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No, 21.80 2~~';
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of rn II- (Z 'I (VI, Q \ S I-\o'f' -, deceased,
Harold B. McLane, Deput.y
Ta nienarel [, }l,RelIHBQR, Register of Wills for the County of Cumberland,
in the Commonwealth of Pennsylvania,
IS
Petitioner(s) are the execut~5- named in the Last Will and
Testament of (;II\(I..'{ #I' ~I ~HO f' dated St:f'I, 1\ ,IYS"~
Decedent was a citizen of the United States and a resident of
C A ~ \.. \ S It ~~~~~;~ Cumberland County, Commonwealth
of Pennsylvania,
Decedent died on fYlO NV It'-( the '1~ day of A PIZIL-
A. D, 19 <6D , in the County of ~ v VAfJE:-e.L AN))
fEi0rJS'/t,.\lA-rJIA at the age of ~I years,
-fle5- nos- her
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
~ 1'00,""0 and of real estate to the value of
U ;'OJOOO,'o
, State of
as near as can be ascertained; said real
estate situated as follows O/<JE, .Ac.u!, ~li~6""'/ S6V6111 Pi/I.Cl,k;S .f ~.\tJb
(f'......ru.y s.t1f'>C Io.DbLliTbIJ ..,.",f)'
ON ~i1'fJfS~ KI&-t/I.t.l\~! ~"'t..\.\SLb ~ \.U ''f~ fIlA.,.."", "'&\I'~6 AN~ G.-iI"1A-&€
apply
Therefore, your petitioner(s) respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon,
Dated !\-PItIL. II ,1'1li"0 : f 12 ~"'. /3"'\I',UJ-v,"",LL'L~'(!O
, /;U,jj-C /,'" "-
ISA ~€~ 8, P.,/1.ou.J",~\.IJE;t.L-
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10 'J...b (2. I -r N It /2 11 r 6--1-1 W A."(
C./'I--t.-LdSl.lO, lA, 170<3
Name and address
of Petitioner(s)
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
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/Jo../Vt>
I-l:>G'II'1
WI, C~fl1E:'1(
named in above application, being duly ~uJo~
say(s) that the statements set forth in this petition
best of "'-l..E:ll!- knowledge and belief,
according to law
are true to the
'Slt>b/!,";
and subscribed before -; ,1,1 /, " /:!, ,.. : I I' { I ') I I' I, :' {- '.,
mo, -.I"lCrJ' ... 19 ~v__
~~JJ..L4~G..JXf- /'ki \,Dep~~~
!lid,al d C. P.l'leleHI8R, Register
_. ;'-; ~.. 17!, IJ \
,I
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uLJ.J..i ( '1/
---~"_.----^----_._-_.
Filed;
~/-f'tJ-':('l.s
1980
Attorney: I>../L\J~E ;1:', ~o6-"'.u c~jr;\
11.0 SOI.l'T..l ST' L;;::>-~
"'At~~I'l(),a.6- ,PA. /7101
-' .
OATH OF SUBSCRIBING WITNESS
COMMONWEALTIl OF PENNSYLVANIA 1 ss:
COUNTY 011 CLJMI3EHLAND \
29th April 80
Th is,......".... ........,..., ....",..',...... .......,........"...... ...., day 0 f'.., ......,..'".......... ........""".. ....'..'".., ..,......, A,D,. 1 [J.. .......
Harold B. HcLane, Deputy
, before me ltiekalll J', AmlullJUR, Regisler for lhe Prubale of Wills and lIranting letters uf Administration
in and for said County of Cumberland. in the Commonwealth of Pennsylvania, personally came ..,....,..,..'
,.,..." ""'~y~.~y.",..."f,: "',..,~!,~,~!!-,~, .,...,"",....,~"..,"~,~~,~~:~""'~,: """,?.~':,~,~,::....,"""',. ,." ",. ....""".,..,.,.,...
the subscribing witnesses to the foregoing instrument of writing purporting to be ~he last Will and
Testament of ",.."".0. ,Ij,i!:j"",. ,.I':.1.,:.."...~, ~,~!!,e ,~"""',..."..,",.,"',.,..,""""'" Da ted ,." ,~(/r.:".., .',!",!., r..f. 9.....,.
late of ....'.. ..(1~..!-:,!?,~.~,.......!?~,~~..~,~~..................... ...........,..,..... ..........' Cumberland COL1nty Pa" deceased,
who being duly .........~,~~,!'!:,~................... according to law, depose and say. that ..........:t,~f!:t........~,':.~.f
present, and saw and heard the testa..t~;,~.y....,...............,' ,........rf'!,1,f!:.~!.........'j:......../.?,~,!.~!!.!.'...,................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h..I'i.!!,......., Testament
and Last Will, and at the time of so doing .............,'?,~,Cf.......,..............,....,was of sound and disposing mind
memory and understanding, to the best of ...........:!:-.~l~.........,............knowledge. observation and belief,
.........~~.!=?!!:~.........,........,.... and subscribed before
......,..,....!~l~",,~,~;d~,::,~;::::.7
,.y , ,~"/ /,
"C.l..l-!...-..-". .", ~')/I:-i.:..:--~
................,............~f...,.........I..............'r......................
,
'~ '
'-., d!~~~,~,~,>lif!t,"'?,n....-,";,........,"~~.1?~::X
E. ~"...ud_.....Ll.J Register
..................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA! ss:
COUNTY OF CUMBERLAND \
...........:f.:~~~.~.~........~,:......,,~0,?,~,~f~.~,:,~..,"""'"""".."",..""",....""..",..,....""",..."...,......being duly
.......,?:,~..~,~,~....,.......,............ says that as nearly as can be ascertained the said decedent ,...........,.............
....",.."".,........,.., '0. ,~~,~".,....,"'" ~:".,",..~, ~. ~"~ ,9.,:f....."""..""..""..."",.""."""""........"."",.., ,.. ......,.., ,d ied on
.....,..~,9..I:'!.~,(t,~...,................. the ......,..........~,~........day of ......,:~,f.,~~..~.........................,... A,D,. 19...r.~"
at or about ............I..~.:},~.................. o'c1ock, P..,M,
,..,.."..$.,~..~,!'::t:!."..,..,...,"',.""",and subscribed this
1\ .It- APt'll!..
..................................,.......,..... day of ........................
19. ,~,?... before
1 I' ,') /
'J . . /'J' /} . " j' ('
).... {J .: ,- Ie .' r....._t'./!_({'i"l,(.... .(,c_'.,L ..' -
..~..:..................., ...........................................................
~,1~1.t~.(:::\;.~'w)~~s~".,',.., "".""" ..~,~,~~,~ '!.
Kklu1la 0, ^lld....,~v.11 Registcir--'--'
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH 0[0' PI';NNSYLVANl:\'}
c.;s
COUNTY OF CU~mEHLANJ) " :
Before me, the HegisLvr 1'01' the Prohate of Wills and granting of LeLLers of Administration inllnd for
, the County of Cumberland, personally came ....,.,.T.~f.l2f~......~,:....~~,~~~,J.~~r.~~:....:-t....~.l?:,:.:,~.r..,~:..~',~~,~(fIL
who, being duly ..,..s.,~,~..~,~....,.., do .......... depose and say that as..,....,~.,(f.,S..Y,T:~,~,S~f;~..........................,
of the last Will und Testament of ....,........,~,~,f.:~f......,0..:........,(?..'..,~..~,~..~........................,......,..,..,deceased
,....J.,h,~..~L...... will well and truly administer the goods and chattels, rights and credits of said deceased
according to law, And also will diligently comply with the provisions of the law relating to Transfer
Inheritances, ......,~,!-!:'..~.~,~...... and subscribed
before me,
........,..,fJ,P..~,\..':;..............~,:............, A, D., 19,~~..,..,
~1Ja.\J,ft~J1;Js~<d(i:.!;;s":",, "... '" ...., .', ......,?~R,~~X
~H~k81'8 E. ~OJ<i10R, Register
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.... ........ ......\1......, .~, ,j, ............ ......,.. 10...\....... ..............
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" DECREE
!
Be it remembered that on the ........~,~~.......... day of ..........,..........,~~~X............,..,..,. A. D,.19~~,..... there
b d d d d 1 11' d I' Flary H. Bishop
was pro ate an recor e t le last \, III an Testament 0 ....................,..........,................,......,......,..........,...
Carlisle '
late of ....,........,........,............,......,....,......,....,................. Cumberland County. Pennsylvallla. Deceased, Letters
.......,......,....,.~,7.~~,~~,~.~~;;x,"',.. were granted to ..,~.7,~~,7,~, ,,~,:, "~,~~:':',?~'::,7,~,~,..~"~,7,~y,,~:.:..,~,~,'?r;::,r;,,
Witness my hand and official seal the day and year aforesaid. I
'- ,Q\ ,'~ f~f':) , : I. ' Deputy
~,1 I}, " .,/0 II \
.1, "';t"t"...I"I-1~..,.,,\,.."',..,.. ,......".,........."..,.
\ 'J :(',. 'r ......
, R.;""lluld: E. 4\U~"'~wuu, Register.
COMMONWEAL TlbAWPiRWSYLV ANIA
COUNTY OF I.II>>1lIBIIUHJl
55:
JS~J?_EkB, B~O~IiAWELL and BETTY M, CROMER,
-_.~_.,~-----_.",._._.__..------ --.-
late of South Middleton Township " ____, Cumberland County, Pa., dacaased and that tha
within is an inventory mado by, thelll, ' ,___' ........-- --.. .--- "..-, the said executrices
of the antire astate of said decedant, consisting of .11 the personal properly and raal estate, excapt real astate outside
the Commonwaalth of Pannsylvania, and that the figures opposita each item of the Inventory ,a present it's fair value
as of tha data of decadent's death, 9 J /J 1::1. /3 f} 1/
/ , ' _fj" --"--,-fl !J, /1--r,..<LJ"//1./''''-'U...lLC
~..........,</ z: and subscribed befor. me, l'.. II) (1 , ,
" f ,__...L~u.l..).-lJ~l.....&mfV1 /
.H. '. .. "J'I 0 "...". M.',',"""
~ ,=.~ ~,~~,~U ------.--
,/
.. _ according to law, deposa, and says that theY ,_, __<!.re,J:.1:~--..e.~ec~t1O...i"ce~_
of tho Estato of ..!1ar~, Bishop
-..-..-"-"".--- .-.-,.-.--
boing duly _..f!worn_,..,
SHARON R, FEISTER, Notary Public
H.arrisburg, Dauphin Co" Pa,
My Commi$sion Expires June 18, 1984
---_._~~ -------
Address
Date 01 Death ___,.._-.._-,!tCL ,__,____n_,__~Eri1
O"y Month
1980
Year
INSTRUCTIONS
I, An iRventory must ba med within three months altor appointment of personal raprescntative.
'"'
2, A supplement invantory must be filed within thirty days 01 discovery 01 additional assets, "';;;
), Additional sheets may be attached as to personalty or realty ~~
"1
4, Sea Articla IV, Fiduciaries Act .11949, F-!?,
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REV.455 (HIO)
COMMONWEA~ TH OF PENNSY~VANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT OECEOENT
*
' . \
,~ ~
File No.~\-~D-;,Y\$
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
.--"." - "-'-' - .-"--==---
Estate of Mary M, Bishop Date 01 Death April 7 , 1980
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
Isabel B, Brownawell
Claimant's Address 2.6 Valley Street,
Relationship to Decedent Daughter
Carlisle, PA 17013
ITEM OATE NAME OF PAYEE
NO,
Ewin Brothers Funeral Horn
Geor e's Flowers
Jack Gau hen Realtor
180 Borou h of Carlisle
Re ister of Wills
Farmers Trust
James Line
Isabel Brownawell
80 Isabel Brownawell
e Mower Service
80
80-2 81 United Tele
9 80 INA
11/80
REMARKS
Funeral bill and stone
Funeral flowers
House a raisal
Util it bills
Recorder of Deeds
William Thorn son
Isabel Brownalole1l
Re ister of Wills
Kogan & Smigel
Letters 'l'estamentar
Safe dc~~~it box
Taxes
ReilOuurse [or ambulance bill
Reimburse la\'l1l mower 'as
Lawn seLvices
Electric bills
Taxes
Phone char es
House insurance
Taxes
Oil bills
Settlement costs
Lawn care
Famil Exem tion
Accountin
Attorneys fep.s
AMOUNT
$1,982.00
53.00
95,00
64,38
31. 00
5,85
140,51
35,00
8,00
45,58
359,93
49,90
29.37
161,10
292.05
463.14,
480.41
88 ,OO~
2,000.00
35.00
1,125,00
TOTAL THIS PAGE $ 7,544,22
1 hereby certily that to the best 01 my knowledge and beliel the loregoing is a just and true statement 01 debts, funeral
expenses and expenses 01 administration submitted \0 the estate as deductions lor Inheritance Tax purposes.
) ,Ill ~ : : l /. ~~ /.~ '. . -~ I, "I! ('"
~JGNATLJR[ OF ATTORNEY/FIDUCIARV DATE
OF FICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S '751/ </-. :{:2 AT
,
t
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7 t . (!, ( ..PAAx~
7, REGISTER 0 WILLS
PERCENT.
f-:<5' -0/
DATE
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I jREV..44G 1\.801
. COM:~ONWEAL TH OF PENNSYL VANIA
OEPARTMENT OF REVENUE
, TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
AFFIDAVIT OF
FIDUCIARY
(Instructions on Reverso Side)
'.
~c:.~r.
Estate of Hary H. Bisho.E-..____,_
Last Address 1026 Ritner_ Highw~___
Carlisle,~ 1.7013
Dole of Dean, __.A.~t:.j,J 7. 1980
Social Security No, 187-164-117
Bureau File No,
lei TYI
(ST^HI
( liP)
Counly File No, ___JJ - ~ D - ;~3,..::L-----
1. Decedent died:
( ) Intestate (without a will)
(x) Testate (leaving 0 last will--copy attached)
2, Is Ihe liIing of 0 Federal Estate Tax Return required for this estate? Yes_ No x
3, (xx) Executor/Executrix ) AdministrotorfAdministrotrix
Name
Isabel B, Brownawell
Betty M. Cromer
24.Boiling Springs Road
Carlisle, PA 17013
Address 26 Valley Street
Carlisle, PA 17013
(CITY)
(STATE)
(ZIP)
4. All correspondence should be mailed to (xx) Attorney
) Fiduciary.
5. If an attorney is representing the estate, indicate:
Name
Bruce I, Kogan, Esquire
Address
120 South St~
Harrisburg, PA 17101
(CITYI !~TATE) (ZIPI
List all safe deposit boxes registered in the decedent's individual name! or jointly with, or os an agent or deputy
of another, or in decedent's individual name with right of access by onolner as agent or deputy. Include the nome
and address of the bank or other institution where the safe deposit box is located, the nome (s) in which the box
is registered and the relationship of the joint holders to the decedent.
Farmer's Trust - Carlisle
NAME OR NAMES IN WHiCH
SAFE DEPOSIT BOX IS REGISTERED
Mary H. Bishop and
Isabel B, Brownawell
RELATIONSHIP OF JOINT
HOLDERS TO DECE~EHT
NAME AND ADDRESS OF BANK OR OTHER INSTITUTlOtl
IH WHICH DECEDENT MAINTAIN EO A SAFE DEPOSIT BOX
dau hter
Under penalties of perjury, I declare that I hove examined this return, including accompanying schedules and
statements, and to Ihe best of my knowludge(,ond b~lief it ~~) tru:" correct and comp~ele, '... I~
)'(l/\,L,~.(/ I), I. H ('.U 'yu.u"",,'{/ ~ ,:((1
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'.--D.LnU--/)J ("LC))LC't. {~, ),/-::/
SIG~iTURE OF FllllJCIARV 'OA TF
, ,..,.
PENNSY~V!\NIA INHERITANCE TAX GENERAL INFORMATIO~
1. PERSONS RESPONSIBLE FOR HETURN
- ---,---
Section 701 01 the inheritance and Eslate Tax Act of 1961 provides lIwtlhe fOllowing persons shall plepare and file
a return:
a, The personal representative of the estate of the decedenl :IS to property of the decedenf administered by him
and such additional property which is or may be subjecllo Inheritallce Tax 01 which he/she shall have or
acqui re knowl edge;
b. The transleree 01 property upon the transfer of which Inheril;mce T<lx is or may be imposed by the 1961 Statute,
inCluding a trustee of properly transferred in trust, provided lint no separate return need be made by the transferee
of property included in the relurn 01 a pmsonal representative,
2, PLACE FOR FlUNG
The return is to be filed in duplicate wilh the Register 01 Wills of lIle county wherein the decedent resided,
3, TIME FOR FILING
The return is due nine nlonths allel 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,
4, FAILURE TO FILE RETURN
Seciion 791 olthe 1961 Statute provides that",. .any person who willfully fails to file a return or other report
required of him, , ,shall be personaliy liable, . .to a penalty of 25% 01 the tax ultimately lound te be due or $1,000
whichever is lhe lesse~ to be recovered by the Department 01 Revenue as debts of like amount are recoverable by
law,"
5, TAX RATES
Inheritance Tax is payable at tile rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife,
son, daughter, grandchildren, grandparent, son-in-law and daughler,in.law <lnd <It the rate of 15% as to all others,
6, PAYMENT OF TAX
The tax assessed on the transfer of plOperty reported in the return is due 9 months after the decedent's death, Interest
at the rate of 6% per annum accrues thereafter until payment is made, All payments received are first applied to any
interest which may be due with any remainder <lpplied 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 mmle p<lY<lble 10 the Register of Wills of the county wherein the decedent resided and are
received subject to the final 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 interest have been paid in full. The taxes may be sued for ag<linst any real property in the decedent's
estate or against any propelty belonging to a transferee liable for the tax,
8, FIUNGOF FALSE RETURN
Any person who willfully makes a false return or report required 01 him shall, ill accordance with Section 793 of the
1961 Statute, be guilty 01 a misdemeanor and, on conviction thereof, sl1<l1l be sentenced to pay a line not exceeding
$1,000 or undergo impllsolllnenl not exceeding one year or bolli,
,-.--- ~~--_.-- --,-"..-..
----.. .-. .-.--..--.-... --.---- -.-.-"
.---"._----~"-_..
fr..", .
LETTERS TEST AMENT ARY
COMMONWEALTH OF PENNSYLVANIA } 8S:
COUNTY OF CUMBERLAND ~
BY THE TENOH OF JIIESf; PHESENTS
Harol B, McLane, Deputy
I, "",,,. ,..."..' ....... ~E~.~!:.~A..~.:..~" !:,~.~.~!.!! I~ ,. "...... ....... ......... Esq.,
Register lor the Probate of Wills and Granting Letters
01 Administration in and lor the County 01 Cumberland,
in the Commonwr.a1th of Pennsylvania, do make known
2nd
unto all 1l1Cn that on the "..".........",...",..,,,.,.,,,..,,,............ day
~lAY 60,
01 ............................,.................................... 19,........ at Carltsle,
before me was proved, appeared and insinuated, THE
LAST WILL AND TESTAMENT OF
MI',RY !1. BISHOP, LATE OF
.,..",.....".,......... ........... ..,........, ,....,....,............... .,.,.
BOROUGH OF C::,RLISLE, Cill1BERLI\ND COmITY, PE:mSY"-"N!\NIh,
, , , ' , ' , , , , , , , , , , , , , , , , , ' , , , , , , , ' , , , , , , , , , , , , , , , , , , , ' , , ' , , , , , , , , , " DECEASED,
(a true copy whereof is to these presents annexed), having whilst, ,~:1~, , lived at the time
of ,r:~~ death divers goods and chattels, rights and credits within the Commonwealth, by
reason whereof the approbation and insinuation of the said Last Will and Testament, and
the committing the Administration of all and singular, the goods and chattels, rights
and credits, which were of the said deceased, ::If.O the Auditing the Accounts, and Calcu-
lation ;ind Reckoning of the said Administratioll 1.0 me are manifestly known to belong.
And th'-it,.,Aclministration of all ancl singular, the cnr,r." r,:'.d chattels, rights and credits of
the said deceased, and way concerning , ~,~~ , Last Will and Testament, was committed to
IST,EEL B. IlROI';;,A\\'ELL A~'D BETTY F.. CROI,:ER, , d
, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ' , , , , , , , " III the saId Testament name
i
I
\'
EXECUTRICES "
. , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . , , , , , , , , , , , , , , , havlllg first been duly qualtfied
well and truly to administer the goods ancl chattels, right ancl credits of the deceased,
and make a true and perfect Inventory thereof, and exhibit the same into the Register's
office, in the borough of Carlisle, within thirty days from this date, and also file a just and
true account, calculation and reckoning of , , , , ,~~~,I,H , , , , administration when lawfully
required, and diligentl~' ancl faithfully to regard, aml well and truly comply with the pro-
vision, of the law relating to Collateral and Direct Inheritances, Decedent died 011 the
, , , ?~~, , ' , , , clay of , , , , f:\~~~', , , , , , , , , " 19 ,~~ , " according to afficlavit properl~' filed,
In Tealimony Whereof, I have hereunto set my haml amI caused the seal of said office to
he hereunto affixecl, dated at Carlisle aforesaicl. the "",""'" ,~=!~, , , , , , , , , , , , , , , , ,
~AY . d
da)' of , , , , , , , , , , , , , , , , , , , , , , , , . , , . , ' , , , , , , " In the year of our Lord One Thousan
Nine Hundred and "E;~ql.!'rY"""""",' /.(,. . '. h~" /,/, DEPUTY
~ ,( ; ~.' ..( I -- , ,',' '., ...--. ""
........ ...................... .h... .,.".........,..............................
Riehnrd E. :'.l'.EIl .. IJR, RC6istcr
pel' ,-~~,_:--.., J,< '" 1.-" D . R .
" ,,_, , . ",::' . " '1' ' . .' "epul) eglsler
REV"4~O 1'''60!
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE" AU
REAL PROPERTY
(Instructions on Reverse Side)
ESTATE OF
Mary M, Bishop
-
ITEM ESTIMATED DEPARTMENT
DESCRIPTION MARKET VALUATION
NO. V ALU E (OFFICIAL USE
ONLY)
1 House and lot located at 1026 Ritner Highway,
South Middleton Township, Cumberland County,
Pennsylvania $45,000,00
,
TOTAL THtS PAGE $1,5,000,00 /5rK'rrO
0>(1
QUESTIONS CONCERNING PROPERTY TRANSFERS
I
I
I
1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No" ,) 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",) ~
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".)
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 the right to income from the property transferred? (Answer "Yes" or "No".) ...lliL-
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 live b, above is "Yes," state whether the right was reserved in decedent alone or others,
I
I
I
,
I
i
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, 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 to 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".)
IlCV.454 (1,001
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE HE"
JOINTL V OWNED PROPERTY
*'
(lnstfllctions on Rovenm Side)
Estate of
Marv M, Bishop
P
TOTAL E VALUE OF DEPARTMENT
ITEM R
NO, DESCRIPTION MARKET C DECEDENT'S VALUATION
VAl.UE E INTEREST (Offici.1 Us.Onlv)
~
None -0- -0-
.
,
,
-
TOTAL THIS PAGE -0- - IJ -
r1/j
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 ri(Jhl of survivorship, Both tangible and intangible property are to be
included, List real estate first.
1, Describe all real property as indicated in tl,e instructions for ScllOdule .. A". Describe all personal property
as 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 eSlablisllOd,
2, Indicate the total market value of 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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INFORMATION
To Insure proper crodit to your account. tho name of the lJstllte and fila number SllOUld bu cluarly print-
ed on tho chock or money ordor,
This ossossment Is modo In occordonco with Section 708 of the Inheritance and Estate Tux Act of
1961172 P,S, ~ 2485,7081,
To the extent that inheritance lax is paid within throe (31 months after the death at tho dccedan!, a
~iscount of five 15) percent is allowed (72 P,S, ~ 2485,716),
Inheritance Tax. other than tax on a future interest. is due at tho date of tho decedent's death and becomes
delinquent at the expiration of nine (9) months altur thu decedent's death (72 P,S, fi 2485.711). InhorilOnce
Tax on 8 future interest is payable within three (3) months alter the transler lakes cffecI in possession and
enjoyment and is delinquent thereafter (72 P.5, S 2485-712), Calculate interest from the delinquent date shown
on th6 face of this form to the dale of &ctual payment using the following interest table:
--------------------- ---------- --- ------------- - - --- - --- -_._----- -- ---- - ----
1 month ,005 4 months ,020 7 months ,035 10 months ,050
2 months ,010 5 months ,025 B mantt's ,040 1 1 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 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 (601 days after receipt of thiS Notice as provided by Section
1001 of thalnheritance and Estato Ta' Act of 1961 In P,S, 9 2485,1001),
Make check or money order payable to:
"Register of Wills, Agent"
Mad to the address listed below:
J!!EQ,R M.illiilli..
To insure proper crodit to your account, the nome of tho oslole and filo number should be clanr1y print-
ed on tho check or monoy ordor,
This assessment is made in accordance with Section 708 of lho Inheritance and Estato Tax Act of
1961 172 P,S, 9 2485,7081,
To the extent that inhoritanco tall. IS paid within three (3) months allOr the death of tho decedent, a
discount of five (51 porcent is allowed (72 P,S, 9 2485,716),
Inheritance Tax, other than tax on a future interest. is due at the dale 01 tho dacedent's denth and becomes
delinquent at the oxpiration of nino (9) months alter the decedenl's death (72 P,S. 9 2485.711), Inheritance
Tax on a future interest is payable within three (3) monthS after the transfer takes effect in possession and
enjDyment and is delinquent thereafter (72 P,5, 9 2485.712), Calculate intere!>t from the delinquent date shown
on the face of this form to the date 01 actual payment using tho following interest table:
--------------------- ---------- --- ------------- - - --- - --- --,------------ - ----
1 month ,005 4 months ,020 7 months ,035 10 months ,050
2 months ,010 5 months ,025 8 months ,040 1 1 months ,055
3 months ,015 6 months ,030 9 months ,045 12 months ,060
1 days ,000 17 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 days ,00068 14 days ,00237 24 days ,00403
5 days ,00085 '5 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) d<lYs <liter receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961172 P,S, S 2485,10011,
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
.-
~.
"Ail (;1.(11/78), ~I ""'\' " ' ' ,. ','"
'\\~~{~~l:~'''J~:':il''~,i':,,;',, ',,> COMMONWEALTH OF PENNSYLVANIA
No;~In6I)'4 88,,' DEPARTMENT DF,REVENUE
Bjw..;~\~~':l,,~H,I, i' OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
\I",""';.'" ' ,"" ..'",,--, .---
9 RECEIVED ______________________BIGHTUII HUMDRID DOLLARI-------------------crO-'lars
II represf!nling Ponnsylvania Inheritance or
= From, Ilabel D. lzoownawll . Betty M. czo~&E"alo Tax due from the following e.lole,
II! I
~ I~re.. ~2~ !I::u~e Il~;.:~an, Blq.
M
~ File No,
-
~
2'lt Tax on
I
$
H&zodlb\lZ'lil ,
fa.
17101
6% 1m: on
;
$
:21-80-295 Dale of Dealh 4-7-1980
15'k Tax on
$
$
Name of Decedent
MARY M. BISIK>P
$
I
Dale 01 Payment
July 7, 1980
'7" Tax on S
Estate Tmt, Ad of
May 7, 1927
$
County
CUllbtldand
TOTAL TAX CREDIT
less five percenlum of lax if
paid within three months ofler
dote of death
Plus Interest at the role of
_%from
10
$
L894. '"
Remarks:
$
94.74
.PAID OM ACCOUblT ·
$
'[j'OO~~[L~@&'[j'rn
1,800.00
5 E A L
TOTAL AMOUNT PAID
s
NOTE: Thl. Triplicate Recoipt to be retained for audit purpo.e.,
Received by
NOTE: In occeptln" the Irondor inherltan(e to~ on fulure eslolos, prior to the death of the life
lenonl or lenont lor years, os evidenced bV this receipt, il is understood that the Commonwoallh shall
nol be precluded or prevented !rom hereafter aueuing oddiUonol inherllonctt lo~ at tho dealh of the
life lenonl or tenont lor years whenever II appears thai such addlllonol to~ may be legollv due and
collectible fOf any reason whatsoever.
I
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