HomeMy WebLinkAbout81-00336
~
~
~
m .
lH
P< ~
~ H
5i
i ~ I
I:-l.
~ tj
.
. g p::
[it tIl
a ~ ~
-
0
6)
..... .'b'l.
. tU
0 ..... \0
Z a1i
'., .)/."
".,,' \'~.J
NO. 21-81
PETITION FOR LETTERS OF ADMINISTRATION
IN THE ESTATE OF """~().!~,L.-:-"""j~:.:".,,.s;J/t,:::i.'.3.1.f.',(/lJlI~CEASlm.
'vf 'K!. ,/ . , I C' /=c . .
To ,..., ,,,. ./.. ,,',. (7".::,. .1......... ,~.. ,c, ,... :~::... ::-:" v.'-!.:..,)"........ ::::....:,. (::-..:...."..,."...."", ".
Register of Wills fOl' the County of CumiJe!'iancl. in I he ('omnlllll\realt h of Penns.,'lvania.
Th P t't' f G L. E!\,' (1/ ;.\ .::'./<;,., ro,! .,. G H
eel Ion 0 "'''''''...,,,,,,,,,,,,,,....'1..,..,.,,,,. "".'"""".".......:......."/..'.;,...\-.,..:..,.,...".........""",,...'"''''''''''''''''''''''''
E L)( , = ('T" it.' .",/.7 {)(..I:!.
"................"...."""...."""..".............. respectfully sholl'el h t hat ..,,,::~,,.,.'""'......."'..,,,...,,.:,,..::;:.....',,(., ""....7. ......
'd t f /\..\ I t\ I) L r:: '; r= v TOII'nship (' 1"1 let' St. t I' P' 'I.
was a reS1 en 0 """ .....""....:.. "".......r.....,,'.).""'''''''''.~1(WU~1 ' lllll leI all( .-CHIn j, . .1 C 0 cnns)
. d C't' f U't 1St t I d t lth' 1'1" tt' th C t I: ('U!-1/<E'I?I-AN()
vama, an a I lzen 0 nI e( a :es, aoc cpal' ec I:; I e Inte:-; Ii e III e .OUIl y 0 "';,.-""".....("....:",,..
'" . ~
j.St t. I' /:C(\'/'I "'/1 'I/.;' '1/ "
""............................"...... ane a c oj .".."":."':7,,:....,,";7..',,.~I.,, "L/.-..."::::.""""....,.........,,.......................................
'/l;E.~~V h ~".t>' i' /'/".""c Dr-;
on ....,.......;~.J.~::';.r....".....".. t e ".........~.'t"..".~....".."..... (a~' ot ......"..I.;:..~,';-.;;,'";....."...""........,,. A. ., 19";.,,.....,
. l? .,
at the age of......i..~. yem's.
~ ,~
. That the said .."'.AE.?"."...t;,..'".."),'?d..(';!.!?,:'i:Pf,ii.."......,, deceased. left surviving the following
named widow or husband. hei!'s and next to kin. to wit:
Name
Helationship
Residence I !( 0 ! .3
Fi) : Oax 1(12... C:~/cUSL6' Pt?
....................................-...........................< J
E.D..L....T.3.:rx....!.~.;,...(1!.(<:(,~.?f, PA_
, ! 70/]
t:: R ~
In' / 'r ' ~, :3 ^ !J .. ~,
'" Itl !..,..t ~I t
... ....I.t.....J........... .....;;......., "..........".....
.. .(!..~. f./f. ,N.. ...Ii.:.... .~T.(7!~!.$ Ii!!. ~J.!
............ ~~.;:(..f. f:?...................
...,.."."..:?:.~.'V........."..".......
................................................................
............................................
................................................................
................................................................
............................................
..........................................................."...
................................................................
................................................................
................................................................
............................................
................................................................
................................................................
................................................................
................................................................
................................................................
................................................................
............................................
................................................................
That those above named include all of the next of kin, so far as known.
The said decedent was possessr.d of personal property to the estimated value of $"y.:':U~.~.z.!.t.1.(!.!.{j)
and of Real Estate, less incumbrance, to the estimated value of $."....N.~::-u:............" as near as can be
ascertained.
That the suid Real Estate in so far as is known is located in
................................................................
............................................................................................................,...........................................................................
Therefore, your petitioner(s) respectfully apply(ies) fOl' Lette!'s of Administration in the above
named estate.
Dated ......"t.:!A.'(...""."...2..?,..", A, D.. l!IJI.
Signature alld Address
&lfv
of Petitionel'ls)
.~~:,,4~d~~~L...
I) ,. , " / ... (/ J)
, '\ U i i.:i (\ X (I 2 ( 1/ it! U 5 {(- rll.
.,............,...........,."......................\1'......."..........................
...............,..........,.........,..........,......."................../3:::./9g;
........................................................................................
/ 1() (J
in the llbovc application bcin~ duly. ,.. .', ''')~l~.~:'~!.". .....""......,.. :leetH'ding' to law, :\IlY that the factK set
forth in the aho\'e application al'e tl'ue to the hl~Ht of ..t:::..:~."." kl1o\\'ledg-c and helief.
~'e'~"r"~~':e.I.,~A..........I.~.................... and "uh"cl'ihcd 1..21l:;:;~:";;l'llt~~~~~ZC~"'~"jJ'"
. ...........................,.............................,"........0.&.......
.......!.:!,!::.!..............~. .t........ ......... A. I l.. 1 n,? 1.... .......,..,........,.... ...............,....., .......... ............ .......... ......
......<2lf;Aif..a..'...;p~,...............
,f I\egi"lcr
COMMONWEALTH CW 1'1';NNSYL\'ANiA
COUNTY OF CUMBERLAND
/") . -
(:7 {~ ::..-. :\.1 tiJ
..."""....."""""..."...,,,.,,..,...../..,,,..................
\
t "":
J.
. , . , . . . . . . . . . . . . , , , . , .
Filed: . ......~.ii.Y....~.~,~..)~.~,1.............................,.....
.-. .._'. . " ,S /~i ~) C,,"h;
uamed
............,....,..,................".....""",.,'''''''',,.."",,,,....
..",.,............"....".,...........................................................
A Horney:
.--0--. ..... n
; ._ "., ~ " /< C'l(<= U' /'M_ ,A
.....' ...., _ _. '.c..rrf "::7::.{\.:::o
,.,......",.......,...."....,.......':.t\'!!...................;~,."
OJ.... f;)C")
ITl j ::J: .'_0
~lS' ~ U):o
f-' :,1' ~ ~~1t:'
..,,;) ,',P'l
~::~.~;, S~ "P
l, ~ ,.
,.,
"
OATH OF PERSONAL REPRESENT A TlVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
.u
, .
~
"
,
''It
,r
}"s:
..." ,._,.. ;. \".-r-+/ ,.. ~ .-" , /. '
(..::;Lcl'f/V F':, ...)fnl~i.,.J:;.Tj(.:.l,~ t't' ()
...................... ........"....,........,...,....................._.....,....."........'.............;'..."..."..........."...'...... ..,............. pc I loner s
being duly .."..S..~:~.S..N............""..........." according to law do (;';..i...... depose and say that as the
d . . t Tot? f th t t f .{;: /:!.? : :=C<7/- .." ,.:0 .~ c'G i.:
a nllnlS ra .........k..... 0 C es a e 0 ..................."..~.. .....;';";"o...."....."';";"..;..........':'.'..............;..;-.~.~.'............'....................
,
........................................................................................................................................................................................
deceased ......!:!..~......"... will well and truly administer the goods and chattels. rights anci credits of said
deceased. aecording to law. And also will diligently comply with the provision" of the law relating
to Transfer Inheritances.
"" ,
,:, ,'h ~ (, ':V j <' d b 'b I
.......................................................... an su scrl cc
before me.
.."...!.:i.!::..Y..........'k..7:...".."......... A. D., In.?:J..
Rfl11"7...a,...~............
1 . L ft
,,::@~;;.~...4!-:.4.7/;~..:.....ZJ-:.;f,................
............................................................................................
DECREE
Be it remembered that on the ...........f.!?~):!"...".." day of ............1:I.!!-.y.................."......... A. D,. 19~),..".
Letters of Administration in the estate of ..."........... ...........................~.~:r;.~.,,~.:....~.~~~~:::~~.~.....................
Middlesex Township
......, ....................................................,...................,. , late of ....,............,...........,.............. ........................ ........ ........"
C . 'd d Glenn A. stambaugh
umberland County. Pennsylvallla, decease , were grante to ........""...........................................".............
........................................................................................................................................................................................
Witness my hand and official seal the day and year afOre"a~' . ~
/) ) . .
........q( 't:t::y...4:..:....... ...~.~.~t~~........
/r~
J "~11': s H. H 1I ~I E Il
ATTOa:-:I-:'l' AT LA\\'
F^UNI.:H~ THIJ~T 1:I11II.I)INn
ONI: WI:sr 111(,11 Snn:I-:T
C^HI.I51.1~. PI:Nt':^, 170la
17171 l:.~a-:IIHll
September 21, 1982
Bureau of Examination
Pennsylvania Department of Revenue
P. O. Box 8327
Harrisburg, PA 17105
Attention: Kathy Kross
In Re: Estate of Stambaugh, Earl E,
SS# 195-28-1085
DID: 03-24-81
County: Cumberland
Dear Miss Kross:
The above estate has received notice of additional tax
asserted to be due on time certificates held in joint names.
After discussion with the Register of Wills of Cumberland County,
I am returning herewith one copy of each of the notices with the
relevant information furnished in Item No.4, and attaching
copies of the relevant documents in each case. It is our contention
that no tax is due.
Please inform me not later than October 15 if you do not
agree with our position, so that I have adequate time for filing
an appeal.
JRH:sa
cc: Mary C. Lewis
Register of Wills
Cumberland County
County File No. 21-81-336
Mr. Glenn A. Stambaugh
R. D. 1, Box 102
Carlisle, PA 17013
Sincerely yours,
~/~ Ie .~.
(/ (ames R. Humer
\.
REPORTING INSTRUCTIONS
1. II tho bM\~ Ilccount speciliod on thIs nolieI' INi1l be reporlod flOd pllld by Iho O!lltllC fiducUII"", [lInen "" "X" In block "6" 01
P/lIl 1 of tho "JoinllTrust Account Till'; Rllturn", Sign the duplic/llt! IInd lIipHcnlc c(JjlU'~ find lotUln 10 tho Pennsylvllnill
Depnrtment of RevenuC!, BWOllU 01 E;llllmHlIlI,on, P.O. Bolo' 8327. HlllIlsbU1Y, PA 1710!i.
2. II 1ho infotmllllon nnd clllculnlion In the nOlll:a IS (orroct IInd dol1ucllClns IIII' not being clnmH'ld, plllco lit, "X" In bloc~ "A" of PlIrt
01 lho "Joint/Trust Account TlIx Aoturn", S.gn the duplic/llC' tlnd 1riplicolr capios /Ind submit thom wilh your chock 101
the nmounl 0' Ill)!; to Iho Regislat of Wills 01 11'I0 county mdlC/ltfl<l. Tho Oaptlllmant III Revenue will issuo IIn OlllClll1 IlUU!lnlllnl
(FOIm REV. 1S48EXI upon reviow 01 the Joint Tluf,1 Account Tllx Roturn.
3. II tho notice Inlormlltion Is inCOlrect IIndlor qUllllliot! doducttons IIrl' being clnimcd. complete PIlIl 2 hill( clllcullltionl 01 tho "Joinll
Trust Account fa)( Return" Ilccolding to the inslfuctions below, Sign tho duplicrllQ Md Iriplicllte copies IInd submll them
with YOUI check 101 tho amount 01 IIIX to thO Rogistor of Wills 01 tho county Ind.clllod. Tho OCpllltmont 01 Revenue will issllo en
officiel "ssusmant IFolm REV. 1548EXI upon review of lho JointiTlust Account TllX Rotuln,
4. Addltlonel commonts or explllnetions should be mlldo in Pert 4 "Othol Inlormlllion".
5. The Joint/Trust Account Tex Relurn must be completed IInd lelUrnod within Ihllty 13m dlly!> 01 the notice dllto or /In officilll D5S(!5Sment
(Form REV. 1548EXI will be issued bllsed on lho notice inform/ltion.
G. InhlHltllnce tel( becomes delinquent nina months IIller the decodent'.. d/lle of donth, JOintly hcdd property IS tel(tlble tvon though the
docedent's nllmll WllS Ilddod liS /\ m.lll1or 01 convenience.
TAX CALCULATION INSTRUCTIONS
LINE
1. Enter the dllle the Ilccount WllS oliginllllY l!stllblishad.
t:iQ1e: If II benk IlCCOUtlt WIlS esleblished within two years of Ihl3 deeth of tho decedent, it is pre:!.umed to hllVA been estllblished
in contempletion of dellth. (SEE EXAMPLE BI. If the Ilccount Wl!S ostllbli:!.hed with funds thllt were registeled in the sllmo joint
ownership IInd mllinlslned jointly for moro lhen two yoar:!. plior 10 death. tho tlccount would be tlll(llble to tho Ol(tent of tho
decedent's ownership (SEE EXAMPLE AI. Documentlltion to indicllte the originlll Sl111us 01 the /lCCO'JOl must be submi\tod with the
JointlTlust Account Te)( RelUtn.
2. Ente. the totlll blllance 01 the eccounl including intelest es of the d/lte of deeth.
3. Thp. percent 01 the IIccount thlll is teKeble fOI clIch survivor is determined es lollow:!.
A. The percent tfIXllble fOI Joint bank eccounu established more then two yellrs prior 10 lhe decedent's doeth is determined 115 follows,
DIVIDED BY Totel Number of DIVIDED BY Totlll Numbr!! of l( 100 Percent Taxllble
Joinl Owners Surviving Joint Owners
I:umote A. A joint eccount registered in the neme of the decedent Ilnd two other per:!.ons.
DIVIDED BY DIVIDED BV 2 .167 x 100 16.7% (Percent texable for Each Survivor!
B. The percent tll)(able fOI joint benk eccounts estllbli:!.hed wilhin two yellfS of the decedent's deelh or Ilccounts owned by lhe decedenl
but held in trusl for enother individuellsl ttrU:!.l beneficiefiesl is dotC!tmincd lIS follows:
1 DIVIDED BY Totel Number of SUlviving Joint
Owners or Trust Beneficlll,ios
x lOa ~ Percent Texable
Exemple: Joint account regl:!.teled in the nllme of the decedenl end lwo othel persons and established Within two years of doelh.
DtV1DED BV 2. .50 x 100 . 50% (Percent Texllble lor Eech Survivor!
4. Th, emounl subject to till( Iline 41 i:!. determined by multiplying the account balllnce (line 21 by the percent texable (line 31.
5. Enter the tOlel of the debts Ilnd deductions listed in plllt 3.
Allowable debU end deductions ere determined lIS 'ollows.
A. You ere legeily responsible fOI peyment.
B. You ectulllly paid lhe debts efter the death o' the c$ecedent ,!lnd cen furnish proof 01 peymen!.
C. The ume debts lIrf: not cleimed on the decedent':!. tnherilence Tex Return or by eny olher survivor.
D. Debts being clllimtd must be fully itllmized in pllrt 3, tI sddltionlll splice is needed, use plllin B 1/2 l( 11" sheets. Prool of peyment
mey be requested by the Depel1ment of Revflnue.
6. The amount lel(llble Wne 61 is determined by subtraCting lhe debts llnd deductions l1ine S~ from the lImount sUbJecl to till( Iline 4L
7. Enter 1he apPlopriete 111)( rete (tine 71 n determined below.
A. Tlensfen to Iinul descl!'ndll:lll including father. mothelr. husb/lnd, wile, son, dllughler. grendchildlen. grendperenls, son-in'lew.
deughtel.in.ll1w IIro tllxeble M e per rent.
B. Tronsfers 10 nonlin8111 including brothel. siSler. uncle. eunt, nophew. and niece lire tlll(/lble at 15 percent.
8. The emount of tal( due \line 81 is detelmined by multiplying the IImounl 11lxeble !lin'" 61 by the t8l( fIlte \line 71.
DISPUTED TAX
The Joint/Trust Account Till( Return is subject 10 Ilpprovel by the Oep4rtmenl of Revenue,
The taxpllyel mlly within sixty 160l dllY:!. 01 the dllte of the officilll IISSllssmenl lForm REV. 1548EXl "Ofliciel Notice of Inhel.lIlnce
Tex Appraisement, Allowence or OiuHowllncCl oi DeduClions eM Assessment of 11lx on Jointly Held 01 Trust AUet:!.". fill! II
plOtest WIth lhe Pennsylvenill Depertment 01 Rovenuo's Boeld of Appellls or /In eppelll with lhe locel Olphens' e'JUrt. ISID Section
1001 of tho Inhelltllnce end Estllte lex ACI 01 1961 112 P.S, Section 24BS-l00l.1
".
HEV.454 (1.S01
COMMONWEALTH OF PENNSYLVANIA
DEPARTMErH OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
(lnstmcriolls on Reverse Side)
Estate of
y: ^ Ill. F-SIA1ffi.A II r,1 '
, ITEM
NO.
TOTAL
MARKET
VALUE
DESCRIPTION
P
E VALUE OF
'l:E DECEDENT'S
N INTEREST
T
Held in nal,lcs of Earl E. Stambaugh and
!fary n. St:Uilbau~l\lJsbllnd and \"He
1 :-!iddlesex Twp., Cwnberlllnd County, PA,
54 Acres, more or less, 2 1/2 story
frame dwelling frane barn. For title
see 12 "Q" 216 less subsequcnt cOllvey-
ances and condemnation. 65,000.0 0 0.00
2 !.:iddlesex Twp., CUl:lberland CDunty, PA,
75 Acres, 1Il0re or less, 2 1/2 story bri k
dwelling, frlllne barn, 2 silos, For tit!
sce 9 "S" 234 less subsequent convey-
ances and condcc~lItion. 90,000.0 0 0.00
3 lUddlesex Tl"p., Cunberland County, PA,
1.4 Acres, 1 story cement bloc}: bldg.
U.S. nt. 11 & Harmony Hall Road. Deed
presently unrecorded.
4 200 Sh. PP&L @ 17.0625
5 Com. Natl. Bk, C/AF182-862569.0 opened
7/29/74
6 First Federal S 6 L, C/D & into to
3/24/8l,opelled 2/19/74
7 Harris Sav. Assn. c/n 4-09-1109Hl
opened 4/19/74, inc. into to 3/24/81
Held in names of ElIrl E. or ;.lnry R.
.STnJnbn~ Glenn A. STa.lbnur,h sons ne e.
8 ~VS&L Acct.fll-712l10, successor to pri r
4 yrs. ctfs, similarly registered,
$21,000 plus $219.42 into to 3/24/81 21,219.4 0 0.00
He ldin nar.les of Earl E. Stambaugh and
}Iary R. Stambaugh and Glenn A. Stambau h,
. joint tenants w/ri~of survivorship
9 Hurris Savings Assn., Acct.f4-09-110904
opened 4-11-74, $8000 plus $40.08
into to 3/24/81 8,040.08 .333 2,680.03
10. Harris Savings Assn., Acct.e4-12-13503
opened 7-11-78, $19,000 plus $101.59
into to 3/24/81 19,101.59 .333 6,366.86
Held in nalnes of Earl E. Stambaugh or
Glenn A. Stanbaugh
11. cVS&L Acct.MT4-TI0669 opened TOT1S/80
su cessor to rior c/n' 'n sane n~mes
55,000.0 0 0.00
3,412.5 0 0.00
1,756.1 0 0.00
10,047.3 0 0.00
6,030.0 0 0.00
~.
~ 1'\ ~
&~ ~WA.1:: \
(.,' Z/1:f9. \\
~ ~~~A
DEPARTMENT
VALUATION
/Official Use Only)
The [Hl A R iF3 0 ~;3 Savings Association
SECOND AND PINE STREETS, HARI1ISUURG PENNSYLVANIA 17\01
OFFICES
DOWNTOWN. COLONIAL PARK. CAMP HILL. LEBANON. UNION DEPOSIT
CAPITAL CITY I NEW CUMBERLAND . YORK. SUMMERDALE
Area Codo 71712J6..1Q41
June 9, 1981
James R. Humer, Sr.
Attorney At Law
Farmers Trust Bldg.
1 W. High St.
Car1is1el Pa. 17013
The information which you requested on the account(s) of
EARL E. STAMBAUGH,Deceased (Social Security # 195-28-1085
.is as follows:
Account Number(s) 4-09-110919
Class of Account 4vr. Certificate
Date, Opened 4-19-74
Principal Balance .,' $6,000.00
Accrued Interest
s
)ll.06
Balance at
Date of Death
$6,030.06
Account
Ownership
Joint - Tenants
by the Entirety,
w/r1ght ot
survivorship.
MAry R _ S tAmbAlIgh
Name of Joint
?wner,if any
Date Ownership
was Established
4-19-74
Additional Infor-
mation requested
Dear Mr. Humer:
)
4-09-110904 4-12-135032
( I
4yr. Certificate 8yr. Certificate
4-11-74 7-11-78
$8,000.00 $19,000.00
$ 40.08 $ 101.59
$8,040.08
$19,101.59
Joint tenants
w/right of
survlvorsn1.p
Joint tenants
w/right of
survlvorshlp
Mary R. Stambaugh Mary R. Stambaugh
G1~nn A. Stam~ Glenn A. Stambaugh
4-11-74
7-11-78
I
Due to the accounts being joint .accounts, we had to wait until we recp.ived
the authorization from the account. holders before we could release any
information to a third party, in this case - yourself. I hope this delay
hasn't inconvenienced you in any way.
If you have any further questions, please feel free to call.
Very .trulY ,yours,? r- . /
8Ct..C'CL(,- (( . ~(...Lt..t-t~,ct'-.
Patricia A. I'etrovich - Savin<<. Counselor
,-
REY. 'IS43EX (1-B2)
BUREAU or EXAMINATION I
PENNSYLVANIA DEPARTMENT OF REVENUE
P.O. BOX B327
HARRISBURG, PA 17105
(
INFORMATIDN NOTICE
ON JOINTLY HELD OR TRUST ASSETS
FILE NO.
ACN
DATE
21
302
09-10-82
TYPE OF ACCOUNT:
E 0 SAVINGS
o CHECKING
o TRUST
IKJ TIME
CERTIFICATE
ESTATE DF STAMBAUGH
S.S. NO. 195-28-1085
DATE OF DEATH 03-24-81
COUNTY CUMBERLAND
EARL
STAMBAUGH
R 0 1 BO}: 102
CARLISLE
GLENN
PA 17013
HARRIS SAVINGS ASSN has advised us that the owneishlp of the bank account reported below was
transferred to you by right of survivorship as a result of the death of the above decedent. This transfer IS
taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Please see
reverse for reporting Instructions.
Dale 02-11-74
Established
To insure proper credit 10 your account, a
copy of thiS notice must accompany your pay-
ment to the Register of Wills of the county
indicated above. Make check payable to:
"Register of Wills. Agent".
Account No. 4-09-1109
Account Balance
Percent Taxable X
Amount Subject to Tax
Tax Rate X
Tax Due
QJ
A.D
B. 0
8,040.09
15.557
1,340,04
.15
201. 01
NOTE: If tax payments are made within 3
months of the decedent's date of death. you
may deduct a discount of 5% of the tax paid,
I
JOINT/TRUST ACCDUNT TAX RETURN
The above information and tax due is correct.
The above asset will be reoorted and oaid b
TAX CALCULATION
1
2
3 X
4
5
6
7 X
B
the estate
o ASF
,
2
3
4
5
6
7
B
ITEMIZATION OF CLAIMED DEBTS AND DEDUCTIONS
fiduciar '.
OFFICIAL USE ONLY
o
Date Established
Account Balance
Percent T.axable
Amount SUbject to Tax
Debts and Deductions
Taxable Amount
Tax Rale
Tax Due
o
DATE PAID
1
o
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 o'f Tax Calculation)
$
OTHER INFORMATION
Abovo account previously reported on Sch. E, Item No.9, confirmed
12-16-81 by Chief Appraiser. SEE ATTACHED COPIES. Sch, E. Notice of
rlllng Appr. and letter from Harris Sav, ASSIl, Joint owners are surviving
spouse ana son, taxable at 6%,
Under pen.Hies of per Jury. I declare that
and belief. it IS true, correct and comptete.
have examined thiS return, and to the best of my knowiedge
!It" H' t I1.Jt-..j<\'''<'11
TAXPAYER SIGNATURE tI
1 /.<~IJ:J.
DA E
REPORTING INSTRUCTIONS
--
,. II tho bon' "cou", .p"II,.d 0" ,h" """" w'" ho "p,,"d "d p,1d b, "" .."" lid"""'. pi'" " "X" '" "00' "B" .1
p,ot 1.111" "J.""IT,"" A"ou", Tox R"'''' ,," , 5',,, ,po d"pl"'IO "d 11".11"" "P"" pod 10''''" ,. "" "",,,,,I"""
Ollpllllmenl 01 RovonuC. BUIOllU 01 EKllminll1ion. P.O. DOl< 8327, Hllllisbtug, PA 17105.
2. II ,,, 'nl"m'"'" ",d "IOU''''OO ,,, lb. mol'"~ ,. ''',,'' ",d d.d,,,Ii.,,, '" ,,01 b.,,,, ,I"m.d, P'''' " "X' '" b'on' "A" nl p,ot
01 tho "Jo,",IT,"" A"o,,", Tox R.,",." , 5',. lb. dbp""" ,,' 11,,11'''' ,up'" ,.d ,"U.II' ,h.", w,lb ,0'" .h'" I.,
lb' ,m'''"' 01 ,ox '0 tho R'e'"'' ., w,n. .1 lb. ,.".Iy ,.d",..d, lb' O.p,,,,,,.., .1 R.""". will ,,,,,. ,. oil"'" ",."00'.'
(Form REV. lS48EXl upon IQYiew at the Joint 1'UIII Account 111)( Relllln.
3. II tho "Ii.. '.10'00''''. ,. '.'0"0" ,,"0' .unllllOd d.db"'O<" ". b,," ".'m,d, 'omp.... Pm' 2 "" ,,"u'''''''' 01 tho "J.,.tI
. lIu" A"'""' Tox R"u,"" ,,,o,d,,, .. lbo ",Wu""'" ba'OW, Si" tho dup'''''O ",d ,,,p,,,,,. "p'" GPd ,"urn II lbo'"
with y.m ,heo' '0< lbo omou.' 01 '" .. lbo R.,,,,,, 01 W'". 01 "" ,0u.Iy ,."""d. Tho O,p'''"'."' 01 R.v..", w'" 'noo "
olllciel nuelSmenl (Form REV. 1548EXl upon revil'lw 01 tho Joinl/Tru!o1 Accounl Te)l' RotUIO.
4. AddltiOnel comments or cxplar;.otliOns should bo mllde in Pfllt 4 "Othel Inlormlllion",
5. Th. Jo,",IT"" A"ou.' Tox R"". mu" bo ,0mp'OIod ",d ",",..d wllhl. lb'ot, 130' dny. 01 lb. .0"" d... o. '" oil"'" ......00."'
IForm REV. 1S4DEXl will be Issuod bllSOd on tho nolito inlormlllion.
B. I.h""'." 'ox u"om.. d.lI.ooo", .,.. .".th. 01,,, lbo d""'"'" d'" 01 d."h. J.,.ot, h.1d p'op.ot, " ...,uIo ...' though lb.
decedent's nllme WlI5 IHlded as tI mllttol of convenlence.
T AX CALCULATION INSTRUCTIONS
~
1. Entel the d/lto the llccount WllS ollgintllly est/lbliShed.
tlllt. ", b,.' ",ou", w"' ....bll.hod wll". two V"" 01 ,h. don" .1 ". ""d."" II " p,..um.d '" h.v. b'on ,,"bli'h.d
,. ".Iomp,,,lo. 01 d."h, ISEE EXAMPLE BI. II lb. ",,".' w"' .."b'"h.d w"h lund' Ih" WOI. ",i"".d ,. ,h. onm. j".'
ow","h'P ..d mo,...".d 10'.11, f.. 000" lbon 'wo ,.", p"o, 10 d.nlh, ". ,,"u., would b. ....blo '0 'h. .."., 01 tho
,,,,d"'" o..oo"hlp ISeE EXAMPLE AI. 000000....110." ,,,don,,. '" ..,.i." """ .f th. mou.' mu" b. "bm""d w"h ".
JointlTlust Account Tllx Return.
2. Enter the tot81 blllence 01 the llccount including inlerest liS of the dllte of deeth.
3. The perunt of the eccount that is tllxeble for e8ch survivor is detelmined ao; tollows
A. The ,,,,.., "..b" 10' ,.,., b'.' mou",' .."bli'h.d 00010 "" two '"'' pd.. '0 'h, d",d..,', d.oIh ,. ,,,,,m'ond "' follow"
DIVIDED BY Total Number of
Joint Owners
.E25J.IDR1!-A: A joint llccount fegistered in the "^me
DIVIDED BY 3 DIVIDED BY 2. ~ .167 )(
DIVIDED BY
Tolel Number of x
Survlving Joint Owners
of the decedent end twO
100 Percent Tllxllble
othel persons.
100 ~ 16.7% (Percent tllx/lblo 101 Elich 5u,vivOI)
B, Th. p,,".' 'ox.b'. fo' jO'.' b'.' ....u." .."bl,,"d w"". ,w. y.... 01 '" d".d.",', "oIh 0' ",oun" owood b, th. d""'.'
but held In nust for another individuallslltfUst be~e'iciilfies\ is determinod 65 lollows.
1 DIVIDED BY Totel Number of Surviving Joint
Owners or Tlust Beneficillries
x 100 . Pelcent Texllble
Example: Joint
1 DIVIDED BY
account registeled in the name 01 the decedent and two other persons IInd esteblished within tWO yellrs 01 deeth.
2 . .50 x 100 . 50% (Pelcont Texable lor Elich survivorl
4. Th. .mou", subJ." \0 ..x ",., 4' " dol"m'nnd b, mu"'pl,,., ,h. "'ou., ""." Iii.. 21 b, lb. p"".' "..b" ",.. 31.
5. Enter the totel of tho debts end deductions lilted in pelt 3.
Allowable debts end deductions lire detelmined III folloWS.
A, You are teg811y luponsible tor payment.
B. You lIctulllly paid thlt debts 8fter thlt doMh 01 the decedent Md can tUlnish prool of pllyment.
C. The ume debts ale not claimed on the decedont's InheriHlnce Tex Return or by any other survivor.
0, O.b" b.;." ".,m.d mu$l b. lullY iI.mll.d ,. po" 3. II .d,,"onn' ,p'" ,. ."d.,. "" p"'. B 112 x 11" .h"", p,ool of poym."
mll'( be requested by the Deparlment of Revenue.
6. ThO ,mount ,,,.b" IlInn 6' ,. ""'00'." b, ,"b"''''." tho "b" ,., d."",... ",., 5111000 tho .mou.' ,"bj'" '0 ..x "'00 41.
7. Enter the appropriate tex raU Uine 7) !IS determinod below.
A. T"..f.n to 11.'" "",.do." ,.,'u"., f"h". m"h". h"u'.'. wif.. "., dou,h"', ."."hifd"., ...,d,...,,,, ".".'I.w,
d!lu9hler-in-lew are taxable lit 6 percent.
a. Tlllnslers to nonlineal Includin9 brothel, sis1er. unclo, aunt, nepheW, end nloct> ere taxllble a1 15 pel cent.
6, Tho ,mou.' of "X doo IlIno at " d""m".' b, mu'tip"'." ,h. ,mount ....Uf. 11,00 61 b, lb. ..x .." III.. 71.
~~
The Joint/Trust Accoun' T 8X Relurn is ,ubject to Ilpprovel by the Depnltmenl of Revenue.
Th. "xu"" 00" wilhi. .'XI, 1601 dny' 01 tho d'" 01 tho oil"", """."., IF,,m REV. 154eEXI "Olti"., N.ti" 01 ,."""."
Tox Aop..,..m.." AIl.w.." 0' O,onll.w.m 01 0."",,,. on' >."",00'.' of Tnx o. Jo'.lIy H.1d .. T'''' Am"'" 1110 .
"0,"" with 'h' P...",v"'" 0.."'00'" 01 R.v..",', Bo"d 01 App,," 0< GP ,",on' wilh tho '0'" O,ph"'" Couot, IS.. 5..110.
100t 01 the: Inheritance Ilnd EIOl8tC Tax ACI of 1961 112 P.S, !iection 24BS-l00U
.
REV.454 (1.80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTL V OWNED PROPERTY
(Instructions on Raversc SieJa)
EstBte of
FAil!. F .....5TlilillA.I1r,I'
DESCRIPTION
Be1d in nal,lcs of Earl E. Stambaugh and
Hary fl. 5 taml>:lur.h , husbllnd and wife
1 ;Udd1esex Twp., Cumberland County, PA,
54 Acres, If,orc or less, 2 1/2 5 tory
frame dwelling franc !Iarn. For title
see 12 "Q" 216 less subsequent convey-
ances and condemnation.
2 ~lidd1esex Twp., Cunberland County, PA,
75 Acres, more or less, 2 1/2 story bri k
dwelling, frmae barn, 2 s 11os, For ti t1
see 9 "5" 234 less subsequent convey-
ances and contler.ma t ion.
3 IHdd1esex T'''p., Cunhcrland County, PA,
1.4 Acres, 1 StOl'y cement block bldg.
U.S. flt. 11 & lIamony Iiall Road. Deed
presently unrecorded.
4 200 Sh. PP&L @ 17.0625
5 Com. Nat1. Bk, C/AF182-B62569-0 opened
7/29/74
6 First FederalS & L, C/D &int. to
3/24/81,opened 2/19/74
7 Harris Sav. Assn. c/n 4-09-110919
opened 4/19/74, inc. into to 3/24/Bl
lIeld in names of Earl E. or I.fnry R.
:5Tnrnbau!:h , Glenn A. STnnbau.h sons
8 GVS&L Acct.*11-712l10, successor to
4 yrs. ctfs, similarly rer.istered,
$21,000 plus $219.42 into to 3/24/81
lie ldin nar.les of Earl E. SURbaugh and
Hary R. Stambaugh and Glenn A. Stambau
~int tenants w/ri~of survivorship
9 Harris Savings Assn., Acet.'4-09-110904
opened 4-11-74, $8000 plus $40.08
into to 3/24/81
10. Harris Savings Assn., Acct.f4-12-13503
opened 7-11-78, $19,000 plus $101.59
into to 3/24/81
Held in names of Earl Eo Stambaugh or
Glenn A. Stambau~h
CVS&L Acct.n4-1""10669 opellcUlO/15/80
u cessor to rior c/n' 'n same n~mcs
TOTAL
MARKET
VALUE
65,000.0
!lO,OOO.O
55,000.0
3,412.5
1,756.1
10,047.3
6,030.0
e.
21,219.42
P
E
R
C
E
N
T
VALUE OF
DECEDENT'S
INTEREST
o
0.00
o
0.00
o
o
o
o
0.00
0.00
0.00
0.00
0.00
o
o
0.00
8,040.08 .333
2,680.03
19,101. 59 .333
6,366.86
lL.Jl
TOTAL THIS PAGE 14,087.05
~ 'jJ!" ~
f(f.";,~,\j;~"((~1. \
e~~~
DEPARTMENT
VALUATION
/Official Use Only}
__. 10
The D-J ~ IF3 tFU it $ Savings Association
Area Code 1171<,36-.1041
June 9, 1981
James R. Humer, Sr.
Attorney At Law
Farmers Trust Bldg.
1 W. High St.
Carlisle, Pa. 17013
SECOND AND PINE srnEETS. HARnISfJUnG. PENNSYLVANIA 17101
OFFICES
DOWNTOWN. COLONIAL PARK. CAMP tllLL . LEBANON. UNION DEPOSIT
CAPlrAL caY. NEWCUMBERLANO . YORK. SUMMEROALE
The information which you requested on the account( s) of
EARL E. STAMBAUGH,Deceased (Social Security # 195-28-1085
.is as follows:
Account Number(s)
Class of Account
Date Opened
Principal Balance
Accrued Interest
Balance at
Date of Death
Account
Ownership
Name of Joint
?wner , if any
Date O"'l1ership
was Established
Additional Infor-
mation requested
Dear Hr. Humer:
)
4-09-110919 4_09_110904 4-12-135032
( I
4yr. Certificate 4yr. Certificate 8yr. Certificate
4-19-74 4-11-74 7-11-78
. $6,000.00 $8,000.00 $19,000.00
S 3Q.06 S 40.08 $ 101.59
$6,030.06
$8,040.08
$19,101.59
Joint - Tenants
by the Entirety,
w/rignt ot
survivorship.
t1.ry R. St.mbaugh
Joint tenants
w/right of
surVlvorsnlp
Mary R. Stambaugh
Glenn A. Stambaueh
Joint tenants
w/right of
survlvorsh.lp
Mary R. Stambaugh
Glenn A. Stambaugh
4-19-74
4-11-74
7-11-78
I
Due to the accounts being joint .accounts, we had to wait until we received
the authorization from the account. holders before we could release any
information to a third party, in this case - yourself. I hope this delay
hasn't inconvenienced you in any way.
If you have any further questions, please feel free to call.
Very truly .yours, , .-::;> .
f:~o/i:..:...~ I( . ~;..<-{tt"dc:!,-
P.atricia A. Petrovich - Savln25 Couosr.lor
REV.454 (1.80)
COMMDNWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTlY OWNED PROPERTY
(Instructions 011 R(.'vt.'rsr. Sida)
Estate of --EARL-L STMln/\lIr.p
ITEM
NO,
DESCRIPTION
Held in naL'CS of Earl E. Stambaugh and
Nary R. Stamh:lUgh, husband and wife
I lHddlesex Twp., Cwaberland County, PA,
54 Acres, If,orc or less, 2 1/2 story
frame dwelling franc l'nrn. For title
see 12 "Q" 216 less subscquellt convey-
ances and condemn a tiOlt.
2 ~Iiddlesex Twp., Cunber1and Count}', PA,
75 Acres, more or less, 2 1/2 story bri k
dwelling, frallle barn, 2 silos, For tit1
see 9 "S" 234 less subsequent convey-
ances and conder.:nation.
3 Middlesex Twp., Cunber1and County, PA,
1.4 Acres, 1 story cement block bldg.
U.S. Rt. 11 & lIarmony Hall Road. Deed
presently unrecorded.
4 200 Sh. PP&L @ 17.0625
5 Corn. Nat!. Bl:, C/AF182-862569-0 opened
7/29/74
6 First Federal S & L, c/n & into to
3/24/81,opelted 2/19/74
7 Harris Sav. Assn. c/n 4-09-110919
opened 4/19/74, inc. into to 3/24/81
Held in names of Earl E. or Nary R.
:S~:UJbn~ Glenn A. STambnu.h sons Be e.
8 CYS&L Acct.Ull-7l2110, successor to pri r
4 yrs. ctfs, similarly registered,
$21,000 plus $219.42 into to 3/24/81
lie ld in narJCs of Earl E. Stambaugh and
Hary R. Stambaugh and Glenn A. Stambau h,
_ joint tenants li/ri ht of survivorshi
9 Harris Savings Assn., Acct.'4-09.ll0904
opened 4-11-74, $8000 plus $40.08
into to 3/24/81
Harris Savings Assn., Acct.I4-12-l3503
opened 7-11-78, $19,000 plus $101.59
into to 3/24/81
lIeld in names of Earl E. Stambnugh or
Glenn A. Stanbaugh
CVS&L Acct. KT4-"'JT0669 opened 10/lmo
u cess or to rior C/D'
10.
TOTAL
MARKET
VALUE
65,000.0
90,000.0
55,000.0
3,412.5
1,756.1
10,047.3
6,030.0
21,219.42
P
E VALUE OF
't DECEDENT'S
}" INTEREST
T
o
8,040.08 .333
19,101.59 .333
o
0.00
o
0.00
o
o
o
o
o
0.00
0.00
0.00
0.00
0.00
0.00
2,61l0.03
6,366.86
1
TOTALTHISPAGE 14,087.05
~\.
~ "'''rr9~
.,-g~~.
,\I-',r
~~,'
DEPARTMENT
VALUATION
(Official Use Only)
.- .
",
5.
,
..:_, N
c N L
...J
IJ'~ '~ ~>r;'
i.:.!' , ,
CI:'." "0 r:
Dei
Uw f~' .'.1~,)
~C<:: N :~':..'
~ (b
. .
REV."'4\l EXt 111-601
COMMONWEAL TH OF PENNSYLVANIA
DEP\RTMENT OF REVENUE
TRA.:SFER INHERITANCE TAX
RESIDEllT DECEDENT
STATEMENT OF
FIDUCIARY
{Instructions on Reverso Sid.)
~A'
~
Estoteol Enrl E. Stamhllur-h
Lost Address R.D.l, Box 102
Dufe 01 Death "fRr"h 2~, 1 qRl
Sociol Security No, 1!J5-28-1 MIS
Cnrlisle
PA
17013
Stole File No.
(CITY)
(STATE)
(ZIPI
County File No,
21-81-336
I. Decedent died:
( X) Intestate (without 0 will)
( ) Testate (leaving 0 lost will--copy a"ached)
2. Is the liling of 0 Federol Estate Tax Return required for this estate? Yes-X- No
3,
Execufor
( X) Administrator
~lenn A. Sta~hnuph
)ecurity No, 1 nR-~?-40~R
Nome
'\
( 0.~
.j"
Address Il n 1, Roy 1 fl"
Carlisle
(CITYI
17013
(ZIPI
. 4. All co rrespon dence shou Id be n
" "
\.,,-
~
,i)\
"
']7) 243-3831
duciary,
\
~, .
5. If on attorney is represenfing the
Name T:!:Impc: 'D 1.tl1mA
Address 1 W Hi rh St
Carlisle
(CITY)
.,
17013
IZIP)
List 011 safe deposit boxes registered in the decedent's individual nome, 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 box is located, the nome (s) in which the box
is registered and the relationship of the joint holders to the decedent.
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX
NAME OR NAMES IN WHICH
SAFE DEPOSIT BOX IS REGISTERED
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
Under penalties of perjury, I declare fhaf I hove examined this return, including accompanying schedules ond
sfatements, and to the best 01 my knowledge and belief it is true, correcf and complete,
II-n'N
DATE
'. .
...I:::\I~4;1 l..,^f Id:60)
COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
~,
,~.~
i: ~.\.. t.'!~l,~,'_~i.."
(tnstructio/lS 011 Rov{!f!w Sid(!)
Estate of
PAIlT P ~1'^MBArrmr
ITEM
NO.
DESCRIPTION
UNIT
VALUE
ESTIMATED
MARK ET
VALUE
DEPARTMENT
VALUATION
{OFFICIAL USE ONL YI
1. 72 Sh. Continental Group, Inc., Com.
7.3125
2686.50
3000.00
799.50
412.50
2. 150 Sh. International lIarvester Co., Com. 20.
3. 24 Sh. International Tel. & Tel. Co., Com 33.3125
4. 11 Sh. Katy Industries $1.46 Pfd.
37.50
If additional space is necessary, use 8~2" x 11" sheets.
TOTAL
6898.50
{ '19.J'.;1tJ
'REV-452 EX+ (3.S0)
COMMONWEAL TH O~ PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSPER INHERITANCE TAX
RESIDENT DECEDENT
ESTATE OF rAnT p ~TAM'RA"r.J.l
SCHEDULE "C"
TRANSFERS
*
, .
.. --
ITEM ESTIMATED DEPT. VALUATION
NO. DESCRIPTION MARKET VALUE rOFFIC{AL USE ONL Y)
None
TOTAL THIS PAGE None ./?1.- HI.A. -
.4b
INSTRUCTIONS:
1. Answer the Questions on reverse side.
i 2. If the answer to any of the Questions on Ihe reverse side is "Yes," provide a description of the properly transferred per
I Schedules "A," "B," or "E," its estimated market value at date of death, dates of transfer, to whom transferred and
j relationship of transferees 10 decedent. Allach a copy of any trust deed or instrument relating to the transferred property.
i
!
I
I
i
.
I
I
I
I
I
I
1
I
I
I
QUESTIONS CONCEI1NING PROPERTY TRANSFERS
1. Did decedent, within two years 01 death, nlllle any transler 01 ;lIIY malerial part of his esti,te v,rlllOu! receiving
valuable and adequate considcr;llion7 (Ans'll~' "Y'~';" or "NO".)-.ND_
2. Did decedent, within two years 01 death, lr:lllslcl Idoperly IrorllhirnsllW helsei I to hllnselI/IwrselI and anolllP.r party
or parties (including a spouse) in joillt OWIWISiJip7 r AIISWf!, "Yes" 01 "No".) --No
3. If the answer to one or two ;lhove is "Yes" and the [rarders are cl:limed 10 lie nontaxahle, provide the following
inforlllation:
a. Age of decedent at tillle of transler. --11J-'1-
b. Copy of death cerli licate.
c. Affidavit liy the attending physlcran indicaling Ille ~;tilte of decedent's hCillth "1lilllo of liansler.
d. All other informatioll supporting non(i1xahili(y o( Irilnslur.
4. Did decedent, in his/her lifelillle, lIIake any trilnsler at properly willl~)ut rcceivini~ a valll:llile or adequate consideration
therefor which was to take eflect in possession or enjoY'llCnl at or aller his/her death? (Answer "Yes" or "No".) Nn
a. Was there any possibility that the properly transferred mighl relllll1 10 transloror or his/ller estate or be subject
to his/her power of disposition? (Answer "Yes" or "No".) ---Uo-
b. What was the lransferee's age allime o( decedent's de:rth7 ..J,olj-A-
5. Did decedent in his/her lifelillle make any transler without receiving a valuable and adequate consideration therefor
under which transferor expressly or impliedly reserves for his/her life or any peried which docs in fact end before his/her
death:
a. The possession or enjoyment 01 or the righllo incollle (rurn the property lranslerred? (Answer "Yes" or "No".) ~
b. The right to designate lhe persons who shall possess or enjoy the property transferred or incollle therefrolll?
(Answer "Yes" or "No".) ~lo
6. If the answer to five b. aoove is "Yes," slate whether the righf WilS reserved in decedent'alone or others. N/A
7. Did decedent in his/her lifetime make a transfer, the consideration for which was lransleree's promise to pay income
to or f9r the benefit or care of transfelOr7 (Answer "Yes" 01 "Nil".) -l'-lG-
8. Did decedent, at any time, transfer property, the bEll eficial enjoyment of whi ch was subiect to change, because of
a reserved power to alter, amend, or revol{e, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No".j He
9. If the answer to eight above is "Yes," was the power 10 alter, amend or revoke the interest of the beneficiary reserved
in th,e decedent alone or the decedent and others? (Answer "Yes" or "No".) -NG-
REV-4!53 EX+ (J.BO)
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
~..,'-,,-
~'&}~
(Instructions 011 Roverso Side)
Estate 0 f
FAn!. E. STl\MBAlIr.lI
BENEFICIARI ES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY
DECEDENT BIRTH
Marv R. Stambau~h Ni f.. v..~ n, "' r.-tire nUll te
II n 1 Rnv 11'''
('~...H.'" nA 1 7n' ,
", ft~~ A ".... SOR " -- c..' ". . - .-
n T\ 1 n. 'n~ certain i ointlv
-
('a1'1..1a nA 17m ~ "..jd pel"~nn~ 1
..-.
.
-
-
.--..- ---.. ~-----
~....._-~_.__.__._----
.
-.
- .
-
The above beneficiaries are living at this time except for the following:
NAME
DATE OF DEATH
The [:-G r~ [=1.1 irtl [l s:...Z Savings Association
SECOND AND PINE s mcu s . IlM~HI~;[\LJnG, PENNSYLV^Nl/\ 17101
OFFICES
DOWNTOWN. COLONIAL PAFlK . CAMP UlLl. . LEBANON. UNION DEPOSIT
CAPITAL CITY. NEW CUMBERLAND. YORK. SUMMERDALE
A1e.l Codl' 717 .n1H041
June 9, 1981
James R. Humer, Sr.
Attorney At' Law
Farmers Trust Bldg.
1 w. High St.
Carlisle, Pa. 17013
The information which you requested on the account(s) of
EARL E. STAMBAUGH,Deceased (Social Security # 195-28-1085
,is as follows:
Account Number(s) 4-09-110919
Class of Account 4yr. Certificate
Date Opened 4-19-74
Principal Balance" $6,000.00
Accrued Interest
S 3Q.06
Balance at
Date of Death
$6,030.06
Account
Ownership
Joint - Tenants
by the Entirety,
lilr1ght ot
survivorship.
Mary R. Stambaugh
Name of Joint
?wner,if any
Date O",-nership
was Established
4-19-74
Additional Infor-
mation requested
Dear Mr. Humer:
)
4-09-110904 4-12-135032
I
4yr. Certificate 8yr. Certificate
4-11-74 7-ll-78
$8,000.00 $19,000.00
$ 40.08 $ 101.59
$8,040.08
$19,101.59
Joint tenants
wfright of
8urvlvorsnlp
Mary R. Stambaugh
Glenn A. Stambatll,h
Joint tenants
wfright of
survlvorshl.p
Mary R. Stambaugh
Glenn A. Stambaugh
4-11-74
7-11-78
I
Due to the accounts being joint ,accounts, we had to wait until we received
the authorization from the account. holders before we could release any
information to a third psrty, in this case - your.elf. I hope this delay
hssn't inconvenienced you in any way.
If you have any further questions, please feel free to call.
Very truly youra,
l~-." /.
,'" -;1..... (~. C .:.....-:- [I..
I
~[L(-,~cL
REV.454 (1.80)
COMMONWEALTH OF PENNSVLVANIA
OEPARTMENT OF REVENUE
TRANSFEfllNHERITANCE TAX
RESIDENT OECEDENT
SCHEDULE "E"
JOINTL Y OWNED rrWPERTV
*
;'It " ,\
, . ,,. ", ,\
, : ~
(llIstfllctio/lS on Rf!Vl!rSf.' Sidr.)
Estate of
EARL F. STAMRA,lTGll
ITEM
NO.
DESCRIPTION
lleld in Bames of Earl E. Stambaugh and
Mary R. S_tmnbDugh, husbmul and wifc
1 Middlesex Twp., Cumberland County, PA,
54 Acres, morc or 1css, 2 1/2 story
frame dwelling frame barn. For title
see 12 "Q" 216 less subsequent convey-
ances and condemnation.
2 Middlesex Twp., Cumberland County, PA,
75 Acres, more or less, 2 1/2 story bri k
dwelling, frame barn, 2 silos, For tit1
see 9 "S" 234 less subsequent convey-
ances and condemnation.
3 Middlesex Twp., Cumberland County, PA,
1.4 Acres, 1 story cement block bldg.
U. S. Rt. 11 & Harmony Hall Road. Deed
presently unrecorded.
4 200 Sh. PP&L @ 17.0625
5 Com. Natl. Bk, C/A/I182-862569-0 opened
7/29/74
6 First Federal S & L, c/n & into to
3/24/81,opened 2/19/74
7.Harris Sav. Assn. c/n 4-09-110919
opened 4/19/74, inc. into to 3/24/81
Held in names of Earl E. or Mary R.
STambaugh Glenn A. STambau h sons
8.CVS&L Acct.#ll-712110, successor to
4 yrs. ctfs, similarly registered,
$21,000 plus $219.42 into to 3/24/81
Held in names of Earl E. Staniliaugh and
Mary R. Stambaugh and Glenn A. Stambau
oint tenants w/ri ht of survivorshi
9.Harris Savings Assn., Acct.#4-09-110904
opened 4-11-74, $8000 plus $40.08
into to 3/24/81
10. Harris Savings Assn., Acct.#4-12-l35032
opened 7-11-78, $19,000 plus $101.59
into to 3/24/81
Held in names of Earl E. Stambaugh or
Glenn A. Stambau h
cct. r. - opene
uccessor to rior C/D'
TOTAL
MARKET
VALUE
P
En VALUE OF
cE DECEDENT'S
N INTEREST
T
DEPARTMENT
VALUATION
rOffici,,' Usa Only)
65,000.0 0 0.00
90,000.0 0 0.00
55,000.00 0 0.00
3,412.50 0 0.00
1,756.17 0 0.00
10,047.37 0 0.00
6,030.06 0 0.00
21,219.42 0 0.00
8,040.08 .333 2,680.03
19,101.59 .333 6,366.86
1.0-,-0.8.0--31
TOTAL THIS PAGE 14,087.05
/'/ OJ' 7 tJ ~
Q, "
., ,
,:, :-J '~i
LoI ..' ,
0''- ..' . ,~
Cl.:," Z :"',...i
oi=- , ./; ,
Uw .......-
1:4:::;
~n: ~ L.l.J-"
~ _Jw
U
~ p::
..;
"-l "-l
~ :>- :>-
~
z
0
~
rJl
::>
...1
..;
- Z
u I
- 0
~ ~
~
0 , ~ ci
~ p:: ""
I- 0 trl 0 I': ci
rJl trl :>- .... ci
Z "-l I-'l ~ I':
l- I- I':
...1 ci - 0 ..; p:: z ;.: "" ""
...1 Z ::0 I': I- 0 ::> u l:l %
- 0 trl 0 0 0 -< :i
"" -< "-l -< U I:) <><
....
',SOJO,U! S,WOPOOop Olj' )0 OI1IC^ ,O~JCl.U olll o,colpul 'V
'lS0JOW! S,lUOPOOOP Olll)O 06C1UOOJOd Olll alco!pUI '8
'A,JadOJd POUMO AI1U!0! Oll')O OI1IB^ 10~JCW lelOl alll aleolPul '/:
'palls!lqelsa SCM d!ljSJOUMO ,U!O! all1 alep aljl pue (S) JaUMO,OO Oljl }O luopaoop
alll 01 d!ljSUOllelaJ pUC SsaJppe 'awcu Olll oPl1loul '"8,, Oll1polloS JOj SUO!l0I1J1SUl alll ul paleO!pU! se
Al1adoJd leuosJad lie oqposaa '"\j,, all1palloS JOj SUO!,0I1J1SU! Olll U! pOleO!pU' sc A1JodoJd IBaJ lie aqiJosaa 'L
'lSJ!j OlClsa leaJ lS!l 'papnIOU!
aq 01 aJC A1JadoJd a\q!6uC1U! pue alq!6uel lll08 'd!ljSJO^!^JI1S jO 1ll6!J lll!M SlueuallUIO! SC SallJed JO A1Jcd
Jallloue ljl!M AI1U!0! luapooap olll Aq paUMo '\BUOSJod pue leaJ 'Al1adoJd lie apl110u! lsnw "3,, alnpaljos
"3,, 31na3H::JS DNI131dWO::J HO:! SNOI!:lnH1SNI
, "
REV-484 EX+ IHO)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
21-81-0336
m Original
o Supplementol
o Remainder
File Number
Estote Nome
Earl E. Stambaugh
Dote of Deoth
March 24, 1981
Sociol Security Number
195-28-1085
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance To. Appraiser In and for the County of Cumberland
Pennsylvania, do respectfully report that I have appraised the real and personal property as ,eported In the foregoing
retum at the values let farth oppollte oach Item In tho fait corumn to tho right in SC~UI'5 "A", "B", "e", and "Elf
Dated: December 16, 1981 , ,fi/, ".
INHE TANCE TAX APP, ISER
ADJUSTMENTS REMAINDER APPRAISEMENT CODE
INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY)
Real Praporty (Schedule A) $ 00+ 92+
Penonol Property (Schedule B) 6,898 50 '0+
Jolnt.Held Property (Schedule E) 14 087 05 2lH
Transfe,. (Schedule C) None 30+
TOTAL GROSS ASSETS
le.. Debt. and Deductions 40- 93-
(SCHEDULE F)
CLEAR YALUE OF ESTATE
o Life Estate RATE FACTOR PRINCIPLE VALUE CODE
o Annuity
FOR USE OF REGISTER ONLY
Tax en $
~
COMPUTATION OF TAX
$
$
$
$
$
6%
Tax on $
15%
Tax on $
Tax on $
Tax on $
Exemptions
Total Estate
$
$
$
TOTAl. TAX
INTEREST FROM
BALANCE,
TO
Less Credits
DATE OF PAYMENT
TAX CREDIT
AMOUNT PAID
S
$
INTEREST FROM
BALANCE DUE
'"
~ M <if'
~ ~ Pi .c 0 <D
<: bll "
" '" M
Z ~ ~ <tl 0
0 :>< :>< ~ M ~<<
~ <tl ~ E-ollo
<Il +' 0 '0 " '"
;:l (J) '" ~ r:: '"
...l w W <tl '"
n III rl rl
0( ~ M Will s:.
- rl'M W
U Z rl 'drl .a
- 0 ~ '" 'Os:. ~ ,.,
'"' ;:13 ,.,
'"' - ~ ,,: U
0 ~
~ I>.. 0
~ I>..
E- O <Il 0 Z 0
<Il ~ Vl >- E- O
-
Z E- ~ E- "" Z Z
...l 0 - 0 ;:; Pi Z ::<: ~ ~
...l Z :; Z 0 ;:l U " Z
- ~ tfJ ~ 8 0 0( -
::: "" 0 "" ...l
R1:V.455 EX~ (3.aO)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
-f~
.
-----
--
------- --, _ ------...---.. -.- -.
.. - --.
,-
Estate of EARL E, STA~IBAUGII Date of Death 3- 24 - 81
WHEN CLAIMING THE FAMILY EXEMPTION. COMPLETE THE FOLLOWING:
FileNo. 21-81-336
Claimant Mary R. Stambaugh
Relationship to Decl;(hmt
Wife
Cll1irntlnt's AddreS5 at timo of Dpcndent's Death
liEM DATE NAME OF PAVEE REMARKS I AMOUNT
NO,
Marv R, Stambauah h-;amilv Exemntion 2 000,00
, Register of Wills lLetters of Administration 18.00
Re~ister of Wills Ipiling Inv, & Deductions 10,00
Farmers Trust Co. aluation of Securities 25.00
Hoffman Roth Funeral Home Services 3 381.50
Weotminster Cemetery Lot 4.000.00
Irarlisle Memorial Service ~onument 4 047.35
p, K, Miller Real Estate Annraisal 200.00
Carlisle Hosnital illness I 6,973.50
ILast
IJ)r Blacksmith Il.ast illness 682.00
Masland Associates IL as t illness 415,00
Carlisle Radiolo(!v ast illness 266.00
Westminster Class 'uneral meal 25,00
James R. Humer I\ttorney Fee 1 ~nn nn
Miscellaneous Expenses of fl dm, and C los ing Estate 300.00
'1
TOTAL I 23.843,3L
I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral
expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes.
)! . ,'1Avd. ? ~""YLL" I/~ 27- <;--/
SIGNATURE OF FIDUCIAR ' DATE
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THESUM OF $ ./3, j i 3. .3.5'" AT~.e1X% TAX RATE
,;aJ
/ ~ -2,;? .,/1
DATE
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred by the decedent prior to his/her death ore deductible against his/her taxable
estate. In addition to debts incurred by the decedent or estate, athor items are claimable including the cast of
administration, attorney fees, fiduciary fees, funeral and burial expenses including the cast of a burial lot, tombstone
or grove marker and ather related burial expenses,
All debts being claimed against an estate ore subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed. Evidence,tD support the decedent's or the estate's liability for the debts being
claimed should be attached to this schedule.
A family exemption may be claimed by 0 spouse of 0 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 0 member of the same
household con claim the exemption. In the event there is no such spouse or child, the exemption con be claimed by
o parent or parents who ore members of the some household os the decedent. The family exemption is allowable only
against assets which pass by 0 will or by the Pennsylvania Intestate Lows.
NOTE: Compensation paid to on estate representative; namely, on executor or administrator, for services
performed in administering an estate is repartoble for Pennsylvania Income Tox purposes. This taxable income
item should be reported on form PA.40.lndividuallncome Tax Return.
t"" '" " n ~ t<1 ~ ~
z )> 0 0 C/l
, C) n c: " ..., z 3: z ~
t<1 t<1 ~ Z :>:l ~ 9 - 9
., z z
Z t<1 ..., t<1
.' 9 ..., -< C/l t<1 -
c.. ,,::_, 9 tIl
I Z 0 tIl 0 ...,
" - 'Ij :>:l
"." /'-, ,~~ 9 'Ij
":.0=- ~
'~l.. ,,~ c."
(, ...
luli' ~..: ...J
Or-' ;:,.. (::;0,: -
'-- 0
cr:L~ Z 111.1 Z
0.- ,~~E!
(,;Ie..'.1
WW 0:"'-
0::0:: ~ w=)
l:C ...lU
U
-< -<
t<1 t<1
~ ~
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 dote on which each debt was incurred and/or paid.
4. Enter the names of each payee,
S. Provide 0 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.
IF ADDITIONAL SPACE IS NECESSARY USE 8!-'2" x 11" SHEETS.
J
.~
&~
. COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
p, 0, BOX 8327
HARRISBURG, PA 17105
NOTICE OF DETERMINATION AND
ASSESSMENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
ESTATE TAX RETURN
AcN201
l1A-n15-12-86
ESTATE OF 5 TAMOAuGH
EARL
E
FILE NUMB Eli 1 a 1-03 36
DATE OF DEATQ3-24-S1
COUNTY CUMIl ERLA/liO
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBMIT THE UPPER PDIlTION OF TillS NOTICE WITH YOUR TAX PAYMENT TO
THE REGISTER OF WillS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO "REGISTER OF WillS. AGENT,"
GLENN A S T AMOAUGH PLEASE RETURN THIS
R D 1 BOX 102 PORTION TO REGISTER OF
CARL'ISLE PA 11013 WILLS IF PAYMENT ISDUE
AMOUNT REMITTED
S
)<~Y!~~~N~_T~!~~~~______~~~~~~2~~~~~~~!~~~0~~~~2~~~----__________________
NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN
ESTATEo$TAMOAUGH EARL E FlLE21 81-0336 Ac~01 DATgS-1Z-86
NUMBER
ESTATE TAX DETERMINATION AND ASSESSMENT
1. Credit For State Death Taxes as Verified
1.
2, .00
3, .00
4.
5.
.00
2. Pennsylvania Inheritance Tax Assessed
(Excluding Discount and/or Interestl
3. Inheritance Tax Assessed by Other States
or Territories of the United States
(Excluding Discount and/or Interestl
4. Total Inheritance Tax Assessed
(Line 2 plus Line 31
5. Pennsylvania Estate Tax Due
(Line 1 minus Line 41
.00
.00
TAX CREDITS:
Payment
Date
Receipt
Number
Interestl.)
Amount Paid
"
{!
i
Total Tax Credit
'" Bal.mce of Tax Due
Interest
Total Due _
(If Balance Due is less th.ln $1. no payment is requiredl
. IF PAID AFTER THIS CATE SEe REVERse SIDE
FOR CALCULATION OF ADDITIONAL INTEREST
"
COpy 2, REGISTER OF WILLS