HomeMy WebLinkAbout80-00701
~ "
~ '>
.
~ ~
i
"
tol
~ " g
I ~
t.:J
.
. :I:
::- t)
~ ~
~
It\
t) ~
~ !i1
.....
0
~
.., ~
cu
't;
LU
,,~;;,~':'
~~~:~
"';'
"
~.~t1L,::
':,':-:
:~':' :'.:
':.,
""-,.
..;;.;,:....:
~.:~:~< .
'~t~L " d.
(;~1:,tx,\.'.
..
:;"
'.
..
;'..':-
. ,
t.' ~ ,)." ,.,.
~L"
.. .;'.~;)::~ :".
~
"..=
'.'l"
d
'00:
.
~
'".
"
.
o
Z
:~ .
'"
"
.1;
..
"
':':
'r-
. .~:;;~~.,~"
"0,
.~~;.~:~~~~
::;:'y.!.~~~
'-'J.:.~~St
;i~
: ,,/fi.
',.';:;:;~I'i
. ~v.\~ t
"J"-~
- " if
!/r
, .};':.I'
'""0;'
-'~"~;~~(>l ~
"./(~~;
..
"
:-/0, 21-80 701
PETITION FOR LETTERS OF ADMINISTRATION
IN TilE ESTATE OF ....Y.IOLB,T...V,...,ZWIJ....,...............,......, IIECEAH~;U,
To ......,l'.lhIW,..!;"'..,Mf,.t.n.(:;".,....,,, ,....'""", ,,',' ""."" .....", """. ",..,.,., "." '" .."""..""
Register of Will< for lhe COllnly of CUll11JeJiand, in the Commonwealth of Penn<yl"ania,
The Petition of """,..""" "..", ,',',' ,HAMON" ,J,..",Z nlll ,.."", "",' ,.,., ,.., ".."",..,. "..,.."..,.."..'",.." ""..,........,..,..'
....,........,........,.."",..",...,..,..,',,',..,...., re<peclfull;' <howet h t ha I "',.,""y.!.QJ!'1,j;"'y.,',..,~J!')n,....",..,..,..,',..,.."..,
was a resident of ....,:.l~!;:.I:Ij;\n,~!;:,~);ml:il...................~~:~~:.~ . ClImberland COllnly. Stale of Pennsyl.
vania. and a Citizen of United State<, and departed this life inle<tate in lhe COllnty of ..\.,nmher.::........
......l.;;m.d..,........"....,...", and Stale of ., "",..,..g~.m:\!:l.Y 1y.?!'!.~,9.I.,' "...""........."..""..,.."..,..,..,.....",.........,......,.....
on .....W!i!.9.U!i!.!i.c:1;;l.Y.,........ the ..................+.~.t))........... day of ..............Dc.toh.er................ A. D.. 19....8.0...
at the age of .....It..... year<.
That the said ...........Y..i.ole.t...V......~.~lm.,............................ decea<ed. lefl surviving the following
named widow or husband, heir< and next 10 kin, 10 wit:
Name
Relation<hip
Husband
............................................
Residence
B.amon...J.~...Zinn..............................
..............s.OJ:\......................
...~.Q.~....f;.?!:l.j;...RJ!!'p..\'\9.n...R.t;J;.~.l?!::. ,
...!1e.ch.ani.csb.ur.q.,....P.a..~...D.0.5 5
... ~.i!.(i.::.I\. ..l.Q9.j;J.l...~.t;;I;'.~!i!.j;.,...... ......
...S.j;.Qne...I).ar.P.Qr.I....U......J.'..,.Q.~.? 4 7
g.h.?;-J!':!.!!...E......~J~!!.........................
................................................................
................................................................
................................................................
............................................
................................................................
................................................................
............................................
................................................................
................................................................
............................................
................................................................
................................................................
............................................
................................................................
................................................................
............................................
................................................................
That those above named itl';/ude all of the next of kin. <0 fal' as known.
The <aid decedenl was p088e<sr.d of pel'<onal propel'ly 10 lhe estimated value of $...i!.e...QP.O...Q.O........
and of Real E<tate, le<< incllmhl'ance, to the e<limalcd vallie of $..32..0.'O.0..'O.Q......... '" near as can be
ascertained.
That lhe said Real [,<lale in <0 fal' '" i< known i< localed in ..th.e...n.Or.O.U9.n...o.f...H.es;:.h.an.:j,j;;:;-
p.lJ.l:l;t....C.1Jll1b.ex:l.and...!:o.unty.....J?enns.y.lllania....................................................................,................
Therefore, youI' petitioncr(s) respectfull~' appl~'(ic8) fol' Lettel's of Administration in the above
named estate.
Uated ...?~~.~~~.r......t.i~.:;~GN)/.:JH3a""':!IJ., 1 !I...~.Q..
. ':',U:-,. - ."'iHdllO' \I' 'Tl:!
1:l1~n'ature ann Addre<<
(j/: Lid l't' l~iliQg;r(s)
.--:1 ,/1 C '
"','a. U. "~
. . (.. ..-? . .-
........, ,....z;::~.. "e"":":? ....................................,
................ ..22.6.."A..10.9 .th...Stree.t.,....................
, ~HSiD311
.,J :'~ldJO'030110:)311
.................. $. j;.9.1).~... !.\lU:!?.9.:r... ...~! .,...J..,.,....Q. ~.?~.7..
;;{ )-Co - '101
.:::L-.,
............................................,.....................................~
COMMONWEALTH OF PENNSYLV ANJA
1
j HS:
COUNTY OF CUlIlHERLAN/J
.......................................,.............M!'!9.~. ..i!.~....~,PW,................ .............. ......, ........... .................................. named
in the above application heinA' c1uly .............Sltlo,rn...................... aecordinA' to law, gay that the facts set
forth in the above applicalion al'e trlle to lhe best of ...his..... kllowledA'e and belief.
..............?~g.+.!'!..........,...................... and <ubscrihecl I .;~..=.......:..r!:...........=~:;.........................
before me, .,y..(4......::O'....(j~...,........................................
..9.:~.~~~E......~.~.~........................... A. D., 19..8.0.... .................................. ......................................................
........~~.,(!.:.~~.~..R~~i~;.~.~....
..,.....................................................................................
Filed: ' .......9.~.~,?~.~.~....,..},~.!............l.9.B.O..........
A llorney: ........~F;.<::m.G.I;; .J1....JiQll.CK,................
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}ss:
....................;...................................?~gt!....;:[.,....~Jnnl........,........................................................... petitioner(s)
being duly ............l?w.Q);,n.................................. according to law do es........ depose and say that liS the
administra tor.......... of the estate of .................,.Y.IOLET...V.....Z.UIl1............................................................
........................................................................................................................................................................................
deceased. .......he............ wilt 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.
.................$.w.Qr.n............................. IInd subscribed
before me.
.....?.7.~.~~~E........~.~.!.................. A. D., 19...8.Q..
R~{01..l!.'..~~k!...................
a0:?:?r..~d~c::?::z..;~...................
............................................................................................
DECREE
. 31st October
Be It remembered that on the ................................ day of ................................................ A. D., 19..8.Q4.
Letters of Administration in the estate of ................ .......Y.:t.QLE.>r...V......ZJ.NN.,..............................................
'.............. ....... ....... ....... .......... .............. ....... ..... ..... ..... late of . .t.D.~ ...!),Q;1;.Q.ygh...p.f.. ..11.~ s;:.h.an.~!;;Il);)J.\X'.g............
Cumberland County, Pennsylvania, deceased, were granted to ......EMQN...J.....z.nm............................
........................................................................................................................................................................................
Witness my hand and official seal the day and y~~~..~.~~~.~~J~<;f....~:. ~:.~..........
t~ .f" /: Register
't',
"- =......
~, C":'>',:,
:....: N '-'
~~~; 0:: u)c.:
. U
.... ::':0
~l' - ...:t.j::
C',' :::<
611; ""' "---,
wl.d I- ~'"
Ol- e..:> auJ
a:(.") 0 'm
o- x:-
U'" 0.:,,(.-
",'" 0 ....,:::>
a::a:: fO -'u
c..>
Estate No. .....~.~.~.~.~.............. 701
BOND
KNOW ALL MEN BY THESE PRESENTS, That \W,
, RAMON...\J."...,~,n.m",......,........................
..................................................................................................
,...............,.....,..........." principal........,
aod .........ID.V;.'l'J::P...S.'l'<'\'l'J,;;S ..f.l:Of"J;,!.'J:X...,&,..GW'IAANTY ,COMPANy".".,., ....,....,.........,............................
.........................................................................................
... .................................................... suret.~.........
arc held and firmly bound unto the Commonwealth of Penns}'h'ania, io the sum of ......ONE...HllNDRED...............
...TWENTY....THOUSAND.............................. Dol/,rs ($,120,,000,..0.0), to be paid to the said Commonwealth,
her certain attorney or assigns, to which payment, well and trul}' to be made, we do bind ourselves, jointly and
Sc\'eraJly, and our and each of our heirs, executors, admini strators, sucu..'ssors and assigns, firmly, by these presents,
for and io thc whole of the said sum.
--
SEALED and d,ted the ................. ....~J...-:>.J.... ....,da}' of
Gelo h< p..
....................................................,
19.8.0....
WHEREAS, the abovc named ",.. ""......,........Ramon...J......Z,;l.,nn...................................................................
............................................................ .....................................................................................................................................
has or ha\'e made, or is or are about to make, application to the Register of Wills of Cumberland County,
Peons}'lvania, for the grant of lellers ....af..Administration
.......................................................................
00 the estate of ..............Viole,t...v.....Zinn'....... ...................,...., late of .....Hechanicsbur.g..............,
Cumberland County, Peonsylvania, deceased:
THE CONDITION OF THIS OBLIGATION is, that if the said personal representalive ............ or any of
them shall wcIl aod truly administer the said eSlate accord ing to law, this oblig.tion shall be void as to the personal
representative or representatives who shall so administer th c said estate; but otherwise, it shall remain in force.
SEALED and delivered in the presence of
---u-t:b--u -- _u__u;;.:.::hjL u -.- - n_ - G?a.-u:.r....~::z/-cfl~~~:?_~,:_ __ (SEAL)
~1.E:'-J?l.- - _:_N~~!'_ B-:::__ - -- -muh__Uh_h .-__hu_Uh_h__ _ (SEAL)
- _m___. u__(j n_ uuu - n _Uh - --- -- - _ -.UNIT~P--~~i).:r~DPAIo!~'y._Tl!~fi:rL~9! (SEAL)
- nuh__u_m___ _u_ n__h_h__ _m m ,.-. -aLt/'JvAl:<<.-k..t~~:2~~ 0SEAL)
.. Attornw-in-fact Ralph G. Vie~ri: Jr.
-------------------.------------------_ (SEAL)
--. ---.. -- -- - -- - --- - --- ----- - - -- - --- - -- - -.-
",'., "
COMMONWEALTH OF PENNSYI.VANIA
COUNTY OF CUMBERLAND 55:
Personally .lrreareu before me, a,
.,
in anu for the county and
'/'......'...'...'
state, aforesaid ,...............RNIO'N.....:t,....,~INN.,............. ,...., ..','
...........................................................................................
of..... S.tone...Harbor"....New...Jersey. .............,...liKdt,
..............................................................................
..................................................\................,..............................of........ .....................................................................................
suriti.s on the above bond wil~ being duly sworn (affirmed) a((ordmg to law, depose and say that they each own Real
Estate ,,'orth the whole ~r"the p<:,~al sum nameu in the above bonu, over and above their debts and the debtor's exemption.
Sworn and subsCribed bef or~,me this
,.',..'...."..... ...... ......'.'.. ..... ....... ............. ....... .... ..... .. (Seal)
..""",."....,..,.,...........,.....:.........."................................ (Seal)
,.,......."....,.............................................................. (Seal)
.,..,.....,...............,.......................................................... (Seal)
....................................................... day of ..........................
^. D. 19.9.0...
\
...................................................
_ r
CERTIFIED COpy
GENERAL POWER OF ATIORNEY
No.........~.~.I}l...................
KII01lI alIl1f... by IMH Pr........
Tb&1 UNITED STATES nDEUTY AND GUA~NTY COMPANY, a corporalion or.aniud and nutln. under th. Iawa of the
State of Maryland. IIld harial ill principal o8ice at the City of Baltimore, in the S'.te o( Maryland, doe. hereby COntutute and appoint
Ralph G. Viehman, Jr.
01 the City 01 Mechanicsburg
ita tnle and lawful .1l0"'" In ancIlor the S..... 01
I State of
Pennsylvania
Pennsylvania
I.r the 1.1lowinI purpo.... to wil:
To .ilft ita name u surety to, and to execute, leal and ICGowledco lay aad .n bonda. aad to respectin}y do aDd perform &Dr and
all acta and thin.. 101 fonb in the ....Iutlo. 01 the Baud 01 Dincton of lb. lAid UNITED STATES nDEI.1'I'Y AND GUARANTY
COMPANY, a c:ertlfi.d copy 01 wbich ia bereto _ued a.d m.d. a pan 01 lhia Power 01 Allomey: a.d tb. tald UNITED STATES
noEUTY AND GUARANTY COMPANY, throucb ... ita !loud of Dinclon, bereby ratifi.. .nd ..nfirm. .11 .nd wba......r tho tald
Ralph G. Viehman, Jr.
lilli' lawfully do In tho pre.u- by .u.uo 01 tbete _....
1.. IJ"I_. IJ"bONO/. the tald UNITED STATES noEUTY AND GUARANTY COMPANY bu canoed tbia iMlnIm..t to bo
...led with ita corpora'" _L dulJ Ilteated by the .i...'.... 01 Ita Vlce.Presidenl ami Asaial&D' SeerelarJ, tbia 9 t h day 01
Jun~ . A. O. 19 78
UNITED STATES nOEI.1'I'Y AND GUARANTY COMPANY.
(S1811ed)
8" ..~9.1?~ ;:::.. .?:.. R~. ~.~.~.~,......................
yit:..PraidlnL
(SEAL)
(Si8l18d)
W. B. M. Hingeley
.................................................,.....
r.~
~ ~ ~.
STATE OF MARYLAND,
BALTIMORE CITY,
.tuiI/4111 S.."Ult'f.
} u:
O. this 9 t h day 01 j u n e ' A. O. 19 7 8, belore m. persooally came
Robert E. De/like . Vice-President 01 tb. UNITED STATES noEUTY AND GUARANTY
COMPANY and W. B . M . Hi n gel e Y' ' Aooiotanl Secretary 01 said Compeny, with both 01
wbom I am p'nG.llly .cquai.red, wbo being by m. severally duly ,worn, said lhal they, th. said !lobert E. De/like
and W. B. M. Hingeley were l<Specliuly the Vic..Presidenl and tho AsaiolaDI Secretary 01 th. said UNITED
STATES noEUTY AND GUARANTY COMPANY, the corpotalio. described in ..d ..hicb exec1lled th. loregoing Po..er 01 Allomey;
that they e&eh kn." the seal 01 said corporalio.: thaI th. sed affixed 10 said Pow.r 01 Allomey wu sneb corporale sed, thaI il .."
.. lixed by onler 01 th. !loud 01 Directofl 01 said corpofllion, and th.1 lhey slgned their .ames thereto by like order .. Vlee.ProIIde.1
and Auialanl Secretary, ",pecliuly, 01 th. Comp..y. 8
My commiuio. expimt the lint day i. July, A. D. 19..:r....
(SEAL)
(Signed)
Margaret M. Hurst
.......................................................
N/JI4r)' PDb~
STATE OF MARYLAND
BALTIMORE CITY,
I. Rob e r t H. B 0 use ' Clerk 01 the Superior Court 01 BaltimolO City, which Court ;, ·
Conrt 01 Record, and bu . ...L do hereby certify thar 11 a r gar e t M. H ur s t " Eaquin, belore
whom the umezed ddavitl wen: mad~ and who baa thereto subscribed his name, wu at the time of 10 doing a Notary Public of the
State of Maryland. in and for the City of Baltimore, duly commiuioned and sworn aDd authori:.ed by law to administer oatha and take
acknowled&menu, or proof of deeds to be recorded therein. I further certify that I am acquainted with the handwriting of the lAid
Notary'. and verily believe the signature to be hilsenuine signature.
In re.drnO"T WhAreo/, 1 bereto aet my band and db the eeal of the Superior Court of Baltimore City, the same being a Coun
01 Record. tbia 9th day of June ,A. D. 1978
Robert H. Bouse
(S1811ed) ......................... ............ ................ ..........
}
Set.
(SEAL)
Cle,k o,.he SD".riO' CODr. 0' Baltimore Citro
FS 3 (&-11)
~"
.~
COpy OF RESOLUnON
i
.
,
;
Th.1 Wh....., It I. nece...ry lor the e<<ectull tr.n.actton of bUlin... .h.t thi. Comp.nl .ppoint .genll .nd allomeys with power
and authority '0 let lor It and in I.. nlme In stll" other than Maryland, and in the Terrllorl.. ol.ho United 5..... and in tho Provinces
of lhe Dominion of Caaad, and in the Colony of Newfoundland.
T"'../.... ". /1 Rao/.od. thll tbi. Company do, and i' horoby doo., ,ulhori... ,nd .mpower ill Pr..ident 0' ei,her 01 ill Vlco.
PCOIlde.lI in co.juoctlo. with i.. Secretary or ono o( ill Ani....t socretarl.., under III corporato ...i, to appoint .ny porIOn or ponona
u a'tomey or .llomey..in.(act, or .gent or 'gen.. of said Company, tn ill n.me '..d II ill oct, to ...cute and deli"r any and ,Ii ,on.
trle" gtWanteeing the fidellty 01 porson. holding poaitlon. 01 public or prl..te 'lUIl, gUIC.nte.ing tb. porlonnanc.. 01 contract. o,her
tba. warance pollci.. .nd ex..uting Dr guaranteeing bonch .nd uodenaking~ required or ponnilled in ,U ,ction. or proce.ding., Dr
by law allowed, a.d
.41&0. i. i.. ..... a.d II ill allom.y or Illomey..in.l.ct, or agent or Ig.nll to ...cut. ..d gUlCln'ce the condition. 01 a.y and aU
bo.cIJ, ....g.lzance~ obllglliono, .tipuillion.. und.nakings or any.hing in the na,ure 01 dther o( the same, whieh are or may by l.w,
muoicipal or ,therwl>e, or by ,ny slItute 01 the United Stat.. or 01 any State or Territory 01 .he United Stat.. or 01 the Provinw 01 the
DoaUoiol> 01 Canida or 01 tbe Colony 01 Newloundland, or by ,he lUl.., regui.tiono, ordera, cu,"om., proctice or discretion 01 ,ny bolld.
body, org.ohation, oBice or oBicer, loea~ muoicipal or otberwise, be aUowed, required or permilled '0 be ..ecuted, made, taken. given,
te1\Gored, lecepted, 61ed or ....,ded lor the security or protection 01, by or lor any person or persons, corporation, body, ollice, inter..t,
muoicl-pal1ty or other ....el..lon or organl%ation wha,soever, in any a.d an capaelti" w....oever, conditioned lor tho doing or no' doing
01 anythlac or a.y conditions whicb may bo provided lor in any .uch bond, recognl%ance, obliglllon. Ilipuillion, or u.denaking, or
lUlythlac In th. ..!ure ,I eltbu 01 tbo _e.
~:_, I."; Da~ M. Engler ,.n Allista.tSeeret.ry 01 tho UNITED STATES FtDELlTY AND
~~ARAS:rY COMfANY, do hertby ceni(y th.t Ihe (oregoing i. a lul~ trU. .nd correct copy 01 tho originll power o( .llomey given
i:by IOid Cd1opa.y ~d .
LJ,.,1:. :Zo
6:~ ;;:; ;'i:;; Ralph G. Viehman. Jr.
w~ a..__
oJ- ...... ll:c::.
c::r.n = Ow
g_ 0 I co
c.,)C3 ~x:
w.... ~=
a:1lf1~eC$;nni~urg. Pennsylvania, autborlzini a.d empowerillll him tn .ign bonch 00 therein set
forth. widL poW6tJof attorney hu never been revoked and i. ,till in full force aad deel.
And I do lurther certlly that said Power o( Allomey wa. given in punua~ce oi a r,,~iutio. adopted at , regulIC meeting o( tbe
Boani 01 DiJecton of said Compa.y, duly called IUld beld " the oBice o( th~ Company in the Ci'y of Baltimore. o. the Il.h day of
July, 1910, " which meetillll . quorum ,I th. Board o( Directors woo pre..nt, ,nd that the foregoing i. · true ..d conecl copy o( said
resolution. and the whole thereof u recorded in the minutes of said meeting.
In ToadlllOlIT W"',eo/. I bayO hereun'o "I my hind and tb. ..Ii 01 Ihe UNITED STATES FIDELITY AND GUARANTY
COMPA1'lY 01> October 22l 1980.
\Dato)
q/;.,/
As.sismnt Secretary.
- ~
.---- -- ~ -- __ __ z.._ __ ~ ...-_ ~ . __..
;~"I~*'J.~!~~;:.~?",~,/.: COMMONWEALTH OF PENNSYLVANIA
' ~~fu"K'(fo'O'3i4 DEPARTMENT OF REVENUE
. 4 :,~~'..._",'- _ . OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
' 1"'-''''''''''"'' , "
oil
;
II
a
f;
F. 'RECEIVED
,j FROM
--
TAX AT 6%
TAX AT 15%
ADDRESS
RaIlonJ. zinn
o George M. Houck, Baq.
SeClOnd ..aUona1 Bank B1dq.
Mechan1cabtazg, Pa. 17055
TAXAT_%
ESTATE TAX
DATE OF PAYMENT
Deeaber 1
1980
TOTAL TAX CREDIT
.3,401.321,
II
170.07
'--ESTATEmFORMAT~N7--------------------------
DA TE OF DEATH
FILE NUMBER
:OUNTY
CWllberland
m
m
PLUS
(FROM
LESS DISCOUNT
% INTEREST
TO_I
~AMEOFDECEDENT
------------------------------------------
TOTAL AMOUNT PAID
POSTMARK DATE
REMARKS: .PAID Ollt ACCOtlN'l'"
SEAL
RECEIVED BY
//kviA_1 (t, 1::-u~
I ~arfl~~~.
Jte9iater of Killa
REGISTER OF WILLS
-------- ----_._---~--------------,--
'.
/4.-I-,p~
.4./- f~-o101
*'
RCC.U (4-131
COMMONWEALTII OF PENNSYLVANIA
IlEI'ARTMENT OF REVENUE
IlURE,\U OF COUNTY COLLECTIONS
RESIDENT DECEDENT
COUNTY OF _CUMIillRLAND
IMPORTANT:
- - - .u.. -
This return must he cCJlIIl1lch.'d in (Icudl nml riled in ,Iupli'-':Ill'. with 1I11lltlllChcll. with the H.l"giMcr (lr Wills or lhe
CUUlU)' where tlccnlcl1t u'sidl'tJ; Return is dill' within nllle mUlIlhs ,,[ll'r ,Inle nr dellth. unless IIn cxtcllliinn is grunted
h)' Ihe ScCrCIIH)' ur Rc\lcIlUc. (Sl'Clilll\ 11).'\ or the Inhcdtuncc.' IIml Esllltc Tnx Act or It}f.l.)
tN TilE MATTEll OF TIlE ESTATE OF
} AFFIIlAVITOF
XXROIlIIXll!
,\II\IINISTllATIIIl
V.IOLE~-ZIl'l>l
ISTATE FULL NAME OF OECEDENTl
Lal. of _Cumberlanr1
County
State of
Pennsy-1,yania
} 55:
X-X~
Caunly al~Jl1berland
Adminislrntllf
RAMON.r 7. TNN ,
of tho e.toto of the aboye.nol"od decedent being duly sworn, depolo 5
and ..oy 5
Decedent died O,..+-nh,:.,...
(MONTHl
Name and addrou of ollorney or }
other aUlhorlzed representatlyc 10 whom
011 correspondence should bll moil~d.
,c;
.
{DAyl
, 19-B..O-JX<<KO(jo_X>>)l;,roIt.:~I/JI~I~()t}l)>>)lX~DlOllIll.}
l't EARl \lntl!lllitalc
~~n""lJ~ M Hnllt""k. 7\t-....nrpoy-::rot-T at.r
N;:t~;on~' R;:tnk Rnilr1iT'lg. M~("'Ih:lni,...c:::l"'ln""'J1 P.::ro
, 70 '; ~
Tl10It ;as such.Admini~t-"':li-n,..., deponcnt is f,llnilil1r with the affairs of suM cstute and thc property constituting
I EXECUTOR-AOMINISTRA TORI
the assets thercof ,1111.1 their fair market value.
Th,lt ill the time of de.llh there was no safe deposit box registered in decedcnt' s individual namc, or jninlly with, or
as agent IIr dcput)' tlf another, or in dccedent's individualnnmc, with right of access by another as agent or dcputy, with the
exception of the following.: -
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A S....FE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP of JOINT
HOLDERS TO DECEDENT
>lmJ'8
~ .
That thc contents of said safc deposit box or boxes are itemized undcr Schedules
with the exccption-of the following, for the reasuns hereinafter set forth:
of this return,
That Schedul. A attached herelo and made parI hereof sels rorth fully and in detail all the real property
in Ihe Commonwealth of Pennsylvania of \\lhich decedent died haying an interest thercin. Il also sets forth the
mortgage encumbrances upon each parcel of real property at the date of dealh, giving the amount still due at
death, name of mortgagee, date, rate of interest, and book and page of record thcreof. It also sets forth in the
columns provided therefore the assessed valuation of each of said parcels, the estimated markel value thereof
as of date of death of decedent.
That Schedule B attached herein and made part hereof sets forth fully and ill detail all pcrsonal property
wheresovcr situated owned by the decedent at the time of death; all moneys left by the decedent at the time of
death, whether in decedent's immediate possession, standing to decedent's crcdit in banks of depllsit, savings
hanks, trust companies, or othcr institutions, whether individually, or in trust for any other person or persons
giving also separately the accrued interesl thereon, if any, down to the last interest day prior to decedent's
death in the case of savings banks, and to the date of decedent's dcath in all other cases; all bonds, postal
savings, treasury certificates or notcs and other evidence of indebtedness of the United States to the de-
cedcnt; all obligntions, whether by statute or agreement they arc designated as Ii.lX frec. of the United States,
or ;any state, or political subdivision thereof, or of any foreign country, which arc owned at the time of dcath;
all wcaring apparel. jewclry, silvcrwarc, pictures, buoks, works of art, hOl'...ehuld furniture, horses, carriages,
automobiles, bOlltS, and any and all other persunal chattels of whatsoever. kind or nature, left by dccedent,
together with the fairly estimatcd market value thercof; all bonds ilnd mortgages held by decedent and of all
c1nims due nnd owing decedent at the time of death, !lnd all promissory notes or othcr instrumcnts in writing
for Ihc payment of money of which decedent died possessed, of whatsocver nature, with interest thereon, if
any, giving the face value and estimated fair market value thereof, and if such estimated fair market value be
less than the face value, it sets forth briefly the reasons for such depreciatiun as 10 ench item; ~II moneys
payable to the cstate from life insurancc policies carried by decedcnt; all annuity and endowment contracts
the proceeds of which were pa)'ablc upon thc death of the decedcnt; all and the corporate stocks and dividends
due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of decedcnt's
death nnd other investment securities owncd b~' the dcccdent at the time of death, with the market value there-
of at such time.
In tilt' enSI' nl' st!clurttles lit' CIOSI' f~r I'llmll,y l'nrpnrllllllllS, 1111' \'1l1111~S rl'llItrtl'll IIrl' 1I!o1 I'/lr fin
l'osNlhlt' sl1hsttlll'lutf1llll~' t'lltllllclnl stntPlllt'l1lS ot' t.1II' l:nrI'ClrlltlulIs, Slllll'l'lll~ tl\l' ttSSI~tS IIwl 1llllJlllt.lf~s
t hl'r'!O I' us Ill' thl~ clUlt' n I' Itt:'1l t.h. 1'lw St'hl!fltlll~ It I su Sf.'t.S l'ur 111 tilt. 111l.t'I'I'St. 1'1' t!t'I'('IIt'111. Ill. t.I11' t t m(~ nl'
lh!nth In IU1)' (~n_Ilflrtllt'rshll' ur htlslness. uwl In sllpl"II'!. nl' till' \'/11 Ill' nl' slwll 1llll'r..st tlll'l'l' l!-o 1I1llleX1HI to
salll scllt'dlllt~, fln/lIIetnl stntf'ml'nls showln~ tl11~nSO;f~t.s lIull llllllllltll's ul' SIIIII I'I,-pflrllll!rslltp lIr hllstlll'SS.
A ('np~' or tht' t~n-flnrtTlI'rshlp "J!.rl'l'ml'lIt, (II' oful, It sl.flt.l!ml'lIt. sl~I.t.11l1!; ('nrlll thl! till turf! nl' 1.111' 11~'.T'I'I!lIII!lIt.)
IO~I.thf'r wltll/I stutl'IIlI'nl. sl~ttlll~ rllrl.h Un' e1mrIH'ft'r 01' 1111' hils I IIl'SS, Il.s luc'ut.lun, IIIHI slll~h lltl\l~r I'lIets
11('rtnlnIIlA t.o l.1l1! hllslTll'ss liS 11I11~' llf~ IIl~rtllu~lIt 1.11 n ('"Ir 1111I1 .11Ist IIIlI,rntsul Ill' till' 111!t:l'llf~Ilt.IS iTltt!rt!st.
lht'rl~tn must hl'SlIllmlttl'll. It shulIlll nlsn Sl~t furth III ll.l!tnl".l'll l'ul'm, t.u).!.,l!t.her with I.hl' I'nlr mllrkp.t. \'n1uH
tht'rf1of', IIn~' nUIl.'r Jlr()pt~rlY tlwnl'lI nr hC!l)uo'>lIthl!11 h~' t11f' dl'I~I'ltl~1I1. lit. t.1ll! tlml' HI' dt'lIt.h.
The Schpdule C nttltch"11 herl~l() Illll1 lIuule pllrl 1\I~rl!(lI' sets l'orth II trlle IlIlSI'l'er to ellch tl1flulry
contl\tm~rl thert'in unll In t.lle cnSI~ ol'trnnsl't~rs ()('llr(Jlwrt.~', r"1\1 ul' Ilf'r!'iOlllll, within t.wo renrs of dncedcnt's
denth, In conl(!mplntlulI 0(' dI!Cf'dl"'ntls ftenth, or IlItcIlIlp.cI t.n 1.11!{I~ j.f'('(!ct In 1'1Issl~sslon or en.1(J~'mt'nt Ilt or
after lIcllth, sufft SClif!(JlIl(~ sets forth the Tlllture nlld Vlllul1 nf' slIr.h pruJlef!.)', l.n whom t.rluls('f!rrIH1, the
relntionshlp or thc t.rnnsferecs t.o tile .Iecedent, till! IlrUp()rt.l()llntf~ shHrl~ reenh'I.,.1 ,,~. f!llch trltnSI'I~re(~ IUHI
nIl other fnct.s of n pertlncnt 11I1tufe r"'~llrrlln~ Sill.' trnnsfers. In t1m CIlSf' of' trltllst'ers IntClllte.' t.o
t.ake effect In possesslun or en,10)'mf.'nt. Ill. or nft.er ftf!/Lt.h, t.here Is Hlsn nt.t.uell,',1 t.Cl the scheflllll~ II COIn'
of the deed, trust ngreement or other Instrument. crefll.ln~ tlw trust.. TIIl'rl' 1s nlso set rorth In suid
schedule II list 01' nIl proJlert.y, renl und persoll1l1, wlt.h lis \'01 lie, wlllc:h Illt~ses Iltllf~cf!llelltls dl~llt.h h~'
virtue of' the exercise hy decedent, either 1rul1vldtlI111~', or,lolntly with IlHother, ur 1lIlY power (II' IlJlpolnt-
ment vestcfl In decedent., either 1tuttvtduully or .1ointl~', hy the wtll, .Ieml, or other Instrument of' Ilnot.her,
with 11 copy 01' the Insirump.nt crent.1ns; such powp.r nltHched to the schedule.
That Sc/l~dule D nttElChC11 hereto flnd mnde Jlurt. hercof sets ('orth t.1l1"! "limeS /tUfI uchlresscs nf' ul)
persons benefic1nll~' interested In this estute Ilt thc tlmn of ctecclh'1lt.' s ltf'nth, the Illlture of' their rcs-
pective interests, their rellll1onshtp, if nny, to the Ilecl!lhmt, tug;l!thf"!r with the ngf!s Ill. t.Il1~ time of
rlccedent's rlenth of all minors, nnnuitnnts lUlII henerlclarles 1'01' lire llflftnr cleccdl!11tls WI)l. It. also
contains a statement showing which of t.he heneficillrJes ll11mefl III till:' rh~cf"!clclltls will, If /lny, ctied prior
to decedent, the elutes of' their deuth, t.helr issue, IlJIlI the relnt.lof1Shlp n(' such Issue to the hellcl'lclllry.
That Sc/ledule E nttnched hereto anti mUllc a pnrt hf"!reof sets forth Itl I prollert.~., renl U1ul per-
sonel, owned by the decedent .10intly with nnothcr or others, tncl1ll11ng int.un~lhle, stnndln~ 111 the nnme
of the decedent and others, plus the uate nnd plnce ai' record of Instrument.s effecting the \cstlturc of
real estate und lhe date of nCflulsltion of personulty, pl\ls the nume, Ilfh1ress IUlIl rclnttonshlp, 1(' nny,
of co-owners to the deceden t..
That Sc/1~dule F Ilttnched herl1to and mnde u part hereof sets forth fully anet In c1et.ull nl I debts
and deductions clnimed for unci on hehul I' of' t.hts decerlen t' s est.llte, t ncl tlltin~ I'unernl expenses paid;
family exemption, where appl icuhle; cost.s of uctmlnlstrat.Ion of this estnt.e; counsel fees nnll rllC1tclar~rl s
commissions paid or to he pnlcl; cost cxpenflcd for hllrlal trusts, tomhstones or grl1vf'mnrkers, 1l1ll1 relI-
gions services, in eonse'lueuee of the <lenl.h 01' the ,Ieee,tenl.; ,Iebts ",,,I elntms owiug nn,t Ilnpnt,t nl. time of
death; taxes accrued chnrgcuhlt~ for period prIor 1.0 decedent's c1enth (except those nl lo.....ed tinder S(!ct.iol1
651 of the Inheritance nnd Estate Tux Act); t.ogf!l.her wit.h /I stat.cment of cnllllt.erlll pi edge II ('or ohliga-
tions, if nny. It is ngrcecl thllt thl! ficlllclnfY will Jlresent. proof nl' sulll cllltmell ohlt:~llttons upon re-
'1uest, tMt If the llmount llel.ll11lly pnl<l in setll"menl. or noy I'"e, eo"""lsston or <lehl, ts less th"n the
estimated amount cl11tmtng unrl nlloWcfl, that the Slllll(~ \'0'111 he repnrtec1 tu t.hn lll!glstcr of Wills, /lnd thnt.
the amount. of tux nssesscc1 cnll he reassessed In llccorllnnce thl~rl~wll.h.
That the totll)S or tlle appropriate columns In Schedules "'\", "B", "en, "E", /l11f1 "F" us dtrectecl therein,
I~~..':: been cnrrlerl I'orwnrcl unci properly rf'j.!;lsterell In thl~ Sllrrunl\r~'.
Subscribed and sworn to before me this .............................,
..........................&, " day of " ,dc,,"'rJ',d'c.',Y, ,..,.... 193.0"...,
.....~f~~~:e~' No,tary,Public..
@.11~(~..~~~t~~....".,.,..,.,..........._..
2:2(;l';..lQ~.:!;:!1.....s..t;r~.et....._........................._......
(Street Number)
,S tone..llarbor,...,Net>l..Jersey ,... 082.4 7
(City or Town and Stau)
NOTE: Up-fore slgnlnp; nff'lctl\vlt mnkp- sure nl) hlllnt.: spncm; in t1t1~ nl't'lcln\'It. IIn.t schellull~s anllexf!ll nrf!
filled In with detailS or the word "S01W", Hllll III CltSC t.he IIssets iw:lwle rlll'C IIwl 11111 isl.etl st~cllritll!s,
secllrltlf!s 01' close or "umt1y cflrl'nrntttlnS or 1111 '1l1.l~rt!SI. in uny eu-pnrtnersldp or huslness, t.hat till!
do ta nwl stlltt~mf!nt.s rC'Iul reel nnch!r t.he ll/tI'nj.!;rupll uh()\'(~ ri"~llltlll~ t.o Sclll'ltllll~ "II" Ilrl! IlttHcltecl. ;\1 sn mltkt~
cert.ujn t.hnt column #1 III thl~ "SllnD11llry" IIIlS he(!n rrClllt'rl~' cnml'letj~d liS IIh()ve-dll'(>ctl~I'.
RCC.S414-731
COMMOMW!AL TH OF PEN,;SYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECI!DENT
SCHEDULE "A"
REAL PROPERTY
*'
Real property in Pennsylvania, with statement of mortgoge encumbrances upon each parcel at death of dece.
dent, Property held by the decedent os tenant in common with another or other, should be identilied
os to quantum of interest and the estimated volue should be that of the decedent's interest only, (Property
held os joint tenants with right of surviorship or tenancy ~y entireties should he reported on Schedule "E.")
The real property located In the Commortwaolth of Pennlylvanla Ihould bo
described by lot and block numbor, .trool ond .trfto' numbor, togethor wi tl.
a genoral delcrlpllon of tho property, with 0 roferenco to tho record or tho
convoyonce by which tho decodent took tltlo; If Q farm .toto number or o.
crOlj 0110 Itatemont of mortgage encumbranc.tI upon each parcel at doath
or decedont, Taxosf ouossmonts, nccruod Int.rost on mortgogos, .tc.,or.
to bo IIst.d on Schodulo "F" and mUI' not b. deductod hom thlll Ichedule.
(1)
(2)
13\
DEPARTMENT
VALUATION
CAUTION
(Do not write
In thl. .pace)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEI. TH
ESTIMA TED
MARKET VALUE
House and lot of ground at 505 East
Simpson Street, Mechanicsburg, Pennsyl-
vania, titled in name of Decedent only.
For title reference, see Deed of Bertha
E. Haines and George C. Haines, her
husband, dated March 29, 1943, to
Violet V. Zinn, recorded in Deed Book
".R", Volume 12" Page 68.
Sold by Administrator'of the Estate
to Richard L. Smith and Deborah A.
Smith, his wife, for $42,000.00:
t44.<'.w.:L eJ /f"t,tJ,
$42,000.00/'
Insert this total opposite "real property", Schedule "A" in the X X X X X
"As Reported" column on the lost poge of this return.
$42.000.00
IfJ. H!-O, iHJ
.., ~?Jt
Rce -16
\'"
~~~
.l\)l...~~T;V, !It(\
T, , ....1.,.
II ..,.\....,J'. .;.1
..,,',...<..L1:r.l......;r.
Cll\l\l(1~WI',\!.TI1 'W PI'S\"'!'\"\!'
1'I\A~~FFI1 I ~11!':!\ IT,\II'!, 1'\\
SI"j:;,'!Il',I< "l,.t
r:: . \'-'1 ';. I:"';
m:SlIW\T IIITI':Ill-'1 j'
___._40___________.__
(1) nltllh.I~I.lll.lll. ....lllIlll 11''-0 ~..,tr...II''''.:IIII. tlllll:" .11l\' 1I'IIII';I'PI' lJl' 111\ 11'11l','I.J l..rl fir Ills pst.ll" '4lthnllt.
t'o .
rt'cl'I\'IIlJ,t II \'.1111:11111' Illld IId"'1WI1," ,'1111.,1,1,.,';\1 i'lIl 111"1.'.1'01.... {\Il'-\"" ~l'''' .'1' 11")__"_ ---
(~) lito! ,1.,".',1,''''. "I lid" '"" )'''''''' ..r ",'",b. """".r.,,. 1..'..1"'" \ ",'''''' bln",.1 r ,,, tdmso'l r "",I ""<Ill"',, "r
OUII't'S (1IWllllllll'; II "'POllS") III .I01ul (l'o\li""';!III".' (\11",'1>"" y,.~ !II' 1I0)j.10_____
(:I) If Ih" IIllo.;wpr III (I) 01' (~) ..110\'" h III th" alTlrlTlal Iv" <;1,,11':
(n) At!.I' 01' dl'I'l'dl'll!. ~lt lillll' "I 11'/1''',1' r
(h) Stall' Ill' 111'o'I'lll'lI!.'... li"III III III t IlU" ..j' 1Il1l1~\1l..'. II," '1";111.,1"1'1'. (SolI' 1).
(I') t:itllSI' ul' dl'I~l'dl'Il,I.. 01";11);. j~nl," 11.
(.1) Ulll dt't:t"h'llt. lu Ill:,> 111'1'11nll', 1tI.i1~" ~Ill~ t 1'11110.01"'1'
enllslltl'l'/ll.lnll I 1tL'1'!' I'll I' ....hl(~h ..../lS I (I till;,' ..l"r"I'1.
(AIlS....'f'I. )'I'S III' Ilo)_N_O_
(n) \\as lhl'rl' 1111)' pflssll1lltlY th..1 1.111' propel.t;.' 11'llllsl','I'rl!'1 mi~ht r".tlll'lI III
,'stnU' ur Ill' SlIh.ll'('1. t.o Ids POW"I' "I' dlspllslt,lnn',' L\nsl'l'l!r ;,'n... Ill' UO)
(II} What. W/lS t.IlI' 1.T'lIl1sl'l'rl'l,1 s H:1;I' /1 l. I iw' Ill' '\1'1"'111'1111 s 11"111.117
(5) 1)111 dt~Cl'ltelll. 111 Ills 11l"1.t,ln~' 1\l1l).;" /IllY tr'~IIl",r"I' ....IUllllll rl'l~td\'IIl::' it vlllllllhlf~ 1111/1 Udl~lllIale consIderation
lIwrl.'I'ur 111l111~r ....1\11.11 11'1111",1'1'1'0 I' 1''''l'I'''S';);'' Ill" Imp 1 11'111 Y r('S(lr\'I'!', fot' his '11"1' or /In;" Ill~rt oct which Ilocs
lIot In 1'1I1~t. l'fIll 111'1'01"1' Ills cJllll1.h:
(n) TIll' 1HIo.;sl'sslflll .lr "nJn;ymlltll. flf III' 11ll' ri~llt. to 1111~(llll" t'I'nln lilt' prllflt'rt.y ll'ullsl'errt~d?
(,\llswl'r ~."s or no) _N_o__
(h) 'fh~ I'i~llt. 1.(1 c1I'slJ,!;nuLI' th(' 11I~rsolls who studt I'OSSI'SS nr 1~Il.1Cl~' t.1l1' prnIH:'1"ty transl'errell or
1111'01111' 1.11I'1't,I'I'(Wl'? (Allswllr 'yps III' 11l1) -110____
(G) I (' llll~ IlIlS.....I!r tu Pi) (h) ..hn\'ll I s III UlP lilTi rlllll II \'1', sl.n 1.1' 1'l'1I1~ tlll'l' t.1l" r 19;hl. V,IlS r....ervpl! 1 n decedent
nlollc or ()tlll'l.s_____----..---..::-.~.---'----
(7) Dirl Ilecellclll In hi~ I Il'f'LII1lI! llIHkl~ /I t.rallsl'l'l', 1.111' {'onsifll.'rnlinll rill' .....h1c~h 'o',/tS trllnsf't.'rcel s pro:nlsc to
pny incomc to 111" 1'01' t.111' IJlmlll'lt fir ('111'1' ot" t.rlltlSt'I!rol'" (,\nsWI~r p's or no) No
(8) Diet rlececlenl, Ill. .IIIY Llm~, trallsfl'I' jll"ol'erl;", tlJl' hllnefiei;ll l'II.lllymfllll (II" which .....us sub.tcct to chnnge,
heclluse of' a rllSI!rv(lcl Jl"w'~r to 111 tl~r, HI1l"IlII, or n'\'okl'. 01' .....llll'h l~lIltlll rl~VI'rt. to c1nccllf'lll under termS
of trnllst'IH' or by t1Jl"I'/I.t.loll oi' laW'! (:\lIs....."r y"s or 11O)---L'iO__
(0) If lltl! nnswer t.1I (s) aho\,I' Is In tht' ,,{"l'lrll1/1t.I\'t', wns Ute 1")""1'1" tl) allpr, "Nl'1\II, Ill' revoke t.hc intcr-
est ot' thc hmlp.I"I\~illry l'esl'rve,t ill tIll' Ih~CI~II(olll .tlOllll 01' tl\l' c'l~cPII"nt. /l1ll1 Ilthl'rs'!
(,\nswer ~'I~S nl' 110) ~Q._
SOTr: 1: The answers t.1I tllesl' Illle!" t 1 (IllS sholl1 IS Ill' S\111(lnl'I.I~(t hy /I fl'illll\, 1 t. h;.- I. hi' /I. t.telll'l 1lJ,!; phys i 1:1 un JlS
well ns 11 copy of thl'! lil'!llth cp.I",Il'lCllt.~.
r\OTE 2: If' IUlsw/;,r tn IIny of" tile 1IlluV(I 1llll'S1.ions is YI~S, sel. I'I.rth hnlo..... a descrlpt.lnn or th~ I)roperty
trnnsl'crrp.d, it.' s fall' mllrkp.t. \'al\tl~ at lllltl' ot' III'alll, dld,es ot. t.rI1I1Sr,~rs Hwt to .....hOlll t.ransferrefl, with
reInllonshlp oi' l.rlll\s('crc('s to dtlCI~ltellt. If' nny. Suhmlt I:OP;'. of lI.ny trust d'-'llt! or instrument, if' trllOS-
{'ers nre claImed tl) 1m non-tllxnhlp, 1I1so sllhmlt, Ih~llllll'll stnI.PI1I('nt. or ('nets nil .....hich suicl claim is has cd.
XOTE 3: List llpplJcllhle property helll..... III 11I111l111~r in .....laleh proVilil}d In Schedules ,\, U, or 1-:,
,01' prlllll'I"~' ....1 t illlU! l'I'I'I'IvIIlA II
III 1'1Is""S..iOIl III' l'U\OYI1ll'l1l HI. or
\'al tlIl1111' nr Illit'lllIlIle
/It'1.I'r 1,ls Illllttl~
trunS!'I!rl!r
Nn
or IlJs
ITE\t
IH':SCltll''l'IOS
MAHKI~T V'\LUI~
(Estimate,!)
OEI'T, V.YWATION
(llo!'!.. Only)
NONE
NONE
\
J
NONE
N"1LU
~~
rnRp.rt tllis tot.ILI nI'Poslt~ "1'rllnsfl~rs", Scllelllllp. "t" In thl'!
"As I\cporlcd" culllmn on t.hn IlIst. pH~C 01' lhls rntllrn.
REV-..,! U-n)
""
,~ ~~ 4)
..'. ~~,
~~,,\~i( .
l...;~. .. ~\.' o;l
.. l.._~' ~ ,""-
CO~NONWEAL TIl OF PENNS~'t. V ANI A
TRANSFER INIlER1TANCE TAX
RIlSIDENT DECEDENT
SCIIElllJU, "Il"
IIENEI'ICIARIES
. - - _.- - - ---- - - -
-----... .
DENEFICIAIUES AND AllIlRFSSI~~ RELATIONSIIIP
(SIBle fulll1l\mcs IIml :u.tdrcsses or nil who (If Klep-dll1drt'n ur SURVlVE1> t\.\T1; I;\;TEnEST OF
have nn interest, vested, ~()nlil1gcnt or other.. ilk~ilimllle chiltln~11 DECEDENT Ill' IlENEI.t(l,\R~'
wise, in cSlUtC) ore inv'll\'cd, set STATE \'I'.~ ll!llTll It-: ESTATE
r~nth this (UCI.) on NO
("h~,..'p~ N 7,; nn j-
c:nc: ",~"t- C~~n~^n _.
,,- -.- ~""'nn~p 1 ~ ~h~"'e in
-
;" 17nt;t; Qg.oJI"'" I y",,,, Tn t-",,,t-ate_Est"t-o
,,---- .1
.,.,/;2\ . ,.^ .
-' "hn"'~ ~""r" in
,,_... T_ .__n no,>'" "_n v__ Tn.testate Estate-.-
-
Deponent further says that all the above-named beneficiaries arc living at this time C1Ccept below:
NAME
DA TC OF c:::~ iii
RESIDENCE
:s "";
~~-
~~ It
:0:
'II C
'E ~ e
.- u ='
e- -::
",Co~
'.: e U
. 0 :
-"'"
s.... u
" ~ ~
u:S b
" e Co
lo'. ~
~ e<:
RCll1 Property
Pcrsonlll Property
Transrcrs
Jointly H~JQ p~operty
Sll~l\I,\tn'
(Sdlo IIA")
(Sell. liB")
(Seh, He")
(<;{'h , "1"")
(I)
(As Reported)
42.000.00
2R liAR <;<;
.
None
(2)
(As Determined)
Gruss Taxable Estate
~
~
~
$
$ -
$ -ZO...64R.S5-
$
$
$
$
$
~
Hnnt3
,... '0
.. Z u
" ~ ~
" ::< ~
~ u
~ u
'" " ..J
~ Q <
'"
00: u.. .~ <
c.
~ 0 " '"
- " l1.
" < " ~ ;. l1.
.<: ::l != ,... ;., <
,; ,... < ..
- ,... " 0
z c ,... '-' " :z
0 '" "
u.. ~ "- <
IC 0 '0 I-
'"
.2 00: ~ 0
- ~ l1.
" ;:;
:: ,... u Ul
'" ,... ~ ~ '"
"
:5 -<: '0 "
::< ::- "
_5 " " e
:-::"t:I ';; " e
:::< (3 "
..J U
c
..... c
~ ~ 'n
~ N s..
"
Z ~ ~ .0 '0
0 >- ~ Ul C
" ro
~ ..... M
~ ..., C s..
;:l OJ <1l OJ
M .c .0
...l 0 " 5 00 C\l
<: 'n OJ ~ <t
- ~ Z u ~
U Z
- 0
'"
'" -
0 ~ ci
~ '"
'"
Iii 0 ~ 0 z ci
~ ~ >- Eo< ci
- z
z ~ ~ Eo< ~ Z
...l ci - ci It\ Z ::<: ~ ~
...l Z :a z Eo< 0 ;:l u ~ Z
- ~ ~ ~ 8 0 <:
~ -
~ Q "" ...l
.
IN RF.: ESTATE OF VIOLET
V. ZINN, LATE OF TIlE
BOROUGH OF MECHANICSBURG,
COUNTY OF CUMBERLAND AND
STATE OF PENNSYLVANIA,
DECEASED
IN TIlE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY.
PENNSYLVANIA
)
)
)
ORPIIANS I COURT DIVISION
NO. 'leI 1980
PETITION FOR ORDER OF COURT EXCUSING
ADMINISTRATOR FROM ENTERING ADDITIffilAL SECURITY
TO TIlE HONORABLE JUDGES OF THE ORPHANS' COURT OF
CUMBERLAND COUNTY, PENNSYLVANIA:
The Petition of RAMON J. ZINN respectfully repre-
sents:
1. That the above-named Decedent died October 15,
1980, intestate, and Letters of Administration were issued
by the Register of wills in and for Cumberland county, Penn-
sylvania, on October 31, 1980, to Ramon J. Zinn, your Peti-
tioner.
2. That your Petitioner filed, in the office of
the Register of Wills aforesaid, a Corporate Surety Bond in
the sum of One Hundred Twenty Thousand ($120,000.00) Dollars
conditioned upon the performance of his duties as Adminis-
trator of said Estate.
3. That your Petitioner has agreed to sell, and is
. "7 '- '2
aOOK l.u 1'"Gt U I _
about to convey unto Richard L. Smith and Deborah A. Smith,
his wife, for the purchase price of Forty-two Thousand
($42,000.00) Dollars, the following real estate:
ALL THAT CERTAIN house and lots of ground desig-
nated and known as Lots Numbers 130 and 131 in a cer-
tain Plan of Lots called "College Park", as recorded
in Deed Book "S", Volume 5, Page 600, situate in the
Second Ward of the Borough of Mechanicsburg, Cumber-
land County, Pennsylvania, said house being numbered
505 East Simpson Street, Mechanicsburg, Pennsylvania.
4. That the Decedent was also possessed of the
following personal property as a part of her Estate:
Evergreen Savings Account at Common-
wealth National Bank: $15,003.53;
Savings Account at Commonwealth Na-
tional Bank: 13.445.02;
1968 Pontiac Tempest Sedan: 200.00.
Total: $28,648.55.
5. That Notices of the issuing of Letters of Ad-
ministration were published in The Evening Sentinel on Novem-
ber 3, 10 and 17, 1980, and in the Cumberland Law Journal on
November 7, 14 and 21, 1980.
6. That all the 0ebts of the Decedent, all funeral
expenses, and expenses of administration and Pennsylvania In-
heritance Tax, which have come to the knowledge of your Peti-
tioner have been fully paid.
BOO~ 11)7 le,Gt &;'3
,-,.;;.'.."....,.....
tIl
III
Q)
r-l ~
p...... 00
:>.. .r! ex>
~ -!.l tIl'"
Os .r! r-l
~ 0 Ill'~
OU.r! 0
U ~
'tllll-!.l
....~:>I-l
o Illr-l::l.....
r-l :>.. 0 "
-!.l I-l tIl U "
I-l Q) ~
g -!il @-tIl
tJ 8 p., ~
Q) .<::
.<::.... 0,0
-!.l 0 I-l Z
C
~
H
-
8 t:lO
~ p::,.,.
..:l t:J;O:-
o ~ .0:
H(>1UlOH
:>~U~""
e::H~;;';
f:>r..~~~
O~~~
~(>1tl~~
i<8::E:PZ
8.0: tJ(>1
1Il..:lr.. p.,
~ Or..
or.. 0
'""":::: O~
"Zt:l:>< Ul
lilH::>~fi:.o:
"'gs~tl
Z .008(>1
H:>c:!1tJUlO
~
::>
o
tJ
r..
o
I>:
\:l
~I
Cl
~I
z
o
H
8
H
8
~I
~
~
lI: 0
U~Ii~
:l..~ .
O.J.~
:C":'lIl:..:
. 0( z U'
::Il ~ ~ ~
I&IZ..III
"O:~5
N110_
....I=-z
gid"
" a
2
"-
~
~.
i
\
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
'*
."/ ""'." ';";
,_;.{ - ,/' t/ ~ / f..
DATE
" / /.U.-,1 L' ;J /f%'1
,
.-;y .;/ bJj~;J
//
-) (} I..-J
TO:
ESTATE
. , )/,-://',,1:
t/
"j "Ie
:;/ - /,) -
p
..........
/1
'tY
FILE NO.
~c./ ,
I:I)///'~/fln( .,-{ i~'f;J(- (
COUNTY < '~~'I /fj, /;~~.../~.A'~
DATE OF DEATH C l~l.J'J / ~F IfIll
"
-//,,-, -
/ _.?/j~
Appraised Value of Estate:
Real Estate
$ "'-/:1 . t.(~t') . L-(l
,
'.'t~1 . /,1,'/ /- -
+ :,(, 1/: ~/' --' /,
Personal Property
Jointly Held PropertylTransfers
+
Totat Gross Estate
$ .~) /,,/f;t' 'j-'J-
Total Approved Deductions
, 'I. /--,! ,.',-7
_ .i/t; / _' i, /.
,
Clear Value of Estate
$ ~:t.; /(-- p- f ' 'I" I
/
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
6 ~:Z- j,,f'(~, '7
Amount Taxable @ 6% Rate
6
tax due
$
Amount Taxable @ '5% Rate
/.;("
,
tax due
,_1/lr)j. 3;J.
,
$ 3 I/O /. 3,;;.
/
, "I' ' '7
If, l' //,'
TOTAL PENNSYLVANIA tNHERITANCE TAX DUE
* * .. .. .. .. A five percent discount totaling S
will be granted if the Inheritance Tax is paid by
less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDtT
S =j /I.~' I. 3;:;!
/
;.;? - / _ :?f:)
/, - -
$')"/::-:; f) +
,';1\ .:J ~'\.
/
=
$ /7t ,(! 7 - $
+
=
+
=
Interest accrues 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
.,..---,
'_JJ' U,)
0J 1/ '/ I " ~
$ C 'd, .1"1</ ,.<-UL-
BALANCE OF PENNSYLVANIA tNHERITANCE TAX DUE
/
_ , , if
Assessed by: / /. ,( , '-
Agen"t fO~ e Com")ql\, WO,lllh
Seo lnlormalion on Reverso Side . {/; .fr-
/ lJ//(;:JA.f----
tNFORMATION
To insure proper credit 10 your account Ihl;! name of the estate and file number should be clearly print-
ed on the check or money order.
This assessment is made in accordanco with Section 708 of the Inheritance and Estate Tax Act of
1961 (72 P.S. ~ 2485.7081.
To the extent that inheritance tax is paid within three 131 months after the death of the decedent. a
discount of five (51 percent is allowed 172 P.S, ~ 2485.716),
Inheritance Tax. other than tax on a future interest. is due at the date of the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedent's death (72 P.S. 9 2485-711). Inheritance
TaK on a future interest is payable within three (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereaher (72 P.S. S 2485.712). Calculaw interest from the delinquent date shown
on the face of this form to the date of actual payment using the following interest table:
---------------------------------- ---- --------- - - --- - ----------- -- -- -- -----
1 month .005 4 months ,020 7 months .035 10 months .050
2 months .010 5 months .025 8 months .040 " months .055
3 months .015 6 months ,030 9 months .045 12 munths .050
1 days .00017 11 days ,00186 21 days .00352
2 days .00034 12 days ,00203 22 days .00369
3 days .00051 13 days .00220 23 days .00386
4 days .00068 14 days .00237 24 days .00403
5 days .00085 15 days ,00250 25 days .00420
,
6 days .00101 16 days .00267 26 days .00437
7 days .00118 17 days .00284 27 days .00454
8 days .00135 18 days .00301 28 days .00471
9 days ,00152 19 days ,00318 29 days .00488
10 days .00169 20 days ,00335 30 days ,00500
-- --------- ---------- --- - --- - - - -- -- -- ---- -- - --- ----- - - ---------- ------
Any party in interest. including the Commonwealth and the personal representative. not satisfied with
the assessment may object thereto within sixty (60) days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S, S 2485.10011
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
REv...." (S"78'
q I-S'o .'1 (',/
DEDUCTIDNS A~~DWED IN
OFF ICE OF THE
REGISTER OF WI~~S
STATEMENT OF DEBTS
AND DEDUCTIONS
THESUMOF $ 11.959.RR
~ Vf, ~ -') It/If)
OA~tPPROVED /! 'l.L~
,0 (!- , . ~c...u
OF CUMBERLAND COUNTY
AND AGENT OF THE COMMON'EA~ TH
U,{l :).,:c, I II ,\'(
ESTA TE OF
VIOLE'l' V. ZIUN
~ATE OF
I~ECIIANICS13URG. PENNSYLVANIA
DATE OF FILING APPRAISEMENT
., )'a
-"\'- I~J'/
DATE OF DEATH
{)("P(W.P R 1 Ii 1 q RO
DATE
NO. OF
VOUCHER
NAME OF PAYEE
REMARKS
AMOUNT
ter of ~li11s
-Lej;J;~rs o:LAdministratimL-._
~r;~::hing l'sta.t<Llli
~h;n'J P!':t-at-I> Nnt-i,.I>
~l Prpm; 11m fn~
-18.
.Th,o, 'R1Tpn; ng-5f3nt- i no. 1
~
s Fnneral H
l'I
s
anY-
Jiin
R
f wills
Filin Costs
..Re.compr
~, R~r~rp ~r~n~f~r ~~~
.ch.atie
p
p
n~mnn
_.G.e.o~ M. Houck. Esquire
l\ttornpv's Fe:
COMMONWEAL TH OF PENNSYL VANtA I
SS,
COUNTY OF _Cumbl>,.l "nrl
I, RAI.ION J. ZI1ffi. HEREBY CERTIFY, THAT TO THE BEST OF
MY KNOWLEDGE AND BELIEF, THE FOREGOINO tS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND
EXPENSES OF ADMINtSTRATION SUBMITTED TO THE ESTATE OF VTOr,F.T V. 7.TNN.
DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES, .
/--;;" ! '7
DAY 0':7id /.'{n U,,"/J
, ..\....
(L,S,)
SWORN AtW SUBSCRIBEO BEFORE ME THtS 1 st-
19 ..BlL.
, Nota:r:y Public
Aug. 11, 1983
n"'cemb~
....a;"'( . 'f." ":,1;':Jf;'/1
Co~ ssion Expires
My
- .~'..
Ot.-
,.. -, c.;. ,.~
~ e:(:I
" a: Zo
~z
c. ~ To",
c;J C""\ "--,
0:",
O~&. E; 0",
w\,..;..: , to
0'"-. :% "'..,.
"::! ~-
0.., ",=>
U<oJ C> -,U
"'~ p:> <.J
~