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21.80
No.
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
7G?
In the Estate of c.dw,~ t:r.-,,,,(',, ~'<1,,<:.')'^
, deceased.
To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania.
(' ,
Petltloner(s) Is (are) the execut 0(' named In the Last Will and Testament of C.dw'n
ff'll\<:15 \,v,,,.,,,, dated () h~JJ..d- :" \'1,1
Decedent was a citizen of the United States and a resident of (o",p \-IILl..
Township (Borough), Cumberland County, Commonwealth of Pennsylvania.
Decedent d'::d on \,.J{'d "'~"') the I)..~ day of Se ~""I,d A.D. 19~, In the
County of ClJ.....I:l,~Il\V\a ,Stateof Po., at the age of (f)d- years.
Decedent hflo!r (has not) been married and A8e (has nol) had children born to him (her) since the ex-
ecution of the above described Will. 1:
Decedent was possessed of personal property to the value of (/oM -jW."" \0 om
and of real estate to the value of '1\6 \rCliuJl..
as near as can be ascertained; said real estate situated as follows
Therefore, your petltloner(s) respectfully apply(les) for the probate of the said Last Will and Testa-
ment and for Letters Testamentary Iheron.
Dated _~ 'bX\M
Name and address
of Pelllloner(s)
\-"" ~~
I" 1", E'i-Ie..." ,,, ., .. , ~
/22- :;.:1/Z-'51 /
r;; J N},. /:.;,'. II. .fer
,
/7CJ//
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND j
:Ill"" f \,S/1l\rol.>.....
ss
named In above application, being duly ",^",rV\
statements set forth in this pellllon are true to the best of
according to law say(s) that the
"i, knowledge and belief.
sworn
and subscribed before
me December 8,
-32ft~~..
193~
fd- [1ft~
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Filed: December 9, 1980
Attorney ~~~(..to~ .~
[Xl ~)c ~~io ~
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LAST WILL AND TESTAMENT
OJ'
EDIHN FRANCIS HANSON
I, EDWlll FRANCIS HANSON, a domiciliary of the State of Pennsylvania,
being of sound and disposing mind and memory, do hereby make, publish
and declare this instrument to be my LAST IHLL AND TESTANENT. I hereby
I
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revoke any and all wills and codicils by me heretofore made.
I
IDENTIFICATIONS AND DEFINITIONS
I am married to JANE JI!ANNETTE HANSON ("my Wife"). We have two
children, JOHN EDWIN HANSON and ROY ALLAN lU\NSON. References in this
Will to "my Children" include these two children and any other lawful
children born to or adopted by me.
The following definitions obtain in any use of the terms in this
Will:
1. "Descendants" means the immediate and remote lawful,
lineal descendants of the person referred to, and it
means those descendants in being at the time they
must be ascertained in order to give effect to the
reference to them, whether they are born before or
after my death or of any other person. The persons
who take under this Will as Descendants shall take
by right of representation, in accordance with the
rule of per stirpes distribution and not in accordance
with the rule of per capita distribution. Persons
legally adopted when under the age of fourteen years
shall not be differentiated from blood descendants
for any purpose.
2. "Survive me" is to be construed to mean that the person
referred to must survive me by thirty days. If the
person referred to dies within thirty days of my death,
the reference to him shall be construed as if he had
failed to survive me.
(Page 1 of 4 Pages)
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II
PAYMENT OF DEBTS AND TAXES
I direct my executor to pay the following before any division
or distribution under the following articles:
1. All of the expenses of my last illness, funeral and
of the administration of my estate.
2. All inheritance, transfer, estate and similar taxes
(including interest and penalties) assessed or payable
by reason of my death, on any property or interest
in my estate for the purpose of computing taxes. Hy
executor shall not require any beneficiary under this
will to reimburse my estate for taxes paid on property
passing under the terms of this will.
III
RESIDUARY ESTATE
A. I define "my Residuary Estate" as all of my property after
the payment of debts and taxes under Article II above, including real
and personal property, whenever acquired by me, property as to which
effective disposition is not otherwise made in this will, and property
as to which I have an option to purchase or a reversionary interest,
but excluding property as to which I have no interest other than a power
of appointment.
B. I give my Residuary Estate to my Wife if she survives me.
C. If my Wife does not survive me, I direct my executor to divide
my Residuary Estate into equal shares and to distribute those shares as
follows:
1. one share to each of my Children then living;
2. one share to the then living descendants of each of
my Children who is not then living.
IV
APPOINl1lENT OF EXECUTOR
I appoint my Wife, JANE JEANNETTE HANSON, as Executrix of this Will.
If JANE JEANNETTE HANSON is unable or unwilling to serve in this capacity,
I appoint my son, JOllli EDWIN HANSON, to serve instead. If JOHN EDWIN
HANSON is unable or unwilling to serve in this capacity, I appoint my
son, ROY ALLAN HANSON, to serve instead. I request that my executrix or
executor, whichever the case may be, not be required to furnish bond or
securiti"s.
(Page 2 of 4 Pages)
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IN IIITNESS !"HEREOF, I have at Carlisle Barracks, Pennsylvania,
this L day of S;-'
, 1979, set my hand and seal to this my
LAST WILL AND TESTAMENT consisting of four (4) typewritten pages, this
included, the preceding pages hereof bearing my signature.
&tJi~ !'14/}~t0 l-fa%:"R
EDIIIN FRANCIS HANSON
(SEAL)
Signed, sealed, published and declared by the above-named Testator, EDWIN
FRANCIS lU\NSON, as his LAST WILL AND TESTAMENT, in the presence of all of us
at one time, and at the same time, we, at his request and in his presence
and in the presence of each other, have hereunto subscribed our names
as attesting witnesses, and we do hereby attest to the sound and disposing
mind and memory of said testator at the date hereof, and to the performance
of the 9ioresaid acts/9f execution at Carlisle Barracks, Pennsylvania,
this .l2- day of U.Ufttd-, 1979.
(Page 3 of 4 Pages)
ADDRESS
/<. /70/.$
COilllONWEALTH OF PENNSYLVANIA)
COUNTY OF CmmERLAND ) ss:
Before me, the undersigned authority, on this day personally appeared
EDWIN FRAllCIS HANSON, Dixie Lee Stoner , Rosa A. Ortiz ,
and Ernest F. Peluso , known to me to be the testator and the witnesses,
respectively, whose names are subscribed to the annexed or foregoing instrument
in their respective capacities, and all of said persons being by me duly sworn
the said EDWIN FRANCIS HANSON, TESTATOR, declared to me and to the said
witnesses, in my presence that said instrument is his LAST HILL AND TESTAMENT,
and that he had willingly made and executed it as his free act and deed for
the purposes therein expressed; and the said witnesses, each on his oath,
stated to me, in the presence and hearing of the said testator that the said
testator had d)clared to them that said instrument is his LAST WILL AND
TESTAMENT, and that he executed same as such and wanted each of them to sign
it as a witness; and upon their oaths each witness stated further that they
did sign the same as witnesses in the presence of the said testator and at
his request; that he was at that time eighteen years of age or over or being
under such age, was or had been lawfully married, or was then a member of
the armed forces of the United States or of an auxiliary thereof or of the
Maritime Service and was of sound mind; and that each of said witnesses was
then at least fourteen years of age.
tjt(~l f/l4/JU0 UMwC'-
EDWIN FRANCIS HANSOll, Testator
Q
Subscribed and acknowledged before me by the said EDIHN FRANCIS \lANSON,
testator, and subscribed and sworn to before me by the said Dixie Lee Stoner
Rosa A. Or.tiz , Ernest F, Peluso , and
witnesses, this 3rd day of August ,1979.
!itj~ r/: ~
NcrtARY PUBLIC
(Page 4 of 4 Pages)
My COlrnnission Expires
G;"i. A. Gtbner. Noluy PU'hc
NO~: MtddI~to~ fWD. CumberlJnd C<lUlrty
':./ CofllmcS1101l hjiHt'l Feb. 5. 1983
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OATil OF SlJDSCRllIlNG WITNESS
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND f
This 9,.ti". day of \:\Q~Q"""t\ I\.D.,19'BO ,
before me, Register for the Probate of Wills and granting h;.[lers of Admin~tralion in and, for said County of Cumberland, in
the Commonwealth of Pennsylvania, personally came U!)(,<.. l RR ~,tJ"", QV\cl Qo~r.~ 1\. 0< ~ ,<-
the subscribing witnesses to the foregoing instrument of writirlg purporting to be the last Will and Testament of
CCow,\'\ t""",,-,,, \~Ct......,v" Dated __"l~u"ln-+ "l" \'\'11
.
late of
C.a~"n \.h \ \
,
Cumberland County Pa., deceased who being duly
SI...J~~'(\ according to law, depose and say, that
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present, and saw and heard the test"""!
instrument of writing as and for h 15
sign, seal, publish, pronounce and declare the said
Testament and Last Will, and at the time of so doin~ hI!..
was of sound and disposing mind memory and understanding, to the best of +~,,; ('
knowledge, observation and belief.
sworn
,9i,',j alfr
and subscribed before
?fr{Ul ~, ~~H;J
Register
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA l ss:
COUNTY OF CUMBERLAND ~
~\.,"
'30\-.\'\ 'rw \-k'fl-sUf\
being duly
<;1..0(''1\
says that as nearly as can be ascertaineclthe said decedent E Du-"", fYoq".,:" \1.0",,,,,,
died on
l".dM"cb~
I~R dayof c.,.,F'(I.,6/('
A.D.,19.JS..,
the
at or about
.., ,
. '> 0 clock,
D-M.
sworn
and subscribed this
'6~"'day ofJ:jQ~Q""bc(
~~1
/$~--~
19,~, before
~'h// (/. cfp'~'
Register
r-r:"..
,,~~_ .~IG
, ....____ __ ___ _~ - ____~ ~ . _A
\ "-:~'llezi!i('::d""(""" ,
'~fI;t1fi'f:?!.~i;:";~"'~ ~,'<' " , COMMONWEALTH OF PENNSYLVANIA
I 4 :N'OKo00398" DEPARTMENT OF REVENUE
1 ,~t:r,~,:(;._"';:"'" OFFICI~L RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
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TAX AT 6%
\ TAX AT 15%
I RECEIVED 001dbeX9, BVUUI So Dt-n, ~~.vA"_%
II FROM
P.o. BOa 966
ADDRESS ESTATE TAX
sanlllbuV . 'a. 17108 TOTAL TAX CREDIT 18.12
.--esTATEINFORMATloii;.:;;;;;;;-ii,--i979-----
DATE OF DEATH r-
FILE NUMBER
21-80-767
COUNTY
m
m
LESS DISCOUNT
PLUS % INTEREST
(FROM TO_I
DATE OF PAYMENT
JamIIln' 5, 1981
NAME OF DECEDENT BD1fJ- BAHSOII
C\JllberlaD4
18.12
.------------------------------------------
TOTAL AMOUNT PAID
, POSTMARK DATE
'~M,"'" ...... OR Ie.......
SEAL
RECEIVED BY
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/' dA--t.{ <.::.,' ~
,MUifc;l~
Re91.ter of 1fllb
t
REGISTER OF WILLS
------------------------- ------"--
. '
RCC-72 ('Nial
COMMONWEA~ TH OF PENNSY~VANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY CO~~ECTIONS
APPLlCA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
.
DATE
12/31/80
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made far coosenlla Ihe transfer of Ihe fallowing securilies of a Pennsylvania
Carparalion or a National Banking Association lacaled in Pennsylvania:
(a) 4 (b) Atlantic Richfield Corporation (c) common
(NOTE: In describing securilies enter in (a), ab Ole, eilher Ihe number of shares of slack or Ihe face amounl of
regislered bonds, in (b), Ihe name of Ihe issuing company and in (c) Ihe class of slock or the slated inleresl role
and malurily date of regislered bonds.)
ISSUED ON Mar. 29. 1977, and having a TOTAL MARKET V AtUE OF S
(Oote) .
as of Ihe dale of dealh of Ihe decedenl Edw1.n Hanson
,
281.00
, on
9/12/79
(Name of Decedenr)
(Dalo or. death)
who was lale of 122 S. 31st St.
(Street and Number)
Camp Hill
Cumberland
PA.
(Po.' Offlc.)
(Counly)
(Slole)
The securilies are regislered as follows:
Edwin Hanson
(Nome or names in which certlfieatllla. ore registered)
XDnnfH~
EXECUTOR )
JOHN EDWIN HANSON
(Nome)
(Add,...)
NAME OF APPLICANT Goldberg. Evans & Katzman
J. Jay Cooper, Esquire
COUNTY FILE NUMBER dl-d\) - '71&'1 ADDRESS OF APPLICANT P.O. Box 966 , Harrisburg, PA.
C 17108
BUREAU FILE NUMBER SIGNATURE OF APPLICANT .,
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPL. ION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEAL TH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~
DA TE 0r<<- ~
I hereby consenllo Ihe Iransfer of Ihe above securilies now regislered in Ihe name of Ihe oresaid
I q f"/
Decedent and waive Ihe filing of a certificate certifying to Ihe paymenl of Ihe Iransfer inheritance lax 10 which
Ihe property of said Decedenl is made subjecl pursuanllo Ihe provisions of Ihe Acl of June 20, 1919, P.L, 521,
as amended and Ihe Acl of June 15, 1961, P,L. 373, as amended, This is also in accordance with Ihe provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operales only in reference 10 Ihe eslale of the
above-named Decedenl.
Signed for Ihe Secretary of Revenue
e _) ___/'
By 17Cv1-r c. df.{^MA\)
('~-:/~J__I ( [gno'J'!.) I "
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COMMONWEALTH OF PENNSYLVANIA
DEPAR1'McNT OF REVENUE
ElURE:'U OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
'*
DATE
12/31/80
APPLICATION (MUST BE FILED IN TRIPLICATE)
.-
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for coosent to the transfer of the following securities of 0 Pennsylvanio
CorpJr,:~:c.n or 0 Notional Banking Associalion located in Pennsylvania:
(0)__ 12 (b) Sunbury-FoodL-lnc. (c) common
(NOTE: In describing securities enter in (a), ab Cie, either the number of shares of stack or the face amount of
regis:~red bonds. in (b), the nome uf the issuing company and in (c) Ihe class of stock or the stated inlerest rate
end maturity date of registered bonds.)
ISSIJE') ON 1/21/74
,and having a TOTAL MARKET VALUE OF S~ 00
(Do.e)
os of the dote of dealh of the decedent, Edwin Hanson
(Nome of D~ced.nt)
. on
9/12/79
(Dote of death)
who was late of 122 s, 31st St.
(Street and Number)
Camp Hill
Cumberland
PA.
(Past Olllce)
(Coun'Y)
(Sto'e)
The securities ore registered as follows:
Edwin Hanson
(Name or names In wh1ch certificates orc registered)
~i):~
EXECUTOR )
122 S. 31st St. Camp Hill. PA. 17011
(Add....)
NAME OF APPLICANT Goldberg, Evans & Katzman
'''1 <7/ J. Jay Cooper, Esquire
COUNTY FILE NUMBER a -Efo-, b ?ADDRESS OF APPLICANT p n Fox 9"'''' H"n-; """'-g, PA,
, ,. , 17108
BUREAU FILE NUMBER SIGNATURE OF APPLICANT ('~;l'\ .,:'r)'..
\ \ "
tiOTI,-": I:: YOU i-A!L TO PROPE"LY FILL IN ANY PORTIOH OF THIS APPL:CATION, IT WILL NOT BE
COHSIOERED COMPLETE AHD WILL BE RETURNED TO YOU FOR COMPLETION.
JOHN EDWIN HANSON
(Name)
COMMONWEAL TIi OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES \In.. G
: i.,,:elly <=o,ls."l to Ih" trcnsfer uf the ubu.e securities now register~d in the nam~~lt~~aid
Decedent and waive the filing of 0 certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20. 1919, P,L. 521,
os amended and the Act of June 15, 1961, P.L. 373, os amended, This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent,
s:-:~ ,h. S"..,," 'lfReve~ue
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By OnL1 C OI./(}.~.(.),;..- ~. ~l'Y\.
/~-jJ, '.n. (SI9.{a.urel r fI '
_ j}~,7!IL l 1,\1
\f(T II I e)
AEV-:.t~ E)(+ 17-801
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES
(Instructions on Reverse Side)
E.tata of
HANSON, EDWIN F.
lo.t addre.. 122 S. 31st Street
ISTUEET)
..
%
'i: Camp Hill
~ (CITY)
W
o
Dato of Death
PA
(STA.TE)
17011
(ZIP)
9-12-79
Social Security No, 161- 09 - 3463
TYPE OF ASSET
12 shares
11 shares
10 shares
2 shares
4 shares
11 shares
~ 10 shares
; 43 shares
~ 13 shares
1. 62 sh.
OFFICIAL
USE
ONLY
DATE
12/80
12/80
1/81
~ 2/81
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OFFICIAL
USE
ONLY
DESCRIPTION
COUNTY NO,
.:)/-,S~7 7r:,7
STATE NO,
00 E ,ec.
( I Adm, Other
John E. Hanson
Name
Social Security No.
Addr... 122 S. 31st Street
PA
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Harrisburg
(STREF-TI
17011
(CITYI ISTATl::1 ,llPl
Under penalties 01 perjurv, I declare thot I heV8 examined this return and
to the best 01 mv knowledge and belief it is true,correct ond complete.
SlgnalUfC of Fiduciary
Oatil
ESTIMATED MAR)(ET
VALUE
DEPARTMENT VALUATION
(OFFICIAL USE ONLY)
Sunbury Foods, Inc.
Beneficial Standard Corp.
Hershey Foods Corporation
American Telephone and Telegraph
Atlantic Richfield
Bethlehem Steel Corp.
Lear Siegler, Inc.
Castle & Cooke, Inc.
National Old Line Insurance Co.
National Producers Life Ins. Co.
Co.
all other assets jointly owned with wif
TOT AL
21. 00
228.25
245.00
112.50
281. OQ~ 0) ",:0
259. 8e;;' J - ,..,fT1
225.0~" 0'(")
~~ _.0
;1l;U
795.50":: .'IC:'
. ,or1
l88.5Q::; I 'i'
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2,358.03
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I do hereby certify that the abave assets were appraised in accordanco with Pennsylvania law.
NAME OF PAYEE
Register of Wills
Cumberland Law Journal
West Shore Times
Register of Wills
Family Exemption
Funeral
Goldberg, Evans & Katzma
Register of Wills
- /~S'-~
. _,';;,f :31. t? .:3
DtDUC. TIONS A.L.L.owED
".,--t-"
NATURE OF CLAIM
Probate
publication
publication
Short certificates
Attorney's fees
Filing fee
J,?I
DA.TE
AMOUNT rot-AIMED
27,00
18,00
16.75
10.00
2,000,00
604.28
150,00
5.00
TOTAL
2,831.03 'IJ
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DATE
I~SlRUCIIO~S
ASSE1S:
lYPE OF ASSEl _Indicote whelherthe o"et is real eslole, pef>"nol property, tronsler or jointly.owned.
DESCRIPIIO~ _ List oil osse" owned solely by the decedont or owned jointly wilh another party or porties os tenants in
common or os loint tenonts with right 01 survivorship at the time 01 dooth. Include the decedent's percentage 01 ownership,
the nome (s) and relotionship to the decedenl 01 the surviving joinl owner> and the estimoled morkel volue 01 the decedent's
interest os 01 the dote 01 deoth. Include intongible personol property titled in the nome 01 the decedent but poyoble at deoth
to another porty or porties including but not limited to P.O.D. U,S, Savings Bonds ond tentotive Irust occounts. List ony
properly tronslerred by the decedent within Iwo yeors 01 death lor which helshe did not receive voluoble and odequote
CORsi derotion.
Describe oil real estole locoted in Pennsylvonio by 101 ond block number, street oddre.., number 01 ocreS ond include 0
general description 01 the land "nd buildings Also, include the book and page number in which the deed is recorded ond the
C1(oct title 05 indicated on the deed.
DEBIS & DEDUCIIO~S _ Unsotislied Iiobilities incurred by the decedenl prior to hislher death ore deductible ogoinst
his!her to,oble estate. In oddition to debts incurred by the decedent, other items 010 c1oimoble including Ihe cost 01
odministrotion, attorney Ices, liduciory lees, lunerol and buriol expenses including the cost 01 0 buriol lot, tombstone or
grove morker. List the dote on which each debt woS incurred ond/or paid ond the nomes 01 each payee. Provide 0 briel
explanation of the nature of each debt claimed and the amount being claimed
Evidence to support the decedent's or the estote's lio~i1ity lor the debts being c10imed should be ottoched to this return
A fomily e,emption may be c10imed by 0 spouse 01 0 decedent who died domiciled in PennsylvDnio. If there is no spouse,
or if the spouse hos lorleited his/her rights, then ony child oflhe decedent who is 0 member of the some household con c10im
the exemption. In the eyent there is no such spouse or child, the e,emplion con be c10imed by 0 po rent or parents who ore
members of the same household os the decedent.
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I~FORMA 110~
PLACE FOR FILI~G _ Ihe return is to be liled in duplicote with the Register 01 Wills of the county wherein the decedent
resided.
liME FOR FILI~G _ lhe return is due nine months after the decedent's deoth, unle.. on edension lor filing hos been opplied
for and granted by the Secretary of Revenue within the nine-month period.
FAILURE 10 FILE RE1UR~ _ Section 79101 the 1961 Stotute provides that" , . .ony person who willlully foils to file 0
return or other report required 01 him sholl be personolly Iioble. . ,to 0 penalty 01 25', olthe to' ultimotely lound to be
due or S 1,000 whichever is the less to be recovered by the Deporlment of Revenue os debts ollikc omount ore recoyeroble
by low."
NOTE: Fees paid to on estate representative; nomely. on executor or administrator. for services performed in ad.
ministering on estate is reportable for Pennsylvania Income lax purposes. lhis taxable income item shaud be reported on
form PA.4().lndividuallncame lox Return.
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
'*
TO:
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ESTATE
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COUNTY FILE NO:
COUNTY
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FILE NO,
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DATE OF DEATH
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Appro'sod Voluu 01 Eslala:
Aanl Ellnlo
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Portonnl Propolly
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Jointly Hold P,oporty/T,nnslof.
+
TOlol Gro.. Ellnl.
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TotDI Approyod Doductionl
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Cloor Volu. 01 EIIOI.
l on: Approvod Charitablo Exomptions
CI.n, Volu. 01 Ellole Subjactto Tox
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tax du:e:'!. :/.--,1"' [V'~$"'J(~t.. t/~rt/ t:-'-jI/
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Amount Toxnblo @ 6% Ao'.
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Amounl T..oble @ 15% Aala
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TOTAL PENNSYLVANIA INHEAITANCi;'T.Il./X,QYP.-li.--"L :: //1./ /;.'1-
'1'
I
tax due
. . * .. .. * A five percent discount totaling S
will bo grunted it tho Inheritance Tax is paid by
LOSII Crndils:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEAEST
TAX CAEDIT
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+
$
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=
$
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Inlurest
on Iho
10 dolo
ItccrUOI 81 Iho raiD of six (61 percent per annum
unpaid balancu of Inheritance Tax from
of pnymonl. Intorost due if paid by is ...' '~f J ,. ---~
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BALANCE OF PENNSYLVANIA INHEAITANCE TAX'DUE"., r-l.s" ,"" A-' C/r.'':.l ,,4,,:,.;.t/_.,
-/ / I '.r .-J"- , .'/ / l-
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Assessed by: ,/~, /1.'-- ":
See Information on Reverse Side Agintror,1heCo~/",!dnW"'lth,
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to. I}; [",:.---/:> 'l/
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INFORMATION
To insure proper credit to your account, tho nDrna of the osHita and file number should be clearly print-
ed on the check or money order.
This assessment is made in accordance with Section 708 of the Inheritance and Estate Tax; Act of
1961 (72 P.S, 9 2485-7081.
To the extent that inheritance la..: is paid within three (31 months after the death of the decedent. a
discount of five (5) percent is allowed (72 P,S, 9 2485.716),
Inheritance Tax, other than tax on a future interest, is due at the date of the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedenfs death (72 P.S. S 2485.711). Inheritance
Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. 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 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 ,0011 8 17 days ,00284 27 days ,00454
8 days ,00135 18 days ,00301 28 days .00471
9 days .00152 19 days ,00318 29 days ,00488
10 days ,00169 20 days ,00335 30 days .00500
-- ------------------- --- - - - -- - --- ---- ---- ------.---- - - - - --------- ------
Any party in interest, including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (60) days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961 (72 P,S, 9 2485.1001),
Make check or money order payable to:
"Register of Wills. Agent"
Mail 10 the address listed below: