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Home My WebLink About81-00575 ;,.' PI r.. " :&: ~ .. .. .. ~ 0 i>' Ii! m 0 r.. . ..1 !:< Ii! $ rol ;5, H , :&: ~ lr. ~ f" 0 Ln or- CO . ,... - N 0 .,. .!! \D . :! -1. w ... 0 .. ~ OJ :I: e I/) nl >< ~ ~ t;~ ~ ~ ;z ;z:,c: l- I f-< III - 25 w "<l . uJ u>- ... I': ::i P z ~ ~~ ~ Zl" i o o,.j ~ . ;z: 0. " I ~~ I ~ < ~ ~ t;O I I/) s ~ - 0( . j I ~ 0 I < ,.J - J . OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for [he County of Cumberland. personally came Harry Kenneth Fry and Sarah Mae Kell who. being duly sworn , do depose and say that as Executors of the last Will and Testament of Orpha M. Ilgenfritz. formerly Orpha M. Fry. deceased th ey will well and truly administer the goods and chattels. rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances. Swot' n and subscribed before me. A.D.. 19.J!.L.. Z1L;;::~~ n _' J. . hi roi: ~1A co: >itll Q) $.,' QI ..... .t.> r",: QI ,0 .. ~1 \0: Ll. aI: 0): .<:, .: 0 Cl roi: $.,: (\I, 0: ll"i " ..>: $.,: ~ l'--' ...J to: 8 Q): ~ l!'i ...,: !Xl .0: I: ...J oM: El: L~ .-(: $.,: - Q): - co: - 'H: .~ ...,: .: ~ 1':: ~ 0.: roi: Q): C Q): (\I~ bD: Ulj ,..., roi: .~ Hj "tl COl QI ....: . : 0 .. 'E ...: Z :<:[ 0 U1~ ,...: t.> (\I: oS m: f We 1l oS .<:: "tl p.: If - 0 '" c .- Z t.l $.,: d ~ O' DECREE Be it remembered that on the 21st day of September ,A.D..19--B.L. there was probated and recorded the last Will and Testament of Orpha M. I1p'<.>nfl'i17.. form..rl}' Orph~ M Fry late or Borough of Carlisle, . Cumberland County. Pennsylvania. Sarall Mae Kell and Harry Kenneth Fry I)coceased. Lellers Testamentarv were granted to . Witness my hand and cffidal seal the da)' and year aforesaid. 550 '~);:~Z/k! r? 1/ 4",0.<';/ OJ 'Register ' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION COUNTY FILE NO: ,_ ~." i ,_ ' , " ", TO: r ~.~. , /- /,/J /' i .. , , , ' ' .. / , <, , ,- , , ,...-- "', Id " ''.-.~ ,. il (l (, / , I~ ( , " Appraised Value of Estate: Real ~state Personal Property Jointly Held Property/Transfers Total Gross Estate Total Approved Deductions Clear Value of Estate Less: Approved Charitable EKcmptions Clear Value of Estate Subject 10 Tax Amount Taxable @ 6% Rate ,Amount TaKable @ 15% Rate OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT DATE ESTATE FILE NO. COUNTY DATE OF DEATH $ .-------- + /' .;. ~/ ,/ '/>', I/O / . $ 'I II" :" :, '.'~-:~., ,/) $ /,..,'..-' :"1,1 /' '> -.....---.- $ -/ j/ $ .. If. /"" , 'j t81( duG tal( due TOTAL PENNSYLVANIA INHERITANCE TAX DUE .. . "" "" .. "" A five percent discount totaling $ wIll be granted if the Inheritance Tax. is paid by -- less CredIts: DATE OF PAYMENT AMOUNT~ 1.1'" > ./ $, , / t'.:.: I DISCOUNT INTEREST TAX CREDIT / *' 1'( . / /,;/ f/(/ . + $ = L , , . .. .' / i ,'/ ;'I/.IJ.~ -X I' t/ . (./:; ~'i ' $ . -T ' . = / 'i.f ,.,;;/- r" '/ ;' ,/ ~/ I , / $ I )< / Ii , + = I & ,'I . c- I /( 1 .. f'" , -- " " ./ Interest accrues al the rate of sir. (6) percent per annum on the unpaid balance of Inheritance Tar. from --.---- to dale of payment lntefest due If pl!lld bv__-'-_.'"-'---~---- is ~---- BAlANCE OF PENNSYLVANIA INHERITANCE TAX DUE $ i ( ,.j A........, by 0...1,..10,",,1101'\ on R.v"'.. 5,0" \ Agen\ tor "'. ComlpOl'\we.ltf1 i :""':.".(';-" ..J GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by the decedent prior to his/her death arc deductible against his/her taxable estate. In addition to debts incurred by the decedent ar estate, ather items are c10imable including the cost 01 administration, attorney Ices, liduciary Ices, funerol ond burial expenses including the cost 01 a burial lot, tombstone or grove marker and other related burial expenses. All debts being claimed against an estate arc subject to the approval 01 the Register 01 Wills with wham the Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability lor the debts being claimed should be attached to this schedule. A lamily exemption may be claimed by a spouse 01 a decedent who died domiciled in Pennsylvanio. II there is na spause, or ilthe spouse has lorfeited his/her rights, then any child of the decedent who is a member of the some household can claim the exemption. In the event there is no such spouse or child, the exurnption can be claimed by a parent or parents who are members of the same household as the decedent. The lamily exemption is allowable only a~ainst assets which poss by a will or by the Pennsylvania Intestate Laws. NOTE: Compensation paid to an estate representative; namely, an executor or administrator, for services perfoll11ed in administering an estate is reportable lor Pennsylvania Income Tax purposes. This taxable income item should be reported on lorm PA.40.lndividuallncome Tax Return. r' ." " n ~ rrl ~ ~ - ;J> 0 0 en Z C"l n c:: " ...., Z ~ z i= rrl rrl ;1': Z ~ ~ 9 9 z Z rrl ...., rrl Z 9 ...., -< tJl rrl - 9 en . . Z 0 en 0 ...., '"' 9 .." .." ~ .- r,.: - ~:' , 0 ,':L Z ,. Z I I' ~ C~ .... r'.::=: ,~ - I, ,,~~;, IX' u -< rrl ~ -< rrl ;J> ~ INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. II the lamily exemption is being claimed, indicate the c1oimont's nome, address and his/her relotianship to the decedent. Enter "Iamily 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 01 each payee. S. Provide 0 brief explanation in the remarks column lor each debt claimed. 6. Enter the amount 01 each debt being claimed. 7. The 101111 must be signed by the person who has assumed the responsibility lor paying the debts. If ADDITIONAL SPACE IS NECESSARY USE 8'1" x 11" SHEETS, .' ..... <. ('oJ . '- ~. COMMONWEAL TII OF PENNSYLV AN lA ) SS. : COUNTY OF CUMBEHLAND ) Befor e me, the unders igned officer, personally appeared Sarah Mae Kell and Harry Kenneth Fry, Executors of the Last Will and Testament of Orpha M. ilgenfritz, Deceased, who, being duly sworn according to law, depose and say that the foregoing Proposed Schedule of Distr ibution is true and correct to the best of the ir knowledge, infor mation and belief. ~1.-""J.-2L 7?;2-~ ~/~ Sarah Mae Kell 1k ~~7 Harry~nneth Fry Sworn to and subscribed before me , . .~;:~~~;1~Aday of March, 1982. . ,;';~.;'?~'~~Y~:."~~>. ,:;;,:,:.,~ .... .J ..... VI. -I "^1- ~",'~:'.'-:':I ... : ,,: ~ rw...... ,.... .1 : :',' r:.:. :,', .~ . l. 'i ~ ,'.. " . ~ "':.~., .) " .: ~..<,~. .~~ ;.'~'''~.i~'31.ky FUI3L[C, CARLISLE, CUM1~ERLAND COUNTY, PA .. ."" ,., ... .~~, '. . .' 'ipi COMMISSiCiIl EXPI::ES f>:JGUST 16, 1983 . .......0\1\\.1..' ~'., jut p~r.F 1109 Oct. 9 Medicare check 9 Miscellaneous household goods in apartment TOTAL PRINCIPAL RECEIVED INCOME RECEIVED 12.00 200.00 $124,995.40 Accountants charge themselves with the follow ing income amounts received: 1981 oct:" 9 Interest, Cumberland Valley Passbook Savings Account #14118 from September 8, 1981, to October 9, 1981 9 Interest, Cumberland Valley Passbook Savings Account #10-712430 from September 8, 1981, to Octobel' 9,1981 9 Intere st, Farmer s Trust Company Certificate of Deposit #28239 fl'om September 8, 1981, to October 9, 1981 9 Interest, Farmers Tl'ust Company Certificate of Deposit #21973 from September 8, 1981, to October 9, 1981 14 Interest on Farmer s Tru st Company NOW account 30 Refund, Capital Blue Cross premium Nov. 15 Interest on Farmers Trust Company NOW account 15 Gain on sale of 432 shares Delaware Fund Dec. 14 Interest on Farmers Trust Company NOW account TOTAL INCOME RECEIVED DL'3BUR SEMENTS Accountants claim credit for the following amounts paid: 1981 Oct. 6 Register of Wills, Lettel's Testamentary and 5 short certificates n P P & L, account ,,)"t fl,',!',r JU.... 1,- I l,:) 22.95 732.68 355.36 153.38 10.02 14.44 74.51 639.36 71. 25 $ 2,073.95 130.00 10.36 . '. RI:V.449 E)(i (3-80) COMMONWEAL TH OF PE~NSYLVAHIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDeNT DECEDENT '* AFFIDAVIT OF FIDUCIARY (In.truetion. on Rovor.. Sldo) ..- - ORPHA M, ILGENFRITZ, Estate of _(ormerly.QL.'Ell.a_~~;'r.:L__ Lost Address._._~~.s.Slll~h YVes.t. Str.ee!___. __. ___.. Carli~~,_ _'py.L___170~ Datu of Death September 8, ) 981 Social Security No. .174-50-2278 Bureau File No. 21-81-575 {(Int (5T/I.. TI".J (ZIPI County File No. 1. Decedent died: ( ) Intestate (w;thout 0 will) (xl Testate (leaving 0 lost will--copy attached) 2. Is the filing of 0 Federal Estate Tox Return required for ri,is estate? Yes_ No X 3. ( xl Executor/Executrix ) Administrator/ Administratrix Nome Sarah Mae Kell Harry Kenneth Fry Address __ 50 B_~iling Springs R~d __S:arlisle, PA 17013 10 Church Lane Carlisle, PA 17013 ICI TY) (STArn (ZIPI 4. All correspondence should be moiled to ( Xl Attorney l Fiduciary. S. If on o!!orney is representing Ihe estate, indicate: Nome Ro~er.!. ~=_ Fr~y 5 South Hanover Street Address CarlisI!!.!. r("l'TYI 17013 PA (ST....Tl:;l lZIPI List 011 safe deposit boxes registered in lhe decedent's individual nomehor jointly with, or os on agent or deputy of another, or in decedent's individual nome with right of access by onot er os agent or deputy. Include the nome and address of the bonk or olher institution where the safe deposit box is located, the name (s) in which the box is registered and the lelotianship of the joint holdels to the decedent. ---..-....- -.--" - NAME AND A.DDRESS OF BANK OR OTtiER INSTI1UT10H IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT eox NAME OR NAMES IN WHICH SAFE !)EPOS1T B:)X IS REGISTERED RELATlnNSHIP OF JOINT HOLDERS TO DECEDENT Dauphin Deposit Bank ~ Tr,.SE., 2 West High Street Carlisle, Pa, 17013 Undel penalties of peljury, I declare that I hove examined Ihis letuM, including accompanying schedules and S1atements, end to the btst olmy knowledge and belief it is true, correct ond complete. /1 - 3/4 _' ._j;~tJ~~tLlf:~fe. J ~TURE OF FIDUCIARY CI I &.II Jd. II!! DATE , 'i : REV..HiO EX+ 1).eO) COMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY * (Instructions on Reverse Side) ESTATEO'I= ORPHA M. ~QENFRITZ. formerly Orpha M, Fry ITEM ESTIMATED DEPARTMENT DESCRIPTION MARKET V ALUA TION NO. VALUE (OFFICIAL USE ONLY) NONE -0- TOTAL THIS PAGE -0- ....f~ "'''' ... T~- QUESTIONS CONCERNING PROPERTY TRANSFERS .. 1. Did decedent, within two yeills of deillh, m,1he illlY tl:lllsfer of Imy III:1telt:i1 p:1rt of 1115 (~stnte withuut receiving valuable anll adequate cOllsiderirtion7 (Answer "Yes" 01 "No".) _N~ 2. Did decedent, within two yenls of de,1111, hl1l1slel plopclly IIOltlhiIW,f'11 11I~lsl'lllo hillisell/lwlself :Inri Imolller p3rty or parties (includinR iI spouse) inlolnl ownelshlp7 I,\w,/Iel "Yes" UI "No",) _.,N,IL 3. If the answer to one 01 lwo "bove IS . Yes" :ind Ihe Ir:lldc!c illll cl:lil:!I!d tn be nonl:lxilble, pll)vidl~ the fullowiog information: a. Age of decedent at time of IliInsler. ___ b. Copy of death cCltificnte. c. Affidavit by the attending physiwn Indic:itlne IIle r;lille 01 :h:wlent'r; 11:;:11111 ~i lillln of tlilnsfer. d. All other informiltion SllPPolllnr~ nonlilx:lbilily of II:1I1Sfol. 4. ,Did decedent, in his/her lifetime, 1I\,1he mlY tlilnstel at propelty willliJlIlll!(civin~: II V,lllIilble or ildequilte consideriltion therefor which was to toke effect in possessioll 01 r,nloYllle:11 ill 01 ,rller II/s/her de,llll? (Allswer "Yes" or "No".) No a. Wos there any possibility Ihotlhe propelly Irilllsferred might retl/III 10 IIilII51erol 01 his/llCr estote or be subject to his/her pOVlel of dispositiOll7 (AnsVlel "Ves" or "No".) ____ b. What wos the trilllsferee's ilge <ltlime of decedent's deilll17 -- 5. Did decedent in his/hellifetime m<lke ilny trilnslel withoul receivinp, iI Vi/llIlliJle illllf ildequnte considerlllion therefor under which tr<lnsferol expressly or IlIlpliedly leserves tIll hIS':IC! irle or 'lilY [li~lied which does in fnet end before his/her death: a. The possession or enjoyment of ollhe light to income rlOnllhe p[l)perly IIill1sfelled7 (Answer "Yes" or "No".) ~ b. The righlto designilte the persons who shall [lossess 01 Imjoy Ihe properly Ililnsferred 01 income 1I1erefrom7 (Answer "Yes" or "No".) No 6. If the answer to five b. above is "Yes," stille whether the right was Icsr!lverl ill decedent alone or others. 7. Did decedent in his/her lifelillle moke 0 tr,msfet, the COl/sideliltion lo! which VI,IS tlansferee's promise 10 PilY income to or for the benefit or Cille of tlil:1slelor? (Answer "Yes" or "No".) No 8. Did decedent, at any time, liansfer propelty, the baleficinl enjoyment 01 v.1lich VI:IS suhjeclto chonge, becnuse of a reserved power to alter, amend, or levoI<c, 01 which could level I 10 decedcntunder {CUllS of transfer or by operolion of law? (Answer "Yes" or "No".) No 9. If the answer to eight 8bove is "Yes," was lhe power to aller, ilmend 01 revoke Ihe interest of the beneficiory reserved in the decedent ololle or Ihe decedellt and olllelS'! (Answer "Yes" or "No".i __ . RI:;V-453' EX+ (10.S0) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT OECEOENT SCHEDULE "0" BENEFICIARIES .",~. ,~ ",\~'~..\1';;t (Instructions on Reverse Sidel Estate of ORPHA M. ILGENFRITZ, for merly Orpha M, Fey BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY DECEDENT BIRTH Sarah Mae Kell 50 Boilina Snrinas Road Carlisle. Pa. 17013 daughter yes 500/. Harry Kenneth Fry 10 Church Lane Carlisle, Pa. 17013 son yes 50% -- --- ----- ----- 1--- , -- ---_._- .----- , .-.-- ----.----.-......."- H' __". . .-...,----",.. --~.-.__._,,-- , , -~..__.- , - - - -'--' ,- .~ -- , - The ebove beneficiariet were living at the time of the decedent's death except for the following: NAME DATE OF DEATH IhddilionllsplCe it "ocelllf\', use 8%". "" .heell. REV04!54 EX\ (3.eO) COMMONWEALTH OF PENNSVLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT OECEOENT (Instructions on Reverse Side) '* SCHEDULE, "E" JOINTL Y OWNED PROPERTY Estate of ORPHA M. ILGENFRITZ, formerly Orpha M. Fry . PE I , ITEM TOTAL \ VALUE OF DEPARTMENT NO. DESCRIPTION MARKET DECEDENT'S VALUATION , VALUE INTEREST fOfflcial Use Only) T NONE -0- , , i i I TOTAL THIS PAGE -0- 4~. /J 'V........ " _.. l~_ . C,I, r:~ l~, (.)1" 0::/"", .. Ot' Ul.~, " I'C , I I ~ ~ <<: .-,: ~ I>l ~ '" '" ~ \ z 0 I>l '" \ ;J ,..l <<: I - Z U - 0 ~ - ~ ~ 0 .... a - ;x: I ;... I- 0 <fl C' Z ::;) '" I <fl ~ I- a - "" Z I- ~ I- ~ ;I: z ,..l a - a ~ ~ z ~ ~ - Cl ~ U ~ ,..l z '" Z l- v z, :: 0 Ih c:: 0 0 of. :J .... ~ "" -:: u 0 "" --.--.------. 'ISaJalU! S,lUapaJap a4110 anle^ la~JelU a41 aleJ!pUI '\7 'ISOJaIU! S,lUapaJap a4110 a6elUaJJad a41 aleJIPUI 'C '^lJauoJd paUMU ^IIU!O! a4110 anle^ la~JeW lelol a41 aleJIPul 'Z; 'paqS!lqp.l,sa seM UI4SJaUMO IUiO! a41 alep a41 pUP. (S) JaUMO'O~ a\iIIO luapaJap a41 01 O!qSUO!lelaJ pUl~ ssalppe 'aw\'U aql "pnpul ',,8.. alnpa4~S Jul SUo!IJnJ1SUI a41 U! paleJiPU! ~e ^IJadoJd \euosJad lie aq!JJSaa . ,:V.. al"pa4as JOj SUO!IJnJISU! aql U! pOleJlpU! se MJadoJd leaJ lie aqp:lSaQ . ~ 'ISJ!1 alelsa leaJ IS!1 'papnIJU! aq 01 aJe ^IJadoJd aIQ!6uelU\ pue ajq!6uel 4108 'dI4SJo^!MnS 10 1461J 41!M slUeUaIIU!o! n sa!IJed JO ^IJed Ja4101lp. 41!M ^llU!o! luapaJap aql ^q pauMo '!p.uosJad pue leaJ '^lJadoJd lie apnlJu! Isnw ..3.. 3lnpa4:lS ,,3.. 31003H::lS ONU.31dWO::lllO:l SNOll::lnlllSNI REV-484 EX+ (HO) INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) o Original o Supplemental o Remuinder File Number 21-81-0575 Estate Name o~~~, I1~cnfritz Date of Death September 8, 1981 Social Security Number 174-50-2278 REPORT OF INliERITANCE TAX APPRAISER I, the underolgned duly appointed Inheritance Tax Appral.er In and for the County of Cumberland Pennsylvania, do respectfully report that I nove appraised the real and personal property .s reported In the foregoing return at the valu.. set forth opposite each Itom In the lost column to the rl ht In Sch ul.. "A", "B", "C", and "E" Doted: December 7, 1981 INN ADJUSTMENTS REMAINDER APPRAISEMENT CODE INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY) R.ol Prop.rty (Sch.dul. A) S None 00+ 9~+ P...onol Proporty (Schodul. B) 124,995 40 '0+ Jolnt,Hold Proporty (Schodulo E) one 20+ Tronol... (Schodulo C) one 30+ TOTAL GROSS ASSETS 124,ggS L... D.bt. and DeductIon. M- 93- (SCHEDULE F) CLEAR VALUE OF ESTATE o life Estote Mil FACTOR PRINCIPLE VALUE CODE o Annuity - FOR USE OF REGISTER ONLY Tax an $ ~ COMPUTATION OF TAX S $ $ $ $ 6% Tali on $ 15% Tax on $ Tax on $ Tax on $ Enmptlons Totol Estate TOTAl. TAX INTEREST FROM BALANCE TO $ - $ $ Leu Credltl DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT 5 + 5 5 = 5 + --- BALANCE 5 'NTEIlEST fIlCM BALANCE DUE TC REV-.ul7 EX+ (7-eOl .~ ~U':,;\:: ',"~,:;",~ ',~,"t~, ~~:.~ ~, c'\.ifj~~;;;, COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT E]ORIGINAL o SUPPLEMENT AL Estate of nrph~ M Tl /C",nfri t7. File No. _ .__;n-=a1~1.5 , , I ! i I- I I I I I , Caun ty Date of Death September A, 1 qa1 Cumberland In the .vent that any future Intor..t In this estate I. tran.fe~red In poueulon or enjoyment to collateral heirs of the decedent oft.r the explratlon'of an)' estote for life or for years, the Commonwealth hereby upr.uly reserves the right to appraise and ouen ttoll.r., Inh.rltanco tax.. ot the lawful collot.rol tot. on any such future Interut. PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH ASSET SUMMARY DEPARTMENT'S APPRAISED VALUE 1. Total Real Property _ SCH. "A" . . . . ,. $ ---None 2. Total Per.onal Property _ SCH. "B". . " $ ,124 , 995.40 3. Totol Jointly Owned Property _ SCH. "e" s None 4. Unreported $ Unreported $ Unreported $ Unreported $ S one $ 124,995.40 $ JiQne $ Nnnp S 124,995.40 . Total Tronof... - SCH. "C". . .'. . . . . None $ -1] LIFE ESTATE DANNUITY TOTAL VALUE s ._-_....,_.-~-~-_._._-_._..- -.--.----- I do hereby certify that the above appraisement is made in conformity with P~ns,lvanio law ond has been fil,d this day with the Register of Wills, ~ ~~::; 4~- Decemb~r 7. 1981 ~ "....~,.rcEfIl bAtE - ..., " Q) ..., Q) '.... s.. ~ s.. ..., ~ ~ ~ "C <Jl Q) ..., z ~ ~ " 0 :>- :>- Q) ~ ;;: '0 '" .<:: ~ ;J ..., ,.., ,..l " s- o Q) <: <Jl .0 - !3 u z ... - f"l U ~ 0 ~ - 0 !;;: - e =: .. \.. I- 0 ell 0 Z e '" ell :>- l- e - ~ Z I- ~ I- I>l Z Z ...l 0 - e -< =: z :<: I>l ...l Z :l: z .... 0 ;J u t.:) I>l ~ ~ ill ~ 0 0 -< z ~ u 0 Po :l .<.V. '593~X {" -92) .pENNSYLVANIA DEPARTMENT OF REVENUE I INHERITANCE TAX :ASSESSMENT BUREAU OF ACCOUNTS SETTLEMENT I I' CONTROL NO. 101 P,O, BOX 2055 ' , HARRISBURG PA 17105: RECORD ADJUSTMENT -"""_ . ~~.,~..l"c<.""'-=t>""'~~"'''~'''''-",,,,,,,-,,,,,,-,,"~,,,C~~''-~'''+'''''=~''''''=~".,.""_".",,DAT~..._O_~:.Jl2~L-.-_.._ ESTATE OF ILGENFRITZ ORPHh M FILE NO. 21 81-0575 pATE OF oE!\!-'L03.-o6::-8L_____________.. ____n__.___ _..___ ___.______..~oU_NTV____c;.UMB]::B.LI\N.P___.__,_ NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY, MAKE CHECKS PAYABLE TO "REGISTER OF WILLS. AGENT," SARAH MAE KELL 50 BOILING SPRINGS RD CARLISLE Ph 17013 PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE ~L!~ .A!-~~~. ~HJ~ .L!N.E. . . .. . .. " - - - - - - ~ - - ., - - .. ~ - . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ H "INHERITANCE TAX RECORD ADJUSTMENT" ESTATE OF ILGENFRITZ ORPHA M FILE ND.21 81-0575 ACN 101 DATE 09-06-83 ADJUSTMENT BASED ON SYS.TEM s:9.8.RECTIQIL-.-- VALUE OF ESTATE: , Real Estate (Schedule A) 2. Stock.s and Bonds (Schedule Bl 3. Clos~lv Held 5tock/Partl1ershlp Interest (Schedule C1 4. Mortgages and Notes (Schedule Ol 5, Casn S. Mlscellan(lous Personal ProperlY (Schedule El 6. Jointly Owned ?ropertv (Schedule F) 7. Transfers (5ct1edule Gl e, T01.1 Gross Assets {1I I 2) 1 31 I 4) ( 51 ( 61 1 71 ___~L .00 .00 .00 _Jdi,ll2,5.40_ ----,~ .00 181 124,995.40 OEoUCTIONS AND tXEMPTIONS: 9. Funeral Expenses/Ad,Tunlstratlve Costs/Mlscella.,eous E><penses (Schedule H) , O. Debls/f~lortgage,/l..lens (Schedule 11 ,1. Totll DeductIons , 2. Net Value of Estate 13. ChaTllable BeQuesls (Schedule Jl , 4. Net Value Subject 10 ",x I 91 .00 ( 1 Q) .. ,......J1..&5_9..dl_ {In 1121 1131 1141 9,850.47 115,144.93 ._,__~iL 115, ~j4.93 TAX: 15. Amounl of hne 14 llkllble It G~o ute 16. Amount of line '4 1al(,ble It '5.~ rale , 7. Pnnclp.1 Till:: Due TAX CREolTS: \ PAYMENT RECEIPT-~-' DISCOUNT I_Iii DATE .! INTEREST I-l I AMOUNT PAID i ..~_1_,_,._______-,___-_""",___,~~__~-_'__'_.'~---1 I 11-24-81 069836' 345.43 I 6,563.26 I i ' : i l : i i..---__J____,._,.~__L-_.__.____.______._...._.__.______.___~-._---........., INTEREST IS CHARGED FROM 06-09-82 TO C9-21-83 ,._TOT~TAX :RE~r:....J__ 6.908..62~ AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE , .01 I ,"~___.________....____,__:..=...-.....l REVERSE SIDE OF THIS FORM.- I INTEREST, .00 ! .--,-_._--,------~._-- . IF PAID AFTER DATE INDICATED SEE REVERSE FOR CALCU~ATION __ TOTAL DUE __' . 01~ OF ADDITIONAL INTEREST (i~ B.l,nce Due IS leS5 th'"l S' ,00 no p,\,mel"'l1 IS required) ~[TAIN THIS PORTION FOR YOUR R[CORoS (15)__~15.14,b,!1l.._X06=_- 6,908.70 1161 .00 x.15=__~ (171 ,_,_~08. 70