HomeMy WebLinkAbout80-00319
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NO, 21-80 31~~
PETITION FOR LETTERS OF ADMINISTRATION
IN TBI- m;;TAn; OF ..wnmo,t..,B..,,,EJ..'),f,.n,'Q~,r.g~,r.,,,J,r.,.,.. \)ECI';Ali~;\l,
To "...!').!!:!:,y.....I?,~.,.~~:1.~~., "" ".,..", ,." ,. ..,."",.",.". ",,,..,,,, ,.".." ,.,." ,.. ,.. ,..,.,.. "..."..'
Relliater of Willa fOl' the Counly of Cumherland, in t hl! commonweallh or I'enn.ylvania.
The pelilion of ,..DaUp.b.l.n ..D~;qO,fi,l..t, ..llfwli.,,!:\n<;\ ,,,~'.r.IW,\; ,..C!;m\l1I1.\?Y..,....,....... ..,...... ,....'"
W11mot B. El.lenberger Jr.
......"......... ................, ,.. .....' ..........",,' reapecl fully ahowel h l ha t .. ,............,.. ,,,,... ..." "....."" .......,. ......,....... ............
waa II residenl of ,..,Le.mo~',n.e,........,..",....".........,..,,~~~~J1 ,( 'umherlnnd County, Slale of Pennayl-
vania, and II Citi7,en of United Stalea, nnd departed lhi. life inle.lllle in the Counly or .............,..............
,..,(lttmbel" land.......... and Stale of ."" ?e,nT-IR.y.ll/El,nl.R...... ,............,.., ......,.....," '....".. ......... ...... .......' , ........,....
on ,..I1.o.n,<;\fi\,y..................... the .........,...?.t~.L..,.."...." tlllY of ...........M2!.',~,1.....,....,....,........... A, I)" 19..~~....,
at the age of ......?~..,... years. .
That the .aid ,l...rl.lm0t...B."..ffit,1e.nbfl-l'1IT;O'l'..,J~...,........ decea.ed, left Hurviving the following
named widow or -husband, heirs and next to kin, lo wit :
Name RelalionHhip
,MIl.r.y'"J".Q\).t~,~....~))&n);)~,r.E~.r..., ....2.t~.~.~r..".,.,. ,.., ,., ".".,.,
................................................................ ...................................,........
................................................................ ............................................
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Residence
675 Northhi:lmpton street
Easton penna. 18042
....,."..."..,..1",..,."".,................,',......,.,....
................................................................
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................................................................
................................................................
................................................................
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That those above named include all of the next of kin, so far as known,
The said decedent was possessed of personal property to the estimated value of $..)9..,..9.9..9..~,9.,~......,
and of Real Estate, less incumbrance, to the eHtimated value of $).~,!.~,??.~.?.~,........ as near as can be
ascertained,
That the said Real Estate in ao far UH is known is located in 5.5.1..,LQ1:l.j;):H;J,r....s.t~I':,et........,.........
......,. J~~.I)),9.;{.n.y."... ~~,n .r::~,~.......... ....,........ ,....",.' ..........,. ,............ ,.........""...,..,.. ...........,.".........,."....,......,... ..,.... ......
Therefore, your petitioner(s) respectfully apply(ies) for Letters of Administration in the above
named estate,
Dauphin Deposit Bank and Trust Co.
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Lemoyne, Penna. 17043
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Dated ...........~:~X....?.....................,..... A, u" 1!P.,~.....
Signature and AddreHH
of Petitioncr(H)
........................................................................................
........................................................................................
.W.;~,....58'nfo0rcl:..,Tf'Utl t,'.0f-f.-l.:eer ...[;au,ph~,n'.'Del')osH, "BII",r,;,.,!J1I""Oo,.. ".,............ " ..,.".., named
in the above application being duly ..,..,\'i~9,r.X1..........,..........,....,.. accOl'ding lo IIIII', 811)' that the facts set
forth in the above application are true to the beat of ..,..h.l.s;;..>>o\\'I"A;ur~7f.
",......,..........~.':':<?;I:.~.."....,.... ..,....."..' and aubscribed \ .,.?!I/fJ.,'.'.(tf:p..-..l'v'\.....,...,..,.,......,.. ,....,..,.."
before me, \ ......,..................,....................:."....'.."........................'....
May 9 Be
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I Filed: ......~\.a.!.......~~~.~.......J:?~,O'..,....,......,...."..... 22~\1~~'~;\ :B~~a.~,~~I,~~e.~.. ..~~.~~,~.~~.~~.~..;;~~:'
(o\'el')
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
1
\ ss:
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55:
Sue., .~.auery.. Assi"t.ant Trust .oUicer of Dauphin Deposit..JlanL&_Trust..Compuny
being duly .,. _..__sw()~_n_. _... according to law, deposes and says that she i.s..t,hlLAdminiBtrntor ...-. --.-
_B01;.ough._Qf..Lemoyne._. . of the Estale of JHlmot B !-E;i1..e..n_Q..<liggL____..___.._
late of ..._, Cumberland County, Pa" deceased and that the
within is an inventory made by ~ue M.~uery . .____.. ._ .. -- ..u_, the said_Adl]!i!l.i.~.trato.r._
of the entire estate of said decedent, consisting of all the personal prop.rly and real estate, except real estate outside
Ihe Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death, Dauphin Deposit Bank & Trust Company
Administrator of the Estate of IHlmot B.
and subscribed before me, :~~:nb~/J7.(L.<--Y'...~.L""f._:_:_:_-__-._,
,r ~,' 19.:...\:...._ Asst. Trust ElCecutor. Administrator
"C.j' ..'" I ~ '. Officer
_.______..__2.U._Ma.rt!;'-LS_tt~~L__
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.______!larrisburg, PA
Addre"
17101
Elizabeth J, Den~o, Nol,ry Puhlic
Date of Death __.__ __.1,!__...______.......April____.
Day Month
1980
Year
INSTRUCTIONS
I, An inventory must be filed within three months affer appointment of personal representative,
2, A supplement inventory must be filed within thirty days of discovery of additional assets.
3, Additional sheets may be attached as to personalty or realty
4, See Article IV, Fiduciaries Act of 1949,
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Inventory of the rool and personal e.tote of
___...wilmo.LIl._Eil~nb~rg~r.,-Jl: ..._______ deceo.ed,
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CASH AND CASH ITEMS:
Proceeds from Dauphin Deposit Bank and Trust Company checking
account No. 30458013
Cash found in home
Proceeds from Harris Savings Association Savings Account No. 452130
Accrued Interest
Cumberland County - Burial Allowance
Proceeds from Aetna Life Insurance on Installment Note from
Dauphin Deposit Bank & Trust Company
Proceeds from Industrial Valley Bank Account No. 50065786
Accrued Interest
Proceeds from Travelers Insurance Company Life Insurance
Policy No. 145RRL3912
Wages for period ending 4/8/80 from Conrail
Conrail Railroad Retirement Payment
Excess payoff from Colonial Mortgage Service Company due to
Homeowners Life Insurance
Received from Vy Duong and Hue Ha - Pro-rata Township and County Taxes
Railroad Lump Sum Death Benefit
Refund on cancellation of Homeowners Policy from Pa. National
Mutual Casualty Insurance Company
Reimbursement for Burial Costs from Cumberland County
MISCELLANEOUS:
Household Effects and Jewelry - Sale Price
1974 Datsun - Sale Price
REAL ESTATE:
551 Lowther Street, Lemoyne, PA - more fully described in Deed recorded
in Cumberland County Deed Book, Vol. 17, page 519
Sale Price
$ 600 96
$ 21 13
$ 189 73
$ 1 01
$ 100 00
$ 169\08
$ 292\35
$ 3 \47
II $ 6,000 00
\ $ 939 III
I
$ 914 50
$ 163 33
$ 27 08
$ 135 30
$ 68 00
$ 40 00
$ 1,858\45
$ 1,600 00
$32 000 00
$45 123 80
REV.4!1"J 11.80)
COMMONWEALTH OF I'ENNSYLVANIA
. OEI'AIHMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
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File No, 21-80-319
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Estate of IHlmot B. Ellenbergcr. .Jr, Datc of Deatll IInrJl 21. 19110
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
Claimant
Rclationship to Decedent
Claimant'S Address
ITEM
NO,
OATE
NAME OF PAYEE
REMARKS
AMOUNT
1 5/15 Rc ister of Wills
Cumberland Count
2 5 15 . 18.00
Publication
3 5/21 R. B, Rcichert II raisal of Personal Pro ert
4 5/21 Riverton Water Co~an Water service
5 5 21 Bell of Pennsvlva i T ~
6 5/21 Penns lvania Power & Li ht Electric service 18,47
7 5/21 J. T, Car enter Appraisal of Jewelry $ 30.00
8 5 21 UGI Gas servl
9 5 29 R. C, Smith 1
10 6 2
TOTAL THIS PAGE 356.91
I hcreby ccrtify that to the best of my knowledgc and belief thc forcgoing is a just "nd truc statemcnt of debts, funcral
expenses ann expenscs of administration submitted to the estate as deductions for Inheritance Tax purposes,
SIGNATUnE OF ATTORNEY/FIDUCIARY
DATE
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED INTHESUMOF $ '.', %1 '1. tJ3
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AT
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PE,RCENT,
1J7a.-u( {J , ,~.",-:"
, I RCCISTE OF WILLS
.tj -;<,f-,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 burial expenses includinn 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.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1, I f 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 remcrks 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,
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities Incurred by the decedent prior to his/her death are deductible against his/her taxabla estete.
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 bre 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 thB spouse has forfeited his/her rights, then any child of the decedent who Is e member of
the same household can claim the exemption, In the event there Is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent, The family exemption is
allowable only against assets which pass by a will or by the Pennsyivania Intestate Laws,
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1, If the family exemption Is being ciaimed, 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,
Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estatB.
In addition to debts Incurred by the decedent or estate, other items are claimable including the cost of administration,
attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker,
GENERAL INHERITANCE TAX INFORMATION
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed, Evidence to support the decedent's or the estate's liabilitY for the debts being claimed
should be attached to this schedllle,
A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania.
If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption. In the event there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent, The family exemption is
allowable only against assets which pass by a will or by the Pennsylvania Intestate LawS,
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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,
INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estate,
In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration,
attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave merker,
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed, Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this schedule,
A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania.
If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption, In the event there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent, The family exemption is
allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws,
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1, If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent, Enter "family exemption" in the remarks column and the amount claimed in the amount column,
2, Assign consecutive numbers to each item listed.
3, Enter the date on which each debt was incurred and/or paid,
4, Enter the names of each payee,
5. Provide a brief explanation in the remarks column for each debt claimed,
6. Enter the amount of each debt being claimed,
7, The form must be signed by the person who has assumed the responsibility for paying the debts,
.
'REV.449 EX+ (3.eO)
COMMONWEAL TH OF PEHllSYLV."IA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
AFFIDAVIT OF
FIDUCIARY
(Instructions on Reverse Side)
Estate of Wi1mqJ;,.~,. .HJe.nIL~g"'.!:.Ll!.,______
Last Address _..?.5__L.l;~wtheE__ S_~ree.!__.
/- /,,-J> I
*'
Date of Death
April 21, 1980
Social Security No. 168-18-5251
Lemoyne
(CIlY)
17043
PA
Bureau File No.
(STATE)
(ZIPI
Coun ty File No.
21-80-319
1. Decedent died:
( X) Intestate (without 0 will)
( ) Testote (leaving a last will--copy attached)
2. Is the filing of (J Federal Eslate' Tax Return required for this estate? Yes_ No X
3.
Execu to r/Executrix
(X ) Administrotor/ll.r/m"".._....
Name Dauphin Deposit Bank & Trust Companv
Address 213 Market Street
Harrisburg,
ICITY)
PA
17101
(5T/.TE)
(ZIP)
4, All correspondence should be moiled to (
(X ) Fiduciary.
Attorney
5. If on attorney is representing the estate, indicate:
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Name Floyd E, Hell er
Address 224 West Broad Street
Bethlehem
(CITY)
PA
(STATFOI
18018
(ZIP,
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List all safe deposit boxes registered in the decedent's individual namehor jointly with, or as an agent or deputy
of another, or in decedent's individual nome with right of access by anot er os 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 ond the relationship of the joint holders to the decedent.
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX
NAME OR NAMES IN WHICH
SAFE DEPOSIT BOX IS REGISTERED
Dauohin Deposit B~ & Trust Company
Highland Park Office
10th & Lowther Streets.
Lemoyne, PA 17043
IHlmot B. Eilenber er Jr,
RELA TIONSHIP OF JOINT
HOLDERS TO DECEDENT
Under penalties of perjury, I declare that I hove examined this return, including accompanying schedules and
statements, and to the best of my knowledge and belief it is true, correct and complete.
Dauphin Deposit Bank & Trust Company, Administrator of the
Estate of Wilmot B. Eilenberger, Jr,
By: __ ,:J.-, ..) r}") " , ~_" "'>., /
Asst. TrustslGNATURE OF FIDUCIARY Officer
I /M If I
, .
DATE
PENNSYLVANIA INHERITANCE TAX GENERAL INIOIIMA liON
--- . ..----_.__...-.__.._..__.-..~-----_...
1. PERSONS RESPONSIBLE FOR RETUIIN
Section 701 of the Inheritance and Estate Tax Act 011%1 prnvid'!:, Ih.illhe lull" VillI', PI'I',lns ',!1iI11 plepar,) anrl file
a return:
a, The persolwt representative of lhe estate of the decedenl as 10 pl'}pt'lly 01 tllf' decl:lh:nl "dlninlsfered by hi III
and such mtditionnl property which is or IIIny be suhlect to 1lllwlII:mce T,lx fll which he, slle shallllav(; or
acquire knowledge;
b, The transferee of property upon the transfer of which Inheril:lnr:ll l,IY is orlnay he illlpo:;[;" by the 1%1 Statute,
including a trustee of property frnnsferred in tfllsl, plOVI<II!d IhallllJ <;ep,lI,l!l! lelilln need be made by the transferee
of property inciuded in the return of n personnl replCsentalive,
2, PLACE FOR FILING
The return is to be filed in duplicate with the Register of Wills ollhe connly wherein the decedent resided,
3, TIME FOR FILING
The return is due nine mooUls after the decedent's denth, unless an extellsion 101lilll1g has hoon applied for and
granted by the Secretary of Revenue wi thin the nine-lIIonth period,
4, FAILU RE TO FILE RETURN
Section 791 of the 1961 Statute provides that". , ,any person who willfnlly fails to file a return or other report
required of him, ,.shall be personally liable" ,to a penalty of 25% of tho tax ultimntely found to be due or SI,OOO
whichever is the lesser 10 be recovered by the Department of 11evenue as debts of like alllount are recoverable by
law,"
5, TAX RATES
Inheritance Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife,
son, daughter, grandchildren, grandparent, son-in-law and daugtlter-in-Inw and at the rate of 15% as to all others,
6, PAYMENT OF TAX
The tax assessed on the transfer of property reported in tne return is due 9 ulonths after the decedent's death, Intelest
at the rate of 6% per annum accrues thereafter until payment is lIIade, 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 the Register of Wills of the connly wherein Ihe decedent resided and are
received subject to the final determination of the Oepartment of lIevenne,
7. FAILURE TO PAY
The taxes imposed, together with any interest thereou, are a lien upon real propelty, which lien relllains in effect until
the taxes and interest have heen paid in full. The taxes may be sued for against any real property in the decedent's
estate or against any plOperty belonging to a transferee liilble lor the tax,
8, FILING OF FALSE RETURN
Any person who willfully makes a false return or report reqUired 01 hilll sh~t1I, in accoldance with Section 793 of the
1961 Statute, he guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding
$1,000 or undergo imprisonment not exceeding one year or botli.
..
REV-450 EX. (3080)
COMMONWEAL TH OF PENNSYLVANIA
DePARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
SCHEDULE "A"
REAL PROPERTY
*
(Instructions on Reverse Side)
EST ATE OF
Wilmot B. Eilenberger, Jr,
ITEM ESllMA lED DEPARTMENT
DESCRIPTION MARKEl V ALUA TlON
NO, VALUE (OFFICIAL USE
ONLY)
551 Lowther Street, Lemoyne, PA $ 32,000,001/
More fully described in Cumberland County Deed
Book VoL 17, Page 519 (J..1 l .!.Jj J ~{:;""l ~- (1,
JJ '(::&' ,C If., I
J.l.'_:.~ 1'1' '1:(.-,//,1- '1..(,'-(.1...)
/
TOTAL THIS PAGE $ 32,000.00 3'J (}-('r{'. cO
, ....
R!V.451 El<+ 13-801
\. COMMONWEALTH OF PENNSVLVANIA
OEPARTMENT OF REVENUE
I TRANSFER INHERITANCE TAX
RESIDENT DECEOENT
,
Estate of
ITEM
NO.
SCHEDULE "B"
PERSONAL PROPERTY
(Instructions on Reverse SidfJ)
Wilmot B. Eilenberger, Jr.
-
DESCRIPTION
CASH AND CASH ITEMS:
Proceeds from Dauphin Deposit Bank and Trust
Company Checking Acct. #30458013
Cash found in home
Proceeds from Harris Savings Association
Savings Acct. #452130
Accrued Interest
Proceeds from Aetna Life Insurance on
Installment Note from Dauphin Deposit Bank
and Trust Company
Proceeds from Industrial Valley Bank
Acct. #50065786
Accrued Interest
Proceeds from Travelers Insurance Company
Life Insurance Policy #145RRL3912
Wages for period ending 4/8/80 from Conrail
Conrail Railroad Retirement Payment
Excess payoff from Colonial Mortgage Service
Company due to Homeowners Life Insurance
Received from Vy Duong and Hue Ha - Pro-rata
Township and County Taxes
Refund on cancellation of Homeowners Policy
from PA National Mutual Casualty Insurance Co.
MISCELLANEOUS:
Household Effects and Jewelry - Sale Price
1974 Datsun - Sale Price
UNIT
VALUE
ESTIMATED
MARKET
VALUE
TOTAL THIS PAGE
*'
DEPARTMENT
VALUATION
(OFFICIAL USE ONL YJ
$
$
600.96
21.13
$
$
189.73
1.01
$ 169.08
$ 292.35
$ 3.47
$ 6,000.00
$ 939.41
$ 914.50
$ 163.33
$ 27.08
$ 68.00
$ 1,858.45
$ 1,600.00
$ 12,848.50V
~
QUESTIONS CONCERNING PROPERTV 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 "Ves" or "No".)
2. Did decedent, within two years o( death, transfer property from himself/ herself to himself/herself and another party
or parties (including a spouse) in joint ownership? (Answer "Ves" or "No",) -
3. If the answer to one or two above is "Ves" 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 "Ves" or "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 "Ves" 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 "Ves" or "No".) -
b, The right to designate the persons who shall possess or enjoy the properly transferred or income therefrom?
(Answer "Ves" or "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 (or which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Ves" or "No" ,)
8. Did decedent, at any time, transfer property, the bllleficial enjoyment of which was subject to change, because of
a reserved power to aller, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Ves" or "No".)
9. If the answer to eight above is "Ves," was the power to alter, amend or revoke the interest of the beneficiary reserved
in the decedent alone or the decedent and others? (Answer "Ves" or "No",)
, .
Schedule "E" must include all property, real and personal, owned by the decedent jointly with another
partY or parties as joint tenants with right of survivorship, Both tangible and intangible property are to be
included, List real estate first.
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
1. Describe all real property as indicated in the instructions for 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 date the joint ownership was established,
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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COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
COUNTY FILE NO:
'~/-fu - :::./1/
DATE
--1').) ['1 (-:, I qR" (
ESTATE \/') , n .,. 1"./..... 8 'r, ~ ^ .U 1
.~"., " . ~!j 8~t
~I A.-{)- 31y
( ":'VV' ~~.(jj /,.0/ r(
DATE OF DEATH (,\ "~,A d.. I / G) y(J
FILE NO.
TO:
7-". IA
. 1 '\wdtj
.-
I
: .1
COUNTY
I ')
Appraised Value 01 Estate:
Real Estate
G
+
Personal Property
Jointly Held PropertylTransfers
+
G
Total Gross Estate
Total Approved Deductions
G
Clear Value 01 Estate
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
s
Amount Taxable @ 6% Rate
s
tax due
s
Amount Taxabla @ 15% Rate
lax due
(~-J.
TOTAL PENNSYLVANIA INHERITANCE T~ OUE
/-.:l.../- ['I t"J 5. '-'11- 6'/)
tf.(};I,S\
percent ~iscount- tc'\allng $
Tax is paid by
s
S-o '1 J.. ' '-I ;:).
1.;( fl..,30
5~ 19,7;).
.. .. .. .. ... .. A five
will be granted if the Inheritance
Less Credits:
DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT
Ii-&- '1/ s t::; ()~,;/ t./J., + S S J;) 7 , ~O = G 5",;),/q. r7.J...
+ =
+ =
Interest accrues at the rate of she (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by
Is
~ (1rl, ~7-^Jt
c. "~
BALANCE OF PENNSYLVANIA INHERITANCE TAX OUE
\./ '\
Assessed by:
See Inform81ion on Reverse Side Agentlortheeo
i' ~ i,:' i, "
INFORMATION
To insure proper crodit to your account, the name of the estate and file number should bo clearly print-
ed on the check or money order.
This assessment is made in accordance with Section 708 of the Inheritance and Estate Tax Act of
1961 172 P,S. 9 2485.708).
To tho extent that inheritance tax is paid within three (31 months after the death of tho decedent. a
discount 01 five (5) percent is allowed (72 P.S. 9 2485.716).
Inheritance Tax, other than tax on 8 future interest. is duo at the date 01 the decedent's death and becomes
delinquent at the expiration of nine {91 months after tho decedent'S death (72 P,S. 9 2485.711). Inheritance
Tax on 8 future interest is payable within three (3) months after the transfer takes effect in possession Bnd
enjoyment and Is delinquent therealler (72 P.S. 9 2485.7(2). Calculate Interest from the 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 B months .040 11 months .055
3 months ,015 6 months .030 9 months .045 12 months .060
1 days ,00017 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 day. .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 (60) days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961172 P.S. 92485.1001).
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
INFORMATION
To insure proper credit to your Account, Ille nome of Ille ostalo and file number should be c1enrly print-
ed on the check or money order.
This assessment is modo in acco:clanco with Section 708 of tho Inheritonco and Estate Tax Act of
1961 (72 P.S. 9 2485.7081.
To fhe exlen1 Ihat inhorilDnce lax is pald within lhrelJ 13' mol1lhs after the death 0' the decedent, a
discount of five 151 porcent is allowed 172 P.S. 9 2485.7161.
Inheritance Tax, other than lax on a futuro interest, is duc at tho clato of the docedent's death and becomes
delinquent at the expiration of nino (9) months aller the (j(l(:t!dent's dollth (72 P,S. S 2485.711). Inheritance
Tax on a futuro interest is payable within three (3) months after tho transfer lakes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. S 2485.712). Clllculate interest from the delinquent dale shown
on the face of this form to the date of actual payment using the following inloresllable:
_______M_____________ _____________ _____________ _ _ ___ _ ___ __ ________ __ __ _ ____
1 month .005 4 months .020 7 months .035 '0 months .050
2 months .010 5 months .025 8 momhs .040 " months .055
3 months .015 6 monlhs .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 '5 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 davs .00318 29 days .00488
10 days .00169 20 days .00335 30 days .00500
-- --------- ---------- --- - - -- -- -- - -- - - - -- -- - - -__._ ___ _ __ _ __M___ ___ _____.
Any party in interest, including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (50) days after receipt of tllis Notice as provided by Section
1001 of the Inheritanco and Estato Tax Act of 1961 (72 P.S. 9 2485-10011.
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
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FIRST AND FINAL ACCOUNT OF
DAUPHIN DEPOSIT BANK AND TRUST COMPANY
ADMINISTRATOR OF THE ESTATE OF
WILMOT B, ElLENBERGER. JR.
LATE OF THE BOROUGH OF LEMOYNE
CUMBERLAND COUNTY. PENNSYLVANIA
DECEASED
PERSONALTY
PRINCIPAL RECEIPTS
The Accountant charges itself with the items of
Personalty as per Inventory and Appraisement as filed
TOTAL PERSONALTY PRINCIPAL RECEIPTS
$ 13.123,80
~ 13.123.80
PERSONALTY
i PRINCIPAL DISBURSEMENTS
I 1980
I May 15 William S. Sanford - Reimbursement for Letters of
i Administration $ 37.00
j 15 Cumberland Law Journal - Cost of Advertising and
I Proof of Publication 18.00
I 21 R. B. Reichert - Appraisal of Personal Property 20.00
I
i 21 J. T. Carpenter - Appraisal of Ring 30.00
I
! June 2 Haar's Auction - Commission on Sale of Household Effects 464.60
5 Musselman Funeral Home - Funeral Expenses 2.363.61
9 Patriot News Company - Cost of Advertising and
Proof of Publication 19.89
10 Cumberland County Register of Wills - 1 Short Certificate 1.00
L ,'~ 99 t"uc i~ I
-2-
1980
June- 13 P P & L Co, - Electric Service $ 7.96
July 9 Bell of Pennsylvania - Final b111 for Telephone Service 2.13
11 UGI - Gas Service 22.67
15 P P & L Co. - Electric Service 5.78
30 Riverton Consolidated Water Co, - Water Servi ce 9.40
Aug, 26 Nicholas Evanoff Inc. _ Balance due on 3-31-80 125.00
27 UGI - Gas Service 1.97
Sept. 2 Harold Mauery - Cutting Grass and Clearing Weeds 30.00
10 Vy Ouong and Hue Ha - Pro-rata share of School Tax on
Sale of Real Estate 39.76
10 George A. Smith - Commission on Sale of Real Estate 1,500.00
10 Cumberland County Recorder of Deeds - Transfer Tax 320.00
24 UGI - Gas Service 2.02
25 P P & L Co. - Electric Service 1.87
26 Riverton Consolidated Water Co. . Water Service 7.31
30 C. B. Klein - 8alance due on work on Carport 232.87
TOTAL REALTY PRINCIPAL DISBURSEMENTS ~ 2,606.65
1980
Ju-,y- 9
Oct. 1
Oct, 2
Nov. 3
Dec. 1
1981
Jan.- 2
PERSONALTY
INCOME RECEIPTS
Interest - Industrial Valley Bank Savings Account
Interest - U.S. Treas. Daily Repurchase Agreement to 9-30-80
Interest _ Dauphin Deposit Bank & Trust Co. Master Savings Account
Interest - U.S, Treas. Daily Repurchase Agreement to 10-31-80
Interest - U,S. Treas. Daily Repurchase Agreement to 11-30-80
$
2.56
174.12
83.01
318.77
371.93
Interest _ Dauphin Deposit 8ank & Trust Co. Master Savings Account
28,30
L .'loi,
1.!J"
1981
Ja~ 2 Interest - U,S, Treas, Daily Repurchase Agreement to 12-30-80 $ 456.55
13 Interest - Industrial Valley 8ank Savings Account 1. 3D
Feb, 2 Interest _ U,S, Treas. Daily Repurchase Agreement to 1-31-81 502.25
Mar. 1 Interest _ U,S, Treas, Daily Repurchase Agreement to 2-28-81 454,19
Apr, 1 Interest _ Dauphin Deposit Bank & Trust Co, Master Savings Account 1.72
1 Interest _ U.S. Treas, Daily Repurchase Agreement to 3.31-81 457,41
2 Interest _ Dauphin Deposit Bank & Trust Co. Master Savings Account .07
May 1 Interest _ U,S. Treas, Daily Repurchase Agreement to 4-30-81 400.71
TOTAL PERSONALTY INCOME RECEIPTS ! 3.252.89
PERSONALTY
INCOME DISBURSEMENTS
1981
May 1 Cumberland County Register of Wills - Interest on
Pennsylvania Inheritance Tax due 1-21-81 $ 127.30
Dauphin Deposit Bank & Trust Co. - Commission on income
(5% of $3.252.89) 162.64
Dauphin Deposit 8ank & Trust Co. - Service Charge for
preparing 1980 and 1981 Fiduciary Income Tax Return5 30.00
TOTAL PERSONALTY INCOME DISBURSEMENTS $ 319.94
REALTY
INCOME RECEIPTS
"None"
REALTY
INCOME DISBURSEMENTS
"None"
L ,Lh 0<.J t :,ut 20lJ
-5-
SUMMARY
PERSONALTY PRINCIPAL RECEIPTS $ 13,123.80
PERSONALTY PRINCIPAL DISBURSEMENTS 12,B27.40 $ 296,40
REALTY PRINCIPAL RECEIPTS 32,000,00
REALTY PRINCIPAL DISBURSEMENTS 2,606.65 29.393.35
PERSONALTY INCOME RECEIPTS 3,252.89
PERSONALTY INCOME DISBURSEMENTS 319.94 2,932.95
REALTY INCOME RECEIPTS 0.00
REALTY INCOME DISBURSEMENTS 0.00 0.00
RECONCILIATION ACCOUNT
Balance as per First and Final Account
lESS ADVANCED DISTRIBUTION
\
I
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I
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J
1
I
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19BO
Oc~ 14 Mary Louise Eilenberger, Sole surviving Sister - On account
of residue in accordance with Paragraph 212, Section 2103(3)
of the Pennsylvania Probate, Estates and Fiduciaries Code
BALANCE CONSISTS OF THE FOllOWING
Principal
Cash:
Income
Cash:
L _':":\ tJv L.UL ~U.L
$ 29,689.75
2.932.95
} 32.622.70
$ 32,622.70
3.000.00
$ 29.622.70
$ 26,689.75
2.932.95
$ 29.622.70