HomeMy WebLinkAbout80-00068
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form No. RCC.62 {6.701 THI8 JI'ORII REQUIRED IN ALL ESTATE8 WITH GROSS A88ET8 UNDER 110.000. UNDER 8ECTION '01 OF Act or JUNE 11, lNl.
UTEC;n:1: JANUARY', ."., (fiLE IN DUPUC^TE "'ITII COpy Of WILL ^TT^CIlEDI ..t:. -1- J' 0
*
OFFICE OF'THE REGISTER OF WILLS
County of , . .~1,U;1J),~t;'t\l!1,q , . . , , . . . , , , .
." !,;L.i.l\~J;l!'!;tJl.l:l,..Q~Q9!'!,S.., ..',....,.""",.,... of !I!U.~ ,OLd ,Get;tysblU'g ,Road, .Camp ,lUU,. PA,
IN....) Apt. 7 (^dd....)
being duly......SIIla~n......,...............aceording to law, deposes and sa)'s tha, he is thc..JllJJ',y'j,l1~ng..jQjnt,.own.er..._.......
(Elt'(.. ^ifm.. Ltprtt. Elc.'
of the estate of...g.'?.l?_Eg.~~...C;:.!...NgJ~9.n...._........._.,.. whose last rcsidence was..J.1S..N.ittany...Driv-e........................
(No.] <Su-rtd
...)J.P.p.gF...~J1gn..:.r.l?_I;'ffi!'?hJp..._. deemed, and that the whole 01 the cst"e of said deecdent, who died _!')~y...~~~.....l~.Z~....
(CIIl'. Borouah Of Townlhip] (uatt)
consisted of:
REAL PROPERTY
REAL PROPERTY lN PENNSYLVANIA. WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOiNT TENANT OR TENANCY BY ENTIRETIES. G1VE NAMES. ADDRESSES Af.lD RELATiONSHIP OF OTHER OWNERS.
Estimated
Value
Real Estate
NONE
Personal Property
NONE
c-:7 .z/J-iJ' del- / / Vi)
,;)1-
~
NOTE: You may expedite the processing of this return by filing with it, and as a part of the return,
letters from financial institutions or mortgage holders, certifying to amounts on deposit or owed by the
decedent as of the date of death. Such letters must be signed by a responsible officer of the financial
institutIon or mortgage h.:Jlder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account, account number and the exact name or names in
which the account is registered. '
Jointly Held Prop...ty
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,
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I $8 , 718. 71t
Estimated
~alue ....._
1. Golden Ooportunitv Passbook Account No. 0167070838, CCNB Bank, N.A.,
ooened March 14, 1978 in the joint names of Georgia Nelson (decedent
herein) or Elizabeth N. DeDoes (daughter). Balance on date of death:
,
$8 ,718.74 Fully taxable
Tl'ansre... within TWO YEARS Prior to Death
NONE
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That at the time of death there was no safe deposit box registered in decedent's individual name, or jointl)' with, or as agent or deputy of
another, or in decedent's individual name, with right of access by another as a~ent or deputy, with the \!xceplion of the following:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECeDENT RENTED A S....FE Dt:POSIT BOX
I RELATIONSIIIP OF JOINT
I flOLUERS TO DECEDENT
I
,
THIS SAFE DEPOSIT BOX Rt:NTtW
IN NAMF. OR NAMr.S Or-'
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BENEFICIARIES
BENEFICIARIES AND ADDRESSES
eState full names of all and their addreases who have
an interest, vested, contingent or otherwise, in estate.)
P,ELA TIONSIIIP
(1 ( step.children or
i1I~gitimate children
are involved, set
rorth this fact,)
INTEREST OF
BENEFICIARY
IN ESTATE
AGE OF LIFE
TENANTS OR
ANNUITANTS
AT DEATH OF
DECEDENT
S1:RVIVED
DECEDENT
STATE YES
OR NO
Elizabeth N. DeDoes
4412 Old Gettysburg Road
A t. 7
Camp Hill. Penns lvania
Dau hter
Yes
Survivin joint
owner
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--+..----..--- ---...--.--
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ESIDEN1 DECEDENT DEBTS AND DEDCCTIONS CLAIMED
TE: List first five items in the. aces 10 rovidl'd, absen-c notRtion~ thereon, and instruction..
DEBT OR CLAIM NATURE OF SAME
AMOUNT
Funeral t'X1Jl'IlRl'S lmirl
I
OTHER DEBTS AND CLAIMS
Faoll!)' ('xemption (will not he allowed unless
I decedent died residinK with a spouse or children.)
Administration Exp('nRcI .
Counsel fees.
Fiduciary
commission.
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(') See Note below
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Total
Note: The estate agrees t.o ad..'ise the ReKister of Wills if the amount actually paid in settlement of any fee, commission or debt is greater
01' less than the estimated amount claimed and allowed.
Subscribed and sworn to before me this. . .. ., . ... . ., ... .... . .
"" ""d(J,,'f'~:, ,"" day of ~i.'/l,"',I."~"1'''''' ,,19, '8"0
",~'t!-1..<-n."'<(, ,4 ,~,~~-;-~~,cr.-l,(, h"", ,: ,",
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Apt. 7 (Street Number)
,~?,mp.H:p)." ,1",~l)!Wy,:!-Y,e,l),i,f!..."."., ,...',.
(City ur Town and State)
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"'-'rrlll' , ,,"-;. r; FJ';'
Havinl{ been duly s.....ol'n accordin~ to la...... I do' he'l'c'h)' l:~'r'i.r}' th~t the :lboV(' llppraisement is made in confc,l'mity with law on this
;(V
, ...... ...... .. .... ...... , .. ..6.~.. day of ' ...... .... .. .. , .. .... ' "" .. .. ,l'.Ut.t-I!.I{.... " 19 R.o,
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APPfAllu
In the event that any future interest in this {'state IS transfel1'ed in posscssion 01' enjoyment to collateral heirs of the deeedent afte1' the
expiration of any estate fOl' life 01' fol' }'e31'S, the Commonwealth hereb}' C'xpl'cssl}' reserves the right to appraise and assess transfer-inheri-
tance taxes at the lawful collateral rate on an}' such future inteH'st.
----
~.._------
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for. _.. _........ _' _,.,... _,..".,....., County, Pennsylvania, do respeetfully
report that I have allowed debts and deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount
is set forth in the last column to the riltht in said schedule abo...e, which greater or lesser amount represents the sum allowed as a deduction.
Dated: ......,.. .........'" ,...... ............',..,
,. .. . ... ... ... ., . .. R'egi~t~r' ~f wiil;' .........,.....,..
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RCC.39 (S-77:)
. County, ~umber and ~ome....1l...::..~mJJlmU8ND
Fila ~umbar 21-80-0068
Doto 01 Deoth___J1<!Y...!2.. 1979______ -------
Estate ~ome _.N.elsoll_____._,_______ ___Georp;ia--- .____C,._
It. .\',T ~;^"H:I IrltF,f tU,',11 I IPlI1IAI.1
SUMMARY
COIH\ONWEAL TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIPE~n DECEDEUT
I,
REPORT OF 1~IiERIT ANCE TAX APPRAISER
I, the undarsigned duly oppointad Inha,;tnnca Tax Apprai,ar in ond lor the County of Cumberland
Pannsylyonio, do raspectfully raport that I hova opprai,ad tha raol and personal property o. reported in tha lorago;ng raturn at
the yolues sat forth opposita aach itam in the lost column to the right in Schad..!e. "A", "B", "C", and "E",
Datad:
March 6. 1980
(,:"" '.J ~" .I /)
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INI1i.l<lTf.N.-:I' 1.\X .\l'r~la.I:;["
REPORT OF TIiE REGISTER OF WILLS
I, the undcrsig:'lcd duly clected Rcgister of Wills in and for County, Pennsylvania, do re5pect~
fully report that' have allowed deductions in the amounts claimed by deponent, except os to those it~ms where 0 greotcr or
lesser amount is set forth in the lost column to the right in Schedule "F", which greater or lesser amount represents tho sum
allowed as a deduction.
Dated:
REGI:;TEI~ or.- WILLS
INVENTORY
VALUE AS APPRAISED
ADJUSTMENTS
ODE IHARRISBURG USE ONL YI
REMAINDER APPRAISEMENT CODE
92+
Roal Property (Sehudule A)
Personel Property lSchedule Bl
Joint.Held Property (Schedule EI
Transfers (Schedulo CI
TOTAL GROSS ASSETS
Less Oebts and Deductions
(SCHEDULE FI
CLEAR VALUE OF ESTATE
S
o
00+
'0+
7Lf 20+
30+
8,718
o
8 718
711
40-
VAL.UE
Valuation of life estates er
annuities............... ......_ S
PRINCIPL.E
E~
t=
ESTATE TAX ASSESSMENTS _ S
\=
FOR USE OF REGISTER
Tax en S
Tax on S
Tox en S
Tax on $
Tax on $
Exemptions
"Total Estate
ONL.Y
~
COMPUTATION OF TAX
\--
1-"
S
S
S
S
S
t= 2%
6%
F'5%
As evidenced by ChtJrltable
Exemption Curtificales issued
by the Sccrntary of Revenue.
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TOTAL TAX
s
Loss tox previously poid S
BALANCE S
Less 5% of tox if paid w ilhin
3 months after death ~
E=
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l= C
s
S
TO r ^L T AX BALANCE S I
PAir; \ I
BALANCE OF INHERITANCE TAX DUE
Add interest at roto of 6~o !rom
10
AMOUNT OF ESTATE TAX ASSESSED S
Estotctax~ld S
BALANCE DUE
Add interest at rote of 6<:J:o !ram
10
Supplcmental Codas: (FOR USE Itl HAR!lIS?,JRG ONL Yl
96_Succcssi vc
Life Estate
4B_Adjustmant
49+Adju.tment
S6_Annuily
60-LHc E~1Otc
92+R,:moindN Apprai sal
93-RcmaiLl'ln Deduction
9 3C-Chnri ty
9~_Rcmaindcr R05iduc
FOR USE OF rEGISTER ONI.Y
ADJUSTMENTS
t'tOTE: Where sub..l.:lIUCIlI .j,qlJstrr.';I':~' (lIe mode :0 ,he above computation of tax by the Register of Wills, for proper reason,
some 'ithO'llrJ bC' Il':.kd beIQ'II, with '.hort explanation.
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COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE
CDUNTV
FILE NO,
Harch 6, 19BO
Cumberland
21-80-0068
REv-4S1 (8.78)
DEPARTMENT OF REVENUE
BUIIEAU OF FIELD OPERATIONS
p,o, BOX 2970
HARRISBURG, PENNA, 17105
Whereas, GeorAia C. Nelson late of Upper Allen l'ownRhip
Cumberland
in the Count.y of Commonwealth of Pennsylvania, having died on
the 19 th day of Hay 19l:L, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Gloria J. Richard ,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash
value of all annuities and life estates growing out of said estate, hereby file the following appraisement:
In tho event th~t any future Interoslln tills cst3te is hansferred In po\sculon or nnJoymont to collator.J111Cirs 01111(1 dcccdllnt alttH 1110 cloIpl,,,lIon
of any estato for IIfo or for years, tho Coml110l1WO,llUllloroby cxprculy reserves tho right to 3Ppralso and .nsun \ramlor Inlltltlt.l!\CO taxes.lI tile 1.1Wlul COll,l:ur.,l
ratc on tmy such future Interest
DESCRIPTION OF ^SSE.T ~rHT "'_I1P,alsoment
V Al.U1~S Made lor Intlclit.1Uc.C
Tax r-UlpOSOS
Real Property s None
Personal Property None
Joint-Held Property B,718 74
Transfers None
GROSS ASSETS 8,718 74
-
Have been duly sworn acc8t1\ing to law, I do hereby certify that the above appraiWd1?fRt is made in confoffijity
with the law on this day of . , 19 t ')
/ljt"Y~./7' 17 fiR/fiR ., I" ,
Appraiser
(NvmbCr .and Street)
l1arr~sourg
, Penna,
(Post QHlco)
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REV."~S (8-71)
.:. I' 90 ( ~.
STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN
THE5UMDF I 39"p/g
....
APPROVfD ~, I tf. ~
. g ~C ~~,.,q
REGISTER OF' W1L 5, A ENT "
OFF ICE OF THE
REGISTER OF WILLS
OF CUl'IBERU\NIl COUNTY
AND AGENT OF THE COMMONWEALTH
'!'i, .I /J('/
/~ ~..._'
ESTATE OF Georp;ia C. Nelson
LA TE OF
Upper ^ llen '['mmsh ip
DATE OF FILING APPRAISEMENT "\"'...n" t.. 1Cl'l?ti DATE OF OEA TH ~lav 19. 1979
DATE NO. OF NAME OF PA YEE REMARKS AMOUNT
VOUCHER
K. K. Hamsher Funeral Home.
-
"nv T"'m -.. . ,~ Funeral exnenses s3 525 11
Ilnner Allen Townshin
"<_n Ambulance service 30 00
.,1< " <-- ~ c:,.,' . M Tl - dnn~ 1 co~,,<noc 1 1;7
K. K. Hamsher Funeral Home, 1 ,,__..n 24-4- 00
Re~ister of Wills ; 1'i lin~ fee" h nn
/
Snelbaker McCaleb & Elicker Attornevs fees 175 00
TOTAL $3,981 73
COMMONWEALTH OP PENNSYLVANIA}
55,
COUNTY OF rT1MT11'1H ANn
I. 1':1 ; ",,,hpt'h N l)pl)np<: 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 OF_Georgia C. Nelson
DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX rURPOSES.
SWORN AND SUBSCRIBED BEFORE ME THIS 30th
"~I~":7Y 19.8JL
"_~/-I( .~ c,.;..I,~~._.1_C.A..t'.1 /
,/ ' - \
r It;..: ':; 'I'd 1 r.~' ~::' p : . 1.';', i ':, I'
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~UrV1V]ng Jo]nt uwner
[L.S.)
DAY OF
"
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.~__.. __ ~__.II::IL..
~11~~,~,~11~8)" , COMMONWEALTH OF PENNSVLVANIA
'NO:'~I034346 DEPARTMENT OF REVENUE
at~;"U, ' OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
Il.~"-<,'_ ",11 '
r'."..' _ ..--.'
'"
; RECEIVED -------------TWQ
II
= From,
~ Jdress
ij
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~=....
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g*~
HUNDRRD EIGHTY-FOUR
IV 22L1aO------------------- dollars
representing Pennsylvania Inheritance or
Estate TaK due from the following eslate:
Sne1b~er. M~Ca1eb & E1i~ke
(B11ziDetli N. OBOOeS}
44 W Main Street
2'1" TalC on
s
s
e.<.,,"h..l"f~ (,9:0'11:9',
Pft,
170'>';
6%- Tax on
s
s
File No, 21-80-68
Dale of Death 5-19-1979
15(1, Tax on S
Name of Decedent GE05!GIA (' _ blEr..SOIlil
'k Tax on S
Estate Tax, Act of
May 7, 1927
s
s ~
s e
s "A4!21 t
s
Date 01 Payment i'ebruary 1. 1980-
County C.....""erlan4
"PAID ON ACCOUNT"
TOTAL TAX CREDIT
less five percenlum of lox if
paid within three months after
date of death
Plus interest at the role of
_%from
to
s
Remarks:
'[j'OO~[p[L~@&ln~ 5 E A l
TOTAL AMOUNT PAID
s
284.22
NOTE: This Triplicate Receipt to be retained for Dudit purposes.
1. f.:", !i dLJoJ'6r;;\7r'-t';'I/"{("
Harold B. MCLane, Deputy
Reqister of Wi11~
(Tlllo)
Received by
NOTE: In accepling Ihe Iran,fer inheritance la_ on iulure esIOIU. prIor 10 Ihe deoth 01 the life
lenonl or lenonl for yean, 01 IIvldenced by thil receipt, il is understood Ihot Ihe Commonwealth ,hall
not be precluded or prllvented from hllreoftef auen;~ additional inheritance 10. 01 the dealh of Ihe
iiI. lllnanl or lenanl for years whenever It oppuor' Ihot luch additional to. may be legally due and
collectible for any reolon whallallvllr.
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