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NO. 21.80 254
.-..'
PETITION FOR LETTERS OF ADMINISTRATION
IN THE ESTATE 01' ",~!.\~,~".~,:""g:;:g,~~"""""""""""""""" DECEASED.
To "" ,!,!,~ !.<:!, ~ 0. ".~,~ '" !:!!?,~,~ !},~,!," n~,'P.~ :1;-,1." '" ". ,.,,,,,,,,,,,,,,,,,,, """" ",.",,,,, ,'" ,.""
Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania,
The Peti tion of ., ,]';,1-1 9.~,~~", ,01,:", ,~~,I} ,9.!.-,1? ",~1:l:~", ~!l,~.+, ),1:\., ,t.-,:" "t.-in.g J..@",,,,,,,.,,,,,,.,.,,,,,.,,,,,,,,,,,,,,,,,,,,,,
","', "," "'" ""'" ",", "'" "."", """."""" respectfu lIy showe lh that ., ,r-, ~r. !.-,."Io\ ,'", J~),p. gJ~""" """",,,,,,,, """",' ""
was a resident of .",,,(;,?mp.,,JIU,+.,,.,",,....,,""""..""~B mWh'R ,Cumberland County, State of Pennsyl-
oroug
vania, and a Citizen of United States, and departed this life intestate in the County of ,.""""""",,,,,,.,,,,,
Cumberland Pennsylvania
''',' "".."......,.., ,. .........., ,.., and State of "."",.", ".".:, ,.."", ",."""""""" ,. ,,,"'" '" ,.", ,., "."""",,,,,..,,,.,,,,,..,,, ,.. ".""". .....,
on ..!~,~~,~,~Y..."..,"'"..,'" the "",J.?!::~".."...",,,..,,,.. day of .."'''''"..~~,f.!?,~''''''"..""...,,...., A, D" 19,~,9...,.,
at the age of .."",,..,~,~. years,
That the said ....~,<:':!;,L!3::,...~,~!}.~,~~""""..."''''''"...,.,,..,,'''''' deceased, left surviving the following
named widow or husband, heirs and next to kin, to wit:
Name
Mary M. Lingle
Relationship
Mother
Residence
R.D.#2, Grantville
................................................................
............................................
................................................................
"~~E7.Y.....~:....,~~,~:1.~.~"..,,,......,,,.....,
Merlin L. Lingle
Brother
............................................
Brother
",!:l,~,~~.~'''~,~~:!:!:~..(,..~,~,':!:t;.,~'',~,~!.ol ina
Harrisburg, PA
................................................................
............................................
................................................................
...'!:~\I~p,.,~...9.:".,)A!.\~.~~..............."...
Brother
",!:I,~,H,t~,!?,1-1!.'i!,!,...~,~",..,"'"..,',...."..
............................................
................................................................
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................................................................
...............................................................,
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................................................................
................................................................
............................................
................................................................
................................................................
............................................
................................................................
,...............................................................
............................................
................................................................
That those above named include all of the next of kin, so far as known,
The said decedent was possessed of personal property to the estimated value of $..P,~,.,Q,Q,Q"....""...,
and of Real Estate, less incumbrance, to the estimated value of $,,,,,,,,,1;!.'?1:\!,!..,,,,,,,,,,,., as near as can be
ascertained,
That .the said Real Estate in so far as is known is located in "'''''''"...~!!.O:",.,.....,,,...,,..,,...,,''',......,,,..
......... " ... ...... .. . .. ..... . ...... ........... . .......... ..... ...... . . ... . . . ....... . .. . . .. .................. ~ . .. . . ............ ....... ... ...... . ... . .. . .. . ....... . .... .... . . .. .,. . .. ...
Therefore, your petitioner(s) respectfully apply(ies) for Letters of Administration in the above
named estate,
April 11. 80
Dated ..."...",,,,,,,,,....,,.,,,,,,,,,,,,,,,,,,,.,,,,,, A, D" 19"."",.,
Signature and Address
of Petitioner (s)
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COMMONWEALTH OF PENNSYLVANIA
} ss:
COUNTY OF CUMBERLAND
,,,..~,~~:,?~..,,~,:..,'~,~,~~,~.~..,,"~,~~,,,.,,r::,~ ::.~,~,~..,~,:,',.~~,~:I,l,~",..,""""""'"'',.,.,'''''''"""",..,.,.."""",,,, named
in the above application being duly """..""""""~,Y!.'?,~!}...",.""",, according to law, say that the facts set
forth in the above application are true to the best of .!;!.1~~,r." kno\VJ~dge and belief,
. . S'Jnro nd subscr'b d fl t.. (. { ..~:.,l ." ',fr',
""."..,.......,...."....,,'"', ""...."..,,,,,.,,,.,,, a . I e ''''.'''7 "....'.......,.,::",,,,,;/.1.1,'.". ";,."",.".""",..,.""..,."".,.,,,
before me, ,2~:L".(.2;,;".",.,1:.~:.\?~;,;,""L.",,,,,,..,..,''',..,''..",,,
/
'1. .,0:-,uL(...,._j,'''''''''(.j}(,..~~....,.,,,....,,,.,,..,' "",....."...""""",.,,,,,..,....,,..,,,,,,,,,.,,,',..,..,'""""""", .., .,
001" , Register . . ,J
Filed: ..,.."!.:!?~,~,~"".,.~,~,:",,,,,~~,~,~.,,,,.,,,,,,...,,,.,... Attorney: A:II'::,:!,.\,~~""~:,"',,:7.d.,L,?,~.1~f./...
(over) /,.,'Q ~ I/t- t" /-'/.:;J.,... 'y'"".4.:,O( ,:i2'7 /~ 0-
,
Estate No. .,~.......::""..~.~.~~.~,
254
BOND
KNOW ALL l\IEN BY TlmSE PRESENTS, That we,
......,E:l,lg"'.D.~,.,q.......,L.,tl1g ,l.~."..,.,..,..,"'".,
a.11<:1...~~:r.1.,i.I1,.L..".L,i.119.l.",........,.."......."..".."",......
and ,.....,~.:t: ,.. . 1),i1-,\l,L.f.,i,.+:<;l,..And".Mar ine, , ,Ins ur.ance... Co.,..,
................., princip;1I..~.....
........."..............................."....
....................................................................................................
...................................................................., surety........."
arc held and firmly bound unto the Commonwealth of PeI1115)'h.al1ia, ill the sum of ..,.'r,w.o",.li,undr~d".S,e,lI,e,nty
...,.~J:l9.I,1~.i1-,!!.9,::,:::::::::::::::::::::::::,::,::::.::::.::,-Dol1m (s2.7.o..".Cl.9,o.".99..), to be paid to the said Commol1wealth,
her certain attorney or assigns. to which payment, wel1 and truly to bc made, we do hind ourselves, jointly and
scvcrall)', and our and each of our heirs, executors, administrators, successors and assigns, firml)', b)' these presents,
for and in the whole of the said sum.
SEALED and dated the ""..."""..",JJ.$,t"""..""""..""..day of ,.",..".".""H,;l.r.G):I".."""""""", 19"1).0.,,
WHEREAS, the abo\'e named ,."",,,..,,,J;;,'1.g.~.I1,e., .g"""L..i..l1,gJ.e., "~D..:J.,.~e.,;-.l..i..I1""L.""":L..i.l1,gJ~,,,,...,
...................................................................................................................................................................................................
has or have madc, or is or arc about to make, application to the Register of \'{fills of Cumberland County,
Pennsyl\'ania, for the grant of letters ,,,.9.;I;.,,,b,9.JlIJn,i.$.J:x.\3..tJ.on,,.,,,,,.,,,,,,..,,,,.,,,,,,,,,.,,,,,,,,,,,,,,,.,,,,,.,,,,,,,,,....,,.,,
on the estate of """"9.\3.,+:J",R,,,,,j:,;i.ngJ.~,,..,,,,,,,,..., .",
.",,', late of .""""C;;,1l.U\p"JU.lJ,,,,,,,..,,,,,,,,,,,,.,
Cumberland County. Pennsylvania, deceased:
THE CONDITION or TI-IIS OllLlGA TION is, that if the said personal representati\'e "';...",,. or any of
them shall well and truly administer the said estate accord ing to law, this obligation shall be void as to the personal
representati\'e or representati\'es who shall so administer th e said est;te; but otherwise, it shall remain in force.
SEALED and dcli\'crod in the presence of
r<<-ft~~--..-----.-- .mr7!~.~l?4.m (SEAL)
(-'"/?# ~ ...-c ./" ':?!,&.'/ (.-:". / <~_':A
~7C"e;p:~=-----------' __~c~u".u..~.~~-----. (SEAL)
___ __ u __ _u''. -'r _ _ u__.. __ _ _ _ .'" _ _ _ _' _. _ _ _. - .S:t"c_Eaul_ fir.e.a nd.1Jadne _lns.u~a r(~A\:Jl,1
_\J~-l1~:....,,----,,-----.-_.,,-. bY:..:b~_-.&...~----- (SEAL)
__~,!;..t_q.rD!'!Y::. iD:J.qGL,,--.----""--.--- (SEAL)
--------------------------------------..----
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMllERLAND S5:
Personally appL.arcd hc:fow me, a....... .
............................
. ............................................ in and for tile county and
state, aforesaid ......... ....... ........ ..................... ......... ..... ... ......... . ...... ..'" ....... ............. ........ ... ..' ............... ........... ........... ........ ..... ..........
of"",.".".,."".."."",."""",.,.""..
...........................
"".."..".."and..........",,,
...................................................................................
,..,.".,.""."..".",.,,",.,,"" "....'", ..."."",.",.,,,.,,,...,,.,...,,,,,,,,,.,,.,.of,,,,..,,,,,,..,,,,.,,,..",.",.,,,,,,,...,,,,,,,..,,.,,,.... ......"...,,,,,,,,,,,.,,,,..,,..,,..
surities on the above bond who being duly sworn (affirmed) according to law, depose and say that thc)'cach own Real
Estate worth the wholc of the penal sum namcd in the abovc bond, o\'cr and above their debts and the debtor's exemption.
..........................................
.",..."." day of "".""",.".,,""""
"".""".."""...,."""""."""",.""".."",.,.""",,.,,",.,,,.,.., (Seal)
".,,,.,,,,....,,,...,,,,.,.,,,,,,,,,,.,,,,,,..,,,..,.,,,,.,,,.,,"""'",,.,.,''''' (Seal)
".,"",..,.,,,.,..,,'''''',.,,'',.,,''''''''''.'''''''''''~''''''''.'''....'''''' (Seal)
"",.",..,."."",.,,,,,,,,,.,,,.,,,,,,.,,,,,,,,,',,.,,",,."."",,.,,""",.... (Seal)
Sworn and subscribed before me this
^,D.19.."",."
...............................................................................................
CI.... ST, PAUL FIRE AND "iARINE INSURANCE COMPANY (H.pil.1 S,oe, COlllpanYI
ST,PAUL. MINNESOTA
Fidelity and Surely CERTIFIED COI'Y OF "OWER OF ^ TTORNEY
Department Original on File at Home Office of Company, See Certification,
KNOW All. MEN BY THESE PRESENTS: ThaI the St. Paul Fire and Maline Insurance Company I a ~tHrora.tinn o,,~anu.~d ~nd ~\1\11ll~ un,h~, ,hl.'
law. l..\f Ihe Sllll\! of Millllesola, and having iu principal office Il\ the City of SainI Paul, Minnesota, dot\ hereby constitute and Ollll'nll\t
M. Harvey Taylor, II, Robert R.. Roebuck, Charles C. McLaughlin, David A. Ulsh,
Richard R. Darling, Mimi A. Blazer, Catherine A. Perhach, Cheryl L. Shiffer,
individually, Camp Hill, Pennsylvania
its true and lawful atturneysls\.in.fact 10 execute, seal and deliver for and on Its behalf as surety. allY and all bonds ilnd undertaking... reCt'~mlilm't\,
conlrJcls of inllcmnity ;!lId olher writings obligatory in the nature thereof, which are or may be allowed. required or pcrmilled by I"w, stilIUlt!, rltle,
regulation, contract or olhcrwI~e, Jntllhe execution of such instrument(,) in pursuance of these presents, shall he a!: binding upon lhe said St. I'aul Fire
and Marine Insuranct! Company, as fully end amply, to all intents and purposes, as if the same had been duly executed and acknowledged b>' ils 're~ul,IlI}'
elected officer~ at il5 prindpalllffh'e.
TI1:s Power or Attorney is executed, and m3Y be certified to and m3.Y be revoked, pursuant tll and by authority of Article, V ,-Section 6(0, l)f Ihe
By.Laws adopted by the Board of Directors of the ST. PAUL FIRE AND MAIUNE INSURANCE COMPANY at a meet inK called and held on the 23rd
day of January, 1910, of which Ihe following is a Hue tramcript of said Section G(e,.
"The Presillenlllr any Vice Pn'sidenl, Assijtant Vice President, Secretary or Resident Secretary, shall have power and authority
(I) To appoint AttoIlley,s.-in.fact, and 10 authorize them to execute 00 behalf I)f the Company, and attach the Seal of the Company therelo,
hands and undertakings, recllgnil.ances, contracts of indemnity ami other writings obligatory in the nalure thereof, and
(2) To appoint Spcdal Allorneys.in.fact, wi\\) are hereby authorized to certify to copies of any power-of.attorney issued in pursuallce of Ihis
section and/or any of Ihc By.l..:lwS of the Company, and
l3) To rCIUlWC, ill any lime, any such Attorney-in.fact or Special Attorney.in.fact and revoke Ihe authority given him."
Furlher, this Power of AthHney is signed and sealed by facsimile pursuant to rcsoludon of the Board of Directors of said Company llUlIl>lcJ al il
meetin/t duly called and held un the 6th day of May, 1959, of which the followio~ i~, a true excerpt:
"Nnw therefore the si~n3tUfeS of such officels and the seal of the Company may be affixed to any such power of attorney or Bny ccllifiealc
relating ,thercto hy facsimile. and ilny slIch power of attorney or cerlificalb bearing such facsimile signatures iJr facsimile seal shall be valid and hindin~
upon the Company and any sllch power so t:xeculed and certified by facsimile signatures and facsimile seal shull be valid and bind in!! UpOll the COl11pany
in Ihe future with respect 10 any bo~d or undertaking 10 whieh it is attachcd."
IN TESTIMONY WHEREOF, the St. Paul Fire and Marine Insurance Company has cau:\ed this instrumcnl to be signed and
its clllpmale selll to he i1ffjx~d hy its authorizcd officer, this 29th day of February A. D. 19 80
ST, PAUL FIRE AND MARINE INSURANCE COMPANY
STArE OF MINNESOTA
CounlY of Ramsey
5S.
ViC(' President,
On Ihi~ 29th day of February 1980 ,hefore me came the individual who executed the preccding illstrUnH.'llt.
to me personal!>' known, anll, being by me duly SWOIn, said thai he is the thercin dcsctihcll and i1llthoti7ed officer of the St. I)aul Fire ami Marble
In,urance CompanYi that Ihe seal affix~d to said instrument i~ the Corporatc Seal of said Company; that the \aid Corpmale Seal and his Si~llJtllrt: were
duly affixed by order of Ihe Doard of Directot!> of said Company.
IN TESTIMONY WHEREOF, I have hereunto set my hund and affixed my Official Seal,
at the City of Saint Paul. Minnesola, the day and yrar firsl above written.
V,C, INNES
NotllIY Public, Ramsey COllnty, Minn.
My Commission Expires April 21, 1 'J83
CERTIFICATION
I, the undersigned officer of the St. Plut Fire and Marine Insurance Company, do hereby cettify thaI I have compared the fote~ninR copy (If the
Power of Attorney and affidavit, and the copy of the Section of the By-Laws of said Company as set forth in said I'owerof Altomey,. with l!leORIGINALS
ON FILE IN THE nOME OFFICE OF SAID CO~WANY, and thai the same are correct transcripls thereof, and of the whole of the silid otisinals. and thai
the said Power of Attorney has nol been revoked and is now in full force and effect.
IN TESTIMONY WIII'IlFOF, I hal'e hereun,o ",t my h,nd this 31 S t
day of March
19 80
. '-~Stcrctary.
.Unlimited as 10 character alld amount.
10870 CPS Rev. 10.74 l)rlnted In U.S,A.
COMMONWEALTH OF PENNSYLVANIA I
. COUNTY OF CUMBERLAND J
5S:
!").!g!;lI}~_G.-,-!oi-119 le.ilI1C1~(;lrlil!..~ ,__r.,iI19~ll--_, -- ------------------ - - - ----
being duly _SliOXO------- according to law, depo,es and say, that 1:t,cY are the ------..--
-ExecutOJ:s-------------------- of the E,tato of Carl R. Lingle
late of Camp Hill ' Cumberland County. Pa.. decea,ed and that tho
within i, an inventory mado by _____thSlI1L---- _____ _._ -.--------, the ,aid Exe~~_
of tho entire e,tate of ,aid decedent, consi,ting of all the personal properly and real .,tate, except real e,tate outsido
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory repres.nt it', fair value
.s.of the date of decedent's death,
and ,ubscribed before me,
\ '/4~~ ,-t.,?;,dL ~~ / /:.iP.
liggene G. :uin_9le Merlin L. Li~?fe-
Elltlcutor . Adminhtretor
7655 Manor Drive 5224 Woodland Dr.
<1 19 cS'G
p ((1 n~
E E, ROW. Notary Public
M~ mminicn bjlire~ hnuarv 19, 1981
HIUisbuIQ. PA Dauphin (oul1lV
H~yyiRhur_~-PA 17112 Harrisburq, PA
Add.... 17109
O'Y
March
Month
19BO
Date of Death
24
Yeer
INSTRUCTIONS
I, An inventory must be filed within three months after appointment of persenal representative,
2, A supplement inventory must be filed within thirty days of discovery of addition.1 .ssets.
3, Addition.1 sheets m.y bo attached .s to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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Inventory of the real and personal estate of
Carl R. Linj:!le_.____doco..od,
. -.-----------....
.-.._------
Savings Account #1-8393, Harris Savings & Loan, Harrisburg, PA
Checking Account #55-76-134-8, Dauphin Deposit Bank and Trust Co.,
Harrisburg, PA
Cash
1394.738 Shares PP&L Common, NYSE
1978 Ford Fairrnont
Nomad, 12 ft. Camp Trailer
Household furnishings
Bethlehem Steel - accrued vacation pay
Bethlehem Steel - unpaid wages
Metropolitan Life Insurance Policy 129953500.
PP&L - refund of overpayment
Bell of PA - refund of overpayment
Shotgun
IRS - 1980 income tax refund
64,244 84
J.,225 37
419 00
21,095 41
3,000 00
300i 00
111\ 00
2,534,00
556 31
346 61
6 64
11 52
40 00
877 85
-L
94,778 55
Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estate,
In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration,
attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker,
GENERAL INHERITANCE TAX INFORMATION
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed, Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this schedule,
A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania,
If there is no spouse, or if the spouse has fotfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption, In the event there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent,
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1, If the family exemption. is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent, Enter "family exemption" in the remarks column and the amount claimed in the amount column,
2, Assign consecutive numbers to each item listed,
3, Enter the date on which each debt was incurred and/or paid,
.4, Enter the names of each payee,
5, Provide a brief explanation in the remarks column for each debt claimed,
6, Enter the amount of each debt being claimed,
7, The form must be signed by the person who has assumed the responsibility for paying the debts,
PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION
1. PERSONS RESPONSIBLE FOR RETURN
Section 701 of the Inheritance and Estate Tax Act 011961 provides that the following persons shall prepare and file
a return:
a, The personal representative of :he estate of the decedent as to property 01 tile decedent administered by him
and such additional property which is or may be subject to Inheritance Tax 01 which he/she shall have or
acquire knowledge;
b, The transferee of property upon the transfer of which Inheritance Tax is or may be imposed by the 1961 Statute,
including a trustee of property transferred in trust, provided that no separate return need be made by the transleree
of property included in the return 01 a personal representative,
"
2, PLACE FOR FILING
The return is to be fited in duplicate w'th the Register 01 Wills of the county wherein the decedent resided,
3. TIME FOR FILING
The return is due nine monll1s alter the decedent's death, unless an extension for filing has been applied lor and
granted by the Secretary 01 Revenue within tile nine-month period,
4. FAILURE TO FILE RETURN
Section 791 of the 1961 Statute provides that" , , .any person who willfully fails to lile a return or other report
required 01 him. , ,shall be personally liable, , ,to a penalty 0125% of the tax ultimately found to be due or $1,000
whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by
taw,"
5, TAX RATES
Inheritance Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife,
son, daughter, grandchildren, grandparent, son-in-law and daugl1ter-in-law and at the rate of 15% as to ali others,
6, PAYMENT OF TAX
The tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death, Interest
at the rate 016% per annum accrues thereafter unti I payment is made, All payments recei ved are fi rst applied to any
interest which may be due with any remainder applied to the tax, IF TAX IS PAID WITHIN 3 MONTHS AFTER THE
DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED,
All checks should be made payable to the Register of Wills of the county wherein the decedent resided and are
received subject to the linal determination of the Department of Revenue,
7. FAiLURE TO PAY
The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until
the taxes and intere~t hove been paid in lull. The taxes may be sued lor against any real property in the decedent's
estate or against any property belonging to a transferee liable for the tax,
,
8, FILlNGOF FALSE RETURN
Any person who willfully makes a false return or report required 01 him sl1all, in accordance with Section 793 01 the
1961 Statute, be guilty of a misdemeano,r and, on conviction thereof, sliall be sentenced to pay a fine not exceeding
$1,000 or undergo imprisonment not exceeding one year or both,
R&V.451 (1.80l
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEOENT
SCHEDULE "B"
PERSONALPROPERTV
(Instructions on Reverse Side)
Estate of Carl R. Lingle
ITEM
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DESCRIPTION
Savings Account #1-8393,
& Loan, Harrisburg, PA.
value attached.
Harris Savings
Report of
2.
Checking Account #55-76-134-8, Dauphin
Deposit Bank and Trust CO'r Harrisburg,
PA. Report of value attached
3.
Cash
4.
1394.738 Shares PP&L Common, NYSE
5. 1978 Ford Fairmont. Value at sale
6. Nomad, 12 ft. Camp Trailer. Value at sale
7. Household furnishings - appraisal attached
8. Bethlehem Steel - accrued vacation pay
Bethlehem Steel - unpaid wages
Metropolitan Life Insurance Policy
129953500. No surviving beneficiary.
PP&L - refund of overpayment
Bell of PA - refund of overpayment
Shotgun - value at sale
IRS - 1980 income tax refund.
UNIT
VALUE
15.125
ESTIMATED
MARKET
VALUE
64,244.84
,
1,225.37
419.00
21,095.41
3,000.00
300.00
111.00
2,534.00
566.31
346.61
6.64
11.52
40.00
877.85
TOTAL THIS PAGE 94,778.55
'*
DEPARTMENT
VALUATION
(OFFICIAL USE ONL Y)
9J~ 'J} /,..,S-
-&:gl(
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two yems of death, make any trnnsfer of any material pmt 01 his estate withoul receiving
valuable and adequate considerntion? (Answer "Yes" or "No" ,) No
2. Did decedent, within two yems 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",) ..N!L-
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,
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 which 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 transferred might 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 nr the right to income from the property transferred? (Answer "Yes" or "No" ,) No
b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".) No
6. If the answer to five b, above is "Yes," state whether the right was reserved in decedent alone or others,
7, Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No" ,) No
8, Did decedent, atony time, transfer property, the b61eficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No",) l\ln
9, If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved
in tlle decedent alone or the decedent and others? (Answer "Yes" or "No".) No
,\
Rr.V.4!'i4 (1.80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTL Y OWNED PROPeRTY
*
'y
,~t l'
(Instructions 0/1 RI.'Versf: SMa)
Estate of
Carl R. I,ingle
--.-
---- - ,
P
TOTAL E VALUE OF DEPARTMENT
ITEM R
DESCRIPTION MARKeT C DECEDENT'S VALUATION
NO, VALUE E INTEREST (Official Usa Onlv)
N
T
~
None
.
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TOTAL THIS PAGE Ntl1J../
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INSTRUCTIONS 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 01 survivorship, Both tangible and intangible property are to be
'lDcluded, List real estate lirst,
1, Describe al\ real propertY as indicated In the instructions lor Schedule" A", Describe <11\ personal propertY
as indicated in the instructions lor Schedule "B", Include the name, address and relationship to the
decedent 01 the co-owner (sl and the date the joint ownership was established,
2. Indicate the total market value 01 the jointly owned property,
3, Indicate the percentage of the decedent's interest.
4, Indicate the market value 01 the decedent's interest.
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Rcc.n 1'iI-061
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
'*
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,
COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
.-----..------.-.---------.--.-.--- -----...------
DATE
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APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for catsentta the transfer of the following securities of 0 Pennsylvania
Corporation at 0 Notional Bonking Association located in Pennsylvania:
(RetaiDed in div:ldaad Reill"..tsat AceOlJllt)
(0) (b) 'eDDSylvanla Power & t4&ht Co. (c)_C&i!OIL
(NOTE: I" describing securities enter in (0), ab Ole, either the number of shores of stock or the face amount of
registered bonds, in (b), the nome of the issuing company and in (c) the closs of stock or the stated interest rote
and maturity dote of registered bonds,) _
pt..738 blued prior to death ( ,/0 7\ '( blued after death)
ISSUED ON , and having 0 TOTAL MARKET V A<LUE OF $...21.Q.iLjl
(Do'.)
os of the dote of death of the decedent,
Cad Bo. LiDale
(Name of Decodent)
,on March 24. 1980
(Dote of death)
CvIIbedand
PA
(Stat.)
CamP Bill
(Post Office)
who was late of 241 S. 17tb Street
(Street and Number)
(County)
Cad R.J,illRlo
(Nomo or names In which certiflcotos aro registered)
5124 Woodland nrt.,.. Hard.burs. PA 17109
7655 lllanor Ddv.. lIard.burl:. PA 17112
(Address)
NAME OF APPLICANT BUlue G. LiIlIlb
I 7655 MauDI' Dd".
COUNTY FILE NUMBER;2;':--.r-1-;;6-". ADDRESS OF APPLICANT Barrbbur~. PA 17109
, I
. BUREAU FILE NUMBER SIGNA TURE OF APPLICANT" ~.-<..-- -<I ;(~~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NoTBE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
The securities ore registered os follows:
!ferU.Il L. Linsle
ADMINISTRATOR) lutt_ C. LinKle
EXECUTOR) (Nnme)
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES (J
DATE U:;1s' 7f /fPt)
I hereby consent to the transfer of the above securities now registered in the nome of the afo said
Decedent and waive the filing of 0 certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
os amended and the Act of June 15, 1961, P,L. 373, os amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P,L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above.named Decedent.
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Signed for the Secretory of Revenue
~..-.- "\./.).
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By -k ~/ll_'rJ. . (., >;{/<:-;:~,--<
)' (S' I /./~~"'.,'.<I../.ILf'
I~~~tur.. /'-~ <;..... '-;:?,'LC J
1/ '>j/ . .I/t {I " t
1;--";J1rtfl "'-"-'--C"':.(Coun;~:):'-.:.::...=.._-
INFORMATION
To Insure proper credit to your Dccount, tho name 01 the ostate Bnd file number should be clearly print-
ed on tho check or money ordor.
This assessment Is made in accordanc(! with Section 708 of the Inh(uitanCe and Estale Tax Act of
1951 (72 P,S, 9 2485.708).
To the extent that inheritance tax is paid within throo (3) months nfter tho death of the decedenl. a
discount of five 15) percent is allowed (72 P,S, 9 2485.716).
Inheritance Tax, other than tax on a future interest, Is due at the date of the decedent's death and becomes
delinquent at the expiration of nlna (9) months after tho decedent's death (72 P.S, S 2485-711). Inheritance
Tax on B futuro interest ;s payable within throe (3) months after the tram;fer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. 9 2485-712), Calculate interest from the delinquent date shown
on the faco of this form to the date of actual payment using the following interest table:
------------ ------- -- ---------- -- - ---- ------ --- - - - .-- - --- -------- -- -- -- - ----
1 month ,005 4 months ,020 7 months ,035 10 months ,050
2 months ,010 5 months ,025 8 months .D40 1 1 months ,055
3 months ,015 6 months ,030 9 months .045 12 rnonths ,060
t days ,00017 11 days .00185 21 days ,00352
2 days ,00034 12 days .00203 22 days ,00369
3 days ,00051 13 days ,00220 23 days ,00385
4 days ,00058 14 days ,00237 24 days ,00403
5 days ,00085 '5 days ,00250 25 days ,00420
6 days ,00101 15 days ,00267 26 days ,00437
7 days .00118 17 days ,00284 27 days ,00454
8 days ,00135 18 days ,00301 28 days ,00471
9 days ,00152 19 days ,00318 29 days ,00488
10 days ,00169 20 days ,00335 30 days ,00500
- - - - - - ----- --- ------ - -- - - - - - - - - -- - - - - - - - - - - - -- _.- -- - - - - - ----- - --- - - - ---
Any party in interest. including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty 160) days ofter receipt of ttlis Notice as provided by Section
1001 of tha Inharitance and Estate Tax Act of 1951172 P.S, S 2485-1001),
Make check or money prder payable to:
"Register of Wills, Agent"
Mail to the address listed below:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
COUN'lY FILE NO:
,! '-I (.1 ESTATE ("
C'I. ,:7),.11), \} Y,<J
(. \ 't ~'- FILE NO,
1"11
DATE
COUN'lY
vA
Appraised Value of Estate:
Real Estate
I 'l ! 0,
Personal Property
$
+ 9 V r;J'll R . _S:f'
'"
+
Jointly Held PropertylTransfers
$ 91/- _ '7 r) t ,r.;C;'
\7 09L/,1/.0
; I ,
$R '7 t3~lf is
/
Total Gross Estate
Total Approved Deductions
Clear Value of Estate
.---.-,
Less: Approved Charitable Exemptions
$ rr; (., f'1J / 5'
Clear, Value of Estate Subject to Tax
Amount Taxable @ 6% Rate $3(, () () II 00 tax due $ ~/~(l_ 00
-
Amount Taxable @ 15% Rate 51, ~ '6~ ;5' tax due 7?5d. 6~
.
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $ Y 9 IC), "'a.
**....* A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID DISCOUNT INTEREST
TAX CREDIT
g -l/ Yo
,
) {) -30 - '(0
$ 3 d 0 () , d u+ s - $
~ 0 b I. O~+
+ -T:j~~
= s .~,.;)OO.()U
= ~ () (...1, 11.5
...-::: . - -
=)7:5 ~ bl. 0 5'
Interest BC1:rueS at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by
is
Y-b~/ ,r; 7
s-'-~' 5 r-c
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
iL~~.}lu;. \.il.
Assessed by: I., I
Agenll r the commonwullh ...
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.;b1:1.J-lz:-" '
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See Inlormation on Roverse Sido
INFORMATION
To insuro propor credit 10 your Dccount, tho name of tho estato and file numbor should bo clearly print-
ed on tho check or manoy order.
This assessment is mado in accordanco with Section 70B of tho InheritAnce and Estato Tax Act of
1961 172 P,S, 9 2485- 708),
To the extent that inhorltance tax is paid within throe (31 months allOr rho death of tllo docedunr, D
discount of five (5) percent is ollowed (72 P,S, S 2485-716),
Inheritance Tax, other than tax on a future interest. is duo Blllle date of the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decadent'!; death (72 P,S. S 2485-711). Inheritance
Tax on a future interest is payable within three (3) months oftcr tho transfer takas affect in possession and
enjoyment and is delinquent thereafter (72 P.S. 9 2485.712). Calculate interest from the delinquent date shown
on the face of this form to the dale of actual payment using the following interest table:
------------ --------- - --- ----- - -- - ---- - - ---- --- - - - -- - --- -- ----- - -- - - - - - -- --
1 month ,005 4 months .020 7 months ,03S 10 months ,050
2 months ,010 5 months ,025 8 months ,040 11 months ,055
3 months ,015 6 months ,030 9 months ,04S 12 months .060
1 days ,00017 11 days ,00186 21 days ,00352
2 days ,00034 12 days .00203 22 days ,00369
3 deys ,00051 13 days ,00220 23 days ,00386
4 days ,00068 14 days ,00237 24 days ,00403
5 days ,00085 15 days ,00250 25 days ,00420
6 deys ,00101 1 e days ,00267 26 days ,00437
7 days ,00118 17 days ,00284 27 days ,00454
, 18 days ,00301
8 days ,00135 28 days ,00471
9 days ,00152 19 days .00318 29 davs ,00488
10 days ,00169 20 days ,00335 30 days ,00500
----- ------ ----- ----- --- -- -- -- --- -- -- ------ ---_._---- - - - --------- - -- --.
Any party in interest, including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sikty (60) days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act 011961{72 P,S. 9 2485.1001).
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address lisled below:
INFORMATION
To insure proper credit to your account. the nome of the estate and file number should be clearly print.
ed on the check or money order.
This assessment is made in accordimce with Section 708 of the Inheritance and ES13te Tax Act of
196t 172 P,S, ~ 2485-708),
To the extent that inheritance tax is paid within three (3) months alter the death of the decedent. a
discount of five 15) percent is allowed 172 P.S. 9 2485- 716),
Inheritance Tax. other than tax on a future interest. is due at the date of the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedent's death (72 P.S. S 2485.7111. Inheritance
Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P,S, ~ 2485.712). Calculate interest from the delinquent date shown
on the face of this form to the date 01 actual payment using the following interest table:
------------ --- ------ - -------- - -- - - --- - ----- --- - - --- - --- --- ----- -- - - - - - - - --
1 month ,005 4 months ,020 7 months ,03S 10 months ,050
2 months ,010 5 months ,025 8 months ,040 11 months ,055
3 months ,015 6 months ,030 9 months ,045 12 months ,060
1 days ,00017 " days .00186 21 days ,00352
2 days .00034 '2 days ,00203 22 days ,00369
3 days ,00051 13 days ,oono 23 days ,00386
4 days ,00068 14 days ,00237 24 days ,00403
5 days ,00085 15 days .00250 25 days ,00420
6 days .00101 16 days .00267 26 days ,00437
7 days ,00118 17 days ,00284 27 days ,00454
8 days .00135 18 days ,00301 28 days ,00471
9 days ,00152 19 days ,00318 29 days ,00488
10 days ,00169 20 days ,00335 30 days ,00500
-- --- ---------------- --- - ----- --- -- - - ---- -- --------- - - - - --------- ------
Any party in interest, including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (60) days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961172 P,S. ~ 2485-1001),
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
~!1""!,'!7,,,,,td*=~\'I~Iti'.~""1:.;t,~~~.,!>~-~,&.-,,0':",~!"-""~:'~~~;~~~~~__\'~:~i~:~_