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HEV.455 EX+ (J.KOI
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
.
---
-----_.- "
Estate of Dorothy R. Rader Date of Death 6/1/80
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
File No. :J 1- {(<()- (.. 0 r-
Claimant
Relationship to Decedent
Claimant's Address
ITEM
NO.
NAME OF PAYEE
REMARKS
AMOUNT
~i!'O
1
Au . 8 United Tele hone Co.
Tele hone Bill
~ 5,
e
~n~s ra ~on an
4
5
6
7
8
9
10
11
Cumberland Law Journal
enna. epar men 0
- Paid
e
L. Little
J. Sell A
Oct.16
16
20
20
er
Insurance Premium - Homeowners
8.00
21. 50
223.21
hone Co.
Tele hone Bill
13
14
15
16
17
18
19
20
21
22
23
Medical Ex enses
Dec
Tele hone Bill
Fuel Oil
Water and Sewer Bills
1980-1981 School Tax
1980-1981 School Tax
Tele hone Bill
Insurance Premium
Utilit Ex ense
Tele hone Bill
30.07
395.59
129.36
371. 71
368.08
35.00
165.00
60.53
51. 58
an
rederick
Tax Col.
Tax Col.
nited Tele hone Co.
Jan.15
15
Feb.16
16
er
nited Tele hone Co.
- Continued - TOTAL THIS PAGE
I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral
expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes.
L .'-'V~-___\ . ,\, -=-~ .-J>. March 1 n. 1981
SIGNA;'I'" RE OF ATTORN[YjFIOUCIAn DATE
OFFICIAL E ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S / & /J:?;J. S/
. ,
t,
AT
PE RCENT.
tJ1;a7 {i;ST~~~
4-/,1-1'/
DATE
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HEV0455 EX. (3.HOI
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
.
o' ,
, . ". ~ ~ .
----=_.;;:..o.:...~........... .
Estate of Dorothv R. Rader Date of Death
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
File No.
Claimant
Relationship to Decedent
Claimant's Address
ITEM DATE NAME OF PAYEE REMARKS AMOUNT
NO.
24 Feh. 23 S. Russell Prizer Book Accol1nt 7,QC;
?~ 2~ Bat-or "nrl RI1~~oll 1..,,=, ,,; 1 ~~A ~'7
2~ 23 Harrisburn Surai<'al roo M=rl;~~l ,,,,., 114 QC;
Hale Real Estate Real E"tah> ;",,1 "00 "n nn
Keg~ster or w~J.J.s, l,;umb- FHingq;~nerl::t:~nce Tax ~ nn I
--; --... ~- .~,
Donald E. Albriaht Esn, At tornev' s Fee 4,197.001
I
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TOTAL THIS PAGE I 10 584.81
1 hereby certify that to the be~t?f m~ knowle?ge and belief the foregoingIs a just and true statement of debts, funeral
expenses and expenses of admllllstratlon submitted to the estate as deductions for Inhentance Tax purposes.
\:) ,\~~- "----
v-c.'----'- \'- . b4il.roll 19 1981
SIGNATU F. OF ATTOIlNEV/Fl0UCIARY DATE'
OFFICIAL US ONLY
DEBTSANDDEDUCTIONSAREALLOWEDINTHESUMOFS Ie). iJJ?i.J'1 AT
.
t
PERCENT.
qJ'}atu (J. ~u~
( ~EGISTE" oy< ILLS
4-1t51-tf'!
DATE
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estate.
In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration,
attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker.
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this schedule.
A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania.
If there is no spouse. or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption. In the event there is no such spouse or child. the exemption can be
claimed by a parent or parents who are members of the same household as the decedent. The family exemption is
allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the family exemption is being claimed. indicate the claimant's name, address and his/her relationship to the
decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column.
2. Assign consecutive numbers to each item listed.
3. Enter the date on which each debt was incurred and/or paid.
4. Enter the names of each payee.
5. Provide a brief explanation in the remarks column for each debt claimed.
6. Enter the amount of each debt being claimed,
7. The form must be signed by the person who has assumed the responsibility for paying the debts.
REV.449" EX. (3.80)
.COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDEHT DECEDENT
AFFIDAVIT OF
FIDUCIARY
(In.truction. on Reverse Side)
*'
Estate of --P-9.l;'~J1y_R,_Ra.der
Las I Add ress -21.7_East.King_S.:treet
~11~~!:Lf!Pur.9'.' PA. 17257
Date of Death
June 1 , 1980
Social Security No, 180-01-9606
Bureau FileNo. d(1-c;.:tJ~ (,of
(CITV!
(STATE)
(ZIPI
County File No.
1. Decedent died:
( X) lntestate (without a will)
( ) Testate (leaving a last will--copy attached)
2. Is the filing of a Federal Estate Tax Return required for this estate? Yes_ No X
3. ) Executor/Executrix (X) AIdiIAMA_1lI' Administratrix
Name
Yvonu..e R. Hay..s
Address
R. D. #3. Box 281-B
Hanover.
( CITY)
PA.
(STATE)
] 733]
(ZIPI
4. All correspondence should be mailed to ( X) Attorney
) Fiduciary.
5. If an attorney is representing the estate, indicate:
Nome noni=lld F. 111hril)ht-. RC:::f}l1il"'t:1
Address 38 Broadwav
Hanover ,
(CITY)
PA.
(ST ATE)
17331
(ZIP)
List all safe deposit boxes registered in the decedent's individual nom,:, or jointly with, or as an agent or deputy
of another, or in decedent's individual name with right of access by anomer as agent or deputy. Include the name
and address of the bank or ather institution where the safe deposit box is located, the name (s) in which the box
is registered and the relationship of the joint holders to the decedent.
NAME AND ADORESS OF BANK OR OTNER INSTITUTION
IN WHICH DECEaENT MAINTAINED A SIoFE DEPOSIT BOX
NIoME OR NAMES IN WHICH
SAFE OEPOSIT BOX IS REGISTERED
RELA TIDNSHIP OF JOINT
NOLDERS TO DECEDENT
The Peo les National Bank of
Sh~ppensburg
P.O. Box 9 35-39 E. Kin Street
Sh~ppensburg, Pa. 17257
Doroth R. Rader or
Yvonne R. Hayes
Daughter
Under penalties of perjury, I declare that I have examined this retum, including occompanying schedules and
statements, and to the best of my knowledge and belief it is true, correct and complete.
-L\^~ 1;). I-L, ..e.....o...-../ l-l",.,..h lOr lqRl
G SIGNATURE OF FIDUC;~ DIoTE
HALE REAL ESTATE
FARMS . HOMES - BUILDING LOTS - COMMERCIAL
SH1PPENSBURG. PA. 17257
14 WEST KING STREET
PHONE 532.2814
November 25, 1980
y~. Donald E. Albright, Attorney-at-Law
38 Broadway
Hanover, Pennsylvania 17331
Dear ~~. Albright:
In response to the request for an appraisal of real estate
of the Estate of Dorothy R. Rader, I am sending you my
estimation of fair market value. The real estate consists
of two parcels, both of which are located in the Borough
of Shippensburg, Cumberland County.
The first is known as 332 and 332~ East King Street and
consists of a lot improved with a two and one-half story
duplex. The front section of the house is stone covered
with stucco and contains living room, kitchen and dining
area, one and one-half baths, and three bedrooms. This
part of the house is heated with an oil-fired hot water
system. The rear portion of the structure is frame.
This area has kitchen-dininf, area, livin~ room, two bed-
rooms, and bath. The heatin? system is electric baseboard.
Each unit has zeparate utilities, and the ten~nts pay all
utility costs.
The second property is known as 217 East King Street. This
property is a two and one-half story brick house with a two
car frame garage at the rear of the lot. The first floor
contains foyer, living room, dining room, kitchen, laundry,
powder room, and enclosed back porch. The second floor has
four bedrooms and bath. The house has an attic and full
basement. The heating system is oil-fired hot water.
Based upon my personal inspection and findings, it is my
opinion that the properties as described above warrant
fair market values as follows: 332-332~ East Kinf Street,
Forty ($40,000.00) Dollars; 217 East King Street, Thirty-
Five Thousand ($35,000.00) Dollars.'
/Z;~:;ih.'1.~{lf
.l\lnnetn ~r. 1fa17.' ~ Jr.
Real Estate Broker
KNH/djm
THE PEOPLES NATIONAL BANK OF' SHIPPENSBUR13
P. O. Box 8
SHIPPENSBURG, PENNSVLVANII'. 17257
Phone: 717 532,4131
~gj
October 23, 1980
Donald E. Albright
Attorney-at-Law
Hanover, PA 17331
In Re: Estate of Dorothy R. Rader
Dear Mr. Albright:
1 am writing to you in reference to your recent letter.
At the time of Mrs. Rader's death she had the following accounts
at our bank:
1. Checking Account No. 46-201-2 opened prior to
15 years. Rer balance as of the date of death
was $5,797.44.
'2. Savings Account No. 026-049-5 20 opened October
14, 1961 showing a balance of $9,640.66 with no
accrued interest.
3. Certificate of Deposit No. 6354 issued January
10, 1979, in the compounded amount of $2,681.25.
The accrued interest to date of death amounted
to $75.94. This Certificate was registered in
the names of Dorothy R. Rader or Nora M. Glcssner
JT/ with Right of Survivorship.
4. Certificatc of Deposit No. 944 issued September
1, 1968, in the amount of $500. The accrued interest
due on this Certificate totaled at $22.44. The
Certificate was registered in the names of Dorothy
R. Rader and~vonne Hayes.
5. Checking Account No. 46-232-2, opened August 5,
1970 with a balance of $2,739.84.
6. Savings Account No. 046-247-0 20 prior to 15
years showing a balance of $13,665.36 with no
accrued interest.
I hope this is sufficient information concerning this matter.
however, if you have any additional information you may need please
feel free to contact me.
~in erely youra.
",eL!'.. I!b.i
arah E. Bert
Supervisor Data Proceaaing
,;
REV-45~. EX+ (3.801
.COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT th
EST A TE OF Doro y
SCHEDULE "C"
TRANSFERS,
.
R. Rader
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 d~scription of the piu~ellY transferred per
Schedules "A," "B," or "E," its estimated market value at dote of death, dates ui transfer, to whom transferred and
relationship of tmnsferees to decedent. Attach a copy of any trust deed or instrulllent relating to the transferred property.
ITEM
NO.
DESCRIPTION
ESTIMATED DEPT. VALUATION
MARKET VALUE (OFFICIAL USE ONLY)
None
None
TOTAL THIS PAGE
None
~
QUESTIONS CONCERNINC PROPERTY TR~,NSFERS
. '
L Did decedent, within two years of de~th, nwke any tranSler of any material part of his estale \'iithout receiving
valuable and adequate consideration? (Answer "Yes" or "No".) No
2. Did decedent, within two years of death, transfer property from himself: herself to himself/herself and anoUler party
or parties (including a spouse) in joinl ownership? (Answer "Yes" or "No".) -Ho-.
3, I I the answer to one or t\',o alXlve is "Yes" ilIHllhe tl~lil'Sfers me claililed to be nontaxable, provide the following
information:
a. Age of decedent at time of transfer.
b. Copy 01 death certificate.
c. Affidavil by Ihe altending physician indicatinp, the state of decedent's h8allh at time of transfer.
d. All other information snpportingnonlaxability of transfer.
4. Did decedent, in his/ber lifetime, make any transfer of property without leceiving a valuable or adequate consideration
therefor which was to fake effect in possession or enjoymcnt alar aiter his/her dcath? (Answer "Yes" or "No".) No
a. Was there any possibility that the property transferred might relurn to tlansferor 01 his/her estate or be subject
to his/her power of disposition? (Answer "Yes" or "No".j No
b. What was the transferee's age altime of decedent's death?
5. Did decedent in his!herlifetime make any transfer without receiving a valuable and adequate consideralion tberefor
under which transferor expressly or impliedly reselves for his/her life or any period which does in fact end before his/her
deatb:
a. The possession or enjoyment of or the ri ght to income from the property trJllsferred? (Answer"V es" or "No".) No
b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".j No
6. If the answer to five b. above is "Yes," state whether the right W;jS reserved in decedent alone or others.
7. Did decedent in his/her Iifelrme make a transfer, the consideration for which was transferee's promise to pay income
to or for tbe benefit or care of transferor? (Answer "Yes" or "No".) No
8. Did decedent, at any time, transler property, the bmeficial enjo\,ment of whrch was subject to change, because of
a reserved power to alter, amend, or revoke, or wbich 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 revohe the interest of the beneficiary reserved
in tbe decedent alone or the decedent and others? (Answer "Yes" or "No".) No
REV.ot!54 EX'; 13.801
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEOENT
SCHEDULE "E';
JOINTL Y OWNED PROPERTY
'*
(lnsrructions on Roverse Sido)
I Estate of Dorothv R. Rader
liTEM
NO.
j
11-
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DESCRIPTION
TOT/,L
MARKET
VALUE
\
T
VALUE OF
DECEDENT'S
INTEREST
DEPARTMENT
VALUATION
(Offic;al Use Only)
Certificate of Deposit No. 6354, The
Peoples Bank of Shippensburg, Pa.
Issued January 10, 1979. Maturity Date
January 10, 1983. Registered in names
of Dorothy R. Rader or Nora M. Glessne
as Joint Tenants with the Right of
Survivorship.
2,500,: 00
100
Value as per letter from Bank dated
October 23, 1980
2,757.1
2. Checking Account No. 046-232-2, The
Peoples Natonal Bank of Shippensburg,
Pa. Registered in names of Dorothy R.
Rader or Yvonne R. Hayes as Joint
Tenants with the Right of Survivorship
Account opened August 5, 1970.
Value as per letter from Bank dated
October 23, 1980 2,739.84
50
1,369.92
3. Savings Account No. 046-247-0 20, The
Peoples National Bank of Shippensburg,
Pa. Registered in names of Dorothy
Rader or Yvonne Rader (Hayes) as Joint
Tenants with the Right of Survivorship
Account opened prior to 15 years.
Balance per letter from Bank dated
October 23, 1980. 13,665.36
50
6,832.68
4. The fOllowing Series "E" U. S. Savings
Bonds registered in names of Nora M.
Glessner or Dorothy Rader as Joint
Tenants with Right of Survivorship:
Amount
$100.00
50.00
50.00
50.00
50.00
50.00
50.00
Number
C159406769E
L182826567E
L185212397E
L162336354E
L163488017E
L165261135E
L166119863E
Date of Issue
May, 1950
September, 1948
October, 1948
August, 1946
September, 1946
November, 1946
December, 1946
262.12
134.52
134.52
143.42
143.42
143.42
145.72
TOTAL
Continued
.
II 33 258.35
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a4t Ol d!4suO!lelaJ pue ssaJppe 'aweu a4l apnpul '"8,, alnpa40s JOj suo!IOnJlSU! a4l U! paleolpU! se
AlJadoJd leUosJad lie aq!JosaO '"I;f" alnpa40s JOj sUOIlOnJlSU! a41 U\ paleO\pU\ se ^IJadoJd leaJ lie aqposao 'l
'ISJ!j alelsa leaJ IS!l 'papnlou!
aq ol aJe AlJadoJd alq!6ueIU! pue alq!6uel 4108 'd!4sJo^!MnS jO l46!J 4t!M slueUaIIU!D[ se Sa!lJed JO AIJed
Ja410Ue 41!M ^llU!O! luapaoap a41 ^q pauMo 'leUosJad pue leaJ 'AlJadoJd lie apnloul lsnw ..3" 91npa49S
"3,, 31n03HOS ONU31dWO~ l:!0:l SNOI.LOml.LSNI
,
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
Schedule "E" must include all property, real and personal, owned by the decedent jointly with anothe.
party or parties as joint tenants with right of survivorship. Soth tangible and intangible property are to be
included. List real estate first,
1. Describe all real property as indicated in the instructions for Schedule" A". Describe all personal property
as indicated in the instructions for Schedule "S". Include the name, address and relationship to the
decedent of the co.owner (s) and the date the joint ownership was established.
2. Indicate the total market value of the jointly owned property.
3, Indicate the percentage of the decedent's interest.
4. Indicate the market value of the decedent's interest,
C ." tl n E; f'1 ;I- :::;
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COMMONWEALTH OF PENf/SYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
~
SCHEDULE "E"
JOINTLY OWNED PROPERTY
(Instruction. on R.verse Sid.)
Estate of
Dorothy R. Rader
ITEM
NO.
TOTAL
MARKET
VALUE
p\
VALUE OF
DECEDENT'S
INTEREST
DEPARTMENT
VALUATION
(Offici.1 Us. Only)
DESCRIPTION
with the Right of Survivorship and not
as Tenants in Common.
Fair.Market Value perappraisal by
Hale Real Estate dated November 25,
1980. 40,000.00 50
20,000.0
6. Certificate of Deposit No. 944, The
Peoples National Bank of Shippensburg,
Pa. Issued September 1, 1968. Registere
in names of Dorothy R. Rader and Yvonne
Hayes as Joint Tenants with the Right
of Survivorship. Principal Amount -
$500.00.
Value per letter from Bank dated
October 23, 1980
522.44 5<V
261. 22
"
TOTAL THIS PAGE 33,258.35) Js;.z?.s;,'l
~
REY.4U EX. tHOI
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
EJ Original
o Supplemental
o Remainder
File Number
21-80-0608
Estate Name
Dorothy R. Rader
Date af Death
06-01-80
180-01-9606
Sacial Security Number
REPORT OF INHERITANCE TAX APPRAISER
, I, tho undorsigned duly appolntod Inheritonco Tax Appraisor In and for tho County of Cumberland
Ponnsyl.ania, do ,ospoctfully 'oport that I no.o appraisod tho roal and po,sonal proporty as 'oportod In tho forogolng
return at the values set forth opposite each item in the last column to the right in Schedules "A", IIBu, "C", and "E"
Datod:
April 1, 1981
AiJJ IY1 I.! / if f~A" YiP )
INHERITANCE TA.X APPRAISER
INVENTORY
VALUE AS APPRAISED
CODE
AaJUSTMENTS
(HARRISBURG USE aNLY)
REMAINDER APPRAISEMENT CODE
TOTAL GROSS ASSETS
s 3 000 00 aD+
15,688 10 1a+
35 295 69 21:)+
None 3D+
__~5,9_~3_ :/.9.
40-
92+
Real Property (Schedule A)
Perlonal Property (Schodul. B)
Jolnt.Held Property (Schedule E)
Tranlfe,. (Schedule C)
Leu D.btl ond Deductlonl
(SCHEDULE F)
CLEAR VALUE OF ESTATE
93-
o Life Estate
o Annuity
RATE
FACTOR
PRINCIPLE
VALUE
CODE
FOR USE OF REGISTER ONLY
Tax on $
CODE
COMPUTATION OF TAX
$
$
S
5
6'.
.,
Tax on S
15%
Tax on S
Tax on S
Tax on S
$
Exemptions
Total Estofo
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
s
Leu Credits
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
IN TEREST
TAX CREDIT
S
+ 5
s
=
$
+
=
INTEREST FROM
BALANCE
TO
S
REV-SIB FO (7-80)
NOTICE OF FILING OF APPRAISEMENT
I~~
. 'h-' ~ .,'
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
Ms. Yvonne R. Hayes
R.D. 3, Box 281B
Hanover, PA 17331
RE: Estate 01
County 01
File No.
DorothY R. Rader
Cumberland
21_80-0608
Deor Ms. Hayes:
You are hereby notilied that the orip;inal
appraisement in the estate 01 DorothY R. Rader
hos been liled in the ollice 01 the Register 01 Wills 01 cumberland
County on ~p"i 1 1 , 19 .Bl... Soid appraisement reflects the lollowing valuations:
Real Estate
Personal Property
Jointly Owned
Translers
Total
$35.000.00
$15,688.10
$35.295.69
None
$8<; I 983. 7Cl
As to such tax that is paid within three months !rom date 01 death, a live (5%) percent
discount is allowable. As to ony tax that remains unpaid alter nine (9) months (Iilteen months
when death occurred Irom December 22,1965 to June 16, 1971, inclusive; and twelve months when
death occurred prior to December 22, 1965) Irom date 01 death, interest ot the rate 01 six (6%) percent
'per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within sixty doys
olter receipt 01 said notice as provided by Section 1001 01 the Inheritance and Estate Tax Act 01
1961,72 P.S. 2485-1001, P,L. 373.
Date
April 1. 1981
Signed
11 h." : " J '1ft' ~ itwl)
Chief Appraiser
Title
NOTE: This is not a bill.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
.'/ "",>.1 ) ,"
COUNTY FILE NO: --".' - .' (I - :/ C. (
,( . ,j .
TO: ,I /',,/.:.(1../1 d " I j /.. i <-<f / .r
....3f .1.f!I,.t..tL"",cv,1
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_ ...././tt, i",-.,Jv' : ,;7,;_ / / ) " /
"
DATE
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I
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..:/- ,0-((;,:;.'.:-
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(..
'.:.....~d
ESTATE
"
.,
./
I
,.
FILE NO.
COUNTY
. . I' .-I,.... l')
DATE OF DEATH ' '.(,;//.1", / _ L (.
I~ '
//0
"
Appraised Value 01 Estate:
Real Estate
"
$ .__-l '; ,ct'-r., ,"~(1
..-/ ..,t'.
+ /~ ,,',//,/()
Personal Property
"
Jointly Held PropertylTransfers
., - ')/1 - '/
+ ~I.-',. ./ 75, I;'
Total Gross Estate
s /,.;- /.,/ '1 11'
Total Approved Deductions
- /.} '/-,;7 <.j .I I
/
Clear Value of Estate
S '1/- ",.,f/' "/1
~:,; -/ C.fI. L..'
.
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
s 1:)' ,311 'If
Amount Ta.able @ 6% Rate
s ~l /;,- ') 11' '1.'/
s ~!./::<3, 13
tax due
Amount Ta..bl. @ '5% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
$ i'f,x" <jq
* * * * * * 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
$ <I '-I c.'/ /1) + $ S 5> y./ = $ ~' --1/ () t: I
. '
,
+ =
+ =
~ --1'"
~)_ 1....')-,0
Interest Bccrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by
is
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE S / /;; :.-' '/
, . .7./.~~.t4-."~;lrv;J ;;~/r;r) /.3... /~: - ?i)
'-- /' ,/. I: ", /" '-,~v, )
Assessed by: ~/./I' ./ f ,/
See Inlormation on Reverse Side Agentforlh~ .mmo~~_ al~h L- .
I"'.,~, ' . I
/ / '';'' , A....
"
r : ll;:~; I ( i i
. -,.l ". ~
BUREAU OF INDIVIDUAL TAXES
IHII[RllAHC[ lAX DIVISION
DElll. 2e06Q I
tlARRlSBURG, PA 171Ze-OGOl
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVEtlUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
r&~
{ ~t~'l>~
I,~.,.'~,,,,,,<;,~
...~~~& ~~
ItV-IU1U "'(OI.t"
DATE
ESTATE OF
DATE OF DEATH
FILE NU~IBER
COUNTY
ACN
08-05-96
RADER
06-01-80
21 80-0608
CUM8ERLAtlD
101
DOROTHY
R
r-
Anount Roni Hod
MAKE CHECK PAYABLE AND REltIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAtlO CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your oecount, subn1t the upper portion of this forn with your tax paymant.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiEv:i6oi-Ex-AFP-fii3:96Y------JJiiE-INHERITANc'E-riix-sTATEfiENr-oTiiccoliiiT--il-iJJ---------------------
ESTATE OF RADER DOROTHY R FILE NO. 21 80-0608 ACN 101 DATE 08-05-96
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, ArID, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMEtlT OR RECORD ADJUSTMEtlT:
06-08-81
PRINCIPAL TAX DUE,
4 ,523,94
._---~-.~---_._----------_._._.__._._-.__.__.
PAYMENTS (TAX CREDITS):
PAYMENT
DATE
03-13-81
04-16-81
08-03-96
RECEIPT
tlUf18ER
X8000551
X8029438
WRITEOFF
DISCOUNT (+)
INTEREST (-)
8.90-
.68-
8.17-
4,410.64
113.97
17.08
AMOUNT PAID
TOTAL TAX CREDIT
4,523,94
.00
,00
,00
THE DEPARTMENT HAS WRITTEN OFF THE
BALANCE DUE AS UNCOLLECTABLE
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
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21-80
608
PETITION FOR LETTERS OF ADMINISTRATION
IN THE ESTATE OF .....DOROTH.Y...R...,RADER...................... IlECEASEI),
MARY C. LEWIS
To .......................................................................................,...'...........,......................
Register of Wills for the COil lit.'. of ('1II11hel'ia1ld. ill the COl1ll1lo1lwealth of PeIl1l,;yh'allia.
The Petitioll of ............ ... .......X){.g..:m.~...g,..J!~y.~!;......... .................. ............................. ..............................
.................................................. ........ respectflllly showel h I ha t .. ,.........D,or.o.thy....R....Rader.......................
was a resident of ..shiPblen.s.b.\Il:.g........................:~o~,~~ . Cumherland County. State of Penns~'J,
vania, and a Citizen of United States, and departed this life inte,;tate in the County of .cumber.land.
......... ...... ........ '................ Illld S tll te of .. .?~.!?n ~y..~ y.<!11.~~.................................. ................. .................. ........... ......
on ......S.uX\p.~y................. the ........f.,;i,.+,!;.J;................. da)' of ..............;[H.~!i!.......................... A. I).. 19..f:!.!L..
at the age of ......:11'..... years.
That the said .......Dor.o:l:.hy....R......Rader.,........................... deceased. left surviving the following
named widow or husband, heirs and next to kill. to wit:
Name
Relatio1lship
Residence
.....X.V.9.11X\!;l...R.,... ~gy'!;l.Ii............ ........
...R!i!M9.h!:;~.+.....................
g,....R.,....~}..,,(g!\l,;i,ggJ!?!\l.+.g...~!?Wpship )
r..,.Q.,...J:ig.~9.Y.'.~;r;....LX.g*-~...!;:.g.,)..,.. Pa.
17331
................................................................
................................................................
................................................................
................................................................
................................................................
................................................................
................................................................
................................................................
................................................................
................................................................
................................................................
................................................................
................................................................
................................................................
................................................................
That those above named inelude all of the next of kin, gO far ag known.
The said decedent wa~ pogsegsp.d of pel'sonal propert)' to the estimated value of $..6.rO'O'O..OO'...........
and of Real I';state, les~ incumbrance. to the estimatl!d value of $..1.~~.....=.. as near as can be
ascertained.
That the said Real Egtate in gO flU' as is known i,; located in .Bor.oug,h...o.f...Shi.ppensb.ur.g.,.
b.eing...21:7...Eas.t...King...s.tr.e~t....(,C.umb~r.laX\d..Co.uX\j;y,L.............................................................
Therefore, your petitioner(!l\l resllectfully appl)'(ies) for Letters of Administration in the above
named estate.
Dated .......~.~.~!:.~....~~...............,........ A. D., 1!1..80.
Signature and Address
of I'etitionerll\l
,..........(~.~~}~.........
:::.:ZZ:(L:~~~::::;;:~.
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/::J~ _A
~
(?/v ~;J,t- ~
.:2../~<ftJ - (p" f?
//-/..2f..,j
COMMONWEALTH OF PENNSYLVANIA 1
} MS:
COUNTY OF CUMBERLAND I
............................... .....................Xy9.11n~...R,....~i1-.Y.~~.,.... ......... ...................... ....................... ,................... named
in the above application being duly ..............s.w.or,n.................... according to law, sa~' that the facts set
forth in the above applieation are true to the best of .....her... knowledge and b~\ie~. , . ._
.......................!?W.9.~J)....................... and subseribed) ..........iy~~.~~...............
before me, ~ ..............~~~:.:~~..:.~.:......................................................
.......~..P.~,...!.~.....................~. A. D:. 'j.O.... I ........................................................................................
.......0(d&f....rJ:.....~.i.~~~;:... ........................................................................................
Filed: ' ....~.~p.~.:~~.:.:::......~.~.~....~.~~.~.:J.9.!!.Q,...... Allol'll"Y: ....p.~!'l.~.~.~...J;;.~....~.pJ,;-.~9.h!:..............
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} ss:
.............. ........ ........ ...... ............ .....yy.onne......R.....tl,;t,y!i:::... .............. ............ ....... .................. ...... ....., petitioner (Il)
being duly ...................~ll(9.+:T.\.......................... aeeording to law does......... depose and say that as the
administrat!:.ilG....... of the estate of ...........p..9.~.9..t.hy....R,..J\i1-.4~);................................................................
........................................................................................................................................................................................
deceased .......she......... 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.
................................RJ<<'9.+:.n............. and subscribed
~:~~'h.!~.mm A. D:. ",.o..~~.m..
R~:f;'{..~....{!...,...~........................................................................................................
DECREE
Be it remembered that on the ............?:?g9:.......... day of ...........~~l?~g!!'!?~.E............. A, D., 19..8.Q~.
Letters of Administration in the estate of .....P.Q.+.9.tb.Y....R.....Riilg,'i::;r;..............................................................
.................................................................................. late of .........Shippensbu.rg:..BarOugh.......................
Cumberland County, Pennsylvania, deceased, were granted to ....x.v.o.nnla..R^...J;l,ilY.~.5...........................
........................................................................................................................................................................................
Witness my hand and official seal the day and year afores~ ~
................~.t~....{!....../~......