The URL can be used to link to this page

Home My WebLink About80-00556 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 55: RUTH _11.. YULLCHER being duly __filVorn..............-... according to law, deposes and says thot she._....is_._____' .__ ~E~yi,~~':I.~,j_~~~!_~.en!l.~t_ .. .... ._. of the Estate of -He1eILA.J1aasie late of Borough of Camp Hill . __, Cumberland County, Pa" de.c;eased. an.d that the ~urv~v~ng within is an inventory made by... ..her .______._.._ _______, the said_Joint,.terianl:- of the entire estate of said decedent, consisting of all the personal proporty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item 01 the Inventory represent it's fair value as of the date of decedent's death, Sworn to and subscribed beforo me, .~.!.r< 711. ::J .u.>>d....u.v' l<IlUfHiI'i~H~ Surviving Joint Tenant 3412 Bedford Drive ~" Wh 19 80 ~01["Ifir.-./ otary ub1ic GreQery I! KO'\'Iin, llnlory pubrtC My Comm:J~icn b,Ut1 hl~.=: 17, 1981 Harrisbul~. PA D.1u~1in Countl I .__Camp_.Hill., Pa ] 7011 Addr.n Date of Death __10th __.______.~p.ril Day Month 1980 Yeer INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets, 3, Additional sheets may be attached as to personalty or realty 4, See Article IV, Fiduciaries Act of 1949. % I ~- I .... \\ .... <) ...1 ;r: 'I'" >- I ~I .,; t- W ) .. ~ ;<l ~ ~ '" t- oo \,\) w ~ t.J .. ~ "- " \ 0 Vl HI 'H .. .. ~ 0 W W C '" ... :r: '" en, 0 " .. I- "- en! "- c .....:.. z t- ...J L1. oo ~ ...J <: 0 ~i ~ 0.. 0 L1. :I: "\'i i w 0 <: w ,:. I > z '" <I ::l - <: Z 0 0 c I 0 k " 0 II Vl z 0 '" 0 U Z w <: z' l'Q "- r.Ll1 ""0 c " ....:II oo I r.Ll: - -.:: I ;r:, 0 .. '.'l .0 'tl -" " E , - ..2 0 ',.: I oo " u: 0 ...J U '" -..::: , ' REV.451 (1".80) . COMMONWEALTH OF PENNSVLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT *' SCHEDULE "6" PERSONAL PROPERTY (lnstructiolls 011 Reverse Side) Estate of HELEN A. MASSIE ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION NO, VALUE VALUE (OFFICIAL USE ONL Y) 1976 Grand Torino $1,350.00 TOTAL THIS PAGE $1,350,00 OS-O,Of) ~ REV-45Z Ii-sOl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT ESTATE OF_ SCHEDULE "C" TRANSFERS .~~ ~ HELEN A. MASSIE INSTRUCTIONS: 1. Answer the Questions on reverse side. 2, If the answer to any of the Questions on the reverse side is "Yes," provide a descliption of the property transferred per Schedules "A," "B," or "E," its estimated market value at date of death, dates of transfer, to whom transferred and relationship of transferees to decedent. Attach a copy of any trust deed or instrument relating to the transferred property, ITEM NO. DESCRIPTION ESTIMATED DEPT. VALUATION MARKET VALUE (OFFICIAL USE ONL YJ NONE TOTAL THIS PAGE -0- ,if'{ift -0- QU ESTIONS CONCERNING PROPERTY TRANSFERS . . 1. Did decedent, within two years of death, make any transler 01 any material part of 11is estate without receiving valuable and adequate consideratinn? (Answer "Yes" 01 "No",) No 2. Did decedent, within two years of death, tmnsfer property Irom hil1lseif/ herself to himselr!herself and another party or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) -1ID 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 Iife/ime, make any transfer of property 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".) Nn a. Was there any possibility that the property transferred might retur~to transferor or his/her estate or be subject to hiS/her power of disposition? (Answer "Yes" or "No".) 0 b, What was the transferee's age at time 01 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 Ule right to income from the property transferred? (Answer "Yes" or "No" ,) No b. The right to designate the persons who shall possess or enjoy the property transleried or income therefrom? (Answer "Yes" or "No",) ~o 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 baleficial enjoyment of which was subject to change, because of a reserved power to aller, 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".) No REV.453 (l-BO) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT OECEOENT SCHEDULE "D" BENEFICIARIES *' (Instructions on Reverse Side! Estate of HELEN A, MASSIE BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DECEDENT DATE OF BIRTH INTEREST OF BENEFICIARY F 1 her 3412 Bedford Drive Camp Hill Pa. 17011 Sister Yes of a e exce t for a of decedent I s interest in the rea Ruth L Bom 3412 Bedf~rg Drive Carn Hill Pa. 1 011 N ne Y rited part of decedent's interest r The above beneficiaries are living at this time except for the following: . oint tenant U,S. Sa: s Bond in the face alIDmt of 1 000.00 issued in Jul of 1968 as indicated 00 P e 6 of Schedule E. NAME DATE OF DEATH . REV-454 (1.891 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY ~...J?\X~ -~\ (/nstrllcr;ons 0" Rcverst~ Sic/e) Estate of HELEN A. MASSIE . .. - p TOTAL E VALUE OF DEPARTME ITEM R NO. DESCRIPTION MARKET c DECEDENT'S VALUATIO VALUE E INTEREST {Official U,n 0 N T U.S. Series E. Savings Bonds in " ti the joint names of Mrs, Helen A, lt1tP' '\.c" Massie or Miss Ruth M, Fullcher 1',...0 i f C/)'J 1'.:;" "'rl." Face Value Date of Issue \.(: ,{. ,/ $25.00 September 1966 $38.06 $19,03 $25.00 July 1966 $38.06 $19.03 $25.00 July 1966 $38.06 $19.03 $25.00 May 1966 $37.67 $18.84 $25.00 April 1966 $38.89 $19.45 $25.00 March 1966 $38.89 $19,45 $25. 00 February 1966 $38.89 $19,45 $25.00 January 1966 $38.89 $19.45 $25,00 December 1965 $38.89 $19.45 $25. 00 October 1965 $38.77 $19.39 $25.00 September 1965 $38.77 $19.39 $25.00 August 1965 $38.58 $19.29 $25.00 July 1965 $39.83 $19.92 $25,00 June 1965 $39.83 $19.92 $25.00 May 1965 $39.61 $19.81 $25.00 March 1965 $39.61 $19,81 $25.00 February 1965 $39.42 $19.71 $25.00 January 1965 $40,70 $20.35 $25.00 December 1964 $40,70 $20,35 $25,00 November 1964 $40.44 $20.22 $25.00 October 1964 $40.44 $20,22 I . $25.00 August 1964 $40 . 25 $20.13 I $25.00 August 1964 $40.25 $20.13 $25.00 June 1964 $41.56 $20,78 $25.00 May 1964 $41. 29 $20.65 $25.00 April 1964 $41. 29 $20.65 $25.00 March 1964 $41.29 $20.65 $25.00 February 1964 $41.09 $20.55 $25.00 January 1964 $42.43 $21. 22 $25,00 November 1963 $42.17 $21. 09 ~25.00 October 1963 $42.17 $21.09 I 25.00 September 1963 $42.17 $21.09 $25.00 August 1963 $41.96 $20.98 $25.00 July 1963 $43.32 $21. 66 $25.00 June 1963 $43.32 $21,66 $25.00 April 1963 $43.00 $21. 50 I TOTAL THIS PAGE $725.39 L NT N nlv) REV-454 (J.S9) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT CONTINUED - 2 SCHEDULE "E" JOINTL Y OWNED PROPERTY (Instructions on Rel'orse Side) .., ~ - .,' I Estate of HELEN A. MASS IF. I' TOTAL E VALUE OF DEPARTMENT ITEM R DESCRIPTION MARKET c DECEDENT'S VALUATION NO. VALUE '1.J INTEREST (Officia' US" Gilly) T .-.- ,i' ~ Face Value Date of Issue r, t~t ...ALL .' ~25.00 March 1963 $43~. 00 $21. 50 25.00 February 1963 $42.80 $21. 40 $25,00 January 1963 $44,19 $22,10 $25.00 December 1962 $44,19 $22.10 $25.00 November 1962 $44,01 $22.00 $25.00 September 1962 $44.01 $22,00 $25,00 September 1962 $44,01 $22.00 $25.00 July 1962 $45,12 $22.56 $25.00 June 1962 $45.12 $22,56 $25.00 May 1962 $45.01 $22,51 $25.00 April 1962 $45.01 $22.51 $25.00 March 1962 $45,01 $22.51 $25.00 February 1962 $44.69 $22,35 $25.00 December 1961 $46.14 $23,07 $25.00 November 1961 $46,01 $23,01 $25.00 October 1961 $46.01 $23,01 $25.00 September 1961 $46.01 $23.01 $25.00 August 1961 $45.50 $22,75 $25.00 July 1961 $46.98 $23.49 $25.00 May 1961 $46.84 $23,41 $25.00 April 1961 $46.84 $23.41 $25.00 March 1961 $46.84 $23,41 $25.00 February 1961 $46.31 ~23,16 $25.00 January 1961 $47.82 23.91 $25,00 December 1960 $47.82 $23,91 $25.00 October 1960 $47.72 $23,86 $25.00 October 1960 $47.72 $23,86 $25,00 August 1960 $47.18 $23.59 $25.00 July 1960 $48.71 $24,36 $25.00 June 1960 $48.71 $24,36 $25.00 Hay 1960 $48,63 $24,32 $25,00 April 1960 $48.63 $24,32 $25,00 March 1960 $48.63 $24.32 $25,00 January 1960 $49.64 ~24,82 $25.00 December 1959 $49.64 24.82 $25.00 November 1959 $49.53 $24.77 $25,00 October 1959 $49.53 $24.77 $25.00 September 1959 $49.53 $24.77 $25.00 August 1959 $48.98 $24,49 $25.00 June 1959 $50.57 $25,29 $25.00 May 1959 $50.72 $25.36 TOTAL THIS PAGE $959,73 '- ! I i I i I I I I I .... ~ ~ al' .... Izl 0 ..; ..; H :> '" ~ '-'l CIl 'M .... ~ >- >- CIl l-l >- ..J ~ ~ . Z <II 't:l 't:l P,. g 0 . l-l I ~ < 0 ....~ .... III ll-l l-l ;:l Z 't:l .... al ..J Izl al 'M 1 < ...:l I'Q :1::. Izl d 0 Z :1:: C'l (.) ti: 0 .... I'i ~ E: I ..:t ctl C') ~ 0 - i- 0 Z ~ ~ Z i- f-. ~ Z ..J 0 ;;; 0 ;:: IX Z :<: ~ ~ ..J Z Z 0 ::.> u l:J Z - 0 Vl 0 0 0 ..; :J ::: < ~ ..; u Cl "" 'lSaJalU! S,luapaoap a41 jO anlB^ la)jJBW a41 a1BOlpuI 'v 'lSaJalUl S,luapaoap a41 jO aDBluaOJad a41 a1BOlPuI 'E: 'A1JadoJd paUMO A11U10! a41 jO anlB^ 1a)jJew IB101 a41 a1BOlpuI 'C; 'pa4S!lqBlsa SBM dl4SJaUMO lU!O! a41 alBp a41 pUB (5) JaUMO.OO a41 jO 1uapaoap a41 01 d!4SUOnBlaJ pUB SSaJppB 'aWBU a41 apnlOU I '"8,, alnpa40S JOj SUO!lonJ1Su! a41 ul pa1Bolpul se AlJadoJd leuOSJad liB aq!JOsaa ',:'if" alnpa40s JOj SUOllOnJ1SU! a41 U! pa1eOlpu! se A1JodOJd leaJ liB aq!JOsaa 'L 'lSJlj a1elsa leaJ lS!l 'papnlOU! aq 01 OJe A1JadoJd alq!Due1U! pue alq!DUe1 4108 'dI4SJO^I^JnS jO 14D!J 41!M sluBUal1U!0! se SallJBd JO AlJed Ja410ue 41!M A11U10! 1uapaoap a41 Aq pauMo 'leUOsJad pue IBaJ 'AlJadoJd liB apnlOU! lsnw "3,, alnpa40s "3,, 31na3H:lS DNI.l31dLNO:llJO:l SNOI1:lnl:l.lSNI .. , , REV-4S4 (.l.lI~)} COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT CONTINUED - 3 SCHEDULE "E" JOINTLY OWNED PROPERTY ~~,...~~' ' ';,rI.1 :\ .~~, T vi (Instructions on Reverse Sic/e) Estate of HELEN A. MASSIE ITEM TOTAL PF VALUE OF DEPARTMEN R NO, DESCRIPTION MARKET cE DECEDENT'S VALUATIOi'1 VALUE N INTEREST {Officiol Us.~ 0'11 . T . Face Value '1(., Date of Issue " (. ~25.00 April 1959 ~50. 72 to- $25,36 25.00 March 1959 50,72 $25,36 $25.00 February 1959 $50,72 $25,36 $25.00 January 1959 $50,72 $25.36 $25,00 November 1958 $51. 53 $25.77 $25.00 November 1958 $51. 53 $25.77 $25.00 September 1958 $51. 53 $25.77 $25.00 August 1958 $51. 53 $25.77 $25.00 July 1958 ~51.53 $25.77 $25.00 June 1958 50.94 $25.47 $25.00 May 1958 $52.37 $26.19 $25.00 April 1958 $52.37 $26,19 $25.00 February 1958 $52.37 $26,19 $25,00 January 1958 $52,37 $26,19 $25.00 December 1957 $51. 76 $25.88 $25,00 November 1957 $53.22 $21.61 ~25.00 October 1957 $53.22 $21.61 500,00 January 1968 $715.60 $357.80 $200.00 March 1968 $286.24 $143.12 $200, 00 January 1968 $286,24 $143,12 $200.00 April 1967 $298.08 $149.04 $100.00 July 1968 $140.24 $70.12 $100.00 January 1968 $143.12 $71. 56 $100.00 August 1970 a128.3~ l,ti',GO $64,16 $100.00 August 1970 128.3 ;;.r, "" $64,16 $75.00 March 1968 $107.34 $53.67 $75.00 April 1967 $111,78 $55.89 $50,00 February 1967 $74.52 $37.26 $50.00 July 1967 $73.00 $36.50 $50.00 November 1967 $70,70 $35,35 $25.00 September 1957 $53,22 $26.61 $25.00 July 1957 $53.22 $26.61 $25.00 June 1957 $52.61 $26.31 $25.00 May 1957 $54.08 $27.04 $25.00 April 1957 $54.08 $27.04 $25.00 March 1957 $54,08 $27.04 $25.00 February 1957 $54.08 $27.04 ~25.00 December 1956 $53.35 $26,68 25,00 December 1956 $53,35 $26.68 $25.00 October 1956 $53,05 $26.53 $25.00 September 1956 $52.44 $26.22 I . TOTAL THIS PAGE 2,005.17 - . .... -'- ~ ----..:,""'~, I I .-Ii I .-II p:: r:::; al! gl <<: <<: ~ ,~I "" "-l H .-Ij ~ ;:.. ;:.. Ul ~I ,I ~ Ul 'tl ~ Ill' ~I z P-< 0 ~I "-l <<: .-I 1-<1 '" 'tl .-I alj ;:::l Z al ,.I ~: ...l ~, I'Q ::<:1 <<: H uI - z ~ ~ rr u .-l - 0 ~ 1= -:t ctl ~ <"1 U 0 <<: l.'- 0 ~ ~ >:.. E- o Ul 0 Z ci '" "-l Ul ;:.. E- d ~ E- "-l E- "" Z Z ,.J ci ci -< p:: z ::<: "-l - a ;:::l u "" ,.J z "" Z E- " Z - Q '" Q 0 0 -< ::i :: <<: "-l -< U a c.. 'ISaJalUl S,luapaoap alp )0 3n10^ 13'1JeW a41 aleolPul 'v 'ISaJ3lU! s,luapa03p a41 )0 a6elUaOJad a41 aleo!pul '8 'AIJadoJd pauMo Al1u!o! a41 jO anle^ la'lJeW lelol a41 aleo!pul 'Z 'pa4S!lqelsa seM dl4sJauMo lU!O! a41 alep a41 pue (5) JaUMO'OO a41)0 Iuapaoap a41 01 d!4suO!lejaJ pue ssaJppe 'aweu a41 apnloul '"8,, alnpa40s JOj suo!lOnJISU! a41 U! paleO!pU! se AlJadoJd leuosJad lie aqposaa . ",</" 31npa4os JO) sUO!IOnJISU! a41 U! paleO!pU! se AIJadoJd leaJ lie aqiJosaa 'l 'ISJ!j alelsa leaJ IS!l 'papnIOU! aq 01 aJe AIJadoJd alq!6uelu! pue alq!6uel 4108 'd!4SJO^!^JIlS)0 ILJup 41!M slueUaIIU!o! se sa!lJed JO AlJed Ja410Ue 41!M AIIU!O! Iuapaoap a41 Aq pauMo 'leUosJad pue leaJ 'AlJadoJd lie apnlou! Isnw "3,, alnpa40s "3,, 31na3HOS DNI.L31dINOO l:lO:l SNOI.LOnl:l.LSNI .. REV-454 (.1.891 COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT CONTINUED - 4 SCHEDULE "E" JOINTLY OWNED PROPERTY .,?-{..~ . ::t' , ~'~l\ (Instructions on Reverse Side) Estate of HELEN A. MASSIE VALUE OFI .. p TOTAL E DEPARTMENT R ITEM DESCRIPTION MARKET 1; DECEDENT'S VALUATION NO, VALUE N INTEREST IOffici.,! Usn Only) T . Face Value Date of Issue --jJJiY, $25,00 August 1956 $54.14 $27.07 " . $25.00 July 1956 $54.14 $27.07 $25.00 June 1956 $54.14 $27,07 $25.00 May 1956 $54.02 $27.01 $25.00 March 1956 $52.55 $26.28 $25.00 February 1956 $54.26 $27.13 $25.00 January 1956 $54.26 $27.13 $25.00 December 1955 $54,26 $27.13 $25.00 November 1955 $54.12 $27.06 $25.00 October 1955 $54.12 $27.06 $25.00 August 1955 $55.14 $27.57 $25.00 July 1955 $55.14 $27.57 $25.00 June 1955 $55,14 $27.57 $25.00 May 1955 $54.99 $27.50 $25.00 April 1955 $54.99 $27,50 $25.00 March 1955 $54.29 $27.15 $25.00 January 1955 $56,05 $28.03 $25.00 January 1955 $56.05 $28.03 $25.00 November 1954 $55.93 $27.97 $25.00 October 1954 $55,93 $27.97 $25.00 September 1954 $55,19 $27.60 $25.00 August 1954 $56.98 $28.49 $25.00 July 1954 $56.98 $28.49 $25,00 June 1954 $56.98 $28.49 $25.00 April 1954 $56.84 $28.42 $25.00 March 1954 $56.12 $28.06 $25.00 February 1954 $57.94 $28.97 $25.00 January 1954 $57.94 $28.97 $25.00 December 1953 $57.94 $28.97 $25.00 November 1953 $57.79 $28,90 $25.00 September 1953 $57.07 $28.54 $25.00 August 1953 $58.92 $29.46 $25.00 July 1953 $58.92 $29.46 $25.00 June 1953 $58,92 $29.46 $25.00 May 1953 $58.78 $29.39 $25.00 April 1953 $58.78 $29.39 $25.00 February 1953 $59.96 $29.98 $25,00 January 1953 $59,96 $29.98 $25.00 December 1952 $59,96 $29.98 $25.00 November 1952 $59.80 $29.90 $25.00 October 1952 $59,80 $29,90 - TOTAL THIS PAGE 1,157.67 \ : ~ , ....! ~ ~ I ....1 -< -< HI oJ 0 ~ ~ Ul, 'd ,,' ~ ;;.. ;;.. Ul' ....~ ~ ~ I z ~ ~I 'tl 0 p- ~ J..I: ....1 <11, ...l oJ '..li ~ -< ~ ~ ::<:[ - Z U - 0 C'l ~ I ~ 1= :1 ~ <11' 0 -< '1 ul 0 ~ 0:: t.:.. , t.:.. .... 0 . 0 Z tIl ci '" '" >- .... ci - ~ ~ z ~ .... .... ~ Z ...l 0 - 0 -< c:::: z ~ ~ ~ ...l Z "" Z f- 0 ::> u u z - 0 '" 0 0 0 -< :: < "-l jJeW aql ale3!pUI 'v "lSaJalU! s,lUapa3ap aql jO aBelUa3Jad a41 ale3!pUI 'f: 'AlJadoJd paUMO AllU!O! aql }O anle^ la>jJeW lelOl aql ale3!pUI '2: 'pa4S!lqelsa seM d!qSJaUMO lU!O! aql alep a41 pue (S) JaUMO.03 a41}0 luapa3ap aql 01 d!qslIO!lelaJ pue ssaJppe 'aweu aql apnl3U' '..8.. alnpaq3S JO} SUO!13nJlSU! aql U! pale3!pU! se Al.IadoJd leuosJad lie aq!J3sao '"V.. alnpa43S JO} SUO!13nJlSU! a41 U! pale3!pU! se AlJadoJd leaJ lie aq!J3sao '~ 'lSJH alelsa leaJ IS!l 'papnl3U! aq Cl aJe AlJadoJd alq!BuelU! pue a\q!Buel 4108 'd!4SJO^!i\JnS}0 14B!J 41!M slueuallU!o! se sa!l.Ied JO AlJed Ja4lOUe 41!M AllU!O! luapa3ap a41 Aq pauMo ',euosJad pue leaJ '^lJadoJd lie apnl3U! lsnw ..3.. alnpa43S ..3.. 31n03H:lS DNIl31dINO:ll:lO:l SNOll:lnl:llSNI REV.454 <<-1.891 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT CONTINUED - 5 SCHEDULE "E" JOINTL Y OWNED PROPERTY .~..~.~ J'~ " ~"" '. . 1).1 .\ . "I ' '~. (Instructions on Reverse Sidll) Estate of HELEN A. MASSIE P ITEM TOTAL E VALUE OF DEPARTMENT H NO, DESCRIPTION MARKET c DECEDENT'S VALUATlOIJ VALUE E INTEREST IOflie;,,' u,." On/vi N T .- Face Value Date of Issue ,) , $25.00 September 1952 $59.06 f"L.ll:. $29.53 $25.00 August 1952 $60.98 $30.49 $25.00 July 1952 $60.98 $30.49 $25,00 May 1952 $60,83 $30,42 $25.00 April 1952 $61.07 $30.54 $25.00 March 1952 $61. 07 $30.54 $25.00 February 1952 $61.07 $30.54 $25.00 January 1952 $61. 07 $30.54 $25,00 December 1951 $61.07 $30.54 $25.00 October 1951 $62.16 $31. 08 $25.00 September 1951 $62.16 $31.08 $25.00 August 1951 $62.16 $31.08 $25.00 July 1951 $62,16 $31.08 $25.00 June 1951 $62.16 $31.08 $25.00 May 1951 $61. 25 $30.63 $25.00 March 1951 $63.24 $31.62 $25.00 March 1951 $63,24 $31.62 $25.00 Janua.ry 1951 $63.24 $31. 62 $25.00 December 1950 $63,24 $31. 62 $25.00 November 1950 $62.31 $31.16 $25.00 October 1950 $64,34 $32.17 $25.00 September 1950 $64.34 $32.17 $25.00 August 1950 $64,34 r2.17 ~25.00 June 1950 ~64,34 32.17 25.00 May 1950 63.47 31. 74 $25.00 April 1950 $65.53 $32.77 $25.00 March 1950 $65.53 $32.77 $25.00 February 1950 $65.53 ~32. 77 $25.00 January 1950 $65.53 32.77 t25.00 November 1949 $64,71 $32.36 25.00 October 1949 $66.81 $33.41 $25.00 September 1949 $66,81 $33.41 $25.00 August 1949 $66.81 $33,41 $25,00 July 1949 $66,81 $33.41 $25.00 June 1949 $66.81 $33.41 $25.00 April 1949 $66.19 $33.10 $25.00 April 1949 $66.19 $33.10 $25.00 February 1949 $66,19 $33.10 $25.00 January 1949 $66.19 $33.10 - TOTAL THIS PAGE $1,240,61 - \ \ \ i I \ I , , I i i I \ J g\ ~ ~ ~ ~ -< -< H ......i ~ ~ tIl 'M I ~ ;:.. ;:.. tIl ~ ~ I ~ '1 Z 'tl :~ ~ 0 !-I ~ < 0 '" 4-t !-I ;:l Z 'tl ~ QI ,..l ~ QI 1 -< P'l - Z g;j N U - 0 ...... ~\ ~ - -<t ~ !( C") 0 ci ~ :.: ~ !.:.. !- 0 '" 0 z ci '" V'J ;:.. !- d - ~ ~ !- ~ 1- ~ Z Z ,..l ci ... ci ;:; ~ z ::.:: ~ ~ ,..l z "" z Cl ;:l U iJ Z - Cl tIl Cl 0 0 -< ::i ::: -< t=l -ap a4110 anle^ W){Jew a41 ale:>lpul '\7 'ISaJalU! s,,uapa:>ap a4110 a6elua:>Jad a41 ale:>!pUI 'E 'AlJadoJd paUMO AllU!O! a41 to anle^ la){JeW lelOl a41 ale:>IPul '(: 'pa4S!lqelsa seM dl4sJauMo ,u!o! a41 alep a41 pue (S) JaUMO-O:> a41 to luapa:>ap a41 01 d!4SIJ0!lelaJ pue ssaJppe 'aweu a41 apnl:lU I '..8.. alnpa4:>S JOt SUO!I:>nJlSU! a41 U! pale:>IPu! se Al.ladoJd leuosJad !Ie aq!J:>sao ',:if.. alnpa4:lS JOt suoll:>nJlSU! a41 U! pale:>lpul se AlJadoJd leaJ !Ie aq!J:>sao 'l 'ISJ!1 alelsa leaJ IS!l 'papnl:>U! aq 01 aJe AlJadoJd alq!6uelU! pue a\q!6uel 4108 -d!4SJO^I^JIlS 10 146!J 41!M s,ueual,ulo! se sall.led JO AlJed Ja410ue 41!M AllUlo! luapa:>ap a41 Aq pauMo 'leUosJad pue leaJ 'Al.ladoJd lie apnl:>Ul ISnW ..3.. alnpa4:>S ,,3.. 31n03H::lS ~NI131dVIIO::ll:lO~ SNOll::lnl:llSNI REV-454 (.l.SO) COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT CONTINUED - 6 SCHEDULE "E" JOINTLY OWNED FROPERTY * ,.. .r,~:, (Instructions on Reverse Side) Estate of HELEN A. MASSIE - P TOTAL E VALUE OF DEPARTMENT ITEM R DESCRIPTION MARKET C DECEDENT'S VALUATION NO, VALUE E INTEREST (Offici,,1 U,,, ~"'y) N T _.- .- Face Value Date of Issue .j~tLiiY~' /, , $1,000,00 July 1978 $814.00 $814.00 $1,000,00 July 1976 $892.40 $446.20 $1,000.00 January 1976 $918.80 $459,20 $1,000.00 August 1975 $946.80 $473.40 $1,000.00 July 1975 $946.80 $473.40 $1,000.00 June 1975 $946,80 $473.40 $1,000.00 April 1975 $1,010.40 $505.20 $1,000.00 March 1975 $1,010.40 $505,20 $1,000.00 November 1974 $1,008.00 $504.00 $1,000.00 October 1974 $1,040.80 $520.40 $1,000,00 September 1974 $1,040.80 $520.40 $1,000.00 July 1974 $1,040,80 $520.40 $1,000.00 March 1971f $1,072.00 $536.00 $1,000.00 March 1974 ~l,072.00 $536.00 $1,000.00 July 1973 1,087.60 $543.80 $1,000.00 April 1973 $1,120.411 /11'1 (.0(- $560,20 $1,000.00 February 1973 ..: ll,120.40 '//1. ',0 $560.20 $1 , 000.00 February 1973 , ,120.4~ 1/11. GC $560.20 $1,000.00 October 1972 ( $1,151.60 /I'f'S'. j'( $575.80 $1,000.00 July 1972 $1,148.80 $524.40 $1,000.00 August 1970 H'283"J jJ..lO.~ ' $641.60 $1,000,00 February 1970 $1,315,60 nt:J..'/~ $657.80 $1,000.00 October 1969 ( $1,348,00 'J9't?O $674,00 $1,000.00 October 1969 t ~1,348.00 I Jt'f.SO $674.00 $1,000.00 July 1968 1,402.4 $ 70J.. 20 $1,000.00 November 1967 $1,414.00 $707.00 $1,000.00 July 1967 $1,460.00 $730,00 $1, 000.00 February 1967 $1,490,40 $745.20 U.S. Series E. Savings Bonds in the joint names of Mrs, Helen A, Massie or Miss Ruth L. Bomberger Face Value Date of Issue $1,000,00 July 1968 $1,402,40 $701. 20 TOTAL THIS PAGE 16,843.60 .- \ I .....' p:: p:: .....' Qj 01, < < 1<1, :>" r-- ' '" '" H ,,.l .....' ~ :>- :>- rJl' 14 , ~ rJll 9 I '0 ~\ tIli gl ;z ~ P-<i 0 J J .....' '" .a H' Vl ..:: Q) ;:J 201 "0 ....., ] ..J <lI :E! ..: ~ ~ - I c..J c..J ;z: ~I N go - 0 ..... r... - -<11 tIl I r... E- C'"I c..J 0 -< , I .,. 0 ~ '" I;.. I- 0 <J1 0 Z 0 '" '" '" ;:- E- o Z E- ~ E- !oJ Z Z ..J 0 - 0 < '" z ::<: ~ - 0 ;:J U !oJ ..J Z "" Z E- \.J Z - Q <J1 0 0 0 -< ::: -< '" -\Jew a41 ale~!pUI 'v 'ISaJalU! s,lUapa~ap a41 10 a6elUa~Jad a41 ale~!pU I 'f: 'ApadoJd p~UMO AllU!O! aLII 10 anle^ la>\JeW lelOl a41 ale~!pUI '2; 'paLlS!lqelsa seM d!L1SJaUMO lU!O! aLII alep aLII pue (S) JaUMO'O~ aLII 10 luapa~ap a41 01 d!4suO!lelaJ pue ssaJppe 'aweu a41 apnl~UI '..8.. alnpa4~S JOI SUO!I~nJ1SU! aLII U! pale3!PU! se A1JadoJd leuosJad lie aq!J~saa '..'if.. alnpa4~S JOI SUO!I~nJ1SU! aLII U! pale~!pll! se A1JadoJd leaJ lie aq!J~saa 'L 'lSJ!l alelsa leaJ ISn 'papnl~U! aq 01 aJe A1JadoJd aIQ!6uelU! pue alq!6uel 4108 'd!4SJO^!^JIlS 10 146!J 41!M slUeUallU!o! se Sa!IJed JO AIled JaLllOUe 41!M AI1U!0! lUapaaap a41 Aq paUMO 'leuosJad pue leaJ 'A1JadoJd lie apnjau! ISnw ..3.. alnpaLl~S ..3.. 31na3H:JS DN11.31d1NO~ l:lO:! SNOll.~nl:ll.SNI , REV-454 u.ao) . COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT CONTINUED - 7 SCHEDULE "E" JOINTL V OWNED PROPERTY *~.".'" , ...r .' '~ (Instructions on Reverst' Side) Estate of HELEN A. MASSIE ,- p TOTAL E VALUE OF DEPARTMENT ITEM R NO. DESCRIPTION MARKET C DECEDENT'S VALUATION VALUE E INTEREST ro !ficial Use Only J N T Account #001-00-03087 in the State Capital Savings Association opened 10-18-62 in the names of Helen A. Massie or Ruth M. Ful1cher - principal and interest $10,126.08 to date of death $20,252,15 Account #1-906 in The Harris Savings Association opened 4-17-62 in the names of Ruth M. Ful1cher and Helen A. Massie - principal and interest to date $10,151.81 $5,075.91 of death Account number 1-10299 in First Federal Savings & Loan Association opened 11-4-59 in the names of Helen A. Massie and Ruth M. Fu11cher - principal and interest $14,341. 6f $7,170.84 to date of death Savings Account #11-0013366-7 in the Commonwealth National Bank opened 7-9-70 in the names of Helen A. Massie and Ruth M. Fu11cher - principal and interest $2,192.99 to date of death $4,385,98 Checking Account #112-162069-2 in the Commonwealth National Bank opened 12-12-69 in the names of Ruth L. Bomberger and Helen A. Massie - principal $1,632.59 $816.30 and interest to date of death TOTAL THIS PAGE 25,382.12 \ I J ~\ ~ ~ ~I, -< o! ~ :> .....' I'l I'l H ,~I ~I ~ :>< :>< CJ) \-I ~ CJ) 0 " '" :z; ~ <Ill ~ '" p.,1 0 :3\ I ~ I'l ~1 \-I tIl <Xl ~ ::> ]\ :;::\ ] ..l Z -< i\ ::r:' - z ~ u U N, - 0 :1\ ~ - \ ~ ~ 0 (<), ~ ~ I:.. I I:.. 0 !- 0 tIl 0 Z 0 tIl t-" tIl :>< ,... 0 - ~ !- I'l !- I'l Z Z ,..J 0 0 -:: ~ z ~ t-" ~ '" ;::J U I'l ,..J Z Z !- " Z - 0 V1 ~ 0 0 -:: ~ -:: "" u Cl "" :i '~saJalUl s,lUapaOap a4~ 10 anle^ ~a>\Jew a4l a~eolPul '17 '~saJa~u! s,lUapaoap a4l10 a5elUaOJad ali~ aleolPu\ '€ 'ApadoJd paUMO A\~U!o! a4~ 10 anle^ la>\Jew le1O~ alil 8leolpUI '2; 'pa4S!lqe~sa seM di4sJaUMO lUio! alil alep a4~ pue (S) JaUMO'OO a4l10 luapaoap alil O~ d!l\sUO!lelaJ pue ssaJppe 'aweu a4~ apnlou I '..8.. alnpalioS JOl SUO!lOnJ~Su! a4l U! paleoipui se AlJadoJd leUoSJad lie aqposaa ',:if.. alnpa40S JOl suo!lonJ~SUl alil U! pa~eolPui se A~JadoJd leaJ lie aqposaa . L 'lSJ!1 a~e~sa leaJ ~S!1 'papnloul aq Ol aJe A~JadoJd alq!5ue~Ul pue alqi5ue~ 4108 'diliSJO^I^Jns 10 ~45p 4~lM s~ueua~ lU!O! se sa!lJed JO AlJed JalilOue li~!M A\lUlO! luapaoap ali~ Aq pauMo 'leUosJad pue leaJ 'AlJadoJd lie apnlou! lsnw ..3.. a\npalioS ..3.. 31na3HOS ElNIB1dWOO HO:! SNOll.Om:I.LSNI DANK NO. REV.413 (8';'78) I , ' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DATE FILED NOTICE OF DECEDENT ACCOUNT STATUS ^ f",..fo -'I. 1_R}9 ST.\TUSOF ACCOUNT NO: (JOINT, TRUST, 0 I -ST ENT Submit in truplicDte within 10 days olter knowledge 01 the death. > N ME~; ON CO SOCIAL SECURITY NUMBER(SI RETURN COMPL ETED FORMS TO LOCAL COUNTY INHERITANCE TAX OFFICE Ruth H. Fullchor and Holen ,<. Iluosie (Ruth) 172-01-9545 NAME SURVIVING DEPOSITOR (Beneficiary) It-lFORMATIOH RELATIONSHIP TO DECEDENT. DECEOENT INFORMATION DATE OF DEATH NAME Fullchor Helen \. tladsie AODRESS ADDRESS ~ COUNTY 3412 Bedford Drive Camp lIi11, PA 17011 Ii'Y ZIP CODE DANKIINSTITUi'IOt~ ADonESS , BAl.ANCE OF ACCOUNT"AT 000 INTEREST ACCRUED AND COLLECTIBLE AT 000 TOTAL $ 1;13,g21.30 $ ~11.911 $ <11~ Ql~ ~Il THE HARRIS SAVINGS ASSOCIATION 2nd & PiNE STS. p, O. BOX 1711 HARRISBURG, PA 17I0~ BANK AUTHORIZA TION I HEREBY CERTIFY THAT THE INFORMATION CONTAHlEO HEREIN IS A CORRECT REPRESENTATION OF INFORMATION IN OUR FILES IN ACCORD WITH SEC'TION HZ Pill E TAX Ae.T OF 1961. DATE - I<? l\b -:> / ,,/. SIGNATURE OF FINANCIAL INVESTlGAiOR (~ ) 1/ -, ''X'A) <, "7 " ) C'. /' /1;( I ~.- _~l ~ __ /' <;~,' .-{ 'T-'~' '. I ,--. ~C'I.._l/-'\.<:N_..:!("l- ../"'-' -" " {"v 1/ I~.-__~ .' . .: ~..j- I l '\ REV.473 (11-711) BANK NO. COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE : ,," DATE FILED NOTICE OF DECEDENT ACCOUNT STATUS Submit in truplicote within 10 doys after knowledge of the death, ST A TUS df''A~ eOliN T1 110':\"'\5 OIN T, TRUST .:~ IN 1ST ,. c' " RETURN COMPL ETED FORMS TO LOCAL COUNTY INHERITANCE TAX OFFICE ,jT tl Ncc.O ~ SOCIAL SECURITY NUMBER(SI ;iuth . .''.1...1.cho!'' and H elan ". I ~HLli.iie ilel"n) 205-09-4744 NAME SURVIVING DEPOSITOR (Beneficiary) INFORMATION RELATIONSHIP TO DECEOENT. DECEDENT INFORMATION NAME DATE OF DEATH . . o. .. rtpr~J. , 3'412 lledford Drive Camp Hill, P.\ 17011 CTV COUNTY .,.. BM~K/INSTITurION ADDRESS eAt. CCOUNT AT 000 . . . .~ 1 J,C0J.GG 1:;1.3' 1 'or 1 ~ 1 ~ 1 THE HARRIS SAVINGS ASSOCIATlOrl 2nd & PINE STS. P. 0, BOX 1711 HARRISBURG, PA 17105 INTEREST ACCRUED AND COLLECTIBLE AT 000 TOTAL B4NK AUTHORIZA TIOH I HEREey CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS A CORRECT REPRESENTATION OF INFORMATION IN OUR FILES IN ACCORD WITH SECTION 742 P II!. E TAX ACT OF 1961. "_-:;:':-~l'. SIGNATURE OF FINANCIAL. INVESTIGATOR ~. " . / '~./.' -. ..1.-. 1...5(l {...{ ~'iq,u Llo il, l.i- 17,'~::.~ " II (,,,' r, :; ./t >..it. .'-t}L-. OATE S/7/fo " . REV-454 11.80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT CONTINIl.@ - 8 SCHEDULE "E" JOINTL Y OWNED PROPERTY ~~. ~~ (Instructions on Reverse Side) Estate of HELEN A. MASSIE P TOTAL E VALUE OF DEPARTMENT ,ITEM R DESCRIPTION MARKET cE DECEDENT'S VALUATIOlJ NO, VALUE N INTEREST (Offici.,1 u," Only) T ._.- All that certain dwellin~ house situate in the Borough 0 Camp Hill, Cumberland County, Pa., known as 3412 Bedford Drive, Camp Hill, Pa. For Deed Reference: Recorder of Deed's Office of Cumberland County in Deed Book "F", Vol. 23, Page 936. Full Value $25,000,00 V Decedent's interest l/~ $25,000.0 $8,333.33 Ity,u.u.'4'e ~/f/O, -- TOTAL THIS PAGE $8,333.33 J; .J J.3. .3 .3_ ~ . , ~: . " J I I I I .-l ! ~ ~ .-l i H Q); Q -< -< CIl .~I ,..., ! l.Ll ~ ~ .-l ~ ;>- ;>- I-< j ;>- ..J A Z t1l .,J 'tl ~ ij 0 I-< ~ I 0 '"i:l '" ~ lj.{ .-i ::> 'tl .-l QJ ..J Q) ,..I 1 -< ~ I"l ::t: I 0 Z N c:>:. I f.: 0 .-l Iii [: -:t ~ C'1 I 0 -< 0 ~ ~ ~ [:., E-< 0 '" 0 % 0 '" '" ;>- E-< 0 Z ~ E-< ~ '- ~ z z 0 0 ~ Z ::.:: ..l ~ ~ ~ ~ ..l Z Z Cl ::> u l.:i Z - Q '" Q 0 0 -< ::: -< ~ -< u Cl c.. :i 'lSaJalU! S,luapaoap a41jO anle^ la'lJeW a41 aleolpul 'to 'lSaJalU! S,luapaoap a41jO a6elUaOJad aljl aleO!pU I 'e; 'AlJadoJd paUMO AI1U!O! a41jO anle^ la'lJew lelOl aljl aleolPul '1: 'pa4S!lqelsa seM d!4sJaUMO lU!o! a41 alep a41 pue (S) JaUMO.OO aljljO luapaoap aljl 01 d!ljsUO!lelaJ pue SsaJppe 'aweu aljl apnloul '"S" alnpaljos JOj suollonJ1Su! a41 uI paleo!pul se AlJadoJd leUOSJad lie aqiJosaa '"\;/,, alnpaqos JOj SUO!lOnJ1SU! aql U! paleO!pU! se A1JadoJd leaJ lie aqiJosaa 'L 'lSJij al2lsa leaJ ISIl 'papnlou! aq 01 aJe A1JadoJd a\ql6uelUI pue a\ql6uel 410S 'd!qSJO^!^JnS jO lq6!J ljl!M SlueuallUlo! se Sa!lJed JO Aued Jaljloue 41!M AIlUIO! luapaoap a41 Aq paUMO 'leUOsJad pue leaJ 'AlJadoJd lie apnlou! lsnw "3,, alnpaljos "3,, 31na3H::JS ElNI.L31dWO::J \:IO:! SNOI.L::Jn\:l.LSNI " .' CONTINUED - 9 REV-454 -:: 1.80) ," COMMONWEALTH ClF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT OECEOENT SCHEDULE "E" JOINTL Y OWNED PROPERTY (lnstmctions on Reverse Side) Estate of HELEN A. HASSlE ITEM NO. TOTAL MARKET VALUE DESCRIPTION Account #01-7-22514 in the Dauphin Deposit Bank and Trust Company opened 11-28-41 in the names of Ruth H. Fu11cher or Helen Massie principal and interest to date of death $4,777.23 Account #1402011991 in the Dauphin Deposit Bank and Trust Company opened 8-16-76 in the names of Ruth Bomberger or Helen A. Hassie principal and interest to date of death 1,009.80 Account #1-839 in The Harris Savings Association opened 4-17-62 in the names of Ruth M. Fullcher and Helen A. Hassie - principal and interest to date of death 14,033.24 Account #1-18374 in First Federal Savings and Loan Assoc. of Hbg., opened 8-10-65 in the names of Ruth M. Fullcher and Helen A. ~~ssie principal and interest to date of death 14,118.45 Account #002-20-11424 in the State Capital Savings Association opened 9-1-76 in the names of Ruth L. Bomberger or Helen A. Hassie principal and interest to date of death 5,008.44 Account #001-00-01519 in the State Capital Savings Association opened 8-4-61 in the names of Ruth H. Fullcher or Hre. Helen A. Massie - principal and interest to date of death 23,132.82 .~~ ~\ P En VALUE OF 'io DECEDENT'S N INTEREST T 'I' (: ",,' .11 '. 2 , 388.62 504.90 7,016.62 7,059.23 2,504.22 11,566.41 TOTAL THIS PAGE 31,040.00 DEPARTMENT VALUATION (Official Use Only) /0 7 '1 0 /. /c, by me and were my property. My friend, Helen A. Massie, had one Savings Bond and Accounts in her name on which she put my name second. These items were considered by us to be her property and are included in the Inventory of her Estate, ~dtC',:t~~/cu,J RUTH L, BOMBERGER ~ Sworn to and subscribed before me this li_~day , 1980. UNITED STATES SAVINGS BONDS IN THE NAME OF RUTH L. BOMBERGER OR HELEN A. MASSIE Value Number & Series Issue Date $1,000,00 M832418EE - Series EE February 1980 $1,000.00 M832417EE - Series EE February 1980 $1,000.00 M832416EE - Series EE February 1980 $1,000.00 M209907950E - Series E July 1979 $1,000.00 M209907951E - Series E July 1979 $1,000.00 M207474457E - Series E October 1978 $1,000.00 M207474454E - Series E July 1978 $1,000.00 M207474451E - Series E July 1978 ~l,OOO.OO M207258517E - Series E July 1978 1,000.00 M207258515E - Series E July 1978 $1,000.00 M207258514E Series E July 1978 $1,000.00 M206936470E Series E March 1978 $1,000.00 M202708380E - Series E December 1977 $1,000.00 M202708375E - Series E June 1977 $1,000.00 M203933470E - Series E March 1977 $1,000.00 M201751091E - Series E November 1976 $1,000.00 M202646047E - Series E August 1976 $1,000.00 M201311073E - Series E July 1976 $1,000.00 M201309186E - Series E March 1976 $1,000.00 M104773874E - Series E January 1976 $1,000.00 M103709511E - Series E August 1975 $1,000,00 M103709508E - Series E July 1975 $1,000.00 M103023856E - Series E March 1975 $1,000.00 M103627512E - Series E October 1974 $1,000.00 H101982486E - Series E March 1974 $1,000.00 M93159277E - Series E January 1973 $1,000,00 M93159259E - Series E July 1972 $1,000.00 M92454173E - Series E July 1971 $500.00 D10383619lfE - Series E June 1975 $500.00 D102026993E - Series E April 1975 $500.00 D103751019E - Series E November 1974 $500,00 D102026974E - Series E August 1974 $500.00 D103096506E - Series E July 1974 $500,00 D95261030E - Series E April 1973 $500.00 D95261027E - Series E February 1973 ~500. 00 D94182632E - Series E October 1972 500.00 D94517614E - Series E February 1972 $500.00 D93659920E - Series E October 1971 EXHIBIT "A" UNITED STATES SAVINGS BONDS , IN THE NAME OF RUTH L. BOMBERGER OR HELEN A. MASSIE (CONTINUED) Value Number & Series Issue Date $200.00 R40814511E - Series E April 1969 $200.00 R40814470E - Series E September 1968 $200.00 R40814440E - Series E July 1968 $200.00 R40814441E - Series E July 1968 $200.00 R40814421E - Series E May 1968 $200.00 R39935400E - Series E April 1968 $200.00 R39935393E - Series E March 1968 $100.00 C1025912354E - Series E October 1974 $100,00 C1025912353E - Series E October 1974 $100.00 C1025912351E - Series E October 1974 $100.00 C1025912352E - Series E October 1974 $100.00 C1025912346E - Series E September 1974 $100.00 C1025912345E - Series E September 1974 $100.00 C518178354E - Series E April 1971 $100.00 C509502907E - Series E August 1970 $100.00 C509502904E - Series E July 1970 $100.00 C503495262E - Series E October 1969 $100.00 C497121333E - Series E April 1969 $100.00 C492480243E - Series E February 1969 $100.00 C492480216E - Series E January 1969 $100.00 C492480204E - Series E January 1969 $100.00 C487003228E - Series E July 1968 $100.00 C487003152E - Series E May 1968 $100.00 C487003132E - Series E May 1968 $100.00 C487003095E - Series E April 1968 $75.00 KI0827063E - Series E May 1971 $75.00 K8157951E - Series E September 1968 $50.00 L1001203262E - Series E February 1973 $50.00 L780707435E - Series E March 1971 $50.00 L749720172E - Series E January 1969 $50.00 L736547057E - Series E July 1968 $50.00 L730692172E - Series E April 1968 $1,000.00 M11104679H - Series H January 1969 $1,000,00 Mll104680H - Series H January 1969 $500.00 D8892940H - Series H January 1969 $500.00 D8989480H - Series H July 1969 $500.00 D8892941H - Series H January 1969 $500.00 D8892942H - Series H January 1969 EXHIBIT "A" I/ON "-.' 'J ~~ D -,. .,., r n '0' #-' '''-;; ;-.. .. ;.'. ':-. ""-"; 1 I "f;.i\ F-\:!";~ ,rl',\ ! ., ~"\;~, ;:-:1: I!~\",:r,,:{, "-""~'....;,I~ ~;...... .,' """'."""""""'_10_ ~~... .."'" · Gild "Crus)" Ce)tr\pcny MAIN OFFICE: 213 MAR,(Ei STREH, HARRISBURG, PENNSYl.VA~IA 1710~ 717255.2121 ~~ay 19, 1980 Ae~wir. and Kerwin 70~ Blackstone Building Harrisburg, Pa. 17101 R~: Halen ~ ~assic D.O.D. 4/10/80 Attn: Gregory X. Kerwin Dear :.jr. r:crwin In regards to the above u.e~tionBd, we sub~it tho following in for- ~ation as of the date of death: ~savings ~cco~~t # 01 7 22514 balance 4,692.31 inter~st 84.92 ouencd 11/28/41 Ruth M. Fullcher or :ielen l-:assie ~cer"~.~cate of deposit # 1402011991 balnnc~ 1,000.00 inter~s 9.80 opened 8/16/76 Ruth Bomberger or He:en A. Massie If we can be of any further assistance, please do hot hesitate to contact us. Very truoy yours, ~, ... "/' :, , /... .,... /,/ .' J""' 'I - ; .J " . L;- .....:,. .. l.. ?n ',I I Barry L. Ellio~t Assistant Treasurer BLE/ d'llg z ~ 0 0 a: ~ z 0 j:; w :5 " ~ 3 4: ~ . n. E-l 0 w .; Ul z H Z ,. 0 0: :> < '" .. :> ~ ...: z . m 0 Z 0: u Ul H 0 . it ~ I- " ~ . 0: ~ ~ 0 4: ...: a: :r W , ~ , . ' ': REV~51B Fe (7~80l ~~ COMMONWEALTH OF PENNSVLVANIA OEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS NOTICE OF FILING OF APPRAISEMENT Ruth M. Ful1cher 3412 Bedford Drive Camp Hill, PA 17011 RE: Estate of County of File No. Helen A. MRRAie Cumberland 21-80-0556 Dear Mrs. Ful1cher: You are hereby notified that the oririnAl appraisement in the estate of Helen A. Massie hos been filed in the office of the Register of Wills of Cumberland County on December 11 ,19 80. Said appraisement reflects the following valuations: Real Es tote Personal Property Jointly Owned Transfers Total None 1.350.00 lQ9,901.16 None 1111. 251.16 As to such tax that is paid within three months from date of death, a five (5%) percent discount is allowable. As to ony 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 occurred prior to December 22, 1965) from date of death, interest at the rate of six (6%) percent per annum is chorged. Any porty in interest who is aggrieved 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 December 11, 1980 Signed !0-J I) It'. f) ^ ';(PII,1 .. /1')f,J .t';" Title Chief Appraiser NOTE: This is not a bill. REV-457 n.801 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT INHERITANCE TAX APPRAISEMENT *' ' , " "" -=..~.- Estate of 21-80-0556 Helen A. Massie File No. County Cumberland Date of Death April 10. 1980 In the event thet any future Interest In this eltate is tranderred in pO$SCuion or enjoyment to coli"turIIl huirs of tho decedont aftor the expiration of any estate for life or for years. the Commonwealth hereby expressly reserves tho right to appraise and RS!.I:SS tr"osfer inhllritance taxtK at the lawful collateral rate 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. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E" TOTAL REPORTED PROPERTY PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH TOTAL UNREPORTED PROPERTY Norm TOTAL GROSS ASSETS 111,251.16 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 Wi lis, A'~';"~/::J /.'"t'P//l/l,I-'(/! ) APPRAISER 12/11/80 DATE rl ~ ~ ~ ~ Z I:.l I:.l [::1 0 :> :> ~ I:.l tIl ;:l ...:I . <( ...; - ~ u Z rl rl - 0 ~ rl rl ~ - r:l rl 0 ~ ~ ~ ci I:l: ~ !-< 0 tIl 0 Z ci tIl tIl :> !-< ci - I:.l Z !-< I:.l !-< I:.l Z Z ci - ci I:l: Z ::<: ...:I :lE E:i I:.l I:.l ...:I Z Z Cl ;:l U ~ at ~ tIl ~ 8 0 z - I:.l Cl ...:I .--.... -- -- -=- " AEV.1162EX ~ ,0 COMMONWEALTH OF PENNSYLVANIA 4 NO,Ko00273. DEPARTMENT OF REVENUE , OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX I ;,II . ., !I ~ ..... -------___JI::II: ~-~.. -- 8,200.00 -- - -- - - - -- - .--- --. --_..- -.-- -- --- ---.- - - .---- --- --.- ---~. --.-. ---.- - -- --- -.-- -- -- - - -- -- -- TAX AT 6% TAX AT 15% ~f RECEIVED Jj FROM Ruth M Pullcher " Ruth L. On" rw Y.. 701 Black.tone Building Harriab\lr9, Fa. 17101 '--ESTATEINFCRMATICN'Ap-;ii- 10-, -1980--- CATE OF CEA TH ~~l~ % ADDRESS ESTATE TAX TOTAL TAX CREDIT FILENUMBER21-eO-SS6 CATE OF PAYMENT November 6, 1980 LESS DISCOUNT --------------- - -- - ------ ------ - m -- m PLUS IFROM % INTEREST TO_' , COUNTY HBLBR A. MASSIB Cumberland , NAME OF CECEDENT POSTMARK DATE REMARKS: "PAID Olf ACCOON'l'" TOTAL AMOUNT PAID 8,200.00 SEAL RECEIVED BY //lli'l & _~'~L~,-cJ /I SIGN~TlJREi Mary C. lAw. Reqieter of Will. I REGISTER OF WILLS --"----- .~~ KERWIN AND KERWIN ATTORNE:YS AT LAW 701 DLACt'dHOl''IlI: BUILOINCi HARRISBURG, PA. 17101 PATRICK E. KeRWIN GREOQny M. KeRWIN TE:RRENCE: oJ. KERWIN P"o~t IJO.04",lft LYKCNS OFFICE: 6"9 ..U.IN STRceT PHONE 453-7"Z2 November 5, 1980 CLIZABCTHVILLE OfFICE: 10 I:A$T MAIN SYRC!:T PHONe 30Z.3215 Register of Wills Cumberland County Court House Three South Hmwver Street Carlisle, PA 17013 Attention: Mr. McClain Re: Dear Mr. McClain: Please find enclosed herewith the following checks to be applied toward the Pennsylvania Inheritance Tax for the above- captioned Estate: 1. One check in the amount of $7,500.00 payable to the Register of Wills and dated November 5, 1980. 2. One check in the amount of $700.00 payable to the Register of Wills and dated November 5, 1980. Would you kindly forward to me a receiPt for this payment on account at your earliest convenience. Thank you for your kind help. GMJ(:pw Enclosures (2) ~,,m,;;~ G~Y M, KERWIN " ,'):1 'J~i~'lli3SWn~ ,,':)8 S.li'~HdHO-)m31~ L U.1i ~,- nUN DB. , ' '~1,1U3~ ., ::,:l.fjiJ'Q30~0~311 REV.455 (1.80) COMMONWEAL TIt OF PENNSVLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS ~'I_ ,- , - tj-'J" '^ ~...-- ---._._-~--~ Estate of HELEN A, MASSIE Date of Death April 10. 1980 File No, WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: Claimant RUTH M. FULLCHER Relationship to Decedent Surviving Joint Tenant Claimant's Address 3412 Bedford Drive, Camp Hill. Pa. 17011 ITEM DATE NAME OF PA VEE REMARKS AMOUNT NO, L/l~/RO John E~ !,!eumyer . . ~ ~,._~_~1 11< 11 ~,434,OO -F , 'C" i /6/80 lu_~ . . -~ 1~' ~ ~ 1..1' .{ ~, ?!!? 00 ~ /lIRO RpC7{~"o- nr T.Jill~ J;'i 1 ina - R nn H1/S0 Nn"~-u J;'pp nn T, - ~ ",." ^' ~ nn Kerwin and Kpr','in ^" ~ou'~ J;'oo~ ') t:.nn nn !"fop" nr T.J;11~ D~~__., i'~_ 1"1 . r-__~_ _, ... p,.on"rat 'on of Fed. Estate Tax Return 750,00 8/1980 Dept. of Transportation Tif'le T,."n" 1'0_ .,n nn 8/1980 Vital Statistics no~..1-. I"p,.H i'{ ~~"n~ 9 no TOTAL THIS PAGE I ~F; "~..JJ.lL- I hereby certify that to the best of my knowledge and belief the foregoing is il just and true statement of debts, funeral expenses and expenses of administration submitted to the estate as deducti""S for Inheritance Tax purposes. /{l....tXJ'L /)1, J.tJ.G::..iL"'J A"8"9t 1/, 1980 SIGNATURE OF ATTORNEY/FIDUCIARY DATE' OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S all.!t:t'-tJ AT I~ PERCENT. qqd I (i'. xbv-t:~J IEGISTER OF ,t.,tILLS J ~ -/,5/ -?tJ DATE 'Slqap a'll 6ul^ed JOI ^l!llqlsuodsaJ aql pawllsse seq OlIM uosJad aql ^q paufils aq IsnUI WJOI a'l.L . L 'pawlel~ fiu!aq lqap 'I~ea 10 lUnowe a'll Jalu3 '9 'pawlelo lqap 'Ioea JOI uwnloO S>\J2WaJ aql uI UO!leueldxa lapq e aPI^OJd '9 'aa^ed 'Ioea 10 saweu aql JalU3 'to 'Pled Jo/pue paJJl10Ul seM lqap 'Ioea 'IOI'lM uo alep aliI JalU3 'C 'palS!1 wall 'Ioea 01 SJaqwnU a^pnoaSUOo u6!ss'lf 'C; 'uwnloo lUnowe a'll U! pawlelo lUnowe a'll pue uwn\OO s>\JewaJ aql U! ..uopdwaxa ^I!wel.. Jalu3 'luapaoap a'll 01 d!'IsUO!lelaJ Ja'l/sl'l pue ssaJppe 'aweu s,luewlelo aql aleolPUl 'paw!elo 6Ulaq Sl UO!ldwaxa ^I!wel a'llll . L ..:i.. 31na3H::JS ~N'.L31dVIIO::J l:lO:i SNOI.L::Jnl:l.LSNI \ \ ~ '" ~ ~ QJO -< IS ::OJ' ~ W W 'M~ ~ :>- :>- CIl I-l CIl A' "tl Z ~ cd g 0 "tlP< W I-l ~ 0 . I-l rJl -< 44~ QJ ;:l "tl~ 1 ...1 Z QJ'M -< ~ I'Q::I: - t) t) Z C'!p. - 0 :i~ \:.. \:.. - 0 !( <'"It) - t:- o '" t:- o Z I- 0 rJl 0 rJl rJl :>- l- 0 - ~ Z l- ~ l- ~ Z z :J ci - ci < '" z ~ ~ w z ::E z l- 0 ;:l U I..? Z ~ ~ '" 0 0 0 < ::i ~ < u 0 ~ 'luapaoap a'll se PIO'lasno'l awes a'lllO SJaqwaw aJe O'lM SlUaJed JO lUaJed e ^q pawlep aq ueo uOlldwaxa a'll 'PI!'Io JO as nods 'Ions au sl aJa'lllUa^a a'll U\ 'UO!ldwaxa a'll w!elo ueo Plo'lasno'l awes a'll !O Jaqwaw e S! O'lM jUapaoap a'll!O PI!'Io ^ue ua'll 'Sl'16p Ja'l/sl'l pal1ajJoI sell asnods a'll!! JO 'as nods ou sl aJa'll!1 'e!uMI^suuad uI paI!O!lUOP palP O'lM jUapaoap e !O as nods e ^q paw!elO aq ^ew 000';:;$ !O UO!ldwaxa ^\!we! 'If 'alnpa'lOs S!'Il 01 pa'loeue aq PlnO'lS paw!elo 6ulaq slqap a'll JO! ^l!\!qe!l s,alelsa a'll JO S,luapaoap a'lllJoddns 01 aouaPl^3 'pal!l sl UJnlal:l xe.L aouelpa'lul a'll WO'lM '111M S\l!M 10 JalSI6al:l a'lllo le^oJdde a'll 0110a!qns aJe alelsa ue lSule6e pawlelo 6ulaq slqap II'If 'Ja>\Jew a^eJ6 JO auolsqwol '101lepnq e 10 lS00 a'l16u!pnlOu! sasuadxa lepnq pue leJaUnl 'saalluelonP!1 'saal ^aUJone 'UOlleJ1S!U1Wpe 10 lS00 a'l16ulpnloUl alqew!elo aJe swal1 Jaqlo 'alelsa JO lUapaoap a'll ^q paJJIloUI slqap 01 UO!l1Ppe U\ 'alelsa alqexel Ja'l/S!'I lSU!e6e alqponpap aJe 'Ileap Ja'l/slll 01 JQpd luapaoap a'll ^q paJJIloUI sall!1!qe!l pa!ls\1esun NOI.L'lfVIIl:lO:lNI X'If.L 3::JN'If.L11:I3HNll'Ifl:l3N3D COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT *' COUNTY FILE NO: " DATE ,',i /. ~-./ /;' /~!'cJ TO: /.; /../D.. ESTATE /',' ( . ./,/l"--.:...... '''',. :",',.'- IJ/ / f. FILE NO, " .c..f" '1 c. , / i" : / / i __ / ,..'/,/ ';"~-';:".',(..';'~'" COUNTY /(j.{~! / ,~ , ,'" / 0'/;': .-..,//..,.._/,.....,'":- <.:./~:o.-':--:/ DATE OF DEATH ,. I ,~t._ '/~.1 /. ,IV .~.' f/,/.~',<-_r. Appraised V.'ue of Eir.'e: .)' Real Estate . ':. "/, I Personal Property $ + , / " +, /,/ J $ /; , / I &~ , " , .' $ . .~ i , Jointly Held PropertylTransfers Total Gross Estate Total Approved Deductions Clear Value of Estate Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax $ ,.;/ /1., Amount Taxable @ 6% Rate $ tax due $ Amount Taxable @ 15% Rate .-/ 'I " ~;::. :/ tax due 4'./~- :/-il) , --.. ,...-', TOTAL PENNSYLVANIA INHERITANCE TAX DUE $ ;' '/- . / '/1'). ~'/.:>-.. / .. .. .. .. .. .. A five percent discount totaling S will be granted if the Inheritance Tax is paid by Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT 'j ;' .... " -("'-,~/) $ <,J .'.'-iJ '-f) / + $ L_ = $ / ;;".,:':'_,j-. 'tJ .' + = + = Interest accrues 8t the rate 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 $ ':1//' - ,".~ ~ _ I . -L..i r: / -....... Assessed by; ~> / I ( cl .. ,.' Sea Informal ion on Reverse Sldo AgenltOr1~GCon;,"onWflllth I\... ~ ,"-- /1 .-) '>".__'{/'.,.J , / '. _ ." J ...', -'.-'-,