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HomeMy WebLinkAbout79-00668 _.-_..~--., .~ ~ .~ ~ . ~t en , Il< ril , .~ H f7l " .j:l "" ~ 8 . ~ f< . en Ii fj ~ ' . t) '8 ,~ ,,10 1: 1M . ?': " .', No i" . .' 8 . ..t PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of CHARLELW,_ F.JKE .-.- , deceased. TollARDLD B. MclANE,Acting Register of Wills for the County of Cumberland, in the Commonwealth ot Pennsylvania, J9{ Petitioner(s) are the executQrJL..__ named in the Lost Will and Testament of Charles W. Fike ....._.____ datedOl'tnhpl" 17, 1975 Decedent was a citizen of the United States and a resident of Township ~iilJl!I, Cumberland County, Commonwealth Ramp den of Pennsylvania. Decedent died on Wednesday the 1 q th day of ~prtPmh<;,r A. D. 19...E1-, in the County of Cumberland State of Pennsyl vania at the age of S 7 years. Jbasc ~ ~ Decedent has not been married and has not had children born to him since the execution of the above described Will. Decedent was possessed of personal property to the value of less than $10,000.00 and of real estate to the value of none as near as con be ascertained; said real estate situated as follows apply Therefore, your petitioner(s) respectfully ~ for the probate of the said Last Will and Testament and for Letters Testamentary thereon. Doted November 9, 1979 ./' Name and address /V/,1" //".-".[',') (''' ~/. .:/;. f P ft' ( ) TERRi'1NCE C. FIKE . ' o e I loner s 20 South 18th Street, Camp Hill, PA COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND Terrence C. Fike and Florine A. Fik~ nomed in above application, being duly ,",wnrn according to law say(s) that the statements set forth in this petition are true to the best of their knowledge and belief. ) Sworn and subscribed before ,/ / / . , I ~__ . t.. ;' . /. I / /./ ../'~F;'.i? TERRANCE C. FIKE me November 9 " \ J I , t: . --k, --- " . '1~"7~) -c; T ,n-,,;, " , . . .. I -~ .- Harold B. McLane,Acting 1979 Register I i. ~ i . 1/ I _~~!L.~ r,--I , j:"J ~" (: i),~ ,; t') ~.--, -"'--"," (, ~/o \ , -:: ( -~ .~ Cllh /) Filed; 1I0vember 13, 1979 cx/-79-(,6f' Attorney: 1-; 0 II , ?'\,' No.u" B PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of CHARLES W~FJK1L-_ , deceased. To HAROLD B. MclANE, Act:lng Register of Wills for the County of Cumberland, in the Commonwealth ot Pennsylvania. :IS( Petitioner(s) are the executO.r.B-_.____ nomed in the Last Will and Testament of Charles W. Fike __ _ datedOc.t.ob.e.L-lJ-,--l-9-75 Decedent was a citizen of the United States and a resident of Township ~, Cumberland County, Commonwealth Hampden of Pennsylvania. Decedent died on Wednesday the 1 q rh day of ~~rr~mh~r , State of A. D. 19 7q , in the County of Cumberland Pennsylvania at the age of ~ 7 years. ~ ~ ~ Decedent has not been married and has not had children born to him since the execution of the above described Will. Decedent was possessed of personal property to the value of less than $10,000.00 and of real estate to the value of none as near as can be ascertained; said real estate situated as follows apply Therefore, your petitioner(s) respectfully ~ for the probate of the said Last Will and Testament and for Letters Testamentary thereon. Dated November 9, 1979 / ./ } Nameandaddress"'c./J'_'/~JJr(' r" 7~ of Petitioner(s) TERRi'mCE C. FlKE . ' 20 South 18th Street, Camp Hill, PA COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND Terrence C. Fike and Florine A. Fike named in above application, being duly "",n"" according to law say(s) that the statements set forth in this petition are true to the best of their knowledge and belief. ; Swnrn and subscribed before / / \ " , I r7 . t ( ~ /. ( / ..' / / ../ ...';'~...-A!? TERRANCE C. FIKE me November 9 1979 , \ !:,-.J.:~\7 ~, AJ .~~-:> --rp-:?-;:I ...., ___ '. . .. I .~ , ...;;.--. Harold B. McLane,Acting Register ") I 3 .~ (?,}/"I/) --- ---;",1 ..- ,(:'1" I r.o ..'1'./ ",_"" I'~~ (tf~'Si'",; ~r .) ii, (( l'~ '/'/0 U ---> ; , \. - 1)-: .~ ..~j , lJ/l,.- 0) r:. I;' ,--. ,)t'J \ \ (, 0;0 Filed; November 13, 1979 cX/-7'1-"6;' Attorney: OATH OF SUBSCRIBING WITNESS COMMONWEALTII OF I'I';NNSYLVANIA / ss: COUNTY OF CUMIlEnLAND \ This....................................................... ....' ..........,. day or .......,."., ...,.,..", ..., ......, ,.., .,.., ...,... ............. A~~........, before me Richard E. Anderson. J{(!I-(istel' fi,l' thl.' 1'1'0 II a 1<' or Wills and wanLing lelt"rs 7~ministration in and for said County of Cumhl.'rland. in th" COllll1lonwl'lIlth or I'''flllsylvllnia. 1""J~IlY eame .............. ,...................,.....................".,..".........,....,.....,.,....,.....".......................,........,............. ............,..................,........... the subscribing witnesses to till' fim'goillg illstrllllll'nt or wriLinl-( PUI', lillI,( to lie the last Will and Testament of ...................................................,............,........................... ...... Dated ......................................... late of..................................,.......",.,.... ..................... ...,...,................. ,......... Cumberland County Pa., deceased who beinl,( duly.........................................., 11I'('llI'ding \(~)'7( "pos" and say, that ........................................ present, and saw lIlId heard till' tl'"t.o........................!:.;/~, ............................................................................. / sign, seal, puhlish, PI'OIlOllnl:(' HIIlI dl'I'llIl'l' th" HHijJ'(IIHI"lInll'nt or writing as and for h................ Testament / and Last Will, and lit. till' Lilli" or HO doin,~ ,...,<:..........................................was of sound and disposing mind / memory and undl'l'Htllndilll:, 10 till' 1"'HV"r ..............................................knowledge, observation and belief. .' ...........,......,...,..,........................,.........,...,.........,..,.... .........,......,.......................................,..........,..."...,..... ........,..,.................., .....,.................,...,...................,... .....,...,....,..."""",.",..,.."..."."...,..".."""...."",..",...... Richard E. Ande . on. RegiHtel' / AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA I HH: COUNTY OF CUMBEnLAND \ I' .'" (I r:", < ......... ...... ........ ..................................... .:.. .:. ::.:: ,. (,~ ~.~: .,:........ .';;..c..... ...... .:/~. :':':1'" ........ ............ ..............being duly ................................................ HIlYH thllt. IIH Ill'arly aH can he ascertained the said decedent .......................... .......................... (..'. d. (.(:..: /:.. ./.. .....,(. (,.:...:. /..:.:.::......... (. :~i. /..{........................................................... .died on (. , ~ ',., " -,. . / . "} 'i ................................................ till' ............ ..L.............day of .............:..:,(",.::::.:((2..-:;.(';,;........... A.D., 19.1....., lIt.llr ahont .......................................... o'clock, ....M. .worn I I 'b d h' ......,....,,,,,,.....,,,,,.,,...,.....,,..,,,,,,,,.nrH HU )sCrl C t IS /. ./ /. _ (,,) /,~r ,/~ .:..., ''1.;-.' (.,.: :I~.,,~ ~-; ,<,:."...,.,::.,......... ;;,l"..~, f:"...",....,........,. 9th . November ................................................ tlay of ........................ Ill, }~..., 1",liI.... I ;_~f.:":ll"',-'::':: (1, r-- (-1._";' (. '; . ~ I' ..". ' ""<<".Il1 'I" I, It;' "'1':"" ..:.L......;," .............. . tl.'ClUr.V......... ........ ................ Ilu 1..".11.. ANI" rU'~..,1(lrHrl'\rt'1' OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA} COUNTY OF CUMBERLAND S8: Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of Cumberland, personally came .......T:f/!.'.rj:tll\.;.L{,......C...:.........!~.!(,.L.............................. who, being duly ..:1!;\':~:.1..::::"......., do f..L.. depose and say that as.....(f.{U:.i..~..~................................... CI .;,/..- of the last Will and Testament of .......l:.t.i.1..:;b..?........~.t..?...~..::-.~.!........t;.(..~~..............................deceased .............h..C..... will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances. ........~!.~:~......... and subscribed before me. ~....... .~?..Y.~!:!:...~....................... A. D., 19 .?~....... J d 15 \.~i'r, c.:;;( Ov'\~ ...... ......... ..v\:.......ll/....Deputv........ ...... ............ ... ... R:...L..u J E, .AARfhn 8M, RegIster , q;--/ ,,,l ; / d(' ~::~~.d:?;~t{;~:?:~ ~" .,..~, ..... .. ;::,..,.,:::~.,""',......,...,.... . --- '7;;,It1.i~,v('L ('. /-(1"'- L ""....,....,.",.....,.,."".....".",.,."."..,',...,.",.,...,.,......"". 'l:: :'0 ai, ~ :ell ~ :'" ....: ~~~ <:1l \}.Q) ,..-If "!.: ~:O I ~: U. .J..! ~: I..oJ co: 0 ~ '^': #' M' a:l co: ll'~~ ..!<: ~i \0: ...J '^: 0 ~,C} ':.Av: 0 101; \0: ...J I:l:l , I: ~: - ~~ c:. aI: .;, .~: - - ." .~ ....: ~ ~ I: . CD: ~: It\, l:: U >: N: II' ~i .~ E< 0: ~ "C:l Il:1 ~~ ~i {! Q) 0 '" "C:l ltl " i z ~ ,{ '" ltl 0 I : .s ..... <J .... -: .... . Q) #Q) ~: .5 '0 '::J~ '" '0 "C:l bO " 0 '" l:: <<l - Z .~ ~ '" p.. r... DECREE Be it remembered that on the ......J~~~........ day of ......................~.'?~~.L....., A. D., 19 ?~....., there was probated and recorded the last Will and Testament of ......~~~~.~~~...!!.~...~~.~~..................................., Hampden Township . late of............................................................................, Cumberland County, Pennsylvania, Deceased. Letters ............. .............~~~.~~~~.~:r. were granted to .. ...... .............?,'.~F.;.l!m~.~..9.~...~.~~~.......... ........................ Witness my hand and official seal the day and year aforesaid. I ..........9: {~ I [V'A .j . ..~.Y.1s:i!I.~..\')..: .r.qS.i.l (~..I}eP.'2tY' R .:.1.......<1 E. .AfldcrOO+1~gister. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I J 55: Tg];_ance C. Fike._______. ._______.___________ _____.m..._. being duly ~wn"'" .___ _._ according to law, deposes and says that he _is_.the-.-.Executor- .---- .- ....___.__ __.___ of the Estate of Charles W. Fike late of _CfllI)p_Hi.ll__.... ----, Cumberland County, Pa., deceased and that tho within is an inventory made by _._Ter.I:<Jnce_.G...-Eike-._.._- .-.---. tho said Executor of the entire estate of said decedent. consisting of all the personal prop.rty ond roal estate, excopt roal estate ou!sido the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. -, SWORN and subscribed before me, Z' / ,., . ...I ~.l! ,.,."h (' . . _A,- 7 Executor ~~ ('1111,\ (' /-, -f 19 80 ,,:/ , ,'I') >1 ) (j (!, I J) f I / l ) I IT/.J,LI.. I r:J./.J: U. /" ' -~I' ,,- ,} I' ~ fI._.,! '/11) '::\-(-)(,(,.(\0..'. \I--'~ I '-.-li:.J; /'I~'-.:I _2.o....s0lrth 1 8 t n ~t',..P..pt . Camp Hil..LJA 17011 Addreu D.te of De.th _Nin~lieDj;;h (l9th) O'Y S~~ Month 1979 Year INSTRUCTIONS I. An inventory must be filed within three months alter .ppointment of person. I ropresent.tive. 2. A supplement inventory must be filed within thirty d.ys of discovery of .dditional asse!s. 3. Additional sheets m.y be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. ~ ~ >- -d . \ , I- w . '.:i ~ '" I- '" W <( ~l " i <>. I- u " -J 0 0 Vl " \ w Cl '" >- '" w ~I ..... '" " ..... J: <>. ..... <>. ':;'; c I- -' U. -, ~ Z ...1 '" \ 0 u. -' <( 0 .1 ::r: <>. " ~ :: w 0 <( w ;3' ,:. --.J< Ii > z '" ~ I ~ + ~ '\ z 0 0 Cl ~I , d II Vl z 0 '" U Z w <( , ... <>. ~! " "" 0 '" I - ;: C,,)' 0 N I ..0 " ... " E + ~ 0 I '" , 0 -' U u: CD Invontory of tho rool ond porsonol o.toto of __CHARLES__W_..__E~KE ______._._~_. _. __..______ docoo.od. . -~~C-===''''''=''~~-:=7=-l-'-- (A) REAL ESTATE All that certain parcel of land with improvements known as 3808 Candlelight Drive, Camp Hill, Pennsylvania, more particu- larly set forth in Deed Book 22-Q, Page 582, wherein said premises was conveyed unto Charles W. Fike, now deceased, and Florine A. Fike, as the surviving tenant by entireties. - 0- All that certain parcel of land with improvements situate at Warriors Mark Township, Huntington Cotmty, Pennsylvania, more particularly described in Deed Book 107, Page 117. Property held in joint tenancy by entireties between husband and wife. - 0- (B) Proceeds from Railroad Retirement Board No. WA182-14-8262 Death Benefits $1,078 40 Proceeds from Life Insurance Policy - Prudentail Life Ins. Co., Policy No. 20-848-701, payable to Florine A. Fike, beneficiary ($3,725.26) - 0- Proceeds from Railroad Life Insurance through The Travelers Insurance Co., Policy No. GA 2300 61 RRL1361, payable to Florine A. Fike, beneficiary ($2,000.00) - 0- Veteran Administration Death and Funeral payments - 311/212 x 55 182-14-8262 450 00 Balance in Checking and Savings Accts. - 676-5 Savings #006-054252-9 ($212.52) Wife Joint Accounts CCNB Checking #275- ($536.12) Husband and - 0- -- Proceeds from payoff refund on encumbrances of 1979 Buick automobile - Nationwide Consumer Services, Inc., Loan #1-3710- 13965-7 $1,021 79 1979 Buick coupe style automobile, title number A31090l99, Veh. Reg. 4M47A9G137545, appraised value by Francis For Fords $5,000 00 1976 Chevrolet truck, title number A28057670, Veh. Reg. CCD146B172l02, value based upon sale price to son of Decedent, David Fike $2,000 00 Clothes, shoes, costume jewelry, personal belongings Veteran Death Benefit from Cumberland County, Pennsylvania 150 00 100 00 TOTAL $9,800 19 i , I I ~ .oji./t~;r. ~Ji'::' =- .1'.\M!~~!r:f0,:i:,/"(' '",.'.: COMMONWEALTH OF PENNSYLVANIA ,q'I~4'.O' DEPARTMENT OF REVENUE :~ .,~i'<I\' '; . ~ , f OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX I -~==~-~-- 0 i RECEIVED _______________~OVR_Hl1NDl\IILl.O~.&i .. 60/100----------.,.---- dollars ,( representing Pennsylvania Inherltanco or ~ From: David R. D~I.q E,tole Tax due from th. following ..tal.: , (Ftrine A. Filte; l ddr... 3133 Che.tnut:. street ~ 2Cil Tax on $ $ C_1lIp Hill, 17011 $ Pa. 6% TOI( on $ FiI. No. 21_,g_668 Dot. of D.oth 9-19-1979 $ $ $ I $ 441,60 $ 15Ck To); on $ Dote 01 Payment Marah 17. 1980 % Tax on S Estate Tax, Act of ,- /"'^ May 7. 1927' Name of Decedenl CHARLBS W. 1JIJ(B Cau nty Cumberland TOTAL TAX CREDIT less five percenlum of tax if paid wllhin three months afl,J./" ...... dole of death Plus interssl 01 the rate of _%from 10 $ Remarks: -PAID ON ACCOUNT- 'ITOO~[P[L~@li\'IT~ 5 EA L 441.60 TOTAL AMOUNT PAID $ NOTE: Thi. Triplicato Receipt to be r8tlllned tOI audit purpolos. I Received by NOTE: In acceptIng Ihe tranller inheritance tax an future estates, prior to the death ollhe life lenont or lenant for years, os flvidenced by this receipt, it Is understood that the Commonweahh shall nol be precluded or prevented from herealrer aueulng addiUanal Inheritance 10)( 01 Ihe death 01 the Ille tenont or lenanl lor yean whenever II appears thai ,uch additional tax may be legally due and collectible for any reolon whotsoever. I i ._- - - -- -.-- -- -- -- ~-,'- -. ~ -.- --- -- --- -- _.---- ----- - --- ._~, --- --. --- -- --- - -- - -'-- -- " form No, RCC,62 (.c.'!) THIS FORK REQUIRED IN ALL ESTATES WITH OR088 ASSETS UNDER '10,000, UNDER 8ECTION '1'01 OF ACT OF JUNE It, IN1, EF'EC'UVIC .lANUA.RY 1. 181!, (PILE IN DUtJUCATE WITH COPY OF WILL ATTACHED) ..:/ / f" /t ,;; / - 7 f' -({;C';J' '*' OFFICE OF THE REGISTER OF WILLS County of . .Q\lmqfi!f:'.~<\lp..q....... .... . ....... :r.~U."~(:.~. 9... .f~Jw. ..................... of .. .Q?fI!P.. '-m~. .~?~9\lgl).. ..................... (Nam_) (Addreu) b.ing duly ...........!!~Qh'I\................ according to law. deposes and sap lh.t he is 'h.....I);~.e.~),I;tg.~.................................... (Exec.. Adm. Ltp.~. EIC.) of the .stat. of....Q\};p:.l~!!...W.:...fJ.~~.................... whose last residence was ..}.8.Q.~...f.~~.~.~~.~~.g.~~...~E.~~.~....... (Nol ISll"tell ..QflIDIL.H;iJJ.,..J'.<\l.:..,.............. deceased. and ,hat the who," of ,he estate of said dec.dent. who di.d ...~.:P..~~~~~E.~.!. (CllY. Borou,h or Townlhll'l (Dlle) consist.d of: REAL PROPERTY REAL PROPY-RTY IN PENNSYLVANIA, WITH STATEMEN1' OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, WnERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES Alom RELATIONSHIP OF OTHER OWNERS, hat certain arcel of land lith im rovements known as Estimated Value -0-'/ Real Estate Drive Cam Hill Penns Ivania more articular B k 22- e 582 wherein said remises was conveyed unto Charles W. Fike, now deceased, and Florine A. Fike as the survivin tenant b entireties. in arcel of land with im rovements situate at - 0 - Warriors Mark Township. Huntington County, Penns Ivania, more parr] ~111"rl y described in Deed Book 107. Page 117. Property hplrl in joint tpnan~y by enti~ies between husband and wife. Personal Property 1 Proceeds from Railroad Retirement Board No. WA182-14-8262 $1,078.40 ,/ Death Benefits 2 Proceeds from Life Insurance Polic - Prudential Life Ins. - 0 - Co. Policy No. 20-848-701 a able to Florine A. Fike bene- 3 Proceeds from ilroad Life Insurance throu h The Travelers - 0 - I P lic No. GA 2300 61 RRL1361 a 'able to Florenc A. Fjke beneficiary. ($2.000.00) 4 Veteran Administration Death and Funeral Pa ments - 311/212 $ 450.00/ x 55 182-14-8262 5) Balance in Checkin~ and Savin Accts. - CCNB Checkin 275- - 0 - h7h-5 ~"vjngs *OOh-054252-9 ($212.52) ($536.12) Husband and - see attached sheet - NOTE: You may expedite the processing of this return by filing with It, and as a part of the return, letters from ftnanclal tnstitutions or mortgage holders, certifying to amounts on deposit or owed by the decedent as of the date of death. Such letters must be signed by a responsible officer of the financial tnstitution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account, account number and the exact name or names in which the account is registered. . Jointly Held Property E.t1mated Value 1<<0 OW"'" JOf"t .......1 ..1'.1'11 ft~h.r th.... propert.y lli,talLMI'.a ~.]., by tan...!'. hy en!'fYllti.. ........ Transfers within TWO YEARS Prior to Death NONE That at the time of death there was no safe deposit box registered in decedent's individual name, 01' jointly wit~, or as agent or deputy of another, or in decedent's individual name, with right of access by another as 3l\ent or deputy, with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECEDENT n BENEFICIARIES BENEFICIARIES AND ADDRESSES (State full names of all and their addresses who have an interest, vested, contingent or otherwise, in estate.) RELATIONSHIP (If step-children or illegitimate children are involved, set forth this lact.) SURVIVED DECEDENT STATE YES OR NO AGE OF LIFE TENANTS OR ANNUITANTS AT DEATH OF DECEDENT INTEREST OF BENEFICIARY IN ESTATE 'lorine A. 'Ute 3808 CandleLight 0I'1v. Cap Ill11, PI. 1'1011 vif. yo. Ill. 100'l.. I 1---- i L j I I I -i ~- I I I r I I I r- ~ i 4=-::= i~ I I -+ ~ Eo< Z ] m fz1 ::;1 ...:l >< fz1 .., -< rn :~ rn ... ... <( .. <( ~ r.- 'E !:l: .. ~ ~ 0 > ~ w <( '" fz1 ~ <( ~ = fz1 .. Eo< ~ l:l = .. ~ ~ ~ ~ ;I: 0 ~ Z Eo< rn .... <( ,..- fz1 0 r.. Eo< h <: 0 ..c:: !:l: :! 0 ... .~ i 0 ... !:l: q f ~ W ... fz1 .... ~ fz1 '" ~ 0 <: !:l: 'OJ .... b 0 ~ .~ 0 ~ -a l'J <: ! :::l.... '" ~<( j 0 0 u u , RI:V.484 EX-+ (JolIO) !NHERlTANCE TAX SUMMARY SHEET (~UR_EA~_l!.~~.QNL Y) File Number 21-79-0668 -_._-----_._--------_._-_.--_.__.__._--_..----_.__.~----~-_._--- - - .-- --- Estate Name ___.C.h.a-.!1 es H. Fi ke Date of Death 9/19/79 Social Security Number .... .... REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inh.ritanc. Tax Apprais.r in and far the County of ClI~tll'rl and Pennsylvania, do respactfully report that I have appraised the real and personal property as reporte in tho foregoing return at tho values set forth opposite each item in the IoU column to the right in Schedules IIA", ItB", "C", and liE" Dated: 0 April 10. 19RO fjJt,,,, :", ,0(//,,4, N,I J INHERITANCI.: TAX APPRAISER INVENTORY VALUE AS APPRAISED ADJUSTMENTS CODE (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE Real Property (Schedule A) Personal Property (Schedule B) Jolnt.Held Property (Schedule E) Tranlfers (Schedulo C) $ 00+ 9 10+ 20+ TOT AL GROSS ASSETS II n n 30+ ___._~~._e!lL_ ~9_ Leu D.bts and Oedul;:tlons (SCHEDULE F) CLEAR VALUE OF ESTATE 40- Valuation of life e.tates or annuities. . . , , . . . . . . . . . RATE FACTOR PRINCIPLE VALUE FOR USE OF REGISTER ONLY COD~ COMPUTATION OF TAX S S S $ Tax on $ 6,. " Tax on $ 15% Tax on $ Tax on $ Tax on $ I Exemptions Total E!iitate I $ $ TOTAL TAX INTEREST FROM BALANCE TO Leu CredIts OATE OF PAYMENT INTEREST FROM BALANCE DU E DISCOUNT INTEREST + $ S = + = BALANCE $ TO .~ 5 S $- AMOUNT PAlO TAX CREDIT S 92+ 93. CODE I ~ ~' ~ ~ . ~ ~ ~ ~ :J: ~ ~ I- .~ ~ " Q) I Iol 'C ..... ~ '" a ..... ;l e: c N '" ~ ~ It! :J.. I tl ~ 0 " - - ~ ~ ~ ~ ~ 0 Z 0 0 0 ~ t; 0 '" >- Z Z ~ fo< '" '" Iol Iol fo< :<: Iol Iol - ~ ~ S u ~ Z Z g 0 0 - 0 51 fo< ~ 8 0 ...l ::l z Vl ~ ~ Iol . . INFORMATION To insure proper credit to your account, tho norno of Iho I'slOlC and lito number should bo cloarly priOlo ed on the check or money order. This assessment is made in accordance WIth Section 708 of tho Inheritance Clnd Estate Tox Act of 1961 172 P,S. 9 2485- 70SI. To the extent that inheritance lax is paid within three (31 months after tho death of tho decedent, a discount of five (5) percent is allowed (72 P.S. 9 2485- 716). Inheritance Tax, olhor than tax on a future interest. is due at the dote of the decedent's death and becomes delinquent at the expiration of nine (9) months after the decedent's demh (12 P,S. g 2485,711). Inheritance Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and enjoyment and is delinquent thereafter (72 P.S. S 2485.712). Calculate interest from the delinquent date shown on the face of this form to the date of actual payment using Ihe following interest lable: --------------------- --------- - --- ------------- - - --- - ------- ---- -- - - - - - ---- 1 month .005 4 months .020 7 months .035 10 months .050 2 months .010 5 months .025 8 months ,040 11 months .05S 3 months .015 6 months .030 9 months .045 12 months ,060 1 deys ,00017 11 days .00186 21 days .00352 2 days .00034 12 days .00203 22 days 00389 3 days .00051 13 days .00220 23 days .003S6 4 days .00068 '4 days .00237 24 days .00403 5 days .00085 15 days .00250 25 days .00420 6 days .00101 16 days .00267 26 days .00437 7 days .00118 17 days .002S4 27 days ,00454 8 days .00135 18 days .00301 28 days .00471 9 days .00152 19 days .00318 29 days .00488 10 days .00169 20 days .00335 30 days .00500 -- --------- ---------- -- -- - -- -- --- -- - - ---- -- ---- ----- - - - --------- ------ Any party in interest, including the Commonwealth and the personal representative, not satisfied with the assessment may object thereto within sixty (60) days after receipt of this Notice as provided by Section 1001 ef the Inheritance and Estate Tax Act ef 1961 (72 P.S. 9 2485-1001). Make check or money order payable to: "Register of Wills, Agent" Mail to the address listed below: OI"f'ICE 01" noH, REOIBTf.R 0" wl....e ,':; 1 '.7 '/ - (. ( ~: STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN Form ACC.la (. I -::";/' i, If, I "~ If. 1/: (I ::. . . \)':/\./, 71'"/ P'O D~'yE APPROVED (' J j '. "-,i\~C\J~:~~ ~wi,,:~~~g;\,-I[:A~.), .. THE SUM OF O' Cumberland COUNTY AND AGENT 01'" THI COMMONWIALTH ESTATE OF Charles W. Fike .', I I " "ATa" or Camp Hill.-PennsylvAniA O"TE 0" FILING APPR"IIiEMINT l/.r\r .1" ,; OArs o. OKAT" Sep tember 1 g, 1 g 7g D"TI!: NO, 0.. VOIJCHIOJt N"ME 0" p"YEE R[M"RKI "MOUNT 1 Pallas Publishing Co. adv. letters testamentar 16 75 2 Cumberland Law Journal a 4 Register of Wills filin Inv. and Deductions 5 Susan A. Ru nik otar fe 6 David R. Dodd, Esq. estate fee 7 Getz & Searer funeral home 1 881 TOTAL 2 , 440 15 COMMONWEA~ TH O~ PENNSYLVANIA COUNTY OF Cumberland I, Terrance C Fike MY KNOWLIDQI AND IILII", THI I"Oftt:QOING II A JUIT AND TftU I .rATIMINT 01" DI_Tl, ADMINIITRATION IU'MlnID TO THI I8TATI 0' Charles W, Fike INHIRITANCI TAX PUftPOIII, , / }.., HP:IIY CIIlTIP'Y. THAT. TO THlller 01" I"UNlftAL DC:PINI.I AND O:.-INla 01'" OICIA..O. AI DEDUCTIONS 1"0lt /. IWOltN AHD IUIICIIt,UO I'I"CIU Jotl THII ',.,' I 'l.. , nAY Of' ',', (/ ''''", -,/." _(L. I,' \.'r I / ),' (/ '~, i, / .. " A 1'~ I ',...1', ..;') {. IN RE: CHARLES W. FIKE ESTATE IN THE ORPHANS I COURT OF CUMBERLAND COUNTY, PENNSYLVANIA Late of Camp Hill, Cumberland County, Pennsylvania Deceased Estate No. 21-79-668 FIRST AND FINAL ACCOUNT OF TERRANCE C. FIKE, EXECUTOR OF THE ESTATE OF CHARLES W. FIKE, DECEASED DATE OF DEATH - September 19, 1979 DATE OF GRANTING LETTERS TESTAMENTARY - November 13, 1979 DATE OF ADVERTISING LETTERS - December 21, 1979, December 28, 1979, January 4, 1980, Cumberland Law Journal; December 20, 1979, December 27, 1979, January 3, 1980, West Shore Times PRINCIPAL OF PERSONAL ESTATE DR. THE ACCOUNTANT CHARGES HIMSELF AS FOLLOWS: To Goods, Chattels and Credits of the decedent as per Inventory and Appraisement - final, filed in the Office of the Register of Wills on March 17, 1980 $9,800.19 \ I \ I I I I I i \ " I \ i 1 \ CR. THE ACCOUNTANT CLAIMS CREDIT AS FOLLOWS: 16.75 18.00 28.00 1. Pallas Publishing Company - adv. Letters 2. Cumberland Law Journal - adv. Letters 3. David R. Dodd, Esquire - reimb. for Letters 4. Register of Wills - filing Inventory and Debts and Deductions 9.00 12.00 5. Susan A. Rupnik - notary fee 6. David R. Dodd, Esquire - estate fee 7. Getz & Searer - funeral home 475.00 1,881.40 $2,440.15 " :!t, r'~ oJ ( , ~02 Total