc. ..,."", $ 2 35.00
Short Certlflcates( 5) ,.,.,...., $ 15,00
Rerulllclatlon """"".,.", $_...,.",....
X-pages ",w
JCP TOTAL _: 26~:~~
Flied .... ~~r,~~~Y, ,~~!. ,1,~~~, , , , , , ,....,
3~() 7 Y
1029
Hbg, , PA 17109
(717) 657-4795
PHONE
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Mailed' letters and order to, attorney on 1-25-94.
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Thi~ i'i 10 fl'llily 1ll,It tIll' 11Illlrlll,lltIl1l111'IC ,1:1\'/'111\ (1IIITe'II, elljllr'd 1111:lllll tlli'~1I1.11 u'llifil,tll' 1l1111',Hh dilly fllf'd with IT'" i1'i
1.0LlI Itl'l!i'ilrM, Tilt, miHlll,d (('llilil.lll will h~' fOI'W,ll'dl'd 10 till' "Lilt \'!l,d H/ \.llfd.. (lillIe' 1111 jll'I"lIl,IlIUlI flllll!!
WARNING: It II Illegal to duplicate this CO!'JY by photl'stsl or photograph.
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COMMONWIALTH Of ~tiNNIVLYANIA . OI.ARTMINT Of HEALTH' VITAL RltOROI
CERTIFICATE OF DEATH
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LAS'!' WILL
OF
MILDRED M. KEENE
I, Mildred M. Keene, now domiciled in Cumberland County,
Pennsylvania, declare this to be my Last Will. I revoke all other
wills and oodioils that I may have previously made.
Article I
My just debts and expenses of my last illness, funeral, and
administration of my estate shall be paid by my Executor from the
prinoipal of my residuary estate as soon as praoticable after my
death.
Article II
All inheritance, estate, and suocession taxes (including
interest and penalties thereon, but not including any generation
skipping tax) payable by reason of my death shall be paid out of
and be charged generally against the principal of my residuary
estate without reimbursement from any person. This provision is
not a waiver of any right which my Executor has to olaim
reimbursement for any such taxee which beClome payable ae the result
of any property over which I have the power of appointment.
Page One of Five
'.
Artiole III
I give, and bequeath, the sum of Two Thousand Dollars
($2,000.00) to my nephew, Fred Farley. I hereby direct that this
bequest may be used for social and recreational purposes only and
may not be used to provide for his basic needs.
I give, and bequeath, the sum of Two Thousand Dollars
($2,000.00) to my niece, Melissa Weir. I hereby direct that this
bequest may be used for social and recreational purposes only and
may not be used to provide for her basic needs.
I give, and bequeath to my niece, Marion Filson, my mother's
diamond ring.
All the rest, residue and remainder of my estate I give,
devise, and bequeath, in equal shares, to my sisters, Ruth Mellon,
Loretta P. Weir, and lIelen Ilioff, provided they survive me by
thirty (30) days. In the event that any of my sisters should fail
to survive me, her interest in my estate shall be paid to my
remaining living sister or sisters.
Article IV
In addition to the powers conferred by law, I authorize my
Executor, in his absolute discretion I
(a) to retain in the form r.eceived and to sell either at
pUblic or private sale, any real estate or personal property except
that whioh I specifically bequeath herein,
(b) to manage real estate,
Page Two of Five
.
.
(c) to invest and reinvest in all forms of property without
being confined to legal invastments, and without regard to the
principal of diversification,
(d) to exercise any option or right arising from the
ownership of investments,
(e) to compromise claims without court approval and without
consent of any beneficiary,
(f) to file any federal income tax return for any year for
which I have not filed such return prior to my death,
(g) to make distributions in cash or in kind, or in both, and
to determine the value of any such property,
(h) to employ any attorney, investment advisor, or other
agent deemed necessary by my Executor I and to pay from my estate
reasonable compensation for all their services, and
(i) to conduct along with or with others, any business in
which I am engaged in or have an interest in at the time of my
death.
artic le V.
I nominate, constJ.tute, and appoint Loretta P. Weir, Executrix
of my Last Will and Testament. In the event of her renunciation,
death, resignation, or inability to act for any reason whatsoever
as my Executrix, I nominate, constitute, and appoint Helen Ilioff,
to act as my Executrix. I hereby relieve my Executrix, whether
Page Three of Five
"
original, sUbstitute, or successor, from the necessity of posting
seourity in oonnection with her duties as such in any jurisdiotion
in which she may be called upon to act so far as I am able by law
to do so. My Executrix shall r.eceive reasonable compensation for
services rendered to my estate.
IN WITNESS WHEREOF, I, Mildred M. Keene, hereby set my hand to
this my Last will, on this :2:4. day of~) , 19:J.!, at
Harrisburg, Pennsylvania.
~tJ/~
MILDRED M. KEENE, TESTATRIX
In our presence, the above-named Testatrix signed this and
dealared this to be her Last Will and now at her request, ill her
presence, and in the presence of each other I we sign as witnesses.
A~ess /)
(1()(1 ~? A. ~f)t\I7If) ;-
(()2lldtUJ!.M! ()..j ') ;A!t~, /1; / IIIF/
I, Mildred M. Keene, Testatrix, who signed the foregoing
instrument, having been duly qualified according to law,
aoknowledge that I signed and executed this instrument as my Will,
and that I signed it willingly as my tree and voluntary act for the
purposes therein expressed.
Page Four of Five
"
"
Sworn to or affirmed and
aoknowledged before me by
Mildred M. Keene, the 'l'eetatrix,
this ~ _ d~~
of _ , 19~
-+:~{'.(O-, J. I~, oa~
NOTARIAL s~
PATRICIA A RlILLER, Nolllry Publlo
I.owar P,,,ton Twp" Onupl,ln Co,
-My ~"lmnJI4siflnf~pl.t~~ _.'-lJl~H~?()~ !!!.94 ...
We, the undersigned witnesses who signed the foregoing
1~JI7,~
MILDRED M. KEENE, TESTATRIX
instrument, being duly qualified aooording to law, depose and say
that we were present and saw the Testatrix sign and exeoute this
instrument as her Will; that she signed and exeouted it willingly
as her free and voluntary act for the purposes therein expressed;
that eaoh of us in her sight and hearing signed the Will as
witnesses, and that to the best of our. knowledge, that she was at
that time eighteen (18) years or more of age, of sound mind, and
under no oonstraint or undue influence.
W tness
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NOTARIAL, EAL
PATRICIA A RUtLER, Nolllry Publlo
L0,l,-"JI P.\(lon Twp, Oi'luptlln Co.
~;I'1 r, )n':l1 "., )'1 f'..r'"r.... .!'Inl: :'''_'C'l~A., age Five of Five
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DALEY LAW OFFICES
1029 SCHNIIRY DRIVIl' HARRISBURG, PA 17109' (717)617.4791' ('AX (717)617.4996
KA 111LEBN CARIIY DALBY
MARIANNB II, RUDBBUSCH
March 4, 1994
Ms. Mary C. Lewis
Register of Wills, Agent
Cumberland County Courtho\loe
1 Courthouse Square
Carlisle, PA 17013
ReI Mildred M. K~
Dear Ms. Lewis:
Enolosod please find a check made payable in the amount of
$23,000.00 in partial payment of the Pennsylvania Inheritance Tax
liability in the above-oaptioned estate. I have enclosed a
st~ped, self-addressed envelope for the return receipt of this
payment.
Please note that this payment must be credited prior to March
20, 1994, in order to avail the estate of the discount.
ve1 truly your~, ')(
'(ctM.kk. Ltp< !?(')
K thleen Carey D(!fy '(,
KCDljad
CCI ' Loretta P. Weir, Exeoutrix
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DALEY LAW OFFICES
1029 SCBNBRY DRIVE. HARRISBURG, P^ 17109
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NUMBER
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CAMP HILl. PA 1'7011
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IfIRST) IMII-
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,ra TOTAL AMOUNT PAID
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REQ19TER OF WILLS
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RECEIVED BY/.I, ,'V ~,(_ ilO~"Mi ,(..;I ,.!: (. '1
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nE~IBTER OF WILLA !'
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OW
REMARKS
1.IlRETTA P. Wl':IR
SEAL
r.~ir::CKIl 011
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CERTIFICATION OF NOTICE UNDER RULE 5.61al
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Name of Decedent I Mildred M. Keene "11,
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Date of Death I December 23, 1993
Will No. 1994-00051 Adntin. No.
To the Registerl
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IT\
I cer.tify that notice of benefiQial 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\pril <;. 1994 I
~
Address
Marion Filson 590 pleasant View Road, Lewisberry, PA 17339
Ruth Mellon
94 Shell Street, Harrisburg, PA 17109
4 Ray10n Drive, Apt. J.t Baltimore, MD 21236
Helen Ilioff
Loretta P. Weir 13 Highland Drive, Camp lIill, FA 17011
Fred Farley
13 Highland Drive, Camp Hill, FA 17011
4933 Lancaster street, Harrisburg, PA 17111
Melissa Weir
Notioe has now been given to all persons entitled thereto under
Rule 5.6(a) except
Datal {i/V~~ S. I qtji.f
, ,
Kathl en Carey D a, q.
Attorney No. 3007
1029 Scenery Drive
Harrisburg, PA 17109
(717) 657-4795
Counsel for Personal Representative
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COMMONWfAlTH Of PfNNS'1'LVANIA
DfPAUMfNT 0' ~lVfNUf
om, 2.0601
HARRISIURG, PA 1112',0601
J LI -~ I ~ if -. !
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
u..u'S'
NUMBER
V
'OROATIJOPDIATHAnU.2131/91 CHICKHIRI
" A .'OUUL
'OVIRTY CRlDIT .. CLAIMID 0
PILI HUM.IR
Af,' HOO f.(+ (11.911
1. R.a1 E,Ial. (Schedule A) I 1)
2, Slackl and Band, (Schedule B) ( 21,
3, Clollly H.ld Slock/Partne"hlp Inler"IISchedul. C) I 31
4, Mortgagol and Naill Rerolvable ISch.dule D) I 41
5, COlh, Oank O.palll, & MII"lIaneoul PerIanal Property{ 5)
ISchedule E)
/>, Jolnlly Own.d Property (Schedule F)
7, Tran"." (Schedule OJ (Schedule l)
8, Tolal Grou Auell (Iolallln.. 1.7)
9, Funeral exponlll, Admlnlllrollve Ca,", Mllcellaneoull 91
Exp."" ISch.dule HI
10, O.bll, Mortgage llablllll.., lions (Schedule I) (10)
11, Tolal Deductions Ilolallln.. 9 & 10)
12. N.I Valu. of Ellale (line 8 mlnullln. 111
13, Charllable and Governmenlol Bequ,," ISchedul. J)
14, N.I Value Sub ect 10 Taxlllne 12 mlnullln!.13)
15, Amounl of IIn. 14 laxablo 016% rol.
IInclude valu.. from Schedul. K or Schedule M,)
I/>, Amounl of line 14 la.able 01 15% rol.
(Include valu.. from Schedule K or Sch.dule M,I
17, Principal 10. due (Add taxlram line 15 and from line 1/>,1
l~, Credill Spoulal '()~eaO Credit + Prl~r3P~mJ'~' + f:'l~~
19, II IIn. 18 II grealer Ihan line 17, enler Ihe difference on line 19, Thl. II Ih. OVERPAYMENT.
gO
20, II line 17 I, 9reollr Ihan line 10, enler Ih. difference on lin. 20, Thll II Ih. TAX DUE.
A. Enler th. Inler..1 on Ihe balon" due on lin. 200\,
0, Enler Ihe 10101 of line 20 and 20A on line 200, Thllll Ihe BALANCE DUE.
Ma~e Ch..~ Payable tOI Regl.ter of Will., Agenl
.. H IU.. TO ANSWD AU QUIloTlONI ON REVIMII SIOI AND TO IICHICK MATH."
Under penahl.. of p.rjury, I d.clar.lholl have examln.d thl. ,.Iurn, Iflcludlng accompanying Ichedule. and 1I01.menll, and to the bell 01 m)' ~nowl.dge and b.llef,
II II ""., correct and comple'l, I d.clar. that all r.ol ellole hOI b..n report.d 01 true market value, Declaration 01 prop are, other Ihon 'hi p.rlonol '.prelontoll"e II
baled on all Infclrmallon of whIch pr.parer hal on)' ~nowl.d9"
lliiNiluifOI m50N lU'ON5IIIE 'OR "lINO RElUIN AODIE55 DATE
tJ" \'J') - {J' /
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~N A DATE
. _ I dill' LLu.w.h1.I:&, ()I~ 1)/0"- B Ii.-.. '\</
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, AND MIDDlE INlTIAll
COUNTY COD!
'UENT'S COMPLETE ADDREU.
Keene, Mildred M.
mrlmiRlfY NUMII! ~~AffOniAlH
027-75-5340 112-23-93 110-28-07
5:11. Orl91nol R.lurn 0 2, Suppl.menlol Relu,n
o 4, limited Ellale rJ 40, Fulure Inl""1 Comp,oml"
(fa. dol.. of dealh ok" 12.12.82)
[gJ 6, OlCedenl Olod T..lole 0 7, Oecodenl Malnlalned 0 Living Trull
Allach co of Will (Alloch co of Trulll
AU COUIII'ONDtNCI ANO CONPlDINTfAL TAlUNPOIMATlON SHOULD II DJRIClID TO.
M I INO ACORUS
237 S. 15th Street
Camp Hill, PA 17011
Cumberland
Count
o 3, Remolndor Relurn
(for dalol of dealh prior 10 12.13.821
o 5, F.deral Ellale To.
Relurn Required
.Q. 8, Tolal Number 01 Sol. DopoIIIOa...
'ka~~ieen Carey Daley, Esquire
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Daley Law Offices
1029 Scenery Drive
Harrisburg,'PA 17109
UQ ) 657-4795
85,000.00
O. 00
0.00
0.00
112,597.62
%
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161
I 71
0,00
0.60
17,817.25
7,519.35
( 8)
197,597.62
(11)
(121
(131
(14)
25,336.60
172.261.02
0.00
172,261.02
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(16)
172.261.02
25,839.15
x .15.
(17)
25,839,15
Inlertll
24,150.00
(IU'(~ hl'II' if you (Ill' Il'IIIII'\'"'1U (I It"und Of,VOlIf OVt'lflUVIllt'1I1
(101
(19)
(201
(20A)
1200)
1,689.15
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PLEASE ANSWER THE FOLLOWING QI,JBSTIONS BY' PLACING A CHECk MARK (1"') IN THI:
APPROPRIATE BLOCKS. , ,
1. Old 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 lis Income,
c. retain a reversionary Interest or ...t.t't"'ot...ot,""...~.......t."t.......,.t'tf.tt.ftl....t.......
d, receive the promise for life of either payments, benefits or care? ......................,
2. If death occurred on or before December 12, 198~, did decedent within two years
preceding death transfer property without receiving adequate conslderatlonV If death
occurred after December 12, 1982, did decedent transfer property within one year of
death without receiving adequate conslderatlonV .................................................
3. Old decedent own an 'In trust for' bank account at his or her deathL....................
VII NO
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, IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE R,ETURN.
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LAST WILL
OF
MILDRED M. KEENE
I, Mildred M. Keene, now domiciled in Cumberland County,
Pennsylvania, declare this to be my Last Will. I revoke all other
wills and oodicils that I may have previously made.
Article I
My just debts and expenses of my last illness, funeral, and
administration of my estate shall be paid by my Exeoutor from the
prinoipal of my residuary estate as soon as praotioable after my
death.
Article II
All inheritanoe, estate, and succession taxeB (including
interest and penalties thereon, but not inoluding any generation
skipping tax) payable by reason of my death shall be paid out of
and be oharged generally against the prinoipal of my residuary
estate without reimbursement from any person. This provision is
not a waiver of any right which my Executor has to olaim
reimbursement for any such taxes which become payable as the result
of any property over which I have the power of appointment.
Page One of Five
"
I
,
Article III
~
I give, and bequeath, the sum of Two Thousand
($2,000.001 to my nephew, Fred Farley. I hereby direct that this
bequest may be used for social and recroational purposes only and
may not be used to provide tor. his basi.c noeds.
I give, and bequeath, the Bum of Two Thousand Dollars
($2,000.00) to my niece, Melissa Weir. I hereby direct that this
bequest may be used for BoaJ.al and recreational purposes only and
may not be used to provide for her basic needs.
I give, and bequeath to my niece, Marion Filson, my mother's
diamond ring.
All the rest, residue and remainder of my estate I give,
devise, and bequeath, in equal shares, to my sisters, Ruth Mellon,
Loretta P. Weir I and Helen Ilioff, provided they survive me by
thirty (30) days. In the event that any of my sisters should fail
to survive me, her interest in my estate shall be paid to my
remaining living sister or sisters.
Article III
In addition to the powers conferred by law, I authorize my
Exeoutor, in his absolute discretion:
(a) to retain in the form received and to sell either at
public or private sale, any real E'Istate or personal property except
that which I specifically bequeath herein,
(b) to manage real estate,
Page Two of Five
(c) to invest and reinvest in all forms of
being confined to legal investments, and without regard to the
prinoipal of diversification,
(d) to exercise any option or right arising from the
ownership of investments,
(e) to compromise claims without court approval and without
consent of any beneficiary,
,
(f) to file any federal income tax return for any year for
which I have not filed such return prior to my death,
(g) to make distributions in cash or in kind, or in both, and
to determine the value of any such property,
(h) to employ any attorney I investment advisor, or other
agent deemed necessary by my Executor; and to pay from my estate
reasonable compsnsation for all their servioes, and
(i) to conduct along with or with others, any busineBs in
which :r am engaged in or have an interest in at the time of my
death.
Article V
I nominate, constitute, and appoint Loretta P. Weir, Exscutrix
of my Last Will and Testament. In the event of her renunciation,
death, resignat.i.on, or inability to act for any reason whatsoever
as my Executrix, I nominate, constitute, and appoint Helen Ilioff,
to act as my Executrix. I hereby relieve my Executrix, whether
Page Three of Five
, .
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f\ . 'I
.' original, subst1t'lte, or successor, from the necessity of ..!ii,
security i~ connection with her duties as such in any
in which she may be called upon to act so far as I am able by law
to do so. My Executrix shall receive reasonable compensation for
services rendered to my estate.
IN WITNESS WHEREOF, I, Mildred M. Keene, hereby set my hand to
this my Last Will, on thiA .2 ~ day of ~ , 191!, at
Harrisburg, Pennsylvania.
7J1~ hI ~
MILDRED M. KEENE, TESTATRIX
In our presence, the above-named 'restatrix signed this and
declared this to be her Last Will and now at her request, in her
presence, and in the presence of each other, we sign as witnesses.
.~ {r.m:
-. ~~ 0. '
~j
A~ess
IIC:r1 ~7' ~cJ~ 17/0;-
lail.ku,RM../ f-k, dl!f III 71!)Cj
" / U ~
I, Mildred M. Keene, Testatrix, who signed the foregoing
instrument, having been duly qualif ied according to law,
acknowledge that I signed and executed this instrument as my Will,
and that I signed it willingly as my free and voluntary act for the
purposes therein expressed.
Page Four of Five
','
RIV.tl02!X+ 112'.'1 l I
cOM~~~<<(~=,~~j~~NIA:~~f~~tl T~
UTAU O. ----~''',' . "~""'"'"""'~._~-';[. .,.... ~'-~'"'""
Mildred M, Keene 1994-00051
l',oporty lolntly-:'wnod with Ri;ht~i Su,yi;;;;j;ip nl~;ih;-dT.~i;~;d'-n Sch-;dulo') Aii-,-;;I;;j;;;;-;';~iii.-o-;oportod;;j fal, ;~~k.l~olu.
which I. doffnod a. th. prill at which p,oporty would bo ..changod botw..n a willing buy.. and a willing 101111, nolth.. bolng campollod
to but 0' IOlIr~~~!.~i!!g_r!a.!~""!!_~~o:'.'.lo_c!,.!_!f_lloo~'I.!Y_a.~!!o!!!~_.._..__._.___ _ '. ,_-'-___.. on__.. ,...... ._.____._...~.__,
_ Na~~~_J__._________ DESCRIPTlON,.._ VA~~ED~lMTe
I. 237 South 15 th Street ....--.--,.....- r 's5','66b, 60
Camp Hill, PA 17011
(see attached settlement sheet)
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203 SI'I.la~'I'mp, Doed 5 050, 00,""or108Uo $ 050.00
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SAVINGS CLOSING WITHDRAWAL ACCOUNT NUMOCA
01- Ii q~ ':5 I
DUE 19
uN\.. lWl'\'0(c.-"
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TITLE ..1 /, - /,/,' .
SIGNATURE '....' " ' " , ,0' .' c.~, I.,,' J)
8.46<)
NON.N EGOTIA8LE
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and Trust COrrlxnf
STSAV CLOSING
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CUSTOMER'S COpy
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ACC:?~NO? SAVINGS
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I EQ /I 1732 TLR II 09-0070 FEB03-94 ACCT II 8 E01208887
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THE USFIGCOMPANIES
150151
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CHECK NO.
701182882 I'
8AP I PLD
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PAY NINE POLLARS AND NO CENTS
TO THE ORDER OF
11111I11111111I11I1111I11
MILDRED M. IUEHE
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03122/84
CHECK AMOUNT
................8.00
237 8, 11TH ITREET
CAMP HIll. PA 17011
Flrot NIUonl1 Sink 01 Mlryllnd. D,C.
Withington, D,C,
;;p~
AUTHOZr--
III?or.821:182111 1:05a.00~58ql:
~ 5 511lq 500 811'
THE
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COMPANIES
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70704588
8AP I PLD
.... MIlt _I' _. _~ lllOt
PA Y ONE HUNDRED EIGHTV DOLLARS AND NO CENTS
TO THE ORDER OF
11I11I11I11111I1111111111
IIILDRID II, KIEHl
DATE
04105184
CHECK AMOUNT
..............180.00
137 S. 11TH STREET
CAMP HIll. PA 17011
~=-
Firat NIUonl1 Sink 01 Mlrylln<l. D,C.
Wllhlngton, D,C.
III?o?oa.Sqr.lI" ,1:05a.00~58ql:
~ 5 Slllq 500 811'
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II I AMOUNT
, WILL PAY SEVEN AND 5S/100 DOLLARS * * * * ., * * * * * * * * * * 1$7.58* * * *
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DATE
04/07/94
SAMMONS COMMUNICATIONS OF
4601 SMITH STREET
HARRIS8URB, PA 17109-1597
I ]
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TO THE KEENE, MILDRED M
ORDER
OF
237 S 15TH ST
ICAMP HlbL. PA 17011-5604
PA., INC.
gys, I 'EA'" I
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NatlonlBank
W"MAf,lll'. T"_""6301
171841
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DAVS
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SUSQUEHANNA SURGEONS L TO,
e32 N, FRONT STREET
WORMLEYSBURG, PA 17043
PENN8VLVANIA NATIONAL BANK
1002 N nH ST"IIET '
HARAI8BUAQ, PA 11102
64).7301313'
104311
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19 ADr 94
6~b~~6'iJE Mildred Keene $U."**37.47i
Thirtv-seven and 47/100............................................... OOL~f
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237 South 15th Street
Camp Hill, PA 17011
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FD r J e , CHEVROLET, INC.
3400 Harlzdala Orlva at Capital Cltv Mall Orlva' Camp HIli, PA 17011' Phona 17171781.0800
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-::07:-,\(' ,,i:--v--, / f \ .- ( -
C "./1'...." )~\( ....'(' 1'(
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Musselman's
JEWELERS
3588 Capitnl City ~Iall, Camp lIill, p,~ 17011
m~tl1 ts to rrrtlfy that we hnve Ihls dny of F'ebruary 22, 1994 carefully
examined the following listed and described articles the property of -
M Elmer lveir
Address_..-l.:LH!(.hl:;nrl flri"", r'"'"r 111]1, ph 170]]
These eSllmated r~plncement costs are based only on estimates of the quality of the stones
(unless specifically stnted that the stones were removed and graded)
DESCRIPTION OF ARTICLE
VALUE
One ladies ring set with a European cut
diamond measuring 4.6 X 3.lmm weighing .42ct.
This diamond grades GIA H-l in color I VVS2 in
clari t}'. The diamond is mounled in a 14kt
yellow gold miracle setting.
ESTATE VALliE
$675.00
The foregoing appraisal Is made and accopled upon the express understAnding th.t NO
LIABILITY lIr responsibility Is Incurred by the appraiser In giving same.
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COMMONWlAllH 0' PINNSYlVANIA
INtl!AllANCr TAX A!lUAN
, AUlOrNf DECIO!N!
L SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Please Print or Tvpe
FILE NUMBER
1994-00051
ESTAYE OF
Mildred M. Keene
ITEM
NuMBER
A. Funeral bpens..,
1. Neil Funeral Home
2. Luncheon
DESCRIPTION
AMOUNT
7,100.00
414 . 48
B. Admlnlllratlv.. COlhl
1. ' Perianal Roprolonlallvo Commllllanl (Waived) Waived
Social Socurlty Numbor of POllonal Roprolonlallvo'
Yoar Commllllonl paid
2. AlIornoy foOl 9,891.35
3, Family Exompllan None
Claimant Rolallonlhlp _
Addroll of Claimant at docodont'ldoalh
Slrool Addroll
Clly Stalo Zip Codo_
4, Prabalo FoOl
C, Mlscollan.ous bp.ns,sl
1 Advertisement of Gran t of Le t ters
' .
2. Fi ling Fee . Inheritance Tax Return
3; Additional Rhort Certificates
TOTAL lAlla ontor on IIno 9, Rocapllulallan)
S 17,817.25
(If mort .pault ""d.d, 'nll,t addll.lanal t~..lt af lomt tht'
"'0',11121..,10161 l':
. ~~~
(OMMOHWIA\ltt OJ HNNS"V4HIA
INHUI!UH,;f "', U'UUI
mlDIHr~fClorNI
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABLlTlES AND LIENS
ESTATE OF
~UMBER
1994-00051
Mildred M, Keene
ITEM DESCRIPTION
NUMBER AMOUNT
1. Elmer C. Weir 45.00
2. PP&L 58,52
3. The Bon Ton 13.52
(credit card account)
4. Sears Roebuck & Co, 21. 08
(credit card account)
5. Dauphin Deposit Bank 231.45
(credit card account)
6. Pennsylvania American Wat~r 22.38
7. Bell of PA 42,03
8. Keys tone Oil 151,08
9. PP&L 15.10
10. USF&G 189.00
(homeowner's insurance)
11. Sammons Communications 38.64
12. Waste Management 46.26
13. Eric B. Popsky, D.M.D, 24,00
(services rendered)
14. Bart Union Burial Assoc. 4.04
15. Anne M, Markley, Tax Collector 326.22
(1994 real estate taxes)
16. F&GlU 180.00
(homeowner 's insurance)
17. PP&L 30.95
18. Bell of PA 19.83
19. Pennsyl vania American Wa ter 8.19
20. Bell of PA 19.93
21. PP&L 27.27
22. Pennsylvania American Water 10.54
23. Waste Management 46.26
24. Real estate expenses, commissions, taxes, etc. 5,678.96
25. Bell of PA 19.83
26. PP&L 19.01
(final bill.)
27. Pennsylvania American Water 7.26
(final bill) 128.00
28. Elmer Weir
(lawn maintenance, etc.) ,
29. Loretta Weir . 95.00
(removal of household goods)
TOTAL (Alto .nlor on IIn. 10. Rocapllulallon)
(II mort 'poco II n"d.d int.ri oddillonal ,h.." a' 10m. .i"l
$ 7,519.35
REV-1547 EX AFP (08-94*
COMMONWEAL TH OF PEHNSVLVAIlU ,
DEPARTHEHT Of REVEHUE
BUREAU OF IHDIV1DUAl TAKES
DEPT. 280601
HAIHUSlURQ, PA 171Z!-0601
mAT! or KEENE MILDRE - - M- -- FILE NO.
DATE OF DEATH 12-23-93 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FDRH WITH YOUR TAM
PAYHENT TO THE REGISTER OF WILLS. HAKE CHECK PAYA8LE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT Tal
.' '....
)1/ - /,1,/ /
NOTICE OF INHEHITANCE TAM
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAM
ACN
KATHLEEN CAREY DALEY ESQ
DALEY LAW OFFICES
1029 SCENERY DR
HBG PA 11109
o
101
DATE 12-19-94
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AMou~ RloIUld I
CUT ALONG TH19 LINE ... RETAIN LOWER PORTION FOR YOllR RECORDS ....
R"EV: i slii -! j{" AFii - roa-:94 Y - NoYi c r -6 F -YNH! ifi f ANC! - YAX" A"P" PitA" i siifENr; - Ai.l"6wAiic! - 'OR - -- -. - -- - -..." -.-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ISTATI OF KEENE MILDRED M FILE NO. 21 94-0051 ACN 101 DATE 12-19-94
If In ..a,aament wla iaau.d previoualY, line. 14, 15 and/or 16, 17 Ind 18 will
r.fl.ot figure. that includ. the total of MJ.. returna .......d to dat..
ASSESSMENT OF TAXI
IS. AMount of Linl 14 at SpoulIl rata (Ii)
16. AMount of Linl 14 to.ablo at Linall/Cla.. A rlta (16)
17. Aaount of Linl 14 to.alIla at CoUlhral/Clou B rata (17)
18. Prinolpll Ta. Dua
TAX CIUDITSI
PAYHENT
DATE
03-05-94
08-22-94
TAM RETURN WAS I I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
I, Raal E.hta ISohldula A) III
2, Stookl and 80ndl (Sohldula 8) 121
3. Clouly Hald Stook/Porlnlrlhlp Inhr..t I Sohlduh C) Ul
4. Hortgagll/Noll' Raoal.lbla (Soha~ull 01 (4)
S. C..h/elnk Dapo.ltl/Hllo. Parlonal Proparly ISohadula EllS)
6. Jointly Ownad Proparty ISohad"la FI l&l
7. Tran.flr. (Sohldula 0) (7)
I. Toto! AlIOto
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funaral E.panll./Ad.. Co.Io/Hllo. Expanl.. ISohaduh H) (91
10. olbh/Hortgagl LiabUHlu/Lhnl ISchadula I) (10)
11. Total Daduotlonl
12. Nat Vllua of Ta. Rlturn
15. Chorltabll/Govarn.anhl 8lnua.to (Sohldulo J)
14. Nit Valua of Eltoto Subjaot to To.
NOTEI
RECEIPT
NUH8ER
XA856020
MH912845
DISCOUNT 1'1
INTERF.ST 1"1
1,210,53
.00
) CHANG Q
rr ~:.
," t::l
85.0bO'.00 n
;~ .00 ~
'". ,DO
I) JOO ~;.'l
112.SZ~6Z -t':
1>~00 ..:J
.00
III
17,S17,25
7.519,35
Ill)
Cl21
1131
Cl4)
,OOM'OO.
,00 M' 06.
172,26i:":D2 M ,15.
(11)
AHOUNT PAID
23,000,00
1,689,15
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INUREST
TOTAL DUE
r-..
::0
(~ 8
..,-,
~'\. 0
~11 n~
" '}
,
("I ...,
. " ~ l'
..;~ \','
~1~ (l.
""
(1)0
~.
197,597.62
2S.B6 6n
172, 261. ~
,00
172,261.02
,00
,00
25,839,15
25,839.15
25,899.68
60.53CR
.00
60.53CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FD~ CALCULATION OF ADDITIONAL INTEREST,
S- ,.v{" .,;1. ".....,
I IF TOTAL DUE IS LESS THAN II, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "C~EDIT" IC~I, VDU HAY IE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSnUCTIONS.)
,.., '.
Af:SERYAlIONI Eltltll of dlCldent, dVlnt on or b.for. Dlo..b.r 12, 1912 u If any future Int.rllt In tt,. ..t.tl II 'tranlflrr"
In pOII.ulon or .n:lov.ent to ClIu I (coll.t.r.U bln.flel.rlu of tht dlo.dlnt Ift.r th, IlCplrltlon of any "t,te 'or
lIflor for Vllr., the Cotlonw,a1th h.r'bY .)Cpr'"h r...ry.. thl right to Ippr.l.. Ind ...... trtnlf.r Ir,hlrlt.no. TlMII
"t the Ilwful Clo.. a Ccolhterll) rat. on any tuch future Intlr..t.
PWlPOSE OF
NOTICE I To fulfill the ruqulrt..ntl of Slc\1en Zl~O of thl Inhlrltancl end Eltlt. Till Act, Aot 22 of 1991. 7Z P.$,
S.otlon lUO.
PAYHEHT,
D.tlch the top portion of thl, Notie. and lub.1t with your p.y.ent to the R'lIltt.r of Wills printed on thl rlv.rll llde.
--Hak. ch.ck or 'OMV' ordtr p.vabl. tOI REOXSTEA OF HILLB, AOEHT
All PIY'lnts rle.lY,d Ihlll flrtt b. appllld to "ny Int.r..t which .IV b. dUI with MY rt..lndlr Ippll.d to the tI..
REFUND (CR)1 " refund of I talC cr.dit, which WI' not requ..tld on thl talC R'turn, IIY b. rtquttttd by co.pl.ting _n "ApPlIe.tlen
for Refund of Plnn,y!...,"!_ Inherltanc. and Eltate Tall" IREY~13U)' Appllcttionl.rI "YIllabl..t thl OfficI
of the Rtght" of WIlIt, tny of tto. 2] ReYlnu. Dlttrlct OfficII, or by c.lIlnll the .plcJIlI I~~.hour
Inlwlrlnll ..rylc. nU.btrl for 'or.. ord.rlnYI In P.M.yIv_nJ_ 1-800.562-2"'50, ouhld. P.Mulv.nh end
..lthln 10011 Hlrrhburll .r.. (117) 7A1.a09~, TOOl (717) nZ~22SZ (Hllrltlll 1~lllr.d Only),
OBJECTIONS I Any p.rty In Int.r..t not ..thftld w1th thl IPprth...nt, IUewene' or dl..llOWlMt of d.ductlonl, or ......lInt
of 'Ill (Inolvdlng dheovnt or Intlr..t) II .hown on thh NaUo. lust objlot within Ibty (60) dlYI of rio.lpt 0'
thh Notlc. bYI
.....rltten pro tilt tf'l thl PA D.pert..ent of RIYlnUI, loard of Apputc, DEPT. 281021, t1lrrhburl, PA HUI.IUI. 0"
.....l.otlon to hlVI the utt.r d.Urtln.d .t audit of thl account 0' thl p.r.on.1 rlpru.ntaUvl, OR
.....pp..l to thl OrPh.nl' Court,
AOItIH
ISTRATlIIE
ClIAAECTlONS.
Flctu.l error. dltcoYlrld on thlt ........nt Ihould b. .ddr....d In wrltlnll tOI PA D.pert..nt 0' R.Y.nue.
Burllu of Indlvldull TlleU, ATTNI PInt A.......nt RIyl.w Unit, I)[PT. 280'01. Hlrrltburll, PA 11128-0601
Phon. (17) 787-6505. S.. PIli' ] of the bookl.t "InlltruotJonl fllr Inhlritano. Tllll RlIturn for I R..llSInt
D.udtnt" CREIJ.l!OI) for .n IllphnltJon 0' adlllnhtrttlvlty corrtctftblt .rrOrt.
O!SCOIMT'
If any tile due It plld within thru (]) Cll.ndlr tonth. ,ftlr th. daudlnt', duth, . fly. perclnt 15:<) dhoount of
the t.M Plld It _Uo..ed.
INTEREST I
Int.,..t II ohargod ballMlng wJth flrlt d.y of d.llnquenov, or nlM (9) ItOnth. end one (1) d.y frat ,he detl of
delth, to the dati of PIVMnt. Till.. .....hh ble... dllInqulnt blfor. JlOOtrV I, lUZ b..r Jnt.,..t It thl rlh 0'
Ih 16;() Plrcen' plr IIMUI calcuhttd .t I dilly rlt. of ,OOOI6~, All till.. which b.o... delinquent on and Iftlr
Jlnuarv I, 1912 will bllr Interllt lit I ntl which ..Ill vlry frol o.l,ndlr vllr to cIl.nd" Vllr with thet rete
Innouneed bV tht PA Depart.tnt of RIYlnUI, Thl .ppllclbll Inter..t rat.. 'or 19aZ through 1994 Irll
~ Intlr..t Rite ~y Intlrllt Flotor :!!!r Inttr..t Rttl 0111. tnter..t Flotor
1912 lOX .0001\1 1916 lOX ,000174
1915 I6X .000651 1911 9X .000161
1916 IIX .000501 1916'\991 IlX ,000lOl
1915 UX ,000551 \992 'X ,000161
I"H994 IX .000192
1995 'X .000161
"-Intlrl.t I, c,lculattd .. follOWI'
INTEREST . BALANCE OF TAX UNPAID X NU"IER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
."Any NoUn IlIured liter thl tlM bIclOlMtI HlInquent will refl.o' an Interllt otlcuhtlon to ,lftlln (II) dlY'
blWond thl diU 0' thl 1""INnt. If PI",,"t 11 .Idt ,ftlr 'hi Internt oOllPUttUon dltl lhown on thl
Noth., Iddlt10nll Inttrllt IUlt b, ulcul,ttd,
~7 EX AFP ~12-9~l.
CO~AlTH OF PENHSilVANIA
DEPARTNENT Of REVENUE
BUREAU OF INDIVIDUAL TAMES
DEP!. 2I06Ol
HARRISBURG, PA 17121-0601
/</-IP<j- 1
ACN 101
~
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 02-13-95
KEENE MILDRED M FILl NO. 21 94-0051
DATE OF DEATH 12-23-93 COUNTY CUMBERLAND
NaTE. TO INSURE PROPER CREaIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF TNIS FORH WI TN TOUR TAK
PATHENT TO THE ADDRESS SHOWN. HAKE CHECK PAVABLE AND RE"IT PAYHENT TO, ,
KATHLEEN CAREY DALEY ESQ
DALEY LAW OFFICES
1029 SCENERY DR
HBG PA 11109
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
A.aunt R..ltltd
I
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~
REV: ilib'i"Ex' 'AF P - - i 1'2"-"94 Y" -,"", ii ii ii -iNHER i TANe!" TAX- "sT"AYiiiEtif" iiF- AifcouN'f'"iiJiiiu - ......... -- - -, -, --
!BTATE OF KEENE MILDRED M FILE NO. 21 94-0051 ACN 101
THIS STATE HEN,. IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED
ESTATE. ,SHOWN BELOW IS A SUHHARV OF THE PRINCIPAL TAK DUE, APPLICATION OF ALL PAV"ENTS,
THE CURRENT bALANCE, AND, IF APPLlCABLE, A PROJECTED INTEREST FIGURE.
DATI 02-13-95
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 12-12-94
PRINCIPAL TAX DUEl
25 .839 .15
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
03-05-94
OS-22-94
01-30-95
RECEIPT
NUMBER
XAS56020
MM912845
REFUND
DISCOUNT (+)
INTEREST (-)
1,~10,53
.00
.00
23,000.00
1,689.15
60.53-
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
25,839.15
.00
.00
.00
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DlJE IS LESS TNAN U,
NO PAVHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI,
YOU HAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
14 .,
~?
IT'
tt' I)
~! I
, (.
t9.
~o :xl
<1l11l
(00
.."..,
\'~ 0
." (,
~ ,I.
:.c
~
I
\,oJ
~::' .
"
PAVHENT,
D.tten tht top portion of thlt Notlel and .unlt ~lth >>our p.y..nt lid. plvlb1.
prlntld on thl r.~.r'l Ildl.
;a
o
o
-I
to the n"1 Ind Iddrl,1
(
I.. ( )
n
, :1Jc;
:t'~
.... '
::::.!',
(if 0
_.
If PESIDENT DErEDENT .... chICk or .on.. ordor p...bl. 101 REGISTER OF WILLS, AGENT.
If NOH'PUIDENT DECEDENT ..k. chICk or .on.. ordor p...bl. t., COHHONIIEAL TH OF PENNSVLVANIA,
All plv..nt. rec.lv.d Ih..ll b. l$)pU.d fir.t to My Int.rut which I'V be dlM with Inv r...J,..dtl' appUed to ttMI tllC,
REFUND (CAh A re4und of .. tal( orldlt, which wal not r.qu..t~ on the TIlII R.turn, I'V b. r.qu.lt.d bv eOlPltUng In
"AppllaatJon for A~fund of p.nn.vlvanla Inhlritanca and Elt~te TIM" (REY.l]I!). Application. ar. IVIllebl. at
the Of fie. of the Rlgltt.r of Willi, any of the Z3 R.v.nue Dlltrlot Off 1011 or frol the D.part.lnt'l 24.hour
,"Iw.rlna 'Irvlo. nueblr. for fori' ord.rlng. In P.nnlvlvlnl. 1-800.362.2050, outlld. P.nn~vlvlnil
end within 100.1 H.rrhburg Ifll (711) 187-a094, TOn. (717) 172-2252 (H..rlng I.p.lrld onh),
REPLY TOI OUlltlonl rlg.rdlng .rror, oontllnld on thl, notic. Ihould bl addr..rld tal PA OIPlrtl'nt of RevtnUl, lur.tu
of Indlvlctull TlIC", ATTNI POlt A.......nt R.vllw Unit, O.pt. 210601, Harrisburg, PA 17I2a.0601, phone
(717l 7INIDI,
DIICOUHTI If InV tllC due h p.ld within thrll (3) olllndlr IIOnth. aft" tha d,ced.ntl. d..th, I flvI PIrCtnt UX) dhcount
of the till p..ld h .11ow.d.
INTEAEITI Internt II chlrgld blglnnlng Hlth flnt d.v 0' dellnquencv, or nine (9) IOnthl Ind on. (1) dlV 'fa thl d.t. flf
de.th, to tha d.t. of plv.,nt. Till" which beolle d.llnquent b.f~re Janu.rv 1, 1982 blar Int.rl.t at the rMt. of
.IM (6X) perclnt per annul a.lculat,d .t I d.llv rata of ,000164. All talC.. which blea.. d.llnqu.nt on and .,ter
Janu.rv 1, 1982 will bltr Inter..t It a rata whloh will vary fro. cllander Vllr to cal.ndar Vllr with that rite
Innouncld bv th~ PA Olp,rt"nt of Rev.nuI. The ."llcablt Inter.at ratal for 1982 through 1995 ar'l
Vllr tnterllt R,t. o.ih tntlrllt F.otor V..r Intarut R.t. Dallv tnt.r..t FlCtor
198! 20X ,0001U 1987 9X ,000247
1981 16X .000431 1911-1991 m ,000101
19" IIX ,000101 199! 9X ,000241
1911 IlX ,000lS6 199]-19~" IX ,000192
1986 lOX ,000270 1991 9X ,000241
....lnttr..t ts oftloulatld el followll
INTEREST . BALANCE OF TAX UNPAID X NU"BER OF OA Y8 DELINqUENT X OAILY INTEREST FACTOR
~"AnY Notlc, luu.d .fter thl tal( bacoI" dlllnquent will nfllct an Interllt cllcuhtJon '0 'iftlln (II) d.~.
blyond the dlt. of thl........nt, If plVllnt Is ..a Ifter the Int.rll' oOllPutatlon de'l .hown on thl
Notl~., tddltlon.l Inter..t IUlt be cllaul.tH.
,
. ....
/
RW-O
&
Register of Wills of Cl.merland County, Pennsy~vania
INVENTORY
ESlato of ~ldr.ed M. Keen~____ No,
also known as Dalo of Death _ l2~23.93
1994~0005l
,Deceased Social Security No. 027~75.53/!O
Pe"onlll Heprountallvalsl of lho nbovo eltoto, dnoBolled, verifv thot \he lIomll appearing in Ihn following l'lvonlurv Inoludo 011
of the patRoonl lUlsols wherever yllUola and all ollhe r8nl oslalaln tho Commonwulth 01 F'ennllvlvftnlft of UIl! Deoadont, thuI
Ihe valuullon "laced Opposlto oaoh lIem of Raid 'nvomarv roprOIlDnts ils lair vBlue as of tho dUltl {II the Dooodollt'y dOlllh, and
Ihut Deoodent owned no rool001810 oUlIldo 01 tho Commonwealth 0' PennsVlvania olCoopllhol whitlh Uppoo'8ln n momorllnuurn
nlthll end of thl. jnl/ontorv, IfWe verilv Ihat the 911110010018 made in Ihll In...sololV ora truD IInd 001l00t. ltWo UndOf!llllnd Ihot
lallo sto1omol118 horoln 0'0 modo 8ubjeol 10 lho pllnalU08 01 18 Po. C,S, SlIollon 4904 'ollllm~ 10 Ullliworn folsilwollOII lu
aUlho,iti08,
Nome ,,'
Anornov:
Poroollul ROP'OHUlllll!iVO:
'-,(' I, ,,1,'/..,'
_~\.Il:!d1:f:'LJ:...~~'./:P__m_. ._._,______..
Kathleen Car~_Qaley, Esquire
30078
102.L~cen~ry Drive
.J!.~rrisbu~~~A _17~~~___.__.__
1.0, No,:
.-------
Onlad
8~16~9/!
Add'1I811:
Tolophon.: (717)~5.7 .4 795
0ll80flplion
Valuu
See Attached
on ',rl
t,"
, ,
, "
1.1
r~)
,
,I 'Ii
" (\
, ,
Total:
IAttach Additional Shools II nODossorVI
'NOTC: The MomollndtJm 01 ,ulullllll olllllde Ihe Commollwulth 01 "lI'lllIVI"""II1I1lIV. al tl111llleclloll olllln pellollallnp'CltllllallVtI, IIlCllllJe
Ihn "lluI 01 olch ilem. bul lueh IlgUlOl I!lUUltt 1101 IIn n.lnl1dnlllfllo thn Inial nllhll hl\lnlllnrv
Descr!pt.\2n
1. Real Property
237 South 15th Street
Camp Hill, PA 17011
Value
$ 85,000.00
2. Cash and Bank Decositt
Dauphin Deposit Bank
Cheoking Acoount
No. 50468537
44,071.32
Dauphin Deposit Bank
Savings Acoount
No. 5313801589
130.00
First Federal of Harrisburg
Passbook Savings
No. 201208887
10,514.85
First Federal of Harrisburg
Certifioate of Deposit
No. 0257145666
20,177.93
First Federal of Harrisburg
Certifioate of Deposit
No. 0257145029
20,282.74
"
,9.00
180.00 .
37.47
7.58
11.73
,1,500.00
15,000.00
675.0.Q.
I
I
!
I
I
,
I
I
I
3. Refund Cheoks
USF&G
USF&G
Susquehanna Surgeono
Sammons Communioations
Bell Atlantio
4. Household Goods and Furnishinas
5. 1994 Ch~vrolet Lumina
G. ~iamond Rina,
Total
1J97,597.t6
,,,;,'1,
- _..~--.- '._'_4 ~ --, -.. _.,.._.___._ .._ ._ _ ._,_ P'_ ._,_,. n. _....~~. .._.___~_~..._..__,..._._ .._.__.._._._._.._~._.._
;;-"-;-('
"', :"';!~~I:~:~t\\~\~lt~~,jilf.:1JI~I:,\\t~~IlfP.j~~"~~~~i~~i\\'\' :h'i" iij!f~I" )~~:~11~'\ :,' I~~(',"" /'!'i' :i'\i{\li!l,IM-i~m'iX;i l\l ~l 'I'
(~N ~~~{~" ,~)t~ ,,' i",::,.,~~Q~.."IAtT"g/: 'Iln....,LVAN Ai, ~ ;J;" :", ,~o}Vll.lw:1,'J~I;\i.
, '\1,! I~(~~' ~!oi!,:i\!':~!; ,;,,;, \1:;\~:,,',i?,i:~\'i~IITM.~~9' ~~"U.. '.. ,. :,., ::', :,",', , ": .:';i W/~:~',;l,ii;,)':I;'\'( I
,.t:~~\':lr,", ?i,{r;I\~~j.!.,,~~~~_I~i.i ~ ~N~I"~V~N.~~ 1~~.~~~tlC.~~ ",~~~~I \'~" ":;;',\':'':\;<~'I:'/;" l'i~IW ~\ . : ,
ACN
!'J ASSESSMENT Il'
II CONTROL ~
NUMBER
RECEIVED FROM:
AMOUNT
DALEY KATHLEEN CAREY
1089 SCENERY DRIVE
101
.1 ,bl:l'i'. n!l
HARRISBURG PA 17109
fOUl HIf( 1010 ~w
SSN oe7~7CH53ltO
IFIRSTI 1M
M
"
COUNTY 0/00/(10
CUl1BERLAND
Ol'ATH
12Ji?3/93
REMARKS
L.. P. WEIR
-~
fa TOTAL AMOUNT PAID _._.-!LIIB9.1!5
PEl
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R~CEIVED BY fL/~jJJ.;-. .
MAny c. l.r:.WIt!
REGISTER OF WIkLS
SEAL
CHECK" 117
REGISTER OF WILLS
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STATUS REPORT UNDER RULE 6.12
"
Name of Decedent I MHdred M. Keene !\ '1"1
,
" ,
Date of Death. December 23, 1993
(
"
Will No. Admin. 1994-00051 " I
No.
.........,
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the follow.lng with respect to completion of
the administration of the above-captioned estatel
1. State whether administration at the estate is compietel
Yes .-!..__ No
2. If the anAwer is No, state when the personal
representative reasonably believes that the administration will be
complete I
J, I f the answer to No. 1 is Yes, state the following.
a. Did the personal representative file a final
account with the Court 7 Yea 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 7 Yes x No
Date.~
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 'tached to this report.
'1
L.-l
l
Kathleen Carey Daley, Esqui
Name (Please type or print)
8i
1029 Scenery Dr" Hbg. , PA 17109,
Address
( 717) 657-4795
Tel. No.
CapacitYI
Personal Representative
x Counael for personal
--. ".'representative
(MAHlrmt/AMJ)
nW-17