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HomeMy WebLinkAbout79-00160 ." -. " , -::.: . ,~(!~. .,:?',;! r::., . . '.: .:: .. . . ~ .'. .. ,,'" .' ~t: .,; . .. ". .'" ". .' ' ..' .,,' . ;;. " ...." ,'". .,.." ,..... . ." "."" it ",." . . . " " ~, ' tL . '. . ' " ,",' . , . ': . . .... .' ;......;:... . .',' .;c"'",:' 'j · ,'. . ,;'., . .. .' , ".' ~. . <. " :.' \ ,;'.,'''; .. .' " . ." '.. .' ,,' :,,: ". .. .' .' " .' ." . '. ..... . ;,., . ", ,,'. ,:; ':.. ';;'i' '" '.:' ::,<,':"> 'f'; .. .; ," .,,,./ . ,,,.'~.<,, .. '.' . '. ',;' C', ..' ", . ,,', '\':" ,:,,:':::, ", ,~::':(:,;.,:> ,,:,)}, :.:c;::'!. ;',: . .' ,'" ".' . ':E:;::: ..:;. ' ;...'!c.... ",.,.., .'. ":.?'. . . ." " '....,. ,.' '. ',' s; . .".. . ". . .'. '. "" " . . . ',: ,;,,:;"::I..: .,:,,":D?:",::t>: ,: '::'ii""";:';"::; . . . . ',,' 'C," ,',;.;.' . c. ,. .' ~ ,,,/.,, . ,"; . .' '. f .; . . .d.., . "". .... ,...... ffi, ;,. , :, '. ,:: .", :;e tl(\~~ZY ,::: ",,;;: ;,; "..;,;", ':': : ,':::-:.:" .:,. . . " ..; .,..'. ."',0 "", :; . ',," ':: '.' . . . 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" .. ., , ' "'II?;,:;:'>;~;';'::':'Y';:':::::''''.:'~~~ ' '~ ~ .,:':G,': ' I . {,,"t'.. ., ., , . I. . . ., . ,..," ,'nc, , :, ': ""'l;{ .. ."", ....." . . "..... ...,., .," '. "",,:;;: . .' " .' ,'. . .. .. ....... ,,, ." .'" , . ." ~,'~: "~r;','~, 't~ .:: . ''''i:, . r::,':::., , ,.... ." . ; ".": .eo; J' d~' J ';!;: ;,.. '. "', )?;:i;!5f: C', " . .: " ", .,.',..,....." :" C''. . .,;:';,~;C::,:. c"" '" .' ,," " :..' ".: '.," ."', ...." , "," ,,, . ."'" '-PO' . '. . . ' . .. ,,' ,,," c. ',,," ,," ~> ", .... '.. ,'.. . . :;:.,:> ::,.i S' ci'ii,f. yp' ,..!. .. _ . H' , '" ." ". 0 .. '. . ,,:' " j-;", .'. ~. ..' . ~~' . :J(~ ;:",;c 'Z ... .., ,'.-< '.'.' "':',,'....,, -,,": :1',)(;;,,,,, · , . " . ,.,,' ." -' ,,','S; ;-'?:":>';' ,,' .,' '-'::: ''-''; ',.. ,. :' ':',. " " '.< :,' ';" ''.1 0I-:f <} ~~ ,":';' ,.-' ,.,,",:~ >..'- ,,' ,. : "~:" ;;:.Y1-) .. Ii ~ ".:,J'...? COMMONWEALTII OF PE:-;:-;SYI. VANIA DEPARTMENT OF I{(:VENUE IlURE,\U OF COUNTY COLLECTIONS 'J,' '." 1/' -, - / - ('. .. .. .. RCC"U 14.131 RESIDENT DECEDENT COUNTY OF CUMBERLAND IMPORT ANT. .-- Till. return mUIII be cumpleted in lIelulllll1d We'd in dUl'hL'II11', wilh 1111 i11111chell. "'ilh Ihe' RraiMer uf Will.. fIr the Cuunt)' where decedent leIlldcd, Itelmn i.. dill' ,,'ilhin nilll' 11I11111h'l urlCI dlllc IIf dc.'nth, unlcu UII "'.lcII!tinn ill arllnlcd by the SecrelDr)' of Re'4enuc. CSt'cliun 10.1 uf Ihe Inht'rilill1l'C ami EMIlie: Tu Act IIf 19M.) - Late 0' Cumberland Pennsylvania } AFFIIMVIT OF I~KKRlll ~II-ll!IUIX~1 Coun'y Surviving Co-tenant IN TilE MATTER Ill' Till! ESTATE Ill' IRMA B. RANK ISTATE FULL NAME 0" OECFOENTI S'ale 0' } ... Cumberland Doris R. Mygl;.EL~j:'vi vi~Q::.t.eJIant. .f the ..tat. 01 the ab.'u-named d.cedent being duly IWor", dip." Sand sor S December 17. 11,2.L{lolta.. l.avlnll a 10" will, copr of which I, h.,.to atJach.d. } lMONTHI (DAY) (YEAR) Int..IIII. N.m. ..d .dd.... .f .11.,." .,} John E. Slike, Esq., Arnold, olh., oUlhOflud '.pr...ntoll.... to whom .11 c.rr.....d.... .k..ld b. m.i1.d, 2109 Market Street, Box 737, Coun.y o' AJIlPiPilllJlll(!IC ~0llIUC UecctJcnltJictJ Slike & Bayley Camp Hill, PA 17011 That as !luch dcponent is fnll1i1illr wilh the affairs nf soil) eslate lint! the prnpert)' cunstiluting I EXECUTOR<-ADMINISTRA TORl Ihe Ossets thereur and their foir market value. That utthe time of death there was no safe deposit hox re};istcrctl in decedent's indi\'idualnurnc, ur jointly with, or os agent or dcput)' of another, or in decedent's individual name, with riHht of access h)' anuthcr liS agcnt ur depuly, with the exeeptiun of the f"Unwing: - NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A S"FE DEPOSIT BOX THIS SAFE DEPOSIT IlOX RENTED IN NAME OR NAMES 01" REL.ATIONSHIP OF JOINT HOLDERS TO DECEDENT ThOI Ihe conlenls of soid sofc deposit hox or hoxes ore itemized under Sehedules wi th lhe exceplion'of Ihe folluwing, for the reo sons hereinofler set forlh: of Ihis return, Thol Seheelule A olloched hereto uod mode pori hereof sels forlh fully ond in delall 011 Ihe reol properly in Ihe Commonweolth of Pennsylvonio of whieh decedent died hoving on interesl Iherein. It olso sels forlh lhe morlgoge encumbronees upon eoch porcel of reol properly 01 Ihe dote of death, giving Ihe amounl still doc at death, nome of mortgagee, dote, rote of interest, and bunk and page of record thereof. It also sets forth in the columns provided therefore Ihe assessed valualilln of each nf said parcels, Ihe eSllmated market value thereof os of dote of dealh of decedenl. That Scheelule 8 ollached herelo nnd mode pori herellf sets forlh fully ond in detail 011 personol properly wheresover situated owned by Ihe decedent 01 Ihe lime nf dealh: 011 mnnel" lefl by Ihe decedenl 01 the lime of death, whether in decedent's immediate possession, standing In decedent's credit in hanks of deposit, savings hanks, trust companies, or other institutions, whether individually, or in Inlst fnr an)' other J1cr~lJn or persons giving ohiO separately the accrued interest thereon, if an)', down tn the Inst interest do)' Iniar III decedent's denth in the case of savings bonks, nnd to 'the date of decedent's death in nil other C:lSCSj nil honds, postal savings, trensury certificates or notes nnd other evidence of indebtedness of the United States to the de- cedent; all obligations, whether by stntute or ngrecmclIl Ihey arc de!Oigllatcd as lax free, of the United States, or ony Sloh~, or politicol subdivision thercof, or of any foreign countr)'. which ore owned dt the time IIf denlh: all wcoring upporcl, jewclry, silverwnre. pictures, buoks, works uf art, huuschnld furniture, horses, carriages, automobiles, boals, and any and 011 other pcrsunlll clmllels of whalsne\'er. kind or nature, left by decedent, Ingelher with Ihe foirll' estimoted markel volne Ihereuf: nil hllnds and mnrlgoges held by decedenl ond of 011 claims due and owing decedent al the time uf death, and all promissory nnles or otlter imHruments in writing for the IHll'ment of mone)' or which dcccdenl died possessed, of whaISne\'er oalure, with inlerest thereon. if any, giving the fnce \'alue nnd cstiml1ted fair market "alue therenf, and if such estimated fnir market value he less than the fnce \'alue, il sets fnuh hricfl)' the reAsons fnr such dC('Ircciatiun os 10 each item: all moneys pa)'able tn Ihe eslate from life insurnl1ce 11Ulicies carried h)' decedent; all nnnuil)' and endowment contracts Ihe ('Iroceeds of which were I'il)';.,hlc urnll Ihe dealh of the decedent; nil and the corpurale :iilocks and dividends due thereon and un('luid as nf till' d,lh" Ill' IICi\lh. hUfH.I~ nnd accrucd intcrest thereon 10 the date of decedent's dealh and olhcr in\'eslmclIl 'U'11I11. '.. u'''h.'J h)' Ihe deccllenl at Ihc lime of death, with Ihe markel value there- of at such lime. ;) 1- 19-16 t' k.~-/ r I't'" .- . ,_1.0' r" '.1 " \. In till' t!ftS(l 01' ~H!CUrlt1cR or CIUHfl or film I I)' t'lIrJlorullnflH, tl1I' vnlllmi rOllurtml Ilr~ 0" f'nr nM pUNMlhlt! !.uhHtnllllntl'd h)' rlnllllcln] stntl'JllfllltH nf' thn Iwrpnrlltlllll!i, "110"1111; Ihn IIS!U..tK Itnll IJllhlllltCK Ih,'r"nl' Il~ III' 1111' clltte uf' tln/tth, Th., 8(~lIutlllln nl.UI HolH I'flrl.h 11m Int.I'r"fit. IIf fh~Cf'lh'lIt. ral IlIn tlruf' IIf' ,It'nlh In Illlr l'n-l"lrl.lwrHhlp ur hUMln"HH, "1It1 111 HIIJll1url. "" t.hn \'"luI' nl' 'illt:h '"h'r""l UIl'rn 1M IIIIIII'X"II In Mulll KI'h"IIlIl". f'lflllncl,,1 "lfttt'm''llIH HhflWlfl~ 11"'''''"i''t!'l 111)11 Ilnhllltl,'", Ill' Mnlfl cu-pllrlllHrHhll' fir hllSllfl'!'Ui, :\ l'nl'~ fir til,' rn-l'"rtlM"rshlp "Art'I'mf'1I1, Or nrnl, " Mlntr,"",,,t ~wtt.lll~ ....rill Ih,' IIlltllr'~ n" thn "~rllt'lIIllnt) 11'c,"t1lflr .41'" " MIl\tlll'II'nl !'wtllllJt furth UU~ cl1nrucI.pr fll' th,' "IISlllt'SM, ItM Illf'/lUun, tllul HIICh olh',r I'UI!'K t"'I't .IIII"~ III Itll' hU!'llunNN ilK ""1)' Ilt~ Ilf,rlllll'"1. III It fnlr fllIIl .Il1Ml npprnlKIII nl' tlll~ III'Ct'IIt'1I1'H llltf!rl'st Illl'r!' III 11111..( 1,,'s\l1Imllll'II, It ShflUllllllHn Hf't. I'urth In IIf'mlll!f1 rurm, l.uJt,'t.lulr with ll.., rnlr mllrkflt \'IIIIIl~ thl'f...t', 1I1l~' f1Uu>r Jlrlll"~rl)' nWIIf'11 IIf lHHlllflnlllt~11 h)' tll" lh.r.l"IHllt III 1111' tlmll nf' IIt'nlh. 111" St"l'dulp C RI.IIH!hnd h,'r,'ln 111111 mllll,' II/lr.. 1.,'rf'Ot' HI'ts !'urlh II trill' ""H"f'r 10 Hlleh Inlllllr)' l'ullt lilliI'll 1111~r..11t nllll In till' cnSH nl' Irltllsf"~rH HI'Jlrnllf~rl.)', r.'ul fir 1",rMn'lnl. wi thin tWf. )'I'nrK nl> cll'ct'th'fll' N llt"llh, III ,:nut"Jl1plotlnn nf' clncl'lh>nl' N fh~nlh, fir 11I1'lIllle>11 In Illkll nl't'...~t. III I'mp,"sKlnll or 'mluyml'llt "' nr nt'l.pr Ihmlll, srdll Hch,'dllle ROt.R f'urth thn ""llIrl~ IIlllt \'lIllll' nf' N1Wh Ilrupt>rt.)', tn _hum I.rnnK"'~rr"c1, thn relnt.lutlshl.. nf' the trruHlrere(!R to lhe .Iocelll'nl, Iho I'rfll'urt.lonnln shure r'~Cf~h'I',1 II)' unch trllflHf"'f'''' ami "II olh"I' "nels or " pertlnont IInl.llrl~ rl'l.Vlrfltlllo; KIIIII I.rnns""rs, III Ihp rUNII U" I.r'l1IRt'."rS Inl.ellllt'll tft tnke ",'r"el Itl 110~RnRl'ilon or ell.10)1II""l Ilt fir ,,"t"r 11'111111, IhnrH IH ,,1"11 flUltf'h.'11 III thl' sclll',lnln II l'UII)' or It..~ IIt'I'd, trust n~r('crn('nt or tlt.her Instrllmelll. crrntll1A tlln trllst, TI.t'rl' 1M "Isn s..t. f'orth III Milici 5chl~111l1H (t llKt or nil pro(lurl)', rfHtl nUelllp.rHflllnl, with Its V"IIIH, whlt!h llIIfo!':WS III d,'c..,If'IIt.'s fhmth h)' Vlrhlf' III' the exurclse hy deCOlhmt, ulthrr hullvldIlUll)', or.!nll1tl)' _'ll.h ullfltlu'r, flr nla)' pflwnr ol'''l'lu,lnl- mell! \.(!!"t,'d In decedent, ollhor Irullvllltllllly fir .Iullltl)., h)'t.IU' "III, ,IHr.l', fir uthl'r Im~trllrnl'nl of' nnlJthl'r, with " t~nl'Y Ill' Iho Inslrlllflont cr"Ilt.1Il~ such fln-,'r "tt.lwh'>ll I-u I.h.. H,:hl!lllll... Thllt Sc/t~du/~ 0 ntt.ftchml lu~rct.o 111111 mlllll! purt. Ilflrlmt' SHt.H rorth t.ho IlIlm(~S nl1ll lI,hlrossuR nl' 1111 lu:orsufHi hf'lIof'lclnll)' Jnt.crestoll 111 thiN eHtute lit t.1I" limp. ot' fh'CHlh'lltt H Iluuth, tile Illttllre of' t.holr rfHii- )I,'cll\'" IlIlflrosts, their relntlol1HhlJl, If lillY, lo t.1I1' IlfH~Pllt'nt, tU~f!thp.r with t.he "A'~R nt t.h,~ tlml~ nl' decl'clllllt'R r1{1nth of nIl minors, nnnult.nnts 1111,1 h'!rlf~t'lclnrll'H for 111'1" 1Itllh~r IIt'cO,h!llt'H WIJI. It nlsn cont.1I1llS It Ktn.tement showln~ whlch or lhe honoflclllrl'~H I1ll1n'HI In th'~ .h'cPlll""t.' s wlJ I, It' IIny, tlt...d prlnr 10 tlne!';lhml, lhe dntos or their denlh, ttmlr I"'Hlm, IlIUII.lII' rolllt.llIlHihlJl ut" such ISSIlH tu I."" Iu....fll.ldnry. Tlrnt S(/tttdulp E attnchclI hereto nlltl mtlllo Il II/art. h"r"of' s...t~ f'..rlh nIl I'rnllt,rt)., relll lUul IH~r- sonnl, mUled h~' the decedent .Iolnt.ly wllh Rlloth..r ur ul.hl'rs, 111t~11Jl1111~ lnt.nl1~lhle, Hlnnllln~ In Um nIl",!! or th... docl',hmt nrul olhers, 1'1115 the tllll,e nntl pllleo ul' recurtl III' Imaruhllmt.s ,'t'l'ectll1~ the \esll tllr'~ uf' relll flst.nt... nnd lhe dnt.e or "c'llIlsl tlon or )lersfJl"'ll~', 1,1115 the nn",", ,ulclrnsfi IUIII rolnl.lulIslllp, If' nn~', or co-nwnorfi to lhl! tlec(!donl, That Sc"pdu/" F attnched hereto lulll mado It IInrt her..nr MP.tH ,'urth I'ull)' 'tllll In llPlltll nIl fh!hui nlld delhacllons clnlrned ror 1111'1 on hehnl r or t.hlH ,h~eollcnt.'s OHt"t.!!, IlIclllllln~ t"..wrltl mCl'cllfi'~fi I'nlll: rllrntl). exeml,tlon, where nppllcnhlo; CORtH ul' lutmlnlstrlltlnll of' Ulls '~Hllllp; r.nllllMcl l't!CS mill I"Illltclur).t s comlHslofls p81d or to he 1,,,ld; cost f!XIH!tIeloll ror hllrlnl t.rusts, tomhstonf's or Arn\'rmnrknrs, IU"I rl!ll- ~Ious r-ocrvlcoR, ln consOllucnco of' I.llf~ dl'nt.h 01' lhe tlec(~fhmt; .lohtR IUllt clnlms owlnJt lIIlIl 1IT1IIn". nl tlJIl'~ fll' death; tnx05 nccrued ch"r~efthlt! ror Ilf~rJoll )'rlor t.o t1eenclonlt H .If'nth (excp.)'t. thnRo nllnwofl lI1uh1r Sf~ctlnn 051 or the lllherltllnco 111111 EHt"l'o Tllx '\I~t); tn~eUwr wlt.h II Kll1t.emunl. nf' cnllnl...rnl JllcIIA"fl rllr nhll~tl- tlons, II' nil)', It Is lt~rfH~fl thut I.hp. f'hludnr~' will "rrs,'nlproof' nf' Knitl e~lnlm'~fl nhll:~"t.tnn~ Il)lnn rn- quest, Ihut Ir tho ntnOUtll ncl,tlull)' (Inlll In !wtt.1'~ml'nt. III' III1Y f"f., '~nmmIKKlnn IIr tlllhl. IH If~SR lhnn t.hl~ oSllrnntocl amnllnt cllllrnln~ unci nllmn!!I, l.hnt thl~ snmf' will hp. rf~l'nrt.f!f1 lu till! n,'~lst"r nf' Wills, 1II111 thllt. the IImuunt f1f' In'( "SR~SROlI CtIIl hI!' rfllISsPSSI.e! III nr.r.orlllll1c.' t.h"r,~wlth. Thnt thll tolulR of thp. RJll'rnprlnU' columt1!i In SChP.flult'!\ ",\", "n", "e", "f-:", lilli' "F" ilK fllr"ct."11 t.hl~r,'lu. hn\"~ hoon cnrrlp.11 rorwnrll fUlIl I'rol'orly r(l~I!illlrllll In t.l1I~ Sllmrnnr).. SUbseribc~8nd sworn to before me this .....-...-.-........".. Q ,. n) 7 Itt Z~i:~;;~C:_l'2~ c51f1~~~~;~~ = t. Alt Commluion bpi.u Jutt I, IIJ10 . .......,................. .......,...... ~.. ,. . Camp "'I, PA _' Cwnbtli.>nJ (",,,,,, (City 01' Town and State) SOTE: n,ofUN.' slu;nln~ nrl'ldn\'It. milk" surt. 1111 hlnuk S'U1I!I'S In II." "t'1'llllI\'I'- 111111 Kc~h"lhll.'s lUlIll'XI..1 IIr'~ t'llled In ....Ilh tlutnlls or Ull~ wnrel IISntw". llllll III l~nHp. I.h,' nS~I'I.s tuelll,lp rllru 'HI.I tlII1Isl"11 MI"~llrltlm;, sflcllrltlr.s nt' closp ur f'umll)' cflrl1nrlttlnllS IIr 'III ltat..rm4l In tftl~. t'n-pllrll"~rshltt nr hll...lrlll!'lS, I.hlll Ulf~ .In tll 111111 ~t 111,.JtIf!llts r"'lul rl'll lIIule~r I tlf~ I"lru~rllph uhn\'I' r"llIllfI~ In Sdll'llllll' "n" nr.' II l I.It..lu..I. .\1 sn mll"" cI'rtnlll t.hnt. r.ulumn #1 111 thn "SlIffITlnr).1I hnM IU"'1I f'rnllf'rl~. cnml'll'1..,lns '1IHI\'I'-'llr"I~t"II. RCC -~5 .' .' RESIDENT DECEDENT SCIlEDULE .5" PEI\SONAL PROPERTY '* COlllIONWE.\LTII OF PENNSYLVANIA TRANSFER INIIEI\ITANCE TAX INBTRl'CTIONBI Thlo Bchedule must dlocloae all tanglblo and intangible personal property owned Individually by the decodont, at tho tlmo or hlo do.th. Proporty ownod by the deoedont JolnUy with another or othera m"at bo Ihted undor Bchedule "E". Intanglblo poraonal proporty, UUed in the name or the docedent, but payable at deat.h to another or other., Indudlng hut. not ltmttod to 1',0.0, U, 8. Savings nondl and tenta- tlvo t.rust accounts, "'tilt bo 1 tltod, dOll'llu tho ract that. tho)' oro not. of the ndmlntatorort OBLate, Tanglblo peraonal proporty aho"ld bo Ihtod rir.t (e. II. Jow.lry, wearing apparel, houaohold good., Rnd f'urnllhlngw, hook., pRinting", automobilos, boats, ot.e,) Intanglhle porsonlll rrollort)', Mlch ftS horllls, troasury cert.lrlclltoll, cal" on hatld Ilnd In bank, atocks, mortgagoll, notoa, togotllor wi th accrued l11L6r08t. or ,IlY Ittonds, Iftlftrtna Of wagoa, ll1lurance pay- ablo to tho ostAto or rldualnry In IIftll1 0"I'801t)', I,,'rtnor"h1fl Il1toroltll, Interest In anyundlatrlhuted eatate or or Income from nil)' property held 1n trust under tho wll1 or Agreement of another, eyen though locatod outalelo or tho Stato, at tho tlmo 01' doath, ahould bo Hatoel In thla aohodulo. Itom ITEIl UNIT EBTIIlATED DEI'AIITIlE/IT VALUATION No. Llat and descrtbo ",lIy VALUE llA/oo:r VALlIE (00 not wrlto in thla apacol l/--~ ~ Furniture and personal effects 420.00, . . '-\ 'L D ,0':> Insort. thts total opposl to "Porsonal Proporty", Schcflule "U" In X X tho "As lluJlortctl" column on tho last pngo of thiN roturn. RCC-37 (i:?-63( \"OmtllS\\'E,\I,TII Of' 1'f:~;SS\'Y1..\SIA TIlANSrEl. INIIEllITASn: 'I'M; RESIDENT DEL'lmt:NT SCIIEnUl.E "n" IlE~EF1(;IAIIIJ.::S I'~ ~.!J.~I , :->;y'! . I,\!!.,.~. \ ""t~"'f~.t +"~"-"'l.,.i <....1; llENt:f'ICIAlm:s ANIl AllJl/l~:SS~:S IIEI.ATIONSIIII' r '~;(\'II'I'1l DATE ItlTF.IIF.ST OF m 'h',,-ehildro" nr I Ii,... ..... StBtc rull nn~P8 and nddre~HeH of nIl ..ho nh'Ulhnll'l. ,''''hl,,," ~;"'~;h'.lI\;l~ OF JI/:NEt'lCIAIlY Iln' 1m tntt'rl'I'I, \'('Htl'd, Cllnt. tm:r.nt or nUwr ,,,. ,"\'o)vo'd. .01 . illl 'NO 11 I IlTII 1:\1 t:~T\'J'E .'bp, in l'6tntt.) fnrlh till. l.cl.1 . DoriR a Daughter . 'ies-r- 100% 1903 Market Street I Camp Hill, Pa. . - I \ h Ih~f'nllent f'Jrlher Sill'S thnt ull lhe nhovt!-nnmt'd hfmeflr.lnrlf!R arc Ilvll1J; ilL this t.tmccxct!llt below: NMlt: DATt: Ot. Jlt:ATII RESIDENCE ~ - c . - ,,- E..-:" - I " ,g (I E 'e ~.: -cQ,8 0( e, ~8t :;~t: ~"& l:!e~ _ 0: 11",11 Properly....,,," ..............."....,"....... Peum",) Prollerly ......... ................"......,."..'" Trull,reFS .... '....... ..,............'" ...' ....... ........" SIIM~I^n" (Seh. "A") . (Sch."II") (Sch."C") (I) (A, 1I"pur""I) $ $ $ $ $........,' $.................. " '.. /2) / A, 1>I'I,',mlll,.,I) ~ $ $ $ $ $ r: II i:1 ..l ." ~ .0( .... '" III - - .0( , ',.,. ill c.- -.!!. =: "" .C "" 0 " "" ~ "" ~ :. .0( -0: ~ .;:: lol sf Q d i'; - .. ~ ;; Z z 1= 0 '" ~ c.- ~ ~ ---- 0 Q C = - 0 e ~ ;; "" 'l: :..; ~ ... . ~ :.: e I , -0: ~ ~. '!! - " 'E ". " ~ .- - j a a ;.. ~ ".... '''''f.'', '''....._,,',......... ""., ,,,........,,'".,, .,'."....".-.....','1"..'....,., Gruss TllxnhllJ 1~511l1lJ :. . -."",.,,,,. Jgi~ 011979 .l../-1 -o/(,IJ DANK UO. COMMOHWEAUH Of PEHIISYLVAHIA OEPARTMEIlT OF REVEHUE DATE rlL.eO " NOTICE OF DECEDENT ACCOUHT STATUS Cart. //'1-0')-122283 Deo,:mbor 23, 1978 Submit in truplicalc within 1 ays a tcr go 0 STjTur.(lrtAccouHT NOltUOIN" hTIlUHrOIlINV'l.,,,,e'\Tj th d th' . .' . JO:l.nc 'onnneD Wl :h r1G t 0 our" vorLoll .? e eo , IL. .- , . RETURN COMPLETED FORMS TO LOCAL COUNTY, INHFRITAHCE TAX OFFICE Feb. 9, 1972 NI.ME5 ON ACCOUNT RAlIK, Irma D. IITERS,DoriC! R. SOCIAl. SIl:CUfd1'f UUMUl!R\!;1 173-16-5"79 ADDRESS . ' OECEOEIITIHFORMA 01 NAME RANK, Irma D. AUOf(E:-~ 1903 Market Street . . city . . 'to: ' VATl:. 0"- DCA 1 It SlIRVIVIHr.IlEI'OSITOR (O.n.lld.....IIHFORMATIOII NAME. RCLA1'IONSHIP TO OECEDeHT_ MYERS, Doric R. ,: . ?????? 1:!-17-711 1~b3 H~rk~t' Str~~t Cnillp HilJ.."Pa,' 170U: .,.. .' . Ca:np m.n. Pa.p, , " bALANCe. OF ACCOUUT AT 000 INtEREST ACCHueD AND COLLECTIOLE AT ODD TOTAL C'lUN'V- ,,'~1 t'lbt~ "" $ $ $ -14!l! .: ", D"'NK/IN5"ITuTtor~ Ao.onE5S The H3rria Savings Assooiation. P.O. Box 1711 Harrisburg, Pa. 17105 BANK AUTHORIZATlOH I HEREhY ceRTIFY THAT THE ItU"OHMA1IOH COUTAINhU IICP.EIU I:; ^ conRECT nF.PRF.SCNTATION Oft tNFOfd.......TtOr..1N OUR FILES IN ",CCOHO WITH SaC!J.H 74Z pl. It TA C1T OF 1061. ~IGNA'T lZ ~,'-)NAf4Ct", IN E,~..!.!t^10n r ~ OATH . .--; t(: I:Y-Y ,:/(. ~ ~", J;-" I /.1 - .J.J'. "71' .' .,'... RC C-Ja RUSIUENT IlECEIlENT SCIIEIlLJI.E "E" JOINTLY OWNEIlI'IWI'EIHV - COMMONWEALTII OF I'ENNSYL\'ANI,\ TRANSFER INIIERITANCE TAX INSTRtlCTIONS: TiltH Nchtllluln mUKt. lllNclnfio "II prOIH'rt)', rOlll rulll porsfJlIul, n.'If!11 hy th~ ,lnct'Il,'nt jointly "'.Ih unulht.r ur olllor". IncllullrlA Illt"nAlhh"l, ftlurulll1Jt In t.ho IIRnI" nt' the dt'cedllnt flllll otherR. List rl."ill ""IRlf' C'lr!il, '11'1 IllIttrt.ttos, ur Joint 1I'IIRl1tH. J;lvlllJ; hrlor flnscrlptlon, 'Hi Indlcul,'tl 1Ulllor Schcdulo -All, ..1 Wi tin' lllatt~ IIlut Illncn fll' rHcurd nt' tIlNlrurr~'111 nl'l'octlllA vf!stllllrf~. hut .In 1I0t IncJullo entlrotlo8 ur Hul nl' !ilall' r,,"1 I~stnl(' vullw In ofotlule YIIJuutlflll cnltlmn. Pf!rROII"1 pruJlort)' shuullllw I1NlI.fI IUI In SctWtlulo IIUII, pIlls 111110 HI' nC1lulfotl ttUII, IIml tho IIlIm.., IlChlrl'Ss 1111I1 rf'l11tlflllShlJl (J r Rill') of' co..o.nors to tho Ih'CI'llt'lIl. Ilt1f1crll'tlnu nl' PrUI1f1rt)', Uull' of ACfltllKlllnn, Snltll' \.'l1lt pnrcl'l1t.nAc ,\,ltlroHH IUllt ItnlnUonNhl1' nl' Co-O...ncrN, "Iul I'luro \"aluo Hh"rf~ ur Itt'I'nrfl nr lll~trllml''''-. whl!rt' Ih'nl Hstlll(1. >> ~ XX 0< Z ~ ~ ~ ~ ~:>; l~:f;f:"~'~ ~ '>I'Y oN ~ ><X>". ~~ 'XX ~~ lY0h 00< :<< Est"t.n Vftllm lion IlEl'A1ITllt:ST VAI.lJATIOS CAUTION-JIo nol Il'rllo In TIIIR NpRcn. Vnlue of Valuu or l-)1tl re Dl'c('den t' H property I"lnreat ~ <X ~ The following assets were owned in thE joint names of decedent and her daughter, Doris R. Myers, for more than two years prior to date of death and include interest to date of death. Commonwealth National Bank checking 804.63V account 142-106204-1-91007 ($1609.27) 50% Harris Savings Association: y'~ 714.87V Acct #4-47454 (1,429.75 _ 50% C.D. 4-09-122283 ($12,085.16)-"" 50% -" 6,042.58 C.D. 4-09-122197 ($ 7,049.68Y' 50% 3,524.84 ~ First Federal S&L Association: 1,509.00C C.D. 16-2887 ($ 3,018.00Y 50% C.D. 16-17838 ($ 8,035.49) 50% 4,017.74 C.D. 16-16604 ($ 2,014.50) 50% /- 1,007.25 C.D. 16-6585 ($ 2,014.50) 50% 1,007.25/ C.D. 16-5667 ($ 2,014.50) 50% / 1,007.251/ C.D. 16-9644 ($ 1,011.00Y- 50% 505.50 20,140.91 '2..0 140.lil JlHiI!rl this lntlll fJfll'Ul'iltn ",lulull)' (lwtlelll'ru)lflrt),II, SchUtJIIIr. "Ell In Ull~ lIt\fi llt~tlllrtf~rt" coltll'll 011 lIll! ]IIMt "RRolf or this rt'lllrl1. .1:drqlJ:'I"} 0 ... 1 , ~ , , . c: z . , ::s w ~: . 0.' 8 ::!i , ..... &l . ~I . w , , , en Q Ci . w . , . a: , ~! Jl . ~ a. Z a. ~ 0: 0 <<I: ~ co: JI w .-I: . > x ..!) :: '0 ::l l'i ~ W I' , a: ...... . '0 it! l'i ~ , J J W :!l 1'1 '1: oS' II. -0 Iii c: I 'tI U . 0 .. lil z ~ ~ Ol i , ~ ~ ~ ~ c:;.. - - Yl: I- :: .:s .... [ l>- I u .J'.! . 0 oS' Z .~ .~ 1 a: 8 , ,'" ::s W C. ... l!! ..l... w Q , I;; 'tl ::E q; g; ~ :c ~ I- z .r;:' - - , 'tl q; '5 ." a: \'< I - Iii s, c: - e !Z ~ .. .... <( .. ::s 'tl e II: 0 Q. -0 'tl 0 0 16 w .~ - w .. .Q ol:: C .... .!'; c: C ~ .5 .. - ] 0 iii 6- 1'/ ::s '- e .. a Ol Ol' 0 ~ 0 :!l w - bI ~ ~ a: C3 ~ &: 1i: II: ~ ~ 15 Form RCC,)D -, "/.- "/",.- .//~ .: . -. I , - / I DEDUCTIONS ALLOW(D IN I- / .' />' .t<y??W Cj':1 .1 .J; '~7q OA T[ AP~ROVE.D " \ ,1, ~ _ r ( (,j7 I' [Q J .}-11..~ua.ll__-,- ~d.CtJ.Q.II':",>__ tt.t'llu ., Willi, AliI'lIl O'~.ICI or THE "tOIITUI or WILL' STATEMENT OF DEBTS AND DEDUCTIONS THE SU'" OF ...,.. 0' Cumberland COUNTY AHD AGINT 0" TH. COMMONW.'LTH , ESTATE OF Irma B. Rank LATI 0" East Pennsboro Township I DAT&: QIl' FILING ",f1nAIUf.4INT rt,"O~ 1/../1") ? DATI 0" DEATH December 17, 1978 I I I I ~ DATF. No OF N.....l 0" "A'I'r. AIt.4AnK8 AMOUNT vouc=w... Rev. S. A. Heintzelman Funeral services 50 00 Myers-Hall Funeral Home Funeral expenses 1 n'1':: ".:: PP&L Electric 98 81 Bell of Pa I ~, ft. .Tn"" !::. ""..l~~ Don" .,,~ nn Lenkerbrook Farms Debt 11 98 Register of Wills Filing fees 6 00 Arnold, Slike & Bayley Attorneys' fees (est. ) 500 00 I 1,979 41 I . -. . I , , I I" , - , , COMMONWEAI.TH OF PErmSYI.VANIA 1 COUNT'r OF _ CUMBERLAND J'" I. Doris R. Myers HPIIIY CIJlTlrY, THAT, TO THE OUT 0" ~'I' KNOWLEDGE AND aCLlr" THE ronlUOIHQ II A J1ST A..., 0 dNU IE erA}t"4ENT Ofl' DERTe, ,.UNcnAL urlN'U AND EXrI!N~L. 0,. ACMINl8ThATION ~U8Mlnco TO THE UTA'I or rma. Ran DtCkAeco. .... DlOUCTIO.... rOR U....!RITANCE TAJI: rUArOU8, ~ ,.-S/; '" lJ J~. 'i " .- ..,/'Y'~Lc.. '/~ IL. ., owe NO "LlDliCAIOID f'J "OR~a: THI~ DAY 0" ,Marcn (?, . _ ''Y'~ , ,~;/ i 7 ~c...- I -"'clm. S. M,C,ulr.n, NoliIT\' pullrlC" Mr (o"nMluic,n hpIU J;J~ I, 19f..O (.mp 1i;:I, PA CumbulM.d Cwnly