HomeMy WebLinkAbout80-00101
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No. 21-80
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PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
Carrie M. Murray
, deceased.
Harold n. MCLane, Deputy
Ta r;;!i8Rara Ii. .~.l'lgQro.m, Register of Wills for the County of Cumber/and,
in the Cammonwealth of Pennsylvania.
IS
Petitianer(KJ ~ue the execut or named in the Last Will and
Testament af Carrie M. Murray dated Februarv 19. 1973
Decedent was a citizen of the United States and a resident of
~~~
Borough, Cumber/and County, Commonwealth
New Cumber1 and
of Pennsylvania.
Decedent died on Wednesday
A. D. 19~, in the County of
the
6th
day of
Februa rv
Lebanon
State of
Pennsy1 van i a at the age of 90 years.
~W ~1U'tX her
Decedent has not been married and has not had children born to x~~
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
$6,000.00 and of real estate to the value of
$25,000.00 as near as can be ascertained; said real
estate situated as fo/lows 817 Bridge Street, New Cumberland, Cumberland County, PA
~i!lpl~
Therefore, your petitioner(~J respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Doted February 13, 1980
Name and address
of Petitioner(s)
gO" '-'(9
1/ . j I",{,-,r- .
A1be t R. Lingle
R. D. #3
\~~
Annvi 11 e, PA 17003
COMMONWEALTH OF PENNSYLVANIA f
ss
COUNTY OF CUMBERLAND
Albert R. Lingle
named in above application, being duly sworn according to law
say(s) that the statements set forth in this petition ore true to the
best of
his
knowledge and belief. ^
. -fJ---___.1
and subscribed before ~J2eL<.L-{/ 11 r ~~cM
1
Sworn
me February 13 J ~o
~ lAI\..4.U B~ ~~ Deputy
\, ---=--R . t
nie~ara C. .~flaBr88fl, egis er
February 14,
/ () , ;)79- 0
r5"-ol~ /
Filed;
.;)'/-6'tJ -10/
1980
Attorney: Jon F. LaFaver
,
........
....
., ...
"
.
"
LAST WILL AND TESTAl-ffiNT
I, CARRIE M. ~rnRRAY, residing at 817 Bridge Street, New Cumberland,
Cumberland County, Pennsylvania, being of a sound and disposing mind and
memory, do hereby declare this to be my Last Will and Testament, hereby
revoking all Wills by me heretofore made.
1.
It is my will that all my just debts and funeral expenses be fully paid
as soon after my death as convenient, with the burial to be on the family plot
in the Dillsburg Cemetery, York County, Pennsylvania.
II.
I give, devise, and bequeath all of my property to Georgie Mae Lingle,
my daughter, and Albert R. Lingle, her husband. now of RD 113, Annville,
Lebanon County, Pennsylvania, provided they survive me.
III.
In the event my daughter Georgie Ilae Lingle and her husband predecease
me, then all the rest, residue and remainder of my property shall go to
Ruth Ardel Lingle Knol, my granddaughter.
IV.
I hereby nominate, constitute and appoint Albert R. Lingle, my son-in-
law, as the sole Executor of this my Last Will and Testament, and in the event
he refuses or is unable to act for any reason, then Georgie Mae Lingle, my
daughter shall be the sole Executrix.
IN WITNESS I~REOF, I, Carrie M. Murray, have to this my Last Will and
Testament, typewritten on two (2) pages, numbered consecutively, have signed
my name at the end hereof and at the bottom of page two (2)
identification, have set my hand and seal this /'1 ~ day of
for the purpose of
.:;(d~;;, ,
"'
19~.
.If. -
.I'....,~,.L~
>. h;?, ?l;;/-u-~
Carrie M. Murray
(SEAL)
- .
OATH OF NON.SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
5$:
This .......................~.~~~.................. day of ...............r.~P.f.~~~Y...................
f.. D. 197......, before me, .......~'?-JR,1;c:l:..~.~..f:I.t;:.J;.~nh.R!'lp.I,l.t;:.Y......................... Register for
the Probate 01 Wills and Granting Letters 01 Administration in and for the county 01 Cumberland,in
th C Ith f P I n. p II Albert R. Linnle
e ommonwea 0 ennsy va 10, ersona Y came .......................=l...................................
. ..... .0... ,',. .... .......... ... ...... ......... .0......0.. '" to.......... ................. .0.... It .0........ to who being duly
.. ........~~9r.ry..................... accarding to law deposed and soy that they are well acquainted with
the handwri ting 01 .... ~~,l:r.;.~..~.... !1~r.r!'!~........................................................... ................
h . tt h d Testatrix t . t I' .
w ose nome IS a ac e as ......................................................... 0 an '"s rument 0 writing
purported to be ................................................................... the Last Will and Testament 01
................. It.O'......... .0... ..~~r.r:j~.!1:. .~!!r!:~y. to..... to .....0...... .......... .................. ..... ........ ....
late of........................... ................. ~;~. ~~~~~:).~~?. ~!::!:~.~~............................, deceased
and that the said signature is true and genuine, and that the said ......C.qrxj.E:.M,..~ljr.l:~............
................................................... is now deceased or absent .........................................
...,.......~~~:.~...............and subscribed befare me,
this .................... ...~.~~~.."... ......... .......day of
...........~~?~.~~::L........"" A. D. 1971~...........
(~ib~~~ng~.'....bl#
\... P() I 'M~ Deputy
.~f';/..!i\1#~J~~')1.~al.~.....:~~~~.~.~~
Register.....
...................................................................
per ................................"..............................
Deputy Register
401
.
OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
. 13th February 80
ThIs. .............. ............ ................... ................. ......... day of... ................... ................ ................... ....... A.D.. 19.........
Harold B. McLane, Deputy
before hl~ R;,I.MIi E. !...j~..._l.. Register for the Probate of Wills and granting letters of Administration
in and for said County of Cumberland. in the Commonwealth of Pennsylvania. personally came ..............
Ruth L. Knol, one of
................................................................................................................................................................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and
Testament of ...... ........f~:.:.~.~..~:...~~.:.:.~X. ...... .................... ... ............... .......... Dated ...~~~:.~.?:X...~.~.~ ...l.~?~.....
late of ..t.ry.~...~!m?!!gh..p.f. ..N~~J.ym~.~X'.1..~n.q..... ..................... ........................ Cumberland County Pa.. deceased
who being duly .......~."!!!.~:!........................... according to law. depose and say. that ..........?ry.~..."!.~.L...............
present, and saw and heard the testa~r.J.1\......................... ......~.~X'X'.i.~...t:1.,..!:1!!r.r.i!y.........................................
sign. seal. publish. pronounce and declare the said instrument of writing as and for h..E:!.f........... Testament
and Last Will. and at the time of so doing ........~h~...................................was of sound and disposing mind
memory and understanding. to the best of ....................~~:......................knowledge, observation and belief.
............~~?~~.......................... and subscribed before
,~/i
-' ..' j Z/' !
_ /" ,~ .A..-L_
.. Rufftf....~r">.;.:::.................................................
.....~.~Yl!::c6Vt~~,~...J?~.~~~y
lU,..l~u..L d. E. ..~ud........... ..~, Register
..................................................................................
..................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
................. .............. ........~).~~~~..~:...~.!D.~.!.~... ........................ .......................................... ....................being duly
............~Y!~r.!l.......................... says that as nearly as can be ascertained the said decedent ..........................
......................................... ........ .~~:.:.~.~..~:.. .~~.:.:.~x.................................................. ................................ .died on
...........~~9.~.~.~.9.~X.................... the ........?t~...................day of .......:.~.~.:.~.~.:X............................... A.D.. 19.~~...
at or about ............).9.:.~.?..................... o'clock. ~:.M.
......................?~~.:.~.....................and subscribed this
.....................}}!;E................. day of ......f.~?;-.?.~.;-y
19. ~9..... before
.7..C.(.I.;:~~/C:...M.~.~;k~..................
..:.~~tJ3.~)J~?I./~.=............p..~p.!lty
R....l......A E. ..1.!illlJlOR,I"Reglster -
402
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
COUNTY OF CUMBERLAND SS:
Before me, the Register for the Probate of Wills and granting of l..ellers of Administration in and for
the County of Cumberland, personally came ..........M.!:!~r.LR:...Un.9.1.E1............................................................
who, being duly ........~Y!~mL........., do .f!.L.. depose and say that as....F.!$~~~~~r.............................................
of the last Will and ,!'estament of .............f?:.:.~.~...~:...~If.l.".':'.~,L...........................................................deceased
...........h~.......... will well and truly administer the goods and chattels, rights and credits of said deceased
according to law. And also will diligenlly comply with the provisions of the law relating to Transfer
Inheritances. ........~~~:.~.......... and subscribed
before me.
~"X...'.3................ A. D., 19.~~.......
...... .., .. ..~~...?.7.p.~.~y.
. . :~'~~:,'R;gister
(jl ') ~ ---u
'~'A';&~I~.r::""C\:\l'~"""""':::.l~""""""'"''''
.Iuert ~. L.lng e I
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DECREE
Be it remembered that on the .....}.~~~......... day of .................!f.~~.:r;.~~.:r;.y............., A. D., l~R....., there
was probated and recorded the last Will and Testament of ...~.!l:F..;:~~...~.~...~),I.;::r;~.y.....................................
New cumberland .
late of............................................................................, Cumberland County, Pennsylvania. Deceased. Letters
Testamentary
....................................................... were granted to
Albert R. Lingle
............................................................................................
Witness my hand and official seal the day and year aforesaid. 'l ._
.~......1.1~f?,~::-~~.?.7.~~.!:y
IUId: . uG.............u, ~glster.
. .
.
REV-449 (S-78)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
'*
;:U-J'c" ./t /
ReSIDEN I' OECEDEIH
COUNTY OF __J;!Jr1~~LANO
IMPORTANT,
This r.:turn lTltIht he Ctllllpll!ll'd in th.'I;lillIlU! filcll in dollllh.:;th', .....ilh all ;1l1IU:hcd. wilh IIlL' KCi,tlstcr of Wills of (he
Coumy where dccl'dcnl rcshkd; Rl'llUlI i" dill' within nun' IlInlllh, ilflcr d:It(' (If dC:lIh. lillie's Ull cxtcn",iulI is grlllHcd
by till..' Secrcwr)' ur I~c\lcllu~'. (Sntiou7tU olllll' 1lIllClitalll'(' :Iml Estate Tux ACI uf 19(,1.)
IN TilE MATTER OF TIlE ESTATE OF
} AFFHMVIT OF
-- EXI:('llI'O/(
'\(l\IlNISTIIA'IOR
County
Ca rri e M. Murray_
1ST ATE FULL NAME ('IF OECEDENT)
Latn of
Cumberl <1-nd
Pennsvlvania
Cumberl and
Stefd of
)
J ..,
Albert R. Lingle
of tho 1I.'Oh, of th" abov".nomad ducodont being duly SWOln, dopose 5
and soy S
County of_
Executor
,1(~IO.Il~)Q)lKI(
Decedent dicd
Februarv 6.
tost(J~;t"'in!J 0 la.t will, copy or which hi he,etll ottQch,.d. }
1980
(MONTHI (LJ"Yl (YEAR)
Nomo ond odd,,,.. of attarney o,} Jon F. La Faver
other authorlud reprnentatlvlt to whom 311 rh mtreet
all cor'U90ndence Ihould bo moJlIed. ~P-W ClJrnbprl rind. PA
17070
That as such Executor deponent is familiar with the affairs of said estate anuthe prop~rtyconslituting
(EXECU TOR-AOMINISTRA TOn:
the assets thereof and their fair market valul,;.
That at the time of death there was no safe deJlosit box registered in deccdent' s individual name, ur joilllly with, or
as agent ur deputy of another, or in decedent's individual name, with right of acccss by another as agent or dCPUI>', with the
exception of the following: -
NAME AND ADDRES5 OF BANI( OR OTHER IN~TITUTlON
IN WHICH DECEDENT RENTED A SAFE OEPosn BOX
THIS SAFE DEPOSIT ElOX RENTED
IN NAME OR NAMES OF
RELATlONSIUP OF JOINT
HOLDERS TO DECEDENT
--
That the conh:nts of said safe t!e~osit box or boxes arc itemized under Schedules
wi th the exception of the follo\\'ing, for tht: rcasons hereinafter set forth:
of this rcturn,
That Soheclv'e A atlached hereto and made part hereor sets rorth rully and in detail all the real property
in the Commonwealth of Pennsylvania of which cJeccdent died having an interest therein. It also sets forth the
mortgage encumbrances upon each pdrccl of real property at the date of death, giving the amount still due at
death, name of mortgagee, date, rate of interest, and book and page of record thereof. It also Sets forth in the
columns providcd therefore the :tsscss~d valuation of each of said parcels, the estimated market value thcu:of
as ur date or death or deccdcnl.
That Scheclu/e B aHached herelo and made part hereuf sets forth fully and in detail nil personal projlerty
wheresovcr situat~d owned by the decedcllt at the time of death; all moneys left by che decedent at the timc of
death. whether in decedent's immcdiutc 110S session, standing to decedent's credit in banks of deposir, savings
banks, trust companies, or other im>tilUtions, whether individually. or in trust for uny other person or persons
giving also separately the accrued interest (hereon, if any, down to the last interest dRY prior III decedent's
death in the casc of savings banks, and tu the uate of decedent's death in all olher cases; all bonds, postal
savings, treasury certificates or flotes and other evidence of indebtedness of the United States Co the dCa
ceuent; all obligations, whether by statute or agreement they arc designated us lax free, of the United Slates,
or any state, or policical subdivision thereof, or of any foreign country. which arc owned lit the time of dClIth;
all wearing appalcl, jewelry, silverwarc, pictures, buoks, works of nrt,'household r'uniiturc, horses, cUlTiuges,
automobile.s, boals, and any ilTld nil other personal chaucls of whatsoever kind or naturc, left by decedent,
together with the fairly f:stimuted market value thereof; all honds and lI10rtgages held by decedent and of al1
claims due and owing decedent at the time of death, and all promissory notes or other instruments in wriling
fOf the payment of money of which decedent died possessed, of whatsoc\'er nalure, with interest thereon, if
any, giving the face value and estimated rair market value thereof, and if such estimated fair market value be
less than the face value, il sets forth briefly the reasons for such depreciation as to each item; all moneys
payable to the estate from life insurance policies carried by decedcnt: all annuity and endowment contracts
the pfClceeds of which were rmyahle upun th..: death of the decedent; all and the corporate stocks and dividends
due thereon and unpaid as of the dute uf death, bonds and accrued interest thereon to the date of decedenl's
death and other in\,estment securities owned by (he decedent at the time or dcath, with the market value there..
or at such time.
. .
,
In the ca.e of securttles or close or rum 11 I' .:orp.:r..',lons, the vnl""s reported nr<! ols far uS
posslbl" substnnLlnte.l Ill' ~lu~ncl'l stotemellts 01' the eorpor..U.>ns, shnwln~ I.he uss." nll<1 II"bIHtl"S
tb,,,eof ns or Ill. dllte 01' doo'.h. Tho schednle ..Iso sots I'or.h the lllterest of deco.tent at I.he tlmc of
deoUI In 11111' co_rnrtnershlr or ~nslne.S, nnd In sUI.port or u'" '/111110 or Sll.,h lnt"rest tMre Is Mncxe,1 to
sllhl schedlllo, I'lnoncl',1 st,temenl.s Show In!; thef\ssets and llsllllltles or said eo-p..tn""hlll or IIllsIMS..
A corY or tl..' co_polrtn",.blp .~reem.nt, (II' ornl, n stat.ment .,'ttln~ rorth the ""tnr" of th" "~re,,",,,ntl
to~,..h'!r .lth a .totemenl. sel.t.In~ forth the ehococtcr or I.lle .nlSln.'S, Its 10cotl,)1\, and snch other f'oct.
l"'rt,,lnln~ 1.0 th<! bn.lne.s as m"y bo 1,erunen!. !.o a fnlr "n.1 jnst "ppr"ls,,1 or tll. doc..lent'. lnt.ore.t
therein noLSt he snhmltted. It shonld "Iso set t'orth In It,'mlv'd rorm, to~oth," wi th the ralr "arkel. valne
thcreof, an)' oth'" property ow,,,,d or hoqueOl.hed by thc dceed<!nt, "t the I Ime of d"nth.
Thc Sct>edule C nttached hereto "nd m"de part hereor sets I'orl.h n trlle "nSwer 10 ea.h Inquiry
contnined therein IIn.lln the case ot' tl'anst'ers ofpropert,y, real or l.e,,"nlll, within lwo years of decellent'S
dc<<th, In cllntemplntlon or decedent'S deIlU" IIr IntelVled 10 toke et'rect in I'lIssesslon or enjoymenl at or
artcr ,Ieolh, saId sehedull' sets t'orth the nntnr" IIn.1 v<<ln" ot' sueh property, to whom trnnst'erred, the
I'elallonshlp ot' lhe lrllnst'erees to the ,lece,l,mt, th" lorollOrtlonllte shllre recelve,l by ench transferee und
1111 other facts of a perllnent nat.ure re~lIrdln~ .<<Id I.rlln.rer.. In the c<<se 01' trnnst'ers Inlended to
lake errecl In possession or enjoyment at. or <<ftel'de<<lh, thore Is IIlso 1I1tache,1 to' the schednle a copy
of the deed, lruSt ugreemenl, or olher InstrUmenl ereutlng the lrust.. Ther" Is also set forth In said
schedule a lIsl of all property, re<<l <<nd personul, wllh \\.S vlllne, whIch p","es "I decedent's de<<lh by
virtue of the exerelse by deeedent, etlher IndlvlduullY, or jolnl.l)' wllh nnother, or any power 01' al,polUI-
ment vested In decedent, etlher In,lIvlduullY or JoIntlY, by th" will, deed, or other Instrument ot' another,
wtlh a COP)' or t.he inslrument creoling such power atlUched 1,0 the schedule.
,
That Schedule 0 altached hereto ,md mude pnrt hereot' s"ts t'orth the names and addresses of all
persons heneflctullY Inlerested In thIs estale <<t the time of' decedeut' s deoth, lhc nuture or their res-
pecllve Interests, their relullonshlp, If nny, 10 the decedent, logether wllh the uges nt the t,lme or
decedenl's deuth of all mInors, annul tun IS IInd heneflcl.artes for 11 t'e under deeedent'S Will. I t also
contolos a stulement showing which of the heneflclarieS numed In the decedent'S wIll, If uny, died prior
to decedent, the dates of lheir de<<th, lheir Issue, und the rel<<I,lonshlP of such issue to the heneflclury..
That Schedule E <<ttoched hereto and mode a part hereof sets rorth all property, real and l,er-
sonal, owned hI' the decedent jointly with anuthel' or others, including Intangible, standing In the name
or the decedent and others, plus the dat.e and place of record or InstnUo"ntS efrectlng the ,estlture of
real estate and the dale of ncqulstlion of personallY, plus the n<<me, <<ddre.. and relationshiP, If nny,
of co-owners to the d~cedent.
That Schedule F at.tuched hereto ..nd m"de n par< hereof selS forth f\llly and In detail all debts
and deductions claImed ror and on bellal l' of tbis decedenl'S eslllte, Including runeral expenses paid;
family exemption, where appllcohle; costs of admlnlst.ratlon or this estale; connsel fees nnd fudlclary's
commIssions paid or 10 I>e J1ald; cost expended for hurlal trusts, tombstoUes or gravemarkers, and rell-
gloUS services, In consequence or the dealh or the decedent; debts and claims owing and unpaid at time or
death! taxes acerued chargeahle ror p"r1od prior to decedent' s .Ie"th (except those allowed und"r Section
651 of the InMrtlance and Eslate T"x ,\cll; together wllh .. stnlemenl or collateral pledged for obllga-
tlons, if any. It is agreed th"l the nduclary will present proof ot' said claimed obllga<tons upon re-
quesl, lhat If lhe amount actually paid in seltlement ot' any fee, commiSsion or debt Is lesS thnn the
estimated amount claiming and ullowed, that the S"me will he reported to the Register ot' Wills, a"d that
the nmount ot' taX assessed c<<n be re"ssessed in accordllnce therewith.
Thul. the tot"IS or the aJlJll'oprl..te c"lnmns In Schetlules ',\', 'lI', 'C', 'E', aod 'F' as directed therein,
have lleen carried forw<<rd and properlY reglslered In the Snmmar)'.
Subscribed and sworn to before me this ....,..,.,....,...,.........,...
......"'............2,/1 day of , ..cl!,:Y-L-....' 19JIQ,.
.........., ..,~/"f'~'''- I';>) clfi,..eeic-
/ {/ SUlao'. M. leav.n., rloiory Publi<
My Ct.mmit!ion bA~, Jan. li, 1983
N.. (omIIcriolnd. rA (umb,dond (()(lIl1Y
~OTE: lIerore slllnlng tlt'l'ldavtl mok" sure nil bltlnk .\lIl1:es In the tlrfl,lnvlt tln.1 schedules annexed are
filled In with detailS or lhe word 'Sone', tlnd In case the tlssets incl\l<le rtlre and "nllsted securttle.,
securlll". of close or family corpora lions or on Inler"st In tiny co_parwershlp or huslnesS, t.hat the
doln and slotements requlre.\ under thO porn~l'orb <<I,oV" ,'elatlng to Schedule 'lI' tire at.tnched. .\ISO l1\llke
certtllll that column #1 In the 'Sunrnal'Y' hRs heell pro]lerl)' eOlllpleted "5 ohove-dlrected.
C(~~~~--
R. O. #3 Box 431-0 .
.." ...h.............................,.~................"_.H......................H......_.....-...---..
(Street Number)
Annvi11e. PA 17003
......................................................."............................,................."...........M..
(City or Tow" ami State)
.
, ".:c-u C"7"
. c:cillMoMieAL TH O~ PENMSVLVANIA
DEPARTMENT OF "REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT..DE~!DENT
SCHEDULE "A"
REAL PROPERTY
,.
. ..~.::
....
.
Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece-
dent. Property held by the decedent os tenant in common with another or other, should be identified
os to quan'tum of interest and the estimated value should be that of the decedent's interest only. (Property
held os joint tenants with right of surviorship or tenancy by entireties should be reported on Schedule "E.")
The real property located In the Commonwealth of Penneylvonlo .hould b.
described by lot and block number, .tr..' and .t,... "umber, together with
a glnoral d..crlp"tlon of tho property, with a ref.r,nce to the ,.cord of th.
conv.yance by which the doc, dent took till.; If a farm .tat. number of a.
cr.,; alia ata'.men. of mortgago encumbrance. upon each parcel at death
. of dlcedent. Tax.., a.....ment., ac=ru,d Int.,.., on mortgoge., .tc.,or.
to b. IIst,d on Schodule uF" and mu.' not b. d,duct.d from thl. achedul..
(1)
ASSESSEO VALUE
FOR YEAR OF
'DECEDENT'S
DEATN
1. House and lot at 817 Bridge Street, New Cumberland
Cumberland County, Pennsylvania. For title see
Deed Book "5", Volume 12, Page 586. Sold to
Omuk McKenney for 'Jf II (J,
Insert this total opposite "real property", Schedule "A" in the X X X X X
"As Reported" column on the last page of this return.
(2)
(31
DEPARTMENT
VALUATION
CAUTION
(DD not writ.
In thl. .pace)
ESTIMATED
MARKET VALUE
32,OOO.0~
32,000.00
(.J~ 000,00
-$jli
I, ..
,
i
I
i
,
i
I
I
!
. .
REV-4SI (8-71'
*
COMMONWEAL TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS: This Schedule must disclose all tangible and intangihle personal pru)lCrly owned individually by the
decedent, lit the time of his dellth. Property uwned by the decedent jllintly with illlUlhcr or others mllst he listed
under Schedule UEft. Intangible pCfRol1ill properly, titled in tlae name IIf the decedent, hut payable lit death In another
Of others, inclmJing but nntlimitcd to p.D.n. U.S. Savings Br,nds and ICl11ilti\'c trust accounts, ",ust he listed, despite
the foct that they IIfC 110t of the lIdministcrcd estate.
Tangible personal prollcrly should he listed nrst (c.g. jewelry, wearing uppilrcl, household gumls, and
furnishings, houks, paintings, autflnwhiles, huats, ctc.)
hHangihle personal prnJ'lcrty, such as honds, treusury ccrtiricates, cash un hand ami in bil11k. stucks,
mortgages, nutes, together with :lcaued intercst or dividends, salllries or wages, insurance payahlc In the estate or
fiduciary in said capacity, partnership interests, interest in any undistrihuted estate of or incomc frum nny pruperty
held in trust under the will or agrecment of anuthcr, c\'cn though loculed outside of thc Stale, ill the time ur death,
should be listed in this sdlcdule.
Item ITEM UNIT ESTIMATE!) IlEPARTMENT
No. Lisl and describe fully VALUE MARKET VALUATION
VALUE (Do no l wri Ie in
thi s spucc)
l. Proceeds from sale of household furniture 870.00
InSCrllhis total opposite "Personal Property", Schedule uB" in XX 870.00 J'70.00
the "As Rcpurted" column on the last page of this return. ~
REV-"'" (8-161
',-
'~;)i~ tf)
;,,'_iQl\iI;'~;j'~
(,.,,~." '
..~t""d:<:~i. ~ ',)
CO~MON\\'EALTII (IF PEN~SYI.V'\'I"
TRANSFER INHERITANCE TAX
RI'.sIDEl'iT DECEllEi'll'
SCIIEIlU\.I'. "n"
nFSI'.I'Il'1 \RIFS
nENEFICIARIES AND ,\IJllItFSSES
(Slllll; rell nClnes owJ aJ.:(l'~o;{,,, 01 ,lIl ",ho
have (In inlcrc;st, vested. contingent I'Jr other"
""be. in c:;l:.td
l:-.n EltLST 01.
IIE'<I'.I'\l.'AItY
IN FST ArE
me :n','lll\'l'll. st.t :-, 1 \11' '\ I.."i \ \Sift fI\
_ ~~~'~_ ___'~t~~) ___J_u________L
Georaie Mae Lingle and Albert R. L'n le, . --I --- :~
her husband
_ ._. _ ___l__-"---~--
R. O. #3, Box 431-0 \ \
Annville, PA 17003 ~ghter an.c!..-- Yes \_.!dU!!:.-l Entire Estate
\ son-in-la~ \ ------\
\ _ -]\ \ _____J--
I . \
I J -+--- -\
+-- \-- r
I r
-\---=r----+
---------------
---.
\ \
J \
t- \
\ \
._.___.l.--. ______1-
--------.--.-------.---------..- ----..----.-
Deponent further says that 01\ the obove.named beneliciarics are \lving atthi' time ;xcept below:
NAME ;;~~: cr ;:;~;. -;;; 'l----=-- ,,~:;IDENCE
r
-- ---.,
-----.
~
E<Il:3:
Ii:t It
'n'" t:
'E ~ E
.... u ='
.g"C.o
..: e U
. 0 .
olJ~
_ _ u
=,;Il -
U " ~
~ e g,
~ ~
~ 0:
Real properlY
I'crsullill Property
lhnsr~rs
J01ritlV Owned Property
SUM~I,\R\'
_ (Sdt. ",\")
(Seh. "U")
(Seh. lie")
(Sch. "F")
Cd'lISS Taxable Estate
\ i- "0
~ Z "
'" to.! ~
'" :;;; "
... "
to.! U
I '" >0 " ...I
~ '" Q <t
... on
~ tI. ... " :a
c.. '"
c.. 0 ::;: " ""
" 0-
" ..r: ",tJ,J ;- 0-
,c to.! ,ci- ::;: '" <t
0 i- i-<t ~
;I: OJ " 0
z .!: i- '-i- .~ " %
0", ... " <t
tI. to.! ... c..
IC 0 '" '0 I-
.g u ""
~ -= 0
- to.! 0-
.. "
~ i- w
- "
Ul i- '0 ~ ""
'a ..r: '0
_.5 :;;; t. 0
" " e
:::"0 " e
:::..-,: " "
...I V V
(I)
(As Reported)
~ 32 ,000.00
~ 870.00
~
s 7.54R Sq
$
$ ...4O,Ala..59----
.-
(2)
(As Determined)
~
~
$
$
$
$
.~
RCC~;'8
IlESUlENT IlECEilENT
SCIIIJII'I.I', ..\:..
.I11I~T\: \' ll\i~EIl 1'1((11'1,1(1 \
.";1"
i ~~'~
-:O~.. r~f
") ,'. .~
,~tr-dl;~'"
COM~IONWE'\\:TII 01' I'E:>:NSY\:V,\:o.iI,\
TR,\:>:SFER INIli'lUr.\:o.iCE TAX
I~STRl!(,TIONS: This sl:hl'.hll,' f11USt. diselo~w 1111 !l1'(lP"I't.y. ,"'Hl ,'UI.I jI"rsoll,II, ""'II/',j 11\ lhl' ,\",','d"1I1 .llJlntly
\\1111 IIIlIlCh.'r IIr ullwl'S, 11l1~llIdllll!, ItllHlll!lblt!s, sl:"\lllll:~ ill 111.. IlIll~I" or t.ll" .!..,:,.d'!1I1 /lllll nlh.','s. List.
r....a) l'~lnlt' l'lrst., liS .'IIIII.,.ti..s, 01' .Inltl!. tl'lIltr1ls. 1!,1\'111~~ 111'1,'1' dl's(':-II,lIoll. liS ITIlII(~IlI..,1 1l1ll1"r Sdlt!llul,'
".\". pillS LIlI' dull' Itlll\ pll'Ct.' 01' rl'l:orll 01' Insl,I'IUU;>IIl. l~l'l""~llll;~ ,pst! 1111"', !"I' d" lIul. IlIl~llldl~ f~llt.ir.!t.le~
ur lIut 01' slat" r....d ,'stat'. \';1I111l III est/II.(- \'IIIIl!tl.IHII "11)11/1111. 1'1'1'~'''1I1t1 J'1'ol'I'rty 0.;11<11111\ Ill! I istl'll liS ill
Sclwl!ull~ "11ft, pillS /Ial,' 01' 11~lluisllJolI, IIl1d t11'~ 1l11111", addrl'S~ ,,,,,I r,'I;tl.lnrl..hll' (II' /IllY) 01' l~o-oWIlt:rs t.u
tilt:' llecl~tl"nt..
DI'S('rJpllnn nl" Prnlu'rt.y, UI~te of" AClluJslt.lnll, Sill.... Cnlt 1"~rcl'IIUI~" E:-otnU!
1\llt!rl~ss nlll! 1l'~llltlnllship nf' en-Owners, IUlll PIIIl"! V"lue Still"'! VIIIIJlltloll
nl' Ill'corll nl' Instrument, wlterr Ill'ul Estllln.
,i-t 0/ra'" ~>;~~);<;;.;" :;!/;~;:: :t~,.;~>j;(.-;$:~ :%;//>;)~~:~
. x 7~x('<-'~ /;.- >>; / ,.'j. .':;1' y // /;;;'i X ,,//x:~: /x^,"^
x x"~0{-~ " . X-...~/~./. >-:'0' //i' . /;.' ...../'/:.y,(./; :" ;</ ;<'o('.~.;.,
;. y,X...'i' . ./~:",I'/ 0'. ,,/ /.;..X...~... .:..-:-<~:<,.....i'.)),. '. /,,1; -' ;"'. ...
IlEI'AIlTI,II':ST V,\I.UATIOS
CAUTION-Do nut. WrJ t.e
I Il 1'hl~ r- f\Ct~,
\'ulu!! of
Elll.trp
I'fupeft)'
.nltw or
UI~cedent' s
In t.e r'es t
1. CCNB Bank, N. A. Checking Account #630-768-
dated May 10, 1979 and held jointly with
the names Carrie Murray and Albert Lingle.
Full value included herein.
1,170.18
2. CCNB Bank, N. A. Savings Account #001-05810 -4
dated February 17, 1972 and held jointly in
the names of Carrie M. Murray and Georgie M
Lingle. in the amt. of $2,443.68 plus accru d
interest of $10.98. Half value included he ein.
3. CCNB Bank, N. A. Cert. of Dep. #18225 dated
November 8, 1979 and held jointly by
Carrie M. Murray and Georgie M. Lingle,
with a principal amount of $10,000.00 and
accrued interest in the amount of $302.15.
This Cert. of Dep. was the reinvestment of
a previous cert. of dep. in the same amount
at Commonwealth National Bank. That cert.
had #11-20000087, and was in the joint name
of Carrie Murray or Mrs. Georgie Lingle,
whose names had appeared on this money
investment for in excess of two (2) years;
therefore, half the balance in this account
is included herein. (The attached statemen
will verify the existence of this account a
early as 1975.)
1,227.33
5,151.08
Insert this tutul (Jppnslt'~ ".Iuilttly (J\I"\l~ct Property", Schc.lllil' ftl';" 7,548.59
in the "As HI!!Iurl.ed" CU11ll'1I1 Oil till! lust Pil;I;" of' tltls "l!lUfll.
~tC~~rB
caNS BANK. NA.
MAIN OFFICE 331 BRIDGE STREET NEWCUMBERLAND,PENNSYLVANIA 17070 17171 n4.7000
Date April 22, 1980
TO: Jon F. LaFaver
as of
317 Third Street
New Cumberland, PA 17070
RE: Estate of Currie 1-1. 1,1urruy
Name of Decedent
The'following is a complete record of the above decedent's accounts
February 6, 1980
Date of Death
Type of Account
BsJ.ance on Date of Death
Principal Accrued Int.
Names on Account
(All Owners)
Date of Creation
of Joint
Ownershi
630-768-0 Checking $ 1,170.18 None Carrie 1,1urray
Albert Linr;1e 5/10/79
001-058106-4 Savings $ 2,443.68 $ 10.98 Carrie 14. ~lurray
Georgie H. Linr;1e 2/17/72
18225 Cert. of Deposit $10,000.00 $302.15 Carrie H. 14urray
Georgie H. Lingle 11/8/79
R. S.
"
,
..-_.._.__..--~..._..~.-..- --. .
.
.
.
. Commonwealth A~
~~~!!R~~N~ ~
---
DEAR CUSTOMER,
AS.'PART.'OF'.OUR 'REGULAR AUDIT PROCEDURE WE ARE VERIFYING OUR RECORDS AS OF THE CLOSE OF
BUSINESS ': II ..' II.' "A~D WOULD APPRECIATE YOUR COOPERATION. PLEASE COMPARE THE INFORMATION
SHOWN BELOW WITH YOUR RECORDS. ANY EXCEPTIONS SHOULD BE NOTED ON THE BACK OF THIS FORM AND
RETURNED'DIRECTLy'TO'TtjE AUDIT DEPARTMENT IN THE ENCLOSED ENVELOPE, '
j ti II :~ t~ !~.
WE WISH TO VERIFY THIS ITEM(S)
I'Y"~, ~i' ^t~(1"r.T t;lliTFICfln ".11.
',.",:r.fJ~ lll,"",,zT , 11 ':O()f-OUo7
!~", T I..
.:. {) l' -;.
I~: ~ ..;1. T
~ ,;), ~Oll. ()II
, ~ j" L; ~: ~ 1 \' :.i:, T ".
111'1-:"") .
V'l,i :!fIY r'IIVl'. (JTHl::~ Ct'iiTlFIOTLS ;:1' 1.'1;"(;;,)'1 .",iC:'.t ,;';i:'i)' :IS,
!.~ !~;~fl~'i,ll:' Af TtilS Tll"'.{-' ...--...----..~- ..~.
. . . . .
"
,I' f"L ~~UVf.: L"'r.C!<"r.Tlo.) 1'; CGilllCCT, G''; ..'.1' .; L". T 1, '. , .
~J. :",\-q'LE d,JI~l~,\Y Cf~
:,i." "'.~Ii".'lli:. L.:!"~\j1.c.
>l" ..i<L0u: ~ r
'l.... '" ....,..;~.\_..I.,ttI ....k
.... , . . ..' , -
I
,
YOUR SIGNATURE
~ 'I. '/ "
PLEASE NOTIFY US IF THE ADDRESS SHOWN IS INCORRECT
COl!lmonwealth 1~
NatIonal Bank L<..'::"'~
~._. --.>.>
INTEREST STATEMENT FOR YOUR VARIOUS SAVINGS PLANS
. ISSUED IN LIEU OF A 1099 U,S, INFORMATION RETUI1N
FOR C^LENI'l^R VE^,l
HRS. CARRIE HURRAY OR
HRS. GEORGIE LINGLE
617 RRInr,E ST
NEW CUMBERLANO PA
1975
17070
184-07-3327
rAXflA VEH 1.0. NO.
r--..-.----
$60_~~_~
INTFIlEST
1'600.00
10600.00.
: ~.
, . " ! . :..' \ ;:. ~ ,I:'
-".
TyPE._.----- OFF'
cERTI rI CA TE 11
ACCIlIINT NUI~HER
11-2000008-7
PLE^SE NOTlr-V us PROMPTL v or- ANV CHANGE or- YOUR ^DDRESS ANO r<EPORT ANV ERROR WITHIN TEN D^VS
(OVEnI
--.'-'-.-- -.---1"
"
I
,
I
,
File Number
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
2l-80-0l0l
REV04B4 EX" (3.110)
Estate Name
~lURRA'{ L~arri~~
Date of Death
02/06/80
Sod"1 Security Number
I, the undenigned duly appointed Inheritance Tax Apprai..r in and lor the County 01 Cumberland
Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the loregoing
retum at the values set forth opposite each item in the last column ta th. right in Schedules "A", "B", "C", and "E"
REPORT OF INHERITANCE TAX APPRAISER
Dated:
July 9, 1980
)If/l/JIf,',, J #/1'1".4-./ J
INHERITANCE TAX. A~PRAISER
INVENTORY
ADJUSTMENTS
VALUE AS APPRAISED CODE (HARRISBURG USE ONLY)
S 32 000 00 00+
870 00 to+
7,548 59 2ll+
None 30+
40,4l8 59
40-
REMAINDER APPRAISEMENT CODE
92+
Reol Property (Schedule A)
Personol Property (Schedule B)
Jolnt.Held Property (Schedule E)
Transfer. (Schedule C)
TOTAL GROSS ASSETS
93-
Leu D.bts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life utates or
annultl.s. . . . . . . . . . . . . .
ill:E
FACTOR
PRINCI PLE
VALUE
CODE
I
FOR USE OF REGISTER ONLY
Tax on $
~
COMPUTATION OF TAX
$
$
$
6"
"
15%
T ox on S
T 0)( on $
$-
Tax on S
I
Tax on S
Exemptions -
Total Estato
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
$
Less Credits
OATE OF PAYMENT
AMOUNT PAlO
DISCOUto\T
INTEREST
TAX CREDIT
S
+ S
S
=
$
=
+
INTEREST FROM
BALANCE DUE
BALANCE
TO
s
S
S
REV.457 (1.ao)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
-
--
-~
'*'
Estate of
MURRAy
Carri~ M,
File No,
2l-80-0101
County
Cwnberland
Dale of Death
02/06/80
TOTAL REPORTED PROPERTY
7,548 59
40,418.59
In the event that anv future interest in thi..stato Is transferred in pouesslon or onjoymont to cOllatOrDI heirs of tho decedent after the expiration of any
II1lto for life or for Y8lrl~ the Commonwealth hereby expres.sly rlJrorves the right to apprai.o and assllSS transfer inheritance taxes at the lawful collaterar rate
on any such futur.lnterest.
-
PROPERTY REPORTED BY THE ESTATE
DEPARTMENT'S
APPRAISED VALUE
32,000.00
870.00
None
1. TOTAL REAL PROPERTY - SCHEDULE "A" . .
2. TOTAL PERSONAL PROPERTY - SCHEDULE "S"
3. TOTAL TRANSFERS - SCHEDULE "C" . , . .
4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E"
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
TOTAL UNREPORTED PROPERTY
None
TOTAL GROSS ASSETS
40,418.59
LIFE ESTATE OR ANNUITY CALCULATION
I do hereby certify that the above opproi5ement is made in conformity with Pennsylvania law and has been filed this day
with the Register of Wills.
..-/tiJ,fJ",f"" ~t~;?t),~.d' )
APPRAISER
07/09/80
~ ~ i
~ ~ QJ 'T:l
oM c:
:z ~ ~ Iol III
0 Iol o-i W
III Iol "t:l \0
lol u QJ <=
U) j III
:J . .....
j Iol
...:l u QJ
< ) ~ '"
-
u :z :* 0 '"
- 0 U o-i '" \0
l<.
l<. -
0 ~ 0
~ l<.
l<. 0 Z
E- O U) 0
U) lol U) >- E- O
- :z
z E- lol !-< ~ Z
...:l 0 - 0 ~ ~ ~ t3 lol lol
...:l Z == Z Q ~ Z
~ ~ U) ~ 8 0 -
lol Q ...:l
RCC- 84
18,77)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
IN'iERITANCE TAX
ASSESSMENT
.
t' /, ~ -i- 1')./. ' /
TO: ' -(..-<,'\.~-'!.A, _ .)'; t,;' ,,-1, (..../:--
" .., _, ,. '. 'l.r
7J: /;:/'-' ../' /)"_,, ,,/J..I/(/.L,.J
',; , I
.. f. .' . C
.<:1 I >' /iA.ell. .~/ -
Jj/L{.',- {~(~./..I, (.___.. -:..L"t-' J.
For County Information purposes only
COUNTY FILE NO: ;.; 1- / J - I () I
DATE
'/':-L" IT/i)
, .
I
ESTATe-'OF : >7', ",._/II~i( (!.!I....r
FILE NO,--L:' / n /,) . / I) I
COUlITYOF ,.(:vt.,,(N....-{I:.~.A<-1-
-
Cd:;;
"----.---
.7.'
/ /(1 1,1
DATE OF DEATH
i.ll "
.j 1../"
(;:. Iff'rJ
,
----------.------------------------ - - - - --- ----- ------ -------- --- ..---- ---
less: Approved Charitable Exemptions
$ ; .J~: L.--C:
~. --
/'j,) '~'(j
- -'I
/ 'l,(
$ -, I~ , J I :/ :1
,
1 /;0/ ';"1
t ~)l r
" , -I ,f/ " I
$ '. ,X /.:J
,
.--
; " ;, ,J, :;
$ .J ,I .' I /J
Appraised Value of Estate:
Real Estl'ltc
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
$
,....
- .1
;
.."J
tax due
$ /
{-fip (! j
Amount Taxable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
$ /
i+&
-
J~
less Credits:
DATE OF PAYMENT
'!./I-('J
AMOUNT PAID
DISCOUNT
+ s !', (.j
, ../
INTEREST
TAX CREDIT
s //".)~ () '-(,'
s
=
I '/ . ./
Sl/';_.IU
+
=
+
=
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
S
1 - ./ -
III ...; ", #--,
.__....' -..-i
(nterest will accrue al the
Inheritance lax from
rate of six (6) percent per annum on the unpaid balance of
to tile date of payment.
Assessed by: : / /. {/j j (
Agent IOf 1I'lll Commtl wcalth
l
/0,Ur/;J
/
SEE REVERSE SIDE FOR INSTRUCTlONS
REGISTEF; GF VVILL'S COPY
Fofm RCC.IO
;2 I ,5 i ' ,/ c' /
STATEMENT OF DEBTS
AND DEDUCTIONS
OECUCTIONS ...UOW(D IN
OFTICE OF THE
REGIST[~ or WILLS
THE SU' OF ...... ,$ 7 ,/,'1! 3 I.,
om.APPROVEC ...,.,., -. ,~/6//9P
_~2})'U~j~C__~' ~L'~Y __
/~2..(f_".).. 19y~:') F R!Jilltf 01 WlI. "'g,"1
I
CAT' OF New Cumberl and, Cumberl and County, PA
or
COUNTY
AND ....CENT 01' nus: COMMONW.....LTH
:---7.,(.
..~ .
ESTATE OF
Carrie M.
OAT&: or D~TH
February 6, 1980
DATt 01'" FILING APPRMS[MENT
:'/,1
. ~ t..
DATE
HO. 0'-
YOU(:HI;"
NM.lI," 01'" PAY[:C
R[Io4ARKIi
^IotOUNT
Regi ster of Will s
Letters & Certificates
34 00
R J Romber er & Sons
Borou h of New Cumberland
Geesaman & Melchior
Sewer & Trash
Maintenance Services
Gilbert W. Parthemore Funeral Horn Funeral Ex enses
Grosky, Druckman,
'Giacomo Associates Professional Services
PP&L Electric Service
2 213 10
80 00
16 73
7 15
19 38
18 00
Bell of PA
The Patriot-News Co.
Cumberland Law Journal
Tele hone Service
Legal Advertising
Legal Advertising
RCWCO
Good Samaritan Hospital
Register of Wills
C. M. Detweiler, Inc.
Water Service
Professional Services
Recorder of Deeds
New Way Pest.Control -
Pest lnspectlon
Fil ing Fees
ommi SSl on on sale of property at
817 Brid eSt" New Cumberland
1 /2 transfer taxes
Pest Inspection
Roof Certification
1980 county/boro taxes
Homeowners Warranty Pl an
Lega 1 Fee
I-Filing Releases
6 00
2,240 00
320 00
35 00
25 00
64 00
240 00
2,020 3
25 0
Jon F. LaFaver
Recorder of Deeds
7,984 36
COMMONWEAI..TH OF PENNSYL.VANIA "'\
COUNTY OF Cumberl and J'.'
I, Alh!'rt R. Linole. Executor
HEREBY CERTIFY. THAT. TO THE oECIr 01'"
~Y KNOWL~OGE AND O(:LIEP. TH~ FORIEUOING 16 A. JUST A"'O THU! erATE"'ENT 0:'" OEOTO. FUNERAL EXPENSES AND EXf'EN5t,5 0,.
AcMINISTRATlON 6UDMITTEO TO THE E5TAl'E OF . M r a
/-/
L(.i(-.A.JV ,
CAY or Al bert R. L ingl e', Ex
ttU;ERITANCE TA.X PURPOSES.
(L. 6.)
OWOR. AND 8UB!OCRIBED ftEFORE Jotl; THIS //J-i'.tL
.'0 80
11./ _~~-d7,
n.ne M, leavelle. nolary PaIllic
My COlMlil:i:)n h .il~" I,ln. 13. 1983
... tumlNi...r.. PA Cumlltrl",d CowIIV
/'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INIJERITANCE TAX
ASSESSMENT
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TO : \ (I (t ~. ~~--I'\'r;,').:xLc--- ___
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For County Inlormatlon purpOSf!S only
COUNTY FILE No.c21 -- 1""1} 'JJj
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ESTATF.OF~~l)1 ll"'~
FILE NO ;.; ,.'" J I () I
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COUNTY OF
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DA TE OF DF.A TH
Appraised Value of Estate:
Real Estate
Personal Properly
Jointly Held Property /Transfers
Total Gross Estato
Total Approved Deductions
Clear Value of Estate
less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
Amount Taxable @ 6% Rate
Amount Taxable @ 15% Rate
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
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$ J\~~ C, C_
,
s
s
s
s
$
tax due
$
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $ I n 3, 9'.c::;
DISCOUNT
+ S
+
+
BALANCE OF PENNSYLVANIA INHF.RITANCE TAX DUE
INTEREST
TAX CREDIT
$
s/o~ c.; c:,
=
=
, -:)Z;t ~ l~,^n
~ ~
rate of SIX {6} percent per annum on the unpaid balance of
to the date of payment. I
. {' I
Assessed b;: f.i 9rt1. l/ d-- ;:( I ~ (\ ) 1',-;0 L"-
A ,n"fO'fh"'7mmonW""1 ,.,' \J J j r'"
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SEE REVERSE SIDE FORINSTRUcnONS ;"
REGISTEn OF '.'JlLL'S COPY
[n(crest will accrue at the
Inheritance tax frcm
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