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PETITION FOR LETTERS OF ADMINISTRATION
IN THE ESTAl'I~ OF "".\':",il.I:1G,~,9")\.,,,,,p.\-!);,~J!1,,,,,,,,,,,,,,,,,,,,,, I)grEASED.
To ,,,,,,,.,,,,,,, """" ~~~,~:t" ~ ,:,:, ~:~,~.~,~,~"""',.,"""""",.,"'''''''',.,'''''''' """"""""""",
Regiater of Will" 1'0" the rOllllty of ClImherlallcl. in the ('Ollll1101lwealth of l'enll")'ll'allia,
The Petitioll of ",t:!i).I'y'".YJ!;,~" ,P,~,J?,~,i.n., "" """ ,,' '" '" """ """, ",,,.,, ,'," ". ""'," "'" "."""""",,,,,,,,,., """,,,.,,,.'
"...........""""",,,,,,,..,,,,,,,'"'''''''''''''''' l'e"peetf"lIy "howelh that """"F.,+.i!-.I1<;;,i,.,R",~"""P',\-!);"K~!1"""",,,,,,,,..,,,,,.
'd t I' Hamnd"p Town"hi" (' I ., / (' "S" t ,'P I
was a reSl en 0 ....""...L.~...."r. ..."""....."'''''''......"..."..~;ttJ~ ,um JCI am ,OUCh,} I lIt e 0 ennsy..
vania, and a Citizen of United States, and departed this life illtestate in the County of "~,~,~E~.~,~..",,..
....",,,,,... """",,, """",."", and S ta te of "J?,EJ n.!;I,5, ';(, ~ y. <:,!;I ,i,<:""""""""""""", ,,,,,,,,.,.,,,,, "."",.,,,,,,,.,, ,,,,,,,,,.., "....... "..
on ....."""."""""""".."",," the "",,,gX!;):\,,,,,,,,,,,,,,,,,, clay of p'~,~,El~b.,El!?"""""""",,"""""" A. D., 19,~P"""
at the age of ,,,,,4l..,,,, )'ear",
That the "aid ,f..+.f!.,p..9.,i,.,('!",~"""!?,\!);',~J1:l""""",,,,,,,,,,,,,,,,,,,,,, deceased, left "urviving the following
named widow 01' husband, heir" and next to kin, to wit:
Name
,,," 1:lP"+.y',,,y' ,i,..!;,~" .p.,\-!);",~ ,t!}"",."" "..",
..",r.);".~R:~J,~.".~"",P~,~~~X!.!".n,."
"".!;; !:u; ~,~.j;,~,!!'p'..,;r"., .P.\! );',~,t!'?-"...""
Beatrice Durkin
................................................................
"".,.;r.O.S~P,h",I1A."D,ur.l>.i.T.\.","',...,,'"
..""Me:r-i;cm'"&he~she'n0v':i:eh",,,,
..""\?,+-P,,<;;<;!,, ,~9.)'J ~,y."" ,,,..,,.,,,,,,,. ,,,,,,.
................................................................
................................................................
Relatiollship
"""""',.,'f!.i.J.~"""""",..,""
son
............................................
.,""',.,""~,?.~"""",.,,"""""
mother
............................................
""',...,,",);u;',9.!:;!!,~);"""""",.
,,,,,,,,,.,,.,,9,,i,.,('!!:;1'!,l;,,,,,,,,,,,,,,,
,,,,,,,,,,,,,,,~~,~,1;,~,~,,,, """""
............................................
............................................
Residence
Mechanicsburg, PA
................................................................
Mechanicsburg, PA
................................................................
Mechanicsburg, PA
................................................................
Elmhurst, PA
................................................................
Acton Mass
..............1.................................................
Honesda1e PA
"""""..",,,.,,,,,,,(,,,,,,,,,,,,.,,,,,,,.,,,,,,.,,,,,,...,
,!!-,El!:\~.i.!'?-.9..!".g!.:."..",,,,,,,....,.,,,...,,,,,..,
................................................................
................................................................
That those above named include all of the next of kin, so far as known.
The said decedent lI'a" po""e"s"d of personal pl'opert.I' to the e"tinmted value of $~,!"9,Q.~.:.Q,9..~..,,",,...
and of Real [.;"tate, less incumbrance, to the estimated I'alue of $J'!9.D,~,,,,,,"""""""" as near as can be
ascertained. *and wrongful death claim, presently of indeterminate value.
That the "aid Real [.;"tate in "0 far a" is known i" 10cate,1 in
................................................................
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~. ...........!...........-..,...............................................................................................................................................................
t," T~erefO~8your petitioner(s) respectfully appl)'(ies) for Letters of Administration in the above
:::: 'named eatatil:~
0'" = ~~
~~ate~",!?!ig~,~~,E.),L,,,,,,,,,," A, 1J,. 1!1...~,Q,
gt'] :::~ Signature and Addres"
i:to:: ~ 15::5
.- c:{''''' of I'etitiolll'r(s)
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Mary Vita Durkin ,.."",
5236 Meadowbrook Drive
, "Mecli'aiii'cshur'ij';""P'1\"'I70'5S""""""''''''''''''
........................................................................................
",.,,,,,, "." "".""""""" """"""""...""""l'~..."lQ'I25'"
,.",.. "",""""" ",'" """".', ",',' ~?,:t;y", Y ~t~" ,p~,!= ~~.r:1""", ," ,',"'" '" ,,',""'" ,"",""'" ,.', """",,""'"'''''''' ""."" named
in the ahove application IlCinl( duly "",,,,,,,,,swo,r:n,,,,,,,,,,,,,,,,,,,,,, llcClll'dinl( to lall', Ha)' that the facts set
forth in the abovc applicatioa al'c tl'ue to the beHl or ,her"""" kllllwledlle alld belief.
s\~orn '
~~;~~~"~.~~"'~~~'~" '''' """ '"'' """"" alld HUbscnbed) "."""", "","" ,',' '" ,,""'" '" """"",,""""'''''' ""',""''''''''''''
"",lUb",g,i;\Y",9.,L.o.~,9.!;1,m\:1!;1,?;" A, u" IH,~,Q"" ,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"""''''''''''''''''''''''''''
",,,,cJJ;k.U~,,a:, ~u~"""':""''''''
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Filed: ' """~,a.,~~,a.~y.""~.~,:""~?~,~"""""""",,,,,,,
COMMONWEALTH 01" 1'1,;1\;O-:::;)'L\'A1':IA
COUNTY OF CUMBEHLANIJ
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Mary vita Durkin
,..,................"...,..............................................................
WIX, WENGER & WEIDNER
A llol'lley: BY.,:,,"" '"","" ",," '" " " " " " """ " " """" " "" "
Dean A. Weidner
Bel-.. S-'-!~
II l-i'rlfl.'iS/?C{{'u' 1"/1 / llIJF
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
tss:
. . "" .l1i\'J;,Y,.. y'~,!;R-.., ,QJ;l,?;)5, ~x!.," ,,,,,,,,,., """," "., ,,,,,,,.',,,.,,, ".,,,, '''''' ",,'"'''''''' ,,,,,,,,..,,,,, ."",."", ". ,,,.,, ,,' petitioner (s)
being duly""""""""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, according to law da=~L,,,,,,, depose and say that as the
administra tdx""" of the estate of ""f.,+.R-,n,9.~,?".1i..",'O'),\+.)5,~,\L",,,,,,,""''''''''''''''''''''''''''''''''''"'"'''',"",'"
........................................................................................................................................................................................
deceased ..",she""",.... 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,
sworn
.,,,...,...,,,....,,,,,,,,.,,..,..,,,....,,,.....,,,,...,. and subscribed
before me.
......"..,..""..".!?~,~,:..JL"........,.. A. D., w..8.9""
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""./.z(<;.?y;.."i:',J{,(~"",:~l.hf..!i.:.(.i.v.."",...."",.......,,..
Mary/Vi ta Durkin
............................................................................................
DECREE
. . 13tJ; . JanU'ir' 81
Be It remembered that on the ,,,,,,,,,,,,,,,,..,,,,,,,,,...,, day of ,..""'~.."....,...."L"..,..,,,",..,.... A. D., 19",,,,,,..
L tt f Ad ' 't t' 'th t t f Francis X, Durkin
e ers 0 mIniS ra Ion 111 . e es a eo................ .............................................................................................
",....." ..'"..',., "",....,.".. .."".., ".., n'''''''' n.....' ........". ." late of ..',,,,,... "" ,..X!!?;!~P..9.~,!:...:~g~!?:: ):.~R.. .".... ..,.....:....,..,
, f'ar'J vita Durk ~ n .
Cumberland County, Pennsylvania, deceased, were gl'anted to "":"....~....,,,.........:...,,,,...;>;......'..n..'....'....,,..,
.....................,..................................................................................................................................................................
Witness my hand and official seal the day and year aforesai~ ~)
n...".."..,"~(.(d7..'/!..,:~dft~...,...
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CERTIFIED COPY OF POWER OF ATTORNEY
THE omo CASUALTY INSURANCE COMPANY
HOlD ornc;z. Il.UIJL TOfII, OHIO
No. 15-233
IUPIlI .ll.1l .bll hy lllhtpt JlrtJltulp: TIuo. THE OHIO CASUAL'r( INSURANCE COMPANY. Ia pu,.........
., .athork7 ........tecl by Artid. vI. Sec.1.ioD 7 of .... 8,.L..w. of _id Company. dou hereby Domiut., coMtitat. and appolat.
Christine M. Mercurio - - - - - - - - - - .. .. _ _ _ _ 0/ Ilaaisburg. Pennsylvania _ _
lit tra. ud lawluJ: aaem aDd attorn.,. .in-fact, 10 mak.. u&cute, .eal ar.d doli", for and on ib bebaU u IUr-V, .ad ...
Ito .ct ...41 doocl .a7 oad .U BONDS, UNDERTAKINGS, ...I RECOGNIZANCES, .ot ..ceodi.. Ia ""7 olaalo ........
r'IVE IlUIIDRED '['HOl/SAND - - - - - - - - - - - - - - - - - - -($ 500,000.00 _ _ ) 00110,..
ududiDI, LOWOYar. In7 bood(.} or WKlartaldDI(') ru_nnteeina the pa)'mllat of not&l and intere.t theroon
Aad tb. U..cUt10b 01 web bond.. or und'rbikinp ia. pan_nee 01 theee r,rClee'Dt.. &hall be II biDdint: u~ .W CompuT'
I' fuU, and ampl,., to aU iMnt. ud pUflH*l" II if the, had ~D du, aocutod and acknowledged b,- the ""1'17
o1.eted of6cer. 0' the Compu, I' ib office in HlLIniIton. Ohio. in tbeir OW1l proper poraoa.a.
n. lutborit)' .'IDtlld hereundor .uper..o.. Any pr.riout authority hereto for. 1~D.tod the -.bon !lamed Ittorn.,.(.)..bt,.fut.
I. WITNESS WHEREOF, .h. uodo,oiraocl ./lice, 01 lAo aid n. Olllo c.-1l7
Inturance Company ha. h.reunto .ubacribed hie I1llIDe and .fli.Kod tbe Corporate S..J 01 the
..id Th. Ohio c..ualty In.urance Company thit 13th day of March 19 78.
(9i..0<I) IlIchard T. Hoffman
..'....'....................................................................--...-..-.-
STAn: OF OHIO,
COUN1Y OF BlJ11..ER
9.5.
Asst. Vice President
O..hla
13th
boI....
!'larch
cIo70/
A. 0, 19 7B
th. .ub.cdber. . Notary Public of the State of Ohio, in and for the County of Butler, du'" eommiuionec:l aDd qualified. came
Richard T. Hoffman, Asst. Vice President <>I THE OHIO CASUAL'r( INSURANCE COMPANY. to ....
peflonaU, known to be the indiyidu.1 .nd ollicer de.cribt.d in, .nd who eucuted the precoding iutrument, Ind be aebow.
ledled the necution of the ..me, and h.ing by me duly Norn depoaeth and .aith, that he i. the offic.r of the ~Q'
.for..aidf .ndtb.t the Mal .Biud to the pre<:edinl in"ruDlent La tho Corpor.hl Seal of laid Compan" .nd the Mid Corporate
S..I .Dd bl.. aJl(D.Iture a. officer weu duJ" .Bind .nd lub.crib~d to tho laid in.trument by th. authority and directioD 01 tA,
aaid Corporation.
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IN TESTIMONY WHEREOF, I h... Ju".uato ..I "7 hood .Dd .1Iizod "7 Ollicl&l
!leal at tho City of Hamilton, State of Ohio. the day aDd year 6nt aba.. written.
(Slgnod)
Dorothy Bibee
..N.;;~.~.P~.b'it~..i.~..~.;;:ri;;.c;~~t;..;i.B.~~.;;:.s;:;:.;i'Obi;'"
My Commi..ioD orpiree ......9.~S.7.I}:}?~E...!.~.1.._~~.~~.~
nil power of attome, i. .fantod under and by authority of Article VI, Section 7 of thll S,-Law. of the Compaa,. adopted by
ill dir~tou OEl April 2. '9504. ..:II.ct. from whkb rONd,
"ARTICLE VI"
"Sectioa 7. Appolatmnt 0' Attora.,..fD-Fact, Me:. The chairman of the baud, the pretid.Ilt, aDy Tice-prMldwt. tM
ICIeretal'}' or aa., ...i.taot Hcreta,., .b.U be and it hereb, YO.t~d with full power l\bd authority to appoint aUomeye..iD.nct
for the PtlrpOI" of .ianinl tb. name of the Company a. .uret)' to, and to execute, attach tho corpora'" .... ackD.owleclee
.nd dell."r .n, and .U bondi. reeoll11izanee-e. atipul.tion.. uDdflrtakinaa or othor in.trUtDeDt. oE .urety.mp .Dd policl_ ..
maar.nce to be (i...n fa fa.'t'or 01 an, iodiridual. 6rm, eorporation. or tho official hpreHDtatin thereof, Or to any Cetlaty
or Itate, or aDY oSidal board or boud. of COUtsty or .tatOo or tbo United Stote. of Am.riCM, or to aDY otber polit::icaJ nb.
dJTl.ioa. It
Thlt laatrumotlt It .Jped Ind MIkel by facaimUe U IUthorized by the following RMo)uti011adopt.d Ly th. directon of the
CO"POD7 .. Mo7 27. 1970,
''RE!OLVED that the alpann. of an,. oBicer of the Company authorized b,. Article VI Section 7 01 the by-I.". to appoiat
altorn.,. fa fact, th. tlpatar. of the Secreta..,. or aDy A..iat.Dt Sccretary eertifyiD8' to th. corroctne.. of an, copJ ., .
pow.r of attOtD8Y and tb. MIl of the Comp.lIl, mey be .lEud by f.aimiJe to aay power of attorDo, or cop, theNOl _ned
OD bebalf of the Compan,. Such a,Dature. and ...1 a,. boreby adopted by the Comp.ny al or1a;iDaI .JRDAtur.. aDd ...L
to be ...Ud .Dd blnclJq apoa the Compaa, with tb. .amll force and effect a. Ihouah maauoU, aSi.l:.d..1t
CERnFlCA Tl!
I, tI.. .ndonlraod A........ s.c,...". of Th. ObJ. Catu.l.,. lo.u..... Comp"7. do h...b7 ..nlI7 tJ..I tI.. I............ po....
of "borD.y. ArtlcI. VI 5octiOD 7 of tb. by.Law. of cb. Comp.ay and tho .bo.... ReaoludoD of it. Do.nd of DirKton ar. tJ'QI
.ad correct ~ .Dd .... I:D fuI1 fore. aad ,SKt on Ibit d.t..
IN W.....~.. ""-"'nn~ . 11 th Decemhp.3' eo
IIl'tCoO>> ..~F. J ha.. b.reunto..t my haGd and lb. ...1 of Ih. Company thia CU, of 1\:-..:1., 19
4/-d.., 'V'
A..i.lant Secr~t.,y
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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ss:
Mary Vitu Du~ki!1_n' _._.___.__... _____._n_____.--O_-----.-----
being duly n5liorlL___ __ ___ ...__ according to law, deposes and says that a.e _._is....the...Adminis.tratrix-
. _0' .,.. .___ ._00' ________nO_...O of the Estate of Frands X, Durkin
late of Mcchanicsburg C bid C t P d d d th t th
____.__ ____, um er an oun y, a., ecease an a e
within is an inventory made by ._Mary_Vita. Durkin._____ __ __ -.-.--, the said_Administra.tJ:J,lL-
of the entire estate of said decedent, consisting of all the personal proputy and real estate, except real estate outside
tho Commonwealth of Pennsylvania, and that the ligures opposite each item of the Inventory represent it's fair value
a. of the date of decedent's death,
Sworn to
and subscribed before me,
'Jid.-Lj; Z/4~~lL;J
Executor - Aaminhtrafor
Mary ita Durkin
224~.cadowQr.Q.oJU2ri V~
Septcmb_::. 41.__ 19 81
~~~~~~b~idLr>Q ~,(\
Harn!;burt." /.
.. ..~up un County, PA
My r:l'}rnml:;~:ol1 bp,', w 0 t 2
L:.> C. 2, 1984
Mechanicsburg, PA 17055
..---"--' ----
Address
D.y
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Month
Itfl~
Date of Death
5
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INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal repre.entative.
2, A supplement inventory must be filed within thirty days of discovery of additional assets,
3. ,Additional .heets may be attached as to personalty or realty
4. ;:See Article IV, Fiduciaries Act of 1949,
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GENERAL INHERITANCE TAX INFORMATION
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 ai'a claimable including the cost of administration,
attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker.
All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being claimed
should be attached to this 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.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1, If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the
decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column.
2, Assign consecutive numbers to each item listed,
3. Enter the date on 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 ciaimed.
7. The form must be signed by the person who has assumed the responsibility for paying the debts.
( \.
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any transfer of any material part of his estale without receiving
valuable and adequate consideration? (Answer "Yes" or "No".) NO
2, Did decedent, within two years of death, transfer property from himself/ herself 10 himself/herself and another party
or parties (including a spouse) in joint ownership? (Answer "Yes" or "No",) -lliL
3. If the answer to one or two above is "Yes" and the transfers are claimed 10 be nontaxable, provide the following
information:
a. Age of decedent at time of transfer.
b, Copy of death certificate.
c. Affidavit by the attending physician indicating the state of decedent's health at lime of transfer.
d. AIt other information supporting nontaxability of transfer.
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or after hiS/her death? (Answer "Yes" or "No",) NO
a. Was there any possibility that the property transferred might return to transferor or his/her estate or be subject
to his/her power of disposition? (Answer "Yes" or "No".)
b. What was the transferee's age at time of decedent's death?
5. Did decedent in his/her lifetime make any transfer without receiving a valuabie and adequate consideration therefor
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/he,r
death:
a, The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No",) NO
b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".) NO
6. If the answer to five b. above is "Yes," was the right reserved in decedent alone ( ) or decedenl and others ( ).
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 lI11ich was subject to change, because of
a reserved power to aller, 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, amend or revoke the interest of the beneficiary reserved
in the decedent alone ( ) or decedent and others ( ).
n~V04'::i3 EX. (10.60)
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
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(InstnJctlons on Reverse SideJ
Estate of ~'rancis X. Durkin
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE 0 F INTEREST OF BENEFICIARY
DECEDENT BIRTH
I~Y Vi.ca Du,tkin Wife yes 6/21./112 $30,000 + 1/2
:ancis X. Durkin, II Son yes 7/13/67 1/4
lri sri 0 n n"l"k~.n ~nn V"S 2/(,/71 1/4
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The above beneficiaries were living at the time of the decedent's death except for the following: NONE,
DATE OF DEATH
NAME
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COMMONWEAL TII OF PErmSYL'IMllf,
DEPARTMi:NT OF I,EVENlJl
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
IImERITANCE TAX
APPRAISEMENT
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REV.4~7 EX+ 17~!lOI
G]ORIGINAC'-
o SUPPLEMENT AL
File No, _~1~81-_~0~~__
Estate af
Francis X. Durkin
.- .-----------.-
Ceun ty
Cumberland
..---_. ---_._-----~ -.'- ..-.__.._---
Date af Death _Il.:=.ember 5, 1980
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In the uvcnt that cny futuro interns! ill lhi~ estolc is transferrull in flouesslon or enjoyment 10 collateral heirs of the decedent ofter the
expiration of any ostute for life (It for yfJOtS, tho Commonweolth horohy expressly rC$orvcs the right to appraise and asse5S tronsfer
Inheritance toxes at the lawful collaterul r~lo _~11 (lny such futuro In)c~est.
PROPERTY NOT ItKLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
ASSET SUMMARY
DEPARTMENT'S
APPRAISED VALUE
1. Tote\ Reel Property - SCH, "A". , , , , " $
2. Tela\ Personel Property - SCH. "B". . . . $
3, Totel Jointly Owned Property - SCH. "E" $
4, Tetel Transfers - SCH, "C". , ,'. , , ,. $
NONE
3,372,90
NONE
NONE
Unreported $
Unreported $
Unreported $
Unreported $
$ NONE
$ 3,372.90
$
$
$
NONE
NONE
o LIFE ESTATE
OANNUITY
TOTAL GROSS ASSETS
DREM~INDER
3,372.90
-----_._----_._._._~---_._-
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TOTAL VALUE
$
I do hereby certify the! the above appraisement is made in c2nfar. 'Iy with Pennsylvanio law end has been filed this
day with the Register of Wills, ~
_' Y(~~ October 2,1981
APPtJ1SER CATt::.
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File Number
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
21-81-0025
REV-4114 EXt (HOI
Date af Death
December 5, 1980
EJ Original
o Supplemental
o Remainder
Estate Name
Francis X. Durkin
Social Security Number
160-32-8408
REPORT OF INHERITANCE TAX APPRAISER
I, tho undorolgned duly oppointod Inheritanco rex Appraiser In and for the County of Cumberland
Pennsylvenia, de respectfully report thatlltave approisod the roal and personal property es reperted In the faregoing
return at the values set forth opposite each item In the last column to the rig tin 5che os !lAlI, "B", "C", and "E"
Dated:
October 2, 1981
ADJUSTMENTS REMAINDER APPRAISEMENT CODE
INVENTORY VALUE AS APPRAISED CDDE (HARRISBURG USE DNLY)
Real Properly (Schedule A) $ NONE aa+ 92+
Perlonal Property (Schedule B) 3,372 90 10+
Jolnt.Hold Properly (Schedule E) NONE 20+
Transfors (Schedule C) NONE 30+
TOT AL GROSS ASSETS $ 3,372 90
Leu D.bt. and DeductIons 40- 93-
(SCHEOULE F)
CLEAR VALUE OF ESTATE
o Life Estate RATE FACTOR PRINCIPLE VALUE CODE
o Annuity
FOR USE OF REGISTER ONLY
Tax on $
9lllB.
COMPUTATION OF TAX
$
$
$
$
$
6%
T ax on $
15%
Tax on $
Tax on $
Tax on $
Exemptions
Total Estate
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
$
Leu Credits
DATE OF PAYMENT
~T PAID
DISCOUNT
INTEREST
TAX CREDIT
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5
=
$
+
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INTEREST FROM
BALANCE DUE
BALANCE
TO
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JREV' 483 EX (12-861 ~~" I
('Nl~tOM"f:': ,.. 0' pr""Sn "M~I:' ' \.\,lJO'1 rat,., I NOTICE OF DETERMINATION AND IACN
OErA~l"'f'" o~ r,[\(tiul ,f ,,:4"/::",,~.;,... ,I: ASSESSMENT OF PENNSYLVANIA I
~u"l[.\" or 1"(;'01;.1.1"', l:.XES --,''':;o~l!.:~~....... , I
'l' '0' ""'O~ ESTATE TAX BASED ON FEOERAL
H:'''R.I~(h'ilC. 1':' nl(l~.l'J:~ ~~E TAX RETURN IOATE ~..;J..5.::87
ESTATE OF DURf:IN FRANCIS Yo FILE NO. 21 81-0025
OATE OF OEATH 12-05-80 COUNTY CUJ1Jl.,gm"AND
NOTE: TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT
TO THE REGISTER OF WILLS OF THE ABOVE COUNTY, MAKE CHECKS PAYABLE TO: "REGISTER OF WILLS, AGENT."
20"
DEAN A WEIDNER
BO}: 845
508 N 2ND ST
HBG PA 17108
,
PLEASE RETURN THIS I
: PORT ION TO REGISTER OF II
I WILLS IF PAYMENT DUE
(Amount Remitted to Register of Wills,
~I,!LA.!-~~~_ ~H_I~ _L!fo.!.Eu _ __~... .F!.E:r~~N_ ~<?~~~ .P_O.R:r~O_N. ~Cl~ _Y.O.U.R, ~I~~~ _ _ __ :'.", _. _. __ __ _ _,
REV, 483 EX (12-86) "NOTICE OF DETERMINATION AND ASSESSMENT
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN"
ESTATE OF DURKIN
FRANCIS Yo FILE NO, 21 81-0025
DATE 06-15-87
ACN 201
ESTATE TAX DETERMINATION
1. Credit For State Death Taxes as Verified
,00
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f'1n
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2, Pennsylvania Inheritance Tax Assessed
(Excluding Discount and/or Interestl
3, Inheritance Tax Assessed by Other States
or Territories of the United States
(Excluding Discount and/or Interestl
4, Total Inheritance Tax Assessed
5, Pennsylvania Estate Tax Due
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
INTEREST (-)
AMOUNT PAID
TOTAL TAX CREDIT
;BALANCE OF TAX DUE I
INTEREST
TOTAL DUE
(IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CRI, NO PAYMENT
. IF PAID AFTER THIS DATE SEE REVERSE SIDE
FOR CALCULATION OF ADDITIONAL INTEREST
.00 I
,00 i
.00 -1
.00 I
IS REQUIRED)
PURPOSE OF
NOTICE:
REFUND ICR):
To fulfill the reCluirements of Sectlon 1745 (bl of the Inheritance and Estate Tax Act, Act 255 of 1982 (72 Pa. C,S.
SectIon 17451,
Detach the top portion of thiS Notice and submit with your payment to the Register of Wills.
--Address Information is Ilsled on page , 1 of the booklet. "Instructions for Inheritance Tax Return for a Resident
Decedent."
--Make check or money order payable to: REGISTER OF WILLS, AGENT.
All payments received shall first be applied to any interest which may be due. with any remainder applied to the tax.
A refund of a tax credIt, mav be requested by completing an "Acpllcation for Refund of Pennsylvania
Inheritance and Estate Tax" (Form REV- 13131. Applications are available at the Office of the Register of Wills.
an~' of the 2~ Revenue DIstrict Offices. or from the Department's Forms Service Unit 24 hour Forms Ordering
telephone lines in Harrisburg - (717) 787-8094. in Philadelphia - (215) 351-2065 or in Pittsburgh -
14121565-3601.
PAYMENT:
OBJECTIONS:
An\, party in interest not satisfied with the assessment of tax as shown on this Notice may object within
Slxt\' (60) days of receipt of this Notice as follows:
--b\' written protest to the Department of Revenue. Board of Appeals. P.O, Box 8480. Harrisburg, PA 17105-8480 OR;
- -by election to have the matter determined at the audit of the account of the personal representative OR '
--by appeal to the Orphans' Court.
ADM1N-
ISTRA TIVE
CORRECTIONS:
INTEREST:
Factual errors discovered on this assessment should be addressed In wrltmg to: PA Department of Revenue. Bureau
of IndIvidual Taxes. P.O. Box 8327. Harrisburg, PA 17105-8327. ATTN: Po::.t Assessment Review Unit
1717) 787-6505,
See page 3 of the booklet "Instructions for Inheritance Tax Return fa: a Resident Decedent" for an explanatIon
of administratively correctable errors.
Pennsvlvania Estate Tax based on the Federal Estate Tax return becomes delmquent at the expiration
of eighteen (18) months from the dale 01 death.
Taxes which became delinquent before Januar~' 1. 1982 bear interest at the rate of six (6%) percent per annum
calculated at a daily rate of .000164. All taxes which became delinquent on or after January 1. 1982 will bear
Interest at a rate which will vary from calendar year to calendar year With that rate announced by the Pennsylvania
Department of Revenue. The applicable Interest rates for 1982 through 19B7 are:
Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interst Factor
1982 20% ,00054B 1985 13% ,000356
1983 16% ,000438 1986 10% ,000274
19B' 1111o ,000301 1987 9" ,000247
"
--Interest is calculated as follows:
INTEREST . BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT Y. DAILY INTEREST FACTOR
--An\' Notice Issued after the tax becomes delinquent will reflect an Interest calculation to fifteen (15) days
beyond the date of the assessment. If payment IS made after the Interest computatton date shown an the Notice.
additional interest must be calculated.