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OAtH OJ! ...;RIlONAI, In;PRE$JtNTA'rIVE
COMMONWEALTH OF PENNSYLVANIA , !Hi
COUNTY all CUMIlERLANO
Peforo mo, tllO ROlllslerfor the Probate of Wills anll arnntlns of Lettors of Administration In and for Iho County of
. , . . . . .
Cumberlanu, personally came
who, bollia uuly ,IWQrt'
TH~LMAJ. LaSHER
,
, dO-OL-:.-deposo allu say that as
,Kaautrll\
of tho lest WIl1 allu TeSlamell1 of.
HARQLQ A. LESHER
, deeo~sod
lha ' will wellnlld truly aumlnlster Ihe aoods and chattels, rlahts IInd erodlts of slllddecoIIsed lIeQordhl~ 10 IIIII', And
IIlso wllldlllllontly compl)' with Iho provlslolls of tho law relallnlllo Ttllllsfor.lnhorllal1ces, SWnrn IInd subscribed before me,
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Pe Itromembered Ihllt on Ihe 17th day of JU1~
recorued Iho Ills 1 Will alld Testamenlof
lJaro1g A. Lesher
,A.O,,19 81, thoro 11'118 prllbllted and
_11110 of
, Cumberlalld County, I>,nllsylvalllll,
Thelma J. Lesher
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COMMOHWeA~ 't~t or P$HHIYl.V^HI^'
OEP^,RTMeNT OF REV~HUE
TR^HSFER IHHERIHHCE T^X
REsloeHT DECel)EIH
SCHEDULIi "B"
paR8PNA~ PRPI'URTV
(1II$III/e/lrm8 (1/1 Il/IVorso SI(/II)
E~\E\O of. HAROLD A. LES~eR
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UNIJ ESIIMNED DBPARTMENT
VAL E ' M R T VALUATION
VAl.Uft /OFPIQIAL /ISlI ONL y}
$ 2,286.72
$ 11,867.11
$ 31,60
$ 41.99
DeSCRIPTION
PClrmen TruU com,,~aI1Y' Carl".le, Penna. ohecklng
900t. 1/ 4wh245 1./\ bal. at date of death, 6..27..81
~I.e attall eel trl '
2. Parm"IT, Mt com, pa,ny, Carlisle, Penna" savIngs allot.
Iw082535,pr,lnlllpal of $11,821.20 plus $41),91 Int,
aoorueel to date of death, 6.27..81 (See attallhed Itr)
3, Refund, BlueShleld
4. ,fundI Call1tal Blu" CroGl
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.00 T
TOTAL
Ifaddltlonol apaco,la nocessary, uae aW' ~ 11" ahoots.
.$
14,233.62
_ I~ K~.l.If~
qUESTIONS CONCEllliLNiJ..BQPERTY TRANSFERS
I. Old decedent, within two yools 01 dooth, 1II11ko ony lfOnsfor 0, f ony 1II0lorlO,IPOll of his oaloto wlihoul rocblvlng
vol\lablu EiI1d adeQuolo.conslderntlon? (Answor IIYos" or "No",)" '
2. Old d,ecedent, within two yoors of dnoth, trnnsfor proporty frolll hllllsolf/ horsolf to hllllsolf/holallfr'nnd anothor IlOlly
or portlos (Including 0 spouso) In Joint ownorshlil? (Answor "Yos" or "No".) - . .
3. If tho answer to ono or two nrovo Is IIYos" ond tho trnnslors aro clolmod to bu nOI\laxnblu, provldo lho lollowlng
Informotlort: ..
e. Age of deoodent ottlmo of tronsfor.
b. COpy 01 doath oortlflceto.
c. Affldovlt by tho attondlng physician Indicating the slato of decodunt's hoalth at tlmo of tronsfor.
d. All othor Information supportlngnontoxahlllty of tronsfer.
4. Old decedent, In hlSllior Ilfotllllo, 1II11ko any trlHlsfor of proporty'wlthout rocolvlrlRn volunhlo or odoquato consldornllon
therefor which was to tako effect in posseSSion or onJoyment at or alter hls/hor deoth? (Answer IIYos" or IINOIl.)
a. Was there any possibility thnt the property trnnslerrod might roturn to trnnsforor or hls/hor ostoto or bo subjoct
to his/her, power of disposition? (Answor "Yesll 01 "No".) ", .
b. Wl1at was the transferee's aRe ot tlllle 01 docodent's death?'
5. Old decedent in his/her lifetime mnke any transfer without recelvlnR n voluoble and odequate consldoratlon tI\Orefor
under which, transferor oxpressly or Impliedly roserves for hls/hor life or any period which does In fnet \li1d beforo his/her
deoth:
a. The possession or onJoyment of or the right to InCOl)le Irom tho proporty transforrod? (AnSWer "Yasil or "No".)
b. ThO right to designate the persons who shal,l possess or enjoy the proporly transforred or Income tholohonl'l
('Answer "Yes" or "No",)
Q. If the answor to flva b. obove Is "Yes," wos the rl~ht resorvod Indecodontolono ( ) or decodent und others ( ).
7. Old decedent In his/her lifetime make a transfer, tho consideration for which was transforoe's promlso to plly Income
to or for the benefit Of Care 0,1 transferor? (Answer "Yes" or "No".) . .',
8. Old decedent, atony time, transfer property; the bBloflclal enjoyment 01 which was subject to chango, because of
a reservedllower to alter, amend, or revoke, otwhlch could revott to decedent under termS of transfer or by operation of
law? (Answer "Yes" or "No".)
9. If the answer to eight above Is IiYes," was the powor to alter, amend or rovoke the,lnteresl of the,benoflclaryreaerved
In the decedent alol1e ( ) or decedont and others ( ). ' " .
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I\rV'4U3 "X' 1'10,80)
aOMMONWaA~ TH OF IIPNNPYLVANIA
OEMRTMaNT OF RPVENUE
TflANSPIR INHnfllTANQB TAX
RBalllPNT bBCBIlBNT
SCHEDULE "D"
OENfiFICIAflIUS
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IIlIStfllGt/om 1m flnVllrs.1 S/c""
Estnte of 1,I~801 Q A. LeSHER
BBNBPICIA", P.S AND ADDREssEe RELATIONSHIP SURVIVED DATE OF INTa HUST OF BENliFICIARY
, DUC&DeNT BlrlTH
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The eb\lve boneflolarlelware liVing at tho time of tha deooden!,s dOAth excopt for tho following:
NAME
DATE OP DEATH
If lIddltlonellpece II Moellery, ule e%" x 11" Ihoetl,
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ItWRUCTIONSegA COMP\,.aTINGScHeDUI.E "E"
Bohfldulo "e" nMlll1ol\lrlo olll/roporIV, 1'001 of)d por80nol, ownod py tho deoodent Joll1tlywlth onother
part,Y or portio' 08 JOIl,'t 101101118 with rlohl of survivorship, Bolh longlbloond .ll1tanglblo proporW:pro 10 po
Inoluded. LI81 reol 08tolO first.
" Douorlbe 011 roelllropol'W lis 1l1dlolltodln 1110 InSll'lIotlt)l1s'Jor 80110dlllo "A", Dosorlbe 011 por,onol properW
e.lndlootod 111 tho 1119\1'uo,IIol18 fl;\l' Sohodule "8", 1110ludo,lho nomo, addre8s end rolatlun,hlp 10 Ihl!
deoedent of 11\0 co.ownor (8) ondlllQ do to tl10 joint ownorshlp was ontabllshod,
2, Indlcatotho totel nwkul VOlllU of Iho Jolnlly owned proporty.
3, 'Indloote the poroonto\IO of tho decodont's Intorost.
4, Indlooto tho marketl/olLlo of 1110 dooadent's Il1terosl,
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Q.[tiERAL INli!;RITANCE TAX INFORMATION
Unsatlsflod lIal1l1lt1os Incurrod by tho ducadont prior to hls/har daath ora daductlbla against hls/hor tqxoblo
..toto, In addition to dabts Incurrad by tho docodont or as toto, athor Itallls ora clallllobla Inr.ludlng tho cost of
administration, \lltarnoy foos, fiduciary foos, funorol and burial OXllOllsas 'ncludlng tho colt of a burial lot, tombstono
or gravo mork'or and othor rolatad burial axponsos.
All dobts baing clalmod against an astata ora subloct to tho approval of tho Roglstar 01 Wills with wham tho
Inhorltanco Tax Roturn I, III\ld. E.vldancato support tho docodont's or tho \lstata'sllablllty for the d,btsbelng
claimed should bo attachod to this schedulo.
A family oxomptlon may bo clalmod by a spouso 01 a dacodant who diad domlcllod In Ponnsylvanlo. If thero Is
no spouse, or If the SPOUIO has forfolted hls/hor rights, than any child of the decedent who Is a member of tho same
housohold can claim the exomptlon, In tho event thore 1M no such spouse or child, the oumptlan can' bo claimed by
o parent or paronts who aro mamborl of tho samo household as tho docedont, The family exemption Is allowable only
against anets which pan by a will or by tho Ponnlylvanla IntOltato Laws. .
NOTEI Compensation paid to an OItate reprOlontatlve; namely, an executor or administrator, for servlcos
performed'ln administering an OItate Is reportable for Pennsylvania Income Tax purposos, This taxable Incomo
Item should bo I'opartod on form PA.40.lndlvlduallncame Tax Roturn,
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INSTRUCTIONS FOB COMeJ:~TING SCtlS.QULE "~"
I, If the family oxompllon II bolng claimed, Indlcoto tho claimant's name, addren and his/her relationship to
the docodent. Enter "family exemption" In the remarks column and the amount claimed In the amount column.
2, Anlun consecullve numbors to each Item lI.tod,
3, Enter tho data an which oach dobt was Incurrod and/or paid.
4. Enl" tho nomOi of oach pay eo.
5. Provide a brlof explanation In the romarks column for oa,-h debt clalmod,
6, Entot tho amount af oach dobt bolnu clalmod.
7. Tho form mu.t bo signed by tho porson who has anumod tho responsibility lor paying the debts,
IF ADDITIONAL SPACE IS NECESSARY USE BW' x 11" SHeETS.
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INHERITANCE: TAX SUMMAI'lY SHEET'
(BUREAU USE ONL.Y)
FII. Numb"
2;LNO;LNQI, ~7
Ihtat. ~am. .-J!l!t"old A. Leehar
,. Datt!lf D.ath- Junlil 27, 1981
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500101 $teurl tr Numb.r
1711~~[jN2794
[iJOrlglnol
o Supplomonlal
[J Romalnd.r
REPORT OF INHflRITANCI! TAX APPRAISI!R
I, Ih, undonlgnod dulr,apPOlntod Inhtrllclnot TOM Approl..r In and fol tho County 01 QumbI31!J.a.tl9
Ponn.ylvanla, do "Iptotlully rlport that I ,,,vo appral',d tho rial and "rlonal propor 01 IttlO~tI' I",h, fo".oln~
,.lUm allh, valu" "I forth oppa,II, .aoh 111m Inth,luI oDlumn,to 0 'Ig~ In Soh, .. "A'" ".", "~':. Dnd . I"
Dotodl January 13, 1982 t. , ~*""f'"
~NC. T~K ~pp~.n
INVINTORY
VAI.UI AI APPRAIIIO
R..I PIIP"'y (hh.dul. ,\)
2"1
P"..nll PtoPIlf1/ (hh.dvl. II) "
JllnhH.ld ProPltly (..h.dul. I) .
Tlln,'.r. (lch.dull C) NONE
TOTAL OROII AUIT' --2:'l1
L... D.bl. Ind Dldul".n.
(SCHIDULI P)
CLIAR VALUI PP "TAU
D 1..110 Iltato
D Annuity
l!A!I
--
POR USE OP REDISTIIII ONt. ~
To. In ,
Ta. In ,
Ta. In $
TI. on $
Ta. an $
,
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"'mp""n'
TOlal e.,o'.
T::lTAl.. TAX
INTI RUT PROM
BALANCI '
L.u Ct.dlll
D~ T, DP PAYMINT
AOJUITMINTS
COOl (HAUIIIURO UII ONLY)
RIMAINOIR APPRAIIIMINT COOl
00+
63 10+
10+
10+
~
40.
PACTOR
PRINOI PL I
-
-
VALua
-
611
1&11
COMPUTATION OUAll
$
$
$
Wli
,-~
$
TO
,
$
$
AMOUNT PAID' DISCOUNT
, + ,
-
+ ,
INTIlRIST PROM
BALANCe DUll
BALANCe
TO
.
II.
COOl
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