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PETITION H)R PROBATE and <mANT OJ<' tETTERS
o?/.-J}-~-~-!4-----:-
h:!/CIle of ___lill'lllLil._~ltn12,f't'Q:r__H__ No,
also klloWII a,l ________._.______ _____.________. To:
, ___________...___ _. I{egisler of Wills for the
__________._~, Deceasec/, COUUIY of _.iJJ.ll!l!2QtinmL_ In thc
Sodal Secllrlty No, .-2Q4-":!11~:1~~L')_._____ Conunonwealth of I'cansylvanla
Thc pctitlon of the nndmlgned respectfnlly represenls Ihl\l:
Your petitioncr(s), who is/nre IR ycars of age or older anlhe exceuUll'_
In the last will of thc above dceedent, dilled ,_.__Ou.lcbor_l!J-t-
and eodlell(s) daled __________.___H_' _ ___ ,_.__ ._________h_____
named
, 19-92-
(\lUl~' rclC\'l1ll1 drl:IIII1~IllIlC~'~. ~',g. rCllllllclilll(lll, dCoull Ill' e\CCUlnr, CIC.)
lJeecndent was domiciled III dealh in.___L!DIQJtrJuncl_..__ ____ COI'IllY, Pcnnsylvanla, with
hJ.a._ last family or principal resideaee at _3.J)CLUf.mollQJl.tJJ.r_H and, (JUlllP If i 11,
P ^ --U.ol~or-_Al1on-.!.J!.Q~mBhip) __,-.__ ____, ___________
(11\1 'trecl, Illlmber IInd llllllh.:lpulil)'l
Dcccndcnl, Ihen --12_-. l'enrs of age, died __J:CUlm\l~L15, , 19 C)l~ ,
at lla] y-S-p:lx.it-l.U.111-pit~-..()mnp-.llillt-J!Jl.-___ .
Exccptas follows, dccedcal did aOllllarry, was not divorced lIad did uot have a child bora or adoptcd
aftcr cxccutlon of Ihe will offered for probale; WIIS IWllhe victim of a killing aad WIIS ncver adjudlcatcd
Incompctent: ___~._______H___ ,,__ _______________________
lJeeendclll al dealh owncd propel'll' wilb eSlllllllled values as follows:
(If domlellcd In I'll,) All personlll properlY $_ ] 0 ,000.00
(If not domiciled la I'll.) I'ersonlll propp-r1Y in I'l'nnsylvllnlll $
(If not domiciled in I'll,) I'ersonlll propcrly in County $
Vllluc of rC1I1 eSlllte In I'cnnsylvanla $ '(;;. O(JO. 00
situatcd as follows: l1s1l1D..lLnnsLLcot__Q,r Orountl locn tnd n t
30g J.Iullcho otor_.llill\c4-_DnllULHJ,J.l, 1'1\ 17QJ,1
WHEREFOI{E, petltioner(s) rcspectfully reql\~st(S) Ihe prQhllte of the lasl will and codlcll(s)
presented hercwith and lhe grunt of lellers._____ 1 os tm,lontury
(lc,llII1lCIlIIlTYl lldllllnl~lrllll(ll\ c,l,n.; ndll1lnlstrallon d.b,n,c.l.ll.)
thcron.
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r-l'! lJOl'th lIfll1nV"1" J.tt4____
Jill i ~flhAi'htmm,_11L_l.7Q22._
.. -----._._-~-_..
------~---.
OATH OF PERSONAL RElJRESENTATIVE
COMMONWEALTH OF PENNSYI,v ANIA .}!:IS
COUNTY OF JWI,:J,\]:;m:,Al!D _________
Thc pctltloner(s) lIbove'lIl1ll1ed swellr(s) or uffillll(s) lhlll Ihe sllllell1enls in lhc forcgoing pctltlon arc
truc and correCI 10 thc best of Ihe knowledge lInd bellcf of pctltioner(s) and that as pcrsonal represen.
tllllvc(s) of Ihe nbovc decedent pelilionel'(s) will well/llllil null' l~dllllni,sJr tbe, l:ft~tC, according to law.
Sworn III or afn.rll1ell fnd subscribed { IJv<</- ~/./_ .ttfr-:~/ (j, ~
befor me lhis _______.25)I...m di~ ofu H m .__..____.Y ~'
AR C :1Uf\~~~'t::~~~~~:gi,~.r . .. ~.____:=~:=~_:~_- -=__~- !
I ~ - I~ 5 ~ (p
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, No. 21 - 94 . 67
Estate .of
DAVID H. ~J~~AIfl"l"I\l1
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW JANUARY 28. 19-'))1-, In consideration of the petition Dn
the reverse'slde hereof, satisfactory proof having been presented before me,
IT IS DECREED that the Instrument(s) dated- ()nl~nhn" 1 q, 1 C)C);J
described therein be admitted to probate and filed of record as the last will of
D..lvld H. Stauffer
'festfltllentnrv
Dnv1 c1 ll. r;1;rl1lffoI', ..IT'.
and Letters
are hereby granted to _
FEES
Probate, Letters, Etc. .,.,.. . .. s-1.Q.O. 00
Short Certlflcates( 4) . . . . . . . . .. S 1? 00
Renunciation ................ $
X-Pages S 9.00
JCP
TOTAL _ S 2~~'88
Flied.... .<l~~~ARY. ?-.a,.19.Q4..,....,...
,T. Hobel't Stauffer (06356)
A TrORNBY (Sup, Ct. J.D. No,)
j.larlco t Square llldp;.
tileohanlosburR:. I'A 1701)1)
ADDRBSS
717M766M9673
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MAILED LETTERS AND ORDER TO ATTORNEY ON 1~28-94.
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Tilis IS III (('nil>, thill dH' illt'lIrlllarillll hell' gi\'t'lI j" lOllt"l (I,' (lillII'd 11c1111 ,111 III i,l'll1.d f('nill\ill\' III dl',1I1I dldy filt:d with IIll' ill;
l.ul:allll'l!islrilt. 'I'll(.' mi,4ill.d <t'rliJil,IIt' will be f.II'W,lldt,d it. lilt' -"'Lilt' Vit,d Itr't"lIl.J., (1IIi!!.' IpI Pl'lllUIIl'1l1 !'ilill~.
WARNING: ilia Illegal to duplicate this copy by photostat or photograph.
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COIIMO~WIALTH OF PI~N9VLV~NIA . OIPAATMINT OF HIALlH. VITAL RICORO'
OERTlflCATE Of DEATH
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REVolIJft7 EX AFP (01094*
COlllOHlIEAlll1 Of PfHHSVlYINIA
IlEPIIITItENT Of REYEHUE ,
SUREAU OF INDIYIDUAl TlkES
1lEP!. ZI0601
tIlRRISlIJRO. PA 17128'0601
ACN 101
HOT ICE OF INHERITANrE TAX
APPRAISEHENT, AL~OWAHCE OR DISALLOWANCE
OF DEDUCTIONS 'ND ASSESSHENT OF TAX
DATI 11-28-94
FILE NO.
DATE OF DEATH 01-15-94 COUNTY CUMBERLAND
HOTE I TO INSURE PRDPER CREDIT TO VOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITtI VOUR TAX
PAVHENT TO THE REOISTER OF WILLS. HAKE CHECK PAVABLE TO "REOISTER OF WILLS, AOENT"
REMIT PAYMENT TOI
J ROBERT STAUFFER ATTY
MARKET SQUARE BLDG
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CD COURT HO~SE
CARLISLE, PA 17013
L A.ount R..Ut.d i
CUT ALONll THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ...
nv: isW"ii{"AF p"Oi OS: 94 T - iloT i eni;; - INfiiiiifAiici"TAx "iili piliii sii1iilr;" At i.."owANc i- OR...."" - on. - 0""..
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ISTATI OF STAUFFER DAVID M FILE NO. 21 94-0067 ACN 101 DATI 11-28-94
TAX RETURN WAS I (X I ACCEPTED AS FILED () CHANOED
RESERVATION CONCERNINO FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1. R.al Eat.to (Soh.dule A) (11
2. Stook. .nd Bond. (Soh.dul. BI (2)
S. Clo..ly H.ld Stock/Partn.r.hlp Int.rut ISoh.dule C) (5)
4. Hortg..../Hot.. R.c.lv.bl. (Sch.dul. DI (4)
6. C..h/Bank D.po.lt./HI.c. P.r.on.l Prop.rty (Sch.dul. E) (6)
6. Jointly OWnod Prcp.rty ISch.dul. F) (6)
7. Tran.f.r. ISchodul. 0) (71
B. Tot.l A...h
83.900.0Jl.
2.711.99
.00
.00
9.433.68
.00
.00
96,045.67
(8)
APPROVED DEDUCTIONS AND EXEMPTIONSl
20,593.67
9. Funer.l E.p.n.../Ad.. COlt./HI.c. E.p.n... (Sch.dul. H) (9)
10. D.bh/Hortg.g. L,I.bI1IUu/U.n. ISoh.dull 1) (10) 425.84
U. Totol D.ducUon. IU)
12. Net V.lu. of T.. R.turn (12)
15. Ch.rltobl./Oov.rn..nt.l Boqua.h (Soh.dul. Jl IlS)
14. Net V.lua of htoto Subj.ct to To. (14)
NOTEI If.n ........nt w.s i..u.d pr.viously, lin.. 1ft, 1S .nd/or 16. 17 .nd 11 will
r.fl.ct figure. th.t include the tot.l of ~ return. .......d to dat..
ASSESSHENT OF TAXI
15. Aoount of Lln. 14 .t Spou..l r.t.
16. Aoount of Line 14 t..obl. .t Lln..l/Cl... A r.t.
17. A.ount of Lln. 14 t...bl. .t Coll.t.rol/Cl... 8 r.t.
18. Prlnolpol To. Du.
TAX CREDITS I
PAYHENT
DATE
07-29-94
'1 .OlQ li1
75,026.16
.00
75,026.16
IlS)
(16)-
1171
.00 X .00.
48,209.45 X .06.
26.816.:11 X .15.
(18)
.00
2,892.57
4,022.50
6,915,07
RECEIPT
HUH8ER
MM886353
DISCOUNT
INTEREST
(+)
(-)
.00
6,915.07
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
I'lTEREST
TOTAL DUE
6,915.0"
.00
,00
.00
o IF PAID AFTER DATE INDICATED. SEE REVERSE
POR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE 15 LESS THAN fl. HO PAVHENT 15 REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), VOU HAV IE OUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.)
1,\
P'l
11'.'1:
"
,I
iil
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RlIlRVATIOHI E.tet.. of dtcldlnt. dVlnt on or blfor. Dta..utr 12, 1.., ~. If InY future Int.r,.t In thl ..tet. I, tran.flrred
In po.....lon Qr enJoy..nt to Cl,.. I CcoUltu,U beneflal.rl.. of thl dectdtnt Ift.r thl IlCplrlUon of InY ut.t. for
l1f. or for v..r., thl r.ollonw..l\h hlr.by IlCprl..ly r...rvI' the rltht to IPpr,I'1 .nd ...... tran,f.r Inherltanol TIIC..
.t the' llWful Cllt' I (ooUltlrl1) rete on any .uch futurl Intlrllt.
PURPOSI: Ill'
NOlICEI To fulfUI thl rlquJrl.."t. of Slotlon 2hO of the lnh,rlt.nee ltnd E.Utl Tax Act, Aot 22 of 1991. 72 P,S.
StoUon 2140.
PAVHENTI D.t.ch thl top portion of thl. Notlel .nd .ubllt ..1th your P:lYNnt to thl R"ht~r of NUll prlnt'd on thl r.v.r.. .IH.
--IIek. chock or oon.. .rder pIYlbl. 1., REGIITER OF NILLS. AGENT
All Plyaent. r,oliv.d Ihlll flr.t bl IPPlt.d to any Intlrllt which 'IV be due with any r..llndtr Ippllld to 'hi tlX.
REFUND (CR)1 A r.fund of I tlX or.dlt, which WI' not r.quI.ted un the T.IC Aeturn, 'IY bl r,que.tld by cOlP1,tlnt In "Appllcltlon
far A.fund of PIM.vlvanl. Inhtrlttnol end Estltl Talt" (REY~1SU)' AppllolUon. Ir. IVllbbll et the Offlc.
of the Rltl.t.r of Willi, anv of thl ZS Rlv'nut DI.trlct Off Ie.., or bv oal11nt the .p.olll 2~.hour
In,w.rlng 'Irvlo. nu.btr. for fora. ord.rlngl In P.nn'Vlv.nla l~aoO.36Z-2050, out.lde P,nn.ylvlnl. and
within 10011 Hlrr..burg .r.. (717) 717-'09_, TOOl (711) 77Z.2252 ~H..rlng IIp.lr.d Only).
OIJECTIOHtI Anv p~rty In Int.r..t not ..tl.fled with the IPPr.I....nt, .Ilo..encl or dl'lllow.ne. of dlduotJPnI, or ....."'"t
of tlK <Including dltcount or Jntlr..\) II .hown on thlt Notice au.t abJ.ot within .hty (60) diU of rle.lpt of
I~I. NoU.. b"
--written protl.t to thl PA OfP.rt..nt of Rlvlnut, lo.rd of APPIII., DEPT. ~IIOZ1, Hlrrl.burg, PA 17121-1021, a~
--.leoUon to h.v. thl 'Itt.r d.tlfllntel .t Mldlt of th. .ccount tlf thl per.on.1 r.prttentIUv., OR
--w.'l to thl Orphln,' Court.
A\'lItIN
ISTalTl\/!
CORRfCTJDHtI Ftotut1 Irror. dl.cov.red on thl. .....'..nt .hould bl Iddrl~'ld In wrltln~ tal PA Dtplrtaent of RIVtnuI,
lur..u of Indlvldu.l TI~I', ATTNI Po.t ........nt R.vl... UnJt, DEPT. 210601, Hlrrl'bur" PA 17121.0601
Phone (717) 7"-6105. Sit P"I 1 of thl bookl.t "In.tructton. for Inh.rltlno. Tilt Rlturn for I Rt.ldent
Oleldent" CREV-IIOI) for In Ixplan.tlon of Idtlnt.tr.tlvllY correct.bll .rror..
DI"lUI1o
INTEREST.
If MY ttx due 1. paid within thrtl Cl) 0I1lndtr IIOnth. .fUr the dteldlnt'. dtlth, . flvl plrelnt C5~) dItClOW'l\ of
thl tll' plld It IUotttd.
Interllt It c:hllrg.d bqlMJ", with first d.v of d.Unquenav, or nlM C') tonth. Ind Onl Cll dlY fro. thl d.t. of
dI.th, to thl dltl of P'Vllnt. TI~" which btc:... dellnqu.nt ~.for. Janulry I, 1'12 bllr Int.r..t .t thl r.t. of
'he (6;() Plrelnt plr IMUI ellcullt.d It . dlUv rtltt of .000I6ft. AU tl~1I ~hlch b'aHI d.lInquent on tnd .fter
Jtnu,rv 1, 1"2 ..Ill bl.r Inttrt.t It I rltl which will Vir V fro. el'lndlr v..r to C'II'~lr vI.r ..Ith thlt r.t.
~td by t~ PA O.plrt.ent of Rlv,nut. The IPplJctb11 Intlr..t r.t.. for .982 through 199~ .rll
!!!t Intlr..t Rite D.Uy Int.rut Ftctor !!!r tnterllt Ri" O.l1v Int.rllt FlGtor
11I1 lOX .00054' 1916 lOX .000Z7.
illS lU .00041' 1911 91 .000241
11I4 llX .000101 1'''-19'1 III .000101
191' m .0001Sl I"Z 91 .000Z41
1995-I994 11 .0001.Z
-4lnterllt II ollaultted .. foUo-.'l
INTEREST . IALANCE OF TAX UNPAIO X NU"IER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Anv Notlcl ...ued Ift.r the t'lt blaOll. delinquent Nlll rlflect In Inttrelt ollcul.tlon to flft.en (II) dly.
bevond thl'd.t. of thl """lInt. If ply..nt I. Itvt .ftlr thl Int.r..t C019utltJon dlt. .hown on the
Notlet, tddltJonal Int.rltt IlUlt be elleulltH.
I,
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.
w'
. '
I,AST 'dIU AJ>!P~'ITAIililli:Jl.tJ2L\'y'J,D, .lli....~~
I, DAVID 1,1; STAtJJi'f"IilH, 01' tho 'l'm/l1ull'I,p or r',ONOl' AhErn,
Oounty of Oumbel'land and sto.tl\ of 1'0 nnuyl V 1m!. II , being of Il~und.
. and diRposil1f'o mind, memory I\nd unclln'utJIHu1:I.ng, do )lltI]co, )lublillh
and deolaro th~s my Last Will untl '1'011 bllmant, IHll'oby l'ovoldng lwd
makine void any and all p),'10r \11.l1u hy In() lIt any Hmo hel'otoforo
made. .
1.
I dil'eot the paymont of ull my. ,I\lllt dobtllul1d .t'unero.l
~xpenses as 0001'1 nftQr my dOOEllllIO nn Hho 0(\1110 aIm be oonveniently
done.
2.
'I r.;ive and beqtl0n'bh tha }ll'ooondil of llly'Hli'S Oovernment
seourity IUgh Yl.old, ~OOOlli1t trOt 31~31()1-16!~, to my [l,ood friend,
PATRIOI.\ H. OnU'J"IIl, 01' ?,:W Jil, VlLl HaVllr'ro, Herritt Ioland,
Florida, 32953, unci db'ooll Ilhf\1i lil10 Inhol.!tllnoo tax on thia
bequest be 'po.J.cI out O!"I'IY NIII!(hwl'Y nuhlltJo. In the ovent that
the said PA'J'lnOIA II. ClIt 1I"ll'TtI nI10'111(1 fll'orlooon!lo me, then in suoh
event thia bequoull 0111111. Ill'l' nnl1 IIlld vv:1 t1 Ilnd aaid aooount shall
. be distributed nil (11I1'tl 0,1' lilY l'nn1.c1l1nl"y' ootato all hereinafter
dirooted.
.-It_
;,
,
'.
,
"
.
3.
I give and bequeath all the rest, residue and remainder of
my estate, real, personal and mixed, of l'lhatsoever nature and
wheresoever situate, to my son, DAVID H. STAUF'FER, JR., my son,
GARY L. STAUlelrER, and my good friend, PATHICIA II. mUFFIN,. of
232 E. Via Havarre, Merritt Island, Florida, 32953, share and
shaX'e alike. In this respeot, should the said 1'A'l'IlIOIA H.. GRIFFIN
predeoease me, then in suoh event, I direot. that her share in my
estate be distributed and paid over to my two (2) sons, the
aforementioned DAVID )Ii. STAlnel;'EII, .m. and GARY L. STAUPFIDH, share
and share alike.
I further authorize und empo\<ler the above named three (3)
legatees to talte in kind, any and all of. my household furnishings,
tools, oCj1.tipmont and personal belongings which thoy lnay \<lish to
take as their Olm, as part of their share in my estate.
!~.
For the purpose of fnoilituting the settlement und distri-
bution of rny estute, I authorize, empoHer and direot my Exeoutor,
hereinafter named, to sell any and an renl estate \<lhioh I may
ot~n at the time of my decause, as vlell as my personal property,
at either publio or private sale or sales.
LASTI,Y, I nominute, oonotitntF.l a\ld appoint my son, DAVID
M. STAUFf"ER, ,m., F.xeoutor of thIs my r,a~,t \'fill and 'restament,
and direot that he be excused from posttng bond or othor security
-2~
./
,
" '
for.the faithful povfoMnunou of hin dubion, and 1n the event that
, ,
my aaid flon .ohould )ll'OdOOOIlI/O tn(1, or nhould ho be u!,\uble or
unwillihg bo 001\VO in uuoll oupuolby 1'01' uny %'ElanOn, thon in suoh
event., I nOtn1l1Ubo, oono t ituto und up po I. nb OCNI3 llJ\NK, N. A.,
Exeoutor of this my I,nnb \-all find '1'0 Ubll1J\O nt , in. hiD pluoe and.
sboud.
IN HI'I'NliISfl, \'1I1lii1tl~OP', . I hlwQ horounto sot my hand und Deal
thi/l ~. tiny Q,r ootohor, A. Dei 1992.
9~d~i!f;, ......... .
. DavIa 11/ buuffar
,( 8EAL)
8illnod, Denled, publ1/Jhod une' doolurod by the above named"
,DAVID N. 'S'l'A\JFr"I~'11, nil nnd 1'01' hiEJ I,aot Hill Ilnd 'l'oLtnment, in the
presenoe of UO, ~/ho have 111lhoor'ibed 0\\1' nnmeo hereto as wi tneslles,
at tho rO'1\loot, of ouid t,entuto:l', in his presonoe ani in the
preDonoe of: oo.oh othell,
. ,
..:~~
, ,
-p~~1't_T'~t""~I;.,~.I..'_, :~~'~I' hll"_ ,., ..'V, ,-..L" ;
-
1
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"
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.
C~O~TK or PENNSYLVANIA
COUNTY or CUMBERLAND
)
I
)
S8.
1, DAVID H. S'j'AUli'j,'j;:H , the teetat or
whose nsme is signed to the sttached or foregoing instrument, having
been duly qualified according to law, do hereby acknowledge that 1
,ilned end executed the inetrument ae my La.t Will and Teetem.ntl .
that 1 aigned it willingly I .nd that I .igned it as my free and volun-
tary ect and deed, for tha purposes therein contained.
Sworn and affirmed to and acknowledged ~efore me(~~/
DAVID H. 8'l'AllPF'EH , the testat or ,thia / I .'~
day of _ Olltnhn'Y' , A. D., 1992.
Irl~ II jJj,
t (I
(I
I l.-{..'''l
, I
. ('" ,
( 1-'1.-.,1-'
..
COMMONWEALTH OF PENNSYLVANIA
COUNTY or CUMBERLAND
)
1
)
SS.
lri. 'N;'lVi.1ISc.1' --.-]
Ii" (I ';J'IIIKW'"U""f,';'Wr>,\IIi'
i:l.J\I1J;"f":"""" .
M '. ,1...,,',1.,.) .'~"'U'\lrl'l''''".''"'
.'1,'1'''''....... .. ....11"1
,~-" "':J;:~,..l...mqli\~r:,,,€, l\i"(,'
"---....,...-. . ,-
Mctil ,N'~, P,vn"',':'," -, ;7~~~.~~:~.:i.: ..;,.WOl
.. . ","'. "!\,,1l.,.';....~:.,.Q
We, the undersigned, J. HOBJDR'r STAUFFER
and RUTH ANN mlIMIDER I the witnesses who" names au
signed to the attached or foregoing instrument, being duly qualified
!ccording to law, depose and say that we were present and saw the
testat or., DAVID H. 81'AUPpgR ' sign and exe-
cute the instriiiiient as his/lualt Last W111 and Testament! that the
said testat or ,DAVID 1ft. S'T'^1JJi'r,'\CT1 I executed it as
hia/isr free and voluntary act for the purpoaes therein expressed I
that each of us, in the hearing snd sight of the testst~, signed
the Will ss witnsssesl and that to the beRt of our knowledge, the
testst~. wss, at the time, eighteen (18) or more years of age,
of sound mind, and under no constraint, dures8 or undue influence.
/'/--
SlIorn and
me thia
ootqbor
8ub8c~~bed to before
/c;' . day of
1992.
"
~-
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j' - t
/l/')("ill-- :.;.,
I , I ' I
<..
/'/.;~.
NaaIal (lo,lI
~1<dy~hon;'~ltk
~:.\IQ ~..(Wo r.U)~,,:(I..(l:JI~;'\\I~
My ~nf,"",;-:'..J(.)r' r~'(pnIJ H.'" U 'W.l\
Milmbcr. Pc/'il'l&'PlIll'J Ao:;oo~ (A 1'Iol\~
IN 'l'lIl\ OOUH'l' OP COJ.lIIOI1 I'Lli:MJ aIi' OUlf1li\HTJAHD OOUN'l'Y. Pl\NHSYLVAHIA.
lW. 91~-0006'7 OIl P!l,AliS I oounT.
Ii'InST ArID Ii'IHAL AOOOUH'I' lW DAVID II. fJ'I'AUli'li'Jm, JIl.. g;mOU'l'on OP ~'I1I\
T,As',r HITJL AND TJi;Wl'MIlIH'l' 01" DAVID ).!. S'I'I\tJl"j"liJt. LNl'g 01" '1'1m 'l'OHHSHIl'
Oli' LOl-mn MrT,lm, r:OUH',l'~{ ()ji' ClJlill ,':Ill,1I W) A HD ~l'i\A'rJi: OIl PIIlIllSYJN AIHA.
D1\Cl!iASJW.
DL\te of Death: Junullry I!), 19')11,.
Dutes of Advertisement of Lette!'o 'l'estumenta:ry:
In the Oumborlund Lml ,ToUl'nal: February 18 and 25 and Baroh 4, 1994.
In 'J'he Sentinel: JlfJbrua:ry 1~ und 22 und Hal'oh 1, 1991".
PI1IllOI PAL 1\000UI1'l'
Debito
Aocountant oharges hinwelf Hi th the follol.line prinoipal
assets and reoeipts of decedent's cstute, consisting
of real estate and personalty us folloHS, to Hit:
1994
1/15
1/1~
1/15
1/15
1/27
3/1
3/1
lj./15
'7/15
ALTJ 'l'llNl' (J]\HTAIN !louse Hnd Lot of Ground situate
in L01'wr Allen 'rolTnship, Cumberland County,
Pennsylvania, ImoHn und ntuilborod ao 309
Hanchester Houd, Camp !l111, Pennsylvania.
Sold on July 15, 1991~ to O. June Ooons.
Sale pl"lioe.,.................................... .~)
290.295 shores of IU"S '.rotal Hoturn Fund-A.
PNO l3AHle, H. A., pl'oceods of Chooking Account Ho.
511~0061JI.73 .
1907 Pontiac "0rand AIll" Conpe.
Patriot HeWl CO!llpuny, rcf'und.
Amerioan 'i'!'uvelern Lifo Insurunce Oompuny,
premium rofund.
Ponn Tl'ea'by Life Insurunco Oompany, promium
refund.
I3ricl:er's Auotion House, 93 ~rexuoo noad,
Hochanicsbill'B, Ponnsylvaniu, netprooeeds
front salo of Housohold furnish:lnc;s.
O. .Tunc Coons, l'e ililbursoment o:C local taxes
and utilit:leo rooeived on finul settlement
OfSDlo of reel ostuto, DS folloHS:
83,900.00
2,719.08
1~,117 .56
2,000.00
~..80
147.03
20.55
2,,320.00
Pro-rata s hnr'e of propl\id County Dnd To,mship
'JInxes. 111'61
Pro-pata ShUl'O of' pl'opuic1 Sohool 'I.'axos. 659. 5
PrO-l'D tn ShUl'O of prepuid SOH01' charges. %.96
GHOSS PHIIWI PAr. A:J:JE'['S AJID HI.i:CETFl1S 01' li'''''J'A'I.'8 cp ;16,057.60
I .:IlJ . . . . . . . . . . . , . . l
-1-
,
PHINOIPAL ACOOUN'.\!
Orouits
Aooountant aolco orodH 1'01' tho roUoHing amountll paid out
in tho Adminilltration nnd Sottloment or deoedent's
estate, to Hit:
1994
1/28
2/1~
2/1~
2/4
2/4
2/4
2/4
2/4
2/1~
2/4
3/1
3/1
3/1
3/1
3/1
3/1
3/3
3/19
3/27
3/27
3/27
3/27
3/28
!~/15
4/15
1~/15
1~/28
1~/28
515
515
515
5/13
5/13
5/25
5/25
5125
6/2
7/2
ReRlstor of Willo, Lotters Tostamentary. .
Rolling Oroon lIemol'ial Oonotory, opening grave.
Oumberland I,aH JotU'nnl, l\sta te Notice.
Hotorie t Hutual Insu1'[\I100 00., automobilo
insuranoo promiUln duo.
Ponna. Amorican Hator Co., January 1994 Hater ront.
UGI Corporation, JamlaI'y lCJ9/1. gns bill.
Bell of PA, January 1991,. telephone.
Ponna. FOHor f,; Light 00., Janu!l.l'y 1994 oleotl'io.
LOH01' Allon 'rOlmship, 1at QuartoI' 1994 seHer and
refuse bill.
Oore states Banle, balance duo on credlt oard
Aooount Ho. 01-290702 5-6.
Hyers Funeral HOl1le, Inc., funeral bill.
Penna. 1'01'101' [.; Licht 00., j1onruar'y 1994 elootrio.
Bell 01' I'A, Fobrual'Y 1994 telephone.
UGI Oorpo1'atlon, F'eb1'uary 1994 Bas bill.
Penna. Amorioan Watol' 00., February 1994 water rent.
Intel'nists or Centl'al Ponnsy1vania, modioal bill.
A. Z. nitzlnnn Associates, Inc., X-rays.
Holy Spirit lIoupital, balance due on Hospital bill.
Internal Revenuo Sorvico, balanoe due on 1993
personal Income 'l'a.x.
Penna. Amorioan Hatel' Co., I'laroh 1994 Hater rent.
Penna. 1'oHel' 0: I.1ght 00., J.ta1'oh 1994 eleotrio.
Bell of PA, Hal'ch 1994 telephone.
The Sontine1, Exeoutor's IGstate Notioe.
UOI oorporation, Hal'oh 1994 Gall bill.
Nary Ann Priol', 'l'ax Oollootor, 1994 per oapital
Oounty and Township 'l'ax.
11ary Ann Prior, 'l'ax Oolleotor, 1994 Oounty and
TOllnllhip 1'00.1 ostato taxes.
Ponna. Amerloan Hater Co., April 1994 Hater rent.
Brian Freeman, laNn oare, through April 1994.
Penna. Power t.; LiGht Co., April 1994. eleotrio.
UOI OOl'porc.tlon, Apdl 1994 gall bill.
I,ower Allon 'l'ownship, 2nd Quarter 1994 sewer and
refuse bill.
Doll Atlantio, final te:ophone bill.
B&O Lumbel' Company, paint supplies used to paint
l'OOllla at 309 Nancbell tor nand l'esidenoe.
Penna. 1'oHe1' (4 Light Co., Hay 199/~ olentrio.
UGI OOl'poration, Hay 1';194 gas bill.
Penna. Amerioan Hatol' 00., Hay 1994 water rent.
Brian Fre01llan, laHn carEl through June 199/~.
Penna. POliO l' fr. Ili[~ht 00., Juno 1994 eleotrio.
-2-
226.00
19/~.16
40.00
106.85
18.19
56.00
41.70
42.61
67.50
32.25
3,271.00
58.00
34.23
56.00
9.10
15.5/~
:35.00
343.05
361.00
8.53
58.00
20.97
62.12
56.70
9.80
246.70
8.27
50.00
11.64
56.00
73.05
13.53
72.06
28.00
56.00
8.75
50.00
30.33
, .
mIlia! PAL ACeJOUl-l'l'
Oredits
-'--."
1:.9.9il
7/10
7/15
7/15
7/15
7/15
7/15
7/15
7/27
7/27
7/27
7/29
7/29
12/7
Derrll Hauling, 1'emovine and hauling trash trom'
309 J.1nnohest()IO Roau, residenoe.$
Jack Gaughen Realtor, oOllllTlisoion on sale 01'
309 J.lanohestol' Road 1'ooidenoe.
SeoUI'ed Land ~'ransrero, Nota1'y and DisbUI'sement
fees oluu'god at final settlemont.
Reoorder of Deeds, I'oul estate trunsfer tax on
oale of 309 l'll\l1ohester Hoad rooidenoo.
}'onn }loot Control Company, termite inspeotion at
309 Hanohen tor Road 1'esidenoe.
LOl~e:t' Allon T01msldp, 3rd Quarter 1994 seHer and
refuse bill.
Mary Ann Prior, 'rax Colleotor, 199!~.95 Sohool
real estate tax.
Penna. POHer tc Light Co., final eleotrio bill.
UGI Corporation, final gas bill.
Penna. Amerioan \'later Co., final w~ter bill.
Register of Wills, riling Inventor and Pennsyl-
vania lruleritanoe Tax Return.
Register of Wills, Agent, Pennsylvania Inheritanoe
Tax.
Register of Hills, filing Exeoutor's Aooount.
David H. Shuffor, Jr., Exeoutor's oonunission.
J. Robert Stauffor, Esq., Attorney's fee.
Oash, resorved to preparation of final Fiduoiary
Tax Returns and oontingenoies.
TOTAL PRINCIPAL ji!Xl'ElIDITUIUi:S AND DISBURSEHENTS..........$
95.00
.6,123.00
20.00
839.00
25.00
67.50
674.37
45.02
55.71
17.28
25.00
6,915.07
97.00
!~, 750.00
2,375.00
_.350.00
28,!J,02.58
--.....--
I
I
I
I
RECA PITULATION
GROSS PRIHClIl'AL ASSETS AND RECEIPTS OF' ESTATE.
LESS: EXPENDITURES.
$
96,057.60
28,402.58
67,655.02
-
. BALANOE IN HANDS OF ACCOUN'l'ANT lion DISTRIBUTION.........$
j"
" ~
,
"3-
OOI1HONWEALTH OF PEUNSYLVANIA l
laSI
OOUN'l'Y OF CmmEnLAllD l
Personally appeared before me, 'the undersigned offioer, e.
Notary Publio I in and for said OOllUllOnl~eal th and COUIlty, DAVID 11.
STAUFFEJ1, m., Exeoutor of the TJast \'1ill and Testament of DAVID
11.S'l'AUli'FER, late of the 'l'mmohip of r,OHer Allen, County of
Cumbel'land and state of l'ennsylvanJ.a, deoeasod, who being duly
8"lOrn aooordin6 to la'~, deponeo and ntntes that he is the Acoountant
in the annexed Aooount anc1 that oaid Aooo\tnt is true nnd oorreot to
the best of his ImoHlodlle, infol'lllation and belief, and that there
are no unpaid ol'edi tors to be notified of this Aooount and the day
of proposed deoree of oonfh'lllatJ.on hao beon ,T,iven to all parties Hho
hnve any interost in tho estato as benefieiaries, nnd further avers
that the foregoing Sohedule of Proposed Distribution of the net
assets of the Estate of DAVID H. S'l'AUFI~ER, dooeased, is true and
ocrreot nnd is made in aoocrdanoe with the provisions of said
deoedent's Last \'1111 and '!'estll.lllont and the laHB cf the CcnUl\cnl~ealth
of Pennsylvania, applioable theretc.
, () '/ /,.~
-~"'(' .'
David 11. Ste.\l
Exeoutor
Swor~innd aUb8o~i~ed bef~re
/ (; I day of )..../,," ,', ').', .1/" -'
,; 1 (.....1"
/')/ . (7 ;( ".'1 '> - '
" , '{ (( J ( ~ ;"'''1 (, (Ie
, I, I
. Nctary Publio
me thia
I 1994.
-...-.--.. ".-
H~l1'~~\ r~'~ PIN)
,''''''''of../ f.iMiI. t ,o.o"l',,,,lcoontj
""'J IY.fI:" GilO,lJ;,1'. (1CI7
I,\oclu.rI(;~I\I(I,' 'e,;';C.il No'I 0, \v.
W 0<,",,1\0-,.-.0 ~
,~...
-5-
.' '" .._..... '"'l.....
'.:.....J...- __ _ ...._ __ __ _ ..___ __, _~_, ___ _~__, .~._.. ...__ ..., -. ..... ...._.. .....- .-~~. ....~_. .~~ ...--. '.'_R ...--- -..... --~ ..~-. .-.... ..-- .-....-.___
ACN
RECEIVED fROMI i ASSESSMENT m AMOUNT
CONTROL
NUMBER
fffAUFFrtR J HOklERT 101 'b,'''~.O'7
MARKET SQUARE BUILDING
MECHANICBBURG PA 170!5!5
,
,
'OIDHur fOlOHUf ,~
- I
ESTATE INFORMATION, I
B E U
BSN e04-0S-'I!599
m I ---
M
II
m M A
~QO.,lOO
CUMBERL/\ND
OF DEATH
01/13/'14 m TOTAL AMOUNT PAID __'6,9115.07
REMARKS DAVID M. STAUFFER,JR., S6
\,
SEAL CHECK" 134 RECEIVED BY
MMY C. LEWl
IlEGISTER OF WILLS I~F.BISTER OF
__ -o~_ _M~" __ ___. __ __. ._.._ .~._ __.. ._... .___. __... _.__ _. __ ..._~. __.. .__~ __.~ ..__ .__ _ ___ __ __ _ __ _ _ __. ..-
. '. I
"
"
. .
. .'
.-...........-
,
" ..
.~....---_.-................
"
~ __ _4 ..'-.. I,
I' ;
\
,
/ ,l- ! J' ~).t
~J~"9- INHERITANCE TAX RETURN
'f.:.If$IW' RESIDENT DECEDENT
cOMMD~~~I~IT~I,'Ij,PIINv~~UlANIA (TO BE FILED IN DUPLICATE 199[ 00067
IIARRllfJ:u~nl2'06'l1 WITH REGISTER OF WILLS) COUNTVCOOE I.~EAR
-~-=-- - -:;i~;;;~~~~~tf;~:: , 'i':~~~i:;mn^ir====---===-]----rfilit~;~O~';~';l~~::~ tar no ad
~ iociiil WURlfYi,U"ii, I"Alt oloWII r'H of 81'-lIi -,- - - Camp Hill, PA,
a 204-0)-9599 _1/15/911: /1/9/21__, c'~~',__._Ul\mR~X'lAmL__________, __ ______
I!! loll 1. Orlglnnl Rolurn I I 2, Sup"lnmMlal ROlurn [I 3, Romoindor Roturn
~S I'or dolo. 01 dealh prior to 12.13,821
~... I I 4, Limilod E.late I 140, Fuluro lnl...., Cnmpromlt. '" 5, Federal E.lole To.
00... liar dato. 01 doalh altor 1~.12.B2) R.turn Required
~'" PCI 6, Ooc.d.nl Oi.d T,,' ". I I 7 Doc.dnnt Mainlnlnod a living Tru.t _Q. B, Tolal Numb.r 01 Sol. Oepo.lt Bo...
c( (Allaeh copy 0' Will) IAllach copy 0' Tru.')
- .iiU-COARlSPONOINC"i'ANDCONFlliif.iTliir'fiiiiNFOMiiATION ~ijOULD II DIRlCYlO TO.
"ill' .....;~~~.;;;~;;.~~r.~~ ~~;;: m[co. "\"'1i"~I~lla:~oi~IA1ili'~ntRi!SSOS qs~(:, :,.B~tg'170-::~-
ltlfPlla,j, "Ui,i,H _" ')TP '-, ~~
-n--_.-_)_:lU),~1~9~9,6,1.:t-, -,- - - - ---- _.. ,-
"
,
,
t--
R!VdSOO [KlIIJ.B8'
\. Roal E,'a'e ISchedulo Al I 1)_
2, Stock. and BOFld. (Schodul. 81 I 21
3, Clol.ly H.ld S'ockIPmtno"hlp Inlero.' ISchodulo q I 31 _
4, Marlgao.' nnd No'n. R.colvoblo (Schedule 01 I 4) _
5, Ca.h, Bonk Oepo.lt. 8. Mlleellon.ou. Parsonal Property I 5}
ISchedula EI
6, Jolnlly Own.d Prop"'y ISchodul. F) I 6} _.__
7, Tr0l1ll... ISchodul. GllSchedule l} I 71..___.
8, Tatnl Grall AII9I. (Iolalllno. 1.7)
9, Fun"ol e.pon..., Adminltlrallva Co.II, Mltc.llan.au. I 91_. ,__,__..__,2.Q,593.._6.7.._
E.p.nlO. ISchedule HI
10, Oebll, Morlgagoliobllitl.., lien'ISchedulel) (10) __,____________~_.6!L
1 \. Total Ooduclion. Itolallin.. 9 8. 10)
12, Nel Valu. 0' E.lolo I"ne 8 mlnu. Iina 11)
13, Charllable and Govornm.nlal Bequ..II ISch.dule J) (13) .________H____' Q.._Q,Q_
______.., _.___ 1_4,_':i!'~01~! Suble:'..'.0.!~JIi~J_2_~I~~.!0.!_JL_______r~O_____T.E'___~L--===..-7X- ~~~~-.
15. Amounl 01 line 14 'a. able 016% role (IS)... __ ______,.___'t__,.?09_~'tz_,x ,06 a ._____.__.__._..2-'....-..._,.1.
(Include voluo.lrom Sch.dul. K or Schedule M,I
16. Amount of line 111101whlo 01 15% role
(Include value. from Schodul. K or Schadulo M,I
17, Principal 10. duelAdd 10' 'ram lina 15 and 'rom Ii,l. 16,1
1 e. Credit, Prior Paymonll OilCounl
0.00 + 0.,00.
19, If line 18 I. gron'" than line 17, ontnr tho diff.ronco on Ii"" 19, Thi.l. ,h. OVERPAYMENT,
mIlJ
20, If IIn. 17 i. WOOl" than IIno IB, ontor th. dlfforonc. on line 20, Thl. II the TAX DUE,
A. Enler tho lolMnsl on Ihe bolonclI clue on line 20A.
B, Enler th. lotal nf lino 20 and 20A on lino 20B, Thl. It Ihe 8AlANCE DUE,
_.... _.__~"-k._C_h.", I' 'vabl._tol Regi.'er of Will., Ag.nt
: _ ....____.. _ .. . _:-~:_=_.. -.. 81511 RE TOAN5vl~ilAL[Qlii5iioNSON -iiiv'Rsi-'ID. AND -yoiiicH'CK-/IAffi"4i.. " -- .
Unde, p0I1f1I1I11\ of pllriury, I d,,, IllrfllllC1t I h~l""~ fI~('I~ll;l'jl(j Ihl; ~~iu;n:' i,,(i'~dinr oc(om'l{l~yin{i' ,(i;;~fl/ini';;~~j'lI~t(l~~~n~~~.J.lo Ih~~b~'1 of my kn~leJg~o~i i;8Ti;i:
II h 'rtln, countl Clnd comphlll' I dfldnrn Ihell nil IrClI nUnt" 11m bnnn ,nflorrO( (Jllruo mcukel \lulu!. Dochuullon 01 proparor other Ihan the pflftonnl ,epretenlallve h
bOIl,d on Cl lnlormollon of whkh fl'"/,Olf,r 11111 UflY kl10whHIUfl
!ldNA/lJ-~~Pbjilj- f(, I tlll'" '"""i, !511 1101'l:h Hanover st.' -----
!'I-' , It-M'R'!" - - ~--' -,.,. .... ,gUZo.bothtoWll, 1'1\__:1.7022
, ,'AR R If, fN A IVl "lIlm'r'Ia1'ket Square Bldg.
4-. ~ Heoho.n!oaburp;,PA.l7.055
PILI HUMH.
NUMBER
~15
f:la
OZ
u2
. 83J 990.00.
.2,711.99
_______. ______0.0_0_
o 00
_,__oo__._.L.n.
9_J.433,~8_ .
z
o
3
E
~
..
_.0.99
. __ - - _._ _.9&9.
I 81 __._____ ... __9_h9_45 . ~I_
(161 _____
g6J~~6 ..'71. _x, 15 =
.. ________4'Og?!2_~
n_______.___~J.n5_~QI_
z
o
~
~
o
u
S
(171
Inlerelt
0.00__
(181_______
(19) ______
..P.LQ,o_
_0.00_.
6,91~.0'(
Chec~ fUlfe If you oro roquo$lIng u roluml of VPUI OVC'I'C1VnullIl.
1201 ______
120A) "_n' ,__oo _ .__ ..._.. Q. QO.
{20BI . __h9~5..Ql.
OAf:l:~t
fi;;/lfrt~- ---
.. Z-:_;t,f:::.2Yn
\
"V.ISHlhl""1
w
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PEIlSONAL PROPERTY
Plea.. Print or T .
FILE NUMBER
CO~~Wli:U~I~'.tl~~,lt~ANIA
'lIrsIDIH'I DraD:H'
ESTATE OF -
DAV:rD H. S'l'AUlPFJ\H
IAII ,,,,"Iy 1.1.t1y.ow",~ wllh Ih. RighI .f lu..I;~'"hl, mu,l b. dllCl...~ .n I,h.dul. p,
19%-00067
ITEM
NUMBER
1.
2.
3.
l~.
5.
6.
7.
o.
9.
DESCRIPTION
VALUE AT
DATI OP DEATH
PlIO J3~,nk, H. A., Cheokinr; Aooount No. 5140061l~73.. *
1907 Pontiao 'Grand Ami Coupe.
Briokel'! tl Auotion, 93 ~,Iexaoo Road, l1eohaniosburg,
pa., net pl-coeeda from sale of household
furnishingo.
Patriot Ne\'ls Company, refund.
Amerioan ~'r[\Vele:i's I,!fe Insuranoe Company,
premium refund.
Penn Treaty L11'e Insurunoe Oompany, promium
'refund.
a. Juno aoons, re imbUl'sement of pro-rata share of
1991~ County and TOImohip real estute taxes' on
sule of 309 Nanohester Road, Camp H:tll, Pat
a. June aoons, reilnbursE\ment of pro-rata share of
1991~-95 Sohool real eDtate tax on sale of 309
Hanohester Road, aanlp Hill, Pat
a. June Coons, reimbursement of pro-rata ahare of
3rd '1uarter 1991~ Se\'lel' and refuse ch!\rgea.
1~,112 ~ 72
2,000.00
2,320~00
1~!80
147.03
.
20.55
111.77
659.65
56.96
. ,
$ 9,1~33.66
IA"..h .~d"l.n.1 81\' K 11" ,hili' II m.rt 'p... I. nlld.d,l
,.
'"
&Ib :J
COMMONWIAlTH Of PINNSYIVANIA
INlmllANCI lAX !/IUIN
I!IIOINl OICIOINT
ISTATE OP
IfVUllUt 11Ul
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Pllall Print or T pi
-
DI\VID ll. S'1'I\UJi'leJi;J1
1991~-00067
AMOUNT
ITEM
NUMBER
A. Pun.,al bplnl..,
2.
DESCRIPTION
1.
Hyers leuneral Home, 37 g. Ilain st., Heehaniesburg,
pa., funeral expenses.
nolling Green !'lemor!a1 Oemetory, Oamp lIill, pa.,
opening f,l'ave, ete.
3,2'71.00
191~.16
l~
B. Admlnlllratlvl COlli I
c.
1.
Perianal Reprollnlallve Commllllonl - David H. stauf.(pr, Jr.. Extr.
Social Security Number of Perlonal Reprelentallvll 169-1111-.3780
Year Commllllons paId _~
1~,7'O.00
2.
Allornoy Fe.. J. nObel't staut'fel', Esq., attorney1s fee.
2,375.00
3. Family Exempllon
Claimant ._____ Relallonshlp
Addrell of Claimant at decedent's dealh
Slreet Addrell
City
Slate
Zip Code
4.
Probate Fe.. -nee;:l.stor of Hills of Oumber1and County,
Pennsylvania, Lotters Testamontary.
MllelllanlOUI bplnllll
O\\mberland La\~ Journal, Es tate !lotice.
Notorist Hutua1 Insurance 00., nu(;olnobile insurance
pl'emium due.
Pennsylvania I\\norican \'luter OOlllpany, vrater l'ent
due throur,h January 1991~.
UG! Oorporat,:l.on, gas bill through Januul'y 1991~.
Bell of pa., Ja.nuary 1991,~ '],'elephone.
Penna. POHer {,; T"ir,ht 00., January 1994 eleotric.
LOHer Allen TOImship, seHor and rfJfuse charges for
lilt Quarter 1991~.
Penna. POI.rer {~ Light 00., February 1991~ e13otric.
67.50
,0.00
226.00
1.
40.00
2.
1.06.85
18.19
56.00
li-l.70
1~2 .61
3.
4.
5.
6.
7.
8.
TOTAL (Aho enler on line 9, Recapltulallonl S Carried Forward
(II mall IpaCI II n..dld, Inllrl additional Ih..1I of laml 11.1.1
.".
IC.IIIIII. p,,~
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATive COSTS AND
MISCELLANEOUS EXPENSES
~:,~
COMMONWIAlIl~ 01 IINNIYIVAN'A
IN~I!IIAN~' lAl '!1U't~
\ "PIN! PIr.IPIN'
Iiflmir . -
DAVID B. S'l'AUFji'E1R
=
Pita.. Print or T .
1994"00067
ITlM J -
NUMIIR DI$CRIPTION .
- ---.-..--:..--....,,-.--......... ._,,_......_._'...,...-....~,.. ......--... ...,." .,
9. Dell of 1'0.., Fobruary 1991~ '1'elophono.
10. UOI Oorporation, ji'obruary 1991,. [jE\IJ bill.
11. Pennsylvania Atneriean Huter Company, ji'ebl'uary
1991~ Hatol' l'ont.
12. Intorl1al Rovenue Servioe, balanoo due
on 1993 Porsol1al In001110 taxon.
13. Pennsyl vania Amerioan Hatol' Company, J'laroh
1991~ Hater l'ent.
J.I~. Penna. POHel' to: Light Co., Hal'oh 1994 eleotrio.
15. Bell of 1'0.., Baroh 1991,~ 'I'elephono.
16. Tho Sentinel, EstRte Notioe.
17. ,liOI OOl'pol'ation, Bal'oh 19911, gas bill.
18. Hary Ann Prior, 'I'ax Colleotol', 1991,. County and
Township pel' oapita tax.
19. Mary Ann Prior, ',['ux CoEeotor, 1991~ Oounty nnd
'1'olillship real 0 s tate tax.
20. Brian Froeman, lll\'In 00.1'13.
21. Pennsylvania Amol'loan Hator COlllpany, April 1991~
Hater rent.
22. Ponna. Power e.: Mc:ht Co., Apl'i.l 19% eleotl'io.
23. UOI Oorpo:rntion, April 1991~ [ins bill.
21~. r,ower Allen '1'ownship, 2nd QuartoI' 1991~ sewer and
refuse oharges.
25. Bell Atlantio, final Telophone bill.
26. 13&:0 Lumber Co., painting supplies for painting rOOIllB
at 309 Nanohester Hond, Camp Hill, 1'0.., in
preparutlon for sale.
27 ~ Pennn. Power &: r,ir,ht Co., Nay 19911, eleotrio.
28. UGI Oorporation, Hay 1991~ [!;EUl bill.
29. Pennsylvania Ame:rioan I'fater Company, Hay 1994
water ront.
30. Brian Freeman, laHll oare for Hay and ,Tune 1994.
31. Pennn. PO~lel' &: Mght Co., Juno 1991~ eleotrio.
32. Derrs Hauling, trash relnove.l at 309 l1anohester Road,
Oamp Hill, pu., on oale of said prenli.aes. '
33. Jaok OauBhen Realtor, OO1lUnisoion on Bale of 309
J.1al1ohester Hoad, Camp lIill, PA.
34.. Seoured r,and 'l'ransi'era, Notary Fees and Disbursement
fee on Sale and Settlelllen1; of 309 J.Ianohester Road.
35. Reoorder of Deods, roal ostate transfe tnx on sale
of 309 l1anohester Road, Calllp Hill, I'a.
36. Penn Poat Control Co., termite Inspeotion
37. LOI~er Allen Township, 3rd Quarter 1991~ seHer and
refua e oharges.
38. He.ry Ann Prior, Treasurer (Tax Oolleotor) 1991~-95
Sohoo1 real estnto t:ax.
AMOUNT
.
* 3~..~3
5 ).00
9.10
361.00
8.53
58.00
20.97
62.12
56.70
9.80
2~6.70
0.00
8.2'1
1l.6i
56.0
73.05
13.53
72.06
28.00
56.00
8.75
50.00
30.33
95.00
6,123.00
20.00
839.00
25.00
67.50
671~.37
OAHlUED pomlARD ,
,
I
PAGE " 2 I
- I'
'b'-. ,. -.j.
UY,I)llllt 11'.1
'l SCHEDULE H
, /I~:h~'~~ fUNERAL EXPENSES,
COMMONW!;~'; O~~INNIYIV'N'A ADMINISTRATIVE COSTS AND
INHIRIIANCI lAX Af!UR,j MISCELLANEOUS EXPENSES Pita.. Print or Tunl
Illlwn Olc.,IDlln __ _ -.. ___J,L.:...
mATI O~ --;;;w 1~~I\UFFmn -==-- -. .=--=---ru NUM81R 1994."0006~_--=
...--..--~=~~~..~. '.'.- .-',-~u-~;~;.~~~~-~~.~.=., ,. ,. .,r-:MOUNT , "
_.-~~..,._.. -.-.......'......
ITEM
NUMBER
39
1~0:
Register Qf Wills, f1lin~ Aooount. $
Register of Wills, filing Inventory and Pennsylvania
In~eritnnoe Tax neturn.
,97~OO
,
25.00
Totnl......................$ 20,593.67
I,'
,,,
I', '"
"
I'
"
",' ",I.
.,"
"
"
"
, "
"
"
1.1;,I',j,
",'
.,1 '
I,,;
,I'
Ij
,
';,\
\i'
"
,
.""
",'
<i"j.
"
"I,
, \.,1
"
"
I'"
'I"
"
. I;'
"
,
"
"
'I"
"
",
, ,
t, ;,
"
,
,
.,
, "
,j
,j',
." "
'"
, '
" ;,
I','.
.I" ,\
"
,
,.
"
"
"
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"
, "'.
"
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"
,
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,..
PAGE .. 3_
"
OIVI.IIl"'I''''.
(OMMOUWIA\!H 0' PlN"lInVMUA.
INIlUIIANCI tU ..tUIU
.11101"IOI(IDIHI
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
PI.a.. Print ar Typ.
[ fill NUMBER
199!~-00067
inAU Of
DAVID H. S'l'A1WJ1'Jm
ITEM
NUMBER
DESCRIPTION
AMOUNT
1.
Ooro'staton Bnnk, bnlnnoe duo on ol'edit oard acoount
No. 01-2907025-6. I~
Internis ts of C ontl'nl Penns yl vanin, moc1!oal servioes.
A. z. nitzmnn Assooilltes, Ino., X~rQY/J.
!loly Spb'i t Hospital, bE.:anoe due 011 HO/Jpital Bill.
32.25
15.5[4-
;3,.00
34.3 . 05
2.
~:
'I'
, "
"
TOTAL lAlla '01.. 00 lin. 10, R,copliulollon)
III mort .poc. II n..eI.eI, Inur! oaelillon.! .h..1l a/lam. Ii...)
.
425.84
"I
I
I
,IIY.UlJllltIU'I,
ttb
(OMMOIIWIAUH or "WlIYIVAHlA
INHUIIANe. 'AX IUU.N
IIIIOINI DI(.IOINI
1_
FiLl NUMBIR
1994~00067
SCHEDULE J
BENEFICIARIES
ISTATI Of
DAVID H. S'rA\ll~l~J!:fl
-- ---.-------.-
AMOUNT OR
SHARI OF ISTATI
ITlM
. NUMBIR
RILATIONSHIP
NAME AND ADDRESS Of BENEFICIARY
A, TaKabl. a.qu"llI
L
DAVID H. S'rA1Il~lPml, JH.
511 North lIanovor St.
El1zabethtOl1n, PA 17022
Son
One-third share
of' l'eaiduary
estate.
2.
OAHY TJ. S',rAUli'li'EH
2009 Hook Pall Hoad
Harrlsbur B, PA 17110
PATHICIA II. aHIJi'I"IN
232 Via lIaval're
l1erritt Island, FL 32953
Son
One-third ahare
of' res :l.duary
estate.
3.
None
Speoif'in bequest
of' 200.295 ahare:
oi' MFS TOTAL
RETURN FUND A,
valued at $13.$!~
:per she.re or
lfJ2,711.99 total;
and a one-third.
share ot' the
residuary estate
ITEM
NUMBIR
AMOUNT OR
SHARBOF ESTATE
NAMI AND ADDRESS OF BINIFICIARY
8. Charllabl. and Governm.nlal hquIIllI
1.
.'f'
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.o .nler on IIn. 13, R.capllulallon) $
(II mar. .pac. II n..d.d, In.ert addltlanal.hu'. ol.am. .1..\
~
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent I DAVID M. STAUPli'Eij
Date of Deathl Janua~y 15. 199u
Will No. ?'-~1-67
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
FebI'llBl"yl, ,qqll 1
NamE!
Address
Via Ilavar~e, Me~~itt
li'1 n"i nA :P953
Island
232
Pat~ioia H. G~ii'i'in-
Ga~y III Staufi'er-6r500 Oleari'ield st., Ha~r:l.sbura. PA 17111
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except None
Datel Feb. 1. 199~
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Personal Representative
J. Robert
Address Harlcet Square B1dp:.
1.leohc.niosbUl'l{, PA 170~~
Telephone ( 7~,(-766-9673
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CapacitYl
y Counsel for personal
representative
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COMMONWIALTH OF PINNSYLVANIA \
COUNTY OF CUM.IRLAND J
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David N. Stauffer Jv
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being duly __ Bworp__. ..n_ n_ according to law, depoaes and laya that ha. _1.0 the E~~out_oE __.._
________.__u___._..._..._ _.....___ ......... 0/ tho eatate 0/ _.D.avid H. Stn1\fi'~r
late 0/ _...LQ~ll;lr. Allon T01m131,1.p ...__...______,., Cumberland County, Pa" deoUled and that the
within II an Invantory made by ,_, "?!l\,.i~l_~l,.__S_t.~ff~~_. {~..!.. -,___..__, the a.IL_EMoutOl'
0/ the entire eltate 0/ uld deoedent, con lilting 0/ all the personal prop.rty and reel ellata, .xoapt reel ..tate ouhlde
the Commonwealth 0/ Pennaylvanla, and that the ligures oppollte each Item 0/ the Inventory reptesent It'l fair value
es 0/ the date 0/ dacedont'l doath,
Sl~orn
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,and lublcrlbod be/ore mo,
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511 North Hnnovo~ st.
Elizabethtolffi. PA 17022
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Add""
Dele of Deeth ----l5-__.__
Day
____,Ta.l")ul1r.Y.
Month
1994
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INSTRUCTIONS
I. An Invantory mull be /lied within three month I a/ler appointment 0/ personal reprelentatlve.
2. A lupplement ,Inventory mUlt be /lied within thIrty days 01 dlvcovery 01 addltlonalu..h.
3. /'\ddltlonallheeh may be attached as to personalty or roalty
4. See Article IV, Flduolarles Aot 0/1949.
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Inventory of the real and personal estate of
DAYID '.1. :::lTAUl~l"Im
deoaased
House I:\nd Lot of Ground sJ.tuute at 309 Hanohli'ster Road,
Oamp Hill, Pennsylvania.
200.295 shares of BFS Total l1eturn Pund-A.
PNO Banle, N. A., Oheole1ng Aooount No. 51400611~73.
1987 Pontiao Grand Am automobile.
Net prooeeds from Dale of household furnishings by Briolcer's
Auotion Houso I 93 'l'exaoo HORd, HBohalliosburg, I'A.
Pa tr.J.ot l>1e\'IS Oompany, refund.
Penn Treaty Life Insuranoe Oompany, promium reftmd.
Amorioan 'l'ruve1ers TJif'e Insuranoe Oompany, premium refund...
Iii, 8.3,900 00
2,711 99
l~, 112 72
2,000 00
2, 320
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Totu1..........$
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