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No. 21.80
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PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
':.~;l1.if'':"; 1:. '.,~p~ tz
, deceased,
Harold B. McLane, Deputy
To niej.,lm:l Co !\F\88rS8F\. Register of Wills for the County of Cumberland,
in the Commonwealth ot Pennsylvonia. .
IS Gr<fte_C'. j(;,I.... (~,<-,d (lI,,_f-.3C', /17<(
Petitioner(s) or.e the execut or nomed in the Last Will and
Testament of ',:il1:~."';.;" U:o
Decedent was 0 citizen of the United States and a
T?wnship
;B.or0ugh; Cumberland County, Commonwealth
d t d ''''In
a e.... '
resident of
3 ' r.:~fl
, -.,/....
:~p.:1t !"('~'~,~~bo;'o
af Pennsylvania.
Decedent died an ..cr-1"e"r-1"." the 2",ro
A. D. 19 Po , in the County of C\'--:\)r'r'~r:'
day of
,] [J.n~f:.r:r
State of
?,')",-s:,'lvar;;a at the age of 75 years.
:,has ;-::hos: ;t.wr;
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
<010 en,') 0"
','_ , " . and of real estate to the value of
~'32,ooo.no
as near as can be ascertained; said real
estate situated as follows
.. .. r t -,.... ~ 1,.., ,..,+-e.-1 .L. ')21. C 11~.'~\";'"
;1':'.~~5~ (one;. ..'() , C; ',.::'01_::_C .->C; .._l. Qt. L.. '.- 0 t,...LJ...d.
no~n, ~nola, ?G~na.
,;Qp'ply:
Therefore, your petitioner(s) respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated ,Jaml',ry 25 ,19('0
Name and address y
of Petitioner(s)
W'- $'
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/t/tJ N/!}/"vES R()~D
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COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
~illt3~ :~d~~n 20ltz
named in above application, being duly
say(s) that the statements set forth in
S'.W~"1 according to law
this petition are true to the
best of
"is
knowledge and belief, ~
subscribed before -r {tf!l/bt'~: Jd:]0P1: .~
- 3
<,
..::Horn
and
me January 25 19 pr)
~ l '. .:~~"I()_ Deputy
nil3Rard 1;. ,A.REler!:Q!;), Register
1./'10
Filed;
,;J./-,ft) -st-
January 29, 1980
Attorney:,'. ..O:'Ol'C ~;;aui'i'U' ~/4,J
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OATH OF NON-SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND I
55:
This, the
.:.2sf--f,
day of
X n Harold B. McLane, Deputy
A. D, 19~9 before me, RieRa rei E. I,Relerson, Register for
-r:.,v" An '{
the Probate of Wills and Granting Letters of Ad ministration in and for the county of Cumber-
land, in the Commonwealth of Pennsylvania, personally came C '- i 1= '=('.12>> IV/. ,\ t:.<? (d'O I- j
~ ,\ ~.JM~L \M\,,~('"'C'v"
who being duly
[;Jl.,rorn
according to law deposed and say that they are well acquainted with
the handwriting of
~lill{am s. S0~tZ
whose name is attached as t% l;ator
to an instrument of writing
purported to be the Last Will and Testoment of
~tl1i9~ ~. ~0itz
late of
38St ?ennsho~o To~'nshtp
, deceased
and thatthe said signature is true and genuine, and that the said ':11.11 ;.[1m ,::. Seitz
is now deceased or absent
SHorn
nnd subscribed before me,
this
OJ S' fh
day of
"J:4"'<<..A""" A. D. 19r P0
q
~J ~ filv~j~~r~n,-Regis:e~Puty
l . ..
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>-.....;/..:~:~/,..'Jx-.1-:1:ff.~..
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per~(}".ij_13~ c/;~~ r___
Deputy Register
2:~8
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.
OATH OF SUBSCRIBING WITNESS
OMMONWEALTH OF PENNSYLVANIA / ss:
CO Y OF CUMBERLAND \
This.................. ................................,...........,....... day of ..,.............,.....,............,................ .......... A.D., 19......."
before me Richard
nderson, Register for the Probate of Wills and grantin
in and for said County of ' mberland, in the Commonwealth of Pennsylv ia, personally came ....,...,.....
...................................................... ......................................................... ............................................................
the subscribing witnesses to the for oing instrument of w ' 109 purporting to be the last Will and
Testament of ..",....."...,.."..,.....",."...,..,.......,... ......".."".,., .",...,...,....,.....". Dated "...".........",..".."..,..,...,',..
late of..,....,......,........,.......,...,.........,.........................,.. . ........,..................... Cumberland County Pa., deceased
who being duly.............................,............, acc
, depose and say, that ........................................
present. and saw and heard the testa..... .........................,
sign, seal, publish, pronounce and clare the said instrument of wn ' g as and for h................ Testament
and Last Will, and at the ti of so doing ..,..............................................
of sound and disposing mind
memory and understan . g, to the best of ..............................,........,......knowled
.................... ...............,......... and subscribed before
.......... ...... .................................................................~
..................................................................................
Richard E. Anderson, Register
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA ~ ss:
COUNTY OF CUMBERLAND \
':1i.111"-1'": ';;d",tn ~;-,:. tz bel'ng duly
................................................................................................................................................................
s.,'or" h lb' d h 'd d d
............:.....::............................ says t at as near y as can e ascertame t e sal ece ent ....,.....................
'.~'l.lip~ ? ~~.~tz d'd
.....,.....,..........,..",..,...,.,....".,..,..,',...,",.....,..",...,...."....",...",...,..."...,....,.,...,....",...",...",...",.,....".,........". Ie on
1.',r.l~~....t:'lsd8..T the ?">......;; d f ;r-:.~;~.1':';'..: AD 1980
............-.........l........................... ............'.-................... ay 0 ........................;............................. .., .......,
6:~O , P.
at or about ....................:..................... 0 clock, ...,M,
.............. ..."..,;:;:,;R.1'.lI" ...,....",..."and subscribed this
25th January
..............,................................. day of ........................
19, ~.?,... before
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"::d~,t.B.?:r(f:~~~~~,..p.!7.l??~.y.,
R:""lu..u,d. 13. ".:o.ud""........u, Register '.
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
COUNTY OF CUMBEHLAND SS:
Before me. the Register for the Probate of Wills and granting of Letters of Administration in and for
'I! 1'1'.1'-"- ;'c".: '" .;,,! t"
thl: County of Cumberland. personally came .......::..'......:,;,::.... :..:,....:..,:,::, :',.,::,. .... ....., .......,.... ..........................
h b. d I S"O"'1 d c,. d dh .,.--,'..,.tor-
w o. emg u y ,:...:....:,................... 0 ,.,:~...., epose an say t at llS.......:.:,:,~..~,...............,..............................
1 J' , 1 . -',.,' ~
of the last Will and Testament of ..........,.:..~,:..;,'..'!-,:.;..:;::...::'.~.~.::.~:..........,..,....,...............,.....................deceased
.....1:UL..........,.. 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. ,;?~lr;.~n.....,..,...... and subscribed
before me.
January 25 fin
........,....................,..........,..,............ A, D" 19....:.......
.,~:1???\'r.J~,?6~...~,7,~~~y
Riel.al EI E. _"_R88F8BIT, Register --
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..................................................................................
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DECREE
Be it remembered that on the ....??~~.......... day of .........,...,....~~!:':~~.~y.,............,' A, D" 19 ~,?..., there
. '.ii..l1i 9.:-': ;:~;. Se.itz
was probated and recorded the last WIll and Testament of ....................,...............~.......................................,
I f '';'aot PO'lnsn'lro '1'o"'Dshir C b I dC .
ate 0 ...;.:...~......;.;;...:,:..............:...::....,..,:.:.....,............... urn er an ounty. Pennsylvama. Deceased. Letters
rf'lpstqmc,ntrr"'l,? d ~-,.;i 11.; 20: ~~d,..:"ln Se itz
""..... ...,......:, ,. "... ,....:,.."......"...",.... were grante to "...",......,..,.", ,....,....................."",.......". ,..."....,.,... .......,....
Witness my hand and official seal the day and year aforesaid.
'1I..~~..'B~f:d.~,.,!?!:~,?!x.
R~,",ll . AU''''I~uu, Register.
. .
cJ /- gO-50
COMMONWEALTH OF PENNSYLV ANlA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
.
REV"". (8,78)
RESIDENT DECEDENT
COUNTY OF _--y,)rn'Q,e_rland
-
IllpORT,un,
Thill. return mu'n be complrolt':1 in detailul\d fil('J 111 .lllplil.'.lh', ,. ith ill! ;lll<H"lwd. ....Ilh tIll' Itc~I~ll'f of Wills of the
County where decedent rC!<IiJed; Return 11<. dtl(.' within '!:lIt" lll"lItl:.. ,lflt., d"(e of dl';\lh. unlc~s :Ill C\!l'IISWO IS grl1ntl~d
by the S("l~rt~I<HY of RC'\,Ienue, (Sc.:lIon 70.\ 01' the Inhl'rlliiHl.:l' au.lI...I,IIl: LI.\ ,\L.t of Iqhl,l
-- ~ -~-' .- -- ---. .-
IN TilE MATTEI\ Ill' TilE ESTATE 01'
} AI 1'11I,\\'11 lIl'
_ EXEClTOl{
X~~~~U~
Willi&m E. Seitz
~5TATE FUl..L No\ME" OF OECEO~tnl
Lat. of __~mQ.fl~m\.
SIal. of Pennsy.1 vania
County
}."
Excl.;utor
Cumb.e.rl1J.nd
William Edwin Seitz
Administrator ---- of the e,tale of the obove."omed dec:ed"l'll b.:io" duiy-.~~-~~:;;;~;(O--
Cauntr of
ond'tll'
1)tcf.t.h'nl died _.T A nl1A l"Y 21.
~MONTHl
Name and addrus of attorney or }
oth.r authol'iud ropresontafl,. fa whom
all cau.spondence should be moiled.
,'tJ_8_QJ, ~('.I'lIe J('(Iying 0 Illst will, copy of ....hich is hO'l'!fOOlll1chcd. }
~1!K~X'!){
(010'(1
J. Robert Stauffer-I'larket_t)ggllJ:'~_?l~c;.!.L.
!-iA"".ni""bur'&o--O. 170'>5_
That ns such Executor _deponent is familiar wilh the: aflalrs IIr said cstille ancllhe prupCrlY clJllstilutinJ:;
{c.)tE:CUTOR-AOMINIST RA ToR!
the assets thereof and thdr r.,ir market value.
That althe time of deillh there was nu safe depusit bu.\: rC'gistcrl~d in Jc'.:.:dt:I\[' S IllJi\'itlual n.lll1e, or jointly with, or
as agent or deputy of another, or in decedent's ilUlividu~d name, wilh right of acceSs hy illllllht:r as agl~l1l or deJluty, with the
exception of the following: -
NAME AND A.OORES5 OF BANK OR OTHER INSTITUTION
IN WHICH OECEOEtH RENTED A SAFE DEPOSIT BOX
_.~
THIS SAFE DEPOSIT BOX RENTED I RELATIONSHIP OF JOINT
IN NAMF. OR NAME':; CF__==- L.:!.OLOERS TO DECEDENT
I '..Ii 11 i .m3.-.S.e.it.z-llnd_ ~D."~ht.AT'
i o,n;J:!J.a;{ T, 1IJisman-
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TI9",n;n n~rn~; t R~'nlr Ann 'T''t''11Rt Co...
F.~~1. PAnn"ylv.nia Br9nch
That the contents of said safe depOSit box or boxes are itcmilcd under Sclu:dulc".---.A-_of Ihis return,
wi th the exception of the following, for the reasons hereinafter set forth:
That Schedule A auachcd hercto and made pMt hereof sets forth fully and in detail all the real property
in the Commonwealth of Pennsylvania of which decedent died having an intercs t Iherein. It also sets forth the
mortgage encumbrances upon each parcel of real property at the date of dcalh~ givinr, the .\mOIJnt still due at
death, name of mortgagee, date, rate of interest, and bonk J.l\d page of rccurJ thereof. It alsu sets forth in the
columns provided therefore the assesscd valuation of each of said parcels, the estimated market value thereof
as of date of death of decedelll,
Thllt SchedlJle B attached hereto and made part hereof sets fMth fully and in detail all personal property
wheresover situated o\...oed by the decedent at the time of death: ~11l moneys left by the decc:dent at the time of
death, whether in decedent's immediate possession, slandinf! to (.Ic,;~dt'nt':o crt:dit in hanks of deposit, savings
hanks, trust companies, or other institutions, whl~thcr individually. or in trusl for am' othcr person or persons
giving also separately the accrued inlcrc!tt thereon. if any, down tn the last ill/l~r.;~.:. dilY prior t(l decedent's
death in the cast: of sa,'ings banks. and 10 the llatc of lh:cl:dt:nt'~ ckalh in all otnt'f cases; :ill b{)nd~, posliil
savings, freasury certificates or 110tt:S and oth::r r\'iJenc:c of in~ch:t:tl;l(,~S of lh~ Unitcd States to the 0(:-
cedent; all obligations, whether by statute or agrcnncill :iH.::y arc dcsigr.ah.:d as t.J:>~ fr~t:, oi the U~liteJ States,
or any state, or political s~lbdi\'ision (hereof, or of any fort:ign ctluntry. which arc owned at the timc of death;
all wearing apparel, jewelry, silverwarc, pictures, huuks, work.s of art, houschold furniLure. horses, carriage!>,
automobiles, boats, and any and at! other personal chatlcls or wh.\huc\'cr kind or nature, left hy decedent,
together with the fair1y estimated markr.t value thereof; all bonds ,lnd mortgages held hy decedent and of all
claims due and owing decedcnt at the tilne of death, and all promissory notes or other instruments in writing
for the payment of moncy of which dccedent died possessed, of whats(,;.:\'cr nature, with inlerest thereon, if
any, giving the face value and estimi1lt.:d fair market value therenf, and if slIch estimated fair market value be
less than the fllee value, it sets forth briefly the reasons fur stich depreciatilJn as 10 each item; all mon<.;ys
payable to the estate from life insurance policies carried by dt'ccdcnt; all annuity <lnd endowment contracts
the proceeds of which were payable upon the de3th of the dt:cedcnl; all and the corporate stocks and dividends
due thereon and unpaid as of the date of death, bonds and accfIlt:d interest thereon to the dale of deceuent's
death and other investment securities o.......ned by the decedent at thc time of death. with the market \'nlne there-
of a t such time.
In tht' elHiC of s~c"rll1~s of cln~il' ot' 1"1;'1 II '!'. ~; ~ ~"",.\ 1'1f' v",IUl'" t"'\1nrten I1.rl! tiS rur 11~
pn>^lblo slIb.lImtlllto,1 bl' 1'11I1I1IeI..1 sI.I"""'"'''''' "I' ""'"",,,,"'"'''' ";""'''"' t'", ,,~""'. .."d ] \lIhl!Jt.l"S
thoreol' liS or tho dllte of ,leuUI. The sel...oI"," u}:,,, ,.". 1',,'''' 1.1,.' 11I...""'t .11' ,ke",\..,.l "' th., tI"'" "I'
death III allY cll_pllrlnershlp ur b"sl1wSS, 111101 j" s"I'I'''''' .,r ,I... I",]"" of' s"elt 1II",,"'ot the,. Is 1111''''''''': III
snld schedllle, flnllllclnl slnter.llm" showlll~ n", ""s"".'''' ",,'ot; i' "," 01' <e Id "o-!'..rtr".rshlp or ""sloess.
A ropy Ill' the co_pllrtllershlp ngre"mellt, (11' Mill. II ""","',"ll "'IlIII,, I'or'h ,}", 'lel"r" of U". Il~r.e"""'t)
together wllh a s'"te",ent. scttl,,~ forth U", ci.Il..".".'.. ",' "... ,,'os I '''''''' Il'. 1",,"'luO, lI"d ",eh .,,,,,'r I'IICts
pertllllllng to th" huslll"SS liS mill' I'" 1','r,I''''II' '0 ., """ ''',.\ .I"'" "l'l'r..,"..1 01' U,.. ,;.",,,dellt.', 11It.',"'''st.
there III m'l't he slIhmlttod. It. sltould 111'0 SO" I'"rtlt t, ",'mlz"oI f.""" ,01'."U..,r ..\l,1I t;.e fair ",lIrkll' vulw,
thereot', any ather prapert). o"",,,t or h.' '10"" , 1",.1 h,' I", ,....."",,, ,,' ,I... 1.1,"" ..I' ""Il,h.
Tile Sc^odule C a\luehed h"""to "lid """',, I""'" :"'r..,,r ,,,Is rortlt " trill' "n<>r,,' to "..eh IlIqulry
contaln",l thcrelll und In th" cuse ..r Irnllsl'ds ..1',11'''1'''''' y, r.'..} 0" 1"'r",",,I, wi thlll t..o yenrs 01' decedent's
doath, In contemplation of deer.delll' s ,\enth, or III"""!"" ., " .,1;., o!,!,od III I",,,,,,slon or ""Joy"",nt at u"
arter ,Ienth, sold schedlll" sel' I'ort.h Uw ",,"If" .,1101 ",;"" or slI"h ,'r"I"'r'y, I~ whom !.rfillsferred, the
relutlonshlp 01' the trunsferees to th" ,10"'"\''''''' ,,,., ,"'''''''''1''"1'''' ",,"'.' ....,,01.."'\ "" <'''''' '.ri,,,,,forco anel
all other filets ot' n pertinent nntllrc r"~nrdl",, so!!" : r .',.. .',s. I" ",,' CO"" "I' \.r"ns!'ers Inte",leci to
takc erfect In possessIon or enjol'ment ..I. ,," ,"'1'." I.' ,I.,'.. ", ..I.., "u""I.",1 tll .he sehe,I1II" .. c"IIY
of t.he deed, trust ugreemellt "r other IlIsl.1'o,.."'l "",,,\,\'''' ."" 'nISI. n",'.' Is ..I~o -H I'orth tn said
.cheelnlc.. 1151 of I'll prop"rty, real "'"'I'erso,,"" wl-;' It" ""'II', ,"<I"', POI':;"', "I. eI"""elent's ele.,th hy
virtue of the.exerclse hy deeeMnt, elt~er lwllvl,h,,,'ly, ,,,' i"llIlll' wl,-" ,,,,oth''', or uny I'ower 01' appoint-
ment vest"dlnde..,Ient, either Ind!vlllll"lly "r .Io\"'\y, "y "," .0\11. d",'II. "r "t"er 1,,,I.,'..,,,,nl. or nnot,her,
with a copy of" t.h(' :nstrllITlrmt creating fouch'11ower lit UWh'll' to Lh'~ schetlllle.
Th..t SCI,..1I.-1. 0 01 wche,1 h"reto ..n'\ m"oI" "..rt 1,""""1' c"':' '"rth Ll," II'''''CS ""d ..,Idresses "I' ..11
persons IICllcflcla1l~ IlItero.t"'\ III '-his ,,,,tutl> "" lit.. L;"'" ,oj' """,,,\o'n" " ,Icnth, t.1Il' IIl1tU"" of '.helr ros-
pectlve lutcrests, thdr rcllltlonshlp, \l'uoy, to tin' ,\,,,,,,,I"lIl, to~"IJorr ..It.h ,-he ages at '-he tlmc of
~ecedent's dOllth 01' 1111 minors, IInnultant.s Iln,I}.,'n,'l'Iei"r'YS I'or lire ollrter dl>o<'d"nt's WIJI. It. 0\50
contalllS a stllt.ement. showing ..hlch ot' thc heneflelllrl,,, ,0"",,01 1" the ,IIIe"dollt' 5 will, If Ilny, ,lied prior
to deoedellt, t.he d..tes of '-h,>lr dCllth, t.hIllr 1"011, ,",01 '-h" rlll"lIollsloll' of slIrh Issue to t.he henef'lclary.
That S"/oodu!o E lI"aehed heret.o an,1 m..dc Il I"\c' hon,ol' sels I'orth 1111 property, re..1 IInd per-
sonal, o..ncd by the decedent jolnt.ly with anolher or ot.h"rs, Indt"llll~ tntlln~lhle, st"ndlng In t.he nume
o I' the dccedent Itlld others, plu. the ,Ilit.e "nd pi lie II of r",'ced of tnstruments "fl'eetlng thc vcst1 ture of
real est.ate and t.he oInte of ..C'luISIt1on of personnlt.y, plus tho nllmO, ",ldn'ss and rel..tlonshlp, If Ilny,
of co-O'ftners to the lleccdent.
Thllt ScMdulo F Ilt.tnched hercta un' I m"'\" II pllrl 1I<'r""1' 5"1.5 I'or,-h l'uJly ulld III detaU all dehts
and dedllctlons claimed far "nd on hehlllf 01' 111Is oll'edclI"'; """'-", IlIdll,lIng fnn,,,,"1 expens"S ]1ald:
fllmllyexemptlnn, where appJlcllhle; costs 01' ,,'Imlnlst.rll!.!o;> 01' this IIstllte; l>oltnsel feoS IInd fudlclllry' 5
commissions paid or t.a he paId; eost expenlleol for hor \111 trus's, t.om"s,ones or ~raV"markers, and roll-
glaus servloes, In conse'luellce of '-he oI.'IIt.h 01' the ,lee",I,,"\: ,1,."t.5 "",I d ,.I...' o..tn~ 110,1 unp"ld ..t time of
death; t..xe. acorne,l Chllrgellhle far l>crlo,1 I'r\o" to ,1"""'\'''1'' '; ,\",,1.1, (,',ecpt UlOSC ..Ilow"d under Scetlon
65101' thc InherttllnCe and r:titllte T"x .\",-): to~,,'h"r .It,h ',51,,1<'""'111. 01' "o1lItl"rlll ple,lged for ohllgu-
tlon5, if any. It Is "greed that the l'Idllelllry will pr"se,,'- 1>1'001' 01' s"lot elltlm",1 ohllgatlons upon rc-
'Iuest., th..t If t.hc nmollut lIct.uuJly 1'"\11 In se",I',m""' 01' ""l' r,.e, "ommlsslon or deht. Is less thlln the
eslImllted amount cllll"lng IInd ll1l0wod, 'hilt t.1... s"m" will 10" r"I'",',ed '" .1111 1l,'~lster 01' WlIls, u"d tlutt.
the amount or tax Ilss~s5cci cu.n be rellS~H'S!'i('t1 111 ll(:l'OI',illlH'P tJWI.I......i ~Jl.
That the tot"ls of t.h" IIpproprlate columns In S,'I>.,'"I,'S ',\', '1\', 'C', "E'. R"II 'I" ..5 directed th"reln,
have been cllrr1ecl forward and l'ropc-rly rl~i~tster{!\l in th'~ ~';Ilmmllry.
, .'.',',...,.."...'--,',..,S,.',.:_~.,~?..b",~],~",.~d,."'l.~',','(W,d",a's,y~'I'~'Or'.,,~fO'.,'I.,'J!JII,:o]f,'AR:r'P1,mIR'I'c"";;?Q .{!1ft';.(::1~""p.:i:;-4.
, 1l1.oile.1.neS BQ8,9-_ ............_.~,-,_....
(Street Number)
MIL C:SIIURr.OOIIO,CIIMllI,RIAliOCOUIHY V' 1 -. l' 1'1l02
MY COM~\;SS'ON [lI'IRI.S ,I'll 30 198,1 ___or ':. renl1~Y YQ,m.,a.,..... "J, "..,
M"",I'OI, 1",""SlI,,,'"'' ~"'lf,""'" ,,' 'II",,,,,,,, (City or Town and State)
NOTI,: lIet'ore sj~nlng IIl'rlduvll ",,,,,, Sllre ,,] I 1,1"", "',' '" In ,"" 'oI"',,,..l'It ..no\ 5e:",o\"I"S "",,,,"c'\ "ru
1'1111'0\ In wltl> ""t"lls nr the wor" 'S,,,,,", "no\ \" "..". ,I,,' ,,,,,"'IS 1<...1""" r..r" ..wI unIlS'-"" s"CIlfltll's,
seeurlll"s 01' close nr t'"mtly """1"""'-\'''''' nr "" In,,'r"" \" 'l"y ""-I'"rll",rshlp nr huslucss, tllnt '-hu
d"ta an,1 st."temenl.s rcq"lre,1 "n,I,," Ii'" 1"",,,....l'h "j.,,,'" r.''-aU''" ,,, S...",.hl\" '11' '!C" ",t"cl>cll. .\Iso mllk"
c',rtlll" thllt eolllmn #1 III the 'Su",,""y' h'" \,,,,,,, I'r",'..rI~' '''''''1'1.""" .rs ",,,,,',,_dlrec'-"'"
. '
REV....'. (B-n)
*
COMMONWEAL TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
SCHEDULE "B"
PERSONAL PROPERTY
RESIDENT DECEDENT
INSTRUCTIONS: This Schedule musl discluse 0111 l;mgihlc ,1I1d intilngihlc personu! prnpcrly owned individually b~' the
decedent, at the lime ur his death. Property owneLl hy the decedent jointly with ""l1ther or nlhers must he listed
. I under Schedule "E", Intlll1gihlc pcrsunillllrol1crty, titled in the 1I;1111C of the decedent, hut p:'lynblc ut dculh tn anuther
ur others, incluJing hut Ilnllimitcd In P.O. 1>. U.S. Savings Bfll1l1s ilnd tentati\'e trust accounts, must he listed, despite
the fuet that Iht~y ure nnlnf the udminislcred estate.
Tangible pcrsnmll propert)' should he listed first (e.g. jewelry, wearing i111parcl, IllIuschllld guods, t1nd
furnishings, bonks. paintings, alllnmuhilcs, lmats, etc.)
Intungihle pcrslllllll property, such as hunds, trclIsury ccrtificatcs, cash Oil hand and in bank, stocks,
mortgages, TlOlCS, togethcr with uccruell interest or dividcnds, s:lIarics or W:lgCS, insurance payahle tn the estate or
fiduciary in said capllcity, partnership interests, intcrest in illlY undistributed estate of or income from any property
held in trusl undcr tlu: will or ugrcement uf anolhcr. e\'en though Incillcd outside uf the Stule, :ltlhe lime of death,
shnultl be listed in Ihis sdledule.
lIem
No.
rmM
Lisl and describe fully
UNIT
VALLIE
ESTIMATED
MARKET
VALLIE
DEPARTMENT
VALUATION
(Do not write in
Ihi s space)
(1)
Savings Account No. 32-1-0652 with Dauphl.
Deposi t Bank and 'I'rust Company, HarrisbUl' .
Pa. Balance as of January 23. 1980.
Interest accrued to 1/23/80
Checking Account No. 18-00313-7 with
CCNB Bank, Ii. A., New Cumberland, ?ennsy1
vania. Balance as of 1/23/80
Proceeds from nub1ic sale of household
furnishings, t~ols and personal be10nging~
of decedent held on March 29, 1980.
Chuck Bricker, Texaco Road, Hechanicsburg
Pa.. Auctioneer. (Sale Sheets submitted
he rewi th)
2312.S~'/
/
419.71/
1.54
(2)
12l~.81IV
(3)
Inscrt this lolal opposite "Pcrson:ll ProperlY", Schedule liB" in
Ihc liAs Reporled" column on the last page of Ihis return.
xx
2858.61 -- .2.; YS'J, 6 I
~
. .
REV-452 (e.n)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
.~
, '
~'f ,
SCHEDULE "C"
TRANSFERS
!;~SIDENT DECEDENT
(1)
(2)
i
(31
Did decedenl, wilhin \wo years of de.lh, make any transfer of any male rial part of his estale, wilhoUI receiving · vaiu.ule end
adequate consideration therefor? (Answer yes or no) No
Did decedenl, wilhin \Wo years of dealh, transfer property Irom himself to himself and another or others (including. .pouse)
in joint ownership? (answer yes or no) Ho
If the answer 10 (1) or (2) above is in Ihe affirmative state:
(a) Age 01 decedent at time of Iransfer
(bl Slate of decedanl's health nt time 01 making the transfer, (No," 1).
(cl Cause of decedent's de.lh. (Nole 11.
Did decedenl, in his lifelime, make any Iransfer of property without receiving a valuable or adequate eonsider.tion therefor
which was to lake effecl in possession or onjoyment al or aller his dealh? (Answar yes or no) Ho
(a) Was thero any possibility that the properly tra/sferred might return to transferer or his estale or be subject to his
power of disposilion? (Answer yes or nol N A
(b) Wh.1 was the tr.nsferee's age at time of decedent's clealh? N / A
Did decedent in his lif.time make .ny transfer without receiving a v.luable and adequate consideration Iharefor under which
Ir.nsferor ..pressly or impliedly reserves for his \ifa or any period which does not in fact end before his death: N
(.1 The possession or enjoyment of or Ihe right to income from the property tr.nsferred? (Answer yes or no) 0
(bl The right to designate the person. who sh.1I possess or enjoy Ihe properlY transferred or income therefrom?
(Answer yes or nol t, n
If the .nswer to (51 (b).bove is in the .ffirmative, stale whether the right was reserved in decedent .Ione or oth.rs
"
(4)
(5)
(6)
Did decedent in his lifetime make a transfer, the consideration for which was transf.ree's promise to pay income to or for the
benefit of caro of transferor? (AnlWer yes or no) N n
Did deced.nt, at .ny time, transfer property, the beneficial enjoyment of which w.s subject to change, because of a raserved
power to aller, amend, or revoke, or which could revert to decedent under terms of transfer or by oper.tion of law?
(Answer yes or no) 1: El
(9) Ii the answer 10 (8) above IS in the affirmative, w.s the power to alter, amend, or revoke the interest of tho beneficiary reserved
in the decedent alone or the decedent and others? (Answer yes or no) Nn
NOTE 1: The answers to these questions should be supported by affidavit by the attending physici.n as well as a copy of the death
certificate.
NOTE 2: If .nswer to any of the above questions is yes, set forth below. description of the property transferred, it's fair market
value.t date of death, dates of transfers and to whom transferred, with relationship of transferees to decedent, if any. Submit
copy of any truot deed or instrument, if transfers are claimed to be non.ta.ab:e, also submit det.i1ed statement of facts on which
said claim is based.
NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E.
MARKET VALUE
(Estimated)
(7)
(8)
ITEM
DESCRIPTION
DEPT. VALUATION
(Dept. Only)
None _ See Schedule nE" herein
None
Insert this 'otal opposite "Transfers", Schedule f'C" in the
"As RepONed" column en the last page of this relurn,
N N'Lt..J
4c;)4(.
l~one
. .
REV-4U U-n)
'1'
'k ~t....t>
~;'~9:~
:.~d~.J\:;'t>\' :'1-'
CO~"ION\\'Il,\l.TII OF PENi'o'S\,l.VANIA
TRANSFER INllIiRITANCE TAX
RESIIlIlNT OECIlIlENT
SCIIU)l;I.I'. "Il"
1II':-lEFll 'L\I( IFS
UENEFICIARIES AND ,\IlIllU;:;SES
(Slate rull MUleS ltnd ,ldc.JrcSSCM orllll who
have IIn intCrcsl,,\,estcll. contingclit or other-
wise. in C~IU1C)
IU~Li\TI()NSIIIP
(Ii Sltp-dlUdrcn IIr
ilk~ilinmtl' childrclI
;lfC invulvl'lI. set
rorth this fact.)
r S"I\:':I~'
IlH'EIlFNT
STA)'I'. VI'S
tilt ;";0
r - _m
I
,
,
I
1
I
I
I
_._____._.L__
One-third of Bst.a.t.e..
Il\'l E
01:
BtRl1I
ISTEHFS r OF
nl~NEI'I(:I'\HY
IN ESTATE
Shirley L. Wisman
732 Harding Street
New Cumberland, Pa. 17070
Nancv Jane S':rilmoli
R D 1
Box 105J
York Springs, Pa. 17372
W; 11 ; ~m Ed,;; n Se; tz
1l.t.0 Haines Road
Yo,..k Penna 17),0?
Dauc:hter
Ves
Dnu,c-hte:co
;Yes
l~~~to=-"'-or_.E~-"
~- r-
I I
II -=-~ One-third of 3state
, i
___J
Snn
Iv-""
=J
I
___J __L_::J
Deponent furthor says that all the above-named beneficiaries arC!' living at this time except below:
NAME
DATE OF DE;' TO;
RESI DENCE
~
B:Il::
g::-: 1t
'./"- C
.- ~ ...
,,- "
'e~ .:
-0",0
-te"
, O.
...u::::,
.9... u
= III -
" " ~
u e 8-
'" "
~ "
SlimIAR\'
Real Properly
Personal ProperlY
Transfers
,Toi ntl y O~med
(Selt. "AU)
(Sell. liB")
(Seh, "C")
Property ( Seh.
Hc.:II)
('.russ Taxable Estate
OM
f- "0 .c
~ z " III
" t:.l '" s::
., ~
>- ::e u ;;:
t:.l u 0
'" u E-< ..J
< Q .0:
0 oJ>
c.: <(
c.. U. H .:!
c.. 0 0 ;; ""
.0 D-
O> -<l: o>UJ ;. D-
oC oCi-< N III ,.. .0:
0 i-< t:.l i-<< E-< s:: '"
::: H s:: " a
Z .:: f- '-i-< rLl C1l " Z
0", u
U. UJ CIl p.. "- .0:
0 ~ t-
o: . +> c ""
.S c.: ri1 lJ1 -5 0
- t:.l oj D-
.. ~
~ f- ,- ri1 w
- :;: u
'" i-< ~ " ""
c
'c -<l: H ~ "
-'s ::e ..:l c t. "
e
..:l u ;; "
::::~ H ;; c e
::=< ;3: ..J U u
,\
(I)
(As Rcportcd)
: 3t:g~gJ~
$ 0.00
$ J,o'-Jl~.Uj
$
$ -4'-..12_.9.11
. .
(2)
(As Ilctcrmincd)
$
$
$
$
$
$
. .
.
REY-4S4.4-70)
COMMONWEALTN OP PENNSYLVANIA
BUREAU OP EXAMINATION
INNERITANCE TAX SECTION
SCIIEIlULE "E"
.IOINTL Y OWNEIl PI\oPERT\'
*
INSTRUCTIONS: 11lis schedule n:ust discluse all ("Cullerty, real tlml per!\llllid, owned hv the decedent jnintlv with
Ilnothr:.r or others. including intangibles, st:,ulding in the n.IIIIC uf tlte decedent IIlItI miters. Lisl real estate rirst. as
entireties, or juintlenunts, giving brief lIcscripli\HI, liS i11lJicutcd under Schedule ""." plus the oale and Illace ur
record or instrument errecting \'estilurc, bllt do lIul il1c1ull~ entireties ur nut I'l' slllle real esl;lle value in estate
vtlluation colUfllO. Personlll properly should be listed as in Schedule uB," pillS ditle ur acquisition, :lOd the name,
address and rcll1tionship (ir any) or cu.,owllcrs III the decedent.
Description or Prollcrty. Dille ur AccluisitiulI, Nnme
AdJrcss and Relatiunship or ell-Owners, !lnd Place
or Record or Instrument. where Real Estate.
Unit
Valllt:
PI:rcclltllge Esl1l1e
Share \'alull1inn
IlEI'ARTMENT VALUATION
(OFFICIAL USE ONLY)
VlIlue uf
Entire
Propert)'
Value of
Decedent'li
IntcrcSl
(1) Account No. 002-00-05179 with State
Capital Savings and Loan Associa-
tion of Harrisburg, Pa, registered
in the joint names of W. E. Seitz
or S. L. Wisman, created as a Joint
Account on February 27, 1976.
See Bank Statement submitted
here~1i th.
Balance as of 1/23/80 $7760.95
Interest accrued to 1/23/80 $2?Q9
(Both reported at 50% since
Joint Account is over two (2) year'
old)
501;
50';'
880.48
13.55
I
I
I
I
I
I
I
I
!
,
I
. J.
<1'
Insert this total opposite uJ\)intly Owned Property,lI Schedule liE"
in the "As Reportedll column on the last page or this return.
3894.03
~ 1'11: D,3
~
OM
.d
"
s::
:> ,
.-. 0
~ ~ ~ ~ I;<
~ 0
:z: l>l ~ \jj f.<
0 >- 0
l>l I . .g "tl
'" [4 8 'ji
;J 3 &: .-l
...l f.<
< "
- ~ ..., .0
U ~ Ul ~ .:t" ~
- H 111 '"
'"' :>: "'~ <.) C\J
'"' -
0 ~ ci
~ I'-
'"'
l-< 0 '" 0 :z: ci
'" '" >< l-< ci
- l>l
:z: B ~ f-< l>l :z: :z:
::l 0 - ci ~ ~ l>l
;z :E :z: 0 u c: l>l
~ ~ '" ~ 8 0 ~ :z:
l>l 0 :l
. .
.."' ~;I't:-;-:t.... )-:'-rf~' '{:';I)j~f/~ e.J:'l-/ /9.f" GJ
"EV.'" E~' (HOI ' SCH EDU LE "F"
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE STATEMENT OF DEBTS
TRANSFER INHERITANeE TAX AND DEOUCTIONS
RESIDENT DECEDENT
~
- .~.~_.
Estate of 'Hllintn r.:. ::;0; 1:7. Date of Deathl/;:-'/['O
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
File No. ~'l -Co-C;6
Claimant
Claimant's .t\ddress
ITEM
NO,
DATE
1980
2/21
2/21
2 21
VlIL
Vll.L
3/14
3/14
V29
/29
4/12
4/12
ll/12
6/6
4/12
6/6
Relationship to Deeedent
NAME OF PAVEE
REMARKS
AMOUNT
~esi3tcr of ~~11.:l
Curnberln.nd i,!U'i ,T01Jl'1nf'::..1
L0tters 'r(~ta~O!ltar\T
:~:j ta te
..'
..Ol~ J.Cfl
The 2venin~ dentinel
:;scG.te ~~otico
?l'Oi'os~ 5. ~);1nl ?hn.!'F.rtC7
::-:~l"1r;~i!.1GU [lr~(~()unt (]'l8
Charles n. ~Atflpld, M. D. Doctor Aill
\-lei.s j':jar\~t3, Inc.
~l!'oc€:r'J" aCCOl1n t.
.J~ck 1:1. Hic:1aPQSOn ?;'u:1ore-l
:-:ome
~~'u:nAr8.1 ~:>:~-;ens8s
2036.30
129.1.9
10.27
12.96
12.88
130.57
14.44
17.21
50.18
365.00
l~8.00
57.22
l~.69
35.97
13.39
28.00
Servi.ce O~l G0r('~D.n.\~
.:p.9t.inl. ~.11)el
u. G. 1. Cor:;or9.tion
n?S
Rell Tel.e ,hone C0w~nn~
-:Oenna. !'0I-18r ,'. Lir-ht Go.
Service Oi.l Cornr;~Hj~I
Bell Telephone Co~pa~y
rr.r>l :-~r;h()no
-'1 t'
l~. .ec rOle
Eoat i~;- !o'uel
'.relf:phono
Rivcrton Consoliriated Water ~ater
jTanev Srri'-noli.
CanO;-lY for' pu.bl ie s "Ie
Callinc Sale, advertisement, e c.
SeHer and j1o.f'llr;(~
1920 County ~ To~nship Taxes
Chuc1-: 3rickcr, i\.11cttonAel'
East j)pnnsboro ~'nw~s~ip
Kenneth 3-intB:r', ~ax Col.
Penna. P01omr.t.. Li[:;.t Co.
:::Jcctric
Clifford 3;~ri. ,";_1:01 1.
RoJ.l rl'elephone Corr:pan:I
3rschendorf's ~:orloria].5
O1o!')a i.y'~~ to Y'tJ9J. ~;S tr..to (:louse)
'~f:: J.e !::'!one
!J(:tt0ri!1~: ~.O!1t1;llcnt
TOTAL THIS PAGE L _ .3.~21. 80
I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral
expenses and expenses of administration submitted to the estate as deductions for Inheri nce Tax purposes.
// - >:: ' 17- O//t
f.-ft/ .<;:0> ',;-,." 7'//.r~d
IGNATURE OF ATTORNE /FIDUCIARY 'DAlE
-
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S ii, J' ('7- 0 7
AT
(,V;l
,
PERCENT,
'-- J
. i-tv~
.ISTER OF WI L.S
/
//-.;,J -;/..#
DATE
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred by the deeedent prior to his/her death are deduetible against his/her taxable estate,
In addition to debts ineurred by the decedent or estate, other items are elaimable ineluding the eost of administration,
attorney fees, fidueiary fees, funeral and burial expenses including the eost of a burial lot, tomhstone or grave marker,
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritanee Tax Return is filed, Evidence to support the decedent's or the estate's liability for the debts being elaimed
should be attached to this sehedule.
A family exemption of $2,000 may be claimed by a spouse of a deeedent who died domieiled in Pennsylvania.
If there is no spouse, or if the spollse has forfeited his/her rights, then any ehild of the deeedent who is a member of
the same household ean elaim the exemption, In the event there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the deeedent, The family exemption is
allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws,
- "" 0 n >- t:1 >- ;S
~
z :> 0 0 .0 en, 0 Z
C) n c:: 0 -l Z ::: t"'
," t:1 ;>; Z '" >- ~ - ~ t"'
Z Z t:1 -l t:1 -l Z
~ ~ -l -< en t:1 -
en
Z 0 '" 0 -l
9 "=1 "=1 '" ~
~ 0
":l
0 ":l
-
Z n
-
>-
t"'
c:::
en
t:1
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-< -< S;
t:1 t:1 ~
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the family exemption is being elaimed, indieate the claimant's name, address and his/her relationship to the
deeedent, Enter "family exemption" in the remarks column and the amount elaimed in the amount eolumn,
2. Assign eonseeutive numbers to eaeh item listed,
3. Enter the date on whieh eaeh debt was ineurred and/or paid.
4. Enter the names of each payee.
5. Provide a brief explanation in the remarks eolumn for each debt claimed.
6. Enter the amount of eaeh debt being elaimed.
7. The form must be signed by the person who has assumed the responsibility for paying the debts,
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred by the deeedent prior to his/her death are deductible against his/her taxable estate,
In addition to debts incurred by the deeedent or estate, other items are elaimable ineluding the cost of administration,
attorney fees, fiduciary fees, funeral and burial expenses including the eost of a burial lot, tombstone or grnve marker.
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritanee Tax Return is filed, Evidenee to support the deeedent's or the estate's liability for the debts being elaimed
should be attaehed to this schedule.
A family exemption of S2,000 may be claimed by a spouse of a deeedent who died domiciled in Pennsylvania.
If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption, In the event there is no sueh spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent. The family exemption is
'allowable only against assets whieh pass by a will or by the Pennsylvania Intestate Laws,
C "0 U n > [11 > ~
> 0 0 U en 0
Z C'l --' Z 7- t""
'" '" n c: 0 :> 9 ::: 9 t""
~ Z ;;l Z
z Z t"1 -l t"1 -l
P 9 -l -::: en [11 -
en
Z 0 en 0 -l
9 ""1 ":1 ;;l
~ ~
0
- 'Tl
0 'Tl
-
Z n
;;
t""
c:
en
tTl
0
Z
-::: -::: :;:
t"1 tTl ~
> >
;;l ;;l
INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
,
1, If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
deeedent, Enter "family exemption" in the remarks column and the amount elaimed in the amount eolumn,
2. Assign eonsecutive numbers to eaeh item listed,
3. Enter the date on which'eaeh debt was incurred and/or paid,
4. Enter the names of eaeh payee,
5, Provide a brief explanation in the remarks column for eaeh debt claimed.
6, Enter the amount of eaeh debt being elaimed.
7. The form must be signed by the person who has assumed the responsibility for paying the debts.
DEBTS AND DEDUCTIONS
Dale
Name of Payeo
Naturo of Debt
Amount
Funerol cxt)COSl!S fli1id
""
Family oil.emption (will not I.Jc allowed unless dlJcedcnt died
tctiding with it parent. spouse or children.)
AdministrBtion Ellponscs
"
'-
,
'-,
Counsel Fees
",
Fiduciary Commission
"
IOther Debts nod Claimsl
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Under penalties of perjury. I declare that
I have examined this return. ~nd to the best ~~~my knowledge an,\belief. it is true, correct and complelc.
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l,(J.j '-U_.1 "-(. C r //<" _ (;::..&;<---{( ,// r- /.rO
\ Signature of Fiduciary . U Date-"
1 do hereby certify that I have appraised the assets contained herein in conformity with Pennsylvania law.
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Appraiser Date
In the Client that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent :lfter the expiration of any
estate for life or for years. the Commonwealth hereby expressly rescrves the right to appraise and asscss transfcr inheritance taxos at the lawful collatcral
rule on any such future interest.
Debts and deductions are allowed in the sum of S
at
percent.
Register of Wills
Dale
BENEFICIARIES
BENEFlelARIES AND ADDRESSES
(State full n.mes end .ddr8'S$8S of all who have an interest
.ilher vested, contingent or other iraerestl
RELATIONSHIP
TO DECEDENT
SURVIVEO
OECEDENT
STATE YES
OR NO
AGE OF LIFE
TENANTS OR
ANNUITANTS
AT DEATH OF
DECEDENT
IN1'EREST OF
BENEFICIARY
IN ESTATE
Fo Gb!\nr-:e-Soc 01'5. '~in~l.l r'o t1a1n.
C ." 0 n ~ m ~ :1
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INFORMATION
PLACE FOR FILING - The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided.
TIME FOR FI LING _ The return is due nine months after the decedent's death, unless an extension for filing has been applied for and granted
by the Secretary of Revenue within the nine-month period.
FAILURE TO FILE RETURN - Section 791 of the 1961 Statute provides that ", , . any person who willfully fails to file a return or
other report required of him, , . shall be personally liable, . , to a penalty of 25% of the tax ultimately found to be due or $1,000
whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law."
Fi Ie Number
SUPPLEMENTAL
INHERITANCt:: TAX SUMMARY SHEET
(BUREAU USE ONLY)
21-80-0056
REV.484 EX"- (3.80)
Estate Nome.
---"I.illilllll._J;:.._Qllj;JI_-
Dole of Deoth
January 23. 1980
Sociol Seeurity Number
195-0'7-2376
~,EPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Apprai.er in and for the County of Cumberland
Pennsylvania, do respectfully report that I havo appral.ed the real and porsanal property as reported in the foregoing
fe-tum at the values set forth opposite each item in the last column to the right in Schedules IIAII, liB", "C", and "E"
Dated:
November 20. lQ80
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INHERITANCE TAX APPRAISER
INVENTORY
VALUE AS APPRAISED
ADJUSTMENTS
CODE (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE
Leu D,bts and Deductions
(SCHEOULE F)
CLEAR VALUE OF ESTATE
S 00+
10+
21H
N n 30+
2.236-36
40-
92+
Real Property (Schedule A)
Personal Property (Schedule B)
Jolnt.Held Property (Schedule E)
Transfer. (Schedule C)
TOTAL GROSS ASSETS
93-
Valuation of life estates or
annuities, . . . . . . . . . . . . .
RATE
FACTOR
PRINCIPLE
VALUE
CODE
FOR USE OF REGISTER ONLY
TalC on $
~
COMPUTATION OF TAX
$
S
S
S
S
6'.
"
TalC on S
15~o
Tax on $
Tax on $
Tax on S
Exempll:)ns
Telol Estato
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
$
Less Credits
OATE OF PAYMENT
AMOUNT PAlO
DISCOUNT
INTEREST
TAX CREDIT
S
+ S
s
=
s
+
=
INTEREST FROM
BALANCE DUE
BALANCE
TO
S
S
S
REV.518 FO (7.801
.
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
NOTICE OF FILING OF APPRAISEMENT
William Edwin Seitz
140 RaineB Road
York, PA l7/j()2
RE: Estate of
County of
File No.
William E. Seitz
Cumberland
21-80-0056
Dear Mr. Seitz:
You are hereby notified that the SUlllllemental
appraisement in the estate of William E. Seitz
has been filed in the office of the Register of Wills of Cumberland
County on November 20, 19 80 . Said appraisement reflects the fallowing valuations:
Real Estate
Personal Property
Jointly Owned
Transfers
Total
None
2.236.36
None
None
$2.236.36
As to such tax that is paid within three months from date of death, a five (5%) pereent
discount is allowable. As to any tox that remains unpaid ofter nine (9) months (fifteen months
when death occurred from Deeember 22,1965 to June 16,1971, inclusive; and twelve months when
death occurred prior to December 22, 1965) from dote of deoth, interest at the rote of six (6%) pereent
per annum is charged.
Any party in interest who is aggrieved by this notiee may objeet thereto within sixty days
after receipt of said notice as provided by Seetion 1001 of the Inheritance and Estate Tax Aet of
1961,72 P.S. 2485-1001, P.L. 373.
Date
November 20. 1980
Signed
y ., 'c J JJ
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Title
Chief Appra.iR9r
NOTE: This is not a bill.
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l"l~r,RCC4(l1nsJ';"'.':"'.,," " COMMONWEALTH OF PENNSYLVANIA
l~~bt083'35f" " " DEPARTMENT OF REVENUE
;;}r%~!f~!:i,{ii:-":<'.,OFFICIALRECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX'
Ir^'~'-"":'.""""-' :', ,'...
oil
; RECEIVED
If
= r-ram,
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'dress
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JI
ft File No.
t Dote of Payment
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T~tJ8J1.Nn NINJI:
& 39/100---------________ dollars
representing Pennsylvania Inheritance or
Estate Tax due Irom the following estole:
Nome of Decedent
1fl:LLXM E. SEITZ
s
~
Belvin S.U.
0/0 J. Robert Stauffer,
Marl[.t S~"""- 1111" "'''n9
Beq
29i Tax on
s
s
"_henle.burg'.
Pa.
17055
6~Toxon
s
s
21-80-56 Dole of Oeolh 1-23-1980
/5'if. Tax on
s
s
Sept-.har 22, 1980
% TOK on S
Estate TalC, Act of
May 7, 1927
s
County
C"..lo.arlan4
TOTAL TAX CREDIT
less five percenlum of tax if
paid within three months after
dote of death
Plus interest at the rote of
_%I,am
to
s
2.009.:19
.-',marks:
f
!
S
-PAID ON ACCOUHT-
s
'iJ'OO~[p[L~@ill'iJ'rn SEA L
TOTAL AMOUNT PAID
s
2,009.39
NOTE: this Tripliclte Receipt 10 be retained for au";'; purpolel,
I
Received by
NOTE: In accopllng Ihe Iranlfer inheritance lal on fuluro (utalel, prior to the deolh 01 lho Jife
Ilnanl or t.nonl for yearl, 01 evidenced by this receipt. il il understood thaI the Commonwealth Iholl
no! be precluded or prevented from hereoher oueuing additional InheritonCIt lal 01 Ihe deoth of Ihe
Ilf. lenonl or lenonl lor yeou whenever II appear. Ihol luch oddilJonol 10. may be legally due and
colletlibre for ony reason whotloever,
---------------_._--------------------------~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
'*'
FILE NO,
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COUNTY FILE NO:
'O</-KD
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DATE
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ESTATE
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I 'ILOVt~J1 'r>,.....""IAn
Appraisad Value of Estate: (
Real Estate
G
/ '7 'Jr,.r..
._. l
COUNTY (~ h" _ 0:
DATE OF DEAT~\ /'" '1
lJ-
.-:l
.-
Personal Property
-~~
s :3 (., 0 {J t'\ ,-J U
,St.', .:,... ~: ;: ~ f
+ -.. " f JJ~
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+ 3 /9 il ::l3
...
s r/-.lf. Cl/~I 'JO
/1 (ct,I!, O?
s .::<3 l..:i'l '11
.
Jointly Held PropertylTransfers
Total Gross Estate
Total Approved Oeductions
Clear Value of Estate
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
s ~-? (;)11_ (j(
Amount Taxable @ 6% Rate
s::;;""-Idll CJI
tax due
s Ir.) y 7 f/..'?'
Amount Taxable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX OUE
s I 9 !( 7 . 1/-9
'* .. '* '* '* '* A five percent discount totaling S
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
r. -..., r')
-, -.;)0(-(;;(
SdUD? <.r;
+
s
s
$ d /) II C, "'y'-
,
+
=
+
=
Interest accrues at the rate of six (6) percent per
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by
annum
is
s rf ';1 {/...r;
T> .;;, I. r, (/
.'':) '\A~t
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
("""_'/'7 l
I v'l,,- VI\'. '\
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Assessed by:' 'I" I .. '_'
See Info'malion on Reyerse SIde Ag8nt'O'1!'8Commo?~.~_~._
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.'
, .'
INFORMATION
To insure proper credit to your 3CCOU'It, the name of the (1state and file number should be clearly print-
ed on the check or money order.
This assessment is mado in accordance with Section 708 of tho Inheritance and Estate Tax Act of
1961 (72 P.S. ~ 2465.7081.
To the extent that inheritance tall; is paid within three (3) months after the death of the decedent. a
discount of five (51 porcent IS allowed (72 P.S. 5 2485- 716).
Inheritance Tax. other than tax on a future interest. is due allhe date of the decedent's death and becomes
delinquent at tho expiration of nine 191 months after lhe decedent's death (72 P.S. S 2485-711). Inheritance
Tax on a future interest is payable within lhree (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S, S 248S-712). Calculate interest from the delinquent date shown
on tho face of this form to the date of actual payment using the following interest table:
----------- - ------ --- ---------- -- - --- - - ----- -- - - - - - - - --- -- - ---- - -- -- - - - -- --
1 month .005 4 months .021J 7 months .035 10 months ,050
2 months .010 5 months ,025 8 months 040 11 months .055
3 months .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
3days .00051 13 days ,00220 23 days .00365
4 days .00066 14 days ,00237 24 days .00403
5 days .00065 15 days ,00250 25 days ,00420
6 day. .00101 16 days .00267 26 days .00437
7 days .00116 17 days .00284 27 days ,00454
8 days .00135 18 days ,00301 26 day. ,00471
9 days ,00152 19 days .00316 29 days .00488
10days .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 bV Section
1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S, S 2485.10011
Make cheek or money order payable to'
"Register of Wills, Agent"
Mail to the address listed below: