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Home My WebLink About80-00057 /~ ,~\ . .~~:::\~". I, !.~tr,; ~1;:~f'::" ~#jkJ.~;i;>~(: ~~{~,1"j\, ~~;~:H;~~'~: ;.~'.~':' . : ~,;'.: ,r-- tn . f.,' ,.., ~ ! ~ . ~: " B. ~ i . I t) . p, ,-". m ~ , ( I " i I .- . . ...." III I . i =- 0 '0 CO . CP - N ..~ d u ~ Z UI '~, No.lT:sO'\' '.~';' PETITION FOR LETTERS OF ADMINISTRATION IN TH~; ~;STAn; OF ...~,.'<M.tL..1?....f,{!'.f,.p...~.N..~,t.l.y..y.'(1....... DECEASED, Harold B. McLane, Deputy To ".......,.......,................,...,..........,.."....,',....."...",...",....,......,...".....,...,.,.....,....".".. Register of Wills fOl' the County of Cnmhel'land. in the Commonwealth of Pennsylvania, The Petition of ...... r..1.i:.v., ,!"........L.,..., E..~, ,8" P. ..I;;., ./\I..aA. .\.1..<;;'. ,it....,...,.,..,........"....."............,...., ........".....,...................,....."...,.....,..,.. respect fu II~' showcth t hat ..,.....,.........,....",.,..,..,...,....,.................,....,........., !I" " waS a resident of ..W.()"I2.I::IL,E..:t.;l..F.>.hlR.~..........BOI:;;ughr . Cumhel'lllnd County, State of Pennsyl- vania, and a Citizen of United Stlltes, and departed this life intestate in the County of Cgf.1~.~.&I.h..u" ,....,.............,........,........... and State of ,..r.,/;./))'I!!.':',:L1". y..&.,!Y.L1..". ...."...,.,..,.. ...,.............,......,............ ,............. on ~.A,T.l.\l2.a,I.\~..,......, the ..,..,..J...~.t.,~..,............ day of ...)..4.N..(,1.I.l..f?,,~,................ A, D" 19..l?,Q., at the age of ...:7..3...... ~.ears, That the said /I,AJ.A),A......'B.....f.C.i?..,D...t;;,N...B.I.H)..<.'.i.f... deceased, left surviving the following named widow or -husband, heirs and next to kin, to wit: Name Relationship Residence ,.e,t.1.y,I......I""..f...,r;..l?J?~,tl!..Q~..l1.~ tt ....H,<?.,~..~A.N,j),.......... ,:t!..Q.R.r::1,k,..jJ,;:(~..a,9.f?..,~.....,P'I.l:, ................................................................ ......................,..................... ................................................................ ................................................................ .......................,..........,......... .,............................................................,. ................................................................ ....."......................,.....,........ ................................................................ ................................................................ ............,............................... .......,........................................................ ................................................................ ..........".....,................,......... ................................................................ ................................................................ ............................................ .,.............................................................. ................................................................ .............................,.............. ................................................................ ................................................................ .............................,.............. ................................................................ That those above named include all of the next of kin, so far as known. The said decedent was possessed of personal property to the estimated value of $.../.$...'?,!?9..Z..... and of Real Estate, less incumbrance, to the estimated value of $.........;........................ as near as can be ascertained, That the said Real Estate in so far as is known is located in ..........:=................,.............,............., - ...............,.......................................................................................................................,................................................ Therefore, your petitioner(s) respectfully apply(ies) for Letters of Administration in the above named estate. Dated .........J..&.,P..!?t.!-.R,,':l......?.-.~...... A. D., 19..?.~.. Signature and Address of Petilioner(s) ,.......?~.c.(.l~~~(~.... ...,!.&.. .....~.. -:i..\'...7...Ij.....s. ,,",~,9..N. D. .......$:I....... ....... ,Wa.J?.t,1,J..,,/,;,:1:.:i..c.'-',..l:..,(i,..........?..A.........,.......... ..,..,.................................................................................. COMMONWEALTH OF PENNSYLVANIA 1 155: COUNTY OF CUMBERLAND .......!:',~~~...~,~...~.~.~~~.~~~,~~~...................................,...,.,..."................ .,......,....,........."......................... named in the above application being duly ...............~~~~.~.................... according to law, say that the facts set forth in the above application are true to the best of ...~~.~..,.. knowledge and belief. sworn ' ............................. ............,.....,......",.. and s u bscl"lbed 1 ..,.. .0........ J.... -:j?.... .::...................... ........................ .... before me, ~ -1:...{...twJLe':"...1~~,~........... '" ;.:;;F......li.~~~.~;(,...~,?.......".......... A, D" 19.~,?..,. I .......,..,............,....,......,................................,...,.........,.,.., '~-~~'tB~..'R:;~~:;.Y.".....,........,...,.,.........,........................."................,........... l!J !J-o Filed : ......'!.~~~~~.y...,~.~.~.......~.?.a.9....................... A t tOl'lle)~/!.??? <!,.~I.i7,'~;.I".. ,.B.:..,..........;:~~l (over) L' ~;:- jJ? /0--<' -7 ;:---- (CERTIFIED COPY) GENERAL POWER OF A'ITORNEY No.,.":?~.~1R....,,...,., .,..,..."". KnoUJ all Mcn by thes. Pre.."": That UNITED STATES FIDELITY AND GUARANTY COMPANY.. corpor.tion organiud and ..i.,ing und.r ,h.l.w. of the State of Maryland. and havinc itl principal ofllce at the Cit)" of Baltimore. in the State of Maryland. does hereby constitute and .ppoint Richard A. Neiderer ofth. City 01 Carlisle iu true and lawful attorney in aDd for the State . Stat. of Pennsylvania Pennsylvania of for the (oUowin; purpCXlU. to wit: To aim it. name U lurety to. and to execute. teal and acknowledsc any and .U bond.. and to lCIIpectively do and perionn any and all a." and thing. ..tlarth in th. rcoolution of the Board 01 Director. olth. Aid UNITED STATES FIDELITY AND GUARANTY COMPANY. a certified copy 01 which i. h.reto anncud and m.d. a part althit Power 01 Attorn.y; and th. ..id UNITED STATES FIDELITY AND GUARANTY COMPANY. through..., it. Board of Directorl. h.r.Ly ratifi.. .nd canfim\ll all and wha...,...r lh. aaid Richard A. Neiderer may lawfully do in the premi.ct by virtue of theee pzaenlt. In Witn." Whereof, th. ..id UNITED STATES FIDELITY AND GUARANTY COMPANY h.. cauocd thit inatrumCllt to be ~aled with ita corporate aeaJ. duly atteated by the .irnaturea of itll Vice-President and Aaistant Secretary. this 18lb day of January . A, D, 19 61 UNITED STATES FIDELITY AND GUARANTY COMPANY. (Signed) By.J.......M,....S.m.1..i;.!!-,........................................................... Vice.Prc3iJent. (SEAL) .........E..,..W.....ll.u.f.fingtoD.........,.........,. .. .................. A"i3tanl Secrdary. (Signed) STATE OF MARYLAND BALTIMORE CITY. ~ y: On thi. 1811I d.yof January . A. D, 1961. belore me pcreonaIlycarn. L. M. Smith ' Vice.Pr..id.nt olth. UNITED STATES FIDELITY AND GUARANTY COMPANY one! E. W. Buffington . Aooittant Secretary 01 u.id Company, with both 01 whom 1 am penonally acquainted. who being by me Iever.Oy duly sworn. Aid that they resided in the City of Baltimore. Maryland; that they, the ..id L. M. SIDi th and E. W. Buffington were respectively th. Vice.Pr..id.nt and th. Aa"tant Secr.tary of the ..id UNITED STATES FIDELITY AND GUARANTY COMPANY, the cor- poration described in and which executed the foregoinr Power of Attorney: that they each knew the eeal of said corporation: that the acal affix.ed. to said Power of Attorney was such corporate leal. lh.t it was so affixed by order of the Board of Directorc of Rid corporation, and that they .llDed their name. thereto by like order u Viee.President and Aaai.tant Secretary. respectively. of the Company. My commi..ioD expires the fint Monday in May. A. D. 19 61 (Seal) STATE OF MARYLAND. BALTIMORE CITY. (Signed) Anne M. OrBrien ...................................................................N~-;;;;:y.P;;b7i~:........ ~ Set, 1. James F. Carney . Clerk of the Superior Court of Baltimore City. which Court i. II. Court of Record. and haa .. teal. do here:by certify that Anne M. 0' Bri en . Uquirc. before whom the annescd &f1id.viu were made. and who haa thereto .ubscribed hi. name. wu at the timc of '0 doing a Notary Public of the Statc of Maryland. in and for the City of Baltimore. duly commissioned. and .worn and authorized by law to admlni.ter oath, and' lahe acknowledll'Uent.s. or proof of deed. to be recorded therein. 1 further certify that I am acquainted with the he.ndwriting of the uid Notary. Bnd verily belicve the .ignature to be hi. zenuine signature. In Tedimony Whereo/, 1 hereto eet my hand and affix the ecal of the Superior Court of Baltimore Cit),. the eame beine .. Court 01 Record. thit 18\11 day 01 January , A, D, 19 61 (SEAL) ( Signed) ............J.,~.llI~~....1!'.,....~.~r.~,~y............,........,...,.................. CI...~ of lhe Supuior Court of Bcl1tmor. Clly. F. - 5, 3 Ill.S6) 0 -::: , . ..Rce-IO'13..7S! COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION INHERITANCE TAX RETURN FOR INSOLVENT ESTATES ONLY OF RESIDENT DECEDENTS (21-80-57) *' COUNTY OF Cumberland This return must be comploted In dotall and (llad in dupllcato, with the Rogistof of Wills in .ho County whoro tha docodent residod wllhln nino month. oftor doto of doath. union an oxton sian I. granlod by tho Sacrctary of Rovonue. 16 South Second Street I'~_ I, Paul L. Ferdenbaugb__nr Hormley~,_1'A-110.!t3 (NAME! II.ODRl:5Sl SOO{. li'CTng \July sworn ucc.mling. (II In\\', dCJ1USCS ami SlIYS that he i:-. lite __-AgmJ.J1.i.~;tt_rJl.t.o_~._.--__ \E)I',EC" AllM" LEGATE!;;;, ETC.I XIIOO{ 21-80-57 Admn. Nu. of Ihc csl.lc of _.MclNj}_B_,._FERDENBAU.GH--.------------. laIc nr.BoIoul!h__of_Wormlevsburg-.---.----- \(:I'R, UOHOL'GI1, Ol~ TO\\rlSHIPI .Sanuary.12 .1980___ IDATEI dcccnscd, uno thai the whllle uf the estate uf said decedent, whll dil'd tin consisted of the assets lisled below tlnd thai alluwahle lIehts and deductions c~ccedcd the fair nlarkL.t \'uluc of the :'l~sets allll no Pennsylvania Trnnsfer Inheritance Tll~ is due. Sworn and subscribed bofore me tho 1"'- 19[~ tV ~LuJL-~~tCJkA~Ct< ( 1___~~~~n.~s.tl:1l~o.~- '!SIGNATUREl ITlTLt;:l .. ii,',!,., ,I ,\ ~!,.", 1'. ,.:..,..",_ T)pt of sot: Real Estate. Pen. Property. Jointl)' Held Prop. or Transfers c..!.,', C 'MSETS I"'i l .(Attach additional shuts-if nccenary) Description of Anet Jewelry, Diamond Solitaire Ring, 2 imperfect diamonds Penn Mutual Insurance Certificate Nine (9) $25.00 Series "E" Bonds National Central Deposit Certificate No. 69-990980 Balance Accrued Interest State Capital Savings & Loan, Certificat No. 003-00-01086 Balance Accrued Interest State Capital Savings & Loan, Savings Cert. No. 003-20-07258 Balance er property, both Accrued Interest owned by decedent and TOTALS REAL ESTATE: PERSONALTY: l. 2. 3. 4. 5. None 6. 7. NOTE: All ot real and pers Eltimaled Department Valuation Markol CAUTION ValUe! (00 nol write in this spoce) None $ 200.00 100.00 2,954.19 462 .43 1,485,28 25.15 2,992.00 4.86 8,500,00 19.49 $ 16,743,40 .f/~ 1'f.3,1/,0 / Tenants by Entireties. REPORT OF INIIERITANCE '("'\X APPRAISER -891( I, the undersigned duly appointed Inheritancl: Tax Appraiser in and for the above County do respectfully report that I have appraised the real and personal property as repurted in the foregoing schedule al the "alues scl forth OPllnsile each ilem in the I.st column 10 the righl. ..J!I/A'fIIJ/ .1I!ll.C..AQ.k J) Dated: June 18, 1980 (INHERITANCE TAX APPRAISERl Namll of Payee 1. Paul L. Ferdenbaug 2. Musselman Funeral 3. Rolling Green Cemetery 4. Richard Neiderer 5. Register of Wills 6. Holy Spirit Hospit 1, Rehab. Hosp" Drs. Sullivan, Cho, Grandon 7, Register of Wills 8. State Capital Sav. 9. State Capital Sav, DEBTS ANO DEOUCTIONS Nature of Claim Family Exemption $ Funeral Expense Vault and marker; cemetery lot Administrator's Bond Letters of Administration Medical expenses not re- imbursed by insurance Filing Fee Secured Loan, $19,200 (Est. Sha e) Secured Loan, $ 9,000 (Est. Sha e) TOTALS Amount Claimed Amount ApP,ovod by Register 2,000,00 2,715.31 380,00 128.00 29,00 296,95 3.00 9,600,00 4,500.00 $ 19,652.26 19 e:;;;'.d.f / REPORT OF TilE IlEGlSTER OF WILLS I, the undersigned duly elecled Register uf \\'ills in ami for thc ahll\'c County, dll respectfully repnrl thai I havc a!lnwed deductions in the amounts sel forth in the i1h(l\'C schedule as claimed. except where I have set forlh a grealer m lesser all\llunl in the lasl culumn In lhe righi, which grctlter or lesser amount rcpresents the slim allnwed as a lIeduction. D.le of APprnval:--i'rv-l- ~ d:. 3/ / 7,;.,....) \'Y\C\''\.\,I C. . {~( ~~IJ:) , (\ I,'~/YI, ~' \ , (L '" ( 111\ / f)-J.,91f--? (J~-fs\;J. y of LA..ktl:,:;> - E-- is t.l " w ~ Z ~ '" ~ w < G3 W r-- :;:::u Q) I/) t:lW .-l g I cr.l :;:>9 a "tl ..J 0 :< <.: H g <I: C1l co 0: "'" 0 " '" ~ I (l. tJ.o Z ..,.. .-l ';; :< .-l (l. 0 w ..... H " "" ~ N .; ..: w gj lH Q) ;. Q. w W ;;. Z '" '" 0 1 Q. W l- E-- ~ I- W :: < 2: 1= u. ..: ~ ,.c: r<< 0 E-- ~ 0 cr.l t.l ~ Z ~ tJ.o W ::l ~ <I: ~ 0 "'" 0 0 l- e II: H -= "" H .S w <.: 0 0 :j -;; z "'" " Q. E-- ~ ~ H - E-- ~ ~ w :3 ;;; 0 c "" ..: ~ ::' " c :;; 0 E -e ~ " ~ ;; 0 ::~ " U :;~ ..J U . ..' ~ STATE CAPITAL SAVINGS ASSOCIATION fff)1 lh.~1 paul L. Ferdenbaugh 16 s. 2nd. street wormleysburg, pa. 17043 April 10, 1980 RE: Anna B. Ferdenbaugh D.O.D.- 1-12-80 Dear Mr. Ferdenbaugh: In response to your request, we show the followi.ng account information for the above named decedent. #~_00-01086 BALANCE AS OF DATE OF DEATH I\CCURED INTEREST DATE OF DEATH VALUE DATE ORIGINALLY OPENED ACCOUNT TITLE Anna B. Ferdenbaugh #003_20_0725_8 BALANCE AS OF DATE OF DEATH ACCURED INTEREST DATE OF DEATH VALUE DATE ORIGINALLY OPENED 1111 ACCOUNT TITLE #_ _ _' BALANCE AS OF DATE OF DEATH ACCURED INTEREST DATE OF DEATH VALUE DATE ORIGINALLY OPENED ACCOUNT TITJ"E --- --.---- #_ _ _ BALANCE AS OF DATE OF DEATH ACCURED INTEREST DATE OF DEATH VALUE DATE ORIGINALLY OPENED ACCOUNT TITLE $ 2,992.00 4.8b $2;'9'9'6":Sb -ro-...:n=7r- $ 8,500.00 -"I9.4~ $tr;5l.~.4~ D=7!=7I $- $ --- $--- $- .-.- If you have any further question~ please feel free to contact this office. Sincerely, ./' ._, . /t_ fI,._'_ / J'-" ...... , , / If. " Donna L. Long , savings Invcstment'Servicer " .~'" '8- ~ill\l!,~~ ~~),." 108.' '~IIORlljSECOlm stH::[l PO BOY. lW.' Ht,RRlsnunc; Plr.j~:SYIVMll:. '7'O~)(7171238 B2~:? ~~f~\ 1-- ~ '.. ~ ..-----.-.- .-.-;--" S~vi~gs Ac~-;'unl Loan No..17~L/..J1:..u DATE AMT. REeD. INTEREST PRtNCIPAL. ~-.":1,-"}q tnt'> .- J/V -1-..3-7~ i /':-b /,(0 - - i-S;- 70, 100-1- IqD -I- ~-~-Tt ~~~ - -- 7- .19 l n# 10>1- -- );. -:-f.l-iC, /"" - I ,,1.1 - -- IJ _I - 1'9' In'; - ~;,..,iJ - -I- fn;-::?-7' /,,;': - / .:" _"- 'I '.,.r-1 IOL - jOll - ,",__...;-,01 !AU ( lit, - ~- '-3-1() Ibd. - "/01 ~;:4-<;JO 1/lL. ,- 10lJ. ~...:.3 .JV /01 - TiJ - ~....."'"::. I.......,' ~' Amount of Loon ~ sl1..2Q.Q,,:,:- DALANCC RECEIVED DY v2V::Z~ I"!.,u~ ~C_// p- ......~ It! 2n() 1- /1-".:26>0 - I c, !I 00 ./'r..flW /9 ~-on 'C/' .::1/'\0 /? .,.kJo '/() -~aJ i q?nD - E/JC>EIrS ,q "Jon - -.0,1. ~ I /)00 - Lv [;(ftk:U.Ar"7l. It?JIYJ - ,)1,:",-- I ., - ( ~~""'~'6-- ;;7.::[..-1'" - ,) . :')."""';' --' ...-J "'.'C;-AJ&:> ....__..:._....._.._ .....:~.... ~__~.f....- _._--:.'-::;:~./ .... .... ".'..:.'''':,.'1,'', ';''::;:''..~':;:::_:;' :~ "":"' ~:",:"':-'':'...:'':''-~..~:':~:'':.t-.;.. ._.....:.o!:.~:... .~-:..:'_.... ,\ .\ .o~:..,: '1-16" 7'" ". '{l,c-' .. "~:7f"~ '772- .. ",.... - ..,. .1.'", .'.' _;,: ,... D'-" .... ,.-.. ..,....., ..... ...., -:,". '/.', ':z.':" 7~": ", '~-I,.;::' , -,:.=':,'; '-":"'i' ..;.u ':'/0 0' -. ~,-ql;.:i-'.'" :..J ,...,,...7,;.-- ~ ri"';"',5-;;"jti~~:;, q~ - ~;I~\-,70: ;::::';-<<:.;,,',..;,"""'-:n'.'-.. .'. '... ''''_''''",-.:',-'.?O'-,'".' '71,-,-,,--0 HJ, ",.....' "1/:.. _", fI.. J_:;Zq~'":',? I..:.~:f~~i./; .:.QI';'~ ,;. ';;j~":/~ ')C).:..::, ~.i~lti':":!i':;r.;': f~":L:;!')i,: :.:~.;:,:;"-{=~;.? ..~:~j.(;..~:;..~:1":.:-:f.~:: It'2q~t} J.~{:J..~'j.1:' :.9~'~;/ .....\1~/~?J:'.;.::.!. :;i~'~:"ii~.~:,;~::'~_:('.:~:..::~ "f~r.~.':':';O:Y::{? :;:!.:-t::';-;;~.::~::~:~~.:~1 ri:?i',~~~~~i~.j;;;--.fi~' '$.~/ rjt;.::.~.. ".:~"2.':I/i;~:' i if::: :'~~:-;'ii~'''~.;;j.~:'',~' ~-~';~:~~~~. ;,?,~-,"!"~.:.t:..~;-;, ;~~-~.~.~.~. .~..:~:E~,~:'l ~~if;~rPAYMENTS7~Nb', W'THDRAW.Ai.~'~o~;:6p~,qNA(:SAYINGS:ACCO'UNTX'~~~;; .:"t":."!:;.-:.. ~..<:.~, JAn:~ACCD:"~~ ": ~<:::;h":'"v... ~.. :"',.......!:""lJ\~;:. .', ~. ".' ~.' '-;;II~~~D~:;~~';. ....-,".....;...~'.-,'.\':. ..p....V""tNTS.AND,~ . DIVIDENDS: ..\:~ ~:.i.::'~;- ~~....-. ::.,....:- 'j..r:::~./ "':.:t.:~,~.~. ~;,::-' .. . .:.'-:'.lJ.'{~~':'h; '" ,.~u~~~~' ~. b:'.',~, ...... .~..~r:~:.:.l;.~~r.;;:. .~.. .~;.;,~.;....~;(:::~!..~.;.~ ..~.:. :~::;:;.y-.:~:":":~.;,.,~~..:. :.'.~ ;!~:;.:! ,.,' :."...~::.:., ~\\.o'\-.~~~~..--~1.t.,~' z-~..:;;,.r.~-:';.1 ;...~~..:".... {)!.~~..,. :-~,:,.IJA~N~':-,:;:.:': .::.!~~.~E.~~IV.E~ ~'!:=l\"'~~'; ""-'-; .;..., " ": '..:I':~.~:.,"~..:~:....i..~r;~~-7:'_.' . . -' ~':':~~~~?:::'P~.~~;.:~;-;/~:::-;:.: .~.:':~.~~~.:\.:. ;,...,;...';.,;: :; :"~;~.5:':.,~':;o!:'!/* i-< ",ll~~:~~'~~r~ . ,~'::-~:'~~"~r :.:-: .,:,;.:.">:::~': ~'L' :~:"i~~~:::~.~~.~ (1 ~-~.:"<..;;~~;t':: '. .:~ ':;';:.;.<: .';:......~.;i.:~,I~:,";~~.;~: .... ~..., 0:" :".........,:'. . , . ~'I: ~'.;~.',F .., ..... ';:::..;~-:' -:':~ ." ':..:'..;;. .. ;:'.;.' :~~';~:::'i.:?_,~.r..;.,,:;,,~;::.,-:'.t:"'.-- ... ... ..' .....:' :;..:';:' '. ..:..:.,;:..'...:,..,:......::~~~:... :\','~:"":'~' ::~~. \;..: .J; -.:..!.J..~:-.., ~.'. '. , .;~ .;.~ . .- ..... ",' ..,..!. ... :--. ,- '.:..:,!').-i.:':'~ .;.. ..~:.. ..- ..-.... .... ....... '..... .. '" .."... . ,.,-~) ',,' ...; ... ~ .......,- ...,-:_:,,';..~ ;':~~..'..~;,_.:= ',-::;: .... ~ \.~_:.:... ~:~ ~;L'::,~':;_:r.!!. '..; . . "".:,':;.... . .-::0.".... --'. ~:.;.7:;y;.:~: .~, ." ~~;~ 7.~~...::.-;.~...~~-":: ~.:....:..~ I " :,'--'~"," r!,~":;.~c.. .;--:........ ,.',;_'l'ie .~, . L"" ',. ;" ' ' ~~~~~~~~~?~p~~.'~.~, ~~.,~~,~I.t1on. ~Mrlsburg. PcnnsylvIlI11a .,.':; '" '\,~ ':: ~:,:lto,:~i~.'~>:'i;..;,\::.:',!~::..',;::-:~,:.7."~" ;'\;'tj .....' . 9 ^"O .I" 1'" ':' ,:~~.t...:... A'. ,. . ~'''::........r,.rt~_\~~.r,.~i';~.~;;'..~..'~~'''.'':' '.It"<.'~'~~1 ',' . ;',';,';: ._..'..'.v.,."..".o...o....,.,. .,.......,.",... ".'; "'.", '..:...... ,,'" .., 19 '7 ,. ~ _ '_ . ..... MC......-;;..........-................-............ ..t.. eo.. 'f r"( "",' . \", . ";~' 1':'11- . ......' '". I.! ,I ---'. .. , I" .:.~ 1 ~..'.':- ....p-' " !;'I:" :I. ..~ '11-;;,1 I\C':::;-',II1: ........,-. nr '::..., ....... .~.:. ........,.. ................... and ::grce to nsslgn and pledge my/our S1n.s1o, - ..' i'; <::. r:t:'T<lf"lI .. i~~:.:-.p,.rr _.e.~..I?tt:' ,:.,!!t.':'(:;...A1'!~..."':i ",.. '-:i~~ . ;:'.. . ,. 1,:-- t.,~. ::,~'.:-:~ . ..:co..:rity therefor. .,"0 ~ ,...... ~.'i . . Nine . "1 r~"~,.; .tf'n demAnd. l/\t"c 'prcrni$~ to PB)' tC\ S:.n1': Ctl~itloj ~'\'; :"... :'!'rl Lo:!n ^~sClcitllion, of Harrisburg, Pennsylvania, ................................:......:.... . r.........~....JJ.~~US~rJc1 ar~a .VIJ . . ':- '.. . .... I, ;r:~;~..;~;.;:~.~.;'~.~~;.;..~"~~..~~.;~:~..;;:::..~~.~:~;..:~:~:~..~~:.;;;~::~,.~:;:';:;~":~..;:~;;..:;~:.~~;..~;.~~;~..~:;:;:~~::...;~;.~'~'::_;:j~:.o~: "'l'! i1..,...cul d,r,le>tion, As coll"l"'" ,ecu:!ty .1i...o he::"~' .s:,i;!l. ,":- ',-<dr.o 'a Ihc ,,,id .\"'>elolion Single Poym.nt . .M F,.iJ 9,8 8., N~~_..:,: "I : ...'. Gcorie.,:.~ So\'inss Account. Ccrti!icotc 1\0. ..,...........:1.~4,313-....................................................................... or tho ..id A&soci.tion. and au d.r.uIIlD ", I}L: the 1',1)"1<", o! this na\c for .hc rcnod or )hirl)' de!,"": "cmn~d for p.~'monl Ihorcar, 1/.... ogre. that the ,aid Anoci.!'an sh.n tre.t aakI..a:.! _: :: default liS nOllcc'.of wlthdrnw81 of Ihe sald Account :111(1 t~HH .: 1i::l!l.U :OJ'.\' me/u~ the v:11uc th:reof. less the balance oWUl8 and IIccnJcd I:D- ....' I'/,':::,.r..), aad MY p.cn:ih~ whi~h m'~ h,' :n,po;cd 101' corly w':;,.':.l>'si, or.d '.1'0 c"neel nn1 :,ur::T,lcr ,his nolc, No. insurance of any kind II ':'} '::):"c J~uln:d or p:anded ,or th,. 1,:1:'. . ''',. ":,....-.;r~;:~~ "t" I : ;;". . 6"'\82 ~Q '0'1." ,,",;~,.'::." " (-, .FINANCE CHARGE (6 mo. Inl. ......,'P._.... ,..;'......,.............) ANNUAL PERCENTAGE RATE ,...:,.:.U2',:..."....:.'..:...;,:,:..% :...~ ,.:~..~"i" n' l' ' . (,:. .':--.':...:.::'i<:,':...~:0'{S::i :':" .AJ\10. "'T F_~AN(,ED $.......9.,,000..00................................ .' ..... '. "4,,, ...' .'. L:;>VIn'" ,:::...<:: ..... ..JT:"~:~~..:...................................,............'....."i ." "~i 10;:' '. -"1:"~r::;YJ'~"--'" I :!?~V:.ltn"'S: ;~;:;~:..:;..~;':;~'~:..~~;:~~..~~.:~~.:.~~~;..;~.~;;~..:~;;:~;:::on. , .'\~u....,:t.. ' . COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE INHERITANCE TAX DIVISION TO: " For County Information purposes only COUNTY FILE NO: Appraised Value of Estate: Real Estate Personal Property Jointly Held Property/Transfers Total Gross Estate Total Approved Oeduc:ions Clear Value of Estate less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax Amount Taxable @ 6% Rate Amount Taxable @ 15% Rate Less Credits: DATE OF PAYMENT AMOUNT PAID s OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT s I s s s s DATE ESTATE OF FILE NO, COUNTY OF DATE OF DEATH i I I tax due tax due ~. ~ s TOTAL PENNSYLVANIA INHERITANCE TAX DUE S. ' DISCOUNT + S + + BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE Interest will accrue at the Inheritance iax from INTEREST TAX CREDIT rate of six (6) percent per annum on the unpaid balance of 10 the date of payment. Assessed by: SEE REVERSE SIDE FORINSTAucnONS REGISTEli OF WILL'S COPY S = $ ..;._~~~..;:~-i:-~-:-<.-:"'::-."_7~":';.'''';_.'''':"':~-'~!.~~~':.;.i:,.~~..,..:;,;;:,~';'.;.;:"."~~.~~;:''''<;~J~:-- -..~~~ = = $ Agcnl for lhe Commonwealth !<1 c" 1 ~j (; 1 r1 ,~ : dt~I': '1;: ". ~ 'i .. 'I . I. eIWJ',;. Til)( (Ill ,I ~ \:', :,. on ,Ill.' "J::\' (,t t: 1 /11l1nt~l 2 1l10n1fl~ J montl'~ 10,1\'.; 2 dayS 3 d.JYs 4 dJ'(s 5 l!JiS G {h,;'~:; 7 d~ys 8 <lays 9 ddY5 10 days I.,.:j c.. (':'j ., , i I \ ~ .('.' r:-~~' . ; /1:1/ p,,:;.; 11ll' ;r,:'.!,:ll"'", lwl L~ " cL. ,I ': - ". /.1.1 r:: I"",;, ,1 .'t-'; II' ',j ". ~,-': , '; ~, ;J 11 ! .i.,I.....ll Q:iJ .OS5 ,OGO :'I,!:;','; ,00352 ,c-O~r:l) ,G(:~qG .0;:':03 ,OJ,:20 ,CJ:)r~37 .CC.~ 5,1 ,08,\7\ .00,189 .CIJ::;O~ ~ " -l ~.: ' ,.; .: (!:.I., ~~ . .. .' ,''"; :: i :~ .1 /~ ~ :' c! ~ , ... 30 :1.',-':> ~ __ _._ _ _,_._____ _____w :;~! >. ~il"cJ \':ith :: :" _, .-,rd !)"I ::f_~':l:on " -.,::-_ ~1m;Hr,;:,~~:~.-7:~-~' REV-483 (8-78) COMMONWEAL TH OF PENNSYLVANIA - OEPARTMENT OF REVENUE BUREAU OF FIELD OPE RA TIONS INHERITANCE TAX SECTION OFFICIAL NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX /tJ -.:l9'1-7 TO: DATE: II-.:!O-~O ESTATE OF: /1''',,",'/9 iJ. /--_/?~-A'.6""".1. FILEND: ..tf-}ltJ-5"7 / COUNTY OF: CV/>'1b.-~/.._.1 DATE OF DEATH: 1- I.:? - ,?tJ ----------------------------------------------------------------------------------------- A. DETERMINATION: 1. Taxable estate based upon: ~ Tho United States E.tate Tax Roturn (Farm 706) The communication from the Federal Government confirming the acceptance of or changes to the Federal E.tate Tax Return 2. Amount of credit lor State doath taxes (as voriliod) 3. Pennsylvania inheritance tax assessed (oxeluding any discount and/or interest) 4. Normal inheritance tax paid to ather States or Territories 01 the Unitod Stat os (oxcluding any discount and/or intero.t) 5. Total inheritance tax credits (Iino itom 3 plu. line item 4) 6. Total liability far Penn.ylvania ostato tax (lino itom 2 minus line item 5) $ -o- S - '" $ ..V1~ $ - 0- $ -CI- S -a - NOTE: Complete line itoms 7 and 8 ONLY when dotorminatian is based on Foderal Closing Letter 7. Amount of Pennsylvania estate tax assessed on determination datod Addition (roductian) to Ponn.ylvania estate tax (line itom 6 minus line item 7) $ ~~ $ 8. Detonnination preparod by: ,/).v~ Date: / / - ..tel - ,f(! ------------------------------------------------------------------------------------------ B. ASSESSMENT: 1. Pennsylvania Estate Tax reflected on: line itom A (6) lino item A (8) 2. Less credits: DATE OF PAYMENT $ CREDIT INTEREST (S ) (S ) (S ) = AMOUNT PAID = = 3. Balance of Pennsylvania estate tax due S Interest is due at the rate of six (6) percent per annum from to tho date of paymont. Assessment prepared by: AGENT FOR THE COMMONWEALTH Date: SEE REVERSE SIDE FOR INSTRUCTIONS l i INSTRUCTIONS To insure proper eredit to your account, the nome 01 the estate and lile number should be clearly printed on the cheek or money order. This determination ond assessment is mode in accordance with Seetion 421 and Seetion 732 of the Inheritonee ond Estate Tox Act of 1961, 72 P.S. 2485-421, 732. ----------------------------------------------------------------------------------- The estate tax imposed by Seetion 421 is due at the date 01 the deeedent's death but sholl nol beeome delinquent until the expiration 01 eighteen (18) months alter deeedent's death provided that any estate tax aceasioned by a linol ehange in the Federal return or 01 the tax due thereon shall not beeome delinquent until the expiration 01 one (1) month olter the person liable to pay the tax reeeives linal notice of the increase. Calculate interest Irom the delinquent dote shown on the laee of this form to the date of payment using the lollowing interest tab'e: 1 month .005 4 month s .020 7 months .035 10 months .050 2 months .010 5 months .025 8 months .040 11 months .055 3 lOon ths .015 6 months .030 9 months .045 12 months .060 1 day .00017 11 days .00186 21 days .00352 2 days .00034 12 days .00203 22 doys .00369 3 days .00051 13 days .00220 23 day s .00386 4 days .00068 14 days .00237 24 days .00403 5 days .00085 15 days .00250 25 doys .00420 6 days .00101 16 days .00267 26 doys .00437 7 days .00118 17 days .00284 27 days .00454 8 days .00135 18 days .00301 28 days .00471 9 days ,00152 19 days .00318 "19 days .00488 10 days .00169 20 days .00335 30 days .00500 , , ,---------------------------------------------------------------------------------- i Any party in interest, including the Commonwealth and the personal representative, not satislied with the assessment may object thereto within sixty (60) days alter reeeipt of this notiee as provided by Seetion 1001 01 the Inheritonee and Estate Tax Aet of 1961 (72 P.S. ti 2485-1001) Make cheek or money order payable to: "Register 01 Wills, Agent" Mail to the address listed below: REV.<483 18"781 COMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF FIELO OPERATIONS INHERITANCE TAX SECTION OFFICIAL NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX It - .t'1'1- 7 DATE: .2 -8..G - /?/ ESTATE OF: A,v#A 8, rF~/FNJMV"/' FILE NO: ~/-J>(I-57 ' COUNTY OF: I'."hf hnr /"",,1' DATE OF DEATH: / -1.:1- it: TO: ------------------------------------------------------------------------------------------ A. DETERMINATION: 1. Taxable os tate bosod upon: Thc Unitod States Es'ale Tax Relurn (Form 706) ~ The communication from the Federal Government confirming the acceptance of or changes to the Fedoral E.tate Tax Return 2. Amount of credit for Stato dcath taxe. (a. veriliod) 3. Pennsylvania inheritance tax assessed (excluding any di.caunt and/or interest) 4. Normal inheritance tax paid to other States or T orritorie. of tho Unitod State. (oxcluding any discount ond/ol interest) 5. T otol inheritance tax credits (line item 3 plus line item 4) 5. Total liability for Pennsylvania estate tax (line item 2 minus line item 5) NOTE: Complete line items 7 and 8 ONLY "hen determination is ba.od an Federal Clo.ing Letter 7. Amount of Pennsylvania estate tax assessed on determination datod //-.2I1.?d Addition (roductian) to Pennsylvania e.loto tax (line itcm 6 minus line item 7) 8. Detennination prepared by: Dato: $ -()- $ -<::'- $ J~~ $ - 0- $ -0- $ - d- j)t2~ ,,;/-,A(; -J'I ~ $ ~ - 0- -0. ------------------------------------------------------------------------------------------ B. ASSESSMENT: 1. Pennsylvania Estate Tax reflected on: lino itom A (6) lino itom A (8) 2. Los. credits: DATE OF PAYMENT INTEREST (S I (S ) (S 1 AMOUNT PAID 3. Balance of Pennsylvania estate tax due Interest is due at the rate of six (6) percent per annum from Assessment prepared by: Dote: $ CREDIT = = = $ to tho dato of paymont. AGENT FOR THE COMMONWEAL TH SEE REVERSE SIDE FOR INSTRUCTIONS The estate tax imposed by Seetian 421 is due ot the date of the decedent's death but shall not beeame delinquent until the expirotian of eighteen (18) months after deeedent's death provided that any estate tax oeeasianed by a final ehange in the Federal return or of the tax due thereon shall not became delinquent until the expiration of one (1) month after the person liable to pay the tax reeeives final natiee of the inereas'e. Calculate interest from the delinquent date shawn I an t~e faee of this form to the date of payment using the fallowing interest tab'e: 1--------------------------------------------------------------------------------~ \ 1 month .005 4 months .020 7 months .035 10 months .050 2 months .010 5 months .025 8 months .040 11 months .055 I 3 months .J15 6 months .030 9 months .045 12 months .060 \ \ i , ,--- -------------------------- ----- ----------- ------ -------------- ---------- ------ INSTRUCTIONS To insure proper credit to your account, the name of the estate and file number should be clearly printed an the check or money order. This determination and assessment is mode in aceordanec with Section 421 and Seetion 732 of the Inheritonee and Estate Tax Aet of 1961, 72 P.S. 2485-421, 732. 1 doy 2 days 3 days 4 days 5 days 6 days 7 days 8 days 9 days 10 days .00017 .00034 .00051 .00068 .00085 .00101 .00118 .00135 .00152 D0169 11 days 12 days 13 days 14 days 15 doy s 16 days 17 day s 18 days 19 days 20 days .00186 .00203 .00220 .00237 .00250 .00267 .00284 .00301 .00318 .00335 21 days 22 days 23 days 24 days 25 days 26 day s 27 days 28 days 79 days 30 days Any party in interest, including the Commonwealth ~nd the personal representative, not satisfied with the ossessment may objeet thereto within sixty (60) days after reeeipt of this natiee as provided by Seetian 1001 of the Inheritanee and Estate Tax Aet of 1961 (72 P.S. ~ 2485-1001) Make eheek or money order payable to: "Register of Wills, Agent" Moil to the address listed below: .U0352 .00369 .00386 .00403 .00420 .00437 .00454 .00471 .00488 .00500