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PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
~\:\" 'I, ~~ '-~~'f~\z.,
Harold B. McLane. Deputy \
To nieRarel c. ,^.~8BrB8R, Register of Wjlls for the County of Cumberland,
jn the Commonwealth ot Pennsylvania,
IS
Petitioner(s) G4'€ the execuL\j~!-'----- named in the Lost Wjll and
Testament of ~\\k~::J~~~~~\:~-Y;~---- dated \(\,,\ '~\\\(\\~l.
Decedent was a citjzen of the United States and a resident of
\\, \' \ Towmhjp
"'- ~'<:\\~\"-) Borough, Cumberland County, Commonwealth
of Pennsylyania. < .
Decedent djed on\\\\\'<"~''',\ " the ,\\"~\ day of. \\\\\ ,
A.~. '9~, in the County of ~)J.."",\)"y\\,,,,,~ , State of
\2,Q \,-\\,;,\'0- w:\ \'\ \ c~ , at the age of \. 1\\\ years.
~~ has ~
Decedent has not been married and has not had children born to him
since the execution of the above descrjbed Will.
Decedent was possessed of personal property to the value of
\,\~ \)1:\\..).\)(1 and of real estate to the value of
,
in the Estate of
, deceased.
as near as can be ascertained; said real
estate situated as follows
OJ3pl.y
Therefore, your petitioner(s) respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated April 29. 1980 ,I, ..../--'- 5{~. /~~.. -('~,
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Name and address ' ' " :\ ,\~ r:\
of Petitioner(s) '\f' \ \'\ '
~'\ \ \: \-'(.\'\\).:,~,~~ \~\\.\)\f\H'<!)
~,\)\\~Q,,\\';\Q ~\\, \~\\L\I\
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COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
'(<~\,\"\ \\'\\\\\\"0", \'(
\'
named in above application, being duly '? \\ '.c'\\ \\ according to law
say(s) that the statements set forth in this petjtion are true to the
best of \;.. l knowledge and belief.
~~\\\\\) and subscribed before
(;
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me }I.pril 29 1980
,
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!;:~~lrl~~~1~:"~:;i:~:~
Filed;
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1980
.~/71
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Attorney: "\~i'-o-..)"( ')~... ",-. \~'j~~\...\::'\:-~\.Sl, ~>-....
Vlo
OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA
'"
COUN'I'Y OF CUMBlmLAND
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This...........,....',.';;,......".....,...."........,............,.."...., day of ..,...,.""",..........., ,."....,.......:.:....,...."....". A,D., 1 H........,
/
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before me Richard j~;.,Anderson, Register for thc Probatc of Wills and grril1ting Ictters of Administl'lltion
,
" ,
in and for said County o(Cumbcrland, in the Commonwcalth of I~ennsylvania, pcrsonally camc ..............
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................................................................................................................................................................................
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the subscribing witnesses to the f'or~going instrumcnt of writing purporting to be the last Will and
Testament of ,... .............. ....... ......,.. ........ ..',;...... ..........;,.."..".,.. ...........,............ Dated ..." ...........' ....... ................,
,
late of .....,...............................,..................."",...:,....................,..,,........,....... Cumbcrland County Pa., deceased
who being duly........................................... accordiTlgto law, deposc and say, t.hat ........................................
present, and saw and heard thc testa............................:.:.,
.............................................................................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h................ Testament
/// . .
and Last Will, and !It'Lhe time of so doing .................................,......,........was of sound and disposing mind
. .
memory and Ijnd'erstanding, to th.e best of ................................,...........:;k.nowledge, observation and belief.
/ '
............................................... and subscribed before
..................................................................................
..................................................................................
....................................................................................
..................................................................................
Richard E. Anderson, Register
AFFIDAVIT OF DEATH
, COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
. .................. ....~y~,').,)..~\}'\::..\\.r;.\:;<;..\? ~:.s....~\:;:..).:.........."...., ,., ... ,...., ".... ,.....,. ........ ,.............being duly
\ '
.....S::~l.~~~~.\.:\-\...i................... says that as nearly as can be ascertained the said decedent ..........................
. .................... .... .....~,~~,).:.:};~..::;.\J,:::.\\~.~,:(..;\:.~'..:v...,.. .., ....,...... ,....... ..., ,. ...,.......,.. ....., ......, ....,.....".,died on
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... ... X.l.\.'\~~.~.\.\................... the ...."...l'.,\....".............day of ......:...:.,-'.. .\:..:'..."..............".......... A.D., 1H:-:\.;J,
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af-(}r about ......\:.~~.r...\........................ o'clock,'.Y..M,
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.......;;";;......'.:....-...L......l...................un su seTl e t IS
....................~.~!:!!.................... day of "".!:>.l2!:,~,~.......
19, ~.9....., before
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA} SS:
COUN'l'Y 011 CUMBERLAND
Before me, the Register for the Probate of Wills and granting of' Letters of Administl'lltion in and for
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th C t fC b I d . II' ' '," ",',', .. \\"\\r'\\ (,r)\, \ ',' "
e oun yo 11m er an , pC! sona Y came "."""""."",.,,,,,.,,.,,..,...,,,,,,,,,.............,"\.,,,,................."........."....
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who, being duly ,:i'..,.:..;-,?'i,I.\}.."..... do ':~'.':l...., depose und suy that us....:I:...~.';:S~:\.;\;,:;}..)...................."",,.....
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of the last Will and Testament of ....."..\..\~.~::.::.)...\~....".........\::SS..~..':'..ii...,....."......"".................deceased
\
..\"?,..i......",,' will well and truly administer the goods and chattels. :i'ghts and credits of said deceased
according to law. And also will diligently comply with the provisions of the law relating to Transfer
~
I herl't ce "-"':, 'I. \:,><::> \..\.\ " nd s b C I'bed
n an s. ,.............................. a u s r
before me.
April 29 80
........"..........."................"............... A, D., 19............
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Rt.1.~lJ Fl. 6'u.1L.:..nn, Register /..-:~_.~b:J7~c.-yl
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DECREE
, ' 29th April 80
Be It remembered that on the ....""....."...".... day of "........." ,,,..,,,.. ,..... " " "............., A. D., 19 ......... there
b d d d d h. . '\N'II d ,,' John W.. Harper
was pro ate an recor e t e 1,lSt I an Testament of ...... "..."................... "".............. "............."..........
carlisle '
lateof....."".........................................".........."......."..'. Cumberland County. Pennsylvama, Deceased. Letters
............,.."...'E.7.:':~.~~~.~~~E~. ....., were granted to .. ,..... ,. ...... .... ,':!.:?!!.~..~. :...!~.~::'R.?::.~...~.~. :...............,...........
Witness my hand and official seal the day and year aforesaid.
.
J ".I jj , / Deputy
....f.i(~. ~::<::((.?..i.(;),~...21.0Ao(.MH\.::.......... ...
R:",luud, kJ'-i!i~.,.a, Register.
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA.
ORPHANS' COURT DIVISION
IN RE: ESTATE OF JOHN W. HARPER, l.A'l'E OF ~'IIE
BOROUGH OF CARLISLE, CUMDERLAND COUN'l'Y, PENNSYLVANIA,
DECEASED
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FIRST AND FINAL ACCOUNT OF JOliN W. III1HPER, JH.,
EXECUTOR OF THE ESTATE OF JOliN W. III1PHlm, ).II'I'E 01'
THE BOROUGH OF CARLISLE, CUMDlmr.IIND COUN'l'Y, PENNA.,
DECEASED
DATE OF DEATH: April 21, 1980
Date Letters Advertised:
The Evening Sentinel - July 20, lIuguut 4, 11, 1900
Cumberland Law Journal - August 1, 10, 15, 1900
DEBI'l'S
The Accountant herein charges himaoH with the following:
PRINCIPAL: REAL ESTATE
NONE
PRINCIPAL: PERSONALTY
York Federal Savings & Loan Association, Savings
Account #100110439
First Federal Savings & Loan Association, Savings
Account #714-39526-0
First Federal Savings & Loan Association, Savings
Account # 7-5-700065
First Federal Savings & Loan Association, Savings
Account # 7-1-700234
First Federal Savings & Loan AssociatJ.on - certJ.ficate
of Deposit # 717-024318
First Federal Savings & Loan IIssociatJ.on - Certificate
of Deposit # 718-424307
Cumberland County National Bank - SavingR
Account # 0760359380
Cumberland County National Bank - SlIvJ.ngR
Account #0760738955
cumberland County National Bank - Chockincj
Account #73684185
ESIS, Inc. - Workmen's compensnt.l.ol1
ESIS, Inc. - Workmen's compol1l1ntiol1
Sale of automobi1o
If;..fl u(JIII>!1 all
$1,057.44
578.38
592.72
176.97
1,061.03
2,139.55
5.05
26.55
321. 87
119.76
279.44
150.00
CRBDI'rn
The Accountant herein cr.edito h.i.maoH with the following:
Register of Wills, letters testamentary and short
certificate
Register of Wills, short cortHicntllll
Register of Wills, short cortiflcatos
Register of Wills, filing inventor.y and appraisement
Masland Associates, medical services
Register of Wills, advance paymont in inheritance tax
Cumberland Law Journal
The Evening Sentinel
Borough of Carlisle, water bill
Ewing Brothers Funeral lIome
Rolling Green Memorial Park
presbyterian Homes, Inc.
Wills National Service Corp.
Medical Oncology Assn.
American Oncology Assn.
Graham Medical Center
Neurological surgery Ltd.
MGM Pharmacy
Carlisle Radiology hssn.
United Telephone Co.
Readers Digest
Register of Wills, supplemental inventory
Register of Wills, debts and deductions
Register of Wills, inheritance tax
Register of Wills, filing final account
George F. Douglas, Jr., attorney fee
Anne M.Cox, notary
Carlisle Hospital, last bill
Register of Wills, filing supplemental inventory
TOThL CREDITS
RECAPITUI,ATION
TOTAL DEBITS
TOTAL CREDITS
BALANCE FOR DISTRIBUTION
$10,474.67
4,802.23
5,672.44
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Harper, y .
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26.00
2.00
2.00
6.00
630.00
170.00
18.00
20.00
24.73
2,105.80
177 . 50
451.00
14.42
80.00
10.00
20.00
50.00
75.28
84.00
18.96
7.78
3.00
3.00
159.76
35.00
475.00
5.00
125.00
3.00
$4,802.23
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GENERAL INHERITANCE TAX INFORMATION
'.
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.
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 forfeited 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, The family exemption is
allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws,
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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,
-,.c .
GENERAL INHERITANCE TAX INFORMATION
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 iot, tombstone or grave marker,
All debts being claimed against an estate are ~ubiect to the upproval 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 forfeited 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. The family exemption is
allowable only against assets which pass by a will or by tile Pennsylvania Intestate Laws.
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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 tile responsibility for paying the debts,
BENEFICIARIES
BENEFICIARIES ANO AOORESSES
IStato full "AmltS nnd oddro"os nf nil who !lDVll An llltllrutt
eithur vOItud, contingont or olllor Intorustl
RELATIONSHIP
TO OECEOENT
SURVIVED
DECEDENT
STATE YES
OR NO
AGE OF LIFE
TENANTS OR
ANNUITANTS
AT OEATH OF
OECEOENT
INTEREST OF
BENEFICIARY
IN ESTATE
u___.____ --.-~.-~.---. ------
.--------... -------.------..-----.-------.- .__.--".---_. -.... ....., .-....-----..-
.---------
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--------
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INFORMATION
PLACE FOR FILING _ The return is to be filed in duplicate with the Register 01 Wills of the countv wherein the decedent resided,
TIME FOR FILING _ The return is due nine months after the decedent's death. unless an extension for filing has been applied for and granted
by the Secretary of Revenue within the nine.month period.
FAILURE TO FILE RETURN _ Section 791 of the 1961 Statute provides that ", , ,any person who winfully fails to file a return or
other report required of him, , , shall be personally liable, , , to a penalty of 25% 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 law."
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. .RCV-4B4 ItX+ (J.80)
SUL'1!LEHElITAL
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
File Number
21-80-0285
Estate Name ~~_!i-' l!llrp_(~.r_._._.____....__._
Date of Death 1,-21-8.9
Social Security Number 2.86 Ol-'-'.!Q.~..n...
REPORT OF INHERITANCE TAX APPRAISER
I, th.. und.."ign.d duly appaint.d Inhoritonc. Tax Apprais.r in ond far th.. County 01 Cumberland
P.nnsylvanla, do IOsp.ctfully report that I hav.. apprals.d tho ,,,01 and personal prop..,ty as ,epartod In th.. la'..gaing
...turn at th.. valu.s...t fa.th appasit. each Item in the last column to the ,ight In Schedules "A", "B", "C", and "E"
Dated: January 22. 1981
>>h.Jt!. )7fl)/~Jl1hj)
INHERITANCE TAX APPRAISER
INVENTORY
ADJUSTMENTS
VALUE AS APPRAISED caaE (HARRISBURG USE ONLY)
5 -0 00+
1,105 97 '0+
-0 20+
-0 30+
.-J:.., 105 L
40-
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Roal Property (Schedule A)
Personol Property (Schedule B)
Jolnt.Held Property (Schedule E)
Tranlf.r. (Schodule C)
TOT AL GROSS ASSETS
Leu O.bts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
REMAINDER APPRAISEMENT CODE
92+
93-
Valuation of IIf. estate. or
annuities. . . . . . . . . . . . . .
R!ll
FACTOR
PRINCIPLE VALUE
CODE
~
FOR \lSE OF REGISTER ONLY
6%
Tax on $
15%
T ox on $
Tox on $
Tax on S
Tax on S
Exemptions
Total Estate
TOTAL TAX
INTEREST FROM
BALANCE
TO
L.U5 Credits
DATE OF PAYMENT AMOUNT PAID DISCOUNT rNTEREST
S + 5 $ =
+ =
BALANCE $
INTEREST FROM TO __ $
BALANCE DUE S
COMFUTATION OF TAX
$
5
5
5
5
$
5
5
TAX CREDIT
$
-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMEN'j OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
COUNTY FILE NO:
TO: ~~ . i Jj (\JA ~-4~
;( 7 W .~~ .,llid,
{',<]J,J;. ( '0~ 1')0)3
~ 1- 8' 0 -,;;, l?.5'
DATE
~~\/'_ ~~ I ~J'I _
ESTATE ~ W ' \QJ~
l:tl~
DATE OF DEATH ~a.)_ )0~r)
FILE NO.
~-.
COUNTY
Personal Property-'---
--.~,
s- <}CI.)O,'1k'
.._.---~----: .,; 'I '}'6 '1(. .~
Appraised Value of Estate:
Real Estata
.
.:l, S' ..:.( V-. "'-.s
)0... Hif',,03
t/.J II '1 d,. L,J. ?
5 c:; 5.p: s: 6,
Jointly Held Property/Transfers
+
Total Gross Estate
Tota' Approved Deductions
.
Clear Value of Estate
------
Less: Approved Charitable Exemptions
Cleer Value of Estete Subject to Tax
.
5~ 5'5,5-6
Amount Taxable @ 15% Rate
. S'y.7Y-5f
f
/7(", 9?
tax due
.
3.;J,g.7/
qb.~5
3 :5 S .c:i\ b
0l,3.r
357. b ~
Amount Taxable @ 6% Aate
tax due
( 1--'<1- h
toTAL,' PENNSYLVAN, INHERITANCE TAX DUE
l/l V--:J.,;;,_y/
.
.
'* 1ft * '* '* '* A five percent discount totaling
will be granted if the Inheritance Tax is paid by
Less Credits:
OA TE OF PAYMENT
'7 -.2.,t-J 0
Y'- /'i_ 8/
I.f- .2.,.3 - g;
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
0< ,:;' 6"
=
./?tJi'~
,
;ro;<.?K
15.'1L
35' 7. ~f
.)?OJJO +
;(,a..?B +
13,5'3 +
$ r. Cf5 - $
=
Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of lnherit?nce Tax from a
to date of payment. Interest due if paid by is t::/, .. 9 "--:::1 . tn
..~,,,,m""""" """""".. :"', " . U u "": rJ",\
11/ ':( ,I~ IJ , ..' '" J
Assessed by: I /" '" . ~ I -" .4/
AgenlfOllh mmon,~~lth, j
See Informal Ion on Reverse Side r ___ J/ ~ I
~:l(,'J..' U",,-,,,
(, 'JI F n Ii' \.ILL.::.. , r/
- -_.- -"".....---.... -... _..._- -.--- _.- .--.,-- .-.-,. - "
INFORMA TlON
To insure proper credit to your account, the namo 'If tho estnto nnd file number should be clearly punt.
ed on the check or money order.
This assessment is made in accordanco with Section 708 of the Inheritance and Estate Tax Act of
1961 (72 P.S. 92485.706).
To the extent that inheritance tax is paid within three (31 monlhs after the dealh of the decedent, a
discount of five (5) percent is allowed (72 P.S. 9 2485-716).
Inheritance Tax, other than tax on a futuro interest. is duc al the dale of the decedent's death and becomes
delinquent at the expiration or nine (9) months after the decedent's death (72 P,S. ~ 2485.711). 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. 9 2485- 712). Calculate interest from the delinquent dale shown
on the face of this form to the date of actual payment using tile following interest table:
------------------------------- --- ---------- ---- - --- - --- ---------- -- -------
1 month .005 4 months .020 7 months .035 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 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 days .00369
3 days ,00051 13 days .00220 23 days ,00386
4 deys ,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 tlfter receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961172 P.S. 9 2485-1001).
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION
. -------
1. PERSONS RESPONSIBLE FOR RETURN
Sectjon 701 of the Inheritance and Estate Tilx Act of 1%1 pruvide~; th~tllll! followin:: persons shall preparp. and file
a return:
i1. The personal representillive of the estate of the decedent as to pruperty of the decedrml administered by him
and such additionill property which is or milY be sublect to Inheritilnce Tax 01 wllichheishe shallhilve or
acqujre knowledge;
b. The tri1nsferee of property upon the transfer of which InherilJnce T<lx is or milY he imposed by the 1961 Stiltute,
including i1 trustee of properly tfil/lsferred in trnst, plllvideillllJI no sepilrate return np.ed he made by the transferee
of property included in the return of a personill representative.
2. PLACE FOR FILING
The return is to be filed in dupliCilte with the Register of Wills of the connty wherein the decedent resided.
3. TIME FOR FILING
The return js due nine montils ilfter the decedent's death, nnless illl extension for filing hi1s been applied for and
granted by the Secretary of Revenue within tile nine-monlh period,
4. FAILURE TO FILE RETURN
Section 791 of the 1961 Statute provides thi1t " . , ,any person who willfully fails to file a return or other report
required of him. . .shilll be personally liable, . .to iI penally of 25% of the ti1X ultimately found to be due or $1,000
whichever is the lesser to be recovered by the Oepartment of Revenue i1S dehts of like amount are recoverable by
law."
5. TAX RATES
Inheritance Tax is payable at the rate of 6% on transfers to linei11 descendi1nts, such as father, mother, husbi1nd, wife,
son, daughter, gfi1ndchildren, gri1ndpi1rent, son-in-law and dilughter-in-lilw and i1f the rate of 15% as to all others.
6. PAYMENT OF TAX
The tax assessed on the transfer of properly reported in the return is due 9 months illter the decedent's deilth. Interest
at the rate of 6% per annum accllles thereafter unti I pilyment is made. All Pilymenls lecei ved are fi rst appl i ed to any
interest which may be due wjlh 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 tS ALLOWED.
Alt checks should be milde payable to tile Register of Wills of the counly wherein the decedent resided and i1re
received subject to the fini11 determination of the Department of Revenue.
7. FAILURE TO PAY
The taxes imposed, together with any interest thereon, me a lien upon reill properly, which lien remains in effect until
the taxes i1/ld interest have been pi1id in full. The taxes may he sued for i1gainst any reill property in the decedent's
estate or against any property betonging to a transferee liable for the tilX.
8. FILlNGOF FALSE RETURN
Any person who willfully makes i1 false return or report required of him shall, in accordilnce with Section 793 of the
1961 Statute, be guilty of a misdemei1nor ilnd, on conviction thereof, shall \)1) ~,el1tel1ced to pay i1 fine not exceeding
$1,000 or undergo imprisonment not exceeding one year or both.
REV.451 E)(+ (3.BO)
COMMONWEALTH OF PENNSVL VANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
Supplemental
SCHEDULE "6"
PERSONALPRO~ERTY
'*
(Instructions on Reverse Side)
"
Estate of John W. Harper
ESTIMATED DEPARTMENT
ITEM DESCRIPTION UNIT MARKET VALUATION
NO, VALUE VALUE (OFFICIAL USE ONL Y)
-
The Bank of New Jersey, checking account
432-867-0 151. 36
Blue Shield, Masland Assoc. 465.00
Com. of Fa., retirement 510.58
Harry Harper Estate 400.00
Pa. Turnpike Com. accrued leave 959.71
r
I
I
I
r
I
I
I
I
,
I
I
I
,
,
!
i
I
"
I
I
I TOTAL THIS PAGE 2,486.65 ~ tH. ~s-'
j
'PflJfC.
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, withjntwo yeills of death, mi1ke any transfer of i1ny miltcriill pillt of his estilte wilhout receivinp,
valuable and adequate consideration? (Answer "Yes" or "No".)__
2. Djd decedent, within two yeilrs of dCillh, transfcr properly frolllliilnsel f' hersl~lltu 1IIIIIsel f/hersel f imd i1nother pillly
or partjes (including i1 spouse) in joinl ownership? (illlswer "Yes" or "No".) __
3. If the i1nSWel 10 one or two above is "Yes" ilnd the trillrslcrs are cl:nmeilto be nontill:ilble, provide the following
information:
a. Age of decedent ilt time of tmnsfer.
b. Copy of dealh certi ficilte.
c. Affidilvitby the i111ending physiCian indicilling the state of decedent's hOilllh ~llimc of tmnsfel.
d. All other inforllliltion supporting nontilxahility uf transfer.
4. Did decedent, in his/her lifetime, Ini1ke i1ny tmnsfer of property without rcccivinp. a villuilble or i1dequate consideriltion
therefor whjch was to take effect in possessioll or enjoyment ilt or aller Ilis/her death I (Answer "Yes" or "No".)
a. Was there any possibility lIwtthe property Imnsferred migllt retullllu lransleror or liis/llCr estate or be suhject
to hjs/her power of disposition? (Answer "Yes" or "No".) ___
b. What WilS the lmnsferee's i1ge at time 01 decedent's dei1th7
5. Djd decedent in hiS/her lifetime milke any Imllsfer wi thout receivinp. il villuillJle ilnd i1dequate considemljon therefor
under which tli1nsferor expressly or impliedly reserves for hlsiher life or :lIlY period which does ill fact end before hiS/her
death:
a. The possession or enjoyment of or the right to income from the property llilllsferred? (Answer "Yes" or "No".) -
b. The right to designate the persons who shall possess or enjoy the property tlansferred or income therefrom?
(Answer "Yes" or "No".)
6. If the answer 10 five b. above is "Yes," stilte whether the right was reserved ill decedent alone or others.
7. Djd decedent jn hiS/her lifetime IIwl<e iI transfer, the consideri1tion for which Wi1S transferee's promjse to pay income
to or for the benefit or cille of transferor? (Answer "Yes" or "No".) __
8. Djd decedent, at any time, transfer property, the b61eficiill enjoyment of which IVi1S subject to change, because of
a reserved power to i1lter, i1mend, or revoke, or which cOllld reverlto decedent under terms of tli1nsfer or by operatjon of
law? (Answer "Yes" or "No",)
9. If the answer to eight iIlJove is "Yes," WilS the power to i1ller, amend or revoKe the interest of the beneficiary reserved
in fhe decedent alone or the decedent i1nd others? (Answer "Yes" or "No",)
REy.454 (l'SO)
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEOENT
Supplemental
SCHEDULE "E"
JOINTL Y OWNEO PROPERTY
~';t~. .~ ';rfl \.
~\
(Instructions on Rl!vr.rsf! Sic/v)
Estate of
John W. Harper
P
TOTAL E VALUE OF DEPARTMENT
ITEM R
NO. DESCRI PTION MARKET q, DECEDENT'S VALUATION
VALUE N INTEREST (Official Use Onlvl
T
.
None
,
--
TOTAL THIS PAGE ^'/IJ-1-1' ~
-
.-U9"L
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 of survivorship, Both tangible and intangible property are to be
included, List roal estate first.
1. Describe all reat property as indicated in the instructions for Schedule "A", Describe illl personal property
as indicated in the instructions (or Schedule "6", 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 of the jointly owned property,
3. I ndicate the percentage of the decedent's interest,
4. Indicate the market value of the decedent's interest.
C 'tl IJ n E; ~ > ~
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File Number
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
21-80-0285
Estate Nome
John W. Harper
o Original
m Supplemental
o Remainder
OR!.V_o1U I!X+ ta-eol
Oat. af Death
April 21, 1980
Sacial Securi Iy Number
186-01-4108
REPORT OF INHERITANCE TAX APPRAISER
I, th. und.rslgn.d duly oppolnt.d Inh.ritonc. Tox Apprals.r In and lor th. County 01 Cumberland
P.nnsylvania, do respectfully report that I have appraised tho '.01 and p.rsonal property as roporl.d in th. lor.going
r.tum atth. values set forth apposite each iI.m in th. last column to th. right in Schedules "A", "B", "C", and "E"
Dated: April 8 , 1981
Ai'h,.,;" ) 'f(/,f)hH,L'>
INHERITANCE TAX APPRAISER
AaJUSTMEMTS REMAIMDER APPRAISEMEMT CODE
IMVEMTORY VALUE AS APPRAISED CODE (HARRISBURG USE aMLY)
Real Pr.p.rty (Schedule A) $ none aa+ 92+
Personal Property (Schedule B) 2 486 65 10+
Jolnt.Held Prop.rty (Schedule E) none 2ll+
Tronsf.r. (Schedule C) none 30+
TOT AL GROSS ASSETS __~,_486~
Leu O.bu and Deductions 40- 93-
(SCHEDULE F)
CLEAR VALUE OF ESTATE
o Lile Estote E!ll FACTOR PRIMCIPLE VALUE COOE
o Annuity --
FOR USE OF REGISTER OML Y
To)( on $
COOE
COMPUTATIOM OF TAX
S
S
$
6%
15%
Tax on $
Tax on $
5_
TalC on $
5
TalC on $
Exemptions
Total Estate
TOTAl. TAX
INTEREST FROM
BALAMCE
TO
5
5
$
Less Crodlts
DATE OF PAYMEMT
AMOUMT PAID
DISCOUMT
INTEREST
TAX CREDIT
S
+ $
S
=
$
=
+
INTEREST FROM
BALANCE OUE
BALANCE
TO
$
5
S
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'form Ho. IICC'(J'l (6.70) TRIS FORM REQUIR!D IN ALL ESTATES wtTH GROBS ASSE'rS UNDER 1I0.000~ UNDER SECTroN 701 OF ACT OF JUNE It, 1'81.
EFrZC'1'1VE ,,IA.NUA'RY 1. 1082. (FILE IN DUPLICATE WITIl COP\' 01: \'('11.1. ATTA(lf1:Ol 7..,t/-it
. <.;( /- r:/CJ-,;2 J'S
.. OFFICE 0(; ~HE REGISTER OF WILLS
County of , , ,GtJ!'1Il~,~ ' , ' , , , , , , , ,
,,\l'~l).~, ,w.~, ,~~~:p'~r.' ,\fr,~"" ,,' ," , " , , , , ,,'" of ,., ~7,~, E,l~?~?-, ,Ave.,~, ~(,l':is,t~:r,~il.~(,l!, ,P':i.
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being July...,..., s\,!orn ,
.. ,iH:wruing ro law,tlcpmcs and Sil)'S thor he is Ihc..-...~~~CU~9~... .....................
Ibtl ,^dm ,Lrll",,'r, 1:C!1
of the c<we of. ,.JQIW, :\'l',LWI-.R.P,ER,
WIUISL' 1.1<)1 f(,'sidcncL' was .....~~.~...~9~.l?:.~:t:-mq9.':l~.~'.......-,._.....--
(1"" I {~llrrll
Carlisle, Pa. Jt'cca'icd, ,\nd dl;lr Iht.' Wlllllt: of lht' ('"t.llt' 01 ~;\il\ dc:(t'dl'1l1, who died .bP~Jl.,..4~.'-...1.~80
...,.. '({~:;l\:" jl;;r";~lti; '\;i' T~),;,.'r;\I;I'I;)'''' u. (I)ml
'Ol1l1iSlCd 0(:
.-.---------.---. -------~_.. ...-' .-....--
.. ,,"0..__-----.-----...----
--...--.---..-.----------..-.
Rt:AI~ PIWl'Im'l'Y 11'1 J'F.NNS'I'LVAN1A. WITII STAn;MI~N'I' or MonTGAGE ~:NCOMIlH,'NCEg Ul'uN EACIl ""ltn:L AT DEA1'H OF lJt:C~:I)t;NT,
WHEKl: I'HOI,,.:RTY m:I.D Mi JOINT n:NANT OR n;NANCV I1V t:N'l'lIlEl1Y.H, GIVl>: SAMEli. AIJllHEHSl>:H ANI' IU:I,ATIONHII1P OF OTUr.U QWNEHS.
REAL PROPERTY
------.----
_____________-------------1 Es~::I~;ed
---,-,---'-- 1
None
1-
--------..---
-------.----.-----. ----.
Real Estate
-------..------------
-----
Personal Property
York Federal Savinqs & Loan Ass'n - Savinqs Acct. #100110439
Date of death balance
$1,060.66
First Federal Savinqs & Loan -
714-39526-0
580 1
592.72
First Federal Savings & Loan - Savings Acct. #7-5~700065
First Federal Savinqs & Loan - Certificate ~.~]=~24J,
Cumberland county National Bank - Savings Acct. #0760359380
,064.81
5.05
Cumberland Countv National Bank - ~~~D9s Acct. #QL6~J~
Cumberland county National Bank - Checkin~Acct. #73684185
~}S, Inc.
workmen's compensation Check
321.87
119.76
Total Personal property
279.44
150.00
10.00
$4,210.98
.Hp1f:.
ESIS. Inc. - Workmen's comp~ion Check
~roceeds from sale of automgbile
Travelers check
NOTE: You may expedi.e the processing of this return by filing with it, and as a part of the return,
letters from financial institutions or mortgage hOlders, certifying to amounts on deposit or owed by the
decedent as of the date of death, Such letters musl be ~igned by a responsible officer of the financial
Institution or mortgage hJlder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account, account number and the exact name or names i~ /.
which the account is registered. / ~
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.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55:
John W. Harper, Jr.
_._.._ ..___._._._. ._..._ .._u._.,,__._...______. ---- ...-.-.-. '
being duly _,_J.w.o);"n.. ,_". .,._ according to law, doposes and says that ho _.i,!?,_j;;he___E~e.c,1,lt;9!::." ,--- -
__,_______u________. _. ,,_ _ _ of the Estate of _if.Q..IIR,.1h-HABPE1L---.----.--
lato of the Borouqh of Carlisle , ,_ __, Cumberland County, Pa., deceased and that tho
within is an inventory mado by hilll..__ - ,..,-- ,,--, the said~~eQ1ltor_,,_
of the entiro .stato of said docodent, consisting of all the personal proparty and real estate, except real estate outsido
the Commonwealth of Poonsylvania, and that the ligures opposite each item of the Inventory reprosent it's fair valuo
as of the date of decedent's death.
Sworn
and subscribed before me,
y;/L_f; ~r..y::--
:f: 71 E hoc.'.' . '~
, __:3ILJ~..lm..wO-Q(L)\~!llIe-
CL. ~I 1980
~,~
Feasterville, PA 19047
~NNU M, cox, lIot.ry Publir
ClIrlisle Cumh. en. rlmllJ.
My Commission bpi res July 14, , f s I
Addreu
Date of Death ___,_____,_____2J,_.__________J.l..Ert:!..-----
OtlY Month
1980
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of porsonal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional a..ets.
3. Additional sheels may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
I d .
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Inventory of the roal and personal estate of
J_OJ:lI'L,,\'/:._I:I1'.m:',ER m_m___ '" ___ __ ___m____' de cea sed.
-.---.----
.------
-'
l
York Federal Savings & Loan Ass'n. - Savings Account #100110439
Date of Death Balance
First Federal Savings & Loan - Savings Account #714-39526-0
Date of Death Balance
First Federal Savings & Loan - Savings Account #7-5-700065
Date of Death Balance
First Federal Savings & Loan - Savings Account #7-1-700234,
in names of John W. Harper and Mary Jane Santone
Account opened March 28, 1978 -
Date of Death Balance - $353.94 (1/2 taxable)
First Federal Savings & Loan - Certificate of Deposit #717-024318
Date of Death Balance
First Federal Savings & Loan - certificate of Deposit #718-424307
in names of John W. Harper and John W. Harper, Jr.
Account opened April 7, 1979 - Date of Death Balance
Cumberland County National Bank - Savings Account #0760359380
Date of Death Balance
Cumberland County National Bank - Savings Account #0760738955
Date of Death Balance
Cumberland County National Bank - Checking Account #73684185
Date of Death Balance
ESIS, Inc. - Workmen's compensation check
ESIS, Inc. - Workmen's Compensation check
Proceeds from sale of automobile
Travelers check
TOTAL INVENTORY
$ 1,060 66
580 12
592 72
1716.97
1,J4 81
2,1417 46
05
26 55
321 87
11'9 76
2)9 44
Jo 00
10 00
$6,535.41
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
. ~ohr: w,. _ HClrper, Jr.
55:
.
.___._. ".____0_..'._ ._.___...__...____.___._ --.---- -- --- ,---.
boing duly .s...\>IO~IL,_... ' ,._ according to law, deposos and says that ho .,u,u,_,l_s._.filXElg,UJ;2-X:_. ,._",-
..,.._,n' 01 the Estate ol._Joh_f!.._~IarpeE'_-___-
lato 01 Rnrnllgh nf ('"rl;" 1 '" ' ___, Cumberland County, Po., deceased and that the
within is an inventory made by , John W'. .Ha.rper, Jr-...- --- ".. --, the 5aid---exeoutEll;
01 the entire estato 01 said decedent, consisting 01 all the personal prop.,ty and roal estate, except real estate outside
the Commonwealth 01 Pennsylvania, and that the figures opposite each item of tho Inventery represent it's fair value
as of the date 01 docedent's death,
~wnrn T..O-- ilnd subscribed bofore me,
lJ..e.~ lLllL-
(' ~~ \-./1 ( L7/1
~ 1\rwr H COy, t~i.'\"'/
r C'l"I,. r
My C.
" ["."
Date of Death _____~_:l,_.,_.
Day
)1'1,/16/
,__J..p.d1
Month
.0~.. ..tL~~---
erecufor.
John W. Harper, Jr.
371 E1mwood Ave.
____..F.easterv ille, Pa.
Addr."
19047
1980
Yur
INSTRUCTIONS
I. An inventory must be Iiled within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional a..ets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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~fi~\:K.~~~r:r,V::~5~,:"';!"."i.;::. 'C.O.M.....'''.M6~WEA..l.T..HO.. .,F PENNSYLVANIA. '" ','
~ ,!C&QSa2tO:,: ,:. ,,,:. '.' DEPAR~ME,NTOFREVENUE .' . .... '. . '. '.
I '! t;~Wi;j~:;;'l:.\;~~fICIAI;REfEWT."~N.~Sr~~~~I~I~H~~I~~N.~E ~~~:.ESTA~ET~X.., ".'.
e RECEIVED _________________-00 HUJliDRBD SBVDTY DOLLARS--------------------lfmmrs
I,Fr~,m:
~ ~ro55
~
OIOrgl F. Dougl.., Jr. .Iq.
'epresenting Pennsylvania Inheritance or
Estate Tax due from the following estate:
27 11. High strl.t
carli.ll, 'a. 17013
2C,l Tax on
$
$
,...4&_"",
6% 1m: on
$
$
I File No,
Date 01 Payment
21-80-285 Dole of Death 4-21-1980
15t;" TolC. on S
$
Nome of Decedent
$
I
JOHlf 11. HAlPER
'7(1 TOll. on S
Eslote Tax, Acl of
May 7, 1927
$
July 21, 1980
-'AID 011I ACCOWlT-
TOTAL TAX CREDIT
less five percenlum of tax if
paid within three months oher
dote of deolh
Plus Interest 01 the role of
_%from
10
$
178.95
Counly CWIlberland
Remarks:
$
8.95
$
lfOO~[P[L~@&ljT~ 5 E A L
TOTAL AMOUNT PAID
$
pO.OO
NOTE: Thi. Triplicata Receipt to be retained for eudit purposes.
i-:l:Jf~~1 (! ~~)
K ~i-i<UlIli..
aegi.~lr of wi 11
(Tille)
I
I
'"
I:
Received by
NOTE: In oeeepllng the lronller Inherllanee tall on future eltatos, prior to 'he death 01 the lil(\
lenon' or lenont for.yftafS, 0' eyidenced by lhls rec.eipl, II is understood that 'ho Commonwealth lhall
not be precluded or prevenled from henohor aueuing additional InherUonc.e talf 01 the death of the
Ill, tenant or lenant for years wheneyer it appearl that lueh additional 'all moy be legally due and
collecllblllfor any realon whatloever.
._____.___.____.______________.______ _ __________r-_._
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ltI:'AEv.,iel EX,,',',<,: . '.' " , , ' , '
'~I~'rft~;'):'\X:9,;ii:)i "cOMMONWEALTHOF PENNSYLVANIA
, ''''''l''!28455 ,,', ,', ' DEPARTMENT OF REVENUE
,,4 ;%~f'~,';~(i ','~"OFFicIAL RECEIPT,' PENNSYLVANIA INHERITANCE AND ESTATE TAX
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" I FROM
-
TAX AT 6%
TAX AT 15%
George P. Dougl.., I.q.
TAXAT_%
ADDRESS
27 .. High 8t.
earli.le, fA 17013
ESTATE TAX
TOTAL TAX CREDIT
$13 .53
FILE NUMBER
m
~ ------------------------------------------- m
I POSTMARK DATE
REMARKS
.PAID 1)1 FULL"
COUNTY
Culllber 1.nd
LESS DISCOUNT
PLUS % INTEREST
IFROM 1-21-81 Tob2J.".(l1 2.38
(.01352)
TOTAL AMOUNT PAID $15.91
DATEOFPAYMENT
April 23, 1981
NAME OF DECEDENT
John W. Harper
,....'"
SEAL
RECEIVED BY
t
REGISTER OF WillS