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No. 21-81 SLit
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
MILDRED L, GRAFFIUS
, deceased,
To MARY C. LEWIS , Register of Wills for the County
of Cumberland, in the CommanweQlth of PennsylvQnia,
is
Petitioner~~!(e the execut rix named in the Last Will and
and CODICIL " A " ~ N be 1 956
Testament/of MILDRhD L, GR HIUS dQted ovem'r 4, 1, '
, / ;Ilild May 1)., 1981,
Decedent ~as Q citizen of the United States Qnd a resident of / respectively,
Camp Ihll, Township
East Pennsboro Borough, CumberlQnd County, Commonwealth
of Pennsylvania,
Decedent died on Friday, the 25th day ofSeotember
A. D, 19J.L, in the County of Cumberland StQte of
pennsyl vania at the Qge of 74 years.
~ bllllsx her
Decedent hQS not been married Qnd hQS not had children born to i1lm::'{
since the execution of the Qbove described Will.
Decedent was possessed of personal property to the value of
$45,000.00 and of real estate to the vQlue of
$55.000.00 as near as can be Qscertained; said reQI
estate situQted as follows 1708 Letchworth Road , Camp Hill, Pennsylvania
~~X
Therefore, your petitioner(ls* respectfully applies for the probate
of the said Last Will Qnd Testament and for Letters TestQmentary thereon,
Dated October 1 1981
Name and address
of Petitioner~
(/1:"'
1'[:\",,;11 ~-i::.J.A,afi'u ~ (I)
VEHNA GRAFFI .
6143 Blue Ridge Avenue,
Harrisburg, Pennsylvania - 17112
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
VERNA GRAFFIU~,
nQmed in above QPplication, being duly sworn according to IQW
say(s) thQt the statements set forth in this petition Qre true to the
best of
her
knowledge Qnd belief,
and subscribed before
.. '\ '\ ,,_ og.(fJr n. / ./: '~ i ":J .I
VERNA GHAFEIUS
Sworn
1 19 81
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.6~;:F/~:.j Filed;
Register
OCTOBER 2,1981
Attorney: ELMER E. HARTER,
Suite "Olloo- 105 N.( Front St.. 1'..10bBoX 1143.
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Srptember 1972
M- / 't.ro /117
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
1 HH:
. October 81
11115 ........,.........................11,1;,.....,....,........................, day or ................................,....,...,........................., A. D., 19......."
before me ...............,..,~~,~.Y..q~..,~~~f.s.....................................................,........., Register for the Probate of Wills
and granting lelters of Administration in and for said COllnt)' of Cumberland, in the Commonwealth of Pennsylvania,
. EVELYN L. SMITH,
personally came .......,.... ,..,....,..' ........,....,..,..,..,.., ............" ......"""...."..,..,......"".."....,..,... ......" ....,......, .........., ........... ,....,......
oue..o{.......'....."...'..'............".."'."..".'.."'..".............,...,...." ,.., .."....' ",..,..,"",........,..,..,..,..,..,..........'aiiej"CocttciC'......
the subscribing witnesses to the foregoing instrwnent of writing purporting to be the r!t6~~Y:iP'\.1.esr~gt~~d
....,..............,..,........,.."M~.~.P.gg:.P...~"...qM.F.,r:I\.J.~........ "...",.."..,......"....."..... Dated ,.M~y..U,..,19,H...,~,$.~,(:t-
iveIy,
late of .....,.,.......,..,....C.~m.p..liill...,E~,$.t..P,ennsbox:Q,.TQwnship.................' Cwnberland County, Pa., de<eased .
who being duly ....................!1:w.\?.IJ.!....,..,......... according to law, depose and say, that ,......,
she was
present, and saw and heard the testalr~..........................., ......,MI,r.,.p~,E..I?..r.,."..9R~,f,fJ.V~,....,......,....................
sign, seal, publish, pronounce and declare the said instrument of writing as and for h.~,r.........,... Testament and
Last Will, and at the time of so doing ...................,!1,1}~,...................................... was of sound and disposing mind,
memory and understanding, to the best of ..................,.....tll~t.!:.....,...................... knowledge, observation and belief.
.............................,......~~9,m,..... and subscribed before
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.........................,..........,..............,...........,............................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I
COUNTY OF CUMBERLAND i ,,:
VERNA GRAFFIUS.
.,..........,..,.......",',..,",.. ....,..,...."...""...".....,..,..,., ,..,.,..,..,.",..",.".,.,.,...........,',.,.. .",.,..', .......".....,.,......',......" ,...... being duly
..............JlWo.m..................... sa)'S that as nearly as can be ascertained the said decedent ..,................................,....,..,
...,......... ",. ,....,." ......,M,I~P.I~~P...L.."..ql~J\FFIUS.. ,. ,.......... ...... .,....,....,......,......., died on
.,..Er.,~d.l1.Y......,..,...... the ...............2?~!I,........., day of.....SepteJTllle,r.,..,....",..,........".... .... D" 19..,~t
at or about .....,........,9.:,~~..,...,............... o'c1ock, ~\ M.
Sworn
............................ ...."
,.....,.,.......,.... and subsnibed this
............"...,Plet.PP..pp, ,uy ofC?~,~,~,~......
19.8.1.., Ixfon:
...~/Z;il..~"..t.:.:ju.{.:.(.~:.~"",..," R~gi"~r,
/.. _ ~~'J... ~ _~..?\- ...... .1; ~ .\1. / f~ :1/.I"t./~ J..:.... ..................
VEltNA GHAFI~IUS
630
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENN5YLVANIA~
55:
COUN1Y OF CUMBERLAND
Before me, the Register for the Probate of Wills and granting of tetters of Administration in and for the
County of Cumberland, personally came ..,...............,VERNA.,GRAEFlUS...,.......,.......,...,.......................................
who, being duly ....,s.wor.n......,....,. do es........ depose and say that as ......,.................~,X.~,C.l!.9;.~..............................
and Codicil
of the last Will and Tcstameny of ......,................,....,......MJ~.P.RgP...~....,G.gM~.fJ!JI?,',........................,.. deccased
................,~~,~..,....,.......... 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,
Sworn ,
,...............'..............., and subsCrJbed
before me.
.....,.....Octobe.r...............;!...,..........,..,.. A. D., 19,H...
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DECREE
Be it remembered that on the ,...........~,l:\!S,..... day of ....,......Q.cl.~~~,z:',..,...........,...,...... A. D" 19..,~~. there
was probated and recorded the last Will and Tcstament of,.....".I(~.LD.~P..:r....,q,~P.,~.~$.......................,.,'
lare of ,..........,...u.sT..,P.Ql.'SIl:QRQT0iN:SJiIi'.. Cumberland County. P,'nm)'I\'ania, Dl'CeasN. Lettcrs
.......,....,1.J"'~1,...........,.....,. wcre granted to .. ,VB~,.c:;~P"IY$......,.. ..,.....
Witness my hand anJ official seal the day !nd )'Cu aforc.aid,
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"V.l"""" '''''I ~ _l-LINHERITANCE TAX RETURN
COMM~~n[,~ml ~IIWS:>>,~~"'NI" RESIDENT DECEDENT
au.IAU Of I....MIH..."ON ..... j
KA~~1I:g~p8J.2!1~O~ _L . ~ 21. - I
l Docadent's N.me (Last. First, and Middle Initiell
GRAFFIUS, MILDRED L,
DECEASED-- ]
Social Secmitv Number Data of Death
172-32-0164 September 25, 1981
1. Original Return ~ 2. Supplemanlal Raturn 0
CHECK
APPRO.
PRIATE
BLOCKS
File Numb" ,.) 1- ,? / - to () /
Dacedanl'sAddra" 1708 Letchworth Road,
Lower Allen Township,
Camp Hill, Cumberland County
Pennsylvania - 17011
3, Ramaind" Return 0
4, Lifo Estate 0
6. Decadent died testate II
(Attach copy of Will) W
5, Federal Estate Tax 0
Return Raquirad.
7. Decedant maintainad a living 0 8, Total Number of safe II
tfUst (Attach copy of trust) deposit boxes inventoried LOJ
CDRRE.
SPDNDENT Neme
All correspondence and confidential tax information should be directnd to:
RECAPIT.
ULATIDN
AND
TAX
CALCU.
LATION
Computltion of Tax
15. Amnuntof iina 14 taKBblaat 6% r.le (15) 47,577.78
linclude value. from Schedula KI
16. Amountoflinal4taxablaatl5%rate (16) 05,306 66
(include velueslrom Schedule Kl
17. Principe! la. due (add t.. from line 15 plust.. from line 161
lB. Total Prior paymentt:
(al Amount Paid $9,17 5,00
(bl Plus Disc.unt 0 25 . 00
(eI Minus Interest (181--2..600,00
19. Balance Due Uina 17 minus line 18)
Make Check Payable to: Register of Wills, Agent
. .. PLEASE RECHECK MATH. . .
ELMER Z, HARTER, ESQUIRE
Telephona No.
238-9555
Recapitulation
1. Real Estate (Schedula AI
2. Stocks and 80nds (Schadule B)
3. Closely Held Stock/Partn",hip Interest (Schadula CI
4, Mortgages and Notes (Schadula D)
5, Cash & Miscallaneous P",enal Property (Schelfula EI
6, Jointly Owned Property (Schedule FI
7, Trans!", (Schedula G)
8. Total Gross Assats Itotal Iin.. 1.71
9, Fun"al Expanses Administrativa Com/Miscallana.os
Expenses (Schedule HI
10. Debts/M.rtgages/Liens (Schadula II
11. Total Deductionsltetallines 9 & 101
12. Nes Valu. of Estate (\ine 8 minus line III
13. Cheritable 8equests (Schedule J)
14. Net Valua subject t.taxliina 12 minus line 131
Addrell Suite 400 - 105 North Front Street
P.O. Box 1143
City Harrisbur~
State Pa.:i Zip~.17108
'"'7
"1;;"
( 11$50,043,53
( 21 4.00
( 3) 0
( 4) 0
(51 62.478,31
( 61~71,12__
( 71 0
,
"
(81$114,796,96
(9) 19,855,43
(10). 2.057,09
I1Il 21.912.52
1121 ~884.44
(13)
(14) 92,884,44
x.06=
2,854.67
x,;S=
",7Q.. nn
1171
9,650.67
(191
9,600.00
50,67
Under penalti.. of perjury,l declare that I have eumined this return. including ecc.mpanying schedules and slOtam.nts, and to the belt of my knowledge
and belief, it is true, correct, and complete. Declaration of prepp:er other t~an t!1e ]ef'Qnallepresenl.t1ve h based on all information af which prp.parer has
anv1,"owl,dll". ' b143 Blue K1.dge Avenue.
(,-(-'0.(1.//."I(1,jilt.J..J..1! lIarrisbur!::,Pa. ,-17112 January 4,1983
SIGNATURE OF PERSONAL R SENTATI ADORESS DATE
~, Suite 400-105 N. Front St., Januarv 4. 1983
P. O. Box 1143.
(.. ,~__, Harrisburg, Pa. - 1710B
AN ftEP ESENTATIVE AODRESS
REV-..49 EX+ (900601
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
STATEMENT OF
FIDUCIARY
(Instructi6ns on Reverse Sid,)
.
EstDte of mr.DRED 1.. GRAFFIlIS, DEr.EASED Dote of Deo'" Sep.temb.er...25.......J...9.81
L 1:708 Letchworth Road, Lower Allen Twp. ~ 172-32-0164
ast Addres:tallljl-#i.~ , )ociol Security No,
Pennsylvania 17011 Slole File No,
ICITYI
(5T" TE)
(ZIP)
County File No,
1. Decedent died:
( ) Inteslote (without a will)
( X) Testale (leaving a last will--copy attached)
2, Is the filing of a Federal Estate Tox Return required for this e$tate? Yes No No
3. ( Xl Execul6rix () Administrotor
Name VERNA GRAFFIUS Social Security No. _ 204-03-2682
Address 6143 Blue Ridge Avenue,
H~,..,..; Rbllrg I
(CITYI
PpnnRylvania
(STATEl
17112
(1.11"1
4. All correspondence should be mailed to ( X) Attorney
Fiduciory,
5. If on attorney is representing the estote, indicate:
Harne
ELMER E, HARTER, ESQUIRE
238-9555
Telephone No.
Address Sui,te 400-105 N. Front Street, P. O. Box 1143.
llarrhb'lrg
(C:IT't'1 .
PQT'".,ai!' 17~n.;!)
1ST HI
171 nil
PIPI
List 011 safe deposit boxes reqistered in the decedent's individual nome\,or jointly with, or os on c~ent or deputy
of another, or in decedent's individual name with right of occess by onot er os agent or deputy. Include the nome
and oddress of the bonk or other institution where the sofe deposit box is located. the nome (s) in which the box
is registered and the relotionship of the joint holders to the decedent,
.-.--
NAME AND AODRESS OF 8ANK OR aTHER INSTITUTION
IN WHICH DECEDENT MlINTAINEO A SAFE DEPOSIT BOX
NAME CR NAMES IN WHICH
SAFE DEPOSIT BOX IS REGISTERED
-
RE:LA TIr,S:)HI~ OF JOINT
~OLOE.S Tl1. DEcEaENT
NONE
Under penalties 01 perjury, I declare thot I have examined this return. including acca",pony;ng schedules ond
statements, and to the best of my knowledge and belief it is true, correct ond complete.
Sworn ~nd sublcr1.bed t~, b,{tfore me
. th~sLdayofl1.:~(~c.1981. ,,/ ,....'.Ai",.! 4 1983
:t..-.....~iH..",,"-~~.~..{..(.. .. Notary Pllhl1c VI) VlfI , j~.'u..t:f< 'UJ__ J;mIl3ry.._~
RY""'Cc sslon expires March 7.1985 SIGNATURE OF fIUUCIARy/I,' PI,T[
...~
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/'>'Lf/S~-~~J~? Iv~ ti-J
,{~ ' ' jl '1 /. v ,-/''-= . - 6 "-
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, ! 71'(, b~I,,"'-'~oJj...~
l'~:.w..l-' "}.L..u.t.. , II".. ' 17<'"
r .
"Md.&.<Z' .&~~
,
witness
witness
Sworn to this 1st.
s'ptembcr 1972
(tL 0.&' ;;;' ~
, "T
Dlstrl~ ust ce '
Comm ciplreo J~n 5.
day of
fZ&..
1976
, / ...'
('
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to:.. \._/, " /.... ,.'~ 1.\
,.. , I , , . I I....
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REV-4S0 EX+ (10-80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT OECEDENT
SCHEDULE" A"
REAL PROPERTY
~
,~~~~fI...
'~ l,...."~(J:;~
P"",,,,-'~_..,l,.,,I.,.;.
,:::,.. ~:('i:.~/-:-.-. ',...'
(Instructions on RCllcrs~ Side)
EST ATE OF MILDRED L. GRAFFIUS. DECEASED
~
ESTIMATED DEPARTMENT
ITEM DESCRIPTION MARKET VALUATION
NO, VALUE (OFF'CfAL USE ONL Y/
Residence at 1708 Letchworth Road, Lower
Allen Township, Camp Hill, Cumberland County,
Pennsylvania - See Deed Book "C", Volume 12,
Page 141 - - Sold for (tax adjustment included) $50,043,53
-
TOTAL $50,043,53
I
II additional spoce is necessary, use 8'/" x 11" sheels.
IW'HI07U+I,.e11
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE "D"
MORTGAGES AND NOTES
MILDRED L, GRAFFIUS, DECEASED
(All prop.rty JolntlYoQwn~ with Right of Survl"'Ot1hl~ must b. dlKloYd on SC""UI. "F")
FILE NUMBER
ITEM
NUMBER
1.
-
DESCRIPTION
VALUE AT DATE
OF DEATH
NONE
NONE
TOTAL (Also entor on Una 4. Recapitul.tionl
$
NONE
(It more 'PIce I, nMded 1r'lMf1 .ddhloneIIhNt. of ..me ,III)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
IEV.j508EX+ (9.81)
SCHEDULE "E"
CASH AND MISCELLANEOUS
PERSONAL PROPERTY
I
FILE NUMBER
MILDRED L, GRAFFIUS, DECEASED
(All prop.ny Jolntly-owned with tn. Right of Survlvonhlp mutt b. dllclol.d on Sch.dule "F")
ITEM
NUMBER
1.
DESCRIPTION
STATE CAPITAL SAVINGS ASSOCIATION:
Savings Certificate #002-00-07837------------------
Term Certificate #002-20-12378----------------------
Money Market Certificate #002-19-06410--------------
FIRST FEDERAL SAVINGS AND LOAN ASSOCIATION:
Savings Account 111- 3-4014 20- -- - - - - - - --- -- - - - - -- - -.. --
Certificate #217-024187 ----------------------------
Certificate #217-116824 ----------------------------
Certificate #217-124627 ----------------------------
Certificate #236-809333-----------------------------
DAUPHIN DEPOSIT BANK AND TRUST COMPANY - Checking
Account #38-26-695-4--------------------------------
11 $500,00 U, S. Savings "E" Bonds (See itemization
attached) Value at death --------------------------
Diamond Engagement and Wedding Rings -----------------
Costume Jewelry --------------------------------------
1970 Pontiac Lemans automobile - sold for ------------
Cash on person --------------------------------------
Personal Property - including pictures, tables, secre
tary desk, lights, television, trunks, tools, 1 din-
ing room suite, 1 kitchen set, 2 bedroom suites,
sofa and 3 chairs, sweeper, linen s , etc" sold for-
Blue Ridge Haven West - Refund of Over-Payment ------
Commonwealth of Pennsylvania-State Lottery Benefits---
All State Insurance Refund -----------------------
Medicare Refund ----------------------------------
Capital Blue Cross Refund ------------------------
Equitable Life Assurance - Pension Check -------------
Berkley-Detweiler Insurance Refund ---------------
Blue Shield - Refund ---------------------------------
Bell Telephone - Refund ------------------------------
TOTAL (Also enter on line 6. Recapitulation)
elf more tPKI I. needea iOMf1 ."'.J;{iyr.61 shNt1e~ e..... ,1,.1
VALUE AT
DATE OF DEATH
$7,227.55
5,608.76
10,285.58
4,660.67
1,015.61
1,015.61
4,062.41
10,293.85
5,302.07
9,250,00
200,00
5,00
400.00
13.32
1,468.50
1,205.37
100.00
43.00
124.80
20.05
51.11
76.00
31. 20
17.85
$62.478.31
Verna Graffius
6143 Blue Ridge Avenue
Harrisburg, Pa, 17112
STATE
CAPITAL
SAVINGS
ASSOCIATION
m
DATE' December 14, 1981
DECEDENT: Mildred L. Graffius
D.O.D,- 9-25-81
#)02 -<2Q. -07837 BALANCE AS OF DATE OF DEATH $ 7,135.40
ACCRUED INTEREST 92.15
DATE OF DEATH VALUE $ 7,227,55
DATE ESTABLISHED
MATURITY DATE
ACCOUNT TITLE Mildred L. Graffius
#)02-19"'{)6410 BALANCE AS OF DATE OF DEATH $ 10,000,00
ACCRUED INTEREST 2135,513
DATE OF DEATH VALUE $ 10,2135.513
DATE ESTABLISHED
MATURITY DATE
ACCOUNT TITLE ".
#002 _~_12378 BALANCE AS OF DATE OF DEATH $ 5,500,00
ACCRUED INTEREST l.uB.It'J
DATE OF DEATH VALUE $ ~,bUb./O
DATE ESTABLISHED
MATURITY DATE
ACCOUNT TITLE lilt
i_- BALANCE AS OF DATE OF DEATH $
ACCRUED INTEREST
DATE OF DEATH VALUE $
DATE ESTABLISHED
MATURITY DATE
ACCOUNT T7.TLE
THE PENALTY ON PREMATURE WITHDRAWALS OF TERM INVESTMENTS
IS WAIVED PRIOR TO THE INVESTMENTS RENEWAL DATE. TO ACT UPON
ACCOUNTS HELD IN AN ESTATE WE REQUIRE A SHORT CERTIFICATE"OF
CURREN'r DATE; A DEATH CERTIFICATE ON JOINTLY HELD ACCOUNTS.
CONTACT US FOR ANY FURTHER INFORMATION.
BY:
,/
.~
"lI ..
h;" ' ,~ i". ";'.! n : ,i ....'.'1".. .; '.'l i .;, 'I."." ""'.'. '1"..;;;\-. ,i" ';'-" "1 ,,,i.>J.' 'I \ ".'~I" I '\':' l' .'1' '\. .,:"
If'SLICl
l~~
,.::~'_.....
...
.
I.
Dec. 14, 19P1
Re: Estate of:
~~i 1drpci ! . (jrllff1u!>
Social Security No. ]~?-,?-Ol(,"
I)ate of death:
] qp,]
Sent.
"~
, '.
"
.'
Account Number(s) 1-4-~0?4?0
l-u-posc:pr;
?]7-0?41P7
Type of Account / s" VeIl!""
Date Opened Jan. ] '7. ] Q7'i
Snvinr,:::;
Cf"rtj f'ir.fltf'
Jon. ]7, ]Q7~
Jul'! S, ]Q7P
Principal Balance S4.(,4~.lP
:4 ,C,i+.? .?l+
S1.011.11
4.so
Accrued Interest ]':'./jO
]7.11
Balance at
date of death $1, ,((,OJ,':'
.~4.~~Q. "0
5] ,OJ ~ .(,1
Account
ownership Indi vi nun]
lloint
Inni vi nua]
Name of joint
owner, if any ----------
Vprna Gr[lffjll~
Comments:
FIRST FEDERAL SAVINGS & LOAN ASSOC.
ESTATE. OF _>.:l:J.:gREr~::.......~:!i~l:~~]_~S ,__,~ECl~f.\SED__
T11~ FOL.~9WlNG U. _ s. GO~~~~:~N~~'--'.:..~~__ ~QND~. 0~!~~L~_~_!~P)_..lli..!~~ .NAHL
OF DECEDENT, _ MI;,l:.g~~~,,!-,-Qi!.:\EI:I~~-,-.i\~Q_l'i\~~_ A_~i\~I<;_ y!'\LUE_.
,I<;i\CI!..Q!~_ $500 .QQ_
NUXBE~ DATE PU;<,CHASED VALUE AT DEATH
-- --~. ._--- -.-,-<-.. ,.- ..- ---
0 36 1,22 501 E Decemb('r, 1956 $1,145.00
D 86 946 320 E January, 1965 867.80
D 87 904 922 E October, 1965 857.60
D 87 904 926 E December, 1965 860.40
D 87 904 931 E September, 1966 841. 80
D 89 035 039 E Jnnuary, 1967 824.40
D 89 294 913 E ~13rch , 1967 824.40
D 89 501 465 E July, 1967 807,20
D 90 615 607 E ~larch , 1968 791.40
D 92 430 240 E January, 1970 725,60
D 92 692 507 E June, 1970 704.40
.-....---.-.---
IO'!' A_~"'yAL_U E _SE P1~1~t11\1i1~.. ~2.,__..)J 81..!._.I>!.\1'!~.. Ql: DEAT!I ' - J9",L'i.LQ,Q_
.--- --
..
IEY,II09EX+ ""II
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE "F"
JOINTL Y OWNED PROPERTY
ESTATE OF
FILE NUMBER
MTT nRFn T r.RAFr.T1I~ nr.r.FA~l'n
(Thl.lchedul. mu.t b. completed If the d.ced.nt, It the tlm. of his ~r her d..th, own.d IOY property .1 1 joint t.nent with thl rIght of .urv\vonhlp,)
Joint tenant(,):
VERNA GRAFFIUS
NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A.
MILDRED L, GRAFFIUS and
VERNA GRAFFIUS ---------- 6143 Blue Ridge Avenue
Harrisburg, Pennsylvania
Stepdaughter
B.
C.
Jointlv owned property:
ENTER
ITEM LETTER FOR DESCRIPTION OF PROPERTY TOTAl. VALUE DECEDENT'S DOLLAR VALUE OF
NUMBER JOINT TENANT OF ASSET % INTEREST DECEDENT'S INTEREST
1. A. Savings Account No,
1-4-805585 - First
Federal Savings and
Loan Association -
Opened 1/17/75 $4,559,35 1/2 $2,271.12
TOTAL (Also enter on line 6, Recapitulation) $ 2.2711?
(I' more s.p1Cl I. nMded In..., .ddltlo,,,llh"',, of "m..lr.)
IlEY,1510fX+ ~'1.ell
COMMmlWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE "G"
TRANSFERS
MILDRED L. GRAFFIUS, DECEASED
FILE NUMBER
1. Did decedent make any lifetime transfer of property without receiving a valuable and adequate consideretlon which was
to take effect in possession and enjoyment at or after death, or in which the decedent retained either:
YES NO
a. the possession or enjoyment of or the right to income from the property transferred? or.
x
b. the right to designata~th.e person,s who shall possess or enjoy the property transferred or income; or
c. a reversionary interest?
-------------- - -- - - - -- - ---- ------
2. Did decedent in his lifetime meke a transfer, the consideration for which was transferee's promise to pay income to,
or for the benefit or care of, decedent?
x
3. Did decedent, at any time, transfer property, the beneficial 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?
x
------------------- ----------
4. Did decedent within two years of death transfer a material part of his or her estate without receiving a valuable and
adequate consideration?
x
- --- _.- - - - -- ------- - ----- - ---
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, DESCRIBE THE PROPERTY BELOW,
DECEDENT'S DOLLAR VALUE
ITEM ASSESSED TOTAL VALUE % OF DECEDENT'S
NUMBER DESCRIPTION OF PROPERTY VALUE OF ASSET INTEREST INTEREST
A. Real Estata:
1.
I NONE NONE
I
B, Pertonal Property:
1,
NONE NONE
TQTAL (Also enter on line 7. Recapltulationl $ ""'Mt'
(It more ~C4 I. needed InMr1 .delltlonll .h..n of ume .1,,)
".IIIIIll+('~11
CDMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ITEM
NUMBER
1,
SCHEDULE "I"
DEBTS OF DECEDENT,
MORTGAGES, AND LIENS
~RED L. GRAFFIUS, DECEASED
-
FILE NUMBER
DESCRIPTION
U.G.I, - Outstanding Bill _____________________
P. P. & L. "" _____________________
Bell Telephone Co," "______________________
Keystone Oil Products" " ______________________
Riverton Consolidated Water Co, -Outstanding Bill----
Lower Allen Township - Sewer and Trash ______________
Raymond Martin, Treasurer-Real Estate Taxes ________
Rita Sperling - Snow Removal ________________________
Berkley-Detweiler Co. - Homeowners' Insurance _______
LaVerne Pyermiller - Care of Lawn -___________________
Dauphin Deposit Bank and Trust Co, - Postage _________
H. L. Bowman, Plumber - Repairs ______________________
Ewing Roofing - Repairs _____________________________
TOTAL (Also enter on line 10. R.....piIUI.tionl
(If morelPlc.l, "..dlld lnun ~dltl~l .h..., of Mm, tile)
AMOUNT
$ 39.22
81.87
17,85
1,379.22
37.72
154,85
85.71
30,00
117.00
50,00
6.65
22.00
35.00
$ 2,057.09
REV. lS47EX (I-B3)
BUREAU OF EXAMINATION
PENNSYLVANIA DEPARTMENT OF REVENUE
P,O, BOX 8327
HARRISBURG, PA 17105
NOTICE OF INHERITANCE TAX
APPRAISEMENT. ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS. AND ASSESSMENT OF TAX
ACN
101
DATE ~-83
FILE NO, 21 81-0601
COUNTY CUH~~AliD
SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX
ABOVE COUNTY, MAKE CHECKS PAYABLE TO "REGISTER OF WILLS.
MILDRED
L
ESTATE OF GRAFFIUS
DATE OF DEATH 09-25-81
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT
PAYMENT TO THE REGISTER OF WILLS OF THE
AGENT II ,
ELMER E HARTER ESQ
105 N FRONT ST STE 400
PO BOX 1143
HBG PA 17108
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
<!l,!1..A.!-9~~. ~HJ~ .L!N.E. . . . . . . - . . . . - . . . . . . . . . - - - - . . - - , . . - . . . . . - . . - . . . - . - . . . - . .
ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
APPROVED DEDUCTIONS AND EXEMPTIONS:
9, Funeral E)lpensesfAdminlstrattve Costs/Miscellaneous
Expenses (Schedule HI
10, Debts/Mortgages/Liens (Schedule II
, " Total Deductions
, 2. Net Value at Tax Return
13. ChartlablefGovernmental Bequests (Schedule Jl
, 4, Net Value of Estale Subject to TiX
NOTE: I If an assessment was previously tssued, lines 14, 15 and/or 16
reflect flguros that include the tota' of ,aJ.l returns ossassed
ASSESSMENT OF TAX:
1S. Amount of line 14 lu:able at 6% rate
16. Amount of line '4 taxable at '5% rate
, 7. PrincIpal Tax Due
TAX CREDITS:
NOTICE OF INHERITANCE TAX APPRAISEMENT.
REV, 1547EX (IO-B2)
ESTATE OF GRAFFIUS MILDRED
L FILE ND,21 81-0601
TAX RETURN WAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE~VERS~
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1, Real Estate (Schedule AI
2, Stocks and Bonds (Schedule BI
3, Closely Held Slock/Partnership Interest (Schedule Cl
4. Mortgages and Notes (Schedule D)
5, Cash & MIscellaneous Personal Property (Schedule E)
6. JOlntlv Owned Proper1v (Schedule F)
7, Trlinsiers (Schedule Gl
8. T ota! Assets
r---'" --....,...----..-.-.---.----
, PAVMEN1' RECE,r1
I DAH .
1---..--....... .-- ------.~_.-..--.
12-23-61 069905
06-23-6: 049608
01-05-82 070466
DI$COUNl j;-)
IN1ERESl {-'t
';2:).00
,00
",36-
-..------
INTEREST IS CH/,RGED FROI" 01-[,6-53 TO [1:-jf-E3
/,1 THE R/'';'ES I,PPLIC;',9LE ~,S OU:':,lliE: 01: THE
";:-"T:~C'T l~.nl: rT ....,n'='
r\.< \ ...1".. .. .. < .. W. ~.. - ... ,-
ru~y.'"
~r ;.;~:: :_:'~r.""'~ :,-,i( ~~: ;~:'..~:.~.~: II.';' ,-;,~~.~'.'"~'''
ct: j..,~:.::":;~I!"\;,,~
!NT[(:.r::~
RtTAIN THIS PORTION rD' VOO' ~tCORDS
DATE 03-01-83
ACN 101
I CHANGED
( 11 50,043.53
( 21 4.00
( 3) .00
( 41 .00
(5) 62,478.31
( 61 2,271.12
( 71 ,00
114,796.96
( 8)
191
('01
19,855.43
2,057.09
_,21,912.52
92,884.44
.00
92,884.44
1111
1121
(13)
('4)
and 17 will
to date,
(, 51 ~J,!E2-,-7j!_ ;c06=
('6I,_..1.~,:l.Q.6~2....J, 15=
(171
2,854.67
6,796.00
9,650.67
.._____4'_"___"_ -~._-._.-
AMOUNl PAID
8,075.00
1, lOa. DC'
5~;.92
---.-----.--------.------.---.
101 A~ ,- A~ CREDI'
..fJ '5Q .56_
...... ,~L_..
.-.-. . ..-. . ....- --..,--
BALANCt OF TAX out
INTtREST
TOTAL D:Jt
'"
.,.,
',' ::'c.'" c ( ;J.Jl I~, It' ~ ~
\ 'ill" ~. \ .J., "\
F" . .."
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:;~ZL
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.... . C"1
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:;:; '" 0
;:l f'-
. 114 0 ....
0 :I:
r . .. l-l l-l
. Q) l-l <ll
l-l ;:l ..-1
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-, .1.-.." , 00 :>
Q) :>-. ....
p:: l-l :>-.
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:3 p...
Q) 'tl
0-1 I'l
<ll Q)
.... ....
U l-l '"
Q) -.-I
:>-. ~ ....
l-l l-l
<ll <ll
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<Il
0
a: ,. ~ -....
w '" w < ~
. .'
I- 0 z ~
\11 II , ~
, ,n J
w <{ "
u m . , -....
J: , "' \.~l
, " 0 Z
, , Z
0 W " w
u , (l .......
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" " "
< W ., a
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W 0
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,
_ -- _ ---- _ -- -~ .-- _ -- _ -,- _ -.-- -.-..., ---.- -...-- ","-- ..- - .
~ ---
z;;a.:
REV., 1132 EX
-
-.--
COMMONWEALTH OF PENNSYLVANIA
NolO 7048~ DEPARTMENT OF REVENUE
. O'J'!FICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
RECEIVEO FROM:
r Ve!:M..,.gr~J~j,'!L. ,_.,..._ ,....,. ...__.J
_c:/~_._.~.r~.. ~~e;,E.q.
_..I'..O,...~OX, .1143,....,.. .'
_~~J:'!..~,!;g, rll. 17108
l_ ~
ESTATE INFORMATION:
FILE NUMBER 21-81-601
NAME OF DECEDENT
'$;ST 6FIRSi983 MI
DATE OF PAYMENT anua
6 POSTMARK DATE Januar 5 1983
COUNTY C:t'."""rlan4
DATE OF DEATH September 25 1981
REMARKS
SEAL
m
G AMOUNT
ACN
Assessment Control No.
Probate
tihoTAL AMOUNT PAID
RECEIVED BY
: ,~-. J
~' ~.
," - J ' " _ / .~ . .
,'1 ''-'(,NA RE/lA>-.!.J>.
...
~
REGISTER OF WILLS
- .
----- ----=-= ---
...._ -=------__ ][.:L.P- .....---""... --,.----,.
_ -- _ -,..-'.' .-- ---- ....-- .--.-. - ... _..- ..-.- ,--~.-
55.92
~
~
Ii
..
.
R
a
....._J1
55.92
..~.- . -., ...,... -.-.. -.- .---' ~ -- - -. - -