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OF
GLADYS P. BLODGETT
BE IT REMEMBERED, that I, GLADYS P. BLODGETT, of 1729 Warren Street, New
Cumberland, Cumberland County, Pennsylvania, being of sound mind, memory and under-
standing, do make, publish and declare this as and for my Last Will and Testament,
hereby revoking and making null and void any and all Wills and Testaments and writings
in the nature thereof by me at any time heretofore made.
ITEM 1: I direct that my hereinafter named Executor pay all my just debts and
funeral expenses as SOon after my demise as may be convenient.
ITEM 2: I direct that my hereinafter named Executor pay all inheritance, estate,
succession and legacy taxes of whatsoever nature and kind, to which my estate or the
transfer of any property passing hereunder or otherwise passing by reason of my demise,
and may be subject and to charge such taxes against my residuary estate, it being my
intention that none of the aforesaid taxes, either federal or state, or any property
required to be included in my gross estate, under the provisions of any state or
federal law now in force or hereafter enacted, shall be prorated among the persons
interested in my estate to whom such property is or may be transferred or to whom any
benefit accrues.
ITEM 3: I bequeath Thirty Per Cent (30%) of my net estate to THE CATHEDRAL CHURCH
OF ST. STEPHEN, 221 North Front Street, Harrisburg, Pennsylvania, said sum to become
a part of its Endowment f'und.
ITEM 4: All the rest, residue and remainder of my estate, of whatsoever nature
and wheresoever situate, whether it be real, personal or mixed, inCluding property over
which I have a power of apPointment, I give, devise and bequeath unto my nephew,
RICHARD K. PULLING, of Westlake Village, California.
.2d--d (J
GLADYS P. ~DGETT
~~(SEAL)
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REVo1}iOO EX +-(9.81)
BUREAU OF EXAMINATION
PENNSYLVANIA DEPARTMENT OF REVENUE
P,O, BOX 8327
HARRISBURG, PA 17105
II - ,;(01 ~:;v'
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FlleNumbor J. \-'g 1- 03'&(P
CHECK
1. Original Return I1J
Decedent', Address
Le.a.c\o.( NurS\i-.~ H-Ol'<\l- we.s4
Cdr'r\p \4i II, PA 11011
2, Supplemental Return 0 3, Remainder Return 0
BLOCKS
4, Ufe Estate 0 5, Federel Estate Tax 0
Return Required,
6, Dacedent diad testata rill 7, Decedent mainteined ali,ing 0 8, Number of safe daposit 0
(Attach copy of Will! W trust (At1ech copy of trust! boxes invanloried
All correspondence and conlidential tax information should be directed to:
APPRO,
PRIATE
CORRE,
SPONDENT Name
Zi
Recapitulation
1, Real Esta" (Sch,dule AI ( I!
2, Stocks and Bonds (Schedul, BI ( 2!
3, Closely Held Slock/Partnership Interest (Schedule C! ( 3!
4, Mortgages and Notes (Sch,dule D) ( 4)
5, Cash & Miscellan,ous Personal Property (Schedule E! ( 5! ~\I'illld.O't
RECAPIT, 6, Jointly Owned Property (Schedule F! ( 6!
ULATION 7. Transfers (Schedule G! ( 7)
8, Total Gross Assets (total lines 1,7)
AND 9, Funerel Expenses Administrative Costs/Miscellaneous
Expenses (Schedul, H! ( 9!
TAX 10, Debts/Mortgages/Uens (Schedule Il (10!
11. Total Deductions (Iotallines 9 & 10)
12, N'I Value of Estate (line 8 minus line 111
CALCU. 13, Charitable Bequests (Schedule J)
LATION 14, Net Value subjecllo tax Uine 12 minus line 131
Computation of Tax
t5, Amount of lin, 14 taxable at 6% rate (15)
Onelude values from Schedule K! 4QI" 16.1oL1
16, Amount of line 14 taxable at 15% rate (16!
linclude values from Schedule K)
17, Principal tax due (edd tax from line 15 plus tax from line 161
18, Total Prior paym,nts:
(a) Amounl Paid
(b) Plus Discount
(c) Minus Interest (18)
19, Balan" Due Uin, 17 minus line 18)
Make Chack Payable to: Register 01 Wills, Agent
... PLEASE RECHECK MATH'"
(8) ~Il 'Kl.od.O~
(11)
(12)
(13)
(14)
\D C\ '5.;\. 5/P
16j'61Q,c.tg
~~lt ~5~'~"
x,06=
X,15=~4~. 3~
(171 ~4~.34
(19)
Under penalties of perjury, I d,clare that I heve examined this relurn, including accompenying schedules and statements, and to th, best 01 my knowledge
and belief, it is true, corr t, and complete. Oeclaration of preparer other than the personal representative is based on all information of which preparer has
any knowledge, ' -3!d.. ) R "-
VEISI ADDRESS I ~ DATE
REV.4~1 r::X1 13.80)
COMMONWEALTH OF PENNSVLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT OECEOENT
SCHEDULE "B"
PERSONAL PROPERTY
(l"stflJctions on Reverse Sic/a)
Estate of
GLADYS P. BLODGETT
ITEM
NO,
DESCRIPTION
1 Dean, Witter, Reynolds - InterCapital Liquid
Asset Fund
2 Dean, Witter, Reynolds - High Yield Certificate
of Deposit
3 Wm. D. Schrack, III, Esquire - Trust Account
balance
4 Social Security Administration Payment Prorated
5 Commonwealth of Pennsylvania - Retirement Fund
Payment Prorated
6 Commonwealth of Pennsylvania - Retirement Fund
Payment Prorated
7 Medicare Refunds
8 65 Special Refunds
9 Interest Earned on Money Market Fund Investment
Account
'10 Furnishings Dis tributed in Kind:
Cherry Tilt-Top Table
Cherry Empire Chest
Drop-Leaf End Tables at $40 each
UNIT
VALUE
ESTIMATED
MARKET
VALUE
$ 50,261. 00
20,000.00
2,930.89
450.90
22,18
75.66
398.40
99.60
7,118.41
175.00
250.00
80.00
TOTAL THIS PAGE
81,862.04
*'
DEPARTMENT
VALUATION
(OFFICIAL USE ONL Y/
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any transler 01 any material part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No",) ~
2, Did decedent, within two years of death, twnsfer property fromhimsel f/ herself to himsel f/hersel 1 and another party
or parties (including a spouse) in joint ownership? (Answer "Yes" or "No",) ,#.~
3. If the answer to one or two above is "Yes" and Ihe transfers ilra clilimed to ba nonlaxilble, provide the following
information:
a, Age of decedent ilt time of transfer.
b. Copy of death certi Ii cate,
c, Affidilvit by the attending physiciiln indicilting the state of decedent's heilllh at time of tmnsfOl,
d, All other information supporting nontaxability of transfer,
4, Did decedent, i/l his/her lifetime, make any Imnsfcr of IHoporty wilhout receiving a villuahle or adequate consideration
therefor which was to take effect in possession or enjoymenl at or after Ilis/her deilth7 (Answer "Yes" or "No",) 1-'-
a. Was tbere any possibility that the property transferred might return to transferor or his/her estate or be subject
to his/her power 01 disposition? (Answer "Yes" or "No" ,i ~.
b. What was the transferee's age at lime of decedent's death?
5, Did decedent in his/her lifetime make any twnsfer without receiving a valuable and adequate consideration therefor
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her
death:
a, The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No" ,) 4-
b, The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".) AI..
6, If the answer to five b, above is "Yes," state whether the right was reserved in decedent alone or others, .IV/'A
7, Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No",) .,;;1
,
8, Did decedent, at any time, transfer property, the bmeficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could revert to decedent under terms 01 transfer or by operation of
law? (Answer "Yes" or "No",) U.,
9. If the answer to eight above is "Yes," was the power to aller, amend or revoke the interest of the beneficiary reserved
in the decedent alone or the decedent and others? (Answer "Yes" or "No" ,) 11/..
.
REV-4'J EX" (3.801
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDUl.E "0"
BENEFICIARIES
*
!IllS/ructions on I/ovorso Sltlo)
Estate of GLADYS 1'. IlLODGETT
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY
DECF.DENT BIRTH
St. Stephen's Episcopal Cathedral Church 30%
221 N. Front Street
Harrisburg, PA
, Nephew
Richard K. Pulling Yes 70%
3939 Freshwind Circle
Westlake Village, California
91361 ,
-
-
, ,
-
,
-
The above baneficiaries are living at this time except for the following:
NAME
DATE OF DEATH
REV.494 EKt. 13.801
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
,~~,
~\
(lllstrtlctions all Rt'Vt!rs/J Sida)
Estate of
GLADYS p, BLODGETT
,
P
TOTAL E VALUE or DEPARTMENT
ITEM DESCRIPTION M^RKET \ DFCFDENT'S VALUATION
NO, VALUE INTEREST (Offleial Use Onlvl
T
-, , -., .- - -- -, - , -
NONE
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REV.4'~ EX+ (3.aol
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
---. .~
- --
Estate of GLMlYS 1', BLODGETT Date of Death 6/1~/81 File No, 21-81-386
WHEN CLAIMING THE FAMilY EXEMPTION, COMPLETE THE FOllOWING:
Claimant
NONE
Relationship to Decedent
N/A
Claimant's Address at time of Decedent's Death
N/A
ITEM DATE NAME OF PAYEe REMARKS AMOUNT
NO.
1 6/25/81 Register of Hills Probate $ ~2.00
2 6/25/81 Cumberland Law Journal Advertise Estate 10.00
3 6/26/81 Nightengale Nursing Home Final Bill 307.32
~ 7/03/81 Bell of Pa. Final Bill ~.82
5 7/10/81 New Cumberland Ambulance Fund Cost of Transfer to Hospital 50.00
6 7/15/81 Hood lawn Memorial Gardens Grave Marker 26.00
7 7/22/81 Elmo G, Hinger Payment of Claim Against Estate 15.00
8 7/24/81 Lewisberry Telephone Company Telephone Calls Relating to Estate
Contacting Heir 21. 01
9 7/24/81 Cumberland Law Journal Advertise Es ta te 8.00
10 7/24/81 Patriot News Advertise Estate 70.05
11 8/12/81 Musselman Funeral Home Burial Expense 2,035.70
12 8/17/81 M.F,Rockey Company Storage on Estate Asset Items ~3,50
13 10/08/81 M.F,Rockey Company Storage on Estate Asset Items 14.50
1~ 10/08/81 Musselman Funeral Home Reimbursement of Social Security
I Death Benefit (Decedent Ineligible 255.00
,
i 15 10/12/81 M.F.Rockey Company Hrapping Furniture 10.50
I
, 10/20/81 Pulling. Moving Exnense Reimbursement
, 16 Richard K. .11', 135.16
I 17 2/17/82 Reeister of Hills Charitable Exemotion Certification 2.00
I
I 18 Hm. D. Schrack, III, Esquire Executor's Commission 3,961. 00
i
, 19 Wm. D. Schrack, III, Esquire Attorney I s Fees 3,961.00
I
i 20 Reserves for Filine REV 455 Debts & Deductions and Inv.
i 10.00
,
i
,
,
I TOTAL I 10,982.56
i
I hereby certify that to the best of my knowledge and belie he fore oj
expenses and expenses of administration submitted to the tate as
is a just and true statement of debts, funeral
ions r Inherit Tax purposes,
~qc1'~
DA
SIGNA1'URE OF FIDUCIARY
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $
AT
% TAX RATE
REGISTER OF WILLS
UATE
" .
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable
estate. In addition to debts incurred by the decedent or estate, other items are claimable including the cost of
administration, attorney fees( fiduciary fees, funeral and burial expenses including the cnst of 0 burial lot, tombstone
or grove marker and other related burial expenses.
All debts being claimed against on estate a,e subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being
claimed should be attached to this schedule.
A family exemption 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 some
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 famil y 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 on estate is reportable for Pennsylvania Income Tax purposes. This taxable income
item should be reported on form PA.40.lndividuollncome Tax Return.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
I. 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.
5. Provide 0 brief explanation in the ren,arks 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 as!;umed the responsibility for paying the debts.
IF ADDITIONAL SPACE IS NECESSARY USE B%" x 11" SHEETS.
RECORD'"
o~~r! r .
II., .,
'82 .11i!' -'I; 1\1'
"
CI,EI'.:. .t.... . .
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INFORM A TION
This document is the Notice required to be given under Section 709 of the Inheritance and Estate Tax Act
of 1961 (72 P,S, section 24851,
If the tax is paid within three (3) months after the decedent's death, a discount of 5% of the tax paid is allowed.
Inheritance Tax becomes delinquent nine (9) months after the decedent's death. Interest is charged at the
rate of six (6) percent per annum on the amount of unpaid tax. (SEE EXAMPLE BELOW)
EXAMPLE: If a balance of tax due of 52.000.00 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.
Interest from 3-03-80 to 5-23-80
Results in:
2 Months =
20 Days =
Rate of interest =
,010
+ ,0033S
,0133S
Balance of tax due
Rate of interest
INTEREST
$2.000,00
x ,01335
$ 26,70
8alance of tax due $2,000.00
Plus Interest to
Date of Payment (+1 $ 26,70
TOTAL tax and
interest to Date
of Payment $2,026,70
---------------------.------------------------------------------------
1 month ,005 4 months ,020 7 months ,035 1 0 months ,OSO
2 months ,010 5 months ,02S 8 months ,040 11 months ,055
3 months ,015 6 months ,030 9 months ,D4S 1 2 months ,060
1 day ,00017 II days ,00186 21 days ,00352
2 days ,00034 12 days ,00203 22 days ,00369
3 days ,OOOS1 13 days ,00220 23 days ,00386
4 days ,00068 14 days ,00237 24 days ,00403
5 days ,00085 IS days ,00250 25 days .00420
6 days ,00101 16 days ,00267 26 days ,00437
7 days ,00118 17 days ,0028. 27 days ,00454
8 days ,DD13S 18 days ,00301 28 days ,00471
9 days ,00152 19 days ,00318 29 days ,00486
1 0 days ,00169 20 days ,00335 30 days ,00500
---------------------------------------------------------------------
Any party in Interest. including the Commonwealth and the personal representat_ve. not satisfied with the
appraisement and assessment may object within sixty (601 days after receIpt of this Notice as provided by
Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 P,S, see, 2485 - lDOll,
MAKE CHECK OR MONEY OROER PAYABLE TO: "REGISTER OF WILLS. AGENT"
DETACH THE TOP PORTION OF THIS FORM AND SU8MIT WITH YOUR PAYMENT TO THE REGISTER OF WILLS FOR
, THE COUNTY SHOWN ON THE REVERSE, SEE THE INHERITANCE TAX INSTRUCTION BOOK FOR ADDRESS,
- --- - - --- .- - -.-- ---- ----. -- ----- --, ....- -_.-- "--- --- ----- ---- -.'- .-. ---- - - - - - - - - ----
.._..... __ r.-= __ ........
" REV.1162 EX
~ " , COMMONWEALTH OF PENNSYLVANIA
4 NO, K 29773 DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
II
"
III
.,
.1
=
~
~l RECEIVED
'J FROM
! ADDRESS P. O. Box 396
on_
:E::OO..__r,.__..",
~--....
-
TAX AT 6%
TAX AT 15%
Mm. D. schrack, III Esq.
TAXAT_%
ESTATE TAX
Dillllburg, PA 17109
'--~f~~Tt~-~~~~ATI(j~C-J~~~--14~-igei----_m
TOTAL TAX CREDIT
$6,300.00
FILE NUMBER 21-81-386
DATE OF PAYMENT september 14, 1981
NAME OF DECEDENT Gladys P. Badgett
COUNTY C umber land
m
m
LESS DISCOUNT
% INTEREST
TO_I
315.00
PLUS
{FROM
POSTMARK DAlE
REMARKS
TOTAL AMOUNT PAID
$5,995.00
.-------------------------------------------
y
"PAID ON JlCCOUNT"
SEAL
RECEIVED BY
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flEGISTER Or WILLS
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