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HomeMy WebLinkAbout80-00310 . ~ ~ ~ , CI] , ~ .;:S ..., ol3 . .!;j ~ . .~ I CI] I ~ CI] ~ ~ . ..:l p:; ..:l H ~ :t: ~ CI] ~ ~ ~ ..:l t) . . 0 .z '(1/'" - o .-! ~ ... all PETITION I<OR PROBATE and GRANT 01<' LETTERS c:/\ - 60 - 3JJ:L_ No. To: Estate of LOTTIE R. TRAUB also known as Register of Wills for the . Deceased. County of _Cumbprl noeL- ill the Social Secllrity No. Commonwealth of Pennsylvania The petition of the undersigned respeelflllly represents that: Your pelitioner(s), who is/alCl48 years of age or older an Ihe exeeUI ri" in Ihe last will of the above decedent, daled J a 0 \1a ry 9. and eodicil(s) dated named ,19.-aL (~taIC relevant cirCl1IllStallCCS, e.g. rCllulIci,uion, ueath of c....ccUlOr, etc.) Decendent was domiciled al dealh in Cl.IillO_eJ:J..and COllnty, Pennsylvania, with II "r last family or principal residence al 'i0LS- 1 qth StrAP!- Borough of Camp Hill (list street, number umlmunciJlillity) Deeendenl, then years of age, died at Holv Spirit Hosoital Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after exec lit ion of the will offered for probate: was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in Callnty $ Value of real estate in Pennsylvania $ 13 , 700.00 situated as follows: 2108 Mark"t Street aod 10 aod 12 North 21st Street RD!:Ollgb of r.a~r Hill. rllmhprl~nn C'Clllnty, PA. ,lanu~U ,19 80 50.00 WHEREFORE, petitioner(s) respectfully reqllest(s) the probate of the last will and eodieil(s) presented herewith and the grant of letters Tes tameo tarv (lcstlimcllmry; administration c.I.a.; administration d.b.lt,c.l,a.) theron. ~ u u . u "'- .- . .~ U" "'u . -g.g r.!':: 3~ U~ ~ . ;; . '" in J,J~ {/. JANET ERR 501 S. 19th Street Camp Hill. PA 17011 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF I>ENNSYLVANIA. } 8S COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition arc true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to ~r affirmed and subscribed { ~! 1!~ . ~ before me tillS 2nd day of B ~ ~IARCH . 19 87 ~ ~J/J.//;;/. (? itL?u....::T ~ HAR C. LE S Register ~ v' \.;l- ~Q3- l.o \S-59\ 33 No. 21 - 80 - 310 Estate of LOTTIE R. TRAUB . Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW HARCH 5, 19--8-7. in consideration of the petition on the reverse side hereof. satisfactory proof having been presented before me. IT IS DECREED that the instrument(s) dated Januarv 9 , 1980 described therein be admitted to probate and filed of record as the last will of LOTTIE R. TRAUB and Letters Tes tamen tarv are hereby granted to JANET BERRY Will Book #103 Page 32 Etc. FEES 18.00 2.00 Horace A. Johnson ATIORNEY (Sup. Ct. 1.0. No.) t!Jt:, 3 ;/.0 Myers, Johnson, Duffie & Weidner P. O.Box 109. Lemoyne, PA 17043 ADDRESS Probate, Letters, Etc. ......... Short Certificates( ~ ... . . . . . . . Renunciation ................ $ $ $ $ TOTAL _ $ 20.00 ....I:I~~~I:I. .~l. .~.~?~............ 1717\ 761-4540 PHONE Filed '. <:r I ~ i...; , ('" ',.) CL c. ;.C ~.:;' ;.-; "'-l.:; N o<1z 0'" I 24 lJlhJ cc ""-, CJ~ cr: 0"" ",V> :c I~ 0- u'" "':>: WW ~ a:=> a:a: ::lu u Hailed letters to attorney on 3-5-87. 35 " y"'REV..IltO (8-78) COMMOMWEAl. TM OF PEMMSYLV.MI^ OEPARTMEMT OF REVEMUE BUREAU OF FIEl.O OPERATIOMS TRAMSFER IMHERITAMCE TAX OIVISIOM INHERITANCE TAX RETURN FOR INSOLVENT ESTATES ;)NL'{ OF RESIDENT DECEDENTS ~.~ "(I:l::':t..g~J~ 'f~}~(.~ . COUNTY OF _ng!1.1'!Il_E:~AND__ This roturn mUlt bo completed In dotoll and fllod In duplicate, with tho ROlJlstor of WillG in the County whore tho JoctJdont IcsidllJ within nino months after dato of death, union an olllonslon I. granted by Iho SOcf"tary of Rovorluo. lVill~ / -fft?-3/0 Adnln. NtI,__I'I- 501 S. Nineteenth Street I. _~NET BE R~_____..______.. _mu_ "t ____C.aml?._H il.!.LR~,__~}_O.lL_u______ 1~~^M":l (f<lmf"';-,) Misc. she Daugl,t'ilr, So~e Bene ficiary and heing dilly sworn lIcl.:mdill~ 10 law, deposes llml says thallW is tilt: ___~J).!:y~_y~~lg_.Q_Q,.~_D._t:~_.Q_~_n~r (!.-I.I'C" /'10M., Lfc(if,TFL, t'TC," laic ,,1__ ~n__~C?ro\lgho.fcamp Hill m_.n____ - -ICll"(, 1I0HOUC;H-, or~ l'OWN5HIf>1 tlf Ihc cslnlc "f__~_O':t'_T.rE; R.~_':t'RA:UB_.._n_.m deceused. 111\1.1 that the whole of lhe csHlic III' snit! decedent. who diet! on ganuary13, 1~80 (UATf.l C()l1sisl~d Ill' the lISSl't~; lis led he Ill\\' and that allo\\'ahle dchlS ilml ~h:liuLlitllls exceeded the fair lIlarkl't \'llluc of 111\..' ilsSL'ls ami 1I1I Pcnn'i}"hllni;J TrJJII...fcr Jnhcrililnl.:c Tax is due. Sworn ond subscribod beforo mo )'.J ~ Sur vi ving Joint Owner & tho _).:LJ. do,!!! '\\~1 ~ 19YO _ ~-- ...- ______.sQ]&~Ci!n~f~9iary- I .,) (SIGNATURE (TlTLEI lL ,. ..J.. 1"- JANET BERR Ty of Allet: Real Estate, Pars, Proporty, Jointly Held Prop, or Transfers -. V"LI.I', " "llY Imll'~ lem()'/f,t'. (\In) '"';Jllt! rc I' .. ' ~.. ,.I, ASSETS My Ccmnilsllon bpic" Oct 0; ,OP ,- (";tfacti ~'dd tlenol shoets II necessary) DllIcrlptlon of Anot Estil1lated Mark",t Voluo Doportll\o:lnt 'Ioluntiol1 CAUTiON"". (Do not writo in this spo:Jcc) Pers. Property Household Goods & Clothing 50.00 CCNB Bank, N.A. Checking Account No. 907-352-9 in the narre of the decedent and Janet B. Berry. Joint as of February 28, 1979. !:ate of death balance 448.81 Savings Account No. 002-101181-2 - in the name of the decedent and Janet Berry. Joint as of August 27, 1976. Date of death balance, plus interest - $2,504.47 - one-half 1,252.24 TOTALS 1,751.05 li~1:'-'.Cs- REPORT OF INHERITANCE TAX APPRAISER +iytf.. I, the undersigned duly appointed Inheritance Tax Appraiser in llnd fur the above COllnty do respectfully report Ilwl I huve appraised the real and personal property as repurted in the foreguing scln.:dule al Ihc valllcs sel forth opposile l.:ach item ill the last column tn the right. ~ I'fVi D.J lIY/cA.L!J.J_l.. Dated: June 18, 1980 \lNHF.R'T~CE ;:4x APPHiuSE~--'-- Name of Payce OEBTS AMO OEOUCTIOMS Nature of Claim Myers-Hall Funeral , Home Funeral Expenses Nelson L. Entwistle, H.D. community Inc. J. J. Skelton & Son Decedent I s Physicians, Deceden t t S Decedent 's Account Account Account Hyers, Hyers, Flower & Johnson Attorney Fee REPORT OF TilE REGISTER OF WILLS I, lhe undersigned duly elected Register uf Wills in and for the above County, do respectfully rcport that I have allowi:d deductions in the amounts set forth in the above schedule as claimed. except wi ere I have set Cmth a grealcr ur lesser ulllUunl .. ",. ,.., co"'" .. '~' ,,.. ".". .",,, ," ,,, '" """'"' """'""' ~." '"" · ",,""' ..: '"'~ ~". Dnlc of ApprH".I: "1)"\9, I J I q ~1J -'L/)'HVHl C "I, M6J /1 ~ REOISTEROF"LLS ~ s:: 0 ~ 1i III ~ !-< "' s:: M \\) ~ z . .-; ..c: ... >- lL1 < .-; 0 0 :E w OM t-, I"- u \ lL1 w :I: .-; U) ~ ...J ... ~ - ~ III <t 4; ~ 'M ~ 0::: ~ oil 0- u.. III '1:1 c ~ ~ s:: 0- 0 gJ U s:: " "" III I .; <t w Ill' > "- 0 :> '- w UJ ~ Il-l .-; .-; .-; . Z :r :r >. "- I- lL1 I- !-< 0 ~ , 4; ~ :>1 \(S " :r: u. <t Eo< QJ 5 III !-< 0 !-< .g, ~ ;; 0 . LO g U) , "" Z IIlN u.. lL1 p:: ::l ::l ~ 4; ~.-; QJ ~ 0 0 U c I- QJ Po< c a: r>l ~ -= "" ~3 .5 ",1 H 0 . 0 . ;; !-< Eo< &l:l " "- I:Q QJ ): !-< Eo< ~ ~ w . s:: '" 0 0 5 "" III , :>1 <t >-1 ~ t. E ~o g c :E 0 = E ~ 5 ~ QJ ~ ." ;:; 0 U :>1 ' QJ -<: ...J u :<:Po<>-1 '. .. l 21 - 80 - 310 REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS (each) a subscribing witncss law, depose(s) and say(s) that codicil the will presented herewith, (cach) / , ~alified according to prescnt and saw signcd as a witness at the presence of each other) (in thc presence of the Sworn to or affirmed a me this ubscribed before day of 19_ (Address) Register (Name) , - ~. '-. r"-.~ ~ " N 6: t WllJ C:" Qr- ~ cr;(f) :E: 0- u<=> UJW ~ a:a: (Address) . .~,) :.is;2 ;::::;: c:-J '<"REGISTER OF WILLS OF CUHBERLAND COUNTY ~~ OATH OF NON-SUBSCRIBING WITNESS -' u I JANET BERRY and DAVID BERRY (each). a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of LOTTIE R. TRAUB 0Il1lillik testat.rix- of (ORCxllfkxbecxolKotibingxlri!llllll9CIOUI) the will presented herewith and caGieR that they believeKthe signature on the will is in the handwriting of testat rix believes the signature of the will presented herewith and that they , o\slIil!i!{ believes the signature on the will is in the handwriting of LOTTIE R. TRAUB to the best of their knowledge and belief. Sworn to or affirmed and subscribed before me this 2ND day of HARCH " 19~ ~f{~.(kt}~ r1~/-<.Y.'r) "? . Register A~B~ ~ 501 S. 19th St., Camp Hill, PA 17011 ~~:::9:.. Hm. " 17011 (Address) ~H This is to certify Ihalthis is a true copy of the record which is 011 file in Ihe Pellllsylvania Division of Vilal Records in accordance with Act 66, P.L. 304, approved by the Gelleral Assembly, JUlie 29,1953. (Fcc for Ihis conilieat'.. "J.OO) ~fI~ Charles Hardcstcr St~ltc Hcgistrar WARNING: It is illegal to duplicate this copy by photostat or photograph. I1AR2019S7 I I IP.q(;:=J:~ Date No. . . . . ..."AIIt'" DII'. NO. ,..}/'tf?.J... I , CO"WOMlfI""'''' O' ,........., t"V...,.IA 0.,,,,,,,,,.,,,, M MI."''''''' VITAL ITATIIT'CI ClIITlfICATl OF DlAl" if, ....i- I ,,~'~'.t ~ .t ....... I'..... \,otti. (.....~ ,'--, TUlIb R. . .......'......M..II.M., "-*'-" ............ I . c......" .f 4..." ""...., 1 " ... 11.......,1.., ........, I "" ...- ltlr~... , h'"I"M c...." &a",~' -,.' ...... ...Cumb., r 1 anti ....,,,.. ......... 1\"..... 'fro Ne.l .) / 111/1 0.:.......-.. ..~ ........ .......~... ""Y .............. .. 1M..............,., ... .,...::._4l!'....".eo(aI....... ' .. '....., ..pet.... . ')......."". .. lu , , J. ..- ,.t . t. "..Nd.t,..., "'............... 1'. 1 ...........,~~.l~t' jMD 1::r. .......... .." n.. ......tle II 0...1...........0".'.1 =:' AM IiI ne /'/1 rl',~ uc ~.,M ::i 2n. --....... ......_ef,.."fWt...Y_IM.~..I......w-o.rC.-.c.w.,..CH' ",pe 1). L,4h"f,t1<< ',.j~ 'Q.tN.:tlE. Ro. ClAn,,", LL t'~ ,.........,.-c_.,.. .........lA.l.I....ICI II .. ., , ., - ..c. ...- .t ........... ...____ "i; " .. ........ ...... -...-/ '. -'71- IAI ,( l ~ "-..... ~._ . -M" .. /7;;,; ( ~ I ,., /"::':'::';' 4Zf;: lof.tI~ . :J.;.,-<- 0... ,.,........, . . """'~ ;( loteJ I...... ___ t..... .... ..... I .... I T\'$~; ',,:':~ ........ ...... -...- lei ...- elo . w...........~.. 1......1Mr... ,', M.O..... ,.,.. It 0'..... "....",_, e.....- . e........... ,_,,~If'I,.. ."1" ~t .... ."'.,.. ,.....- .- 1ft ,"', , '.1 I .. .",4. H.... 11..4__ 0.".',"''''.,1.....0..,.'1.1 "..".- .' ,_. I.....' (u~..f,l ...."",., o-'........IfItI"".., eol........ ... ... "0 ...1.." 11".-.. "'Ii" . IA,..,.,,, .... 1" lIe ..... ~l"'i ,....... I'''' .....1.1' II,.. II... ". >YO ... \ 1 i ! I '.."! , , :2 ....u_ ..... Ln .- N ;'':..1 (:~J ~';;.. (1. I ...;..Jl.o.J 0; 5r.t: DO-- "" W o:tJ") :0::: ' ," 0- :<:,- ,-,'" r.r.::s W"" ~ IJ.JU 0::'" ..J U .', ~ n ~ nf.;; ",'" ~;n ITI~ CO~ "'0 r" ,.~) ::J: (;;:u ;.. -It.':') -'J.. ;0 r:U PlfTl '.nr::? '1-~ _:~ I . , :~;: N .,.-:;:0 .t-n "fl " .'. .." .; ~ z 0 III Z I 0 <( <( III ., Z Z ; ~ ell <( <( . 3 ~ ~ . a: ~ E-< III >- >- .'" <II <II ~ ~ Z Z . ~ Z Z . .... ~ P: 0 ~ III III 0 -l ~ a. a. r4 lL z H ~ ww E-< ui 0 Z .J E-< a: ~ >- <II 0 III ~ o J H >- :l; 0: ~ III <( .J U ui a: III >- ~ . . . 1Ea6t lIill attb Wt~htmtttt I, LOTTIE R. TRAUB, of the Borough of camp Hill, Cumberland County, Pennsylvania, make, publish and declare this to be my Last will and Testament, hereby revoking and making void any and all former Wills by me at any time heretofore made. 1. I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practical after my decease as part of the expense of the administration of my estate. 2. I give, devise and bequeath all the rest, residue BERRY, of 501 of my estate to my $, iV''/IIt'~''NtL B8~~L !~ Street, daughter- '):7- - j, JANET and remainder camp Hill, Pennsylvania. 3. I direct that any and all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expense of the administration of my estate. 4. I nominate and appoint my daughter-Ma -- , JANET BERRY, to be the Executrix of this, my Will. IN WITNESS WHEREOF, I 1/ seal this ? day of have hereunto set my hand and j,CL I L"'[ tJ (/ , 1980. ---::) f-l---.-, ---7" J r-J(').J~ 7'\ ~--;V:!.J-- . ..'- Lottie R. Traub (SEAL) Signed, sealed, published and declared by the above-named. Testatrix as and for her Last will and Testament in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. , : ; , " / :1.. ! , ~ '/ -~ " C'( ~, l- i:. ) ) I i '- ..1 u l.{ -11') ....l-.J Register of Wills Office MYERS, JOHNSON, DUFFIE 1& WEIDNER Attorneys at Law P.O. Box 109 LEMOYNE, PA 17043 TO Cumberland County Court House Carlisle, PA 17013 SUBJECT: Estate of [,ottie R. Traub - 21-80-310 DATE: 4/14/87 'OLD + Enclosed for filing in the above estate are the following. 1. Original and copy of SUPPLEHENTAL Inheritance Tax Return. 2. Original Inventory. 3. Check in the amount of $15.00, filing costs. 4. Check in the amount of $868.25, Inheritance Tax, plus interest. 't". ~ {/ . '4 " , j . SIGNED Horace A. Johnson n . '::r.1 "'-J :OfTl =:0 ~n ffi~' ~ (ji~' fTlo .-<0 ;Q:.iJ Xl ["rTl ,-.." ~ :tr,? :::J.~ .f. '. '. .-q .' .! ,.,. '-C PLEASE REPLY TO REPLY ., ".1' , ;~ 'i' 1 DATE: SIGNED IIcmllF270 Whc'-!Ier Grollp Inc. 19711 THIS COpy FOR PERSON ADDRESSED '- " ..J - <C rLI Ul ~ ::> ~ 0 :I: rLI UE-< HP:: en "-<::> "-<0 OU en M .,' Ul:><.-I . . ':l >-<E-<O <1: >-<Zr-- ~ H::>.-I \ ~8..: \ ..I "-< p.. i 00 ~ ~ () Z . P::<rLI i rLI>-<>-< " E-<P::Ul r~ UlrLIH I- HCO>-< ' i.;.. '\- 19::;:P:: ,. , rLI::>": C;c (I'J P::UU I 6". L 4:4; - ~-; , 1::>'- €t ~'" a: :3!f! !\:_J ci!r-; u{j'J "" ,l.r... ~~ ::c~ - I'.. E5~:. U. fl) -.I c.. ~ <.; 0: 1lI Z 0 ~ 1lI '" $: '" 0 " ell ;: ~ - :$ ~ j ~ '" ~ lL~~2~ :l Ul I- X )- C)-WOUl w >: m z . Zit. Z Z It <( 0 W o 0 ::E a: ": (J) I: - w Z <( 0 z 1: '" )- o 0 ., ~ .J (J) 0: 1lI ., >- ::E . . BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH" .. Under penalties of perjury. I declare that I have examined this return, including accompanying schedules and slatements, and 10 the best of my knowledge and belief, it is true, corred and compl.te. 1 declare Ihal all real oslol. has been reported 01 true market value. Declaration of preporer other than the perlonal representative is bosed on 011 infarmation of whith preparer has any knowledge. SION"U ~'ESP SIBle fa' flLlNO 'ETU'N .OORES. C50 1 S. 19 t h St. o~,/u"/"1 Hill PA l7011 71'~ AliVE ADDRESS DATE ~r/I'? REV.1500 EX~ rlJ.8.51 , ... Z ... .. ... U ... .. ... ... ~:$IIl U"'~ .....U :cOO u"'... ..Ill .. <( I... IIlZ ...... "'Cl "'Z 00 U.. ,. _ ..541' fl c. ('(\e,vT/I ==__ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 21-80-0310 FILE NUMBER COMMONWEAUH O~ PENNSYLVANIA DEPARTMENT Of REVENUE POST OffiCE IIOK 8327 HARRISIIURCi. PA 17105.9327 OECEDENT'S NAME {LAST, fiRST, AND MIDDLE INITIALI DECEDENT'S COMPLET~ ADDR~SS TRAUB, LOTTIE R. SOCIAL SECURITY NUMBER 172-26-9249 501 S. 19th St. Camp Hill, PA 17011 DATE OF DEATH 1/13/80 ~ 2. o Aa. COUll' o 3. Remainder Return o 5. F.d.ral E.tat. Tax Return Required _ 8. Total Number of Safe Deposit Boxes 01. o A. Supplemental Return.- Future Interest Compromise Original Re!urn limited Estate JD 6. D&cedenJ Died Testate 0 7. Deceden! Maintained a living Trusl (AlIach copy of Willi (AlIach copy of Tru.tl ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME Horace A. Johnson COMPLETE MAILING ADDRESS Myers, Johnson, Duffie & Weidner P. O. Box 109 TELEPHONE NUM.ER Lemoyne, PA 17043 761-4540 Z o ~ ... :l ... e:: <( u ... '" 1 4 .408.00 co cO nr.:; ",'" S:" --.J ""~ *~: "" c:::!o PI '" Vj;:,) ~/T; _-<0 _0 .-:r., :<>2 - -:-,'7 ;,-~. '.;; '=-]::.. "" '-0 'I ( 81 14 40R 00 2 ,869.63 1. R.al E.lat. (Sch.dul. AI ( 1) 2. Slack. and Band. (Schedule BI ( 2) 3. ClalOly H.ld Stock/Partn."hlp Inter..t (Schedul. C) (3) A. Martgag.s and Nates Roc.i,able (Sch.dule D) ( A) 5. Cash, Bank Deposits & Miscellaneous Personal Properly( 5) (Sch.dul. EI 6. Jointly Owned Prap.rty (Sch.dul. F) ( 6) 7. Transf." (Sch.dule GI (Schedul. l) ( 71 9. Total Gross Assets (!otallines 1.71 9. Funeral Expenses, Administrative Costs, Miscellaneous { 91 Exp.ns.s (Schedul. HI 10. D.bts, Martgag. liabilities, li.ns (Sch.dule I) (10) 11. Talal Deduction. (Iatalline. 9 & 101 12. Net Value of Estate (line 9 minus line 11) 13. Charitable and Governmental Bequests ISchedule J) 14. Net Value Subied to Tax (line 12 minus line 13) 15. Amount of lin. 1A taxable at 6'10 rot. (151 (Includ. ,olu.. from Sch.dul. K or Schedule M.) 16. Amount of line 1A taxable 01 15'10 rote (16) (Include ,olu.. from Sch.dule K or Sch.dul. M.) 17. Principalta~ due (Add tax from line 15 and from line 16.) 19. Credits Prior Payments Discount + 19. If line 18 is greater than line 17, enter the diHerence an line 19. This is the OVERPAYMENT. A.DCheck her. if you or. requ.stlng a refund of your overpayment. 20. If line 17 is greater thon line 19, enter the difference on line 20. This is the TAX DUE. A. Ent.r th. inter.,t on th. bolanc. due an lin. 20A. 10 1131 80 - 3/31/8 7 B. Ent.r Ih. total ollin. 20 and 2M on line 208. This is th. BAI.ANCE DUE. Make Check Pavable to: Register of Wills, Agent (111 2,869.63 (12) 11 , ,18 17 (131 -0- IU) 1l.538.37 X .06 = 61? ?, X .15 = -0- (17) 61? ?, Z o ~ ... :l .. ::E o u )( <( ... Interesl -0- (181 (191 (20) (20A) (20B) 61? ?r; 216.00 868.25 P. O. Box 109, Lemovne, PA 17043 " ~ COMMONWEALTH OF PENNsnV.ANIA INHERITANCE TAX RETURN RESIDENT DECEDENT llV.U11 fXtl12.Ul ESTATE OF s~ ffleme,JTAL SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Please Print or Type FIl.E NUMBER 21-80-0310 TRAUB, LOTTIE R. DESCRIPTION ITEM NUMBER A. Funeral Expense.. 1. B. 1. 2. 3. 4. C. 1. 2. 3. 4 . 5. Administrative Cosl.. Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid Attorney Fees _ Hyers, Johnson, Duffie & Weidner Family Exemption Claimant Janet Berrv Address of Claimant at decedent's death Relationship Dauqhter Street Address City Camp 501 Hill s. 19th st. State P A Zip Code 17011 Probate Fees _ Register of Wills - Cumberland County Mis.ellaneaus Expense.. vital Records - death certificate Cumberland Law Journal - advertising Patriot-News Co. - advertising Register of Wills - file supplemental Inventory and Inheritance Tax Return Reserve - file Account & Decree TOTAL (Also enter on line 9, Recapitulation) (If more spac. I. "..dad, Ins.rt additional .h..ts of lam. sin) AMOUNT 685.00 2,000.00 20.00 3.00 25.00 36.63 15.00 85.00 S 2,869.63 invenforv or the real ana personal estate oi LOTTIE R. TRAIJR deceased, 1. Undivided One-Fifth interest in real estate known as: 2108 Harket Street, in the Borough of Camp Hill, Cumberland County, Pennsylvania. Value as of 1./13/80 = $36,610.00 Decedent's One-Fifth interest 2. Undivided One-fifth interest in real estate known as No. 10 and No. 12 North 21st Street, in the Borough of Camp Hill, Cumberland County, p.ennsylvania. Value as of 1/13/80 = $35,429.00 Decedent's one-fifth interest TOTAL 1\ 7,322 00 II \ I I. II Ii Ii !i II 7,086 00 iI :\ 'I \1 00 1114,408 II I. ii II Ii i. n ~ nr" :0::0 efT' ,.,'M ..,.~ ,jj. "'0 0;"1 Vi?J 1"'1,_ 1 .-<0 " ':.... ~ .~fT; ,.., . .._.'"'0 -~? ~-4 "C . ,," ..... r:::,: ,,".\ I, "i . 1 ! I COMMONWEALTH Of PENNSYLVANIA COUNTY Of CUMBERLAND 55: __ according to law, depole. and lay. that she is Execu trix _ of the E...t~ of r rVl''l'Tf.: R 'I'RIIIIR lat. of Rorn"~\;) nf r"mr I-Ii 1 1 , Cumberland County, Pa., d.cea.ed and that the 'th" 't d b Janet Berry th 'd Executrix WI In IS an I"ven ory mc1 e y ., e sal of the entire e.tate of .aid decedent, con.i.ting of all the personal prop.rty and real ....t., .xcept r.al est.te outside the Commonwealth of Penn.ylvania, and that the figure. oppo.ite .ach item of the Inv.ntory repre..nt it'. fair value a. of the date of decedent's death. .1I1Nf.:'l' RERIlV being duly sworn ()'l'" A'^ ~ I 'I ~"lvvV- ~.~ -Q (~' DIANNE LH'lo" NOTARY.. My.Commlsslon I)plres December 21. 1989 PA cumberland counl,j lemey"', 19 '6 1 ciqJ ~ fJcUiltMl' hllllilollUl>r Janet Berry, Executr~x 501 S. 19th St. Sworn to and .ubscribed b.fore me, Camp Hill, PA 17011 Addr.u Date of Death 13th O.Y January MOllth 1980 Yut INSTRUCTIONS I. An inv.ntory mu.t b. flied within thr.e month. aft.r appointment of personal representative. 2. A supplement inventory mu.t be filed within thirty days of discovery of additional a..ets. 3. Additional .heets may b. a!lached a. to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. I-< '" Q) ..,. C 0 ~ r- i-i r< p.. 0 >- .,; Q) i-i .... w III . C . '" >- '" .... ::> '" 0 w <( r< . 0 I ex: l1. .... ~I u e 0 0 V> . . 0 I w w 0 '" ,.. Q) co J: '" '" ., ...:i I- l1. l1. c I I Z .... -' Ll. '" ~ i-i I, Ll. -' <( 0 l':! l1. 0 N , W 0 <( W I ;. :t: '" > '" < li Z ~I - 0 Z 0 H' 0 .-I " 0 ~! , .; " V> Z 0 '" ,,"' U X z II w <( d ~ ~ .. 0 l1. ...:i! -0 0 III ! '" ii - -;: 0 . . .D ... 0 Ii . E -0 - .!: 0 '" , 0 -' U i.i: '" 0.. 1\ REV. 1547EX (12-BB) COI.lMONWEl.lTIi Of PENNSW'Al411. NOTICE OF INHERITANCE TAX I ~~::~~M~~Tlr~~I~~~it.ulrAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ACN PO BOX "" OF OEOUCTlONS, ANO ASSESSMENT OF TAX tl.l,RRISaURG, fit 1710fpfi327 DATE ESTATE OF TRAUB LOTTIE R FIl.E NO. 21 BO-0310 DATE OF OEATH 01::lMO COUNTY CUMBEijLAND NOTE: TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR PAYMENT TO THE REGISTER OF WIl.l.S OF THE ABOVE COUNTY. MAKE CHECKS PAYABl.E TO "REGISTER OF AGENT" . 1O1 TAX WIl.l.S, HORACE A JOHNSON MYERS ETAL PO BOX 109 LEMOYNE FA 17043 I PLEASE RETURN THIS I PORT ION TO REGISTER OF , WILLS IF PAYMENT DUE l- i Amount Remitted to Register of Wills CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS - - - - - - --- - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - -- - - - - - - - - - - - -. APPRAISEMENT, Al.l.OWANCE OR DISAl.l.OWANCE OF DEOUCTIONS ANO ASSESSMENT OF TAX NOTICE OF INHERITANCE TAX REV. 1547EX (12-B5) ESTATE OF TRAUB LOTTIE R FIl.E NO.21 80-0310 ACN 101 DATE 06-15-87 ~ c.1! ^' c-~f"l -.J :;ryrrt ATTA~ NOTICE ~~~ l~ I .= ~il.:o r 11..:) .--,C7 '71JI "_ t:"T\ ;.~"..- '.1 -..J , ., TAX RETURN WAS: (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISEO VAl.UE OF RETURM BASED ON: 1 SUPPLEMENTAL RETURN 1. Real Estate (Schedule Al I 11 2. Stocks and Bonds (Schedule BI I 21 3. Closely Held Steck/Partnership Interest (Schedule Gl ( 3) 4. Mortgages/Notes Receivable (Schedule Dl ( 4) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) ( 5) 6. JOintly Owned Property (Schedule FI I 61 7. Transfers (Schedule GI I 71 8. iotal Assets I CHANGED - SEE 14,408.00 .00 .00 .00 .00 .00 .00 :S '_'J I BI 14.408.00 APPROVEO OEOUCTIONS AND EXEMPTIONS: g. Funeral Expenses! Administrative Costs/Miscellaneous Expenses (Schedule HI 1 Q. Debts/Mortgage liabilities/Liens (Schedule 11 11. Total Deductions 12. Net Value of Tax Return 13. CharitablefGovernmental Bequests (Schedule Jl 14. Net Value of Estate Subject to Tax NOTE: If an assessment was issued previously, lines 14, 15 and/or 16 and 17 will reflect figures that include the total of ill returns assessed to date. ASSESSMENT OF TAX: 15. Amount of line 14 taxable at 6% rate 16. Amount of Ime 14 taxable at 15% rate , 7. Principal Tax Du~ TAX CREOITS: I 91 ( 101 2,869.63 .00 1111 (12) 1131 (141 2,869.63 11.538.37 .00 10.537.52 (tSI 1161 10.537.52 .00 X.06= X.1S= (17) 632.25 .00 632.25 PAYMENT DATE 04-14-87 RECElPi # 283844 DISCOUNT 1+1 INTEREST 1-1 246.16- AMOUNT PAID 868.25 INTEREST IS CHARGED FROM 04-15-87 TO 06-30-87 TOTAL TAX CREDIT AT THE RATES APPLICABLE AS OUTLINED ON THE BAl.ANCE OF TAX OUE REVERSE SIDE OF THIS FORM.- INTEREST . IF PAID AFTER THIS DATE SEE REVERSE FOR CALCUl.ATION OF ADDITIONAL INTEREST TOTAl. OUE 10.29 (IF BAl.ANCE DUE IS LESS THAN $1 OR IS REFl.ECTED AS A "CREDIT" (CR). NO PAYMENT IS REOUIREDI 10.16 .13 RESERVATION: Estates of decedents dying on or before December 12. 1982 -- If any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) benefIciaries of the decedent after the expiration of any estate for life or for'~vears. the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawlul Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: REFUNO leRI: To fulfill the requirements of Section 1740 of the Section 17401. Detach the top portIon of this Notice and submit with your payment to the Register of Wills. --Address information is listed on page 11 of the booklet, "Instructions for lnhentance Tax Return for a Resident Decedent." --Make check or monev order payable to: REGISTER OF WIl.l.S, AGENT. All payments received shall first be applied to any Interest which may be due. with any remainder applied to the tax. A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (Form REV- 1313). Applications are available at the Office of the Register of Wills, any of the 24 Revenue District Offices, or from the Department's Forms Service Unit 24 hour Forms Ordering telephone lines in Harrisburg - (717) 787-8094. in Philadelphia - (215) 351-2065, or in PIttsburgh - 14121 565-3601. Inhentance and Estate Tax Act. Act 255 of 1982 (72 Pa. C.S. PAYMENT: OBJECTIONS: Any party in interest not satisfied wIth the appraisement. allowance or disallowance of deductions, or assessment of tax (including Discount or interest) as shown on this Nollce may object within sixty (50l days of receipt of this Notice as follows: --by written protest to the Department of Revenue, Board of Appeals. P.O. Box 8480, Harrisburg, PA 17105-8480 OR - -by election to have the matter determined at the audit of the account of the personal representative OR - -by appeal to the Orphans' Court. ADMIN- ISTRA TIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, P.O. Box 8327. Harrisburg. PA 17105-8327. ATTN: Post Assessment Review Unit 1717) 787-6505. See page 3 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed. INTEREST: Interest IS charged beginning with first day of delinQuency, or nine (9) months and one (1) day from the date of death. to the date of payment. Taxes which became delinquent before January 1. 1982 bear Interest at the rate of six (6%) percent per annum calculated at a daily rate of .000154. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate whIch will vary from calendar year to calendar year With that rate announced bv the Pennsylvania Department of Revenue. Tl1e applicable interest rates for 1982 through 1987 are: ~ Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 20% .000548 1985 13% .000356 1983 16% .000438 1986 10% .000274 1984 '1% .000301 1987 9'. .000247 " --Interest IS calculated as follows: INTEREST . BAl.ANCE OF TAX UNPAIO X NUMBER OF DAYS OEl.INQUENT X DAIl.Y INTEREST FACTOR --Any Notice issued after the tax becomes del1nquenl will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Nolice, additional interest must be calculated. 1-5. REV. 15{7EX (1.2-BB I CW-,,~ CO~IAO"'WEAlTI'I OF PE>jNSYl"ANllo ,~~I~,.J:t'f I ~OTICE OF INHERITANCE TAX I i~~::~"'~~T'~~V~u~i.NUTEA)(ES ~(::~~~~," \ APPRAISEMENT, ALL.OWANCE OR DISALLOWANCE IACN '.0 .ox "" I OF DEDUCTIONS, AND ASSESSMENT OF TAX I'IARRIS9URG, pA \1tO~.BJ:7 I IDATE 06-15-87 ESTATE OF TRAUB LOTTIE R FIl.E NO. 21 80-0310 DATE OF DEATH 01-13-80 COUNTY CUM8ERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR "'CCOUNT, SUBMIT THE UPPER PORTION OF THIS MOTICE WITH YOUR TAX P"'YMENT TO THE REGISTER OF WIl.l.S OF THE ABove COUNTY. MAKE CHECKS PAYABl.E TO "REGISTER OF WIl.l.S, AGENT II . 101 HORACE A JOHNSON MYERS ETAL PO BOX 109 LEMOYNE PA 17043 PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE Amount Remitted to Register of Wills CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS - ----------------------------------------------------------------------. NOTICE OF INHERITANCE REV, 1S47EX 112-B6) EST"'TE OF TRAUB T"'X "'PPRAISEMENT, Al.l.OW...NCE OR DIS...l.l.OWANCE OF DEDUCTIONS "'NO "'SSESSMENT OF TAX LOTTIE R FIl.E NO,21 80-0310 "'CM 101 DATE 06-15-87 TAX RETURN WAS: (X I ACCEPTED AS FILEO RESERV"'TION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED V...l.UE OF RETURN B"'SEO ON: 1 SUPPLEMENTAL 1. Real Estate (Schedule AI 2. Stocks and Bonds (Schedule BI 3. Closely Held Stock/PartnershIp Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule Dl 5. Cash/Sank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule Gl 8. Total Assets I CHANGeD - SEE ATTACHED NOTICE n oj c:~ ",::0 RETURN S;;n -.J ",'" 14,408.00 ..'y n ( 1) UI'I' '= ~o .00 ~l~';_' ~,,;tl ( 21 ... ._~1-:1 ~~:i; ".11'1 I 3) .00 ~ ....., ( 4) .00 .. ~ . :n I 5) .00 ( 6) .00 - ( 7) .00 ,....; ( BI 14,408.00 APPROVED DEDUCTIONS AHD EXEMPTIONS: 9. Funeral Expenses/ Aoministrative Costs/Miscellaneous Expenses (Schedule Hl 1 Q. Debts/Mortgage Liabilities/Liel"ls (Schedule I) 11. Total DeductIons 12, Net Value of Tax Return 13. Charitable/Governmental BeQuests (Schedule Jl 14. Net Value of Estate Subject to Tax NOTE: If an assessment was issued prevtously, lines 14, 15 and/or 16 reflect figures that include the total of..AlL returns assessed "'SSESSMENT OF TAX: 15. Amount of line 14 taxable at 6% rate 16. Amount of line 14 taxable at 15% rate 17. Principal Tax Due TAX CREDITS: ( 9) 11m 2,869.63 .00 (11) (121 (131 1141 and 17 wi 11 to date, 2,869.63 11,538.37 .00 10,537.52 115) (161 10,537.52 .00 X.os= X.ls= (171 632.25 .00 632.25 PAYMENT DATE RECEIPT # OISCOUNT (+1 INTEREST (-J AMOUNT PAID 04-14-87 283844 246.16- 868.25 I i INTEREST IS CHARGED FROM 04-15-87 TO 06-30-87 L29TAL TAX CREDIT 622. 09 AT THE RATES APPLICABLE AS OUTLINED ON THE I BAl....NCE OF TAX DUE 10.16 REVERSE SIDE OF THIS FORM.. I INTEREST .13 . IF PAID AFTER THIS DATE SEE REVERSE FOR CALCUl....TION I TOTAl. DUE I 10.29 . OF ADDITIONAl. INTEREST . - (IF BAl.ANCE DUE IS l.ESS THAN $1 OR IS REFl.ECTED AS A "CREDlr' (CR), NO P"'YMENT IS REQUIRED) " ex! n~ -:-r.::O ~::I:; -.J rrirr. _:..?-: " "'0 G1 I - ;~i~ PICI F-:~ - ..4'=.:1 ;:rTl ~ ;'1 '- ;- !:-- '- PA VMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills. --Address information is listed on page 11 of the booklet. "Instructions for Inheritance Tax Return for a Resident Decedent." --Make check or money order payable to: REGISTER OF WILLS. AGENT. All payments received shall first be applied to any interest which may be due, with any remainder applied to the tax. REFUND (eR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (Form REV-1313l, Applications are available at the Office of the Register of Wills. any of the 24 Revenue Fleld Offices. or from the Department's Forms Service Unit 24 hour Forms Ordering telephone lines in Harrisburg - (7171787-8094. in Philadelphia - (2151 351-2065. or in Pittsburgh - (412) 565-360 " REPLY TO: Questions regarding errors contained on this notice should be addressed to: FA Department of Revenue. Bureau of Individual Taxes. P.O. Box 8327. Harrisburg, PA 17105-8327. ATTN: Post Assessment Review Unit 17171 767-6505. OISCOUNT: If an\, tax due is paid within three (3) calendar months after the decedent's death. a five percent (5%) discount of the tax paid is allowed. INTEREST: Interest is charged beginning with first day of delinquency. or nine (91 months and one (1) day from the date of death. .to the date of payment. Taxes which became delinquent before January ,. 1982 bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January ,. 1982 will bear Interest at a rate whlcn will vary from calendar year to calendar year with that rate announced by the Pennsylvania Department of Revenue. The applicable Interest rates for 1982 through 1987 are: Year Interest Rate Dailv Interest Factor ~ Interest Rate Daily Interest Factor 1962 1963 1964 20% 16% 11% ,000546 .000436 ,000301 1965 1966 1967 13% 10% 9% ,000356 ,000274 ,000247 --Interest is calculated as follows: INTEREST = BAl.ANCE OF TAX UNPAID X NUMBER OF DAYS DEl.INQUENT X DAIl.Y INTEREST FACTOR --Any Notice issued after the tax becomes dellncuent will reflect an il1terest calculation to fllteon t 15) diva beyond the date of the assessment If payment is made after the Interest computation aale shown on the NeUee. addItional Interest must be cCilculated. ..r- cO ,,~,'I~ -.J ,. ',-' ~ , .-.. ':'. >,J ... <> ~ " ..~ .... .. II CIl t1 .', ~ ..: " ,..,~) a .... .t.; ~~ .5 't li.1 C'3 1, C'"t:l W H }J ~ ~) .~ " " z ~ - () .. " "-< 0--'1 L;::;'T.l ~:1, :': ,.~' '-:.; u u ... 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C)..,._;, ..... -s..s t# ~ ti .8 -j ..- - 0....... <l; Cl H ~ W <-< Ul <-< <l; H 1<<~ W :r: u O~ is w P< Cl :;: ~~ ~ 1<< <l; 0 1<< U i~;~ III 0 W ~ 1<< E-< <l; W 0 <l; I:>:: E-< E-< E-< <l; :r: Ul <-< ~ w ~ I:>:: 0 1<<~ - g I:>:: o Ul' w 0 ~w ~;:;j H III E-< S~ ~~ E-< W 0 :r: <-< E-< E-< :z: ~ o u u <l; <-< <l; :z: H 1<< >< 1<<1:>:: ClOI:>:: :z: w <l; III E-< E-< Ul W I:>:: :z: H <l; 1<< .., X H I:>:: E-< ~ U W x w ~: ~ . ... .s ,S .....: -----j, fO.75}Ri"'3-P~'iz:;' - lJno;) GLll ^8 '4J!~1l UQ In ~ 15./ 'p. :)lj8S P,IGOd d 1 qri.qp JO oln 0.1 41'\'- fJ')i:I,I~i~O UOl"lr ";-":.'P.C:-J:)l,? 11J ..... ' ,. -11.q~'lp ('il'"' . ..~'UJ1!)J.JC;:) ~UrH ~. .' ..' . - l\i;;'~niO~Q~ ."'..> < f..R. Z. ;... , ..r.---'- i,e 1'4'l<_ ,:.) .+1'- ," <Xi n~ ::~ r 'f"" .'(_.. >.1 c:G ~ Z p - ~ ~ 0 '" I;; ~ Ul ifi - ~ >to f! u >to I;; IE ;::J ~ 00 i:l " < .. - " d :55 '" .; Ul ~ Z ~ ~ ~...: ~ I.<;~ g c~J < z < > I,. ;;: II) "':': ~ Ie ""'-1 oJ s: <.. o " ~ 4/14/87 1987 375 3/6 3/6 4/3 4/13 4/13 5/11 6/16 Reserve PRINCIPAL RECEIPTS Inventory Filed Per Copy of Inventory Attached Cash advanced by Janet Berry to receive real estate, in kind TOTAL PRINCIPAL RECEIPTS PRINCIPAL DISBURSEMENTS Register of Wills - Probate Cumberland Law Journal - advertising letters Vital Records - death certificate Patriot-Evening News - advertising letters Register of Wills - file Inventory and Inheritance Tax Return Register of Wills - Inheritance Tax plus interest Register of Wills - additional probate costs Register of Wills - balance of Inheritance Tax Janet Berry - Family Exemption - $2,000.00 (Claimed against value of real estate, in kind) $ 14,408.00 1,758.17 $ 16,166.17 $ 20.00 25.00 3.00 36.63 15.00 868.25 17.00 10.29 Johnson, Duffie, Stewart & Weidner - attorney fee 685.00 Register of Wills - file Account and Distribution 58.00 Register of Wills and Recorder of Deeds - file Decree Awarding Real Estate 20.00 TOTAL PRINCIPAL DISBURSEMENTS $ 1,758.17 1 ' .f..l....;, ,'.'!'.', : ) ~ . . ....I"l.t ;:~<':I -2- i 1 \ i \ I 3 , 1 ! I 5 I I NO, M284063 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ~. -- m m AMOUNT !ill:! Assessment Control No. 101 $10.29 "I Horace A. Johnson, P. O. Dox 109 Lemoyno, PA 17043 Esq_ ~ FILE NUMBER 21-80-310 NAME OF DECEDENT DATE OF PAYMENT Traub Lottie tAJJno 18 FiFlJIi 7 1987 R. MI June 17 ~ I . II /-(/1~ a II a ---d POSTMARK DATE COUNTY Cumberland DATE OF DEATH January 13, 1960 REMARKS U] TOTAL AMOUNT PAID $10.29 \ I SEAL " RECEIVED BY I , REV-' \62 EX 17.85) Ri:GISTGi c:-: \',I~~"~:: all - -, ..- , ..... K..>L__-y--"---~-- .."'" ""'- --- _. - ...-_0 ~~ ~_. .-...~ --.-_., ..---- . ._~ ~_._~ _.. ._ - .' .__.. ___ ..._ _...... __.._ u__. ____ __ -- - - --- --.- NO. M283844 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ~. ~ RECEIVED FROM: Janet Bllrry r- %Horece A. John8on, Esq. P. O. !lox 109 Lemoyne, PA 17043 L ~ ESTATE INFORMATION: FILE NUMBER NAME OF DECEDENT M DATE OF PAYMENT 5 POSTMARK DATE COUNTY DATE OF DEATH REMARKS SEAL REV.' 162 EX (7.B51 .... - ....~ m m AMOUNT ~ Assessment Control No. 101 tUliO.25 ~ ~ I Ii " . n a ---d RECEIVED BY ''l/J''1 (d ~"j . !' ;) IGNATURE " '__'___ ,_~_.'__"_' ___ ___ .__~._.._ ._.___ ,.,_._, ..._~._. ..... .._._ '.,_oM __ ..._____. ______,..__...., ,__ '_'___ _.__..._ _,u.__ _.~.- .-.---...-. ---.--- I G TOTAL AMOUNT PAID ' $R68.2'i nEGlS1ER OF- \N!LL:~ :F"..:L 0L.20. ~- ~ ---.-.. -..-- ---",--~ r,: r :', ':'p ~ ' "I I~d OIl 1\1,' ,;1 ,t'\" O( d)"',' TI>!';:> ,I"""" 'Ii,' , ~1f.1l (,;J P S ',~,1:;:, ';111 '1,\ ~ {j1':;OHJlII 01 fIV\' (: 'i." '1'['\ I~; "',, " h:t,C'n:,I'("l (;:,'.'1 tl' t!(llinquclll ill l\\!~ P:';'J -,;~','r T"x on a hl:unl ii"llc~"';l I,; (!~i'. '~n\I'\inlt~flt "lid I~; r!\-:: '.. ;,'1,; un the j,IC'; ot li:':~ (:,'11 'I ;(. r: ---------.--. 1 mon\h 2mon\h::. 3 months .ov~ ,Ol\) ,01 ~:l I, 1 d<lY5 CO{li "l 2 drl'6 ,tj:{I],1 3 dJYs ,(":X1:)1 4 day:. G:}Cfi8 5 diJT's erll.lH!) 6 days ,OOli,i 7 days .Olll I" " 8 dny!> .Cf11:?,O, 9 day:; C{)l !'i? 10 d,1VS O~_\1 \1') - - - _._ - _._______. ,__u _ _._, ___ .,".-- -..-.--- A:",y p:Jr:'1 ::1 IfJ~PI'I' ;11:;!1;: ttw a~,';f'5';IlWnt 11":(1'; -...\!(~" ;iJ ,',;, l'X)l Ollhf: 1,lt~\'f1t;:"" ;'. ,it;l, th" ; '~ ,i,l, .,," "f ",d l." -i ,i.: t,<:.; 01 .!. , .~\':~ d' ,db ;,t'il,i V,r;'lr;;c~; :'.1~~'), i 11\ Inh"'~:~;~~C'l ",'.' .:: Il~ rr.,;';r~~;:>i,;n iJi",d :: ,j;J"j c~\,\~'..;n ~._ n_ __,~ _, _.--- - ..-- _. .-- - - - --~.- ,l<:l I': ,', ''", liJ;:,,':,:I':> .0'50 ,OS5 .C60 , ~ : :; 12.1':,,;. . ; ~, :; :'\ d)y' .00352 '>0 ::~: ,/3 .C-:1369 2:) ~j,1\'5 .OO3ll6 7 .. d:"/" .OD4'J3 'J:: eLly;:; ,00,120 :'J) t1,.:,;-'s ,00,137 ,,'" d:l': " .OO,~54 ,../ 7(', '::'1' , .00::71 ::,') ::,\\1'"; ,CO'lUg 3n (fl\-':; .00::>00 -.- -- - - - -- ---_..- ---------~ ,.,", net r,:>:ic;j;"d with 1:1 ';;'I~ ," "':,!,':l b')' S..:r:tion