HomeMy WebLinkAbout80-00099
~~~,
.~;,,;~. '('
;S~;'."
~;:
~~~~. :_~:'}~~ .'
ti.' .~,;-;:,_:, .'
~ >.~. "."
'~'(: .:
}~1Z-;!~:
!w~'r-::~:' .,.
~;;~~;/; ;/'
".....,'~ ;.':";;"
,-
;,
.-;"
-
... ~
,- .'.r'
'::', , t!i ".,-;
,~
.~ ", ,,'
, "':.:'
i .
~ -,,"
..
;. ~
..
~
~ . .
c', ~ ! -
E-l
fo4 ~
.
. Ilro
. ~
en ; I
m
Q ..
00 O.
I
-
N ,
! ~
I
UI
No. 21-80
~
C:ll
....r
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
, deceased.
HF.T.F.lLN-T.ODD
~D B,~CkA~, DEPUTY
To - 01,1 n, CI ~Ol"l, Register of Wills for the County
in the Commonwealth of Pennsylvanio.
IS
Petitioner(ll) m;e the executrb:
of Cumberland,
named in the Last Will and
Testament of HELEN N. TODD _ dated February 6, H78
Decedent was a citizen of the United States and a resident of
Township
[] _ .,I, Cumberland County, Commonwealth
Lower Allen
of Pennsylvania.
Decedent died on
the
~nn
doy oL..EeDrllAry
State of
Satllrnay
A. D. 19.81L-, in the County of c'l1mhpr1 Ann
Ppnn"y1 "an; A at the age of R1 years.
-bas _ her
Decedent has not been married and has not had children born to me
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
T1nest;mAten and of real estate to the value of
Nnnp.
as near os can be ascertained; said real
estate situated as follows None
,
It-- J
Therefore, your petitioned.) respectful/y applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Doted February 13, 1980
Name and address I I?uv,? (~v .~~ j)~--rJ
of Petitioneds)
MAry Ann Tnnrl nn1snn
600 South 29th Street
HArr;shllre, FA 17111
COMMONWEALTH OF PENNSYLVANIA f
ss
COUNTY OF CUMBERLAND
MAllY ANN TODD D01.S0N
named in above application, being duly -5Nnrn according to low
say(s) that the statements set forth in this petition ore true to the
best of
knowledge and belief.
her
sworn
~. -n-v.t--~-) c,~~ '.".!..r~rL- /S;..iu-.--J
and subscribed before
'.
"
me February 13 1 cflo
'~(r;-YrF)~',.-~ Deputy
Ri IlctlJ E: "mLlu II, Register
loro Harold B. McLane, Deputy
-~
.~
Filed;
~/-gtl-'79
Febrlllt'y 14,
/()-~1 -'I
1980
Attorney: Hilliam F. Martson, Esquire
\~il1iam F. Hartson f P. C.
- '.
-;- D M~OI:'1 ~r ~.~__~ ~1~~:QOV1~!: " ,7 "
fl 4~LJ n, I,~:'~ tf~Ck"".,()h';'j) rUVN>rJ~'W;
e~~~=~~{,~L 1k'r")>'Mr~~cL, M~;'~1"'-C
\.uv\ ~).'t'a.A.I..{;~"AJ J J-cr tLJ....' l.,,-t,~ )-1') (l, Gw:..-' '&<...(:.r~ (... u--.-tl
I I'J
.. '1 "' ~," , '1 ('
-'" " ) \,
I.L~~"^'~ I \
~t' . V j) j! . L, lTLc.L" (L'lfi.J J',-":'LQt' tfql.JI 11r.
}VdP""\ : )- n_t./' <.., ~ >
l ,-
_ i '\, ,1., . ,] /
C , . C:... 1 -k,Ju.-' lNlC.,J1::_Aj I, Q. \to''-....., ( (~ 'Ll.(, 1bA- t.
4.1/""C)-<.):<1'0 ) '.1 I, ) "~'
.. 1 ,t.J. 'I' 1/
~l~ &-~ I~ td' ~hXrC) ,"~'l rHCWC( ~~
(LJ;'YVlANlb;1..tv'i/CV(YV 9-f rvl."..A..-<J..o L",{!. r0.......{r1Jo-l CU;u
c...c7'V'\UV~VJ.-L ({ i'1l, a..~ -(j,t.. C.,l"'''''''.L/ LLLt \j h'UJ. oL.. C'_L <L'~
\J II d' \( ;i .' L l .; X /
. i) "0 " ~ ' {,I Ii Ii 'LV j ,---U\ ;'1J-.(vUJ ;/ .. (t,- ",-",t../
~L.c.)C;,-, \,u;.l, J .
-- n' ,/' --1-" '; ~
fWV\'l o;,~O-~~ i !Y~l ~.0~~1 I~~l-t J rV~-CY'--/~:L, ,ClA-lhl
h~tJ. lu-(;u/I.,,-/\LAJ-Vc...v fi!..vC-""".....t.<...) .I q~vr<"'1 ....lvu-vi!..U
~l e~'I f"L,"cL CL-"cto' !,-"y L,~, SJ '''''''1'w<1<A>'
V, :v Vr )
)9~/tc~~;v Q~'^J'T eeL)! c{ 1'~,v~c~,v~~1 i r2vvVV(1c,/~~Jo/
~ ~ W-h.c...~iN~Ai .~-L~cC:~~ cd-' li~v It>~ ~4 i'h~~
O~C-U'A.) Cv~LL (!.1~0-~1 JI0L/~rt' 1O.cJ-J) (;j \~l~;:'~f~
1,( /\/ .. ; ( (\~, ,.,( \ 1
VV ilJ...1 V .v\~~vv-o; Ul..l tL ,~,'L,-I{.."V~J /LL';)..V':CLV'--"l Q.,~
I \ ' )' . ' n
I' ' , ,I _ . 1) ,:!
IcL, tL..W:'-"'" (J- jyl....,j L}__<..,(I.:<:../:)_c~ l'.-,) /~~<1..[ f. t~o..\v?,./
( 6-n_-,-- _ K_1.~Cc~.C'Lc0:) (JL,.~(~L,-~'C\ (2".(LV LA,--' 1---'-C.jl<2~"V,,~JrvI
Tl' 4 j/~' ,
_' '. I (I - - .)
_ !\L". "J'-"--X,ci (LC-l"n.,-_v-_~"Ct.v ((/VL.(\ {Gll/1;t<-<.Je.".....,/---'
. ~ ' -\,
(h.t ClO-u.~.,t/,,~, - \;"V - tu LAy',I hi ({''''-/ O.'yvvtJ'ICr(.,U)
, 1 0 J " C f l
LUJ -t;~ Lp_C.LJV,~-' ~t tr'-<-t, h;: COJ'iJ.;,r l_J~t
c~L I J\JCVV\cnY' \ \[
"
9rlf l.ucV/--'/1/U/i/r LL -tv..,-,-",l; .y lc:..V'0 h;:iu...U",v\;f-()",/J):.. {-
Ii J c...J.- ' \. ,-1-" ..---
11 -fu"', c"vo l 11" ctq-'1 t ciYv---", \ q H
.L-LL. I )1\ ,--r:~tcL__
- '.
Aa'}~C/( cL,-~-(J cL-~t~v- ct .0, ~~ c~Q,~.ti-6 il d:-'YVL<-~
).Lvt a..tV:-i Cl./Q.- <::-l-"'-Lt -rui'-UV ~-Q...t- LJ~U. (Lv-..'C/(
T ~b./W\.U...J' L/lAI teL'-- ~4':' '-<.-,Q.c..- tit- l;..k.; I Lu~
,) J.. 0 , ' ,1, ) - Ij , ~ d...v-u(
()!;r- vv....v /'\.Z"cVV'",f" ~"{ vW 'h-c...-v ),<)/Lt.:-.u...-,-^"Q~
~ tiv- j/;).A....v.~"-" u-f J.'...LL. c..Gv tJ-t,.J?u...v! ~;'-"'-"y-c../ -e'L..<..~
Ii
\
L.LVVt.......... /.}...<-v-G-;) '::"'kt"C..l t)1_vV i) (l.,.VVU>." (L/() lu~h-<...c...;l..':10V,
.; c; J.
. /.0'A_L./U-.'~/ LLI1!.uC/--
~. ~'
. :' ~
, .' ,./ I
, . ,U _==dZ€4
396
:~~~{~'.:.:.?:"
,"
-'..
~I)B'
~'~"{t.,:.,.".,.
~~f~rj':..,~:.
i
1Jk
~~
",'-:to
~,;~,~,,~,,{;}:_,'i~.~~.~:. '.,'
..i..tdfi..,...........,' ..,',..';""
1t;~iW):";t\ ". :,
~;'f;t'" '
:,..'.(,.~."
,<-.;-,,;
--~
,,'
.
Ei'
z
,E:3,
...
<:
Ei
CJl'
f.<1
Ei:
','-I'
:<;,
<Xl
...." ~
....
':0
g 't,
'0
Ei
. ~
:z; --
.... -.3'
~~
tf
""" e;::.,.
',.
'.'
.
-
':"1
".\';
:/.
,:
. :' '.i..<.~~}~'
_. :-;;:;<:~'i(;~;':
":'~%;;?~~1
,'~ ~/:'~
". i'~' ,:.:.;. .{'.~'~,~
_. ,,,' i, . ~
.' ','il
";...'!t,~,.,',;
0',. .... '.j ',{ .'
I~'=':;:"'~ '.:~{: ;(~,\,,::\,.
, ,': j.'" .
. ~ .1. ~,;j,j,,(.~'.
lo'y. >
\., '." ; ~ ' .
l" .,);\.:;.
~
Z
.'! ..~ .-:
';;j
:J:W
, ,
~
-.
'.
OA TH OF NON-SUBSCRIBING IYITN ESS
COMMONWEALTH OF PENNSYLVANIA
COUNTY' OF CUMBERLAND
}
55:
This, the
Harold B.
before me, n., ,... A
13th day of
McLane. Deputy
. Register for
Febrll1'lry
A. D. 19SQ..,
the Probate of Wills and Granting Letters of Administration in and for the county of Cumber-
land, in the Commonwealth of Pennsylvania, personally came
Sara Myers and Stanley E. Myers
who being duly
sworn
according to law deposed ond say that they are well acquainted with
the handwriting of
He] en N Todd
whose name is attached as
rp,!::;r~r,...;v
to an instrument of writing
purported to be the Last Will and Testament of
He] en N Tonn
late of Rl'!th"ny Vi 11 "gp. T.nwPl" A 11 pn 'I'w:p . Mp"h..mi ,,~h"'.g. p"
, deceased
and that the said signature is true and genuine, and that the said
Helen N. Todd
is now deceased or absent
sworn
nnd subscribed before me,
thic
13th
day of
February
A. D. lno
~:~~~ c:tQ~, Register
Harold B. McLane, Deputy
per
Deputy Register
st:-~:~.J~J2.7f~t,~....... ,
'~~:"'{{;~~/1{'~~
714 Noble Boulevard
J Carlisle, PA 17013
,
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 nnd for
the County of Cumberland. personally came ........t1A..l\X....t,\N~...:r.QPD...P9.1S9.N..............................................
who. being duly .........slo7.orn......., do es...... depose and say that ns......E~el;.Ut:X".i.lt.....................................
of the last Will and Testament of ..........................HELEN..,N....:rODD................................................deceased
........sb.e.......... will well and truly administer the goods and chattels. rights and credits of said deceased
according to law. And also will diligently comply with the provisions of the law relating to Transfer
Inheritances. ....,Swo.1:n...t:o..... and subscribed
before me.
..................~.'::~?:.~~?:.L~.~............. A. D., 19!\Q........
~.~~l1:os.~~~.................................
f" . - ., . - u' .
Harold B. McLane, Deputy Register
(' ..;h---:i-, , O~.,J
...~~.~.....~::-!:::....:-.....:.......<;;.....~~..:.....................
..................................................................................
:-d 0:
:'"
.'" co:
:", a>
:",
:", ....."
:'"
;A
N:
LL. co1
*; <1';
0 0; .....1
Ci! 0'1: 0: .!<i >.:
...J 0: 0 k:
a1 0
0'1: E-<; !Xl "':
I ...J :l:
0: .: - .. k:
-
co: - z: .~ u: ,Q:
I: ~ z: s: E-<: Ql:
.....: = r.l: f<o:
N; r.l: .~
Ci ,.:l: "t:l
00 r.l: Ql ",:
\ .' 0 :01 "t:l 0'1:
-' Z k ",:
.~i 0 *;
oS u
Ql
~ k Cl) "t:l
0 "t:l bll Cl)
= '" -
Z .~
ril '" Po. ...
DECREE
Be it remembered that on the ......}~~.~....... day of ...................'!:~~.~~.':':~!.'............ A. D., 19 ~.?.... there
was probated and recorded the last Will and Testament of .....~.';1.!:~?...~.:...?:.~?.-..........................................
late of ........~!?~~!:...~J:..~.~~...'!:!?~!'!E.~p........................ Cumberland County. Pennsylvania, Deceased. Letters
Testamentary Mary Ann Todd Dolson
............. .......................................... were granted to ....... .............,..................... ..................................................
Witness my hand and official seal the day and year afores~
....~:sJ(&JJ:;t:::i~.....?.~.~~.~'t...
~mtg>G\~~ Register.
. .
.~
/) /. ",/
'.... , {.
./ / .
."/ '-/'
I\CC-tW-11l
Cnlllllt~I\I':,\ LTII Iii' I'E~~SYI.V ^~ I ^
IJpJllll'trnflllL 01' 1l4~VPIIIJ(I
E~TIlY J NTO SAFE IlEl'lJS 1 'I' !lOX
TO IlEMOVE ^ 1\'1 LL Oil CE,III':TEIlY Ill(l.;n
2/':/80
(Iln I.P 01' J.;ntry)
1. Nnme 01' rlec(!d~nt:
HELE N N. TODD
RETHANY VILLAGE, 325 WESLE'II DRIVE, MECHANICSPURG, PA. 17055
2/2/80
2. Address of decedent:
3. Dnte oC denth:
-1. NUlne and address of person who fp.qlJest,f!d the opening, of the hox:
MARY ANN TODD (DOLSON) . 600 S. 29th ST, HARRJSRUDG, PA.
5. Name and ndrtress 0(' the finaIlcial institution wlj(!re t,}J(~ safe deposit box iR
IOCR ted:
DAUPHIN DEPOSIT PANK & TRUST C0MPANY
P. O. BOX #2961, liARRISPUPG, PA., 17105
G. Number or hox:
#309
I. Title unrter .....hU.h box is reglsterf'd:
HELEN N. TODD
8. \lias thp.re a will in the box? (Yf:'S or' No) NO
v. If yes, stnte rlate of' wi.11, lllllllP. IltHl address of per-sollnl representative, tr
nnmed in the wjll, and name and nrtdress of' attorll~~'. It' lIny:
CEMETERY DEED --- REMOVED - 2/~/80
PY: Mary Ann Tddd Dolson
4th
Ann now t.llls du,' of FEBRUARY
certify unrlcr p~n.11t.1' of' pprjury Ul1lt thn f1bO\'I~
to the best of m~' knowl ofl~e Hud tH~ 1 j ,d'.
. I!I 80 . I hereby
rfH~nrd is r.()rr'f~l.t flIld cnrnplete
,0:, . u::2___,. k
S. ( , .....
. I.~nn ',Uf0
R. W. O~MtRT. ASST. TREASURER
PI'jill, \'A1TiC HIlr! Tltle
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55:
.---.----------- .
__MarLA~n--'l'od-d- _pol_son
being duly sworn _ ______ according to law, deposes and says that !he __:LlLthe_______
Exec~tr~J!:_______ ____n___ of the Estate of --1leleILlL-Torlrl
late of Lower Allen Township , Cumberland County, Pa., deceased and th.t the
within is an inventory made by __l:'l<!:r:y_~!!~Iojid Do1s_on___ - -------, the ..id~e.c.uttix
01 the entire estate of said decedent. consisting of all the penonal proporty and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures epposite each item of the Inventory represent it's f.ir value
as 01 the date of decedent's death.
d,,1HAU
7tJ;::/) U~:;'80
~1~l' a~t.r=::~..:OLl-t~
_~OO SoutJ"l 29th Street
Harrisburg, PA 17111
and subscribed belore me,
SANDRA S. ECKENRODE
NOTARY PUlIUC
CARlISl.E, ClJM8ERIAND CO PA.
MY CllMMISSlON IlCPIRI8 OCT. 2l1. 1981
Date 01 Death _____2Itd--
Oay
Addr."
Fe.br.uar.y
Month
1 QllO
Yur
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of penonal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional ."ets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV. Fiduciaries Act of 1949.
,~ U
p.,
>- 11 -,; 120
I- W " 0
~ ()
~ ." .... 0 ~ CIl
a- w <{ E-l " ~
a- "- .... [5 u
0 III " "
I 0 w w ~ 0 '" ,..
0 J: ." 0 OJ '" Q)
I- a.. a.. c
co .... ..J U. E-l .-; ~
Z <{ 0 ~ 0
I U. ...J i .-; a.. ':to
.-; W 0 < w " ..:1 ,;. r..<
N 1\ > z 0:: 1201 ~I -
z 0 c ~
0 .
ci II VI z 120 0
'" ~I u H
Z w <{ .-4' .... :j
a.. 0- "'0
~I .-41 c
::x:! - ~ H
'1 -;: ::::
1 0 "
.D "'0 -"
" E
- ~ 0
, '" . 0
, ..J U u: '"
Invontory of tho roo I ond porsonol o.toto 01
HELEN N. TODD
decea sed.
REAL ESTATE:
NONE
NONE
NONE
TOTAL REAL ESTATE
PERSONALTY:
1.
Chec king
Company,
Account No. 86-08-704-5, Dauphin Deposit
registered in name of decedent.
Date-of-death Balance
Trust
2. Optional Passbook Savings Account No. 1-31162, The Harris
Savings Association, registered in name of decedent.
Date-of-death Balance
Accrued Interest
I 613 0
I
I
I 5,155 ~~
12
I 5,000 lo
I
I
26 74
42 20
3. Certificate of Deposit No. 1-02-101184, The Harris Savings
Association, registered in name of decedent.
Date-of-death Balance
Accrued Interest
4. Medicare/Blue Shield Refunds
5. Commonwealth of Pennsylvania State Employes' Retirement
System, Final settlement of Account
TOTAL PERSONALTY
RECAPITULATION
TOTAL VALUE REAL ESTATE:
TOTAL VALUE PERSONALTY:
TOTAL APPRAISED VALUE:
$ NONE
10,872.14
$10,872.14
----- - --- -.- --- .--. ---- -- - -.- --- -.- --- --- -- --.-..-.. - --- ---.-- .--- --- --- -- --- --- - --- - -----
...-~..-...~-- "'.. ,..,.. - ~ -_ . A --_.....". ~D>>_""
1#1: RCC4Ul178) COMMONWEALTH OF PENNSYLVANIA
I NO.J063045 DEPARTMENT OF REVENUE
9;, .. ... OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
II
= RECEIVED --------------'J'l.IRRR RtJNnRIn"l
II
= From,
j
l ddress
.
~
II
..
F.,
II File No.
e Dole of Poymenl --Ap1'il 2V. lVaD
~
-~
~- ~-
'*
.Marv Ann T044 Dobon
C/O willilUll F. Mart.on,
1n B. High A~~..~
RBVBlJll'Y--ZIVE DnuI>.98---------------- "-II..."
representing Pennsylvania Inheritance or
Estale TalC due from the fallowing estate:
P.C.
2~i: TalC on
S
s
Carli.le.
Pa.
17013
6'iC Tox on
S
S
21-80-99
Dole of Deolh 2-2-1980
15'11 TOlC on
S
S
County
Cumber1an4
TOTAL TAX CREDIT
Less five percentum of lox if
paid within three monlhs after
dole of deolh
Plus interest at the rote of
_7cfrom
10
s
~Q4.74
~
1/
S
I
Name of Decedent
HBLBN Ill. TODD
la TalC on S
Estate To)(, Act of
May 7. 1927
s
S
Remarks:
s
19.74
.PAID ON' ACCOUlilT"
S
'D'OO~[p[L~@&'D'rn SEAL
TOTAL AMOUNT PAID
S
375.00
NOTE: This Triplic8te Receipt to be retained for audit purposes,
Received by
NOTE, In acceptina lhll Iran5/11r inheritancll 10. an fulure 11510105, prior 10 Ihe dealh 01 'he Me
lenant at tllnanl far year5, as ll....idllnclld by thi5 recllipl, il i5. under"aad Inal tne Camman.....ealth 5hall
not bll prllcluded or pre....llnllld from hllreofter aUlluing addilionol inktlritanctt 10. 01 Ihll death alike
hill lenant or tllnant for Yllatl whllnll....llr il appllars that 5uch addilional 10. may be legoUy due onJ
callectiblll far any rl1050n whalsoe....er.
----------------------------.------------ - ---------------
.4.M.i.._ ?'
.
..
-*
RCC-33 (4.7~l
COM~IONWEALTH OF PENNSYLVANIA
IlEPART\lENT OF REVENUE
IIUIO,,\U OF COUNTY COLLECTIONS
}
RESIDENT DEC[DENl
(21-80-99)
CUMBERLAND
COUNTY OF
---.
____u__ _ .
Thi~ t~'l\llll lUll!" he l"urlllllclcd III detllil und fih,!ll in duplicate. with ull D.tUlchcd. with the Register of Wills of the
('OUll1\ \\ht'tc den'lIelll u'siltcli; Itl'turn i!oo due withlll nllll,' months lifter dute of llcuth, unless un extension is granted
11) ItlL' Sl'CH'[.IIY llr Relll'nue. CSlol,.'tion70.1 of the Inhcritill1cc and EMilIe Tux Act of 1961.)
IMPORTANT,
1'\ TilE \IATTFH Ill' IIII' FSTATE OF } AFFIIlAVIT OF
__________HELEN _ N. _ _TOPD__ ___ ___m________ EXECUTRiIX
;: T:.. n: IlJ'-L !;I,'.~I~ ',d' '_~~':EDENr.
Lo'O 01 J.ow~_P.l.l~-__~_, ,-_Qu:nberJ.1IIld Coun'y AIlIII:-;ISTRATOR
:':::,:1 o~ _~~:;~~i~~am_--===} ."
_ __Mary _Ann__T_QdcLDo 1 son
~X!x-x.xxx 01 tho c~'at<: 01 ,he ObDVr-1'10ll1r1d decedent being duly .....orn, depou S
ExecutJl1iX
and laYS
I)ccl'dcI:1 dil't!
February _
2
It)~{tO.lole ICloylng 0 lo.t will, CClPY of which I. hereto otlochClt:. }
(YEAR) >UK~*X.
,...~t.,J'1"HI
In"y)
Ntlmr ann odd,r-" "j ~"(' ..~, u
olher Qulhcrir:o:d 'errl"!.'lolol,Vo'- '0 ,.,herr,
011 corrcnpon:ll'nc., ,h,
} _ WIlcLJ;AM F. MARTSON. P. C .
Ten East High Street, Carlisle,
PA
17013
'1'11:.11 a~ ".....:h uEXe_C~_!;.1='.J:._~_deJ1(Jnent is rami liar with the affairs of said estate and lhe property constituting
,- ',!: .~u : f) ';./.C'.'INIST R:, TOR;
Ihe assl'ts IherCtd .11;'\ lh,:il fair lllarkct valuc.
TIJ:lI at lhl.: time or dealh there was I1U <.;afe deposil box registered in decedent's individualnilmc, or jointly with, or
as OIgelll dr depulY of ulItllhcr, or in decedcnt's individllalnalllc, with right of access by another as agent or deputy, with the
exception of th~ follmnng: -
--_._~~--._.-
-----~---
THIS SAFE OEPOSIT BOX RENTED
IN NAME OR NAMES OF
Helen N. Todd or
r A
RELATIONSHIP OF" JOINT
HOLDERS TO DECEDENT
Dau hter- in- aw
NAME ....~:J ;":)['1'<[55 o~ BMlK OR OTHER INSTITUTION
IN ',,"'HICH OECEDE';T R[,nED A S~FE OEPOSIT BOX
Dauphin Dep'osit Bank &Trust Co.
---2._U-.Motdse_t_SJ;_r_e_eJ;
-Hauisburg.__~A__ tU_Ol
That the contents of said safe deposit box or boxes are itemized under Schcdules-Lof this return,
wilh the cxccl'lioll of the fullowing, for the reasons hercinafter set forth:
That Scllcdule A atlilched herelo and made part hereof sets forth fully and in detail all the real property
in the Cnmrnol1wcalth of PCllnsylv.toia of which decedent died having an interest therein. It also sets forth the
1110rtg,lg~ cncumbralll:c~ lllH1T1 cilch parccl of real property at the date of death, giving the amount still due at
death, name of l11(lrlgilg~e, date. rate of interest, and book and page of record thereof. It also sets forth in the
column!'> provided thert.:fllrc Ihe assessed valuation of each of :;;aid parcels, the estimated market value thereof
.1S of date or dcalh of dCl.:edcllt.
fhat Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property
whercso,'cr siluated owned hy the decedcnt <It the time of death; all moneys left by the decedent at the time of
dc.lIh. whelhl.:r ill dt:cctlcnt'~ imnJl.:diate possession, standing to decedent's credit in banks of deposit, sa"ings
hanks, Irust cOI~ll'anit:s, or other institutions, whether individually, or in trust for any other person or persons
~i\'illg also <.;cparatcly Ihe accrucd intt:rest thercon, if any. down to the last interest day prior 10 decedent's
dealh in 111\: case or sa,'ings h.lIlks, and IU the date of decedent's death in all other Ci1ses; all bonds, postal
saving". trt,::asury c~rlificatcs ur notes and other cvidence of indebtedness of the Uniled Stales 10 the dew
ct:tlcnl: all IlhliJ;ation." \dlL'lhl.:. hy ~tal\ltc or .1f;rcl::nll'l1t they arc designated as tax free, of the United Stales.
or any :-;Iale. or pnlilkal suhdivisioll Iht:reof. or of any fureign country, which arc owned Il1lhe time of death:
..:: "',""llb ,q"I<IH.,;. t'.....l.:il~, ~.ji~ell"IlI;. \,jdurc~, IlllOks, wllrks of art, house.hold;furiiiturcj luirscs: carriages,
1l1l10l1\niliJcs, blllllS, ami any and all 11lhl'r personal chaltels of whatsoever., kind :o,(naturc',"I~'ft by decedent,
togt:thl::r "ith Iht: rairly cstimatctJ markL'l value lherL'of; all hmtds and ro~~'i~?'$~~;S.'~l~.I~ by decedent nnd of all
claims dtw ;IIHI Cl\\ill~ uel:etlcllt al Ihe tillll' Ilr dc.lIh, and all promissory notes or other instruments in writing
for thc pdymL'lll of money of whidl deccJcllt died possessed, of whatsoevcr nature, with interest thercon, if
any. ~i\'illb Ihl: fat:e \'al:1..: :1I1d l.:stim,tll'tl fair l11i1rkct value thereof, and if such estimated f;lir markel valuc be
les~ than lhe fal'c valul', il sets fllrth hriefly till' reasons fur such depreciation .1S to each item; all moneys
payahlc to the e<.;I:II,' frl1lll life il;surancl' polil'ics carried by deccdent; all annuity and endowmcnt contracts
Ihe pfllcc~ds of \\hich \\!" 'laY:lbk upon Ih~ Jealh Ill' lhe decedent; all and the corporate stocks and dividends
due thereon :mll t111jldi..1 :1. It' 11 lbh~ Ill' dl::Llh. honds and accrued interest thereon to the date of decedent's
tJealh :Ind other il1' c' 1::\1"1',1 ,\\'.l1ed hy the dccedcnt at the time of death, with the minket ,'aluc thcre-
of at sut:h I illll'.
.
"
~
In the case of securities of close or fnmll)' corporat.ions, the vnl1l1'!i reported "rc as fRr as
possible substantiated. b~' financial statements of the corporntlons, showing tho llsscts noel liabilities
thereof as of the dl\te of death. The schedule also sets forth the interest aI' ciCCl!dent nl the time of
death in an~' co-partnership or bURtness, and In support of the value of such interest. there Is nnncxerl to
said schedule) financial statements showing thellssets and liabilities (If said. cn-partnership or !lusiness.
A cOJ1~' of the cooopartnership agreement, (if oral, a statement scttillg forth the nature 01' tlie n.greement)
together with a statement sett1n~ forth the character of the llUslncss, its locntion, and such other facts
~ertatnlng to the busIness as ma)' be pertinent to a fair nnd just nppraisal of the decedent's interest
therein must be submItted. It should also set forth in itemized form, t.ogether w1th the fair market value
thereof, any other property owned or bequeathed b)' the decedent at the time of dentll.
The Schedule C attached hereto and mnde part hereof sets forth n true lUlSVH!r to each inquiry
contained therein and in the case of transfers of property, real or personal, within two years of decedent's
death, in contemplation of decedent's death, or intended to t6.ke effect In possession or enjoyment at or
after death, said schedule sets forth the nature n,nrl value of' such property, to whonl trlUlsferred, the
relationship of the transferees to the decedent, the proport:lonate share received b)' each transferee and
all other facts of a pertinent nature regarding said transfers. In the CaSf! of transfers intended to
take effect in possession or enjoyment at or after death, there is also attacherl to the schedule a cony
of the deed, trust agreement or other instrument creating the trust. Ther'~ is also set forth in said
schedule a list of all property, real and personal, with its value, which plu:"ses at decedent' 5 death hy
virtue of the exercise by decedent, either Indlviduall)', or jointly wi th another, or any power of allpoint-
ment \'estedlndecedent, either individually or jointly, by the w1ll, deed, or other Jnstrmnent of another,
with a copy of the instrument creating such power attached to the schedule.
That Schedule D attached hereto and made part hereof sets forth the nRmes nnrl addresses of all
persons beneficially interested in this estate at the time of decedent's death, the nature of' their res-
pective interests, their relationship, if any, to the decedent, together w:l tl1 the ages at the time of'
decedent.'s death of all minors, annuitants and beneficiaries for life under rlecedent's Will. It also
contains a statement showing which of the benef'iciarles nl~ed in thp. decedent's will, if any, died prior
to decedent, the dates of their death, their issue, lUld the relationship of such issue to the beneficiary.
That S.:hedule E attached hereto and mnde a part hereof sets forth all propcrt)', real nnd per-
sonal, owned by the decedent jointly with another or others, including intnngible, standing in the name
of the decedent Rnd others, plus the date and place of record of instrwnents effecting the vcstiture of
real estate and the date of acquisition of personalty, plus the name, address nnel relntionship, if any,
of co..owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and :In detaIl all debts
and deductions claimed for and on behal f of this decedent's estate, Including funcral cxpenses paid;
famlly exemption, where applicable; costs of administration of this estate; counsel fees nnel f\ldicinry's
conunissions paid or to be paid; cost expended for burial trusts, tombstones or grnvcmnrkers, and reli-
gious services, in consequence of the death of the decedent; dehts and claims owing nnd unpaid at time of
death; taxes accrued chargeable for period prior to decedent's denUt (except those allowed under Section
651 of the Inheritance and Estate Tax Act); together with n statement of co))nternl pledgerl for obliga-
tions, if any. It is agreed that the fiduciary will present proof of suitt clnimcd ohltgntions upon re-
quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the
estimated amount claiming and allowed, that the same wll1 he reported to the Ilegtster of W111s, and that
the amount of tnx assessed can be reassessed in accordnnce therewJ tho
That t.he totuls of the appropriate columns in Schedules "An, "a", "en, "E", ntHt "P" aR dlrcctec1 therein,
have been carried forwarrl and properl)' registered :In the Stmunnry.
.u
Subscribed Bnd sworn to before me this ....,g.f..................
71 ~ (i ,..;.J-...-,c;./!. ,J)~
..............~~....E.~~~.;:;.t~.i~.
6 Q.Q......~.c:>.1,1..~.h.....?.2.~.h.....~.~!.~.~t:,.............................__..
(Street Number)
Ha~.:r~.~.~y~.!?~.....~'.\...~?~.~.~..... .............
(City or Town and State)
=:=~A.;;Io.~_t9~9
SANDRA S. ECKENRODE
NOTARY P\I8IJC
CARUSLE. CUMBERLAND CO.. PA.
MY COMMISSION EXPIRES 9'CT 28 'Ml
SOTE: Before signing tiffia71\n:.llmk~-~ Irc nIl hlnnk S)HICeS in tllC nt'flfla\'it /Inri sC}Jf!flt1les Illlllexcd ure
filled in with details or the word "Sone", and in cus~ the ltssets include rllre anti unllst.cd securities,
securities of close or f'amtly cOrJloratlons or an interest In nn~' co-pltrtnershlp or huslness, thnt the
data and statements rCflu:l reft under the parugrllph nlJove relnttnJ!; to Sclll'dul~ "U" tiT.! nttltChcft. ,\1so mnke
certain that column #1 in the "Sun,nary" has been properly cumplf~tp.iI /IS ahove..tllr(,Cl.f~(l.
D
Dauphin Deposit Bank
and Trust Company
MAIN Of"F1CE; Zl3 MARKET STREET, HARRISBURG. PENNSYLVANIA 17105
717/255.2121
M.mber fed",,,1 Oepo,ir Insuronce Corpor.llrion
ililliam F. J"artson
Henderson 3lock
'ien "'lId High 'street
C~rlisle, Pa. 17013
Attn: l'Iillinm J.:artson
Dear Jo:r. J.:artson
February 23, 1930
He: HE:len :\. Todd
February 2, 1980 Deceased
In regards to the above r.entioned, ve suboit the following infor-
mction as of the date of death.
Checking # 86 08 704 5 balance S613.00
if we can be of any further nssistrnce, please do not hesitutn to
contac t us.
'lL../rch
,
~
'''. r
,"
"::r;(./
Very truly yours,
-' .,"/ ...-/;",'
";: ,_; .:~.,~ ....--. ~.~:;1'...:{.:~.. ,;'
Barry L. ~lliott
Assisblnt Treasurer
"
/'
J
CO....ONWE4LTH OF PENNSYLYANIA
STATE EMPLOYES' RETIREMENT SYSTEM
Z04 LAlOR' INOUSTRY IUILOING
HURlSIURG. Pf.NN5YLYANIA
171%0
T t'lrphonr
717,7MHI~,1
March 7, 1980
Mr. Joseph Yocum Todd
2613 Waldo Street
Harrisburg, PA 17110
Re: Helen N. Todd
S. S. #172-32-2113
Dear
Mr. Todd:
We have been notified of the death of Helen N. Todd
former member of this system.
Before any payment can be made to the named beneficiary (s) it will be
necessary for you to complate the enclosed form and return it to this
office.
a
When thia form is received, we will at that time calculate any benefits
payable and inform you regarding the final settlement of this account.
Sincerely,
Jrd:,l~,A(;/
os H. Fuller
Dis bility & Death Benefits
JHF :Illes
enclosure
11~ . ~tj<7/~
1) .l:{,) . 0
'~l' G( ~n
)~ <~.~ ,~"'~n
I~'c{ I " 'If, ~ ~~
~ "<.
Q<",<1'~' 0-/ OJ I
.r\ (' r '
~c...J,...(- '--c....'.. \,
)
:= I'L'" /' CI!
/I'
Tv ~L'- 'cr:: 'j,.~.'-
dl '\1 \'0
,
.
. -I,.P
, '7 D 9 Wl~ J' ~1~~""-'VY'/: , .
, ) J l.t~'J n; I <>-,~;,,{ 1~4."~'>~'<~'j> r~,wifl"~"'"i
E~ ~ <U~,><t te-l ~f"<-11~~) 7~'""1 ~
\.c.V\I.~llL\A4~l-I.-' ) c.l:r M'l" h'\tL L I <WJ:.,---t..dJ Ll.~
~ j . . ,. .. ~ '7 I . I 7 1 ("" (J ...
/ .t'0~~vX' I \
'-f' v. j7 11. . j: {j1_<.:L..,-, c;:..",.J S,,-~t' ~f !1rv-..j
..vv1-\' t'U..^,--. l
(' _ L. f -tU..ru... -'l,vt.0Jt:.A./ h 6...:.,,"-<.., (/ (Q/Lt.i~ lJA,'::t-
C-f...V:-Li<...^<:'0 I\" \ ^ Q \?
Q.Ll J- i1~ ~J-' C,J..Jto CL,,-,l t~ <'4,"
. \ . ~\ ' , I
J. t.L-Y\1-'\..\u..J. (..'-'t'::t:.~(yv 57 ~'v,,~ - (.:-a.: to_{;-'U'l:((.../:L-i., ':
,'. ,~r. 'r ; . . '. ' 'J .
..2 <:;-V\-L.-l-M..:.N,( l...t j'?l ~ -v-i. cX"C''''\.L/ C:L4J..~.: h'VI..J (leu Q.. c..' ~
II ; l I. JJ \I ,!) . , .; ~ -; X /' i ~
A-cz:,e..cv-,d: we O'\...L-' .Ilu-.v-S l1..!J-wu.'\....v...... <L.1..c-{.\-/
--: (, I) 0 L"';" 7. ,} e
'~~ ~V\~~ "1 r'tr ~VL ~~, "~l / r~~~~a-~ ~
c~ e"'L.cCf\~(L,~W u,,-vvl:..t:'" JY7- k'-O/ . 'Vl~'/'tAl:
o } . .' , (jJ.-/i....,,v . - . , ~ ~ 7 '
( (yv ~~ JL.U......,c:L...:....., cd--~. -:;V\A..V ~
O~ c.. u..-~ L\.M-J.. C.UI..;...-O &,-<--'-v:r ---r0-rJ--<:( l' r~f....:- ()~;'l "
1. ( /., . ?L' ,I.<H~I
Vvi-J II ~u:).--vI'~ ( tn./" ~"-'-V-U~) /LL~~i.......'.....--iia..-~
\ / .
tL-- ~ '04 l~ du..- C ~f.l-e...-) LvV Y..:q ~ '. ) ~v!?,..
C (;-n..s- - ~~\.G~R_) CLb...L...~.(l U:"'--,,~~ ~, b~~1
'.
.,RCC-37 (12-63)
l'nM~\ll~\\"EAI.TII OF I'E~~~\'\'L\~I'\
TIlANSFEIl 1~IIEHlTA~l'E TAX
Ilt:SIllE~T DEl'i':llE~T
SCIIEIll'I.E "D"
\'..
t~..~~, It
. \....!Ill
I 't''':,. t\
!~"'\'""'" ..J
. :,.......~J,..v;..
I\E\EFI(:IAIIIES
IWNEI'ICI \1l1J"S A"D \1;1)1'1"<1'< -- J "-II~:1.ATI<I~SIIII'
;' t ..... 1'1 I ~ '.S.., ...." (If sh'll.dllldn'n ur
\Stntc lull llur:lt'l'i lIud Ildllr(.sses 01 all ....JIll illt'gllllllalt. dllldrl'1I
hn\'(~ un interest, \'ested. {'ulllinl:0ul 01' ot!l\'1' ilfl' II1\'ol\'('ll. ~t'l
DoUglas'i~~a~ e;~~~ I G~:~~~'~~aC11
R n 1, Rnx 199A I
Rr"l"knpy, PA 18812
I
I Grandson
I
I
I
I
I
I
I
I
I
I
I
I
I
I
~t;I<\'I\'I':1l '
IJI,:n:IIE~T I
STATE n:s !
Ol{:-':O 1
I),\'n:
III'
1111<'1'11
INTlmt:ST 'IF
UENEF1CIAI{\,
IN I':STATE
Yes
I Age
T-
I
30
One-half (1/2) of
estate residue per
Item 2 of said Will
Craig Dewitt Todd
General Delivery
Analomink. PA 18032
~
,
,
Yes Age 26 One-half (1/2) of
estate residue per
Item 2 of said Will
I
I
-\
___m'__._
J
I
I
I
l -I
U~J1oncnt further SIl;:"S that. ul J the uho\'c-nlltncd hencficillries Hl'e Ilvlll}!; nt this time t~xcept below:
NA~IE
-I
I
I
I
I
I
DAn: OF DEATII -I
I
I
I
I
I
HESmENl'E
..
" .
-,,-
"<"
b. c
'S ~ E
's Ci.a
"t'Io.8
< e.
.:. o.
,,~'C
=~i:
1:""
~eg.
~ =:
SUMMAHY
(Seh. "A")
...... ...... (Seh. "n")
(Seh. "C")
Helll Property
Personlll Property
Transfers
Gross TlI,able Eslllte .
!- 1i
z
.. tzJ .~
.. ... ...l
" :::; ." "I:
>- ,~
tzJ " II>
'" Q -
- "I:
-.: " Cl:
c:; ~ 'S ...
Po. 0 " ...
Po. ..:: "I:
'" -.: !:l
~ tzJ 0-.
tzJ j: !- E Q
0 ~ - .. -.: ;; z
- 0 !- <
Z !- '" Po.
~ tzJ ~ f-
~ 0 c Cl:
c c:; 0
c ...
'" tzJ "' :.I
.. !: ~ 0- CC
b c C
~ :!: '0 ~. ~
'S
'E ..... ~ ::
.-- c c
~.( ....l U U
(I)
(As H"porl,.,I)
s
S
$
S
S
S
.
.
,.
(2)
(As Determined)
$
$
$
$
$
$
RE":-47J (40079'
COMMONWEAL TH OF PENNSYlVANIA
DEPAIlTMENT OF REVENUE
DANK NO.
NOTICE OF DECEDENT ACCOUNT STATUS
Submit in triplicate within 10 doys after knowledge of
the death.
DATE FIL.ED
3'..1-'.0
STATUS OF ACCOUNT NO: (JOINT, TRUST, ORfNYESTMENTJ
Joint
ESTABLISHED DATE
11-6-76
RETURN COMPLETED
FORMS TO LOCAL COUNTY
INHERITANCE TAX OFFICE
N AMES ON ACCOUNT
Helen N. Todd or
leary Ann Dolson
18'l-16-6,:a8
SOCIAL SECURITY NUMBERIS.
NAME
SURVIVING DEPOSITOR (Beneficial INFORMATION
RELATIONSHIP NAME
TO DECEDENT
D4TE OF DEATH
DECEDENT INFORMATION
"
ADORESS
- a r-tlen N. Todd
2-2-80
AODR ESS
600 S. 29th. street
Harrisburg, Fa. 17111
Box ~F66, Bethany Village
CITY
BANK/INSTI TUTfoN ADDRESS
Mochanicsburg, Pa.
State Capital Savings Assoc.
10S--H4 N. 2nd. Street
P.ll. Box 1861
Harrisburg, Pa. 17105
BAL.ANCEOF ACCOUNT AT 000
INTEREST ACCRUED AND COLbEc..Jl.PJ.E AT DOD
TOTAL 001-00- 4l:lt:lt:l
BANK AUTHORIZATION
3.4'::
$
$ 731.44
$
I HEREBY CERTIFY TH4T THE INFORMATION CONTAINED HEREIN IS A
CORRECT REPRESENTATION OF INFORMATION IN OUR FILES IN ACCORD
WITti SECTION 742P fa. E TAX ACTOF 1961.
SIGNATURE OF FINANCIAL. INVESTIGATOR
DATE
"
.
.~..
I
REV-4U '4-79)
COMMONWEALTH OF PENNSYLVANIA
BUREAU OF EXAMINATION
INHERITANCE TAX SECTION
SCIIEIllILE "E"
JOINTL Y OWNED I'IHlI'EIlT\'
*
INSTRUCTIONS: ll1is schedule must disclusc all properly, rc:llnnd pcrslIIHtI. owned bv the tlcccdcnt iuinllv with
another or others, including inl:lI1gihlcs. stal1llill~ in the nallle uf the decedent ami ulhers. List re.1t estate IIrsl, as
entireties, or juint tenants, giving brier dcscril,liun, ;IS il1l1ical~d under Schedule "A," plus the ,Iatc 1I11llllhlCC uf
record of instrument crfceling vcstiturc, but tlu 11111 include entireties ur C1ul HI' slale relll estate vlllue in cstutc
valuation coluJl1n. Personal prnperty shnuld be lisled liS in Schedule "n," pillS d;~lc Ill' aCtluisilinn, lint.! the l1ume,
address Bnd relutionship (if tiny) of co-owners tll the decedent.
Description of PropcrI)', Date of Acquisitiun, Name
A&1rcss and Rellltionship of Cn-Owners, and Place
of Record of Instrument, where Real Estate.
Unit
Value
Pcrcenl.q;e
Share
Estate
ValuatiClI1
nEPi\RTMENT VALUATION
(OFFICIAl. USE ONLY)
\'lllue of
Entire
Property
Vllluc or
Dccedent's
Intcrcst
Savings Account No. 001-00-04888,
State Capital Savings Association
registered in j oint names of
Helen N. Todd or Mary Ann Todd
Dolson; account was opened on
November 6, 1976.
Date-of-deathBa1ance:
Accrued interest
$727.99
3.45
50%
50'7.
$364.00
1.72
TOTAL
365.72
Insert this total opposite "Jointly Owned Property," Schedule "E"
in the liAs Reported" column on the last page of this return.
J~5'.1V
-<1-'{1l
i
,-
. RCC-39 (S.77)
County, Number end Nam._ Cumberland
Fil. Number 21-80-99
Dot. of Death FebruaJ:".}'.~)}_~Q____._._
Estat. Nom. TODD. Helen
SUMMARY
N.
COMMONWEAL TH OF PENtlSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
(I~111I.\LI
ILA!iT NII",'l)
('II~~;T ~1,~I.~1 t
REPORT OF INHERIT ANCE TAX APPRAISER
I, the undcr$ignccJ duly appointed Inhr:ritnncc Tax Appraiser in and for the County of Cumbex:land
Pennsylvania, do respectfully report that I have opproi~cd the real and personal property Oi reported in the foregoing return at
the values set forth oppo~itc each item in the lost column to the right in Schedules "A", liB", "C", and "E".
Dated: November 20. 1980
.c . ') /1'(' ., d)
{/~ ~ ., I I ~ to FI :1 'I
INI1l::mTANCE T"X l,ppr~^ISCR
REPORT OF THE REGISTER OF WillS
I, the undersig~cd duly elected Register of Wills in and for County, Pennsylvania, do respect-
fully report that I have allowed deductions in the amounts claimed by deponent, except as to those items where a greater or
lesser amount is iet forth in the lost column to the right in Schedule uF", which greater or lesser amount represents the sum
allowed as a deduction.
Dat.d:
REGISTEH OF VotLLS
INVENTORV
VALUE AS APPRAISED
S NONE
10.8
ADJUSTMENTS
ODE (HARRISBURG USE ONL VI
O()+
1(}+
2(}+
3(}+
REMAINDER APPRAISEMENT CODE
92+
Real Property (Schedule A)
Personal Property (Schedule B)
Joint-Held Property ISchedule E)
Transfers (Schedule C)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEOULE FI
CLEAR VALUE OF ESTATE
411-
Valuation of IIfo estates or
PRINCIPLE
fACTOR
VALUE
annuities....... .............._ $
~
1=
ESTATE TAX ASSESSMENTS _ S
FOR USE OF REGISTER
Tax on $
Tax on $
Tax on S
Tax on $
Tax on $
Exemptions
Total Estate
ONLY
~
COMPUTATION OF TAX
S
S
$
S
S
~ 2%
~1~~
I
TOTAL TAX
s
(.) As evldencod by Chnrltoble
EliCOnlptlon Certificates issued
by the Secretory of Revenue.
Loss tax previously paid $
BALANCE S
Less 5% of tox If pold within
3 months after death S
~
BALANCE OF INHERITANCE TAX DUE
Add Into rest at rota of G% from
to
AMOUNT OF ESTATE TAX ASSESSED S
Estate tax paid $
BALANCE DUE
Add Interest at roto of 6~;' from
to
S I-
S I
S
S
S
S
c
TOT AI. TAX Oo\LANCE
PAir)
Supplemental Code.. (FOR USE IN HARRiSL:JRG ONL Y)
48_Adjustment
49+Adjustment
56-Annuity
60-LHc E~t"tc
92+R'"::1101ndcr ^ppraisal
Ij J-F~ cma inJcr Dcdu ction
9 3C-Chori ty
94-Rcmaindcr RCiidlJc
96-Succcssivc
LiFe Estate
FOR USE OF hEGISTER ONLY
ADJUSTII,ENTS
HOTE: WhNC SUb',':ljIJCnl .lllu:.lln(""h elII..' made la thc above computation of tax by the Rcgister of Wills, for proper reason
snmc "ho,,\'! hr. r'.,~d bl.~L,"(. with-,hart clo:planntion. '
93-
~
I
,
'.
<- oJ
Z "" <::
"
~ l.lJ . !!l
" ::;; . <::
" "
;.- l.lJ u 0:
!!l u Cl.
Q
<: Cl.
0: '" <::
Cl. u. '2 '"'
Cl. 0 '" Z
!:! ..: !:! .?; <:
l.lJ ;>,
1= l.lJ 1= <- '" <-
0 :l: c
~ u. ..: c 0:
Z <- 0 <- " 0
u. CIl Cl. Cl.
0 l.lJ ~ l.lJ
r-""? 0 0:
0: .c
.8 l.lJ
c; '- '"
~ "
:: ~ "
..: "
'" ~ c
'2 ::;; 0 ~' 0
E
::::5 3 :; E
.~":> " " 0
==..: oJ '...J U
.REV-457 (1-80)
COMMONWEALTH OF fENNSVLVANI/\
DEPARTMENT Of REVENUE
TRANSFER INHERITANCE TAX
RESIDENT OECEDENT
INHERITANCE TAX
APPRAISEMENT
~~-
~
-
- _. -..----..
~- -.,.-.
.- --
Estate of
Helen N. Todd
File No. 0__ __2~.,.~9.9.9.9-.
County
c~
______ Date 01 D~"th -1'..e~ruar-z--Z......J9]Q
In the ovent that any future Interolt In this Astate il transferred in possession or llnjoyment to cnllautntl hair, of tho (tltCodont after the llxpiration 01 any
estate for life or for years, the Commonwealth herflby expressly IlKOrves tho riCht to apprlllso and 8S'J{>O;S tmnsfer lnhflrlulnce t8)(91 at the lawful colllteral rate
on any such future Intarest.
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. TOTALJOINTL Y OWNED PROPERTY - SCHEDULE "e"
Nnne
10.872.14
TOTAL REPORTED PROPERTY
11,237.86
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
TOTAL UNREPORTED PROPERTY
None
TOTAL GROSS ASSETS
11,237.86
LIFE ESTATE OR ANNUITY CALCULATION
I do hereby certify th~t the "bove ilpprniscment is milde in conformity with Pennsylvilninl"w nnd hilS been filed this day
with the Register of Wills.
~'I." I .-'" -,' If)
~''':'', ,(:111 I :--1', /',./ ,1)<'
APPRAISER
11/20/80
DATE
....
~ i:<: 1 ~
::i i:<:
<( <( ~
~ lol lol ~
>- >- E-t
lol s:l
Vl II> 1
;:l M
. M
..l :z: < ~
<( I r..
- II>
U ;z; II> l 0 0\ .:l'
- :s M ~
'" 0 IS
'" -
0 ~
~ '" c:i
'"
... 0 Vl. 0 ;z;
Vl Vl >- ... c:i ci
- lol
ci ;z; ~ lol ... lol ;z; ;z;
::l - ci i:<: ;z; ~
~ 0 lol lol
Z ;z; ... ;:l u "
- ~ Vl ~ 0 0 <( ;z;
;!; lol U Q -
"" ..l
OFFICE OF THE
REGISTER OF WILLS
STATEMENT OF DEBTS
AND DEDUCTIONS
(21-80-99)
.i.,(.,j.(\", 7. cu,.,
OEOUCTIONS ALLOWEO IN
WE SUM OF __ S .3,J:.rJ q. 'if 'i -
j,J~
OAT~ APPROVED '/UV.;?/. /9fO
~h .'
'1 n't!,-.1,~r-(IJ . rhA./'r.-L
nF.Gls:{// 1.11" WILLS, AGENT
REY-41111 Ie-a)
OF Cumberland COUNTY
AND AGENT OF THE COMMONWEALTH
ESTATE OF Helen N. Todd
OATE OF FILING APPRAISEMENT -1/-;:? /- ye
LATE OF Lower All en TOWJshi!L-
OA TE 0- OE/>. TH February 2 1980
v . , c ,
NO. OF I
D~!E VOUCHER NAME OF PAYEE REMARKS AMOUNT
~70V _.
Feb. 14 Register of Wills Probate Costs 22 00
Feb.15 Cumberland Law Journal Advt. Executrix's Notice 18 00
-
- Mar. 4 Bureau of Vital Statistic Death Ctf.-Joseph Y. Todd 2 00
Mar. 7 The Eveninrr Sentinel Advt. Executrix's notice 18 00
M,,. 1 b. ...."n~~,1 Unmo ...."no~~' ? t;Rb. Inn
Mar. 14 Pealer's Flowers Funeral Flower s 94 88
Mar. 14 Cowley Associates Medical Services 58 00
Mar. 27 Bethanu Villal!e Account pauable 165 00
M~,. ')7 ll~~n . - u. 1,1 ~ - . "n 7~ nn
May 22 Bureau of Vital Statistic Death Ctf.-Joseph Y. Todd 3 00
June 18 Register of Wills Short Certificate 1 00
Register of Wills Filing fees 9 00
William F. Martson, P.C. Attorney's fee 560 00
Reserve Account Reserve for closing and
miscellaneous costs 100 00
TOTAL $3,809 88
--
COMMOtlWEAL TH OP PENNSYLVANIA I
COUNTY OF Cumberland f SS,
I Marv Ann Todd Dolson HEREBY CERTIFY, THAT TO THE BEST OF
,
MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST ANO TRUE STATEMENT OF DEBTS, FUNERAL EXPEIISES AND
EXPEtlSES OF ADMINISTRATION SUB/AlTTED TO nlE ESTATE OF Helen N. Todd
DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES.
, -1. 0;) .
111.<7.,') t~~..L {Yc1'(.'.2-I"'''/(L,S,1
Mary AnrlTOdd Dolson
DAY O~
f!-. -4
SWORtl~I)_SUBS~IBED BEFORE ME THIS (5
~ ,/J;,.n:// tb/1lLMiJ/ 19~
,
IIANllRA 8. ECKENRODE
NOTARY PUlIUC
CAI\UIU!. CUMBElIIANO CO~ ,.A-
MY COMMISSION EXPIRES OCT. 25, \981
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
.
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
COUNTY FILE NO: ;;) I -- ~~ ( \ -
T;m,()f1'1 C>^..-r(CiJ
1(\ \,,)
DATE fir, (J ~ , ) I r; ~/Il
( , "0'
r 1-;;-.lL
'j' -\
ESTATE "j ( \ II \Y]
,
Cd;
j)~Q<;
I
FilE NO, ,.:;1 I y " , {j (1
( I ~ (1
COUNTY )., Ar, _.... ~h :!,. L~I ,
I '.
DATE OF DEATH) (J At-. b (, rj V
,
~
:. '~"
'-:-'/'lL.:3
Appraised Value of Estate:'
Real Estate
s
Personal Property
.
Jointlv 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
L TOTAL PENNSYlVANIf' INHERITANCE TAl(, DUE
-",,-0- IJ-~ YI) W I~d. (;'VJ
.. .. * * . * A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
So CJtf ~
~5
51. I y-
s
-
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
ldo I ~p
$ ')n 04
. $
$ -~
= $ 5) Ie)
,
.
=
.
=
Interest accrues 81 tho fate of six (6) percent per
on the unpaid balance of Inheritance Tax from
to date of p3vment. Interest due if paid by
annum
is
$?a
~
, ;!
Aslelled~:-;;.oo(~~ ~ ;;6(.1.6"
See Information on Reverse Side ,,r;:?' f~ fr. me III '-' V
U\tJwVu-
-,:' ~l
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
'?
r'\
,
I Al I~' ..-f!;>
-~'-~~~
rifl,j,
~~W,~"'Ji(tll..:r