HomeMy WebLinkAbout81-00659
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OATH m' PF.RSON,U,REPRESENTt\TIVE
COMMONWEAL TH OF PENNSYl..VANIA $II
COUNTY OF CUMBERl.AND
Refore me, the Rellllter for the Probate of Willi an~ granting of Lellerl of Adrnlnlllratlon In and for Ihe County of
. Cumberland, personally uumo J oun Mo rJlllllI.hl t n
who, belna duly DWI)t'n ,do aB depolCllnd IUY Ihlltlls l';xaolJ Ilt'ix
of the lasl Will and Tellllmenl of IDvelyn C. 1l1'uBsmyOI'
dcoealOd
ehe will wellllnd truly IIdmlnlster thelloodsand chllllell, rlghc..llnd credits of laid decealOd accordlnato law, And
Swot'nand lublcrlbed be for" me,
III
,A,D..19 ., Ihere was probated and
late of
11110 will dlllgenlly comply with the provl.lonl of the law relating to Transfer InhorllllncOl,
Ootober 29, -\.0" 19 [\1
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DECREE
8e It remembered thai 011 Ihe 2 t:ln
day of NovAmqpr
reqordedthe lall Will ~nd Testament of !i:vB1yn c. Qrl,lllsmyel'
Monroe 'l'ownshtl>
Reslsler
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. Cumberland Counly, Pennsylvania,
l10LaulthHn
Oeuealed, Lellora Tl;llltamentary were granted 10 Jean
Wllnm my hand andofflulal seallhe day an~ year aforosald,
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.t.k lNHIlRITANO& TAl( RETURN
"'VI,""'''' (:::~;lr.' 't', _'P~ :~ltm~r'''^ R HIDIINT DECIlDENT
l'tlf'll.ll: ~f I fll~ Numb~r ~ \ ~~J' c (Q ~ 9
,,,...liu g', {1l0l f. '
o~~~ Namo (~~II, Flul, and Mlddla Inlllall C Oocodonl'l Addroll ,,\ r:.
E 'E:.s.~\IJJ; - . " 'I ~ \ W ,'"\'( \h.d ~ V'd ,
DIlCHAS 0 SocIDIS~cliii\y1fumGat,Oo\~ofDellh '-. P A ,,'^,'r
IO'~~''i\ .l'f'\L~') \..t..I,
~~~........--..__.--.---...---~_.--"" ...-- .-...--- -_...~--------- .-
I. Orlglnol AI'lIro ~ 2, SUPIII~m~nlal Aaturn 0 3,R~mllndar A~lurn 0
APPRO,
PRIATE 4. W~ Emla 0 6, Fodoral Ellolo Ta~ 0
R~lurn n~qlllrod,
BLOCKS 6, Docodont dlod 1011010 7, Oocod~nllOolnloln~d I living 0 B, Total Nllmhor oliofo 0
(Atloch cOpy of Willi ~rUll (Attaoh copy of Irult) __~_c101101It hoxos Invonlorlol!
All aorrolpondonco Hod eonfld~nllol 101 Informltlon lhould ho directed tOl
ClleCK
CDRRE.
SPONDeNT Nam~ "
Tolollhonl No,
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TAX
RIQ8pllullllon
1, Ro~1 Emlo ISchodllla A)
2, Sloc~1 and Bllndl (Schedulo BI
3, OIPlalV 11eld8took/Parln~!lhlp InWIlI (Schedula 0)
4, MortgagosendNolol (Schedulo 0)
6, Oalh ill Mllc~lIon&OIlI Pouonol Proparly (Sth,d'ulo E)
S, Jalnllv Ownad Proporly (Sehldlll~ FI
7, Tranlf~tt (Sch~dula Bl
S, tot~1 CltOIl AII~tI (Iotal IInll 1.7)
0, .', Funlral EX~Inm A~mlnlltrollv~ 001tl/MIICollln90Ul
ExpanlOl ISchodlllo 11\
1 0, olbtl/Mortgog"/LI~nl (Schodlllo Il
11, TOIeI DOduotlonlllolol IInol9& lCI
\2, Not VoluI 01 Ellllo (IIno S mlnUlllno 1 II
13, CharUlble SeqUlllI (Schodula J)
14. Not ValUolllblael 10 101 IlIno 12 mlnul line 13)
"('11_____
(2)_
(3) ,
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(6) :l ~LD9' Ii.
( 8)
( 7)-
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RIOAPIT.
U~ATION
AND
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(10)
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CALOU,
LATION
Qumpu\lllon of Ta~ ,
18, Amounl of lion 14 laxohlo ii 8% rato (16) J...~~
Uno.1Udo valuoI Itom 8chodlllo K)
18, Amollnt olllno 141axobl8lt 16% rela (181
lIncllldo valllal from Sehadulo KI
17, Prl~clpal 10~ dlle (add \al Irol1)lInO 16 plUlto~ from IIno 18)
lB, Totol Prior povmenlli
(a) Amounl Paid
, (h) PIUl Olloounl,,-,---
(0) MlnOllnlorall (181
, 19, Balanco DUO (11 no 17 mlnulllnD lB)
Ma!(o Chec~ Payable tOl' 1I0ghtar of WillI, Agont
"". PLEASU REOIIEOK MATH ...
x,I&"
1171
:'~'i. tp LD
(19)
--
Undor po~oltlolOf porll1tY,l doclllG Ihl\ 1 have mmlnod thll ro\lltn,lnellldlng occQmpanvl~g Ichedvlll and I\olamloll, and to Iho bill 01 mv ~nowledgo
8~d bellof, I1II true, ootr t, ond complelo, Oeclarollon otproparor'other thon tho pononal raprolontatlvlll balod on IlIlnlormallon of which prap"" hll
anv knowledgo, I-f,/ trl i,;L
ADDRESS . , PATB
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SIGNATURE O'FPii"EPAI1ER OTHeR THAN REPRES-SNTATI-v-e---;\oDI1SSS
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Wi!iBA!:Jt:lHERITANCE TAX INFORMATIO~.
, . .
Unlatllfled IlablllllnlnourrCld by IhCl decedent prior to hla/her death me deductible agalnltllla/her taxa~le
eltal.. In addition 10 dobtl IncutrCld by IhCl docadont or oatnto, athot 1I0ml me clall11nbl. Including the OOlt of
odmlnlltrollon, ollarnoy feCIl, fldllclary feu, funeral and burial eXIIUluea Including the COlt of a burial 101, tombltona
IIr grave markor and othor related burlalexpClnlOa,
All debtl bolng claimed agalnlt an utate are aublClct to thCl approval of tho Reglltor of Willi with whom the
Inheritance Tax Return II f1lod, EvldonclI,to lupport Iho docodont'l or tho oltato'lllablllty for the d.btl being
claimed Ihould be attached to thll Ichodule.
A family oxempllon may be clalm.d by a IPOUIO of a decodont who died domlcllod In Pennlylvanlo, If thoro II
no IPOUIO, or If the IpOUIO haa forfeited hll/honlghtl, then any child of the decedent who II a memb.r of the lame
haulOhold aan claim tho exempllon. In the event th.r. II no luch apouse or child, the eXlll11ptlon can be claimed by
a parent or parents who are memberl of Ihe sanle houlOhold 01 Ihe docedent, The family exemption II nllowable only
qgolnlt a..etl which po.. by a will or by thll Pennlylvanla IntOltate Laws,
NOTEI Compenlatlon paid to an OItate r.prelontatlve; n~melYI on ,xoclltor o~ administrator, for urvlcOl
perform.d In admlnllterlng an "tote II reportabl. for Ponnsylvanlo I"come Tax purpolh, Thlltaxable Income
Item Ihould b. r.ported on farm PA.40.lndlvlduallncom. Tax R.turn,
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INSTRUCTIONS FOR COMPLETJNG SC~"
1, If the family ox.mptlon II h.lllg clalmod, Indicate tho claimant'. namo, add rOil and hll/her r.latlonlhlp to
the d.c.d."I, Enler "family .umptlon" In the r.marks column and tho amount claimed In th. amount column,
2. Aulgn conaecutlvo numbera to eaoh Item Iist.d, '
3. Enter tho date on which each debt was Incurred and/or paid,
4, Enter the nal1101 of each payee, .
6. Pro vida 0 brlCl! explanation In the re",arks column for each debt claimed.
6, Enter tha amount of each d.bt being claimed,
7. The form must be Ilgned by the person who has assumed the responsibility for paying the debts,
If' ADDITIONAL SPACE IS NECESSARY USE 8W' x 11" SHEETS,
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INFORMATION
Thla. doo~menl la Ihe Nollce required 10 bl given under 6eollon709 of Ihe Inherltlnoe Ind altl\e Tax Acl
of 1961(72 P.S. ..ctlon 2485). '. ' .
If Ihe IIX I~ plld within Ihr,e (3). mOnthl afler Ihe decldenl'a dealh, I dllcounl of 5'1'. of Ihe IIX paid II alloWed:
"Inherltlnoe Tax "ec9m.. 'delinquent nine 191 monthl Ifter Ihe deoedanl'l deeth. Inlerealll oharged II 1111
rll. Ilf .llx (e) peroenl per Innum on Ihe Imounl of ~nplld tlX, (SSS'SXAMPl.e BSI.OWI . "
SxAMPl.e, If I blllnce of II~ due of a~,OOO,OO Ie In I delinquent ItllUI fiQm 3-3-80, Ind pIvmlnt II mlde
on 5-23-80, the Inter,,1 II cllcullted II Indlolted below:' .
Inler,,1 from 3-03-80 to 5.23-80
R"ulte In:
2 Monthe. ,010
20 OIVI . + .00336,
filII. of Intereal . .0 1 3~
elllnoe Ilf II~ due
flat. of .Intet..t
INTeREST
12,000,00
x .01338
I 26,70
BUP 3
Add Ihe Inllrul
10 Ihe bll,nce of
tlx due,
8111nce of II~ due 12.000,00,
PIUB Inlerolt 10
12111 01 Piymerit (+) I 26,70
.TOTAL tex and
Inllr"l 10.011e
of Plym.nl 12.026.70
BTlP 1
Oetermlne'lhe rat. 01
Inl"'" from Ihe tlble b.low.
$TIP 2
MUltiply Ihe blllnoe of
.' tl~ 'due bV the rite 01
Inter..l.
- - -._ __ __H... __... .......- - -- ---... - ----- - --.... -. -.... - - - --.... - -... - - - - --- -- -...... -.-.-...;. --.... -- -....-....
\ monlh ,00tl 4 monlhl .020 7 month I ,038 10 monlhl ,0110
. 2 month, .010 e monlha ,026 8 monlha .040 II monlh. ,088
3 mdnlhi .0111 6 mchlhl ,030 9 monlhl ,046 12 monlhl . ,060
-
1 dlY .000 17 11 Cilva ,00186 2 1 daye ,003112
2 dIva '.00034 1 2 dIva ,00203 22 diVI ,00369
3 dm ,00061 '3 dIva ,00220 23 dlVi .003E16 ,
4 deVi .00068 I 4 dive .00237 24deve .00403
6 diva .000$6 1 5 davI .00260 2 e deve .00420
6 diye .0010\ 16 diva .0~267 26 dIve ,00437
1 dlVI ,0011E1 17 dlvl .0 284 27 dlvl .00464
EldlYI .001a6 \ 8 dlvl .00301 28 dlVI ,00411
9 dlVi ,00182 19 dlVI .0031B 29 deVI .0048S
1 0 dlYI ,00169 20 dlVI .00336 30 dm ,001100
_...._----_..._-----------------------------~---~-...;.--------------~----~---
Anv pmy .In Inler..t, Inoludln~ Ihe Commonweelt~ Ind Ihe perlonll repte8lnllllVe, not "llafled vv1th the
IPprllalmellt Ind ......ment mlV object wllhln IlxlV (60) dm Ifter recelPI of Ihll NOllce ,I prOVided bv
SecIIM.,1001 of thl Inherltlnoe Ind !!allle Tax Act 01 ,1961 172 P.S. lie. ~4B6, - 1(01), .
MA!<' QH8CK OA MaNlY O~OlA PAVABLI .to I "A80lBTlA OP wt~LB, A08NT"
DEtACH THE TOP PORTION OF THIS Fo~M AND SUBMIT WITH YOUR PAVMENT TO THe REGiSteR OF WII.~S FOR
THE COUNT V SHOWN ON THE RSv"RSe. sEE THE INHERIT ANCS TAX INSTRUCTION BOOK FOR ADDRess,
UCC>1l \lH181
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
*'
COMMONWel\LTII OF PIlI'lNSYLVI\NII\
PIlPI\RTMIlNT OF RIlVeNUIl
llURIll\U OP COUNTY COLLIlCTIONS
.___ ___....____~ _ .______".~..._. ___............_._~.~~.,~--- _ T"<~'<- _"n~____R_~_",__"-_"'_---""'-_.-~'."'.------
DATE 3~O:-U3
~ (MUST BE FIl.ED IN TRIPL.ICATE)
TO THE PENNSYLVANIA DEPARTMENT OFREVENUEI
Application Is horoby modo lor c onlont to tho trMsror 01 tho fallowing IOcurltlOl 01 a Penn,ylvanla
Corporation or a National Banll.lnll Auocla.llon located In Ponnsylvanlal .'
(a) $100. QPQ.~b)~pVOP1I1\OI\Ll.'l.at;iolln;J. MOI'l:Q.D.I,J.C.....AWll1....__.(c)_J!.L_.-:-
(NOTEI In dOll:rlblnp iocurltlO.1 entor In (a), ab O/e, either the number 01 slwrOl of s.t.ock 0.' the loco omo.untal
regl'to"d bond" In (b), the non1~ 01 tho I&lulng compony and In (c) the clau of stock or the atotod Interoat rote
and moturlty date 01 regl,teted bonds,). ... .
\SSUEDON June l., 1976 ;,andhavlngaTOTAL.MARKETVAILUEOF$.i~Q16.1l;Z
(0.11)
aa 01 the dot,. 01 d,ealh of the decedent, Hobo r t 11. S l:o~an , on 00 toba \; ),9. ;J.. 90 1
(Moml 0' Ooudonll (P.'o 0' d,olh)
who wallote of 73~ Viat;a prive,
(SIr'O' ond Mvmbor)
Camp lIill,
(Po" OUI.o)
CUmblH' land ,
(Countv)
l)ann~~lvania
($tO'I)
The I8curltlel are registered 01 falloY/sl_ Hopert 11. S\t.ewtgt
(Hom' qr nom" In whl.h....'lfl..t...r. regl.,..od)
Arlino M. stewart, 735 Viat.aD~i0Q,camp lIill, PA
~IlIM~~1tGR).,PiQne s. l~o<lrenl 42..6 Poarfielc;1 Hoac1,_Jdll\l2...Jllll. PA
co-EXECUTORS' ) (!'lom,)' '.' (Addr.")
. NAME OF APPL.ICANT NilliaJ1) F'eara" ~ E8Q\lire
31 Northieoond st;raet
COUNTY FILE NUMBER~1~61~~59 ADDRESS OF APPLICANT .Ji~r r i abu rd I J?1i.........J.1~'
BUREAU FILE NUMBER~, .--SIGNATURE OF APPLICANT.~l~I,<-7~w~-~"
NOTlcel IP yOU PAl\. TO PROPER\.YPI\.\.IH ANY PORTION Op THIS APPLICATIOH, IToWILL HOT I3E
CONSIDIlRBP COMP\.I!TI! AND WI\.\. BIl ReTURNep TO YOU POR C;:OMP\.I!TIOH.
....-........--.....-- - . - .. ' , --~...........---~--
~OMMONWeAL. TH OF PENNSYLVANIA -,DEPARTMENT OF REVENUE ~
". ,CONSENT TO TRANSFeR seCURITIl:S OAT ~1j..iJ,~ /1./5
1 h."b, '....ntt.th. t""I.. .1 th. .h... "'..,,,.. ... ..,I.t"., '" tho ..m. .1 th. "..."
Decedont and waive tho filing 01 a certificate cortlfylng to tho paym~i\t of tho translor Inhnrltanco tox to which
the proporty. of sold Decedentls modo subl~ct pursuont to the provisions 01 tho Act 01 Juno 20, 1919, P.L. 521,
os omendodand the Act 01 Jun" 1S, 1961, P,L. 373,' asamendod. This I" 0\80 In occordanca with tho provisions
of the, Act of April 9, 1929, P.L.. 343.
This COMont to Transfer tho horoln doscrlbod proporty oporates only In reloronce to tho oltato of tho
llbove.nomodDooodont.
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SlgnOd,IJ"O socr.e'~ry OI.'.~~UO.. .', .;). ,
By .(/-: (~'~1;1(' :./2, .Lu.X.._
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7(!ItI. (County)'
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