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Home My WebLink About80-00299 '. j:j ~ " . >< ~ ~ tf.I m " ~ ~ ~ .. ~ ~ t) ~ . . tf.I 'H ' III m , ~ ll< ~ II! ' 0 .:I: tf.I tf.I 'E-i CI 00 ..... . 0 - N ~ ~ , . CD 0 ... M Z '" L&.I NO. 21.80 299 PETITION FOR LETTERS OF ADMINISTRATION IN 'rilE I~STA'rI~ OF ,...."~~.4J.~..~"...Gh(\nY,......"...,,..,.,.,.,..,.,..,., l)I~(~gAHl~J}. To ......... .~~~ ,": .7. ~~.. H.... .~: .~ ~,.........,,"',., .~. ~.7.~,.. ~.:... ~::.~.~ :~..,..".....,..".,.,..,''',....,... Hegistel' of Wills 1'01' t.he ('ollllly III' ClIl11liel'ialld, ill lhe ('Ol11l1loll\\'ea\lh of Pellllsyll'aaia, The peti tioll 0 I' ",~l~,~" ,r.!:,~,~,1.~~" ~,~ ~ ~,~?~~" ~,~~,k""~,r,, ,~\~ ~,~,p.~n~!?,\1~g"" "',' """ "".",., .""", """ ..'", "..'", ,......,................................................., I'espedfllll;' sl1O\\'elh lhllt ..,',S,~~,t,~..,~,...,~,~,~n.........."........,..............,.... \\'IIS II resident of ......~!)Jp.p~)1,s,b,o:\'lL.."....,.. ..,..' ..",~"..ttt<lI1I't' ,('1I111111'I'lalld ('0111111', ~tate of Penns)'I- . ' IOJ'OUg- 1 . vllnlll, IInd II Citi~,ell of Unit.cd Stlltc', alld depal'lcd lhis IIf!' illteslale ill the ('Ollllt;< of ...f.);~)).~lJ.n......., ........................................ alld Stllte of "..,p,~':':.~,y,~y~?13..", , ,.."....",........,....,................",...................,.............., on ..,~~,~,~!::~~X..........,......, the ..,,1,2,~~.......................... da\' of ,..~,~.r.n.................................... A, D" IH,1l0...." at the age of ......,~~...., ye",'s, That the said ......S.!!~,i,~..~,~..,~!!,p,r.,..............,......,................., dw'ased, left slll'l'iving the following named widow Of hu~batHl, lwirH ami next to kin, to wit: Nume Relatiollship Residence ",~,J::~)11'?,!!"ilA""",~Mp.P.~,\W.\UIJ,g""r.a . ",~.~~~~,..:.~~?,~"R.~,:,~..,~~,~,??~?~.?.~~g. P a. ",?-,;I,9.,',J;:"..,fiigJ,j,~.lci,..?t,..,',?h;\.P.P,~IISburg . Pa. ",9", ~ 11,\\ 1;11" J:.<lY.1\ );,t,I\..~ );X~I\ l;., ..S,h~ppens- DUt'g, Pa. "~?-,ci,\wy.,..f,\!p,.~J""""""",,..,,"""""'" , Herbert Hammond Brother Sister ...................................,',...,.. ,.........................................,. ................................................................ ..~~,~,~.~!!..):,I.~~~1.':~..,",....,"",.., "....'"", "!\B-!':',..ill:,p;\\J::"""......,......"",,....,....,"'" """",.. ~x.~~h~ [,..",.."""".. """',..,~?-,~.!;~,,"',..,',..,',..," ................................................................ ................................................................ ......................,..................... ..........................................................,..... ................................................................ ..................................,......... ................................................................ ............................................................,... ............................................ ................................................................ ................................................................ ............................................ ................................................................ ........................,.............,.............,........... ..............,............................. That those above named include all of the ncxt of kin, so far as known, The suid decedent was posses,,~d of pe,'sonal propert;' to the estimated vallie of $}~,!.9.2~,~9,9...,........., and of Real Estate, less incumbrance, to the estimated vallie of $}9",2R9",22....,........ as near as ean be aseertained. That the said Real I';state in so far as is kno\\'n is located in ................................,.............................., ......g,~, ..~,:... ~.~~!! !:!7, ..s.~,~ ,!", s.~~,pJ~~)1~ ~,~J:: ~,',' ,P, ~,~..,',.. """"..""....,.."""""""."",..",',.,"""""""",..,",..".,' ,.. ,..""" Therefore, your petitionel'(lI) I'espectflllly appl;'(ics) 1'01' Lette,'s of Administration in the above named estate, .~J ~ I ",,-,! I' /' :.1. ,) Dated ............................,:....'(/............, A, IJ" 1!1...,..:'.... Signature and Address ..~~~?,.~,:," ~.i,~~~,~7.~,~" ,~, ~~~.t.~ll,t, .Tr\J~t,.?f ,f,i,~~ r;,!,. .'l11!:r.~~p,l~s ,N,~ t i~~i~p~~~t u~, f,."""", named in the above application heinl( dill;' ....~,w.~rn......., ,......'.. ..... , aceol'dinl( to la\\', sa;' thaf the faets set I forth in the abol'e applicatloll are trlle to Ihe Ill'st of ..~~,s....:..~ Ikno\\'letjge all,1 iJelici, / ,/ Sworn to ' 1 . I ' .'1 .1 1 f, ,:' /...-;, ' " .' ;', f, ..b'e...fo..r..e....m..'e..,.......'..'..."'.... ....... ...."",.,' .lIlt ,n ISCII let ..',.... "..1".., '.. ,... ,,' "" ..........,....,....., ,,,,....,,.., .....,.. ......, ...... """"l:!!!;l<,.,f!..~!~$.g:1-!1-.,.,"""',.,""..,""',..""".."".."",..,' ........,........k1!W....L........,......,....,..,'" A. I),. Ill!?Q...."m..E.a.!l,~..,K.~"g..SJ!~,~L,...",......"'..,.............. "....,1lf!(Uf".t!/.",;;fi~,;/.",",.,.,"',.,"'" f ltel(ister Filed: ... ,l':,~;{...,~,!...... ,1.9.,8"0.........,.,,.. ,.............. ..... of Pelitiol\t'I'(:-;) COMMONWEALTH OF PEN:-;SYLV ANIA COUNTY OF CUMBERLAND I \ ss: ./ ~1c lot // > /.-~ / . /f/( d... /:j' / - 1'",.' IL,././ ..........1,.................,........................................................... /.11<..1 7~.", oJ' Cl+'(,' ,?/ ..................................................................."................... -"~I "/" I' I )' ,,~ I ( . ,),. -,,1,,)(..j~": -,,(. t'/{-,.,," ( /~~~r"_.'\/ ........../:~..l.i.:...(~;;;,.':.i:......J.................................................. ""; l . , 'j.' . , . . ..............; .;I..,t;-;.;.:.!:....r~...::>.....~.';:......:....:.....i..(.~.f.....)....... ,v J' (o\'el') , ,..,S.~~ppe.n~~u~~.! ,.,p.~.'.".1. ?~F"., "" "",. ,.,"""',..,1f) Attol'llel': ..":,~\\..,..,',J..,..\:,'.,'\,...."..,,...., rP1- . ~. \. ~ Thomas L. Bright Inventory of the reol ond personol estote of Sadic B~ Cha~X__,____",___,__.____deceased. .--------------- ------.-- The Peoples National Bank-Savings Account /1016-202-7 20 Accrued interest to date of death The Peoples National Bank- Savings Account /1016-202-7 21 Accrued interest to date of death The Peoples National Bank- Checking Account /116-202-7 The Peoples National Bank Christmas Club /I 008-629-0 Christmas Club /I 008-630-4 28 Shares Chemical New York Corp. - Common stock @ $37,0625 Cash found in house and lock box Medicare payments received Commonwealth of Pennsylvania - 1979 Property Tax Rebate Commonwealth of Pennsylvania - 1979 Inflation dividend check Federal Kemper Insurance Co.- Refund on Homeowners insurance Proceeds from public sale of personal property Prudential Life Insurance Company- Proceeds of policy /105-101-791 Real Estate ALL that certain lot of ground with a frame dwelling house and other improvements thereon erected, situate in the Borough of Shippeusburg, County of Cumberland and Commonwealth of Pennsylvania, bounded and limited as follows: BEGINNING at a point on the curb line of South Prince Street at corner of a public alley; thence with the said Street South thiqy-eight (38) feet to the corner of lot now or formerly of Harry Grove; thence with the said lot Westwardly one hundred forty (140) feet, more or less, to lot now or formerly of Jay H. Powell, Jr., including a ten (lO)-foot private alley; thence with the said Powell lot Northwardly thirty-eight (38) feet to the public alley aforesaid; thence with the said public alley Eastwardly one hundred forty (140) feet, more or less, to the place of BEGINNING, Sales Price Agreement Price TOTAL $ 7,223 40 43 35 4,426 09 26 56 5,742 36 60 00 60 00 II 1,0371 75 297\ 91 249, 30 \1 4001 00 II 00 95 I I i 16 00 I 5,258 50 2,841 99 20,000 00 $ 47 778 21 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: Alan B, Rhinehart, Assistant Trust Officer, The Peoples National Bank of Shippensburg .___' _______ u_" "_ ._...___._____._.___._ being duly _.~~~_..__ ,o_,,," according to law, deposes and says that he ,a~_____,_,__,,__, __,Mministril~or,__,o__" ,,' ' 01 the Estate 01 ..!i.n..cJJJlJl_,,ShaIn'__, late 01 Rnrn"gh nf ~hipppn.hllrg , Cumberland County, Pa" dec.ased and that tho within is an inventory made by" " ,~ilTl .. ,_, _._,...__., ._- - "..---..-, tho said Administrator of thc cntir. estate 01 said decedent, consisting of all the personal propdrty and r.al .stat., except real estate outside the Commonwealth 01 Pennsylvania, and that the ligure, opposite each item 01 the Inventory represent it's lair value as 01 the date of decedent's death. c/u~A.AV ,~ tL;. c/~ i Yha, oi/ -eL ,~cJ1A 17 t 1}71u~<' j SllIrlev A. Marburger, Notary Public Shippensbun;J. PA (umb~rland County My Commwion ~ires Dc[cl1'ucr 27, 1981 _ _ _u~.___.__..._..... ." d "b,,,'b.d b.'." m., \ 19XJ_ ..-2 /.Ie, /.3_ .~/:t-<;,,-,--L,,--,+-/ Alan B. Rhinefffli"t~r 'AM,Wt\itl~r Trust Officer The Peoples National Bank of Shippensburg ,Eas t-K-ing-S t,reet Shippensburg, Pa. 17257 Addre" Day April Month 1980 Date of Death 12 Yur -----.-------- INSTRUCTIONS I. An inventory must be filed within three month, alter appointment of personal representative. 2, A supplement inventory must be filed within thirty days 01 discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act 011949. 0- 0' >- -,; . I- LlJ . ~ '" I- ~ LlJ -< . 0.. I- u 0 0 Vl ~ 0 LlJ LlJ C '" ,.. J: '" ~ 0 I- 0.. ~ 0.. c Z I- -' LL ~ , LL -' -< 0 0.. 0 i W 0 -< LlJ .;.. ~ . ,-,' "., '\'HrH~~'n:J ~ II > z '" ""_ <I,: ,,",\, . j j Z 0 C 5'.1".: ,; ,t1.JII.':~!C!- }l~31:J .; I' Vl z 0 '" U z II LlJ -< ... 0.. -0, c(' ld ~- AVW lB. ~ ' - -.: 0 . .D .>I. . E -0 . ,;:Q3~ .! 0 ~ . 0 ..J U, " ",l"'JJil~033~ u: CD <!'-' <3"- ,,- d 0.. r -- '\l .. '.. ~;:i ",:ij ~~ ""'" zsg~ 01<lH ~""~ o .:> U~~ ~Z O::>E-< O~ E-<U::> ~ 0 ::><=>U 0'" ~~~ [S1<l;a Z~~ HUO >< "" ;a U , '" Ol H <=> ..: '" ~ o Ol E-< ~ '" Ol so , 0' J """ ;.~: , ,0, I., r- ;f~. ~?l~. N z.-;;:2 1...'" l. i ~ . : '_1," 0>- ~ 1....\\, rcv;. 111\ oE; ~:i '-'w tT-;:5 ~o:: ~ lUrJ v:> -' u :),' i' ~;-. ~ H E-< ::> '" H ~ E-< '" H <=> ~ o Ol ...1 is Ol :I: U '" a -5.-~:) ..~;: " (tll ~"_~~': ;;1: -., .S 0.' c;' -,_\~ arc:. 8.. \r> Q.J g r;.l;.:: .. ',.c . ,!.:: H .. ..... " ~ .s,'~ .:: o --a' (j e.J:J r:; '.::l'B",. , o en v::. l:' ~;::::;: 1') r"' ,,~,"3 ;:" ., <0' . :t 4). ~: ~ )1 .~ if. 0 ,.. - 8: 'It'~; 0' ',' o. ~ ','" '.'. ..... 10< G! ,0:1 ~ ~ t" u_ ,s ... -' " ~~,~2~~ i ~ .. '~.l '" E ~. "(:: 'f1 () (J,I C ::) \> +, 0( c;J 'u .ri ~..!::l ''. 'r- <=> Ol '" o "" ~ "" " -;; ].~ ~ >-l:::58 -'-'~._, ".1 ~ ~ \. 1.1) .,[ \, W ~ ""_,.,".J 3: ~ ,;~,.j-~ ~ 3F~' ~ "<,) ~ 0 I!. : ..... U) Z ,':~ .,' ",Q ~ v " .:~ .' .~z 111 -- ~ ., .'i: ~ ~ ~ ffi .. ,\ -,:l 0 w m ,:; :." a: ~ m ~ ... ;-: --:-'<( 4: ... D. ',; .;; -l-~--;- ~ .. ')", I ,.!" ';i III 1~ " .:: ~ l ('\ r{' ,\ .~~ ~. c ;, "\ ;':~,.. /I'~' - ;-"~- l..g;, :::': '~j (.) t~. .- \~' .... ,_... .. ",.. ~ ~ ~ . , K J> . ~ I ~ , o % ~ " . l ~ . m SCHEDlIl.E OF DISTRIUlITION OF IN~ BALANCE FOR DISTRlIIUTlON . . . . . . . . . . . . . . . . . .$2,91~ TO: GILSON P. HAHHOND, Brother of decedent 011(~-sixth (1/6) s\wre IN CASH 486 . 27 TO: ANNA H. ~lILLER , Sister of decedent One-sIxth (1/6) share IN CASH 486.27 TO: SlIlNEY H. FULLER, Sis ter of decedent One-sixth (1/6) share IN CASH 486.28 TO: HERBERT HAHHOND, Brother of decedent One-sixth (1/6) share IN CASH 486.27 TO: DELORES K. BLACK, Nie(:e of deceden t One-s ixth (1/6) share IN CASH 486.28 TO: FREDERICK R. HAHMOND, Nephew of decedent One-sixth (1/6) share IN CASH 486.27 $2,917.64 THIS E~lAUSTS THE FUND l::.lIl 99 rACE 6.118 MA.RK a. WEIGL F. _ ATTORNeyS AT LAW' 113 EAST KING !iTREET - SHIPPE:NSDURG, PENNA. 172ti7 ~. .' ,.1.... ,'. '-.....- " , c :i:i " .. .', ..." .. I ~ B ~ . ,s~, I:J) ~ ~J ~ . ~ 2 f1< "" . 0) 0 H ~ ~ ,,' I " :.:; .' 'J - '..; ,Ill ..I...... '" :) ~ ." '- ',' .~~ 'I; ....<~. ,) ", ~O '~l~ ~~ .' (Jl . "' - . ~ j .. ;;'i u c ..c '--. 0 ,)~ Nit') .. >< 3 .. ... ,2 ~ ~~ " ) -~~ .~'" ~ o-l '" '" (Jl c~ 0.\' ;l :il H ~ " .. )~ j ~ L" , ~ Z ~~ . . Z c ", ~ Z 0 .V u ::> U C II . '" i., II ~ ~ H ~ ~~ 0 .~ ~ ,') -.~ l-o ~ Z t.::I Cl':-' '" (Jl c(.~ U " " '- ~ --- <( U) w c:! ~ .', . ~~ :E H '0 .Q" I '" u g ,', .~-'~ ' · n. '" E;- O -:> '0 J .,,! "" .. .. ... 1l ~ ~ .a" I ~ u ~}:: t>c ~ 0 ,~ Z~~~CT.l ~ t; C .A .",;.,il H :;j ~ .' .' .--. . .- ~l 8 r.: .t. , f1< Z ~ '" ) ~. <( ~ ~ ~ 0 0 ::> H >- ~~ z 1; :z: 0 ~ .. (Jl H T c.l .. 'f. ., :;,\-.)~ 0 ~ m 00 <:> ff) ., ,5 t U ::0 :! f1< " 0" ~ 0:: ~ zto:: " ~ 0 -.. ~ - f1< 'C ::0 ~ u 1i . !::!.t: 0 Q .- " \<<"'. .. f 0 -!-' . . , ~ " .. ::0 :? ~ & ....J ~ '~ U . '" .c 0 ~ ~, . . . :I ;ii oj (Jl ~ . , 0 H ~ ~ i:i H ~' " ..... lJl [S ~ (Jl .. ., :._~ .2 ~ (Jl ~ ,: " " ~-~ '" ~ H <> 1:1 ~ f1< '-' ~ ~ -;-."", u 0 " 'J '-.l ., .;; ')"0 i ___..J , ;;; ~ '" -: (~ ~ b 0, ~ :E{ !:. Ci' i'-' ~.: :~:; (::", C"'J l~;: :. b.;' r.-.:i- c:);~ U::"'. ;;t' S~i :~'.~,) lIJw ,~:':: 0:'" - ~u p:l '-' The l'eopleA Natlona] /lank of ShlppenAburg- Labor for pub! lc sale Cleadls E, Peters- Groundkeeping from AprIl to October Alan B. Rhlnehart- NUeage for appraIsals, etc. Kuhn's Studlo- Coin holders for public sale Bower's Jewelry Storc- Jewelry boxes for public sale J. Paul Fogelsanger Ins. Agency- Indemnity bond for los t cbemical Corp. Sec. Clerk of Courts, Cumberland County- Four County Clerks Certificates for notary New York City Dept. of Healtb- Deatb Certificates for Sylvaian Chapy Register of lVills, Cumberland County - One sbort certificate Jancyce Langan- Notary Register of Wills, Cumberland County- Filing Inventory, Appraise- ment, Stat. of Debts & DeductIons The Peoples National Bank of Shippensburg- AdmInIstrator's Commission Mark & Welgle- Attorneys' Fee Shirley A. Marburger- Notary Fee Recorder of Deeds, Cumberland County- Filing Releases Register of Wills, Cumberland County- Filing First and Final Account Reserve- Taxes and expenses Alan B. Rhinehart- Mileage to file inventory 'Recorder of Deeds, Cumberland County- 1% Realty Transfer Tax Dennis Gotshall- Checking property Cbarles M. Kel so- Replace living room ceiling Penelec- Electric Aervice Register of Wills, Cumberland County- 1 short certifieate The Peoples National /lank of Shippensburg- Additional Administrator's Commission lI~tR' 99 PA~E 641 MARK 8: WEIGLE' ATTORNEYS AT LAW' 113 l::AST KING STREET' SHIPf'ENSB~JRG. PENNA. 150.00 320,00 6.69 l.19 8.49 40.00 4.00 3.50 l.00 l.00 1l.00 2,388.91 2,388.91 10.00 7.00 65.00 500.00 9.16 200.00 48.00 180.00 4.39 l.00 35.61 17257 PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION 1. PERSONS RESPONSiBLE FOR RETURN Section 701 of the Inheritnnce and Estate Tax Act of 1961 rrovides that the following rersolls shnll prepme and file a return: a. The personal representative of the estale of the decedent as to property of the decedent administered by him and such additional property which is or may be subject to Inheritance Tax of whicll he/she shall have or acqui re knowl edge; b. The transferee of property upon the transfer of which Inheritance Tax is or may he imposed by the 1961 Statute, including a trustee of property tr,1I1sterred ill trust, provided th,ltlln separate return need he made by the transferee of property included in the return of a personal reprcsentalive. 2. PLACE FOR FfLlNG The return is to be filed in duplicate w:th fhe Register of Wills of the county wherein the decedent resided. 3. TIME FOR FILING The return is due nine months after the decedent's death, unless all extension (or filing has heen arplied for and granted by the Secretary of Revenue within the nine-month period. 4. F AtLU RE TO FILE RETU RN Section 791 of the 1961 Statute provides that" . . .any person who willfully 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 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-taw and dau~lter-in-taw and at the rate of 15% as to all 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 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 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 tiw 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 against any real property in the decedent's Estate or against any prorerty helonging to a transferee liable for the tax. 8. FILING OF FALSE RETURN Any person who willfully makes a false return or report required of him shall, in accordance with Section 793 of the 1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding $1,000 or undergo imprl sonmentnot exceeding one year or both. . . QUESTIONS CONCERNING PROPERTY TRANSFERS 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".) -lliL 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 nontaxabilily 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".) Nn 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".) 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 a.Did decedent, at any time, transfer property, the beneficial 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".J 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".) Nn REV.'454 EXt' (3.80) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT * SCHEDULE "E" JOINTL Y OWNED PROPERTY (Instructions on Reverse Side) Estate of Sadie B. Chapy P TOTAL E VALUE OF DEPARTMENT ITEM DESCRIPTION MARKET \ DECEDENT'S VALUATION NO. VALUE INTEREST (Official Use Only) NONE TOTAL THIS PAGE ^'~'" ) ..q~/C , . 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. Botl1 tangible and intangible property are to be included, List real estate first. 1. Describe all real property as indicated in the instructions (or Schedule" 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 dale the joint ownership was established. 2. Indicate the total market value of the jointly owned property. 3. 1 ndicate the percentage of the decedent's interest. 4. Indicate the market value of the decedent's interest. t'" '" 0 n ;.. M ;l> :; Z ;V 0 0 0 U1 0 - C'l n c 0 ..., Z ,. Z t'" M M ;V 0 ~ 9 t'" r: Z :xl - Z Z M ..., M ..., z 9 ..., M - 9 -<: U1 U1 Z 0 U1 0 .., 0 '"<1 '"<1 ::<J ~ I ~ 0 '"<1 I - 'Tl I 0 - \ z n ! - ;l> I t'" \ c <Il M I 0 Z I ~ -<: -<: ~ M M ;.. > :xl :xl REV-4e1 EX+ 1700801 COMMONWEAL TH OF PENNSYLVANI,\ DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT [lORIGINAL o SUPPLEMENT AL File No. 21-80-0?'l9___ Estate af Sadie B. Ch!'.1!Y__ ---"-' Coun ty Cum~.l8.nd______ Dote of Death April 12. 1980 In the event that any future interust in Ihi.. estato is transferred in possession or Ilnjoymont to collateral heirs of the decedent aher the explratlon of any eslote for Ilfo or for yeors, tho Commonwealth hereby oxpressly reserves the right to appraise and assess transfer Inheritance taxes at the lawful collaternl rolo on on such futuro interest_ PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH ASSET SUMMARY DEPARTMENT'S APPRAISED VALUE Tot.1 Tronsfers - SCH. "C". . ." . . . . $ None Unr.ported $ Unreported $ Unreported $ Unreported $ $ $ $ $ $ 20.000.00 27,778.21 None None 1. Tot.1 Reol Property _ SCH. "A". . . . . .$ _-2Q.OOO.OO 2. Tot.1 Pers.".l Pr.perty _ SCH. "8".... $ 27.778.21 3. 4. Tot.1 Jointly Owned Property - SCH. "E" $ None DUFE ESTATE DANNUITY TOT AL GROSS ASSETS DREMAINDER 47,778.21 I do hereby certify that the above appraisement is made in conformity with Pennsylvania low and has been filed this day with the Register of Wills. f./( t '.;'1 ;/I~r,Ji:l..J. ( ) 06/11/81 APPtiAI5Eh DATE .---.----------- ---.----------- TOTAL VALUE $ .... * " .... ~ " .... ~ ~ ~ k ..: .... ~ en Z ~ ~ ii: 0 :>< " :Ii u ~ .: rJl t) .... '0 ;:> . J: a ...l I:Q .... ..: . " k - ~ <Jl " U Z p .... - A ..:t 6 .... ~ 0 ~ .... ~ - .... <Jl 0 ~ ~ r:z:: t>- o t>- l;; 0 rJl 0 Z 0 - ~ '" :>< E- o Z ~ ~ E- ~ Z Z :j 0 - 0 ~ z ::<: ~ ::E 0 ;:> u ~ z z " z - ~ '" ~ 8 0 ..: ::: - ~ 0 a.. ...l REY.455 (1"_0) Co.MMo.NWEALTH o.F PENNSYLVANIA o.EPARTMENT o.F REVENUE TRANSFER INHERITANCE TAX RESlo.ENT o.ECEo.ENT SCHEDULE "F" ST ATEMENT OF DEBTS AND DEDUCTIONS Page 1 0 [ 3 ~,..,...:.\ . r. \ " ... .}, File No..:;) /-fr'{h999 ___._____._.__ .=~..~~.r_-.---.~;.=,~-O"'",-'--'"'"'.'-'-'-.-,.;........-... Estate o.f Sadie B. Chapy Dale of Death April 12, 1980 WHEN CLAIMING THE FAMilY EXEMPTION, COMPLETE THE FOllOWING: Claimant Relatio.mhip to. Decedent Claimant's Address . . . ITEM DATE NAME o.F PAYEE REMARKS AMo.UNT ~o.. Reeister of Wills Cumb. Co. Letters of Adminj~trntinn, Fntl'r sl-. -. certificates, Renunciation 34.00 Cumberland Law Journal Advertisine Letters ' R nn News-Chronicle Advertisine Letters 1 <; r\n - Bricker Funeral Home Funeral Exnenses 2 232.00 Eby Granite Works Marker 225.00 Paul L. Focelsancer Real Est. Appraisal of real estate 40.00 Hale Real Est. Acencv Agency Apnraisal of real estate 40.00 Lone Jewelers Appraisal of Jewelrv. re-strinpinp 22.00 Ravmond B. Evster pearl necklace 12 <;0 Locksmith Onenin" safe denosit box Diebold Inc.- Repairs to safe denosit box 2Q R<; The Chambersburg Hosnital Account (Not covered by Medicare) 233.76 Harry R. Cramer M. D. Med ical bill 24.00 . I.oo.nn Michael R. Cashdollar. M. D. Medical bill Shinnensburn Gas roo I "",, oonz.ice ? <;/. IPoM'M ", , 58.97 . F. n"eM" T_o ". " nil Rn7. ?~ Ralnh K. Kir1w I ""rnaco rOM;~S 1? nn Borouph of Shinnpnshurp 0 1.. --ater refuse bill ?[,~n~ sewer G. Leonard Foeelsaneer Ins. Ae. Fire Insurance nremium 118.00 Frederick A. Reddip Tax Collect hr 1980 School real est. tax 331.16 FrO"O~;"'" ^ Do""'" " " ..l9 R' r.nlln Iou ,. Mol 0'. .0. l68.nQ McClure Newspapers Inc. Advertisina nublic sale ' n.~ !ilL. , TOTAL THIS PAGE I I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral expenses and expenses o.f administration submitted to the esta~,as dedu,cilons for Inberitance Tax purposes. . - ".-' / / . /j / /I~_ ~:: 1"'/-,. '-,A t. >/.i.\ . ':-/'-// t / SIGNATUHE OF ATTORNEY/FIDUCIARY DATE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S -1.;;( 11{(. 37 AT - /.<. ./ PERCENT. ~-/~-r/ DATE ,. GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities illcurred by the decedent prior to his/her death arc 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 52,000 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 tl1e 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. r- "" " n >- tT1 E; ~ Z > 0 0 " Vl Z Cl n c: " ..., z s: b tT1 tT1 r: Z ::<l >- ~ - 0 Z Z tT1 ..., tT1 ..., Z ~ 0 ..., -< Vl tT1 - Z 0 '" 0 ~ ..., ::<l ~ ..., ~ ~ 0 ':) - "<j 0 'Tl - Cl :' j~:: z n i..... ::t~-j S; ,. '" t"' I ;C.,:s' c:: l.,' " Lt;:... >. c'" ;~,: '" C:>' "'" Ot~ tT1 0:::;(.01 :0:: 1:1:" 0 o-~- :~~::\: u'" U;_:.;:) Z WLU ",,"" ~ Iju !< ~ u -< -< tT1 t<1 ~ >- ~ :::0 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 011 which each debt was incurred and/or paid. 4. Enter the names of each payee. 5. Provide a brief explanation in the rel11crks 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. Pngc 2 of 3 *, RE".455 (l.l.i,O) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS --- ----'---_..__.._-----=~~~.~..- Estate of Sadie II, Chapy Dnte of Dealh Aprll 12. 1980 WHEN CLAIMING THE FAMilY EXEMPTION, COMPLETE THE FOllOWING: File No. Claimant Relationship to Decedent Claimant's Address ITEM DATE NAME OF PAYEE REMARKS AMOUNT NO. News-Chronicle Company Advertisin~ nub lie sale 190.08 11." ~__ T"o :o;"a _.....H~ oala 1R~ ~, n"n'~l n ."o"'nnaa. 1.,,0 '0 11M 1" nn n. .,., n Hero he" Auctioneer Tent rental 150.00 AmMO u.. -I-., in ^uo"ionepr Auc tioneer' s fee 116.00 11 n.,A.' Clerk's fee 92.00 O....n'~. H. M'-"i" Clerk's fee 92.00 U__nlA n. ._ ,,_ 'n. ""l,Ho co.lo H~ " n. .,~ ~. .,.." T hol"' fol"' pllhl; (' ~.ql p ~Rnn 10. ,"" ,,_.,,~ 1, -~ c. ""I,Hn ..1_ " " Tha paO,,1 as Nat. Ilk Labor for nublic sale 150.00 C' DO'" 0 11 P~rerQ Groundkeenina from Anril to October 320.00 Alan B. Rhinehart Mileage for appraisals, etc. 6.69 Kuhr's Studio Coin holders for public sale . 1.19 Bower's Jewelrv Store Jewelry boxes for public sale 8.49 J. Paul Fogelsanger Ins. Agency. Indemnity bond for lost chemical Corp. 40.00 Clerk of Courts. Cumbo Co. ,~l'c 4.00 Four Co. Clerks certificates for ~ot. New York City Dent. of Health Death Certificate for Sylvaian Chapy, 3.50 re<1fce~SI<;l~ _~usban<1) - Register of Wills, Cumb. Co. One shor cer ~ ~cate 1.00 , Notar" 1.00 nf T.T< " n "umherland Co Filina Inventor"- Annraisement Stat 11. 00 '!'ho No" Rk - of Deb~~ 7\..g~~~Qion . 2 388.91 M.ql"'k & Weigle ' llao 2 388 Ql TOTAL THIS PAGE I I hereby certify that to the best of my knowledge and belief the foregoing is a just nnd true statement of debts, lunerai expenses and expenses of administration submitted to the estat<}as deducti.ons for Inheritance Tax purposes. ;/'; /.' ,./". / /. . n i/_ ',-/f-" /~.. " '/ / ,...f" d_~. I.... < -- ~-/ ,." ,-- . . . . / , ", SIGNATURE OF ATTORNl:.V/FIQUCIARV DATE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $ /~~ 1/'7-{l..:3 '7 AT /v- PERCENT. ?-/t. -f/ DATE. '- 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 buriai expenses includin\l 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. t'"' "d v f'l >- trl ~ as - >- 0 0 " (fl Z C'l f'l c:: " --l Z 3: z ~ trl ~ 9 9 trl ;>; Z ;>::l - Z Z trl --l trl Z 9 9 --l -< (fl trl - Z 0 (fl 0 ~ 9 't1 't1 ;>::l ~ ~ <:! 0 - '<1 ,.. 0 '<1 Q .J.: r; '-"{; Z G. - 1..'." .-f. '~~: ;;- c~. '" (.~.j'. I z=4, t"'. l.Ijl,J ,.. ,.r.:c;;. c:: 0"'. cr ...':lw (fl o:;~~ :& . on trl 0", "'1: Uw tr:::::> 0 ~o: ~ ~(.J Z co . U :( -< -< trl trl ~ ~ ~ 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. REV.4CJ~ (t.M) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF IlEVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS puge 3 of 3 .' .._.-.---" _u"~-U-",""~,.-....,,."..-..:.:...,_..-"-;.:....;;.,,-,-,=,,=-'-.'~~" Estate of Sudie B. Chupy Daleo! Doath April 12, 1980 WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: File No. Claimant Relationship to Decedent Claimant's Address ITEM DATE NAME OF PAYEE NO. Shirle A. Harbur er Recorder of Deeds Cumbo Co. Re ister of Wills Cumbo Co. Reserve REMARKS AMOUNT Taxes and expenses 10.00 7.00 65.00 500.00 Notary Fee Filin Releases Filin First & Final Account TOTAL THIS PAGE \- $12.472.37 I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral expenses and expenses of administration submitted to the estate7~ductio~_sJ~r.'1"eritanc:~a:purp~~:~:,. (J! //,' (..-1_ ~- ~.,. . ,,"'....-'.''''''' " - "~ / /' SIGNATURE OF ATTORNCY/FIDUCIARY DATE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $ 1.:1, J/7;J..3 7 AT -- /:J PERCENT. rf;-/~ -0/ QATE s. GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible ageinst 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. r-' "" v n ;,. t'1 ~ ~ z ;,. 0 0 v Ul Cl n c: v ~ z 3: z ~ t'1 t'1 ~ Z ;<I 9 - 9 z Z t'1 >-I t'1 >-I Z 9 9 >-I -< Ul t'1 - Ul 0 Ul Z 0 .., 0 ." ." S ~ 0 ,". <;') - :iJ . 0 ~. ,. - 0._ I'",;,' Z n c. - l.. ...,- > ,- or.;. -.;..0:.....; r" Q I .I';~: c:: lo.!'-' (.l,. " >-- U'-! Ul CJ~ cr c5 t'1 Cl:(," 8~ x: ..:.:r: 0 .'L Z ..,"-' t:t:.::> ",lr. - ~u r" SO u -< -< -< t'1 t'1 ~ > > ;<I ;<I 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 eacll 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. COMMONWEALTfI OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT *' DATE I " (//1' t/ 1("" , ESTATE i' FILE NO. ,I /. "")I"/? / /.....1'. .) COUNTY DATE OF DEATH c.{ / Appralsad Value of Estate: Real Estate $ _,;" () t.Lii'O' (:'0 Personal Property ,/I"J '//"I/' ";i j +~/'.I / /(,'~ Jointlv Held PropertylTransfers + Clear Valua of Estate $ 'IrNY;? / i'J /1'7:/ ;"7 -h...' loJ. J_ I $,-36' 30!.J- ~'t/- / Total Gross Estate Totsl Approved Deductions Less: Approved Charitable Exemptions $ 31;-,~ :)-; ~ , Clear Value of Estate Subjactto Tax Amount Taxable @ 6% Rate $ tax due $ Amount Taxable @ '5% Rate -;/-- ;?- v'!' ._-J ) .. J ().!:J ",,/' I tax due .:;:;: 96 21 / $ 9,-/9~$1 , TOTAL PENNSYLVANIA INHERITANCE TAX DUE * * * * * * A five percent discount totaling $ will be granted if the Inheritance Tax is paid by less Credits: DATE OF PAYMENT /-1-7/ AMOUNT PAID DISCOUNT INTEREST TAX CREOIT S ~r tf() /I'V + S $ = s /jf~lt! 1/1) , - + = + = Interest accrues at the fate of six (6) percent per on the unpaid balance of Inheritanco Tax from to date of payment. Interest due if paid by annum / 0 - (';'1 BALANCE OF PENNS~~~~:;H~:rjrl:::rEc;;Ji~: ~, ,. ;,_ :::~~ I "II~ .'/' (I) ~/' ') Assessed by: / ((/I.'{ , / zl/'t4/ , Agentlorl .comrn'f'nW~hh/ See Information on Reverse Side ;1--' t '. / :Jy 4 ';, 'f.-1../ ,~ ,1 \' II' / is llifORMATION To insure proper credit 10 your account, the namo 01 Iho estato and Iilo number should bo dourly print- ed on tho check or monoy ardor. This assossment is made in accordance with Section 708 of thl! Inheritanco nnd Estate Tax Act of 1961 (72 P.S. 9 2485.7081. To the extent that inheritance {aK is pnid within three {31 months after tho death of tho decedent, a discount of five (5) percenlls Dllowed (72 P.S. 9 2485.716). Inheritance Tax, other thnn 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. ~ 2485.711). Inheritance Tax on a future interest is payable within three (3) months after tile transfer takes effect in possession and enjoyment and is delinquent thereafter (72 P.S. 9 2485.712). Calculate interest from tho delinquent date shown on the face 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 .040 11 months .055 3 months .015 6 months .030 9 months .045 12 months .060 1 deys .00017 11 deys .00186 21 days .00352 2 deys .00034 12 days .00203 22 days .00369 3 days .00051 13 deys .00220 23 days .00366 4 days .00068 14 days .00237 24 days .00403 5 days .00085 15 days .00250 25 days .00420 6 deys .00101 16 days .00267 26 days .00437 7 deys .00118 17 days .00284 27 deys .00454 8 days .00135 18 days .00301 28 deys .00471 9 days .00152 19 deys .00318 29 days .00488 10 deys .00169 20 days .00335 30 deys .00500 -- --- - ----- ---------- -- - - - -- -- - -- -- - - - --- -- - --- ---- - - - - --------- --- --~ Any party in interest, including the Commonwealth and the personal representative, not satisfied with the assessment may object thereto within sixty (50) days alter receipt of this Notice as provided by Section 1001 of the Inheritance end Estate Tex ACI of 1961172 P.S. 9 2485-1001}. Make check or money order payable 10: "Register of Wills. Agent" Mail to the address listed below: