HomeMy WebLinkAbout80-00537
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537
21-80
No.
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
In the Estate of
~1H.
, deceased.
s: 'l/L.l"k
'1
To Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania.
Petitloner(\lls (il:rej the execut or~ named in the Last Will and Testament of
~ 1/, ~ (}<A.1.da" dated )1vOV) g; /'1 J[
Decedent was a citizen of ttlJ United States and a resident of ' c.1...J',~~(~
TewA3RIp-(Borough), Cumberland County, Commonwealth of Pennsylvania.
Decedent died on h.u~-ll the 1/ Iff day of _~r A.D. 19 iTa ,In the
( ----z;r;
County of ;;.~~ ,State of J <;... at the age of ~ years.
Decedent has (has noll been married and has (has not) had children born to ~ (her) since the ex-
ecution of the above described Will. I
Decedent was possessed of personal property to the value of " 0<)0. 0"
and of real estate to the value of
/1'-crN'
as near as can be ascertained; said real estate situated as follows
ti-itl
Therelore, your petitioner(s) respectfully apply(les) for the probate 01 the said Last Will and Testa-
ment and for Letters Testamentary theron.
Dated ClJ..uJ /1-) /1 :fZi
,
Name and address
of Petilioner(s)
g'Y~..~t
d7 /u. If? Sr.
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COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERL~I ~~ ss,
t:/ c---./ .LJ
<7~ /~ 0
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named in above application, being duly /'Jtvd'?-,........
statements set forth in this petition are true to the best of
./j;,p'f1..:~nd subscribed before
:tccording to law say(s) that the
/ -" knowledge and belief.
m~:-aUJ~) / \- 19 fb
32Ia{V~J. ~~wJ
rl ~~Ister
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Filed:
d{;'jlB I /151'
Attorney /:k7r i-~t? J
r~
OJ./-rfo -537
1/-/08- -0
.
.
LAST WILL AND TES'rAMENT
I, CRAIG H. SNYDER, of the Borough of Carlisle,
cumberland County, Pennsylvania, being of sound and disposing
mind, memory and understanding, do hereby make, publish
and declare this as and for my last will and testament, hereby
revoking any and all wills by me at any time heretofore
made.
Item I. I direct my executor to pay my debts and funeral
expenses.
Item II. I give all my property, real and personal, to
my son, John F. Snyder, providing that he survives me.
Item III. In the event that my son, John F. Snyder, does
not survive me, then I give all of my property, real and
personal, to his daughter, Julie Ann Snyder.
Item IV. In the event that my son and Julie Ann Snyder
do not survive me, then I give, devise and bequeath all my
property, real and personal, in three equal parts: One part
to my brother, Harry R. Hays, and his wife, Elodie, or to
the survivor of them; one part to my stepdaughter, Lois S.
Grunert, and her husband, Kenneth, or the survivor of them;
and one part to my daughter-in-law, Joan K. Snyder.
Item V. In the event that both husband and wife are
deceased in the aforesaid bequests, then their share should to
to their issue, if any. The third share to Joan K. Snyder,
if she does not survive me, should go to the first two
parts, if living. If they die without issue, then their share
should be divided equally between the other two bequests.
7~
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.
Item VI. I nominate, constitute and appoint my attorney,
George F. Douglas, Jr., as executor.
IN WITNESS WHEREOF, I have hereunto set 'my hand and seal
this the ,'{'Ii'day of J;;1d<..! ,1978.
d ~"
f; , j;/XI~~ <f :/,( :..-j,~~f~l.t/\ ~ (SEAL)
Signed, sealed, published and decl~ed ,01
by the above named testatrix as and
for her last will and testament, who
at her request, in her presence, in
our presence, and in the presence of
each other, have hereunto subscribed
our names as attesting witnesses:
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COMMONWEALTH OF PENNSYLVANIA )
'..
55: ,
COUNTY OF
CUHBERLAND )
e~~~-
, the witnesses
We, {]tA.
~~1- ~
whose names are signed to the attached
and
or foregoing instrument,
being duly qualified according to law, do deposes and say that we
were present and saw testat sign and execute the instrument as
~;/ last will, and that At'-.signed willingly and that /(l).:.e..executed
it as cl- free and voluntary act for the purposes therein contained:
that each of us in the hearing and sight of the testat
signed
the will as witnesses: and that to the best of our knowledge
testat
was at that time 18' or more years of age, of sound mind
and under no constraint or undue influence.,
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4f~ ~ ~r
Sworn to and subscribed
before me this ~ rt- day
of frvo- 193
.t!~j--O
notary .r""f!~:i:,:~.;"" t'.::z../ i:.l;;I,C
C.lrIIS'_ r;O'~.'~I. ..,~~.1,;~,t3,ld Cr'~'"
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
Before me, the Register for the Probate f Wills and gra ting of Lellers of Administration in and for the County of
,,-,.J- '/1
/; C' --
who, being duly .~"'" , do l'.-'} depose and say that as c.,:.,.<.-c~_t~.\
U~~ ,II ~~/Ja\
Cumberland, personally came
of the last Will and Testament of
deceased
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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 InherI~,%es. Su.,,:-.-; n~~subscribed before me.
August 15 A.D., 19~ ~-C074~ - ?-,:-" . (~1
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Be it remembered that on the
18th day of
DECREE
August
80
.A.D.,19_. there was probated and
recorded the last Will and Testament of
Craig H. Snyder
Carlisle
,Cumberland County, Pennsylvania,
Georqe F. Douglas, Jr.
Deceased. Lellers Testamentary were granted to
Witness my hand and official seal the day and year aforesaid.
'";'?.(;
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02j/l J- e. ~~
, Register-
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late of
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Commonwealth of Penn.vlvanla
l Ceplnment of Revenu.
Trln,f.r Inheritance Tu
A"ldent Dlcedent
Rlv-464 EX + (1 .80)
INHERITANCE TAX RETURN
FOR ESTATES WITH GROSS ASSETS
UNDER $10,000.00
1-...1-1'/
.
Estate of
CRAIG H. SNYDER
Auqust 11, 1980
182-22-9391
Dale of Dealh
Last Address
905 West North St.
Social Security #
Bureau File it
IClty)
Carlisle. Pa. 17013
(St.te) (ZIp)
,) / C/{ ).. /)":;/ '7'
_-. 'I). ,_..J
County File #
1. Decedent died:
o Intestate (without a will)
rn Testate (leaving a last will - copy attached)
2.
rn Executor/Executrix
D Administrator/Administratrix
Name GeorqA F _ nnnq';::t c::. .T,...
Address
27 W"",i- High ~i-
(";::trl;Q!1t3 Pa.. 17(J13
(CitY) (Stato) (Zip)
3. All correspondence should be mailed to !Xl Attorney o Fiduciary.
4. If an attorney is representing the estate, indicate:
Name George F. Douglas, Jr.
Address 27 West High St.
Carlisle, Pa. 170] 3
ICltvl (State) (Zip)
REAL PROPERTY - Id6ntify real property located in Pennsylvania bV lot and block number. street address and
Include a statement of mortgage encumbrances as of the date of death.
Estimated
Market Value
None
TOlal
Department Valuation
(Official Use Only)
~
PERSONAL PROPERTY _ List all tangible and intongible penonol proper tV owned individually by the dece.
dent et the time of death.
10 shares capital stock, The Frog,Switch
& Mfg. Co. @$112
.2. Dividend, Frog, Switch & Mfg. Co. Cil,'A.o ltC',
~~fI(xor(l(X)(X<<lXe(otk1ax~xacoc<XtCxx4ci():a6:lc~ax
Farmers Trust Co., savings acct. 1717092-6
Farmers Trust Co., 1-17092-6, interest
Total
JOINTLY.OWNED PROPERTY - List all real and persoOl.1 property owned by the decedent with anotherlsl
8S joint tenantl with right of survivorship.
Estimated
Market Value
Department Valuation
IOHicial Use Onlyl
1,120.00/
100.00
I I) 0, 0 0
2,810.40
29,"11--
~,059.51
Estimated
Market Value
Farmers Trust company, checking account 4-3861 (i,935.28)
9~J' u.o<=tV g..Mt F. ~
(,/,/(,0
Total
TRANSFERS - List all real and personal property transferred within two years of death.
None
Total
'j (..1, t If
9~ 1. (,1'
Estimated
Market Value
Department Valuation
(Official Usa Only)
List all safe deposit boxes registered in the decedent's individual name. or jointly with, or as an agent or deputy of another, or in decedent's individual
name with right of access by another as agunt or deputy. Include the name and address of the bank or other institution where the safe deposit box is located.
the nameld in which the box is registered and the relationship of the joint holders to the decedent.
Name and Addre" of Bank or Other Institution
In Which Decedent Maintained a Safe Deposit Box
armers US O.
Name or Names In Which
Safe Deposit Box Is Registered
Relationship of Joint
Holders to Decedent
NOTE: You may expedite the processing of this return by filing with it and as a part of the return. letters from financial institutions or mortgage holders,
certifying to amounts on deposit or owed by the decedent as of the date of death. Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the tYpe of account,
account number and the exact name or names in which the account is registered.
,
,
,
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HARRISBURG
*
HCC"43 t~6~1
NOTE, TO BE SUBMITTED IN TRIPLICATE
Pennsylvania Department 01 Revenue
Bureau of County Collections
26 S. 4th Street
Harrisburg, Pennsylvania
Dear Sir:
MAR 1 C 1981
pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961.
we herewith submit the following report:
NAME OF REPORTING
FINANCIAL INSTITUTION
Farmers Trust COlIIpaD1
1 West "1 g)1 St._At.
ADDRESS
ACCOUNT NO. OF JOINT,
TRUST OR INVESTMENT DEPOSIT
NAMES ON ACCOUNT
OR INVESTMENT
~tII",'''a'ft DEh
.
17OJ.)
Checkinll: Account # 11_18618
Craig Snyder
John F. Snyder
DECEASED JOINT DEPOSITOR,
TRUSTEE OR INVESTOR ~..a4g 1':Dr9r
ADDRESS
$0 MorelaDd Avenue
DATE OF DEATH Auguat 11. 1960
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR John F. SnYder
ADDRESS
$0 Moreland Ave.
RELATIONSHIP TO DECEDENT UnknoWn
DATE DEPOSIT OR INVESTMENT
WAS ESTABLISHED June ~, 1960
BALANCE, INCLUDING INTEREST
DUE, AT DATE OF DEATH $
Carlisla, PA_ '7n'~
Carlisle, Pa. 17011
Signature
DI1e Nlme of PIV" Natur. 01 Debl Amounl
I.._,,~____n_"" . Funeral expensos paid n...... nn
Family exemplion {will nOI be nllowod unless decedenl died
residin~ with 8 parent. spouse or Children.'
~etters Test. , 1 sh. ctf Administratiun Expenses 22.00
Counscl Fees
Fiduciary Commission
:umber1and Law Journal (Other Debts and Claims'
advertising estate notice 12.00
~vening sentinel advertising estate notice 18.00
~onnie Clippinger, 1980 inc me tax return 25.00
Register of Wills Inventory 6.00
Register of Wills debts and deductions 3.00
George F. Dou~as, Jr. :l:~cutor I ~ fee 300.00
George F. Doug as, Jr. a orneys ee 300.00
Anne M. Cox notary 5.00
Todd Memorial Home last bill 235.00
united Telephone last bill 12.55
Register of Wills filing first and final acct. 35.00
Total 1,835.55
Under penelties of perjury. I declare that I h.ve examined thi' :atum. and to the~' ",owledgc.and beUef. it is true, correct .nd complete.
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;.'-, .~-v.~ r ~ < 1_/'" _ __ 14 l A 101 IQ'6t
. 7 ~ gnaturc of FiducI / Date
.- .
I do hereby certify that I have appraised the assets contained herein in conformitY lNith Pennsylvania law.
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Ul Appraiser Date
en In the event that any future interest in this ..tate i, Hanslerred in possession or enjoyment to collateral heirs 01 the decedent aher the e.piralinn of any
::>
..l estate for Ufe or for years. the Commonweaith heleby ..pressly reserv" the right to appraise .nd assess transfel inheritance t.... at the lawful collateral
<t r6te on any such future interest.
U
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g Debts and deductions are allowed in the sum of S I " .,??,:;);;J at percent.
'J ~Jd~,f..,;, ~
-?I'-gJ-.Y/
Date
'.
DEBTS AND DEDUCTIONS
"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
(S1.te full names and .ddrones uf all who have an intorust
tither vosted, contingent or other intBrust!
RELATIONSHIP
TO DECEDENT
SURVIVED
DECEDENT
STATE YES
on NO
AGE OF LIFE
TENANTS OR
ANNUITANT1;
AT DEATH OF
DECEDENT
INTEREST OF
BENEFICIARY
IN ESTATE
.Tohn F !';nyil..r
4410 Elan Place
Annandale, Va. 22003
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INFORMATION
PLACE FOR "I LING - The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided.
TIME FOR FI LING - The return is due nine months after the decedent's death. unless an extension for filin9 has been applied for and 9ranted
by the Secretary of Revenue within the nine.month period.
FAILURE TO FILE RETURN - Section 791 of the 1961 Statute provides that ". . . any person who willfully fails to file a return or
other report required of him. . . shall be personally liable. . . to a penalty of 25% of tile tax ultimately found to be due or $1,000
whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law."
REV-." EX+ t~O)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
[g] Original
o Supplemental
o Remainder
File Number
21-tlO-0537
Estate Name
Crai~ H. Snyder
Date of Death
8-11-80
Social Security Number
182 22 9391
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and lor the County 01 Cumberland
Pennsylvania, do respectfully report that I hove appraised the reat and personal property os reported In the loregolng
return at the values set forth opposite each itorn in the last column to the right in Schedules ClA", "B", flC", and tiE"
Dated, April 30. 1981
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INHERITANCE TAX APPRAISER
INVENTORY
AaJUSTMENTS
VALUE AS APPRAISED COaE (HARRISBURG USE ONLY)
$ -0 00+
4,159 51 10+
967 64 20+
-0 30+
5,127 15
40-
REMAINDER APPRAISEMENT CODE
Real Propert)' (Schedule A)
Personal Property (Schedule B)
Joint-Held Property (Schedule E)
Transfers (Schedule C)
TOTAL GROSS ASSETS
Leu O.bt. and Doductlons
(SCHEDULE F)
CLEAR VALUE OF ESTATE
OLlie Estate
o Annuity
RATE
FACTOR
PRINCI PLE
VALUE
FOR USE OF REGISTER ONLY
Tax an S
CODE
COMPUTATION OF TAX
S
S
S
S
6%
T ax on S
15%
Tax on S
Tax on $,
T ax on $,
s
Exemptions
Total Estate
s
s
s
TOTAL TAX
INTEREST FROM
BALANCE
TO
Less Credits
DATE Of PAYMENT
INTEREST
TAX CREDIT
AMOUNT PAID
DISCOUNT
S
+ S
s
s
=
+
=
BALANCE
TO
s
9Z+
93-
CODE
. REV.SIB FO (7.80)
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
NOTICE OF FILING OF APPRAISEMENT
George F. Douglas, Jr.
27 W. High St.
Carlisle, Fa. 17013
RE,
Estate of
County of
File No,
Craig H. SnYder
Cumberland
21-80-0537
Dear llr. Douglas:
You are hereby notified that the original
appraisement in the esfate of Craig H. Snyder
has been filed in the office of the Register of Wills of CumDerland
County on April 30 ,19t!L.. Said appraisement reflects the following valuations:
Real Estate
Personal Property
Jointly Owned
Transfers
Total
-0-
4,159.51
967.64
-0-
$5,127.15
As to such tax that is paid within three months from date of death, a five (5%) percent
discount is allowable. As to any tax thot remains unpaid ofter nine (9) months (fifteen months
when death occurred from December 22, 1965 to June 16, 1971, inclusive; ond twelve months when
deafh occurred prior to December 22, 1965) from dafe of death, interest at the rate of six (6%) percent
per annum is charged.
-
,
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Any porty in interest who is aggrieved by this notice may objecf thereto within sixty days
after receipt of said notice os provided by Section 1001 of the Inheritance and Estate Tax Act of
1961,72 P.S. 2485-1001, P.L. 373.
Date April 30, 1981
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'('I ., I , ) -A p ~ if ,] ; ,.
Signed
....
nde C~ciAp~dnr
NOTE: This is not a bill.
".'
w REV-457 0.S01
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
*'
Estate of
Craig 11. Snyder
File No. Ll-SO-0537
County
Cumberland
Date of Death ll-ll-llO
In the eYlnt that any futur.lntorest In thl. estlte I. transf.rr.d in possession or enjoyment to collateral heirs of the deced.nt aft.r the .xplratlon of any
estato for I1f. or for year., the Commonw8Ilth hereby .xpressly reserves the right to .ppr.l~ and alSOU transf.r Inherlt.nct taX8IlIt thl hrwful collltaral rat.
on any such future Interest.
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. TOTALJOINTL Y OWNED PROPERTY - SCHEDULE "E"
-0-
4,159.51
-0-
967.64
TOTAL REPORTED PROPERTY
5,127.15
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
TOTAL UNREPORTED PROPERTY
-0-
TOTAL GROSS ASSETS
5,127.15,
LIFE ESTATE OR ANNUITY CALCULATION
I do hereby certify thntthc nbovc appraisement is mnde in conformity with Pennsylvania law and has been filed this day
with the Register 0 f Wills,
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APPRAISER
4-30-81
DATE
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APPLICATION TO
TRANSFER SECURITIES
FILE NUMBER:
COUNTY 21-80-537
REV-S 17 EX+ 12-00)
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
REVENUE
NOTE: THIS APPLICATION MUST BE FILED IN TRIPLICATE WITH THE REGISTER OF WILLS FOR THE
COUNTY IN WHICH THE DECEDENT RESIDED ATTHE TIME OF DEATH.
Name of Decedent:
~....<4g 11' ~"'yd"''''
DATE
~.:ar~h '} r 19~]
Date of Death: "ngna;- 1 1. ' npn
Address of
Decedent: Tgli.;I !IQIl1P
(C,,~Mik~1JiMJ
(STATl'Jl'l.. (CouNT~mnLerl~ud
DESCRIPTION OF SECURITIES:
10
(NUMBER OF 5HARES)
conanon
ICLASS Of STOCKl
c.
Froq, Gwi tob & Hf.::l" CO.
(NAME at" ISSUING cOM NY)
b.
1. Stocks a.
d.
1\pril 20, 1972
(DATE OF ISSUANCE)
1,120.00
(DATE OF DEATH
TOTAL MARKET VAl.UE)
e.
2. Bonds a.
b.
c.
(MATURITY DATE)
(FACE AMOUNT)
(INTEREST nATE)
d.
e.
f.
(DATE OF DEATH
TOTAL MARKET VALUE)
(NAME OF ISSUING COMPANY)
(DATE OF ISSUANCE)
The securities are registered as follows,
o Craig Hays Snyder
(NAME OR NAMES IN WHICH CERTIFICATES ARE REGISTERED)
Name of Applicant'
Address of
Applicant:
~.c1n""'Jn ,... f\o"'Jlqg, ~r
p ('I "OX i~l
cumberland
'7 '" l'i'Jh <;t
Carlisle, Pa,
(ST ATE)
(COUNTY)
l'/ (\,
/~rr1' 17!~j
(SIGNATURE,V I
ICITY, BOROUGH)
CONSENT TO TRANSFER SECURITIES
I hereby consent to the transfer of the above securities and waive the filing of a certificate certifying to the
payment of the transfer Inheritance Tax.
9~a~~~L~ /fr/
CREDITS
The Accountant herein credits himself with the
following:
Hoffman-Roth Funeral Home
Register of Wills, Letters, I short ctf.
Cumberland Law Journal, adv. letters
Evening Sentinel, adv. letters
Ronnie Clippinger, 1980 income tax return
Register of Wills, filing inventory
Register of Wills, filing debts and deductions
Todd Memorial Home, last bill
united Telephone, last bill
Register of Wills, filing first and final
account
George F. Douglas, Jr., attorney fee
Anne M. Cox, notary
Register of Wills, inheritance tax
George F. Douglas, Jr., Executor's fee
TOTAL CREDITS
RECAPITULATION
862.00
22.00
12.00
18.00
25.00
6.00
3.00
235.00
12.55
35.00
300.00
5.00
273.55
300.00
$2,109.10
$5,994.79
$2,109.10
$3,885.69
TOTAL DEBITS
TOTAL CREDITS
BALANCE FOR DISTRIBUTION '~' J
L I .f
/h'1)' f~ ~,~Jfl~~ A
George/ F. Doug1a'f, j!r.
L.. _II 'JU I Hvt 5~1'i
COMMONWEATLH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
George F. Douglas, Jr, being duly sworn according to
law, deposes and says that he is the Executor of the Estate
of Craig H. Snyder, deceased, and that the facts set forth
in the foregoing First and Final Account are true and correct
to the best of the affiant's personal knowledge or information
and belief.
1 I~->:-- /'
, I ,
/ / ~"
/----"'1'/ ~,-~,I<., /'
, / I
George F. Douglas, Jr.
Sworn to and subscribed
before me this -;1 day of
March, 1981
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BF&Rl
Docket No. 1- H\,712
....
;.. <
IN RE: Est. of Crl'llg H. SnydG)I"
CUI\berl "nl:. County
Gc-orol.l tiouq! :15, Jr.. l':xccutor
PETITION FOR ~EFUND OF Transfer Inheritance Tax.
AND NOW TO WIT
A. D. 19
, I certify
that the following is the action of the Board of Finance ,and Revenue
of the Commonwealth of Pennsylvania in this matter:
"And now to wit
AUG 3 198\
A. D. 19
liD, r<:fUl1i..' Is i'{~I"t';b\f gfi:lOtco in t'1!~ 1~.j\"),.JUnt e)f $76.05."
: ~." '.
. '.'
.
-'.'- .:.! '."
BY ORDER OF THE BOARD OF FINANCE AND REVENUE
State Treasurer, Chairman
Auditor General
Secretary of Revenue
Attorney General
General Counsel
ATTEST:
Secretary of the Commonwealth
//"
~~/ //' /a 9.-:l~""""'':
~. <://", vc/ /1' ..
Secretary, Board of ~nce and Revenue
Mailed to:
fir. Lp.-(;r9'~ r. '.lOU:;;135, Jr.
':.\ 7 fl. ili (/i Stre.;t
CGrltsla. p~ 1701]
on
, Hj:/3<:.s
REV.eOl EX (Hal
INHERITANCE TAX REFUND CALCULATION SHEET
ESTATE OF C {:.' III e 1-( , S/U Y f) rt.. If!
fI (
COUNTY OF l.: II //1 (;~ C /'..' L r1 ,t' i\
DATE OF APPRAISEMENT '-Ii 3" I f /
STATE FILE # ;!/ - r () - () =:-- 3 7
DOCKET # J f7 / ,;t.
(
REAL I.:ROPERTY $ 0
. Lf I 171, 5- I
PERSONAL PROPERTY
TRANSFERS u
c...
JOINTLY HELD PROPERTY it 7, (, Lf
.
GROSS ASSETS SI ;;L 7. 15-
LESS DEBTS AND DEDUCTIONS /S3C [-~j
::J
,
CLEAR VALUE $ 3:1 c / /'0
1 ,
. ,
TAX@6%~
$
I 'i ?, :'-0
LESS 5% DISCOUNT ON $
PLUS 6% INTEREST FROM:
TO,
REFUND CLAIMED: $
'-j/ll 16 .
j{;,O(,
/11,c;-()
.
,977,S-6-'"
) 6 ' O.r-
DATE" ~I '1/ t' / _ _
REFUND DETERMINED: $ 70 ( 0.5
$
NET TAX DUE
LESS TAX PAID
REFUND DUE
CALCULATED BY,