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Home My WebLink About80-00726 "." ]7{~: ' ;:".'c :it1;..(, "~~~1;\~~:"': . " ).P~',V ??(?:' ~\"f''''''' \~.":,;.':,'-~ ' J~F;".'.' '.' ;~~~r~;:,~~::" :-:j ,. ,. c. '" . . ~ .. ~ ~ ~ :.",P" , . Po >< H ~ :rl tIJ . 8 ~ ., ~ 8 I ~ 0 ~ l'Q . tIJ .. rzl ~ , '-':. l'Q ~ ~ ~ ~ ~ N tIJ f'r ~ " " c:>> ..... CO 0 . - rot t.) ~ - . 10 0 - '" Z LIJ so. 21.80:'~~f; PETITION FOR LETTERS OF ADMINISTRATION . I,N TilE E~1~\TE OF ,~"Yq.l.".0;1..?ecf:,"..b1f"'<'..?!~" IlECEAst:n. To ........; i1.d./.?" y..."",!.:y",.., ,I.::, If.,! 'PI.. ,r"""",.......".",..,..".,."""".....""". Register of Wills fOl' the ('011111)' OI;..,clllllhe,'I,,,,,I. ill II", ('olllllloll\\'eallh of Penns)'I\'allia. The Petition of ".....I(<T.:.-x?~",..v.!.,"',(,'.;;f.CI.rrr~~;.....,"',......,",.."........'"",......,.............,.......' ...................""....,."",...,.,.......,.,"""" ,'espcct filiI)' sho\\'cl h' t h:"t .. ,,/>.,;.~t.-j'-I,:!,,:J./.I;.:,., ",/l."(.,/:.Y';"('.I.~ . c r ;7t'-vl.-lu'/l Town:-;hip . I .\ Ie' I.:' 1 {' P' 'I was a resident of ..,....I"....<<...>,/........'..,:...........i-n<'~..,d.:BQr..II~I, . ( 1I1ll leI ani ollnt) , "tatc 0 enns~- vania, and a C(~ti?en of United States. and 'j,eparted this iiI'" intestatc in the COli lit). of ..c.',('rd-:?~...-;:- ......~...d..."...,',.,' and State of "..,...../:.0"...::r1~44.~-a.""~jr,:............"'.....,..............",.,.......... on ....~T.t.~"...........,.. the .................-:b-..?,<.!d!.'.., day of ,........r;~....,................, A, D., l!l..ff.~., at the agc of ......$,(.... ycars. That the said ..,...;2,~I4IJ.,4..(.1.(.,('T)f/r!...., deceased, left su,'\'ivilll{ the following named widow or husband, f1eirs and next to kin, 10 wit: Name Rclationship Residcnce .......,/lJ..!.1....>.:::......J!..."..,!2((.t:.(!~ L/l..,....",..!::-:../.E&:.,.,.. ".. ",i.:f.(1J.'1'.dlIi.b"d::........ .............................,....,:..,..,....,.."............"....."..,...,.,..,',.......,..,.,....,....,...."..'~~7'1d....'.........,.,.. ............U~...IJ...,..cCd.qJV}~....,..,l)f.R...,iM.~:. ,..(.J!r .......................1.,:..,............,..................... ~! ~ U '" __' ' '.' . C", ~.:..........~.......~.:'-~................................ ............................................ ~.;;.~........~........~.~................................. ............................................ ~~..........>-.......o::~................................ ............................................ a::~ S@ ~w 00 ~ce ~...................u=..J::................................. ............................................ We:: 0 w::' a::. co -Ju .............~...........c.>.................................... ............................................ ................................................................ ................................................................ ................................................................ ................................................................ ................................................................ ................................................................ ............................................ ................................................................ That those above named include all of thc next of kin, so far as known. Thc said decedent WlIS possessed of pCI'sonal pl'opcrt.\' to the estimated valuc of $.....?::C.q'~~.......... and of Real Estate, less incumbrance, to the estimated \':due of $......,::;......................., as near as can be ascertained. That the said Real Estatc in so far as is known is located in ..,..~A.................,...........,..,....,... ........................................................................................................................................................................................ Therefore, )'our Jletitioner(s) respcctfully aJlply(ies) for Lellel's of Administration in the above named estate, Dated ......J/.-t':Y.:::........Lj.............. A, D., l!lf":..., Signature and Addr'ess of Petitioller(:.-) '/ i ~.:.?((::::, ,:,?~.!.",:, .,-6.,",2.~;,r.t~c..'.~::;;I::]:;?........ ::;; (: .., / / "c} . p' _ / ....-t---t-L-J '-C(.,{-<> .............I..:.v (c; IU"-C.?L/ ""....""'..,.,.,.,..""'.."'..,.....'.....'.."""'/',..,............,..,........ l/fc ........................................................................................ ",."",...,..""",..""""",....,......,....,.,...,..,..,............,...~..:~:: ;/d / -' " , COMMONWEALTH OF I'E;\I\SY(.\'ANIA 1 COUNTY OF CUi\lBlmLANIl I ~s: ...,.........".....,.I/,(!,.t../J..1.,..1".."...a""......C(,~,f.!..t'..A.,,L,..k.Q,..",."..""..,............,..",..",.,..,..,....., named in the above Ilppliclltion IlCin~ duly ....S,(.(,..i!.c./.J........................ aceOl',linl( to Ill\\', ~Ill' that the facts set forth in the Ilho\'e Illlplieatioll ,u'e true III the \",~t of ..!7K."'1.... kno\\'ledl(e and helief. sworn . :;;:;;:.:;:....................................... ",,' '"'''''':'' 1 ,.., ,.,.'""" ",." .,. ,..'". ".." ". '" ,. "," ,."""" ,..... "......"............ ........A,..d.-:....,.J.3.................... A. 1>., 19,ji'f...., ..,..'Yffiuf;f..,..c2..,.., ~{:<.t.:(,:~J......,............ ~(. p ,/c,< Regi~ter Filed: . ....,F:l:!'.Y.~.~p.~.!:......),.,~.,..,J~,?.9..................., .Z:"'."7;};~';:;~'~,.."'.,."\."'..,~'~""'.:..,.....',..':....,',..., . ,..... ,...." ""., ". ."....,<1.., ./,.,..,:../..f..,~".t:,([7.9d"..... ........................................................................................ A llol'lle.l': .. L f.,[ ?':,f.1.!:. ....4'... .I//.. /l. iY.d'.t,di."I<:Z l?u.,~//77 /ltlrri5 bUrJl /? /7/VfI OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 15S: ...................,.........I/t?tt2..d1...d...,...d.....r.C1..rt.d.."~..:?....,,....,......,................."...'. petitioner(s) being duly ......,....(..U,..<l.,<:l.,.(.l........................ according to law do ..L..r, depose and say that as the administra tr.:.i..Y.. of the estate of ........,I2../i...7d:1.??Ct..d...t;,n,..,.d(r,C,J::;:.:/E.t-./.2........ ........................................................................................................................................................................................ deceased ......,................. will well and truly administer the goods and chattels. rights and credits of said. deceased. according to law. And also will diligently comply with the provisions of the law ~elating , to Transfer Inheritances. sworn ' .....................,....,.,.............,............... and subscrIbed before me. ..........,........~!?~,~~!?~.;:...~~........, A. D., 19,?9..... .....q}t.4.14(,..e...:..~t,~...........,.., Register r! 'f<.~ 4~::.7,~.~.::-.~:..,fQ.:.4~~.::~.z::.............. ............................................................................................ DECREE Be it remembered that on the .......,..~:?:~.~..........., day of ............~9.~.~~!?~!:..........,..... A. D., 19?9...,.. Letters of Administration in the estate of ............,..' ........................~~.Y.!!1S'.n~...~"...!?~t~;i,.~.~~................... ................ ......,....,... ,....,.. ............., .............. .......,... .... late of ......,'....', ,.. !!:~,~~...~ ~!).n~.!??E.9. ...?;'.?~(m.!!l.J:1:;i, E........ I . I d t d Norma D. Scarazco Cumberland County, Penn~y vama. (ecease , were gran e to ....................,..................,.............................. ........................................................................................................................................................................................ Witness my hand and official seal the day and year afores~ - oJ ~ ...................-7lf7f..,e...{&......ii~gi'~t~~........ ...... N o.2J.::8.o.............?~{j Renunciation and Request .------------.. In the Malter of the Estate of ....~.~ym9.1:\g...F.;"...P..~J.f~.~,+q,................................................,.................,.......... To ,............,..........................,..............,............,........,..,...,..,...................,.....,......,...... Esq., Register for the Probate of Wills and granting Lellers of Administration for the County of Cumberland, in the Commonwealth of Pennsylvania. ,............ the undersigned. being the ...:A.1;:1;:<:>:r.f.l~y...J,~.;<:Ic::1;:..J:.9!:..,~,a.y..,~.,....P..~U;i,.~),,4.,....49.~,1;;........ .................................................................................................................................................................................................. .................................................................................................................................................................................................. .................................................................................................-................................................................................................ .................................................................................................................................................................................................. do hereby renounce ..........,...,~.e.;:......................................,right to have Letters ..<:>t..~9,IT.l~,~.~,~,~~~~;!,9.!:l:.......... ......................,..........."...............,........,............. on said Estate issued to ....,...........~~J::...............................,..,................ ...................................................................,..................,.......... ......m......................., and do hereby request you to grant the same to .....~(),!:.IT.l~....D..,...,~9.~;:~~.~g.l...A,~.~.g.1}.t~;J;:...9.:t;....4,~.c;,~.q.~I1t,..................................................,... Witness.. ..I1IY........hand.. ............. .and seal... ...... ,.... ..this.... ..... )}th.......,....... ........ ........, ................................., day of ..............~C?.Y.~,I.n.e,~.r.........................A. D, 19..8..Q, Sealed and delil'ered in ]Jrescnce of d?~.~W'V...AJ/{~1:j,j,rl...... (L, S.) Norma D. Scarazzo 1l;.g;~;::d~~~t.'~~ff'i~, S,) Duffield ....,.......",...,...,..........."..,.............,...........(L. S,) ................................................................................ ............................... ................................................ ................... ......... ................................................. ............. ................ ................................................ .......................,........................................(L.S.) ................................................................................ .............,.............................,..............,.....(L. S.) ................................................................................ .,.,..........................,.................................(L.S.) ................................................................................ ........................................................,.......(L.S.) , c " t. Lf: ~J2 C- o- :..JcJ t.J. C%: Ylc..) ~~~ %0 "-, ..:{z ....-. C"'\ "'< Or: - "--, 6("..: "'eY- 15 Ow w..... , CD 0>- :z "':I: o::~ a::::> Oc:> ~'-' '-'w ~ "'0:: U cz: , , ' ~. ...:.\:.::';-": ," . .. .' " ", ..;~ :: ~'i ~ ;.,. ,! :. , ." c: S.:{ ., If) (, 0'- ~..: 0\ u '. !::~ CC .nO " '-' lL.' %0 u....;. l"'\ c!- C~. :>::- 6c.:.: ..... c;...< 0::'" wu' ~ 0"" ot- ,w cr;cn :.:$ 0- UCl cr;- WW ~ .....:::> p;.a:. -lU '-' ;.. .... >,j(t-J..lt,l&l)t'Z/*~d--e I STATEMENT OF FIDUCIARY (ln5tructlon. on Reverse Sid.) ~ ~& *~'ll In v...., I ;0:, (~OOftO' CO..ONWUL TIt or PENNSYLVANIA DEPARTMENT or REVEtlUE TRANsrER INItERlTANCE TAX RESIDENT DECEDENT EltDte 01 Raymond E. Duffield LOlt Addrels 3 Annette Drive Dote of Death Sept. 23, 1980 Sac i 01 Secu rity No. Eno1a. Pa. 17025 State File No. ---x / - f?cJ.. 7c2 h ICITY' (ST" TE) IZIPI County File No. amendment - Schedule B only I. Decedent died: (X ) Intestate (without a will) ( ) Testate (leaving a last will--copy attached) 2. Is the liling of a Federal Estate Tax Return required for this estate? Yes_ No '" 3. Executor ( x) Administratl:lix Name Norma D. Scarazzo Social Security No.115-24-0865 Address 3 Annette Drive Eno1a, Pa. 17025 (CITYI (STATE) (ZIP) 4. All correspondence should be moiled to (XJj: Attorney Fiduciary. 5. If an attorney is representing the estate, indicate: Name Leslie B. Handler, Esq. T I h N (717) 234-8031 e ep one o. Address P.O. Box 1177 Harrisburg, Pa. 17108 (CITYI (STATEI (ZIF) List all safe deposit boxes registered in the decedent's individual name, or jointly with, or as an agent or deputy of another, or in decedent's individual name with right 01 access by anotner as agent or deputy. Include the nome and address 01 the bonk or other institution where the safe deposit box is l!lcated, the name (s) in which the box is registered and the relationship of the joint holders to the decedent. NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEOENT MAINTAIN EO A SAFE OEPOSIT BOX NAME OR NAMES IN WHICH SAFE DEPOSIT BOX IS REGISTEREO RELATIONSHIP OF JOINT HOLDERS TO DECEDENT Under penallies of perjury, I declare that I have examined this retum, including accompanying schedules nnd slalemenls, and to the best 01 my knowledge and belief it is true, correct and complete. /) f) I - {/ ,; l,':./J~'"?"" (,(f.- ;{. ,/ t II ; /i ~ " C., r. SIGNATURE OF FIDUCIARY /./ .~ ~L.~p/l /911 ,- DA TE .....' '.... ..... PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION 1. PERSONS RESPONSIBLE FOR RETURN Section 701 of the Inheritance and Estate Tax Act of 1961 provjdes that the following persons shall prepare and file a relurn: a. The personal representative of the estate of the decedent as to property of the decedent administered by hjm and such addjtional property which is or may be subject to Inheritance Tax of which he/she shall have or acqui re knowl edge; b. The transferee of property upon the transfer of whjch Inherilance Tax is or may be imposed by the 1961 Statute, including a trustee of property transferred jn trust, provided that no separate return need be made by the transferee of property jncluded jn the return of a personal representative. 2. PLACE FOR FILING The return is to be filed in duplicate with the Regjster of Wills of the county wherein the decedent resjded. 3. TIME FOR FILING The return js due nine months after the decedent's death, unless an extension for filing has been applied for and granted by the Secretary of Revenue wjthjn the nine-month period. 4. FAILURE TO FILE RETURN Section 791 of the 1961 Statute provides that" . . .any person who wjllfully fails to file a return or other report required of him. . .shall be personally liable, . .to a penalty of 25% of the tax ultimately found to be due or $1,000 whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law." 5. TAX RATES Inheritance Tax is payable at the rate of 6%on transfers to lineal descendants, such as father, mother, husband, wjfe, son, daughter, grandchildren, grandparent, son-in-law and daughter-in-law and at the rate of 15% as to all others. 6. PAYMENT OF TAX The tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death. Interest at the rate of 6% per annum accrues thereafter until payment is made. All payments recejved are first applied to any interest which may be due wjth any remajnder 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 Wjlls of the county wherein the decedent resided and are recejved subject to the final determination of the Department of Revenue. 7. FAILURE TO PAY The taxes imposed, together with any jnterest 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 jn the decedent's estate or against.any property belonging to a transferee liable for the tax. 8. FILING OF FALSE RETURN Any person who willfully makes a false return or report requjred of hjm shall, in accordance with Section 793 of the 1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceedjng $1,000 or undergo jmprisonment not exceeding one year or both. NOTE: Compensation paid to an estate representative; namely, an executor or admjnistrator, for services performed jn adminjstering an estate is reportable for Pennsylvania Income Tax purposes. This taxable income item should be reported on form P A-40-lndividuallncome Tax Return. ..... ., 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, books, paintings, automobiles, boats, snowmobiles, aircraft, etc. .. 1,._ l', ._ ....... ," , Intangible personal property includes cash.on.hand and in the bank, stocks, ' dividends, bonds, mortgages, treasury certificates, notes, tdgether w)ith 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 (R EV-B94) 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." '~1 :j}~\."-1'l3tlHn:J ":~' .: .~I'.'~': .;dC- Al!;l:J " llu Uz Ilf lB, ,_ j :,:J3H ~.,,:U3UH033lJ REV.518 FO (7-eO) .~~ COMMONWEALTH OF' PENNSVLVANIA DEPARTMENT OF' REVENUE BUREAU OF FIELD OPERATIONS NOTICE OF FILING OF APPRAISEMENT Ms. Norma D. Scar'azzo 3 Annette Drive Enola, PA 17025 RE: Estate 01 R~yrnonrl F. Duff; ,,1 d County of ~l'mn~,...' ~nrl File No. ?1-RO-07?1\ Deor Ms. SCar'azzo: You are hereby notilied that the supplemental approisement in the estate 01 R~yrnonrl F. Dllffj"ld has been Iiled in the office 01 the Register 01 Wills 01 r.lImh""l~nrl County on SeDtember' 25 , 19 JU. Soid oppraisement reflects the lollowing valuations: Real Estote Nnn#=ll Personol Property -Q~ J ')9A 01 'H1.5iJ Jointly Owned Nnn#=ll T ran siers None Total _ ?3rt:i?A IU. S'i!'r'J,s::,O As to such tax thot is paid within three months Irom dote 01 deoth, a live (5%) percent discount is allowable. As to any tox that remoins unpaid alter nine (9) months (Iilteen months when deoth occurred from December 22, 1965 to June 16, 1971, inclusive; ond twelve months when deoth occurred prior to December 22, 1965) Irom dote of deoth, interest at the rote 01 six (6%) percent per onnum is charged. Any porty in interest who is aggrieved by this notice may object thereto within sixty days alter receipt 01 said notice as provided by Section 1001 01 the Inheritance and Estote Tox Act 01 1961,72 P.S. 2485-1001, P.L. 373. Date RpptpmhAr ?~, 1QR1 Sl~'d~~ Chief ADoraiser Titl.. NOTE: This is not a bill. I ", "', _> I.' .;... ''', ~ ~ ~ ~ , ;Z >tl >tl .': ;.,I\' ..~."\ 0 :>- ;.. ".-...,....,," I>l rJl ;:l ,.J < - U Z ... 0 '" '" ~ 0 ~ ~ ~ 0 ~ E- O '" 0 Z 0 '" '" :>- E- o - >tl Z E-< I>l E-< I-'l Z Z ,.J 0 - 0 ;:; ~ z ::<: >tl ..:i Z ~ Z Q ;:l U " I-'l - ~ tIl ~ 0 0 < z ::: I-'l U Q '" :J I ....--- -- - -- -- ...... --.. ~ >>'(Rfv."-iux",~ ;,;.:~': .".~ '--' '.:, ' " ' , . , , . i ~j~~tKli60361.". . . . COMMON~~~~J~T~~ :E~~~ESYLVANIA I ,);)y\::...., ..OFFICIALRECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAx 1 '" ; 1 III" ; , I ,l II a 1 tk I: '\ it' Ii; RECEIVED :; 'I FROM Ii 11 I \ ADDRESS SCUU&O . . 1177 BazrillbQE9 , Pe. er, 17109 '--~f~~TgJ~~~~ATiON7S~---~-23-:-i980---- FilE NUMBER 21-80-726 DATE OF PAYMENT Decellber 15, 1980 TAX AT 6% TAX AT 15% aq TAXAT_% ESTATE TAX COUNTY NAME OF DECEDENT RAYMOND l!:. DUPI'IBLD CUllber1anl! o m ------- ---- - ---------- POSTMARK OA TE REMARKS "PAID OK ACcoum'" SEAL t RECEIVED BY REGISTER OF WillS TOTAL TAX CREDIT 960,00 lESS DISCOUNT PLUS % INTEREST (FROM TO_1 48.00 TOTAL AMOUNT PAID 912,00 . RCC..U (4-731 cR/-~O'-7d ~) COMMONWE,.\LTII OF I'E~NSYL\'''NIA DEPART\IENT OF IW\'ENUE BUREAU OF COUNTY COLl.ECTIONS * RESIDENT DECEDENT COUNTY OF ..fUMBERLAND _ IMPORTANT: .. ~ - - This return must he cumpleted ill dl'tuil alld fill'd III dllphl'all', \\lIh all lllladll'd, with Ihe Ih'gj..,ler IIf Wills IIf Ihl' COUIlI)' where decedelll u'sided; Ih'lurn is dm' \\illllllllllll' tIllllllh.. afll'l dille of tll'ulh. unle!.s 1111 extension is gral1led by Ihe Secrelllry elf Ite~l'llllC, (S\'ctlun 70,1111' lllL' Inlll'rilllnl'l.' alld Eslall' Tux Act of I"hl,) -Bgyrn~:~II::lA'~:;;~~'~I~~; ESTATE Ill' _.___.} ISTATE FULL NAME OF PECFOENTJ LOlo of CUmberland Counly ..1 $S' ,11'1'11I,\\,1'1' Ill' Administratrix I'X),{'''TOII AI'\II:-;ISTIlATIl!t State of Pennsylvania County of Dauphin ~- Norma D. Scar~zzof~9mi~~st~~t~ix of tho ostato of the above-named deccdrmt blling duly 5WOrll. drpouS ol1d soyS .!tKJi'i!Ui Decedent died September (MONTH) Nomo and oddress of attorney or } other authorized representative to whom 011 correspondence should bo mailed. I 'l..Jl.lL{JtX!MKkOfIllKO(l(KXIl!X'X~>>ml!KIKKX<<<<_mc<<. } (YEAR) mlc"olc 23 IDAyl Leslie B. Hand1e~ P.O. Box 1177, Harrisburq Pennsylvania 17108 That as such administratrixdcpOIlCIII is familiar with Ihe affairs ot' said estate and Ihe properly cUl1slituting t EXECUTe R-ADMINISTRA TORI the assets thereof "nl! their fair market \'alue. Thai at the time of deu tit there was no safe deposit box registered ill decedenl' s individual millie, or johllly wi th. nr as agent or deputy of annthef. ur in decedent's individuitlllal11C, wilh right of :access hy lmother ilS lIgenl or dClmly, with Ihe exception of the following; - NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A S,~FE DEPOSI, BOX None THiS Std'E DEPOSIT rlOX RET..TI::D '!'l Nt.ME Ol~ I;At~I.:.,~l: REL/.TIONSHIP OF JOINT HOLDERS TO DECEDENT That the contents of said safe deposit box or boxes .lre itemized under Schedules with the exception' of the following, for the reasons hereinafter set furth: of this return, That Schedule A auached hereto lIlId made part hereof sets forth fully and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died having all inlerest therein. It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death. giving the ::,"wunt still due at death, name of mortgagee, date, rate of interest, and bonk ::Ind p,q;e of record therenf. It ::Ilso sets forth in the columns provided therefure the assessed valuatinn of e::lch of said parcels, thc cstimated m;lrkct valuc thereof as of date of dcath of deccdent. That Schedule B auached hereto and made part hcreof sets forth fllllr and in detail all personal property wheresover situated owned hy the decedent at the time 0(' death; .111 mOlleys lcrt by the decedent at the time of death, whether in decedent's immediate possession, standing to decedent's cn:dil in hanks of depnsit. savings banks, trust companies, or other institutions, whether indh'idually, or ill tru:o.t for any other per\ol1 or persons giving also separately the accrued interest therenn, if any, down tll the last interest day prior ll. decedcnt's death in the case of savings banks, IInd to the date of Jccedel1t's llealh in all olher cases; all bonds, postnl savings, treasury certificates or notes and other c\'idcnce of indebtedness or the United St:ltes to thc de- cedent; all obligations, whether by st.lIutc or agreelllent they arc de~igllated ,h la,\ frce. of the United SHltes, or any state, or political subdh'isiun thereof, or HI' :IllY foreign cCllIlllry. which arc owncd ;at lhc time of death; all wc;tril1g apparel, jewelry. silvcrw;lfe, pictures, hlloks, works of art, huusehuld furniture, horses. carriages, Ilutomnhiles, boats, ::lIlll ,illY <lnd :111 olher personal c11i111els of whahlll:vcr, kind or nature, left hy decedellt, together with the fairly estimated market value thereof; all honds and lllortgages held by decedent ,lIul (If all claims due and uwing decedcllt ::II the time of de:llh. and all prurnis\my note"i IIr other instrulTlents ill writing for the payment of money of which decedent died pussessed, flf wh:lIslIever nalure, with inlerest thereon, if any, giving Ihe face v:lllle ;IIHI estimated fair market value thereof, and if such eSlilllllted f"ir market villue he less than the fitce \'aluc. it sct:.. forllt h.-iL'fly the rCilSllllS fllr stich depreciatiul1 as 10 each ilcm: all mlllleys pa)'uhle to the eslille ('rom life insuralln' polil.'ies carriell hy decnlclll; all anlluily i1l1d endowll1enl contr::JCIS the proceeds or which were payahlc Upllll the t1ealh of the dCl.'cdel1l: all and the eorporllte stocks and dividends due thereon lInd unpaid as of thl' dale lIf <kalh, hOlllls anti ,lcCfueu interesl thereon tn thc datc of decedent's dCUlh ilnd olher il1\'Cstlll'''lI "'~'4:11rilil'''; (l,\!u.:d hy lltl: dcccdl'lIl OIl thL' time of dealh, with Ihe m..rkcl \'alue Iherc. of tit slIch time. In t11(' t~ns(' nt' s,~cllrltlcS uf close or f'llllltly I:nrpnrut.tons. the "nllll's rlJJ!orttHi nrl! us ('ur us 1'0s~lhlt' ~\lhstlllltlHtC'll 11Y f'lnltTlclnl stlltl't'....llts 0(' !.lll' enl'llllI'/Il1l1IlS, shovdn/!., thl! IISSt~lS 111111 lluh1l1tlf!s tln'rl'uf liS of' 1he ,lRote of 1I1~nt.h. Till! sehnll"l... lllso SI'IS forlh tILt' Inl.nr"sl. of IIp.eelh.'nl. nt UI(' I.lml~ ul' ll"nth In 1t1lY cn-pnrtllt'rshll' nr hllslnt!ss, /UHt III support ol' til" \,11)11" nl' such lutl'r"st. 1.IIl'r'~ Is IIl1lll!Xl!d 10 snlll SI"""\1l1l', !'ITllll1clnl stulf'ml'lIts shO\dll'~ tlll'USSl'ts IInrl I IlIldl Itlt's 01' Sill" Cfl-(lllrtllt'rshlp IIr husIIH!ss. ;\ l'tll'r nl' till' '~n-J1"rtlll~rshll' ItJ~rl"'llIl'lIt, (If' orlll, II st.ul.t'nl(lnt sl'lt.ln/!.. f'orlh th'-~ II/lUll"! 01' till' 'H~rl'1'11l1mt) tu~.'t',,'r ~dth II stUll'IItI'llt st~l.tln,l.t furth t.!ln CI'IlI'IWtPI' or Ih.. hllslnpss, Its 1(11.'11 tI lIn. UlIlI sll~h nthl~r I'llcts p"rl.lllIllI~~ to till' hnslllPss liS nlll)' 1lt' p,'rtlnp.ut In II f'ulr allll .lust. np)lrulsnl fll' tlll~ ItI'e"flput1s IIlII!rt!st tht'r,'llllll1\st IIl'slIhmltll'd. Il shUllltl nlsll Sf'!. forth In tll!mlzl!tl form, t.ug,l't!ll'l' with thf' fnlr mnrkp.t. \,1l)UI! thl'rl'IlI" 'my nt.hl'l' properlS (I~llf'll or he(llll'lltlll'f1 hy till' dl~c"lll'llt lit the 11,"1~ nf' (hwlh. Tllf" _:Cl>f'r/u/P C Ilt.tnched hl~retn 1111I1 mlllll' 11111'1. Ilt'I'I!IlI' sets l'ort.h II tl'lll~ IIIISl'mr t.o t!/tch 11I'l"II'Y CtlTllllIJll'll Ih..t'I'ln utllt Int.hp r.ns"(JI'trnnsl't~rsu1'pl'nlwrl.;'I'. rl'llt Ill' l'f~I'sn'lIt)~ wtthlll two ~.(>ltrs nf Itt!Cmt~ntls "put.h. ill 1~lInlt'n1J11Ittlull C11' IIl'cf'dl't\t'S ttenth, or 11l1.(>wl...d to l'lkf! f~f'I'f>Ct. III possession or el1.1u~'nll!llt. III or ul't.I'r .Ieath, saltl sclll'1I111e St~t.s t'urth till? Ilutllrl! (tlllt \'1I111" 01' sllch prUpt'I'l.y. In whom t.1'HIIS('t~I'rl'll, the rc 1 nt. lunshl p n f' the t.rllns l'er('(~S to the Ilecclhm I., tll(> T1rnpnrl.lonll t.e shurn recp.I \'f!ll 11;'1' ~ltch trntlsferee /11111 all othf!r "'wts of' /I pert.lllent. nnttlre rl~J!;tlrltlll~ sltl,' trnnsf'I'rs. III t.llf' ells" nl' t.1'1IIlS1'I~rs Int.mutc.1 tll tnke f'1'1'1!t!t III poss,!sslol1 ur cn.ln)'mellt. lit nr ufl.t'r It('nth, Ihnrn Is nlso III.1.ltelll..1 to t.he SChf'fll1lf! tt l:Ull~' of till.' IIt'Nt, trust. ngreement or ot.her Instrument. crputlTl~ till' t.rust.. 1'll1'r.~ Is nlso snt I'orth In suitt schl!IIlIl'" II list. of' Itl1 prOI"!rt.r, renl Itlll' persntlul, wlt.h Its \'u)ue. wllleh 1'1l~SI'S nt. tlecl.'II'!III.'S ltl!1l1.1l '1)' vlrlUl' 01' I.hl' c)wrclse hy deccllcnt., either hull\'ilhlldly. Ilr.lnlntl)' with nllot.hf'r, or nny IHlw'~r ul' "l'poll1t.- menl \'CS"I~lt In decedent, etthcr IlIlll\'ldt11l11~' or .I01Ilt))., h)' till' 1'o.I)J, deiHl, or ot.lll!r Instrument ol'llnot!wl', ,,'lth It cnp;r of the InstrlUTlf'nl crelttlll~ such pnwPI' IItt.nclu'" 1.11 Ult' sdlp.dl1le. Thnt S~I>('du/(' 0 lIt.tnched hf'l'~to Hnrl mlldt' pnrt hcrf!llf' sets fort.h the lIf1rn(!S Ilnft nrlllresses ol' 1111 persons heneCtclnl1~' interestcll In thIs estllt.e lit. the time of' (Ieeedl.'nt' S ttent.h, t.lle I1Ilt.llre of' t.hetr res- pecti....,! Inter.!sts, their relntlol1shlp, it' nny, to the fleeellellt, 1og;I,..her with the Ilgf~S nt t.hl~ time 01' rlecedmlt.'s flenth of' ull minors, nnnllttnnts ulld IJcnefielurles I'or lll'f! IITIller' ileeellent's \\'111. it fils,) contains fl stutenumt showln!!: whtch of' t.he heneflclllrlf!s 1l1ll".~1I III t111~ Ilncp.ltfHlt's wll1, if nn;:,-. dlf!d prior to decl~llent, tile elutes ot' t.hHlr deuth, Uwlr lSSIW, IUllt the rl!lltt.loIISllip I,t' sllcll Issue to tJ,(O 11.~II..'t'lct.lIry. That S.:/ledu/€' E nttached hereto lLnd mllde a purt. hl!reof' SI.tS f()l.t.h nil pruperty, t'p.lll lillll per- sonnI, owned lJy the decerlent. .1olntly with nt10ther or others, Incltlllln~ InUm~lhlc~ stnnrltnt!; in thc IIltme of the decedent nncl others, plus the dute nud plnce nt. record 01' instruments cl'f~ctln.l; the \cst.lturl! of' renl l!stnte and the dnte of' ncqulsitiol1 uf personulty, pIllS t.he nlLme. l11tll1'C'SS I\lId r.!llltloTlshll'. ii' all~., of co-owners to till! ttecctlen t. Thnt S~/1pdu/p F ntt.lIchen heret.o nnd mlllle II pnrt hcr1wf sets 1'1l1'11t rill I.,.' .'11111 ill oI.'I~111 IIll ll.:ht!" alllt deductions clalmeft I'or lUlII on behnlf ot' Ihts decedenl.'g estllte, IIlc1l1lltll~ t'llIlerul ('xilt!llses pa!.fl: l'uml1~' exempt.ion, where III'P) lcnhlc: costs 01' 11Ilmlnlst.rnUnll of' this '!stlll": 1:1I1111~:.'l {',..:s anrl I'wlic1ury' ~ commissions pnid or t.o he pnldi cost expcndPd for hUl'lnl 1.I'IlSt.S, t.otllbst.nlll!S nl' ~t'a\"mlll'I';I!I'!", 1.1I<~ rf!ll- gio\ls services, in conscquence of' t.he dent.h of the deceltenti Ilehts mlfl claims o\'o'IIl~ /lnll nnpaltl lit t,lmc IIf death; t.nx.es Itccrllcll chnrgcnhle for 11eriocl prior 1.0 clecetl(!l1t's t1f'1It.1l (CXC~llt. those Itllo.....etl lInd.~r SI~Ctttll\ 651 of the Il1hl~rltllTll~~ III III Est.f1te Tnx ,\ct.); In)!;pthf~l' .....ilh II stntemf'llt III' 1'1I11~I!t,t':d 1'1.'t1!..:,,'1 :'111' tlhllJ!:t- ttons, t.r uny. It Is agrecd thut the t'Idllctnr)' will presl'nt proof' Ill' saill dailll'~ll nl,li::;ld.iolllS U:IOII 1'.~- quest., that If till"! Ilmount nct.ulllly pnld in sett.lement. 01' /lny fee, c:nmmissloll uJ' deht 15 it~sS thnn 1,1l1~ esttm{ltetl nrnollnt clnlmlng Hnd 1l1luWCfI, that till! same will IJI~ l'el'ort.elt to t.hl~ llegist.Hr 01' Wills. 111111 tllllt the nmolln1. of' tltX ussessell clln he rellssl~sSHd III ltcenrdnncl' therl'wl Us. Thut the totllls (If till"! npproprlntf' columns In ~chet\tlles ",\", "un, "en, "E", lilt" "F" itS 111 rl!Ct.ell thereill, have heen carried t'nrwnrd nUll propel'l)' re).;lst.e!'cd In t.he Sl11tullnry. Subscribed and sworn to before me this ................................. ...........,......,:xf! .... . day of .. . .J.fi.~~q.,yr 19.'>1... IIJtt<J;f'. 4ilttfr<r~r'\. D~IC , 1 J);,,~v?%-v ~, )~tVe-d;7j~ !:'!o,rma..D......S,ca:t;.a<\,:z:o, Adroinis,t.rat:rix ( E:rectLtor.Administrato 3 . ~n.~.t:t:~..J:>.;::i,y~.... (Street NlLmlJ(r) Enola, Pl'I,..lr7.9.2.? (City or Town and State) ...............................-....... ~y CammlUlUn [1I.j.llutl M~fth I":. 1..5) "'.trI11l1118. P~. Dtlupllln Co..nl:f SOTE: Ih!('ore sl~lllnJ!. 111'1'111/1\'11. milk.' sur" 1111 11lank SI'Oll'I'S In II..~ flt'l'IIIH\'11. ;Inri sellp.llllll's allll.~xell IlI'I~ ('tllefl in with c1r! t.1I I Is or tilt' .....orli "Sllltf~". II III I ill casf' 11ll' IISSI>tS illel\llll~ I'urt' un+! tlllllstl~d Sl'f'lIrll.tI'S, ~eCllr I 1.t l!S nf' c I nse or 1'lIm 11 Y Cllrpnrn II nllS ll" 111I 11l1"rl~~t I Il IllI~. l'O-P"I'IIlI'rsh t l' or hilS Iw'ss, \.11111. th.! Ilnt.n 111111 stllt"ml!tlts re'lulrl'lI lIntll!r llll~ l'ltrll~\t'aph 11110\'1' 1'I'lallll/!.. to Sr.lll'r1111" "n" IIr" Ilttlll~Il"ll. \\sn l:lIlk" cl!rudu 1-hllt. column #1 III tlLf~ "SlInuuIlT'y" hns hl~I'Tl prol"'!'ly (~nlllptl'l..d II!" ahn\'I'-rllrl'I't"lt. REV-450 (8.78) tOMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY ~ .....- ~};r':t-. d.~(.p~JM. Real property in Pennsylvonia, with statement of mortgage cncumhron..-:....'; 'j~-'(ln coch pOled at deolh of dece- dent. Property held by the decedent os tenant in common wilh analher or other, ,hould be identified os to quantum of interest and the estimated value should be that of the decedenl"_ inlerest only. (Properly held os joint tenants with right of surviorship or tenuncy by entirelies should be reported on Schedule "E.") -------~--. .--. --.--.-. ._---- . - Tho raal propcrty located In tho C"mr\\onwoolth of Pennsylyanla should bu (1) (2) Dl described by lot and block numbor, sltoot and stroot number, togelhor with OHARTMF.NT o gonarol description of the proporty, with a rofarencc to tho rocord of tho ASSESSEO VALUE VALUATION conveyance by which tho decedont took tltlc; If 0 form Gtato numbor of a- FaR YEAR OF ESTIMATED CAUTION cra~; aha ,taremant of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do nol wrll. of decadent. Taxes, ossoSSnlonls, accruod Intorcst on morlgogos, etc.,ora DEATH In Ihls spoco) to be Ilstod on Schedulo "F" and mU$t not La deduc:tod from this schodulc. NONE I Inscrt this total opposite ",eo I property", Schedulc "A" in the X X X X X "As Reportcd" column on the lost pogc of this rcturn. NMUJ ~ RCC-36 . COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX *' RESIDENT DECEDENT SCHEDULE "B" PERSON,\L PROPERTY INSTRUCTIONS: This Schsdule must disclose all tangtble and Intangible personal property owned Individually by the decedent, at the time of his death. l'ropert)' owned by the decedent jointly wi tl1 another or others must be Ihted Wlder Schedule ftE', Intangible personal property, titled In the name of the decedent, but payable at death to another or others, including but not limited to P.O.D. U. S. Savings Bonds and tenta- tive trust accounts, must be listed, despite the fact that they are not. of tho Ilrtmlnlstorod ostflle. Tangible personal prOl1orty shoull'l be listoct first (e.g. jewelry, wearing apparel, housohold goods, and furnishings, hooks, paintIngs, automobiles, boats, etc.) Intangible personal property, such as bonds, treasury cortificates, c8sh on hand and In bank, stocks, mortgages, notos, together wi th accrued interost or rliv idends, salaries or wages, insurance pay- able to the estate or flctuclary in suirl cupuclty, partnership interests, interest in any undls tributed estate of or income from any property held in trust under the will or agreement of another, even though located outside of the State, at. the time of rleath, shoulrl be listed In this schedule. Item NO. IT~ List 81\(i describe 1'I11y UNIT VALUE ESTIMATED MARKE:l' VALUE OEPARTMENT VALUATION (Do not write In this space) 1 2. 3 Fruehauf Trailer Company - 30 shares Goodyear Tire & Rubber Company - 46 shar Niagara Mohawk Power Corporation - 200 shares i;l,,'J Sentinel Common Stock, part of Sentinel Group Funds, Inc. and formerly part of Group Securities, Inc., 701 shares Surveyor Fund, Inc. - Delaware - 52 shs. Surveyor Fund, Inc. - Maryland - 69 shs. Expressway Federal Savings & Loan Assn., 360 Portion Rd., Lake Ronkonkoma, N.Y. 11779 Barc1ays Bank of New York, 505 Hawkins Avenue, Ronkonkoma, NY 11779 $28.6 16.6 (12.5. $ [840.00) 767.63 (2500.00) .J..S.:l..$ ,f' Go, 6.3 4 5 6 7. 14.4 17.2 17.2 10,136.46 898.56 1192.32 5946.55 8 658.99 Insort this total opposito "Personal Property", Schcflule "0" in the -As Reported" colUPDl on the last page of this return. x X ol21i'C" /1- -7 ~ 1l~C-16 ~~~ .~_.. ,Ti-;~, ~ ""~'.".J ,..,."~1o:MI' Cl1I\MOX\\'E~LTII OF I'E~~SYL\',I.X 1,\ TII~XSFI']\ IXIIEIlITAX('I': 'BX S!'IIEIlI!L\o: "!''' 'I'1l\X~FI':IlS IlESIIlEX'I' IlECEIW~'I' (1) Ill11 fh~ctlctt'nt.. wllhln I\\n ~'I.ItI'Stlt'II"lItli, Il\llkl' IIIlY tl'/II1St',,!, Ill' llll~' 11I11l.l'rlnl purt. nl' his ,.stllll', wlthuut rl'CI'I\'lll~ II \'lllllllhlt> Ilml 'lIll'lllllll.- "llll!ild"rllllull t.III'I'I.rr,I",' ('\ns\Ill'r \"S 111" 11(1) no (~) 1)\<1,10'"",,10,,,1, .'I.hlll 'WIl y""r' "I' oI.'''lh, 11'''"'1'.." I'r'''I'''I''y I'r"", 101""..11' I" hl""..II' ",,01 """tlo..r nr others (IncI1ll111l~ II !'illtlllS'~) In .Iulll1. 1Il'llll'l'slllp'! (,\IlS\\'1' I' ~"'s Hf 110) no (:1) JI' thl! tlIISVlI!r t.n (I) III' (~) llIlCl\'" Is ill till' 111'1'11'111111.1\'1' sUitt': (It) ,\~.! nl' Ch'C"IIPlIl III t.1I1I" lit' t.rulJ~;I"!r (Il) St.lttl' ClI' tlel'plll-'ntls hlHllth 111. t.lmt! III' lI\11kl"~ tht' t.fUIlSt'lll'. (SlItl! 1). ee) CHIISI~ nl' Ill!l~l'd'mt.l s lll'utll. (Sut.I! I). (.,) nld tlecc(hmt., In his Ilrl'tlln.., 111111... Itll~' t.1'/lI\SI'I'I' cll')lrnl"!rt.y wlUlollt. rl~el!lvJIlI!; It \'1l11lIlhlp- ur Ilcleclllute cnnsttlerllllofl I.hpl'l!l'or whtell WIIS t.u t.1I1'1! Ilf"l'l'Cl. III IIClSSI!sslulI or l'n.lu).'ml!lIt. Ill. or l1f'ter his dl~llth? (Answ~r ~'(>s nr nu) no (II) WitS th.'r.. Ilny I'usslhll It).' 1.11111, t.hl! propl'rty t.rllnSf'l!rrl~.1 mt,.;,ht. reUu'1I to I.rl1nsf'(!rer or his esl.llt.l! ur he ~,llh.lect. to his pnWI!I' 01' t11sl'osltlllll? (Allswl~r YI~s ur IlO) (h) Whal. WIlS t.he l.rIlHsf'l~rel!'S IIh" lit t.lmc! Ilf' c1l'e~I'cll!IlI.'S Ih~llt.h? (5) lllel cteccehml. III his lll'(lt,tnll! !nuke Illl~' trHlIsl'l!r wi t.hnllt rf!c:nlvillA II vllluutJle un.lllflt~IIUullJ cCll1slderlltlon thlJrefor t11llh!r ....'hldl l.rlln'it'I!rUr eXflressl~' flr Il1lpl Il'dl~' resnrVl!S for his llf'f~ or 11Il~' I"'!rlncl which cloes nol In ('/let. 111111 hl!fnre his llenth: (IL) 'I'11f~ pussl'SSIOIl elr l!ll.lo~'ment of nr t.1l1~ rl~ht t.o IllcnlllC f'rom thl' I'rllJlI'rt.y trllllsf'erred'l L\T1s\'wr )'I'S or IIn) no-- (h) Thl~ rl~hl. to ((psfAIIllt.e tlw persons wlw shiLl I JIfISSIJSS or l'u.Jo,}' t,hl~ proJlerty trunst'errcII or Incnml~ t,lll'rl~f'reHlI? (Answer' ~'es or Ilfl) no- (0) If' the UnS'A'cr to (!i) (Il) nhove Is In t.he urf'lrml1t.tVI!, sUtte whether thl~ right. wus ruserv(HI In lleCI?chmt nlone or lIth(~rs (7) nld 11cccchmt In Ids I I I'f?1.1 1lI1! l1utke It tl'ullsf'er, the constllernt.lon for which It'llS trnnsCeree's promise to Jl{l~' incume to nr I'elr tlw llenef'l t. lit' C:llre ol' trnnst'l'rnr? (r\lIswer ,yes elr 110) no (H) Did c1nCfl'chmt, lit ltn~' time, t.rnllsl'f'r propert.y, 1.lll' henef'lcinl Im.luJ'l1lcnt. of' which was subJect to chnnge, heCllllse oC It rl~St1'r\"?11 power t,o HI t.'~r, tUllenll, or rl!voke, or .....hlch CU111d reVIJrt to decl~llellt 111leler terms 01' trllnsl'er or hy ollcrutlon of' lll'o\"? (.\nsl'il!r ~'ps or no) no un If the answer to (8) Ilho\,l~ Is In the affirmative, WIIS the pnwer tl) Illt.pr, nmencl, or rl!voke the inter- est of the henfl'ftclnr~' l'cSf>r\iflll III tlll~ lll~cellellt alune or the tlecC'lh"mt /lnd nthers? (l\nswl~r yes or no) no SOTE1: The tlllswers tn thesn lltles t tnns shoul cI he SUllflor teo h~' flrf'ilJav I t. hy the It ttl!WIt ng }lhy!; I c tan uS well us IL copy of' thn Ileath CHI;,II'lenll? sO'rr: C: If' unswer to un~' of' the IIhovl' 111Il'!stlnns is ~'ns, Sl~t. I"urth hl!ln..... Il clescl'lptlun of' the propert.y trnnsf'errell, It's f'lalr mflrkct VllltW at. elat.e of' (lnuth, llutes of trnnsl"ers nnd tu whom trnTlsrerrefl, with relnlionshlp of' trunsf'erees to dlJcellcmt., If nn~'. Suhmit cnpr or llll~' trust Ih~l!cl or instrument, if' trllns- rers lire clllimerl 1.0 he non-tllxllhle, I1lso submit. detllllf>11 st.lltl'mC!nt. of facts on which sntc1 cluim Is bnsell. SOTE:J: List llpplicnhlc prOIll!rt.~' hclow In 1lI1lllller III which prodllnll In Sellellules A, B, or I~. ITEM HESCH I I'T JO~ 1~\IU(ET V ALlJIo: (Estimated) mcr'T. VAJ.U~TIO~ (Ilept. Only) NONE InSI!rt this totrll ()Pl'osltt~ "Trul\sf~rs", Sehelllll~ "C" ill the "As Jlcport.ml" COhll1Bl nn t.hl'! 1.1SI. pll~e of this rntllrn. N~",v ~IC.. RCC-37 (12-63) COMMONWEAI.TH OF rt:I'I'SYYl.ANIA TRANSFER INm;IlITANCE TAX RESIDENT DECt;m,;NT SCHEDULE "U" IIE:'\EFICIAI\IES IlEI.ATIONS1IIP 1\ SUH 'IV ED I BENEFICIARIES AND ADDlIESSES III stcp,childrcn or '. ,\ , illiTE INTEREST OF State full names and addresses of nIl who illc~itimatc children D~.CF.pEN.~ OF BENEFICIAllY ll\'C lin interest, vested, cont lngent or other are involved. set I 81 ATl:. ,YES BII\TlI IN ESTATE wiso In csLllte) forth this facl.l I 011 NO Mav A. Duffield 3 Annette Drive I ""^'a PA 17025 wife ves I over 21 50% I Norma D. Scarazzo daughter yes I over 21 50% , 3 Annette Drive I Eno1a, Pa. 17025 I I - I I I Deponent further says that nIl the nbove-nnmed beneficiaries arc living at this time except below: NAME DATE OF DEATH RESIDENCE ~ o ' -",- f<" -. " ,~'.. E .S ~ :s E- - -00.8 ~ g, ~u" o .. 'St1t: .. " 0 ~eg. ~ 0: Hcal Propcrty Personal I'ropert)' Transfers SU~IMAHY (Seh. "A") (Seh. "II") (Seh. "G") Cross Taxahle Estate !- '" Z .. ~ iii '" , :;, " - " .. -< ;.. u iii .. '" en Q - - -< .-. - c.: ~ ~ 'c "" p., 0 ., "" p., .:: -< '" -<: :: :r: t.:i ,. .... iii >= !- S Q ,; ~ ... .-. :; z 1= 0 !- -< Z 'Jl 0. ~ t.:i C .. ~ 0 CI: " c:: 0 0 "" 'f; iii 0 ;.; \: ~ , CI: ~ 0 - 'E < ~ i" :;:; 0 'e ~ .- - u :::~ .:l u (I) (As Hl'porlell) $ $ $ $ $ $. . (2) (Ax Determined) $ $ $ $ $ $ ISSTnrCTIOSS: This sehl~tlllll! nlllst c1lsclu:w nil Jlr()pt.'rt~'. rlllll I1l1lll11"'Sflllill, 11....'11I.'1 hy tl\l~ tlnl~I'dl'lll. ,1nlnUy with nllullll~r ur utlwrs, tl1l:llIIllIlJ~ IIlUtllJ.!.lhlt~s, SI.IlIIlIIIl~ III till' IIllf1ll' fir Ih" .1"e,'d"llt /llld HUWt'S. List rent I~Sllll(' 1'lrsL, Its ('lltirt'l.Il's, lIr .Iulnt. I.HTlUn l.s , J.!.ivlll,L!, 1l1'11!f dl'sl:l'lpl.lnll, liS 11ll11t~1It.1'11 1I11lh~r Schl.!c1111t! "A", plus the ,tiltH 111111 flllle'~ Ill' I'f'etlrtl Ill' Ills trllnllm I nITt'et.lllJ.!. vI'st.lltll"', hill. do lIut Inclwh!' l!Illlrctles ur out 01' stall! rl'nl I!stllte \'lIlul! III eslute \'u)uut.luu ell I Ulnll. 1'1!I'Sttlllll prlllll'rt.~. shuuld h(~ IlslfHI liS In Schedule "II", pltls dllte oj' 11l~'1l1lsl tlllll, 111111 lIU! Illlnlt', lIddress /tllll l't'IIIt-loIlSIII!, (II' llny) of IlU-OWllers to the dccullenl. Dcscr111llnll or Prnl'(!;ty, 'i)l~ll' llr-l\cqul~ltICln, .'Nllnll~1 t.!lIi-t I\rldress luul Ilelntlnnshlp Ill" eu-OV,JIf.'rs, nnll Plllel' Vnlw' ot' Recurfl ur Instrument., where Ih~1l1 ESl.llt.t~. - ^ -.."'F-"'.~~ ---- n . --~. --. '77-' ,^ :"-:6/ <"-//: ~'. RCC~&8 . COMMOl'i\\1':,II.:flI OF I'ESS~YL\',\SI ,\ TIIMi~FI'Il I XIIEIIl'J'.IXn-: Tn IlEl"lllESl' IlECEIlEXT !-'CIII':IJ1!LE "E" ,JOJ NTIS OWNEIl 1'1I01'EII'J'Y pl~I'I~lmI.U~f~ SII/Ir" Esl,lIl." VnJulll.lofl None except property jointly owned Insert this total upp,;sit.e ".Jointly Ownell Property", Schedule "E" in the ",\S Itcported" eoltl.:ul on the lust Jlugo or this return. ~'... f~'~. '\ .'.i"~~I,,.. ..,.....~9"oJ..(. IlI'J'AIlTM~;NT VALUATION C/\IJTIllS-llo nut. Wri t.e In This SfJnCI~. Vllhw lit' Eflt.irH PrutH~rt~. Vulue or I)l",cp.den t.' 5 Int.erest NlH1..C..- 41l:. '. , -!~. ~~,~ - ~ U CJ cc ~!u '" -" 7:0 -'::z ~.. 0 :'::4, 6(- ~ ii:-! Lo.J':....' = oeJ 01' l::: '00 0::'" :.:~ 0<:5 "'::> <'>w - ~u :::!a: po '-' REY.~14 EX+ (HOI INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) m Original o Supplemental o Remainder File Number 21-80-0726 Estate Name Raymond E. Duffield Date of Death 9-23-80 Social Security Number REPORT OF INHERITANCE TAX APPRAISER I, tho undenlgn.d duly appointed Inheritance To. Appraiser In ond for the County of Cumberland Pennsylvanio. do r.spectfully report that I have oppraised the reol ond porsonal praperty as reported In the foregoing return at the vatues set forth opposite each item in tho last column to the right in ScheduJ",s IIA", uB", "C"I and "e" Dated. March 27, 1981 J'lr"/;IIf'/tA,nJ) INHERITANCE TAX APPRAISER IIIVEIITO RY ADJUSTMENTS VALUE AS APPRAISED CODE (HARRISBURG USE ONLY) S None pa+ 22,986 14 '0+ None 21l+ None 30+ 22,986 14 40- REMAINDER APPRAISEMENT CODE 92+ R.ol Prop.rty (S.hedul. A) Perianal Praperty (Schedule B) Jolnt.Held Properly (S.h.dul. E) Tran.fer. (Schedule C) TOTAL GROSS ASSETS Leu O.btl and Deduction. (SCHEOULE F) CLEAR VALUE OF ESTATE o Life Estate o Annuity 93- FOR USE OF REGISTER OIlL Y Tax an S CODE PRIIICIPLE VALUE CODE I COMPUTATIOII OF TAX $ $ S $ $ RATE FACTOR 6" " Tax an 5 15% Tax an S Tax on $ Tax on $, Exemptions Total Estate TOTAL TAX INTEREST FROM BALANCE TO S $ $ Less C,edlts DATE OF PAYMENT AMOUNT PAID TAX CREDIT s $ INTEREST FROM BALANCE OU E REV,518 FO tHaI .~~ ~~.c. COMMONWEAL. TH OF PENNSVL.VANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS NOTICE OF FILING OF APPRAISEMENT Ms. Norma D. Scarazzo 3 Annette Drive Enola, PA 17025 RE: Estate of County of File No. R~ymonrl F. nl1f'f';plrl Cumberland 21-80-0726 Dear Ms. SCBrazzo You ore hereby notified that the original appraisement in the estate of Raymond E. Duffield has been filed in the office of the Register of Wills of Cumberland County on March 27 , 19 81 . Said appraisement reflects the following valuations: Real Estate Personal Property Jointly Owned Transfers Total None $22,986.14 None None $22.986.14 As to such tax that is paid within three months from dote of death, 0 five (5%) percent discount is allowable. As to any tax that remains unpaid after nine (9) months (fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when death occurred prior to December 22, 1965) from date of death, interest at the rote of six (6%) percent per annum is charged. Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of said notice os provided by Section 1001 of the Inheritance and Estate Tax Act of 1961,72 P.S. 2485-1001, P.L. 373. Dote March 27. 1981 Signed Ji: ' , -;1}.' , j) '.Jft/d} I'J'fJH. Title Chief Aporaiser NOTE: This is not 0 bill. REV-457 (1.80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT *' Estate of Raymond E. Duffield File No. 21-80-0726 County Cumberland Date of Death 09-23-80 In thl l'IInt that any uturl Intarln in this enatl is transflrred in po!Slssion or enjoyment to collatoral he In 0 t . lCedent I tlr t I IXP rlt on 0 .ny est.te for lifl or for yearl, thl Commonwealth hereby IKpressly reserves the right to appraise and usess transfer inheritancI tlK8I at th.lawful colllterll rate on any luch futur.lntarost. PROPERTY REPORTED BY THE ESTATE DEPARTMENT'S APPRAISED VALUE None 1. TOTAL REAL PROPERTY - SCHEDULE "A" , . 2. TOTAL PERSONAL PROPERTY - SCHEDULE "B" 3. TOTAL TRANSFERS - SCHEDULE "C" . . . . 4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E" $22,986.14 None None TOTAL REPORTED PROPERTY $22,986.14 PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH TOTAL UNREPORTED PROPERTY None TOTAL GROSS ASSETS $22,986.14 LIFE ESTATE OR ANNUITY CALCULATION I do hereby certify thnt the above nppraisement is made in conformity with Pennsylvania law and has been filed this day with the Register uj Wills, ACfJJtO-'u"t /"'!ft~ll1L1 Hi ) APPRAISER March 27, 1981 DATE Po '.... .c Ol -0 ~ .... Q) "" '.... E-< '" ~ ~ ~ ... ~ ... 0 ::l ... Z ~ ~ t:l 0 .0 0 ;>- Ol -0 ~ Cil <= <= <= Cll rJl -0 Q) .... ;l <= 0.. ... ~ 0 Q) ~ ..., ~ ~ ~ C") Ol ~ LC\ - Cll Cll ~ U Z 0:: Cil U - 0 '" '" - 0 ~ d ~ '" '" !;; 0 '" 0 z 0 ~ '" >- Eo- d - ~ z z ~ Eo- ~ Z ...l 0 - 0 i>:: ~ ::<: Cil ~ ...l Z ~ Z Eo- Q U (j Z - ~ '" ~ 8 0 <( - ~ ~ Q I'< ...l COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: ._.llor!!l~.!1,..Eq,~ra:!;1\o ,.admi.nis.tratrix ,- -.. .-'- ---. ---------. -------- being duly ...-JLwor!:l._ _.____ according 10 law, deposes and says Ihal she is_the_adminis.tratrix- _____,..,_,___._ of Ihe Estale of ..Ra.YlIlond....JL-Duffie1d lale of East pennsboro Township , Cumberland Counly, Pa., deceased ond Ihot Ihe wilhin is an invenlory modo by ..,._,' ".________ ._____ ._- --.--, the soid of the entire eslale of said decedent, consisting of all Ihe personal p,op..ty and ,eol eslale, except reol eslale ouhide Ihe Commonweallh of Pennsylvania, and Ihat Ihe figures opposile each ilem of Ihe Inventory represent it's fair value as of the dale of decedont's dealh. "',-,''O'D.I .-. d b b d b f -'w!l.~ U!. an su scr; e 0 ore me, ..#~U.f r. 19 If /// .LJ (j"" ;V,'lh<./ /J. a"'~ /J/~(,t/ iJ..I{IU~ xHI4mlXXlUlmllll Norma D. Scarazzo 3 Annette Drive I'OTARY PUBLIC iii)' Comrnluloo C_pl'e. M.rcl1 10, 198:1 H."llburH. .... _Enol~ PA 17025 Addrlu 0811pnlll Co..Int)' Date of Death 23rd Day september Month 1980 Vur INSTRUCTIONS I. An inventory must be filed within Ihree months after appoinlment of personol representalive. 2. A supplement inventory must be filed within Ihirty days of discovery of additional assets. 3. Additional sheets may be attached as 10 personalty or realty 4. See Article IV, Fiduciaries Act of 1949. .: .;I-! 1.;1 :-~ W tn''':'' . u :0;0 ....:c i!:< 1__1 -,,; 'j'w :.::'" I"''i: w::> -'u U 'tJ ~ Ql 'M ll-l ll-l :::l 01 1 r>il '0' 81 E;, :>1 ltl, l>:: '" - .. -' t:- lL. La..\" C. C;l~. wLJ.~ 01-- a.: (J~ 0- ,-,'" WW c:,o:. - E' o ~ :c:jlll ~ o E-i o k o .Q III s:: s:: Ql P, .j.J III ltl r"l ... 0:. t:: ~ .,; '" ~ .. '" u '" C >- ~ ~ w <( "" I- o lI'I W c:. w J: "" I- -' 11. 11. -' <( 0 o <( ~ Z o C lI'I Z ffi <( "" k ~ Ql tJ" r-t ~ :. rc1 c s:: ~ III 0 lI:~ ~ o l- Z W > Z ..; "" >- - c " o U ." C .. ;: '" .ll E " U I I! II 'I I , ~ o z . III Ql 'M ~ III "" Ql o H o CD - o ." ~ u: Inventory 01 the real and personal estate 01 Raymond E. Duffield deceased. Real Estate - None Personal Property - Stocks (1) Fruehauf Trailer Company - 30 shares at $28.69 per share (2) Goodyear Tire & Rubber Company - 46 shares at $16.69 per share (3) Niagara Mohawk Power Corporation - 200 shares at $12.50 per share (4) Sentinel Common Stock, part of Sentinel Group Funds, Inc. and formerly part of Group Securities, Inc., 701 shares at $14.46 per share (5) Surveyor Fund, Inc. - Delaware - 52 shares at $17.28 per share (6) Surveyor Fund, Inc. - Maryland - 69 shares at $17.28 per PERSONAL PR1>Ip\~fh - Banks and Savings and Loan Assns. deat (1) Expressway Federal Savings & Loan Assn. - Balance date of (2) Barclays Bank of New York - Balance date of death $ 840. 0 767. 3 2500. 0 10,136 46 898.56 . , 1192'12 5946. 5 658'r OFF ICE OF THE REGISTER OF WI~~S '! I V "1 7' .;/i - .)( .- ,2 ~~ S1lilCEtlIENTOF DEBTS AND'DEDUCTIONS \ OEOUCTIONS A~~OWEO IN REV-'" la-HI OF COUNTY ANO AGENT OF THE co"''''ONWEA~ TH '81 AP'- -f) P 1 ::k cu~,,:-:.(:::, , ESTATE OF Ravmond E. DuffielJU:':ilEI<: :~:':TE' OF" East Pennsboro TownshiP . OATE NO. OF NA"'E OF PAYEE RE"'ARKS A"'OUNT VOUCHER Mae A. Duffield FamilY exemption $2,000 QL 11/11/6 conununi tv Phvsicians, Inc Mot'liroal amount ,,, "n 12/2180 Reber Funeral Home Funeral bill 2.015 00 1 .nn .,,' Ravrnond Grandon. M.D. Medical bill 54 72 Handler and Wiener Attornev Fees 11>00 oP H"'nrl1 0'" ",nrl T.,; ono~ p_ .L_~ fi 1 ;nl1 ",nn -, '/ I ;)0 OiJ '( costs (est-,imat-,pd \ - - ~ l_ DATE OF FILING APPRAISEMENT /I ./1/1 'JI ,.,. .-(./",'(/ DATE OF DEATH September 23 1980 COMMONWEA~ TH OF FENNSY~VAN'A l' ss: COUNTY OFJAUPHIN I, Norma D. Scarazzo do HEREBY CERTIFY, THAT TO THE BEST OF MY KHOWLEDGE AHD BELIEF, THE FOREGOIHG IS A JUST AND TRUE STATEMEHT OF DEBTS, FUHERAL EXPEHSES AHD EXPEHSES OF AO"'INISTRATlON SUBMITTEO TO THE ESTATE OF R"ymrmd E. Dnffi pl n DECEASED. AS OEOUCTIOHS FOR INHERITANCE TAX PURPOSES. ;7).. '/ J. /ILl <~~';~~-<D. ,~!~~~~:;;!-'d-;'-:'cr (L.S.) SWORN AHD SUBSCRIBWORE ME THIS19 8/ DAY OF - /1&1/ tftf72ii/Uri<1 ::;,7w 01 ,n' " w.y Ccrtiml.tlo'R (.pll"" o,l"'~" !0 :<'1.'\"1 11".,,,.1.." ~.. I'~. D..,_,'r.," ,-.....,,!, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT '* COUNTY FILE NO: . /- ?C1- /../:.:;, , / / "i I ,,/ ';;-1 I /vr.> l-t..--t- (t' ; () .../,/ ,'t,:(,(/, / \ _ /1.1 ,/'I M~d.~~ -- G. ../ ~~t.!~.:;/.<./- ! , ,I '/f -j - 'I' - - , ' /.;;.' " / _./ ..../..) ..,/ 1//,/ :--' ..', . ,',(. - /...;A"/ ~ OATE TO: ,\, I,,,, ,.';. /'/.:<//'i-?t,(,,'I.,I.- / ESTATE ~)'uliu, / /,'j .. ",/.. i : /; '1- II /' 1 1....-:. {~.. .~~./ , I ' , '/ ;: :/-!-.I1A,'U:;..-t/-U-,';/, ;'.:.1 ;,i ,- FILE NO, COUNTY (o;tt,//&tf.t..--r.L~,I';:tIC- , ,j.,.... /.. I 'j /.'/'rl0 OATE OF DEATH <','j_;.(>:J;;tL'C-,,:, A';; /- (-.J-- t../cL /; ~-... - //(.1/ Appraised Value of Estale: Real Estate S + ';';J) ';/ J't: )-1 -' Personal Property Jointly Held Properly/Transfers + Total Gross Estate s~/ C;?r{; /1 / f";?(p.3;l., / s /1 7111'?;< / Total Approved Oeductions Clear Value of Estate Less: Approved Charitab~e Exemptions Clear Value of Estate Subject to Tax s / J 7 Y 'I ;~ , Amount Taxable @ 6% Rate s /1 799 , s /0619/? 0;:-.... ."., c;: taK due Amount Taxable @ 15% Rate tax due TOTAL PENNSYLVANIA INHERITANCE TAX DUE s/,007.'1? , * . * . * * 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 CREDIT /J. /';--J'(j .j? (hJ . . s 'I fu () t1-U $ rId lnJ + $ s + . + . Interest accrues at the rate of six 151 percent per annum on the unpaid balance of Inheritance Tax from to date of payment. Interest due if paid bV is BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE $ Assessed by: Agenl for 1 Com See Information on Reverse Sido 't- ~. , ;""" ,,"'d I/~i/ _~~T..~~.i.!."..e~!t'.-_~?;~'MC~~ INFORMATION To insuro proper credit to your account, the name 01 lhu l'statc ,md file number should be clearly print- ed on the check or money order. This assessment is mado in accordance With Section 708 01 lho lnhcrnanco and Estate Tall; Act of t 961 (72 P.S. ~ 2485.7081. To the extent thai inheritanco talt is paid within three (31 months after the death of the decedent. a discount of fi\le (5) percent is allowed (72 P.S. 3 24B5.716). Inheritance Tax, olhor than tax on a futuro Intcrest, is due m the date of the decedent'!; death and becomes delinquent at tho expiration of nino (9) months after the decedent's death (72 P.S. 9 2485.711). Inheritance Tax on a futuro interest is payable within three (3) mOnlhs after the transfer takes effecl in possession and enjoyment and is delinquont thereafter (72 P.S. S 2485.712). Calculate interest from the delinquent date shown on tho face of this form to the date of actual payment uSing the follOWIng lnluresl table. ------------------------------- --- - --------- - - - - - --- - --- -- ----- - -- -- -- - -- -- 1 month .005 4 months .020 7 months .035 10 months .050 2 months .010 5 months .025 8 months .040 11 months .055 3 months .015 6 months .030 9 months .045 12 months .060 1 days .000 17 11 days .oot86 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 1 5 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 1 9 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 sil(ty (60) days after receipt of this Notice as provided by Section 1001 of tha Inheritance and Estate Tax Act of 1961172 PS \ 2485.10011. Make check or money order payable to: "Register of Wills, Agent" Mail to the address listed below: INFORMATION To insure propor credit to your nceoum. tho n;.1n1C of the estate and fil~ number should be cloarly print. cd on the check or money order. This assessment is made in accordanco with Section 708 of the Inheritance and Estate To)!; Act of 1961 (72 P.S. ~ 2485.7081. To tho extent thtlt mheritance ta~ is paid within throe (31 months after the death of the decedent. a discount of five 151 percent is allowed (72 P.S. ~ 2485.7161. Inheritance Tax. otller than tax on a future interest. is duo at the date of tho decedent's death and becomes delinquent at the expiration of nine (9) months after Iho decedent's dealh (72 P.S. 9 2485.711). Inheritance Tax on a future interest IS payable within three (3) months after the transfer lakes effect in possession and enjoyment and is delinquent thereafter (72 P.S. g 2485- 712). Calculate interest from the delinquent date shown on the face of this form 10 the date of actual poyment 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 11 months .055 3 months .015 6 months .030 9 months .045 12 months .060 1 days .00017 11 days .oot86 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 deys .00085 15 days .00250 25 days .00420 6 days .00101 16 days .00267 26 days .00437 7 days .ootl8 17 days .00284 27 days .00454 8 days .00135 i 8 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 160) days after receipt of this Notice as provided by Section 1001 of the Inheritance and Est.te Tax Act of 1961 (72 P.S. ~ 2485.10011. Make check or money order payable to: "Register of Wills. Agent" Mail to the address listed below: t ...--. --. ~& -- - --.." __"lIIl:::. --r _A I rrj'REV."02 EX' , . c . " . .. 1}.'9>':.'I~;"":,,,:.'!'i'- ,.'. :. '.-; , COMMONWEALTH OF PENNSYLVANIA '~'1I ... ~ , '> " -". I 4 'NO'I(/f294;30: .,' DEPARTMENT OF REVENUE 1 \'::}: ''--''. -. . . .' 'OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX j '" I ; II I i j ~ I u.. RECEIVED Nor.. D. scara.so I . ~ FROM , , - TAX AT 6% TAX AT 15% TAXAT_% ADDRESS 1177 ESTATE TAX Buriabur itA 17108 TOTAL TAXCREOIT ,ln7.QA .-- ES-TATElNFCiRMATiCiFr---------- DATE OF DEATH FILE NUM8ER NAME OF DECEDENT nd B Duffield m m LESS DISCOUNT PLUS % INTEREST (FROM TO_I DATEDFPAYMENT A 11 14 1981 COUNTY Culllber1and .\------------------------------------------ . I POSTMARK DATE ~ REMARKS ~ MPAID III ruLLM TOTAL AMOUNT PAID "M_ SEAL RECEIVEO BY , -;-/ J .,' i' t/ ,,-', , , c..- / / /1') " ( . / /)/,1.,1/ t. / (' - / SIGNATUj! I REGISTER OF WILLS ----------- -.--------------------- INFORMATION To insuro proper credit to your accounl, tho nllme of the estate and file number should be clearly print- ed on the check or monoy order. This assessment is made in accordrmco with Section 708 of thlJ Inheritance and Estate Tax Act of 1961 (72 P.S. ~ 2485.7081. To the extent thai inheritance tax is paid within three (31 months after tho death of the decedent, B discount of five 15l percen. is allowed 172 P.S. S 2485.7161. Inheritance Tax. other than tax on a futuro interest. is due at the dale of the decedent's death and becomes delinquent at the expiration of nine (9) months after the decedent's death (72 P,S. ~ 2485-7111. Inheritance Tax on a future interest is payable Within three (3) months aher the transfer takes effect in possession and enjoyment and is delinquent thereafter (72 P.S. ~ 2485-712). Calculate interest from the delinquent date shown on the face of thiS form to the dale 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 11 months .055 3 months .Ot5 6 months .030 9 months .045 12 months .060 1 days .00017 1 t days OOt86 21 days .00352 2 days .00034 12 days .00203 22 days .00369 3 days .00051 13 days .00220 23 days .00386 4 days .00068 t 4 days .00237 24 days .00403 5 days .00085 15 days .00250 25 days .00420 6 days .00tOl 16 days .00267 26 days .00437 7 days .00118 t 7 days .00284 27 days .00454 8 days .OOt35 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 (601 days after receipl of this Notice as provided by Section lOOt of the Inheritance and Estate Tax Act of t 961 172 P.S ~ 2485.100 t I. Make check or money order payable to: "Register of Wills. Agent" Mail to the address listed below: