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HomeMy WebLinkAbout81-00027 ~. .,... ex) . - 0r- a C\I ~ ~ I"l . .9 0 z .li ~ -. LAW' OFFICES I MARTION AND SNtLOAKl:R ': .. LAST WILL AND TESTAMENT I, JEANETTE M. REITER of the Borough of Carlisle, Cumberland County, Pennsylvania, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made. 1. I give the sum of One Thousand ($1000.00) Dollars to the Building Fund of St. Paul's Lutheran Church, Carlisle, Pa. 2. All the rest, residue and remainder of my estate I direct shall be divided into two (2) equal parts, which I give and devise as follows: (a) One such part I direct shall be divided into two (2) parts and distributed as follows: (1) I give one such part to Mrs. William Kistler to be used as she desires. If she predeceases me, then this share I give to her son, MARTIN KISTLER, absolutely. (2) I give and bequeath the other such part to the children of Homer C. Kistler, who is now deceased, to be divided equally, per stirpes. If any of such children shall predecease me, his or her share shall go to their children, per stirpes. (b) I give and bequeath the remaining part of my estate in equal shares to my nieces, JEANNETTE G. BURGETT and BETTY J. FRITZ, absolutely. In the event either of said nieces shall predecease me, then her share shall go to her sister. 3. I hereby appoint JEANNETTE G. BURGETT as Executrix of my ~"""'I='t. "':'"'''-'1:' . ':~ , .~ ,~.,..,.-.:,~ ~t ~~, '""t~.. )~r f~t .~.~ '.......'" ~\ ' .... , '~"~ . .'~ - ~ ..-- ," ;:j=" (IF ,.... ..e::; I> ~ ~r--~\ s: ,~I ':; '''"~~ l: '''''l'''''t 1). " '~~ "~m." l:.t. " \ J - ~... ra M ~'.'~~'\' ~~, '~.i ~- ~. ......:.,.. .. . I i' ~ H ga ~ ~ ~ ~ ~~ ~ ~ '" 0 :J !,! '" ~ ~ 1 ~ ~ :s ,'( - 0. ~ - ~ , ~ ~ 6 . ;:.: ~ Eo! ~ ~ 'C ~ OATH Qt' PERSONAL REPlmSENTATIV.; COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND Before me, the Register for the Probale of Wills and granting of Lelters of Administration in and for the County of Cumberland, personally came Jeannette G, Burgett who. being duly sworn . do es depose and say that as Executrix of Ihe last Will and Testament of Jeanette M. Reiter 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, /' January 13 A.D., 19~ I, Register :.,; .-I: :OJ ,If) CS; ,Ol :OJ '"'r .<J :OJ :Q LL. PI: "": I'l: aI: 0 E-<: #[ H: "": 1'- tll ..-: .-11 N ...I 0 0 >t~ r-- .: p:l N ...I ~1 - \04' I - .: Ill, .-I - I'l: .~ u: ::I: aI ~ E-<: ::: E-<: c: ,-1 I E-<: = I'l: ..,: .-l ~I .~ "'l 0)[ N '" 0'1, OJ . . : '" 1/l: . I...... 1 0 ... r--: Z 0 #1 , C\I: <J I : ~ f: ~ 'i !l ] - 0 Ol .~ If) p.. ... Z ~ DECREE Be it remembered that on the 14.th day of Jama ry 81 ,A.D..19_. there was probated and recorded the last Will and Testament of Jeanette ~;, peiter late of Lower Allen Township , Cumberland County, Pennsylvania, Jeannette G, Burgett Deceased. Letters Testamentary were granted to Witness my hand and official seal the day and year aforesaid. . . ....~.} (,. ,> 9;p; /)~~ ~ d-t,.{J ~ " '-el.-r,f'.. Y Relsister ' COMMONWEAL TH OF PENNSYLVMlIA OEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28, 1956, P,L, 1757, and Act of Jun. 15, 1961, P,L. 373, OJ amended) -~ '~\f~ Applicatien is heraby filed for tha approval of an exemption from Pennsylvnnio Transfer Inheritance Tax on the transfer of the property describad below: 1. Bureeu File ff __f..l.::.81".o02Z -....-._..--..._--~----- 2, Date 01 Death ____J anuary 6. 1981. 3. Dele ef Apprevel {,]d;k.L4-Li?/ 4, Neme 01 Decedent J~NETTE N , REITER 5. The Commonweelth's appreised volue 01 the property lor which en axemption is c1eimed is $ 1,000,00 (Note: Where the property is other than a specified amount of cash, the exemption cannot be approvod until the value of the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift or bequest represents a stated fractional or percentage portion of the entire ostato or the entire residue. In those cases enter such fractional or percentage amount above). 6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the transfer, unless such metariel hos been previously liled. WILL L5t; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, e.plein) i . ! J 7. Correct Business Nome and Address of Charitable Organization receiving property: NAME ~t: P::I111 I ~ T.l1r.hp,..~n r.h"l"'("'h. R"i 1 rHn~ F11nrl ADDRESS 201 WeRt: T.ollther Rtreer, C"r1 i ~1 p. PA 1701 ':\ o See listing on reverse side for additionol charitable organizations covered. 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. Signeture of Applicont )k~~~~~~ 1: B~/!t~;r7t Address of Applicont 507 West Louther Street, Carlisle, PA 17011 Officiel Title Executrix /j/~ 1 /1'/ I / Dete This form must be completed in triplicate and all three copies delivered to the Register of Wills for the County in which the decedent resided, or In which l'Jtters were issued for 0 nan.re$ldent decedent's Dstate. If the decedent was a nan.resident of Ponnsylvonla and letters wero not Issued by a Pennsylvania Registor of Wills, dellvor 011 three caples to the Director, Bureau of County Collections, Penna. Department of Rovonue, 26 S. 4th Street, Harrisburg, Po. Do not write below this line. Fer Olliciel Use Only Fer the Secretery of Revenue REFERRED te Bureau Heodquarters Appreved 0 For Secretary of Revenue Denied' 0 (lniliels el Register 01 Wills) (Authorized Signeture) (County) ~A'./ .~~ /f%'/ (Date of Approvel) (Ceunty) (Title) (Date 01 Referrol) (Dote 01 Action) .. See reverse side for reasons MUST BE FILED IN TRIPLICA TE Inventory of the real and personal estate of JEANEITE M. REITER deceased REAL ESTATE: NONE TOl'AL REAL ESTATE PERSONALlY : 1. Household Goods. Value based on appraisal. 2, Checking AccOlmt No. 4-33780, Fanrers Trust Company Date-of-death Balance 3, Passbook Savings Account No. 141675, Cumberland Valley Savings & Loan . Date-of-death Balance Accrued Interest 4. Certificate of Deposit No. 10-708303, Cumberland Valley Savir.gs & Loan Date-of-death Balance Accrued Interest 5, Certificate of Deposit No. 04-686670, Cumberland Valley Savings & Loan Date-of-death Balance Accrued Interest 6, Ref1md of Deposit: Beltone Hearing Service 7, Refund of safe deposit box rental: Fanrers Trust Company 8, Social Security Death Benefit 9, Ref1md of premium: Capital Blue Cross 10, Refund of overpayrrent: Hoffman-Roth Fmeral Home 11, Ref1md of overpayrrent: Blue Ridge Haven West Convalescent Home 12, Credit Ref1md: Bell Telephone Company of Pennsylvania 13. Ref1md of Insurance Premium: ~,Colonial Penn Franklin Insurance Co, 14, Ref1md of Premium: National Home Life Assurance Company 15, Public Service Electric and Gas Company, 6% Debenture Bond, dated July 1, 1970, registered in nane of decedent. Face Value 16, 10 shares, conm:m stock, Perm Central Company, now Perm Central Corporation, dated December 21, 1970 TOTAL PERSONALTY RECAPITULATION TOTAL VALUE REAL ESTATE TOTAL VALUE PERSONALTY TOTAL APPRAISED VALUE $ NONE 38,882.23 $38,882,23 NONE NONE $ 519 50 2,883 63 4,360 92 4 00 25,000 00 206 80 5,000 00 5 42 165 00 6 87 206 11 36 70 48 89 276 00 2 32 30 00 14 87 100 00 15 20 $38,882 23 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } u: JF.ANNErrE____G. BlJRGEIT , I being duly - sworn _ according to law, deposes and lOys that She is the Executrix ._____ of the Estate of .1EANETrE M, REITER late of -Lower-Al1en.Township_____....._____ . Cumberland County, Pa., dece..ed and that the within is an inventory made by --- ,Jp"nnett-p G Rt1reetL '. the said Executrix of the entire estate of said decedent, consisting of all the personal prop.rty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value .. of the date of deced.nt's death. Sworn to and subscribed before me, ) Y-ccc-t<-t,ert2_ ~ ~e~d . Executor. Aclmlnllfr<<f G';I2.'LLe :17" 19 81 LLLLf<.....,:~ ,.:;( 5L.LP) , ~ 507 West T.outher Street WILLIAM L EARP, Nol.ry Public Carlisle, Cumberland Co.. Pa. My Commission E,pires Aog, 13, 1984 Carlisle, PA 17013 Addr.u Oat. of Death 6th 1981 January Month Day Yur INSTRUCTIONS I, An inventory must be filed within three months aft.r appointment of personal reprasentative, 2, A supplement inventory must be filed within thirty days of discovery of additional assets. 3. 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YEAR - u. - ESTATE OF W ..J ::> Q w J: U en c.:l 2 i= w .J c.. ::E o U cr: o \I. en 2 o i= u ::> a: I- en ~ ADDRESS COUNTY OF DOCKET NO, PAGE NO, LINE NO, I"< ~~ C;U:NERAL 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 are claimable inciuding 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. r ." 0 n > t'1 ~ ~ z > 0 0 0 en Cl n c: 0 ., Z s: Z t'" 1"1 ~ ~ ~ t'" 1"1 '" Z ::0 - Z Z 1"1 .., 1"1 Z ~ ~ .., -< en 1"1 - en Z 0 en 0 ., ~ "T1 "T1 ::0 ~ ~ 0 , - "T1 ~ 0 "T1 - ~ , C' z n , '-' "" - ,-- > L ~. t'" ,~ ) '" cc ...c... c: N :1:::', Ci... '" tlJ L~ . ~. :t:__: t'1 0;.-' is.- ,-,.:..: o:::u;' cr ~u.: 0 oiJj :t:::r= z u.., e::-L. t'" ~c:: ~ ,.J::1 50 j-' -< -< -< u t'1 t"l ~ > > ::0 ::0 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 claimed, 7, The form must be signed by the person who has assumed the responsibility for paying the debts, R~" 1.cl~ EX+ (3.RO) COMH-ONW~AL Tli OF PENt~S,(LVAI~I^ DEPARTMENT OF REVENUE TRAIlSFER INIlERITANCE TAX RESIDENT DECEDENT AFFIDAVIT OF FIDUCIARY (lo'1trur;t;ons on Rovorse Sido) '* ...--.-..-.----- --'--.--- -----,-.-.,----. ..-. Estate of -.JEANETTE. M,._.RElTElL___ Lost Address _BJ!J:.h.anY_1QWe.:rl>.._.. ___ 335 Wesley Drive Mechanicshurg___._PA 17.D55_ len'" 15TATliJ {7.H'J Dote of Death January 6. 1981 Social Security No, 17lL-O~-15'35 Bureau File No. Coun ty Fil e No. 21-81-0027 1. Decedent di ed: ( ) Intestate (without e will) ( X) Testate (leaving 0 lost will--copy attached) 2, Is the fil ing of 0 Federal Estate T ex Return required for this estate? Yes_ No X 3, ( X) -E..eClJ'lOT/Executrix ) Administrator! Administratrix Nnme ___---1eannette G Rl1rgett Address 5.0J_W.es.t....L.outher. ~trppr -Carlisle. leI TV} P1L- (STATEI 17011 (ZIP) 4. All correspondence should be moiled to ( X) Attorney ) Fiduciary, 5, If on attorney is representing the estate, indicate: Nome William F, Martson. P,C. Address Ten East High Street -Carlis 1 '" (CITY) PA (STATE) '7!113 IZIP) List 011 safe depesit boxes registered in the decedent's individual nomel or jointly with, or os on agent or deputy of another, or in decedent's individual nome with right of access by another os agent or deputy. Include the nome and address of the bonk or other institution where the safe deposit bex is located, the nome (s) in which the box is registered and the relntionship of the joint holders to the decedent. NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT MAIHTAIIIED A SAFE DEPOSIT BOX NAME OR NAMES IN WHICH SAFE OEPOSIT BOX IS REGISTERED RELA T10NSHIP OF JOINT HOLDERS TO DECEOENT Farmers Trust Company Jeane One West H:i,g!LStrel;tt_, Car li~Ll.e......J'..LJ,1.Q.13 Under penalties of pBrjury, I declere that I hove examined this return, including Dccompenying schedules Dnd stDtements, and to the best of my knowledge and belief it is true, correct and complete, ~ tf;a~/? / DATE REV.450 EX+ (3.80) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY d6. " .' ~, ' , '" (Instructions on Reverse Side) EST ATE OF JEANETTE M, REITER 11 EM NO. DESCRIPTION ESTIMATED MARKET VALUE DEPARTMENT VALUATION (OFFICIAL USE ONLY NONE NONE TOTAL THIS PAGE NONE It: S'gf( rtEV.451 (1.BO) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT OECEOENT SCHEDULE "B" PERSONAL PROPERTY (Instructions on Revorse Sic/v) Estate of JEANETTE M. REITER ~~~ =-=...-=.,."..,......... ITEM NO. ESTIMATED MARKET VALUE DESCRIPTION UNIT VALUE 1. Checking Account No, 4-33780, Farmers Trus Company; account registered in name of decedent with Jeannette G. Burgett, Power of Attorney, Date-of-death Balance Passbook Savings Account No, 141675, Cumberland Valley Savings and Loan Assoc,; account registered in name of decedent with Jeannette G. Burgett, Power of Attorney, $2,883.63 2, 3, Date-of-death Balance Accrued Interest 1/11/81 to 1/6/ 1 Certificate of Deposit No, 10-708303, Cumberland Valley Savings and Loan Assoc" registered in name of decedent. Date of maturity, 6/18/81: 15,673%, Date-of-death Balance Accrued Interest - 12/18/80 to 1 6/81 Certificate of Deposit No. 04-686670 Cumberland Valley Savings and Loan Assoc.; registered in name of decedent with Jeannette G, Burgett, Power of Attorney. Date-of-death Balance Accrued Interest - 1/1/81 to 1/6/81 Refund, Beltone Hearing Service - for deposit on hearing aid Refund, Farmers Trust Company - Safe Deposit Box Rental Social Security Death Benefit Premium Refund - Capital Blue Cross Refund, Hoffman-Roth Funeral Home - Overpayment of funeral expense Refund, Blue Ridge Haven West Refund, Bell Telephone Company of Pennsylvania Refund, AARP, Insurance Premium, Colonial Penn Franklin Insurance Company 30,00 4,360,92 4,00 25,000.00 206,80 4. 5,000,00 5,42 5, 165.00 6, 7, 8, 9, 6,87 206,11 36,70 10, 11, 48,89 276,00 2,32 12, TOTAL THIS PAGE 38,232,66 * DEPARTMENT VALUATION (OFFICIAL USE ONL YJ FARMERS TRUST COMPANY 1 West High Street Carlisle, Pennsylvanie 17013 Date April 23, 1981 William F. Martson, P.C. Ten East High Street Carlisle, Pa. 17013 Re: Estate of. Jeanette M. Reiter Date of Death January 6, 1981 Dear Mr. Martson In answer to your request concerning accounts owned, either separately or Jointly, by the above referenced decedent and the balance in each account .as of the date of death, we have checked our records and are submitting the following information in duplicate. We suggest that you file one of these letters attached to the Pennsylvania Inven. tory forms (Ree) to substantiate the balance you report. Note that we have shown the correct registration for each account. Also, interest accrued to the date of death, if any, is listed as a separate figure. Very truly yours, Account # 4-33780 ~2,883.63 FARMERS TRUST COMPANY ~,d~ (i/ t2U!~ Rosalie W. Asch Executive Secretary " I", ~, . . . . . ~IL1IA~ F. ~ARTSON 10 E!,ST HIGH ST. c.e.RLISLE, P.~.. APPiiASIAL FOR TiiE ESTATE Ol": ,TE,,;,~~'l'j'E :{r~] 'mR, llE'l'lll.JH 'l'O\'IERS AP'.i'S. BED rtOor.~ : JELLY CUPBOA~-------------------- $ SEALL CHEST OF DRAWERS------------ S flAT TrtlmK------------------------ S 5 DRW. CHEST OF DRA'::ERS-----.------ ::I SINGLE HonniOOD BED CO:.:PJ,r.;'PE----- S VACUUM CLEft~E?-------------------- S SMALL WOODEN STOOL---------------- ) CP~E SEAT CHAIR------------------- S STORAGE TYPE HASSOCK-------------- $ 2-ThBLE LIGHTS-------------------- S T,IVIliG ROOM: WOODEN DINETTE TABLE-------------- S RED UPHOLSTERED PM~'FORi1 ROCKER--- ~ 2~~00DEN SIDE CH~IRS-------------- S '....OODEN Aill1 CHAIR W/CUSHION SEhT--- $ WOODEN STOllAGE CHEST-------------- $ :lED &. GRH PJ.AID PLATFORM ROCKER-- S LEATHER HASSOCR------------------- S DESK & CHAIR---------------------- e FOOT STOOL------------------------ $ UPHOLS'l'EitED HOCKE~---------------- $ END TABLE \'''/J''AGJ..ZINE R!,CK--------- $ 2 DR\{. D~OP LEAF sTJ:Jm------------ $ ~ABLE LJGHT----------------------- ~ FLQRAL COVERED S\'iIV'..L ilOOY.r:~~"--..-- S Ct.RD V.hLE \~/4 ClihI:lS---- - - - - - _'h - S CLOTiiES DRYING RACY.--,.-..----------- e BISSEL H~ID SWEEPER--------------- $ 80.00 15.00 1? )0 35.00 ;'0,00 1'/.)0 3.00 10,00 3.00 ~ . 00 PI,] R 30.00 3'1.50 5.00 PAIR 11.00 15.00 32.50 5.00 1'1.50 3.00 18.00 11.00 30.00 3.00 2,/.00 1 ~ .00 ;>.00 3.00 REV..452. (1"80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT ESTATE OF _ TF.ANF.'l"T'F. M RF.T'l'lCR SCHEDULE "C" TRANSFERS *~', " . , INSTRUCTIONS: 1. Answer the questions on reverse side. 2. If the answer to any of the questions on the reverse side is "Yes," provide (\ description of the property transferred per Schedules "A," "B," or OlE," its estinwted IIImket vallie at dale of death, d,1tes of transfer, to who 111 transferred and relationship of transferees to decedent. Attach a copy of any 111151 decd or illstrllnlOnl relating to the transferred property, ...---.. ._-.'-,. .... ........ ,..~..- ,'-" -- . . ,,--..-..-.. .. --...~..._..._-. .--.,- .-.'.-"- ITEM NO. DEseRt PTlON ESTIMATED DEPT. VALUATION MARKET VALUE (OFFICIAL USE ONLY) NONE NONE TOTAL THrs PAGE NONE NONE' ~~t QUESTIONS CONCERNING PROPERTY TRANSFERS 1. Did decedent, wilhin two years of death, make any transfer of any material pari of his estate without receiving valuable and adequate conSideration? (Answer "Yes" or "No".) NO 2. Did decedent, within two years of death, transfer property from himself/ herself to himself/herself and another party or parties (including a spouse) in joint ownership? (Answer "Yes" or "No",) ...N.Cl.- 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 0 f death certi fi cate. c. Affidavit by the attending physician indicating the slate of decedent's health at time of transfer. d, AI! 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".) 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 valuable 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/her death: a. The posseSSion or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".) 1ID-- b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer "Yes" or "No".) ~J9 6. If the answer to five b. above is "Yes," state whether the right was reserved in decedent alone or 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 baleficial 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, amend or revoke the interest of the beneficiary reserved in the decedent alone or the decedent and others? (Answer "Yes" or "No".) INSTRUCTIONS FOR COMPLETING SCHEDULE "E" Schedule "E" must include all property, real and personal, owned by the decedent jointly with another partY or parties es joint tenants with right of survivorship, Soth tangible and intangible property are to be included. List real estate first. 1, Describe ell real property as indicated in the instructions for Schedule "A", Describe ail personal propertY as indicated in the instructions for Schedule "S", Include the name, address and relationship 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 01 the decedent's interest, r-< '" Ci n :>- M :>- :; Z ;.. 0 0 0 cr> % " Z - Cl n c:: 0 -l ?' r-< M M ~ Z :>- SJ - SJ r-< :;::I - Z Z M -l M -l Z SJ SJ -l -< cr> M - cr> Z 0 cr> 0 -l 0 "'l "=1 ;>:I ~ ~ 0 "=1 :'l: - "'l ~. : ,", 0 - :"'-...1 :'l Z n "" :-If.:; - I. ;.. L_ , ~~~ r-< C)'. oc. c:: el'" N ..c:"; l:'_ : rJl LJ.,'l.l.1 "" (.~~ M Or- e:, a::: V., "" 'i"'l~~ 0 Oi:; y'" Z '-'w .,Z: ~'" ~ ~:::> ~ ~ w'-' .oJ >< ,,<: '-' ~ M M :>- ;.. :;::I ;0 REV."1I4 EXt (~aO) INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) File Number 21-81-0027 iii Original o Supplementa' o Remainder Estate Name ,JAaneJ;.tIL~te.r Date of Death January 6, 1981 Social Security Number 174-05-1535 REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and lor the eaunty 01 Cumberland Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the laregoing return at the valuas sot forth apposite each Item in the last column to the right in Schedules "A", "B", "COO, and "E" Dated: M~y ;>1, 1981 (~ '/'" I) _(7't.-'/.."lld ;;1 /1111,1,1';'; INHERITANCE TAX APPRAISER INVENTORY coaE AaJUSTMENTS (HARRISBURG USE ONLY) REMAIHDER APPRAISEMENT CODE VALUE AS APPRAISED Real Property (Schedule A) Per.onal Property (Schedule B) Jolnt.Herd Property (Schedule E) Transfer. (Schedule C) $ N ne 00+ '0+ 92+ TOTAL GROSS ASSETS 20+ 30+ Leu Debt. and Deduction. (SCHEDULE F) CLEAR VALUE OF ESTATE o Lile Estote o Annuity 40- 93- ~ FACTOR PRINCIPLE VALUE CODE I FOR USE OF REGISTER ONLY Tax on $ !;QQg, COMPUTATION OF TAX $ $ ~ $- $ - 6% "rox on $ 15% Tax on $ Tax on $ Tax on $ Exemptions 1'otal Estate TOTAL TAX INTEREST FROM BALANCE TO $ $ $ Less Credits DATE OF, PAYMENT AMOUNT PAID DISCOUNT INTEREST S + $ 5 = ,+ -- = BALANCE 5 INTEREST FROM TO BALANCE DUE TAX CREDIT $ ~ ~ ~ ~ rl e:; ll> > Z ~ ~ f>l 'M 0 :>- ~ a ~ . 'd '" :0: .g a ~ ~ U rl ...:l 'M N a ll> 0( ~ ~ - .<l rl rl .::t U Z U rl 0() - 0 ll> t) rl l<. l<. - 0 ~ c:i ~ ~ ~ ~ 0 !-< 0 '" z c:i '" '" >- !-< c:i - ~ z Z !-< ~ !-< ~ Z ...l c:i - c:i ~ ~ z :.: ~ ~ ...l Z ::E z 0 ~ u '" Z ~ ~ '" ~ 0 0 0( :l ~ u 0 ". I I