HomeMy WebLinkAbout80-00650
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No. 21.80 (';5U
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
In the Estate of
Il^V II 1\1'1 <;'1'1 TNI'
. deceased,
To Register of Wills for the County of Cumberland. in the Commonwealth of Pennsylvania,
Petltloner(jl) is (~the execut riv
named In the Last Will and Testament of
n!l)' l..f R,();.::+1 inf30 dated ~'o"nlph"r 1 ~ 19"12
Decedent was a citizen of the United states and a resident of 1 n""..,.' ^, , "p 'rn"",~hi l'
Township (Borough), Cumberland County. Commonwealth of Pennsylvania.
Decedent died on
'11'11"~d!1Y
the 1 ~t-h day of C:nptnmhnr
A.D. 19.&0-. In the
County of r'nl1h"," ~n.-1 . State of P('nn~ at the age of -06-- years.
Decedent:!MIs (has not) been married and AAS (has not) had children born to him ~ since the ex.
ecution of the above described Will,
Decedent was possessed of personal property to the value of $3,000.00
and of real estate to the value of $35,000.00
as near as can be ascertained; said real estate situated as follows
Therefore. your petltloner~ respectful y apply(les) for the probate of the said Last Will and Testa.
ment and for Letters Testamentary theron,
-
Dated:':'
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Name and address
of Petltloner(s)
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MILDRED r.. BEISTLlNE
131 Bosler Avenue
Lemo)~e, Pennsylvania 17043
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND l
Mildred E. Beistline
ss
named in above application. being duly' s\~om
statements set forth in this petition are lrue to the best of
according to law say(s) that the
her knowledge and belief.
SWORN
and subscribed before
me, oct. 10 1980
_zm/I.LUf I). ;;I}4~
CJ-r f '---'-'--'---b'~ster
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~Iildred f? Beistline
Filed:
i:S~d
c:;./-fo-{..SO
October 14, 1980
Attorney James D. Bogar, Esquire
5 West ~Iain Strcet, Shiremansto\\lTl,
&.7Li2
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. .
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Signed, sealed, published and declared by the above
named Ray H. Beistline, as and for his Last Will and Testament,
in the presence of us who have subscribed our names hereto as
witnesses, at the request of sa id testator, in his presence and
in the presence of each other.
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OATH OF PERSONAL REPRESENTATIVE
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
Mildred Go Beistline
who, being duly O"'''n:l
.do t:\c
depose and say that as
Ray H. Beistline
PYr'\r-11Tr; y
of the last Will and Testament of
deceased
She
will well and truly administer the goods and chattels, rights and credits of said der.eased according to law. And
also will diligently comply with the provisions of the law relating to Transfer Inheritances. Swnrn and subscribed before me.
October 10 J '7 7.. fuh-'.cL I: lido I _,;j7;J~ ~
A.D" 19~ _ _ ._
'?JJ1:j/ (}. ~J Register
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Be it remembered that on the
14th
DECREE
October
,A,D.,19~, there was probated and
day of
Ray H. Beistline
recorded the last Will and Testament of
late of
Lower Allen TownShip
, Cumberland County, Pennsylvania,
Deceased, Letters Testamentary were granted to
Witness my hand and official seal the day and year aforesaid.
Mildred P. Beistline
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124
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"REV-449 EX" (3.80)
COMMONWEAL Tit OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INttERITANCE TAX
RESIDENT DECEDENT
AFFIDAVIT OF
FIDUCIARY
(In~tructions on Reyene Side)
.
Estate of
RAY H. BEIS1UNE
Do te of Dea th
S~ptAmhpr 1R, 1980
Last Address __12LWinstOILDrive
Mechanicsburg._, Eennsylvapi " 170<;5
(ClT':'. ISlA,!::) (ZIP'
Social Security No. 189-09-4652
Bureau File No.
County File No. /) 1- ,?O - h50
1. Decedent died:
( ) Intestate (without a will)
kxx) Testate (leaving 0 last wi II--copy attached)
2. Is the filing of a Fedetol Estate Tax Return required for this estate?
3. (XlQc Executor/Executrix ( ) Administrator/Administratrix
Name Mildred P. Beistline
Yes_ No J(
Address
131 Bosler Avenue
_Ww)'Ile., PF!I1m;y1u"ni"
(CITVI (STATEl
1706.':\
(ZIPI
4. All correspondence should be mai led to boc) Attorney
) Fiduciary.
5. If an attorney is representing the estate, indicate:
Address
Jarres D, Bogar. Esquire
5 West Main Street
Name
_~s;rJ.V3Ili ~ 17911
(CITYI (STATEI ~IP)
List all safe deposit boxes registered in the decedent's individual namehar jointly with, or as an agent or deputy
of another, or in decedent's individual name with right of access by anot er as agent or deputy. Include the nome
and address of the bank or other institution where the safe aeposit box is located, the name (s) in which the box
is registered and the telotianship of the joint holders to the decedent.
NAME AND ADDRESS OF BANK OR onl ER INSTITUTION
IN WHICH DECEDENT MA:NTAINED A SAFE DEPOSIT BOX
NAME OR NAMES IN WHICH
SAFE DEPOSIT BOX IS REGISTERED
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
None
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and
statements, and to the best of my knowledge and belief it is true, correct and complete.
~ 'dJ.:d' , ~~ '
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. ~GN1'iuR~Jf~ f7.RY
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DATE
A. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT B. TYPE OF LOAN
SETTLEMENT STATEW,ENT
~ M.C, WALKER REALTY 1. 0 FHA 2. 0 FMHA 3. 0 CONV, UNINS.
4. C VA 5. 0 CONV, INS.
14 NORTH WALNUT STREET 6. FILE NUMBER: 17, LOAN NUMBER:
MECHANICSBURG, PENNSYLVANIA 17055
(717) 697-9487 B. MORT. INS. CASE NO.:
C. NOTE: This form is furnished to give you a statement 01 actual settlement costs. Amounts paid to and by the settlement agent are shown.
Items marked "(p.o. c.)" were paid outside the closing; they arc shown here for informational purposes and are not Included In the tOlals.
D, NAME OF BORROWER: E, NAME OF SELLER: F, NAME OF LENDER:
ROBERT J, & MELINDA L. MILDRED P. BEISTLINE, FIRST BANK & TRUST COMPANY
SPIRK - EXECUTRIX lolECHANICSBURG, PA
G, PROPERTY LOCATION: H. SETTLEMENT AGENT: I, SETTLEMENT DATE:
M. C. WALKER REALTY
121 WINSTON DRIVE, PLACE OF SETTLEMENT:
FIRST BANK & TRUST COMPANY DECEMBER 11, 1980
MECHANICSBURG, PA MAIN & MARKEl' STREEI'S, MECHANICSBURG, PA
J, SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION:
TOO. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101, Contract sales price 48.q~0.00 401. Contract sales nrice 48Q~0.00
102. Personal property 402. Personal property
103, Setllement charges to borrower (line 1400) 1,005,2'5 403.
104. 404.
105. 405,
Adjustments for items paid by seller In advance Adjustments for Items paid by seller In advance
106, City/town taxes 12-11-1mO 1-1":81 2.52 406. City/town taxe51.2-11-80 to 1-1-tll <:.,:><:
107, Countv taxes 12-11-80 to 1-1-81 2.Q4 407, Countv Taxes 12-11-80 to 1-1-81 2.Q4
108. Assessments to 4nR. Asse..m-n'. f"
109. Soh. tax 12-11-80 to-?~1-81 2~6. 'i/j 409 Soh. tax 12-11-80 to 7-1-81 2~6.~
110. Light 12-11-80 to 1-1-81 .6 41n T.iaht 12-1' -80 to , -1-81 6~
111. Sewer 12-11-80 to 1-1-81 7,7? 411, Sewer 12-11-80 to 1-1-81 ???
112. Refuse 12-11-30 to 1-1-81 ;,78 412, Refuse 12-11-80 to 1-1-81 ~.78
GROSS AMOUNT DUE FROM BoRROWER .
120. 50,229.4; 420. GROSS AMOUNT DUE TO SELLER 49,224.18
200, AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500, REDUCTIONS IN AMOUNT DUE TO SELLER
201. Deposit or earnest money 2,2,:>0.00 501, Excess deposit (see Instrucllons)
202. PrinciDal amount of new loan(s) 502. Settlement charoes to seller IlIne 1400) ),:;I.L:;I.OO
203, Exlstlno loanls) taken subject 10 10 000.00 503. Exlslinn 10an'S\ taken sUblect to
204, 504. Payolf of first mortgage loan
205. 505. Payoff of second mortgage loan
206, 506.
207, 507,
208, 508.
209, 509.
AdjUstments lor items unpaid by se ler Adjustments for items unpaid by seller
210. City/town taxes to 510. Cilyltown taxes to
211, County taxes to 511. County taxes to
212. Assessments to 512, Assessments to
213. 513.
214, 514.
215. 515.
216. 516.
217, 517.
218. 51B.
219. 519.
220. TOTAL PAfD BY/FOR BORROWER 12,250.00 520. TOTAL REOUCTION AMOUNT DUE SELLER 3.919.00
300. . CASH AT SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELLER
301, Gross amount due from borrower (line 120) 50,229.43 601. Gross amount due to seller (line 420) 49,224.1tl
302, less amounts paid bylfor borrower (line 220) 12,250.00 602. Less reduction amount due seller (line 520) 3,919.00
303, CASH (IX FROM) (0 TO) BORROWER 37,979.43 603. CASH (IX TO) (0 FROM) SELLER 45,305.18
Form Approved OMB NO 63-R,l501
U.S. DEPARTMENT OF HOUSING AND URBAt~ DEVELOPMENT
SETTLEMENT STATEMENT
PAGE 2
I CCTTI EMENT "HARGES PAID FROM PAID .HUM
700 TOTAL SALES/BROKER'S COMMISSION basod on o,lco sMj,9,O.00 ., 7 %=1,426 50BORROWER'S SELLER'S
FUNDS AT FUNDS AT
Qlvision 01 commission (hne 700) as tollows: SETTLEMENT SETTLEMENT
701. $ 1,738.25 10 M. C. Walker Realtv ~lf7f::~~l".!~,,'7;~~~q.'r...t~~~~'.'i&':'~~~~
702. $ 1,688.25 10 C. M. Detweiler. I nc. Realtor 1:i.t)\\'1A,a~(":,:,~ ;"~~j,<W:f~.
n, .~_ .....M .\......\ ..i_.to .."
703. Commission paid at Sclllemcnt 3.426.50
704.
BOO. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Onginalion Foe % to First Bank & Trust 100.00
B02. Loan Discount %
B03. App,alsal Foe to First Bank & Trust . SO.OO
804. Credit Report to
805. lender's Inspection Fee
806. Mortaaee Insurance ADDlication Fec 10
807. AssumPtion Fee
808.
809,
810.
811.
900. ITEMS REQUIRED BY LENOER TO BE PAID IN ADVANCE
901. Inlerest trom 10 @$ Iday
902. Mortaace Insurance Premium lor mo. to
903. Hazard Insurance Premium for yrs. to
904. yrs. to
905.
1000. RESERVES DEPOSITED WITH LENDER FOR
1001. Hazard insurance mo. (rb $ Imo. '~~%;"tII:f'~~
~ "O""fon"'llI mn ",.. Imo ; ..~W:,1i.r.~
'00' -,..~,~ mo'" · ' 1 J'''~'!f.''''~''''
t""x"C! Imo. ~,> ""It
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'IV\A . n,nno,!u '0... mn "" ~ ..' 1 .:.~' ;.~
Imo. ~~I..~_, 'r~
'005. Annual assessments mo. "". 'mo. . ,,~~?~p'
~ ~n '" < 'mn l' ';;N 1:
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~t.) 'x,>,. 'it~,
'007. mo. "" $ 'mo. ....>J: 'r. ,.'..;. ... :~.
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'008. mo. "" $ 'mo. " .',.l'1l~" ~i:ii
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1100. TITLE CHARGES
;101, Settlement or closlna fee to
.'02. Abstract or title search to Josenh P. Alexa. Ese. G'1'+.'1'J
1103. Title examination 10
1104. Title insurance binder to
lln<. Oor.llment nrenaratlon to
1106. Nolarv fees 10 Cash ,.00 ,.00
1107. Attorney's fees to
fincludes above items No.: } ""\f!f;'.,Jt,';'>;[~.';':'-::--~~\,.;f" ,-,.:~
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1108. Title insurance \0 r
lincludes above Items No.: } ..<Y,~,:it;:.~~~.t?:'~::"'i' 'i'.l.~t~
1109. Lenders coveraoe $ .~:\; ~,..~"I~~; ...Z~ ...~~/~\..:~~~ ],
: ,~..'t:i..~~~.,..~.{~., ~;;.~'''fi'~ ."%~....~~
1110. q,wPf1!:s coverage S ~!.".'~"~..'~'/""!~~.Jf. '~.;;i~~''"'i.'' rp~~
I.."" '.'1'. ,:0," .'$.. ...... " ~."'
1111 , ,'"tion of Deed to James D. Bogar I Ese. (P.O.C.)
111:: ,~ration of Bond & ~lort"'age to J osenh P. Alexa Ese. liD. 00
_._"
1113.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201, Recordino fees: Deed $ 9. 00 : Mortgage $9.00 ; Releases $ 18.00
1202. Cllvlcounlv taxlslamps: Deed S 489. liD Mortgage S 4RQ ~n
1203. State taxis tamps: Deed S 48Q . ~O Morlgage S 48Q. 50
1204.
1205.
1300. ADDITIONAL SETTLEMENT CHIoRGES
1301. Survev to
1302. Pest insnection 10
. 1303.
1304.
1305.
1400. TOTAL SETTLEMENT CHARGES {entet on lines 103 and 502, Sections J and K} 1,005.25 '3.919.00
The Undersigned Acknowledges Receipt ot 'This Selllemenl Stalement and Agfees 10 1he Coneclness Thereof.
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Seller
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LEFl' REAR BEDROOI1
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4 pieces / Bedroom suit. $55,00
1 Chair $5,00
J Lamps $1.50
3 Pict.ures $1. 50
Jack
Clot.h Tree
Small ,Iindow Fan
T, V. -- Not. playing
St.and Table
$15,00
$2,00
$2.50
$1. 00
$2,00
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$63.00 Tot.al
Bedroom
RIGHr FRONT BEDROOK
Dresser and Bed wit.h one mat.t.ress and
Writ.ing Desk
$72.00 Tot.al
Bedroon
REAR FRONT BEDROOM
Mise, Small It.ems
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BASEl"ENT CELLAR \
I
Hood Cabinet $1.00 .
I
Hood Desk Broken $1. 00 !
.
\lood Dresser $10.00 \
Metal Base $1. 00 \
Tool Boxes, 2 $10.00
\'hi te Cabinet .50 I
i
Tables, Misc Items, tools $65.00 I
Stands & JaCrl:S $6.00 \
Cans $2,00 \
Metal Table $10.00
Hisc Box Items $2.00 \
Ladder $5.00
\
Space Heater $4.00
Library Table, loose legs $3.00
;
Shovel, Hammers $4.00 I
Bicycle $1.00 I
Hringer \,asher $3,00 \
Kenmore Dryer, Electric $20.00
Tubs t 2 $1.50 \
$147.00 \
Total $147,00 I
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Basement Cellar I
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ITEMS RESERVED FOR EXECUTOR
MISS llEISTLINE
Saw & Table & Motor
White Small Cabinet
Rug in the Living Room
Air Compressor wi motor,
in the cellar
Trash Can, metal
Snow Blower, one
~l:fg. M. T. D.
Tecumseh Engine
4 hPI like new
$65.00
3.00
25,00
45.00
2.25
200.00
$:340.25 Total
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c~c~ ~j r8s MAIN OFFICE 331 BRIDGE STREET NEW CUMBERLAND, PENNSYLVANIA 17070 (7171774,7000
CCNU [JANK. N.A,
October 22, 1980
James D. Bogar
Attorne,y At T.n.w
5 \~est Main St.
Shiremanstown, PA.
17011
Dear Atty. Bogar:
Reference to your letter of October 2, 1980, we have
located one checking account for the Estate of Ray H. Beistline.
The checl<ing account number is 003-000150.,4 and
on July 9, 1911 in the name of Ray Beist1ine (only).
as of September 18, 1980 (DOD) was $404.54.
was opened
The balance
If you have any further questions, please contact us.
Very truly YOUIf'
;3<;;VLN~
D.E. Machemer
Asst. Cashier
Bookkeepine;
DEM: s d
REV':'&52 EX+ '3~80J
COMMONWEAL TH OF PENNSYLVANIA
, OEPARTMENT OF REVENUE
TRAHSFER INHERITAHCE TAX
RESIDENT DECEDENT
ESTATE OF RAY Ii Rl"T9'rr ThIJ;'
SCHEDULE "e"
TRANSFERS
'*
ITEM ESTIMATED DEPT. VALUATION
NO. DESCRIPTION MARKET VALUE (OFFICIAL USE ONL Y)
None
,
TOTAL THIS PAGE ",
INSTRUCTIONS:
1. Answer the Questions on reverse side.
2. It 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.
~~9"L
QUESTIONS CONCERNING PROPERTY TRANSFERS
;
1. Did decedent, within two years of death, make any trallsler of any material part of his estale without receiving
valuable and adequate consideration? (Answer "Yes" or "No",)-lia-
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? (Answer "Yes" or "No",) ~
3. If the answer to one or lwo above is "Yes" alld the transfers are claimed to be lIontax<lble, provide the following
information:
a. Age of decedent at time of transfer,
b, Copy of death certific<lle,
c, Affid<lvil by the <lHending physici<ln indicating the slate of decedent's health <It tiBle of transfer,
d. All other information supporting 1I0nt<lx<lbility of lr<lllsfer,
4, Did decedent, in his/her lifetime, IIl<1ke any tr<lnsfel of property withoul receiving <l valuable or adequate consideration
therefor which was to t<lke effecl in possession or enjoymenl <It or <lfler hiS/her de<llh? (AnsweI "Yes" or "No".) ~Jo
a. Was there any possibility th<ltthe properly transferred might retu!Ilto lransferor 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 wilhoul receiving a v<lluable and <ldeQlwte cOllsiderationtherefor
under which transferor expressly or impliedly reserves for his/her life or <lny period which does in fact end belore his/her
death:
a. The possession or enjoyment of or the right to income lrom the properly transferred? (Answer "Yes" or "No".) No
b, The right to designate the persons who shall possess or enjoy the properly 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 properly, the bOleficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could reverllo decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No".) No
3. ff the answer to eight above is "Yes," was the power to aller, amend or revoke the interest of the beneficiary reserved
in the decedent alone or the decedent and others? (Answer "Yes" or "No".)
REV.4\54 EX+ (3-801
Cet.\MONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT OECEOENT
SCHEDULE "E"
JOINTL V OWNED PROPERTY
'*
(lnstluctlons on Reverse Side)
Estate of
RAY H. BEISTLINE
p\
T
VALUE OF
DECEDENT'S
INTF.REST
DEPARTMENT
VALUATION
(Official Use Only)
ITEM
NO.
DESCRIPTION
TOTAL
MARKET
VALUE
,~
--
None
\
TOTAL THIS PAGE
; ~,
4911.
-
INSTRUCTIONS FOR COMPLETING SCHEDULe "e"
Schedule HE" must include all property, real and personal, owned by the decedent jointly with ar;Qther
party or parties as joint tenants with right of survivorship, Both tangible and intangible property are to be
included. Ust real estate first,
1, Describe alt real property as indicated in the instructions lor Schedule" A". Describe all personal properly
as indicated in the instructions lor Schedule "B", I nclude the name, address and relationship to the
decedent of the co,owner Is) and the date the joint ownersllip was established,
2. Indicate the total market value of the jointly uwned property,
3. Indicate the percentage of the decedent's interest,
4. Indicate the market value of the decedent's interest.
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INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
21-80-0650
REV.on4 EX+ (HO'
File Number
Estate Name
UAY H Raiat1inp
Ii] Original
o Supplemental
o Remainder
REPORT OF INHERITANCE TAX APPRAISER
Dated:
MlQ' 21. 1981
Date af Death
September 18, 1980
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County 01 Crn"" 1 r,nn
Pellnsylvanla, do respectfully report that I have appraised the real and persona) property as reporte in the oregoing
ratum at the values set forth opposite each item in the last column to the rJght In Schedules IIA", liB", "e", and "E"
'",. "A A)
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INHERITANCE TAX APPRAISER
Sacial Security Number
189-o<;-46~2
INVENTORY
VALUE AS APPRAISED
Rool Property (Schedule A)
Personal Property (Schedule B)
Jolnt.Held Property (Schodulo E)
Tranaf.r. (Schedule C)
$
TOTAL GROSS ASSETS
L... O.b.. and Deductions
(SCHEOULE FI
CLEAR VALUE OF ESTATE
OLlIe Estate
o Annuity
RATE
FACTOR
FOR USE OF REGISTER ONLY
Tax on $
Tax on $
15%
Tax on $
Tax on $
Tax on $
Exemptions
Total Estate
TOTAL TAX
INTEREST FROM
BALANCE
Less Credits
OATE OF PAYMENT
AMOUNT PAID
S
INTEREST FROM
BALANCE DUE
CODE
AOJUSTMENTS
(HARRISBURG USE ONLV)
REMAINDER APPRAISEMENT CODE
oa+
,a+
92+
20+
30+
40-
93-
PRINCIPLE
VALUE
CODE
CODE
COMPUTATION OF TAX
$
S
S
S
S
6%
TO
$
S
$
TAX CREDIT
$
~EV.518 FO (7.80)
~~
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COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
NOTICE OF FILING OF APPRAISEMENT
Mildred P. Beistlinp.
131 Bosler Avenue
Lemoyne. PA 17043
RE: Estate of
County of
File No.
Rav H. Beist1ine
Cumberland
21-80-06'50
Dear Miss Beistline:
You ore hereby notified that the orip:inal
appraisement in the estate of RAy H. Rpi"tlinp
has been filed in the office of the Register of Wills of C:"mhp"l "nrl
County an Ms.,. ~l , 19 ..8l.. Said appraisement reflects the fallowing valuations:
Real Estate
Personal Property
Ja in tl y Owned
Transfers
Total
48.9'50.00
1.8?6.46
None
None
S'50. 826. 46
As to such tax that is paid within three months from date of death, a five (5%) percent
discount is allowable. As to any tox 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 rote of six (6%) percent
per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within sixty doys
after receipt of said notice os provided by Section 1001 of the Inheritance ond Estate Tcx Act a'
1961,72 P.S. 2485-1001, P.L. 373.
Dote
May 21. 1981
Signed
,/Iho/M ;'/frl't; d .."f)
Title
Chief A.pprs:tiRe1'"
NOTE: This is not 0 bill.
DEPARTMENT'S
APPRAISED VALUE
$ 48.950.00
$ 1. 876.46
$ Nnn..
$ None
S 50,826.46
REV-.'7 EX+ (7-eOI
~
'~{~~1'
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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
DE T
INHERITANCE TAX
APPRAISEMENT
o SUPPLEMENTAL
File No. 21-80:...0/i50
[JORIGINAL
Estote 01
Ray H. Beistline
Coun ty
ClImhAr1RI1d
Dote 01 Deoth --..Septemh..,. lR. 19Ro
In the event that any future interest In IhllS tIstato I. transferrod In pOI session or enjoyment to collateral heirs of tho decodent after tho
expiration of any estate for life or for yeau, tho CommonwClolth hereby expressly Ul!lllrVOI tho right 10 appraise and QuaSi transfer
Inheritance tOXOI at the lawful collateral rote on any such futuro Interost.
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
i
I
I I.
12.
3.
4.
ASS!,=T SUMMARY
48,950.00
l,876.4h
Total Real Property - SCH. "A" , . . . .. $
Total Personal Property - SCH. "B". . . . S
Total Jointly Owned Properly - SCH. "E" $
Unreported $
Unreported $
Unreported S
Unreported $
Nnnp.
Total Translers _ SCH. "C". . .'. . . " $ None
LIFE ESTATE
DANNUITY
TOT AL GROSS ASSETS
DREMAINDER
TOTAL VALUE
s
I do hereby certify that the above appraisement is made In conlonnity with Pennsylvania law and has been filed this
day with the Register 01 Wills.
{f/',r,.., ill) '-fPf'~ Pi /I" ,I .J
APPRAISER
OS/21/81
DATE
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COMMO'NWEAL TH OF PENNSYLVANIA
,. DEPARTMENT OF REVENUE
. TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F" Page 2 of 2 Pages
STATEMENT OF DEBTS
AND DEDUCTIONS
~~\
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Estate of RAY H. BEISTI.INE Date of Death 9/18/80
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
Mildred P. Beistline
File No,
Claimant
Relationship to Decedent Sister (Executrix)
Claimant's P.ddress
1 ':\1
Rnc:: 1 t:lol"" h:oonllt:lo
,
T OITV'\)""'o, P^
, 7n/.]
ITEM
NO.
DATE
NAME OF PAYEE
REMARKS
AMOUNT
23. 12/14
24. 12/14
Holy Spirit Hospital
Camp Hill Convalescent Hane
Expenses of Sale of Real Estate (in-
c!udin Notar Comnission real
estate commission, realt transfer
Hospital Expenses of Last Illness
Final Bill D..1e
, 3644.82
14470.60
570.59
22. 12/12
M. C. Walker Realty
RESERVES:
Closing Costs
Mildred Beistline
Jarres D. Bogar. Esquire
Executrix Comnission
Attorney's Fees
100,00
2540,00
2150.00
~ ?C,.OJ
TOTAL THIS PAGE I ' 23~75, 01
I hereby certify that to the best of my knowledge and belief the foregoing is a just and true stalement of debts, funeral
expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes,
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Mildred P. Beis mBIGNATURE OF ATTORNEY/FIDUCIARY DATE
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S c1 f --'/ ~/ /j-Y AT
1
/r
PERCENT,
6- -;?;?-.Y/
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 52,000 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 pe:son who has assumed the responsibility for paying the debts,
.
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