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21-80 396
No.
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
In the Estate of
Eelna M. ClarlIn
__, deceased.
To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania.
E:dna
Petltloner(~ Is l8f~ the execut or named In the Last Will and Testament of
M. GarEn dated February 19, 1980
Decedent was a citizen of the United States and a resident of MIeld l"l se x
Township (e!lpM~ili), Cumberland County, Commonwealth of Pennsylvania.
Decedent died on Tuesday the 3rel day of ,Tune
80
A.D, 19_, In the
County of DauphIn ,State of.~A at the age of ..2.!!....years.
Decedent has (has not) been married and has (has not) had children born to him (her) since the ex-
ecution of the above described Will. t . d
unes'lmate
Decedent was possessed of personal property to the value of
and of real estate to the value of
none
as near as can be ascertained; said real estate situated as follows
Therefore. your petltloner(s) respectfully apply(ies) for the probate of the said Last Will and Testa'
ment and for Letters Testamentary theron,
Dated June 11, 1980
Name and address
of Petitioner(s)
([2",,,,,/(1'/ /! jL,&b;' /
~ONALD E. G~CIN,~
R. D. #1, Box 260B
Palmyra, PA 17078
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND l ss
DONALD E. GARLIN, JR.
named in above application, being duly s~lOrn
statements set forth in this petition are true to the best of
_ SW()F.!l_ and subscribed before
according to law say(s) that the
hIs knowledge and belief.
me, _.._.rl!l1.~_.lL.__._,_ 19 .~.Q.,
--)/2 'I ~ /
,!._//!dMkC._ - :. eu,..o.~_
,f Register
r:tj,?t<~(/ / ~e; - j,
DONALD E. G LIN, 5W.
Vlo
Filed: June 11, 1980
AttorneyS
IRWIN, IRWIN & IRWIN
~ ~ South Hanover Str~et_ _
CarlIsle, PA 17013 - if~
5-1-~
. . .. "-'-,~'Y"'-'
,;21-J'(_'~ 3f'(., //- /,3-/
1Enst Jlill nttb Uftshtmettt
I, EDNA M. GARLIN, of Middlesex Township, Cumberland County,
Pennsylvania, declare this instrument to be my last will and testa-
ment, hereby express 1y revoking all wills and codicils heretofore
made by me.
1. I dIrect my executor to pay all of my debts, funeral and
admInistrative expenses as soon as convenient after my decease.
2. I authorize and empower my executor to sell any realty
owned by me at my death, at either public or prIvate sale, and to
give good and sufficient deeds therefor, in fee simple, as I could
do if living.
3. I devise and bequeath all of my estate of every nature and
wherever situate to my children, share and share alike, the child
or children of any de ce ased child taking the share their parent
would have taken if living.
4. I nominate and appoint Donald E. Garl:ln, Jr. to be the
executor of thIs my last will and testament; he is to serve as such
without bond. Should he die before my death, renounce or refuse to
serve for any reason, or die leaving any of my estate unadministered,
I nominate and appoint Ruth A. Albert as substitute executrix with
the same powers as are given herein to my executor, and also without
the fIling of any bond.
5. I hereby suggest that my personal representative retain the
services of Irwin, Irwin & Irwin as attorneys in the settlement of
my estate.
8~:J~I,~0_\:~!l\!),~!1': r 1l~. tr 1'. jI-'IJl_-^-!.::l'~1 n A '! .IT
We, EDNA M, OAHl,IN
and SHARON L. SCHWALM
J. r~ARIE JONES
th(\ t(~st,atr'lx :.Hld L!'li} wltr}f~~ifjeS,
t'0:3pcctlvcly, Vlhp::lt~ names ~ll'l.' :jl\~ncd tu 1.-110 /'Ol'Ul.io1nr: in:;tr'umenL,
beJ.ng !':Lrs t duly sworn, elo hOT'f)by declal'e to the uncIr:'rsJ.p.;neel
authol'Ity that the l;cs\;;.,LI'i x :;I[':nod and eX(,(,lltccl the insLrlHTlcnt
aG hel' LasL \~llJ !JlId thaL shl,' had slgnod ~li 111nr;ly, ancl t;haL she
executed It as her' free anel vo 111l1tary acL for' the purposes thereIn
expl'essed, and that each oj' the wi tnesses, ln the presence and
hearJ.ng of the t()statt'ix, s:i "ned the WIl) as a I'lL tne:,s and that
to the best oj' thell' knowledge the testatrix was at that tIme
eIghteen years of' ago or' oldcr', or sound mind and uneler' no
constraInt or undue inf'luence.
c ~ )r; Ai wz.L
EDNA M. GARLIN
f 'mfl~ a~
. J. MARIE JON~
~/l4'~ lf lLhL-<Jo.-ku
/ SHARON L. SCHWALM
COI1r'lom,EALTII 0)1 PEl'lNSYLV ANIA
SS
COUNTY OF CUHBEHLAND
SubSCl'J.bed, ~>",orn to and ac)mowledged before me by EDNA M.
GARLIN
, the testatrix, and subscrIbed
and s ~IO rn to be fo re me by
J. MARIE JONES
, and
SHARON L. SCHWALM
, witncsS0S, tJ113
jcl1b
day 0 f
February
, 1080
__JlliLL1_Ln(r'I:11J~)1 :'.': "'U:t:;~
. . ,~.~i: .;j' "'IF.' >" 'j.. 'I.iit;';l r.ou"1Y
P. ,_, ',,, 1.11'1:'1:; ore II
" !',~I'p, rl"~'I'I\";!Ii,rt."'-. .'. .15.1980
\\snCJ,J!lOnofNolaries
308
.
OATH OF SUBSCRIBING WITNESS
,
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF-CUMBERLAND \
~
This....."..........,......,.~>......,....................,",........,.. day of ,........",..",......,....,""',..,.., ....,..............., A,D.. 19........,
before me Richard E. A~rson, Register for the Probate of Wills azting letters of Administration
i:::'r:,~::'.~::::~.:rc~~th:.~'~:,::~"I'" ,r?.":"::i,..='~::II:':=:::
the subscribing witnesses t.o the foregoin instrument I' writing purporting to be the last Will and
Testament of ......................................".........,....,...., " ..............................,..," Dated .................,.......................
late of ...........................,........'.............'......'...../'....'.."'.. ,.....,......."..,....,. Cumberland County Pa., deceased
who being duly ......,...............................,..hccording to law, epose and say, that ........................................
;::~:,:;i:h:::':::::i::::l~:::;;;:::~,:;:;:;;;;:m
and Last Will, and at the time of so doing ..............,.......,......................,..,was I' sound and disposing mind
memory and understanding, to the best of .....,...........,....,....,..................knowledge, bservation and belief.
...................................,........... and subscribed before
............................................................. ...................
Richard E. Anderson, Register
....................................................................................
.................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
Donald E. Garlin, Jr.
............................................,.................. ..........,... .....,....,... ...............,.."....................".. ............... .........being duly
..........................~~.?.7.!:........... says that as nearly as can be ascertained the said decedent ..........................
Edna M. Garl:ln .
............... ,..........................,.."..................,.....,... ..............."......."........,... ,.......,.......".... ,.......,....................dled on
.............'););l.~.~~.~~................... the .......J.~9.....,....,...:..day of ................~.1f.~~,........,.................. A.D., 19~~....
at or about ..................~.:.?~............... o'clock,~.:.M.
Sworn d b 'b d th'
....................................................an su SCrl e IS
11th June
................................................ day of .........,..............
80
19, ........, before
, , ~~' rf..
." ."' j,;J C,' /.
, ,/;"'-''''''"iL',1 c' / ,.-1. 1'."...; \
.........."~".D.()'NAL'ij"E:;.. 'ARLIN~" jif:.............
~.1'..~m..........
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PI~NNSYLVANIA}
COUNTY OF CUMBERLAND 88:
Before me, the 'Register for the Probate of Wills and granting of Letters of Administration in and for
the County of Cumberland. personally came .....?,?:~.~.~~...~:.,..?~.~,~..~,~,.'....~.~.:...............................................
who, being duly .........~y:.?~!:........, do .......... depose and say that as......~~.~.~~.~.?::........................................
of the last Will and Testament of ........~~,~.~..!:1.:....?~::,~.~::.................................................................deceased
.................!'!.~.... will well and truly administer the goods and chattels, rights and credits of said deceased
according to law. And also will diligently comply with the provisions of the law relating to Transfer
Inheritances. .......~~.?:.::.......... and subscribed
before me.
June 11 80
........................................................ A. D.. 19............
.........q}J&~..e..,.:~~.....".,.......".,
:R~.1~..,1~fA, ~, ~'~r
a~,Jk/ c!:. a/ ~ ./
.......,...,.."'..DONA'Li:i.~ri(..J..R':..............
..................................................................................
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DECREE
Be it remembered that on the ......~~~~......... day of ...................~::.~~..................... A. D., 19 .~.~..., there
w bted d ddth I tW'11 dT t t f Edna ~1. Uarlin
as pro a an recor e e as I an es amen 0 ...........,.................................................................
1 Middlesex TownshIp .
ate of ............................................................................. Cumberland County, Pennsylvama. Deceased. Letters
....... .....'!;~.? ~~~~!:.~.!l:::X................ were granted to ...,? .?~ ~.~,?., ~.:....? ?:::.~. ~::.?.. ~ .r:.:...............,.................. ......
Witness my hand and official seal the day and year aforesaid.
......~,kt.;t...e.:..~d...........
~,' _..a~--.'fRegi8ter.
~"1
. ~..' ~."
- .
.
,,--:~_____,______~"'___.R_'.__.._______~..' ...
_R~._.~_'__""'__.. .
...._,~__'.......~ ,_..__'~""~.""~_."'___ _.,,,.~..... ,t
... I
d /- g()-J9~?
ReC-Bll
COl~IONI\l,~_LTH (,\' I'FS~SY1.v"SI^
Depu r t.men t "f HevefllIP
ENTRY I NTC ~;AFE IlEI'O~ IT Hr,x
TO HE\IOVE A In LL '.If! CEmT;my DEED
('1;1 yc
(Date of Entr)')
1. Name of decedent: ~N' M 6.A.11.1 ,'o,J
2. Addr~ss of decedeClt: .13'1 f.I n.(I.--. I.-:.......\e. r,' " ~ I C\-.'\ \t ';,\\.) PA i7l'd
3. Dat~ of dellth: '-/f. /'"
4. Name Ilnd address of person who reques ted the opening of the box:
'~(J"JI\..IA .{. b"'" I,~ ...L'~
5. Nam~ nnd Ilddress of thf: j'inancllll institution where thp Ellfe d"posit box i5
located:
fAil I\A":,' \ j r'>" '":IT (~,
/'i (. A"....,.} -;,i., .N~'.,;.j (t1"Jr;":Tc",~l.J .o.~ ,7(,7)
6. Number of box:
~ Jr
7. Title unde" which box 1s registered:
~dNAN\. G<V\I-~ (.J/' I\".)I-\..H.(. Cr.r.n!loJ.J~.
~. WllS thel'e Il will in the box? (Yes or No) "e,
,
\I. If yes, stnte dat" of will, nalJe nnd address of personlll represent.tive, if
named in the "ill, and name and adr\ress of Ilttorney, if any:
:JI"'I~' <(,,;1_
1.J:...t/lirt f:,f\.J',I\~I. Ja,
'j'/I.-....... I .,,,,,,.~. ", ;"1,.....,1 ..~11.1,.!'.,~
.
Anrl now th ts < r,(~ rll'l.)' of
~ertiry under pnnalty of perjury that the
t.o the b~st cd' my kn(')y.l~rlg~ and b~l ief.
J.tl'" 1~ '.- ,I her~hj.
nbovp r~c()rd Is corract and complota
j" , .,
::-' (I'\~ l--1,~"tf-.~
SigTl~turp
(( ,~I""N {)h.TT<"i\l - ''''^'''''''le.~ ("hvJ 1(1...~Slol.<JiJ .
Print /ir,me bnd Title dr.f')
REV0449 (8078)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
r:;Z1 ~~O-3qb
*
RSSIDEtH OECEDENT
COUNTY OF. CUMBERLAND
=
IMPORT ANT,
This return must be completed in dcwillllld filed in duplicate, with 1111 attached. wilh the Register of Wills of the
County where deceuent resided; Return is dUl~ within llille IlIt1llths afler dute 01' death. unless llIl extensiun iN granted
by the Secretary of Re\l:CllllC, (Section 701 of tlw Inhcritllncc ullll Estate Tux Al~l or lWtl.)
--
IN TilE MATTER Of TilE ESTATE OF
} AFFIIlAVIT Ill'
_ 1',XECIITOl{
J()J!,HIUXf/JO\\'I'IlK
Edna M. Garl:ln
(STA.TE FULL NAME Of DECEDENTI
Lcte of Cumberland --------
State of PennsYlvania } n,
County of Cumberland
County
A'<llllillili<<iIIoll
Donald ~JLa_rltJ1.....~~
of tho eslalo olthll above-named decodenl btling duly Iworn, depose
Executor
and laY
Decedent died
June
"
iOIlY)
. 1980____1 lostata l&(lylng a lost will, copy 01 which II hefoto attnched. }
~}tl)tt300K
{MONntl
Name and addre.. of attorney 0' }
other authorlllld repre..ntotlve to whom
all correl9ondence Ihould bft moiled.
Irwin, Irwin & Irwin
44 South Hanov~r Street, CR~li~lp. Pennsv1vanLa-ll013
That as slIch r: '(l"'t"'1l1'r" deponent is familiar with the affairs of said estate and the property constituting
(EXECUTOR-ADMIN1STRA TORl
the assets thereof and their fair market value.
Thal at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or
as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or dcputy, with the
exception of the following: -
NAME AND ADDRESS OF BANK OR OTHER INsr:TUT10N
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
Farmers
1 East
New Kin
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOL<:lERS TO DECEDENT
r
Donald E. Garlin
That the contents of said safe deposit box or boxes are itemized under SchcdulesJi&.C_of this return,
with the exception of the following, for the reasons hereinafter set forth:
That Schedule A 8ttached hereto and made part hereof sets forth fully and in detail all the real property
in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the
mortgage encumbrances upon each parcel of real property at the datc of death, giving the amount still due at
death, name of mortgagee, date, rate of interest, and bonk and page of record thereof. It a1so sets Corth in the
columns provided. therefore the assessed valuation of each of said parcels, the estimated market value thereof
as of date of death of decedenl.
That Sehedule B attached hereto and made part hereof sets forth folly and in detail all personal property
wheresover situated owned by the decedent at the lime of death; all moneys left by the decedent at the time of
death, whether in decedent's immediate possc~sion, standing to decedent's credit in banks of deposit, savings
banks, trust companies, or other institutions, whether individually, or in trust for any other person or persons
giving also separately the accrued interest thereon, if any, down to the last interest day priM to decedent's
death in the case of savings banks, and to the date of decedent's death in all other cases; all bonds, postal
savings, treasury certificates or notes and other evidence of indebtedness of the United States to the de-
cedent; all obligations, whether by slatute or agreement they arc designated as tax free, of the United Stales,
or any statc, or political subdivision thereof, or of any foreign country, which are owned at the time of death;
all wearing apparel, jewelry, silverware, pictures, books, works of art, household furniture, horses, carriages,
automobiles, boats, and any nnd all other personal chattels of whatsoever kind or nr-ture, lefl by decedent,
together with the fairly estimated market value thcreof; nil honds and mortgages held by decedent and of all
claims due and owing decedent at the time or death, and all promissory notes or other instruments in writing
for the payment of money of which dcc~~dent died possessed, of whatsoever nature, with interest thereon, if
any, giving the face value and estimated f;tir market value thereof, and if such estimated fair market value be
less than the facc value, it sets forth briefly the rcasons for such depreciation as to each item; all moneys
payable to the estate from life insurance policics carried by decedent; all annuity and endowment contracts
lhe proceeds of which were payahle upon the death of the decedent; all and the corporate stocks and dividends
due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of decedent's
death and other investment securities owned by the decedent at the time of death, with the fnarket value there-
of at such time.
In the case of securities of close or family corpcrnt.Lons, the vnllles rf!port.ccl nro IlB far llS
possible substnntiatcrl by flnnl1cial stntcmonts of the corporntions, showing thp. llS!jI!t.S l\llrl l1llhi11t1os
thereof ns of tlle rlnte of c1(~nth. The schedule nl so sets f'ort.h the tnterest (If' dccerlallt. fit the time of
denth in any cO-l'tlrtncrship or busIness, IltHt in support of the v/ll\ll~ of such Interust there Is Ilnnexed to
sulcI schedule, fh1fUlClnl sUltements showtng lhenssels and tlnhlltttes nf' 5111(1 co-pllrlrwrshlp or huslness.
A copy of tit(' co-purtnershlp llgrenmenl, (If orlll, Ii stnt.CtnlHlt ~wtt.ln~ forth the fHlturo of' till! Il~rep.mont)
togetlH'r wi th n statement. setttnl4 ('ort.h t.lle charnel-er of the hIlSluHSS, Ita 10cII 1.1 on, 111ltl H\lch ot.her {'tlet.s
tH'rt/ltn1np; to ttlfl huslness ns lIluy he pertimmt. 1.00 fnir /lllcl .lust IlpprulsllI 01' 1,llf~ df!O,~d(!nt.ls lntp.rl!st
therein HUlst llesllhntttfH1. It should lllso set forth to ltemlzf!(t j'ol'm, tOj!,et.her wltll t.1l(! fnlr murk!!t. vnlue
thereof, AllY other property own~d or bCfJucnlhecl by the tler-eflont at the t1mf~ ot' detlth.
The Schedule C llttachcrt h(!rt'!to tmft mnrte purl. IH~reor sets forth Ii true IltlSWCl' to each inquiry
contnined ther{~ln find In t.he cl1.o;e 01' transfers ()fproJlcrt~', l'ellI or personol, wlt.htn t.wn YCflrs of decedent's
death, In contemplntion of decedent' 5 denth, or lntumted tu t!lkc f'"!ff'cct in possession or enjoyment at or
after denth, said schedule sets forth the nnttlrf~ lind value of such property, t.o whom transferred, the
l'eln.tiollShip of the trnnsferees to the decedent., the proporUonatl'! shure receivf"Hl by ench trnnsferee nnd
all other facts of n pertinent nature regardinl; suill trnnsf'ers. [n the ellS!! of' tl'unsfers intended to
take ci'fect in possession or enjoyment. at or after neath, there Is also Ilttnelwrl to tile schedule (l copy
of the deed, trust agreement or other inl'trumellt crenting the trust. Th(!rl~ is also set, forth In said
schedule Il 115t of' all property, real and personal, with its vllluc, which pa~sf!s lit decedent's death by
virtue of the exercise by decedent., either individlllllly, or Jointly wit.h Imother, or any }lower 0.1' appoint-
ment vested in decedent, either in,diVidually or Jointly, by the will, deed, or other instrument of anot.her,
with a copy of' the instrument creating such power tlttached to the schedule.
That Schedule 0 attached hereto and made part herenf' sets forth the nnmeS aTlIl addresses of all
persons beneficially interested in this estate Ilt the time of' decedent's rleath, the nnture of their res-
pective interests, their relationship, if any, to the decedent, together with the ages at the time of
decedent's death of all minors, annuitants ann. beneficiaries for 11f'e Hnrler rlecedent's Will. It also
contains /l statement showing which of the beneficiaries nnmed in the deceoent's will, if any, dIed prior
to decedent, the dates of their death, their issue, and the relationship of such issue to the beneficiary.
That Sc/ledule E attached hereto and mode a Jlnrt hereof sets forth nll property, real and per-
sonnl, owned by the decedent jointly with another or others, including intangible, standing in the name
of the deceoent and ot.hers, plus the date nnd place of record of instruments effecting the vestiture of
real estate,nnd the date of acquisition of personalty, plus the nnme, Ilrldress nnrl relationship, if any,
of co-owners to the decedent.
Thnt Sc/ledule F attllched hereto and made a part hereof sets forth fully and in. detail all debts
and deductions claimed for and. on behal f of t.his decertent's estate, including fllneral expenses paid;
family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary's
commissions paid or to lle paid; cost expended ('or burial trusts, tombstones or grnvemarkers, and reli-
gious services, in consequence of the denth of the decerlent; debts and claims owing and nnpaio at time of
death; taxes accrued chargeable for period prlor to oecedent's death (ex'ccpt those allowed under Section
651 of the Inheritance anrl Estate Tax Act) j together with 11 statement of collateral pledged for obliga-
tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the
estimated amount claiming and, allowed, that. the same will be reported tG the Hegister of Wills, and that
the tunount of tax assessed can be rel\ssessed in 8ccordlUlce thercwl tho
ThEit t.he totals of the appropriate columns in Scheltules "A", "R", "e", "E".. and "F" as directed therein,
have been carried forward and properly registered in the SUIlUTltlry.
Subscribed and sworn to before me this ....."......".."..."""',,,.
",..""..,..,..,..""..0( L .' '" day Of::1l~m "''''' 19...?.9.m
,.."........, "..,...,..l1f-iL..., Ll"c~~~~~~;~~~,~~W~
~O"" ,~~Y COP,tMISsmri F~Flii[S Ole. l5, 1980
.~I'IO:lv:r. PC!nlt', ,I J"n I:i Ih~ocjilllon of Not"rlt.t
...tfari~f:!~~~i'............,...,.._.__..__..
R.D. #1 Box 260 B
......,.......,.,.,............"..."...................-......".............."...,...,....."........-.--.-..
(Street Number)
Pa.1111y.~?-,,:P..!'lt:1.,n~yJyi!,I}Ji!,.17.Ql$........,""
(City or Town and S!4te)
SOTE: Before si~nlng affidnvit. mtikf~ IHIrf' 1111 hlllllk SPIlCt!S In the llffidnv1t nl1f'l schedule!' annexed are
fillp-d In with detE1lls or t.he word "Nonc", I\Url ill Cllse the llSSt'ts include rure and unlisted securities,
secur1tles of close or family corpOrl1U0l1S or an interest in nny co-ptlrtnership or business, that the
data llHrt stntcmt!llt.s required under the pllrtl~rllph uhovt! rc~attng; t.o Sctwrlule "n" tlrp Ilt.tllclwd. Also mnke
certnin that column #1 in the "Surm18ry" hIlS been prop___~rly completef1 os Rbove-dlrected.
CU~IMO~I\'EII\'TII lli' I'E~~~n'L\',\N 1 II
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RCC-1&
HES lI1E,T 111.:('Io:11Io:N'I'
(1) 11111 dt'('l'dpII1. wllllln lWtl ,rl'ltI'Sord"ILI.l!, lllid~I' /lilY Ir;lIlst'I'!' 01' :!1\~' lIllill.t'Ld 1111"1 or iii'; la.Uil,(~. \\11.110111.
,'I'I!l! 1 \' I Ill.!; H \" a luahll' Ill!d lldl"I'IIlI,1' ("illS I d"I'il t lllll 1.111'1"'['0 ,,',' (,\HSYiI'!' \,l':, Ill' III') No
(~) IHcl flt~..!t'dt'lIt, wltl1ln 1.1'0'0 Yl'IlI'S Ill' dl'lltll, 1I'/Hlsl'P!' pI'lIp.'I't.\' 1"'011I I', I Ill';" 1 I' l,ul~~':'~-lf !Illd :"llIth!'l' Ill'
otht'rs (11l('\wllllJ.!; It SpOIlSll) III .In 1111. ClI'd1l'I'slllfi\' (,\ns'I'''''I' Y"s nt' llo)_1.~!t____
(:1) 1.1' t.ht! III I SI'o'IH' tu (1) or (~) IIhov,' Is III (,Ii.' 111'1'11'1111111\'1' s1.Il\I':
(II) A~~I! or df'!~I~cll'ld. Ilt. 1,11111,' 01' ll'III1~;j"'I' _5_4._..~~_
(11) :..j!.llll! or tll!I'pdl'III,'S hl~lllth Ill. l.lrnl' Ill' J1lllkln;~ tilt' U'llllsl'I'r. (Soi.1' 1).
((:) CUIISI' 01" tll'l~I'I\i'lIt's dl'lIllI. (Sol'" I). Leukemia
(4) 1l1tlll('c('lll'llt, lit Ills 111'(>1.11111', rn/ll,l' ltll~' l."lllISI'I'I' 01' f'1'OjH'I'I'f wll.lllJlII l'I'I'I'I\'II1~ II \'1l11111hll' HI' ll/h"llllltl!
tlOlI~lderllt.llJll thl~rl!I'o" '....hlt.1I WlIS I,ll till,,, 1'1'1'1'(~t. III pnssl'SSlllll UI' 1'11,1 O)'lIl1' II 1 111.01' 111'1.1'1' Ills dl'lll11','
(AnswOT' y"s nt' 1l0) No
(n) \\/IS t.1lf'1'1' i1IlY posslblllt.y Illat. t.lu' P!'OPI'I'l,y t.I'lIllsl'I'!'!'j'fl 11l1~ltI. l'I'IUI'11 I'J U'llIIS!'PI'I!r or hIs
I'stule (I!' hi' slIlJ.ll'et to Ills poll'pl' 01' tllSfloslllon'.' (i\llS\\'t,'I' )'/!S HI' 110) -110
(II) \\'111I t WIIS tlLl~ 1.I'llllsl'l!l'I~el S Il).!,P II I, t, I Ill!.' uf' tlt.el'd,.'lll,' S tl+'/I th'! No
(5) IJid dccellellt. In his ltl'f't.trnl! mllkl' illlr tl'll11sl'l~r without !'eetdvlllg It VlLllUllJl.~dl'qllllt.n cOlls1t1urntlon
there('ur Imell!r wllll~h u'ansft!I'or I!Xl1l'ossly 01' Irnpllt't1ly l'I'!-WI'VI!S 1'01' his Ilt'l~ 01' /lilY pl!1'.Inclwllich tloes
lIot III ('nel end hefnt'o his till/lt.lI:
(1I) Tile I'OSS/.'HSII1Il OJ' 11f).!O>'JII0111. 01' III' till' l'Ip;Ilt. 1.0 IlleOIlll! ('f'OIll till' p!'op"rl.Y t.I'uIlHl'el'!'l'd~'
(AIlSWI~I' yps or no) No
(h) 1'11(' riglll. to dt'st~llut.e llll! PPI'SIJIlS 1'1110 shnll possess 01' I'n.lu~' t.I,(~ proW'!'t.y trans!'t'!'!'!!11 or
llJl:on1e I.herol'r'IlIll'! (AlIswr~r yos or 110) In
(0) If' the answer to (r.) (IJ) nhnve Is ill tlll~ /ll'fIJ'l1l1ltl\tl~, HI./II.I' wllt!tht!1' tlH~ T'I~llt WllS rt.~st!rvp.c1 ill d(!eellcllt
nlone 01' otllers .-,.,------~~~--~---~--.-----
(7) Did decedent in hiH I I I'c li me I1lllkp H tl'lll1sl'e!', tl1n ('ollsldfJ!'/ll.loll 1'01' wllll:h WitS I.rllrlsl'el'(!(!'S 111'olllise to
pa.y income tu or ,'nl' tilt! belle!'1 t. 01' I:arl.! 01' trlltlsl'<,ror'! (Answo1' )'('!-o 01' IlO) No
(8) Did decedent, Ilt /lilY tLl1\f~, tl'IIIISI't'I' property, l.i1t' hellP!'idlll f>n.lr'ynll~llt 01' whlelL WllS subJect lo cllllnge,
bcclluse of' It I't~~wrved pOl'wr to l\lUH', ltJll(l lJI I, or 1'l'vnl';I!, n!' whleh ('OIl1d !'l,'vprl. 1.0 d(~ct!dellt. lI11th~r tc!'mS
of trllnsl'er 01' hy opcrnl,ioll 01'1111'1''/ (ATls.....I'!. ~'t!S 01' 1I0)_NQ
(9) If the unswer to (A) Iih()Vl~ is In tlln /It'fll'1tlIIU\'O, WHS 1,111' powel' tll Illlt'!', /.I\lewl, 01' I'evoke till! Intel'-
cst or thn hellcf'ldnry l'esl~I'Vl!tl ill Lhe tlec('(tf'lI!, nloll" 0)' tile dpccdt~IIL ll11cl otllf'l's'!
(Answer yes or 110) No
NOTE 1: The I\nSwcrs t.o these /lues t lOlls shoul tI he SlI\lpol't.ed by Ilff'ltl11V It. hr tiLt.' n I.tr'lltli !ll,!; phY51 e i tlll I\S
w(!ll us II copy of t.Ju~ lte/lt.h ce~l;U'tcllte.
NO'rE 2: If' Ill1swer to 11l\Y of' the Hh()v(~ questiolls 15 )'l'S, set j'oT.t.h Ilnlow II llcscl'iptlon of tile property
trnnsferred, itl s fnlr Illllrkct Villi!'! nl. dub:- of' il!!uth, Illites of' t.l'ltllsf'l~rs nlld to whom t"HIlSfp.rl'ett, wit.h
relationship oi' t.rlLnsf'el'ecs t.o dec('thmt, If' Itn~'. Suhmlt. cop~' nl' I1I1Y tr\lst d/~p.d 0" lnst.t'ulnl!ut, If' t1'ung-
fers IIr(~ clnimm\ to he non-l.llxnble, /llso sulllnlt delllll"!! st./Itel1lenL nl' l'a~Ls 011 which SIlIll clalm is IHlseli.
~OTE a: List llllplicnhlc jll'oporty below In mllllller 111 widell provlttl'l\ ill ~clwc\1l1\'s A, B. 01' E.
ITEM
IlESCI\lPTlOS
~L\HKE'f VAljlJJ';
(Estimated)
IlEP'l'. VAI.UATW~
Wept. Only)
Farmers Trust Company - Reg. Edna
Garlin or Donald E. Gar1in, Jr.
Account
Account
M.
(son)
1.
2.
No.
No.
5 -7 03 54
5-004344
Opened
Opened
1/24/80
1/24/80
2,971.71
5,086.16
Certificates of DeposIt - Reg. Edna M.
GarlIn or Donald E. Gar1in, Jr. (son)
Total
10,350.99
8,005.22
$26,414.08
3.
4.
No.
No.
18736
18735
(1/24/80)
(1/24/80)
10,000.00
8,000.00
Insert tllis toUt] ()ppnstt.~ "Trltl1sl'l~rs", Sclll~tl\llf' "e" in t.I1f'
"As I\f?lIOrll'!ll" CI')llI11Jl nil tll~ Illst pll~~f' of' t.lli~ rr'!urn.
cA. ~I '1-1'1-.0 f
~t
~
8fJl::
~~ "t
~. "
'=:! e
._ 4J :i
E- -
",0."
-<: E v
, o.
....u~
S... 11
::l tIl ~
V = 0
V E 0.
'" "
~ "
SUMMARY
Rculllropcrty
PCflWllllI Property
Transfers
(Sch.,jA")
(Seh. liB")
(Sell, lie")
rlfClSS TaxlIblc Estate
m .... '"
~ Z v
" UJ ~
" ::;; ..
;... "
UJ v
'" " ..I
- so: Q !/J -<
..: Vl
0:: ..-1 so: <i
p,. ~ ,., :< ..
p,. 0 H 0 'd 0 ""
ro "" so: .. 0..
v ..: "UJ > 0..
.c .c.... " crs ::, -<
0 i- UJ ......: X ,., ~
;C H 0 Q
z .5 .... ~.... :;: !/J Q) " :z
0", "
~ UJ Q) .0 c.. -<
0 ro ,., 3 ~ f0-
e iJ '0 0 ""
0
.~ 0:: 'd (,) .;:: 0
~ UJ rz1 .,.; 0..
"
~ .... :;: .. w
~ ~ " ""
'" .... 0 "
'" ..: ~ 0
- 's ::;; 0 t- o
v 0 E
;'::-0 ;; = E
:::< 0 0
..I U U
(I)
(As Reported)
- 0 -
38'410.44
26, 14.08
$
$
$
$
.$
$ -9.'1., 1.11.4..5.'--_
(2)
(As Determined)
$
$
$
$
$-
$
rEV"4tl4 '8"781
County, Humbur and Home Cumberland
2l-80-~g6
June ~. 1980
Garlin
SUMMARY
FlIe Humber
Estate Home
(LAST NAME)
Edna
(FIRST NAMEI
M.
(INITIAL)
COMMONWEAL TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT OECEOENT
Dote of Dooth
REPORT OF IHHERli AHCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Cumberland
Penn.ylvonio, do respectfully report that I hove appraised the real and personal property os reported in the foregoing return at
the values set forth opposite each item in thela.t column to the right in Schedules "A". "B", "C", and "E".
Dated:
Ootober 2. 1980
J21IM/O 1?1~/"JJtj)
INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for Cumberland County, Pennsylvania, do respect-
fully report that I have allow~d deduction!:> in the amounts claimed by deponent, except as to those items where 0 greater or
lesser amount is set forth in tho lost column to the right in Schedule uF", which greater or lesser amount represents the sum
allowed as a doduction.
Dalod:
REGISTER OF WILLS
INVENTORV
Real Property (Schedule AI
Personal Property (Schedule S)
Joint-Held Property (Schedule EI
Transfers (Schedule C)
TOTAL GROSS ASSETS
Less Oebts and Deductions
(SCHEDULE FI
CLEAR VALUE OF ESTATE
VALUE AS APPRAISED
$
I ADJUSTMENTS
ODE (HARRISBURG USE ONL VI
00+
10+
20+
30+
REMAINDER APPRAISEMENT ICOOE
92+
93-
4().
Valuation af life estates ar ~.
a'nnultles..... ..... ..... ......:= $
PRINCIPl.E
fACTOR
VAI..UE
~
ESTATE TAX ASSESSMENTS _ 5
\=
t=
TOTAL TAX
~
2% 5
6% $
15% 5
5
$
S
5 1=
5
$
COMPUTATION OF TAX
FOR USE OF REGISTER ONI..Y
Tax on $
Tax on $
Tax on $
Tax on $
Tax on $
Exemptions
Total Estato
(t) As t1videnced by Charitable
Exomptlon Certificates luued
by the Secretory of Revenue.
Less tax previously paid
BALANCE
Less 5% of tax if paid within
3 months ofter death
BALANCE OF INHERITAljCE TAX DUE
Add Interest at rote of 6% from
..
AMOUNT OF ESTATE TAX ASSESSED
Estate tax paid
BALANCE DUE
Add Interest at rote of 6% from
I.
$
$
l:=
5 I-
S
5
$
$
5
TOTAL TAX SALANCE
PAlO
Supplemental Codas: (FOR USE IH HARRISBURG OHL Yl
48_AdjUltment
49+Adjultment
56-Annuity
6O-I.ile E.tote
92+Remainder Appraisal
93_Remainder Deduction
93C_Charity
94_Romoinder Re.idue
96-Successive
Life Estate
FOR USE OF REGISTER OHL Y
ADJUSTMEHiS
HOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills for proper reason
.ame should be noted below, with short explanation. "
. ,
0
CO
'" fo< ..J
.-i Z '" <l;
u
.. W . ell
-
'" ::;; . <l;
" u
... W 0 ''; e<:
ell .: u .c: c..
- .....Q
..:: '" c..
e<: .-i so: 'E <l;
c.. to. H :;: 0
c.. <1l 0 'CI '"
0 " &-< ~ :> Z
UJ ..:: UJ >. ..::
:: :: W
... W ... fo< . ~ .-i <Il fo<
0 ::r: ::;: <lJ H c:
~ tI. ..:: c: e<:
z fo< 0 fo< '" Cll " 0
to. '" <1l Cll .0 c.. c..
0 w .: .-i 3 ~ w
~ 'CI :g 0 e<:
e<: ~ 0 .c
.S W or! .::
~ fo< :;: '"
'" fo< "
.. ~ ~
~ ..:: 0
<Il 2 ~ c
'2 0 :>. ~
~
='5 .2 c:
::> E
.~"O '" 0 0
~<l; ..J U U
~ \
"
" ,')
" '"
~I "
....
~ ('
...'" ,~.
~ ~ ~~ ~v
::l d. ''$
z ~ ~~
0 >- '-,
~ \ ~
'"
;:l
..:i ~ i
< lJc:.
-
u Z
- 0 ~
'"' \
'"' -
~ ~....
0 "'b 0
~ '"'
10. 0 Z
!-o 0 ell 0
ell ~ ell >- !-o 0 . .
- ~ Z \
Z ~ !-o ~ Z
..:i 0 - 0 ~ ~ ~ ~
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- ~ '" ~ 0 0 -
== ~ U CI ....l
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I
J
55:
____1?~_~~_~__~. Gar.J,In_LJ~__,__--- ----- -----------
boing duly __,swor!l._________ according to law, doposos and says that ho __J,,~3xecut-or-----,--
__,____,_____________________'n________ of tho Estato of Edna M. Garlin
lato of Middlesex TownshIp ____, Cumborland County, Pa., deceasad and that tho
within is an invontory madn by __u..D_ot1_ald..E.--G,iU:lin,- J~c_ -- u_____u__, tho said_~.e,CJ.lj;,Qr
of tho antire astato of said decedent, consisting of a\l the personal proparty and roal estate, except real ostate outside
tho Commonwealth of Pennsylvania, and that the figures opposita each itam of tho Inventory represent it's fair value
as of tho dato of dacodent's death.
tiwnl"n
and subscribed before me,
-t!k~</~. L.
executor. lMlnJUbJiIlK
" ___~D. 111, Box 260 B
_ Pal~ra~ennsY1vania 1WL_,_
Addr."
Date of Death __'_ 3rd___
O'Y
June
Month
1980
Year
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 be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
....J1 j "
~ ~
0"- .,; .~
ifJ >- m H
I- W :<: ~
'" ?- m H
/ ~ w <( ~ 0 m
I:) Go I- 'n E-< u oll
\ 0 0 III .-l m m
UJ w H C '" ...
J: '" >< '" ~ 11
.... Go U. ro OJ ~ Go
Z I- ...J 01 .~ :;
U. ...J <( 0 "' Go
II w 0 <( w I OJ ,:. H=
> Z '" il .-l ~ H<(
Z 0 '0 c
C '0 ~
.; II III Z ro' oM 0
'" ~\ 0 ~
Z w <( :E: ...
Go ." 'n
c :<: ........
m H
II - -.:
0 m H ~
.J> .><
m E ." 0
II ~ ~ ..!!
. 0 I
...J 0 u: '" ~
Inventory of the real and personal estate 01
Edna M. Garlin
deceased,
1977 MobEe Home
Value based on appraisal, copy attached
1980 Pontiac Sedan
Value based on appraisal, copy attached
Coin Colle ctIon
Value based on appraisal, copy attached
Prudential Insurance Company
Lump sum settlement from Donald E. Garlin Estate
June payment from Donald E. Garlin Estate
Capital Products - vacation pay
The Guardian Life Insurance Company - loss of time pay
TRW Ret. Inc. Trust Pension
Miscellaneous Household goods
Farmers Trust Company Jointly owned with Donald E. Gar1in, Jr.
Account No. 5-70354 Opened 1/24/80
Account No. 5-004344 Opened 1/24/80
Certificate of Deposit No. 18736 Opened 1/24/80
Certificate of Deposit No. 18735 Opened 1/24/80
TRW Ret. Inc, Trust Pension - Lump sum settlement
Total
I
I
I 1
I
19,888 88
6,000 00
644 20
6,022 19
139 57
745 05
231 44
82 17
690 00
2,971 71
5,086 16
10,350 99
8,005 22
4 326 94
$ 65,184 52
[- _~-~,==,=,=:=~~=~~~-~:~-~- "'Id~~.-'-~ -,:,.~"",.:-,~~.~,,~;~,
I ~~9:i~~$,:~1\\1~;;;t,;",;,,:,/,_gO~M9NWEALTH.OF P,EN.NSYLVAN,IA,i"i. ,'.. ' ',' ""':;;',' 'ii;): '~!},~~
o '~~~~01:~~~i~~~G;~~c~lpi~ PE~~:C~~l~i~~:~~E~~~NCE~~D Esi~TETAX ';', ',;1
I"~
i RECEIVED
! F.rom,
~ )dress
ti
Irwin. I~in. Irwin
EIGHTY-SIX" 83L100-------------,-dellors
represcnllng Pennsylvania Inheritance or
Estate lox due from the lollowing estate:
___________-'l'WBlfry_HID HUNDRm
44 S. Hanover Street
2'" Tax on
$
s
CllrU-l., ,.,
non
6% Tax on
s
$
File No,
21-80-396 Dole of Deolh6-3-1980
15(1" Tal( on $
s
Date of Payment
8eDt~r 3, 1980
0/" Tax on S
Estate Tax, Act of
May 7, 1927
$
I
Name of Decedent
IDB M. GAllLIN
cWlberlanA
$
-PAID 011 ACCOuwr-
TOT AL TAX CREDIT
less five percenlum of tax if
paid within three months after
dote of dealh
Plus interest at the rate of
_%from
10
s
],144_0!
County
emarks:
$
157.20
$
'[j'OO~[p~J@&'ITrn SEAL
TOTAL AMOUNT PAID
$
2.986.83
NOTE: Thi. Triplicate Raceipt to be retained for audit purpo.a..
Z (1;. /)
c:/,' ''-I'
, '1tl:1;- ;) :je((~~,
Ignatur.)
M C. Lew 8
UGI. Ql WII I"
Received by
NOTE: In aeeepllng the Ironder Inheritance 10. on fulur. eslotes, prior to tho death 01 the life
lenontar tenant for yeon, os evidenced by this re(llpt, it Is underSlood thot the Commonwealth sholl
nal be precluded or prevenled from hereaft"r aueulng addlllonal inherilanee 10. ot the dealh of lhe
III, l,nOlll or tenonl lor year. whenever II appears thot such oddlllonol 10. moy be legally due and
collectible for any reason whatsoever. I
I
---.----.------------.-------
REV.'atltl (8-781
C( I - (to ":Scr(.,
DEDUCTIONS ALLOWED IN
OFF ICE OF THE
REGISTER OF WILLS
STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM OF
OF CUMBERLAND COUNTY
AND AGENT OF THE COMMONWEALTH
ESTATE OF EDNA M. GARLIN LATE OF MIDDLESEX TOWNSHIP
OM '$U1~
DATE OF FILING APPRAISEMENT .Julv 21. 1980 DATE OF DEATH June ,. 1980
DATE NO. OF NAME OF PAYEE REMARKS AMOUNT
VOUCHER
h_10_Rn )<",,,, rd' W~ 11 ~ Letters 48 00
6-10-80 Cumb er land Law Journal AdvertIsing 18 00
6-10- 80 Evenlnp' SentInel AdvertlsinO' 18 00
h_10_80 Farmers Trust Co. Safe deD. box Inventorv 25 00
6-10-80 Country Manor MobIle Home ADDraisal 30 00
h_lo_An )<~"h~~r1 M",;, H'~ ~'" ~ n, '''''' 1;0 on
6-10-80 Bell of PA Phone bill 12 69
h_1 a_An P P R. L E1ec. bill 21 74
6-10-80 U G I Gas bill 37 00
f)-10-80 Carlisle ~lemorlal Servo Memorial lettering 86 00
h_lo_A['\ i~t:",; nm",t-~ "n~ n "nnr" Is" 1 4<; 00
6-2<-80 Countr\l Manor Trailer lot rent 90 00
7-8-80 Bell Telenhone Co. Telenhone service 18 '20
...1dl=- 80 Cumberland PubllshinO' Sen tIne 1 Ad v . 18 00
7-8-80 P p & L Co. Elec. servIce 39 74
7-c-cC James D. McCov Real Est. Tax 136 42
7-11;..80 U.G. I. I, Gas b:lll 15 33
7_ 11;_An 1"",1 1 '['''' 1 nf' PA. Phone bill 7 46
7-1<;-80 Ewing Bros. Funeral Home Funeral services 2,020 48
7-21-80 Reg. of vii 11 s FlUng Inv. & App. 6 00
.
8-8-80 U G I Gas bill 8 96
8-8-80 p P & L Co. Elec bill 38 69
0 Q Ar} ~nll t1 t. l"v.JlarlllL___ __' ~nJUl!lll;,S 1 on . sale L..6.0.5.00
Qn Mob11e ,.llome
. ..
. REV.b!l 18.781
DEDUCTIONS ALLOWED IN
OFF ICE OF THE
REGISTER OF WILLS
STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM OF
$
DATe APPROVED
OF CUMBERLAND COUNTY
AND AGENT OF THE COMMONWEALTH
REGISTER OF WILLS, /lOENT
ESTATE OF EDNA M. OARLIN
LATE OF MlDDLI;SI':X ']'OWliSIHP
DATE OF FILING APPRAISEMENT ,Julv 2] 198Ci>ATE OF OEATH ;rune" '1980
0 0
,
DATE NO. OF NAME OF PA YEE REMARKS AMOUNT
VOUCHER
7-15-80 U G I Gas bUl 15 33
A_8_AO Cowlr."v Assoc. MedIcal servIces 126 00
7_A_AO "O~ nf WIlls F llIn<r Inv. Ann. D & D q 00
7-8-80 Reo:. of Wills FlUng Account 33 00
7-8-80 Donald E. Garlin Executops fee 3,259 22
7 _ R_ 8 0 Rop.:er B. IrwIn Notarv fee 24 00
7_A_An IT~'"i n T~",i n !'- IrwIn Attornev fee 3.259 22
7 - 8- 8 0 Rec. of Deeds RecordIng releases 14 00
TO'fAL 11,395 ~
n
-
,.
.
.
COMMOHWEAL TH OP PEHNSYLVAHtA }
SS,
COUHTY OF r.llMRRRT.AND
I, DONALD E. GARLIN, JR. HEREBY CERTIFY, THAT TO TliE BEST OF
MY KNOWLEDGE AHD BELIEF, THE FOREGOING IS A JUST ANO TRUE STATEMENT OF DEaTS, FUNERAL EXPEHSES AHD
EXPENSES OF AOMINISTRATlON SUBMITTEO TO THE ESTATE OF Eelna M. Gar1In
OECEASED, AS DEOUCTIONS FOR INHERITANCE TAX PURPOSES.
/t~fnk/ /'. fL.'lL L.
'r// Donald E afil\n Jt'
SWORN AND SUBSCRIBEO BEFORE ME THIS C. DAY OF 0 "
er 11 1980
L- 4....-
(LoS.)
IWGfl 11. Ir.\','H:, rmT,\i'1Y r\)!,)L1c
CAR ,DOI<OIJG", CU:.'E[,:IAIW cournY
MY COMMISSIOII lXI'IHI, Del. 3, 1~80
INFORMATION
To insure proper credit to your account. the name of the eslate and file numbor should be 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, ~ 2485-708),
To the extent that inheritance tax is paid within three (3J months after the death of the decedent. e
discount of live (51 percent is allowed (72 P,S, ~ 2485-7161,
Inheritance Tax, other than lax 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 dccerJent's death (72 P.S. 9 2485.711). Inheritance
Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. ~ 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 '2 months ,060
1 days ,00017 11 days ,00186 21 davs ,003S2
2 days ,00034 12 davs ,00203 22 days ,00369
3 days ,00051 13 days .00220 23 days .00386
4 days ,00068 14 davs ,00237 24 days ,00403
5 days ,00085 '~ days ,00250 25 days .00420
6 days ,00101 1 days ,00267 26 days ,00437
7 days ,00118 17 dovs ,00284 27 davs ,00454
8 days ,00135 18 davs ,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 1961 172 P,S, ~ 2485,10011.
Make check or money order payable to:
"Register of Wills. Agent"
Mail to the address listed below: