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HomeMy WebLinkAbout80-00087 :s ~ I i ~ ~ &04 N ~ ~ I 2 il u.l Ii I . ; u.l I'" ~ i (~ -'.. CI -0 00 I - N J ci a~ Z ;ti No. 21.80 ,. "r :~) ,~. PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of Helen Monqeau , deceased. T Harold B. McLane Deputy 0 f WO I f h C o ' , Register 0 II s or t e ounty of Cumberland, in the Commonwealth of Pennsylvania. is Petitioner(~ ere the executrix named in the Last Will and Testament of Helen Monqeau dated Mav 1977. Decedent was a citizen of the United States and a resident of . Township East pennsboro Boraugh, Cumberland County, Commonwealth of Pennsylvania. Decedent died on Thursday the lOth day of Januarv ( A. D. 19 80 , in the County of Cumberland State of Pennsylvania at the age of 81 years. -has- .Ml; her 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 $10.000 -0- and of real estate to the value of estate situated as follows as near as can be ascertained; said real N/A Gfilfill>; Therefore, your petitionerCltl respectfully applies for the probate of the said Last Will and Testament and for Letters Testamentary thereon. Dated January 25 , 1980 ;':ZUl JZ/L,,:;[ ~ ~ Name and address Margaf~t MbLean .. of Petitioner(s) 2801 Stanbridge Street Apartment A-715 Norristown, PA 19401 COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND NarqarE!t McT.E!an named in above application, being duly sworn according to law say(s) that the statements set forth in this petition are true to the best of hpT' knowledge and bel~~fJ? ,l 0 sworn and subscribed before )/U,A M A ?,-I ~;l;;....c- -"'11 <' -:>-U Marga~n me January 25 1 cj!o ~ wJ11S-:,\')?c;f ~ Dep~tY .... "- Ill\) Register 75-02./ / Filed: OJ/~8'V -?7 February 8, 1980 Attorney: Mark S. Gurevitz Esq, P. 0, Box 1166, ioo P~ne st. Harr~sburg, PA 17108 " 00 .. . ~ .' .. .. , . ,." .. LAST WILL AND TESTAMENT OF HELEN MONGEAU KNOW ALL MEN BY THESE PRESENTS, that I, HELEN MONGEAU, of the City of Chicago, Cook County and State of Illinois, being of sound and disposing mind and memory, do hereby revoke all former wills and codicils by me at any time heretofore made, and do now make, publish, acknowledge and declare my Last Wi 11 and Testament as follows, that is to say: FIRST: I direct that all just debts owing by me, including last illness and funeral expenses, shall be paid as soon as practic- able. I alos direct my executor, hereinafter named, to pay all in- heritance and estate taxes and other governmental charges, taxes or liens imposed upon the transfer hereunder of my estate or any portion thereof passing under the terms of this, my Last Will and Testament, or upon the transfer hereunder of the interests of any of the interests of the legatees, devisees or beneficiaries, by any present or future law of the United States or of any State, and that all such charges, taxes and liens be considered and treated as expenses and costs of adminstering of my estate and be paid out of the same before dis- tribution thereof if possibleo SECOND: I give and bequeath to Domiinican Fathers, Province of Sto Albert, The Great, of United States of North America, an Illinois Corporation, the sum of Five Hundred Dollars ($500.00), for Masses to be offered in behalf of myself and my deceased husband, Martin Mongeau 0 THIRD: I give, devise and bequeath to my step-daughters, Margaret MacLean and Arthemise Schuetz, share and share alike, all -1- a~2 . ' ! . . my remaining property, real, personal and mixed, of every name, nature and kind whatsoever; and, in the event of the death of one or both of my said step-daughters prior to my death, leaving lawful issue surviving, I give, devise and bequeath to the lawful issue of the one so dying, per stirpes, the share of my estate that the one so dying would have taken if living; and, in the event of the death of one of my said step-daughters prior to my death, leaving no lawful issue surviving, I give, devise and bequeath the share of the one so dying to the surviving step-daughter. FOURTH: I make, nominate and appoint my step-daughter, Arthemise Schuetz , the executor of this, my Last Will and Testament, and I request and direct that she shall not be required to give any bond or security as such executor. I give and grant unto my said exe- cutor full power and authority, at her discretion, to sell and dis- pose of all or any portion of my estate at such time or times, at such price or prices and on such terms of payment as she may deem for the best interests of my estate, and to execute, acknowledge and del- iver all such deeds, conveyances and documents as may be necessary and proper to consummate such sale or sales and to do any other act or thing concerning my estate that I myself could have done if livingj in the case of the death, resignation, refusal or incapacity to act as such executor of my step-daughter, Arthemise Schuetz, I hereby make, nominate and appoint my step-daughter, Margaret MacLean, to be executor to fill such vacancy, hereby giving and granting unto her as such successor executor, the same powers and authority as are here- in given to my step-daughter, Arthemise Schuetz, as executor, and I request and direct that she shall not be required to give any bond or security as such succesor executoro IN WITNESS WHEREOF, I, the said HELEN MONGEAU, have hereunto set my hand and seal, and published, aCknowledged and declared this -2- . , . '. . , , instrument as and for my Last Will and Testament in the presence of the witnesses named below, who, in my presence and in the pre- sence of each other and a~ my ~est May I g 1977 . have subscribed their names as witnesses hereto / JlA__ 71, )no~L) This instrument, containing three pages, signed, sealed, published, acknowledged and declared by the said HELEN MONGEAU, as and for her Last Will and Testament in the presence of us, who, in her presence, and in the presence of each other, and at her re- quest, believing the said testatrix to be of sound and disposing mind and memory and to have acted freely and voluntarily, have sub- scribed our names as witnesses thereto May ____, 1977. ~J~ ~ilJ~ (jZ~iI~J4(f II!!;I) /. Cln~.Jr_ /Jp<-L' I ~~ .;1{ ~tJ/. #5 //.~o f r:1C.tf 1'5 fJ/l.- IJ vF Russell H. McBride, Attyo for Testatrix, 135 SoLa Salle St., Chicago, Il1inois. 726-4081. -3- -l - ---.J \ . \j~ ~ u"- ~ ~ c.:'\ <l'.... \ ....j Q] :J:. ......1 .h- ll,\. 'l::::. b y.,J....... U\ ~ ~ \" ~V<> nV:3:DNOW Na'I:3:H dO .LN:!lWVJ.S:3:.L CINV 'I'IIM .LSV'I . '-t ...... . .. . OA TH OF NON,SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } 55: This ..o..........,..o..o~.~~~...........o......... day of ......o....'!~~~~o:X......................o.. A. D. 1mteQ..., before me, ......~o~.~~~~..~:...~.<?!;o::!~~,!..~~~I:1~y.......o..........o........ Register for the Probote ot Wills and Granting Letters 01 Administration in and for the county 01 Cumberlond,in . 1s the Commonwealth of Pennsylvania, personally came ....J;..C?H;I;~.~..!::;~:).....!J.};'~~R..........o............o.. ....... 0.............................'....0. 0.......'........ 0 0 0'''''' 0......."...... 0.... ...0 0.............. who bein g duly .. o......~~Rl=:P.............o....... according to law deposed and say that they are well acquainted with the handwri ting of ...........00..... ..~.~.J,!'lP.. J:lRng;~.q.>>...o....,........ 0......'... o. 0 0......'. 0 0... 0..'....... 0... h . tt h d Testatrix tOt t 1 'to w ose name IS a ac e as ..0........0..0.....................0................... 0 an inS rumen 0 wn Ing purported to be ""'"'''''''''''''''''''''''''''0''''''''0''''''''''''''''''''''' the Last Will and Testament 01 ....... ..0....................,............ .H~;l,~.I}, oM9.1;1.gl'lAR...,......... 0 0...... 0"" 0'" 0.....'........,......,... 0 0" lote of... .C.Q~Ii!,+JimQ.. .CQRUt,y~, 0 ,Poennsy.l;vania.....,.....o. 0.... o. 0 0 ,....,.... 0'" 0...'. o. 0' deceased and that the said signature is true and genuine, and that the said ....lii>>R~.CX;i.l:lj.I;I.g................... wi tnesses are ,~~ b .. ..0...........0..........00......,..... 0 0..0... .-rs-mtW"'tre-ee<l~eO'~t" 0 sent 0 fz:orn.. :the.. COll1ll\Clnw6il.l.th.. sworn . .........................o........ond subscnbed before me, this........... 0' .......,.. 0" 0~~~.J:1......0...,...... o. day of ..o...........9:~I,1,I;1,~;t;y.......o...... Ao Do 19lJElQ........., L~....,./(r(!~~~ Louise Col1aru~0 ~oB.~~2i.(~......o.......~.:!?~~~,. Register per ....'...0..00......'0.0..0.0..0...'..00.'0.'..".....0.0..'0.'.. Deputy Register 3~5 . . OA TH OF NON,SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } 55: This .................f'::t!om...........o......... day of ..o..............::!'?:~,~~........o..o..o..... A. D. 1!#q....., before me, ......0!'!?:7.~.~~..~.:..~~~0~.~.~..~,~p.~~X......................... Register for the Probate at Wills and Granting Letters of Administration in and for the county at Cumberland,in s the Commonwealth of Pennsylvania, personally came ....o!RR!'!P.I:1..!=;~:).J.~h~:;;AQ.......................... .. 0" 0..... ,'............ o. 0........ ..0... ..... 0' 0..................".........................0.... 0.......' 0 who being duly .. o........!!W~+.I].................... according to law deposed and say that they are well acquainted with the handwriting of ...........onl'l;I.fi!0J;l0.I-lQtl.9~R~ ...0....'.........'....0 ..............0 ............0... ..........,. whose name is attached as .'J:l?!i:t<f\t.+',:\.X.............o......................... to an instrument of writing purported to be ....0..0................0..0..0..................................0 the Last Will and Testament of ......... 0.... 0.......... 0... .....o..afi!.:t.~n ..~Qngfi!.GI.~............... 0" 0.... 0 0......... 0.... 0....."....,.. 0.0.. 0........ late of..,... .C.1,1ro1<~+.l.imll. ,CQJ.mt:.lr... .P.~sy.lv.ania..,...o...,. 0........., 0" 0 0........00.. 0 0' deceased d th th 'd 0 . d' d h h 'd subscribinn an at e SOl signature IS true an genutne, an t att e sal .......................;:<..0.............. o 0 .~t1;~~~.~o~!!.,... 0 0......... ..!l:~l?. 0'" o. n;-l115W'lllfCl:!m1!d-llT absen t .fr.oro. . the, . Canunonwe.alth.. sworn d b 'b o..,..............o......o.......an su SCrl ed before me, this ......,.........., ........~.~~~...... .....,..,.... .day of , , 7 ~ttt~ldui/;~m , o..o.....\l:{lo~~~F.Y......o............ Ao D. 1~9............ 'iLwJLi?~~.a5,~~..,..o.....'o~.~.'?~~~. Register per ................................................................ Deputy Register 3.16 . OATH OF SUBSCRIBING WITNESS , MMONWEALTH OF PENNSYLVANIA I ss: COU Y OF CUMBERLAND \ This........,.......... ..............,..,..,..,......,.,................, day of ............."...,..,.....,.,."...................., ......,. A,D., 19......... before me Richard E. nderson. Register for the Probate of Wills and h>Tanting ters of Administration in and for said County of berland, in the Commonwealth of Pennsylv' a. personally came .............0 ....................................................... .......................................................... ........................................................... the subscribing witnesses to the fore ing instrument of wr' g purporting to be the last Will and Testament of .,................................................., ,.................. ...............'..'...0. Dated ...............,..,...............'.....0 lateof....,.............o.......,.....,...."..o.......,...............,.,....... ..........................,., Cumberland County Pao, deceased v. depose and say. that ...................................'...0 present. and saw and heard the testao.,.. ....'.....0............,. sign, seal. publish. pronounce and are the said instrument ofwn ' g as and for h................ Testament and Last Will. and at the ti of so doing 0.............,.........,..................,..... of sound and disposing mind memory and understan . g. to the best of ...........,................,.................knowle observation and beliefo ..0.................' ............,........... and subscribed before ................................................................................. ............................................................................... . ichard Eo Anderson, Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND \ ..o........,.oo..,oo,.o.,........,b.<?tf..a,o~!.'.~..t.,......,'~t.,.ol::,'?:~(,tJ..'.....'0'. .o",oo,o,..,......",o"..,....."..,..oo..,.o.....being duly ......,......,-!..~~P.[r.!........o........, says that as nearly as can be ascertained the said decedent .................0........ 0.." '..0... 0' 0 0'....'.., If. {?,.1f. 0\1, 0..0' 0' 0' ol!:f.c: /.I. :,!-o 1/:0(/' yo"..".,...". 0'.'. 0".. 0"" 0"........, 0"'" 0..".....,.......,.." 0.......00." 0" odied on ......o..T..hua)(/f..,..............o the ............I.9...~~........day of ..,........T.CJ.I.VI.{J.f.f....'..............o AoD.. 19..6:'e. ll."'O '. ~ at or about ..................... ..'..............,...., 0 clock. l..M. ~ o ft:./l '/ "J. ~o viii! ?$...e, " J J,'o..oo:~o.,'oo..,"',..,........"..,',..o..o..,.o..,...,",....".... o............!!~9.*D..........o..,.....,..,..",and subscribed this ......................o..~~,1;,~o....,........ day or ....~.~,~~,~,7.y..... 19. ~Qo..o, before ':i~JtB~o!1c;:~w=~.,..,.".,"~.7.P.~,~Ko K;",luud E. .....&I.:i...........UI Register OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA} COUNTY OF CUMBERLAND SS: Before me. the Register for the Probate of Wills and granting of Letters of Administration in and for the County of Cumberland. personally came ..,........,....t.:t.'!.'.':J,.~,r.."!:,t:.......,I.:.{c,..?.{f.{!.r,I.............................. who. being duly o.....;f..~:-:,q,:.r.L....., do ,~.L... depose and say that as........o.'fXf!..~,l!..i.:..,ox........,..................... of the last Will and Testament of ........,...........II<'A:,-:1.........;:z-~.-:1:1.~a#....................o...............deceased ..0....s:.,60e........ will well and truly administer' the goods and chattels, rights and credits of said deceased according to lawo And also will diligently comply with the provisions of the law relating to Transfer Inheritances. ....~~~,7.~....,....... and subscribed before me, ~r....Ao~''!.~'f!:~~7.'t.o;~'~'~',........... Ao Do, ~;~~;o ~~~o.o~,~L-..,..,.,.."......,",.. RiuR8rd l? "_..1__.......-" Register -h~~~ :~ 0: :OJ (I), :<n :to 0> :~ ....." :OJ ,~ N' u.. (I): 0 '*I=~ (l)l p: -.J <1:: ..:.: >" r-- r<l: 0 1-1: 1': (!j: 0 Ill: CD (I): -.J z: !l:l :;I: I 0: - '0 1-1: 0: $ ~: ~ () .0: (I): z: 8 Q): I: r:: r<l Ii<~ ~: r<l: .~ ;Q1 N: ..:1: "" r<l: OJ N 'OC) 0 0 ~1 "" <l' , . : z ... <'1 _0 0 '*1=0 Nd $ u OJ .5 ... ~ "" ~ "" '" UJ ~ - r:: .~ r.l '" rx. DECREE Be it remembered that on the ..........~o~~........ day of ....,...........~~~7.~o~7.X.............., A. 0,. 19 ~~..... there was probated and recorded the last Will and Testament of ......,~~,~~~..~~o~'il:~.~~............o................,........o, late of............~~~o~..!?o~~!.Io~,~!?,~~..,!~~!'!~,~~!?......o..... Cumberland County. Pennsylvania, Deceasedo Letters ,....o......o.........::.:~:.~~o?~o~,~?:'..... were granted to 'oo,..,..o,..,"o.o,'~~,:o'!.~,:,~~,.~~oc;:,~~~f!:o....'o"...,..,0...0...."..'..0 Witness my hand and official seal the day and year afo~esa~fl I ~~(]$.,ln.s;;to~,p.~1?o~~x. Riu}uua t;l ^~fur[Jun, Register. 3-17- COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INIlERITANCE TAX ASSESSMENT *' COUNTY FILE NO: .' I --..,- - -~I '-L; 1 "./' ;, ;?' /9'-"/ , I "f...." . ",' .~"" i/ . ''1 /' '/ _ ',,/ r ", (I . DATE TO: "/ --r ,'.. ,;",' // /./ ,1;,..-)//'-- ;//ri.-.:---, /1:....f.1! ~ /' It' , j" ,.,., , " . -;" 't.' ItJlj~ 7J~/"'i/ /) /) :A~"'..., (.._...., 1 - h" /:,._",,' .' -;r'/, (, . ~ _ >-Jil' ESTATE FILE NO, '" /(/- COUNTY ,~"'>/ 1~(/;;-(..{./:.a"')(I'-E..- , . /:...~7;; . ~/, . .~,r;~I>C I;) , c ~ ,'/.0) / ;'0 /I (f, fc ~ C t ' ,I :.'. J -':;(;(-&;><',{,t/ '-(J__o;1' 1_,:"7';, Appraised VaJuo of ESliuet/ Real Estate /1;)/(..) )~. DATE OF DEATH 1,1.-1,' .f' .-.------- s Personal Property + // , , / ~-; ,,'t' t , 'j ;- ,/ t ~' . ,. ~ I S .', j /'1' Jointly Held PropertylTransfers Total Gross Estate Total Approved Deductions / , / , '/ 1 I S 'I .' , " S '. J / / S ,/ /",/ , -' , / .' .. ;; 'I >1'/ .'. Clear Value of Estate " , Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax / Amount Taxable @ 1 S% Rale tax due I'll x.? ! 'I 'Iv ./' 1/ ?!/ ,;, :.-r / ---~~ - ,I "~--I ,I / 'T j Amount Taxable @ 6% Rale tax due s TOTAL PENNSYLVANIA INHERITANCE TAX DUE /,:.' (..;/' i', ../;;,.1.>!-1" '* 'It 'It * '* 'It A five percent discount total'f~g $ will be granted if the Inheritance Tax is paid by s Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT II . >' j, - ?iJ ,,' ,,- ,/ ,___' ',", /"t. .- ? '" ~7' ." "I I .., _ S 1:' :.5:> = s + s s + = + = Interest on the to date accrues at the rate of six (6) percent per unpaid balance of Inheritance Tax from of payment. Interest due if paid by /'. " - , .. /..;,/t'. annum is , ! , ! ; Ijt,; ',' -;;-~ I ---;'1 "':;,; 1 ( . ~~.a...(:u::/' I -.> ~j l/' . -- i- I :.)'1 ,'~',Jlr; y'!/ ;,.; '" ,/;.;",,/ J ,,:"- ," .,,/,-,",) ,) , . -:. i' :".:.:._/~_',r._'A.-- . - /i , BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE s ;::~~ "..' L_ ~- --.(,--:- ~',,~""'" /1";' -- ,'/,../ .'// Assessed by: /// I ,: . / (i See Information on Reverse SIde Agont fCSr Ihe C~,~onwe~~ / /'" I ) '!'('(,<',7".f<::"'(,'- 1_ / I ~ I ,/ -' ;~"'-:"<:':1":-:-':::--',~~..::~"..~~~.,-:.-,.'..~..:lo,~..., -..-,' COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF EXAMINATION . OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT COUNTY FILE NO: Ci./-yo -'1'7 , DATE a~,.,"1 J" 'q ?I ESTATE ,---:) ~t),,'-' ~A ~'''...,~ N- ~o. '\ -t-f1: :++f,; I ( G _ _ FILENO. ~) - cY'(') -Y7 COUNTY C~~'l'/~ Q -.9.6- ,.-.( DATEOFDEATH~(t.Vl. /O~ '~yo ;~c~ ~nr 13t~~-~ Eo,! :J:,;J:"1:~/'O :;;~J1 . Appraised Value of Estate: Real Estate s Personal Property + Jointly Held PropertylTransfers + Total Gross Estate s Total Approved Deductions Clear Value of Estate s less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax s Amount Taxable @ 6% Rate s tax due s Amount Taxable @ 15% Rate tax due ****** ~ ~TOTAL PENNSYLVANIA INHERITANCE TAX DUE 0-.JV~ (1..1,/0 -tt II .c., ~/'/o'rl) A five percent di.ko'u,{V ,tl,Q,\;ng S Inheritance Tax is paid by S 5 ?-' ;> (/ / /l/ ......-::::--- 5'y. 3Lj will be granted if the Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT v- //!J S~P, = $ ;:,-t "?ti I ~rL + p/ l,;( S S + = + = Interest accrues at the rate of six 16) percent per annum on the unpaid balance of Inheritance Tax from to date of payment. Interest due if paid by is Jf/~7A1~ BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE Assessed by: '. / " . ,I,; .. ' ,,' . J , , Agenl(ormeCorifmonwelUh ~/ }'-' '..- '''- SP.8 Infotmallon on Raverse Side I," / ' / ,/ ;-- / / - ' ~J;'. :l.--{C,v , / COMMONWEALTH OF PENNSYLVANIA COUNTY OF CXUM~'HlX NONTGO~lERY } 5$: l-t.'lrf!.n.rP-t t-Inc.Lf!an being duly sworn _ dcc,,(~ing io ;dW, deposes and s.ys that she -.J,U~lI.C.l:.lLUix _-----.- of tho Estate of IIp1 POI1 H 1-'nng('>nll I.te of Nc.chanil:shurll--.-.-.....--- ___,..' , Cumberl.nd County, P.., dece.sed .nd that the within is .n inventory made by _-.lli!ll:ill"et H'l<;1.e.~n " the s.id E,opclltrix of the entire estate of said decedent, consisting of all the personal property and real estate, except re.1 estate outside the Commonweolth of Pennsylvania, ond that the figures ,opposite each item of the Inventory represent it's f.ir value os of the date of decedent's de.th 0 1!k~'i.H'</ ##.i}k"r L./ .nd subscribed before f ~ (<-.:;, <e,..>7 // 19}': <' . ./0 7 'l't-?u.: Y [r- -..fi7~ - /' i.':--,/" ':' ~.I,.!:,.y p\ISI,( '.>J.....f., ~ .... ,\ M.,. (..::n"',I".I:>1I L:,..~lr.S L>..'..l.::~;~;r \~, . .,lkgw!.!!t::.;,;f'-^ d Nargarct HacLean 2801 Stanbridge Street me, Norristown, PA 19401 Addr." Date of Death 10 O.Y January Month 1980 Y..r INSTRUCTIONS 10 An inventory must be filed within three months after appointment of personal represent.tive. 20 A supplement inventory must be filed within thirty days of discovery of additional asselso 3. Additional sheets may be attached as to personalty or realty 40 See Article IV, Fiduciaries Act of 1949. ~ ~ -0 ~') w " ~ ~ !< ~ "6 ~ w " u n. t- u .,., 0 VI " " l-< 0 w w 0 '" ,..:> :I: ~ " ~z l- n. u. ~ D.. .... -' ~ " Z -' '" 0 n. 0'" u. ~ W 0 '" w ,;. .. ~ > Z ~ ;:;: - u Z 0 z '" c III 0 ~ M VI Z '" ,J: 0 '" M 0 ~ '" ,., u U III Z W '" C!J :;: n. ::>: ;:;: "0 c .. . - -;: l-< 01 0 " :> .. .D "0 .... ,J: .. " E ... l-<Z - .5! " ~ ~ 0 l-< o U -' U u: CD <~::t:: Inventory of the real and personal ~stale ~f HELEN Ho HONGEAU Uncashed Hedicare check 2. Uncashed International Harvester dividend check 3. 196 Shares Commonwealth Edison, common 4. 200 shares International Harvester, common '):OTAL deceased. 94 40 125 00 7,166 25 4,22 00 11,61 65 "".,."'" 4. __-";'.';;.":''';'''';'~!i:\.~ ~.; -~ ~ . -. -- ............-- ~- ....--.. ___________--. __________~_4_4___._ ------------ ..-..... -- ~ )I: REV.1\62 EX ~' .', ' COMMONWEALTH OF PENNSYLVANIA 4 NO K 29421 DEPARTMENT OF REVENUE . . OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX \ .- . 'II II = ij TAX AT 6% TAX AT 15% RECEIVED FROM clayton 1510011 Mar aret MacLean TAXAT_% " 100 pine st. P.O 80~ 1166 ESTATETAX ADDRESS Herr i.bur PA 17108 .--EsTATEINFCjFiMATiON-:--J~;';;-y--io--i980------ DATE OF DEATH ' FILE NUMBER 21-80-87 DATE OF PAYMENT April 10, 1981 NAME OF DECEDENT Helen Non .au . COUNTY Cumber land G m ------------------------------------------- I POSTMARK DATE REMARKS "PAID IN FULL" RECEIVED BY SEAL I REGISTER OF WILLS -.. - TOTAL TAX CREDIT $57.20 1.1. $58.34 -.J) ,.-------------'------- -'-'-- ---- -'- -~~-- LESS DISCOUNT PLUS % INTEREST (FROM 12_10-8004d.Q...B1 TOTAL AMOUNT PAID ~. . .. J"-~-J'O , REV.4'\lJ 'teIlO) C~.~MONWEAL TH OF PENNSYLVANIA OEPARn\ENT OF REVENUE T,~ANSFER INHERITANCE TAX RESIDENT DECEOENT 4. All correspondence should be moiled to (xX) Attorney ) Fiduci ary. " .... j~:',: I . .. ~.~".. ''')'' ,'''. i}i~,:~"',:j~:~ .Lk~!-~~:;~.:/;~ ' '~:'91,,:'OF r-'UU(IARY ~In$trur.tjon.. on He-verse Side) 'IoCr:.:.- Estate 0/ Lost Address Helen M. Mongeau Date 01 Death Jnnll:1TV 10. 1980 505 Woodcrest Avenue Social Security No. 343-38-0677 Mechanicsbur~, PA 17055 Bureau Fii e No. ICITVI tnATEI I ZIP} County File Noo oP/- .~()- 2'7 J. Decedent died: ( ) Intestate (without a will) ( XX) Testate (leaving a last will--copy attached) 2. Is the /iling of a Federal Estate Tax Return required for this estate? Yes_ No xx 3. (XX) Executor/Executrix ( ) Ad",;nistrotor! Administratrix Name Margaret MacLean Aderess 2801 Stanhridwp Strppt , " " , Norristown. PA 19401 (CITY) 1ST "TEl {ZIPI S. 1/ an attorney is representing the estate, indicotc: Name Arthur Lo BerRer Address Box 1166. 100 Pine Street H~Tric:hlll'"gl PA 171nR (CITY) (:OTATEI (ZIP} List 011 safe deposit boxes registered in the decedent's individual nome, or jointly with, or os on agen~ or dei"';) 0/ another, or in decedent's individual name with right 0/ access by anotner as agent or deputy. Include tho nn'" and address a/ the bank or other institution where tl.e sof. de~osit box is located, the name (s) in which the ~~, is registered and the relationship of the joint holders to the decedent. , , NA~E AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX NAME OR NAMES IN ""HiCH SAFE DEPOSIT BOX IS REGISTE~El' --==-_-':"'r--=-:iJ RELATIOHSHlI' C'l ~.')j." HOLDER~ TO OLCr.;., .. Commonwealth National Bank Decedent and Louise Colarusso Cousin Under penalties of perjury, I declare that I hove examined this return, including occompanying scheduics onr. statements, and to the best of my knowledge and belief it is true, correct and complete, '!}%~o!~~~J c%1~ , K o .. .' , "EV.':~: It-!:! COMMON'EAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE . TRANSFER INHERITANCE TAX RESIDENT DECEDENT EST ATE OF Helen Mo Mongeau SCHEDULE "A" REAL PROPERTY (Instructions on Reverse Side) DESCRIPTION None TOTAL THIS PAGE I" ,",' ~M' , , -, , ~"'! .~.(. ~'.:I"""" t-' ~ -,~..-;,; " ~"i~,..;r ESTIMATED MARKET VALUE DEPARTMENT VALUATION (OFFICIAL USE ONLY ^,tmL. << .. h,"".q . , REV:451 (1.&01 COMMONWEALTH OF PENNSYLVANIA 'DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX o RESIDENT OECEOENT SCHEDULE "B" PERSONAL PROPERTY '* ' . ,. ;1"., ".\ ';" ol) (Instructions on Reverse Side) Helen Mo Mongeau , ITEM ESTIMATED DEPARTMENT DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL Y) 1. Un cashed Medicare check 94040 20 Uncashed International Harvester dividend check 125.00 30 196 shares Commonwealth Edison, common, NYSE (j ,166025) ",o~r.S"O 40 200 shares International Harvester, common, NYSE G, 225.00) 7; J.t.:J... SO TOTAL THIS PAGE 61,610.65 /I, 5"1-3. 'r 0 ~ REV.,ui ("'0' COMMONWEALTH OF PENNSYLVANIA D'EPARTMENT OF REVENUE TRANSFER INHERITANCE TAX . RESIOENT DECEDENT ESTATE 0'- Hel~n M. ~fOn(!eRlI SCHEDlh TRI'JIS:' 0';,; .~~ I ~ ~~\~~ 'it::;~-I INSTRUCTIONS: 1. Answer the Questions on reverse side. 2. If the answer to any of the Questions on the reverse side is "Yes," provide a description of the property transferred per Schedules "A," "B," or "E," its estimated market value at date of death, dates of transfer, to whom transferred and relationship of transferees to decedent. Attach a copy of any trust deed or instrument relating to the transferred property, ITEM NO. DESCRIPTION ESTIMATED DEPT. VALUATION MARKET VALUE (OFFICIAL USE ONL Y) Commonwealth National Bank, Account #252-109470-20 Reported on Schedule E of this return at its full value on date of deatho TOTAL THIS PAGE N tl"1U- ~ QUE~!'ION~~ONCEnNING PROPERTY TRAI~~fERS 1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving valuable and adequate consideration? (Answer "Ves" or "No".) No 2. Did decedent, within two years of death, transfer property from himself! herself to himself/herself and another party or parties (including a spouse) in joint ownership? (Answer "Ves" or "No".) ~ 3. If the answer to one or two above is "Ves" and the transfers are claimed to be nontaxable, provide the following information: a. Age of decedent at time of transfer. b. Copy of death certificate. , c. Affidavit by the attending physician indicating the state of decedent's health at time of transfero d. All other information supporting nontaxability of transfer. 40 Did decedent, in his!her lifetime, make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Ves" or "No".) No a. Was there any possibility that the property transferred might return to transferor or his!her estate or be subject to his/her power of disposition? (Answer "Ves" or "No" 0) No b. What was the transferee's age at time of decedent's death? 5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her death: a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Ves" or "No".) No b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer "Ves" or "No".) No 6. If the answer to five b. above is "Ves," state whether the right was reserved in decedent alone or others. i I I 7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit or care of transferor? (Answer "Ves" or "No"o) No 8. Did decedent, at any time, transfer property, the bl'l1eficial enjoyment of I'ffiich was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Ves" or "No".) No 9. If the answer to eight above is "Ves," was the power to alter, amend or revoke the interest of the beneficiary reserved in the decedent alone or the decedent and others? (Answer "Ves" or "No".) No }. , ! , t . ! " . LAST WILL AND TESTAMENT QE HELEN MONGEAU KNOW ALL MEN BY THESE PRESENTS, that I, HELEU MONGEAU, of the Crty of Chicago, Cook County and State of Illinois, being of sound and disposing mind and memory, do hereby revoke all former wills alId codicils by me at any time heretofore made, and do now make I publish, acknowledge and declare my Last ~111l and 'l'esta:nt-lIt as follows, that is to say: FIRST: I direct that all Just debts owing by me, includ11~ last illness and funeral expenses, shall be paid as soon as p~actic- able. I alos direct my executor, hereinafter'hamed, to pay all 1n- heritance and estate taxes and other gover-l':mental charges, taxes or I I liens imposed upon the transfer hereunder. of my estate or any portion ! thereof passing under the terms of this, my Last Will and Testament, I I or upon the transfer hereunder of the interests of any 01' ..he intel'estsl I I I I I I of the legatees, devisees or beneficiaries, by any present or future law of the United States or of any State, and that all such charges, t,axes and liens b,e conSidered and treated as expenses and CO:lts of adminstering of my estate and be paid out of the same uefol"~ dls- tribution thereof if posslbleo SECOND: I give and bequeath to Dom1inlcan Fathers, PI'o';ince of St. Albert, The Great, of United States of North America, an Il11nois Corporation, the sum of Five Hundred Dollars ($500000), :'or Masses to be offered in behalf of myself and my deceased ht.:sband, Martin Mongeau. THIRD: I give, devise and bequeat.h 1:0 my 3tep-daug::tt:rs, Margar0t MacLean and IIrthemise Schuetz, share and share al!%e, 0.11 -1- . ,'0 i ,: f l, my remaining property. real, personal and mixed, of every name, nature and kind whatsoever; and, in the event of the death of one or both of my said step-daughters prior to my death. leaving lawful issue surviving. I give, devise and bequeath to the lawful issue of the one so dying, per stirpes, the share of my estate that the one so dying would have taken if living; and. in the event of the death ?f on~ of my said step-daughters prior to my death, leaving no lawful issue surviving. I give, devise and bequeath the share of the one so dying to the surv1vl~c step-daughter. FOURTH: I make, nominate and appoint my step-daughter. Art.hemise Schuetz. the executor of this. my Last Will and Testament. and I request and direct that she shall not be required to give any bond or security as suchexeoutor. I give and grant 'unto my said exe- cutor full power and authority. at her disoretion. to sell and dis- , . pose of all or any portion of my estate at such time or times. at such price or prices and on such terms of payment as she may deem for the best interests of my estate. and to execute, acknowledge and del- iver all suoh deeds, conveyances and documents as may be necessary and proper to consummate such sale or aales and to do any other ,act or thing concerning my estate that I myself could have done if living; in the case of the death. resignation.refusal or incapacity to act as such executor of "my step-daughter. Arthemise Schuetz, I hereby, make, nominate and appoint my step-daughter. Margaret,MacLean, to be executor to fill suoh vacancy, hereby giving and granting unto her as suoh suooessor exeoutor. the same powers ,and authority as are here- in given to my step-daughter, Arthemise Sohuetz, as executor, and I request and direot that she shall not be required to give any bond or security as such succesor exeoutor. IN WITNESS WHEREOF, I, the said HELEN MONGEAU, have hereunto set my hand and seal, and published, acknowledged and dealared this -2- '0, .-, . ~ ..... REV-4~4 ('f.~~': CO~ONWE~~..:. :~':' :;":. '. . " DEPAR......:.-1: .: ..to.' ":' . TRANSFER i:';.':';; . :~: :''-.:!- RESIDEr~T O~(:F.DE;'.:; Estate 0 f ITEM NO. Helen H. Hongeau DESCRIPTION Checking Account #252-109470-2, Commonwealth National Bank, Harrisburg, PA. Owned jointly with Louise Colarusso. Date of death value 629.34 SCHEDULE "E" JOINTL Y OWNED PROPERTY (Instructions on Reverse Side! TOTAL MARKET VALUE 629.34 Pe R C E N T 00% TOTAL THIS PAGE VALUE OF DECEDENT'S INTEREST 629.34 629.34 d: ~ . ~?~t' DEPA~TMCNT VALUA,;.:;r., (Offici., u,.' :.'!lIV) {p:L7..Jf ~ I . .o. _'. 0 ~I CO '" QJ ::<1 .-< :l ~ ~ " , QJ 0>:' 0( :l :- ".! J.<.l J.<.l ~ 0>: ~ >- >- QJ . ~ w OIl " '" .. 0 QJ :l :z ~ .. .0 "0 0 CJ '" " "0 CJ '" J.<.l ~ 0 .... .-< '" 0 " ... ::l " :>: ~ QJ QJ ..c: .0 ...l .-< 0 ~I 5 <( QJ 0 :I: .,., _. u 0 :z - 0 "" - "" ~ 0 t<.. 0 ~ ::.:: '" "" l- 0 '" 0 :z 0 '" '" >- l- 0 - J.<.l :z l- J.<.l !- J.<.l :z :z ...l 0 - 0 ~ ~ z :.: L<.l - J.<.l ...l Z "" Z 0 :::> u t.:l Z - 0 '" 0 8 0 0( :: <( L<.l <( 0 "" :::i 'ISaJalUI s,luapaoap alj1 !o anlB^ laljJBW alj1 alBolPul,' '~ . 'ISaJalUI s,luapaoap alj1 !o a6BluaOJad alj1 alBOIPul '€ 'AlJadoJd paUMO AllU!o! alj1!0 anlB^ laljJBW IBlOl alj1 alBO!pUI 'l; 'paljS!lqB15a SBM dlljSJaUMo lUIO! aljl alBp aljl pUB (S) JaUMo-oO alj1!0 1uapaoap aljl 01 dlljSUollBlaJ pU~ ,SSaJppB 'aWB~ aljl apnlOul '..8..alnpaljos JO! sUoIlOnJlSUI aljl U! palBOIPU! SB AlJadoJd IBUoSJad liB aqIJosao :"V.. alnpaljos !o! SUo!IOnJ15U! alj1 U! palBOIPU! SB AlJadoJd IBaJ liB aqIJOsa'o 'L . 'IS~!! 'aiB1Sa IBal is!l 'papnlOU! aq 01 aJB AlJadoJd alq!6uBlUI pUB alq!6uB1 lj108 'dlljSJO^!hJns!o 1lj6!J lj1!M SlUBUa11U!0! SB SallJBd JO AlJBd Jaljloua ljllM A11U10! 1uapaoap alj1 Aq paUMO 'IBUoSJad pUB IBaJ 'AlJadoJd liB apnlOU! 1snw ..3" alnpa40S ..3.. 31n03HOS ONI131dWOO 1:10:1 SNOI1;>nl:llSNI .... .,' . . , . - '. :J., J- >(D - ('f': [1 . . * COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS MAY 2 8 1980 RCC-43(5-7b) NOTE: TO BE SUBMITTED IN TRIPLICATE REPORTING FINANCIAL INSTITUTION ADDRESS Commonwealth National Bank 10 South Market Street Harrisburg, PA ZIP CODE 17108 Pursuant to Section 742, Pennsylvania Inhetitance and Estate Tax Act af 1961, we herewith submit the following repott: ~CCOUNT NO, OF JOINT, TRUST OR INVESTMENT DEPOSIT Checkinq Account 252-109470-2 NAMES ON ACCOUNT OR INVESTMENT Helen M. Monqeau and Louise Colarusso DATE OF DEATH January 10, 1980 DECEASED JOINT DEPOSITOR, TRUSTEE OR INVESTOR Helen M. Monqeau ADDRESS 505 Woodcrest Drive Mechanicsburg COUNTY Cumberland ZIP CODE 17055 SURVIVING DEPOSITOR, BENEFICIARY OR INVESTOR Louise Colarusso ADDRESS 505 Woodcrest Drive, Mechanicsburg, PA 17055 RELATIONSHIP TO DECEDENT DATE INVESTMENT WAS ESTABLISHED WITH THE SURVIVING DEPOSITOR, BENEFICIARY OR INVESTOR JY- .fi 7 7- BALANCE, INCLUDING INTEREST PAYABLE, AT DATe OF DEATH $ &..2?' .3y , ,I /1 1. " l >1/. C /[tt iC \ A ~_ <,{., "....,<- SIGNATURE r~" '!~'-" ,. '.'- ;j" T' '.. ~. "':;" '~;~T ' , TITLE REV-484 l.':X+ 13.80) INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) File Numbet __,_~1-80-0Q87 Estate Nome MONGEAU, Helen M. Dote of Death 01/10/80 Social Secutity Numbet 343- 38-0677 REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and lor the County 01 Cumberland Pennsylvania, do respectfully report that I have appraised tho real and porsonal proporty as reported in the lorogoing return at the values set forth opposite each Item In the last column to the right in Schedules II A", "B", "C", and liE" Dated: November 6, 1980 ,. 7f I) 1 , . ~ ". AtJ~.'f'I) / IliJ1(f 1(' INHERITANCE TAX APPRAISER INVENTORY VALUE AS APPRAISEa COOE ADJUSTMENTS (HARRISBU RG USE ONLY) REMAINaER APPRAISEMENT COaE Real Property (Schedule A) Perianal Property (Schedul. B) Jolnt.Held Property (Schdule E) Transfers (Schedule C) $ None oa+ 11,573 40 '0+ 629 34 20+ None 30+ 12,202 74 40- 92+ TOT AL GROSS ASSETS Leu D.bts ond Deductlons (SCH EDU L E F) CLEAR VALUE OF ESTATE 93- FOR USE OF REGISTER ONLY T ax on $ ~ PRINCIPLE VALUE CODE -- I COMPUT A nON OF TAX $ $ $ S S ValuatIon of life estatu or annuities. . . , . . . . . . . I . . Rill FACTOR 6" " Tax on $ 15% Tax on S Tax on $ Tax on $ Exempttons Total Estate TOTAL TAX INTEREST FROM BALANCE TO $ $ $ Less Credits DATE OF PAYMENT AMOUNT PAID TAX CREDIT s $ INTEREST FROM BALANCE OUE REV.oS18 FO (7.80) ~~ 'r::~.. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FI ELD OPERATIONS NOTICE OF FILING OF APPRAISEMENT November 6, 1980 Margaret MacLean 2801 Stanbridge St., Apt. A-7l5 Norristown, PA 19401 RE: Estate af County of File No. Helen H, Mongeau Cumberland 21-80-0087 Dear Mrs. Maclean: You ate hereby notified that the original appraisement in the estate of Helen M. Mongeau has been filed in the office of the Register of Wills of Cumberland County on November 6 , 19 80. Said appraisement teflects the following valuations: Real Es tote Personal Propetty Jointly Owned Transfers Total None 11,573.40 629.34 None $12,202.74 As to such tax that is paid within three months from dote of death, a five (5%) percent discount is allowable. As to any tax that remains unpaid after nine (9) months (fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when death occurred priOt to December 22, 1965) ftom date of death, intetest at the tate of six (6%) petcent per annum is charged. Any patty in interest who is aggtieved by this notice may object thereto within sixty days after receipt of said natice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961,72 P.S, 2485-1001, P.L. 373. Dote November 6, 1980 --f./Y,e'u'".J 7Pf~f,v>rJ.J Signed Title Chief Appraiser NOTE: This is not a bill. R"EV-457 (1.801 COMMONWEALTH OF FENNSVLVANIII OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT . --- -_. -. .- Estate of HONGEAU, Helen M. File No. ...____.1.1-80-0061 County Cumberland Date of DOHlll 01/10/80 In the event that any future Interest In this estato Is transferred In possession or enjoyment to collAtlrnl hoirs of tho dftCedenllUer the oxplrltlon of any estate for life or for yearl, the Commonwealth hereby expressly revtrvlS the rlcht to appraise and aul]C:S If",,:,f.r Inheritance taxlII at the lawful collateral rete 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 11,573.40 None 629.34 TOTAL REPORTED PROPERTY 12,202,74 PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH TOTAL UNREPORTED PROPERTY None TOTAL GROSS ASSETS 12,202.74 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, S't/ ' ,f'< . I) / .--~~~(I)'~ /1')ft)l(1 APPRAISER 11/06/80 REV.4J5!l (1.80) COMMONWEAL Tlf OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDEI\IT Estate of Helen ~I, Nongeall Date of Death .Januarv] O. 1980 WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: Claimant Relationship to Decedent Claimant's Address ITEM NO, DATE NAME OF PAYEE REMARKS 1 Margaret HacLean Reimbursement for expenses advanced Pomero 5 - sli for burial (3) (4) (5) (6) Donnellan Funeral Home Illinois Dept. of Communit Ph sicians - debts Lambert Hemorial - letterin Te ep one, postage an travel to HarrisDur 1/13/80 1/14/80 1/17/80 1/25/80 Donnellan Funeral Home Officiating Pirest Jose h Colarusso Register of Wills Dress for burial Probate fee Hoffit Pease & Lim N.D.'s Remove contents of a artment Funeral flowers Professional Service Bell of PA Harrisbur Hos ital Final tele hone bill Balance due decedent's bill Final electric bill 3/10/80 Hers Funeral Home 4/15/80 Internal Revenue Service 4/15/80 Illinois Dept, of Revenue 6/18/80 Communit Ph sicians 6 18 80 LTD, Pr f Funeral bill Balance 1979 Income Tax rvice Illinois Income Tax Professional Service Professional Service File No, ,;? /-,q'{)-~ AMOUNT 6.0 1 031. 0 10,0 102.0 150.0 1 307.55 270.62 25.00 54.60 33.00 30.00 95,40 125.00 29.99 3.26 54.03 215.00 2,009,30 97.00 8.55 25.00 35.00 TOTAL THIS PAGE CONTINUED 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 Inheritance Tax purposes. SIGNATURE OF ATTORNEY/FIDUCIARY OFFICIAL USE ONL Y DEBTSANDDEDUCTIONSAREALLOWEDINTHESUMOF S ~1 f-J.Jf~- AT & '3ltJ1 (I. ~vJ GISTEq OF WI LS DATE PE RCENT. ..lL-/d-?rJ DATE 'slqap alj16u!Aed JOj Allllq!SuodsaJ aljl pawnsse selj OljM uosJad aljl Aq pau6!s aq lsnw WJOj alj1 'L 'pawlelo 6u!aq lqap ljoea jO lunowe aljl JalU3 '9 'paw!elo lqap ljoea JO! uwnloO sljJ2WaJ aljl UI UO!leueldxa jalJq e ap!hoJd 'g 'aaAed ljoea !O saweu aljl Jalu3 '~ 'Pied Jo/pue paJJnou! seM lqap ljoea ljOlljM uo alep aljl Jalu3 'r, 'pals!l wall ljoea 01 sJaqwnu ah!lnOaSUoo u6!ss\;/ '1: 'uwnloo lunowe aljl uI pawlelo lunowe aljl pue uwnloo s~JewaJ aljl U! ..uolldwaxa Al!we!.. Jalu3 'wapaoap aljl 01 dlljSuOnelaJ Jalj/sllj pue ssaJppe 'aweu s,luew!elo aljl aleolPu! 'paW!elO 6ulaq S! UO!ldwaxa Al!we! aljlll 't ,,:I.. 31n03H:>S ONI.L31dVIIO:> 1:10:1 SNOI10nl:l.LSNI .,., .,., 0 0 co QJ ..... 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Al!l!qe!l s,alelsa aljl JO s,wapaoap aljllJoddns 01 aouap!h3 'pal!! sl uJnlal:l Xe1 aouewaljul aljl WOljM ljl!M sIl!M!O JalS!6al:l aljl!o lehOJdde aljl Olloa!qns aJe alelsa ue 15u!e6e paw!elo 6ulaq slqap 11\;/ 'JaljJew aheJ6 JO auolsqwol 'lollepnq e jO lSOO alj16ulpnlOU! sasuadxa lepnq pue leJaun! 'saa! AJe!Onplj 'saa! AauJone 'UOlleJ1S!U!Wpe !O lSOO aljl 6uIPnlOUl alqew!elo aJe swall Jaljlo 'alelsa JO luapaoap aljl Aq paJJnoul slqap 01 UO!llPpe ul 'alelsa alqexel Jalj/s!lj lSU!e6e alq!lonpap aJe ljleap Jalj/s!lj 01 Jopd luapaoap aljl Aq paJJnoll! sa!l!llqe!l pausllesun ~ NOI1'o'V11I:10:lNI X\;/13:>N\;/111:l3HNI 'l'o'l:l3N3~ f- .:~'~~..~.~ :'60'1 COMMONWEAL TH OF PENNSYLVAtllA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS 'l---' APPLIC^~;O~'FOR ~HARI~'ABlE EXEMPTION 1 FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28, 1956, P.l, 1757, and Act af Juno 15. 1961, P .L. 373, 0\ amended) --- ' . Application is hereby filed lor the approval of on exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 1, Bureau File ~ _.fll.=.,5'tJ -=_?1. 2, Date of Death ~anua!)'~Q.~.9 80 3, Date of Approval ~kJ /,1 /91"d 4, Name 01 Decedent H len M. Mongeau " 5. Tho Commonwealth's appraised value of the property far which an exemption is claimed is S 500.00 (Hate: Where the property is other than 0 spocified amount of cosh, the exemption cannot be approved until the value of the property has been established by appraisal by the Commonwealth, excapt in those cases where the amount of tho gift or bequest represents a stated fractional or percentage portion of the entire esta'e or the entire residue. In those cases enter such fractional or percentage amount above), 6. Check the manner in which the transfer was eHected and submit a copy of the document authorizing the transfer, lJnless such material has been previously filed, Wll.l.~ DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTH ER 0; (If ather, explain) 7. Correct Business Name and Address of Charitable Organiz.ation receiving property: NAME Dominican Fathers.,__Er.oY.inc.e.-oL_SJ:.-Alb.e.d:...rhF> r.re;,r nf rnp !Tn; rpil !';/-..t-ps of America, St. Pius Rectory ADDRESS 1909 South Ashla~9-pt.. Chicaqo. IL 60608 8. I certify that the information contained hc:rein is, to the best of my knowledge and belief, true and correct. ""."'. .""","", ~.,.i L;(!~ Mar ret MacLean Addross 01 Applicant 280l.JttaIlP_rJggElJL~RQr]istow-I4_.J:Zl. 19401 Officiol Titl. Executrix Date This form must be c:empletcd in triplicat~ and 011 thtee copies dc1iy~,ud to the Register of Wills for the County in which the dt!codent resided, or in which IvlhHs wert: issued for a non.orcsidcnt decedent'!> c\tatc. If the decedent was a nan.rcsident of Pennsylvonia and lotters were nOf ls~ucd by 0 Pcnn!ivh:onia RC9i~lcr of Wills, deliver 011 thre~ ';o;l:,ics 10 the Director, Bure:au of Countf Collecrior,\, Penna. Depor:ment of Revenue, 26 S. 4th Stre~t, Harrisburg, Po. Do not write below this line - For Official Use Only Approved: For tho Secretary of Revo"ue i Relerred to Bureau Head'Guorte.. I I I 1 App:c.t"cd :7 For Secretary of Revenue ~L~ ~.'",. .' ,~;"., .. .."" .k.l~AUL-_._; ~ (County) ~ a-l.'1f'd (Date 01 Approval) Denied. 2 (Authorized Signature) (initiols of Register of 't/ills) (County) (Title) (Dato of Relerral) (Date of Action) .. See reverse side for I",:o~f.)ns MUST BE FilED IN TRIPLICATE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT '*' COUNTY FILE NO: , " , /"} DATE / ~" -~. . J/,J lInt) ~ ' .. ~ ESTATE .': ~ c, ...."1. . //, .. //' ,/ i.'7>,.-I.A,.A.---""'" I / TO: ' //,' " I ,', . '. . t ' .I i , I ,0 ' I /} ,i.! tJ, , I /, \:"" v I /-~/;/ ;' / j" l/l ... )' " / .' i I' /~/./I .~.~ I.~ 1/: . ( .~ '" APpraised Value at Estat1 / Real Estate (, I .' I~ .,' . ,,1"', ) , FILE NO, ,)/' ~;'-1 ~"/ f ." __ ,I. . - ". " ..., / :/' , .' r-".I: COUNTY j' , I,~ ..~ ((.' .~t/f. /" A' 'oj, , "d' ~/'_."./' ~ ' '-~' . DATE OF DEATH , '.~. . I, / '/',0 ,/ 'II!' ~/ ,/ Less: Approved Charitable Exemptions $ + )...; -II: + /'/ 1,/ , s 'i :/ ;.:./ /, , I j " ,,- ; .>/, I $ i ..U / ''j -) , /1.'.1: ,,'f! S " li / ;...0. I} Personal Property Jointly Held PropertylTransfers Total Gross Estate Total Approved Deductions Clear Value of Estate Clear Value of Estate Subject to Tax Amount Taxable @ 6% Rate s " '7 / .11 " ' ;. '/ tax due s ~..i,- I , /.j j Amount Taxable @ 15% Rate tax due TOTAL PENNSYLVANIA INHERITANCE TAX DUE s :- ::(,..- /111' * ... ... ... ... * A fivB percent discount totaling e will be granted if the Inheritance Tax is paid by less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT s + 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 due if paid by is .";.' ,d '_"" IA.."" / ,- ,J II "j;;,.L,},Y; BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE $ ----' As.....dby: - /1 It '" ( :" /,- S I f I R S d Agent for th. cOi!nw..1th -" / . eo n orm8 Ion on overse I e ~_ iL, ( ,~.,.{, J J I! ( . / '! i .j " " COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION '*' OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT COUNTY FILE NO: CJI . yn_'l'7 , DATE ~G 1 q fl) I ESTATE / '7 0, K a 1-,.f'()-FI7 / COUNTY (/, ~. , _~ ~ ,1&. ,I J... DATE OF DEATH lc( II',} d(~ 19 >:"1) FILE NO. Appraised Value of Estate: Real Estate s Personal Property + Jointly Held PropenylTransfers + Total Gross Estate s Total Approved Deductions Cleer Value of Estate s Less: Approved Charitable Exemptions Clear Valuo of Estate Subject 10 Tax s Amount Taxable @ 6% Rate s lax due s Amount Taxable @ '5% Rate tax due (TOTAL PENNSYLVANIA INHERITANCE TAX DUE A,..;~Luj .~lv'rv/O/o.!,O 'Go I<,'/~JOJ 'It * ,.. .. * .. A five percent diSco"t Ot~f~ng $ will be granted if the Inheritanco Tax is paid by s ~.3 5tf 'I- .r,{L~_ q?:'G r~ h~:l'7'J9 Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT 11- d(~_ ~O S),':?,t:;^)' + = s d. '\ '1, ;;.? s s~ ~r.; ~ + = + = Interest accrues at the rate of six 161 percent per annum on the unpaid balance of Inheritance Tax from to date of payment. Interest due if paid by is ?PI C"\ I,.~ Ii $ . { tl -/^ ':' -', It '. BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE -4J1i (' :) , Aslelsedby:j n~I' "-(""i'~) . f h' waet .. ~'i J . See Informalion on Reverse Side 1'-7 _lAg n 6\, I . f.omfrfon th ( ~.,^.,..()v,\. \ \ \.,\ \ f' - '-il~~~ i;i..,i. i::',\,' ,#." . * :(j ,- REV. 1 P (a.77) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS Post Office Box zno Harrisburg, Pennsylvania 17105 December 23, 1980 IN YOUR '.EPLY PLEASE REFER TO Department of Revenue Board of Appeals P. o. Box 1874 Harrisburg, PA 17105 0/ 1 fj OJ. _-;:J:-,v H --r~~ Re: Estate of Helen Mongeau File No. 21-80-0087 County of Cumberland Date of Death: 1-10-80 Gentlemen: Pursuant to Section 1001(1) of the Inheritance and Estate Tax Act of 1961 (72P. S. ~ 2485-1001) a PROTEST is filed on behalf of the Commonwealth of Pennsylvania against the action of our local representative in determining the inheritance tax due and payable in the estate of the above named decedent. The assessment prepared by the Cumberland County Inheritance Tax Office shows a tax liability of $235.04. This determination was based on the conclusion that the entire estate was taxable at the Class "A" on six percent rate. However, exemination of the inheritance tax return and in particular Schedule "E", Jointly Owned Property, discloses that checking account #252-109470-2 in Commonwealth National Bamc of Harrisburg, Pa. was a joint account held by decedent and her cousin, This account was appraised at its full date of death value or $629.34. Reference to Section 403 of the 1961 Act reveals that a cousin cannot be formed within the class of beneficiaries taxable at the lower rate. Inheritance tax on the jointly owned property passing to Louise Colarusso would be at the rate of fifteen, percent pursuant to Section 404 of the 1961 Act. Accordingly, Petitioner contends the tax on the jointly o.med property should be charged at the rate of fifteen percent. Very truly yours, '1'\ " ,.:::;, . ~,,, " "1' 0'" RE'lENUJ: \r\\ '_.'1,.,. . ':' '" "."',' 'j)';:O,..K.. -.,..-:\!'\ Daniel P.. Tomaso ~'f;:\ 0.\:;:~.\:':":':~ \\~'l\ Administrative Assista 'l,i"-:-~ ,,<." .~SSO \ \\ Special Processing \ 1:1 :,),"-\,(.o.J '1.1 DRT/ ak \'\\\\-?J"\S ' cc: Hargaret MacLean E~;ec. U \~ \1'=' \.:: ppc/I.\.S cc: Arthur L, Berger, Esquire SOt-Ri) Of '" . ~.h " .. - ... l.:. C Y'b s:' cc ".. Z LL' 0\ -=1:8 c-' :I:~ 0', - n...... WL; "" 0:"" c..'. cC (:Jl.JJ ",Vl :0:: 'lXl 0- "'::c u"" "'::;> ........ - ju ",0: ~ U *, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS POI' Ollieo B.. 2970 Harrllburg, Ponnlylvanla 17105 March 18, 1981 RKV. I' (1"'" IN YOUR 'U~LY PLEASE RE,.ER TO Ms. Mary C. Lewis Register of Wills Court House Carlisle, PA 17013 Re: Estate of Helen Mongeau File Nunber: 21-80-0087 County of Cumberland Date of Death: 1-10-80 Dear L Ms. ewis: Enclosed you 1\'ill find copy of a Protest and Decision of the Board of Appeals, concerning the estate of the above named decedent, The Board of Appeals sustained the Petitioner's objection. ::" Accordingly, you are authorized to amend the record of this estate to confoIm with the Order of the Board. Very truly yours, John C. Murphy Supervisor Special Processing JCM/ak cc: Mr. Knovel F. Lamberti Acting District Administrator t, ;';:.' -' <- :.~, - ,- ~ , cr If"';",} . '.,.1 L._ Z:..:l 4.' 0-. ;,!.;~ C.. oc. - n:<" ",_I ~,I., cr ","" CO'' "'" ,W o:v: :a:; ~~ C- Ue> f5::) ....'" - a::"" fO -,U U \',' 0- :'t; " :-r-. o.;~: U!~ C U S:'; Ci: V,O " , u ~;,. "'C) C\ ~-. co' :i~ c.) (~ - "-....J LaJI'... C<; ""0: Q~ -= Ow 0:_ z: '<Xl 0<.:> "':r Uw a:;:, l:1a: - ~u sc u --'-- -~-~.---- \ I \ \ \