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HomeMy WebLinkAbout80-00623 ',', -tK> " :'."". . '~-. " "'~ - "';-~;~-,' ",; "\ ,~2f.:.:,' f~~}::~F:' , . . ~li",... -.'~t+~,~~;~~::' ,,' ~ "'" "...., f~~'~~Y:',~,~, ': . " ... ~r- ' Ii; f.~'M4'}:'",;;, ,... .,:, ~~~:~~!~,:~:~" ,~/" ~~::., . ,..\'~~.; .;-', ~~,'" ..... '" li~~~):~':,'::J'/:1 ~;""'>;~;.;., it .,,' : . - .. - S:" ,~.. 1'j'ffi\'."I"": , ~ ~~;1~~(<. ,;,;..00: :}~:.,~i'~:~,~ . 'fit.:.:.:.:..:.:'........'.......' ~{"""'" w:':~,:\ t~~F,::~~ '. ,ooi '1'- M> ,N r.l> o 00 . ., '- M '\:;', ",:',', ; ~:j < . o Z fS ~ . >< ~ ~ 1"" "i ~ " fI.l ~ ~ :Il 0 0 ~ tll . , :Il ::s:: I-) I ~ ~ , 0 I-) ..... 0 taJ ~ .... ID U"\ -= .-i LI.I ..... " .'.', .:.. ~" /S')c "2') ., '- No. 21.80 PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY In the Estate of "~c?-'-N- #' 6~:b~.s , deceased. To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania. Petltloner(5t Is (are) the execut c>'~ named In the Last Will and Testament of 4/JC'/.~; ~ 6>/-/ J dated 47,//, / ---? s:""-;;.?if- Decedent was a cltlzEln of the United States and a resTci~11I of c;....,... ~.// Township (Borough), Cumberland County, Commonwealth of Pennsylvania. ./ ,,-c~IIj..>I../ ~ Decedent died on /.~:/. the I to tit, day ofJ':;'/rd ..1,.,. A.D. 19 J' . ,In the County of )2.. Ah .'..., ,Stateof~dr.r.:",,:/ atlheage of c:'C;. years. Decedent has (has"not) been married and has (has not) had children born to him (her) since the ex. ecution of the above described Will. .$ Decedent was possessed of personal property to the value of J .s:~'C' and of real estate to the val ue of as near as can be ascertained; said real estate situated as follows Therefore, your petltloner(s) respectfully apply(ies) for the probate of the said Last Will and Testa. ment and for Letters Testamentary theron. Dated , ,,",~L.v .,;)cr /..1 '/ //) ;-'/ A~>':~I/~~'--:~:'-', ~ .""'1.-__- ,)!;,,,.,, ,,4 ./ ~/~" . 3/:1 d.JA- //?' ..?L:.-.. ~/~//,;{./.-~_ 7-. /?dS-? Name and address of Petitioner(s) COMMONWEALTH OF PENNSYLVANIA l COUNTY OF CUMBERLAND j ss /&n,..-/h .../ /.<'~(),4-~ named in above application, being duly.s-:.,~'p" statements set forth in this petition are true to the best of according to law say(s) that the 4..:.r knowledge and belief. sworn and subscribed before me, SeEt. 29 1980 -2jj)~-~ ~~- r7 .7--~~gister Filed: September 30, 1980 / .-2// "/ ~-//./ Vcr;,.L o{.J'77: s/J;~",,,. ~.h'''''''~~'''..;e. ../7"~ Attorney ';;U-,fD - &-.-<.-s 1/-/.29- 'I- ...-----:-:-:1 !ff:!/ / j S'c.K/l..tt ~ LAST WILL AND TEST~lENT OF NAOMI H. GIBBS I, NAOMI H. GIBBS of the Borough of Camp Hill, cumberland County, pennsylvania, declare this to be my Last will and Testa- ment, hereby revoking any will previously made by me. I _ I direct that my executor hereinafter named pay the costs of administration, my funeral expenses and the cost of the purchase and erection of a grave marker for myself and my mother, Anna N. Hoy1er, out of my estate as soon as may be practicable after my decease. II _ I bequeath all of my tangible personal property including automobiles and insurance thereon to my nephew, Kenneth J. Hoyler noW of Middletown, pennsylvania. III _ I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wheresoever situate unto Kenneth J. Hoy1er and Dauphin DP.posit Bank and Trust Company IN TRUST, nevertheless, for the benefit of my mother, Anna N. Hoyler, for the rest of her natural life. My trustee shall invest and reinvest the principal and pay the net income there- from and so much of the principal as in their discretion is necessary and desirable for the health, care and support of my mother, Anna N. Hoyler. Upon her death or should she predecease me, the balance in the trust or the residue of my estate, as the case may be, shall be paid to my nephew, Kenneth J. Hoyler, absolutely. IV _ I nominate, constitute and appoint my nephew, Kenneth J. Hoy1er, Executor of this, my Last Will and Testament. Should he fail to qualify or cease to act as such, then I appoint Dauphin Deposit Bank and Trust Company to act in this capacity. Neither of my personal representatives shall be required to post bond in this or any jurisdiction. IN WITNESS WHEFEOF, 1 have this, the ~6-~~ day of hereunto set my hand and seal on (J ~ -L ' 1978. / ^HNOl-n,SLlKK Be n,,'fI.ItY AmlJ.NtnATUo" _.....H...... ~....Jl"L.I"...UW&.,.'...' .~~ 11., ~~. Naomi H. Gicbs Page 1 (SEAL .. ~ AHNOLU,SUX. & UAYI,r.Y ATTOaNlY'AT U.... _......~.,.." . . (".... Ihn.J.....u~u... """ .. Signed, sealed, published and declared by NAOMI H. GIBBS, Testa- trix therein named on this and one (1) other sheet of paper as and for her Last will and Testament in our presence, who, in her presence, at her request and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~/lldQ~j'1' /JC rJi' d ess y /}- ( , \. !2 name 12 ) '1f;et::),/J<t (.c J.uA Y addres Page 2 '. ' " ~ .' .' COMMON~~ALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) I, Naomi H. Gibbs , the testatrix whose name is signed to the attached or foregoing instrument, having been duly quali- fied according to law, do' hereby acknowledge that I signed and executed the instrument as my Last Wi111 that I signed it wi11- inglYl and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and Naomi fJJ _ Gibbs of ~/J.. , 19l!!........ acknowledged before me, by ~ the testa~ix this 2."<) day . (\a,~~~.~ i 7 Notary Public ~ i JAMES K. ARNOLD, NOTARY PUBLIC CAMP HILL iQRO, CIJMBERLJ\NO COUNty IIY COMMISSION EXPIRE.\ DEC. 19 1918.' , Member.pennsvlv,"laA5S0Clatl(lnOfN~tarin . '. ~. COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) WE, the undersigned, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her Last Willi that Naomi H. Gibbs signed willingly and that Naomi H. Gibbs executed it as her free and voluntary act for the purposes therein expressedl that each of us, in the hearing and sight of the testatrix signed the will as witnessesl and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. )rIAA ~ ..ft. A: t ~~ g _~!fJ Sworn to and subscribed before me this cJ5I}:J.day of Or"'.Q. ,19z.a.. AJ.NllU), SUKI! "' BAYlEY Amll.Nf,YS AT LAW' 11"lIAlUI'maT CAMP Hu. ....-n,,,........ 11011 ~ ,.Al ~ Notary Public JAMES K. ARNOLD, NOTARY PUBLIC CAMP HILL IORO, CUMBERLAND COUNTY IIY COMMISSION EXPIRES oEC 19. 1918 Member. Pe~n!ivlv:ml" .ww:illl1tmol Nlt;riSf 54 . " OATH 0.' SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA I ss: CO~"'RLAND I This "- day of 'A.D..19 , before me. Register forthe Probate of Wills and granting letters of Administration in and for said Coullly of Cumberland. in the Commonwealth of pen'iisy~erSOnaIlY came //// the subscribing witnesses to the fOregO~tt!!ment of writing purporting to bC'l~:st Will and Testament of ~ // ~ Dated_ / ~/C~:bcrland County Pa.. deceased who being duly ./ " according to law. depose and say, that // ~ present. and saw and heard the testa / ~;,seal. publish, pronounce and declare the said instrument of writing as and for h ~estament and Last Will, and at the t;~f'SO doing . / ~ was of sound and disposinv.?ind memory and understanding, to the best of "...... knowledge. Obse/rvation and belief. """ " and subscribed before " / / late of " , " , , Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA t ss: COUNTY OF CUMBERLAND ~ ~u'd4 1/ ~~f"P- . U ~& .IV""" says that as nearly as can be ascertained the said decedent ~G';._" being duly 46,j..ts: died on rLl~~t-/ , the /~ fA<. day of --4,'?_.d-- // / "",:) o'clock. ? M. A.D.,19.&., at or about sworn and subscribed this 29th day of September "'~'~ f~ . 1Ztft2. ~ Register OATH m' PERSONAL REPRt:SENTATIVE COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of Cumberland, personally came ,?, /, ~ /? " / r9:cj ~~:.. who, being duly ~ p/;-r . do ...r depose and say that as ~;Y,...c,o/> - . of the last Will and Testament of ~~<Jn...; 4 &-'~/--j deceased /1r- 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. sworn and subscribed before me. September 29 /' /A.D., 19~ ,<:~~~~ - f14 (!:f . J IU J '. /',t/td-/ 1 Register Q 00 I - M '" <'I \0 I o 0) I M <'I o Z .s ~ r.<l u. o ..J ..J - ~ ,-0 'l'A ,<II :?J :'" :0 l2l 10: H: CJ~ .. :r:l H: :i:, 0: ..:: Zl 0: 0): e> ~: ...1 0): 'lFi 0: ..-: Mi 0 0 k : ~ Q) : - .0: - e: .~ ~ .: Q) : u: ~, l:: e-.' 0.: .~ rill Q) 't:l lJl '" <'11 't:l ... lI'l: 0 " 'IF, . '" ... '" 1l 't:l bll <II ...... l:: .~ <II p... ~ C"';l N c.c o z Be it remembered that on the 30th day of DECREE September 80 ,A.D.,19_, there was probated and recorded the last Will and Testament of Naomi H. Gibbs late of Camp Hill ,Cumberland County, Pennsylvania, Kenneth J. Hoyler Deceased. Letters Testamentarv were granted to Witness my hand and official seal the day and year aforesaid. 0(11/1 (J .~~,~J ..JOH N ..J. SCHATT AnORNr.V AT LAw D I SOUTH IFRONT STRIET POST O"'FICE lOX 7018 STEEL.TON. PENNSVLVANIA 1'1113 TELEPHONE: (717) 83D.37.0 JD.r~u:":'j 'Y 1 Sl, ~ >'u 1 Rcgi:::t~~r 01' ',JillD of L.'i~.:Oj ..l:..t.nd Go~~n"t/ Cou:ct i~ou:J:': CurlislCl, PelUls:,,-l v nia l'te: "':;s(. t. Ol~ JJao:,:i H. Gi'.;-bs Dear Sir; In J:e o.oav.;.; ..;s u::.t,. , I <1:.: {l~ll',-,i;..LT,!'l ':Lilin,_',: '~:i~ il1\r ..;rr0:)l'Y and the in;L.:il'i-[:,::ncD t,o.;.;:: 3.~"~'l'o.iG,-:l -l~(i deb c: 2.l1u. (l,.::d'L:ctlns. This '.:S'[;.0:0,; in\~ol v';:~ .3. life.: C~'iJ~:L.; a.:.; :uQ <j~:...1 8l1.uL:,.:: a::;ta.te i'.!1. t.n a :C,:). a.;..n:.....-.:!. irr;~;l",~S'~. In D.CC01"Q211Ce 1'.i.it.~~ i>'~ct.5_';)~1 '(i:.3 of -':';J"; lnhel.i.'it.unce and ~s'~';:'~vc Tax :\ct. 01' 'I ~,.6:, as c:";'J.1ls'Jl i'07' jC:;lEL..:t.11 v. l:O./l.":l', "::'~lC ...:.'Xecutol' of s:..'.id "::st.D.,~O 11 .J.',;;b, ,;lJ(;'(.;:; i.:.o hr~ve tIll; value oi' '~n.o f.,,;.':.:,u:..'.:.:; ii-:t'::l'Jtit, the !'cr,:':"..i.1G. r ,..n'~.:.;;r "t:.;ct :!.."iii'_~ci as 01' t~l(~ d.:.::ce,; oi' ci-.~<lt.{t 0::" .:.1-13 dec.JdGnt! s death and Ua,/ ~lh:: t,.:.J: a3~C':[jG:~U.C,;1 ;1.' J~:.n. JJS/cns 7".":' t,'aly :"~;;"~ / t\ (~""-?( \ ,,~ ~ /' Joj,{ J. ::ichatt i' Inventory of Ihe real and personal eslate of Naomi H. Gibbs deceased. REAL ESTATE NON E I PERSONAL ESTATE 2070 13 51 51 5248i65 132187 6287 35 89 03 16402 27 258 27 \ 2739 71 5000\00 690166 630 00 l. Optional Savings Account - State Capital Savings & Loan Assoc. $ 2. Accrued Interest on Item II 1 1 3. Term Certificate Savings Account _ State Capital Savings & Loan Assoc. 4. Accrued Interest on Item II 3 5. Term Certificate Savings Account _ State Capital Savings & Loan Assoc. 6. Accrued Interest on Item 115 7. Term Certificate Savings Account _ State Capital Savings & Loan Assoc. 8. Accrued Interest on Item II 7 9. Checking Account _ Dauphin Deposit Bank & Trust Co. 10. U. S. Treasury Note - 8 7/8% - Series U 1980 11.27 shares, common stock - Stirling Drug, Inc., at 25.58 12. 40 shares, common stock - Lynch Communication Systems, Inc. at 15.75 $39600 45 Total COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I. J 55: __________u K~nlJ._eutL.J:."-l:loyler._ ____u_____________________ being duly swornu_ ______ according to law, deposes and says that he ____~s_J:.b_e____ ____ E.~_~c~_to~_n.___ _________ of the Eshte of N<!Qmi H.....lli.j)bs late of the Borough of Camp Hill , Cumberland County, Pa., decea,ed and that the within is an inventory made by ____u__Ke.nneth__J-'-lioyJe~__ ____._, the said_It~~or of the onliro ostato of said decodent, consisting of all tho personal properly and roal eshto, oxcept roal ostate outsido tho Commonwealth of Pennsylvania, and that the figuros opposite oach item of the Invontory represent it', fair valuo as of tho dato of docodont's doath. 19(:/ / l-~?/{{JL!/ 'iffr':&' cuto. ~~ J 31.", GU Ii: 11,:/ /2.. e_ /1.";'/;;7;. .,,1; Addr." and subscribed beforo mo, D~~f:':' y,. :: ....', i;'..Il:. I'.....'..~ Sl~E~TClJ ~:~., '.;~::. ~'...~;~::r W:);;"d i.'li 'Oi....\',i::;C~: . r:,~~ I,V.'! (R. 19;J2 Date of Death __l~ Ooy Se.p.tember Month lllRO Yur INSTRUCTIONS J. An inventory must be filed within three months after appointment of porsonal roprosentative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional shoets may bo attached as to personalty or realty 4. See Ar!Jcle IV, Fiduciaries Act of 1949. . ;' ..J ~ .: ~ t:):.~ I.." :--: t.) 5:?h. ~ ",r. l~' ~G L... ~ ' . ~c Qt.' 0 ::~:.:: , N ..-<: ..... Otl~ WlJJ Z U.-..J ..... 0.... "'"" ..-1 cc ?w a:;VJ -, ~ ",- ,.,co (,)<=> 0::1: lUlU a:;a:; - w~ fO ....'-' <.> ~ >- ..,; " I- W ~ ~ ~ c:: I- ~ ,,~ w <( " "l "- I- Ul U ~ g 0 lI'I .0 " w w .0 0 ",. >- \ J: c:: .. ' " "- 'M Do C ~ I- .... u. c.!l ~ ~ Z <( 0 "- 0 u. .... :l: w <( w , 0 c:: .1 ,;. <( "- > z ~I - 1. I Z 0 0 C " r lI'I Z 0 0 c:: <( g! '1 u z w ... "- -0 C ~ Z: - -.: 0 " .0 -0 " E - " ~ .. ...J U u:: REV0455 EX+ (3"0) COMMONWEALTH OF PENNSVLVANI~coRrEq 'I OEPARTMENTOF REVENUE REe":~c', TRANSFER INHERITANCE TAX ,)... RESIDENT DECEOENT .;.,' /. ,J, (, _.' ,-,I SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS ~ ~ '~I 01 ,JWi L\I Estate of Naomi H. Gibbs Date of Death 9-16-80 WHEN CLAIMING THE FAMt\:~n~~fiNlg;r:IO~iCOMPLETE THE FOLLOWING: CUM8ERL r. ~.a l" . ". File No. .~ '..\>0. <:,:l.~ Claimant Relationship to Decedent Claimant's Address at time of Decedent's Death ITEM NO. REMARKS AMOUNT Funeral Ex enses $ 2326.00 Letters Testamentar 35.00 Medical Ex enses 383.50 Medical Ex enses 16.00 Monument 880.00 Advertisin Letters 52.59 Advertisin Letters 25.00 Attorne ' s Fees 1 8 . OATE NAME OF PA VEE Funeral Home Wills I Cowle Associates Rollin Green Cemeter Patriot-News Dau hin Count John J Schatt Es . $5698.09 expenses and expenses of administration submitted to the estate as de~c' ns fo /-2 -. . .._ :r: /' IGNATURE -IOUC1ARV OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED INTHE SUM OF $ r:; to If (\~. (,I 9 AT (.. ~h ',C!/--lL'> %TAX RATE t-l}?-a~ (l .c5!.IAH~.J G1STER OFWI LS /-:J.O-f"1 REV.....g.II.I!:I) COMMONWEAL TH OF'l>ENNSYL VANIA DEPARTMENT OF RE"ENUE TRANSFER INHERITAIlCE TAX RESIDENT DECEDENT AFFIDAVIT OF FIDUCIARY (In\tructions on Reverso Side) ~~>nl i~~ Estote of Naomi H. Gibbs Date of Death September 16, 1980 Social Security No. ~5 32 4327 Last Address 242 North 23rd Street Camp Hill, Pennsylvania Bureau File No. ICITY) (STATEI IlIP) County File No. ,,;:< (...) CJ {. 2-. ~ 1. Decedent died: ( ) Intestate (without a will) (X) Testate (leaving a last will--copy attached) 2. Is the filing of a Federal Estate Tax Return required far this estate? Yes _ No x 3. (X) Executor/Exet:lltrM< ) Administrotorl Administrotri x Nome Kenneth J. Hoyler 313 Oak Hill Drivp 4. All co nespon dence shou I d be moi I ed to (X ) A Itorn ey ) Fiduciary. C') 05 n~ - :o~ ~;r. '''n w~ eo .....' :;; (1);:0 ::r.J8 ~O z I'" ':::1) N ,0 :>-1: :6 7~ 0 (".Jz ~ ~., '.:.J ~,~ --, 'C <:-) . ~:- ' . i", . ~ -"~:-~ " '. Address Mic1c1l prown , pp""sy1",,"io 17f\57 (CIn'1 ISTA.TE) {llPI 5. If an attorney is representing the estate, indicate: Address John J. Schatt. Esquire 51 South Front Stre~ Nome Steelton, ppnn"1lv~ni" 17111 (CITY) (HATE (ZIPI List 011 safe deposit boxes registered in the decedent's individual nomehor jointly with, or as an agent or deputy of another, or in decedent's individual name with right of access by anot er as agenl or deputy. Include Ihe name and address of the bank or other 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 decedenl. NAME AND ADORESS OF DANK OR OTHER INSTITUTION IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX NAME OR NAMES IH WHicH SAFE DEPOSIT BOX IS REGISTERED RELATIONSHIP OF JOINT HOLDERS TO DECEDENT Under penalties of periury, I declare that I have examined this return, including occompanying schedules and slatements, and to Ihe best of my knowledge and belief it is Irue, correcl 0 d omplete. /I/'?/;, DATE REV-4;O 1'''801 COMMONWEAL TH OF PENNSYLVANIA 'OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE" A" REAL PROPERTY .~,."~~'" . ,- ('- <....c..... ._ (Instructions on Reverse Side) ESTATE OF _tiao_mLH. Gibbs_ DESCRIPTION ESlIMA lED MARKET VALUE DEPARTMENT V ALUA TION (OFFICIAL USE ONLY NON E TOTAL THIS PAGE \\\c \ ,(. ...--. ~\"'\f REV-,,:., r:::"t (e-~Ol COM/olONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY (Instructions on Rt'Vp.fSa Sid,.') Estate of Naomi H. Gibbs ITEM NO. DESCRIPTION UNIT VALUE 1. Optional Savings Account - State Capital Savings & Loan Assoc. 2. Accrued Interest on Item # 1 3. Term Certificate Savings Account - State Capital Savings & Loan Assoc 4. Accrued Interest on Item # 3 5. Term Certificate Savings Account - State Capital Savings & Loan Assoc. 6. Accrued Interest on Item #5 7. Term Certificate Savings Account - State Capital Savings & Loan Assoc. 8. Accrued Interest on Item # 7 9. Checking Account - Dauphin Deposit Bank and Trust Company 10. U. S. Treasury Note - 8 7/8% - Series U 1980 qq 0\'1 :5).; ::.1\ ~ U-,(~ 27 shares, common stock - S~~~~ing Drug Inc., at 25.58 J.6.'::;I...:o 11. 12. 40 shares, common stock -,"-Lynch cation Systems, Inc. at 0-5. rr-. ~,'I"- Iln,)\?'-, Communi- TOTAL If additianol space is necessa'f. use 8!1" x 11" sheets. ~*'~ ~\ , '. :'~Z~ ,...'fi..!{j)JIi:,^". ;"":~.t~\"'."" . '.. . ;'\t(!;f. .... ,.~'I' ESTIMATED MARKET VALUE DEPARTMENT VALUATION [OFFICIAL USE ONL Y/ $ 2070.13 51.51 5248.65 132.87 6287.35 89.03 16402.27 258.27 2739.71 ( 5000 .{to" {gO. ~_.\ .(1 q~ :-;, SO I (' (J (ol" 0 0\ _ ,..:r. /-- --'---""'" 630.00 ) '---~- i I ^, .;)" 1.(" f'. ~ , -~... $39600.45 _' Z' I., J (J , 0 I , r I' .J j' I AIY.UZ'U.IOI COMMONWEALTH OF 'PENN5Y LV ANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RE51DENT DECEDENT ESTATE OF _ Naomi H. Gibbs SCHEDULE "C" TRANSFERS _~A ~ INSTRUCTIONS: Answer the questions on reverse side. II the answer to any of the questions on the reverse side is "Yes," provide a description 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 ONLY) NON E TOTAL THIS PAGE Ai ':"',; , :..Jf' QUESTIONS CONCERNING PROPERTY TRANSFERS 1. Did decedent, within two years of death, make any transfer of any material part of his estate wilhout receivinR 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 another party or parties (including a spouse) in joint ownership? (Auswer "Yes" or "No".) -B2- 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 tile attending physician indicating the state of decedent's health at lime of transfer. d. All other information supporting nontaxability of transfer. 4. Did decedent, in his/her lifetime, 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 return to transferor or his/her estate or be subject to his/her power of disposition? (Answer "Yes" or "No".) b. What was the transferee's age at time of 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 the right to income from the property transferred? (Answer "Yes" or "No".) Nn b. The right to deSignate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer "Yes" or "No".) No 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 b61eficial enjoyment of which was subject to chanRe, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Yes" or "No".) Nn 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".) '- . .... .. . J -'j \ I " il I: , , , i II . " 11 'I \: " Ii II II " i! Ii I I I I I i , \ .'''''''1;- "'I; '" ... ~Io' 1I , ...,...... " ... ...~ .....' ..... ..... .'..-.......... I.i\S';' I'lILL /lND TES'l'MIE!11' OF NAOlU II. GHlllS I, Ni\ot-a II. GI13BS of the Borough of Camp Jilll, Cumberland I I,I County, J'('nnsy1Vilnia, ment, hereby revoking II Ii clrcl;1rc 1:hi~:) to l'(~ my Leist ~1ill <lny Id 11 prev iOll!; 1 y "'i1de by me. anci '!.'csta- .1 P':.Y Ul<'i/ ot l !!I-~ I I - r direct that my execulor h,~roiliitftcr naml:d costs 0 f administration, and erection of funernl Qxpcnse~ and the cost my pu rC'hC151~ () grave markQr for my~;el[ anc1 my m~jther, ,\nll.l N. !loyier, out of my est-.ah' .15 soon .H; lHilY 1.)(;! pri-1cl.ic(1blc' 'after my deceasc. II - I bequeath all of my tangible personal property i:1c1 udi n'.' uutomobiles and insurance thereon to my nephcI'l, Kenneth .J. Iioylcr now of r.liddleLown, Pennsylvc.nia. III - I devise und bequc<lth all th,~ rest, residue and remainder of my estate of whi1tever nutur'e uno wheresoever situate unto Kenneth J. Hoyler unn Danphin Dpposit Bank and Trust Com:JtlnY IN TRUST, nevertheless, [or the heneri t 01. my f'1{)ther, Anno. N. Hoyler, fOl- the t'est of her natured 1 i fc'. !":i trustee shall invest and ["(,invest the principal and pay the net: income there- from and 50 much of the rlrincipal uS in their discretion is necessary und desirable for the health, care und support of my mother, Anna N. Hoyler. Upon her deuth or should she predecease me, the bo.lance in the trust or the residue of my astute, uS the case may be, shall be puid to my nephew, Kenneth J. Hoyler, absolutely. IV - I nominate, constitute and appoint my nephew, Kenneth J. HoyleI', Executor of this, my Last loJill and 'l'estament. Should 1m fail to qualify or cease to act as such, then I appoint Dauphin Deposit Bank und 'l'r.ust Compuny to act in this capucity. \,', Neither of my personal r.epresentatives shall be required to pO~l bond in this or any jurisdiction. I, hereunto set my hand and seul {( ,!J..-t, "j____________, 1978. /. 7:::':z.F!~n-C/ _i!l_,_4'?~v.- (Sl-:AL Naomi n. Grb~s IN I-H'l'NESS ImEFEOF, I have this, the ,~ s- c;.( day of on I Ii \1 " Page 1 -<'- I I t;iqnccl, s0<l1 eel, publ il;hec! ;tnd decl nred by ~li\O:.n I!. GIBBS; T'2sta- trix therein named on this and one (1) other sheet of pa~lr as ;tnc1 for her Lil,~t l'Iill :1nc1 Test"ment in m,r r>rc'scnce, ,:bo, in her pl'CRencC', at her request and in tho presencc of euch other, have 11CrO\lnto sllbscribecl OUl- names as attcstinq witnesses. I ,-,\ \ "(]-{, />) .A/' r--.~ _b.'-______.l.L..Ci../A.-_ , !,_ name /- / . (:y ~ / J ____-'-~ .1/ j_I,.~,-. ~SlC.d css f... ~. ' c.J-~;/ .(fl. . y_... nu.c . , ('\ .. , /' . ,.;. ...' -t);9~~j M.A.~~ on .' tlc1drcsw ,... I I ;1 Ii I il I i I I I' il II .~ --- --upENNSy-L'vANll\) 55. -~ .' COUN'ry OF CUHBERLAND) \'iE, tl:e undersiqne<1, the witnesses whose names arc signed to the attached or foregoing instrument, being duly <Ju'1l i :: J '.'J .Icconl U;'l to la\~, do depose "od say that 'vIC were present and Sa\'l the te!;tilt r i:-: sign and c:<ccutc the instrument as her Last \';ill; that ~JM)rni II. Gibbs signed \~illingly anr! t!lat Naomi 11. Gibbs executed it as her free and voluntary act for the purposes therein expressed; that each of us, in the hearing an~ sight of the testatrix signed the will as witnesses; and that to the best of our knowledge the testatrix ;oJas at that time 18 or more years 0: age, of sound mind 3nd tInder :10 constraint or l:ndllc influence. , '- ,'{/ " !~ I U' , I I.> /' ~-: '- \-/ /f ~-i ( . / ~Xy(/i\ .I ./ ( ~ Sworn to and subscribed !,cforc me this c;d.: day of !.2v, ,'L, 1'lzlL I' ....l1.IIl...'y.. -.t lAW ,.., II.....Uf snr:n CAwPHA.L.l"PllcIn....NU.I'OII _~~p~~f AJ.NOU), SUK E tll "^ YIR lMlf' f( '.""r~" 'f. T.'.rtf I'IHUte O..W " ': ~1""J, ,. JI.'Pj HI :,~Hl (OIlfHY Iff IUM~j\'iII'~ IJfr-...f 'I" . I J "1,'" U~.....l:t:r 1,,",..\ ..,.,'......n':'.!.nnJ"ll!.;t.. Vi, " R~V-4S3 EX+ (3.80) COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEOULE "0" BENEFICIARIES *' (Instructions on Reverse Side) Estate of Naomi H. Gibbs BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY DECF.DENT BIRTH Ann'" N. l-Inu10r Mother Vo" lRRq T.;fo 1""""'''0 ;n Frpv Vi11ap'e Entire Estate M;.:l.:llpt"own Pennsv1vania .t"h.1 l-Inu1pr Npnh"w Vo~ Q.__'__L n1'1"nH..., "11"1 Oak Hill Drive Estate Middletown. Pennsvlvania The above beneficiaries are living at this time except for the following: NAME DATE OF DEATH REV.Sl. FO (7-80) ~~ COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS NOTICE OF FILING OF APPRAISEMENT Kenneth J. Hoyler 313 Oak Hill Drive Middletown, FA 17057 Nnoml II. Gibbo Cumberland 21-80-0623 RE: Estoto 01 County 01 Fila No. Dear Mr. Hoy1er: You are hereby natilied that the original ----------- appraisement in the estate of Naomi H. Gibbs has been filed in the ollice of the Register 01 Wills of Cumberland County on March 27 , 19 !ll-. Said apprai samont rellacts tho lallawing valuations: Real Estata Personal Property Jointly Owned Transfers Tatol none $39,620.01 none none $39,620.01 As to such tax that is paid within thrao months hom data 01 doath, 0 five (5%) percent discount is allowable. As to any tax that romains unpaid altar nino (9) months (filteon months when death occurred from December 22,1965 to Juno 16, 1971, inclusivo; and twelve months when death occurred prior to December 22, 1965) Irom date of doath, interest at the rote of six (6%) percent per annum is charged. Any party in interest who is aggrieved by this notice may object thereto within sixty days alter receipt of said notice os provided by Section 1001 of the Inheritance and Estate Tax Act of 1961,72 P.S. 2485-1001, P.L. 373. Dote March 27. 1981 Signed ,!b'/H [n dff ~ A../1 It d ) Ti tl e Chief Appraiser NOTE: This is not a bill. REV0457 (1.S0) COMMONWEALTH OF PENNSYLVANIA . OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT INHERITANCE TAX APPRAISEMENT '* Estate of Naomi H. Gibbs File No. 21-80-0623 County Cumberland Date of Death September 16. 1980 In tho event that any future Interest in this estate Is tnndenod in possession or onjoymentto collateral heirs of the decedent .ftllr the expiration of any ostate for life or for years, the Commonwe31th hereby expressly reserves tho right to appraise and assess transfer inheritance taxes at the lawful coUatoral 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 JOINTL V OWNED PROPERTY - SCHEDULE "E" none $39,620.01 none none TOTAL REPORTED PROPERTY $39,620.01 PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH TOTAL UNREPORTED PROPERTY TOTAL GROSS ASSETS $39,620.01 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. A/;:." i" "-tf',,;,/,, y,{f ) APPRAISER Narch 27, 1981 +J QJ QJ ... ~ +J ~ ~ ~ '" Ul "" ~ ~ ~ ,D ... <>: >- >- ,D '" P< ..... N .., ~ C . "" '" <Il ..c ..... " ..... ::> +J ..... co :>: ... ..... ..... ..:i 0 :>: ... <( ..... Z QJ - 13 Po ~ U Z 0 N ~ '" - CO " 8 ..... N '" 0 Z N U ..... ..... " '" - 0 ~ ci ~ '" \ '" 0 Z !-< 0 <Il ci <Il ~ <Il >- !-< ci - ~ z Z !-< f-< ~ Z ..:i ci - ci ~ 5 ::<: ~ ~ ..:i Z ::a z Cl u ~ Z ~ ~ <Il ~ 8 0 :l ~ Cl '- '. . 1!:EV.1508EX+ (9.en COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "E" CASH AND MISCELLANEOUS PERSONAL PROPERTY Naomi H. Gibbs FILE NUMBER 21-80-623 (All property lolntly-owned with the Right of Survlvonhlp must be disclosed on Schedule "F") ITEM NUMBER 1. 2. 3. DESCRIPTION VALUE AT DATE OF DEATH Checking Account, Dauphin Deposit Bank and Trust Company $ 2,784.12 Repurchase Ag~e~m~nt, State Capital Savings and Loan Association 15,611. 86 Accrued Interest on item (2) 13.72 Note: Above are balances as of date of death of life tenant, (February 3, 1982) Anne Hoy1er I;. cO N ~:u :"1~ ,-.'lC) _'c~ " , -: l~r TOTAL (Also enter on line 5, Recapitulation) $ 18,409.70 (If more space Is nelded Insert IIddltlonal ,heets of same ,Iza) j REV. 1547EX (10-82) BUREAU OF EXAMINATION PENNSYLVANIA OEPARTMENT OF REVENUE P.O. BOX 8327 HARRISBURG. PA 17105 101 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR OISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ACN DATE 12-27-8;1 ESTATE OF GIBBS NAOM I H FILE NO. 21 80-p623 DATE OF DEATH 09-16-60 COUNTY ClUIllI::BJ.J\ND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO "REGISTER OF WILLS. AGENT II . JOHN J SCHATT ESQ 51 S FRONT ST PO BOX 7618 STEELTON PA 17113 PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE CUT ALONG THIS LINE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV. 1547EX (10-82) ESTATE OF GIBBS NAOMI H FILE NO. 21 80-0623 ACN 101 DATE 12-27-82 TAX RETURN WAS: I X I ACCEPTED AS FILED ) CHANGED APPRAISED 1. 2. 3. 4. 5. 6. 7. 8. VALUE OF RETURN BASED ON: 1 SUPPLEMENTAL RETURN 111 121 131 I 41 15) 16) ( 7) .00 .00 .00 .00 18,409.70 .00 .00 Real Estate (Schedule A) Stocks and Bonds (Schedule B) Closely Held Stock/Partnership Interest (Schedule C) Mortgages and Notes (Schedule OJ Cash & Miscellaneous Personal Property (Schedule EJ Jointly Owned Property (Schedule F) Transfers (Schedule G) Total Assets ( 8) 18,409.70 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funera! Expenses/Administratlve Costs/Miscellaneous Expenses (Schedule H) 1 Q. Debts/Mortgages/Liens (Schedule II 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests (Schedule Jl 14. Net Value of Estate Subject to Tax 19) 1101 .00 .00 (11) (12) (13) (14) .00 18,409.70 .00 52,331. 62 ASSESSMENT OF TAX: 1 S. Amount of line 14 taxable at 6% rate 16. Amount of line 14 taxable at 15% rate 17. Principal Tax Due TAX CREDITS: 33,921. 92 18,409.70 1151 1161 X.06= x'15= (17) 2,035.32 2,761.45 4,796.77 PAYMENT OATE RECEIPT # DISCOUNT 1+) INTEREST l-l AMOUNT PAID 06-19-81 1l-02-82 029600 049937 2.36- 381. 00- 162.09 2,761.45 INTEREST IS CHARGED FROM 11-03-82 TO 01-11-83 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.- · IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST RETAIN THIS PORTION FOR YOUR TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 2 256.59 25.91 2,282.50 (If Balance Due is less than $1.00 no payment is required) RECOROS RECCJ:iY' pr' j, '83 JII -(, 'I" Discount: Purpose of Notice: to fulfill the requirements of Section 709 of thp Inherrtance and Estate Tax Act of 1961 (72 P.S, seclion 2485-709). Objections: Any party in interest not satisfied with the appr.;nsemenl. allowance or dIsallowance of deductions. or assessment of tax (includmg discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice. Objections may be made as follows: - by written protest to the Department of Revenue. Board of Appeals - by electing to have the matter determined at audit - by appeal to the Orphans' Court If any tax due is paid within three (3) months after the decedent's death. a discount of five percent (5%) of the tax paid is allowed. . the discount period is calculated in calendar months. Example: date of death 1-15-82. discount period expires 4-15-82. Interest: Except for tax on a future Interest. Inheritance tax becomes delinquent nine (9) months from the date of death. . Inheritance tax on a future Interest becomes delinquent at the expiration of three months from: - the date of election to prepay or - the date of death of the life tenant or annuitant Interest is calculated on a daily basis from . - delinquent date to date of payment on any lax unpaid on delinquent date - date of last delinquent payment to date of payment on any unpaid balance. Interest is charged at the following rates: Delinquent Date Annual Interest Rate Daily Interest Factor 5/27/4310 and including 12/31/81 1/1/82 to and including. 12/31/82 11 1 /83 10 and including 12/3 1/83 6% 20% 16% .0001 64 .000548 .000438 Estates that become delinquent on or before December 31, 1981 wilt maintain a constant interest rate. The rate in effect when the tax first becomes delinquent will remain constant until the delinquent balance is paid in full. Estates that become delinquent on or after January 1. 1982 will contain a variable Interest rate. Thus. taxes that remain outstanding from calendar year to calendar year will be subject to different rates In effect on each January 1. INTEREST = BALANCE OF UNPAID TAX X NUMBER OF DAYS X DAILY INTEREST FACTOR. . If a tax balance remains outstanding for more than one calendar year. a separate interest determination must be made for each year at the applicable rite. (Only one calculation is necessary if the estate maintains the constant interest rateJ Any Notice issued after the tax becomes delinquent will reflect an Interest calculation to fifteen (15) days beyond the date of the assessment. If payment IS made after the interest computation date shown on the Notice. additional interest must be calculated. To Remit Payment: Detach the top portion of this Notice and submIt with your payment to the Register of Wills of the county shown on the Notice. . Address information is listed on page 13 of the booklet. "Instructions for Inheritance Tax Return for a Resident Decedent" . Make check or money order payible to: Register of Wills. Agent ~ REV. lB07 (AS) DEPARTMENT OF REVENUE BUREAU OF ACCOUNTS SETTLEMENT P.O. BOX 2055 HARRISBURG. PA 17105 INHERITANCE TAX STATEMENT OF ACCOUNT ACN 101 DATE ESTATE OF GIBBS NAOMI H FILE NO. 21 80-0623 DATE OF DEATH 09-16-80 COUNTY CUMBERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO: REGISTER OF WILLS. AGENT. JOHN J SCHATT ESQ 51 S FRONT ST PO BOX 7618 STEELTON PA 17113 PLEASE RETURN THIS PORT ION TO REGISTER OF WILLS IF PAYMENT DUE CUT ALONG THIS LINE ------------------------------------------------------------------------ .. INHERITANCE TAX STATEMENT OF ACCOUNT .. ESTATE OF GIBBS NAOMI H FILE NO. 21 80-0623 ACN 101 DATE 07-05-83 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, THE APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND. IF APPLICABLE, A PRO~ECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-27-82 PRINCIPAL TAX DUE:................................................................................................................................................... 4,796.77 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DATE NUMBER DISCOUNT + INTEREST Coo) 2.36- 381. 00- 57.36- .01- AMOUNT PAID 06-19-81 11-02-82 04-06-83 04-07-83 029600 049937 070714 070715 162.09 2,761.45 2,256.59 109.92 TOTAL TAX CREDITS 4,849.32 BALANCE OF TAX DUE 52.55CR INTEREST .00 TOTAL DUE 52.55CR (If Balance Due is less than $1.00 no payment is required) . IF PAlO AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST RETAIN THIS PORTION FOR YOUR RECORDS II .-. : CO.' u I :>- I I ~t" 0 , -=:.;: .:;:: I I ::'.1 r,: I I~.r.~ r.'~ ' ' ' ,." r::,' ,",J ~ u~. ~. ,z,. ~J '- " " . ~~: '\}, - ~... "", .-~ ~Z~ '" t- t; ~ ~ ~ ... c :! ~ 0: I < ~ ~ z U -' )( < .. 0 ~ (/) !( z m 0 > 0: ... .., "q, > u .z J ... ... ii: z z x ... '" 0: .. 0 Q. Z 0 :> ~ 0 .. i I ., <( ., 0 0 0 ;; ... ~ ...- , J ... '" .. III >. '-' " "' " .-I 0 .-I'" ." ===] .... " 0.-1 ... ... " ".0 :;; ~ ."", eo ".... c.: 0 M .-I o r- .-I " ." " " > .-I >. "' " " " "p., "' " . o " :::.-1 "' '-' ." ....-1 " ... o " "'''' ~ ,d~t~ h, ~~5 \cJ~. ~tj'/~J~ '-f. '/ ~.' i~ " VRG.. 'j ~0 ~ 0 ,. ..~(. ('..,~ .-' r = I, ,..- .0" _ . . - ./.....Il'}.L L ;.~:..: "T'. ";'-f.:r. ,::......:::... 's. i =-....... .- . , - L~l ~~~i ..:.._- - ~.. , , ~ ~ ~ '<, I) ... l- I;; .. ~ ... ;; ~ ~ II: ... Z :r I- < .J ~ ~ > U I- 0 ~ !( z .. ~ (f) 0 ... II: U Z > .. ;;: Z ., ... ... Z J: .. n. II: I- 0 Z 0 :J Iii i ~ 0 0 :r ~ 0 <: ~ I- w; ~ 0 ... ... .1 ., I- III J , <"l ~ o .... ~ '" .... >> g " > " ~ (I) =' ~ ~ 0 ., .-iU S :!;!"'d Qj -gQ)~ .... <Il 0.-4 :3 .. " Q) 1JaJO..... QJ .o::c (I) "~LJ'''' <Il ,,~ -,-iU:3 $.A e.Q4-l 0 as ~OUU ~~ '''I ~, ,~ "- ~ \'~ "" ,.., \" \: .r:--'. "",'\ \ ~~, \ ---.. ---.. '" (' ,,~ \"t: ) - . ~ - -- ,..." -- .......... ---.------------------- .~.a. ..._..... _~:o::::::;;.. '. >>- REv.1162 EX : i~ '. COMMONWEALTH OF PENNSYLVANIA ; . 4 No.K. 29600 DEPARTMENT OF REVENUE ~ OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX , I " " II II I ~ .. \ ~ ij ~ ~~g~VEO 1\ i l' ~ ADDRESS Sl South Front St., " "'.. TAX AT 6% TAX AT 15% John J. Schott c/o Xenneth J. Hoy1er TAXAT_% ESTATE TAX I " Harri.bu~, PA 17113 '--~f~~T~~-~~~~ATKltJ~--s-;'--~.;-i6-.--i98-0-- FILE NUMBER 21-80-623 DATE OF PAYMENT June 19 1981 NAME OF DECEDENT Haomi H. Gibbs m m COUNTY CUJllber1and POSTMARK DATE REMARKS "Paid on Life Estate" SEAL RECEIVED BY REGISTER OF WILLS ..... . -- TOTAL TAX CREDIT 162.09 LESS DISCOUNT PLUS % INTEREST (FROM TO_I TOTAL AMOUNT PAID 162.09 //l'j t/ .- ,. J t' " . ( V:::;..:.i.(p- ' SIGNATUye ----._--,---~- ......--.--- -.-------. _._-_._---_._-----~. "'~lo. I J ,.- '.... ~4l'.i!-:J, 1,. -- - - - - - --.- -- --- -- ..- - -- - -- -- - - -- .-- -- - -- ~ - - - - - _.- -..", --- - --. COMMONWEALTH OF PENNSYLVANIA NO L07071I:: DEPARTMENT OF REVENUE . .lj'\!FICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX .' 611, . . - ".. ...-.,:..~ ~/j//,'f (i .~u.a:J ! . - NATURE lOll.i2 I ~ ~ e )1 " . n e ua_JJ 109.92 ,-----------.-------------------------- REV.ff62EX m ACN G AMOUNT Assessment Control No. RECEIVED FROM: r t(,,"".th..J __UOylor...-..- ._..___.~ _C/o__John_J o_Schott,Eaq._.. _1'...O._Box.u..7618,.... . --..i.t.._.l.~QP._P_", .m17113. L -1 Probate ESTATE INFORMATION: FILE NUMBER NAME OF DECEDENT DATE OF PAYMENT 21-80-62 FIRST MI POSTMARK DATE COUNTY DATE OF DEATH REMARKS ~TOTAL AMOUNT PAID SEAL RECEIVED BY ... REGISTER OF WILLS __"L .... ___.. __..,.....,.. ..-- ..-- ..-, ......'" ..--- ~Wlllr..,-",~., ".'---'~".-.o:'"lt.:c..~1~'k~