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No.21-81
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PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
In the Estate of
VAr<.IC Gt. "d'\","""I"I.
, deceased,
To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania.
Petltloner!S)Is (af!l) the execut~1 ~ named In the Last Will and Testament of
VAQ.lo1 G. W"'''''''21~ dated HAY ~r;" le( S'I
Decedent was a citizen of the United States and a resident of C -A..... ,. I~ .~...
T~p (Borough), Cumberland County, Commonwealth of Pennsylvania.
Decedent died on v\l~."..~ the 101''\ day of ~ U....,,, A.D.19~, In the
County of ~ lH-\ e.<?a.LA",,, , State of ~",~y "viII";;\atlhe age of ..J..!:L. years.
Decedent Iles-(has not) been married and ~ (has not) had children born to him (her) since the ex.
ecution of the above described Will.
Decedent was possessed of personal property to the value of T..", -eM"" ",,]> (0/. Ie. ,"',) Yc """~.s
and of real estate to the value of \II lQ'1'Y Tltlo""''''1> (i i;(.,cc<') "Dr...",,, ,
as near as can be ascertained; said real estate situated as follows
~1<."11'I..::l~""M Aup. CAN? f-\\...l.... 1'='"1\
-:H'oq
Therefore, your petltionertp) respectfully apply(ies} for the probate of the said Last Will and Testa.
ment and for Letters Testamentary theron.
Dated j 'n..... ;z.S', I "1 ~ /
Name and address
of Petltioner(s)
. Jdt 1.ei:el[.~tvt'L '7 'Z cC-f-t''7i..J
G~"'TCH"'''' A. .'S,,-o.~1.).
..L (:>0 '1 V,c..K llo..a!:C ~ AtJG.
(',,"".. f-l,...L-.IP",. /7'-)11
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND j
~ltrTCII-E~ A .S~".<>J
ss
named in above application, being duly $,~ "',,;.:,
statements sel forth in this petition are true to the best of
5wIl...\ and subscribed before A"")/~i e.cG.-<." .
according to law say(s) that the
;.l.e- "- knowledge and belief.
C/ ~ 1.;7. ,}--r.'UP1
. MARY
19 'ii I
.~
Flied: June
30; 1981
I /-..~ r'i (J
Me. N e.E.~. I\J .......LJ\<: ri: , J\J l.I.::tIC.c.
'"> <'
too ~ 1~E; ...).'(',
rY-i!J;U.~o"-"', {~ \lIe ~
Attorney
~1-~/-3qo
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(d) All the rest, residue and remainder of my estate,
shall be divided equally among my niece, Constance Wise, the
wife of my nephew Glenn W. Wise, of 5741 Union Deposit Road,
Harrisburg, Pennsylvania, the Camp Hill United Methodist
Church, 417 South 22nd Street, Camp Hill, Pennsylvania, and
Dickinson College, Carlisle, Pennsylvania.
In the event any individual beneficiary named in this Paragraph 2 of my
will shall predecease me, his or her interest shall lapse.
3. If any beneficiary under this will shall die within thirty (30)
days after my death, he shall be deemed to have predeceased me for all
purposes under this will.
4. I grant to the fiduciaries named herein and their successor or
successors, the following powers in addition to and not in limitation of
such powers as they may hold by law:
(a) To invest any funds of my estate in any stocks,
bonds, notes or other securities or property, real or per-
sonal, notwithstanding that such investments may not be of the
character allowed to fiduciaries by statute or general rules
of law, it being my intention to give them the broadest invest-
ment powers possible.
(b) To sell or otherwise dispose of any property, real or
personal, at any time forming a part of my estate, for cash or
upon credit, in such manner and on such terms and conditions as
- 2 -
900
they may deem best, and no persons dealing with them shall be
bound to see to the application of any moneys paid.
(c) To manage, operate, repair, improve, mortgage ar
lease for any term any real estate at any time held or owned by
my estate.
(d) To borrow money for the payment of taxes or for any
other proper purposes in the administration of my estate.
(e) To distribute in cash or in kind, upon any division
or distribution of my estate.
(f) In general, to exercise all powers in the management
of my estate which any individual could exercise in the manage-
ment of similar property owned in his own right, upon such
terms and conditions as to them may seem best, and to execute
and deliver all instruments and to do all acts which they may
deem necessary or proper to carry out the purposes of this my
will.
5. Any amounts which are payable from my estate to a minor may at the
discretion of my executor be paid either to a parent or guardian of such
minor, to the person with whom such minor is residing, or directly to such
minor, or may be applied for the use or benefit of such minor.
6. I direct that all bequests, legacies and devises and all shares
and interests in my estate shall not be subject to attachment, levy, execu-
tion or sequestration of any debt, contract, obligation or liability of any
legatee, beneficiary or devisee.
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OATH OF PERSONAL REPRESENTATIVE
COMMm~WEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of
Cumberland, personally came (,~ ~ E '" ,H_ "I )~. '-,::s ;~I ..' ~\
who, being duly
':..v..)Cl\"> l\i , do E:..::,
"..
depose and say that as i' ., E L:.. ",. 'I
I r', 0
\J !,i(.I!:. (-1 '-'I. I /'.l;, .-',1'- 1-(
deceased
of the last Will and Testament of
S M' will well and truly administer the goods and chattels, rights and credits of said deceased according to Jaw. And
also will diligently comply with the provisions of the law relating to Transfer Inheritances. ~~and subscribed before me.
I' --'/
,jVN~:;'" A.D., 19~ -l::J;~ljJ{( . /(1 4: )-r~", I
/J C 1.< <.!., 9 At~
to' AR C. EWIS Register
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Be it remembered that on the
30th
DECREE
June
81
,A.D.,19_, there was probated and
recorded the last Will and Testament. of
Camp Hi 11.
day of
varie G. Wagner
late of
Deceased. Letters
Testamentary
were granted to
. Cumberland County, Pennsylvania,
Gretchen A. Brown
Witness my hand and official seal the day and year aforesaid.
~,[)6
, )
~
Register
- COMMONWEALTH Of PENNSYLVANIA
COUNTY Of CUMBERLAND
}
55:
Gretchen A. Brown
being duly ~~C?En:______ according to I.w, depo... .nd ..y. th.t ~. is the Executrix
._______._._ _____ 01 the E.t.t. 01 Varie G. Ivaqner
I.te 01 ___ j;:alllE...Hi.-1J___._- ' Cumb.rl.nd County, Pa., dec....d .nd th.t the
within i. an inv.ntory mode by -9-.l;"etchen A. BrO\~n -, the said p,,,p,,"tri,,
01 the entire est.te 01 s.id decedent, consi.ting 01 .11 the person.l property .nd re.1 .state, except real e.tat. outside
the Commonwe.lth 01 Pennsylvania, and that the ligur.s ,oppo.ite each it.m 01 the Inv.ntory represent it's lair valu.
as of the date 01 decedent's death.
and subscribed belore me,
"
A~tL-c{-~
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<f:2.
Executor. Aclmlnhtrator
Gretchen A. Brown
200Q ni~kin~nn nupnnp
J nni. t Row, NOTARY PUBLIC
My Comminion ExpilU JJnuary 19. 1985
H'lIiJburg.. PA Dauphin County
Camp Hill, PA 17011
Addr...
Date 01 Death
lOth
Oey
June
1981
Vur
Month
INSTRUCTIONS
I. An inventory mu.t be Iiled within three month. alter appointment 01 personal repre.entative.
2. A supplement inventory must be Iiled within thirty d.y. 01 discovery 01 additional asset..
3. Additional sheets may be attached a. to personalty or realty
4, See Article IV, Fiduciaries Act 011949.
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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 (72 P.S. section 2485).
It 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.
Interest from 3-03-80 to 5-23-80
Results in:
2 Months =
20 Days =
Rate of interest =
.010
+ .00335
.01335
Balance of tax due
~ of interest
INTEREST
,2.000.00
x .01335
, 26.70
Balance of tax due
Plus Interest to
oatc of Payment (+)
TOTAL tax and
interest to Date
of Payment
,2.000.00
, 26.70
,2.026.70
---------------------------------------------------------------------
1 month .005 4 months .020 7 months .035 1 0 months .050
2 months .010 5 months .025 8 months .040 1 1 months .055
3 months .015 6 months .030 9 months .045 1 2 months .060
1 day .COO 17 11 days .00186 21 days .00352
2 days .00034 12 ojays .00203 22 days .00369
3 days .00051 13 days .00220 23 days .00386
4 days .00068 1 4 days .00237 24 days .00403
5 days .00085 15 days .00250 25 days .00420
6 days .00101 1 6 days .00267 26 days .00437
7 days .00118 1 7 days .00284 27 days .00454
8 days .00135 1 8 days .00301 28 days .00471
9 days .00152 19 days .00318 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 ml)y object within ~lxty (601 days after receipt of this Notice as provided by
Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S. sec. 2485 - 10011.
MAKE CHECK OR MONEY OROER PAYAB~E TO: "REGISTER OF WI~~S. 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 INHERIT ANCE TAX INSTRUCTION 800K FOR ADDRESS.
REV.1500 EX + (9:S1).
BUREAU OF EXAMINATION
PENNSVLVANIA OEPARTMENT OF REVENUE
P.O. BOX 8327
HARRISBURG. PA 17105
11-;;,J70-;L)
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FII. Numb.r .JJ:11- 0 3't 0
Due. .nt', Namo I Las,! ~ir~t. ~n~ ~Iddlo Iplllon O"Odollt'l Add,,"
DECEASED IllI.--"-1A...[il. l"'i. ). OOq -:Dic.k Ih~OI'\
Social Sue ty Numbor rolO 01 O"lh CliP
IJ d -0 I- lJ.d,d. b llIa-=lo..:...2 amp- t-ti 1/, A
1. Originol R.turn [] 2, SUlllllollloolol Roturn D
A vQ..nu t
/1011
CHECK
3, Romolndor ROlurn 0
APPRO.
PRIATE
BLOCKS
4, Lil. E.tol. I J 5, Fodoral E.tol. Tox 0
ROlUrn Roqulrod.
6. Ooc.dont dlod 101l.to rill 7, Oue.dollt llIollltolll.d o living D 8, Numbor 01 '010 d.poslt 0
(Al1och COl'Y 01 Will) Uj 1rIl1llAI1.ch ,01'V of trust! boxos invontorlod
All corrospolld.II" olld collfldollllollox IIIIIHII"llolllhlluld ho dl"clOII to:
~Ad~"". /Illlll2
_ 1'loR
_ CItV
Stoto
Zip
eORRE. __.._._._..__... _._..
SPONOENT Nomo rv 1)
--..:..:I:).o.ill.r.L_-,_ ~hb,~_s~ .
Telophollo No.
d3_~:~OOO."_ ___
Rocopltulolloll
I. Roul EIIOIO ISchodulo AI ( 1) ~~,()OO .OC
2. Stocks olld OOlld. (6chudulo III ( 21
3, Closely Hohl Slock/Porlllershlllllltornll ISchodol. C) I 3)
4. Mortgog" 01111 NOI" ISchedul, 0) I 4)
5, Cosh & Mlscellonnous P,rsonol Pro,IOrty ISchodule EI 151 \3,44~. 4;),
RECAPIT. B. Joinlly OWII,d ProllCrty IS,hedulo FI 161-.-1, 1"\;,).33
ULATION 7. T"nslors ISchedul, GI 17)
0, Toto' Groll AllotsllUlol nil" 1.1)
AND 9. Funorol E'II""" Admlnl.trollvc Costs/Mlscell,ooou.
Exponsus ISchodule HI ( 91
TAX 10, Oobts/Mortgou,,/Li.ns (Sehodulo II (101
11. Totol Doductlons Itolelnllcs 9 & 101
12, Not Voluo 01 Estote Wne 8 mlnu.llno 111
eALCU. 13, Chorlloblo O.qu"I' (Sehodulo JI
LATION 14, Not Voh" .ubl"t 10 tex liIoo 12 mloUl 1100131
181 5.:1,584,15
Computollon of Tax
15, Amount olnllo 14 I.xoblo ot 6% "to 1151 ~
!iocludo "IUDS 1"111 Schedul, K)
16, Amount 011111014 toxoblo at 15% rot, (161
!includo "Iuos Irom Schodulo K)
17. PrlnclllClloX duo lodd lox from nllo 16 plus tox from nno 16)
18. Toto' Prior poymellt!:
101 AIlIOIIIII Paid __.....___
(h) PlulOlscnunt ____
lei Mlllu.lnlorcsl _____ 1181
19, O.lonco DUO WIIO 111l1lnu.noo 181 1191
Meko Chuck peyeblo 10: R'glll" 01 Wills, Ag,nt
. . . PLEASE REeHECK MATH" .
(11) 5,l.\lb.5D
(12) 4~ I1L\.::lS"
(13)
(14) "',114.a5
x.OB' ~,'&3D.'"tt..,
'.15=
1m a ~oD .~Io
1
UIlIIOIpnll.lllo.01 luuiury, I duelllU Ihet I he" "emlood thl. "turn, Including oceompanvlng schodules and stotomonts. ond to the best 01 my knowlodge
ood hollol.1I I. truu. crlrro' , ul comploto. Ooclerotlon olpropo"r other thon tho parsonol representative is bosed on an information 01 which preperor has
OilY kllllWloduo,
AODRESS
DATE
SiON^l:IJi~t. OF f'n[f1^I.~lili-OTtiE.ii-TltAN BEPRESENTATIVE
AODRESS
DATE
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No".) No
2. Did decedent, within two years of death, transfer property from himself/ herself to himself/herself and another party
or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) ---He..
3. If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable, provide the following
information:
a. Age of decedent at time of transfer.
b. Copy of death certi fi cate.
c. Affidavit by the attending physician indicating the state of decedent's health at time of transfer.
d. All other information supporting nontaxability of transfer.
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".) No
a. Was there any possibi lity that the property transferred might return to transferor or his/her estate or be subject
to hiS/her power of disposition? (Answer "Yes" or "No".) No
b, l'Ihat was the transferee's age at time of decedent's death?
5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her
death:
a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".) --No....-
b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".) No
6. If the answer to five b. above is "Yes," was the right reserved in decedent alone ( ) or decedent and others ( ).
7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No".) No
8. Did decedent, at any time, transfer property, the bBleficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No".) No
9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved
in the decedent alone ( ) or decedent and others ( ).
'.
(
(d) All the rest, residue and remainder of my estate,
shall be divided equally among my niece, Constance wise, the
wife of my nephew Glenn W. Wise, of 5741 Union Deposit Road,
Harrisburg, Pennsylvania, the Camp Hill United Methodist
Church, 417 South 22nd Street, Camp Hill, Pennsylvania, and
Dickinson College, Carlisle, Pennsylvania.
In the event any individual beneficiary named in this paragraph 2 of my
Will shall predecease me, his or her interest shall lapse.
3, If any beneficiary under this will shall die within thirty (30)
days after my death, he shall be deemed to have predeceased me for all
purposes under this will.
4. 1 grant to the fiduciaries named herein and their successor or
successors, the following powers in addition to and not in limitation of
such powers as they may hold by law:
(a) To invest any funds of my estate in any stocks,
bonds, notes or other securities or property, real or per-
sonal, notwithstanding that such investments may not be of the
character allowed to fiduciaries by statute or general rules
of law, it being my intention to give them the broadest invest-
ment powers possible.
(b) To sell or otherwise dispase of any property, real or
personal, at any time forming a part of my estate, for cash or
upan credit, in such manner and on such terms and conditions as
- 2 -
they may deem best, and no persons dealing with them shall be
bound to see to the application of any moneys paid.
(c) To manage, operate, repair, improve, mortgage or
lease for any term any real estate at any time held or owned by
my estate.
(d) To borrow money for the payment of taxes or far any
other proper purposes in the administration of my estate.
(e) To distribute in cash or in kind, upon any division
or distribution of my estate.
(f) In general, to exercise all powers in the management
of my estate which any individual could exercise in the manage-
ment of similar property owned in his own r~ght, upon such
terms and conditions as to them may seem best, and to execute
and deliver all instruments and to do all acts which they may
deem necessary or proper to carry out the purposes of this my
will.
S, Any amounts which are payable from my estate to a minor may at the
discretion of my executor be paid either to a parent or guardian of such
minor, to the person with whom such minor is residing, or directly to such
minor, or may be applied for the use or benefit of such minor.
6. I direct that all bequests, legacies and devises and all shares
and interests in my estate shall not be subject to attachment, levy, execu-
tion or sequestration of any debt, contract, obligation or liability of any
legatee, beneficiary or devisee.
- 3 -
(
7. I direct that all estate, inheritance and succession taxes
that may be assessed in consequence of my death, of whatsoever nature and by
whatever jurisdiction imposed, shall be paid out of the principal of my
general estate to the same effect as if said taxes were expenses of admin-
istration, and all property includible in my taxable estate, whether or not
passing under this will, shall be free and clear thereof.
B. I appoint as executrix of my estate my daughter, GRETCHEN A.
BROWN. If she should be unable or unwilling to serve or to complete the
administration of my estate, then a partner of McNees, Wallace & Nurick
designated by the Executive Committee shall serve in her place. It is my
desire that either Moses K, Rosenberg or Francis B. Haas, Jr., if either is
then a partner of McNees, Wallace & Nurick, shall be appointed by said
Executive Committee. My executrix shall also serve as the guardian of the
property of any minor beneficiaries under this will, under any insurance
policies on my life, and with respect to any other property passing as a
result of my death, it being my intention to make this appointment effective
in all cases where it is permitted under the laws of Pennsylvania. No
fiduciary named herein shall be required to furnish bond or other security
far the proper performance of her duties hereunder.
IN WITNESS ~IEREOF, I, VARIE G. WAGNER, herewith set my hand to this,
my last Will, typewritten on six (6) sheets of paper including the self-
- 4 -
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proving attestation clause and signatures of witnesses, this ;,lb - day
of
7t{7
, 198].
nl. f.,~:..... 0,
VARIE G. WAGNER
,,/ ctj 1>8'-"'-
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(SEAL)
Witnessed:
f1 < '" I , dll2t1b7,u, I ~)
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711t"'~i~w d. .:k,l'f
[,' j (J ,/
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residing at
J..k~
r'.4
/ residing at
to
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residing at
COM}IO~~ALTH OF PENNSYLVANIA
COUNTY OF )) tWf Iu.>>J
VARIE G. WAGNER (the testatrix), u.. , Xlvi i IJ-UL
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.Jj.16..t\/U>J ,and l..v"Md LJ. ~~(the witnesses), whose
names are~signed to the foregoing instrument, being first duly sworn,
each hereby declares to the undersigned authority that the testatrix signed
and executed the instrument as her last will in the presence of the witnesses
and that she had signed willingly, and that she executed it as her free and
voluntary act for the purposes therein expressed, and that each of the
witnesses, in the presence and hearing of the testatrix, signed the will as
witness and that to the best of his knowledge the testatrix was at that time
eighteen years of age or older, of sound mind and under no constraint or
undue influence.
ss:
WITNESS:
TESTATRIX:
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VARIE G. WAGNER
- 5 -
REV-453 r::X+ (1C.80) .
COMMONWEA~TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
Estate of V~rip. n \lJnanAr
SCHEDULE "0"
BENEFICIARIES
(Instructions on Reverse Side)
BENEFICIARI ES AND ADDRESSES RE~ATIONSHIP SURVIVED DATEOF INTEREST OF BENEFICIARY
DECEDENT BIRTH
Gretchen A. Brown Daughter yes of age Residuary Estate
2009 Dickinson Avenue
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Camp Hill, PA 17011
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The above beneficiaries were living at the time of the decedent's death except for the following:
NAME
No exceptions
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DATE OF DEATH
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
RCC,43(S-76)
NOTE: TO BE SU8MITTED 11'1 TRIPLICATE
REPORTING FINANCIAL INSTITUTION
ADDRF.SS
CCNB Bank
331 Bridge Street
New Cumberland. PA
ZIP CODE 17070
Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act 011961, we
herewith submit the 10llawin9 report:
ACCOUNT 1'10, OF JOINT, TRUST OR
INVESTMENT DEPOSIT (1) Check.
( .
1'1 ACT R
INVESTMENT. Varie.G. Wagner
DATE OF DEATH June 10, 1981
DECEASED JOINT DEPOSITOR, TRUSTEE
OR INVESTOR Varie G. Wagner
ADDRESS 2009 Dickinson Avenue
Camp Hill. PA
0~4
Acct, #926-776-6 (2) Savings Acct. #
(4) CD U 037-0013650 (5) CD # 037-0013651
~aviogi aRd. CI>J. (fl~ Jgi,ut w1tl3. Or'ltolwa A ~
COUNTY Cumberland
ZIP CODE ] 7011
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR r."PT."~"\'> A lO,.nvn "I' ..".."kin" .."""unt.
ADDRESS
'I,,'!n,nv..
RELATIONSHIP TO DECEDENT
DATE INVESTMENT WAS ESTABLISHED
WITH THE SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR (])
(4)
BALANCE, INCLUDING INTEREST
PAYABLE, AT DATE OF DEATH $ (1)
(4)
SIGNATURE
nn'k'nnvn
4/(./79
10/22/76
$2 ,21111. ii'{
$2,020.42
(2) 9!l2.'5e
(5) 10/22/76
(2) ~5 :llll 96
(5) $5:051,04
ffi.
XiX
Ville l'2'eBident..Qnerations
TITl.E
July 23, 1981
REV.455 EX+ (3.80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT OECEDENT
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\::f5~'Jf~r:LN:l
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
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Estate of Varie G. Wagner Date of Death 6/10/81
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
File No.
Claimant
Gretchen A. Brown
Relationship to Decedent
Dauphin
Ciaimant's Addre" at lime of Decedern's Death 2009 Dickinson Avenue, Camp Hill, PA 17011
ITEM
NO.
DATE
NAME OF PAYEE
REMARKS
Gretchen A. Brown
/12/81 Rollin Green Memorial
15 81 M ers-Hall Funeral Home
/16/81 Conununit
McNees, lvallace & Nurick
Re ister of Wills
Famil Exemption 2,000.00
Grave 0 enin 235.00
Funeral Bill 2 760.00
Professional Service 100.00
Le al Service & Disbursements 300.50
Filin Fee 15.00
TOTAL 5,410.50
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.
r/h-rc!c-<r (2 7hr-tl.lI. f/ir;/{":v
SIGNATURE OF FIDUCIA~Y OATE
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S
AT
% TAX RATE
ReGISTER OFWILl..S
DATE
AMOUNT
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