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No. 21.80 5.1'1
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
LOUISE S. ZELLERS
, deceased.
MARY' C. LEWIS
To Fl;"I.r:u el C. .~,fl88r8!l R, Register of Wills for the County of Cumberland,
in the Commonwealth ot Pennsylvania,
IS
Petitioner(a) me the executOL- named in the Lost Will and
Testament of _Loui '''. g, Zeller". dated Mav 17. 1969
Decedent wos a citizen of the United States and a resident of
Township
~QSgjq, Cumberland County, Commonwealth
East Pennsboro
af Pennsylvania.
Decedent died on
Wednesday,
the 20th
day of February
, State of
A. D. 19.J!L, in the County of Cumberland
Pennsylvania at the age of 96 years.
~ Jbo&: her
Decedent has not been married and has not had children born to Jdltim
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
SlL 729.80 and of real estate to the value of
None
as near as can be ascertained; said real
estate situated as follows
alpl~~
Therefore, your petitioner(~ respectfully applies for the probate
of the said Last Will and Testament ond for Letters Testamentary thereon.
Dated Auqust 19 , 1980
Name and address
of Petitionedx)
~,~<,.<- U1.~~~/
Thomas C.~ llers, Jr.
442 State Road
West Fairview, Pa, l7025
COMMONWEALTH OF PENNSYLVANIA f
ss
COUNTY OF CUMBERLAND
Thomas C. Zellers. Jr..
named in above application, being duly sworn according to law
say(s) that the statements set forth in this petition are true to the
best of his knowledge and belief,
~",,,,.n and subscribed before T/~,,, CI.L . C~ ~- (!'/,: _"/_IL.
Thomas C. z~l1fers, Jr.
, ~rJju
me Auqust 19, 19 80
q~ ~? .~ ,Vr:J
. h cl . /,,~ ~8f1, Register
Filed;
0< l-rtJ-S'~'T
AUgUBt 19, 1980
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Attorney: Robert L. Myers q;r .
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PI~NNSYLVANIA I S5:
COUNTY OF CUMBERLAND \
This......,...... ..~9.:t.h.... ..... ..,... ,............... ......,. ..... ,.. day of... ....b.Ug.ust......., ...... .......... .......,.... ....... A,D.. 19.. ~.O...
before me R:"I.11lft Ii: A'I,ln."nh, Register for the Probate of Wills and granting letters of Administration
in and for said County of Cumberland, in the Commonwealth of Pennsylvania. personally came ..............
...';J;'h9.m<!:\'!...+."..~.Y.!'1,;:\'!...'!:m:!...~9J?!,!;J;'.i;,.J:.. ... .~'y'!,!!;.~".g.*.~...". ...,.,. ..... .',.. ..... ........ .,.....,.............................. ......
the subscribing witnesses to the foregoing instrument of writin!( purporting to be the last Will and
Testament of .......J:!\?~~R,~..~.'...~,~g,~,~I?................,......,..,........,...........,...... Dated ...,!1!!-.Y...J.?,1,..J~.~.~f........
late of ..........~.<!:~ :t;.,..~!9.\\p.I?)?g);.9. ..';J;'.9.w!).,i?hA-p./.... ......,......,....,..,' ....,........... Cumberland County Pa.. deceased
who being duly ......i?~\?];'.n.......................,.. according to law. depose and say, that ..J):I,~y..~!'!~.~................
present. and saw and heard the testa,..t.!=:,i,)!;..,.................. .....J:!9.':\j.,!l.'?...~.,...~.~pgF.I?.................................
sign. seal. publish. pronounce and declare the said instrument of writing as and for h.~r,.......... Testament
and Last Will, and at the time of so doing .....s.h~.............,........,.........,.....was of sound and disposing mind
memory and understanding. to the best of .......th~i~............................knowledge. observation and belief.
..q~~fL.~....................
R."L....el. l.:.on, R4i;ter
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........;~~.{~f.~~~'ii.('!~.!:..\..............
....~~g);.I)................................ and subscribed before
..................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA l ss:
COUNTY OF CUMBERLAND \
....';J;'hgm~\'!..g'....~.~t!,,!'!F..l?I...g.~.,.,.... ..,. ..,. ........ ...,.......,........ ........ ..... ..... ".......,......,.................,.........being duly
.....s~Rk.n................................ says that as nearly as can be ascertained the said decedent '..,..,..,.................
...~.l?!:l!~~...~.:...~~.~~~.;::!.(.......... ........ .... ........ ...,.......,.. ,...... .,....' ...... .... .....,........ "..,........................,.......died on
...W.~g!}.<<?~g~.Y.......................... the ......~Q:t;.,h......,..........day of ......~.f!:~~.~~:;X....,..,.................... A,D., 19..8,Q..
at or about ............................J.........., o'c1ock, l:\;,M,
....S~QX'.n.........................,..........and subscribed this
....~9.~.................................. day of ..i\..'rlg!.\i?,j;~..,...
19. .~.~.... before
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
COUNTY OF CUMBERLAND SS:
Before me. the Register for the Probate of Wills and granting of Letters of Administration in and for
the County of Cumberland, personally came ...::r.1:l9mi\~...~......~~.+J~.J;.!i\~...';J);.,.,.........,......,............................
who. being duly .....iil,W9J',n......,...... do ~I>...... depose and say that as,...E)te,ClltOJ:'..............,..............,............
of the last Will and Testament of ..,..MQ~Jll~...~.....1\~.U~,~I>.r....,....'..,..,........,..........,......,......,..,....,deceascd
...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
Inheritances. .....s.wp~n,........... and subscribed
I
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before me.
....~\l\JJJ.at...19.,............................. A. D., 19..80......
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DECREE
Be it remembered that on the ....J.~.th.......... day of ,......~P.S.~~~............................, A. D., 19 ~Q...., there
was probated and recorded the last Will and 'l'estament of ....~g)i.,~!l~,..~.,...~!'1J;J&!=:!l................................,
late of ...?!'!.i?t...?~m1!i\p.g.+.g...'!:g!oi.I).!l)).~l?........,............ Cumberland County, Pennsylvania, Deceased. Letters
':!'.~!l ~ilro.li!.I).!<R-.+.Y.......................'"'' were granted to ...... ..~)).9.lJ)!'!.l?..~. ,.. .~.~;I, l~; I?,/... it;:....................................
Witness my hand and official seal the day and year aforesaid.
~.
........72~..
rZa.-c.J.
........................
. Register.
81.9
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55:
. _____Thomas__C.__Z.ellers, ~r_.,__ _. '. __ _".._ ._.____._.________.__. ______ _______
being duly -sworn_._._______ according to law, dopo.es and says th.t ho .-i.s-the-Executor___,_
--.-.-----,---.---,-- ..-..- --. "'- '_hO 01 the Estato 01 -LouislLS._Zellers.,
I.t. 01 li:ilit: P",nnsbnrn Towm;h; P , Cumborl.nd County, Pa., deco.sod .nd thot the
within is an invontory mado by --.. _Thomas__c.._ Z.ellers, J:r.. _ __ ______, the ..id-EXe.c.ut.or
01 tho ontire o.t.te ol.aid decedent, consisting 01 all the porson.1 prop.,ty .nd roal e.tate, oxcopt re.1 ost.to outsido
tho Commonwo.lth 01 Pennsylvania, and that the liguros opposito each it.m of tho Inventory reprosent it's f.ir v.lu.
a. 01 tho dato of decodent's death,
Sworn
and subscribed bolore me,
~L 1&/L -~~.
E'~K
Thomas C. Zellers, Jr.
_~42 State Road
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Joytt! R. And."o.. Notary Pubfi,
Mr (ommin:on Ex.:ittS .luf, 25. 1983
1Imofc~. PA Cumberlind (ountr
_-Ne_s.t_..Ii'.air:llieN..-1'.a..--llQ2.5
Addron
Oat. of Ooath -----20---.._---_._.Febr.uar.y
Day Month
l'lRQ
Year
INSTRUCTIONS
I. An inventory must bo filed within three months alter appointment of personal repre.on!ative.
2. A supplemont inventory must be filed within thirty days of discovery 01 addition. I assets.
3. Additional she.ts may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act 011949.
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REV-449 (8.78)
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COMMONWEALTH OF PENNSYLVANiA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
~~*
~
ReSIDEHT UECEDEIH
courllTV OF SJJMaERI.oANO
._-
This r~turn muM be completed III dClail "Ill! filet! in ,hll)hc:lIc. .....ith .111 illluchcd. wilh Ihe Register or Wills of 1he
Coullt)' where dccc.Jcnt resided; R"llUlI i;~ lIue within nlllC 1Il1l11l1l.. after ualt" of dC;lth. t1l1lcs!' un l'XICIISiull i~ granted
h)' (he Secrelary ur RC\lcnu.:. (S.:ctiuI110J HI the Inheritance aud ESI:ltc Tax. Act t)r 1'161,)
IMPORT AHT,
___n
-
IN TilE MATTER OF TilE I~~TATE OF
} AFFmAVIT OF
~~~K
LOUISE S. ZF.T.r.F.RS
eSTATE f'U~L NAME OF OECF..nENTl
~ate or ~umb~tland.____.__
State.1 Pennsylvania
County
County of
Cumberland
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_THOl18.S ~mI.ERs.,_.IR.,
JUtI"Ild)Q)OXK of the o;slalD of Ihl] C1bove--namod d"c:edont being duly .wo''', dope.o S and soy 5
I 19 _AO_J leltote loo...1n9a 10.,,,,,111, cnpy 01 which is hf!rltluottnchltd.}
~iK~
EXtCUh..lf
Decedent die;:d 'Ft:Iohrn;:!l'"Y ?n
(MONTHl
Nome C1nd addresll of attorney or }
olh.r Quthorlud r.pr.lI.en'otl.... to whom
(Ill carru.pondenc. should bo moiled.
lOAY)
MY.BBS III. Esqui TF!,
1?O M~rk~r ~Trt:lot:lot
,
--RQ1'lF.1l'l' T.
.-...E.. o. Rnx 1'4, T.pmnynp, Pi'
J 7043
That as such Execntar..-._tlcponcnt i:i familiar with the affairs of said est~tc and the properly constituting
t EXECUTOFc-AOMltllSTRt. TOR:
Ihe c.sscts thcreof and their fair market value.
That at the time of death th~re was no safe ueposit box registered in dcccJent's individual namc, or jointly with, or
as agent or dcputy of another, or in decedent's individual namc, with right of access by another as agent or deputy. with the
exception of the following: -
NAME AND ADonES~ OF E1ANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A SAFE DEPosn BOX
THIS SAFE DEPOSIT BOX R.:.NTEO
IN NAME OR NAMES OF
RELATIONSHIP or JOINT
HOLDERS TO DECEDENT
-~=
That the contents of said safe dei){)sit box or boxes arc itemized under Schedules
with the exception of the following, for the rt:tlsons hereinafter set forth:
of this return,
Thai S~heJule A allached herclo and made pari hereof sets forth full)' and in detail all lhe real properly
in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the
mortgage cncumbrances upon each p:lrcel of real property at the date of death, gi\'ing the amount still due at
death, name of mortgagee, date, rate of interest. and book and page: of record thereof. It also sets forth in the
columns provided therefore the assessed valuation of each of said parcels, the estimated market value thc:reof
as of date of death of decedent.
That Schedule B attached herelo amI made part hereof sets forth fully and in detail all personal property
whercso\'er situat~d owned by the dcccdc;it at the time of death; all mun~ys left by the decedent at the time of
death, whcther in decedent's immcdjat~ possession, standing to d~ccdcnt's credit in banks of deposit, savings
banks, trust comp:lllics, 0; other in:;tinaiolls, whether individually, or in trust for any other person or persons
giving also separately the accrued interest thercon, jf any, down 10 the last interesl day prior to decedent's
death in the case of savings banks, and to the d::te of decedent's death in all olher cases; all bonds, poste.l
savings, treasury certificates or notes and other evidence of indebtedness of the United States to the de-
cedent; all obligations, whether by statute or agreemenl they :lre designated as tax free, of the United States,
or any state, or political subdivision thereof, or of any foreign counlry. which are owned at the time of death;
all wearing appalel, jewelry, silverware, pictures, books, works uf art, household furniture, horses, ,arriages,
automobiles, boats, and an)' and all uther personal chattels of whatsoever kind or n:::t.turc, left by decedent,
together with the fairly cstilllatcd mn.rL~t value thereof; all bonds and mortgages held by decedent anll ofal1
claims due ami owing decedent at the time of death, and all promissory notes or other instruments in writing
for the payment of money of which decedent died possesscd, of whatsoevcr nature, with interest thereon, if
any, giving the face valut: and estimatcd fair market value thereof, and if such estimated fair lI1arket value be
less than thc face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys
payable to the estate from life in~lJrancc policics carried by decedcnt; all annuity and endowment contracts
the pro::ceds of which were payable upon the death of the decedent; all and the corporate stocks and dividcnds
due thereon and unpaid as of the d.lte of death, bonds and accrued interest thereon to the date of decedent's
death nnd other investment securities owned by the decedent at the time of death, with the market value there-
of 81 such time. ~
7~~i~rJ:-;(t=t...~-=-.._,--
T~Cl'":"1.;;.....<::..:...?_e:.!,!.~E~J_....;r"r."J...-4..4_7......s_t.a.tl= Rd.
(St'I'eet Number)
Wes t...Fair:v:iew,_..P.a .......1-7.0 25..................,........
(City or Town and Sto.te)
In the case of S0Cllrlttes 01' clOSt~ or f'umLly cOrt1Crllt!ons, the VlllllfJ'S reportcd Rre liS fa.r as
possible subSll1.nttnlcfl b~' ftn'\J)c!'\l ~t.!\t~mcnts or t.he (:orpnrttt.1oJJs, shnwll1~ the 'lSs~t.q and HflhJ1!t.lcs
lht:'rcof' AS of the <tAtc of' (1f'!'l"'~I. 'rh~ schfldul(! also SI!ts forth t.hf' Inwr(!sl, of' IlcCf!ltent at the till1~ or
de nth 1n f:l.n~' co-ptlrlnf~rfihtr or )JtI~ln~:-1c;, /lnd If1 sIlflllflrt. 01' tl,,~ vllIII'~ of 'iu.:h lnt.crf!st thl!re Is I1nnexen to
salcl schedule, fllwncl'd :;;t'It,l'mmlt.~ showln~ thC!lssets nl1<111'\hll1tti>s 01' -"ulll co-Jll'\rlrlf~rsht(1 or hllslne'is.
,\ ('t'P~' of' thp co-pnrtncrshlfl i\1!.l"m'ml'llt, (If oral, n sli\tf~lT1...nt ~f.tt.tn~ ('ort.h th(~ Illltun' of t.ht! ~l.l;rl?~rr:ent)
togl'thflr ",Itll It stRtem~nt. St~t.tlu~ f'orth th.:o Cl1l1fllcter or th" hll'ilfH'''iS, Its loclll.llm, /tnrt sHch other ru.cts
p(Iortalntnp; to t.hl"! husinf'!ss liS mu)' 1m lwrtlnf"nt In 'I. flllr Mil) .lust nplJflllSlIl 0(' U"~ c11!codent's int.l!t'est
thl'rf'!ln must IIl'suhmltl,'d. It shulIld also set. f'urth In ltemltPd l~orm, tnJ!;(>tlll~r with tht"! ralr lnnrkfH, vahle
therf!ot', UIl)' other propl~rt~' oWTled or b~llllcnt.hell by the del:"""Il!, Itt Uw time of dNll!l.
The Schl'du/e C llt.tl1ched hereto anrJ mntle llRrt h~rr'of S'Hs forth n t.rue nns..,..p-r t.o eneh inquiry
contnlrwd therein unrt In the cn.sp. of' transfers nf'prupcrty, renl flr personnl, within two ~'enrs of tleeedent.' s
tlenth, In contp.mplt&tlon of decedent's dIH1t.h, or Int.cnd(Hl to t~kp. offroct in possession or enjoyment at or
after t:lp.nth, snlel scllf'rtule sets f'm'th the nllture nn'l \'n1u(I 01' such prot1ert.y, to whom trtlnsl'('t'rurl, the
rehtlonshlp 01' the transferees to the II~celhmt, tile prop"rl.tuflllt.e shure receJved lJy each trnnsf"llree and
nIl other fncts of a pert.inent nat.ure re~nrdin~ snlrl transfers. In the CIlSf~ ot' trllnsfers int.ended to
tllkp. wrrect in possession 01' enjoyment. nt or nfter flenth, there is ahu, nt.tllchcfl to the scherlulc Il copy
of' the deed, trust ugreement or ot.her Instrument crentlng the t.rust.. Therl~ is also s~t forth In said
schedule n list of nil propertr, reuI tlnd persnnnl, with 1 tS \'nlue, whlf:h IH1!::ses lit decedent's dOtlth by
virtue or the exercise by dccedimt, either indlvlrluull'J', orJlllnll~' with another, or any power at' uppo1nt-
ment. vested In decp.dent, ei ther indivirtuully or jointl y, by tlll~ will, deed, or other instrument of' anot.her,
wIth 11 copy of the instrument creating such power nttache,l I.U the schp.litlle.
That Sch(!dule 0 attache.! hereto find mnde part h(>reot' set.s forth thp. nllmes anti addresses of' all
persons henef'icially interested In this estate nt the time Ill' decedent' ~ rleuth, the natllre or their res-
pect.ive interests, their relationship, if any, to t.hl! rlec(!(tent, together with the ages at the time or
decedent's death of all minors, annuitunts and benefJcJaries !'or lJfe lInrll~r rtccerlent's W111. It also
contains t1 statement showing which of the heneflcinrie:;i named in the dececlent's wHl, if uny, died prior
to decedent, the rlates of their death, their issue, und the rl'luLlonshlp or such issue to the beneficiary.
Thut Sc/ledu/e E attached hereto and mllde a part her~of set.s J'orth all property, real and l'er-
sOllal, o\tmf~d by tile decedent Joint.ly with anotlHH' or others, incluel1ng Intangible, stlmding in the name
of the decedent Elml others, pIllS the date nnd place of record of instruments effecting the \ocstiture or
real p.stl\te and the date of acquisition of personalt.y, plus the nllme, uddre5s sort relationship, 1r any,
of' co-owners to the decedent.
That Sc/ledu/e F attached hereto fl.nd mnde ft. llRrt hereor sets forth fUlly and in detail all debts
and deductions clllimed for nnr! on behal f of this decedentl s estn.te, inclurling funeral expenses paid;
family exemption, where applJcnble; costs of nrlministrntion of this estute; counsel fees and fUdiciary's
conunlssions paid or to lJe paid; cost expended for bul'ial trust.s, tombstones or gravemnrkers, anti reli-
gious services, in cOllsequence of the death of the decedentj debts and clnims owing fUlrl unpaid at time or
death; taxes accrued chargeable for p~rlod prior to t1.cccllent's dcath (except those nllowed under Section
651 or the Inheritance llnrl Estate Tax Act); together with 11 statement of collateral pledgert for ob1ign-
lions, if any. It 1s ugreed thnt the t'1duc1nry will pres{'nt proof of sllld claimed obligations upon re-
quest, that ir the nmount ncttlall~' paid in settlement o1~ llny fee, eommtssion or debt is less Uum the
est1mnterl nmount claiming und tlllo"md, that the snme will he rp.ported to the Hegister of Wills, and that
the amount of tnx assessed cnn be renssessecl in uccordnnce therewt tho
That ~he totllls of the aJlPl'oprlf~te columns in St:!hectules ".\", "B", tIC", "E", hlui "F" as dil'ected therein,
have been carried forwllrd anrl properl)' registered in the SummRr~'.
Subscribed and sworn to before me this
.......;J.~..._....
day of .~~~". . ......?: .:. ................ 19.....B.0..
~..R..A~
loy'. R. Anderson. Nol,ry Pubfi,
My COl1\mh~jon Ex"irc\ July 25. 1981
Lt'IIl1.,ync. PA Cumberland Counlt
sorE: nefore signing aft~l(lnvit mnke sure 1\11 hlnnk 5}1IlCI!S In UU! fll'fJrlnvlt nnn schedules nnn~xed nre
filled In with details or the word "Sone", nTlIi In case the lHiS('tS IlIcllld~ rure fl.nf) unlisted securities,
securities of close or fll.mll~' corpornUons or an interf!st In lll1~' cO-IHlrtncrshlp or business, t.hat the
rlnt8 ll.lIrl stntements rel]\li rell under the paru~~l'nph Ilbo\'~ l'Clllling to Schedule "0" are nttllchcrl. '\lsl.' make
ccrUtin that COllUM #1 in lhe "Sunrnary" hilS been prolH:>rly compl~tcd as I\ho\'e-tlirectecl.
. .
RC C.~4 {.&."l .
COMMOlIWI!AL TH OF PENIiSYLVANlA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "A"
REAL PROPERTY
.
ReQI property in PennsylvQnia, with statement of mortgage encumbrances upon each parcel 01 deQth of dece-
dent. Property held by the decedent QS tenant in common with another or other. should be identified
as to quantum of interest and the estimated value should be that of the decedent's interest only. (Property
held as joint tenants with righl of surviorship or tenancy by entireties should be reported on Schedule "E.")
The leal property IOCOfdd In the Commonwoalth of Pennsylvania should bo (1) (2) C31
dlllcrlb.d by lot and block number. streot and street numbor. together wltl1 aEPARTMENT
a general description of tho property, with a r.ference to the record of tho ASSESSED VALUE VALUA TlQN
conveyancct by which the decodont look tlfle; If a farm .fato number of a~ FaR YEAR OF ESTIMA TED CAUTIQN
cru; alto s'atement of mortiogo oni:umbroncu upon eoch parcel af death DECEDENT'S MARKET VALUE (00 not writ.
ef decedent. To_'ll., a.,oasmont" accruod Interolt on mortgages, IIle.,are DEATH In this space)
to b. Ihted on Schedule "F" and must nof be deducted from this schodule.
NONE
Insert this tQtal opposite "real property", Schedule "A" in Ihe X X X X X
"As Reported" column on Ihe last poge of this return.
NONE
N H1..U
-el91C
..
.
-REV-.t,t C8-1I51
*
COMMONWEAL TN OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT OECEDEHT
SCHEDULE "B"
PERSONAL PROPERTY
INSTI{UCTIONS: This Schedule must disclose till tangihle and inlullgihlc personal properly owned individually by the
decedent. at the time uf his death. Prupcrlyowned by the decedent jllirllly with lll10ther or others must be listed
under Schedule &IE". Intllngihlc pcrHouulllrllf)Crty, tilled in the nallle of the decedent, but payable at dClIth to another
or nlhels, including but not limited III P,O.I), U.S. Suvings Bonds lInd tentative trusl accounts, must be listed, despite
the fael that they arc nol fir the Ilt.lmil1istcrccJ CSlnle.
Tangible personal property shuuld he listed first (c.g. jewelry, \\'curing UPJliIfCI. household goods, and
furnishings, h(xJks. paintings, autllOlohiles, hu,lIs, etc.)
Intangible persollal properly, such ;:Hi bunds, treasur}' certificates, cash nn h:md and in bank. stocks,
mortgages, notes, together with accrued interest or di\'idends, salaries or wages, insurance pa}'uhle tn the cstl.ltc or
fiduciary in said capacity, partnership interests, interest in uny undistrihuted estate uf or income from Bny propert)'
held in trust under the will or agreement nf another, e\'en though I"cllted uu(sidc of the Statc, at the time of death,
should be listed in Ihi s schedule.
Item
No.
llliM
Lisl and describe fully
UNIT
VALUE
ESTlMA TED
MARKET
VALUE
DEPARTMENT
VALUATION
(Do not write in
this space)
1.
Cash
11,729.80
Insert this total opposite "Personal Property", Schedule "Ult in
the "As Reported" column on tIle last page of this return.
$11,729.80
I~ 73-1. 4'0
-ffjde
xx
,'"~~,,l\...E,\I.':'1I "F I'F\~~YJS.\\ I ,\
i'~{A\~F!:lt 1 \1:t':!lIT .~~t'F T \'\
SITFllI'IY"""
T'(\'\....TEI:s
"" t~ --
.,}~C..~t..
.... '.-.' ,-'
~ ...::",' :t
1(~1~v.::."" t\
\::':"i.;.::j..:::.~.#
~r.-1S
i:~>~ tllE\T 111-:<'FI11-"\''I'
ll) IIld ,1t'\'I>,I"III. 11\111111 1\\0 ~"','lI'S ut'I!";llh. ltldl.;y allY 1I':lIlS!'I'" fir "IIY 111:11.1'1'\011 lilli" or Ids l'St.IIU', I'IIt.holll.
rl'cl'I\'11l1!, II valllahlt' 111:11 IIdl'ltllllll' c'ollslclo'ralloll Ih"rl'l'or'.' (.\Ils",-,'r yl'S 01' lIu)_NO_
(~l III" "tl('I'tlt'lIt, within 'I\u ~1'llI'S III' l\l~nlh, 1l'II1lsl'pr Jlrflp"I'!.Y l"I'lIl1l Idlll.,,'11' to hlmsldr Hill! Illlo1thl'r or
,.thl'rs (tuellllllul!, II SJlUlIS") III .Iolnt U"illl'l'sh 1 1",' (,\nsl'."" ~'..s Ill' 110) No_
t:!) II" lllt~ IlIlSI'l'I'r In (I) (II' (:.n "IHI\'I' Is III Ill" Itf'f'lrllllll!Y" S!,ltl.l~:
(II) A~!,I' ul' c11'f~"I!l'1l1. al Ilml' 01' l.I'llll~;f'!r
(h) St.ull! 01' Ilf'I',.'dl!IIt.'S Illwl tll III tlllll' Ill' ll\lIklll~ I.lln I,rllnsl'l~I'. ('iul.l~ 1).
(e) Cnlls,' 01' Itflepf!pl\l.l S dl'lll It, (~otl' 1'.
(.I) llitll'l'Cel!I'nl., In IIh; Ilff'llmp, IIlllk" lIny I l'lIflSf'l'!' Ill' projll'rl.Y 1't1t.lu)lI1, rl!f:,d\'Jn~ n \'ltll1llll](' ur lUh~llullte
l:(Il1sicll'rllt,lofl t.herl!for wlllell WII:-i 1.0 I.llkl' I':'t'!'f!l ill pflS:-il~Sslnn 0" "n.lu~'llI'!lIt 111, ur llft.er his lleuth'!
(Allswj~r res ur IlU) _No
(It) \\as tlll'rl! all)' pns:-ilht I I t,y that 1.111' prop.'rt.)' I.rllllsl'''I'rl~d III 1).!;1 II. rl!t.IlI'1I lo trl1llsJ'l!rf.H or his
..stllll! /11' hI" stlh.ll'ct. to his I'fI......~I' Ill' clls(lIl:-illlull'! (,\IIS\\"~I' \,I'S 01' flU) No
(II) Whilt .....as l.hl~ t.rlmsf'nree' s 11;!;1~ /I t t Iml! Ill' Ilel~l'lh'lIll S "!'llt.lI? '
(:'j) nit! decethml. In his I I f'nl.I nLl! lnllkl! I1IlY trllllsf\~r wit.huut rel~I!I\'IIlA 11 \'IIItllllJlf~antlllllf"!C(lIllt~ consl.derntlon
rJlL'rl.!J'oJ' lIwll'r IIhlf'l1 l.rllnsl'j'rur l!xprt~ssly or Impl 1('111)' rl!St~r\'(!S for his liff! or any JlPrlcllt 'I\'hich clues
lint In I'Hl~L (!lid hefllrl! Ills dellth:
(Il) Till! possession ur f'u.lO)'IIIt!nt 01' ur tile rlg;IlL I.U income frum t.lH' prllJlert~' Lrllnsl'errCi:l?
(,\IlS\'i(~r )'PS 01' TIll) No
(h) Thl~ rl~hl. to fll!slgnntn the J1t~rsons who shull pnssl-'ss or IlIl.lOj' till! propertj' trllnsl'crrecl or
i IlI:OPle l.hl'rn n'om? (/\nswer j'f!S nr nn) ..Nn
(0) If the Ilns.....t"!r to (il) (11) ahove Is in the /lffirltll1tl\'e, Stlll.l~ whetlll_'r 111'.' rlAht. WllS reservml in t1ecec'!cnt
lllone or otllf!rS
(7) Uill dececlent In his 1Il'cltme mnke a t.rllllsl'er, t.h~ consl,lernl.iull for which WItS trllnsferce's promise to
puy income to or l'nr t,he I.I!tlef'll nf' I~lln~ of' trart:'il'l!ror? (.\nswel' Yf'S or no) No
(H) ))ill oecedentl Itl all)' tlmp, t.I'ilnst'f"!r pr()lll!rt~.. l.h(~ hen(!f'icilll en.l,)yuwl\l {II' which WitS suh,1ect to chnngc,
heCft1lse of' a rl!!il!r"'l~d poWt'r t.o illtPr, IIm1!1lI1, or rl'vnke, or which enlllf\ rl'Vl'rl t.o <lecf"!tlcnt. un(ler tcrm.<;
of trllnst'er or hy op.!rllt.loll nl' law? (,\llswI!r )'L'S or nn) No
(n) If the llnSwer to (H) U1HlVP is ill t)w lIt'fll'il\lltl\'C', IHlS t.l1I' powc!r {;o III IPr, llnlnllll, or I'lwnk(~ the inter-
est of th~ hCIIl"!rtl:lal'r I'l~sl'r\'(!d in !.Ill! ci..ced.....nt. alolle or the lIecedcwl awl nt.hf"!rs"
(Answer yes or no) No
~OTE1: The anS\'l'crS l.o I.heSf~ II1lOSt. tons Slllllllll he Sllllpnrteil h~' II f'flclnv I t. hy tllf"! u ttcfl\li ng ph)'s Ie inn as
well as u copy 01' the llealh CI.'I-U l'Icatt~.
SOT!~~: It' nnSIl'I~r tn lIllY of' the Hhnvt~ fIlwsLlnlls Is )'ps. s,~t. l'oI'th twin\\' II cJesel'!l'tlon of the property
transferred, it's rail' 1111II'kct val Ill! at .tltte of' IIC!/tlh, flutes or t.rallsl'l~rs !lud to whom lr/ll\sferrefl, with
reliltJollshl}l of' t.rllUsl'f'rl!f's to dec('rlenl. if'llIl)'. SIlIHnlt CliP)' f)f 1lT1)' trllst. ,It~f!lll)r instl'ument., Il'trnns-
fers nre clllimncl tn he non-tllxnhI!!, IIlso suhmit detHIII~il slut.emcnt. of' 1':Il~tS on wt,iI~h SHirl claim is bascd.
SOrE :J: List 1lI'jllll~llhlf"! "I'npt~rl.)' IIldow In Jnlllllll.!r In wldeh prf)\'ide'l ill Sf'hcllull!s A, B, or E.
!TEll
\IESCllIll1'l()S
~L\IU\.ET \' Al,UE
(l~stllTl1ttC(1)
I1I~P1'. VM.Ul\TIOS
Wept. Only)
NONE
Insert this t.ol.'ll oPJl0sltf! "l'rtIIlSr~r~ll, Sc!lr.'llu1p "e" 111 till'
"As IIp.l'ortp.d'' CoJIIl'1l1l 011 t.h~ last, fllt~C~ 0(' this rc.'turllo
NONE
N<m.-v
~
R(V-4U 18-781
CO~l\tONWE^LTII OF PENNSYLVAr-.1A
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
r~
t;.~.~ . ~
11 , i\w~)l
~: ~Ji;~
SCIIEDULE "DOl
BENEFICIARIES
DENEFICIARIES AND ADDRESSES REL,\ TIll~SIIII'
(Sta te full nRmes Ilnd addresses of all who ([{ Itep-children or SUR VIV Ell DATE INTEREST OF
have 8n interest, vesled, contingent or oUll~r- illl'gilimntc chilcln~ll IlECElJENT OF IIENEI'IClMtY
wise, in csuuc) are invulved. sel STATE VI'S lIJRTII IN ESTATE
forth this (nct,) Olt NO
Thomas " "o"o~~ .T~ C::n" v",,,, ~"'..,... ~n!l<
442 State Road
West Fairview, Pa. 17025
," T. "o"o~'" I Yes ll.du1t 50%
':14., ,n
Lernoyne, Pa. 17043
I -
- ---- '--- ~
-
Deponent further says that 011 the above-named beneficiaries are living at this time except below:
NAME
DATI; OF D~hiii
Ri:SIDEHCE
~
.sll:~
g~ :tt
:/I'"' C
'c ~ E
'e.:! ..:
-0,,-0
... e "
l B :
o ":l
_ _ u
= If: t:
'" ~ 0
... e Co
)'. ~
~ =:
SlJMM,\R l'
(\)
(As RCl'nrlc~)
Real Property
Personal Properl)'
Transfers
(S..:h. "A")
(Sc h. Un")
(Seh,6IC")
$
$
$
$
$
$___
Gross Taxable Estlltc
III
!- I-l
~ Z ":l .....
u ::l
" UJ v-
" ::0 " tl'
;;.. u CIl
UJ "
~ ... ..J ILl
C -<
..: VI -
0:: LL. ILl " =< H I"l
c.. 0 '" H ....
c.. '" ;; Q. H.j..l 0
" ..: "UJ .. Q. III r--
-" ~ -"!- . .-l ... -< CIl III .-l
0 !- !-..: CIl I-l '" I-l I-l
~ '-!- P< III C 0 Ill.j..l~
Z c !- ILl :z
.- 0", ~ " -< >ttON.
LL. UJ CIl .j.J 0- ::;: Mltl
IC 0 H CIl '0 .... .j..l P<
0 D ltl U '" . III X
.- 0:: 0 ILl 0 ..:1"':0 -
~ UJ ..:I Q.
d " Ul I-lIXlIll
~ !-
~ ~ " '" .j..lltl s::
'" !- c ,. I-l::;: . >0
'c ..: '0 c
... 0 III 00
- '5 ::0 ;: E .00 e
" E
:O="t:S ;; ~ ON. III
~~ c 0 l!:MP-<..:!
.J u U
. .
(2)
(As Ilclcrmincd)
$
$
$
$
$
$
R"CP:.JlI
COMllONWEALTII OF PENNSYLVANIA
TKANSFEI{ INIIEIUTANCE TAX
>"l'
." ~~,
i'" ,
~.~ ,,-
..~ " ..?
ItESIDENT OECEliENT
SCIIEIlULE "E"
JOINTLY OWNElll'lWI'ERlY
INSTRl'CTIO:"/S: Tills ...,'11..11111.' must dl~t'I(lSt~ 1111 I'rnp"rlr, ,'p:II ,'!J\,I jll'l''>flllaJ. o"flhl ',\ 111._' 1I1'."'lh'lIl .101111.1)'
"'1111 l\llll I hl'l' or 1I1hl"'s, 11l,~IIllIIIl~ 1Illllll~ltJII~S, sl."ndlTl~ III 111.-' Illt/1I" III' f.IH' 11,'e,'d"fI'- 111111 ntllfll's. 1.lst
rl'a! l'slull' flrsl, liS 1'lltirl't1t!s, nl" .lolllt. t.lm/luts, ~J\'lfI~ l,rlf'1' dl'serll'llr'll. liS ludlc"lIt,,+! llllll,!,' SChlldull-'
nA", 1,IIIS Um Ilul.l! I1l1d Itlnct! of rl~cC)rd nl' instrlUi,I.'llt. ('I'l'I.t:I.IIi;~ \,.!stlllll.n. t'lll. .111 1I11!. Include f'Ilt.Jrf~t1\!S
or 11111 Ill" slat..' r"111 t~stltll' VUlll\! In ('stule \,U]IIIII.I'III "0 1 llfTlIl. PI!rSllflltl proll'~l'tr Sllqul+l Ill! Ilstl!.1 a"i III
Schmlule "II", 11111"'; clatt! lIf 111:IIIIJsll,lon~ IIwl till! 111l111(', acldrl'ss 111,.1 r,'lllli'lns)III' (if' (lilY) Ill' CU-OWl1<'rS to
t1w dl~('I!lh'lI t.
rnlt
Vultit'
JI., "Cl'f1 tll~e
Shari'
Estlll.l'
VnllHlt.lllll
Iml'AIlT/.IIiNT VAJ.UA1'ION
Ct\l1TION-J)o nol Write
In ThIs (" 'lCt.!.
\'uluc or
El'ltll'(!
pruJlurtr
.nIue of
Ih!(:ed~11 1. t S
Int.l!I'cst.
NONE
Insert this totul opposlt.t! ".JOtllt1~" Owned I'ropl~rt.j'", Schedul~ "E"
in the "As Up-ported" CUlllMll on the IIHit pllgo of this ret.urn.
NONE
N 6'>tU
~
RCC.39'(8..q7)
(;ounty, Number and Name Cumberland
File Number--.U.-BO-544
Date of Death....-Februa:t:y_--20-,_19BO
Estate Nome J.!;;.I,.J;"ERS ,_.__.L~>-t!lSE___S~
IL,l.~,T NAMl) {J'II,~T NAMI.I (INITI....I.1
SUMMARY
COMMONWE.\L TH OF P EtlNSYLVANIA
TRANSFER INHERITANCE TAY.
RESIDENT OECEDENT
REPORT OF INHERIT ANCE HX APPRAISER
I, the unders.igned duly appointed Inheritance Tax Appraiser in and for 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 set forth apposite each ilem in the last column to the right in Schedules "A", liB", "C", and tiE".
Doted:
SeDtember 25. 1980
.Ai'"", /" /'-?!'/"A,J "j)
INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
I, the undersigiled duly elected Register of Wills in and for CUlllberland County, Pennsylvania, do respect..
fully report thot I have allowed dcducHons in the amounts cloimed by deponent, except as to tho~e items where a greater or
lesser amount is set forth in the last column to the right in Schedule 'IF", which greater or lesser amount represents thc sum
allowed as a deduction.
Dated:
REGISTb:H O. ....ILLS
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Joint-Held Property (Schedule EI
Transfers <<Schedulo C)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE FI
CLEAR VALUE OF ESTATE
ADJUSTMENTS
ODE (HARRISBURG USE ONL YI
00>
10>
20>
30>
REMAINDER APPRAISEMENT CODE
92+
s
2 8
40-
Valuation of life e5tates or ..,~
annuitIes......... ............._ s
PRINCIPLE
FACTOR
VALUE
ESTATE TAX ASSESSMENTS _ S
1=
t=
FOR USE OF REGISTER ONL.Y
~
COMPUTATION OF TAX
Tax on $
Tax on $
Tax on $
Tax on $
Tax on $
Exemptions
Total Estate
~,E
I
TOTAL TAX
S
$
$
$
$
$
C') As evidenced by Charitable
Excmotion Certificates Issued
by tho Secretary of Revenue.
Loss tax previously paid
BALANCE
Less 5% of tax if paid within
3 months after det:llh
E
$
$
s
BALANCE OF INHERITANCE TAX OUE
Add interest at role of 6% from
to
AMOUNT OF ESTATE TAX ASSESSEO
Estate tax paid
Bf..t,ANCE DUE
Add Interest ot rato of 6% from
to
s
S
S
S
1=
$
$
TOT /.L T AX BALAN CE S
PAlE> $
Supplemental Code.: (FOR USE IN HAP.R!SB'JRG ONL Y)
4B-Adju.tment
49+Adjustment
56-Annuity
6O-Life Ec late
92+R,:malnder Appraisal
9::-Rcmaindcr Deduction
93C-Chority
94_Remainder Residue
96-Succcssivc
Life Estate
FOR USE OF REGISTER ONLY
ADJUSTMENTS
NOTE: Whcre SlJb"{~Guenl tldjustm?nh ore made 10 the above computation of tax by the Register of Wills for proper reason
some ~j,oldd he 11,;.....,:1 bC'lo~,. '.vjtll o;l1orl c)rplanation. "
93-
~
I
I ... -,.j ...J Q)
.<:: 1-1
z III -< .,.j
.. UJ so: r!l ::1
'" ::e
" ~ -< tJ'
>- UJ :.: III
~ Ei c.. ril
-< c..
:.: 0 " -< .
Q., LI- 1-1 'S 0 H l"l
Q., 0 0 " H ...
!!! -< i!! .Q ..:: z: H4.l 0
1= . UJ 00 .... -< Q) r--
~ fo ... so: '" r- III Q) r-l
0 a; ~ u. -< so: c:: 0:: 1-1 1-1
c::
Z ... 0 ... OJ " 0 Q)4.l....
LI- ef) p., c.. Q., >1m N .
0 UJ ..... UJ ::;: l"l III
r-;;;-. 4.l 0 :.: 4.l p.,
:.: 00 .c . Q) ~
.S: UJ III - ..:1'>:0 .
;; r- ~ "2 I-Il'll Q)
f... " 4.l1ll so:
:: -< ..... " 1-1::;: . >c
'" 0
'c ::e ..... c:: Q) 0 0
c .... ~
- .00 s
='6 ~ c
'" E ON. CD
._'" ~l"lp.,..:I
::=-< " 0 0
...J U U
REV.o157 (l.OO)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
.'....
'.- .
- .
Estate of
J. 0 II /,5' e. r9 Ze. i 1(>,;;:, S
(~Nf)f~!AAJj
File No.
dl- <!O-ortJ'-/
County
Date of Death
,,2-,;J.o-$O
In thl ovent thet .nv uturelnteren In this estata Is trarldarred in pO$SlJssion or enjoyment to colllltBral heirs 0 t e decedent. ter t II explr.t on of any
est.te for life or for yeus, the Commonwealth hereby exprossly rosorves the right to appraiso and a!SOlS transfer Inheritance t/lXM at the lawful collateral rate
on any such future Interest.
PROPERTY REPORTED BY THE ESTATE
1. TOTAL REAL PROPERTY - SCHEDULE "A" . .
2. TOTAL PERSONAL PROPERTY - SCHEDULE "a"
3. TOTAL TRANSFERS - SCHEDULE "C" . . . .
4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E"
TOTAL REPORTED PROPERTY
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
TOTAL GROSS ASSETS
-o-
J .;z r. 80
TOTAL UNREPORTED PROPERTY
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.
...!2f.Jl.~ ,., / /J )/f / I' If d J('; )
APPRAISER
09/25/80
v. ~
~
\l,. ...
~ ~
N ~
.- ~
e; ~t~ \:)
~~
:z: l>l
0 :>< () ~
l>l ~ \.
In 10 llJ ~1
~ . Vt.
..:l \ "-
<: 10 ~ ~ ~ ......
- :z:
u Dc l)
- 0
1<0 - I~
1<0 ~ 0
0 ...... 1<0
~ ,,~ I<. 0 Z
!;; 0 '" :>< ... 0 0
I>l '" Z
- l>l !-o I>l Z
Z 0 ~ p:; ~ ~ l>l I>l
0 - 0 U 0
..;I ::;: Z
..;I Z ~ Z '" ~ 8 0 <( -
- Q "" ....l
at I>l
..- . ~~~\
OFF ICE OF THE
REGISTER OF WILLS
,~/ - ,$'(::;, -.5.;1
STATEMENT OF DEBTS
AND DEDUCTIONS
OEOUCTIONS ALLOWEO IN
REY.4&' (11-181
OF CUMBERLAND COUNTY
AND AGENT OF THE COMMONWEALTH
7:. '?~ c' V
ESTATE OF LOUISE S. ZELLERS LATE OF East Pennsboro Township, Cumberland
o County, Pennsylvania
DATE OF FILING APPRAISEMENT /- ;<,)-- Y,:;1 DATE OF DEATH F h :W' QRn
. , p rl1r1ry r
DATE NO. OF NAME OF PA TEE REMARKS AMOUNT
VOUCHER
? ,-- ,-- ... " "nm., 1 e:O':l Ic;c;
':l Ie: Ion O~n'" >, n"'~ n~n~~ '0 ,Q?
011 0 Ion n_..,; ...__ _" M; 1 1 ~ 0 ?1 nn
Patriot-News Co. Advertise Letters ?c: 1 1
~nmberland Law Journal Advertise Letters 18 00
1>"N;~"">" of Wills File RCC. D & D. & Inventol:' 9 00
"n~ ",.,., RCC D & D & Inventorv 4 50
T. ..- TIT "'~~ r.eaal Services A"n nn
, TOTAL $2,240 08
COMMONWEAL TH OF PENNSYLVANIA I
SS:
COUNTY OF CT1MRF.1H,IINn
I, Thomas C. Zellers , Jr.. 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 OF Louise S. Zellers
DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. 7
I...,:.-.If;-....A-I ~' J/(;fA/P~
DAY OF Thomas cc;7Ze_lers, Jr.
(L.S.)
SWORN AND SUBSCRIBED BEFORE ME THIS ::;l---..J...
.:S ---::v >0"", ,. 19.8.0-
..----=: ~_ LoA l.j' - ._
Joyce ~. Anderson, Notary Pubfic
"'v (Ofnr.liuilln bDiru July 15. 1983
LemO'int,' PA (umberl.nd (OUlltV
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
'*'
OFFICIAL NonCE OF
INHERITANCE TAX
ASSESSMENT
COUNTY FILE NO:
, '
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DATE
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c/;b1ILA~'l'i l-e-, G. ('~ /--/lJ'I.::'
Appraised Vllfue of Estate:
Real Estate
ESTATE
FILE NO,
COUNTY
/ :>
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........-c
I: ~'
/-(..( I~ "1'_#
//1.)
, ,. (I I
-
DATE OF DEATH
-~ / , j
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)
Personal Property
Jointly Held PropertylTransfers
Total Gross Estate
TOlal Approved Deductions
~ j' '-f/ ). I):?
/
s if L/. '? q 1')
" ' p
Clear Value of ESlale
less: Approved Charitable Exemptions
---
Clear Value of Estate Subject to Tax
d L/yC(. 'Ir').
Amounl Taxable @ 6% Rate
s
'1
)
.~ 'l.. -, r.
'j(/J '1:
I/'Y-q ''l::J.
I ,.. /
tax due
$
Amounl Taxable @ 15% Rale
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $ .0-/, I( ? 8
* * * * * * A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
s
+ S
= S
s
+
=
+
=
Interest accrues 8t the rale of six (61 percent per annum
on 'the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by
is
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
s /;;"'1.7,y
See Information on Reverse Side
~:::j!S-ji~H (Ii. "
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...._....___ !".: __ "'---'- ___ ... ~ __ .-.- -,,_....... -~ftJIi ....
...RCC4111/781 COMMONWEALTH OF PENNSYLVANIA
~No'J063381 DEPARTMENT OF REVENUE
=. . OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
II
'"
; RECEIVED
II
=
III
f
~
.
U
~ File No.
I Date of Payment
________________PIVB
HUNDRBD
lm:
Zellen
Robert L. Myers,
"^V ~24
III. B q.
~ress
'D In.
Lemoyne .
fa.
17043
21-90-544Dole of Death
2-20-1980
Otltnh",. :1,
1Q80
Name of Decedent
LOUIS! S
!7.1fT.t.1I!D~
Counly
Cumberland
~emarks:
-pai.d in fullM
I
'[j'OOD~[L~@&'[j'rn 5 E A l
NOTE: This Triplicate Receipt to be retained for audit purposes.
-
-.
SI~Y-NIYB & 38/100-------------
represenling Pennsylvania Inheritance or
Eslote Tal( due Irom the fallowing eslalu:
dollors
2lj( Tal( on
s
s
6% Tal( on
s
s.
15t/cTal( on
s
s
cA. Tall: on S
Estate Tox, Act of
May 7, '927
s
~
1/
e
I
s
TOTAL TAX CREDIT
less five perccnlum of lox if
paid within three months aher
dole of dealh
Plus interest at the rote of
_'kfrom
10
s
~';9 I 'e
s
s
TOTAL AMOUNT PAID
569.38
s
Received by
NOTE: In oceepling the Ironder inheritance 10l on fulure ",IOle,. prior 10 Ihe deolh 01 'he I,fe
lenanl or I.nonl lor yean, 0' evidenced by thh receipl, it i, understood Ihol .he Common.....ealth ,hall
nol be precluded or prevenled !tom hereoher aueuing odditionol inherilOI'lCt' 101 a' Ihe death ollhe
Ill. lenonl or lenonl for Veor' whenever U appears Ihol fu[h additional 101 may be legally due and
[ollectibl.lor any reoson whatloever.
!-------------------------------------------
i
"H."~ a1 .
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INliERITANCE TAX
ASSESSMENT
*'
For County Information purposes onll'
COUNTY FILE NO: i.) I Y I)
',1.-
, , .
;-
OATE <- /f"'"
~2 'n
ESTATE OF ( ,I ~jl'./)-,
,I
, ; I _ [ 1./ ~
FILE NO. rv ,
COUNTY OF !, " ;)
, "
DATE OF DEATH (.. i, , , j
TO: (~
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-------------------------------- -- - - --- -- --- -- --- ---- ----- --- -- _.-- ---
Appraised Value of Estate:
Real ESl8te
Personal Property
Joinlly Held Property/Transfers
$
Total Gross Estate
$
Total Approved Deductions
Clear Value of E'it8te
$
~
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
$
Amount Taxable @ 6% Rate
s
tax due
$
Amount Taxable @ '5% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $
S/"'1.-=<.,r
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
It) -;'.;l j/)
~. ,
$ (-,'I
~~/+ $
L-_
-- "
$ ...:; t,:'/;i ~,/
+
=
+
=
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
.('/
,. ,,'I
$'.' "
.. L..,
,"',
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Interest will accrue at the rate of SilC (6) percent per annum on the unpaid balance of
Inheritance tax from to the date of payment.
I "oJ', . / ",>' /'
Assessed by: I! ,,' \",'/~ i. '
A'olIlt1t for the:Commonwealth
-.\. ,
(t':7f3/rr-
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SEE REVERSE SIDE FOR INS1RUCT10NS
REGISTER OF 'NILL'S COPY
.-._-----~---~-- - .-- --- _.._--~-------