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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
Before me, the Register for the Probatc of Wills and granting of Letters of Administration in and for the County of
Cumberland, personally came Mary ,jane Foae] sanaer
who, being duly sworn ,do es depose and say that as Executrix
D. Rodney Fogelsanger, also known as D.
of the last Will and Testament of also known as David Rodnev Foqelsanqer
Rodney, Fogelsonger,
deceased
she 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. S\'Iorn and subscribed before me.
July 9 A.D., 19~
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. f v REGISTER
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~y Jane FOgleSang~
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DECREE
14th day of July 9
,A.D.,I --80.-, there was probated and
D. Rodney Fogelsanger, also kno\'ln as D. Rodney Fogelsonger,
recorded the last Will and Testament of ~1 'Of" 1m'''''" ~~ n~vid Rodney Fogel sanaer late of
Be it remembered that on the
T.fl"\l?plo1pll I'fInt..mll:l.n;p
, Cumberland County, Pennsylvania,
M~~y ~ane Foalesanger
Deceased. Letters .,,(;u:!+-:=.mtlon+~"'y were granted to
Witness my hand and official seal the day and year aforesaid.
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Register
Invantory of the reol and parsonal asto!e of
D. Rodney Fogelsange~, a/k/a D. Rodney Fogelsonge~,
a/k/a David Rodney Fogelsange~ decea..d.
REAL ESTATE:
1. Real estate lying and being situate in Hopewell Township,
Cumbe~land county, pennsylvania, as fully desc~ibed in
Cumberland County Deed Book 13, Volume J, page 568, having
e~ected thereon a single family dwelling. App~aised by
Tom W. Aushe~man, July 9, 1980.
PERSONALTY:
1. 16 Gauge ove~ & unde~ Shotgun, Model 420
2. Army Rifle
3. wincheste~ Model 97, 12 Gauge Pump - Shotgun
4. Remington 22 Rifle, Bolt Action - Magazine type
5. Remington Model 700, 222 Bolt Ac'i:ion Rifle, complete with
All - Ame~ican pe~ma cente~ 6 pa~ Scope with Sling
6. wincheste~ Model 70-270, Bolt Action Rifle with Ge~man
peca~ - Be~lin va~iable 3-7 pa~ Scope, complete with Sling
7. Va~ious types of Ammunition
8. C~aftsman Jigsaw, complete with electric moto~ and stand
9. Delta unisaw, 8" tilting arbo~
10. Delta wood Lay, complete with elect~ic moto~ and stand -
36" opening
11. C~aftsman 1/3 H.P. double wheel Bench G~inde~
12. Rockwell-Delta Shape~, complete with moto~ and stand
13. Homelite 1.50 Chain Saw
14. Sioux stand for elect~ic d~ill
15. Rockwell Electric Po~table Sabe~ Saw
16. Skil Model 405, 4 u Belt Sande~
17. C~aftsman vibrating Sande~
18. Elect~ic Sioux Hand D~ill 1/2"
19. Skilsaw Model 553, 7-1/4" Elect~ic Hand Saw
20. C~aftsman 1/4" Elect~ic D~ill
21. Small, Hand Tools in basement
22. 1. cement Mixer, po~table - common
23. R\lbbe~ Tue wheelba~~ow
24. John Dee~e #140 Lawn and Ga~den T~acto~, used 9 years with
41" Mowe~
25. John Dee~e #80 ya~d Dump ca~t
26. 22" Rota~y Lawn Mowe~ - common
27. Simplicity 2-wheel Garden T~acto~ with attachments - old, 3 H.P.
28. Roto~ Tille~ - old model - Cho~e-Maste~, app~oximately 3 H.P.
29. Lawn and Ga~den Tools
The above items we~e app~aised by Daniel D. lIe~shey, Auctionee~.
30. 1973 Chevrolet Impala Coup, sold p~ivately to K. Hull Byers
Total Invento~y
22,000 00
I
125
1751
150 I
85
175
I
II
I
I
195 00
30 00
95 00
210. 00
180 00
50 00
95 00
65 00
25 00
15 00
65 00
12 00
40 00
55 00
6 00
225 00
100 00
15 00
900 00
55 00
20 00
'15 00
55 00
15 00
1,375 00
26,683 00
00
00
00
00
00
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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_'..______ _ Maty,_J'In!LF-Q9~lsangeJ:_-- . no_ --, _ _ -- _ -------- ----- _ ---------- ------- ---,..--'
being duly __S_I'IQl:IL...- _,,______ according to law, do poses and says that she is_tha.Exec.uto!:------ ----
_____________'____ _,,_ __ ________ ____nO of the Estate of ,D~..RQdrulyJ'.Qg.e1sang.et
late of ____Hopew;>ll Township--- ____.. .-, Cumberland County, Pa., deceased and that the
within is an inventory mado by .._,_\1e;:____.____,_____ ,,- -.-----, the said.J:x.e_CJlt9r
of the entiro estate of said decedent, consisting of all the personal praRerty and real estato, except real ostate outside
the Commonwealth of Pennoylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedont's death, .
Swotn
and subscribed bofore me,
01Lj
, J,7}((J4Air-
Exocutor . Acfmini ~to,
_______.stat ROl~,~ 91
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MV Commiuion Expir~l MilV '15. 1981
Shir'j'tcnsbuflJ. Pi!.. C\,lln~crlilnd (wnW,
_----PhiEPensb;,g;q. PA
Addr."
Date of Death
9
DAY
Febtuall_
Month
1980
Yur
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must bo 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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IlEV.45' EX+ (,.<<01 SCHE:DULE "F"
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE STATEMENT OF DEBTS
TRANSFER INHERITANCE TAX AND DEDUCTIONS
RE~:E~:~:r!~:~:~~~:~: :~~b ~~~~~ :: -- w__ ---~+-+-~~~
Estate of David Rodnev FoQe1sanqeJ: Dato of Death Fcb. 9, 1980 File No, 21-80-466
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
Claimant MaJ:Y Jane Foge1sangeJ:
Relationship to Decedent DaughteJ:
Claimant's Address star Route 112. BOX 91, ShippensbW:Q. PA 17257
ITEM
NO.
REMARKS
DATE
NAME OF PAYEE
DEBTS
DECEDENT
In atient seJ:vices
1
caJ:1is1e HOS ita1
ADMINIST~ ION EXPENSES
e1san er Funexa1 Home
Eb GJ:anite WOJ:ks
4. Ju1 c. Lewis, RegisteJ:
5 Ju1 9 Mar c. Lewis Re isteJ:
u1 11 Tom W. AusheJ:man
FuneJ:a1 E. enses
Headstone
LetteJ:s TestamentaJ:y
ShoJ:t ceJ:tificates
A J:aisa1 of Real Estate
e t 1 Jane FO e1san eJ:
Davis and u11in eJ:
e 'steJ:
e 0 t
Fami1 Exem tion
AttoJ:ne Fees
Filin Fixst & Final Account
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AMOUNT
995.25
1 488.00
1,165.00
27.00
5.00
80.00
15 00
2,000.00
1,050.00
TOTAL THIS PAGE
I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral
expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes.
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DATE .
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S ;;. 9 J,S ,-2.!J- AT
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PERCENT,
/-/5-71
QATe
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 inciuding the cost of administration,
attorney fees, fiduciary fees, funeral and buriai expenses including the cost of a burial lot, tombstone or grave marker.
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this schedlile.
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 arnount of each debt being claimed.
7. The form must be signed by the person who has assumed the responsibility for paying the debts.
PENNSYLVANIA INHERITANCE TAX GENEflM, INfOHMATION
---------..---
1. PERSONS RESPONSIBLE FOR RETURN
Section 701 of the Inheritance and Eslate Tax Act of 1%ll'lllvides Ihi1llhe lollowin~~ fH!I:;ons shall pwpare i1nd file
a return:
a. The personal representative of the estate of the decedent as to prl)pr~rty oll.hrl r1l!ccdl:nl '1Ilministcred by him
and such additional property which is or may be subject to Inlwriti1nce Tax 01 which Iw/slll~ sll:lll have or
acqui Ie knowledge;
b. The transferee of property upoull:e transfer at which InllClitanCi: T:JX is or /IIay hI) illlposerJ hy Ihe ]961 Slallltr~,
including a trustee of properly tlansferred in tlllst, provrlh:d th;d 110 :;epar:lte relurllneed he made hy lhe transferee
of property included in the retllrn of a personal representativl!.
2. PLACE FOR FILING
The return is to be filed in duplicate with the Register of Wills of tile cOllnty wherein the decedent resided,
3. TIME FOR FILING
The return is due nine monllls after the decedent's death, unless an extension (or filing has lJeen applied for and
granted by the Secretary of Revenue within the nine'iIlonth period.
4. FAILURE TO FILE RETURN
Section 791 of the 196] Statute provides thaI". . .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 lax ultimi1tely fOllnd to be due or $1,000
whichever is the lesser to be recovered by the Department of Revenue as debts ollike amount ale 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 OFTAX
The tax assessed on the transfer of property reported in the retum is rlue 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 lull. The taxes IIIi1Y he sued for against any real property in the decedent's
estate or against aoy property belonging to a transferee lirlhle for the ti1X,
8. FILING OF FALSE RETURN
Any person who willfully makes a false return or repolt required of hUll shall, In acco!r!r1nce with Section 793 of the
1961 Statute, be guilty of a misdemeanor and, on convictionlhereof, ,hall he s[,nlenC8Clto pay a fine not exceeding
$],000 or undergo imprisonment not exceeding one yei1r or hath,
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fOUl QlflUII SCIfWII) AU 01 frunklm Coun1r. PllfHuylworllu
7/usherlnan 7Jros.
REAL ESTATE
229 N. 2nd ST, Chambersburg, PA 17201 717-264-6715
This appraisal is with reference to real estate in the
name of Rodney Fogelsanger recorded in Cumberland County
Deed Book J 13, Page 568 and D. Rodney Fogelsanger and
Mary Jane Fogelsanger recorded in Deed Book W 23, Page
374, These properties are located in Hopewell Township.
The purpose of the appraisal is to estimate the market
value I , of the real estate, for the Estate of Rodney
Fogelsanger.
After careful study, it is my opinion of market value as
of February 9, 1980 is TWENTY-TWO THOUSAND ($22,000.)
DOLLARS for the dwelling and ONE THOUSAND ($1,000.) DOLLARS
for the school house, based upon my independent appraisal
and the exercise of my professional judgment.
The above total market value is defined aSI -The highest
price estimated in terms of money which a property will
bring if exposed for sale in the open market allowing a
reasonable time to find a purchaser who buys with know-
ledge of all the uses to which it is adapted and for which
it is capable of being used."
I hereby certify that I am fully acquainted with the area
in question, that I have personally inspected the property
and that I have no interest present or prospective, the
real estate appraised. and that neither my employment to
make the appraisal nor the compensation is contingent on the
amount of the valuation reported.
The appraised value has been treated in confidence. Neither
it nor any of its contributing items have been disclosed to
others,
'July 9.1980
Date of inspection
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-
Tom W. Ausherman
July 11. 1980
DQte of signature
Other OHice. in Wayne.boro, Shippensburg and Greencastle
tlonMU
falm~
A.ppIO;IQI~
Inn~ln\enh
Coun'lIlinQ
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'rhie; jJ!'olJuJ..ty iu 10<.:utod 1/1f mile from NewlJurg
alon..:; ,,1001.0 :"'jirlllC;-:ieVluur'y Hoad If6')G, '1'he area it;
II'S7~ built-up with uinc;lc 1'U1oily hOloeG, thlJ ualance in
farm lunu. \'Iuto!' il; 1'ru,11 a wull and uewerage is indiv-
ill uul.
Land cOlluiGtG of all ire(;ular plot of ground con-
taining 4 tnwtu, 66 ::;q, l'odu, 99 perche::;, 9.5 perch
anll U2 jlureiltJG. 'rile: plot is properly landl:luaped having
many varietieu 01' Gltade treoG, founllation shrubs, grapes
and bushe:.;. 'l'he land is allove the road with a steep
ulope in the rear. The llriveway is uhipped stone.
Improvements consists of a one family residence
covered with l'ud insul-brick effect shingles containing
6 rooms, one bath. The ol'ic;inal house was probably built
in the late eighteen hundred with an annex in 1')/,8 and
<.:ontainlJ approx. 11,LpO s.L 'rhere is an inside and exterior
entran<.:e to the basement. 'i'he foundation walls are of
llloc k and poured walh], 1"loor is of earth and concrete.
Oil hot water heating system pipell to the first floor and
bath. je.i t<.:hen haG minimUlo wood cabinet shelving with
lJuff'icient base <.:alJinets. Yellow pine flooring the the
dining room and wille pine in the living room. Pantry is
off the kitchun: 'fhere are J lledrooms and bath on the
second floor, bath is finished in plastic tile. Hoof is
01' compol:li t ion shingle and me tal.
Other uuildings, 'fwo car gara~e of concrete bloc It
JO' x 22' is approx. 2'/ yearu old with a new composition
roof in the past 5 years. Poultry house is of little value
and will prolJably be de:nolil3l1ell in the near future,
The hi~hu9L and best use is for the purpose now being
used a ::>ingle r".lOily reGiclence.
'i'here are no vislbllJ violations, easement or en-
crochments.
In arriving at u value the appraiser also took the
following items into consideration. 1, fhe exterior insul
brick siding is ueperating. 2. One bedroom does not have
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fuuf OUI'" ~.nlng All 0' f(onklin CQunly. P,nn')llvanIQ
M"1 Y/usherman :JJros,
L[3 REAL ESTATE
i; ~E"'l.'Orl' 2291'01, 2nd St. Chambers burg, PA 17201 717.26+6715'
~l QUALII"ICATIONS \ .
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1 TOM W, Ausherman
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" Shippenuburg State Teachers College. 1940-1941~
~ Unites States Marine Corps. 1942-1945.
':, ",,' Ch8l1lbersburg Buuiness College 1946. " "
~1:' .,,: '?,:: ,~; ,. Si~oe ~947., Tom W. Ausherman has been engaled in" I.ri~~.i:':~al'"
f~- . '.'/'( ,!,' eatate praotice under the nue ot AusheX'lllan .dro... 229 North"
~";~R,,,~ . ,'.' ~oond Str:et, Chambersburg, .Pennsylvania. He 11 a partner of
"..j' ,,: ".,:"J' . ..ullhoX'lUJl ros. Real Estate Agency and experienol,d in the, oal...
I'" ..,,5'" ,appral1i1ing and llllUlagement, ot real estate. ; :,';: ,...:,.,... . t',t '.\" ,"
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'~., '. ,i:", ' Appraisal ...igiunent exeouted by him tor Insurance Oom~1e., ", ",;
'f'. " 'Individua18, lAcal II.nd City Banks. Estates, QpVerMentaJ;,~~_':i'i:':>,"
;'j'.:','.': ,.' enoies; Attorneyu, iAa.rtin & Marlltta Corporation, Hoaiequ1,ty',- ;"::/:",::",:':',
.~ ..:." ." :.-,Crookett Mortgage Company, 'rhe lAmas'" Nettleton CQ..' GI.lU,.t0r4' i' ::~ ','
';.'; .\'::;,;\, Water Al.\thority. 011 Compan1u. EX8cutrana Xno,,>'1:t:{:J. 1{a,~..~,C'Q...:il(
,~ ;~",:)i::i'l: ',;,1,\ :'Owne-Illinoi.... Ino. Paok:8.ging Corp. ot Amerio""hojeot ii70,,",Dtpt /',1.,
~\. J;:;,:;;;'i~~;':'~:r,:ot:,P:t'ope,rty & Supp~1ea., Department ot l'oreste ~W""',.t'i~:,'~pt. at .
1 ii",::,".::i;::'.:W, El'lviX'ol\lll8nt.1R88ourcea,~t Pa., Housing A.~thorl toY. o1"~he;it!~unt,y ot;
;)'\;:,::;\'(,', Franklin. Tri-State Dev.' Inc.. Valley MutulJ,l InlJ.i,QhD,rn~~eb\1l"g'-:,;,. ."
,.iJ;':'"t,(j;,,)i'&Shippensburg Area Schoo! Diott'icte, Penn Minilt"e..tres,':,\!;I\C.,.': Gene
.',:: "";",: ':: .Ellllotric. .IJ.bllll.'ty Pinance Corp., Fedori'll Natione,l',Mol"tglloCO Asaoo.la-
,.:- '. ',.',"'., ,-,' 'ti,ons. fr'J.G.I.C.. FilJher .Scientif1o of PittBburg, Ingersoll Rand.
/;' . IMtterk.nn,y Federal \.Ore/Ut. .L<'11'8 Compani09, CommonwlIlalth 1lCo~lag8
:\ .' . ,Assurance Company. CUlTlbel'land-Pel'rY Mental Health. Maohan1ce. ' . .
" ..~. Bulldl~ .. Loan of Cl\bg.. Roaltors. cover tho vaLu..tlon.o~..ll'
'i,' .:'types ot,p1'opert1ee. "::'~\;,.":"
.. . r' ,~.' .' . .... ,.:.'. ,". .:":'~ 't,:;;,';' ::, .':
Prom 1951 to pr...nt, 'iniapeotor " appra1eer fortheV'terinl A..d-.".
min1etration. Prom 1956, to prullnt appraiser tor the Fd'l'al .'.
Houuing Administration. Vrom 1962 to p1'eaont right-ot-way appr.i.,~
.forthe Commonwealth of, ~nnlllylvania. ',;:' "
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Senior Meml?er a/the American Rie;ht-o.t;-Way Allsoo1ation.. hnn-
sylvania Chapter # 9. Regiutration Number 1010. .
SENIOR MEMBER OF THE AMERICAN SOCIETY OF APl'RAISERS. V10e Pruident
191J. President 1974 and 1975.
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l:'ROl"b;::;SIONAL AFl"ILICATIONS.
Member National Inati tue of ParlD '" land Hroker. Fast President .
, Secretary of the Franklin Conty Hoard of rtalto1'l.Meaber ot State
'" National Assn. of Rllal Estate Boards. Member and past direotor 01
. Chambersburg Greater Chumber of Commerce. , '. '
l'ennsylvania broker License 101221. /;;:;",A-{..a.~t.c:'M~?k
Tom W. AUlIherm8l'\, A.S~A. SR;W
t'\the, Ollie" in Wayne. bora. Shlppenwu,,, one G,.eneQstl.
,.. "~
REV.451 EX+ (3.aOI
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "8"
PERSONAL PROPERTY
'*
(Instructions on Reverse Side)
Estate of
D. Rodney Fogelsange~, also known as D. Rodney Fogelsonge~,
~'qn knnMn ~q n~"in nnnnAY WnqA'~nnqp.~
ESTIMA TED DEPARTMENT
ITEM DESCRIPTION UNIT MARKET VALUATION
NO. VALUE VALUE (OFFICIAL USE ONL Y)
1. 16 Gauge ove~ & unde~ shotgun, Model 420 125.00 125.00
2. A~my Rifle 175.00 175.00
3. wincheste~ Model 97, 12 Gauge , pump-Shotgun 150.00 150.00
4. Remington 22 Rifle, Bolt Action - Magazine type 85.00 85.00
5. Remington Model 700, 222 Bolt Action Rifle,
complete with All-American pe~ma center 6 par
Scope with sling 175.00 175.00
6. winchester Model 70-270, Bolt Action Rifle with
Ge~man pecar - Be~lin va~iable 3-7 pa~ Scope,
complete with Sling 195.00 195.00
7. various types of Ammunition 30.00 30.00
8. Cl aftsman Jigsaw, complete with elect~ic moto~ and
stand 95.00 95.00
9. Delta unisaw, 8" tilting a~bo~ 210.00 210.00
10. Delta wood Lay, complete with electric motor and
stand - 36" opening 180.00 180.00
11. craftsman 1/3 H.P. double wheel Bench G~inde~ 50.00 50.00
12. Rockwell-Delta Shape~, complete with motor and
stand 95.00 95.00
13. Home lite 150 Chain Saw 65.00 65.00
14. Sioux stand fo~ electric drill 25.00 25.00
15. Rockwell Elect~ic portable Sabe~ Saw 15.00 15.00
16. Skil Model 405, 4" Bel t Sande~ 65.00 65.00
17. c~aftsman Vib~ating Sander 12.00 12.00
18. Electric Sioux Hand Drill 1/2" 40.00 40.00
19. Skilsaw Model 553, 7-1/4" Elect~ic Hand Saw 55.00 55.00
20. c~aftsman 1/4" Elect~ic D~ill 6.00 6.00
21. Small, Hand tools in basement 225.00 225.00
22. 1 Cement Mixer, portable - common 100.00 100.00
23. Rubber Tire wheelbarrow 15.00 15.00
24. John Dee~e #140 Lawn and Ga~den T~acto~, used 9
years with 41" Mowe~ 900.00 900.00
25. John Deere #80 Ya~d D~~p ca~t 55.00 55.00
26. 22" Rotary Lawn Mowe~ - common 20.00 20.00
27. Simplicity 2-Wheel Ga~den Tracto~ with
attachments - old, 3 II.P. 75.00 75.00
28. Roto~ Tiller - old model - cho~e-Master,
approximately 3 H.P. 55.00 55.00
29. Lawn and Garden Tools 15.00 15.00
The above items we~e app~aised by Daniel D.
Hershey, A~ctioneer. A copy of said app~aisal is
attached he~eto.
30. ;97~u<p';ev~olet Impala Coup, sold privately to :, __~ M , --< M
TOTAL THIS PAGE 4 683.00 f/. I. P "I ",.,
/
~
,: . '."
- '
c ~q f+s /Il1 'H~ ~l J Saw Co~.. f I~f e., /I 9 $"", CU
wdt.. -t"/-ed....,("-o /1-101",.. 'b :S{'l",d
P~(+a.... UV1I':.<iW :?'I +<I~'vil I1rfoar :J.../o,h
(1- H,o..... C\jO\l~ LQ'1 C'_M""f{-ef-e.. W (~t" / go D IO-U
e(-ed",:c.. MD+OV- 'tJ ~--IQ,.",d _ "8/' tI DrVll"'(
C V'Q:t+li.lIl1 a VI ~ h. f' J C'J ~ {<<- l.-Jh-e...../ b-et"c)'l 'J'rl ~d 1."1" 5- 0 ,a-o
R~,-kU,)dl _~(.f-&v ~~Qt~r 9 s, UV
COV\-\fld-e.. wJ.t., ,Mot'.:.1'"" 'b- Sfav,d.
Hro 1M 0 { : t-c:...
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,;;, () 1.1<;0,11\
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,
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;. 5", UO
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/ S", G"1:J
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("S',~
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I~ (I f r e<. + "';<.;, J'lCi IIId SQ,-^"
b S-.~"1.l
REV...2 EX' 13.801 SCHEDULE "C"
COMMONWEALTH OF PENNSYLVANIA TRANSFERS
. DEPARTMENT OF REVENUE
TRANSFER INHERITANCfI> TAll.IJdney Fogelsanger also known as
RESIDENT DECEDENT . , ,
E5TATEDFD. Rodney Foqelsonqer, also known as David Rodney Fogelsanger
*
INSTRUCTIONS:
1. Answer the questions on reverse side.
2. If the answer to any of the questions on the revmse side is "Yes," provide a description of the property transferred per
Schedules "A," "8," or OlE," its estimated market value at date of death, dates of transfer, to whom transferred and
relationship of transferees to decedent. Attach a copy of any trust deed or instrument relating to the transferred property.
-
ITEM ESTIMATED DEPT. VALUATION
HO, DESCRI PTION MARKET VALUE (OFFICIAL USE ONL YI
.
NONE
,
,
TOTAL THIS PAGE ,,~,~ ^' "'^' ,N'"
"
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No".) J.9.-.
2. Did decedent, within lwo years of dealh, tr;1I1sfer property from himself' herself to himself/hersell and another party
or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".j ..IlO.-
3. If the answer to one or two above is "Ves" and Ihe transfers are claimed to he nontaxahle, provide the following
information:
a. Age of decedent at time of transler,
b. Copy 01 death certi ficate.
c. Affidavit hy the attending physician indicating the state of decedent's health at time of transfer.
d. All other information supporting nonlaxahilily of transfer.
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or iHlequate consideration
therefor which was to take effect in possession or enjoyment at or afler his/her death? (Answer "Yes" or "No".) NO
a. Was there any possibility thatlhe property transferred might return fa translelOr or his/her estate or be subjecl
to his/her power of disposition? (Answer "Ves" or "No".) No
b. What was the transferee's age altime of decedent's death?
5. Did decedent in his/her lifetime make any transfer without receiving a valuable 81111 adeQuale consideration therelor
under which transferor expressly or impliedly reserves for his/her fife or any period which does inlact end before his/her
death:
a. The possession or enjoyment of or the right 10 income from lhe propertv translerred? (Answer "Yes" or "No".) -1'!!L-
b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".) Nn
6. If the answer to five h. above is "Ves," state whether the right was reserved in decedent ;lione or others.
7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the henefit or care of transferor? (Answer "Yes" or "No".) NO
8. Did decedent, at any lime, transfer property, the haleficial enjoyment of which was suhjecllo cllange, because of
a reserved power to alter, amend, or revolle, or which could revert to decedent under terms of transfer or by operation of
taw? (Answer "Yes" or "No".) No
3. If the answer to eight ahove is "Yes," was the power to alter, amend 01 levoke the interest of the heneficiary reserved
in the decedent alone or the decedent and others? (Answer "Yes" or "No".)
REV-453 EX+ (SoBOl
, COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
1 k(lnstructions on Reverse Side)
D. Rodney Fogelsanger, a so nown as
D. Rodney Fogelsonger. also known as
Estate of li1:ar':i-a J?....M...."':. }i'r.go1 "'~1'\go""
SCHEDULE "0"
BENEFICIARIES
*'
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY
DECEDENT BIRTH
Marv Jane Foaelsanaer Dauahter yes 3-24-36 Entire Estate
nO - M
Shiooensbura. PA 17257
-
, -
-
I
The above beneficiaries are living at this time except for the following:
DATE OF DEATH
NAME
~
.,
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". De,cribe all per,onal propertY
as indicated in the instructions for Schedule "B". Include the name, address and relationship to the
decedent of the co.owner (sl 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 intere,t.
r
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INHERITANCE TAX SUMMARY SHEET
(~UREAU USE ONLY)
21-80-0466
. Re:V.~84 EX+ (HO)
File Number
Estate Name
D. R.Qd.n~J:Qgelllanp;er
Date of Death
February 9. 1980
Social Security Number
197-~-8374
REPORT OF INHERITANCE TAX APPRAISER
[II Original
o Supplemental
o Remainder
I, the undersigned duly appointed Inheritance Tax Appraiser In and lor the County of Cumberland
Pennsylvania, do respectfully report that I have appraised the real and personal property as reported In the foregoing
return at the values oat lorth opposlta each Item In the last column ta the right In Schedulas "A", "B", "C", and "E"
Dated:
January 14. 1981
.A&/L"//1 )'71'/-.11'0"'))
INHERITANCE TAX APPRAISER
-'
INVENTORY
VALUE AS APPRAISED
ADJUSTMENTS
CODE (HARRISBURG USE ONLY) REM..INDER APPRAISEMENT CODe
DISCOUNT INTEREST
+ S $ =
+ =
BALANCE $
TO $
S
Real Property (Schedule A)
$
00+
Penanal Property (Schedule D) 10+
Jolnt.Held Property (Schedule E) 20+
Transfers (Schedule C) 30+
TOTAL GROSS ASSETS__42.,
Lou D.bts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
o LUc Estate
o Annuity
40-
RATE
FACTOR
FOR USE OF REGISTER ONLY
Tax on $
~
6%
Tax on $
15%
Tax on S
Tax on $
Tax on S
Exemptions
Total Estoto
TOTAL TAX
INTEREST FROM
BALANCE
TO
Leu Credits
DATE OF PAYMENT
AMOUNT PAID
$
INTEREST FROM
BALANCE DUE
PRINCIPLE
92+
93.
VALUE
CODE
COMPUTATION OF TAX
$
$
$
$
$
$
$
$
TAX CREDIT
$
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INFORMATION
To insure proper credit to your account, tho n[llne of tho estate and file number 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 (72 P.S. 9 2485.7081.
To the extent that inheritance tax is paid within threo (3) months after the death of tho decedent. a
discollnt of liva (51 parcant is allowad (72 P,S, 9 2485,716).
Inheritance Tax, other than tax on B future interest. is due at the dale of tho decedent's doath and becomes
delinquent at tho expiration of nine (9) months after the decedent'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. 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 .Q30 9 months .045 12 months .050
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 16 days .00267 26 days ,00437
7 days ,0011R 17 days .00284 27 days ,00454
8 days .00135 18 days ,00301 28 days .00471
9 days .00152 1 9 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 Notica as provided by Section
1001 of thalnheritanca and Estate Tax Act of 1961 172 P,S, 9 2485,10011,
Make check or money order payable to:
"Register of Wilis. Agent"
Mail to the address listed below:
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PERSONAL PROPERrY:
1. 1973 Chevrolet Impala Coup, sold privately
2. Household goods - personalty at decedent's home as
set forth on inventory filed and appraised by
Daniel D. Hershey.
3. contribution to principal by Mary Jane Fogelsanger,
so as to permit distribution of real estate and
household goods and personalty in kind.
TarAL PRINCIPAL RECEIE'rS
PRINCIPAL DISBURSEMENrS
The Accountant claims credit as follows:
February 26, 1980
July 9, 1980
July 9, 1980
July 11, 1980
July 15, 1980
september 12, 1980
October 10, 1980
Fogelsanger Funeral Home - Funeral
Expenses
Eby Granite works - Headstone
Mary C. Lewis, Register - Letters
Testamentary
Mary C. Lewis, Register - Short
certificates
Tom W. Ausherman - Appraisal of
real estate
Daniel D. Hershey - Appraisal of
personalty
Mary Jane Fogelsanger - Family
Exemption
Davis and zullinger - Attorney
Fee
Mary C. Lewis, Reg ister - Filing
First and Final Account, recording
Releases, etc.
Mary C. Lewis, Agent - pennsylvania
Inheritance Tax
TarAL PRINCIPAL DISBURSEMENrS
NET PRINCIPAL ACCOUNr
- 2 -
UGLk :.,..; tllLL 835
$ 1,375.00
3,308.00
6,670.42
$33,353.42
$ 1,488.00
1,165.00
27.00
5.00
80.00
15.00
2,000.00
1,050.00
100.00
2,115.42
8,045.42
$25,308.00