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No21~79.
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estote of
Clair".!,. L11?.01'.!!J:!____.______ .__u._ ____._________, deceased.
Harold B. McLane, Depu~y
To RiEI",erl!l C. P.T'18BrBSi"l. Register of Wills for the County of Cumberland,
in the Commonwealth ot Pennsylvania,
IS
Petitioner(s) fiJ:(tOtthe executJl.'--..--- named In the Lost Will and
Testament of ~!.~~01b~na~~--.-.-- .,__ ..____.' doted .~~~X- 5, 1974
Decedent was a citizen of the United States and a resident of
~0WlllliRbi",
Borough, Cumberland County, Commonwealth
CarlIsle
of. Pennsylvania.
Decedent died on Thursday
__ the 22nd_____. day of _.!l~velllber:--,
A. D. 19----22-, in the County of ____~.'l.m_l?eE!.and __________,_____, State ot
Pennsylvania at the age of 86
100& Iws
Decedent has not been married and has not hod
since the execution of the above described Will.
Decedent was possessed of personal property to the
years.
her
children born to bimx
value of
unestlmated
and of real estote to the value of
none
as near os can be ascertained; said real
estate situated as follows
------.---------
apply
Therefore, your petitioner(s) respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated
November 27, 1979
Name and address
of Petitioner(s)
Farmers Trust Company
P.O. Bsri220
Ct.r1~le, Penna. 17013
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
~ ss
Dennis C. Caverly, Senior Vice President & Trust Officer. Farmers Trust Co.
-.-------..-------------..------
named in above application, being duly .___--""gn'-----,----- according to law
say(s) that the statements set forth in this petit ion are true to the
best of
hi~
knowledge and belief.
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Sworn and subscribed before
me, _~overober 27 19?.?---
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---HaYO.l!-~eIitn-e-;-,,-e~\Ity.---
R;""I'OI J C. Alldc:il ~61 " Kegister
Filed: December 4, 1979
~/-7q. 711
Attorney:
\'
James R. Burner t ESq-; '/ _
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
This....................................~.~~.............................. day of .............~..........p..!'!~.~.~.fil.~...... A.D., 19..?~....
Harold B. McLane Deputy
before me RiUIUUR E. A~ RUI Dun. fu;gis1er for the Probate of Wills and granting letters of Administration
in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally came ..............
.... .~!-!~~..f.:...~.?'!.~.~.?~....\~~.~~J.. ..~........~~.. .~~... ........ ........ .................... ...... ...................... .... ........... ...............
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and
Testament of ......... ... .~.~.':.~.~!!..~:... ~~~.?r:.~.~.~.......... ... ........ ........ .... .................... Dated .?!-!~r...??. .~.??~.................
late of ............~.~.~~!-!il~.. ~~..~~~.~.~.~.~.':'....... ........ ......... ....... ...... .................. ..... Cumberland County Pa., deceased
who being duly ...........~:-:.~.~~....................... according to law, depose and say, that ....................~~.:...............
Claire A. Libonati
present, and saw and heard the testa..~~~~......................,
.............................................................................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h..<;'.L......... Testament
and Last Will, and at the time of so doing ..............~h~.............................was of sound and disposing mind
memory and understanding, to the best of ..\l.'C.1:.........................,............knowledge, observation and belief.
..........?!'mm........................... and subscribed before
'X)(('J!.' ''If.' (< (,.. !tit.' , /i..-.(.i )
. - . - - - --'" ",,' ','/ /' (,,,. ..,.
JS.., . ..(oo ,,-. ~......... ....... ,../",;(.1... ~;~.L.....~"... . ..,," '/.(... .~~..
~~~~t8~~O:hvv~
......................'.l~~......Depu.ty...................................
Riel..~..a E. ...I.Al.lleIElBn, Register
..................................................................................
..................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
..... .!!.<;:!~.~~.. ~:... ~.~.':'.~.:.~X.!.. .~!':~~~~.. ~ ~:.~.. .~.~.':'.~.~.~.:~.~.. ~.. ~~~~~.. .?~.~.~.:.:.:. ~..!~ ~~~~~. .~:.~~. ~. .?~.:....... being duly
........................!lWR!:!l.............. says that as nearly as can be ascertained the said decedent ..........................
............... .~~::.~~!:.. ~:...!-: ~~.?~.~.~.~................................................................................................................. .died on
...............J:h!!r.~9."Y.................. the ..............?7.nL........day of .....~~~~'.'!~.~.:................................. A.D., 19?L.,
.......sM.oJ:IJ....................................and subscribed this
...............~!~.~........................ day of .....~.9.Y.'~!'!R~:r:....
79
19. ......... before
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at or about ..................................,....... o'clock, ....M.
fr
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....... ..........\......... ... ....~.Deput.y.... .... .......... ........ ......
R;",Lu...d E. A..d.......:Ju.., Register
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH 01< PENNSYLVANIA}
COUNTY OF CUMBERLAND SS:
Before me, the Register for the Probute of Wills and granting of Letters of Administrution in and for
the County of Cumberland, personally came ..p.!':!!n~~..~,...~~.Y.~xJ.\'.,..R!':!!.~~F. ..~~~.!'..X'X.~.~.M.~.1).L..................
& Trust Officer, Farmers Trust Co.
who, being duly .......liW!));n..........., do ....ell... depose and say that as....);)\llh\l~Q);............................................
of the last Will and Testament of .............~~H;l.r.!'...(\,...\...:!-.1).Q))!,.tL.......................................................deceased
...........they....... 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. .......~!':'RW............ and subscribed
~
~
before me.
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... .{?<-{1.:~~~.~..... ....... ........ .... ...... . .......... ........ .......
November 27 79
........................................................ A. D., 19............
~4.L8.~~.~pQty.................................
Ri!ll.aul E. \I\ISIl.sElR, Register
................................................ .................................
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DECREE
. 4th December 79
Be It remembered that on the ........................ day of ................................................, A. D., 19 ......... there
was probated and recorded the last Will and Testament of ...~.~~.~.7.~...~......~~.'?~~.~~~................................
late of ........~.~?:.~.~~.~.~................................................., Cumberland County, Pennsylvania, Deceased. Letters
Testamentary Pa~erB Trust company
................... ...................... .............. were granted to .. .......' ............. ....... ...... ................ ... ............... .......... ...... ......
Witness my hand and official seal the day and year aforesaid. i
~l.~:~.~~..B..]1't.~.y.f.O".~.........Deput,Y.
n:...1.....d E. ...I.JUJ4\J1, Register.
.-
1(,,~~(J!rq~r,c . ' COMMONWEALTH OF PENNSYLVANIA
'Og,034383 '. OEPARTMENT OF REVENUE
Iri~~;:.': ): '. ," . OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
9 RECEIVED ---------..----.TWEm'y FI\lE_HUNDRED-SIXTY.Jl'lfR~~ & ~ 30/100...,.,...",dallars
f{ representing Pennsylvania Inheritance or
a From, FA"""'''A "'''''1'11: C'!nmpany Eslal. Tax due 'rom the 'allowing .slale,
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lIIlUl
lress
27t Tax on
$
Car]iA1A. PAnna. 17013
s
6% Tax on
FiI. No. 21-79-711 Dole of Death 11-22-1979 15% Tax on $
Dote of Payment
Febrl1A"y ?n. 19Rn
'Jt. Tax on S
Estate Tax, Act of
May 7. 1927
Name of Decedent
C'!T.A TRF. A. T.TPl'lNATI
County
Cumberland
TOTAL TAX CREDiT
less five parcenturn of lox if
paid within three months after
dole of death
Plus interest at the rote of
_%from
10
Remarks:
"PAID ON ACCOUNT"
'[JOO~[p[L~@ill'[Jrn SEA l
TOTAL AMOUNT PAID
NOTE: this Triplicate Receipt to be retained for audit purpoles.
t
Received by
NOTE: In acupllng the transfer Inherllance to~ on future estatos, prior to Ihe death 01 Ihe lile
lenonl or 'enonl for yeon, os e~ldented by Ihis receipt, il is vnderstood that Ihe Commonwealth sholl
not be precluded or prevented from hereafter osseuill{J addilionallnherilanCB to~ 01 the death of Ihe
Ill. tenanl or tenant lor years wheneyor It appears that such odditianal ta~ may be legally duo and
toU.cUbl. for ony reason whahoeyer.
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s 9696.21
s 13'1.91
$
s -:)~~3 an
---------------.---..- -. ---- ---- -_.- - .--- -- - - -..- --. ---- - --- ----
"
,J. -,.:H -.I'D
RCC-J3 (4.73)
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COMMONWEALTH or PENNSYLVANIA
DEPARTMENT or REVENUE
BUREAU OF COUNTY COLLECTIONS
*
RESIDENT DECEDENT
COUNTY OF
CUMBERLAND
--=
IMPORTANT,
-.< -
This return must be com!>letcd in dctllillll\ll riled in dupliCllte, with nlllltluchcd, with the Registcr of Wills of the
County where decedent resided; Return is due within nine months lifter dale of denth, unless an extension is grunted
by the Secretary of RC\I;cnuc. (Section 703 of the Inhcrilul1Cc 8mI Estate Tax Act of 1961,)
-
Late of
Cumberland
Pennsylvania
} AFFIllAVIT OF
EXECUTOR
AIl\IINISTRATOR
IN TilE MATTER OF TilE ESTATE OF
Claire A. Libonati
(STATE FULL NAME OF DECEDENT)
County
County of
Cumberland
} '"
Executor
State of
Administrlltor
Farmers Trust Company
of the Iltota of the aboye.named dec:edent being duly sworn, depoll
and soy
(MONTHl
Nome and oddrou of ollorney or }
other authorized representative to whom
all c:orre.pondenc:e .hc.uld be moilt-d.
(DAyl
19~1Iol,a'e leaYlng a 10.1 will, c:opy of whlc:h I. hereto ottac:hed. )
(Y EARl lJtMJlCs}{dtK
Decedent died
November 22
James R. Humer, Esq.
One West High Street, Carlisle, Pa. 17013
That as such Executor deponent is rami liar with thc affairs of said estate and the property constituting
(EXE CUTO R-A DM1N I ST R A TO Rl
the assets thereof and their fair markct valuc.
That at thc time of death therc was no safe deposit box regi:;tcred in uecedent's individual nam~, or jointly with, or
as agent or deputy of another. or in uecedent's individual name, with right of access by another as agent or deputy, with the
exception of the following: -
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A S....FE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
REL.ATlONSHIP OF JOINT
HOL.DERS TO DECEDENT
NONE
That the contents of said safe deposit box or boxes arc itemized under Schedules
with the exception'of the following, for the reasons hcreinafter set forth:
of this return,
That Sch.du'. A attached hereto and made part hereof sets forth fully and in detail all the real property
in the Commonwealth of Pcnnsylvania of which decedcnt died having an interest therein. It also sets forth the
mortgage encumbrances upon each parccl of real property at the date of death, giving the amount still due at
death, name of mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the
columns provided therefore the assessed valuation of each of said parcels, the estimated market value thereof
as of date nf dealh of decedent.
That Schedule B attached hereto llnd made part her~of sets forth fully and in detail all personal property
whcrcsovcr situated owned by the decedent at the time of death: all moneys left by the decedent at the time of
death, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savings
banks, trust companies, or other institutions, whether individually, 01' in trust for any other person or persons
giving also separately the accrued interest thercon, if nllY, dowl1 to thl: last interest day prior to decedent's
death in the case of savings banks, and to the date of d~ccdcllt's death in all other cases; all bonds, postal
savings. treasury certificates or natcs and other evidence of indebtedness of the United States to thl: de-
cedent; all obligations, whether by stalutc or agreemcnt Ihey are designated as tax free, of the United Swtes,
or an\' state, or political subdivision thereof. or of any foreign country, which are owned at the time or death;
all wearing apparel, jewelry, silverwarc, picturl.:s, books, works of art, household furniturc, horses, carriages,
automnhiles, hoats, and any and all other personal chattels of whiltsocver. kind or nalure, left by decedcnt,
together with thl' fairly cstimateJ market value till'rcot'; all honos <lnd mortgagcs held by decedent and of all
claims due and owing decedent at the time of death, and all promissory notes or other instruments in writing
for the payment of money of whil:h ueeeJc.:nt died possessed, of whatsoevcr n3lUre, with intercst thereon, if
any, giving the face value and estimated fair market valuc thcreof, and if such estimated fair market value he
less than the face valuc, it sets forth briefly the reasons for such depreciation ;is to each item; all moneys
payable to the estate from life insurance policies carried hy Jecedcnt~ alt annuity and endowment \:ontracts
the proceeds of whkh wen: payahle upon the death of the deccJent; all and the corporate stocks and dividends
due thereon and unpaid as of the date of death. bonds and accrued interest lhereon to the datc of decedent's
dealh and other in\'estment Henrit;,'" c\\l1ed by the deecJcllt at the time of death, with the market value there-
of at such time.
'II lIlt' t'/lSI' 01' ..,pl'1l1'IIJ,'s I,f' elosl' or I'HllLlly I:OI'lllll'llt.loIIS, till' Vltl'll'S 1'l'poI,tl'lI Ill'" liS rIll' us
pllsslhll! suhsllllll.llill'd hy 1'11111111'11\1 Stlltl'IIlI'IlU; 01' tl1l' ~ql'POI'hl.IOllS, sho\l'llq~ 1.111' IISS..t~; Illul 11;11111!!.I!!s
lIIt'I'PllI' liS or llll! 111111' 01' d"lllh, Till sf'llt'dllll' II]SO SI'f,S 1'01'll1 Ihl' Inl.el'pst. of' dl'I!I!dl'lll. III IIII' II1IlI' 01'
Itl'1I1 h 111 III\~' l'Il-Jl"I'1 1I1'1'slll pili' !Ju'; 1lIl'SS, 111111 III slI\lpOI'1 01' I hi' \'IlIIJI! 0 I' slIdl 111 "'rl'., I, ! '11'1'1' 1... IIlllll!XI!t1 to
suld l-il'\lI'lllll.., 1'11111111'11,1 ';IIIU'lIll'llts ,..lllll'illl".ttll'"S~;"IS 1lI1.lllnlJlllIll's of'sllld l~t1-l'lIrtll""slllp 01' husllll'ss.
,\ l'llp~' nf' 11\1' ('O-PIII'IIll'l'"ldp 1l1!1""'!lH'IIl. (If' IIrlll, II ~,"ltl'lIlPll!. sl'lllll~ 1'01'1111111' lllll'll'l' (,I' Ih.. dt~I'I'Pllll!lll.)
t{lI~l'llI",' ....ltl1ll ~,IIII"1I11'1l1 ..,,'Ittlll~ I'III'!II Iii.. l'blll'l\('I.I'I' 01' tll,' bll>.;llll'SS, It.s IfH'HltOfI, Illld s\lI'1I ",ll'!r 1'1H'ls
Iwrl.ulntl1j!, 10 thl' !lllsllll'''';'' I'''' 11l1I.\" Ii" p,"'111l1'1I1 In II 1'/111' Ilnd .Ill!,;!. lIJ1prlllslll 01' UIl' d"I~f'd"l1t's Illll'l'I!St
tho1'1'11l11l11S1 !>"s\ll1mlll!'d. II Sl10llld 1l1~.1I ~"l I'nl'l.h III Ilprnll.l'(j flll'lll, I.tlJ..'.I~thl'l' wlt.h !.III' I'HII' murkl!! \'ulW!
t.hprl'ol', 111I~' ntlll'l' prop"I'I)" 1ll'illl'd or hl'qllPlLtlll'd hr till' d..f~l'df>111 III thl' 11m!' lIf' lil'nUI.
Tilt' SchNlu/(> ( 1L!.1.1l('!LI'l1 lil!J'I'I,() /ind Illude JllIl'l. Ilf!J'I~ol' Sf!tS fort.h II t.rlll' ItIlS\\'t'I' III I'lleh Inllulry
cOlltlltnntl th'~r"~ In U!lot 1111.111' ~IIS'! 01' I l'l\IlS l'el's of']lI'o)U!I't.y, I'f'HI 01' pl!I'Snll/ll, wit.hln lwo ~'''Ilrs 01' lll!eedenl.' S
c!enth, In ennU'mpl1l1lnl1 Ill' ,It'el'dl'lll' S dl~llth, 01' tnl.endell 1.0 I.llli!! nl'f'f'cl 111 POSSl!SSlOIl or l!l1.1fl,\;nHml III or
af'ter lIent.h, snli! :il'fll't!llfl' SI!{S fOl'th till' flllflU't! (wd wdlw tit' ~Ileh prnpf'rl.r. 1,1) whom j,'"1Jllsl'l'rrerJf t.he
relntlonshIp of' till! l.rllllsl'l'l'\'C'S 1.0 Uw decIJd'-'nl, ihf.' proportlollllt.l! SILII.rlJ rl!celvnd h~' ellch lI'nnst'l'r('(! Ilmt
IlIl olher l'ucts 01' /I Ilf!I'llnl'llt, 11/lI.Hre I"f'v,arrllll~~ suld Lrlmsf'ers. In tile CIIS!' 01' tl'/lJlsferl'> lI1Umded to
take ef'f'eel. In Ilf-,SSf'sslon or enJoyment Ill. or nf't.f'r dellt.h, t.here Is 111so IlttnelL(!fl to UI(! Sl'/I('dlll(~ It eunY
of' lhe III!ed" trust IIgI'I"~l1Il'llt 01' "tileI' Instl'un1Cut crentlnJ; t1lf~ trust. 'l'lIl'r'~ Is 111so s,'t. l'flrth in sulcI
sched\lll! Il Ii!';l. 01' Ill] JlI'()pt'I'I.~', rllal Illld persoTllll, wHh Its vallie, wlddl pll!-.ses nt tlel'\~d"lIt's df!lItll hy
vil.tuc 01' thp. eXl't'clse hy Ileeellent., \~lUler ilLltlvifluully, or.loint.ly with /lIlot.hel', or /lilY pO\\t~r of' nppninl-
m~llt vestl~lt IIJtlf'eellent, ,'.!ltller Illflt\'ldulll1y 01' .Iointl~', hythl! 1'1'111, del~r1, 01' ot.her Instl'IIl1\f!l1t of' ullother,
with It copy 01' tilt! illstrlllfll'nl. crentlng slIch power Iltlucht'll to lhn scI1Pltll)e.
Thill SChf'du/f' D Ilttlll.'hpd hel'l!l.o /lTld l1Illdl~ JI/l1.t ]wreot' sets f'orth t.he 11/tllles !Lll,1 IHldl'(!sses of' /Ill
persons lJelll!fll'lnll~' Illtt~r;!stl'd III this est.nle lit. t.he Urnl! of' ileCf!ltf!llt.'S lh.!llt.h, the llatuI'I! of' ttlell' I'es-
pcct.1\'t! interl~sls. Illnlr relationship, if' /lilY, t.o the decedent., t()~l!thl~r with Llll" lIf,!;es fit. I.ltl! t,lIllC of
decedent.ls dcntll of 1111 minors, flllTlutt,llnts l\Ild hef1l.!f'lclnrles f'ol' life !uHler decedellt's Will. It Illso
contnins II st.al.p.menl, sl1tJwllll~ which or !.lIe henerlcillrles 11llmell In the dner!dl!nt's will, tl'IUIY, dielt prior
to dllcellent, t.he dlltes of' their tlnHtlL, their Issne, IU\fll,lle relnt..lonshlp ot' such Isslle lo l.hp bellf~f'icl11ry.
That S.:/1('du/p E Ilt.t.ach(.!II Iwret.o /lnd nJ/ute II purt hereof' sets forth Ill'! property, 1'(>Id /lnll per-
sonal, oWIl(>d hy 1.110 decell{,ll t .I 01 n il y w t th Illlothel' or ot.hers, i ncl \1111ng 11Ill\ll/.!:1 hIe, s t.Hnd In!!; ill the IlllmC
of the decechmt. Illlcl nUIPt's, pIllS t.he dute find pI/ice of' recorlt of' instruments ef'feeling; the vestitllre or
relll estate nllll t.he dht.e or IIc'Iulsitlon of personalty, plus the name, IHMress ntlll rellltlonshlp, if' any,
of co-owners to the decedent.
Thut Sc/1pdu/& F Ht.tl1ched I1m'cl.n /lnd mude n 111trt. hereof sets rorth t'tlll~' uull ill detail nIl debts
nnd deductions cllllmptl f'nr /lllll nil Iwlllll f' of' this ilecertent.'s estntl~, IIlCl\llllll~ !'tI11C'I'ul I!XpCnSes pntdj
faintly exempt.lnn, .....111~1.'~ HJl!,l iC/llJlej costs or luiminislrlltlon or this estllt.e; counsel I'pes and fllrlicinryls
conunlssiollS puld or 1.0 he l1f11tlj ~ost expendert 1'01' hurinl trusts, tomhstones or grH\'el1lllrkers, /loft reli-
gious services, III eunsPli1I1!T\I~I! of U,P. dt~nt,h of the decedentj dehts nnll clulms owLng /lnll IlIIplll11 Ill, time of
death; taxes necrllell cllllrgellllll' for ]Il'rlnd prIor to decedent1s /lelltll (exCe\lt lhose 1l11nl'i,~d lllldl!r St~ction
1351 of' the rllheritHIICl! a1ll1 Estat.e Tnx ,\ct,): t()~eUlP.r with /I stutement or co!11llC1'1l1 pledp;,!;l l'or obliga-
tions, if /lny. It Is It)!;rl'I'11 t.hltt. I.he t'ld\lfllllry will prespnt proof' of sllld cllllmnd nbl1:~lIt.lnns UpOIl re-
quest, t.hllt If' tilf' 111Il01lnt. 1I\~IUlllly paid in sl?tt.lement. of /lny fee, commission or flt'hl. Is Ip.ss tlHlIl the
estimated l\1l1011Ut PllllmlllJ,!; /lnd allowed, thlll tlw snme will he reported to tlw Ih!g;1stel' 01' WIIIs~ (UHt thllt
the amount. 01' tll'( IIssf's:'ied ellll Ill! rt'l.ssessed 111 Hccordllllce thcrewlth.
Thul the tot.nls 01' thl' npfll'oprlnte columns In Schedules "/\", "nn,
have lJeen cllrl'Jprt 1'nrwllrd .wd J1rnlll~rl~' re~1st~re{1 in t.lle Sununnry.
"e", "E", II.nd "F" IlS flll'cl:letl therein,
...........";1,,.
, I"~"~
I'
.........(..4,
day of
/;'..
I i
..19
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J., ((I.. t,
, 1E;!~~77m{*~t..
.. ...l. . .
(Street Number)
"
Subscribed and ,worn to before me this
'ff'l'
......;..:,,'
, ,
'',,''1'"
,.
(City or Town and State)
SOTE: I"'!"II'I' Sll.',l1tIIV, Hl'l'ldllvll lillll,f' Sl1l'" IlII hlank SIl/\l'PS ill tht' /11'l'ltlll\'lt ullll !.,'l1l'dull':-; Itlllll'Xfld /lre
f'111"d 111 I'Itlll dl'lllll>.; 01' !.Ill' ....'11." ".\\11"''', ;ll1cl III I'm;!' lIll' IISSI'ls 111I:111'11\ I'UI'" 1I1li! 1lI1llstl'd s"I~t1rlt.il.'s,
St'cuI'jtl,'s or ,.J,,:-,. "I' t','::;;l!~, "lll'l,,,:,,t"""'" 1'1' 1'" IlLlprl'st In 1l1l~' I'O-PIlI'tll"I'shlp or hllSllll'SS. t.hal. t.lle
IlIltll /llld S!'t!l'III"Hls t"''lllll'''(~ lllldl'" ,II" l';II'IIj..!,I'llph IIhovl' 1'1'1111 III)..!. In Sl'lI"llul" "ll" IIr" IIltae!rI'(I. \lso mllkl'
('1'1'111111 111111 "0111'1111 :d III tl:l' "~IJ1iI1I1:ln" hilS lIl"'1l "rup"r))' l'On\pll'tPd liS 11!l()\'f'-dlrl'l'u'tt.
. ,
RCC..u (.-731
CllMMOMWI""LTH OF PENNSYLVANtA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECeDENT
SCHEDULE "A"
REAL PROPERTY
.
Real property in Pennsylvania, with statement of mortgage encumbrances upon each porcel 01 death of dece-
dent. Property held by the decedent os tenant in common with another or other, should be identified
as to quantum of interest and the estimated yalue should be thaI of the decedent's interest only. (Property
held os iaint tenants with right of suryiarship or tenancy by entireties should be reparled on Schedule "E.")
Tho real property located In the Commonwealth of Pennsylvania should bo (1) (2) III
doscrlbed by lot and block numbor, .troet and .treot number, together with Or::PAIHMEHT
a genoral ducrlptlon of tho property. with a ref.rence to the record of tho ASSESSED YALUE VALUATION
convoyance by which tho decedent took tltlej If 0 form ,'at" number of a. FOR YEAR OF ESTIMATED CAUTION
erelj also .tatemont of mortgage oncumbrances upon oach porco I at dMth DECEDENT'S MARKET YALUE (00 nol write
of decadent. TOXOI, oue.lSmon", accruod Infortn' on mortgages, ote.,ore aEA TH In ,hi. spoco)
to be Ilstod on Schedule I. Fit and mu.' not b. deducted from this schedule.
NONE
Insert this total opposite "real property", Schedule "A" in the X X X X X
"As Reported" column on the lost page of this return.
NC'>W
~
! IN ACCT,
Win..
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FARMERS TRUST <;:OMPANY
Carlisle; - -p..,
I
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,
--------------'
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TAM; CA!$;1t Oil' THI'. ,.OOK.....JT~ J4U$T I;lE ,.nI[IU:HT(i'O 'HUlEN MO.-.I[( I.
CU'CUlTIlD OR WI1'HDRAWN, If' \..05T OR "'TOLEN. ,",Oll"l' C';C1to1l1,t.NY AlONCE.
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HCC-37 (12-63)
COMMUNlmAt.TlI OF I'r:~~~\,\'l."\NIA
THANSFf:n INIIEHlTA~CI:: TAX
RE~IDENT DI::CElJENT
SCIIEI)UI.E "I)"
IlE\EFIC1:\IlIES
\
h
_ .____..._ _._ _....~__.__d
. _______ --"-r"" .---- -
BFNITIC1AI\lFS AND AD! I rs T' J IIEl.A'I'IONSIIII' SUIIVIVED INTEHI';ST <11"
~ ',' 4 ) l '" ~ -,S _ Of sll'p.dlllch'PIl or j).1'1'I':
Stllte lull Illlli1l'H nlHllld\It'l'S:i1~H III all "IIn i1lt'g:ltIlUillt', dllltlrt~n DI.:n:m:NT Ol" BENEFICIAllY
l\\'(! un lntt'l'(lHl, VCHlt~d. cllnlIIH~\~1I1. 01' nUIl'!" :Ire in\'tll\'c'd, set STATI'; YES IN ES1'ATI';
_ WitH', in l':ilule) fUl'th lIlIs facU Oil NO 11111'1'11
Jacob W. Alspaugh I "es 21 vrs. .-112 of Estate
son Over
...!iJ.4 North East St.
Carlisle, Fa. 17013
I
Katherine T. Barrick niece yes lOver 21 yrs. 1/2 of Estate
R,O. t.
Carlisle, Pa. 1701 ~
-
I)f~ponent rurther SItYs that. uJ1 the nllove-numt:>tt henc1'1cillrtes lire l1vln,l!; nt t.his time except below:
NAMI::
DATI:: OF DI::A I'll
RESIDENCI::
~
_L__.___------
(I) (2)
~ SUMMAIIY (As 1I('purl<'<I) (As f)..t..rrninc<l i
o .
cu~~ Ileal Property (Sch. "A") $ .00 $
~ .
7;;: c::
'c ~ E Personal Property (Seh. "Il") $ 29.'1.11.'1.27 $
.-... :s
e" -
." 0. 8 Trunsfers (Seh. "C") $ .00 $
.q,
l;v'il $ $
!1tit
~ 0 c $ $
~ e fr
~ 0: Gross Taxable Estate . $ 29.244.27 $
l- 'll
z
a t>l ~
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'11: " <
t>l .... <Il
en ..... Q en -
- .... ....' <
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'E ".. .:: S E
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...of. U
Fi I e Number
INHERITANCE TAX SU~M,\I'.BY 5IE::ET
(BlLR~~~USE ONLY)
21-79-0711
RE.V:4!l4 [Xi (HIDI
__.____.__ _.__n'~_____
Estate Name ---
LIBONATI, Claire A.
Dote of Death _____=1/22l-7~--
Social Security Number --.-
-.-------- ..-.---.
REPORT OF INHERITANCE TAX APPRAISER
I, thG' undersigned duly appointed Inheritance Tax Apprai!>cr in and for the County of _ _ Cumberland
Pennsylvanio, do respectfully report that I have appraised the reat and pcr5onof property as rcpoitdcT"ihelDregoing
return at the values set forth opposite eoch item in the last column to the right in Schedules llA", "B", "et, and HE"
Dated,
April 3, 1980
__~L~UL~
INHFr'IT!\flCL Tf,X APPI~,\I$l:1<
INVENTORY
_~=j=O"CC'O=O-==OC=-='==--= --
ADJUSTMENTS
VALUE AS APPRAISED CODE (HARRISBURG USE ONLV) REMAINaER APPRAISEMENT CODE
Roal Property (Schedule A)
Personal Property (Schedule B)
Jolnt.Held Property (Schedule E)
Tranlfers (Schedulo C)
s
None
00+
92+
2g,244 27 10+
None 20+
None
TOT AL GROSS ASSETS
29,244 27
30+ \
r----
40- \
_ ::::==:;-.~~l::::..~.::;::-:--=::~--.::-:.:;-::::::::- ----:::=:::::==
93-
Lou O.bts and Oeductlons
(SCHEDULE F)
CLEAR VALUE OF ESTATE
FOR USE OF REGISTER ONLY
T ox on $
~
PRINCIPLE VALUE CODE
--.-
I
COMPUT A nON OF TAX
S
S
S
5
I
Valuation of life estates or
annuitIes. . . . . . . . . . . . . .
RATE
FACTOR
6"
"
15%
T ox on $
Tox on $
Tox on $
T oX on S
Exemptions
Total Estato
TOTAL TAX
INTEREST FROM
BALANCE
TO
5 -------
S -----------
5--.
Len Credits
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTERES1
!AX CREDIT
S
t
S
5
=
s
~
----.---'--
BALANCE
s ..______ --- --
---_.._--_.~~_._,.._--
INTEREST FROM _______ TO
BALANCE DUE
s
..-".-..----.-----------
,
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
.(1
~- V f' 'f
,..- j
I" .
V'....~l ..
/9 XII)
/~ HST A TE ;( 1 _ '7 ('~; l'flY! ti.,
v HFlLE NO. .,
COUNTY (.JJ.rr.n_Q,f},~-<,........J
"
DATE OF DEATH 1'1 rJ<) .:J v_ (q ') y
COUNTY FILE NO:
c;; I
DATE
! ~] () 13
Appraised Value of Estate:
Real Estate
Less: Approved Charitable Exemptions
$
+ ~! (1 d. (./ lj . .;;)\7
+
d9 c<~//.d?
$ .
:1 51f'7. US
$;;(5 ( c, '7 ,,~ .,1,
:.J,I .
-----
$~5 t:,y 17, -a.~
-
$ / <.V fJ L/- 9 '(-11 lax due $
1::( Pil ;(. '" / tax due
Personal Property
Jointly Held Property /Transfers
Total Gross Estate
Total Approved Deductions
Clear Value of Estate
Clear Value of Estate Subject to Tax
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $
7f7tJ 9J...
J9oi?~~
~~n)./
Amount Taxable @ 6% Rate
Amount Taxable @ 15% Rate
. .... * * * * A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
;;; . :J. 0 -(h)
$;?5C:.3.?:.O+ $13'1-.9/- $
=
$ ;}(,.,9,?:;"'{
+
=
+
=
Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by IS'r;:-) A I
BALANCE OF PENNSYLVANIA INHERITANCE TAX q,UE S \'11/ ~ "l.\Ae.L-
\...p1/' 11d .p / <- '-Ie ~
Assessed by' 'YJ-{I.1, ,I ' >/ IN"""
See Information on Reverse Side ." 'I ~g:~.. I f~rhe.co~~on~e~:~r .' J ) fJ 11
/\v_i\!'Jl1 ,\Dt\,dj.' (II VI, \~-. ,
\\ I '-' 0
'.
'-\"'>J9.,~_:.~:.',~";~j...:;I;I"~"".,",;".; - .';::~(:i'll",;.~".::;"\:":^",,,..",,;~,~~,,,:t;t~~..~~~J;$.':""-~~~' -- -~"'-#'" ~~.
INFORMATION
To insuro proper credit to your account, the nome of 1110 estate and filu numbor should btl cleilrly print-
ed on the check or money order.
This assessment is made in accordance with Socllun 708 of the Inheritance and Estate Tax Act of
1961 (72 P,S. 9 2485.7081,
To the extent thar inheritance !ax is paid wilhin lhree (3) months nfwr !he dealtl 0' the decedent. B
discount of five (5) porcent is allowed (72 P,S. ~ 2485- 716).
Inheritance Tax, other than tax on a future interest. is due al the dole 01 tile decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedent's death (72 P,S ~ 2485.711). Inheritance
Tax on a future interest is payable within three (3) months after the transler Wkos effect in possession and
enjoyment and is delinquent thereafter (72 P.S. 9 2485.712). Calculate interosl from the delinquent date shown
on the face of this form to the date of actual payment using the following imorcst t<lble:
------.------------------------- .~--_._-------- --- - - ---- --- -_._------- -- -- - -- --
, month .005 4 months ,020 7 months ,035 10 months ,050
2 months .010 5 months ,025 8 months ,040 11 months ,055
3 mClnths .015 6 months ,030 9 months 045 12 months ,060
1 days ,00017 11 days .00186 21 days ,00352
2 days .00034 12 days ,00203 22 days .00369
3 days .00051 13 days ,00220 23 days ,00386
4 days .00068 14 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 ,00284 27 days .00454
6 days .00135 1 B 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 nnd the personal representative, not satisfied with
the assessment may object thereto within sixty (601 days after receipt 01 this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act 011961 (72 PS, 9 2485.10011
Make check or money order payable to:
"Register of Wills. Agenl"
Mail 10 the address listed below:
Form RCC.10
'/ " ' I
'}., ,/ .'" '/1/
. ,,' I /. /'
AND AGENT 01"' THI: COMMONWIi,\L TH
/.
" '/' '
I I. .,(, .
I
'.'f. ' I~
;'/"/'/:r
". "'.
DEDUCTIONS ALLOWED IN
2 ./'; ? r) r,
THE SUM OF $ ). ') '1--'
.~:]l~~A~~
: 1\..).:" ,A'lIllle, 01 Willi. "lIrlll
OFFICi 01" THE
ftEGIBTZA 01" WILLS
STATEMENT OF DEBTS
AND DEDUCTIONS
o.
Cumberland
COUNTY
Claire A. Libonati
L,\T&: 0" L Borouph of
ESTATE OF
( '/.
DATE OF FILING APPRA15l:MltNT _ \ ~"-- "J
. , .
:''..',: (j'C'
D...n OF" DEATH
Nov. 22, 1979
D,\T":
NO. 01"
VOUCHlilt
NAMIL 0" PAYEE
REM"'RKI
"'MOUNT
12/ /79
Register of Wills
Letters Testamentary & Sh. Cfts.
29 00
The Evening Sentinel
Advertising Letters
16 65
Cumberland Law Journal
Advertising Letters
18 00
Ewin Brothers
December rent
150 00
12/ 1/79 Penna. Power & Light Co. Service 7 62
UGr Corp. Service 3 40
Carlisle Hospital Claim 12 00
United Telephone Co. Service 10 96
Rese ved:
James R. Humer, Esq. Attorney fee 1,462 21
Farmers Trust Co. Executor's fee 1,462 21
Closin and Filing Costs 250 00
3,547 05
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF r.llmhprl :mn II:
I Dennis C. Caverlv. Senior Vice President & Trust Officer \ Farmers Trust Co.
, _ _ _ H RillY CENTury, TH"'T, TO THI IUT 01"
MY KNOWI.IlCUJI[ AND lilLIEI'", THE JrOflllaOING II A ,lUST "'ND TftU I .rAT.MINT Ol"'D/PTI, 'UNE;' + VCP'IH'1Ul AND IlXII!H.a 01"
"CiMINI.TR...fION IU'MlnID TO THIl IITAn 01" A. ibon.1tL/', DICUtlo, .... ClEDUCTIONI ,.Oft
INHIRIT"'NCI TAX IIU..'OlJla", / ) ~ / . . I
i i (, i, {., ...~( ,-..""
DAYOf' Dennis C. Caverly, S
{ & Trust Officer
,
'~O"N AND IU..C'lIIaID II1"OJlIi Mil THII "
rf.j\'('1 'f,:.' ,.{ .~ ,~': ,'I II .1.:.l.-
I J,ll" ,.,..... r J' I :."j"" f f Ii
,('
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Vice President
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