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LAST WILL AND TESTAMENT OF VINCENT L. CARMANY
------
I, Vincent L. Carmany, of the 'l'OWllship of Eas t pennsboro,
county of cumberland and State of pennsylvania, being of sound
and disposing mind, memory and understanding, do make, publish
and declare this to be my last will and testament, hereby re-
voking and making void all former \~ills by me at any time hereto-
fore made.
1.
I direct the payment of all my just debts and funeral ex-
penses as soon as conveniently may be after my decease.
2.
All the rest, residue and remainder of my estate, real,
personal and mixed, whatsoever and wheresoever situate, I give,
devise and bequeath to my beloved wife, Gladys M. Carmany, to
her own use and benefit absolutely.
3.
In the event, however, that my said \~ife should predecease
me, or as the result of a disaster common to both of us should
die at about the same time as I die, I give, devise and bequeath
my estate to my three children, Eleanor G. Burkhardt, Suzanne C.
Eppley, and Joanne L. Carmany, in equal shares.
If my daughter Joanne is not twenty-one (21) years of age
or over, I appoint my other two daughters above named to be the
guardians of her estate, with authority to expend principal as
well as income for her maintenance, support, payment of hospital
and medical expenses, and education,
4.
Lastly, I nominate, constitute and appoint my said wife,
Gladys M. Carmany, to be the executrix of this my last will and
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA / ss:
COUNTY OF CUMBERLAND ~
This 25th day of I-I",..."h., ,..,....A.Il,.I'I..nl-.
before me. Register for the Probate of )Vilis and granting letters of Administration in and for said Cl1\1nly of C\lmherlulIll. in
the Commoawealth of Pennsylvania. personally came GEORGr. H. nOUC':, o~ .9.L------.-
the subscribing witnesses to the foregoing instrument of wrilir,g purporting to be the last Willund Tcslulllcnll1f
VINCENT J,. CARMANY
Dated
necel11ber. 29,.-19(,7-,_
C\lmberland County I'a.. deccused whll being duly
late of Thp Tnw.,,~h;p nf ~;'t!=l:~ ppnn~hnrnr
prcscnt. and saw and hcurd Ihcles(ILtoL
sworn according to law. depose and say .~hat ..-Jle-~I" '"
sign, scal. p\lhlish. prOnO\lllCC und deelurc Ihe said
'vin~j::)nt- T. r::'TTfI::InYr
Testamcnt and Last Will. and allhc timc of sO dlling--1le
instrument of writing as and for h is
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AHlI>A VIT Qt" nEATII
COMMONWEALTH OF PENNSYLVANIA t ss:
COUNTY OF CUMBERLAND \
bcing duly
GL1\DYS ~I. C1\RH1\NY,
says that as nearly as can bc asccrlained thc said deccdcnl_-
st~orn ,
dicd on
VIllCENT J,. CI\R!1]\'lY ,
_A.D..19...aJl.
October ,
Wednesday, thc 1st day of
at or about G: 30 o'clock. ~M.
S~lorn and subscribed Ihis
25+1'1 day of Harch .
,
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,t:u.~2LL '
(~ , '))//"'7
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Registcr ~, ~
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INSTRUCTIONS
ASSETS:
TYP E OF ASSET _ Indicate whether the asset is real estate, personal property, tran~fcr or jointly-owned.
DESCRIPTION _ List all assets owned solely by the decedent or owned jointly with anoth"r purty or partio!!. Q!Io tenanh !"
common or os ioint tenants with right of survivorship at the time of death. Include the decedent' 50 percentage of ownership,
the name (5) and relationship to the decedent of the surviving joint owners and the estimatod market value of the decedent's
inlcrcs.os of the dote of death. Include intangible personol property titled in the name of the decedent but payable 01 death
to another party or parties including but not limited to P.O.D. U.S. Savings Bonds and tentative trust accoun's. List any
property transferred by the decedent within two years of death for which he/she did nat receive valuable and adequate
consideration.
Describe 011 real estate located in Pennsylvania by lot and block number, street oddress, number of acres and include a
general description of the land and buildings.. Also, include the book and page number in which the deed is recorded and the
e'lCact tifle as indicated on the deed.
DEBTS & DEDUCTIOt-lS _ Unsalislied liabilities incurred by the decedent prialto his/her deoth ale deductible against
his/her ta'll:able estate. In addifiCln to debfs incurred by the decedent, other items ore claimable including the cost of
administration, attorney fees, fiduciary fees, funeral and burial expenses including the cost of 0 burial lot, tombstone or
grave marker. List the date on which each debt was incurred and/or paid and the names of each payee. Provide g brief
explanation of the nature of each debt claimed and the amount being claimed
Evidence to support the decedent's or the estate's lial.Jility for the debts being claimed should be attached to this return
A family c'lCemption may be claimed by a spouse of 0 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 0 member of the same household can claim
the c"icmption. In the event there is no such spouse or child, the exemption con be claimed by 0 parent or parents who ore
members of the some household os the decedent.
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INFORMATION
PLACE FOR FILING _ The return is to be filed in duplicate with tho Registel 01 Will s 01 the county wherein the decedent
resided.
liME FOR FILING _ The return is duc nine months ofter the decedent's death, unless on extension for filing has been applied
tor and granted by the Secretary of Revenue within the ninc..manth period.
FAILURE TO FILE RETURN _ Section 79101 the 1961 Statute plovides that" . . .any person who willlully loils to file a
return or other report required of him sholl be personally liable. . .to a penalty of 25~o of the tox ultimately found to be
duc or 51,000 whichever is the less to be recovered by the Department of Revenue os debts of like amount arc recoverable
by low."
NOTE: Fees paid to an estate representative: namely, an executor or administrator, for services performed in ad.
ministering an estate is reportable for Pennsylvania Income Tax purposes. This taxable Income item shoud be reported on
form PA.40.1ndividuollncome Tox Return.
INFORMATION
To insure proper credit to your account. the name of the estato end file number should be clearly print-
ed on the check or money order.
This assessment is mado in accordance with Section 708 of the Inheritance and ESHlte Tax Act of
1961 (72 P.S. ~ 2465.7061.
To the extent that inheritance lax is paid within three (3) months after the death of tho decedent. 8
discounl of live (51 percenl is allowed (72 P.S. 9 2465.716).
Inheritance Tax, other than tax on 8 future interest. is due at the date of the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedent's death (72 P.S. ~ 2485.711). Inheritance
Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and
enjoyrnent 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 Bctual payment using the following interest table:
------------ ------------------ - --- ------------- - - --- ---- ---------- -- - - - ----
I 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 G months .030 9 months ,045 12 months ,060
1 days .00017 11 days ,00166 21 days .00352
2 days .00034 12 days ,00203 22 days ,00369
3 days ,00051 13 days .00220 23 days ,00366
4 days .00066 14 days .00237 24 days ,00403
5 days .00065 15 days .00250 25 days .00420
6 days .00101 16 days .00267 26 days ,00437
7 deys .00116 17 days .00264 27 days .00454
8 days .00135 16 days .00301 26 days .00471
9 days .00152 19 days .00316 29 days .00466
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 (GOl days after receipt of this Notice as provided by Section
1001 of tho Inheritance and Estate Tax Act of 1961 (72 P,S. ~ 2465.1001).
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
...
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVEtlUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAl; DIVISION
SUPPLEMENTAL
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
*'
;..-
RCC-I03IJ.7.11
COUNTY OF CUNI1r.RL!IND
This foturn must bo completad in dotall and (ilod In dupliea'o. with the Registor of Will. in tho County whuru tho docedenl rcsidod wllhln nino
months oftelr data of death, unloSl on cUlten.ion i. grontod by tho Secrotory of Rovonuo.
Will 752
x.lI11i~N,,~1-80- 1<)_ I. GLADYS N. CARH1\;W
iNAMEl
Misc.
being duty sworn :lccnnJing III law, llcptlscs ami says thaGhc is the
of J.15 YORK STPJ':J;:'I'.
PENNSymi\.iW~
ElIOIA
P.-...pC""nrr;..... __ _~____.__
IEXEC., ADM., Ll::;GATEI.::, ETC.l
of the estate of
V IllCEN'I'....h._.CllIDLlUlY._.____. Iille of
l"" ".l:.....E.ennsboro_ 'I'ovlllship,
ICITY. lJOROUGH, OR TOWNSHIP) ,
deceased, ami that the \\'hnlc of the estate nr said decedent. whu died on .u___Qc.taber__~,-19BO ,-.-
IDATE)
consisted of the assets listeLl helow anLl that alluwlIhh: uehts .IIlU deLluctiuns cxceedeLlthe fair m;Hket vulue tlf the i1ssets and
no Pennsylvania Transfer Inherilance Tax is Jue.
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19....8J.....
N t;'lry Public
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.//It:utu,J.- 2!i,
(~YGN A TUREI
(/ .
l t Ili"I:'L,_~.ecutrJ.x
:.,- tTl1LEJ
Sworn and subscribed before me
,h. 25th day of M;!T"h!
~ ~~ll'~'
Type of Asset:
Real Estote, Pell.
Prep.,ty. Jeintl)'
Held Prop. or
Tran,fers
ASSETS
(Attech additional sheets If necessary)
Descrlptic.n of Asset
Estimated
Market
Value
Deportment
Valuation
CAUTION
(Do not write
in this s ce)
Bank Stock
One-half (~) interest i~ 395.99 Shares
Common Stock, Philadelphia Electric
Company, registered in names of Vincent
L. Carmany and Gladys !-I. CarTl)P.ny, as
tenants in COllU1lon, at 13 1/8':
2598.6V
TOT ALS
2598.68'/
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have
appraised the real and personal property as reported in the foregoing schedule at the values set forth opposite each item in
the 1ast column to the right. ,~',.' I ;;/'. i" f
Dated: April 8, 1981 IINHERITANCE TAX APPRAISERI
Nome of Poyee
DEBTS AND DEDUCTIONS
Noture of Claim
Amount
Claimed
Amount Approved
by Regl.ter
Register of ~i11s
Jack W. Richardson
George 11. Houck
Gingrich Memorials
Gladys M. Carmany
Letters Testamentary, etc.
Funeral Director
Attorney I 5 fee
Stone Inscription
Fa~i1y Exemption
18.00
2476.60
50.00
100.00
2000.00
Reference is made to
wherein $1985.32 in a
plementa1 Return make
riginal Inheritance Tax Return
sets was reportec. This Sup-
the total of assets $4,584.00.
TOT ALS
4644.60
REPORT OF HIE REGISTER OF WILLS
I. the undersigned duly elected Register of Wills in ami for the abm'c County, do respectfully report that I hn\'c allowcd
deductiuns in the amounls set forth in the abovc schedule as claimed, except where I have set forth a greater or lesser amuunt
in the lasl cnlullln to Ihe righi, which greater or lesser amount represents the s allowed as a deductinr "
/1 ./1 JO /, 'i L . J
Date of Appruval: ()id:";/-< -I> /~ () 7 J / ' /t.<.- rU/
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IIEV.518 FO (7-80)
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
NOTICE OF FILING OF APPRAISEMENT
Ms. Gladys M. Carmany
115 York street
Enola, PA 17025
RE: Estate of
Coun ty of
File No.
Vincent L. Carmany
Cumberland
21-80-0752
Dear Ms. CaI'many:
You are hereby notified thot the insolvent
appraisement in the estate of Vincent L. Carmany
hos been filed in the office of the Register of Wills of Cumberland
County on April 8, 1981 ,19 _' Said appraisement reflects the following yaluations:
Real Estate
Personal Property
Jointly Owned
Transfers
Total
None
$2,5lJ8.68
None
None
$2,598.68
As to such tax that is paid within three months from date of death, a fjye (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, indusiye; and twelye months when
death occurred prior to December 22, 1965) from date of death, interest at the rate of six (6%) percent
per annum is charged.
Any party in interest wha is aggrieved by this notice may object thereto within sixty days
after receipt of said notice as provided by Section 1001 of the Inheritonce and Estate Tax Act af
1961,72 P.S. 2485-1001, P.L. 373.
Date
April 8, 1981
Si gned
1/ ,., " /
Title Chief Appraiser
NOTE: This is not a bill.
REV-," 18-71)
COMMONWEALTH OF PENNSYLYANIA
DEPARTMENT OF REVENUE
BUREAU DF FIELD OPERA TIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
~,
~Al
DATE
April
8 , 1981
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Applicotion is hereby mode lor censent to the transfer 01 the following socurities of 0 Pennsylvanio
Corporation or 0 Notionol Bonking Associotion locoted in Pennsylvania:
(0) 725.997 (b) philadelphia Electric company ,__ (c) Common Stock
(NOTE: In describing securities enter in (0), ob Ole, either Ihe number 01 shores 01 stock or the fuce amount 01
registered bonds, in (b), the nome 01 the issuing company ond in (c) the closs of stock or the staled interest rote
and maturity date of registered bonds.)
ISSUED ON Various dates
(Dole)
OS of the dote of death of the decedent,
One-half interest therein
, and having 0 TOTAL MARKET VALUE OF S _4., 764.36
vincent L. Car!!l3:m.Y____, on
(Name of Decedont)
October 1, 1980
(Oato of deoth)
who was lole of 115 York Street. Eno1a, Cumberland counY.L.-!'~~nsy!vania, 17025
(Street and Numbor)
(Past Office)
(County)
(StoIO)
The securities ore registered os foillows: vincent L. Carmany__a,l]d G~.~<;1ys 1~...._G.~:r;J11....aJ\Y.l as
tenants n common (Namo or names in which certificates orc registered)
~~~ Gladys M. Carmany, 115 York Street, Eno1a, Pennsylvania, 17025
EXECUTBRX) (Home) (Add'""l
NAME OF APPLICANT Gladys 1.1. Carmany
----n:S-York Street
COUNTY FILE NUMBER 21-80-752 ADDRESS OF APPLICANT r:no1a, Pennsylvania, 17025
BUREAU FILE NUMBER SIGNA TURE OF APPLICANT ~/.!iiii.t(f1/ )JI, (1l1,//(CNM,
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLlCATlOtl, IT WILL NOT BE j
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
--,--~-,_...~-----_..-
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES -" . .// .~.;;; /- J~ 7t?/
DATEt4S~~'"
I hereby consent to the Iransfer of the above securities now registered in the nome of th~foresajd
Decedent and waive the filing 01 a certificate certilying to the payment of the transfer inheritance tax to which
the properly of said Decedenl is mode subject pursuant to the provisions of the Act 01 June 20, 1919, P.L. 521,
os amended and the Act of June 15, 1961, P.L. 373, os amended. This is also in accordance with the provisions
of the Acl of April 9, 1929, P.L. 343.
This Consent 10 Transfer the herein described property operates only in reference to Ihe eslale 01 the
above-named Decedent.
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Signed for the Secretory 01 Revenue
By3J!d~ __t::~~~/.J
~)1~19 u,el'/
. I I A
'/.r....L .. ~~. //'/"ijidt;..i.~.z-
~ Ie) ~~nlyl
,
. D.'. N,me of PlY" N.tur. of Debt Amount
Funeral expenses paid
Familv exemption (will not be allowed unless decedent died
residing with 0 parent. spouse or children.)
Administration Expenses
Counsel Fees
Fiduciary Commission
(Other Debts and Claimsl
Total
Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true. correct and ~omplete.
M {;U4/WI"(
;ck.;}/ WI, f!Jbv. J" /'iF/
s~nature of Fiduciarv () ,
Doe
I do hereby certify that I have appraised the assets contained herein in conformity with Pennsylvania law,
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w Appraiser Date
'" In the event that any future inlerCSI in this estate is transferred in possanion or enjoyment to collateral heirs 01 the decedent after the expiration of any
::>
oJ estate for life or for years, the Commonwcalth hereby expresslv rescrves the right to appraise and assess transfer inheritance taxes at the lawful collateral
<t role on any such future interesl.
U
it
...
E Dabts and deductions are allowed in the sum of $ at percent.
Register of Wills Dale
DEBTS AND DEDUCTIONS
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
(St.te full names and addrussos of a\l who hlvo an intou'"
.ither vatted. contingont or other intorest'
RELATIONSHIP
TO OECEDENT
SURVIVED
DECEDENT
STATE YES
OR NO
AGE OF LIFE
TENAN)'S OR
ANNUITANTS
AT DEATH OF
DECEDENT
INTEREST OF
BENEFICIARV
IN ESTATE
Gl adY!!JL~.armanY-,
115 york stree.t.,
~nnl ". p"nnay~vani.a,-3.1.o
-Spouse
Yes
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INFORMATION
PLACE FOR FILING _ The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided.
TIME FOR FILING _ 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,
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 penallY of 25% of ti,e 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."
..I.v..... EX+ \HOI
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
o Original
[i] Supplemental
o Remainder
File Humber
21-80-0752
Estate Home
Vincent L. Carmany
Dote 01 Death
Oc tober 1, 1980
Social Securi Iy Number
203-10-0383
I, tho undo..lgnod duly appolntod Inheritance Tax Appra;..r In and lor the County 01 cumberland
Ponnsylyanla, do r...pectlully roport that I baye appraised the real and porsanal property as reported In the laregalng
retum at the yalu.. set larth apposite each item In the last column 10 the right In Schedules" A", "B", "C", and "e"
REPORT OF INHERITANCE TAX APPRAISER
Dated.
April 20, 1981
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INHERITANCE T"X APPRAISER
INVENTORY
VALUE AS APPRAISED
COOE
ADJUSTMENTS
(HARRISBURG USE ONLY)
REMAINDER APPRAISEMENT caDE
92+
-
TOTAL GROSS ASSETS
$ None 00+
1 082 82 10+
None 20+
None 30+
H,.Q~2 82
40-
93-
Reol Property (Schedule A)
Porsonal Proparty (Sch.dule B)
Jolnl.Held Properly (Schedule E)
Transfor. (Schedule C)
Leu Oebt. and Oeductlon.
(SCHEDULE F)
CLEAR VALUE OF EST ATE
OLlie estate
,0 Annuity
RATE
FACTOR
PRINCIPLE
VALUE CODE
-
\ :
FOR USE OF REGISTER ONLY
Tax on S
CODE
COf,lPUT A TION OF TAX
S
S
S
6~a
15%
T ox on S
Tax on S
$_
Tax an $
s
Tax on S
Exemptions
Total Estate
TOTAL TAX
INTEREST FROM
BALANCE
TO
s
s
s
TAX CREDIT
s
AEV-4157 EX+ 170080.
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DeCEDENT
Ii'lHERITAi'lCE TAX
APPRAISEMEi'lT
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DORIGINAL
o SUPPLEMENTAL
Estate 01
Vincent L. Carmany
._---~--- -----
File i'lo. _21-8Q-0752
Coun ty
Cumberland
Dote of Death. October I, 1980
------------
In the ovent thot tiny future Inlerrnt in tlds eslul" Is tronsfcllcd In possession or enjoyment to I:011aleral heirs of the decedent ofter tho
expiration of an)' estate for Ilfo or for years. the Commonwealth hereby expressly reserves the right to appraise and auess trans for
Inherltonco taxes at tho lawful collateral ,,,to on ony such fulure Inforerst.
PROPERTY i'lOT Ii'lCLUDED li'l RETURi'l BUT APPRAISED BY THE COMMONWEALTH
ASSET SUMMARY
DEPARTMENT'S
APPRAISED VALUE
DUFE ESTATE
DANi'lUITY
TOT AL GROSS ASSETS
DREMAINDER
$ None
$ .-1,082.82
$ None
$ None
$
1. Total Real Property - SCH. "A". . . . .. $
2. Total Personal Property - SCH. "B". . . . .S
3. Total Jointly Owned Property - SCH. "E" $
4. Total Transfers - SCH. "C". . .'. . . .. $
None Unreported S
$1,082.82 Unreported S
None Unreported $
None Unreported S
1 082.82
TOTAL VALUE
$
I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this
day with the Register of Wills.
)(/nl., /-li'f,'ll "j) April 20, 1981
APPR~ER DATE
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:~::t~:;'l,~,,~~;y,';-"':l"':'p, - . COMMONWEALTH OF PENNSYLVANIA
1 4 ~O~K\~;~29419;' .,:,,'. . .' DEPARTMENT DF REVENUE
, I ~~~b::.,::~','/,'. n,:'- .', OJ:~.ICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
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ADDRESS
.ation.l .ank Bldg.
Meohanic.burg, 'A 17055
'--~f~T~/~i.~eATioN:-o;~~-i~--i98o-------
FILE NUMBER
21-80-752
"pdl 9, 1981
Vinoent L. Carlllny
c\lllberland
DATE OF PAYMENT
NAME OF DECEDENT
. COUNTY
I POSTMARK DATE
REMARKS:
".AID OM ACCOUN'l'''
SEAL
I
--
TAX Al 6%
TAX AT 15'1\
TAX AT_%
ESTATE TAX
TOTAL TAX CREDIT 161.34 I
1/
LESS DISCOUNT
m PLUS % INTEREST
(FROM IO_I
m TOTAL AMOUNT PAID '61.34
RECEIVED BY
tJ'/(d,/ ()?,n;J
NATURE
REGISIER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
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DATE
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ESTATE
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FILE NO,
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COUNTY ..,'.//jj" f/ .-.JA;~'~
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DATE OF DEATH (.fTu-/:-".t) / /1j/)
,
Appraised Velue 01 Estete:
Reel Estete
$
-----
Personal Property
, - 9;1 " -
+ _/~ ,. .' , /~' }'
Jointly Held Propeny/Translers
+
Total Gross Estate
../ -:-1<'...... / (/
$ ./9 ~(i ,,..,f
,
Clear Value of Estate
/.._0;'; ,oJ.
~-",. '.'1/
$ ,t/:~'/I ".,_Ild"....>l-Sd-l:~~.~
, ,~
Total Approved Deductions
Less: Approved Charitable Exemptions
Clear Velue of Estate Subjac! to Ta.
$
Amount Ta,able @ 6% Rate
$
lj~ilA,<_~A-iI';vtd~,?;r
I
Amount Ta.abla @ '5% Rata
taK due '
TOTAL PENNSYLVANIA INHERITAN*~--6ffE"Ao~;j~~....;c-
'* * * * '* '* A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
$
+ $
$
=
$
+
=
+
=
Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from I
to date of payment. Interest due if paid by is ._.'./ "'/'"' ~/. -r-
,I' /_;., ~I-,;.t/'-.., v.. ~
BALANCE OF PENNSYLVANIA INHERITANCE T~\aW/I.,p$ -11'~ '
I .
See Information on Aoverse Sido
ii~:.jl~~iLi{ ,;; '.-_i~_L:.-
INFORMATION
To insurt!l proper credit to your account. the namo of 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 Inheritance and Estato Tax Act of
1961 (72 P.S. !i 2465.706).
To the extent that inheritance tax is paid within three (3) months after the death of the decedent. a
discount of five {51 percent is allowed {72 P.S.!i 2465.7161.
Inheritance Tax, other than tax on a future interest, is due at the date of the decedent's death and becomes
delinquent at the 8lC;piration of nine (91 monthS after the decedent's dealh (72 P.S. ~ 2485-7111, Inheritance
Tax on a future interest is payable within three (3) months after tho transfer takes effect in possession and
enloyment and is delinquent thereafter (72 P.S. 9 2485.712), Calculate interest from the delinquent date shown
on the face of this form to the date of actual payment using tho 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 .00166 21 days ,00352
2 days .00034 12 days .00203 22 days .00369
3 days .00051 13 days .00220 23 days ,00366
4 days .00066 14 days .00237 24 days .00403
5days .00065 15 days .00250 25 days .00420
6 days .00101 16 days .00257 26 days ,00437
7 days .00116 17 days .00264 27 days .00454
6days .00135 16 days ,00301 2B days .00471
9days .00152 19 days .00318 29 days .00466
10days .00169 20 days .00335 30 days ,00500
--------------------- --------- --- -------- ------.----- --- ---------------
Any party in interest. including the Commonwealth and the personal representahve. not satisfied with
tha assessment may object thereto within sixty 1601 days after receipt of thiS Notice as provided by Section
1001 01 tha Inheritance and Estate Tax Act of 1951 (72 P.S. !i 2465-10011
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
FILE NO.
JuNC .I 9 /9&' /
y/, NaN' .A. CAio(/l'rN'Y
c'). J -- R () - ,,7~ -;1-
COUNTY FILE NO:
01./- 6'0 - 7',A
DATE
TO:
G [:.or(6c. /11, 110<.1(, k.
E. s c.:
.
ESTATE
/VA i-,o,vA,_ L:3/iNk- ...0.JJ J,. V)('tI'G
;11.E.t: HA,ViC .5,,:':J .....,,(.,
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,( /T
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COUNTY
(1",....'6CJl.. 1. ffl"..ILJ
DATE OF DEATH
/0 - / - K'o
Appreised Velue of Estele:
Reel Estele
SoJ(?fJJ.,;.,rEN-r';;... I~;t=.o ~9ft/
Personal Property
$
+
/eJ B'3-.\?OL
Jointly Held Property /Transfers
+
Total Gross Estate
$
Total Approved Deductions VII/tJ.:>c. j) j)cJ],5 f;1.dj) c/I~~'6/{-
:.>"'7, 5:;'--
Clear Value of Estete
$ / Od..], '/7
Less: Approved Charitable Exemptions
Clear Velue of Estate Subject to Tex
$
Amount Taxeble @ 6% Rete
$
If) :,. J '-17
tax due
$
61,~CJ
Amount Texable @ 15% Rete
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
$
6/,'1'0
* * .. .. . * A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
/.//1 /r, I
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
$ 0/,31
+ $
$
=
$ (;,). 3~
+
=
+
=
Interest Bccrues 01 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
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
$
-0-
?11t:</ (, ;;(;tu~
Assessed by:
See Inlorma1ion on Reverse Side Agel\lforJ~ ml"gnwealth. t I
/(~u ,-"I"J(' 0'" V.J/.5
tlElilSiU{ Of '.',ILl:...
INFORMATION
To insure proper credit to your account, tho name of tho estate and file number should be clearly print-
ed on the check or money order.
This assessment is made in accordanco with Section 708 of tho Inheritance and Estate Tax. Act of
1961 (72 P.S. ~ 2485.7081,
To the extent that inheritance tax; is paid within three (31 months after the death of the decedent, a
discount of live 151 percent is ell owed (72 P.S. ~ 2485.7161.
Inheritance Tax, other than tax on a future interest. is due at the date of the decedent's de8lh and becomes
delinquent at the expiration of nine 191 months alter the decedent's death 172 P.S. 9 2485-7111. Inheritance
Tax on a future interest is payable within three (31 months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. 9 2485-7121. Calculate interest from tho delinquent date shown
on the face of this form to the date of actual payment using the following interest table:
------------ --------- --------- - --- ---- --------- - - --- - --- ---------- ---- - ----
I month ,005 4 months .020 7 months ,035 10 months .050
2 months .010 5 months .025 8 months .040 1 1 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 sil(ty (60) days after receipt of this Notice as provided by Section
1001 of the Inheritanca and Estate Ta< Act of 1961172 P.S. ~ 2485.10011.
Make check or money order payable to:
"Register of Wills. Agent"
Mail to the address listed below:
.~