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No. 21-80 {'rr-}
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
In the Estate 01
Rebecca E. Engle
, deceased.
To Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania.
and c;:odicil
Petltioner{s) ~are) the execut ors named In the Last Will and Testament/Of-
Rebecca E. Engle dated 9/29/75 - ecx:licil dated 3/26/77
Decedent was a citizen of the United States and a resident of Shippensburg
~Borough), cumberland County, Commonwealth of Pennsylvania.
Decedent died on Friday
the 7th
day of November
A.D. 19....!ill-, In the
County of Cumberland ,State of Penna. at the age of ~ years.
Decedent ~(has not) been married and ~ (has not) had children born to:mffl (her) since the ex-
ecution 01 the above described Will.
Decedent was possessed of personal property to the value of $20.000.00 and uPo'Jards
and of real estate to the value of none
as near as can be ascertained; said real estate situated as follows n/a
Th.lUllfQt~Y8111 petitloner(s) respectfully apply\!lllSl for the probate of the said Last Will and Testa-
menl'kilcfTortetters Testamentary theron.
D~ed Nov. 24. 1980
Name and address
of Petltioner(s)
f!:,,// R .~~'
'&nald R.1;ayman~p
409 Westover Road. Shippensburq. PA
X,",-"U f! 1-( '.--: , ,-~
Harold E. Ga~
102 South Fayette St., Shippensburg, PA
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND j ss
Donald R. Gayman and Harold E. Gayman
named in above application, being duly sworn according to law say(s) that the
statements set forth in this petition are true to the best of well' knowledge and belief.
me. Nov. 24 19 80
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_S.liQr:I1_ and subscribed before
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Filed:
December 2, 1980
Attorney: Robert J. Yocum
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LAST WILL AND TESTAMENT
I, REBECCA E. ENGLE, of Brad Street, Borough of Shippensburg,
Cumberland County, Pennsylvania, being of sound mind, memory and
understanding, do make and publish this my Last Will. and Testament,
hereby reVOking and making void any and all former wills by me at
any time heretofore made.
FIRST. I direct my hereinafter named Executors to pay all my
just debts and funeral expenses as soon as conveniently may be
after my decease.
SECOND. In the even t I have not other\~ise provided for the
same in my lifetime, I give and bequeath all of my Certificates of!
Deposit standing in my name and my two sons' names in the Orrstown;
Bank, Orrstown, Pennsylvania, in equal shares, share and share
alike, to my said two sons, DONALD R. GAYMAN and HAROLD E. GAYMAN.,
THIRD. I give and bequeath all of my Stock of the Orrstown
Bank, Orrstown, Pennsylvania, in equal shares, share and share
alike, to my said two sons, DONALD R. GAYMAN and HAROLD E. GAYMAN..
FOURTH. I give and bequeath all of my household furnishings
and contents contained in my residence at Brad Street, Borough of
Shippensburg, Cumberland County, Pennsylvania, in equal shares,
share and share alike, to my said two sons, DONALD R. GAYMAN and
HAROLD E. GAYMAN.
FIFTH. I give and bequeath to each of my husband's children
the sum of TWO THOUSAND ($2,000.001 DOLLARS, cash absolutely,
namely: MRS. IRENE SNOOK, ROBERT C. ENGLE, EDGAR R. ENGLE and
GEORGE WILLIAM ENGLE.
SIXTH. I give, devise and bequeath all the rest, residue and
remainder of my estate, real, personal and mixed, whatsoever and
wheresoever situate, in equal shares, share and share alike, to my
said two sons, DONALD R. GAYMAN and HAROLD E. GAYMAN.
;! SEVENTH. Provided further, that if any of my husband's
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;i children or my children should predecease me, then in that event,
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I give and bequeath the share of the deceased child to the child
provided further, that in the event any of my aforementioned
,
,
decease:
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or children of the deceased child living at the time of my
legatees are not of full legal age at the time of my decease, I
. hereby nominate, constitute and appoint 'I'I1E FIRST NA'l'IONAL BANK OF
SHIPPENSBURG, Shippensburg, Pennsylvania, as the Guardian of the
said minor's estate, the said Guardian to take and receive the
share of the said minor legatee and invest and reinvest the same
in legal or non-legal investments, whichcver in its discretion it
deems proper, and upon the said minor legatee reaching full legal !
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EIGHTH. I hereby nominate, constitute and appoint my two sons,
age, to pay the said share to the said legatee.
DONALD R. GAYMAN and HAROLD E. GAYMAN, as the Executors of this my ~
Last Will and Testament, my said Executors to have full power and
authority to do any and all things necessary for the complete
administration of my estate, including the power to sell any and
all real and personal property of which I may die seized, except as
,
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specifically bequeathed aforesaid, at public or private sales, in
their discretion, and without any Order of any Court: I further
direct that neither of my aforesaid Executors shall be required to
file any Bond in connection with the settlement of my said estate.
IN WITNESS WHEREOF, I, REBECCA E. ENGLE, have hereto set my
hand and seal to this my L~t ~ll
(2) sheets of paper, this ~~ day
and Testament, written on two
of September, 1975.
. Signed, sealed, published and
declared by REBECCA E. ENGLE,
the Testatrix, as and for her
Last will and Testament,
written on two (2) sheets of
paper, in the presence of us
who have, at her request,
signed our names as \~i. tncsscs
to in the presence of thc
aid Testa~.ix ~ of each other.
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COIlIC II,
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I, REBECCA E. ENGLE, of Brad Strcet, Borough of Shippcnsburg,;
undcrstal1dil1g, dcclarc this to bc a Codicil to my Last Will and
Testamcl1t datcd Scptembcr 29, 1975.
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FIRST:
I hcreby rcvoke and rcndcr null
and void the following
portion of my aforesaid Will:
Paragraph FIFTH:
"I givc and bequeath to each of my husband's children
the sum of TWO TIIOUSANIl ($2,000.00) DOLLARS, cash
absolutely, namely:
MRS. IRENE SNOOK, ROBERT C.
ENGLE, EDGAR R. ENGLE and GEORGE WILLIMI ENGLE."
SECOND:
In all other respects I do hereby ratify and confirm my
said Will.
IN WITNESS WHEREOF, 1 hereunto set my hand and seal to this
Codicil to my Last Will and Testament, written on one (1) sheet of'
paper this ~~~ day of ~Iarch. 1977.
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(SEAL)
Signed, scaled, published and
declared by the said REBECCA
,I E. ENGLe, as and for a Codicil
to her Last Will and Testament.
in the presence of us who, in
hcr prosence, and in thc
'presence of eath other, have
at her request, subscribed our
names as witnesses hereto.
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OATil OF SUIISCRIHING WITNESS
COMMONWEALTH OF PENNSYLVANIA f ss:
COUNTY OF CUMBERLAND
This 24th day or Novanber 1\.0..1980 .
berore me. Register ror the Probale or Wills and granting lellers or Administration in and ror said Counly or Cumberland. in
the Commonweahh of Pennsylvania. personally camc Ibbert J. Yocun, Bee~F-lQdg, .aRd,
f>ynne=R_~-1.or.ig
and Codicil
Ihe subscribing witncsses to the roregoing instrumenl or writir.g purporling to be the last Will and T~st"ment,Qr_
Rebecca E. Engle 9/29/75 and Codicil dated 3/26/77
Dated
lale of Borough of Shippensburg,
Cumberland County Pa.. deceased who being duly
SWorn according 10 law, depose and say. that. they were
prcsent. and saw and heard Ihe testarix
Rebecca E. Engle sign, seal. publish, pronounce and declare the said
instrument or writing as and ror h er Testament and Last wi~l1(f~:t~t.tne or so doing she
was of sound and disposing mind memory and understanding. to the best Of~ ir
knowledge, observation and belief. 1 ;J _,; Q / )
Sworn and subscribed before ,1;,{lLd, f/ Jtj V~1.__
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Register
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AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \ I/'I/
"'1 L.,g." &i. j fW4!/ll If; L~Ph1yt~
says th: as nearly as can be ascertainerl t~aid decedent Rebecca E. Engle
being duly
sworn
Friday the 7th day of November I
at or about 3:00 o'c1ock. ~M.
SWorn and subscribed this
24th day of November
died on
A.D..19.!Q....
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of
Cumberland. personally came Donald R. Gayman and Harold E. Gayman
who, being duly sworn . do dcpose and say that as the Executors
and,Codi iL
of the last Will and TcstamcnVof~ cRebecca E. Eng le,
deceased
they will well and truly administcr thc goods and chattcls, rights and credits of said deceased according to law. And
also will diligently comply with thc provisions of the law rclating to Transfe
Nov. 24
subscribed before me.
A.D., 19 80
heritances. Sworn
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DECREE
Be it remcmbcrcd that on thc 2nd day of December
. and Codicil
recordcd the last Will and Tcstamcnt,6f Rebecca E. Eng le
Shippensburg
80
,A.D.,19_, thcre was probated and
late of
Deccascd. Lettcrs Testamentary wcre grantcd to
Witncss my hand and official scalthc day and ycar aforcsaid.
, Cumberland County, Pennsylvania,
Donald R. Gayman & Harold E. Gayman
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RegISter
$10,000.00 "",tifica'" of OOf<>sit,.,. 41-406 - """"""",lth ",tioool ""'" ~
dated October 2, 1980 k - \ 10,UUO
Inventory of the feol and personal estate of
Rebecca E. Enqle
deceased.
1.
2. AccrUed interest on above Certificate of Deposit No. 41-406 to date of death
3. $15,000.00 certificate of Deposit No. 41-407 - ccmrcnwea1th National Bank -
dated October 2, 1980
4. ;.;:crued interest on above Certificate of Deposit No. 41-407 to date of death
5. COlonial Penn Franklin Insurance CO. - Hospital Benefits Reimbursenent
6. Naticnal LibertY Life Insurance Co. - refurxl of premiums
'roTAL
16 40
15,000 00
24 60
1,7BO 00
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55:
.__~na]fLR._G.a~ard Har9JdE.Gayman,. .__ ____________ --------- ___n___
being duly _~worn-._ __-- according 10 law, deposCC and soyK that they._-are-the------. ---
__ ~ecutor~--_ _ _ _n' . u__ _'_ .. . . 01 the Est.te 01 ___~~-GCl..J;~Ell91e
late 01 Borouqh of Shippensburq ___, Cumberland County, Pa., deceased and that the
within is an inventory made by ..._ _them_ ____.__._ --- - '-'---' the said Executors
01 the entire estate 01 said decedent, consisting 01 all the personal prop.rty and real estate, except real estale ouhide
Ihe Commonwealth 01 Pennsylvania, and that the ligures opposite each item 01 the In2ent ry represent it's fair value
as 01 the date 01 decedent's death. / j-- ~ / /;? '/
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sworn and subscribed before me, }.i=dJ f] FfJ/
Ex.cuto~
~09 Westover Rd., Shippensl:1urQ,. PA 17257
19
Date of Death
7
-----.
Day
81
102 S. Fayette St., Shippensbul'g, PA 17257
-----
--------
Addrus
_ ___ November
Month
19.8.0
Year
INSTRUCTIONS
I. An inventory must be filed within three months alter appointmenl 01 personal representative.
2. A supplement inventory must be filed within thirty days 01 discovery of additional a"ets.
3. Additi,!nal sheels may be attached as to personalty or really
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4.";'See Arlicle l'i~Fiduciaries Act of 1949.
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'~::'; . . COMMONWEALTH OF PENNSYLVANIA
: 4'No:K000465 .' . DePARTMENT OF ReveNue
. ; ~".. '. OFFICI~L RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
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TAX AT 6%
TAX AT 15%
Donald R.
coR
116 B. JCi
Gayun
J. Yocup,
street
TAXAT_%
saq.
ESTATe TAX
Shippenabuq, Pa.
17257
TOTAL TAX CREDIT
2,085.42
.nE'STATEINFCiRMATiar.j:"- -------------
DATE OF DeATH Nov. 7 1980
FILE NUMBER
21-80-748
LESS DISCOUNT
104.27
DATE OF PAVMENT
February 4, 1981
NAME OF DECEDENT
REBBCCA B. EHGLB
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PLUS
(FROM
% INTEREST
TO_I
. COUNTY
CWlberlancl
~-----------------------------------------
TOTAL AMOUNT PAID
1,981.15
POSTMARK DATE
IMARKS: -PAID 011I ACCOUNT-
SEAL
RECEiveD BV ;)~/ (1 {ij~fTf;./~
~egiat.r of Willa
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REGISTER OF WILLS
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RE Y_440 (1:1101
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFEk INHERITANCE TAX
RESIDENT OECEDENT
AFFIDAVIT OF
FIDUCIARY
(Instructions on Roverso Sido)
*
Estate of Rebecca E. Engl~
Lost Address _~rnQ.street
Date of Death
Sociol Security No.
November 7, 1980
201-1B-63l5
Sh; pp"'nsburg.,.-1'A
(CITV, tSTA1E)
17251__
Bureau File No.
(/.1PI
County File No. 21-BO-748
1. Decedent died:
( ) Intestot~ (without 0 will)
( X) Testate (leaving 0 lost will--copy attached)
2. Is the filing of 0 Federal Estotc Tax Return required for this estate'
Yes_ No
X
3. ( X) Executor/Executrix
) Administrator! Administratrix
Shippensburq. PA
(CITYI (STATEI
17257
(7.11-'1
Harold E. Gayman
102 South Fayette Street
Shippensburg, PA 17257
Nome
Donald R. Gayman
409 Westover Road
Address
4. All correspondence should be moi led to ( X) Attorney
Fiduciary.
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5. If an ollomey is representing the estate, indicate:
Name Robert J. Yocum, Esquire
Address 116 East King 1l.1:reet, P.Q.Box 336
Shippensbura, PA
(CIT'l') ~<;.TATEI
17257
(ZIP)
List 011 safe deposit boxes registered in the decedent's individual name, or jointly with, or os on agent or deputy
of another, or in decedent's individual nome with right of access by onotner os agent or deputy. Include the name
and address of the bank or other institution where the safe deposit box is located, the nome (s) in which the box
is registered and the relationship of the joint holders to the decedent.
NAME AND ADORESS OF BANK DR OTHER INSTITUTION
IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX
NAME OR NAMES IN WHICH
SAFE DEPOSIT BOX IS REGISTEREO
RELATIONSHIP OF JOINT
HDI.DERS TO DECEDENT
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules ond
statements, and to the best of my knowledge and belief it is true,.correct and complete.
ltwtU'/C.JtYI.l/i i'-.
jl-P..,~rd;; lfnd:;~~..~ 2/3/81
,
SIGNATURE OF FIOUCIARV DATE
pENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION
1. PERSONS RESPONSIBLE FOR RETURN
Section 701 of the Inheritance and Estate Tax Act of 1961 provides that the following persons shall prepare and file
a return:
a. The personal representative of the estate of the decedent as to property of the decedent administered by him
and such additional property which is or may be s'lbject to Inhelitilnce Tax of which he/she shall have or
acquire knowledge;
b. The transferee of property upon the transfer of which Inheritance Tax is or may be imposed by the 1961 Statute,
including a trustee of propelty transferred in trust, provided that no separate return need he made by the transferee
of property included in the return of a personal representative.
2. PLACE FOR FlUNG
The return is to be filed in duplicate w:th the Register of Wills of the county wherein the decedent resided.
3. TIME FOR FlUNG
The return is due nine months after the decedent's death, unless an extension for filing has been applied for and
granted 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 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, wife,
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 received are Ii rst applied to any
interest which may be due with 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 Ule 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. FILING OF FALSE RETURN
Any person who willfully makes a false return or report required of him 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 exceeding
$1,000 or undergo imprisonment not exceeding one year or both.
REV.451 (1.80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "Boo
PERSONAL PROPERTY
(Instructions on Reverse Side)
Estate of Rebecca E. E:nqle
*'
ESTIMATED DEPARTMENT
ITeM DESCRIPTION UNIT MARKET VALUATION
NO. VALUE VALUE (OFFICiAl. USE ONL Y)
1. $10,000.00 certificate of Deposit No. 41-406 -
Ccmnonwealth National Bank - dated October 2, 1980 10,000.00
2. Accrued interest on above certificate of Deposit
No. 41-406 to date of death 16.40
3. $15,000.00 Certificate of Deposit No. 41-407 -
ecrcmonwealth National Bank - dated October 2, 1980 15,000.00
4. A=ued interest on above Certificate of Dep:lsit
No. 41-407 to date of death 24.60
5. Colonial Penn Franklin Insurance Co. - Hospital
Benefits Reirobursanent 1,780.00
6. National Liberty Life Insurance Co. - refund
of praniums 7.69
TOTAL THIS PAGE
26,828.69
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any tmnsfer of any material part of his estate wilhou{ receivinR
valuable and adequate consideration? (Answer "Yes" or "No".)
2. Did decedent, within two years of death, transfer property from himself! herself to himself/herself and another par{y
or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) -
3. If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable, provide the following
information:
a. Age of decedent at time of transfer.
b. Copy of death certificate.
c. Affidavit by the allendinR physician indicatinR the state of decedent's health at time of transfer.
d. All other information supporting nontaxability of transfer.
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".)
a. Was there any possibility that the property transferred might return to transferor or his/her estate or be subject
to his/her power of disposition? (Answer "Yes" or "No".)
b. What was the transferee's aRe at time of decedent's death?
5. Did decedent in his/her lifetime make any transfer withou{ receiving a valuable and adequate consideration therefor
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her
death:
a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".)
b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".)
6. If the answer to five b. above is "Yes," state whether the right was reserved in decedent alone or others.
7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise {o pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No".)
8. Did decedent, at any time, transfer property, the bmeficial 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 "Yes" or "No".)
9. If {he answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved
in the decedent alone or the decedent and others? (Answer "Yes" or "No".)
- REV0453 (1.80)
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
. RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
~f
~~
(lnstrucrions on Reverse Sic/e)
Estate of Rebecca E. Enqle
- -
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY
DECEDENT BIRTH
Donald R. Ga"",,,n Son c-_Yes 1/2 of Entire Estate
409 Westover Road
I -
Shippensburg, pennsylvania
Harold E. Gavrnan Son Yes 1/2 of Enf-i re Es..,.l-e>
102 South Favette Street I
Shippensburg, Pennsylvania
- --~---
----l--------- --~---
----- ___ _____u._._ .- ----- _._--------
I
I
I
I
i
,
,
i
:
,
, -
.
.
-- -..- - -
The above beneficiaries are living at this time except for the feHewing:
NAME
J-
-~
DATE OF DEATH
REV.454 (l.HO)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
*
~ '.
I .' \
: . l
(Instructions all Reverse Side)
Estate of
Rebecca E. Engle
TOTAL PE VALUE OF DEPARTMENT
ITEM R
DESCRII'TION MARKET C DECEDENT'S VALUATION
NO. VALUE E INTEREST (Officla' Usa Only)
N
T
1- Checking Account - No. 422-701963-7 -
cannonwea1th National Bank, Shippensburg, PA -
made joint, August 7, 1975 - registererl in the
narres of Rebecca Engle or Donald Gayman,
surviving co-amer is son of Decedent 6,775.01 50% 3,387.51
2. 4 shares, Orrstaom Bank, Orrstaom, PA - ccmnon
stock - registererl in the names of Rebecca
Engle am Donald Gayman, Joint Tenants with
Right of Survivorship, surviving co-owner is
son of Decedent, certificate dated 8-15-69 400.00 50% 200.00
3, 4 shares, Orrstam Bank, Orrstown, PA - COTIlOn
stock - registered in the names of Rebecca
Engle and Harold Gayman, Joint Tenants with
Right of Survivorship, surviving co-amer is
son of Decedent, Certificate dated 8-15-69 400.00 50% 200.00
4. Savings Account - No. 3118 - Orrstaom Bank,
Orrstaom, Pennsylvania - made joint 12-16-76,
registered in the names of Rebecca E. Engle or
Donald R. Gayman or Harold E. Gayman, survivins
c:o--amers are sons of Decedent 1,079.56 33.3% 359.85
5. Accrued interest on above Savings Account
No. 3118 to date of death 6.08 33.3% 2.03
6. ~2,OOO.00 certificate of Deposit No. 2104 -
Orrstaom Bank, Orrstown, PA - dated 6-23-75 -
registererl in the names of Rebecca Engle or
Donald R. Gayman, surviving co-o.-mer is son of
Decedent 2,000,00 50% 1,000.00
7. Accrued interest on above certificate of Deposi "
No. 2104 to date of death 43.00 50% 21. 50
8. $1,000.00 Certificate of Deposit No. 3791 -
Orrstown Bank, Orrstaom, PA - dated 5-1-80 -
registered in the names of Rebecca Engle or
Harold Gayman, surviving co-amer is son of
Decerlent 1,000.00 1,000.00
9. Accrued interest on above Certificate of
Deposit No. 3791 to date of death 2.05 2.05
10. $1,000.00 certificate of Deposit No. 37~2 -
Orrstam Bank, OrrstcMn, PA - daterl 5-1-80 -
registererl in the names of Rebecca Engle or
Donald R. Gayman, surviving CO-CMller is son
of Decedent 1,000.00 1,000.00
11. Accruerl interest on above certificate of
Deposit No. 3792 to date of death 2.05 2.05
TOTAL THIS PAGE COnt'd.
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
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 rcal estate first.
1. Describe all real property as indicated in the instructions for Schedule "A". Describc 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.
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REV-4U EX+ Cs-eO)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
m Original
o Supplemental
o Remainder
Fi I e Number
21-80-0748
Estate Nome
Rebecca E. Engle
Date of Death
November' 7, 1980
Social Security Number
201-18-6325
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser In and lor the County 01 Cumber'land
Penn.ylvanla, do ....pectfully report that I have apprai.ed the real and persona' property a. reported In the loregolng
retum at the values set forth opposite each item in 1he last column to 1he right in Schedules IIA", "BIt, IIC", and "elf
Dated:
Apr'il 8, 1981
$'l".,/J; -1f';nJA"J )
INHERITANCE TAX APPRAISER
INVeNTORY
VALUE AS APPRAISED
CDOE
ADJUSTMENTS
(HARRISBURG USE ONLVI
REMAINDER APPRAISEMENT
COOE
Real Property (Schedule A)
Penanal Property (Schedul. B)
Jolnt.Held Property (Schedule E)
Transfen (Schedule C)
$
None 00+
26 828 69 10+
11 183 1 20+
None 30+
38,011 88
40-
92+
TOTAL GROSS AsseTS
Leu D.bts and DeductIons
(SCHeDULE F)
CLeAR VALue OF eSTATe
93-
o Lile E.tate
o Annuity
~
FACTOR
PRINCIPLe
VALue
CODe
I
FOR USE OF REGISTeR OHL V
Tax on $
CODe
COMPUTATION OF TAX
S
S
S
$
6%
Tax on S
15%
Tax on $
Tax on $
TalC on S
$
Exemptions
Total Estoto
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
$
Leu Credits
DATE OF PAYMeNT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
$
+ $
$
=
S
+
=
BALANCE
S
TO __ S
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REV.455 (1.80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
SCHEDULE "F"
STATEr,m:T OF DEBTS
AND DEDUCTIONS
.'
._nU_ _.. u
File No. 21-80-748
Estate of Rebecca E. Engle Date of Death Novanber 7 , 1980
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
Claimant
Relationship to Decedent
Claimant's Address
AMOUNT
ITEM
NO.
NAME OF PAYEE
REMARKS
OATE
ns
ts
195.00
2.58
79.25
31.00
9.00
100.00
18.00
15.00
1,500.00
~o
fessional Services Rendered
TOTAL THIS PAGE 3,254.83
1 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 thil'estate <\S' dedL(c\ions for Inheritance Tax purposes.
, .r/;/lJ1\.tiL/t ~VCL{J-""V:'\."l- --""\
I){,~ ~;J,P 1/ g-;,/_ _ .~ 2/3/81
SIGNATURE . ATTORNEY/FIDUCIARY DATE
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S 1.;( I;;-.;j /i: q AT
/
t
PERCENT.
'J f-/(,.7/
DATE
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred by the uecedent prior to his/her death are deductible against his/her taxable estate.
In addition to debts incurred by the decedcnt or cstate, other items are claimable including the cost of administration,
attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker.
All debts being claimed against an estate are subject to the approval of the Register of Wiils with whom the
Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this sclledule.
A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania.
If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of
the same household can claim the exemption, In the event there is no such spouse or child, the exemption can be
claimed by a parent or parents who are members of the same household as the decedent.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column.
2. Assign consecutive numbers to each item listed.
3. Enter the date on 'lIh ich each debt was incurred and/or paid.
4. Enter the names of each payee,
5. Provide a brief explanation in the remarks column for each debt claimed.
6. Enter the amount of each debt heing claimed.
7. The form must be signed by the person who has assumed the responsibility for paying the debts.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
COUNTY FILE NO:
/
.' ,
.. '1
/ '7 {.-
DATE
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FILE NO. . -'1' /. .:'/) - - r /)('.'
COUNTY ((/.-1 " .l.......t.Ld//
DATE OF DEATH -/'/,"::-,./L,!"rLv1l /Y)lJ
J ",
TO:
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Appraised Value of Estate:
Real Estate
s
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+ _.... I": / ./",' J./' lp
Personal PropertY
Jointly Held PropertylTransfers
"
+ //
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Total Gross Estate
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Total Approved Deductions
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Clear Value of Estate
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Less: Approved Charitable Exemptions
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-
Clear Value of Estate Subject to Tax
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Amount Taxabla @ 6% Rate
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tax. due
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Amount Taxable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
s.X' ,;J .? ::) -7 c.z..
..
.. '* '* * .. '* A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
--7-I-;? /
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
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Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by
is
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BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
Seo InformatIOn on Reverse SIdo
. ~ l.., _.' , ( . .'. . .
INFORMATION
To insure proper credit to your account, tho numo 01 the estate and file number should be clearly print-
ed on tho check or money order.
This assessment is made in accordance with Section 708 of the Inherltanco and Estate Tax Act of
1961172 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 (72 P.S. ~ 2485.716).
Inheritance Tax. other than tax on a future interest. is duc at the date of the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedent's death (72 P.S. S 2485.711). Inheritance
Tax on a future interest is payable within three (3) monthS i:1fter the transler takes eHeet 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 date of actual payment using the following interest table:
-------------------- - ---------- --- ---- ------ --- - - - -- - --- ---- ---- -- -- - - - -- --
1 month .005 4 months .020 7 months .035 10 months ,050
2 months .010 5 months .025 B months .040 11 months .055
3 months ,015 6 months .030 9 monthS .045 12 months .060
1 days .00017 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 days .00369
3 days .00051 13 days .00220 23 days ,00386
4 days .00068 14 days .00237 24 days .00403
5 days .00085 15 days .00250 25 days .00420
6 days ,00101 16 days .00267 26 days .00437
7 days .00118 17 days .00284 27 days .00454
8 days ,00135 18 days .00301 28 days .00471
9 days .00152 19 days .00318 29 days ,00488
10 days ,00169 20 days .00335 30 days .00500
--------------------- ---- - -- ----- -- - - ---- -- - --- -- -- - - -- --------- ------
Any party in interest. including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (601 days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961 172 P.S. 9 2485.1001).
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
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PRINCIPAL DEBITS continued
I
Estate Valuation
Savings Account No. 3118- Orrst= Bank, Orrst=,
I' Pennsylvania, registered in the names of Rebecca E.
Engle or Donald R. Gayman or Harold E. Gayman, surviving
co-<:MIlers are sons of DeCedent - accrued ilterest included,
Full value, $1,085.64, 1/3 value $ 361.88
" 1 _ $2,000.00 certificate of Deposit No. 2104 - Qrrst=
': Bank, OrrstCJ.om, PeIUlsylvania -registered in the names of
i' Rebecca Engle or Donald R. Gayman, surviving co-owner is
son of Decedent - accrued interest included, 1/2 value 1,021.50
1 _ $1,000.00 Certificate of Deposit No. 3791 - Orrst=
Bank, Orrst.a.'ll1, pennsylvania - registered in the narres of
Rebecca Engle or Harold Gayman, surviving co-aomer is
" son of DeCedent - accrued interest included 1,002.05
1 _ $1,000.00 certificate of Deposit No. 3792 - Orrst=
Bank, OrrstCJ.om, pennsylvania - registered in the names of
RebecCa Engle or Donald R. Gayman, surviving CO-CMler is
son of DeCedent - a=ed interest included 1,002.05
1 _ $1,000.00 certificate of Deposit No. 3793 - Orrstown
,. Bank, OrrstCJ.om, pennsylvania - registered in the names of
I: Rebecca Engle or Donald R. Gayman, surviving co-owner is
son of DeCedent - accrued interest included 1,002.05
1 _ $1,000.00 certificate of Deposit No. 3794 - Orrstown
Bank, Orrstown, pennsylvania - registered in the names of
RebecCa Engle or Harold Gayman, surviving co-owner is son
of oecedent - accrued interest included 1,002.05
1 _ $2,000.00 certificate of Deposit No. 3795, QrrstCJ.om
Bank, Orrstown, pennsylvania - registered in the names of
Rebecca Engle or Harold E. Gayman, surviving co-CMler is son
of oecedent ., accrued interest included 2,004.10
TOl'AL PRINCIPAL DEBrrS
$ 38;011.88
PRINCIPAL CREDI'IS
MDS Laboratories - Account
Fogelsanger Funeral Hone - Funeral Expet15e
Robert S. Shull, Cemetery Manorials - Monument
United Telephone Canpany - Account
CcImlOnwealth National Bank - Checks returned for payment
after date of death
Register of wills of CUrnberlarrl county, PA - Prcbate Will,
Issue Letters and Short certificates
$ 10.00
1,295.00
195.00
2.58
79.25
31.00
Lil;~k La till.L ~~ i
-2-
PRINCIPAL rnEDITS continued
Register of wills of Cumberland County, PA - File
Appraisanent, Statanent of Debts and Deductions
and Inventory
Olmberland Uiw Journal - Advertise Letters Testamentary
News-<:hromc1e Canpany - Advertise Letters Testamentary
Donald Gayman, surviving co-=er, son of Decedent -
Checking Account No. 422-701963-7 - CCI11t1Onwea1th
National Bank, Harrisburg, Pennsylvania - registered
in the names of Rebecca Engle or Donald Gayman -
Full Value - $6,775.01, 1/2 value
Donald Gayman, Joint Tenant with Right of Survivorship -
son of Decedent - 4 shares, Orrstown Bank, Orrstown,
Pennsylvania, cCllTlOn stock @ 100.00 per share,
registered in the names of Rebecca Engle and Donald
Gayman, full value - $400.00, 1/2 value
Harold Gayman, Joint Tenant with Right of Survivorship -
son of Decedent - 4 shares, Orrstown Bank, Orrstown,
Pennsylvania, cCllTlOn stock, @ 100.00 per share,
registered in the names of Rebecca Engle and Harold
Gayman, Full Value - $400.00, 1/2 value
Donald R. Gayman and Harold E. Gayman, surviving co-owners
are sortS of Decedent - Savings Account No. 3118 -
Orrst= Bank, Orrstown, Pennsylvania - registered
in the names of Rebecca E. Engle or Donald R. Gayman
or Harold E. Gayman - aocrued interest included,
Full Value - $1,085.64, 1/3 value
Donald R. Gayman, surviving co-awner, son of Decedent -
1 - $2,000.00 Certificate of Deposit No. 2104 -
Orrst= Bank, OrrstcMn, Pennsylvania - registered
in the names of Rebecca Engle or Donald R. Gayman -
accrued interest included, 1/2 value
Harold Gayman, surviving co-owner, son of Decedent -
1 - $1,000.00 Certificate of Deposit No. 3791 -
Orrstown Bank, OrrstcMn, Pennsylvania -registered
in the names of Rebecca Engle or Harold Gayman -
accrued interest included
Donald R. Gayman, surviving co-owner, son of Decedent -
1 - $1,000.00 Certificate of Deposit No. 3792 -
Orrst= Bank, OrrstcMn, Pennsylvania - registered
in the names of Rebecca Engle or Donald R. Gayman -
accrued interest included
Donald R. Gayman, surviving co-owner, son of Decedent -
1 - $1,000.00 certificate of Deposit No. 3793 -
Orrst= Bank, Orrstown, Pennsylvania - registered
in the names of Rebecca Engle or Donald R. Gayman -
accrued interest included
LW~k :j~_tiih C,"';u
Estate Valuation
$ 9.00
18.00
15.00
3,387.51
200.00
200.00
361. 88
1,021. 50
1,002.05
1,002.05
1,002.05
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