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HomeMy WebLinkAbout80-00801 No. 2(.80 PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY 801 In the Estate of PEARL ~I. WI SE , deceased. To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania. Petitioner(s) Is (are) the execut ors named In the Last Will and Testament of Pearl ~1. Wise dated Decembcr 15, 1980 Decedent was a citizen of the United States and a resident of Ca l' 1 is 1 e Township (Borough), Cumberland County, Commonwealth of Pennsylvania. Decedent died on Saturday the 20th day of Deccmber A.D. 19.J!.L, In the County of Cumberland ,Stateof Penna. attheageof~years. Decedent RI\.ll((has not) been married and~Jt (has not) had children born to bJRl (her) since the ex. ecution of the above described Will. Decedent was possessed of personal property to the value of IInp~;-;!no l' ",1 and of real estate to the value of none as near as can be ascertained; said real estate situated as follows n/ a Therefore, your petitioner(s) respectfully apply(les) for the probate of the said Last Will and Testa. rnent and for Letters Testamentary theron, Dated December 26,1980 Name and address of Pelitioner(s) ~\\\?<"~:1 Paul E. Wise 7800 Bastille Rd., Severn, MD 21144 c.. ,/1 ,--r' . 1/ . L I.' . / ~. . atricia W. Strickl~r 336 Garland Dr.,Carlisle,PA 17013 COMMONWEALTH OF PENNSYLVANIA l COUNTY OF CUMBERLAND l ss Paul E. Wise and Patricia W. Strickler named in above application, being duly sworn statements set forth in this petition are true to the best of Sworn to and subscribed before according to law say (x) that the T1,I';" knowledge and belief. me,.pecember 26 .19~ 2~ . ~ll!&UI' _(i~('H,j '/ ,Register , J :f\~<;s"J -- i+, .' / 0-i '!.. (, r ...;{;Lc ...-!.- . .d;~L l-;c L~ {',('// ~ :1. l/ft Flied: December 30, 1980 Attorney James R. Humer' ,.-;::::;;W{J ~- ,;:2 /-t"-zJ,ftJ / //-/73'- 2 lJ.1 Ul .... 1 :;: ~ . ::;: ...:l p:: <: lJ.1 p., I .; 0: ... ~ i-o t') P., , _ r.3 .. .... < cwo 1'... ~ :: ~ !:: ;)H~Ul< ::r: < .. = ~ . ~ ~ ., '" p:: '" " i '" ~" . tn ,~ i-< ... ~ n: In 1II ...l ~ 0 :z: ~ ~ :;.: ~ w.... ::i < " = ~ " "'":l .... 0:: ~ < ~cu . 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 camc who, being duly sworn Paul E. Wise and Patricia W. Strickler ,do depose and say that as executors of the last Will and Testament of Pear 1 ~1. Wise deceased will well and truly administer the goods and ehallels, rights and credits of said deceased according to law. And also will di\ig~nt1y comply with thc provisions of the law relating to Transfer~I~li[i~nces. S\~O rn and subscribed before me. December 26 A.D., 19~ L )l\'(;:;J //YV/ /fi" 1;,' '/ Paul E. Wise i/L.I-(ljt/ L:.. /f'I'/I-<:~egister ....j'-/-, . / ri-:-"/ XBl!8l~l!t / /t I.} i.t' t: ~~ I .:Jrr. ~L1..L~_kl!L.1-J' , Patricia W. Strickler they ~ o r:J:J :.,; 0: :0) 0: :<Jl (l) :01 : ~ ~j :0) :0 u.. '<I'i CD: 0 [4 ~~ : Ul H .>: ...J :;: 0 0 . III 0 . ...J ~ '" .~ - - 0 - .~ H ::: E-t , S lY. ~ U ..: !: Q) ril .~ (:I '"' 't:l rl 0) 1'. 't:l \J): '" ~~j 0 " 0) ... 0) al 't:l b/) .- !: &: .~ 01 r>:.. Q CO . - C"'4 o Z .B .5 <Jl [;il o Z DECREE Be it rcmembered that on the 30th December 80 ,A.D.,19_, there was probated and day of recorded the last Will and Testament of pe ar 1 !,!. wis e Carlisle , Cumberland County, Pennsylvania, E. wise & patricia W. Strickler Deceased. Lellers Testamentary were granted to Paul Witness my hand and official seal the .,gay and year aforesaid. '//);'0///" //1 /;/ ~? , , " U:I'{.'( ",/ / R' - eglster, .6';:'3 ",.--",.;'" late of ,I ;J I - ;'0 ~ YO / '!.. REV-449 EX.4 (3-80) COM",OHWEALTH OF PEtmSYLVASIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEOENT * AFFIDAVIT OF FIDUCIARY (Instructions on Roverse Side) Estate of PEARL ~1. WISE Lost Address _4..Q(LS_._C.Q).J~ge St. Date of Deoth December 20, 1980 Soci 01 Security No. 209.28 - 9788 17013 Bureau File No. (ZIP) County FilE: No. 21-80-801 C'~~" "Ie PA -~.._~. tel TYI (STATE) 1. Decedent died: ( ) Intestate (without a will) ( X ) Testate (leaving a lost wi II--copy attached) 2. Is the filing of 0 Federal Estate Tax Return required for this estate? Yes_ No X 3. (X) Executor/Executrix ) Administrator/ Administrotrix Name Paul E. Wi s e Patricia W. Strickler 336 Garland Dr. Address 7800 Bastille Road Severn. MD 21144 (CITYl ($TATF.1 Carlisle, PA 17013 (ZIP) 4. All co rrespondence should be moi led to ( X) Attorney ) Fiduciary. 5. If on aHorney is representing the estate, indicate: Name James R. Humer Address 1 W. High St. Carlisle ICITY} PA 17013 (ZIP) (STATEI List all safe deposit boxes registered in the decedent's individual nomel or jointly with, or os on agent or deputy of another, or in decedent's individual name with right of access by onotner os agent or deputy. Include the nome 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 AODRESS OF BANK OR OTHER INSTrTuTroN IN WHICH DECEDENT MArNTAINED A SAFE DEPOSIT BOX NAME OR NAMES IN WHICH SAFE !)EPOSIT BOX IS REGISTER EO RELATIONSHIP OF JOINT HOLDERS TO OECEDENT Pearl M. Wise None om an 1 W. Hi h St. Carlisle PA 17013 Under penalties of perjury, I declore that I have examined this return, including accompanying schedules and statements, ond to he bE:st of my knowledge and belief it is true, correct and complete. ~I' )lii: L) '---._ " 1 t .' :/tl!t<,,-( ,;J, '-_" - (('.J.. "1' SIGNATURE OF FrDUCIARY ~ - /1 - r-; OATE - . PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION 1. PERSONS RESPONSIBLE FOR RETURN Section 701 of Ule Inheritance and Estate Tax Acl of ]961 plOvides lhal the following persons shall prepare and file a return: a. The personal representative of the estate of the decedeul as to property of the decedent administered bv him and such addilional property which is or may he subject to Inhcril~lI1ce Tax 01 which he/she sllall have'or acqui re knowledge; b. The transferee of property upon the transfer of which Inheri tance Tax is or may be imposed by the 1961 Statute, including a truslee of property transferred in trust, plOvided that no separatc rclurn need be made by the transferee of property included in the return of a personal representative. 2. PLACE FOR FILING The return is to be filed in duplicate with the Register of Wills of Ule county wherein the decedenlresided. 3. TIME FOR FILING The return is due nine monUls after the decedent's death, unless an extension for filing has been applied for and granted by the Secretary of Revenue within Ule nine-monlh period, 4. FAILURE TO FILE RETURN Section 791 of the 1961 Stalute provides that" . . .any person who willfully fails to file a return or other report required of him. . .shall be personally liable. . .10 a penalty of 25% 01 the tax ultimately found to be duc 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 Taxis payable at the rate of 6%on transfers to lineal dcsccndants, such as father, mother, husband, wife, son, daughter, grandchildren, grandparent, son-in-law and daughter-in-law and at the rate of ]5% as to all others. 6. PAYMENT OF TAX The tax assessed on the transfer of property reported in Ule return is due 9 mouths after the decedent's death. Interest at the rate of 6% per annum accrues thereafter until payment is made, All payments received are fi 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 the Register of Wills of the county wherein the decedent resided and are received subject to the final determination of lhe Departmcnt 01 Revenue. 7. FAILURE TO PAY The taxes imposed, togelher with any interest thereon, are a lien upon real pfoperly, 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 belonginR to a transferce liable for the lax. 8. FILING OF FALSE RETURN Any person who willfully makes a false return or report required of him shall, in accordance with Scction 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 underRo imprisonment not exceedinR one year or both. QUESTIONS CONCERNING PROPERTY TRANSFERS 1. Did decedent, within two years of dealh, make any transfer of any material part of his estate without receiving valuable and adequate consideration? (AnsvM "Yes" or "No",) No 2. Did decedent, within lwo years of death, translr.r property from himself' hersellto hlrnsel!/hersell and another party or parties (including a spouse) in joiulownership? (Answer "Yes" or "No".) -1iL 3. II the answer 10 one or two above is "Yes" and the trouslers all) cl:lrmed to be nor,laxable, provide the folfowin~ information: a. Age of decedent at timeof transfer. N/A b. Copy of death certi fi cate. c. Affidavit by the allending physician indicating the slale of decedent's healtb at lime of transfer. d. All other information supporting nontaxability of Iransfer. 4. Did decedent, in his/her lifetime, make any trilnsfel of property wilhout receivinH a valuable or adequale consideration therefor which was to take effect in possession or enjoyment at or alter his/her death? (Answer "Yes" or "No".) No a. Was there any possibility that the property lransferred might retum to transferor or his/her estate or be subject to his/her power of disposition? (Answer "Yes" or "No".) No b. What was the transferee's age attimeof decedent's death? N/A 5. Did decedent in his/her lifetime make any transfer wi thout receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his/her life or :lny peried 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".) Nn b. The right 10 designate lhe persons who shall possess or enjoy lhe property transferred or income lherefrom? (Answer "Yes" or "No".) No 6. If the answer to five b. alxJVe is "Yes," state whether the right was reserved in decedent alone or others. N/A 7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit or care of transferor? (Answer "Yes" or "No".) 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".) No 9. If the answer to eight above is "Yes," was the power to alter, ?mend or revoke the interest of the beneficiary reserved in the decedent alone or the decedent and others? (Answer "Yes" or "No".j No ~rit ~tt llli ft'lt it ll'~~ C~ii;~t fnul~lll~ ~___",,,,,,-(P..;,--..' v;.;_l.,....,~v '."",.'.~"""". ..:-..,........- ......"', ..~'- -, ."'="'....~ I, PEARL ~I. W]SE, of the Borough of Carlisle, Cumberland County, Pennsylvania, declore this to be my last will and revoke all wills and codicils which I previously made. I I give, and bequeath my entire estate to my t\~O children, Paul E. Wise and Patricia W. Strickler, in equal shares, and if either shall predecease me. to his or her issue, per stirpes. II Any share of my estate which may become distribu- table to a beneficiary under the age of 18 years moy be held in a ., savings account, certificate of deposit or other similar investment in the name of the minor. III I appoint my two children, Paul E. Wise and Patrici W. Strickler, as co-executors of this will, and I direct that no bond shall be required of them for any reason. IN WITNESS WHEREOF, I hereunto set my hond ond seal this 15th day of December 1980. '. /, .j,~/ I'-'~!" .;:_ , /.."-~.'.J. - , r; /~"(?~$? (SEAL) Signed, sealed, published and declared by Pearl M. Wise, testatrix above named, as and for her last will and testament, written on one sheet of poper, in our presence, who, in her presence, at her request, and in the presence of each other have hereunto subscribed our names as attesting witnesses: ,)jc'~// .3Jv t, iL/~ 7'<: ! , \ , . ".' .... REV-454 t 1.801 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOrNTL Y OWNED PROPERTY ~4~," ~~ IInsrrllctions on Reverse Side) Estate of PEARL M. WISE p TOTAL E VALUE OF DEPARTMENT ITEM R DESCRIPTION MARKET c DECEDENT'S VALUATION NO. VALUE E INTEREST (Official Use Only) N T None except U.S. Series E and Series H Bonds originally issued in the names of Paul E. Wise or ~lrs. Pearl M. Wise. The said Paul E. Wise, decedent's husba d died 6-7-53, and all of said bonds are listed on Schedule B as decedent's sole property. - .- TOTAL THIS PAGE . I ~ .... . . , ....<1 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 real estate first. 1. Describe all real property as indicated in the instructions for Schedule "A". Describe all personal property as indicated in the instructions for Schedule "B". Include the name, address and relatior,ship 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. c .., 0 n > r.1 > :s > 0 0 0 '" " 'Z C1 n c:: " ,....l Z ,.. Z l'"' r.1 :.: 0 - 0 l'"' r.1 ;;0;: Z ;:0 Z z Z r:1 ...; r:1 '"" P 0 -; -< '" r.1 - '" Z 0 '" 0 '"" ~ ." I ":1 ;:0 ~ , ~ 0 ,. .c.. I ,;;. - 'Tl .:.1. (5 'Tl ,.. ('.. ..' " ~. 0- :n~ I z c:; Lc I ;; l-. 270 I r.:;,. t""I ~j t"' c~, - I WI\..I I c:: Cl'- 0: ~rt: I '" cr.: ",,-,, s;;. , ul l"l oLS 0.0 I Uw ::::;;t: 0 ~o: - [i=> Z SO ,....lU I ~ u I .-: .-: ~ t'1 t'1 I > > ;:0 ;:0 REV_414 EX+ lHOl INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) I!l Original o Supplemental o Remoinder File Number 21-80-0801 Pearl M. Wise Estate Name Dote of Death December 20, 1980 Social Security Number 209-28-9788 REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and lor the County 01 Cumberland Pennsylvania, do respectfully report that I nave appraised the real ond personal property as reported In the laregalng return at the values .et larth apposite each itom in Ih./ast column to the right in Schedules "A", "B", "C", and "E" Dated: April 8, 1981 M"''''!J J-I?t"JiIl}fj) INHERITANCE TAX APPRAISER INVENTORY I AOJUSTMENTS VALUE AS APPRAISED CODE (HARRISBURG USE ONLY) I None aa+ 114,081 77 ,a+ None 20+ None 3a+ 114,081 7 40- 93- REMAINDER APPRAISEMENT CODE 92+ Real P,ope,ty (Schedule A) Personal Property (Schedule B) Jolnt.H.ld P,operty (Schodulo El Transf.r. (Schedule C) TOTAL GROSS ASSETS Leu D.b.. and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE o Lile Estate o Annuity PRINCIPLE VALUE CODE FACTOR ~ I FOR \ISE OF REGISTER ONLY TOll: on $ CODE COMPUTATION OF TAX $ $ S $ $ 6% 15% Tox on $ Tox on $ Tox on $ Tall: on S Exomptions Tolo1 Estate TOTAl. TAX INTEREST FROM BALANCE _ TO $ $ $ Leu Credits DATE OF PAYMENT TAX CREDIT AMOUNT PAID $ S INTEREST FROM BALANCE DUE REV.457 (1.00) COMMONWEAL Ttl OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INtlERITANCE TAX RESIOENT DECEDENT INHERITANCE TAX APPRAISEMENT *' Estate of Pearl M. Wise File No. 21-80-0801 County cumberland Date of Death December 20, 1980 In 'h. .y.n' ,h., .ny u'u" Int.,... In 'hi. .111111. tr.nsf.".d In po..."lo" or .nJoym.,,' '0 colla,.rel h. "0 , a ...d.n" 'ar' · ..p ,.,Ion 0 .ny ......10' III. 0' 10' y...., 'h. Commonw..lth h."hV ..p,assly ''''''" ,h. rlgh' '0 .pprelso and ...... ".n,f" Inharltonc. toxos .t 'h.,.wlu'coU...,., ,... on Jlnv such future lnternt. PROPERTY REPORTED BY THE ESTATE DEPARTMENT'S APPRAISED VALUE 1. TOTAL REAL PROPERTY - SCHEDULE "A" . . 2. TOTAL PERSONAL PROPERTY - SCHEDULE "8" 3. TOTAL TRANSFERS - SCHEDULE "c" . . . . 4. TOTAL JOINTLY OWNED PROPERTY _SCHEDULE "E" None $114,081. 77 None None TOTAL REPORTED PROPERTY PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH $114081.77 TOTAL UNREPORTED PROPERTY None TOTAL GROSS ASSETS $114,081.77 LIFE ESTATE OR ANNUITY CALCULATION I do hereby certify th~t the ~bove ~ppr~i5ement is made in conformity with Pennsylvania law and has been filed this day with the Register 01 Wiils. -iLh/f /" )-1ff~jJ 1(" ) APPRAISER April 8, 1981 DATE ..., 0) 0) r.. ..., rJ) . Q) '" on ~ ~ ~ Q) ~ rl 0) rl C1l 0 co: Z I:l ~ '0-1 U '" 0 ;.. ~ '0 I:l .c @ . ..., 0) '" :;: " rl .-i ;;. 0 C1l r.. ~ rl rJ) .0-1 Q) ~ l'1 l'1 r.. rl .0 r- < ol 0 r.. 3 - 0) 0 ctl U Z '" ~ u u - 0 I<. - I<. ~ 0 I<. 0 ~ I<. !-o 0 '" 0 z 0 '" ~ rJl ;.. !-o 0 - I:l !-o I:l Z Z Z !-o 0 - 0 ~ z ~ ~ ::l ~ ~ Q ::> u I.:l I:l Z Z Z - ~ rJl ~ 8 0 < ~ :!: ~ Q '" I .--~ --- ~~ -- -- ""'- -- -- ~ --'-"-a ~ ! "- RlV.11Bl EX 1 'd'i~!~} ,,:':. -- . , COMMONWEALTH OF PENNSYLVANIA ; 4 'NO: If 000581,' , DEPARTMENT OF REVENUE I :~:'J~" ,', OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ! II'" ~ ; II = iI ........ , RECErVED I FROM " - TAX AT 6% TAX AT 15% ADDRESS patdcia w. stdck1er c 0 J.... a. Bu.er, Blq. 11f. Hi hUT. TAXAT_% ESTATE TAX carlisle, Pa. 17013 '--ES-TA;:EINFORMA;:j(j~;c--io-- 198-0----------- OATE OF DEATH ., TOTAL TAX CREDIT 5,550.00 \ DATEDFPAYMENT 21-80-801 March 20, 1981 . ~OUNTY cu.ber1an4 m m PLUS {FROM LESS DISCOUNT % INTEREST TO_I 277.50 FILE NUMBER NAMEOFDECEDENT PBARL M. WISE - ----------------------------------------- TOTAL AMOUNT PAID 5,272.50 10STMARK DATE I ",MARKS: -PAID ON ACCOtnfl'- SEAL REcerVED BY t REGrSTER OF wrLLS Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estate. In addition to debts incurred by the decedent or estate, 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 grove marker. GENERAL INHERITANCE TAX INFORMATION All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the Inheritance Tax Return is lI1ed. Evidence to support the decedent's or the estate's liability for the debts being claimed shoutd be attached to this schedule. 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. The family exemption is allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws. , , . - ~ I t"' "'" 0 ("l ~ tT1 ~ ~ z > 0 0 '" C'l ("l c:: " ~ z 3: z [: r:1 tT1 ;;<: Z ;::l 9 - 9 z Z r:1 .., t<l Z 9 9 .., -< '" tT1 - Z 0 '" 0 ~ 9 ." ." ;::l ~ ~ 0 - '" ,- 0 '" - '. .;: "~ Z ("l n - -..-:;r.... > r-- u . - c:L :r.8 t"' u c:: ll.'-' ';"::0 C;. - 4;-- '" C)l-~ - :::;; tT1 hILI U-- ~ 0'- :.: a;:_J Ct:(;; =s oC: 0- ,"-' :< <.>'" ..<Xl ""ILl ~<: -< -< ","" - c:=> tT1 t<l ~ fO j<.> > > <.> ;::l ;::l \ \ 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 which 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 being claimed. 7. The form must be signed by the person who has assumed the responsibility for paying the debts. INSTRUCTIONS FOR COMPLETING SCHEDULE "F" REv-an (10-19) APPLICATION TO TRANSFER SECURITIES COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAM IN A TION *~ " " .-~ .. . :<it ' FILE NUMBER: COUNTY 11 .Rn. Rn1 REVENUE NOTE: THIS APPLICATION MUST BE FILED IN TRIPLICATE WITH THE REGISTER OF WILLS FOR THE COUNTY IN WHICH THE DECEDENT RESIDED AT THE TIME OF DEATH. DATE June 15. 1981 Harne of Decedent: PA"...1 M Wi .". Date of Death: December 20. 1980 Address 01 Decedent: 400 S. Co1le~e St. Carlisle PA Cumberland (CITY. BO~OUGH) tSTATE) CCOUNTY) Description of Securi ties: United Utilities, Inc., now 1. Stocks a. 81. 753 b. ~ommon c. 1In1 ted Telecommunications,Inc (NUMBER OF SHARES) (CLASS OF STOCK) (NAME OF ISSUING COMPANY) 2. Bonds a. b. c. (FACE AMOUNT1 (INTEREST RATE) tMATURITY DATE) d. CNAME 0 F ISSUING COMPANY) The securities are registered as follows: PEARL 1-1. WISE (NAME OR NAMES IN WHICH CERTIFICATES ARE REGISTERED) Hame of Applicant: James R. Hwner Ad dreS5 of Applicant: , 1" f.f"gh ~i" Carlisle ICITY. BOROUGH) PA tSTATEt Cumberland (COUNTYt .--1 -"< 'N' .- r.. / ,/ . -1.~.~_... ~".'-~'f-' / ISlGNATURE) I- I I i '- COHSEHT TO TRANSFER SECURITIES I hereby consent to the transfer 01 the above securities and waive the filing 01 a certificote certifying to the poyment of the transler Inheritonce Tox. Y-'4'/fir/ /f.f'/ REV.It, ,IO-7'il) APPl.ICATION TO TRANSFER SECURITIES COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION *~ . , , . 'f~; .- ~iJu~~~MBER: 21-80-801 REVEI'WE NOTE: THIS APPLICATION MUST BE FILED IN TRIPLICATE WITH THE REGISTER OF WILLS FOR THE COUNTY IN WHICH THE DECEDENT RESIDED AT THE TIME OF DEATH. DATE June 15. 1981 Name of Decedent: Pearl N. Wise Address of Decedent: December 20. 1980 400 S. College St. Carlisle PA Cumberland Date of Death: (CITY. BO~OUGH) eSTA.TEI (COUN TY) Description of Securities: l. Stocks a. 438 b. Common c. CCNB Corporation (NUMBER OF SHARES) (CLASS 0 F STO CKl (NAME OF ISSUING COMPANY) 2. Bonds a. b. c. (FACE AMOUNTI (INTEREST RATE) (MATURITY DATE) d. (NAME 01"' ISSUING COMP,t,NY) The securities are registered as follows: (NAMe. OR NAMES IN WHICH CERTIFICATES ARE REOISTEREOl PF,ARL M. WI SE Name of Applicant: Addreu of Applicant: James R. Humer 1 W. High St, Cal'1is1e PA (CITY. BOROUGH) (STATE) Cumberland (COUNTY) '-j~, ,._~)<. , ).J---.-r, /' I~IONATUREI CONSENT TO TRANSFER SECURITIES I hereby consent to the transfer of the above securities and waive the filing of 0 certificate certifying to the payment of the transfer Inheritance Tox. Itjj?/ INFORMATION To insure proper credit to your account, tho name of tho estate nnd f,l~ number should be c10arly print- ed on the check or money order. This assessmont is made in accordance with Section 70B of the Inheritance and Estate Tax Act of 1961 (72 P.5, ~ 2485.7081. To the extent th8t inheritance tax is paid within three (3) months after the death of the decedent. 8 discount of live (51 percent is allowed (72 P.S, S 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 dClcedont's death (72 P.S. S 2485.711). Inheritance Tax on 8 future interest is payable within throe 13) months after the transfer lakes effect in possession and enjoyment and is delinquent thereafter 172 P.S. ~ 2485.7121. 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 11 months ,055 3 months ,015 6 months ,oao 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 .OOa18 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 bV Section 1001 of the rnheritance and Estate Tax Act of 19G1172 P.S, S 2485,10011, Make check or money order payable to: "Register of Wills. Agent" Mail to the address risted below: . t.' ;~EV~lj~:-'.:,:...,;-~_:..:.~~-.' ..- -~- ~-_..--- "U ~-a '_ I ~i~~":::,;,,,()\,:;,';""i' ' COMMONWEALTH OF PENNSYLVANIA " I 4'N'o:K~k29591' ';,' ',' DEPARTMENT OF REVENUE, " ! ;~r,.:'.,;.,. ':-' '." ',,' OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX 1 I"';"" ,,';' . .-",' " , fl I . \ ~ = , ~ RECEIVED II FROM '\ r \ ADDRESS TAX AT 6% TAX AT 15% .ai:daia 1f. Si:dcJc1er TAXAT_% 1 w. High Si:nei: ESTATE TAX carli. 1., Pa. 17013 567.92 TOTAL TAX CREDrT '--eS-TATE INFCiRMiiTiCiN:-De;:~-20,--i9BO DA TE OF DEATH FILE NUMBER 21-80-801 June 16, 1981 PURL M. WISB Cw.berland 567.92, DATE OF PAYMENT LESS DISCOUNT PLU5 % INTEREST (FROM TO_I NAME OF DECEOENT m m TOTAL AMOUNT PAID COUNTY -------------------------------------------- POSTMARK DATE REMARKS: .PAm lilt PULL" SEAL RECEIVED BY t REGrSTER OF WILLS