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Home My WebLink About80-00716 ~\.",.- . !W~~t;N; ,'-~ ...,..... C.'.', : ~'.".' " -.,1 : :, -). .. . T.;' .:'- .~ ':, '7 ,-;.: .. .;.'.,. .. '" '-4' " ,. .. '. " " . >< ..: ~ H ~ ~ '''' ~ ., CIJ .,." " tI:l CIJ ~ ~ I ~ ":I CIJ . . ..: 'Cl). Il< I riI "~ I ~ .{'o. tI:l CI - CO 0 . - M ~ * - III rl . - 0 .. Z LLI " 11-80 '716 HEGISTI':II OF \I ILLS 01,' <:;t.I.lY\~~l~ C:OU~Tr ~O. I'ETITIO~ 1'011 1'1I0llATE OF \\'11.1. ,\~IJ LETrEIIS O!' ,\Il~II~ISTIIATIO~ Cl'\! TEST,\~IE:\TO A:\:\EXO I.E'ITEIIS OF ,\Il~II:-':ISTII.\TIO:\ IlE 1I0:-':IS ~O~ LETrEIIS OF .\Il~II:-':ISTH\TIO:-': IlE 1I0~IS ~ON Cll~1 TEST\~II'Sro .\~:-':EXO ill till' E~lah' uf .~.....P....~r.~~U:.~............",. dl'l'('a~(.d. 1','lilioo"r(sl. ~1'.g'n.b~OJit.~I:.9.::1r:l:>S~....~I:Y.14"~""'"'''' llllcgc'(s) thai: U 'is apply I. P(.tilillTll'r( s) .trI' IWI'lIly.f)m' Yl'ar.. of ;l~l' or nhh'r alld .l}lplil's for It'lh'rs (If administration ............................................................................,............. ill llu' ahfl\'l' ('apliclIlt.d ('Sl'lle', 2. 111,(.,.d,'ol di",I 00 ....../La..<;::::i?,.p.~....I.q.f.P.......... at P............~1. in 1111' Couoly of el.lmp..~.~.lGv.n..L......... StOltI' of ...tC!...\.................................. at 1111' a~" of ....5.9............... wars. having madl' ..~..... Last \\'iII :lIld Tt....tal1wnt dah'd lIlt' .....~:f.'~... day of ......~~h.~"f.........A.D: 19,,~.~ \1'1ll'rdo ..~......... appoint I,d .J.P.Jin.A.Smi.tfi.,............................................................................ Ex"c(J.:l:~:r.:..... Which Ex,'c >i.~..i..... has siQcc ."...J..LeJ..,...~.~.;a,(k...hClm~....:R~...d:..;.:::~mt/RJ...~ /2<IJ, c.;/e..JM \Tcin 4-,/<17.3 ",116 ~","(.e4 1M -feu"'" ~ pif,'1 t:l"rosir 'BanK ~ /,"",;;'G'~' On ................ day of ............................................. 19......... Ll't1l'rs of Administration were ~ranll'd to .................. .........................................................................."...................................................................................................................... d.h.n. d.h.II.c.:.t.a. 3. Lctll'rs of Adrninistr:ltioll (',La. afl' lu'cdl'd l>t'l';IIIS(' .............................................................................. apply ................................................................................................. and pl.tililll1l'r{ s) applies in ...................... capacity n=> ......"........~.......;;.~.:.:I.:::~;..~.;;::~;..~.;:::~~;~::;~~~...~;~..:::::::::::::::::~ ............................" with his last family or principal residcncc at ...:1..~..[......I.4Y.rt!.'.ro!?.I.....lh~~~.'.t.~:.~rJ,:;,:.r~.>p.9.........................................,..,............,. was was 5. (\Vhere dect.dcnt died t(-'slate) J)('et.dt'nl was not married and a child \ViiS not born to or adoplN) by dccedcnt lifter ('xt'clItion of the will (and wlu'fl' applil'i1nt is alleged spouse) nor was {It'cedent di\'orced from applicant after execution of will ;1Ild ill dt'ath. 6. The said dcced('nt was possessed of Goods. Challels. Hights and Credits to the estimated vaIne 01 $...I0.<2,.o.a..Q.,.... and 01 Heal Eslat('. to Ihe c.,limal"d value 01 $..$<;?}..Q..~..Q...... as ocar as can he asecrt.dncd. That tht' said, Heal Estatt' in so far ;IS known is located in .J..er'1"2.octn.e.{"~......... .o.nJ....~.'f.\.I1....70uJdlp.................................................................................................,.,.,....,..,.,..........",... i. (\"hew ucccdcnt diN) inlestilh' as 10 any portion of this estatt.). PC'titioncr after a proper sCi.lrch hilS ascertained thai th~eNIt'l1t W;lS sur\'i\'t.(\ hy tilt' following-named persons ('ntitlt.'C) to distribution tinder the Intcstatt' Al.t or 1947: ~am(' l~t'latitl11ship Rcsidencl' I. ~y.~.Il.f.ll......$:...Ri.~Rc:r~<1.N........................~.!,J.~~......................E.;S).'...\..~.lC..~.t.l.....~ v,/I,,?c. 2. ~~..'b'rl...el....s..m..i+R.:..............:.................~~........,...............Ri)..?....~,..I."J.:,Jifc~bvry ,pc.: 3.;f/f1.cs:v1... r;rJe..s...tJ.Jm.l t1~.(dr.c=-:;;;.:'e.Q.M.,.)i.lr........................................................"",........ ~/.~1~~.lev.er..Sm.(.'ifI.....r..Je,,_ __ ~~.d...bYll~...................................................".......... :J, ............................................................................................................................................................................................. 6. ..,........................ ....................................................!......................................................................................................... ...................................................................................................................................,.............................................................. .- tic l.s apply Thcrcfnre, pt'litiUllt'r~ rt.spt'dflllly applil's for (pruhatt. of tht' will prt.s(.nINl ht'rewith and for) h'llers of adrninistral ion ... ......(~;..:7:::~,:1........"".."......... ..........:...... ...... .......... ....,'.............."........................""".... J)al('d:~..&O'.I/..@ ............. Sicllt.d: .:':~:..::..:....::....:.......~:.!......;:~.....:.....;::;;......:.::~::'.:..~....:. r.~ l " I":j; Addr..,,; 4..tJe..I+...../{1/f~.:,l.t......a.x.li~I.e.I?c.. . . - '.'jJJ--J'. ..../ ) 'J.!j. J I.,; - / J/ 1/-/5-2,-/ CO\I\IO:\\I'FAI.TII OF I'E:\:\S\'I.\',A~I:\ \ SS ................................................................................................ ...........................................................COU:O':l1:1 fA) i Ilro.m~i~e.i1;...,dO:fff~r-~..1AJ~i.l~.t~\\q.1Y1l.rt~r IIIl' l''''it''''Il'rN in lIlt' ahu\'(' applicatiun, ht'ill~ dilly ...~.~.-r..O,...... alTonlin~ In I.IW ..ay(.; I that tht. ..tiltcmcuts ...l't forth ill this pdilioll an' Inlt' 10 lilt' Ill'''' 01 . ..~........ kIlO\\'ll.d~I' :!wllll'lil'l. -~_." - -~ '.' ;- "/' i'lil/-' ll,' 1:_ !, /._..nl'~h, 1 (' !~,..'~i_::;:==- ....".........~~.9.;:~............... ;lIlt! \ull\rrilll'd Ill'flllt' 111<', ...........~.O'".~.....l5........~....... ............ I!l.Jl.9.... ...tJJ.!'a,.&/..a..:... ....(~.?!.............. ( /I l\t.~i..h'r 1';".(\: - '. .,; ::~ '" '.J ~ U ::-: - -- t~. r._:~_~.'. c;.:. '-C "'- or._ I i-t...r: wt....: n:-J c~. E: o\~J Ct:~~ - I. o~ -- 0.1 t,)uJ ~:I: We:: 0 ffi'::) 0: CO _IU COMMO~WEAmH OF PENNSYLVANIA ,'1 }//I'- '/ :\ttorm')''s ='ilmc ..HId Address ~:t.~..A.....~f?o,J.~~................................ P.~.~...{~.......l.el7.\.o.~.,...:Pa.,................. OATH OF PERSONAL REPRESENTATIVE COUNTY OF CUMBERLAND } ,s: Wl.lli!!l7.l.~.~!:...;r.YM...~~.r..~:Th~.P.:tiif.\.1);~~i.t.,~,.t:k:s.*.~ petitioner(sl being duly ..........~W.q:'l:.r;'),..................,.............. according to law do~......... depose and say that as the administra ................ of the estate of ............f'lZUlt< ....f...~m.J~................................................................... ........................................................................................................................................................................................ deceased ......1t.......... will well and truly administer the good, and chattels, rights and credits of said deceased, according to law. And also will diligently comply with the provision, of the law relating to Transfer Inheritances. ........,.........~.?!S!!.~........................... and subscribed before me. ...2h1....~.~'!.......~..........;............ A. D.. d!9...... R{g~iffk?J,..~~.:....ay.?.c8~.....,.....,..........." . 1/'//1/"') .\=:,......ir f,"/J.:"'I( .j :}/,!_ .r . ../] /, ;// '/V/.,LC'I", 11/ ,0-" .<~" T/.:.,-<j T eel ............................................................................................ ............................................................................................ DECREE . emembered that on the .,.............................. day of ................................................ ~..> Letters of Admims .' in the estate of ................ ...............................................................-.......................... ----------- .......... late of .................,..........................,..,...,........."....................... -- . .----- Cumberland County, Penn,ylvallla, deceased, \I "auted-to ...................................,.................................. ------ ...............................................................".....~..........-;................................... .............................................................. . 'i"l~he day and year aforesaid. (.,.5~ ........................................................................................'";vo... Register i , ~. OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND r This 6th day of November A.D.,19 80 , before me, Register for the Probate of Wills and granling lel1ers of Administration in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally came JANET G. SNOOK, one of the subscribing witnesses 10 the foregoing inslrumenl of wrilillg purporting to be thc lasl Will and Testament of FRANK P. SMITH Daled September 3, 1963 late of Borouqh of Lemoyne Cumberland County Pa., deceased who being duly sworn according 10 law, depose and say, that she was present, and saw and heard the test. tor FRANK P. SMITH sign, seal, publish, pronounce and declare the said instrument of writing as and for h is Testament and Last Will, and at the time of so doin~ he was of sound and disposing mind memory and understanding, to the best of her knowledge, observation and belief. Sworn to and subscribed before ":V.c!H :1 ':/ . ~~~- _# /~ }ANET G. SNOOK iJJ{hl/t -y/~-~~ Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA l ss: COUNTY OF CUMBERLAND \ \'In,;;>m R,.;ngp, '1',."",1- Officer - Dauphin Deposit Bank & Trust Co. being duly sworn says that as nearly as can be aseerlained the said decedent FRANK P. SMITH died on Sundav the 19th day of October A.D.,19~, at or about o'clock, ~. Sworn to and subscribed this November Dauphin De1;>osit, Bank & Trust. Co. . J/'/} . /. I, By: '/I/<C'-'I., /j.'... '/' Wil1~am Br~dge, Trust ott~cer 6th day of 80 ~ 19._, b re rt4Y (Z. ~J~ Register 308 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 iAJii...U/11I .Ii li'/:)') C/;- JI:O"; /" ."r-r/( '.--/( Cumberland. personally came who, being duly sworn ,do es depose and say that as Executor of the last Will and Testament of FRANK P. SMITH deceased \ 1 they will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And Sworn also will diligently comply with the provisions of the law relating to Transfer Inheritances. to and subscribed before me. ,/N'/(nJl!IN P,;/7C'_, 1,_li/)~( /11"1) rNUJ T ro Nov. 6 A.D., 19~ I( I} 7' /0/' (('.,,;. ,Jl; ,'/y,' "Lf:- -17jt1/1 a. '1~ Register ;~ 0' 'al co: ,,,, C'> :~ !"""4r : ell ,0 U. oq-' co: 0 ~Fj t CJ) ..!ol k' ,,~ \D ...l 8 QJ: M ltl ~j l" r- ...l :<:: .... I E-t: .... . QJ: 0 - .~ () >: H: ~ co S ::;l, E-t 0: I ~~ = ril Zj .-l .~ C'l 'Cl 10 P<j ell \D 00 0 'Cl o. ~\ ... ",: . Z 0 ~Fi - C,l N .s :;ii ~ %'0 11 .5 "-'i 'Cl .... 0 s:: p; .~ <Jl r:.. Z [:<:l oj DECREE Be it remembered that on the 7th day of Frank November 80 ,A.D.,19_. there was probated and recorded the last Will and Testament of P. smith late of Lemoyne Deceased. Letters of Administration. .ferl!iltinted to Witness my hand and official seal the day and year aforesaid. , Cumberland County. Pennsylvania. Dauphin Deposit Bank & Trust Co. 309 t/;l/U<-I P. f1t~J (j ~ Register .-,' 21-80 716 Renunciation and Request ._---------- In the Matter of the Estate of ..........r..!y.\l'1.K.....~.,....!?!':l~~IL.................................................................................. To ........Mar.lI...C.....MIil.W.i..:1..................................................................................., Esq., Register for the Probate of WillJ and granling Lctten of Administration for the County of Cumberland, in the Commonwealth of Pennsylvania. ....:r......, the undersigned, being the .........!;!~.!l.S;.~.1:9..IC...!l.<lI11e.?..~.n.:...~?..e...~?.~.~.c:.~.1....~<:':~'7.~........................ January 4, 1973 affixed to the Last will and Testament .................................................................................................................................................................................................. of Frank P. smith dated September 3, 1963 .................................................................................................................................................................................................. .................................................................................................. ..,........................,................................................................... .................................................................................................................................................................................................. do hereby renoonce ..........my...............................................rightto have Leuers ....:J;.~.s.:t.!!:!1l!l.n..!;.~EY........................ .......................................................................... on said Estate issued to ....I11lil.................................................................. ........................................................ ......................................... .............................., and do hereby request you to grant the same to ......J:)!!:\l.l?l'1J.~...P.~.I?~.:'!.~~...~~.~....~...:r.ru.~.~..<::<:>Il\l?~I1y............................................................... Witne"............... ...hand............... .and seal....... ...... .Ihis. ....6.fA......................................................... day of ....~~r:.....................................A. D. t9....80 y......:i2...j+..~.;t. Q..:~).;zAL. S,) ROBERT J. SMI%':' ........................................................ ................................................................(L.S.) .................................................... ................................................................(L. S.) .............. ................ ................................................ ................................................................(L. S.) ................................................................................ ................................................................(L.S.) ................................................................................ .............................................(L.S.) ................................................................................ ...........................................(L.S.J ~- APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT *.. .f'. t\ ~. .. COMMONWEALTH OF PENNSYLVANIA DEPARTMEN"OF REVENUE BUREAU OF COUHi'v COLLECTIONS APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made far coosentto the transfer of the following securities af a Pennsylvanio Corparotion or a National Banking Associolion locoted in Pennsylvanio: DATE 12/5/80 (a) 200 Shs.(b) Duquesne Light Co. (c)--.C.ommon (NOTE: In describing securities enter in (a), ab Ole, either the number of shares of stock or the face amount of registered bonds, in (b). the name of the issuing company and in (c) the class of stock ar the stated interest rote and maturity date of registered bonds.) ISSUED ON _ 1/9/73,11/13/74, ond having a TOTAL MARKET V AWE OF SJ;-' ,s"o. (! /) (Dale) / os af the dote of death of the decedent, Fr'mk P !;mith ,on /tJb9/f'tJ (Name of Decedent) /~tc of death) who wos lote af 435 Hl1tmnp.:l AvpnllP (Street and Number) T~t:> (Post Offico) {""mher.land (County) Pennsylvania (StOic) The securities are registered as follows: Frank P. Smith (Nonle or names In which cortHleatos are registered) ADMINISTRA TOR) CTAauphin Deposit ~) (Name) Bank & Trust Co. P.O. Box 2961 Harri"bllr[':,Ppnn~ (Address) NAME OF APPLICANT Dauphin Qeposit Bank & Trust Co. ~B0X2%l COUNTY FILE NUMBER .(/- i'd- .,/,.; ADDRESS OF APPLICANT Harrisburg, Pa. 17105? BUREAU FILE NUMBER SIGNATURE OF APPLICANT fjUit;?.../J 1.1..- NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL ~0tion fort~' ~ CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. -. il"J'ust n~:(e "_Ci COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE .J CONSENT TO TRANSFER SECURITIES DATE 'I..tZL.. 1t/.11ft ; I hereby consent to the tronsfer of the above securities now registered in the name of the afaresaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisians af the Act of June 20, 1919, P.L. 521, as amended and the Act of June 15, 1961, P.L. 373, os amended. This is also in accordonce with the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estate of the obove.named Decedent. By e Secretary of Revenue t" . k'"Cd ~/?-;1t./~h/(..~ ( ounly) Bank & Trust Co. P.O. Box 2961 Harrisburg, Penna. (Address) NAME OF APPLICANT Dauphin Deposit Bank & Trust CO. 1'.U. tlOX Z9b.L ADDRESS OF APPLICANT HarrisbUl'g, Pa. 17105 /) IJ:, . 1,- ......', , _/.' @ton\ v~..,.{ . Hak - ifflJSt n .,: e . -r'-lee: COMMONWEAL TH OF PENNsnVANIA OEPARTMENT OF REVENUE BUREAU OF ;":""UNTY COLLECTIONS , . APPLlCA TlON FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT '*, DATE 12/5/80 APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Applicotion is hereby mode for consent to the transfer of the following securities of 0 Pennsylyania Corporotian or 0 Notional Bonking Association locoted in Pennsylvania: (0) 216 Shs. (b) Dauphin Deposit Corp. (c) Common (NOTE: In describing securities enter in (0), ab Ole, either the number of shores of stock or the face amount of registered bonds, in (b), the nome of the issuing company and in (c) the closs of stock or the stated interest rote and maturity dote of registered bonds.) ISSUED ON Various dates ,ond having 0 TOTAL MARKET VA-LUE OF S ? ~U.dO (Oata) os of the dote of death of the decedent, Frank P. ~mith , on /tf Y (Name of Decodent) who was late of 435 Hunune1 Avenue (Streot and Number) Lemoyne (Post Office) Cumberland Pennsylvania (County) (Stote) The securities ore registered os follows: Frank P. Smith (Nomo or nomes In which certiflcotes are registered) ADMINISTRATOR) CTADauphin Deposit ~) (Nama) COUNTY FILE NUMBER ,/; - :'>0 - 7/(" BUREAU FILE NUMBER SIGNA TURE OF APPLICANT NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE A CONSENT TO TRANSFER SECURITIES JA Jot?~ DATE './I/o /C/. 7t1J (/ I hereby consent to the transfer of the obove securities now registered in the nome of th";, aforesaid . Decedent ond waive the filing of 0 certificate certifying to the poyment of the transfer inheritance tox to which the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, os amended and the Act of June IS, 1961, P.L. 373, os amended. This is also in accordance with the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estate of the obove.nomed Decedent. ~ .~i ~ '~~.. Signed for the Secretory of Reve ue By0 C. .d ~ /. 0 k~~??L- {County} CO~ll,ONWEAI.TIi OF PENNSYLVMlIA JEPARTMEt-lT OF REVENUE BUP EAU OF COutlTY COLLECTIONS APPLlCA TIOtI FOR MID CQtISENT TO TR:\NSFE1~ SECU1~ITIES REGISTER CD HI TIlE NAME OF A RESIUENT.DECEDENT \'" ~ .:.>." \.,.,......~v.) ,,'''.'.' Ik' J. ;~:...j';,.,;:'} I.~Uf~J DATE 1/19/Rl e,PPLlCATlml (/.lUST BE FILED IN TRIPLICATE) TO THE PENtlSYLVANIA DEPARTt.\EIH OF REVENUE: Applicati~n is hereby mode for coosent to the transfer of the following securilies of 0 Penn~ylvonia Corporation or 0 Notional Bonking Association located in Pennsy!vonia: (0) l()() Rhs. (b) Ne" Penn Motor Express Inc. (c) Conunon (NOTE: In describing securities enter in (0), oh (JIe, either the number of shores of stock or the face amount of tegistered bonds, in (b), the nome of the issuing compuny and in (c) the closs of stock or the stoted interest rote and maturity dote of registered bonds.) ISSUED ON , and having 0 TOTAL MARKET VALUE OF S Jut ~ (Dol.) os of the dote of death of the decedent, Frank P. Smith (Nome of Decudenl) , on 4/19/80 (Dale of death) who wos late of 435 Hummel Avenue Lemoyne Cumberland Pennsylvania (Slota) (Sttoot and Number) (Post OHice) (County) The securities ore registered os follows: Frank P. Smith (Name or nomos in which certificates orc registered) Dauphin Deposit Rank & Trust Co. P.O. Box 2961 Harrisburg, Penna. ADMINISTRATOR) CTA ~N ) (Add,.,,) NAME OF APPLICANT Dauphin D'mQsit Bank & Trust Company -J:'o{j-;-Bo~f1l Harrisburg, Pennsylvania COUNTY FILE NUMBER ;)/-Yo- '7/(., ADDRESS OF APPLICANT .. J '-;j BUREAU FILE NUMBER SIGNATURE OF APPLICANT !!;,:L~ /l__4d, NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTiON OF THIS APPLICATION, IT \'i1Li::"U~ljIiDa M H COtlSIDERED COMPLETE AND WILL BE RETUIlI.li:D TO ,(OU FOR COMPLETlOI4. .Trust O~f~e _ r Ir'Cf- (Nome) COMMONWEALTH OF palt--!SYL VAI~IA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DAT I hereby consent to the transfer of the above securities now registered in the name of Decedent ond waive the filing of 0 certificate cCltifying to the payment of the transfer inheritance lax to which the property of said Decedent is mode subject pursuant to the prnvisions of the Act of June 20, 1919, P.L. 521, as amended ond the Act of June 15, 1961, P.L. 373, os omended. This is also in accordance wilh the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estote of the obove-named Decedent. , f:.... t.. ,"'" :'\ ,I~")~''.I ,'~1'~'::-".. .r.', 1\;'; .\~,.,., ~ :..~ 4" ~,"-" ,~ ,..'1...........j>...'.,.4 ~..r:..JJ..r:.,..p . Inventory of the real and personal estate of Frank P. Smi th deceased Real Estate 433-435 Hummel Avenue, Lemoyne, Cumberland County, Pennsylvania, consisting of a 2 1/2 story converted apartment structure which contains 4 units plus an apartment garage, more fully described in Cumberland County Deed Book 0, Volume 19, Page 348 dated December 21, 1959. Appraised Value $ 47,000 00 Approximately 18 acres of land in Penn Township, Cumberland County, Pennsylvania, more fully described in Cumberland County Deed Book V, Volume 26, Page 87, dated September 30, 1976. Appraised Value Total Real Estate 24 000 00 1,000 00 Personal Property Final Payment of Employee Benefits from Laurel Pipe Line Company Claim Payment from Blue Shield Refund from National Review Farmers Trust Company CD #20629 Accrued Interest Farmers Trust Company 9.45% CD #22509 Accrued Interest $ 3,725 13 621 80 33 33 25 00 19 00 36 15 22 00 20 00 240 00 5,204 26 89 00 7,755 15 157 28 20,000 00 483 62 10,000 00 40 98 5,000 00 31 31 10,000 00 675 59 10,590 68 191 82 Refund from AIM Report Refund from Conservative Digest Refund on Credit Balance from Bell of Pennsylvania Refund from INA Corp. on Car Insurance Accrued Rent from Randy Ziegler, 10/15-10/19 Accrued Rent from Randy Shaffer, 6/80, 7/80, 8/80 Cumberland Valley Savings & Loan Association 5.50% Savings Account #22127 Accrued Interest Farmers Trust Company 5.25% Passbook Savings Account #3-005044 Accrued Interest Cumberland Valley Savings & Loan Association 7.75% CD #6685852 Accrued Interest Cumberland Valley Savings & Loan Association 7.75% CD#6687789 Accrued Interest Dauphin Deposit Bank andwust Company 7.25% CD #1403014353 Accrued Interest I COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 55: I J '., baing duly __ aecording to law, depolas and says that ha ___.__._.__..__ ______ of the Eltata of I.ta of __ _...__." - - .-----, Cumbarl.nd County, P.., d.c..s.d .nd th.t the within is .n inv.ntory m.da by _ -____ _. ., the s.id of the .ntir. .state of s.id decedent. consisting of all the person.1 prop..ty .nd re.1 .state, .xc.pt r..1 est.t. outside the Commonwe.lth of Pennsylvania, and that the figures opposita e.eh it.m of the Inv.ntory repr.,.nt it', f.ir v.lue as of the date of decedent's death. and subscribed before me, 19 Executor. Administrator , , , I Addr." D.te of De.th Day Month Year I. 2. 3. 4. mSTRUCTIONS An inventory must be filed within three months after appointment of person. I represent.tive.-,f1 r'1 A suppl.ment inv.ntory must be filed within thirty days of discovery of addition.1 ....ts. ~~ "', Addition.1 she.ts may be attached as to personalty or realty !;J~ :i:l S.. Artiel. IV, Fiduciaries Act of 1949. S:?; CI;:--: 80.,0; . -, :f;':''l cD ",'" - r'1~ eo :n:::C - --10 :..,f"l1 - ":)0 :::> -,...s -0 '.H ..?. .'~ "rll - ," ~ ., ... . >- ..,; '" I- W w ~ "" I- '" W <( .. 0- I- u .. 0 0 Vl .. co ... w "" w C .. .. ~ J: 0- 0- C I- ...J U. '" ~ Z <( 0 0 U. ...J 0- ~ W 0 <( w .;. > z "" - Z 0 c C ~ ci Vl Z 0 "" u z w <( ... 0- .." C - '" -;: 0 .. .., ." ". .. E 0 - ~ ..!! 0 '" -' () u: CD .-. Inventory of the real and personal estate of Frank P. Smi th deceased The Peoples National Bank of Shippensburg 7.25% CD #5371 Accrued Interest The Peoples National Bank of Shippensburg 7.25% CD #54B6 Accrued Interest West Shore Savings & Loan Association 10.75% CD #SPC 15C-1576 Accrued Interest $6,500.00 Note dated 4-1-75 from ~'r. & Mrs. Alan C. l-Ihisler Accrued Interest Securities 347.287 Shares Baltimore Gas & Electric Company 216 Shares Dauphin Deposit Corp. 200 Shares Duquesne Light Company 36 Shares International Shipholding Corp. 200 Shares Kroger Company, Common 100 Shares New Penn Motor Express, Inc. 100 Shares Ryland Group, Inc. Accrued Dividend 180 Shares Trans Union Corporation 188 Shares U. S. Realty Investments 5 Shares Municipal Investment Trust Fund Accrued Dividend 100 Shares Capital Mortgage Investments United States Savings Bonds - Series E Mi sce 11 aneous Various Coins - Sale Price 1972 Ford Pinto - Sale Price 1967 Ford Galaxie - Sale Price Household Effects - Appraisal Value TOTAL $ 5,000 00 99 5,000 00 50 51 10.000 00 59 00 6.500 00 2.707 29 7.477 15 7.020 00 2.650 00 237 38 4.325 00 1.381 25 1.987 50 15 00 10.113 75 2.790 63 3.702 05 28 45 153 13 3.139 64 100 00 250 00 150 00 805 00 150.606 82 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I. I 5S: Sue Mauen'J Assistant Trust Off_ice~ of Dauphill._Dep~sit Ban~ and Trust Company being duly sworn ____ according to law, de pOle. and .ay. that sho _ is Admi ni strator____._____ ___ ..___ of the Estate of Frank P. Smith lat. of _LelllOyn_e_ _ -----------, Cumberland Coonty, Pa" docoased and that tho within is an inventory made by ..._Su_e.J1.al!er::Y . ---- , the .aid Administrator of tho ontiro ostato of .aid docedont. conlilting of all tho porsonal prop..ty and real o.tato, oxcopt real o.tate outsido the Commonwealth of Ponnlylvania, and that tho figure. oppo.ito oach item of tho Inventory repro.ont it's fair value as of tho dato of decedont'. death. \'-'-_'_('01-": 't.:, /, Dauphin Deposit Bank and. Trust Company, Administr;}tor of the Estate of Frank P. Smith ~u" / 1?7cuLi/~ - - ~~' Adm;n aa,stant Irust Officer ) \4' ..'- (- , r ,'/ - (.' ./ '?-' ( '_.' '-;(, ( / / /' -~...../ . / v ~. I, , 213 Market Street Elizabeth J. 8en\0. NotJry Publi, My COr:lmlllion Ex;lircl A:,r:1 16. 19H Harrisburg, P,. O'.....'n (t'.-.. ..,.11. ."", Addrus Harrisburg, Pennsylvania 17101 Date of Ooath __19th O'Y October 1980 Month Vur INSTRUCTIONS nP e"" I. An inventory must be filed within three months after appointment of personal repre.entative.=!:~ c, . 2. A supplement inventory must b. filed within thirty day' of di.covery of additionala55ets. 5~ 'U 3. Additional sheets may b. allached as to personalty or realty :-~2; ",,- 4. See Article IV, Fiduciaries Act of 1949. ~:'; ":J .. c~ .' _:~ ~ ",'" ",'" _,C'> ~_o = m:r::l - _,0 :~1f'1 ~ .C a 0 6 .. .. -C , ~ _c' >- ." co >- W ~ ~ '" >- '" w < " 0.. >- U 0 V> " co 0 w w 0 '" >- I '" ~ aI I- 0.. .s: 0.. c >- -' u. .... '" ~ Z -' < 0 ...... QJ 0.. 0 U. == W 0 < w E c: -;. <( > '" VII 1:;' z C Z 0 0 oJ ID ~ .; VI Z 0 '" d -' u z w < .... 0.. c: ." III c ~ '" - -;: u..' 0 " , ..0 ." -" " E + ai' 0 ~ ~ 0 ..J U u: co PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION 1. PERSONS RESPONSIBLE FOR RETURN Section 701 of the Inheritance and Eslate Tax Act of 1961 provides that the following persons shall prepare and file a return: . a. The personal represenlative of the estate of the decedent as to property of the decedent administered by him and such additional properly which is or may be subject to Inheritance Tax of which he/she shall have or acquire knowledge; b. The transferee of pioperty upon the transler of which Inheritance Tax is or may be imposed by the 1961 Statute, including a lrustee of properly trans felled in trusl, provided that no separate return need be made by the transferee of property included in the retum of a personal representative. 2. PLACE FOR FILING The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided. 3. TIME FOR FILING The return is due nine monUls after the decedent's death, unless an extension for filing has been applied for and granteu by the Secretary of Revenue within the nine-month period. 4. FAILURE TO FILE RETURN Section 791 of the 1961 Statute provides that" . . .any person who willfully fails to file a returnar other report required of him. . .shall be personally liable. . .to a penalty of 25% of the lax ultimately found.to be due or $1,000 whichever is the lesser 10 be recovered by the Oepartmenl of Revenue as debts of like amounl are recoverable by law." 5. TAX RATES Inheritance Tax is payable at the late of6%on transfers to lineal descendants, such as father, mother, husband, wife, son, daughter, grandchildren, grandparent, son-in-law and daughter-in-law and al th~ rate of 15%as to all olhers. 6. PAYMENT OF TAX The tax assessed on lhe transfer of property reported in the return is due 9 months after lhe decedent's death. Interest at the rate of 6% per annum accrues thereafter until payment is made. All payments received are first applied to any interest which may be due wilh any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED. All checks should be made payable to the Register of Wills of the county wherein the decedent resided and are received subject to the final determination of the Department of Revenue, 7. FAILURE TO PAY The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until the taxes and interest have been paid in full. The taxes may be sued for against any real property in the decedent's estate or against any property belonging to a transferee liable for the tax. , . .' 8. FILlNGOF FALSE RETURN Any person who willfully makes a false return or reporl required of him shall, in accordance wilh Section 793 of the 1961 Statu Ie, be guilty of a misdemeanor and, on conviction lhereof, shall be sentenced to pay a fine not exceeding $1,000 or undergo imprisonment not exceeding one year or both. INSTRUCTIONS FOR COMPLETING SCHEDULE "A" Schedule" A" should include a detailed description of 011 real property located in Pennsylvonio ond held solely by the decedent or held jointly with another individuol (s) os tenants in common. List the decedent's percentage of ownership ond the estimoted market value of the decedent's interest. (Property held as joint tenonts with the right of survivorship or tenants by entireties should be reported an Schedule "E".) All real estate locoted in Pennsylvonia should be described by lot and block number, street address, number of acres and general description of lond ond buildings. Also, include the book and page number in which the deed is recorded and the exoct title os indicoted on the deed. If the property has been sold, attach 0 copy of the settlement sheet. If the property is subject to a mortgage encumbronce, include the nome of the mortgagee, date, rote of interest and the outstanding balance on the date of death and olloch 0 stotement from the mortgagor verifying the autstoading balon~e. Property taxes ond interest on mortgages as of the date of deoth, assessments and other encumbrances should be listed on Schedule "F". .Da not deduct them on Schedule "A". REV.4~1 0.80). COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONALPROPERTV ~' ~'. .~ (lnstrucdollS on ReVL'rsc Sic/e) Estate of Frank P. Smi th . ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL YI Cash and Cash Items 1 Final Payment of Employee Benefits from Laurel Pipe Line Company $ 3,725.13 2 Claim Payment from Blue Shield 621.80 3 Refund from National Review 33.33 4 Refund from AIM Report 25.00 5 Refund from Conservative Digest 19.00 6 Refund on Credit Balance from Bell of Pennsyl vania 36.15 - 7 Refund from INA Corp. on Car Insurance 22.00 8 Accrued Rent from Randy Ziegler, 10/15-10/19 20.00 9 Accrued Rent from Randy Shaffer, 6/80, 7/80, 8/80 240.00 10 Cumberland Valley Savings & Loan Association 5.50% Savings Account #22127 5,204.26 Accrued Interest 89.00 11 Farmers Trust Company 5.25% Passbook Savings Account #3-005044 7,755.15 Accrued Interest 157.28 12 Cumberland Valley Savings and Loan Association 7.75% CD #6685852 20,000.00 - Accrued Interest 483.62 13 Cumberland Valley Savings and Loan Association 7.75% CD #6687789 10,000.00 Accrued Interest 40.98 14 Dauphin Deposit Bank and Trust Company 7.25% CD #1403014353 5,000.00 Accrued Interest 31.31 15 Farmers Trust Company CD #20629 10,000.00 Accrued Interest 675.59 TOTAL THIS PAGE INSTRUCTIONS FOR COMPLETING SCHEDULE "B" , 'Schedule "B" must include all tangible and intangible personal property owned individually by the decedent at the time of death. Property owned jointly with another party or parties should be listed on Schedule "E" . - Jointly Owned Property. Intangible personal property, titled in the name of the decedent, but payable at death to another party or parties, including but not limited to P. O. D. U. S. Savings Bonds and Tentative Trust Accounts, must be listed on Schedule "B". . . Tangible personal property should be listed first. Examples of tangible personal property are jewelry, wearing apparel, household goods and furnishings, book~, paintings, automobiles. boats, snowmobiles, aircraft, etc. 'Intangible personal property includes cash-on-hand and in the bank, stocks,' dividends, bonds, mortgages, treasury certificates, notes, together with accrued interest, salaries or wages, insurance payable to the estate or fiduCiary in said capacity, partnership interest, etc. An interest in any undistributed estate or. . income from any property held in trust under'the will or agreement of another even though located outside of Pennsylvania at the time of death should be listed on Schedule "B". , A completed Partnership Interest Report (REV:894) mustiJe attached for each partnership or joint venture, and a completed Closely Held Corporate Stock Information Report (REV-893) must be attached for each c1oseiY:held business' interest or sole proprietorship reported on Schedule "B". -',. " . REVo451l1oeol COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT . SCHEDULE "6" PERSONAL PROPERTY (Instructions on Reverso Side) Estate of Frank P. Smi th ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL YI 31 100 Shares Capital Mortgage Investments 153.13 32 United States Savings Bonds - Series E 3,139.64 Miscellaneous 33 Various Coins - Sale Price 100.00 34 1972 Ford Pinto - Sale Price 250.00 35 1967 Ford Galaxie - Sale Price 150.00 36 Household Effects - Appraisal Value 805.00 TOTAL THIS PAGE $ 150,605.82 /rOJ {,t'J, 5'2 A1/B , . INSTRUCTIONS FOR COMPLETING SCHEDULE "B" ',j .1"::1 .. - - .--. ,. Schedule "8" must include all tangible and intangible personal property owned ihdividually by the decedent at the time of death. Property owned- jointly with another party or parties should be listed on Schedule "E" - - Jointly . Owned Property. Intangible personal property, titled in the name of the decedent, . but payable at death to another party or parties, including but not limited to P.O: D.U, S. Savings Bonds and Tentative Trust Accounts, must be listed on Schedule "B", "f, ., Tangible personal property should be listed first. Examples of tangible personal property are jewelry, wearing apparel, household goods and furnishings, books, paintings, automobiles, boats, snowmobiles, aircraft, etc. Intangible personal property includes cash-on-hand and in the bank, stocks, dividends, bonds, mortgages, treasury certificates, notes, together with accrued interest, salaries or wages, insurance payable to the estate or fiduciary in said capacity, partnership interest, etc, An interest in any undistributed estate or income from any property held in trust under the will or agreement of another even though located outside of Pennsylvania at the time of death should be listed on Schedule "B". A completed Partnership Interest Report (REV-894) must be attached for each partnership or joint venture, and a completed Closely Held Corporate Stock Information Report (REV'893) must be attached for each closely-held business interest or sole proprietorship reported on Schedule "B". QUESTIONS CONCERNING PROPERTV TRANSFERS 1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving valuable and adequate consideration? (Answer "Ves" or "No".) 2. Did decedent, within two years of death, transfer property from himsel f/ hersel f to himsel f/hersel f and an~ihiH party or parties (including a spouse) in joint ownership? (Answer "Ves" or "No".) _ 3. If the answer to one or two above is "Ves" and the transfers are claimed to be nontaxable, provide the following information: a. Age of decedent at time of transfer. b. Copy of death certificate. c. Affidavit by the attending physician indicating the state of decedent's health at time of transfer. d. All other information supporting nontaxabilily of transfer. 4. Did decedent, in hisiher 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 "Ves" or "No".) 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 "Ves" or "No".) b. What was the transferee's age at time of decedent's dealh? 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 "Ves" or "No".) _ b. The right to designate the persons who shall possess or enjoy the proper~1 transferred or income therefrom? (Answer "Ves" or "No".) 6. If the answer to five b. above is "Ves," was the right reserved in decedent alone ( ) or decedent and 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 "Ves" or "No".) 8. Did decedent, at any time, transfer property, the booeficial enjoyment of which was subject to change, 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 "Ves" or "No".) 9. If the answer to eight above is "Ves," was the power to alter, amend or revoke the interest of the beneficiary reserved in the decedent alone ( ) or decedent and others ( ). REV-453 EX+ (lo-eO) COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "0" BENEFICtARtES ~ ~ ,,~":I...\l";;t, (lnstrucrions on Reverse Sidel Estate of Ff'~nli P ~m; th BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVtVED DATE OF INTEREST OF BENEFICIARY DECEDENT BIRTH ~vplvn S. Richardson Sister ves 1/4 share R.D. n, Box 35A Newvill e Pennsvlvania 17241 Robert J. Smith Brother yes 1/4 share R.D. #2. Box 161 Shiooensburg, Pennsylvania 17257 Gerald R. Smith Nephew yes 1/12 share R.D. #1 Box 104 Newville, Pennsvl vani a 17241 David L. Smith Nephew yes 1/12 share 12314 Rambling Lane Bowie. Maryland 20715 Harold E. Smith Nephew yes 1/12 share R.D. #1. Box 17B Ne\~vi 11 e , Pennsylvania 17241 James R. Smith Nephew yes 1/12 share R.D. #2. Box 160B Shippensburg. Pennsylvania 17257 J. Jeffrev Smith NeDhew ves 1/12 share R.D. #1. Box 71 .. ... P"nn.\I1\1~ni. 17?dl The above beneficiaries were living at the time of the decedent's death except for the following: NAME DATE OF DEATH If additional space is necessary. use 8~" x "" sheets. RCV-4~3 EX+ (10.80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICtARIES IIIIstflletions on Reverse Side) Estate of Frank P. Smi th BENEFICIARtES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY DECEDENT BIRTH C. IJaidl..v Smith Jr Neohew ves /12 share 2865 Huron Street Allentown. Pennsvlvania 18103 The above beneficiaries were living at the time of the decedent's death except for the following: NAME DATE OF DEATH If additional space is necessary, use 8~" x 11" sheets. 2 INSTRUCTIONS FOR SCHEDULE "D" 1. List full names and addresses of all who have an interest in the estate either vested, contingent or other interest. 2. Indicate the beneficiary's relationship to the decedent. Specify if stepchildren or illegitimate children are involved. 3. Indicate "Ves" if the beneficiary survived the decedent or "No" if the beneficiary did not survive the decedent. 4. Indicate the date of birth of the beneficiary if the interest is a life interest, term certain interest or a future interest. 5. Indicate the interest of the beneficiary in the decedent's estate. For example: Specific bequests of a diamond ring, savings bonds or cash of $5,000; bequest of 25% of residue; remainder interest; etc. 6. At the bottom of Schedule "D", state those beneficiaries who were not living at the time of the decedent's death and include the date of death of the beneficiary. REV-4;1, f:.XoI- (f1-t10) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFERINHE~TANCETAX RESIDENT DECEDENT SCHEDULE "E" JOINTL Y OWNED PROPERTY ~ "=i~f '~~~ ,.,~:.-!,~)t; (Instructions on Reverse Sic/c) Estate of Frank P. Smi th ITEM NO. TOTAL MARK ET VALUE PE Rc EN T VALUE OF DECEDENT'S INTEREST DEP ARTMENT VALUATION {OFFIC'A~ USE ONL Yl DESCRIPTION Registered in the names of Frank P. Smith or Gerald R. Smith: 1 $25.00 U.S. Savings Bond, Seri es E, da ted 12/71 $ 31.45 50 $ 15.73 2 $25.00 U.S. Savings Bond, Series E, da ted 12/70 33.20 50 16.60 Registered in the names of Frank P. Smith or Harold R. Smith: 3 $25.00 U.S. Savings Bond, Series E, dated 12/69 34.98 50 17.49 4 $25.00 U.S. Savings Bond, Seri es E, dated 12/68 35.54 50 17.77 '.' Registered in the names of Frank P. Smith or Evelyn S. Richards~n::; 5 $25.00 U.S. Savings Bond, Series E, da ted 12/67 36.94 50 18.47 ~ TOTAL $ 86.06 If odditionol spoce is necessory, use 8~1" x 11" sheets. Schedule "E" must include all property, real and personal, owned by the decedent jointly with another party or parties as joint tenants with right of survivorship. Both tangible and intangible property are to be included. List real estate first. INSTRUCTIONS FOR COMPLETING SCHEDULE "E" 1. Describe all real property as indicated in the instructions for Schedule "A." Describe all personal property as indicated in the instructions for Schedule "B." Include the name, address and relationship to the decedent of the co-owner[s] and the date the joint ownership was established. 2. Indicate the total market value of the jointly owned property, 3. Indicate the percentage of the decedent's interest, 4. Indicate the market value of the decedent's interest. '. . I:" .. r- 'to 0 n tTl ;!> ::; Z :>- 0 0 en 0 - Cl n c .-l Z 'S: z ~ tTl tTl ;;0; Z ~ 0 - '9 z ~Z tTl .-l Z', 9 9 .-l -< .tTl - en Z 0 0 .-l 9 ." .." ~I~" n \~, ~... c 3 - a' 0 to Z:. .., ..... -0 "., '" ::s a. (/I 3 .... ..... ::T -<:. -< tTl tTl >. ',r'" .> " :;::I r " , -. :.,'.1 ... ,. . :I. " '-' \I.. ':',6 t.., t-'\ 0 <:;.~ 6: ~ :L...( :l-..J w1..l =! l;:c:::. Cl~' '-'I..;J 0:'-'"' =;; 'c: o~ :.,,:,: Uw cr.:5 l:1a: ~ 'ju !P u " COMMONWEAL TH OF PENNSYLVAl-IIi\ DEPARTMENT OF REVE~UE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT ~~~ -~). f _Jfii~.... ..,,,,,,~~ \_...,~".~~/..t. REV-." EX+ C7-eOJ mORIGINAL o SUPPLEMENT AL Estate al FranlLl'.._SmitlL.- File No. _....21,..80,.07-16 County CUmb.er.land___.____ Date 01 Death -.-Odob.e~ 19RO In the event that ony future interest in this estate is hansferred In possession or enjoyment to collaterol holt. of the decedent ofter the alCphotlo" 01 any esla'e for tHe or for yeaFS, tho Commonwealth hereby expressly reserves the right to appraise and ossoss transfer Inheritance tOXIlIS at the lawful collateral role on ony such futuru Interest. PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH ASSET SUMMARY DEPARTMENT'S APPRAISED VALUE 1. Total Real Property _ SCH. "A", . . .,. $ --'Lt,.Q.O.O.OO 2. Total Personal Property _ SCH. "B", .. . $ 1C;O,60C;.R? 3. Total Jointly Owned Property - SCH. "E" $ R6,06 4. TotDI Transfers _ SCH. "C". . .'. . . .. $ --!Jnn" Unreported S Unreported S Unreported S Unreported $ $ 71,000 00 $ 1l)O,60C;.R? S RF; OF; $ Nnn" $ DUFE ESTATE DANNUITY TOT AL GROSS ASSETS DREMAINDER 221,691.88 .----=1 TOTAL VALUE $ I do hereby certily thatlhe above appraisement is made in cznlorm'ty with Pennsylvania low ond hos been filed this day with the Register 01 Wills. ~~ ,......---/_ ,____ September 18. 1981 APPR SER CATE ~ ~ ~ ~ ~ ~ ~ >- ~ \ rJ> ;:l ...l < 0 ~ - u :z: e - OJ '"' 0 ..J '"' - 0 ~ 0 ~ ~ \:.. '"' .... 0 rJl 0 :z: d rJ> '" >- .... d - ~ ~ :z: :z: ~ .... ~ :z: ..J d - d Il:: :z: ::.: ~ ~ 0 u ~ ..J :z: z .... ;:l I.:l :z: - 0 rJl ~ 8 0 < ~ < - ~ 0 "" ..J REV..1S FO (7.80) . COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS NOTICE OF FILING OF APPRAISEMENT Mr. William M. Bridge Trust Officer Dauphin Deposit Bank and Trust Company 2 West High street Carlisle, fA 17013 RE: Estate 01 County 01 File No. FT':lnk P ~mi t.h Cumberland :>1_RO_071" Dear Mr. Bridge: You are hereby notHied that the n"';g;n~1 oppraisement in the estate af F,..~n"1' C::m; tll. hos been filed in the office 01 the Register of Wills of ('''m1;''''rl.R~ County an !'\"pb>mh"'" 113 , 19.s+. Said approisement reflects the following voluotions: Real Estote Personal Property Jointly Owned Transfers Total 71,000.00 11)0,601).8::> R" 0" Nonp :>:>1,"91 RR As to such tax that is poid within three months from dote of death, a five (5%) percent discount is ollowable. As to any tax that remains unpaid olter nine (9) months (filteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when death occurred prior to December 22, 1965) Irom dote 01 death, interest at the rate of six (6%) percent per annum is charged. Any porty in interest who is oggrieved by this notice moy object thereto within sixty doys after receipt of said notice os provided by Section 1001 of the Inheritance and Estate Tox Act 01 1961,72 P,S. 2485-1001, P.L. 373, Date RApt.~mhpf'l 1 R. 19A1 ~:,;:d~_4- NOTE: This is not a bill. GENERAL INHERITANCE TAX INFORMATION Unsatislied liobilities incurred by the decedent prior to his/her deuth ore deductible against his/her taxable estate. In addition to debts incurred by the decedent or estate, other items ore claimable including the cost 01 administration, ottorney lees, liduciary lees, luneral and burial expenses including the cost of a buriollot, tombstone or grove marker and other related burioL expenses. . All debts being c10imed against an estate ale subject to the approvol olthe Register 01 Wills with whom the Inheritonce Tax Return is liled. Evidence to support the decedent's or the estote's liability lor the debts being c10imed should be alloched to this schedule. A lamily exemption may be c10imed by a spouse 01 0 decedent who died domiciled in Pennsylvonia. If there is no spouse, or il the spouse has lorleited his/her rights, then any child 01 the decedent who is a member 01 the same household can claim the exemption. In the event there is no such spouse or child, the eXl1lllption can be claimed by "porent or porents who ore members of the some household as the decedent. The family exemption is allowable only ago,inst assets which pass by a will or by the Pennsylvonia Intestate Laws.' , . :. . NOTE: Compensation paid to an estote representatiy~; namely, an executor or administrator, for services 'c. performed in odministering an estate is reportable for Pennsylvanio Income Tox purposes. This taxable income .' item should be reported on form PA.40.lndividuollncome Tax Return. ... . . ., .\ '. - , .. '" 0 n > t'1 Z'" > 0 0 0 '" t'1 Cl n c: 0 ~ t'1 .;:0:: Z :>:l " Z Z .t'1 -l t'1 P P -l -::: '" t'1 "z '" 0 0 ::-00 ":1 p ":1 III '. ,. " ... 00: , , ,"' ... . , n ~. ." , '. <) 0: ... " 3 III I.,) 0.. "'c:- O' :> ,. . Cj# rD 7<" ll.:' ::-<:0. ... ~_r_ 9' 0 -':;"'- ..... '. .' .- ~ c.:j III a;.. :> It..,:'''1 L::::o::: Co V> ~ ,. 0>-' Ow M' 3 - ... cx:<f. . 'en ~. o(::j .:.". '" M' U,..., ,,,- ~cx: - w::> .,-, ...... III :r ~ -'u " :> u ...... 7<" ,. 0 .. '" l>o T' j' -l .. ... 0: c. III .' M' n 0 . .. .,. .' z E; ::l ::: z .. p Z p .. Vi -l :>:l ~ - O' Z i- I' -< t'1 > :>:l l -::: t'1 > :>:l ,. INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. lithe family exemption is being cloimed, indicate the claimant's name, address and his/her relotionship to the decedent. Enter "family exemption" in the remarks column and the amount cloimed in the amount column. 2. Assign consecutive numbers to each item listed. '. . . 3. Enter the dote on which each debt was incurred ond/or poid. 4. Enter the names of each poyee. 5. Provide 0 brief explanation in the ren,arks column for each debt c1oimed. 6. Enter the omount of eoch debt being claimed. 7. The lorm must be signed by the person who has assumed the responsibility lor paying the debts. IF ADDITIONAL SPACE IS NECESSARY USE BYz" x 11" SHEETS. I ~ .,.____ __ ~ __ _ _,. __ .~ __ w_ --.. I II. REV,II62 EX f~l',,,, '," COMMONWEALTH OF PENNSYLVANIA , 4 No.K'.. 69763 DEPARTMENT OF REVENUE ":'.' . OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX 1 I I "" . " II a ~ ~l RECEIVED 'J FROM -- 29.661. 70 I " __________-..J_____.~______------------- TAX AT 6% TAX AT 15% sit Bk.' Tr. C . TAXAT_% ADDRESS 213 Market streets ESTATE TAX Harrisbur Pa. 17105 TOTAL TAX CREDIT '--ESTATEINFORMAT~N7-------------------------- DATE OF DEATH October 19 1980 DATE OF PAYMENT 21- - 16 r 19 1981 h m m LESS DISCOUNT PLUS % INTEREST (FROM 7-19-81 To10-U~81 444.93 FILE NUMBER NAME OF DECEDENT ---------- --------------------------------- COUNTY TOTAL AMOUNT PAID 30 .106 .63 POSTMARK DATE REMARKS: SEAL RECEIVED BY ~ Paid on Account t REGISTER OF WILLS __0_- ----.-------------..- I i , i ,l : ~. REV.451 0.80) . . COMMONWEALTH OF PENNSVLVANIA OEPAR'rMENT OF REVENUE TRANSF~R INHERITANCE TAX RESIOENT OECEOENT SCHEDULE "6" PERSONAL PROPERTY (lnstrucdons on Rc.'vl.'rsc Side) ,. ., ...... Estate of Frank P. Smi th I ' ITEM NO. tt ~ DESCRIPTION Cash and Cash Items 1 Final Payment of Employee Benefits from Laurel . Pipe Line Company '..; ! 2 Claim Payment from Blue Shield 3 Refund from National Review 4. Refuna from AIM Report . 5 Refund 'from Conservative Digest c;:, 6 Refund on Credit Balance from Bell of Pennsylvania , 7 Refund from INA Corp. on Car Insurance . . ~ , B Accrued Rent from Randy Ziegler, 10/15-10/19 9 Accrued Rent from Randy Shaffer, 6/80, 7/80, 8/80 . 10 Cumberland Valley Savings & Loan Association '.' 5.50% Savings Account #22127 Accrued Interest ,,'0' n Farmers Trust Company 5.25% Passbook Savings ,-', Account #3-005044 Accrued Interest 12 Cumberland Valley Savings and Loan Association 7.75% CD #6685852 Accrued Interest 13 Cumberland Valley Savings and Loan Association. 7.75% CD #6687789 Accrued Interest " I I I , I I , Dauphin Deposit Bank and Trust Company 7.25% CD #1403014353 Accrued Interest 14 15 Farmers Trust Company CD #20629 Accrued Interest \IN IT VALUE ESTIMATED MARKET VALUE $ 3,725.13 621.80 33.33 25.00 19.00 36.15 22.00 20.00 240.00 5,204.26 89.00 7,755.15 157.28 20,000.00 483.62 10,000.00 40.98 5,000.00 31. 31 10,000.00 675.59 TOTAL THIS PAGE ~ ~., - ~-- , . .......~...~.~.." ~:~ c'~ ':'-"":' ;"'}\ 11'~ ?f." .~...~ .>~ _~':i.:....t.',.<1 ..... . ..-- .... e,;...... DEPARTMENT VALUA TIO:ll (OFFICIAL USE ONL \ 1'1c;."'''~. \..gUI COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESI DENT DECEDENT Estate of ITEM NO. SCHEDULE "B" PERSONAL PROPERTY ~.. ." (~- ~"t .+J:;c':e ~~. '~'; .>t.\ , "'~]I 'I . .. . ~ (Instructions on Reverse Side) Frank P. Smith (Cont.) .. .1, . UNIT VALUE ESTtMATED MARKET VALUE DEPARTMEN1' VALUA TION (OFF/CIA L USf ONL \ DESCRIPTION 16 Farmers Trust Company 9.45% CD #22509 Accrued Interest . 17 The Peoples National Bank of Shippensburg 7.25% CD #5371 Accrued Interst $ 10,590.68 191.82 5,000.00 .99 5,000.00 50.51 10,000.00 59.00 6,500.00 2,707.29 18 The Peoples National Bank of Shippensburg 7.25% CD #5486 Accrued Interest 19 West S~ore Savings and Loan Association 10.75% CD #SPC 15C-1576 Accrued Interest 20 $6,500.00 Note dated 4-1-75 from Mr. & Mrs. Alan C. Whisler Accrued Interest 21 22 23 24 25 26 27 28 29 30 Securi ti es 347.287 Shares Baltimore Gas & Electric Company 216 Shares Dauphin Deposit Corp. 200 Shares Duquesne Light Company 36 Shares International Shipholding Corp. 200 Shares Kroger Company, Common 100 Shares New Penn Motor Express, Inc. 100 Shares Ryland Group, Inc. Accrued Di vi dend 7,477.15 7,020.00 2,650.00 237.38 4,325.00 1,381.25 1,987.50 15.00 180 Shares Trans Union Corporation 188 Shares U. S. Realty Investments 5 Shares Municipal Investment Trust Fund Accrued Di vi dend 10,113.75 2,790.63 3,702.05 28.45 TOTAL THIS PAGE kL".~~J tl.uOI .. COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "a" PERSONAL PIlOPERTY ~. ~. ,~ ,"';-....;..:..""'V',.... Aj~~. .;':,. .. "ri&'"~.4''' .."...., s.; 1.".2~J '--;'"4...... ., (Instructions 0" Rl.'vl!ISC Sid,.') Estate of Frank P. Smi th ---...... -" --~~,.........~..,,--,...... ESTIMATED OEPARTMENT ITEM !l DESCRIPTION UNIT MARKET VALUA TION NO. 4 VALUE VALUE (OFFICIAL USE ON , ...- .. ------ . _.____._n"_ 31 100 Shares Capital ~lortgage I nves tments 153.13 32 United States Savings Bonds - Series E 3,139.64 Mi sce 11 aneous 33 Various Coins - Sale Price 100.00 34 1972 Ford Pinto - Sale Price 250.00 35. 1967 Ford Galaxie - Sale Price 150.00 , 36 , Household Effects - Appra i sa 1 Value 805.00 , . . , I TOTAL THIS PAGE $ 150,605.821 / ;7: (. cr.'1~' ---------- ------ -:--. ..- . .... " \ ,4/, .........;.l~ L.^_ l~v''''''J .. COMMONWEALTH OF'PENNSV.\,VANIA OEPARTME~IT OF REVENUE TRANSFER INHERITANCE TAX REStOENT OECEDENT (Instructions on Reverso Side) Estate of f:r"i\nL- P <\mi th BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DECEDENT es DATE OF BIRTH S R.D'. 1/1. Newvl1 1 e R ardson ... Bar. 35A P nns lvania Si s ter 17241 Brother yes R.D. #2 Box 161 ensburg. Pennsylvania 17257 Gerald R. Smith R.D. #l Box 104 Newv.f 11 e Penns lvania 17241 <;:. David L. Smith 12314 Rambling Lane Bowie. Maryland 20715 Harold E. Smith R.D. /11 Box 178 Newville, Pennsylvania 17241 Nephew yes Nephe~1 yes Nephew yes ~ ~urdJl.,~f) rd~'.:~V:6lY1 (C~~..::..-.h ':'::"'~'f~"-:' ..': INTEREST OF BENEFtCIAR 1/4 share 1/4 share 1/12 share 1/12 share 1/12 share James R. Smith Nephew yes 1/12 share R.D.' il2 Box 160B Shippensburg. Pennsylvania 17257 J Jeffre Smith Ne hew es 1/12 share R.D. 1 Box 71 I I, I I ! The above beneficiaries were living at the time of the decedent's death except for the following: i NAME If additional spa.e is necessarv, use 81(," x 11" sheets, OATE OF DEATH "....._..... ....,. ,.......v. COMMONWEALTH OP.PENNSVLVAlIIIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT ~L:Hl;LiUL.l; . U" BENEFICIARIES *. ~r~::~f) I I ".7W.7", ~ ..... ~... .,,'J1~~ '., . ~~-~ ",,~. ... ." ""\~...,~. .. \ (lnsrructions on Reverse Side! Estate of Frank p, Smith BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DECEDENT DATE OF BIRTH INTEREST OF BENEFICIAR C d m J . . 2865 Huron St~eet Allentown Penns lvania 18103 Ne hew es 1/12 share " I' i~ I I I .' .----.-.-., ,-.,.._-- ~--- ..' I.. I' I I 1 I I ! , ., ! I. i The above beneficiaries were living at the time of the decedent's death except for the following: NAME DATE OF DEATH If additional space is necessary, use 8%")( 11" sheets. REV"" EX+ (3-80) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT OECEOENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS - - Estate of Frank P. Smi th Date of Death 10-19-80 WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWIN'G: File No, 21-80-716 Claimant Relationship to Decedent Claimant's Address at time of Decedenl's Death ITEM NO. OATE NAME OF PAYEE REMARKS 2 -19-80 Cumberland Law Journal 12-1-80 Robert J. Smith Advertisin9 Letters Reimbursement for Gas and Inspection Reimbursement for Letters of Administration & Short Certificates Funeral Expenses Gas Bi 11 Electric Bill Robert J. Smith Reimbursement for Real Estate Tax on Land in Penn Townshi 8 12-15-80 Bureau of Vital Statistics Oeath Certificate for Nellie E. Smith 9 12-16-80 Geor e L. Ebener, Realtor Appraisal of Penn Township Real Estat 10 12-17-80 Patriot fle\1S Advertising Letters 11 12-17-80 Farmers Trust Company Cost Incurred on Collection 12 12-18-80 P P & L Electric Bill 13 12-26-80 Lemoyne Borough Sewer Rental _ - 0 Mi t n S. Hershe Medical Center Private Room Difference for Frank P. Smith 15. 12-29-80 William J. Daylor, Realtor Appraisal of 433-435 Hummel Avenue, Lemoyne, Pennsylvania 3 12-3-80 4 12-4-80 5 12-4-80 6 12-4-80 2-8-80 Flower and Home 18 1-20-81 P P & L Gas Bill Certificates Electric Bill AMOUNT 18.00 84.00 2,454.00 7.72 28.45 88.20 3.00 125.00 54.75 5.00 17.45 17.50 198.00 225.00 6.29 2.00 2.64 TOTAL I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes. SIGNATURE OF FIDUCIARY DATE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S ;(.5 r41, /9' AT / .- /6 % TAX RATE qr;w::tTE~~\~i~ 9-;; ~ -?I (JATF GENERAL INHERITANCE TAX INFORMATION Unsotislied liabilities incurred by thc deccdcnt prior to his/her death ore deductible against his/her taxab:e cstatc. In oddition to dcbts incurred by the decedcnt or cstatc, other itcms orC c1oimoble including thc cost 01 odministrotion, ottorncy Iccs, fiduciory Ices, luncrol and burial expcnses including the cost 01 a burial lot, tambstonc or gravc marker ond otherrclated buriol cxpenses. All dcbts bcing c10imcd against on estate Ole subject to the approvol 01 the Register 01 Wills with whom the Inheritance Tax Return is filed. Evidence .ta support the decedent's or the estate's liobility lor the debts being claimed should be attoched to this schedule. A lamily exemption may be claimed by 0 spouse 01 0 decedent who died domiciled in Pennsylvania. \I there is no spouse, or if the spouse hos larleited his/her rights, then any child 01 the decedent who is 0 member 01 the same household con c10im the exemption. In thc evcnt there is no such spouse or child, the exemption con be.c1oimed by. o par~nt or porents who ore members of thc some household os the decedent. The fa~ily exemption is ol\owoble only ogainst assets which poss by 0 will or by the Pennsylvanio Intestate Lows. . NOTE: Compensotion paid to ;on cstate reprcsentative; namely, on executor or odministrotor, lor services performed in administering on estate is reportable lor Pennsylvanio Income Tax purposes. This taxable income ()".. item should be reported on larm P A.40.lndividuollncome Tax Return. -. ," : ["" .~ z Cl m m Z Z )' 9 o o n :>:: m -l Z o .' n ~ m > ES 0 Vl 0 C 0 -l Z 3: z t"" Z ;::l ~ p - 9 t"" -l m Z -< Vl m - 0 Vl 0 ~ 'rl 'rl ;::l .. , >. -l (5 ~ '. . -' -< -< m t<l > > ;::l ;::l " INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. \I the lamily exemption is being claimed, indicote the claimant's nome, address and his/her relationship to the decedent. Enter "Iamily exemption" in the remarks column and the amount claimed in the omount column. 2. Assign consecutive numbcrs to cach item listcd. 3. Enter the dote on which each dcbt was incurred ond/or paid. 4. Enter the nomes 01 each payee. 5. Provide 0 brief explanation in the ren.orks column lor each debt c1oimed. 6. Enter the omount of each debt being claimed. 7. The lorm must be signed by the person who hos ossumed the responsibility lor paying the debts. IF ADDITIONAL SPACE IS NECESSARY USE aW' x 11" SHEETS. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION '*' OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT COUNTY FILE NO: ::/ /~- <;,/l-;;.;:!.LU~2 /7tf/ I-I .' . - . , I' r I -0" /, 7'7:' .' .' .,..; ....(.,/;.:..... './ ".1//b.A'J~-- //(~ DATE .'/i _ TO: . 'I " I I {r> .(~,1.J"I-1/'('."" (A , ".;;.//.-:''-.,'1-'',( ~ /~-'~;J' 'J .-:-- 'I ""( "/"; /1. .,of- ,r-)' / ~'14,",..'" / 1/1/[. ...-;....~_ ".f A ...J--'" , , .... '/1' l~:'-; /i~r/~'->i I..,. 1<;1;'.. / /-/' // .::< --/ .j" / , DATE OF OEATH ESTATE FILE NO. "/ . .-1 /--:;/J_ '//(" (.oj /, /, /;-I./I_/"/ 'J/'_K /7~(J /rj - -,t) - COUNTY Appraised Value of Estato: Real Estete ~O~ ' . . ' 1-' $ / ,--1/-(), . /.} /.- . -- y-) + / ..;,) /...,}").tl..7-., / Personal Property Jointlv Held PropertylTransfers + t"~' / ,/,&..,)Ip Total Gross Estate s :,: 'II ,./' I .-;1 .",. ~. J if /. - .' .-/:1 ,/I/l /1 /' s / (1'1 ;;'1/1/. ..;, ? , / Total Approved Deductions Clear Velue of Estete Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax s /'1 7 '/Il '/I~ 'l Amount Texeble @ 6% Rete $ tax due $ Amount Texeble @ 15% Rate ;/ '/J /,/1/ (;0 '7 tax due ,U I '/ '-7/1 .;:>/y (?i"; . /u " , TOTAL PENNSYLVANIA INHERITANCE TAX OUE $ -:?~ 4 (P /. I'd * * * * * * A five percent discount totaling 8 will be granted if the Inheritance Tax is paid by Less Credits: OA TE OF PAYMENT AMOUNT PAlO DISCOUNT tNTEREST TAX CREDIT $ + S s = S + = + = Interest accrues at the rate of six (61 percent per annum on the unpaid balance of Inheritance Tax from to date of payment. Interest due if paid by is BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE $ ..,;/ J ,;, (,., I 7' () ," ;~. .J- -: ,?: :, /,' I,-,~ /(/f~ ,./io7c-l..:i_.C ".eNo-/I" :_.'f-'.A..;j-. / I / ',;' . Assessed by: . -'~ ..'/; f -.~ / .VI (> ' ;;."- ,-c'd . . Agentfor.theCom nwulth / See Informal Ion on Reverse Side 9. _' . / ~) /;11:..::/<'/1./ ~~. ('I_'! it" l n :/ INFORMATION To insure proper credit to your account. the name of the estate and file number should be clearlv print. ad on the check or money order. This assessment is made in accordance with Section 708 of tho Inheritance and Estate Tax Act of 1961 (72 P.S. ~ 2485,7081. To the extent that inheritance tax is paid within three (3) months after the death of the decedent. a discount of five (5) percent is allowed 172 P.S. !i 2485-716). Inheritance Tax. other than tax on a future interest. is due at the date of the decedent's doath nnd becomos delinquent at the expiration of nine 191 months after the decedent's daMh (72 P,S. ~ 2485-711). Inhcfltonco Tax on a future interest is payable within three (3) months after tho transfer takes effect in possossion nod enjoyment and is delinquent thereafter (72 P.S. ~ 2485-712). Calculalc interest from tho delinquont dato 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 .060 2 months .010 5 months .025 8 months .040 11 months .065 3 monthS .015 6 months .030 9 months .045 12 months .060 1 days .00017 11 days .00186 21 days .00362 2 days .00034 12 days .00203 ndays .00369 3 days .00051 13 days .00220 23 dal's .00366 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 .00468 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 Suction 1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S. 9 2485-10011. Make check or money order payable to: "Register of Wills. Agent" Mail to the address listed below: '. - _ ~~...-A.ta. .. :- .. .- ,. " L : ,. -' C c:.< co 0. ~ WL;. -.. CJ~ ~:: ~;~ ~.. C::v'; ~ .:,...00 0(3 Uw :...~.. ~ " ~ " We>: ~;:,:;; 0 - " -. -- = ., <: w <: 0 :.a ~ " ." C ". .. - H ~ H H ~ - ~ .J .f c:: ~ ~ Z ~ '"' :;:: .", ~ -" G Q >< ::> '" " f~ III 0 I>< ::; =0 I<l '" " " .. .., ~ .<: c:: 0 f:1ffi H ..r: " .<) " .c aJ :>< ~ l>: - " .:~ Q !;l'" = ::E:H en '"' .g ...: .. " "' :!::~ .... ." ::>~ '"' en ~ en 0 :": .~ -- sJ I>< H C C ~r. 0 ~ "-' . 0 ~ l'l '" .:> " --, " UP-< 0 l>< P-< .>! ';:: ? <'\ ~S 1'5 l'l I>< - - ? " l>: ~ 0 0 ,'- v. ... Q)U en~ ~ ~~ ~ '" '" 15 " Cj, O~ '"' <: ~ - ,., .. ~~ ~ ~ ~ ~ '" - ." -'" " I '" .", ..' .j: ~ " CO- ~ 0 U - c:.o ~ ~: ('Ii ~ ;.> ~6 Ii! 8 I<l 0 ~ - '" ~ E .?- c ~ ~ U l'l '" ';:: c ,., .f, 3 t: ~ 0 '" o~ 5 " c. 1: ,.. 0:, .;.; " ~ l'l = ~ c ,. ~ i: g E 8 - .... ;:: ~~ '"' '" '"' en " p.. " c.' '" " ~I>< ..r: u U y ,. ., " I z oj l'l - .... " 1: " 0 'a u us - H ,",0 ~ :>. c .... .~2 -, -0 2 .. z~ en '" en ~ - ~ ..:; ~ .~ '0:; .", "6 H~ '" ~ ~ 0 " '" .. ? ..r: 'C; Q .. ~ ~ c:.o '" ... - " '" E :OJ .. <n C,l " r.: .... '" .. U U '" c:.o c ~ ;;- 0 ~ ~ .. - " ..' 0 ~ 00 " ~ ~ :> :;:: c. " ';:: - " oj ,.<; '" c '" '" - 1;; ;2 ..r: " " ..r: .~ - oS ..r: " ~ C5 a 0 '" < ..... - .", :::: - .r:: '. , 1981 Jan. 14 May 27 27 28 June 30 July 1 29 Aug. 7 Oct. 27 Nov. 5 5 1982 J an. 20 FIRST AND FINAL ACCOUNT OF DAUPHIN DEPOSIT BANK AND TRUST COMPANY ADMINISTRATOR CTA OF THE ESTATE OF FRANK P. SMITH LATE OF THE BOROUGH OF LEMOYNE CUMBERLAND COUNTY, PENNSYLVANIA DECEASED PRINCIPAL RECEIPTS The Accountant charges itself with the assets as per Inventory and Appraisement as filed: $221,606.82 ALSO WITH THE FOLLOWING: Gain on sale of 36 shares International holding Corporation, Common Realized Carried at Ship- $ 307.22 237.38 69.84 Received from Gerald Smith - Pennsylvania Inheritance Tax on jointly held U. S. Savings Bond Received from Harold Smith - Pennsylvania Inheritance Tax on jointly held U. S. Savings Bonds Received from Evelyn S. Richardson - Pennsylvania In- heritance Tax on jointly held U. S. Savings Bonds Refund of Premium from Prudential Disability Policy on cancellation Gain on sale of 47.287 shares Baltimore Gas & Elec- tric Company, Common 4.85 5.29 2.77 117.92 Realized Carried at $ 1,095.06 1,018.15 76.91 491. 95 101.60 122.00 Refund on 1980 Federal Individual Income Tax Additional Proceeds on sale of Household Effects Refund from INA on cancellation of Car Insurance Gain on sale of 433-435 Hummel Avenue Sales Price Carried at Lemoyne, PA $ 48,000.00 47,000.00 1,000.00 Received from David V. Binkley and Betty G. Binkley, his wife - Prorata share of Real Estate Taxes on 433-435 Hummel Avenue, Lemoyne, Pennsylvania 419.51 Gain on sale of land located Penn Township Realized $ 37,800.00 Carried at 24,000.00 13,800.00 '-f:l ]' "f"; pi"": i.'('," t 1:'l..t, .t ,_ ..l.IL. IjUU .!2ll July 17 17 30 Aug. 7 13 19 19 28 Sept.2l Oct. 15 28 28 28 Nov. 5 Dec. 1 21 28 l2..!!1 Jan. 20 $ 22,178.38 4.39 5.52 76.86 529.00 4.39 2.00 4.93 394.00 30,106.63 31. 26 6.96 6.21 480.00 1. 00 740.00 111. 20 Internal Revenue Service Federal Estate Tax Refund on overpayment $ 23,480.00 1,301.62 Pennsylvania Power and Light Company - electric bill U.G.I. Corporation - gas bill Wimer's Auction - commission on sale of Household Effects Ernest Beckward - cleaning & hauling trash at 433 Hummel Avenue Pennsylvania Power and Light Company - electric bill Cumberland County Register of Wills - 2 Short Certi- ficates U.G.I. Corporation - gas bill Ernest Beckward - trash disposal Cumberland County Register of Wills - Pennsylvania Inheritance Tax Riverton Consolidated Water Company - water service Pennsylvania Power and Light Company - electric bill U.G.I. Corporation - gas bill Cumberland County Recorder of Deeds - realty trans- fer tax on sale of Real Estate located in Lemoyne Notary fee Roy D. Gutshall, Jr. - Auctioneer's fee on sale of Penn Township property Roy D. Gutshall, Jr. - advertising costs J. Michael Ickes - adjustment of municipal taxes on sale of Real Estate located in Penn Township 20 Cumberland County Recorder of Deeds - transfer tax on sale of Real Estate located in Penn Township l"[' l' ..,"; r'c- r:'-.7 l~', !.. '..1._ i. l. '.J"'/ - 5 - . 7 6 378.00 1981 Sept. 30 Rent: 435 Hummel Avenue - Mable Seiple $ 175.00 Oct. Nov. Dec. Jan. Feb. Mar. Apr. May Dec. 1 Interest: U. S. Treasury Daily Repurchase Agree- ment 1,635.74 2 Interest: U. S. Treasury Daily Repurchase Agree- ment 1,410.15 25 Return Premium from David Carr Agency Policy 52.00 1 Interest: U. S. Treasury Daily Repurchase Agree- ment 1,447.23 17 Interest: Refund on Federal Estate Tax from U. S. Treasury 56.91 1982 5 Returned Credit from David Carr 22.00 5 Interest: U. S. Treasury Daily Repurchase Agree- ment 1,468.37 8 Returned Premium - Fire Policy from Commercial Union 15.00 2 Interest: U. S. Treasury Daily Repurchase Agree- ment 1,756.11 8 Return Premium from David Carr Agency Insurance Policy 37.00 2 Interest: U. S. Treasury Daily Repurchase Agree- ment 2,067.80 5 Interest: U. S. Treasury Daily Repurchase Agree- ment 2,218.70 3 Interest: U. S. Treasury Daily Repurchase Agree- ment 2,243.96 TOTAL INCOME RECEIPTS $ 36,798.96 INCOME DISBURSEMENTS 1980 4 Riverton Consolidated Water Company - water bill $ 72.55 4 Woolf - Stite Associates - Fire Insurance 135.00 Li:,~,; "'. ; :: . r'" ~ .L,....'- ....n. ;-.' 2 I..'J. - 10 - . . 1980 Dec. 4 C. S. Willis & Sons - fuel bill $ 53.37 \ 4 Charles L. Shreiner - bathroom repairs 70.78 9 C. S. Willis & Sons - fuel oil delivery 317.13 24 C. S. Willis & Sons - fuel oil delivery 367.97 .!.ll!. Jan. 12 C. S. Willis & Sons - fuel oil delivery 403.03 20 C. S. Willis & Sons - fuel oil delivery 276.34 ., 1:-', Feb. 2 C. S. Willis & Sons fuel oil delivery 222.06 2 Riverton Consolidated Water Company - water bill 51. 28 2 C. S. Willis & Sons fuel oil delivery 197.13 10 C. S. Willis & Sons - fuel oil delivery 250.71 Mar. 4 C. S. Willis & Sons - fuel oil delivery 320.18 16 C. S. Willis & Sons - fuel oil delivery 252.63 24 Stanley F. Shaffer - 1981 Real Estate Tax 199.64 24 Insurance Company of North America - Automobile Insurance Policy 221.81 25 Lemoyne Borough - sewer rental 24.00 Apr. 3 Randy Zeigler repairs to sewer line 75.00 3 Randy Shaffer - repairs to sewer line 75.00 8 C. S. Willis & Sons - fuel oil delivery 388.12 23 Riverton Consolidated Water Company - water bill 45.85 May 6 Susan Arnold - return of security deposit 185.00 13 C. S. Willis & Sons - fuel oil delivery 244.25 June 1 U. G. 1. Corporation - gas bill 4.93 ., 8 Pennsylvania Department of Revenue - 1980 Penn- sylvania Individual Income Tax 36.39 Li:,:~ ....,... r~G[ i.'; ') .l.' . ~..: .~..j.L. - 11 - :. t._ June 8 12 24 July 3 28 Aug. 12 12 Sept. 18 29 29 Oct. 29 Nov. 2 9 9 16 17 20 27 Dec. 1 1 1 8 1982 Jan. 14 Ron Beinhaur - landscaping Commercial Union Insurance - Homeowners Policy Carol A. Luta - 1981 Real Estate Tax Lemoyne Borough - sewer rental Riverton Consolidated Water Company - water bill Katharine A. Newcomer - 1981 School Real Estate Tax Stanley F. Shaffer - 1981 School Real Estate Tax Pennsylvania Power and Light Company - electric bill Borough of Lemoyne - sewer rental U.G.I. Corporation - gas bill Croft Brothers, Inc. - plumbing repairs Ernest Beckward - trash disposal Sporik Roofing - professional services Martin's Home Improvements - professional ser- vices Croft Brothers, Inc. - plumbing repairs Pennsylvania Power and Light Company - electric bill Pennsylvania Power and Light Company - electric bill Lemoyne Borough - sewer rental Pennsylvania Power and Light Company - electric bill U.G.I. Corporation - gas bill Riverton Consolidated Water Company - water bill U.G.I. Corporation - gas bill Pennsylvania Department of Revenue - 1981 Fiscal Pennsylvania Fiduciary Income Tax - 12 - Li:,rp. 'L.'~"; r'c- :-."l,; - ,'. '- ;. [ v.i..~ $ 25.00 102.00 615.23 22.00 54.34 88.20 598.94 4.27. 18.00 5.26 119.54 135.00 140.00 37.75 50.03 3.73 9.22 124.00 13.93 6.62 7.84 9.82 293.00 .illJ. May 7 INCOME Cash: $ 6,250.00 $ 25,000.00 7 Gerald R. Smith - on account of 1/12 of the Residue as per Item III con- sisting of: PRINCIPAL Cash: $ 6,250.00 INCOME Cash: 2,083.12 8.333.12 7 David L. Smith - on account of 1/12 of the Residue as per Item III con- sisting of: PRINCIPAL Cash: $ 6,250.00 INCOME Cash: 2,083.12 8,333.12 7 Harold E. Smith - on account of 1/12 of the Residue as per Item III consisting of: PRINCIPAL Cash: $ 6,250.00 INCOME Cash: 2,083.12 8.333.12 7 C. Waidley Smith, Jr. - on aCCQun t of 1/12 of the Residue as per Item III consisting of: PRINCIPAL Cash: $ 6.250.00 INCOME Cash: 2,083.12 8,333.12 li5[R 1('; flO- .- - '" .\_,,~ 'Hul :..-.J..i:J - 14 - Exhibited into the Office of the Register the County of Cumberland this /t'l//day of by of Wills in and for .Tc.uJL-R...J . 1982 DAUPHIN DEPOSIT BANK AND TRUST COMPANY. Administrator CTA of the Estate of Frank P. Smith j \ i I \ By: ~LRJ l??cu.-<..lZA-<../ Assistant Trust Officer l'- ..., 1:IL~' .i:..:,_ I\.~L '-.' :;) : "".1.u ~" I.: Cl "~ ,. .. l?__ CC C' ~ c_ -, ..' ., hJ~l..' ;< 01." ~ _. ",Vl .::~~ C- <;)<.:1 ..,LU N (....;.", a:'" l,J;r, ~ .....- " < H ~~ 0> ~~ s!ii <..>fil '" ~~ ~O 0<"> ~~ z~ H~ ~ ~~ ~e gjlS~g E-<~ E-<!i1~>< 8~ ~"'...\@ u~~ .oz u"'~<"'tCree:> <E-<",t;~to fil :;1~~p: ~~~ ZO<">O _ fil H'" !;!~O ~ ~~~P:~"'0e:> e:>e:>PE-<OgjU ~;:;~~filE-<e tC Z!;!~~ ~~ ~~O~ He:> <filfilfil ~ ~~ ~ - :: ::: -- ~ v, S ~ ~ ~ :J Z,X is Oc OJ :J '-' ... "'~ :.= 11 'J ;:; " ~ ... .~ 1 u If> ~ OJ C- o '" " 1:..1 ~1i51 .<:: ~ -0 " - ~ ~ I,') ~ ... ~ " ~ ;; '0 c E ::l ,~ "' u .~ >. ~ " "" <a. u ,. '" OJ " ~ OJ ~ ...: t3Q) .:! ,5 " ~ :> !: G- o ~: " ~: ;;; O~ - .' ~ 0 c [1 <: 0 .5 ,,; 0 ~ - <: :.;;; (:) <: - ~ ~ "< ,~ OJ " ." 0 c:; If> .... 'M ~ 'tl - ;. ~ " 0 - ~ (; ... .;:: ;! >. ':.0 " ... ;: ~ ':':: If> - X '" -::; " -" " ., .= OJ '" '" " OJ <: .,0 ~ ~ <> ~, '" ::i .2 c ... If> " '" ~ " ... ... ~ '" " " 0 ~ If> " ,g ~ ..-:: ~ ... p . >. a .... 0 <: 'ijj .... '8 , '-B . - - .: .<:: ~ - -' .... c u OJ <: .~ c <: .... u a <: " OJ '" 1~ .0 u " u '" < " < 0 :> ... If> <: ... " ~ '" '" :E '" ,51 'tl 'tl ..-:: <: ..0:: ..-:: ... '8 <: 0 ,g ..... - ... d If> " ~ . ~"~.moo flln ^B l.IMG 4 U~ln~!Jl~ ~~ln .pa4::>s pesoe'oJd 4~ M d:.lUejJJc:r I': III p"aJOi)p UO:1nqp~s!p p~l! {,IO.pll:O~ f"'W"I""::> lunoo"'f-r;8b7~l'~r urru ~ ',. IN RE: ESTATE OF FRANK P. SMITH, LATE OF, LEMOYNE, CUMBEr~AND COUNTY, PENNSYLVANIA, DECEASED. IN THE COURT OF COMMON PLEAS OF CUMBER. AND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-80-716 ORDER OF COURT AND NOW, August 27, 1982, the within account is confirmed and distribution directed in accordance with the schedule. By the court, P. J. .;; 05 '. N ~..1~ !":In "" ;~~n .;:1 -" .:.:1 fPl N , ...: , -:; :~..... Li:,r.t~ 't ~ I ' t" ,,' I' , . . .' 'o." .....1 .~;t.:.ll ! j I i I I ., \ Purpose of Notir.e: fu ILiltill th.' 1"(;UII('ll',P!l1'-. (,f S'.'(11(111 '7t1~, Ill) 01 tlw 11l1h'f11;tIlCC ilnd EstJte Tax Act of 1982 (72 P.l r S S"( tilll. 1I.1b Ih)l To Remit Payment: [)"t.H:h ttll~ TOil portion ul !hl~ r~llIICI~ <,tHI5uIJlllTt '1I,,1t1l yutJf p.IYI1l~lll to thL' Rt~9istr.f' of Wills. . rvldrl'~" ,lIj'Jllll,11il.'ll 1<' !:<,h'd UIl pill1\' 15 (11 Illl' bO(lkh~l. "Instrllctions lor Inhl1riwIlce Tax RelUlll fill" nl':,II!;>nl n,'c,.d(~JlI." o r\"IK'~ ell',d. <.11 11'.(11'1''1 \)1111'1 p.lV,l1Jil' !o' RcgiSh!r ot Wills, Agent. Refund lei'll: f\ :1'!llIHI ,d .' 1;1;" (I1,'d.t Ilr,JV 1)1' It'O',l\'q.'d bV Cllt!1P!I~lillq itll "/\ppliciltlon lor Refund 01 Pennsylvania 1,1111'1:1.1111:1' ;;.ld F'.:il:'~ rdA" lhillll r~FV 1313), ^ppllt:atl(J11~ ;Hi: iJvJdable <.It Ill!! Office of tha Rt!!Jister "~ \'/:Ih, dl,',' oj tll': :"),1 f~n'i'IHw DI\tliLl Oiticl,'S, 01 !rom thl: Departmr.nt's Forms Service Unit by Ld:I,\I!l (/17 ~ 2:0):1 34'13. Interest: P"n:I,\,l.',lIli;1 [',Ll!" 1'.11'; hd',I'd fJll 11.., FI'dl:liJI E~,ldlt' TOll( (vlllrr\ 11l'colllcS ue1inqul!llt at the I!xpiration \j! ,',q!lII:"I' ~lnlllW1\!I1', !rnln dall' ul d~'J:h . !n:t.r.:Sl ;c, t.,t1qildll'tl nn ,i d.ulv bJ::i~ at 11,\: follm'JlIlq r<lte~. Dt!linqucnt D,I1t~ Annual Interest Rate Daily Interest Factor "' .l:~ hi ,!!I(IIfH:hJlj,I~I; 1 L 31 81 r.... .000164 " ..' l_'J 1'1 '8210,11ui ;,1CII:d.llq P :)'1 '(;2 2[)"" .000548 Ii: 8:) ~" c1/',11 IIwLIIlil1lj 1? :11 83 1G";, .000438 1,1 S'1 ." ,II": ,nciullilVl 1;' :~ 1 8,1 11'.';, .000301 1'1 ,8S 10 ,,"" '1l..Iurli!:q I:J 'J 1 d~5 13'!,;, .000356 o L,li!:"', itll~ j,'_'{dnll: d"li!'I1t1PI1: n,1111 IJ.)I!Ht; Ot'Cembln 31.1981 \'\-'iIlIllJinwin J cons!<lnl intclest \"ltill!l'~ d':!;t"Hl,:1'f11 IH h;llaflCI' \\ ;Flid ;11 hill. ~ :_~:;T,lll'" II';,! !,"Cdllll' Ih'111Hlllt'n: 011 01 ,dtel JJnU,JlV 1, 1082 illl' subjecllo il v,Hi"lll,! intr.lP.st riJtH lh,1I clldlil)"o; .,;!rl) t.,;,'nd;n VI',1l 8 in; I'! :",j ..' .r!CI:LI:~'d 01', (,)illn':", INrEHEST flAlANCE or UNPAID TAX X NUMBER OF DAYS X DAilY INTEREST FACTOR . 1\11'./ f'hllce "."lI('d ,1111" tlw lilX llL'f:clllli.., dl'llllql:"lll w1l1 If~flet;t ,Ill IIlWH!SI cillc;ulalioll to fifteen {15 ~ dd','~' h''','()ild !h\~ dill I' of 1111' .l'.~L'~,>mt'111. I j pdylllt'1l1 1<; mildl1 C1ftm the illtl!IC'it r.oll1putation 11,111' \hOI.'.'fI Illl,I\" f'J()I,n', ;Hldlll(1I1;lllntt!(I'SI ll\u~1 !I.: ciltcul;lll~d. Objections: All'! p,lll'i 011 .I1It'II",1 TIIJ:;,JII,f".'d ',\'11h th,' dl_~tPln1!11;1\IOr\ 1)1 ,1:.St'SSll1t!n! of lax (indudin!1 il1tl:rest) as ,;llli'."'ll 01', Ill;', i~l)llU' .11;1'/ olli,~ct \..'1111111 <;p':!v (GOl da','s of 1,'Ct'lpt of tillS Nol:CC il~ lollo\....s: h', \"'1:11':11 !!lOI"',t It) 1111 [)"PiHIIl1I'I01 ,ll nl""'~1\lll~. BOiJld of Ap1H1i.lls, P.O. Box 1874, HolHisl1ll1{1, f1/\ 1!ln~1()1{ by ell!f.!Hll1 1(1 11.1\'1' TIll' ;1111;('1 d"I+:rmlrwd ill Ih.' ;ll,dit of IIH' ilCCollnt of the ,wr~olltll fl~ptf!. \,'rll,ltid' on !l', 'ljlp.';d II) tht' Oll'h,,:,;' Cillll! Administrative Cortt!ctiolls: r,;,'l,,,iI "II()r" ll.':cOJvt'r,',1 1'1' till', lkll'rnlllld!.(lll ,tlld ;1\'.t':;~dnL'rlt should 1)(' adchesscd in writinu to: j}!\ [).:p.II:I1\(',ll .)1 ["''.,:rlllt:, BUrI',ll! 01 [Xill11irl,llulll, P. O. 1:30\',8321, Harrisbul'!1. PA 17105. See P,'~I" :) IIi 'h.' !;I),-,ki"! "ln~,trll(:llum {Ol Inll,'rildIlCI' TJX f~cwm lor a Rl~sidcnt Decedent" 1m an ex, pl,!ll,lllllll \Ii ;~dn1it~I'.,lrd:i'J,!ly cUrJt't:lal1l" t'rr()I'" REV. 73G.AEX 19 83) ~ NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER ACN :i 02 COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF ACCOUNTS SETTLEMENT p, O. BOX B903 HARRISBURG. PA 17105 DATE Ol-21-tl6 ESTATE OF :;.,a Tfl f-P.ANY.. i' FILE NUMBER L 1 80- 07 11.> DATE OF DEATH 10-19-110 COUNTY CUl".BERLANO NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLSOF THE ABOVE COUNTY. MAKE CHECKS PAYAaLE TO "REGISTER OF WILLS, AGENT." DAUPHIN DEPOSIT OK & TR i'O [lUX 2')61 HARiUSllURC PA L 7L()~ PLEASE: RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE '. ., ': CUT ALONG THIS LtNE ::<---------------------------------------------------------------- NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER ESTATEOFSMlTfI Fi"V,K P NG\.'1~ERll ilO-07Lb ACN202 DATEOl-21-86 ESTATE TAX DETERMINATION 1, Credit For Stale Death Taxes as Verified 2.096.25 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest! 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Intere't) ',\QT,./~ 1 711 .00 29.661.70 4. Total Inheritance Tax Assessed .00 5. Pennsylvania Estate Tax Due 6. Amount of Pennsylvania Estate Tax Assessed Based on Federal Estate Tax Return .00 _ 00 7. Additional Pennsylvania Estate Tax Due TAX CREDITS: Payment Dale Receipt Number Amount Paid Interest (-I " . IF PAID Af-TlR THIS UATl SEE REVERSE SLOE FOR CALCJlAT ION Cf ADD! rlON.\L W r!:REST Total Tax Credit 00 Balance of Tax Due ) Interan . 00 Total Due . 00 (If Balance Due is less than S1.00 no payment Is requlredl COpy 2-REGISTER OF WillS