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PERSONAL PROPERTY - List all tangible and intangible personal property owned individually by the dece-
dent .t the time of death.
Checking Account 1/130-331-7, The Juniata Valley Bank
Savings Account //023-0741266, The Juniata Valley Bank
Total
JOINTLY.OWNED PROPERTY - List all real and personal property awned by the decedent with another(s)
as ioint tenants with right of survivorship.
NONE
Total
TRANSFERS - List all real and personal property transferred within two years of death.
NONE
Total
Estimated
Market Value
959.65
2,026.00
2,985.65
Estimated
Market Value
Estimated
Market Value
Department ValuBtion
(Official Use Only)
Department Valuation
(Official USD Only)
Department ValuBtion
(Official Use Only)
N~
List all safe deposit boxes registered In the decedent's individual name, or jointly with, or as an 8gent or deputy of another, or in decedent'J individual
neme with right of access by another as agent or deputy. Include the name and address of the bank or other institution where the safe deposit box is located,
the name(s) in which the box is regislered and the relationship of the joint holders to the decedent.
Nama and Address of Bank or Other Institution
In Which Decedent Maintained a Safe Deposit Ball;
Name or Nllmos tn Which
Safe Deposit Box Is Registered
NONE
Relationship of Joint
Hold.rs to Decedent
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NOTE: YDU may expedite the processing of this return by Wing with it and 8S a part of the return, letters from financial institutions or mortgage holden.
certifying to amounts on deposit or owed by the decedent as of the date of death. Such letters must be signed bV 8 responsible officer of the financial
institulion or mortgag" holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of l1CcOUnt,
,lICCount number and the exact name or names in which tho account is registered.
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DEBTS AND DEDUCTIONS
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Dill Nlme of Pay.. N.tur. of Debt Amount
~/6I80 Karl E. Guss Funeral Home Funeral expenses paid 2,096.09
Family exemption (will nOI be allowed unless decedent died
retiding with 0 parcnt, spouse or children.! --_.
Rellister of Wills(Cumberland Co. Administration Expenses 6.00
Richard L. Gingrich, Esq. Counsel Fees 100.00
Ethel Jane Swartz Fiduciary Commission 100.00
2/11/8 Messiah Village (Other Debls and Claimsl Nursing Home 153.23
4/09/8 ~Iessiah Village Nursing Home 51. 60
Total
2,506.92
Under penalties of perjury. I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct and complete.
X ~~~dd~ y- /01 - IrO
Date
I do hereby certify that I have appraised the assea contained herein in conformity with Pennsvlvania law.
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Appraiser Date ' I
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CIl In theavent that any future interest in this estate is transferred in possession or enjoyment to collateral heirs 01 the decedent after the expiration of any
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... estate for life or for years, the Commonwealth hereby expressly rescrves the right 10 appraise and asscss transfer inheritance taxes at the lawful collatelal
<: rlite on any such future interest.
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5! Debts and deductions are allowed in the sum of $ at percent.
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ATTORNEY AT LAw
MIl'"r\.tNTOWN. P,I:..
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LAST WILL AND TESTAMENT
I, JENNIE PEARL GINGRICH, widow, now of Delaware Town- .
ship, Juniata County, Pennsylvania, do make, pub~iah and declare
the following as and for my 'Last Will and Testament, hereby
revoking and making void all wills and codicils by me at any
time heretofore made. "
It is my wish and direction that upon my death my sur-
viving children shall have the right and privilege to take
from my trailer home whatever items of personal property that
they have given to me during my lifetime, and t,hat my best
~jshes and goorl bedding should be divided among them.
I give and bequeath the sum of One hundred ($100,00)
Dollars to the CEDAR GROVE BRETH ERN IN CHRIST CHURCH.
I give and bequeath to my son, JOHN W. GINGRICH, my
wooden rocking chair, ..
My daughter, ETHEL JANE SWARTZ, shall have the right. to
elect to take my trailer home at the valuation set by the
State Inheritance Tax Appraiser.
All the rest, residue and remainder of my estate, I give,
bequeath in ten (10) equal shares as follows:
(1) share to CARL S, GINGRICH;
(1) share to VIOLA GARIS; /..IIIY./ / S
(1) share to Gertrude Bowers;
(1) share to the children of PAUL GINGRICH;
(1) share to CLAIK GINGRICH;
(1) share to JOHN W, GINGRICH:
(1) share to JAMES LESTER GINGRICH;
(1) share to RUTH KEEFER;
(1) share to MARTHA STERN; and
(1) share to ETHEL JANE SWARTZ,
and I constitute and appoint ETHEL JANE SWARTZ to.be the Executri
of this my Last Will and Testament,
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this 14: day of March, A,D, 1971,
devise and
One
One
One
One
One
One
One
One
One
One
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Signed, sealed, published and declared by JENNIE PEARL GINGRICH,
II THE Testatrix therein named, as and for her Last Will and Testa-
ment, in the presence of us, and we in the presence of each other,
all being present at the same time, have her~nto subscrlbeed out
names as witnesses, ~/
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REV-484 EX+ (3.80)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
File Number
21-80-0527
Estate Name
GINGRICH, Jennie P.
Date of Death
01/26/80
Social Security Number
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser In and for the County of Curnberl~nd
Pennsylyonio, do respectfully report that I haya approlsed the real and personal property as reported in t e foregoing
retum af fhe values set forth opposite each item in the rast corumn to the right in Schedules uA", "8", "C", and If Elf
Dated:
October 30, 1980
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INHERITANCE TAX APPRAISER
INVENTORY
VALUE AS APPRAISED
CODE
ADJUSTMENTS
(HARRISBURG USE OHLY)
REMAINDER APPRAISEMEHT CODE
R.ol Property (Schedule A)
Perlonal Property (Schedul. 8)
Joln,.Hetd Property (Sch.dul. E)
Tranlfer. (Schedule C)
S
None DO+
2,985 65 10+
None 20+
None 30+
2,985 65
40-
92+
TOTAL GROSS ASSETS
Leu D.bt. and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
93-
Valuation of life estates or
annultl.s. . . . . . . . . . . . . .
~
FACTOR
PRINCIPLE
VALUE
COOE
FOR USE OF REGISTER ONL Y ~ COM PUT A TION OF TAX
Tax on $ 6% $
Tax on $ 15% $
Tax on $ $
Tax on $ $
Tax on S $
Exemptions
Total Estat~
TOTAl. TAX $
INTEREST FROM TO $
BALANCE $
Leu Credits
DATE OF PAYMENT AMOUNT PAlO OISCOUNT INTEREST TAX CREDIT
$ + $ S = $
+ =
BALANCE S
INTEREST FROM TO S
BALANCE DUE S
RE,V."8 Fa (7080)
~~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATtONS
NOTICE OF FILING OF APPRAISEMENT
October 30',' 1980
Ethel Jane Swartz
R.D. 31, Box 420
McAlistervil1e, PA 17049
RE: Estate of
County of
File No.
Jennie P. Gingrich
Cumberland
21-80-0527
Dear Mrs. Swartz:
You are hereby notified that the original
appraisement in the estate of Jennie P. Gingrich
has been filed in the office of the Register of Wills of Cumberland
Cauntyon October 30 , 19.alL. Said appraisement reflects the fullowing voluations:
Real Estate'
Personal Property
Jointly Owned
Transfers
Total
None
2,985.65
None
None
$2,985.65
As to such tax that is paid within three manths from date of death, u five (5%) percent
discaunt is allowable. As to any tax 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 accurred prior to December 22, 1965) from date of death, interest at the rate of six (6%) percent
per annum is charged.
Any party in interest who is oggrieved by this notice may object thereto 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
October 30, 1980
Signed
r:u I 7'?f' I)
.... f,y/(} / (lJu/y/
Title Chief Appraiser
NOTE: This is not a bill,
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
'*
COUNTY FILE NO:
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DATE ~ 1;- ) r.t
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ESTATE I /~j, , JJ
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FILE NO, .' , ~.'7/
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DATE OF DEATH
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Appraised Value of Estat.:
R..I Est.t.
s
Personal Property
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+ . //: ;' I
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Jointly Held PropertylTransf.rs
+
Total Gross Estat.
G .: -I .'.:" ,,~- ;/) ~'.,
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Total Approv.d Deductions
- :,' /,-,-, ('-' :;)
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CI.ar Valu. of Estat.
s /1'1:;- 'I':{
. '-"
Less: Approved Charitable Exemptions
Clear Valu. of Estate Subj.ctto Tax
s 47:/1:-,
Amount Taxable @ 6% Rat.
s
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18l( due
$
/'?'/2
Amount Taxabl. @ 15% Rat.
lax dUB
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
$,;/1' i :J..
* * * * * * A five percent discount tOlaling 8
will b. granted if the Inh.ritanc. Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
$
+ $
s
= $
+
=
+
=
Interest accrues 81 the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date 01 payment. Interest due if paid by
is
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BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
$
A......d by: L " ;
See Informalion on Reverse Side A;e"'for~.COr~"th
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>>REY.'162EX .
~:, ' . COMMONWEALTH OF PENNSYLVANIA .
4NQ,Ko00294 DEPARTMENT OF REVENUE
',:,' OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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TAX AT 6%
TAX AT 15%
ADDRESS
s. Jane Swartll
CO.
P.O. BoX 366
Lewbtown, pa, 17044
,
TAXAT_%
.
11
RECEIVED
FROM
ESTATETAX
28.73
TOTAL TAX CREDIT
FILE NUMBER
NAMEOFDECEDENT
olBNNIB P. GINGRICH
cllIllbeJ:'land
m
m
LESS DISCOUNT
( .005)
PLUS % INTEREST
(FROM 10-26-80TO 11-1j7-80
.14
Novamber 17,1980
DATE OF PAYMENT
~OUNTY
28.86
- -----------------------------------------
TOTAL AMOUNT PAID
POSTMARK DATE
REMARKS: "PAID IN PULL"
SEAL
RECEIVED BY
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\, /MaryS~r;/AlIliWi.
" ReCJl.ter of will.
t
REGISTER OF WILLS
- -- - - - --'- - - - -..- - - - - -- - - - - - - - -- - - - - - ---
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COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
.
COUNTY FILE NO: a I - r 0 - 5 a r;
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Appraised Velue 0' Estate: I
Real Estate S
DA YE ~;tl (fI) I'J I f,'d:O
ESTATE \.-Q,.'Y\/'(\; II p .J:IArv'", '1 ; r: J
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FILE NO. ,;) 1-- ,-PI).. r,::).. f)
COUNTY (),A/V'oo< l/o!l-:..t,,'{~(
DATE OF DEATH ) Qo; _" ..::J 1-. (f1 H
, ( - " -
Personal Property
+
Joinlly Held PropertylTranslers
+
TOlal Gross Estate
S
Total Approved Deductions
Clear Value 01 Estato
S
Less: Approved Charitable Exemptions
Cloar Valuo of Estato Subjoct to Tax
S
Amount Toxablo @ 6% Rato
$
tax due
S
Amount Taxablo @ 15% Rate
tax due
****_.
/ . _I T~AL PENNSYLVANIA INHERITANCE TAX DU,~1
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A'livo porcont djs~o'uM Or.rt;;;J.g $ ~
Inheritance Tax is paid by
$
;) 9 '7 d..
,
. It/-
~.p. d"6
(1'4
will be granted if the
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
J I-I '7- f(J
$ d 5( . '70
+ $
$ III
,
= $ do J Yt,
+
=
+
=
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
$ crl 0~ ,'JA^ d(
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Asls..edby: ;' /,' / I I " oJ _ ,:;'..:~ : oj ~. ./
See !nfotmalion on Reverse Side Ag.nito'lh.CO~P1&_nwt.l~h -./ /
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