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No. 21.80 487
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
CI,t\HENCE \~. BINGEMt\N
, deceased.
Mary C. Lewis
To ~~mlf~;f~XM~, Register of Wills for the County of Cumberland,
in the Commonwealth ot Pennsylvania,
IS
Petitioner(,S),a.1la the execut pix named in the Lost Will ond
Testament of Clarence \~. llingeman dated October 29, 19"(1
Decedent was a citizen of the United States and a resident of
Township
Hampden B~, Cumberland County, Commonwealth
of Pennsylvania.
Decedent died an Saturday the 12th
A. D. 19 80 , in the County of Cumberland
day of July
, State of
at the age of 78
~flIS has mr
Decedent has not been married and has not had children barn to him
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
unestimated and af real estate to the value of
pennsylvania
years.
none
as near as can be ascertained; said real
NlA
estate situated as follows
Gl~I(l;l)l:
Therefore, your petitioner(s) respectfully applies far the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated July 18, 1980
Name and oddress
of Petitioner(s)
'/77 tt:~ tl. j~,c~
Mae A. Peck
5029 Circle Drive
Harrisburg, pennsylvania 17112
COMMONWEALTH OF PENNSYLVANIA}
ss
COUNTY OF CUMBERLAND
Mae A. peck
named in above application, being duly s\~orn according to law
say(s) that the statements set forth in this petition are true to the
best of
her
knowledge and belief,
}7) cul ;,:'
,/ /
/~'<./c...
Sworn
and subscribed before
lt~o
me July 18 19 80
~(J.~,~
Fl [, AI"l 61'l, Register
Filed;
.:< I-{ZJ -
1980
Attorney: Snelbaker,
McCaleb & El~
15fi~
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, I ' " ' ,
I ~ \Iill ~ Testul:lont Of Clurence ~. .i.lin,;eUlan.
Iii I, Clarenoe .i. llin6emun, of ,>J?rint;field i:hllIahii), York coun-l
I ty, Pennaylvania,do he:reby make thia 1;Y Last \Iill .And '.i!estalllent, I
hereby revokint; all willa heretofore made by me at any time end I
I ex:?ressing the intention not to claim any statutory ahara of the I
estate of my wife,Jlaie C. 13int;eman,and she hus eX1Jressed similar
Ii intention not to claim any statutory share of my estate other than i
"Iwnut I huve .Jrovided herein ao thut illY estate shull go to my child-j
ren and her estute shull go to ner childl'en. :
I
Item (1) I direct payment out of my estate of the eXllensesi
of my last illneas and funeral. i
I
Item (2) I devise unto my wife, Elaie O. Bingeman, a Life I
Estate in the property we occupy as a home for ond dur ine; the term:
jof her natural life should I pass away before her. After her death!
!said property shall be sold end the ~roceods after expenses divided!
! among my three chilclren, in e1ual shores. and named here below. !
, '
I Item (3) All the rest,residue ond :remainder of my estate, i
I both :real and neraonal,\'/hel'eeoever situ8te. in equal shares. I /;ive, ,
I devise and betJ.ueath to m:, three dau[;hters.shal'e ond share alike,andl
named here nov/: A. lIae A. :?eck, '1l'csently of 5029 Oircle Drive,Harr-1
isburg '-'ennsyl vania.3. Jean 3. J,iar tz, ,)~'esently of 2800 ::1udy Road, i
Harrisburg i?ennsylvania. C. E:n['aret 'T. 1:aTIrive of 323 Ilorthmoor !
lJriye, Ballv/in ,i,lissouri. I
I
,
Item (4) If any of my aforesaid dauphters should aredecea~
II se me without leaving ohildren stHvi vinp; her. the share of any such i
II ~aughter sha~l go to my surviving dauGhters or their surviving i
lssue per stlrpes. '
I i
I Item (5) I nominate,constitute and al)~oint my u.lilughter. I
i Mae A. .reck, Executrix of this j,IY Last ,Iill ..illd lestalllent.;:;hould i
said daughter fail to ~ualify or cease to act as ~ecutrix, I appo~
int my daughter, Jean Ji:. 1iartz,Ex.ecutrix of this i.1y Last Ilill.And !
Testament. Should both of my aforesaid daughters fail to qualify I
or oease to act as :!:x:eoutrix, I apgoint my daughter, i.[argaret V. I
Kaprive, Executrix of this j"y Last ,{ill and J!estament. !
Item (6) I authorhe and. eOl.pov/er my ~ecutr ix to sell all !
or any real estate (SUbject to Alsie 0. ~ingeman's 1ife Estate) !
at public or private sale for such prices and upon auch terms as I
to cash and credit aa ahe may deem best and to execute deeds of I
conveyanoe thereof without liability on the part of the purohasers I
t::> see to the ap!llics.tion of the purchase moneys. I
;
In ';Iitneas \/hereof, I have hereunto aet my hand and seal I
to this Uy Last \Iill And Testament, this ,c9thday of October,1971. '
I
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'II Signed,sealed,lltt111iehed ~nd decl'Jred 'I)~1 'lla,'enco.!. 13inp;eman,
the ab::>ve named teetotor,as and for hie l'Jst will and testament.
I'I in the p,'eeenoe of us. who at his re".uest, in his )~'esence,8nd in
I the presence of each othel'.sll bcinp; ,1l'esent at tho same time,
II have hereunto subscribed our names as witnesses hereto.
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OATH OF SUBSCRIBING WITNESS
OMMONWEALTH OF PENNSYLVANIA 1 ~~:
cou Y OF CUMBERLAND \
.-
'rhis................... ................................................... day of ........................... ..................................... A.D.. 19........,
before me Richard E. nderson. Regi~ter for the Probate of Will~ and gmnting letters of Admin' ration
in and for said County of mberland. in the Commonwealth of Pennsylvania. personally'
....................................................... .................................................................................. ...................................
the subscribing witnesses to the fore ing instrument of writing purporti to be the last Will and
Testament of ..................................................... ........................................ ... Dated .........................................
late of................................"'''''''''''''''''''''''''''''''''''''''''' ................... ......... Cumberland County Pa.. deceased
who being duly........................................... according to la
present. and saw and heard the testa...................... .........
sign, seal. publish. pronounce and declare t
as and for h................ Testament
and Last Will. and at the time of so ng .................................................w. . of sound and disposing mind
memory and understanding,
e best of ..............................................knowledg observation and belief.
............................ ................. and subscribed before
.................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA t ss:
COUNTY OF CUMBERLAND \
........................................................................... ..t\~.':!... f!:... r!7.9.~.......................................................... being duly
............eW!!r.~.......................... says that as nearly as can be ascertained the said decedent ..........................
.....................................................!;.~.!\p.!':P.S.t;...I:{:...~~~l);.t;!TI!\!1............... ................ ................... ..................died on
.............~.!\~~!:~.~.Y................... the .........}.~.1;:.l:..............day of ...............~!:l~X.............................. A.D.. 19..~.9..
at or about .......~~.;;J;..~......................... o'c.lock. ..~M.
........~.~~p.p...................................and subscribed this
}?7 (1J t/ ,l~
..................................................................................
..................~~!:~..................... day of ........;J.~~~.........
19. ..e.o.... before
...?2.~C.{..Mj:;:...@..:.... ?ef.:?:.<;fi.:I........... ......
RieL E. .~L _!I.. Re~~~r
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
COUNTY OF CUMBERLAND SS:
Before me, the Register for the Probate of Wills and granting of Lcller~ of Admini~trution in and for
the County of Cumberland, personally cume .................~~~..~.:...!~!':~~.............................................................
who, being duly ...~!1.9.m.............., do \C!.P....... depose Ilnd say that as......tht;'...~l(~l::JJ.t.dx...............................
of the last Will and Testament of .....................9.~.~!:~p.~.~...\~:...!!~!}g,,,!TI~.!1..........................................deceased
.........~.h!'!.......... 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
I h . Sworn d b 'b d
n erllances. ............................ an su scrl e
before me.
................;:!~y....J.~,...................... A. D., 19.~.9........
....q2,d.~t...a......,.~u,.~d..................
R:...l.~...J . ~\l l!lllll. Re;:k~
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Be it remembered that on the ........~.~~~....... day of ............~~.~r............................ A. D.. 19 .~~.... there
was probated and recorded the last Will and Testament of ......f.~.I,\.@~~~..!:{,...!l~~!)f.!:I.~............................
late of..........~~~~~...~.~.~~!!~!:'................................, Cumberland County. Pennsylvania. Deceased. Letters
...............r.!':R!M;I.~.I:!'J:MJ.X............... were granted to .. ........ .............~.J;:. ..AA..l?/;:.C.l< ............... .... ..........................
Witness my hand and official seal the day and year Ilfore~aid.
a/'j
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Ri~ dE. .4..1.~Ll Ill, Register.
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I >>-REV.1162EX
: ~\ . , COMMONWEALTH OF PENNSYLVANIA
: 4 :No.K000201 DEPARTMENT OF REVENUE
i, OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
I I"
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~I RECEIVED
IJ FROM
--
TAX AT 6%
TAX AT 15%
ADDRESS
Mae A. Peck
a 0 8ne sr, MaCa
44 W. Main Street
&. B
TAX AT %
icker ;Attya
ESTATE TAX
Mechania.burg, Pa. 17055
.- -esTATE INf'ciRMATKiFr--------------------------
DATE OF DEATH Jul 12 1980
3,684.21
TOTAL TAX CREDIT
FILE NUMBER
21-80-487
october 10, 1980
LESS DISCOUNT
PLUS % INTEREST
(FROM TO_I
184.21
DATE OF PAYMENT
NAME OF DECEDENT
CLARENCE W.
Cumberland
BllliGEMAN
m
m
3,500.00
.OUNTY
POSTMARK DATE
REMARKS: .PAID 011I ACCOUNT"
i
TOTAL AMOUNT PAID
I
SEAL
RECEIVED BY
'/
REGISTER OF WILLS
I
r--------.-- -------------- - --- ------
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55:
~Iae ^. Peck
--- -,----_.._.~---------_._--_... .-.----.--
being duly _ sworn__ ... __ according 10 law, depo.o. and says Ihal Sho _.:L~_.!~___._. ---
_.______ Ex~c_~~.r'i_~.___ q_ _q of Iho Estalo of C larence \~. lIingemnn
loto of Hampden 1'owllshill ___, Cumberland County, Po., docoosod and Ihot the
within is an inventory mado by . ~Jne ^_._ pecl<._ .____..__ _._ __ _ - ------, the said Executrix
of Ihe ontiro oslalo of .aid docodent. con.;.ting of all the porsonal prop..ly and real e.lote, excopt roal o.toto outside
tho Commonwoalth of Penn.ylvonia, and Ihot the figuro. opposito oach itom of the Invontory reprosont it's fair valuo
as of tho dato of docodent's death.
f;worn and subscribed boforo me,
Al h" 4~L JAI dt 9 19 F()
otJ:. f
-#,~_...... ~~. -/M./
". fLORwcr 0. tO~CHfIl4:.T( l'Uc.IC
M(C1I;:;)~:: i.:~:i:"; [',:',:. t,tH
(t;':,:~ql,!:l) ((',',:,1'(
MV rm...:,'';':":;! ':',;' ;.::' h, ;("72
/ /17 c<-<-
,
((_i"'--L~
Eneutor . X~l{XIDQ(
!
5029 Circle Drive
Harrisburg, Pennsylvania
Address
17112
Date of Doath __.-l2:tiL
D.y
JJ-t.1y
Month
1980
V..r
INSTRUCTIONS
I. An invontory must bo filed within three month, 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 personalty or r.ally
4. See Article IV, Fiduciaries Act of 1949.
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COIlUllolll~ealth National Bank, Bal'lI1ci
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n"'''l'lIprl intpl'e"t 371
Invontory of tho roo I and porsonol ostolo of
Clarence \~. Bingemnn
docoasod.
REAL ESTATE
I
NONE
TO'I'M, REAl, ESTATE
PERSONALTY
1. Certificate of Deposit No. 16-311/7,
on date of death
2.
Certificate of Deposit No. CD 03996178, Hamilton Bunk, Balance on date
of death
accrued interest
3.
Certificate of Deposit No. J 170~, peoples Bunk of Glen Rock, Balance
on date of death
I
I
I
Certificate of Deposit No. J 1968, Peoples Bunk of Glen Rock, Balance I
on date of death \1
accrued interest
~.
accrued interest
5. Certificate of Deposit No. J 2015, peoples Bank of Glen Rock, in joint
names of Clarence \~. Bingeman (decedent herein) and Faye M. Bingeman
(predeceased spouse), Balance on date of death
accrued interest
6. Certificate of Deposit No. J 2209, peoples Bank of Glen Rock, Balance
on date of death
accrued interest
7. Certificate of Deposit No. J 2661, Peoples Bunk of Glen Rock, Balance
on date of death
accrued interest
8. Ford station wagon, 1979 model
9. Net proceeds from public sale of furniture
10. Proceeds from sale of draperies and rug
11. Premium refund: Nationwide Insurance Company
12. Refund of security deposit: Delbrook Manor Apartments
13. Refund: Bell of pennsylvania
1~. Premium refund: Pennsylvania Farmer (Insurance Company)
15. Rent rebate: Delbrook ~Ianor Apartments
16. Cash in decedent's possession
17. Medicare payment
18. Lump-sum death payment: SOclal Security Administration
TOTAL PERSONALTY
RECA PITUIATION
TOTAL VALUE REAL ESTATE
TOTAL VALUE PERSONALTY
TOTAL APPRAISED VAWE
NONE
$62,083.85
$62,083.85
NON,
NON ~
00
71
I
,
2 ,000 \ 00
109 64
1,000 \ 00
18 9~
6,000 00
175 57
2,000 00
43 \ 69
1,000 \ 00
5 73
2,000 00
~9 27
3,600 00
860 00
300 00
64 10
225 00
5 20
56 18
50 82
125 00
1,768 00
255 00
62 083 85
RI!V-UZ'C"'O'
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT OECEOENT Cl W
ESTATE OF arcncc .
SCHEDULE "C"
TRANSFERS
*
/Jingeman
INSTRUCTIONS:
1. Answer the Questions on r'averse side.
. 2. If the answer to any of the Questions on the reverse side is "Yes," provide a description of the property transferred per
Schedules "A," "B," or "E," ils estimated market value at date of death, dates of transfer, 10 whom transferred and
relationship of transferees to decedent. Attach a copy of any trusl deed or inslrument relating 10 the transferred property.
ITEM
NO.
DESCRIPTION
ESTIMATED DEPT, VALUATION
MARKET VALUE (OFFICIAL USEONLyj
NONE
NONE
TOTAL THIS PAGE
NONE
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any transfer of any materi~1 part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No".) No
2. Did decedent, within two years of death, transfer property from himselfl hersel f to himsel f/herself and another party
or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) -1:ill- .
3. If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable, provide the following
information:
a. Age of decedent at time of transfer.
b. Copy of death certificate.
c. Affidavit by the attending physician indicating the state of decedent's health at time of transfer.
d. All other information supporting nontaxability of transfer.
. . 4. Did decedent, in his/her lifetime, make any transfer of properly without receiving a valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".) No.
a. Was there any possibi lily that the properly transferred might return to transferor or his/her estate or be subject
10 his/her power of disposition? (Answer "Yes" or "No".)
b. What was the transferee's age at time of decedent's death?
5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor \ .
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her
death:
a. The possession or enjoyment of or the right to income from the properly transferred? (Answer "Yes" or "No".) No
b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".) }lQ
6. If the answer to five b. above is "Yes," state whether the right was reserved in decedent alone or others.
7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No".) No
8. Did decedent, at any time, transfer property, the bmeficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No".) No
9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved
in the decedent alone or the decedent and others? (Answer "Yes" or "No".)
. .
.
REV04,3 EX. (3.80)
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
'*'
(lnstructlollS 011 Revers. Side!
Estata of Clarence \~. Ilingeman
BENEFICIARIES AND ADDRESSES
RELATIONSHIP
SURVIVED
DECEDENT
OAT!: OF
BIRTH
INTEREST OF BENEFICIARY
Elsie C Ilin eman
wife
110
ae A Peck
daughter
yes
one-third (1/3) of
the residue
Harrisburg, PA 17112
Seleck
dau hter
es
one-third (1/3) of
the residue
At 9
Camp lIill, PA 17011
rthmoor Drive the residue
Bal1win Missouri 63011
daughter
yes
one-third (1/3) of
The above beneficiaries are living at this time except for the following:
NAME
DATE OF OEATH
Elsie C. Bingeman
August 1975
. ,
.,.~.. r, w ......"..~ j "',', t"'"
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". Describe all personal property
as Indiceted 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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REY-484 EX+ (Hot
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
m Original
o Supplemental
o Remainder
File Number
21=80-0487
Estate Name
Clarence W. Bingeman
Date 01 Death
7-12-80
Social Security Number
179-05-7289
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser In and far the County of Cumberland
Pennsylvollla, do ..spectfully report that I have approlsed the real and porsonal property os reported in the foregoing
return at the values set forth opposite each item in the last column to the right in Schedules IIAft, UBIt, lie", and uE"
Doted:
2-24-81
jfh..,Jill tfl~iiAHj)
INHERITANCE TAX APPRAISER
INVENTO RY
VALUE AS APPRAISED
ADJUSTMENTS
(HARRISBURG USE ONLY)
REMAINDER APPRAISEMENT CODE
CODE
Real Pfoperty (Schedule A)
Per.onal Property (Schodul. B)
Jolnl.Held Properly (Schedule E)
Tronsfer. (Schedule C)
$
none
DD+
62 855
22 431
09 '0+
17 21H
none
30+
TOTAL GROSS ASSETS
85~,2-8-6_ 2
Le.. D.bts and Deduc:tlons
(SCHEDULE F)
CLEAR VALUE OF ESTATE
40-
o Life Estate
o Annuity
RATE
FACTOR
PRINCIPLE
VALUE
FOR USE OF REGISTER ONLY
Tax on $
CODE
COMPUTATION OF TAX
$
$
$
$
$
6l7a
Tax on $
15%
Tax on $
Tax on $
Tax on S
Exemptions
Total ESI~to
TOTAL TAX
INTEREST FROM
BALANCE
$
$
$
TO
Less Credits
DATE OF PAYMENT
DISCOUNT
INTEREST
AMOUNT PAID
TAX CREDIT
S
+ $
S
=
$
+
=
BALANCE
S
INTEREST FROM
BALANCE DUE
TO
92+
93.
CODE
REV-SI8 FO 17-80)
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
I
I
I
:j
I
i
NOTICE OF FILING OF APPRAISEMENT
Mae A. Peck
5029 Circle Drive
Harrisburg, PA 17112
RE: Estate of
County of
File No.
Clarence W. Bin~eman
Cumberland
21-80-0487
Deor Ms. Peck:
You are hereby notified thot the ori(rinal
oppraisement in the estote of Cl "rence W. Rin[emRn
hos been filed in the office of the Register of Wills of Cumberland
County on ",ph,..,,,,,,,)' ')4. , 19 .B.1.. Said appraisement reflects the following valuations:
Real Estate
Personal Property
Jointly Owned
Transfers
Totol
nnnp
62.855.09
?? .u':l1 17
none
R~,,)Rfi ')fi
As to such tax that is paid within three months from date of death, a five (5%) percent
discount is allowable. As to any tox that remains unpaid after nine (9) months (fifteen months
when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when
death occurred prior to December 22, 1965) from date of death, interest at the rate of six (6%) percent
per onnum is charged.
Any party in interest who is aggrieved by this notice may objecttheretn within sixty days
after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of
1961,72 P.S. 2485-1001, P.L. 373.
Date
February 24. 1981
JI;"" /J) '/i", J'll(~)
Signed
Title Chief Appraiser
NOTE: This is not a bill.
REV0457 (1.80)
COMMONWEALTH OF PENNSYLVANIA
. DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
.
Estate of
Clarence W. Bingeman
File No. _ 21-80-0487
County
r.lJrnhpl',1 ;.1nn
Date of Death
7-12-80
In thl IVlnt that &ny futurllntlrl.t In thlslstatlls transferred In possession or enjoyment to collateral heirs of th. dICedlnt aftlr thl expir.tlon of .ny
est.to for life or for years, the Commonweelth hereby exprlSlly r",rvlS tho right to appraise and lISSOSS transfer Inheritance taU11! the lawful colletar.1 ratl
on anv such futurllntorest.
PROPERTY REPORTED BY THE ESTATE
DEPARTMENT'S
APPRAISED VALUE
1. TOTAL REAL PROPERTY - SCHEDULE "A" . .
2. TOTAL PERSONAL PROPERTY - SCHEDULE "B"
3. TOTAL TRANSFERS -SCHEDULE "C" . . . .
4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E"
none
62 855.09
none
22 431. 17
TOTAL REPORTED PROPERTY
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
85,286.26
TOTAL UNREPORTED PROPERTY
none
TOTAL GROSS ASSETS
85,286.26
LIFE ESTATE OR ANNUITY CALCULATION
I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day
with the Register of Wills.
Jll'h>,,'J / Iff,,;;,; vi)
APPRAISER
2_n 61
DATE
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REV-455 (1-80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
Estate of Clarence W. Bingeman Date of Death July 12, 1980
WHEN CLAIMING THE FAMilY EXEMPTION, COMPLETE THE FOllOWING:
File No.
Claimant
Relationship to Decedent
Claimant's Address
ITEM DATE NAME OF PAYEE REMARKS AMOUNT
NO.
1 Register of IHlls Probate costs $ [w.OO
2 Cumberland Law Journal l4dvertising executrix' notice 18.00
3 West Shore Times ~dvertising executrix/ notice 16.75
~uneral expenses .
1I Jesse H. Geigle Funerollbne, lm. 2,008.1I7
5 FHN Associates, Inc. Professional services 132.80
6 Cardiovascular and Thoracic
Associates Inc. Professional services 2,720.00
7 Waltz and Graf, P.C. Professional servi.ces 51111.00
8 Community Physicians, Inc. Profess iona 1 services 3.32
9 St. Paul's Lutheran Church Outstanding check 500.00
10 St. John's Lutheran Cemetery
Fund Account 25.00
11 Harry Smetz Grave digging 120. 00
12 Register of Wills Filing fees 9.00
13 Snelbaker, McCaleb &, Elicker '\ttorneys fee 3,100.00
1lI Reserve for filing account, rE lease, notary fees and miscell-
aneous costs 100.00
TOTAL THIS PAGE I $9,337.311
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.
/rn cV-- ({. (1 --1-A_ 3 /e; / &- /
SIGNATURE OF X~/FIDUCIARV ; DATE
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $
c; 3 " 7 .if:~
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AT
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./
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rEGISTER OF WILLS
.t:.~t.
1Jr>.-h\
3/) / SI,!
DATE'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
COUNTY FILE NO:
':} I 8'0 Lf y, 7
DATE .=..trlQ". c?, 19 [{;'
ESTATE Cd /",.,_. " 1./ p.
FILE NO. (' d 1 - r~(~(J L/ ~ 7 . '~')1 iV1\
COUNTY '--'}1~~?~("'1-,t
DATE OF DEATH 6,..17' ,I ~, /9 ~o
TO:.::J:pfA Q 0-. P (2.,. f
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1{.JIJiL -')-\f- ,~ . "of. ,-,
- -'hf~.lt('-No"'(.2-~I;,.;;t ((~ 1 '7>)I:;::.~
Appraised Value of Estate:
Real Estate
Amount Taxable @ 15% Rate
&
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&C'Jr-, c; lit qri. tax due & if 6& (" 9'1
I
t8K due
Personal Property
Jointlv Held PropertylTransfers
Total Gross Estate
Total Approved Oeductions
Clear Value of Estate
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
Amount Taxable @ 6% Rate
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
&
Lf '15b. 9' 'I
.. .. '* .. .. '* A five percent discount totaling 8,
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
I I) -/0 - 8"0
..3-9- X'I
$ 3500 'J () +
y '7.::J 4):3 +
$/'rll.;),/- $
=
$ .~L <;-1/ .:<)
k 7~.. '7.3,
=
+
=
Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
$
f',l'~04
is
..
~.
Assessed by:
. Age fo he
See Information on Reverse SIde Cf{t...4 :i,), ,..
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