HomeMy WebLinkAbout81-00083
No. 21-81 .~~:J
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
In the Estate of )(;,1 e [f, z (. /"e Ih
/-/e Is-fr,.,
, deceased.
To Register of Wills for the County of Cumberland. In the Commonwealth of Pennsylvania.
Petltloner{s) Is (ar~) the executor; ~
named In the Last Will and Testament of To., (
E)ju.I,r-lh ;-J" If-Iff'" dated JU>1e. c.(O /'i7J
Decedent was a citizen of the United States and a resident of ('0"':,_. Iii'!
TownGhlp (Borough), Cumberland County, Commonwealth of pennsylvania.
Decedent died on /)((' p"" 61' the,,), (, day of A.D. 19k, In the
County of U v ih;" .ft. . ('. . State of ___ at the age of il- years.
Decedent bas-{has not een married and bas (has not) had children born to I:Ilm (her) since the ex-
ecution of the above described Will.
Decedent was possessed of personal property to the value of olS; ocn-
and of real estate to the value of tf6 , fr1:-1:'-
.
as near as can be ascertained; said real estate situated as follows..)O l\ .III 7Y !1-. s+. ('c,~... /~';/,
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Therefore, your petitio er(s) respectfully apply(ies) for ih~ probate of (he said Last Will and Testa-
ment and for Letters Testamentary theron.
Dated 17 bflu'd .) 11 YI
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C0i$10N'tYE'ALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND l
Name and address
of Petitioner(s)
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Ina V. Shriver
named in above applicalion, being duly sworn
statements set forth in this petition are true to the best of
IJwQ!~~u_. and subscribed before
according to law say(s) that the
h..l" knowledge and belief.
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Filed: February 4, 1981 A~Orney !l"'-j("~.,, ro,''! ,A-.J~<' f.r. i }J /
If $ 1_./ /(). ,c"o",+ .n IJ /
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
Before me, the Rcgisler for the Probale of Wills and granting of Lellers of Adminislration in and for the Connty of
Cumberland, personally came
Inll- f fr'h,p;w1v
who, being duly
, do
deposc and say thaI as
J{;y'l!. ~Jiu4r'!,-. /.J.I.J+,.,...,
deceased
of the last Will and Testament of
will well and truly administer the goods and ehallels. rights and credits of said deceased aecDrding to law. And
also will diligently comply with the provisions of lhe law relating to Transfer Inheritances. sworn and subscribed before me.
February 2
~J;;:.7 A~
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A.D., 19~
/II/eLl ~. ruzd .
RegIster
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DECREE
Be it remembered that on the 4th
day of
Febntary
81
,A,D..19_. there was probated and
Holstein
late of
recorded the last Will and Testament of
Jane Elizabeth
Camp Hill
. Cumberland County. Pennsylvania,
Ina F. Shriver
Deceased. Lellers Testamentary were granted to
Witness my hand and official seal the day and year aforesaid.
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INVENTORY OF REAL AND PERSONAL ESTATE
--- -=----.
)n t~r ilattrr of t~r i:statr _...f......~~!:.Ci!...~.~~~~!?Ci!.~.~..~~.l:.E!.~..Ci!.t.l,"\.......................
cumberland .
lale of S~!?...~~~.l:.........................................in lhe Counly of Mikll}l(.m, Slate 01 Penna., deceased.
)nllrntllfU of the real and person at eslale which were of the above-named
Jane Elizabeth Holstein . ..
............................................................................ ................... deccased. 1aken and appraIsed
the .................. day 01 ............................19 (Date of death ..1?':l.~:..}.~.!...~.~.~.9
CASH AND CASH ITEMS
proceeds from Dauphin Deposit Ck. Acct.
No. 43-75-0516
state Capital Savings and Loan Savings Acct.
No. 002-00-02767
state Capital Savings and Loan Certificate
of Deposit No. 002-20-06362
Cash in safe deposit boxes
Travellers checks in boxes
Assorted out-of-date currency:
Large $5.00 bill - 1902 - National
Chambers burg
Large $1.00 bill - 1923
Gold piece - 1903 - $2 1/2
Paper cents and postage currency:
.1:; (1863), .03 (1863), .03 (1863),
.50 (no, date), .25 (1863), .25 (1874),
.05 (postage currency 1862), .05 (postage
currency (1862), .10 (1874)
$100 - confederate
Gold piece pendant - $5 - 1915
1905 $3 1/2 Liberty coin
1853 $1
1915 $5 Indian in Bezel
Social security Lump Sum death benefit
cumberland County Veterans benefit
STOCKS Ai~D BONDS
pennSalt (Penn walt) Chemical Corp.
5 shares - common at 27 1/4
Virginia Electric and power Co.
22 shares - common at 10 6/8
United States Savings Bonds - Series E -
14 at $25
1 at $50
5,590 43
22,675 48
11,566 8u
1,44.~ 01
250 00
No sign' fic
apprais d v
Face va ue
15 00
150 00
200 00
115 00
255 01
100 00
136 25
236 50
350 00
50 00
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INVENTORY OF REAL AND PERSONAL ESTATE
==~~- ===-......=:=,....,:v.z-........... ...~':"O""':;=~u:>>_:I=>:lr......':or.,.....~_="";;_ -
3ln t~r S1uttrr of Iqr tstut, pr......;(im.C;l...J;:.Uf\.~);l.fi1J,1U!R;J,,li.t.C;l.~l\.......................
Cumberland
laIc of ..........~.~~!p...!:I.~.~.L..............................in the County or NIWlIbiI,. Slate 01 Penna.. deceased.
)nurnlurl/ 01 the real and personal ..late whkh were of the above-named
..... ~~.I}.~...l!:g.~.'.l.I?~.!=:h..~!?,.1..~.~.'?~!"!...._.................................... deceased. Taken and' appraised
the .................. day of ............................19 (Date 01 death Q.'?9.,...f.~....J.~.?Q)
PERSOHALTY
1973 Dodge Monaco (2 door sedan)
1,975 00
ook val e)
JEWELRY N~D PERSONAL EFFECTS
Watch fob with Elks
Watch fob
Elgin Watch #25527107
Elgin Watch Polgraph case
Elgin Watch #15203787
Walthon Double Face
10 k ladies ring
14 k rings 6 dwt at $11
10 k rings 5.9 dwt at $7
Ladies emerald ring
Diamond ring 18 pt center stone
10 k diamond solitaire diamond (damaged)
10 k diamond solitaire diamond (damaged)
2 thimbles; some clothing and other personal
effects at 200 North 34th Street, Camp Hill
10 00
2 00
10 00
10 00
10 Or.
5 uo
15 00
66 00
41 30
15 00
30 00
7 00
5 60
250 00
REAL ESTATE
Unimproved lot on northwest corner of Laurel
and Pine Roads, West Hanover Twp., Dauphin
County Tax Map Parcel No. 68-2-31
2,500 00
Unimproved lot on southwest corner of Laurel
and Pine Roads, West Hanover Twp., Dauphin
County Tax Map Parcel No. 68-2-46
7,000 00
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CqMMON"~AL TH OF PENNSYLVANIA
DEPARTI:\ENT OF REYENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
- ,.
STATEMENT OF
FIDUCIARY
(Instruction. on Royor.. Sid.)
*'
Estate of -runt.. [ /-l/11C..,
Lost Address..;? (\ (' /l/ J.; II
(~17' //;,1 ,I , -/
/e ' / (
(CITY' (STATE) (ZIPI
Date of Death ..' ('~,.,. ,',-
Social Security No. I -; r;: - jJ
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State File No.
County File No. __.-J.J.I - X I - xi,))
J. Decedent died:
( ) Intestote (without 0 will)
( vf,''f;'stote (Ieoving a last will--capy attached)
2. Is the filing of a Federal Estate Tax Return required far this estate? Yes_ No ........-
3. (,,'f Executor
Name
L,rlr....
) Administrotor
.( A,..; I ;'Y'
Social Security No.
/ 7.' c I. (( ( .c'
Address ')0 C
tIt ).
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fc,
C)
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cO
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(STATEI
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4. All correspondence should be mai led to (./) Attorney
....,
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Fiduciory.
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5. If on attorney is representing the estote, indicate:
Name J~ fer ~'1 ,"'I /1<, I I'.
I
Address l.I.i' c? ,IV i';.~1V).J.
-..'~
Telephone No. !..)?? - r; -;,0;
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(CITY)
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(STATE)
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CZIP)
List all safe deposit boxes registered in the decedent's individual namet or jointly with, or as an agent or deputy
01 another, or in decedent's individual name with right 01 occess by anomer os agent or deputy. Include the name
and oddress 01 the bank or ather institution where the safe deposit box is located, the name (s) in which the box
is registered and the relationship of the iaint holders to the decedent.
HAME AHD ADDRESS OF BANK OR OTHER IHSTITUTION
IH WHICH DECEDENT MAlHTAlHED A SAFE DEPOSIT BDX
HAME OR HAMES IH WHICH
SAFE DEPOSIT BOX 15 R GISTERED
RELATIGNSNIP O' JOIHT
HOLDERS TO D_ECEDEHT
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Under penalties of perjury, I declare that I hove examined this return, including accompanying schedules and
statements, and to the best of my knowledge and belief it is true, correct and complete.
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SIGNATlI1lE OF FIDUCIARV
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DATE
:ITEM
NO.
;-.,ft1v..cIoIXt n~IIO)
, <;o-.eWl!Ar.:l'H OFPENHSYLVIINIA'
'. DePARTMENT 0' RIVENUE
i . TRANSF.ER INHERITANCe TAX
, ReSIDENT DICED!NT
SCHEDULE "A"
REAL PROPERTY
(In.truction. on Rev".. SI.e)
, ESTATE OF Jane Elizabeth Holstein
OESCRlPTION
ESTIMATED
MARKET
YALUE
DEPARTMENT
VALUATION '.
IOFFICII4L USE ONL Y
Unimproved lot on northwest corner of
Laurel and Pine Roads, West Hanover
Township, Dauphin County Tax Map Parcel
No. 68-2-31
Unimproved lot on wouthwest corner of
Laurel and Pine Roads, West Hanover Twp.
Dauphin County Tax Map Parcel No. 68-2-46
2,500.00
7,000.00
,Go T
.00 T
',,, , )
'''' j.."
'. .Af)
.00 T.
TOTAL
If additional space is necessary, USIt BW' x 11" sheets.
.,.......... ~...' '........"1
C~ONWEALTH DF PENNSYLVANIA
DEPARTMENT DF REVENUE
TIIANSfER INHERITANCE TAX
. RESIDENT DECEDENT
~t1t.L.JUL.c. U
BENEFICIARIES
*
IInnructions on Rev_ Side)
I
Estate of
Jane Elizabeth Holstein
BENEFICIARIES AND ADDRESSES
RELATIONSHIP
SURVIVEO
DECEDENT
Yes
DATE OF
BIRTH
Ina F. Shriver
Sister
Lakeside Lutheran Church
Harrisburg, Pennsylvania
Yes
s ecific bequests
haritable bequest
$100
Second United Church of
Christ, Green and Broad Sts.
Harrisburg, pennsylvania
Yes
haritab1e
$100
Alumni Association
Presbyterian School of
~ing, Inc.
Yes
East Harrisburg Cemetery
Association
Yes
aintenance of
ami1y graves
----~.._-
2,000
padd1etown Cemetery Assoc.
Yes
aintenance of
trominger
ot - $500
he abova beneficiaries were living at the time of the decedent's death except for the following:
NAME
DATE OF DEATH
. eddltional'p,cBI. nec....ry. UIe 8~" x"" .heets.
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SOLO
TO
Steinmetz Coins & Currency, Inc.
48 KLINE VILLAGE I,ARRISBURG, PA. 17104
Ph. 717 . 23B-91B4 or Lancasler 717. 397.69B9
Member' facl' Telelypc Nelwork "D 13"
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DATE <.. ("-,, (~l OUR ORDER NO.
DATE SHIPPED SHIPPED VIA
QUANTITY
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FORM Sl'.8
TERMS
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YOUR ORDER NO.
S^LESMAN
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DESCRIPTION
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PRICE
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DEPT.
AMOUNT
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}JnOPi';i-:rj1Y OF
j;~~)ll1NllE OF H;!. S!H{1 V!.;R E~l' AL
200 N. 3,n1H 8'J'HEI~rr
CAJ-1P In 1]., CUJ'1H}~]n'/d~D co., Pit.
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LOCA1'IOli:
1}1110 ~;ubjC'(:t propr!r'i:y 1 i~!~~ ;:ti th.,? fJ(l!.t.hv.'(~:::ipI'n corn!:.'l' or
LOC8.n Stn'(,'i, ;.:.nd 5-1th Eal'(>ct in Ul(! lh)r'oll..gh oi' C::t~rJp Hi 11,
bpin..s r:nc1W!~:md {J~,JijJuvI'(-'d Hr;, ~OC) I~. 3Llth ~)t.J'epi., Camp fUll,
Cumberland CUUIJt,v, ru.
PURPOSE Of'
~PPRI'ISAL:
rrhe Pu..1.'11nCe of the appraisal is to estimate the pI'esent daJ.'
market value of the sub~ipct propurt~r which ccmsists of a
I-story cletaebed r'anch dwelli~Jl': si'cunted on r. corner rec-
taneularJ,y shaped parcel.
FUNCTION OF
APPRAISAl,:
IJJH~ i'wlction of the appraisal is its utilization as a guide
in establishin.:;- value for neg-atj ation purposes.
NARKET
VALUE:
j\Tarl:et value is defined C"i.3 the estiwated price in terms of
mon8JI which a pl'O]J81't;y' should bring in a (;or!~pBti ti ve and
open mari:et under 811 condi tiom.:~ :['equisi tf> to a fair sale
wi th the lJuyer a.nd Be] ler c:;a.ch acttng p]'ud(>~~tl,v and J~no""l-
eclgeably a'1d pr(~sU!Iiinc the price is not ai'f'{~cted by undue
i.nfluerwes.
'"'j
Implicit in the definition is the consummation of' a sale
as of a specified date and the passing of ti UP from seller
to buyer under conditions whereby _
A. The buyer and seller are typically motivated.
B. Both parties are well inforr:ed or well advised,
a.cting in v:hat they c0!'Jsider l;n(-dr oWn bc::st
.int(~rests.
c. A rGusona.ble timp. is allen,.'ed for C:XV18ure i!"l the
I.1J)(~'n l!J3.l'r:et.
D. ~qui ty payr:t?nt is made in ca~~h or i is equivalent.
E. FinancinG, if any, is on te:rms gE'nerall,Y available
in th('> cOi!:;;,un.i t.r Ht the specified date and t;'lpica1
foT' the proper-t,v iype in j t3 locale.
F. The prj.ce !'''presents a nor::.a] consideration for'
the propel't;v so1d un,!'ffc-:,cted b~. s]le:oial finanCing,
aCCOWlts or lie~;. service, fi?es, costs or eredi ts
.incurred in thc~ trrt:IS"H.:i:i O!'l~~.
PROPERTY iII GH~'S
APPRAl SED:
Thc~ pr~1p'~:rty richt~~ c.tp;!~~ai8t!d 2.1'0 ,L'3;:',U":I(-}Q to D(l f(2e sirr.p1f
in o....'Y;E-l'shiJt, n~bjec~ to (<'i::'e:r~{~;J1.8 end l'e:::tri e'tioYJs of 1~e'8c':;,-:.
1
DESCh lprjllOI\
OF
rrBACrr:
HEIGHBORHOOD:
SERVICES:
zo;nHG:
']':", ,,',;t, i' ,,': I"" i" I' ',,)' :" :"" l"",.i ""1'1. I ~'] I.d '",' I:,e:)" 1'1 Il!l"
CC''.l!;ty 11'd.z >::~:) i'.l!':'[''1 !.:u. l-:~'i-:~'i:'-C..
'1'1". ,,,i!J,il'c t LJ'ac:t e,'"'''''' tc 01' ;, c,"'lIel' 1'(": (,,"Jcu 1 ctd;J "h"pl'C
"arc,,] whiei, i" 011 Cr.dl' with bnlh of' i tc: :ot!'l'ecl f'I'oJ'j1.Cl.[;ec
and is l(~\'(d, lj[jvinc !lo'1dvc'!'sf:' 1.(...rr';d:J cundit.io:Js.
'file 1.rad hilI', " i','o"tl'0(' of' 93 fed a10ne; ):, 34tll street
l,C'~~id.[.>:~ i'ro!j-tinD i{lO!~C Lu['ar.. St::.'(~et. rl'ilC' tract iG 93' :>:
} 1 e. 9~)' x f)}. ~'i I ); L!O. 'n!', clln~;aini:-j(: 10, (~2c ~qucu.'c feet.
'i'll(. stJ'uctu:'lll i::'I'J'c>v.,::,er,tc I,J'I' typi""ny (,riented on tlw
tract, eonf(,:.':!,ill[ wi kl tlv.' CU!Ter!l 1'",,0 U::," "lltt"J'n a,;8oci,,~eo
wi 111 the.' n(~i ['~lb(\d'j(l(1(i.
1'h~ subject tract has be,.n in,proved wi 1.11 interior service
wal,es, conerE't.e oJ'iv('wa;r IJlId 1,'Oven wire fencing. Ey-dudirn.;
t.lle are" oGcupied by t.he cite ill:l'l'[)V,.I!I~n\,s as well as struc-
tural illipr'oVC'lirmts, the 1;1'act. is Crasc-covered and "i(Jpncer
1andscapir1r consisting of trees, p)ants and shrubs.
'Ph" present use of the sul1jcct pl'oJl'.:rty a" a sinGle family
rf'sidential dwelUnc conforms to the 'Jand use patteel. There
app"ars to be adeoult te h', lance be t W(:HI t h~ ] and and 1 and irr.-
pl'OVelli8nt.s as wc>n as t,lw S1,('\](.'.tu1'a] i:lil'J'ovoJlMnts.
'Both Ii. 34th Street ".rid ;,O[ar, St",,,et. j"lVc " ":i,cacJaI"ized "''"'t-
way] ined "i th Cill'])S and s,j cJc:wal ,ce', and both arE' interior resi-
dential Gtrects wi thin the lJClr0ut.~i':.
'Phe neichborhood in which the ,',ubjee'o prOr'E'l.'ty is si tuateo
can be classif'ied as beine re"iucntial in dwracter. :'he
ncighbod1ooo has well-defined 't;oundal'ies lying wi thin the
middle portion of Camp Hill in an area whidl rlaS exceptionally
good locational appeal wlwn considerinG i 1.8 proximity t.o
ameni ties such as schools, churche" and shopping. DU0 to
its st!:"t('Cie location, the nei,,.hbOdlO()O is accessible by <<:.,
ad~quate road net.\oJork.
'I'M neiGhborhoud evidences stability and "t.abEi ty is antie:-
pate(l, a~ i" y"u,' !ipp:'"is~r'" ()join;":, thlerE' '~1'8 no aUV8I'SC
trends in (:,vj dencc.
Illb€' ~~ul}ject prop(~l't,y conforms to tile Jjc..>itrhborhood \oJhen con-
sidering trIP t.ype of property and til'.' :',i7,E' of tlle trad.
en "u::,:nIl1.ion, the nejehborhood i" l'('sioential in dliirCicter',
hO"I('t'.'.'npous in ('U("]IUSitiO'1 and (.;i'lould continue in desirabU: .,;:
aD thel'e' arE' ~IC! adverse tl'PT1(!.s 'i!; {:vid,:>ncc;.
T'li1Jlic watcr', sc""r, /.';as (md eleotricity are available for
and eonnC!cted to tJw SULljPCl, iI~:Jl!'Oven!':;ntG.
l}lhe DU:,,iC'ct p~'CI}JC.~l't~r j::, z.:}rJed f(.:!., re:-....l ,jent'i 8.1 :;iU'!'poGec.
;,cco,'dinc 1.0 the ;\,,,.,, of' :;"'''1> hi 11 ;,no t:le ]1"'.::;<'''' use of
the 3U:Jj(:c1 PNP",.t;: ;". IJI'e"icir,,,tia} ir..ell inC Gonlo!'''S to
il,e Gl".,.(.:,t jdnd 'J~( ]"tt."l'(: "nd liw ~,;,r:in/.'. ordina']cE' i"
lilGIE,:1' A':l'
BE~11}1 llSE:
TAXES ANil
ASSESSi'il:.'N1J:1 :
IJESCRIP'l'ION
OF'
IHPROV})'lEN 'TS:
'['!Je. hil':JI'~;t :l:ld ll\,:,;t u:,;C' oj' ;: jll'('iJ[-.!'ty jc tiH,t 11:)(: t.o whi(:j-J
the.' ];JI)(j l'i.1CJ bv "ut v.rlddl will CI'(:;.d,c' thr: CTP;,l.tcst utility
for' thf' land, IJ(~ it il: pJ'ofi t 01' in o'lIL(':rd t.i(~C, am] tllat
which i::.: J'('l'!r.iti.(~d or would b(~ pel'Hli tt,(~d by thE:' local IlIl1lJ-
.icipal Or' t.uWWJJdp aui.h(lr'jti(~:...~ :.JrHi that which would not be
unduly objf->eti on,'1bl (> to i.JH' C'h!i,l';.l,ctr~r of Uw mH'I'OllTJdj ng
pl'opurLy and kl'rqdnr wI thin Uw :~(;(JJ)(' of' the:.' (i;"JH:ral nejgb-
tJC1f'!Jc'od rlC'Vf':tO]l'i:C';lt.
Based on the fOl'c:go:i !I{:, tho:: higlwDt and bl.'si uSC:' of the BUr)-
.:ject jlI'opC:'rty WGuld be: foJ' c:ontirJuation of' it.s Jll'8Gc-:nt use
1'01' single L.iudly .r,\!:.;j(kntl.':1J JllA!'J)O:"';l~:;;.
'rlw ,mbjec:t property Ius been "o"""""d by the County of
Curnb(~rla.nd in thC' i;irn01Jl1t uf $9,833 which ):l'prc-n~entG 25%
of thp aS~8SS01'13 C'si.in:ate of' market value. (Pile annual
taxe" are $963.63 ba"ed on a rate of 98 mills.
'rhe Gub~if:et impl'oveTl1c>nt consists of CJ l-story dot-ached hrick
ranch dweJ]int; which con::;:Lins 1,176 squure feet of livable
ared and has an interior flool" plan consisting of a :Living
rOOlfl, dinine room, kitchen, 3 bL~dl'oorns and 2 full baths at
Uw first level br!sides a full hasement of whi.ch 50}~ is
s(:!d -fini r.j}J('d.
It has a l:Oll{:l'0te 'n1oc~: fOUIldatiOrlI :~8pl1al t ~~hint7J.e roof and
Galvanized guttf~r~~ and d(lW~18pOUtE:. Along the front of the
]JI'opel'ty is an open Jlorch and along the rear of the structure
is a concrete stoop. 'The "b'ucture is equipped wi th projection
type windows which are ::;12rved ".,ri th screens.
The living .l'O0l!l 11,-18 [1 I'.inislled hCt!,aWUCld fluor, painted pl;,tster-
board walls and cathedral beam tYJle C:Pi1;!1g. Situa.ted in the
livi.ng room is an opeD :Jtone fireplace. rphe adjaeent dini.ng
arc"o i [; Genc-1'a.11y i'inj shed in thp S '-1 lllC- :n;'.l!Hler. Si tUEtted in the
11111 f'or:r:ed by the Ii ving rOOl!; a.nd elj IIi Of; 1"00111 i:::~ j,he ki tchE.nJ
whil-:h h,.w a Gh:::'pe 1.('0 floor, pa,pel'(.(j allc p;i ifl1..ea }Ila~s t(>rbOal'd
wall:;.~ alld UP8..r,IC'd ('cd ling'. l}ih0 :JP;i~:!pd l~pi,j.inc effec1 is carried
througb t.hp living I'(){)1!;, dininG r(JO!11 (:lrJo i-i i.cIH;'[j :tl."pas. The
ki.tchen cont::drw nai':.;r,il fininh bil'c:h c,~,bil!C't!'y with fOl'ITIicf::.
",rorr: urea, sin;: i nsc'rt, buil t-in CnUJlt(-rtop range, built-in
wall oven, matchin[': w::.ill-;liotmteQ GF1bi nt-> try. Above the range
and ovon there is an 0>:na,ust fa;). ':rhere i~:: an int21'GotIJ in tn.;;'
I;i tehen, however, acc:oJ'diuC to th(~ oWnv!' a portion of this
doe::. not. \oIor;:.
rfho be(lJ'oomt:~ are i~~CIJE-r<:llly finishpd. in i~JC S<lliie mann('r and
each bpc1rooUJ .i [i aC(;f~~~~~ible fron! a eentpr hall. JrhE~ b(~droO!7IS
have hardwood floc,rinc, painted plastl"rbo,.n'd wa] If. arId fin-
it';!wd ceilinG. E:acb~c'<iroOl]; is St~r,'rd wi th ~jd(:quD.t<:c' cloE.et
f';:wiliti('~:. Adjc~j~Jj!Il.: HJ(' l;,i:.:~~i.,er h(~dro(,;:! is a fUll lJath and
UI(~(L:ith 1;3 ;jl~~o i'~e(:O:~::O;f3i!;'jp frem the.. kit.dl('Il area. 2"t ha~~ h
r::1: 'Jl" 1.' ~ d f 11, ':. , 1'('" J.!~, j (,
t.i Ji' \o::ljl;;a~(J~. :t!Jd {~(lrl~,;tjn~7 ,1 r;'.l':::"ldl,',
'Jl/)...: Ifl:-I1IJ t,,~d,lj ;;Jd,iujIJi Lh~ Ct.!lILl"r' h':lll
f' 1 ()'u~', (:(-, !'aJ1i.i e t i 1 t' W;J j nscot and"cfJn-
buth ~~et. IJ\hpJf..:('(,'G;:~ fH.ll is f..'qui.pped
~'-.....
.,' '~;; i L:,' '.1: H! ::;: j( ,',,'f. J' :~ t.:..1 : .
a:Jd jt h;-L; ;1 vjlJ,V] 1.il..,
tai m~ H ~- rd (-,(;(! TrIode :'I'l
wi t.h " 1':"'''.'1. d",,,.t.
~'hp Lil':1t fluo)' layout. ja t.ypical when ~(ln,,;d('I'inc: the t.ype of
pl'Upl'r L.v.
'11110 ba~j('fJ!ent, which i~~ ae(:(~risjlJ]e ['I'OIlI the carage, is l007~' ex-
cavat.r1d, hi-1V.ifll.'.' ~ CC1flC!'(-':tC! flour' and (:("l[JCl'ei,e blc,c}: fmL'1datiofj
wa] 18. rnll? f:1tr'uC'ture is SUPpl)l't€'d b;y2" x 12" joist.c on 16"
c.:entel'S l.'pst:lIlg on th(~ foundation walln and int,Pl'ior supports.
Heat is supplied by a gas-fired forGed warllJ air heating unit
and domestic hot w,'J,te:- by an autOlflatic cas-fired water hea teTe
1!1be plumbing is copper and the wirinG is romeX', evidencing
adequate <lJfJpel',.1g'('. Of the total ba~~e~llent area, appI'oxima tely
50% in fini[';!J12d jntCi a family l'OOlTJ whi.ch has an asphalt tile
floor, p"inted concrete block and pa,wlled walls and finished
celotex ceiling. The balance of the baselIlent is semi-finished
and consistu of a sepa,rated furnac.:e room, storage room and a
parti tionec1 iJ.l'(!a whi ch houses a cO!lill!ode and lavator~l.
'Phe gtruci:ure, which was erected in 1961, is in an avera.g'e
statp of repair. ~1he interior requires complete redecoration
and therE: is pvidence of dl'yrot.ted exterior mi 11\<101')..: which would
have to Le J'eplcwed, besides there is evidence of settlement
cracks Loth interiorlJ7 and exteriorl;y..
Attached to the structure along its northern side is a 2-car
oversize garage which contains 644 square feet. It has a
con.orete floor, fini shed walls and ceiling and is served by
an automatic overhead door.
v ALUNPr ON:
Taking a.ll of the foregoing factors into consideration, in lIlY
opini on the subject propert;y has <1 present day market value
of $_lj~2,OOO as of DeCprnUf!!.' 26, 1980.
rrhc: American InEti tute of Rpal Estute ApJlraine:os conducts
a voluntal';'{ }JroCTwn of continuinG' education for i 1,8 desig-
nated !:!e:nbers. ~lAIs ~nd. m~s who !!'i0c.>t tllG minimum st.a!ldal'ds
of this program are m..'CJ.rQc-:u periodic e(lucatio!'ial certifj C:Ci ti on.
1 am certified under this proi:';ranl through J:ccember 31, 1983.
EJ:lp1o~"'lJI(.>nt in Eind CO!!1~lPn::Hlti on for ;W.1t::iIlg' this appraisal arE-
in no lli:..t:lne!' (:onting'cni upon the valuE.' f'C-portpd and] certjf,v
that I havf: rICJ financihl interest in the :p,r'()pe.!~ty apprai~~ed,
pre:wnt l)r (;orJt;c~J;p]at("d, or in any r;]CJl'tt;'L.:ICP secul'(!d thereby.
",jd/Hld
rwsp::~;;,~
.H '"" ", """'''0,;'""" ~
,/
'l
!.1ARKET
ANALYSIS:
CO!llJl,-L1':Lbl!.~ SL'Llfn.: -
1. 1801 l'lillow noad, C'"mp Hill, Pa. (Lower Allen Twp.)
Alice Hoe,rd.. to John Elliott. Sold 5-15-81. Sale price
$56,000. Tr~ct 90' y. 109.7' X lID' x 111.66' - corner lot.
Im}Jl'oVS'fJJ0JJt.s - h::ic}: I'~ncb dwe],linG containing 6 rooms, 3
lJe(lroolIis, 1 b:J.th. F.inir::llt'd Dc,:,st':'llJent. Oil hot air heat,
l-GCil' g:ar~Ge. Fi!'!:.'place. Family l'QOm - wet ba!.'. Screened
porch. l,l8G sq. ft. of livable area. Condition good.
2. 9 Gale Circle, CamJ' Hill, Pa. (East Pennsboro Twp.)
Willian, Grec.ne to RolJa't brandt. Sold 3-26-81. Sale price
$55,000. T~'act 50' y. 42' y. 55' y. 134' y. "58'. Improvements-
I story brick and frume structure containinc 6 rooms, 3 bed-
l'ooms, l'~ baths. I-car g,ttached. Garage. Age 19 yrs. Oir
hot water heat, Central air conditioning. No finished
basement. 1,246 sq. ft. of livable area.
3. 3016 !.;ayfr"d Lane, Camp Hill, Pa. John Winkler to
\'Iillian, Worle.'. Sold 6-::'-81. Sale price ~.59,SOO. Tnct
lOQ! y. 85'. Inlp:r.'oveI1lent:J - 1 story brick and aluminulIi
dwelli.ng contai:-dng 7 roomu, 3 bed.!:'oorns, 1} baths. Finished
lower level. PiI'f~plac(;.. 2-car garage. Electric heat. Age
1962. lnterc;om. Bu.il t-in air condi tionine llni t. 1,344
sq. ft. of livablo area. Condi tion good.
4. 22 Center Drive, Camp Hill, Pa. (Lower Allen Twp.)
William NcDaniel to Merrill Lynch Relocation Nanagement, Inc.
Sold 5-20-91. Sale price $63,900. Tract 94' y. 152' x 66' x
125' . Improvements - 1 story brick ranch dl;elling containing
6 rooms, 3 bedrooms, 11J baths. Finished basement. 2-car
c;n'age. Hot ail' heat. Fireplace. Age 1955. Rear patio.
1,l96 sq. ft. of liv-dble area. Condition good.
5. 205 N. 36th Street, Camp Hill, Pa. (H'tr:pden Twp.)
Sold 9-~,-80. Sale pric" $57,000. Tract 80' x 107.5'. 1rr.-
P2'OVCl!Ipnts - I-st.o!';}' fl'::l.lne and brieL ranG}} dwelling conta.in-
ing' 6 I'oams, 3 bedrooms, I} bai.hs. Finished basement. i1i~-
dow air condi tioner. I-car [;ar'u.ge.
.Five comlia:rable sales were considered which rang-ed from
~.55,OOO to $63,900 and all sa,1es were ranch dwellings which
""'ere si tua ted in the S8JII!;:' general area. The sales ....'ere
studied, \oleibht~d cwd adjusted as folloHc:
Weighted averw:e - $57,900
JidJu:stl:j(.mt~ _
~lir:;e
Lac.::. ti on.
:rLy~ic2.1
o
o
f2.cto:::'~ -10%
-10;,
~r,,'I onr*\ 'c'
"'~" ,~''-'\..' ~
.(~O = 2~}2,11D
S;:.y $':):::,000
..
COST
ANALYSTS:
rh'~tct - ~I:',I >: 11.s,9~)1 x rn.?,!' x 120.78'
87 I'/f 'WI', '", $1')(1 )leI' },/F
Sj tl' 1.IrJIU'(/Vt-'lrleIlLn
$, 13,000
2,500
$ 15,500
$ 35,280
11,760
1,440
~440
$ 54,920
13,720
41,200
$ 56,700
~-;tl'UC'j,Uf'lJ] iIlJlll.'uvC'IIIPrrt:: _
1 nt. ;!F' >: !j~" ;;: ],1"1(1 ,'Jq. It. ({II $30
Hdf1t'I!I('lli _
"1.'1 >: 4:" = 1,176 sg. ft. 0' $10
(ijlPI'J pUl'ch _
(; r y. ;!O' ;::: 120 sq. ft. @ $12
nHI'itCL' -
:')' X :'[11 = 644 sg, ft. @ $10
1i<'i'/,(JC:iaHon - 25%
'[ ndie" i.('(] value b)' the cost analysis
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11"'RAC1l1:
ZONn~G :
HIGHEST AND
BESI' USE:
.I
SERVICES:
TAXES AND
ASSESSJI'JEN1r:
NEIGHBORHOOD:
.:...,(<' j (h..':': i )-;c u:~c.' of' tile. j! :'j va tv J.CI<I.U thl'OUC,'ilOut tfl(~ (]('V(: 1 (lplllf~rlt.
in L:ml~iu~j(,.:tiolj wi i.i: (.It!JC',:,T J)]\I:~ I1lairllt:na!Jc0 of' ~;allJ(;.
tr:nt. ~~ul)j(!ct tract (~OIJ8i~:to of [j, cornC!l' 1'('e1,;:'l.:l[J:ularly SfW.DOd
p~rcel wh,ieh lif;!~; n.Jonc; the nUI'lbc!l'11 E:jele of Pine Road. AE
indicated, b0 trCict is 92' x 174' x 97' x 176'.
At tilc. tiwC' of in~'Jlection th(j 't1'act ,",'as void of structural
il!llJ!.'(J\'(.'j~[ent~~,b(d ng u. n:.Ltural wooded Jot.
50th Pi:1c' Road and Lu.U1'el Hoad have mac1::1daf!Jized cfJ.l'twayc
huv.ing no C:lll'tJs or sidewalks.
The subject jlroperty iE zon,-,d RS, Residential Single Famil;l',
and the present use of the subject property as a vacant lot
conforms to trJe (:ul':::'cnt land use pattern.
The highest and best use of a propel'ty is that use to which
the land can be put which will create the greatest utili tr
for the land, be it in profit or in ar.leni ties, and that
which is permitted 01' would be peruutted by the local mUL~-
icipal or township authori ties and that which would not be
unduly objectionable to the cho,racter of the sUl'rmmdil1€
property and }:cepin{; \.,ritr-d.n the scope of the general neish-
borhood dev(:,lop;llent.
It should be noted that the Guhject tract does not meet the
minimUTII requirements of the township in relation to frontage
and area for" tract not served br jlublic wa.ter and sewer.
'rhe minirnwlI frontage is 100 feet and the minimwn area is
20,000 s~uare feet.
:Based on the foregoing, the highest and best use of the sub-
ject proIlerty would be for side rard use as it is not sui table
for a residential bui.lding lot.
There are no public utili ties available other thCin electricitr.
~'/ater and sewer facilities would have to be provided by on-si ie
well ~~d septic system.
The subjc~ct proJ18:et;y har:, oeen H.ssessed bJr the COlmty of Dauphin
ifl the a~!lou.nt of $,)09 which relJl'f?Sents 30% of the c..ssessorl s
estimate of market value. I],lh8 annual taxes are $19.93 based
on a rate of 64.5 mills.
The subject prOjH:!'ty lies in a rural settirlb in \'iest Hanover
TO\\'w3hip at the base of the IrlO'.l.ntain. The immediate neigh-
bo!'houd is know:1 as Ri tzic Village, being 3, residential
cOI!!Tnuni ty.
The- uv~:r'111 are::i evidenc0s stability and continued stabi.li ty
if::' :l!1ticir,atea as there :1,::"8 no advt'::l'sl2 t':'Gnds hJ evidence.
T:.w !1eiGh1u:~:hood is accessiblE-' by Route 443 ,",'hien i~ the main
ari,(':!'ial route t:!.~avi-:'r,~inc th.!'m~::h th'.? northc->!'n port.ion of the
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AJ'l'ilAj~';El.J:
DESCR]yrJ 01,
OF
rlq"{ACrr:
ZONING:
HIGHEST AND
BEST USE:
SERVICES:
1'AXES AND
ASSESS!-'lENrr:
NEI GllliORHOOD: ,
'Jill'. :'I,..,j,'~:!.'Ly J'il"lj:.l~ ;1j)l,r;d:.it.(j <t!,'/. :!::;',\l!::r.,d to 'W: f(.( ~:.1;:lrlf:
j!; (\W;j(_-;':,~!;iJJ, ~',ull.i(!ct. to C<l.:ir.-li,(.'l:t:' :tJld rt;~~L!'jet,.i(I'J:,~ (If l'~'l:01'Q
:,(.::1 d'~':,,: tlil: tl::C' of UJ'.-- jJl'i va V' !':'dd tll!'U\(('i!c,u t Lflt' do:'\'l' J (,;':::1.:::. t
:in CUTJjll.llct.ior; ....'.1 th u1.lwn: plu;::.~ i!i;l.:':'.il.(..':,:tncl" elf :,~'t!il('.
rpllC' :..mbject. -Ll'h(~t cWJr.d:..~tf; of un j r!'{_'CI~l;lrly r;ilapu(~ i~r'cel
whicb is a CUI'!lC~:' J.,arcc.l havine; a du!,il f!'unti:J{~(::. ril_IJo traet
iJ~ on crack with it.s strE.'c:t fronta.Ge a.nd lc'vel, having no ad-
'..r.:'!':~t: tt'_:"'l'il..iI'l COl1di ~,ion::'~. ']'he su"oj(Jct tr:wt h:w u fl'OId:::i{j'f'
"done: ?i:J'~~ ROcHl o~~ :JOO fect hf!:,~.:ide~: .fl'{lnt.ini;~ :-11CJnc Laurel H(lad
210 f'pe"t.
The suujel;t tract is void of Gtl'uc.:lur3.1 illlpl'O\'~liI0r~ts and is
C.l'owr~ ull with natural w()ocl(~d v~,'c'ptat.ion. The. tract is t;'tpical
01' tr1G nei{.~'hbo:r.'huod Hhen con~.d.del'inE size, shape, etc.
both L2l.u:::'81 RO~,id and P.i!1l'" huad ly::.vE:' a rrlac~,ualliizcd cartway \d,th
no curbs Or' ~~idew8.l}:s.
lJ.1he sub,ject }ll'opel'ty is zoned RS, Residential Single Family,
and the prer3cnt use 0: the ~-~ubjC:'c:t pl'81J01'ty :J,S a v::want lot
confor:llc to the curren t land l1~.)e pa,t tern.
r:I'hE highe::st and ue:;,t usc: of a pr'J}>crty is Ul'~t use to which
the land c~n bc. put whicb will create: the Gr(~:ltest utili tJ'
for the land, ue it ir.: profit 01' in u.menit:ics, a.nd th~t
which is pe!:,lni tt.ed or would 'be pel'mi tted by the local mur.:-
.:icipSll 02' to',.JDship autho~itier;, and th:-~t which wO-,lld not. be
lmduly objectionable to the character of t:ll2 surrounding
property and Keeping wi thin the seope of the general neigh-
borhood develo)lment.
Based 0'1 the foree-oing, the highest and best use of the sub-
jee1. property ",'ould be for ~ residential lot.
'I'here a.re no public uti li ties available oth,r than electrici to'.
\'!ater and sewer facili ti(~s v,'Quld have to be provided by on-site
well and septic system.
'rh(- r..~ubje(;t jJl'uperty has lwen aS~ics~J(~d by the COUIlt,)' of Dau:p:-iill
in the ',j,lIIount of $.600 ,,-'hich l'e:;,::-'(.:se~']t!: 50;<, of the aSf',8SS01,1.3
8f.;t.im3.t.e of ma:d~et value. [1'11(: ::,r:1~)D::.:1 t:J,XQC arE' $38.70 basec.
on a. rate of 64.5 ",ills.
TrlP su'bjcet li!~operty lie:.:, i;-, a ru:!:'al setting in \oJest. }Jano';e~
'I'o\\'nnhip at. the baDe of thE' 'fJO-,t:';t.air.. The i:llineniate neig-h-
DCJl';"lOod i~ ~~lovtn a.s Ri t.zie Vi 1 l:--q::-t:: , -DFjnc :l resident.ia.l
c: O]TimUn i ty .
The ovc:rall ;..lTC-3 evid(>nccs ~)tabili t~r and eont.inued st3,bj,li ty
ir: anti cipated as t}lpre al'(; rw .:.ldVf:l'se trends in evidence.
f:':1P =-!~-,:j.cr,lJO!'i1Od h: 3.,'~~c0':"~sibl{,. by :",(IU1,(; 44:5 which is tl-w l!ai.r-.
::~'v.rj:.d l'uutC' t~.'a\'('l'~~in[' i,h.;:cm..ch t.l1'~ nori.,j"H~l'r; IJortioL of 1.:-:'(-
t.ov.'ns~lir,. 1\!!Jt;'nities C'8n(,1':ill~\' Iif-' lr~ the LinJ:.:-}c.sto....'!1 are:i.
\
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!,jA.hYj;~r!,
ANAJ.Y;~] S:
ClJr:JJl~il'ab'j0 Sa] L'~~ _
1. l'Hctown :load, lI'est H'tllOVe!' 'l'wp. Paul Kr'ciser to
Craie E. l'r,inclc:. Sold 1-19-81. ERIe price $5,000.
Vacantb'Clct 290' x .150',
2. Fer!: Road, Heat
,i. EjJli!Jgc'r. Sold
167.6'x 162Ix250.5'
P.anover
6-::15_81.
y. 186. 6r.
'!'wJJ. DorotbJ' E. ],0X
Sale price $8,500.
Vaeant tract.
to Steven
'l'ract
3. 7404 )'ioyer hoad, Heat lla,lOver T'wjJ. ,john H. Houck, Jr.
to J oseJ1h]\ Hahecker. Sold 5-11-81. f;~ale price $10,000.
Tract 1.27 acres - 244 fe0t of frontaGe. Vacant parcel.
~Ph.ree sales were con~iidered in orde:::- to arrive at an in-
dica tion of value for the subject propGrty. From the sales
which ranged from $<5,000 to $<10,000, appraiser selected a
weighted average of Sf', 000, assuming the subject tract
will properly percolate.
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63
QUALIlo'ICATlONS:
EXPERIENCE,
A. Real Estate Broker License No, 1\0021123
B, Henl Estate Management
C, Renl Estate Appraising since 1962
DESIGN A TIONS,
J961 - ASA - American Society 01 Appraisers
1967 - SRA - Senior Hcsidcntlnl Allpraiscr
1975 - SRPA - Senior Real Property Apprnlsur
1975 - CRA - Certified Re\'iew Apprniser
1976 - MAl - Member 01 Amenenn Instltute 01 Renl
Estate Appraisers, Certificate No. 5020
TEACHING,
Pennsylvania State University (Berks Campus and Harrisburg
Campns)
teaching Real Estate Management and Relll Estate Appraising
Harrisburg Area Community College
teaching Real Estate Appraising and Real Estate Management
and Finance
Scclety nl Renl Estate Appreslers
teaching Course 101.- Assistant Instructor
EXPERT WITNESS,
1. Cumberland, Dauphin, Lebanon, Perry, York Counties -
Board of View.
2, Cumberland, Dauphin, Lebanon, l'ony. Yark Counties --
Court of Common Pleas.
TRAINING,
A, St. Vincent Cnllege
B,A. Degree in Economics and Finance
B, Hl1ITisburg Area College Center
a. Real Estata Appraising
b, Real Estate Finance
c, Real Estate Principles
d, Real Estate Law
C. Rider College
A.I.R.E,A, - Coorse # 14 (Condemnation)
D. University 01 Pennsylvania
A.l.R,E.A. Appraisal Cnurse # 1 -
Principles 01 Real Estate Appraisin~
E, Drexel Instltute
A.I.R.E,A, - Capitalization Course #2
F. Delaware County Board of Realtors
A.I.R.E,A, - ResidenUal Conrse # 8
G. Viltlmova Univcrsit)'
Investment Analysi,; - Course #6
H. Society 01 Real Estate Appraisers
a. Course #101- Principles and Technlqut's
b. Conrse #201 - Capitalization
c, Apllrtrnent House Course
d. Demonstration Report WritinK
e. Regression Analysis
I. FeasiblJity Analysis
g. Math.Stat.Fiuance
r. nlompson Business College
General Real Estate Course
William J, Dnylor, 111
Residence: 1808 Wcstllcld Rond
Harrisburg, I'n, 17112
MEMBERSIlIPS,
Society of Heal Estate ApprnfscfS, SUPA, Senior Mcmher,
President 1967
AmerJcan Society of Avprulsers (Senior Ml!mher) President 1972
Greater J-IllrrisburJ{ Board or Hcnltors
Pennsylvania Realtors Association
National Association of Reul Estate Boards
AmerJcnn Institute of Renl Estate Appraisers
American Hight.of-Wny Association
Brokers Institute
National Association of Hcvlew Appraisers
CLfiNT REFERENCES,
State Capital Savings & Loan Association
HalTis Savings & Loan Association
National Central Bank & Tr'Jst Co,
Commonwealth Nationnl Dank
Pennsylvania National Bank
Danphin Deposit Trust Co,
Dauphin County Redevelopment Authority
Harrisburg Redevelopment Authority
Commonwealth of Pennsylvania
a, Department of Transportation
b, Deparbnent of Community Affairs
c. Deparbnent of Properly & Supplies
Federal Housing Administration
Colonial Mort~nge Co,
Penn Federal Savings & Loan Association
Fidelity Bond &: Mortgage Co.
Thomas ~Iort~age Co.
Central Mortga... J Company
Mortgage Guaranty Insurance Co
Continental Mortga~e Co,
Ticor Relocation Co,
Bell Telephone Co,
Various attorneys, oil companies, clc,
CONTINGENT AND LIMITING CONDmONS
The Appraiser certifies and agrees that:
1. The Appraiser has nn prcsent or contemplated future interest in the property appraised
and that neither the employment to make this appraisal, nor the compensation for it, is
contingent upon the appraised value of the property.
2, The Appraiser has no personal inlerest in or bias with respect to the subject matter of the
appraisal report or the participants to the sale.
3. The Appraiser has personally illspected the property, both inside and Ollt, and that ac-
cording to tbe bcst of the Appraiser's knowlcdge and helief, all statements and infonnation
in this report are true and correct, and that the Appraiser has not knowingly withheld any
significant infonnation,
4. All contingent and limiting conditions are contained herein (imposed by the terms of the
assignment or by the undersigned) allecting the analyses, opinions, and conclusions con-
tained in this report,
5. This appraisal report has been made in conformity with and is snbjeet to the requirements
of the Code of Professional Ethics and Standards of Professional Conduct of the appraisal
organizations with which the Appraiser is affiliated.
"
,
6. All conclusions and opinions concerning the real estate that are set forth :n the appraisal
report were prepared by the Appraiser wbose signature appears on this appraisal report,
nnless indicated as "Review Appraiser." No change of any item of the appraisal report
shall be made by anyone other than the Appraiser. and the Appraiser shall hale no respon-
sibility for any such nnauthorized change.
7. Unless otherwise noted herein, it is assumed that there are no encroachments, zoning
violations or restrictions existing in the subject property,
8. The legal description is assnmed to be correct.
9. That the value estimated and reported is in dollars on the basis of currency and banking
exchange prevailing on the date of the appraisal.
10. That this appraisal is not based upon the completion of any projected public improvements.
11. Disclosure of the contents of this appraisal report is governed by the By-Laws and Regula-
tions of the American Institute of Real Estate Appraisers of the National Association of
Realtors.
12. Neithcr all nor any part of the contents of this report (especially any conclusions as to
value, the identity of the appraiser or the firm with which he is connected. or any reference
to the American lostitnte of Heal Estate Appraisers or to the M.A.!. or R.M. designation)
shall be disseminated to the pnblic through adverlisiog media, public relations media,
news media. sales media or an)' other pnblie means of communication without the prior
written consent allll approval of the nndersigned,
REV.SIB Fe (7060)
~t~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
NOTICE OF FILING OF APPRAISEMENT
Ms. Ina F'. Schreiver
200 North 34th. street
Camp Hill, PA 17011
RE: Estate of
County of
File No.
.T~mp F.';"J'~hAt,h '~n'~tp;11
t:llmberl;:nt;i
?1.R1.00R'<
Dear Ms. Schreiver;
You are hereby notified that the ORTI1TNA!.
appraisement in the estote of .T~n" Rli'7.~h"th Hnlqt,pin
has been filed in the office of the Register of Wills of Cllmh""l~nn
County on Novemb"" 16 ,19.E1.. Said appraisement reflects the following valuations:
Real Estate $ Q,~OO.OO
Personal Property b5,99~ b3
Jointly Owned bO".11 79
Transfers ~10NF.
Total $ 95,141 15
As to such tax that is paid within three months from date of death, a five (S%) percent
discount is allowable. As to any tax that remains unpaid after nine (9) months (fifteen months
when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when
deoth occurred prior to December 22, 1965) from date of death, interest at the rate of six (6%) percent
per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within sixty days
after receipt of said notice os provided by Section 1001 of the Inheritance and Estate Tax Act of
1961,72 P.S. 2485-1001, P.L 373.
Nnm:.mhm't 1(.., 19A1
~~w~
Date
Signed
Title Chief Aooraiser
NOTE: This is not a bill.
REV.4114 EXt (&oliO)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
GJ Original
o Supplemental
o Remainder
Fi I e Number
21-81-0083
Estate Name
J ane F.lizab.!ltlLlk>lllt.ein
Date of Death
DeClJJllheL2.li,J98.0
Social Security Number 176-32-1325
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser In and lor the County 01 Cumberl~n~
Pennsylvania, do respectfully report that I have appraised the ..01 and pe..anal property as reported in t e aregoing
return at the values set forth opposite each item in the last column to the ri t in Sc~ules "A", "Bu, "C", and "E"
Dated: Nm,,,mh,,,, lh, 19R1 &1., -
ITANeE TAX APP ISER
ADJUSTMENTS REMAINDER APPRAISEMENT CODE
INVENTORY VA~UE AS APPRAISED CODE (NARRISBURG USE ON~YI
Real Property (Schedule A) $ 00+ 92+
Personal Property (Schedul. B) '0+
Jolnt.Held Property (Schedule E) 2ll+
Transfer. (Schodule C) 30+
TOTA~ GROSS ASSETS ----9
Leu D.bts and Deductions 40- 93-
(SCHEDULE Fl
C~EAR VALUE OF ESTATE
o Lile Estate RATE FACTOR PRINCIPLE VALUE CODE
o Annuity
FOR LISE OF REGISTER ON~ Y
Tax on $
CODE
COMPUTATION OF TAX
$
$
$
$
$
6%
Tax on $
15%
Tax on $
Tax on $
Tax on $
Exemptions
Total Estate
TOTAL TAX
INTEREST FROM
BA~ANCE
TO
$
$
$
Less Credits
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
5
+ $
5
=
$
+
=
INTEREST FROM
BALANCE DUE
BA~ANCE
TO
$
S
S
,
" I ~
REV-4G7 EXt (7-601
COMMONWEAL TII OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
~~:
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INHERITANCE TAX
APPRAISEMENT
Ii]ORIGINAL
o SUPPLEMENTAL
Estate of
Jane Elizabeth Holste~n
File No. _.:?J-81-00fJ3
Caun ty
r:umb.er']~nd
Date of Death D"~"mhAY' ?F. ,....1.980
In the event that any futuro Interest In this estate Is transferred In possession or onloyment to collateral heirs of the decedent after the
expiration of any estate for life or for years, the Commonwealth hereby oxpressly reserves the right to appraise and alSOSS transfer
Inheritance toxes at the lawful collateral rote on any such future Intorast.
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
ASSET SUMMARY
DEPARTMENT'S
APPRAISED VALUE
1. Total Real Property - SCH. "A". . . . .. $
2. Total Personal Property _ SCH. "a". . . . $
3. Total Jointly Owned Properly _ SCH. "E" $
Total Transfers - SCH. "C". , .'. . . .. $
q,~oo.oo
45,229.43
40,411.72
NONE
Unreported $
Unreported $
Unreported $
Unreported $
$ 9,50Q.00
$ 45,229.43
$ 40,411.72
$ NONE
$
o LIFE ESTATE
TOT AL GROSS ASSETS
DREMAINDER
95,141.15
DANNUITY
TOTAL VALUE
$
I do hereby certify that the above appraisement is mpde,,',n ca2farmit with Pennsylvania law and has been filed this
day with the Register of Wills. ~ I' _
, :t4.-l~ ;t;.....ve November' 16, 1qR1
APPRA ER DATE
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REV-1162 EX
COMMONWEALTH OF PENNSYLVANIA
,NO L 01087" DEPARTMENT OF REVENUE
..' . O'l!FICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
RECEIVED FROM:
r -Ira V. S~1v.r------- I
~.clQ...j}enjallli1L '_Anqino .-Atty.. ___
_4..5D_3_North_Front...Street_______..__ __
....lJ1Ior.d.aburg-#.p.a ,,--_lUl.O ________._____
L -.J
ESTATE INFORMATION:
FILE NUMBER
NAME OF DECEDENT
DATE OF PAYMENT
LAST
FIRST
m
ACN
m AMOUNT
POSTMARK DATE
COUNTY
"'1m"""".'.,,"
Assessment Control No,
Propate
3000.00
. DATE OF DEATH
REMARKS
SEAL
...
~
.-:::..:...;..
~
~TOTAL AMOUNT PAID
":
~
~ ..
=
JI
II
:'
II
f
_n_JJ .
2000.00
RECEIVED BY
- III ( II i &: //.I"I;'.J
I (/SIGNATURE/'./'
r.:Il.___"I::Z__.....
..........-- "'--
~
-- -- -,-- _..... --_. -- .._, -'- .,-- - - _.~ -- --~_. ,.._-,_. --- -- _..- -- -.- - - -- --- - - --- - - -- --- ---
,~" ~::~'~",~~~;""":':::':',;~,.;:.~~:i!~-:t:,..<<,d.~..l?,r~'\":'t'.,~.'N,~~':.'}'::,~"': ~.,:',~,;~~,'~,}'fM!l~~~"~T~,..~,,~
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND j
55:
-____ T C'\Q F -'-,Sllf:itC',_______ _______
being duly 5u.=i"N according to law, deposes ."d says thatshe _~~j, f.v~c.~
--- of the Estate of -JOn~ 8, '/-Lk-k>',tJ
I.te of ----_u_Ca~--{.L(lL ---'---------'---___, Cumberland County, Pa., deceased and that the
within is an inventory made by _:r~, Shr', , eL-. __, the said C:X eQLLt:rj.,(
of the entire estate of said decedent, consisting of all the personal prop.,ty 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
as of the dato of decedent's death.
~\.0~"i"\
+0
and subscribed before me,
~.7~
ElCe~utor . Administrator
-..fe.'Df'\..)Q.~ .;lS 19 8~
~hJ~' ~ ~\~~>> J'
~.. NOtQr~ ll~b\'o{..
""'\ ~ ~\~w.n ~\\~\O
_<:ice
CQ mp-
\\J ' -3,i-J. #- -.$ol>u....ck:...
#-il/ Pa.., 1701/
Addr.ss
Date of Death
Day
Month
Yur
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
CJ
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REV.] 500 EX + (9.81)
BU1IEAU OF EXAMINATION
PENNSVLVANIA DEPARTMENT OF REVENUE
P.O. BOX B327
HARRISBURG. PA 17105
1/ - /q,s ~ '-I
INHERITANCE TAX RETURN
RESIDENT DECEDENT
File Number .aJ - 'i? 1- CO '8 ~
Decedent's Address
CIIECK
1. Original Return 0
- lD- D
2. Supplemental Heturn 0
3, Remainder Return 0
APPRO.
PRIATE
4. Life Estate 0
5. Federal Estate Tax 0
Return Required.
6. Decedent died testate 0 7. Decedent maintained a living 0 B, Number of safe deposit 0
(Attech copy of Will) trust (Attach copy of trust) boxes inventoried
All correspondence and confidential tax information sheuld be directed to:
BLOCKS
I
I
I
I
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CDRRE.
SPDNDENT Nam
().c.
Address
City
State
Zip
Recapitulation
1. Real Estate (Schedule AI (11
2, Stocks and Bonds (Schedule B) ( 21
3. Closely Held Stock/Partnership Interest (Schedule C) ( 3)
4. Mortgages and Notes (Schedule 01 ( 4)
5. Cash & Miscellaneous Personal Property (Schedule E) ( 5)
RECAPIT. 6, Jointly Owned Property (Schedule FI ( 61
ULATIDN 7. Transfers (Schedule G) ( 7)
B. Total Gross Assets (total lines 1.7)
AND 9. Funeral Expenses Administretiva Costs/Miscallaneous
Expenses (Schedule HI ( 9)
TAX 10. Debts/Mortgages/Lieos (Schedule I) (10)
11. Total Deductioos (total lines 9 & 101
12, Net Value of Estate Wne 8 minus line 111
CALCU. 13. Charitable Bequests (Schedule J)
LATIDN 14. Net Value subject to tax liine 12 minu, line 13)
(ll1J.:lI~~~'~\
(12)
(13)
(14)
( 8)
Computation of Tax
15, Amount of line 14 taxable at 6% rate (15)
!include values from Schadule K)
16. Amount affine 14 taxable at 15% rate (16)
!include values from Schedule KI
17. Principal tax due (add tax from line 15 plus tax from Iina 16)
18. Total Prior paymants:
{al Amount Paid
(b) Plus Discount
(e) Minus Interest (181
19. Balance Due liine 17 minus line 181
Maka Check Payable to: Register of Wills, Agent
... PLEASE RECHECK MATH'"
x.06=
x.15=
(171
(19)
Under penalties of perjury,l declara that I have examined this raturn, including accompanying schedules and statements, and to the best of my knowledge
and balief, it is true, carra and complete. Declaration of preparer other than the personal representative is based on all informatien of which preparer has
any knowledge, ~ I I
r:;J'/J..3 f~
AODRESS . 6ATE
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
ADDRESS
DATE
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REV.1l55 EX~ (.3.UO)
COMMONWEALTH OF PENNSVI.VANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
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Estate of Jane Elizabeth Holstein Date of DeathJ.4J~JULFile No,-21 81-00.B.3
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOllOWING:
Claimant Ina F. Shr i ver
Relationship '0 Decedent Executrix (Sis ter)
Claimant's Address at tllll" IIf Dccerlcllt's Dealll 200 North Third Street, Harrisbura. PA 17011
57.00
87.50
77.00
11. 85
TOTAL $3,787.42
I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, f,:ncral
expenses and expenses of administration submitted to the e<late as deductions for, Inhel ilance Tax purpos~s.
%' /7" Ic
,~ . <4-- :;>~ T:;;E~~O~;L ~~T~ (82.
OFFICIAL USE ONLY
ITEM
NO.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
AMOUNT
DATE
NAME OF PAYEE
REMARKS
2 02 81 Reqister of Wills
2/12/81 Cumberland Ct Law Journa
2/17/81 U.G. I. (Gas)
2/21/Gl 'l.'rulILall HOl-lIer
Letters Te
Adv rtisin\l
Service
TraGh Removal - Deo...:.dent I s Resi.
ll.8S
31. 80
2,623.00
224.10
77 .00
35.00
19.50
57.00
35.00
58.50
77.00
20.08
9.40
57.00
77.00
19
2/21/81 Cam Curton Transfer, Inc.
2/24/81 John E. Neumyer Fun. Home Funeral Expenses
2/27/81 Ina F. Shriver - reimburse Decedent's bills
2/27/81 St. Capitol Savings & Loan Mort a e - decedent's residence
3/02/81 East Harrisburg Ceme. Co. Grave Marker
3/06/81 P.P. & L. (Electric) Service
3/06/81 U.G.I. (Gas) Service
3/06/81 H & R Block Decedent's last tax return
3/12/81 Patriot News Advertising letters
3/3]j81 St. Capitol Savings & Loan Mortgage (as above)
4/01/81 P. P. & L (Electric) Service
4/01/81 Riverton Consolidated Water Service
42081 U.G.I. (Gas) Service
4/29/81 St. Capitol Savings & Loan Mortgage (as above)
5/05/81 P.P. & L. (Electric) Service
:n.C4
20
21
22
23
5/05/81 U.G.I. (Gas)
5/18/81 Treasurer of the U. S.
5/29/8 St. Capitol Savings & Loan
5/29/8 Truman Horner
Service
Decedent's !Teals at Walter Reed
Mort
a e (as above)
Hill Property
Camp
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S
AT
% TAX RATE
REGISTER OF WILL.S
IlI:V.A55 EXl (,J-UOI
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
~
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----.--,
Estate of -iLa,[l~_E1.i.~be th I-lCl.l.sJ;~i.lLl.CQ.n.t~ Dille of Death
WHEN CLAIMING THE FAMI L Y EXEMPTION, COMPLETE THE FOLLOWING:
CI<lirnollt
Clainwnt's Address at tinK' of Doer-dellt's Duatll
ITEM DATE
NO.
24 6/01/81
25 6/09/81
26 6/10/81
27 6/29/Bl
28 6/29/81
29 6/29/81
30 7/29/81
31 8/27/81
32 8/27/81
33 9/25/81
34 9/28/81
35 9/28/81
36 9/30/81
37 0/01/81
38 0/29/81
39 1/27/81
40 1/27/81
41 2/08/81
42 2/28/81
43
RESE VE TO
NAME OF PAYEE
P.P. & L. (Electric)
U.G.I. (Gas)
Register of Wills
St. Capitol Savings & Loan
Riverton Consolidated Wate
P.P. & L. (Electric
St. Capitol Savin s & Loan
St. Capitol Savings & Loan
'fruman Horner
Register of Wills
William Daylor
St. Capitol Savings & Loan
Kenneth Palmer - process serve
Kenneth Palmer
St. Capitol Savings & Loan
St. Ca . t 1 & Loan
Truman Horner
District Justice Complaint
St. Capitol Savings & Loan
District Justice
File No,
r~nliltionsllirl tu D{!wclullt
R EMAR KS
AMOUNT
Service
Service
Filing Fee
Mortgage (as above)
Service
Service
Mort a e (as above
Mortga e (as above)
Camp Hill Property
18.42
39.41
5.00
77 .00
9.40
17.26
77.00
77 .00
11.85
19.00
225.00
77 .00
13.20
2.
77 .00
77 .00
11. 85
19.80
77.00
15.00
Property Appraisal
Mortgage (as above)
60% service costs-3002A N. 3rd St.
Affidavit (60%)
Mort a e (as above)
Mort a e (as above)
Camp Hill Propert
LL/Tenant Complaint
Ilortgage (as a:';ovc)
Eviction Process (60%)
AY THE FOLLOWING:
Ba+ance of 1/? of Mortgage ol;>ligation entered into jointly
'nth Ina DhrJ. .cr for e!llnp
TOTAL
I hereby certify that to the best of my knowledge and belief the foregoing is a il.!.st and true statement of debts, f"noral
expenses and expenses of administration submitted to the,l1.tate as deducti s for Inhe, itance Tax purposes.
,~~ .7 /. 'Vt~ ,.=l. I, O. 10 L
SIGN URE::OFFIDUCIAHV ~
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED tN THE SUM OF $
AT
% TAX RATE
REGISTER OF WILLS
DATE
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RCC.3 (,\_131
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of Moy 28, 1956, P,L. 1757, and Act of June 15,1961,
P,L, 373, os amended)
COMMONWEALTH OF PENNSYLVAtllA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application is hereby filed for the approval
of an exenlption from Pennsylvania Transfer
Inheritance Tax on the transfer of the property
described below:
1. Bureau Fila "_;U...8l-0083.
2. Date of Death _lY26/80. ..' .
3. Dale of Approval ~12Zr;tWlJ.A~J"ZfA._--_.
N fD d t J~ne Elizabeth Holstein
4. ame 0 ece en
5. The Commonwealth's appraised value of the property for which an exen\ption is claimed is S 2,500.00 ------'
(Note: Where tho property is other than a specified amount of cosh, the exemption cannot be approved until the value of
the property has becn 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 estate or the entire residue. In those cases
enter such fractional or percontage amount above).
6. Check the manner in which the transfer was effected and submit a copy of th., document authorizing the transfer, unless
such material has been previously filed,
WILL~
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTH ER 0;
(If other, explain)
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME East Harrisburg Cemetery Association
ADDRESS 2260 Herr Street, Harrisburg, Pennsylvania
IX] See listing on reverse side for additional charitable organizations covered.
8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct.
tv 'A
,/ '.-hwv ,,{( ;l/L(/~J
Signature of Applicant .I' -
Ina F.' Shriver
Addrass of Applicant 200 North 34th Street , Camp Hill , Pennsylviillia
Official Title
Executrix
Date
3/11/82
This form must be completod In triplicate and all throe copies delivered 10 the Register of Wills for the County in which the decodent
resided, or in which lottors were issued for 0 nonerosldont decedent's estoto. If fha decedent was a non.rosidcnt of Pennsylvania and
leltors were not Issued by a Pennsylvania Register of Wills, deliver all three copies to tho Director, Bureau of County Collections,
Penna. Deportment of Royonl1o, 26 S. 4th Street, Harrisburg, Po.
Do not write below this line. For Official Use Onl
APPROVED: For the Secretary of Revenue REFERRED to Bureau Headquarters
Approved 0
For Secretary of Revenue
Denied' 0
7 (Slg ture of Re sler of Wills)
l',/.I/!/Jb'/l~A"j -
~ (County)
i/ 7l#A--Ci) ,R~ /11'::<',
(Date of Approval)
(Initials of Register of Wills)
(Authorized Signature)
(County)
(Title)
(Dote of Referral)
(Date of Action)
... See reverse side for reasons
MUST BE FI~ED IN TRIPLICATE
',n~L~_,~~ion will be cOl'T!pl ated by- Bureau Headquarters only when the application for exemption has been denied.
Date:
Th~ application for exemption contained on the face of this form has be!" donied because
Nolo: Any porty in interest, including the Commonwealth, aggrieved by lhis action may within sixty (60) day. after
the dote of this notice exercise their rights of Protest, Notice, or Appe"Jl in accordance with the provisions of applicable
Pennsylvania Inheritance and Estate Tax Acts.
2. paddletown Cemetery Association, York County, Pennsylvania
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REV. 1647EX (1-82)
ASSESSMENT
CONTRO~ NO.
101
BUREAU OF EXAMINATION
PENNSY~VANIA DEPARTMENT OF REVENUE
P,O, BOX B32 7
HARRISBURG, PA 17105
NOTICE OF INHERITANCE TAX
APPRAISEMENT, A~~OWANCE OR OISA~~OWANCE
OF OEOUCTIONS. ANO ASSESSMENT OF TAX
OATE 4-
ESTATE OF HOLSTEIN JANE E FI~E NO, 21 81-0083
OATE OF OEATH 12-26-80 COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREOIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX
PAYMENT TO TH~ REGISTER OF WI~~S OF THE ABOVE COUNTY. MAKE CHECKS PAYAB~E TO "REGISTER OF WI~~S.
AGENT." IF TAX PAYMENTS ARE MAOE WITHIN 3 MONTHS OF THE OECEOENT'S DATE OF DEATH, A DISCOUNT
OF 5% OF THE TAX PAID MAY BE DEDUCTED,
BENJAMIN & ANGINO P C
4503 N FRONT ST
HARRISBURG PA 17110
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
CUT ALONG THIS LINE
-----------------------------------------------------------------------
NOTICE DF INHERITANCE TAX APPRAISEMENT, A~~OWANCE DR DISA~~OWANCE DF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HOLSTEIN
JANE
E FI~E ND.21 81-0083
TAX RETURN WAS: (X) ACCEPTED AS FILED
APPRAISED VA~UE DF ESTATE:
,. Real Estate (Schedule A)
2, Stocks and Bonds (Schedule BI
3, Closely Held Stock/Partnership Interest (Schedule CI
4, Mortgages and No'es (Schedule D)
5, Cash & Miscellaneous Personal Property (Schedule El
6, Jointly Owned Properly (Schedule FI
7, Transfers (Schedule GI
8, Total Gross Assets
APPROVED DEDUCTIONS AND EXEMPTIDNS:
9, Funeral Expensesl Administrative Costs/Miscellaneous
Expenses (Schedule H)
10, Debts/Mortgages/Llens (Schedule II
11. Total Deductions
12, Net Value of Estate
13, Charitable Bequests (Schedule ,JI
14, Net Value SUbject to Tax
ASSESSMENT OF TAX:
15, Amount of line 14 taxable at 6% rale
, 6, Amount of line 14 taxable at 15% rate
17, Principal Tax Due
TAX CREDITS:
PAYMENT
DATE
RECEIPT
#
DISCOUNT (+)
INTEREST H
09-25-81
03-16-82
069702
010875
.00
95.60-
THIS ASSESSMENT IS BASED ON: 1 SUPPLEMENTAL RETURN
ND INTEREST IS DUE IF PAlO BY 03-16-82
IF PAID AFTER DATE INDICATED SEE REVERSE FOR INSTRUCTIONS,
DATE 04-19-82
ACN 101
) CHANGED
(ll
( 2)
( 3)
( 4)
( 5)
( 6)
( 7)
.00
.00
.00
.00
.00
.O,L
.00
( B)
.00
( 9)
(10)
12,4B2.61
.00
(Ill
(12)
(13)
(14)
12,482.61
12,482.61-
.00
81,658.54
(15)
(16)
12,482.61-
94,141.15
748.96-
14,121.17
13,372.21
X,06=
X,15=
(17)
AMOUNT PAID
10,000.00
2,000.00
TOTAL TAX CREDIT
BA~ANCE DF TAX DUE
11 904.40
1,467.81
(If Balance Due is less than $1,00 no payment is required)
RETAIN THIS PORTION FOR YOUR RECORDS
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This document is the Notice required to be given under Section 709 of the Inheritance and Estate Tax Act
of 196 I (72 P,S. section 2485),
iNFORMATION
If the tax is paid within three (3) months after the decedent's death, 3 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 (6) 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 . delinquent sta'us from 3-3-80, and payment is made
on 5-23-80. the interest is calculated as indicated below:
STEP 1
Determine the rate of
interest from the table below,
STEP 2
Multiply the balance of
tax due by the rate of
interest.
STEP 3
Add the interest
to the balance of
tax due,
=
.010
,00335
,01335
Balance of lax due
Rate of interest
INTEREST
$2.000,00
x ,0 I 335
$ 26,70
Balance of tax due
Plus Interest to
Date of Pavment (+)
TOTAL tax and
interest to Date
of Payment
$2.000,00
$ 26,70
Interest from 3-03-80 to 5-23-80
Results in:
2 Months =
20 Cays = +
Rate of interest
$2.026,70
---------------------------------------------------------------------
, month ,005 4 months ,020 7 months ,035 1 0 months ,050
2 months ,DID 5 months .025 8 months ,040 " months ,055
3 months .015 6 month~ ,030 9 months ,045 , 2 months ,060
1 day ,00017 11 days .00186 2 1 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 25 days .00437
7 dlYs ,00118 17 days .00284 27 days .00454
8 days ,00135 16 days .00301 28 days .00471
9 dlYs ,00152 19 days .00318 29 day., .00488
10 d,ys ,00169 20 days .00335 30 days .00500
-
---------------------------------------------------------------------
Any party in interest. including the Commonwealth and the personal representatlve, not satisfied with the
appraisement and assessment may object within sixty (60) days after receipt of this Notice as prov,ded by
Section 1001 of the Inheritance and Estate Tax Act of 1961 172 P.S, sec, 2485 - 1001),
MAKE CHECK OR 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 INHERITANCE TAX INSTRUCTION 800K FOR ADDRESS,
RECG"l;- ,
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INFORMATION
This document is the Notice required to be gIVen under Section 709 of the Inheritance and Estate Tax Act
of 1961 172 P,S, seclion 2485),
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 (6) 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, the interest is calculated as indicated below: -
STEP 1
Determine the rate of
interest from the table below.
STEP 2
Multiply the balance of
tax due by the rate of
interest.
STEP 3
Add the interest
to the balance of
tax due,
Interesl 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 tax due
Plus Interest to
Date of Payment (+)
TOTAL tax and
interest to Date
of Payment
$2,000,00
$ 26,70
2 Months = ,010
20 Days = + ,00335
Rate of interest = ~1335
$2,026,70
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 ,030 9 months ,045 12 months ,060
1 day ,00017 11 days ,00186 21 days .003S2
2 days ,00034 1 2 days ,00203 22 days .00369
3 days .00051 13 days ,00220 23 days ,00386
4 days ,00068 14 days ,00237 24 days ,00403
S days ,00085 15 days .00250 25 days .00420
6 days ,00101 16 days ,00267 26 days .00437
7 days .00118 1 7 days .00284 27 days .00454
8 days ,00135 1 B days .00301 28 days .00471
9 days ,00152 19 days ,0031B 29 days ,00488
1 0 days ,00169 20 days ,00335 30 days .00500
---------------------------------------------------------------------
Any party in interest. including the Commonwealth and the personal representative, not satisfied with the
appraisement and assessment may object within sixty (60l days after receipt of this Notice as provided by
Section 1001 of the Inheritance and Estate Tax Act of 1961 172 P.S. see, 24BS - 1001).
MAKE CHECK OR 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,
RCC-3 (4-73)
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of Moy 28,1956, P,L, 1757, and Act of June \5,1961,
P,L, 373, o. o",nd,d) ..2 _ Y 1_ .V' ~
COMMONWEAL TN OF PENNSYLVA'IIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application is hereby filed for the approval
of an exemption from Pennsylvonia Transfer
Inheritance Tax on the transfer of the property
described below:
1. Bureau File 11._______
2, Dote 01 Death _. . Decrber 26, 1980
3. Dote 01 Approval -d~fr-~d<-&J g/);.ltfL
N 1 0 d t Jarfe Elizabeth Holstein
4. ame 0 ece en
5. The Commonwealth's appraised valuc of the property for which on exemption is claimed is S 1, 000 ~J1Q..~.________,
(Notc: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of
the property has bean established by appraisal by the Commonwoalth, except in those cases where the amount of the: gift
or bequest represents a stat~d fractional or percentage portion of tho entire estate or the entire residue, In those cases
enter such fractional or percentage amount above).
6. Check the manner in which the transfer was cffected and submit 0 copy of the document authorizing the transfer, unless
such material has been previously filed.
WILL S;
DEED 0;
TRUST INDEtUURE 0;
SURVIVORSHIP 0;
OTHER [];
(II other, explain)
7. Correct Business Nome and Address of Charitable Organiz.ation receiving property:
NAME
Lakeside Lutheran Church
ADDRESS
Harrisburg, Pennsylvania
lliI See listing on reverse side for additional charitable argonizations covered.
8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct.
L
Signature of Appl icant
Address 01 Applicant
741~--uU
I
200 North Thirty-fourth
Camp Hill, Pennsylvania
Street
Official Title
Administratrix
Dote
September 24, 1981
This form must be completed in triplicate and 011 threo copies dolivered to the Register of Wills for the County In which tho docedo"'
resIded, or In which lotters were issuod for (I non_resident docodcnt's estote. If the decodent wos (I non.resldcnt of Pennsylvonia and
letters were not Issued by 0 Pennsylvania Reglst"" of Wills, deliver 011 three copies to the Director, Bureou of County Collections,
Penna. Department of Revenue, 26 5. 41h SIreet, Harrisburg, Po.
Do not write below this line. For Official Use Only
For the Secretory 01 Revanue REFERRED to Bureau Headquarters
Approved 0
For Secretory of Rovenue
Denied' 0
(Initials 01 Register 01 Wills)
(Authorized Signature)
(County)
(Titl.)
I" r /1.//
~J.:?l.:;J / v
,
(Date 01 Approval)
(Dote 01 Ralenall
(Dote of Action)
. See reverse side for reasons
MUST BE FI~ED IN TRIPLICA TE
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PRINCIPAL DISTRIBUTIONS TO BENEFICIARIES
Beneficiary - Ina F. Shriver
3/81
3/81
12/81
Personal effects as per inventory
1973 Dodge Monaco
Virginia Electric & Power
22 shares of common stock at 10 6/8
$ 476.90
1,975.00
236.50
TOTAL PRINCIPAL DISTRIBUTIONS TO BENEFICIARY
$ 2,688.40
INCOME RECEIPTS
Interest:
State Capital Savings Association
Certificate of Deposit Account No. 002-20-06302 to 12/31/81
USAA Group No. 044-00-13U Subscriber Savings Account to 12/31/80
Dauphin Deposit Estate Checking Account No. 43-75059-1
6/81 to 12/81 $351. 62
1/82 to 8/82 466.29
60% of interest payments at 10%
from Karen Nedimyer, Obligor, per sales agreement for
property located at 3002-A North 3rd Street, Harrisburg
from 4/15/82 to 10/15/82
$ 163.95
18.83
817.91
84.00
Dividends:
Rockwell International (10 shares jointly owned with Ina Shriver
with right of survivorship) Name change 12/81
3/10/81 $25.20
6/09/81 25.20
9/09/81 28.08
J.2/10/81 28.08
106.56
Virginia
E1ectdc
3/31/81
6/29/81
9/23/81
12/28/81
Company
$
7.70
7.70
7.70
8.25
31. 35
PennWa1t Chemical Corporation
Quarterly dividends at $2.75 from 8/5/81 - 8/19/82
13.75
Rental Payments:
60% of monthly rent receipts from property at 3002-A N. Third Street,
Harrisburg at $80.00 for 15 months
720.00
TOTAL INCOME RECEIPTS
$ 1,956.35
Li:,~t: 1. ;~i::,:i. rJ~:; i
5
R!:V.1162 EX
COMMONWEALTH OF PENNSYLVANIA
NO L 0499 &:i 1 DEPARTMENT OF REVENUE
. "tI1'FICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
EIVED FROM:
r Mrs. .In F. ~.11.~iver____......_..'l
__.~I.~_..!!~~;~_ll:~,....J(~e~I\.. BEln~;i~o&
_~y~_to~!!.._B1gg...,........... ........ .....
_ Harrisl:l!l~L~~'!..__l7JQ13.
L -.J
ESTATE INFORMATION:
FILE NUMBER
NAME OF DECEDENT
DATE OF PAYMENT
POSTMARK DATE
21-81-83
fDLSTEIN JANE E.
1:t8lreJllber IJ.f(jJ 1982 MI
November 9. 1982
Cumberland
December 26. 1980
'NTY
(,h fE OF DEATH
REMARKS
SEAL
_u._
--- -.:~.
L.L:
- - --. -- --- -- ---. -- _._- --- -.-..
m
ACN
,: ,,'~ f ((- "
. SIGNATURE
/
.,,,
G
AMOUNT
1.99
I
~
i
)1
to
.
"'I
I
S
,....~Jj
1.99
',r'
/. /1.,'/,-://
.. "."
'" ,/'
-.::::I __ = __
--. -_. - ,-- ,-_.- .-- --
",~~~~,,,,'-=,=r-.l"""li't}~,,iO:'lI-;,.iIt;:iA~"i~:.:~':l!,~,~','i'':\;'i;t.~,"'};,~!':':'"~~'~:~~-r'lf'~,~,~~
Assessment Control No,
Probate
ttYB.
[ijTOTAL AMOUNT PAID
RECEIVED BY
/ i ;'
1L1___-r:r__:JL:.:oI[
"'., .'
'.
"
" .
,
COURT OF CmlMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA ORPHANS' COURT DIVISION
No. 21-81-0083
ESTATE OF JANE ELIZABETH HOLSTEIN, Deceased
Late of the Borough of Camp Hill
FIRST AND FINAL ACCOUNT OF
INA F. SHRIVER, EXECUTRIX
Date of Death: December 26, 1980
Letters Granted: February 4, 1981
First Complete Advertisement of Grant of Letters: March 6, 1981
Account stated to: October 22, 1982
Attorney: Benjamin & Angino, P.C.
4503 North Front Street
Harrisburg, PA 17110
SUMMARY & INDEX
Pages
PRINCIPAL
Receipts
Principal Conversions into Cash
Principal Capital Changes
Less Disbursements
Balance Before DistributIons
Distributions to Beneficiaries
2 $64,253.60
3
3
3 & 4 26,432.52
37,821. 08
5 2,688.40
$35,132.68
Principal Balance Remaining
INCOME
Receipts
Less Disbursements
$ 1,956.35
671. 69
Income Balance Remaining
$ 1,284.66
COMBINED BALANCE REMAINING
$36.417.34
. f\'\
/
Real Estate
"
"
PRINCIPAL CONVERSIONS INTO CASH
3/15/82 60% interest in property at 3002-A North Third Street,
lIarrisburg, Pennsylvania
Deed Book No. "U", Volume 22, pg. 33.
(60%) Inventoried at $9,000.00
(60%) Hortgage note for $9,000.00 (see page 2, Principal-
Hortgage Note)
PRINCIPAL CAPITAL CHANGES
State Capital Savings & Loan Savings Acct. 0002-00-02767
Inventoried at $22,675.48
3/17/81 - Transferred to Estate Check & Earn Account $22,675.48
PRINCIPAL DISBURSEHENTS
'.
The following six items are periodic payments made toward maintenance of the
residence at 200 North 34th Street, Camp Hill, owned jointly (tenants in common)
by the Decedent and Ina F. Shriver:
1.
2.
3.
4.
5.
6.
1981
2/2
2/12
2/21
2/24
2/27
3/2
3/6
3/12
3/31
4/20
5/18
6/10
8/13
State Capital Savings Associates - 23 monthly mortgage
principal payments from 1/81 - 11/82 $
P. P. & L - monthly payments from 2/81 - 6/81
UGI - monthly payments from 2/81 - 6/81
Bell of Pennsylvania - monthly payments from 1/81 - 6/81
Truman Horner - trash removal quarterly payments from 2/81 - 11/81
Riverton Consolidated Water Co. payments from 12/80 - 5/81
Register of Wills - Letters Testamentary & Short Certificate
Cumberland County Law Journal - cost of advertisement
Camp Curton Transfer, Inc. - Deed transfer
John E. Neumeyer Funeral Home
Ina F. Shriver, reimbursement:
National Flood Insurance Program
Brenner Hators Insurance..Car Inspect.
East Harrisburg Cemetery Co. - memorial
Kenneth Nye - West Hanover Twp. City & Boro Real Estate Tax
Patriot Evening News - cost of advertisement
Anne Keller - Camp Hill Real Estate Tax
United Services Automobile Association - insurance
Treasurer of United States - Decedent's meals at
Walter Reed Hospital
Register of Wills - filing inventory
Kenneth Nye - West Hanover Township School District Tax
$50.00
22.00
3
J.,535.47
115.67
267.41
99.20
47.40
18.80
53.00
18.00
31. 80
2,623.00
72.00
35.00
17.37
58.50
289.00
3.40
87.50
5.00
40.98
REV. 1B07 (AS)
J '~j~i~r.f,::Mrn' \.. _.~::~'::::~. .t.-:~"",
ESTATE OF HOLSTEIN JANE E FILE NO. 21 81-0083
DATE OF DEATH 12-2.6::-8.0 t;.OUN1'y~Jl1l))J;;EJ,.AIiP
NOTE: TO INSURE PROPER CREDIT 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,
INA F SHRIVER
200 N 34TH ST
CAMP HILL
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
PA 17011
CUT ALONG THIS LINE
---_.-- .-- - .--- _.- - -.-. -.-.--- ..-- -.-.- -.---- - --' ,-' -- -' -- ---.. -- -.-----
.. INHERITANCE TAX STATEMENT OF ACCOUNT ..
ESTATE OF HOLSTEIN JANE E FILE NO, 21 81-0083 ACN 101 DATE 06-13-83
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. S~OWN
BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, THE APPLICATION OF ALL PAYMENTS. THE CURRENT BALANCE, AND,
IF APPLICABLE, A PROJECTED INTEREST FIGURE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09- H-82
12,023.78
PRINCIPAL T AX DUE:............"........,....................,...,....................,..........,........,'..,...,....,......,.....................,..............,
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT
DATE NUMBER
09-25-81 069702
03-16-82 010875
09.-30-82 \ 049852
11-09-82 049951
AMOUNT PAID
DISCOUNT (+)
INTEREST (-)
.00
56.75-
2.61-
.01-
10,000.00
2,000.00
81. 15
1.99
INTEREST IS CHARGED FROM 11-10-82 TO 06-28-83
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE ~IDE OF THIS FORM.-
TOTAL TAX CREDITS
12,023.77
BALANCE OF TAX DUE
.01
INTEREST
.00
TOTAL OUE
.01
,
,.
~:~;"~I
~,.r
(If Balance Due is less than $1.00 no payment is required)
('.~
?"
. IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST
RETAIN THIS PORTION FOR YOUR RECORDS