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NO. 21.80 (:.
~ IN :::~~~~~ :~~~;2.~~~~~:'~~~~::~J~BJ).
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To ... .-:G'/.i1t?.<L?....../.C?../..~...<......::'_:;{.aL.V.<7........:.........................
Register of Wills fOI'}h00unlY of Cumb~'Y'\lI. in the Commonwealth of I'ennsyh'ania.
The Petition of ....~/~/....E:..7.&..d..-;r.:::...;/7........................................................
.............................~... .....................:;1re'}peclfully showclh lhat~;/61~.~.I..-f.!..k7.4/..e-~............
. _A.l(/er-4//~/1 Township. 1 '1 I' .'. f P '1.
was a resident 0 c:.::.....................................................n I h . (.UI11 lei I\lll Counl~, Stolte 0 enns~
orOl g d
vania, and a Citizen of United States, and departed this life intestate in the Count~' of ...:?:!!.!..t.~........
.........7.......................... and State of ............................ ............................................................................................
on cL.I.......................... the ....bt.:.::f.Z::............ day of ...E.d................................ A. D., 19..::':::.. ,
at the age of ....I?.z.... years. c:'" ~
That the said ../.J~z..,./..:<<.dE?:/..?1..E/..<:........ deceased, left surviving the following
named widow or -husband, hei.{ and next to kin, to wit:
, ~ Name
.6f.4e.eye::..X4?~.~.....
Relationship
.....$t:::-r?.I..?i.~J::::....
Residence
//-3 ~e'C'.k~C'c/P.l-.
.......sL2,/./b.b#..r.;r...~.../...7 tV l'
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Thilt 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 $....".,5."S<:1a....;;1..o
and of Real Bstate. less incumbrance, to the estimated value of $....L\./.~I.:<t;:............. 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.
February 6 I 80
Dated .................................................... A. D., 19.........
Signature and Address
of Petitioner (s)
.~t..f.Am... m.mmm
.,......,.,.,..,..."."........",.,..,.."".,."..,"",."..".""""."",.,..,.,
"""...."..,."."."",.""""...."""""...,""""""""""",.."""",
,.,..""......,."..,."""".,."".".",...,"'""".,....",.""""..".'"""
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CUMBERLAND t ss:
..,/~d~..y....L ...... . ....... .~........................................................................................................ named
in the above/applicatio eing dul~' ................~.~.'?;:~................... according to la\\', say that the facts set
forth in the above application are true to the best of ..~.~;S...hnOWledgJ...All~d be' .
......................~.~!?!:.~........................ and subscribed 1 ./~d4"Y.;L~,/:-:..~.....................
before me, t ....................../............ ................................................
\~o qt~f~~~~~n.~~:;; ........................................................................................
Register
Filed: ........~.~~.~~.~.~X...~..'.....~~.~9.......................
A llol'lle~' :
;Ve",/ "'------~
........................................................... ....... .-----:
[iJ!ll
(o\'el')
form No. REV""'" RHIS FORM REQUIRED IN AlL ESTATES WITH GROSS ASUSTS UNDER .10,000. UHDl:R SECTION 701 Of ACT Of JUNE 16, 1961, EFFECTIVE JANUARY 1, 1962.IFllE IN
DUPLICATEWlTH COPY OF WILL ATTACH'''' .J-:l.~ - fO
*
.:z, ~ f-v.
75'
being duly
OFFICE OF' THE REGISTER OF WILLS
~c'/~,6e;-laHd
ol///fAt?"/"",,,//e:od Dr. {J/,(/sA"ur~~
(Ad.r.ul " ,~",I.~
according to law. deposes and says that he is tho ,4dh1/-'2/shh~
IExec, Adm, Leg.te., Elc) ~Q wa..,-
whosela.t resldenco was ~;? 0 I &/Ij b6U~.t' I/?e/, /II f ~ rl 7W.
(No) (S ell r
deceased. and that tho whole 01 the eslale 01 said decedent. who died 1 <~( .A" b'
d/'/' ./
. /
County 01
E )051-
(N(mel
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE f!NCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE
PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES. GIVE NAMES. ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
Real Estate
Estimated
Value
/700. OV
&. l!Jo. O't'
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 Eigned by a responsible officer of the financial
institution or mortgage holder and Indicate clearly amounts of principal and Interest In the decedent's
account at the date of death and the type of account, account number and the exact name or names In
which the account is registered.
Estimaled
Value
JoInUy Held Properly
Transfers within TWO YEARS Prior to Death
That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of
another, or in decedent's individual name, with right of access by another as agent or depuly, with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHEIlINSTITUTION
IN WIlICIl DECEDENT RENTED A SAFE DEI'OSIT BOX
TillS SAFE Df:I'OSIT BOX IlENTEIl
IN NAME 011 NAMES OF
REI.ATIONSIIII' Of' JOINT
HOLDERS TO m:CEDENT
BENEFICIARIES
BENEFICIARIES AND ADDRf:SSES
(Stale full names of all and thdr addrcSSt.s who have an in.
terest. vested, contingent or olherwL'le. in estate,)
IlEI.ATIONSIIII'
(U IMp-children or
illegitimate children
art~ involved, set
forlh Lhis fact.
AGE OF I....E
TENANTS 011
ANNUITANTS
AT DEATH OF
DECEDENT
INTEREST Of'
BENEFICIAllY
IN ESTATE
SUIlVIVED
DECEDENT
STATE YES
011 NO
,
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Total
Note: The estate agrees to advise the Register 01 Wills if the amount actually paid in setllement 01 any Ie ,commission or debt is greater or!
less than the estimated amount claimed and allowed. E A
Subscribed and sworn to belore me this.........,..... ....... ... ......;.~:..,,;: 'ui;~i~~j'" ..........
~ u u ";:;i ':'r.,(l,tcl, u, ,,80 .// ~ u':'1fY-.-?.fL u'
J~1;:'~C'~'1:""'" .., ....,. ". ,.'Slmt ~~~/~....
(Cit~ ur own and Staft)
.. ....,.. .........
._~-
-----------
-~.._-----
Having been duly sworn according to law, I do hereby certify that the above appraisement is made in conlormity with law on this I
,.............,' ...,........ ...... day of,....... .,... .".".. ... ......,..............,19.....
..............................,........,. ..,....,..,..,',.
Appraiser
In l!'e eventlhatany lutur.e interest in this estate is transferred in possession or enjoyment to collateral hcirs 01 the decedent alter the
exptration 01 any estate lor life or lor years, the Commonwealth hereby expressly reserves the right to appraise and assess transler
inheritance taxes at the lawful collateral rate on any such luture interest.
REPORT OF TilE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and lor. . . . . . . . . . . . . County, Pennsylvania, do respectfully reporttllatl have J
allowed debts and dedlEtiona in the amounts claimed by deponent, except as to those items where a greater or Jesser amount is setlorth in
the Iut column to the right in said schedule above, which greater or lesser amount represents the sum allowed as a deduction. I
Oiled:......... ....................................
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REV.4!!t7 n.oe)
COM~'ONWEAL TH OF PENNSYLVANIA
.DEPARTMENT OF REVENUE
"tRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
..
-
Estate of
I<EIMER, Hary E.
File No. 21-80-0075
County
Cumberland
Date of Death 02/01/80
In the event that anv future interest in this estate is transferred In p05S0uion or onjoyment to colioltoral hails of the decedent aftor the expiration of any
estato for life or for yIQrs, the Commonweahh hereby expressly roser~M the right to appraise and assess trarsfor Inhorltanc8 toxes at thalDWful collataral rate
on any such future Interest,
PROPERTY REPORTED BY THE ESTATE
DEPARTMENT'S
APPRAISED VALUE
1. TOTAL REAL PROPERTY - SCHEDULE "A" . .
2. TOTAL PERSONAL PROPERTY - SCHEDULE "B"
3. TOTAL TRANSFERS - SCHEDULE "C" . . . .
4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E"
None
7,755.99
None
None
TOTAL REPORTED PROPERTY
7,755;99
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
TOTAL UNREPORTED PROPERTY
None
TOTAL GROSS ASSETS
7,755.99
LIFE ESTATE OR ANNUITY CALCULATION
I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day
with the Register of Wills.
"" 'J
lip",.,. /J ./11I1<,/;~" Ii'
APPRAISER
April 17, 1980
DATE
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~~~.(lln8) '.. " COMMONWEALTH OF PENNSYLVANIA
hJi>H034460 ' DEPARTMENT OF REVENUE
9;/'.~ " OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
If"
~
; RECEIVED
'l
= From,
,
l tdress
.
~
It
~ F;le No.
E Dole of Payment
-
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*'
NINETY-& 19/100-------------------,jalhm
representing Pennsylvania Inheritance or
Estate Tall: due from the following eslote:
__________________SIX HUNDRED
113 Beechwood Drive
2c;t Tal( on
s
s
Dillsbu~.
Pa.
17019
67c- Tall: on
s
s
21-80-75 Dole 01 Deoth.2-1.196CL-
1511, Tall: on
s
s
s
~
I~
e
'7?~Ir:;,? I
36.33 t
March 26.
1980
% Toll. on S
Estate Tall:, Act of
Moy 7, 1927
s
Name of Decedent
MARY E. WEIMER
s
County
~"mh..r1"nd
TOTAL TAX CREDIT
Less five perceotum of tall. if
paid within three months after
dole of deoth
Plus interest at the rate of
_%from
to
s
Remarks:
"PAID ON ACCOUNT"
s
'U'oo ~ [P[L~@& lJ'rn
SEA L
TOTAL AMOUNT PAID
s
690.19
NOTE: This Triplicate Receipt 10 be re1ain&d for audit purposes,
J}
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" i: J,': \'y-y!- . )...
Haroi~~t~r1licLane~. Dep
Register of Wills
(Tille)
Received by
NOtE: In ocupllng Ihe Irans/er inhlritance 10. on 'ulure 8$1011$, prior 10 Ihe dealh 01 Ihe liIe
lenanl or lenonl for yeorl, 0$ a'tldenced by this receipt, it is underllaad lhal Ihe CammonwfJollh Iholl
nof bl precluded or pre'tented ham hltl8':1lter oueuing additional inhltrilance 10. at Ino dealh of Ihe
llIe lenant or IlInonl lor yeon ...hllnl'tlr II oppaan Ihol such addilionalla. may be legally due and
coUecllbl.lor any reO$on whatloe'tlr,
i
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...__ .. _ __ _~_ n._" _ _."_ ___ ._ __ __ __ __ __ -_.- --, "-- - -
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
~ ,., -
COUNTY FILE NO: ...-<' / - j'ij - /']
TO: 'J..IIU.u~ /' "'i./N-:.C'.
//3 I.~ / (1 , d
. )-Lbrl~'L.~-""f-.{_ :'I...'A
/<).d_ikJ;t-t.t...~.
tJ
DATE >//(.(.f 'I' 19Ft!
./ :/ .
/r cA .
ESTATE ///,'Z /'(1 (. /- {:"'(".;'n';J!~U
-;t. :fu ",,". .-
FILE NO, - ).:.J
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. ./ .f {-
COUNTY ./1 I}./v(r~,
DATE OF DEAT~ ,;;;j; /?,j
. .
Appraised Value of Estate:
Real Estate
$
Personal Property
+
1 'h'~ 'i '1
Jointly Heid PropertylTransfers
+
Tolal Gross Estate
s ~ll,:;;- 5/ 9
Clear Value of Estate
'ju "J
c/o I / ",",
s "Irtf!.;
j-,'l
TOlal Approved Deductions
'i"1
Less: Approved Charitable Exemptions
s
s :16/./.31/
, Lj 1
tax due
s
1.J~. ':);).
Clear Value of Estate Subject 10 Tax
Amount Taxable @ 6% Rate
i.f ;( /.;
Amount Taxable @ 15% Rate
lax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
s
7 /. (p , j - J.....
. . * * . . A five percent discount totaling S
will be granted if the Inheritance Tax is paid bV
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
S 1;iC, jJ...
J-diP.'ff1J
$ '/l fr
~--:-.:J' +
J'"
s
s
=
+
=
+
=
Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment, Interest duo if paid by
is
.' -" .. .:.17
s (~" -:l .:;:i.v (/..<.<..J:,.L--
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
Assessed by: '/1, ;iU.~ (:. ,7i~~
See Information on Roverse Side Agenl~O...'thea m~weall~(ltj i..L/~(.'l. .;
N;J'..Y-'-'~ C. (.)
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REV-"!!!! ce-711)
2, /-. yO- ?5~-
STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM OF
DEDUCTIDHS A~~DWED IN
OFF ICE OF THE
REGISTER OF WI~~S
OF ~N"'t7e"~4-/J;1d COUNTY
AND AGENT OF THE COMMDNWEA~ TH
~Jc<l,
\ l1(\ I ,,' C I ( ,\' ~
. 1,/;2.<"1 ~c>H)'_"'/'~n-"j /E'd.
ESTATE OF /l"ft-//r.j EJ,(jelofe r ~ATE OF (('4",//, /0// d ./ 7"'//
/ '/ ..
DATE OF FILING APPRAISEMENT J ,~/, J r f" DATE OF DEATH
~J.j!(..I
. .
DATE
NO. OF
VOUCHER
REMARKS
77,,,,1/,,,,, ,~/t/ t-",t'; e/..,/U!
t'/.,/ Cis. [um.b.c.'~.
/ .Iifi:'
16. ..a
NAME OF PA YEE
~ Ij,.~/ 4/>>1
IIkC/JHo/~~ hL,II,.,,~d . / ~
~ LLskL
/JJ-:,~Ii"I1N'~.jLIJ
-;1J..""#1: ~. / h5JJ'/-/~ D(J
. ~)f-)..,
&..~':196J/ (LJA'~
-i
Lv 1,'1:-\ ();! lJ..
~I 'I,
~
.
AMOUNT
5b 0"
.2
tI~
.;1..0 00
$l' ~~
70 ~S-
dd
..,tdc'1:l
'J / .f.. .,j ~
COMMONWEA~ HI OP PENNSY~VAN1A t
COUNTY OF(Ja.~" 'rt."",( I SS,
1,/-I6.y"1-..4 F l~;S'{' HEREBY CERTIFY, THAT TOTHEBESTOF
MY KNOWLEDGE AIW BELIEF, TH FOREGOING IS A JUST AND TRU~~TAT~MEi'\.T OF DE~TS,. FUNERAL EXPENSES AND
EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF r ,) .. '_ I. ' " .
DECEASED, AS DEDUCTIONS FOR IHHERITANCE TAX PURPOSES.
- \:;\k
~SWOR NO SUBSCRIBED BEFORE ME THIS ~ C. ..,
__, lJ.",... . 19l:L-
. . '..g. \f'{(~ 16 '~9,--_
f. ~, (' I ~,\.
7~~(L.S.)
DAY OF