HomeMy WebLinkAbout80-00195
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No. 21-80 195
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY'
in the Estate of \N \ \ \ \ ~ ,Y\ R. ,-\ u \,-1S ~ y-~,,- y , deceased.
To ~\ ,:;,.-y<,\d ~. Me L~'<'I.Q , '\]y,r\-'1 Register of Wills for the County
of Cumberland, in the Commonwealth of Pennsylvania.
is .
Petitioner(-' GFe the execu".... ,-;.. named in the Last Will and
TestamentoL W~\\I;:"", 1~. \1v'<\-1-:S\)'1Y"Y'Y dated ~ebyu;>'\'lol "'l.4,\~YO.
Decedent was a citizen of the United States and a resident of
Township
SSFGblgh, Cumberland County, Commonwealth
u \' 0' .. f\ \\.e '"
of Pennsylvania.
Decedent died on <"'"T\,p )C\cl..f the i g"ti.
A. D. 19...fiQ.., in the County of C\-'IN"\ ~Q,'" \-c",,^
\Ve'<"'\'<\ )~, \'1 '?M:~ at the age of ~ years.
~/ - -
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
.1/ ~
'S/ 00 0 and of real estate to the value of
day of
~y~\,\
, State of
("'\<.l y..€...
estate situated as follows
as near as can be ascertained; said real
\'<-'>~ ~~\,',<..?b\.e...
,
,TI. i,
Therefore, your petitioner(~ respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated \'C'I'd..-c:\-- ~'i \<{ko
,
Name and address
of Petitioner~
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COMMONWEALTH OF PENNSYLVANIA },
ss
COUNTY OF CUMBERLAND
6"",- \1" (V\c. f'~v3 \".e.1
named in above application, being duly. ~"'-' 0"'" according to law
say(s) that the statements set forth in this petition are true to the
best of ~" 'Y knowledge and belief. ~.
i?\No"Y1f, I~ and subscribed before ~,.., /;;, / tz;;:7~./
me,. +- fv\ JYC \... L.. ~ 19 "t,'7J
~~~~t~:~~~1c-j;~vn~eputy
. '\ . Register
Filed:
March 24,
1980
Attorney:
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G .""''M?~ \"I;\\c:v
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA 1 ss:
COUNTY OF CUMBERLAND r
This .....................................::&,~..........."........... day of ............~~~~.~...................................... A. D., 19.%9.,
before me ..................\::\;bt..\~........~.,.......~S..k~~.f..I".........:Q:..0,.j:y, 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 ..............~...:11.!-).~?,!.........\:0.;..\\rx..........~..".....:~D.M......~.:.....~..\.Lb~.!::..........
................................................................n................................................................................................................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of
..............................W..;.\\~..?~........s~..,.......H.~.d~..~yj!iy............... Dated ...~.~.\!.~:~.....}..~yl.&"()
late ,of .............\.J..t?~.:(.,.....~.\\:f:<::'>..:~j!\~~.?'o.\!f......................................... Cumberland County, Pa., deceased
who being duly ..............;5.,~.~~.~................. according to law, depose and say, that ...j~1......Y:::?:f?..'!::.~..........
present, and saw and heard the testar.f..GY..........................., .....\,y.~\\~.~.~.....R..:..Hy..~.-r.~.~:~X...................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h..~............. Testament and
Last Will, and at the time of so doing ..W...~\.\:I.?.ro..Q....~},..'!:'-\~.~yr.:. was of sound and disposing mind,
memory and understanding, to the best of .................j,~~..X<............................ knowledge, observation and belief.
..............s..~\\f.~....~........... and subscribed before
~aflJ.J~:":fJ\:.qd(~~:........ :e~fs~:Y
~~ . ~
.~.:..........~...............................................
C;;;/1Z- r ~u.{~
..........................."i.;.. .........................................................
............................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA 1 88:
COUNTY OF CUMBERLAND r
..........................................................\;;.~:!?j,+h....jy\~:...S~.':!~h~1..................................................... being duly
...................S.~.~f.!O............ says that as nearly as can be ascertained the said decedent .....~.~.\.\.{.?:Dr.-.............
..........................................Q.,.....\.1-.~..'0..~~~.\~.;C:3-!?.y................................................................................... died on
....~..I.~.f..?f.k?1....... the ...............lB.:'.P.::.......... day of.......................~2).~.b,............................ A. D., 19.8:.Q,
at or about ................g..~...~Q................ o'c1ock;b.: M.
.................S..\,u.Ii.l.'0.........\~....... and subscribed this
....................:J..:..~~................... day of ....~~.?:@h.
..........~~..27.1.~k:V;%~...
19:~~., before
'-~J~Jtri.:~~.~~.=.........
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA~
SS:
COUNTY OF CUMBERLAND
Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the
County of Cumberland, personally came ...................p"'-l.e.Lry.'...........lf.\A.(..G.:c,~.b~1".............................
who. being duly ......:>.Y.~~~.iC...... do ~)....... depose and say that as .........~.:!?.~.:-::.h~..............................
of the last Will and Testament of .............W.~.~.L\..:?~......Q..............fu).:-.b.~.:{~,9...y............ deceased
......................~h.~........ 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 Jaw relating to Transfer Inheritances.
.......~.~gy.~.... and subscribed
before me.
~
.........................~...2?Z'C.~~7...........
...............,.....M~h.....)..:.::{....... A. D.. 19.?o...
~~~..J11.~.:nK~....~.:!?~.~~
Register
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DECREE
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. 24th March 80
Be It remembered that on the .......................... day of ........................................................... A. D.. 19......... there
was probated and recorded the last Will and Testament of ........'::'.~..~.~~.~".1...!<.:...!:!!:I.r!:t::.:>)?!'!.;g.~.;:...........................,
late of ...................yP.li'~.!:...~~.~.~.n....'!:.'?\o!.n.~.h..~.P...................... Cumberland County. Pennsylvania, Deceased. Letters
Testamentary
.................................................................. were granted to
Evelyn MCGaughey
...................................................................................................
Witness my hand and official seal the day and year afor~~~t'J J " .'
. .E...:fiv.LJ4.1.J.)t<;;.:~~~~..........!?.7.~.~.~y...
. ~,Reglster.
. .
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
ss:
Evelyn McGaughey
being duly sworn according to law, deposes and says that ..,e _Js the Executrix
of the Estate of William R. Huntsberger
late of Upper Allen Township , Cumberland County, Pa., deceased and that the
within is an inventory made by Jv..eJ..y.n_~cG~ghey-- ._ _ " the said Executrix
of the entiro estote of said decedenl, consisting of all the person at pro~..ty and real estete, except real ostate ouhide
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
es 01 the date 01 decedenl's death.
and subscribed belore me,
.(~fu !Jlc &~c'''-~
Evelvn McGaughev
EllOcutor . Administrator
If)aJ,
/1[(0 t 19[0
rnf:~ ", W, OJ Ie Moniz, Notary Public
~Cl nics lur~ orougl1, urn cr an aunt
My CO!1l!\l;~si(ln bpi res fIr)f. 23, 1983
Member, jlenn~Y~'J~nIJ ,\ssr;cialion of Natali s
2713 Mill Road
Grantham, PA 17027
Addr.n
Date 01 Death
18
March
1980
D.y
Month
Yu,
INSTRUCTIONS
I. An inventory must be filed within three months aller appointment 01 personal representative.
2. A supplement inventory must b. filed within thirty days of discovery 01 additional asseh.
3. Additionalsheeh may be eltached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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Inventory of the real and personal estate of
William R. Huntsberqer
decea.ed.
1. Checking Account #44-864159, Dauphin
Deposit Bank and Trust Co., Harrisburg,
PA.
2,730 87
2. U.S. Treasurer -1979 Income Tax Refund
016 00
3. Metropolitan Life Insurance Policy
#2302901M. No named beneficiary
4. 62 E Series, U.S. Savings Bonds
Registered to William R. Huntsberger
or Mary Huntsberger. (Mary Huntsberger
died March 3, 1971).
5. 1974 Buick 225 E1ectora
6. 1969 Dutch Craft - 16 ft. Camp trailer
1,188 02
2,500 56
825 00
800 00
16 00
7. Medicare refund
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NOI1'1fVIIl:lO:lNI X't.L 30N't.LIl:l3HNI1'lfl:l3N30
PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION
1. PERSONS RESPONSIBLE FOR RETURN
Section 701 of the Inheritance and Estate Tax Act of 1961 provides that the lollowlng persons shall prepare and file
a return:
.(
a. The personal representative 01 the estate of the decedent as to property 01 the decedent administered by him
and such additional property which is or may be subject to Inheritance Tax 01 \\11ich he/she shall have or
acquire knowledge;
b. The transleree of prQperty upon the transfer of \\11ich Inheritance Tax is or may be imposed by the 1961 Statute,
including a trustee 01 property transferri' ,:, trust, prol'id~~ that no separate'return need be made by the transleree
01 property included in the return 01 a ~~. sonal representatl ve.
2. PLACE FOR FILING
Tile returll is to be filed in duplicate with the Register of Wills of the county \\11erein the decedent resided.
3. TI'J,E Fe F; FIL IN G
Tt:e I.to,r: is due nine months after the decedent's death, unless an extension for filing has been applied for and
~;a:,ted bi' the Secretary of Revenue within the nine-month period.
~. FAi~;'.1RE TO FILE RETURN
S~e\;~17S1 of the 1961 Statute prDvides that". . .any person who willfully fails to file a return or other report
rs~: 'IL~ of him. . .shal! be personally liable. . .to a penalty of 25% of the tax ultimately found to be due or $1,000
v:'I::I:e\'~; is the lessel to be recovered by the Department of Revenue as debts of like amount are recoverable by
law,'
5. lAX F."iES
Irl~le~ijanCt Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife,
sen, d3~gM6~, grandchildren, grandparent, son-in.law and daughter.in~law and at the rate of 15% as to all others.
6. p A,Yr.~ENT 0 F TAX
Tile tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death. Interest
at the rate of 6~D per annum accrues thereafter until payment is made. All payments received are first applied to any
imeiest wl'ich may be due with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE
DECEDENTS DEATH, A DISCOUNTOF 5% OF THE TAX PAYMENT IS ALLOY/EO.
fl.:! checks should be made payable to the Register of Wills of the county wherein the decedent resided and are
reee: ,ej subject to the final determination of the Department of Revenue.
7. FAiLURE TO PAY
liI~ taxes im?osed, together with any interest thereon, are a lien upon real property, which lien remains in effect until
. t',~ taX~S and interest have been paid in full. The taxes may be sued for against any real property in the decedent's
estet" 01 against any property belonging to a transferee liable for the tax.
B. FILII~GOF FALSE RETURN
Any person vmD willfully makes a false return or report required of him shall, in accordance with Section 793 of the
19~1 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding
$:.OU:: er undergo imprisonment not exceeding one year or both.
""~l<iij,i.l,:,':;...:.,."':,_.
IIIlEV-.:r,: 1t-!:1
CQMMON~',!:AL TH OF .PENNSYLVANIA
DEPARTMENT OF REVENUE
TRAN5FER INMERITANCE TAX
RESiDENT DECEDENT
(; ..
SCHEDULE "A"
REAL PROPERTY
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(Instructions On Reverse Side)
William R. Huntsberger
DESCRIPilON
ESTIMA leD
MARKET
VALUE
DEPARTMENT
VALUATION
(OFFICIAL USE
ONLY
None
TOTAL THIS PAGE
N Mu....
"l'Tlr~_',
Attachment to Schedule B -
Inheritance Tax Return - Es tate of William R. Huntsberger
William R. Huntsberger or Mary Huntsberger
$25.00 $25.00
,Jan. 1960 48;08/ Oct. 1962 44.01"-
April 48.63/ Nov. 44.01"-
May 48.63.1 Dec. 44.19"-
June 48 . 711 Mar. 1963 43.00~
June 48 . 711 Apr. 43.00"-
July 47.18/ May 43.00"-
Aug. 47.18/ June. 43.32....
Aug. 47.181 Oct. 42.17....
Sep. 47.721 Nov. 42.17....
Oct. 47.72" Dec. 42.43..-
Nov. 47.72.... Jan. 1964 41. 09....
Dec. 47.82.... Dec. 1966 37.26~
Feb. 1961 46.31.... Sep. 1968 35.06--
Mar. 46.84- Nov. 1968 33.96-
Apr. 46.84..- Jan. 1969 34.42....
May 46.84- Mar. 34.42....
June 46.98..- May 33.34-
June 46.98.... Sep. 33 . 62_
Aug. 45.50..- Oct. 33.62_
Aug. 45.50..- Nov. 33.62_
Sep. 46.01..- Dec. 32.81....
Oct. 46.01..- Dec. 32.81_
Jan. 1962 44.69..- Jan. 1970 32.81....
Feb. 44.69'- Feb. 32.81....
Mar. 45.01.... Mar. 32.81....
QUE~ nONS 90NCEflNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any transfer of any m~~ial part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "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 "Yes" or "No".) yes
3. If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable, provide the following
information:
a. Age of decedent at time of transfer. 76
b. Copy of death certificate.
c. Affidavit by the attending physician indicating the state of decedent's health at time of transfer.
d. All other information supporting nontaxability of transfer.
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration
therefor l'tt1ich was to take effect in possession or enjoyment at or after hiS/her death? (Answer "Yes" or "No".) no
a. Was there any possibility that the property transferredmight return to transferor or his/her estate or be subject
to hiS/her power of disposition? (Answer "Yes" or "No".) 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 tile right to income frDm the property transferred? (Answer "Yes" or "No".) no
b. The right to designate the perSDns who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".) no
6. lithe answer to five b. aoove is "Yes," state whether the right was reserved in decedent alone or Dthers.
7. Did decedent in hiS/her lifelime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No".) no
8. . Did decedent, at any time, transfer property, the bmeficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could revert 10 decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No".) no
9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved
in the decedent alone or the decedent and others? (Answer "Yes" or "No".)
.
McNEES, WALLACE e: NURICK
100 PINE STREET
r. o. BOX lUG
!-fARRIZDU'ilC:;-P1r: 17100
.
WILl.
OF
WI 1.1.1 AM R. HUN'l'SJlF:RGER
------.---
I, WILLIAM R. HUNl'SlmHGlm, of Grantham, Gumberland Gounty, Pennsylvania,
declare this to be my will Ilncl hereby revoke all prior wills and codicils
mucic by me.
1. I give and bequ"'lth my camper and my automobile to my friend,
EVELYN McGAUGHEY, of Granthmn, Pennsylvania.
2. I give and bequeath all the rest, residue and remainder of my
estate unto my children, IIhare and share alike, or their issue, per stirpes.
3. If any beneficillry under this will shall die within thirty (30)
days after my death, he shull be deemed to have predeceased me for all
purposes under this wi 11.
4. I grant to the fiduciaries named herein and their successor or
successors, the following powers in addition to and not in limitation of
such powers as they may hold by law:
(a) To sell or otherwise dispose of any property, real or
personal, at any time forming a part of my estate, for cash or
upon credit) in such manner and on such terms and conditions as
they may deem best, and no persons dealing with them shall be
bound to see to the application of any moneys paid.
)
. '
,
7. I direct tllat all e2tate, inherit~lnce and succession taxes that may
be assessed in consequence of my death, of "hat soever nature and by whatever'
jurisdiction imposed, shall be paid out of the principal o[ my general
estate to the same effect as if said taxes were eXiHmses of admini.strati.oll,
and all property includible in my taxable estate, whether or not 'passing
under this will, shall he free and clear thereof.
8. I appoint as executrix of my estate my friend, EVELYN McGAUGHEY.
My executrix shall also serve as the guardian of the property of any minor
beneficiaries under this will, under any insurance policies on my life, and
with respect to any other property passing as a result of my death, it being
my intention to make this appointment effective in all cases where it is
permitted under the laws of pennsylvania. No fiduciary, named herein shall
be required to furnish bond or other security for the proper performance of
his duties hereunder.
IN WITNESS WHEREOF, I, WILLIAM R. HUNTSBERGER, herewith set my hand
to this, my last Will, typewritten on five (5) sheets of paper including the
. . of "'1' tnesses, thl'S'7y.bday
self-provlng attestation clause and slgnatures" ~
of Fc~"N"ry ,1980.
./J.r/ (,e/7' \ \~
7 W!LLIAM R. Utj;l'S
'., ,"',,^".. "'''''''''', G ~ UhI.~L-
, and ~" _,/ ~ _ )A-L.:tt.V' . the testator and the witnesses,
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respectively, whose names are signed to the foregoing instrument being first
duly sworn, do hereby declare to the undersigned authority that the testator
signed and executed the instrument as his last wi,l1 and tl1llt he had signed
willingly (or willingly directed another to sign for him), and that he
executed it as his free and voluntlry act for the purposes therein expressed,
and that each of the witnesses, in the presence and hearing of the testator,
signed the will as witness and that to the best of his knowledge the testator
was at that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
TESTATOR:
-11.;;)1;///'1/ I? r 'fj~t;z;JtYtc-4Pt.~
WiLLIAM R. RUNTSBERGER ,(7
WITNESS:
1J1 Jk 111.
,
WITNESS:
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INSTRUCTldNS FOR COMPLETING SCHEDULE "E"
Schedule "E" must include all property, real and personal, owned by the decedent jointly with another
party or parties as joint tenants with right of survivorship. Both tangible and intangible property are to be
included. Lis\ [eal esta~e, first. ,
. '
1. Describe all real property as indicated in the instructions for Schedule "A". Describe all persDnal property
a's indicated in the instructions for Schedule' "B". Include the name, address'and relationship to the
decedent of the co.owner (s) and the date the joint ownership was established. '
2.' Indicate the total market value Df the jointly ownEd property.
3. Indicate the percentage of the decedent's interest.
4. ,'Indicate the market value of the decedent's interest.
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Attachment to Schedule E
Inheritance Tax Return - Estate of William R. Huntsberger
William R. Huntsberger or Catherine Huntsberger Barbour
$25.00 $25.00
May 1971 31.14..... Oct. 1973 27.19.....
June 30. 32~ Oct. 27.19....
July 30.32.... Nov. 27.19....
Aug. 30.32.... Dec. 26.80.-
Sep. 30.32_ Jan. 1974 26.80-
Oct. 30.32.- Feb. 26.80....
Nov. 30.32..... Mar. 26.80-
Dec. 29.50..... Apr. 26. 80.x ,1,).94
Jan. 1972 29.50..- May 26.80)( ~11.
Feb. 29.50..... July 26.02-
Apr. 29.50- July 26.02.....
JlUle 28.72.... Aug. 26.02-
June 28.72.- Sep. 26.02-
Aug. 28.72.... Oct. 25.2Cl-
Sep. 28.72..- Nov. 25.20-
Oct. 28 . 72~ Dec. 25.26---
Nov. 28.72..- Jan. 1976 22.97-
Dec. 27.94.... Feb. 22.97_
Jan. 1973 27.94..... Mar. 22.97..-
Jan. 27. 9 4~ Apr. 22.31-
Feb. 27.94~ May 22.31-
Mar. 27.94- June 22.31~
Apr. 27.94~ July 22 . 31_
June 27.19.... July 22.31..-
Aug. 27.19..... Aug. 22.31.....
Sep. 27.19..... Sep. 22.31.....
,
Attachment to Schedule E
Inheritance Tax Return - Estate of William R. Huntsberger
William R. Huntsberger or Catherine Huntsberger Barbour
$25.00
Oct. 1976 21. 71/ Nov. 1978 19.94"-
Nov. 21. 71.... Dec. 19.85..-
Dec. 21.71...- Jan. 1979 19.77...
Jan. 1977 21. 71"- l1ar. 19.61~
Feb. 21. 71.... Mar. 19.61....
Mar. 21. 71.... Apr. 19.53.....
Apr. 21.14 ..- May 19.45.....
May 21.14" June 19.36..-
June 21.14 " June 19.36.....
July 21.14... Aug. 19.20....
Aug. 21.14..... Aug. 19.20"-
Sept. 21.14..- Sept. 19.13"
Oct. 21. 0 5.- Oct. 19.07--
Nov. 20.96" Nov. 19.00....
Jan. 1978 20.7lV
Jan. 20.7lV
Mar. 20.60..-
Apr. 20.52..-
. Apr. 20.52"
May 20.43...
June 20.35.-
July 20.27....
Sept. 20.10....
Sept. 20.10....
Oct. 20.02....
iNHERITANCE TAX SUMMARY SHEET
Rev"'" ex+ (3.801 (BUREAU .USE ONLY)
File Number ..._.~~,ftZ.- eJilS
Estate Name _..h!il~,.t?"'1._ u.__/i!.._.__dp#/~bE&.p:.!1--
Date uf Death ___.s..:/,?..'].fI....-
Social Security Number --.--.-----.-------
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritanco Tax Appraiser in and lor the County 01 ~ber~B~d
Pennsylvania, do res~ectfully roport that I havo appraisod the real and personal property os reporte in t e oregoing
return at the values set lorth opposite coch item in the lost column to the right in Schedules "A", "B", "C", ond "E"
Doted: September 25. 1980
A?l!IM /17 J .,/(?IJJJ.~i )
INHERITANCE TAX APPRAISER
INVENTORY
VALUE AS APPRAISED
ADJUSTMEHTS
CODE (HARRISBURG USE ONLY) REMAINDER APPRAISEMEHT CODE
92+
Real Property (Schedule A)
Personal Property {Schedule B}
Jolnt.Held Property (Schedule E)
Transfers (Schodule C)
$
00+
10+
20+
TOT AL GROSS ASSETS
30+
..Z_9...Z.J..- J...1. .---
93-
Lou D.bts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTA1"E
40-
Valuation of life estates or
annuitIes. . . . . . . . . . . I . .
~
FACTOR
PRINCIPLE
VALUE
CODE
FOR USE OF REGISTER ONLY
Tax on $
!;QQF
COMPUT A TION OF TAX
S
S
S
S
6%
Tax on S
15%
Tax on $
Tax on $
I
T ox on S
Exemptions
Total Estate
TDTAL TAX
INTEREST FROM
BALANCE
TO
s
S
$
INTEREST TAX CREDIT
S . S
Less Credits
DATE OF P~
AMOUNT PAID
DISCOUNT
s
,. S
+ ~
BALANCE S
INTEREST FROM ____ TO -- S
BALANCE DUE S
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. , ~1',J" l!i\i~",DI:PARTMENT'OF.'l!EVENUE"I\';'<ifiP\i'fA""'''lA',:,t\~i,.""
...~' ?>i~,t~':ri<!~\'.r~"~i'"...."l'-;,i"'~~" (~I.,\j,;-;J.; 't'~;i"'tt'.rt~ :'.;-\',(;~ ,1\,'I~.i':-I' .':; \.'1,t..\'i,;.',,!,Y.~,I...~:t~;l-.,,~ II, ,,~~...'i'~,~
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------------------POWl HU.ID.ID 111llll1'Y....'ftM' 6i 751100-- - - -Q"jlars,
representing Pe~niylvonio Inheritance or
, Estate Tax due Irom the following estate:
. ',m:
,
~~ress .
c/o
.....
.,'l'hoIIu Miller, "lI.
11"
2% Tax on
$
$
t,::,..,' Ili'
$
$
$
$
$ 498,75
$
Rarrl.J:IIU'g, '11.
17108
6 % Tax on S
,,~i1eNo.
21.AC)-10!lO Dote 01 Death 3-18-1980
150/,Toxon $
Dote, 01 ~oyment ..0........... '9S0
- -- -. , .
% lox on S
Estate Tax, Act of
May 7, 1927
.-, ", .
'Nome of Decedent V"(J'LIM' III. ~RBlIQlII
Co'unty
C....-dand
TOTAL TAX CREDIT
Less five percentum of lox if
paid within three' months oltor
dole of death
Plus Interest at the rate of
':
_%Irom
to
$
-'AID D FULL-
\;;
''U'OO ~ [P[b~ @&\lfrn
SEA L
TOTAL AMOUNT PAID
$
498.75
"NOTE: Thl, T~IPIk:a18 Rtcelpt to be retained for .ucllt purpo.o..
Received by
~O'EJ In acc.pting Ihe Iran,'.r_lnhtrllane.i 10M on future .sloles, prior 10 tho death of the Iif,
'enonlor,tenonllor Vlon, ,01 evldtnc;ed by thl' receipt, II II understoodlholthe Commonwealth .hall
nOlb,.prtcludedor'prllv.nled from hereorlef oueulng oddUlonol.lnhtrUonco lox ollhl deolhoflhl
'lII.t.nonlor:'e"onl for y.ors wh.n.v.rlt app.or, thai such oddmanol 101 may bllegolly'dlJl and
coll.cUbr. for onv rloson wholsoev.r.
It eJ
l 'I . '< I.
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___,___.__L____._~__
l~L~X~:~~z;:,:;,\ ;'i~:,~: ',~' <:-,
if:~coMMO.~wEAl.nf OF 'PENNSYLVANIA
:>';'!(I)EPAR:rMENT OF ,REVENUE ,
i,'Ii> BUREAU, OF EXAMINATION
.l~;':,~'\'~~"e,\;". "i'"
OFFICIAl. NonCE OF
INHERITANCE TAX
ASSESSMENT
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tij:~:r}):::';::;;'::/,,<.:, . .~ ,,' ,;
I~~~;t;:,
.c""': ,,'!',I (' :' ,'-, ",' " '~ '
1~~f~)~fral;a~\laIU~ 01 Estata:
~~:~~:~}~):~'.;':" ~~~I,Esta~e'" , .
~,'?~'~(~.~,".,;>.:.:. ',:' : .. --', , ,"
.ii\'/>.,F'" ..'".
'i~!;".';;.: .' ~ersonal f'ropenv
i:Ar",:,',;-:"",:,:.--:"" . " ,
:,','!.:,',"""':""':'-',''-""",.-\-"",;" , : '),'
.. Jointlv' Hald Property/Translers
$
+
+
-'":'''\',:',';
$
$
."-,j:.,,"'I,\''-'
: ,:: -' :.::'., 'i :::-, ~::, - _ " ' . ~ ::," -': " ,,'
. ': Less: App;ovad Charitable Exemptions
~F~:,~:'<;,'<'::."'::;,<';,:::::,> " ,.., ,"
;:CleB~Valueol,EState SubjeCt to Tax
:-;.;", "",';..., ,'"
, __' .-,.' ,:/ '.~," -,i '._'>
1,;',",,',:,'-'''' ',':",',:,"" ;', "
" Amount Taxable '@ 6% Rate
.-,)
\"
$
$
'tox due
.
""i,. .'_\'
'lunount T..able@ , 5% Rate
tax due'
:;i;<.;-,'
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
'"" ,':
.',,0;,",', " </<,\"',~...
Xt~i?~'~':":''-:'-;;:;' .... <<i:,:. """"'-'" ,* ,1l-. * * .'. A five' percent 'discount totaling
f:': :~C~~d~~YM::~' be :::t:T :AI:e Inheritance Tax Is paid by
;:{~::", ',i':,:':
.
\'~
'.'""'\,:,,,
--:".,
DISCOUNT INTEREST TAX CREDIT
+ $ . $ = ..~rt R, 7.5
+ =
+. =
\
.\"
l)di'-9-~..1f~ ~,7~'
"
'.;::::",.'-':
';;;':',:" ',,;
"" Interest accrues at the rete 01 six (61 percent per ennum
., on ',the unpaid, balance, of Inheritance Ta. from
't~"date 01 payment, Interest due if paid bV
, ",' BALANCE OF PENNSYLVANIA ,INHERITANCE
.',
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