HomeMy WebLinkAbout80-00357
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No. 21-80
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PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
Frank B. Guyer
, deceased.
~Vd{Y C. LE\\IS
Ta:arohaocbfi.x~ffi:Cm, Register of Wills for the County of Cumberland,
in the Commonwealth of Pennsylvanio.
IS
Petitioner(s) are the execut or named in the Last Will and
Testament of Frank B. Guyer _ dated 1117/77
Decedent was a citizen of the United States and a resident of
To... I ,ship
Hechanicsburg Borough, Cumberland County, Commonwealth
af Pennsylvania.
Decedent died on Monday
A. D. 19~, in the County of
the 19th
day of Hay
Cumberland
State of
Pennsylvania at the age of 90 years.
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Decedent has not been married and has not had children born to him
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
unestimated and of real estate to the value of
unes t ima ted
as near as can be ascertained; said real
estate situated as follows
105 E. Keller Street,
Mechanicsburg, PA 17055
Ofilp.ly
Therefore, your petitioner(s) respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated 5/28/80
Name and address
of Petitioner(s)
The First Bank and Trust Company
P. O. Box 350
leer
COMMONWEALTH OF PENNSYLVANIA is
COUNTY OF CUMBERLAND ~
\~ayne P. Kautz
named in above application, being duly
say(s) that the statements set forth
sworn according to law
in this petition are true to the
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R' '. :-li1':~eXSC:>f!1Y Register
19 no.
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best of
his
knowledge and belief.
and subscribed before
Sworn
Filed;
!.'jilY 29, 1980
Attorney: George H. Houck
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r.,I\ST HILL I\!m TESTi'.l,ml-l"i' OF' F'Rl\"m 11. GUYEr.
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I, FRJ'.HK n. GUYER, of the l1orounh of /.lcchanics-
burg, County of Cumb0.rlunc1 iln'~ State of !'ennsylvilnia,
heing of sounr1 an,l disposinq minel, mcmory and unc1erstll.nd-
ing, do ma):.e, publish anc'! declare this to bc my Last l'lill
and ~estamcnt, hereby revokinq ane'. l1'aJring void all former
wills by me at any time heretofore made.
1.
I r'lirect the pnyn'cnt of all my just debts and
funeral expenses as soon ns conveniently may be after my
decease.
2.
All the rest, residue and remainder of my Estate,
real, personal and mixed, whatsoever and wheresoever situ-
ate, shall be liquidated and convertee' into cash, ~lich
shall be distributed as follows:
(a) I give and bequeath the sum of One Thousand
($1,000.00) Dollars to Lebanon Vnlley College, l'.nnville,
Pennsylvania, 17003.
(b) I give ilnd bequeath the sum of One Thousand
($1,000.00) Dollars to Quincy Orphanage and Home,
Quincy, Pennsylvanill., 172~7.
(c) I give anc1 bequeath the sum of One Thousanc1
($1,000.0,-;) Dollars to The First united I~ethodist
Church of Hechnnicsburg, Pennsylvanin.
(el) I give an ,1 bC'1ue"th the sum of F'ive lltmdred
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH 01" PENNSYLVANIA I ",:
COUNTY OF CUMBERLAND I
This......,..................?:~.tJ:\....... ............................... day of .....................;,1<1y..................................... A.D.. 19..~.Q..,
Nary C. Lewis
before me Riclllll'lk~l(lblrilf~ll, Register for the Probate of Wills and granting letters of Administration
in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally came ..............
...... .~.~.9.r;.~.~.. ~.'... !!~~~ ~..~.. .r:1~D'.. .~. '...~!?!? .~~~ ~~.......................................................................................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and
Testament of ..........f.F.!W.1.<:..~.,...G)!y.!'!^............................................................... Dated ...J.l.JXI..?7........................
late of...~~~..~~!':~.~~.~...9.~..~~!7~~:!~~?~.~!':~.................................................. Cumberland County Pa., deceased
who being duly ........~!'??P.':......................... according to law, depose and say, that ....~h!'!y...!'?~F.~...................
present, and saw and heard the testa..~R.J;........................., ...J:!':~n1.<:Jk.<;.\lY.~.L............................................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h.~~........... Testament
and Last Will, and at the time of so doing ...........h!'!..................................was of sound and disposing mind
memory and understanding, to the best of .........~~~~!':...........................knowledge, observation and belief.
e ,/
........,,~..;.~~lS...}1.~~,..~.!~f..A........
.........~7.J:!.~?~.aa...........................
................f.il'l.o.r.Il.................... and subscribed before
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.....JJ?a~..~.....A~:(..<!.~::+.-...........................
~~ ~,Reglster
AFFIDAVIT OF DEATH
COMMONWEAL'rH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND I
.................~~~:..~.:...~.~.~.~.~. ........... ...... .......... ...... ....... ...... ........... ....... .......... .......................... .... ..........being duly
......l!~.9.~................................. says that as nearly as can be ascertained the said decedent ..........................
.....~.r;.'!~~..~.:..~~y.!':F................ ....... ..;............... ..... .......... ....... .................. ..... .................... ......... ................. .died on
....!1!?!:~~y................................. the .......~.?~.J:1:.................day of ..........~~r...................................... A.D., 19.~~...,
at or about .......................................... o'clock, ....M.
.....................sW$;>.l:Il....................and subscribed this
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.....................?:.~.th.................. day of .....'.!ilY.I...........
19, .1\0..., before
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pr\...1: r~.':'U
COMMO~WEAL. TH Of' PfNNSYLVAN1,l.
DEPART",e~T O~ REVENUE
BUREAU OF FIEL.D OPERATIONS
APPLlCA TION FOR MW CONSEtH
TO TRANSFER SECURITIES
REGISTERED IN TH E NAME
OF A RESIDENT DECEDEtH
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____._._1__.._...__
DATE June 5, 1980
AEPLlCATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for Calsent to the trons/er 0/ the /ollowing securities of 0 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvania:
(0) 30 Shares (b) Pennsylvania Power & Li~ht Company (c) 4~% Preferred
(NOTE: In describing securities enter in (0). ab Ole, either the number 0/ shores of stock or the lace amount of
registered balds, in (b), the nome 0/ the issuing compony ond in (c) the closs at stock or the stated interest rote
and maturity dote 0/ registered bonds.)
Cert. Nos. AP042672, and NA/P011475
ISSUED ON July 29, 1976 ,and having 0 TOTAL MARKET VAolUE OF S 1,177.50
(Oa'o)
os 0/ the dote 0/ death of the decedent,
Frank B. Guyer
, on
May 19, 1980
(Nomo of Decedent)
(Dote of death)
who was late of 105 E. Keller Street,
(Street and Humber)
Mechanicsburg, Cumberland, Pennsylvania 17055
(Pnst Offiu)
(County)
(S'a'e)
The securities ore registered os /allows:
Frank B. Guyer
(Home or names In which certificates ore registered)
A9~N+~~R~R) The First Bank and Trust Company, P. O. Box 350, Mechanicsburg, PA 17055
EXECUTOR) (Name) (Add,...)
NAME OF APPLICANT The First Bank and Trust Company
F E E 2 3 A P C T Mech' I,\csbur
COUNTY IL NUMB R 1-80- 57 ADDRESS OF P LI AN
BUREAU FILE NUMBER SIGNA TURE OF APPLICANT
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLIC N, IT W Ll:
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETI N.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent to the trons/er 0/ the above securities now registered in the nome 0/ t
Decedent and waive the filing 0/ u certificate certifying to the payment 0/ the transfer inheritance tax to which
the property 0/ said Decedent is mode subject pursuant to the provisions 0/ the Act 0/ June 20, 1919, P.L. 521,
os amended and the Act 0/ June 15, 1961, P.L. 373, os amended. This is also in accordance with the provisions
0/ the Act 0/ April 9, 1929, P.L. 343.
This Consent to Trans/er the herein described property operates only in reference to the estate 0/ the
above-named Decedent.
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Signed lor the Secretory 0/ Revenue
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APPLlCA TION FOR MW CONS~ln
TO TRANSFER SECURITIES
REGISTERED ItJ THE NA/.'E
OF A RESIDENT DECEDENT
,
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COMIo40NWE,\L Hi OF PENtHYLVAhlA
DEPARTMENT OF REYENUE
BUREAU OF FIELD OPERATIONS
DATE
June 5, 1980
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for CQ1sentto the transfer of the following securities of 0 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvania:
(0) 55 Shares (b) Pennsylvania Power & Light Company (c) Common
(NOTE: In describing securities enter in (0), ob Ole, either the number of shores of stock or the face omount of
registered boods, in (b), the nome of the issuing company and in (c) the closs of stock or the stated inlerest rate
and maturity dote of registered bonds.)
Cert. No. AcID 158400
ISSUED ON July 29. 1976
(0,")
os of the dote of death of the decedent,
,and having 0 TOTAL MARKET VALUE OF $
1,072.50
Frank B. Guyer
, on
May 19, 1980
(Nome of Decedent)
(Dote of death)
who was late of 105 E. Keller Street. Meehaniesburg,
(Streot and Number) (Post Office)
Cumberland Pennsvlvania 17055
(County) (Stote)
The securities ore registered os follows:
Frank B. Guyer
(Nome or names in which certificates ore registered)
A-9MUU5-'FRIrr6Rr
EXECUTOR )
The First Bank and
(Nome)
Trust Compan~. O. Box 350, Meehanicsburg,
(Address )
NAME OF APPLICANT The First Bank and Trust
PA 17055
Company
COUNTY FILE NUMBER 21-80-357
ADDRESS OF APPLICANT Meehani
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BUREAU FILE NUMBER SIGNA TURE OF APPLICANT 1 I
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, I
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETI
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent to the transfer of the above securities now registered in the nome of t
/ 'ltf(j
f '/d
a oresOl
Decedent and waive the filing of 0 certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
os amended and the Act of June 15, 1961, P.L. 373, os amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property opetates only in reference to the estate of the
above-named Decedent.
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Signed for the Secretory of Revenue
t/}Y7 /2 ~
By _-.:y..L# . 'd&:<-J-_c""._ - -
./) (Sic"~te) f)
fi-u;J;u. &~~~
/ ~tC) (County)
I1r.......'~ H.'HI
APPLICATION FOR MID cm~SEtn
TO TRANSFER SECURITIES
REGISTERED IN THE NM'.E
OF A RESIDENT DECEDENT
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COMMO~WEAlTH Of PENN~YLV"'NI.
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
-------~- ------- ----
D ATE ~ W1!!....5..-198G..-
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for consent to the transfer of the following securities of 0 Pennsylvania
Corporotion or 0 Notional Bonking Association locoted in Pennsylvania:
(0) 187 Shares (b) The First Bank and Trust Company (c) Capital Stock
(NOTE: In describing securities enter in (0), ab (>/e, either the number of shores of stock or the face amount of
registered bonds, in (b), the nome of the issuing company ond in (c) the closs of stack or the stated interesl rote
and maturily dote of registered bonds.)
Cert. No. 1835
ISSUED ON Sept. 8, 1976 , and having 0 TOTAL MARKET VALUE OF S ".'45 00
(Dato)
os of the dale of dealh of the decedent,
Frank B. Guyer
(Nome of Decedent)
, on
May 19, 1980
(Dote of death)
who was late of 105 E. Keller Street. Mechanicaburg.
(Street and Number) (Post Office)
r.llmhp,.l:lnn
(County)
ppnn~y'v~nia-l1Q55
(State)
The securities ore registered os follows:
Frank B. Guver
(Nome or names in which certificates are registered)
COUNTY FILE NUMBER 21-80-357
Trust Companv. P.O.Box 350, Mechanicsburg, Pa. 17055
(~ddress )
NAME OF APPLICANT The First\ Bank and Trust Company
\
ADDRESS OF APPLICANT Mech \0 csburg op
A~~S+R~1QRt- The First Bank and
EXECUTOR) (Hemo)
BUREAU FILE NUMBER SIGNA TURE OF APPLICANT
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLlC ION, IT W LL NOT
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETI N.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE
I hereby consent 10 the Ironsfer of Ihe above securities now registered in the nome of I
Decedent and waive the liling of 0 certilicote certifying 10 the payment of the transfer inheritance lox to which
Ihe properly of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, PoL. 521,
os amended and the Act of June 15, 1961, P.L. 373, oS amended. This is also in accordance with Ihe provisions
of the Acl of April 9, 1929, P.L. 343.
This Consenl to Transfer Ihe herein described properly operotes only in reference to the estote of the
obave-named Decedent.
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RCC' 3 (1.(j9)
APPLICATION FOR CHARITASLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of Moy 2B, 1956, P.L. 17S7, ond Act of Jvn. IS, 1961,
P.L. 373, 0$ amended)
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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application is hereby filed for the approval
of on exemption from Pennsylvania Transfer
Inheritance Tax on the transfer of tho property
de.cribed below:
1. Bureau File 11_.21.-80-357
2. Dote of Death ---_.~1.'l-~ 198~ __.____
3. Dote of Approval ;1/1Z'C11t-kL)~. Jf;1J
,
Frank B. Guyer
4. Nome of Deceden t
5, The Commonwealth'. appraised value of the property for which on exemption i. claimed is $ 1,000.00
(Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of
the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift
or bequest represents a !ttated fractional or percentage portion of the entire estate or the entire residue. In those cases
enter such fractional or percentagG amount above).
6. Check the manner in which the transfer was &ffected and submit a copy of the document authorizing the transfer, unless
such material has been previously filed.
WILL Ii;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If other, explain)
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME
Quincy Orphanage & Home
ADDR ESS
Quincy, Pennsylvania 17247
8. I certify that the information contained herei is, to the bFst of my ~nowledge and belief, true and correct.
:'\ D,I/!') , 11:_ /
Signature of Applicant 11/1.
The Fir~t 'Fank ~d frJsit Company
P. O. Box 350, Mecha~~tsburg. PA 17055
Address of Applicant
Official Title Assistant Vice Pres.& Trust Officer Date
11/12/80
This farm must be completed In triplicate and all three copies delivered to the Register of Wills for the County in which the decedent
resided, or In which letters were issued for a nan_resident decedent's estate. If the decedent was a nan.resldent of PennsylvanIa and
letters were not Issued by a Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau of County Collections,
Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po.
Do not write below this line. For Official Use Only
For the Secretory of Revtnue
Referred to Bureau Headquarters
Approved 0
For Secretory of Revenue
, /
'.d./
Denied- 0
(Initials of Register of Wills)
(Authorized Signature)
(County)
(Tilla)
(Dote of Referral)
(Date of Action)
* See reverse sid, for reasons
MUST BE FILED IN TRIPLICATE
RCC. 3 I Hi91
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of Moy 28, 1956, P.L. 1757, ond Act of June 15, 1961,
P.L. 373, al amended)
..,
'" .
_. .
COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application is hereby liled for the approval
of an exemption from Pennsylvania Transfer
Inheritance Tax on the transfer of the property
described below,
21-80- 35 7
1. Bureau File 1/
:: :::::: :::::v-a-I-!1~;~~~:~~/~~-; <jJ1J
(~ /
4. Nome of Decedent Frank B. Guyer
5. The Commonwealth's appraised value of the property for which on exemption is c1eimed is $ 1,000.00
(Note: Whe... the property is other than a specified amount of cosh, the exemption cannot be approved until the value of
the property hos been established by opproise' by the Commonweelth, except in those cous where the omount of the gilt
or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases
enter such fractional or percentage amount above).
6. Check the manner in which the transfer was effected and submit 0 copy of the document authorizing the transfer, unless
such meteriol has been previously liled.
WILL~
DEED 0;
TRUST INDENTURE 0;
OTHER 0;
SURVIVORSHIP 0;
Of ather, explain)
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME
First United Methodist Church
ADDRESS
Frederick & Simpson Streets, Mechanicsburg, PA 17055
8. I cerlify that the information contained herein s, to the best a,f) my kpowledge and belief, true and correct.
,. ') I I-
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The First ank and Tr~t Company
, I
P. O. Box 950, Meehan sburg, PA 17055
Signature of Applicant
Addre.. of Appl icont
Official Title Assistant Vice Pres. & Trust Officer Date
11/12/80
Thi. form must be completed in triplicate ond 011 three copies delivered to the Register of Wills for the County in which the decedent
resided, or In which letters were issued for a non_residant decedent's estote. If the de co dent was a non_resident of Pennsylvania and
letter. were not Issued by a Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau of County Collections,
Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Po.
Do not write below this line. For Official Use Only
For the Secretary of Revenue
Referred to Bureau Headquarters
Approved 0
For Secretary of Revenue
Denied. 0
(Initials of Register of Wills)
(Authorized Signature)
(County)
(Title)
(Date ~f Referral)
(Date of Action)
* Se. reYerse sid. for reasons
MUST BE FILED IN TRIPLICATE
i
RCC- 3 1'"601
APPLtCATlON FOR CHARITASLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of May 28/ 1956, P.L. 1757, and Act of JUnll 15, 1961,
P.L. 373, os amended)
.
COMMONWEAL TH OF PENNSYLVMlIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application is hereby filed fer the approval
of an exemption from Pennsylvania Transfer
Inheritance Tax on the transfer of tho property
described below:
1. Bureau File 1/.-1..1--:89.=157 -----.-
2. Dote 01 Death __tiny 19 ,19.~O
3. Dote 01 Approval _lJfZ'i;}~(!~v)-~--7iiu
4. Nome 01 Decedent Frank B. Guyer
5. The Commonwealth'. approi sed value 01 the property for which an exemption is claimed i. $ 500.00
(Note: Where the property Is other than 0 specified amount 01 cosh, the exemption cannot be approved until the value of
the property has been estobll.hed by appraisal by the Commonwealth, except in tho.a co.es where the amount 01 the gilt
or bequest represents a stated fractional or percentage portion of the entire estate or 'the entire residue. In those caus
enter such fractional or percentage amount above).
6. Check the manner in which the t,.,nsler was effected and submit 0 copy 01 the document outhori.ing the transfer, unle..
such material has been previously !iled.
WILL~
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(II other, explain)
7. Correct Business Nome and Address of Charitable Organization receiving property:
NAME
Merle William Guver Memorial Bible Class
ADDRESS First United Methodist Church, Mechanicsburg, PA 17055
8. I certily that the inlormation contained herei is, to the beu airy kn~e and beliel, true and correct.
/'1-:-1 /7
fI ~ t ( ') I, ~ j l/~//
a~d \Tr~~ t ~&bmpany
Mechanih~~~rg, PA 17055
Signature 01 Applicant
Address 01 Applicant
. v
The First B~k
I
P.O. Box 350,
Official Title Assistant Vi.ce Pres. & Trust Officer Date
Nov. 12. 1980
This form must be completed In triplicate and all three caples delivered to the Register of Wills for the County In which the decedent
resided, or In which lettors were Issued for a non_resident decedent's ntato. If the decedent was a nan.resldent of Pennsylvania and
letters were nat Issued by a Pennsylvania Register of Wills, deliver 011 three copies to the Director, Buroau of County Collections,
Pen no. Deportment of Revenue, 26 S. 4th Street, Haftisburg, Po.
00 not write below this line. For Official U.e Onl
Referred to Bureau Headquarters
Approved 0
For Secretary of Revenue
Donied. 0
(Initials 01 Register of Wills)
(Aathorized Signature)
(County)
(Titl.)
(Dote 01 Relerral)
(Date 01 Actien)
* See revene s ide for reasons
MUST BE FILED IN TRIPLICATE
PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION
1. PERSONS RESPONSIBLE FOR RETURN
Section 701 of the Inheritance ill1d Estate T,lX Act of 1961 provides that the following persons shall prepare and file
a return:
a. The personal representative of the estate of the decedent as to property of the decedent administered by him
and such additional properly which is or may be sl.ibject to Inheritance Tax of which he/she shall have or
acquire knowledge;
b. The tmosferee of property upon the transfer of whi ch Inheri tance Tax is or may be imposed by the 1961 Statute,
including a trustee of property transferred in tfllsl, provided Il1alno separafe return need be made by the transferee
of property included in the return of a personal representative.
2. PLACE FOR FILING
The return is to be filed in duplicate w:th the 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 an extension for filing has been applied for and
granted by the Secretary of Revenue within the nine.month period.
4. FAILURE TO FILE RETURN
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 Oepartment of Revenue as debts of like amount 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 daughter-in-law 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 the Register of Wills of the county wherein the decedent resided and are
received subject to the final determination of the Department of Revenue.
7. FAILURE TO PAY
The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until
the taxes and interest have been paid in full. The taxes may be sued for against any real property in the decedent's
estate or against any property belonging 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, shalt be sentenced to pay a fine not exceeding
$1,000 or undergo imprisonment not exceeding one year or boUI.
REV.451 (l.SO)
'COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPEI1TV
*
(Instructions 011 Revl!rst.' Side)
Estate of
Frank B. Guye r
ESTIMATED DEPARTMENT
ITEM DESCRIPTION UNIT MARKET VALUATION
NO. VALUE VALUE (OFFICIAL USE ONL Yi
1. First Bank & Trust Co., Checking Acct. No.1302306 1,995.06
2. Uncas hed checks 756.71 I
3. r.epita1 Blue Cross - refund on premium 13.40
4. Travelers Insurance Co.-refund on premium 7.62 I
5. Blue Ridge Haven - refund on room & board 533.00
6. Prudential Insurance Co.-Proceed Pol.29CAll12360 1,079.29
7. Gross proceeds on sale of household furniture 6,066.40
and furnishings
8. State Capital Savings Assoc. Acct.No.002-20-05495 2,000.00
9. Accrued into on account No. 002-20-05495 50.45
10. State Capital Savings Assoc. Acct.No.002-20-05513 2,000.00
11. Accrued Interest on acct. No. 002-20-05513 50,/,5
12. State Capital Savings Assoc. Acct.No.002-20-06843 1,000.00
13. Accrued interest on acct. No. 002-20-06843 25.22 1
14. State Capital Savings Assoc. Acct. No. 002-20-085 2 5,000.00 I
[
.15. Accrued interest on account No. 002-20-08532 126.13
16. State Capital Savings Assoc. Acct.No.002-20-08630 1,000.00 I
17. Accrued interest on Acct. No. 002-20-08630 25.22 I
18. State Capital Savings Assoc. Acct.No.002-20-08705 5,000.00
19. Accrued interest on Acct. No. 002-20-08705 126.13
20. State Capital Savings Assoc. Acct.No.002-20-08706 4,000.00
21. Accrued interest on acct. No. 002-20-08706 100.90
22. Hamilton Bank, C.D. #66-99085705 2,000.00
TOTAL THIS PAGE Continued
REV.451 (1.80)
'COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
REStOENT DECEDENT
SCHEDULE "8"
PERSONAL PROPERTY
*
(Instructions on RuvlJrsu Side)
Estate of
Frank B. Guyer
ESTIMATED DEPARTMENT
ITEM DESCRIPTION UNIT MARKET VALUATION
NO. VALUE VALUE (OFFICIAL USE ONL Yi
23. Accrued interest on C.D. #66-99085705 65.72
24. Hamilton Bank, C.D. #66-99061105 1,000.00 ,
25. First Bank & Trust Co. - Sav. Acct. 600-952-6 7,093.27
26. Accrued interest to date of death on account 47.02
1/600-952-6
27. Central Pennsylvania Conference, Cert.No.25500 2,000.00
28. Accrued interest on certificate No. 25500 7.59
29. $100 U.S.Savings Bond Ser.E dated June 1944 303.44
No. C81055809E
30. $100 U.S.Savings Bond Series E, dated May 1946 291. 60
No. C123155929E
31. $50 U. S. Savings Bond, Series E, dated Nov. 1944 151.72
No. L98585311E
32. $50 U. S. Savings Bond, Series E, dated Nov. 1944 151. 72
No. L98585310E
33. $25 U. S. Savings Bond, Series E, dated Feb. 1943 79.76
No. Q754222835E
34. $25 U. S. Savings Bond, Series E, dated Mar. 1943 79.76
No. Q754222836E
35. $25 U. S. Savings Bond, Series E, dated Dec. 1944 74.63
No. Q490055187E
36. $25 U. S. Savings Bond, Series E, dated June 1945 73.44
No. Q600881807E
37. $25 U. S. Savings Bond, Series E, dated Dec. 1960 47.82
No. Q1856130138E
38. $25 U. S. Savings Bond, Series E, dated Dec. 1960 47.82
, No. Q1856130137E
39. $25 U. S. Savings Bond, Series E, dated Dec. 1960 47.82
No. Q1856130136E
40. $25 U. S. Savings Bond, Series E, dated Dec. 1960 47.82
No. 1856130135E
41. $25 U. S. Savings Bond, Series E, dated Dec. 1960 47.82
No. Q1856130134E
42. $25 U. S. Savings Bond, Series E, dated Dec. 1942 79.76
No. Q104403698E
43. $25 U. S. Savings Bond, Series E, dated Feb. 1944 77.16
No. Q204681917E
44. $25 U. S. Savings Bond, Series E, dated Sep.1943 78.45
Nn.
TOTAL THIS PAGE Continued
REV.451.(1.SO)
'COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
(Instructions on Rcvl.'(sU Side)
Estate of
Frank B. Guyer
*
ESTIMATED DEPARTMENT
ITEM DESCRIPTION UNIT MARKET VALUATION
NO. VALUE VALUE (OFFICIAL USE ONL Y)
45. $25 U. S. Savings Bond, Series E, dated Feb. 1944 77.16
No. Q204681918E
46. $25 U. S. Savings Bond, Series E, dated June 1945 73.1.4
No. Q619021934E
.47. $25 U. S. Savings Bond, Series E, dated Sept.1943 78.45
No. Q57525035E
48. 187 Shs. The First Bank & Trust Company @135.00 25,245.00
49. Accrued dividend 261. 80
50. 8 Shs. Am. Tel. & Tel. Co. $4.00 Pfd. @55.3125 442.50
51. 160 Shs. Am. Tel. & Tel. Co., common @52.875 8,460.00
52. 30 Shs. Pa. Power & Light Co. 4~% Pfd.@39.25 1,177.50
53. 55 Shs. Pa. Power & Light Co., common @19.50 1,072.50
TOTAL THIS PAGE
$81,738.47
;1
REV.4!54 (l.SO)
'. 'COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERtTANCE TAX
RESIOENT OECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
~~
~
(IIIstructions all Reverse Side)
Estate of
Frank B. Guyer
. P
TOTAL E VALUE OF DEPARTMENT
ITEM R
DESCRIPTION MARKET cE DECEDENT'S VALUATION
NO, VALUE N INTEREST (Official Use Dilly)
T
None
"
-
.
.
TOTAL THIS PAGE None A I ..,,- 'IJ'Y\14-
yo
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
Schedule "E" must include all property, real and personal, owned by the decedent jointly with another
party or parties as joint tenants with right of survivorship. Both tangible and intangible property are to be
included. List real estate first.
1. Describe all real property as indicated in the instructions for Schedule" A". Des'cribe 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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nCC.39 (8-771
County, Numb~r and Ham~
File !-lumber 21-80-357
I)ate of Death_~~ 19. 1980
Cumberland
SUMMARY
(rH~~r N^"..H-')
...B....._._
(It~IT' AI.I
COMMONWEALTH OF PENNSYLVANIA
TRANSFE R INHE RITA NCE TAX
RESIDENT DECEDENT
------.-.-
E.tate !-lama
Guyer
ILM.T NAME)
Frank
_-1__.
REPORT OF INHERIT ANCE TAX APPRAISER
I, tho unders.igned duly appointed Inheritance Tax Appraiser ill and for th~ County of--2.wnberland
Pennsylvania, do rcspectfully report that I have appraised thc real nod personul property as. r~ported in the foregoing return at
the valuos sot forth opposite cach item in the lost column to the right in Schedules flAil, HB", lIe", and tiE".
Dated:
February 11, 1981
/ill,f.)"4- / iPhitHJ)
INHEf~lTMICE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
I, tho undersigned duly elected Register of Wills in and for County, Pennsylvania, do respect..
fully report that I have allowed deductions in the amounts claimed by deponent, except as to tho$c items wherc a greater or
lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum
allowed as a deduction.
Dated:
REGISTER 01' WILLS
s 43 500
00
1
ADJUSTMENTS
ODE IHARRISIlURG USE ONL VI
00+
1Clt
20+
30+
REMAINDER APPRAISEMENT CODE
92+
INVENTORY
Roal Property (Schedule A)
Personal Property (Schedulo BI
Joint-Held Property (Schedule E)
Transfers (Schodule C)
TOTAL GROSS ASSETS
Less Debts alld Doductions
ISCHEOULE Fl
CLEAR VALUE OF ESTATE
VALUE AS APPRAISED
40.
93-
108 305
4
onnultles....................._ $
Valuation of life estates or
PRINCIPLE
FACTOR
VALUE
~
~STATE TAX ASSESSMENTS - $
t=
f=
1-
FOR USE OF REGISTER ONL..Y
Tax on $
Tax on S
Tax on S
Tax on S
Tax on S
Exemptions
Total Estate
~
COMPUTATlON OF TAX
2%
6%
15%
$
$
$
$
$
TOTAL TAX
$
1=
, L
.
$
t_
$
$
TOT.'L TAX "..ALANC. ,
PAi' ...--- ,
('0) As evidenced by Churltable
Exemption Certlflcotos Issued
by the Secretary of Revenue.
Loss tox previously paid S
BA LANCE $
Less 5% of tax if paid within
3 months after death $
BALANCE OF tNHERITANCE TAX DUE
Add Interest at rate of 6% from
to
AMOUNT DF ESTATE TAX ASSESSED $
Estate tax paid S
BALANCE DUE
Add Intorest at rote of 6% from
to
Supplemental C"de.. (FOR USE IN HARRloSIJHG ONL Y)
..------..--
4a_Adju5tment
49+Adju5tment
56-Annuity
60-Lifc L'ol'.
92tRcnloind(.r Approisal
93-Rcmaindcr Dl;:Juo::lion
93C-ChnrilY
9.t_Rcmaindcr Rc~idlJC
96_Successivc
Life Estate
FOR USE OF R EGIST ER ONLY
-" -". -. "._,
ADJU$TMEIHS
HOTE: Where sub,,('qUClll (;dJ"USIIlH'1l1S (lIe modi: to 1he above computation of fOX by the Register of Wills for proper reason
saine sholll.~ bp. f'!:Ji,. below, with. hort explanation. "
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REV.457 (1.80)
'COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
*'
==
Estate of
Frank B. Guver
File No.
21-80-0'3'3~
County
Cumberland
Date of Death
Hay 19. 1980
In the event that anv future Interelt In thlllltat,ll transferrod In possolslon or onJoyment to collateral hllrs of the dltCedent ,fter the expiration of any
estata for 11ft or for vear., the Commonwulth hereby eJl'prtillv rDJ8rVIJt the rIght to apprall9 and SUOII tranl'.r inharltanc. taXBS a' the 'lIwful collateral rata
on any luch future 'nteren.
PROPERTY REPORTED BY THE ESTATE
DEPARTMENT'S
APPRAISED VALUE
1. TOTAL REAL PROPERTY - SCHEDULE "A" . .
2. TOTAL PERSONAL PROPERTY - SCHEDULE "8"
3. TOTAL TRANSFERS - SCHEDULE "C" . . . .
4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E"
N ne
TOTAL REPORTED PROPERTY
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
125.238.47
TOTAL UNREPORTED PROPERTY
None
TOTAL GROSS ASSETS
125.238.47
LI FE ESTATE OR ANNUITY CALCULATION
I do hereby certify thntthe nbIJve npprnisement is made in conformity with Pennsylvania law and has been filed this day
with the Register ui Hills.
€/j~v/.})~/,AJ~,I,)
APPRAISER
02/11/81
il
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I
J
5S:
....___-.li.ayI!'LP.~.J<al!J;.!; ....M sia taI!LVl"ce. P.resident __ilnd...'fr!l"'.LO_Utcg,r___. -- .---- ----------
baing duly _....JlfLO.J:n__ ____.._ according to lew, deposes and says that he .__ia_exec.utoL.___. -"-
_.__________._______. __.. ...__ m_" of tho Estate of --Eranl<. B. Guy.eI....-...
late of Bnrnllgh nf Merhnni rnhllrg ___, Cumborland County, Pa., deceased and that tho
within is an inventory made by. l'hc..EirsLBank_and..l'rustCOlIlP.any -, the said_ex~Qr__
of the entire estate of said decadent, consisting of all the personal prop.rty and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposito each ite of the Inventory represent it's fair value
as of the data of decadent's death. The First. Bank an , IIus ~fJ.ompany J.
.Ln_. r;, and subscribed before me, Execut~R'1 fh 'IE t e o<~~nk IS. Guyer,dec'd
I I I '
-'1 ~ ue to w.".a.k~
l (J'I" l"',~ /.1. 19 ,f'o Assistant ice preSb'<leht and Trust Officer
, "--(:... 6 _/
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.,1 ',,-,"'i,,:t't'''',
',;';-:!'(
!> .1
_~echanicsburg,-Pennsvlvania 17055
Address
Day
May
Month
1980
Date of Death _
19
Vear
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may b. attached as to personelty or realty
4. See Article IV, Fiduciaries Act of 1949.
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Inventory of the real and personal estate of
Frank B. Guyer
deceased.
First Bank & Trust Co., checking account No. 1302306
Uncashed checks
Capital Blue Cross - refund on premium
Travelers Insurance Co. - refund on premium
Blue Ridge Haven - refund on room & board
Prudential Insurance Co. - proceeds on policy No. 29CA1112360
Gross proceeds on sale of household furniture & furnishings
State Capital Savings Assoc. Account No. 002-20-05495
Accrued interest on account No. 002-20-05495
State Capital Savings Assoc., account No. 002-20-05513
Accrued interest on account No. 002-20-05513
State Capital Savings Assoc. account No. 002-20-06843
Accruen interest on account No. 002-20-06843
State Capital Savings Assoc. account No. 002-20-08532
Accrued interest on account No. 002-20-08532
State Capital Savings Assoc., account No. 002-20-08630
Accrued interest on account No. 002-20-08630
State Capital Savings Assoc. account No. 002-20-08705
Accrued interest on account No. 002-20-08705
State Capital Savings Assoc. Account No. 002-20-08706
Accrued interest on account No. 002-20-08706
Hamilton Bank, C.D. #66-99085705
Accrued interest on C.D. #66-99085705
Hamilton Bank, C.D. #66-99061105
First Bank & Trust Co. Savings Account #600-952-6
Accrued interest to date of death on account #600-952-6
Central Pennsylvania Conference, certificate No. 25500
Accrued interest on certificate No. 25500
$100 U. S. Savings Bond Series E, dated June 1944 No. C81055809E
$100 U. S. Savings Bond Series E, dated May 1946 No. C123155929E
$50 U. S. Savings Bond, Series E, dated Nov. 1944, No. L98585311E
$50 U. S. Savings Bond, Series E, dated Nov. 1944 No. L98585310E
$25 U. S. Savings Bond, Series E, dated Feb. 1943 No. Q754222835E
$25 U. S. Savings Bond, Series E, dated Mar. 1943 No. Q754222836E
$25 U. S. Savings Bond, Series E, dated Dec. 1944 No. Q490055187E
$25 U. S. Savings Bond, Series E, dated June 1945 No. Q600881807E
$25 U. S. Savings Bond, Series E, dated Dec. 1960 No. Q1856130138E
$25 U. S. Savings Bond, Series E, dated Dec. 1960 No. Q1856130137E
$25 U. S. Savings Bond, Series E, dated Dec. 1960 No. Q1856130136E
$25 U. S. Savings Bond, Series E, dated Dec. 1960 No. Q1856130135E
$25 U. S. Savings Bond, Series E, dated Dec. 1960 No. Q1856130134E
$25 U. S. Savings Bond, Series E, dated Dec. 1942 No. Q104403698E
$25 U. S. Savings Bond, Series E, dated Feb. 1944 No. Q204681917E
$25 U. S. Savings Bond, Series E, dated Sept. 1943 No. Q57525036E
$25 U. S. Savings Bond, Series E, dated Feb. 1944 No. Q204681918E
$25 U. S. Savings Bond, Series E, dated June 1945 No. Q619021934E
$25 U. S. Savings Bond, Series E, dated Sept. 1943 No. Q57525035E
187 Shs. The First Bank & Trust Company, @135.00
Accrued dividend
8 Shs. Am. Tel. & Tel. Co. $4.00 Pfd, @55.3125
160 Shs. Am. Tel. & Tel. Co., common @52.875
30 Shs. Pa. Power & Light Co., 4~% Pfd. @39.25
55 Shs. Pa. Power & Light Co., common @19.50
Real Estate:
2 story, frame and stucco dwelling, known and
numbered as 105 East Keller Street, Mechanicsburg,
Pennsylvania, more fully described in Deed dated
February 1, 1946, between Frank B. Guyer and Frank B.
Guyer and Edith M. Guyer, his wife, recorded in Cumberland
County Deed Book "D", VoL 13, Page 369.
1,995 06
756 71
13 40
7 62
533 0
1,079 29
6,066 0
2,000 0
50 5
2,000 0
50 5
1,000 0
25 2
5,000 P.O
126 1~3
1,000 ~O
25 i22
5,000 b~O
126 13
4,000 0
100 0
2,000 0
65 72
1,000 0
7,093 7
47 2
2,000 0
7 59
303 4
291 60
151 72
151 72
79 76
79 176
74 63
73 44
47 82
47 82
47 82
47 82
47 82
79 76
77 16
78 5
77 '16
73 4
78 45
25,245 00
261 80
442 50
8,460 0
I, 177 50'
1,072 50
Sale Price
43,500 00
Total Inventory and Appraisement
125,238 7
INFORMATION
To insure proper credit to your account, the namu 01 tho CJsHltO and filo numbof should be cloarly print-
ed on the check or money ordor.
This assessment is made in accordanco with Section 708 of the Inheritance nnd Estate Tax Act of
1961 (72 P.S. 9 2485.708).
To the extent that inheritance tax is paid within three (3) months after the death of tho decedent, a
discount of five (5} percent is allowed 172 P.S. 9 2485.716}.
Inheritance Tax. other than tax on a future interest, is due at the date 01 the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedent's dealt' (72 P.S. !j 2485-711). Inheritance
Tax on a future interest is payable within three (31 months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P,S. 9 2485- 712). Calculate interest from the delinquent 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 days .00017 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 days .00369
3 deys .00051 13 days .00220 23 days .00386
4 days .00068 I ~ days .00237 24 days .00403
5 days .00065 15 days .00250 25 days .00420
6 deys .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 .00316 29 days .00488
10 days .00169 20 days .00335 30 days .00500
-- ------------------- --- - -- - - ---- --- - - --- -- - ---.---- - - - - --------- -----"
Any party in interest, including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (601 days alter receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S. 9 2485-1001}.
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed beiow:
INFORMATIQ!!L
To insure propor credit to your llr.counl, tho nmno of tho eslntfl And lile numbor should hn ctonrly prinl-
ed on tho chock or money order.
This assessment is mode in accordance wilh Soction 708 of the Inhoritanco nnd Estato Tox Act of
1961172 P.S. 9 2485.708).
To the extent that inheritanco lllx IS paid within three (31 months after tho death of tho decedent. a
discount of five (51 percent IS ellowed 172 P.S. 9 2485.716).
Inheritance Tax. other than 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. 5 2485.711). Inheritance
Tax on a future interest is payable within three (3) months alter the transfer takes effect in possession and
enjoyment and is delinquent thcreaher (72 P,S. ~ 2485.712). Calculate interest from the delinquent date shown
on the face of this form 10 the date of actual payment using the following interest lable:
------------ --- ----- - - --------- --- ---- - - ------- - - ---- --- ---------- -- - - - -- --
.1 month .005 4 months .020 7 months .035 10 months .050
2 months .010 5 months .025 8 months .040 11 months .055
3 months .015 6 months .030 9 months .045 12 months .060
1 days .00017 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 days .00369
3 deys .00051 13 days .00220 23 days .00386
4 deys .00068 14 days .00237 24 days .00403
5 days .00085 15 days .00250 25 days .00420
6 days .00101 16 days .00267 26 days .00437
7 days .00118 17 davs .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 (60l days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Aot of 1961172 P.S. 9 2485.1001).
Make check or money order payable to:
"Register of Wills. Agent'.
Mail to the address listed below:
...QEV..\S50.80)
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT OECEOENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
~
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Estate of Frank B. Guver Date of Death Mav 19. 1980
WHEN CLAIMING THE FAMilY EXEMPTION, COMPLETE THE FOllOWING:
File No. 21-80-357
Claimant
Relationship to Decedent
Claimant's Address
ITEM DATE NAME OF PAYEE REMARKS AMOUNT
NO.
1 Yilt Register of Wills-Letters Testa entarv & short certificates 63.00
? -, Cumberland Law Journal - Advert. O'"~ , '0 nn ,
28 i
3 Jun. 4 Mechanicsburg Water Co. - Water bill 19.21 I
I
4 4 Bell Telephone Co. - Telephone ill 5.33
5 4 P. P. & L. Co. - Electric bill 8.83
~ " H"loe A"M"'."M Tno_" .'-"... fhe in~llrance ?1<; nn
7 9 J. J. Skelton & Son - Fuel oil ill 53.05
8 19 P P ~ T. ('0. - Eleotrio 1.", o nn
!
q ul. 1 Bell Telenhone Co. - Telenhnne ' Inl " ~~ i
10 3 Mechanicsburg Borough - Sewer b 11 36.60
_!l R n. 1.1<n"ol" vo~no" M n - I. ,'nno' ."n' .n ?n nn
-
12 10 Isabelle Conboy - Notary fees 4.00
13 16 Rav W. Anderson Tax Collector Real Estate taxes 188.49
n lI, P P. ~ T. ('n. - ",. I.,,, . o 00
1" '''0 '0 Chuck Br' ""o~ Ann.' _ ('n_ l'"o'nn . -"'0 ~ 'eO .
for sale of household fur iture & furnish ings 990.00
Iii 18 Chuck Bricker Auctioneer - Rea estate connnission 435.00
17 18 We~t Shore Times - Adverti~ino etters 15.75
18 19 Bell Telenhone Co. - Final nhon bill 1.95
19 19 P. P. & L. Co. - Electric bill 4.51
20 20 Register of Wills - Short certi icate 1.00
?1 21 Me, ('n - .iT ., 17.~"
22 29 Mvers Funeral Home - Funeral bi 1 3,094.36
TOTAL THIS PAGE [ Continued
"
..qEV~455 (1-80)
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER tNHERtTANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
-----~-;:...--"-=-..;.-.;..;...'=-=.:-"""'"-~--
Estate of Date of Death
WHEN CLAIMING THE FAMI L Y EXEMPTION. COMPLETE THE FOLLOWING:
Claimant
_ Relationship to Decedent
Claimant's Address
*,
File No.
ITEM DATE NAME OF PAYEE REMARKS AMOUNT
NO.
23 SeD t. 8 Proration of real estate taxes, and realty transfer tax 259.81
24 18 Mechan;eohuro lJ~'~r rn _ F;M1 , hill < <0
0< to n n 'T ,,- _ t"M1 ~1 ~~.~, ~ .,,, 7.71
26 Oct. 14 Josenh Kana'''' - Removal of tras' from 7~.OO
27 Nov. Re2ister of Wills - Filin2 debt & deduc tions Inventor" &
. " or" Fn~ q.OO
fnr >h~ ~-"-"'no'
'fhe First Bank & Trust Co. - Ex cutor's fee 5."QO.77
M. "M"'__ _ MI '0 f"" 5 630.77
fnr ~'H_n f"~I,, o.~ . tnn nn
'fotal Debts & Deductions 16,9:32.53
.
.
TOTAL THIS PAGE I
OFFICIAL USE ~NL Y
DEeTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF 5 -1~ tj 3:x. 5'3
AT (. PERCENT.
'J .7'(-/3-.tJl
-::I-
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 including the cost of a buriai 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. 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.