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21-81
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PETITION FOR LETTERS OF ADMINISTRATION
IN THE ESTAm OF ."",,,D,,~,y',i.Ci,,,I~:.,,,(3,~,il:J'y',,,,,,,,,,.,,,,,,,,,,,,,,, DECEASED.
To "".,,,,.,.,,,,,,,.,,, k!,~!='y'. ,<.;.,',." l..,~ ::~ ~,':",...."".",.."".."",..,..,."...""..,...."",..""""",
Register of WillH fOI' lhe COllnly Jlf ClIlIlbedan'':jll \ Ill) 'onlln'"lw"all h of PeIlIlH;'ll'ania,
The Petition of ",.""."""."",. ."" .7:.,{.:C!.(,!':,cX./,." ,cc. ,....,. ,0.!.:~!.f./J'Y>"""""'''''''''''7 "''''.~~ "",., ,,,., ,'"''''
....",.....".., ..".",.",.",."""", ,.,.""..".,. l'eHpeclflllly showel h t ha t '" .""""", .!:7<<.(,:~!/?.,.,.6".....fc.t1.(?j!.""..,
'd t f /~.n:'VJ J)E /v TownHhip (' I' 'I' I C I' St,t l' P Ilsyl.
was a reSl ell 0 ........"I::'(,.;r.p"..f/...",,:......................Bol'ough ,. t1m JCl .UH oun j I' It e ~ en..
vania, and a Citizen of Uniled Slales, am) departed \ hi, life inle,tale in lhe County of ..(;;;t!.(1t.-:t,:I:/.//.vL)
.,.. ....., .......' ,."...,..,""""'" and S lale 0 I' ",,,..,,. ".'" ,,{<~,;;Y!.'~( 0/(;, l, :/I./.,/(,/' ("{,,,,,,,,,,,,,.,, ",.""".."""",.,.'",.,., "..""""
on ......:L1.:d...............".. the ....",....,.."2..7...".."",,. day of .....,;.-d.J.1!.!-::,d.JI".".."......., A. D,. 19,f,:Q..,
at the age of ,;;,,2...., yeal's,
~ '7 ~-
That the said .."....,::.:c:-:f.:?.r?....,K.."G:?.Zt::.7'''".."..."....." deceaHed, lefl Hurviving the following
named widow or husband, heirs and nexl to kin, 10 wit: c>A::,'rfCr{,/, /}f(I.,lT/-I /"C r/o/l/
Name
RelationHhip
Residence
.(l!..?:~/.?/(('~i//.)f/.I..1.W$..rJ.~f.~,.(,:>1/r L L
'I'
.7.?~-?'dqD.A-:..ff~?(u?;/..""",.
..e7.tf:f??'dl.f.""".."""",,,..,,,,,,,,,,,,..,
"",21:.7./({!'.~",." ,..., ""
,.",!.P/~.!/(4.('{"." ".",..
............................................
............................................
That those above named include all of the next of kin, RO far as known.
The Raid decedent waH posHesse.d of personal propel.t.I' \0 the eslimaled value of $....."............."..."."""
and of Real Estate, less incumbrance, to the "Htimaled value nr $"" "M/.v.'?.. """. as near as can be
ascertained.
That the said Real J'Hlale in so far as is known is located in .."""""."""".."""""""........,..,.."."""....
..................................................."..............................,........................................................................,...........................
Therefore, your petitioner(s) respectfully apply (ies) fOI' Letters of Administration in the above
named estate.
Dated ""...D.!::":,:..Jo.""",.."., """..", A. [).. Ill.??".
Signature and Addre,"
of Petitioner (:.;)
",.0.<,,,-3,,,,,.~~~.~J.t(,..
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........................................................................................
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1/'/77" '/
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COMMONWEALTH OF PENNSYLVANIA 1
} s":
COUNTY OF CUMBP.RLANIl 1_
;) r;
,..""",.."",.."""", ",. ,." ,."",...,. .",. .... ."",......,... ,.. ,."....., ."",X/..;:'!:I(I(c..f~. ,..,6:"",:,,/:t!.I,~Y.,.., ."". ."". """ named
in the above application bcin~ duly .............i/-::.:..(.-!,/.,v................., accOI'dinl( to law, say that the facts set
forth in the above application III'e t!'lle to the I","t of ,,/:((5..... knowledge and belief.
~~~~~~..~~',...."w.P,r.;.'".......,.......".... and subscribed 1 ::...~:.:..'....=:::'==',~~~~::',',:',',:
"'...z),:"..,,!?.~.~,:,,/9,,~.....':j" In~,o.,..,. .,...",.,.,.,..."..,..".".."..""",",.,."..",.."""..,.,.....""..,.,..",'
,,,.,,,.7J(II.<.~"'e.':'..IUg:'.""""~~~'i'~~~'~"" ".",.""""."",.",.""""""".,."..,",....,'"".."...."".,,,,,,.,,.,,,,
Janual.Y 9, 1981
Filed: .
...............................,.........................,........,......
A HOl'ney:
,(i~~.!?(.:~,;(,y,.c<.,~!~:.;~,P:.,:~~{?I.t7?:fYJ
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} 55:
,
""""...""""".""".."."".""".".."""""".""."""""...PgCl.I.Y.-:::!.;,?,,,"&?./JL~-:,.o/"""""""".".,,, petitioner(s)
being duly "".""...Xc.'..'!Ji:.C'!.........."."..""...".. according to law do 4;.../...... depose and say that as the
administra "!),.(7"...,,. of the estate of "......iJ.t//.X.:.?"".-:f..C?J.?f:I.a.y""..""..."".....".....""..................."......,
........................................................................................................................................................................................
deceased ...../I.e..."...... will well and truly administer the goods and chattels, rights and credits of said
deceased, according to law, And also will diligently comply with the provisions of the law relating
to Transfer Inheritances.
........,...".........,.,?~~,r.!.\.......,........... and subscribed
before me.
............?.:.~.:....~.~.."...................... A, D., 198,~.....,
R:tlJI.U~'..,'(!...,.".~,,?~.,.........,..,
,..Q".,.~,.~~~......,."..,',....!.
............................................................................................
'.
DECREE
Be it remembered that on the ......."...?~~............. day of .......,~.?)~.~y.....".................. A. D., 19..~.L.
L tt f Ad . . t t' 'th t t f David R. Gradv
e ers 0 mtntS ra ton In e es a eo................ ...........................................................1'1...............................
................"...., .........."".....,.,' ....."" ............,..'""", .... late of "."....,.., ......p..~~i?S! ~.!~...?;'g):{!);~!:\A..P.........,........ ........
C b I d C t P .) , d . " t d Francis R. Gradv
urn er an oun y, enns) vania, ece,lseu, were gran e to ............................................,...........................
........................................................................................................................................................................................
Witness my hand and official seal the day and year afor~. . ~ /
........"...<.21{{4.~j...tF..., .. ,eJ.Lk.~~......
tf' RegIster
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
David R, Grady
IAII property Jolntlv-ownod with the Right of Survivorship must 110 dlsclolod on Schodulo "F"l
':.'
\
RlI/.15OII ex+ 'Y.SI)
ITEM
NUMBER
SCHEDULE "E"
CASH AND MISCELLANEOUS
PERSONAL PROPERTY
FILE NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
1. Decedent's Administl'atol' made a recovel'Y of wOl'k loss
benefits by vil'tue of the Decedent's death in an
automobile accident. The total benefit is
$15,000 payable, howevel', in monthly installments
of $223.36 pel' month. The monthly installments
will be paid ovel' a pel'iod, then, of 67 months.
The yeal'ly payments amount to $2,664. We al'e dis-
eounting to pl'esent wOl'th at date of death at an
intel'est factol' of 12%. This would then be
$2,664 x the factoI' of 4.113 01' a date of death
value of $ 10,952.00
TOTAL (Also enter on line 5, Recapitulation)
$
10 52.00
(If more space II needed Insert additional ,h88tl of sam. Ilze)
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CALDWELL, CLOUSER & KEARNS
A PROrES910NAL CORPORATION
THOMAS 0 CAl.OWtLL..JR.
PAUL t. CLOUSeR
RICHARD L. KEARNS
CARL G.WASS
JAMES R. ClIPPINGtR
CHARL.ES oJ, DeHART,1lI
JAMES L. GOL.DSMITH
MICHAEL A, CARR
ATTORNEYS AT LAW
112'114 NORTH SECOND STREET
Fl. O. BOX 1164
HARRISBURG, PENNSYLVANIA l710B
717-Z32-7661
~1arch 10, 1982
Mary C. Lewis, Register of Wills
Cumberland County Court House
Carlisle, PA 17013
Re: Estate.. of David B.:....Q.r:a~
Dear Mrs. Lewis:
I am enclosing two copies of the Pennsylvania Inheritance Tax
Return for the Estate of David R. Grady.
This matter has been in litigation and was not settled until
January 5, 1982. Pursuant to Section 717 of the Pennsylvania
Inheritance Tax Act, I do not believe that any interest should
be charged.
Very truly yours, .
'7(:d~~{ ~. ~)CF~d'07
I
Paul E. Clouser
for
CALDWELL, CLOUSER & KEARNS
PEc:tm
Enclosures
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t<'EV. 1547EX (1-B2)
BUREAU OF EXAMINATION
PENNSYLVANIA DEPARTMENT OF REVENUE
P.O. BOX 8327
HARRISBURG. PA 17105
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND AS5ESSMENT OF TAX
ASSESSMENT
CONTROL NO.
101
DATE 4- - 2
E5TATE OF GRADY DAVID R FILE NO. 21 81-0019
DATE OF DEATH 01-27-80 COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO REGISTER OF WILL5,
AGENT." IF TAX PAYMENTS ARE MAOE WITHIN 3.1ol0NTHS OF THE OE<lEOENT'5 DATE OF DEATH. A DISCOUNT
OF 5% OF THE TAX PAID MAY BE DEDUCTED. ",
PAUL E CLOUSER ESQ
112-114 N 2ND ST
PO BOX 1164
HARRISBURG PA 17108
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
~!:!I _Al-9~Q _ I'i!~ _L!I'!~_.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ -, _ _.
'"
INFORMATION
This document is the Notice required to be given under Section 709 of the Inheritance and Estate Tax Act
of 1961 (72 P.S. section 24851.
If the tax is paid within three (3) months after the decedent's death, a discount of 5% of the tax paid is allowed.
Inheritance Tax becomes delinquent nine (9) months after the decedent's death. Interest is charged at the
rate of six (S) percent per annum on the amount of unpaid tax. (SEE EXAMPLE BELOW)
EXAMPLE: If a balance of tax due of $2,000.00 is in a delinquent status from 3-3-80, and payment is made
on 5-23-80, ~he interest is calculated as indicated below:
STEP 1
Determine the rate of
hlterest from the table below.
STEP 2
Multiply the b2lance of
tax due by the rate of
interest.
STEP 3
Add the interest
to the balance of
tax due.
Interest from 3-03-80 to 5-23-80
Results in: -
Balance of tax due
Rate of interest
INTEREST
$2.000.00
x .01335
$ 26.70
Balance of tiX due
Plus Interest 10
Date of Payment (+)
TOTAL tax and
interest to Date
of Payment
$2,000.00
$ 26.70
2 Months =
20 Days =
Rate of interest =
.010
+ .00335
.01335
$2.026.70
---------------------------------------------------------------------
1 month .005 4 months .020 7 months .035 1 0 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 day .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 1 6 days .00267 26 days .00437
7 days .00118 1 7 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 .00189 20 days .00335 30 days .00500
---------------------------------------------------------------------
Any party in interest, including the Commonwealth and the personal representative. not satisfied with the
appraisement and assessment mal' object Within sixty (60) days after receipt of this Notice as provided by
Section 1001 of the Inhe"tance and Estate Tax Act of 1961 (72 P.S. sec. 2485 - 1001).
MAKE CHECK DR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT"
DETACH THE'TOP PORTION OF THIS FORM AND SUBMIT WITH YOUR PAYMENT TO THE REGISTER OF WILLS FOR
THE COUNTY SHOWN ON THE REVERSE. SEE THE INHERIT ANCE TAX INSTRUCTION BOOK FOR ADDRESS.
AEV.1f62 EX
~"
~
COMMONWEALTH OF PENNSYLVANIA
NO L 0106 A A DEPARTMENT Or- REVENUE
, "bi!'FICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
m
ACN
G AMOUNT
Assessment Control No,
RECEIVED FROM:
IP.lluLE......Clouser_,__Eaq..____ _________.::-1
1.1L~__l1,LNorth_Sllcond_ Street_
H.rr1..Bb.~gLP.~!_J7J. Q~
Prohllt...
12.83
L
.J
ESTATE INFORMATION:
FILE NUMBER 21-81-19
MI
DATE OF PAYMENT
POSTMARK OA TE
COUNTY
DATE OF DEATH
REMARKS
~TOTAL A.~OUNT PAID
12.A~
.
SEAL
",/";' ,
RECEIVED BY "'.1
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