HomeMy WebLinkAbout03-30-79 (2)
RC ~-33 (4-UJ
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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
RESIDENT DECEDENT
COUNTY OF
CUMBERLAND
IMPORTANT:
This return must be completed in detail and filed in duplicate, with all attached, with the Register of Wills of the
County whl:re decedent resided; Return is due within nine months after date of death, unless an extension is granted
by the Secretary of Re'ltenue. (Section 703 of the Inheritance and Estate Tax Act of 1961.)
(STATE FULL NAME OF DECEDENT)
} AFFIDAVIT OF
EXECUTOR
ADMINISTRA TOR
County
IN THE MATTER OF THE ESTATE OF
SARAH J. GEEDY
Lote of
Shippensburg, CUIrberland
State of Pennsylvania
County of Cumberland
} ..,
~
Patsy At: Naugle
of th., estate of the above-named decedent being duly sworn, depose S
Execu!${ix
and sayS
Decedent died
June
30
(MONTH)
Name and address of ottorn"y or }
other authorized repres,entative to whom
all correspondence should be m"iled.
(DAY)
, 19~{testate leaving a last will, copy of which is hereto attached. }
(YEAR) ~
M:X::rea & Davis
24 West King Street, Shippensburg, Pa. 17257
That as such Executrix deponent is familiar with the affairs of said estate and the property constituting
( EX E CU TO R-ADMINI ST RA TO R)
the assets thereof and tht:ir fair market value.
That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or
as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the
exception of the following: -
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
Peoples National R;::mk Sarah J. Geedv
Shippensbur~4 Pa. 17257
That the contents of said safe deposit box or boxes are itemized under Schedules
with the exception'of the following, for the reasons hereinafter set forth:
of this return,
That Schedule A attached hereto and made part hereof sets forth fully and in detai I all the real property
in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the
mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still due at
death, name of mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the
columns provided therefore the assessed valuation of each of said parcels, the estimated market value thereof
as of date of death of decedent.
That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property
wheresover situated owned by the decedent at the time of death; all moneys left by the decedent at the time of
death, whether in decedent's immediate pos session, standing to decedent's credit in banks of deposit, savings
banks, trus t companil~s, or other ins titutions, whether individually, or in trus t for any other person or pers ons
giving al so separately the accrued interes t thereon, if any, down to the las t in teres t day priOT to decedent's
death in the case of savings banks, and to the date of decedent's death in all other cases; all bonds, postal
savings, treasury certificates or notes and other evidence of indebtedness of the United States to the de-
cedent; all obligations, whether by statute or agreement they are designated as tax free, of the United States,
or any state, or political subdivision thereof, or of any foreign country, which are owned at the time of death;
all wearing apparel, jewelry, silverware, pictures, books, works of art, household furniture, horses, carriages,
automobiles, boats, and any and all other personal chattels of whatsoever, kind or nature, left by decedent,
together with the fairly estimated market value thereof; all bonds and mortgages held by decedent and of all
claims due and owing decedent at the time of death, and all promissory notes or other instruments in writing
for the payment of money of which decedent died possessed, of whatsoever nature, with interest thereon, if
any, giving the face value and estimated fair market value thereof, and if such estimated fair,market value be
less than the. face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys
payable to the estate from life insurance policies carried by decedent; all annuity and endowment contracts
the proceeds of which were payable upon the death of the decedent; all and the corporate stocks and dividends
due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of decedent's
death and other inve stment secm, lie s owned by the decedent at the time of death, with the market value there-
of at such time.
In the case of securities of close or family corporations, the values reported are as far as
possible substantiated by financial statements of the corporations, showing the assets and liabilities
thereof as of the date of death. The schedule also sets forth the interest of decedent at the time of
death in any co-partnership or business, and in support of the value of such interest there is annexed to
said schedule, financial statements showing the assets and liabilities of said co-partnership or b,usiness.
A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the agreement)
together with a statement setting forth the character of the business, its location, and such other facts
pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest
therein must be submitten. It should also set forth in itemized form, together with the fair market value
thereof, any other property owned or bequeathed by the decedent at the time of death.
The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry
contained therein and in the case of transfers of property, real or personal, within two years of decedent's
death, in contemplation of' decedent's death, or intended to take eff'ect in possession or enjoyment at or
after neath, said schedul e sets forth the nature and value of' such property, to whom transferred, the
relationship of the transferees to the decenent, the proportionate share received by each transferee and
all other facts of a pertinent nature regarding sain transfers. In the case of transfers intended to
take eff'ect in possession or enjoyment at or after death, there is also attached to the seher!ule a COllY
of the deed, trust agreement or other instrument creating the trust. Ther.~ is also set forth in said
schedule a list of all property, real and personal, with its value, which pa~ses at decedent's neath by
virtue of the exercise by necedent, either individually, or jointly with another, or any power of appoint-
ment vestedindecedenL, either individually or jointly, by the will, deed, or other instrument of another,
with a copy of the instrument creating such power attached to the schenule.
That Schedule D attached hereto and made part hereof sets forth the names and addrpsses of all
persons beneficially interested in this estate at the time of decedent's death, the nature of their res-
pective interests, their relationship, if any, to the decedent, together with the ages RL the time of
decedent's death of' all minors, annuitants ann beneficiaries for life unner necedent's Will. It also
contains Ii statement showing which of the beneficiaries named in the necenent's will, if any, died prior
to necenent, the dates of their death, their issue, ann the relationship of such issue to the beneficiary.
That Schedule E attached hereto and made a part hereof sets forth all property, real and per-
sonal, owned by tljC> decedent ,jointly wi th another or others, incluning intangible, standing 1.n the name
of the decedent ann others, plus the date and place of recorn of instruments effecting the vesti ture of
real estate and Llle date of acquisition of personalty, plus the name, address ann relationship, if any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and in deLail all debts
and deduction" claimed for ann on behalf of this decedent's estate, incluning funeral eX'penses paid;
family exemption, where appl icable; costs of administration of this estate; counsel fees and f'udiciary's
commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli-
gious services, in consequence of the death of the decenent; debts and claims owing and 1I!\l'ai,l at time of
death; taxes accrued chargeable for period prior to decedent's neath (except those allowed under Section
651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledgen for obliga-
tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest, that if the amount actually paid in settlement of any fee, commission or nebt is less than the
estimaten amount claiming and allowed, that the same will be reported to the Register of Wills, ann that
the amount of tax assessee! can be reassessen in accordance therewith.
That the totals of the appropriate columns in Schenules "A", "B", "CO, "E", and "F" as nirected therein,
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this .........
, (
'.;'
197.9.........
......\:d~E';di.;;;~.....m........._-
114 South Penn St.
...................................................................................................................
(Street Number)
,..,~~p.~~':l:E9..'..,..r.~~.....~??,??.....,.
(City 01' Town and State)
..........................,.....'f".........
day of
",' ";. .,"
Nota.l:y Public
My Conlll. expires: ,(
)
,
" t., ( ,
, J v-
i
NOTE: Before signing affinM'it make sure all blank spaces in the affidavit and schedules annexed are
filled in with details or the worn "None", ann in case the assets include rare and unlisten securities,
securities of close or family corporations or an interest in any co-partnership or business, that the
nata and statements re~lired under the paragraph above relating to Schedule "B" are attachen. Also make
certain that column #1 in the "Summary" has been properly completed as above-directed.
RCC-a4 {4-73Y.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUIE
BUREAU OF COUNTY COLLECTIONS
. TRANSFER INHERITANCE 1rAX
RESIDENT DECEDENT
SCHEDULE "A"
REAL PROPERTY
*'
Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece-
dent. Property held by the decedent as tenant in common with another or other, should be identifi ed
as to quantum of interest and the estimated value should be that of the decedent's interest only. (Property
held as joint tenants with right of surviorship or tenancy by entireties should be reported on Schedule "E.")
The real property located In the Commonwealth of Pennsylvania should be
described by lot and block number, street and street number, together wi th
o general description of the p"operty, with 0 reference to the record of the
conveyance by whl ch the declldent took title; If a farm state number of a-
cres; also statement of mortgolge encumbrances upon each parcel at death
of decedent. Taxes, assessm,.nts, accrued Interest on mortgages, etc.,are
to be listed on Schedule "F" and must not b. deducted from this schedule.
(1 )
(2)
(3)
DEPARTMENT
VALUATION
CAUTION
(Do not wr It.
In this space)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEA TH
ESTIMATED
MARKET VALUE
Real estate situated at 114 South Penn Street,
Shippensburg, Cumberland County , Pennsylvania,
oonveyed by George l-l. Geedy, Jr. and Betty L.
Geedy, his wife, by deed dated February 15, 1956
;;md reoorded in Cumberland County Deed Book "B",
Volurre 17, Page 35, to George A. Geedy, Sr. and
Sarah J. Geedy, his wife. George A. Geedy, Sr.
died on May 2, 1964, thereby vesting the entire
fee in Sarah J. Geedy, Decedent herein.
3250. 00 ,/
V
13,000.00 V
Insert this totol opposite "reol property", Schedule "A" in the X X X X X
"As Reported" column on the lost poge of this return.
13,000.00
l3,O[)O.oO
RCC -35'.
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
*'
COMMONWEALTH OF PENNSYLVANIA
TRANS}~R INHERITANCE TAX
INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent, at the time of his death. Property owned by the decedent jointly with another or others
must be listed under Schedule "E". Intangible personal property, titled in the name of the decedent, but
payable at death to another or others, including but not limited to P.O.D. U. S. Savings Bonds and tenta-
tive trust accounts, must be listed, despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (e. g. jewelry, wearing apparel, household
goods, and furnishings, books, paintings, automobiles, boats, etc.)
Intangible personal property, such as bonds, treasury certificates, cash on hand and in bank,
stocks, mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance pay-
able to the estate or f'iduciary in said capacity, partnership interests, interest in anyundistributed
estate of' or income from any property held in trust under the will or agreement of another, even though
located outside of the State, at the time of death, should be listed in this schedule.
Item
No.
ITEM
List and describe fully
UNIT
VALUE
ESTIMATED
MARKET VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
Savings Acoxmt #025-474-6-20, Peoples National. \
Bank of Shippensburg \~ .~ l /"-,. {, \
./ r:/
Small maple finish comer cupboard
4 shelf book case, open front
GE 9inch portable colored 'IV
Console Singer Electric Sewing Machine, Old rrodel
Lazy Boy type recliner chair
Earl Arrerican Lazy Boy Recliner Chair
Console Zenith Colored 25 in. 'IV
2 pc . living room suite, older nodel
2 she~f Glass front bookcase
3 pc. end table set
3 pc. lirrro oak bedroom suit with springs and
mattress
4 pc. bedroom suite with spring and mattress
Single door cedar wardrobe, snaIl
SnaIl chest of drawers
Dresser with mirror
Metal Ibuble door wardrobe
, I
3,372.67.........-
95.0~
40.00
l50.0D'
20. ocr
60. ocr
95.00
225. ocr
20.00'
20.00'
15.00'
140.00'
150. 00'
55.00
15.00
25. 00.
20.00
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
x X
4#517.67
LiSI1.L1
J
,RCC-3i?
COMMOXWEALTH OF PENNSYLVANIA
TRA~SFER INHERITANCE TAX
SCHEDULE "c"
TRA.NSFEIlS
rillSIDE~T DECEDENT
(1) Did decedent, within two years of death, make any transfer of any material part of his estate, without
receiving a valuable and adequate consideration therefor? (Answer yes or no) no
(2) Did decedent, within two years of death, transfer property from himself to himself and another or
others (including a spouse) in joint ownership? (Answer yes or no) no
(3) If the answer to (1) or (2) above is in the affirmative state: not appllcable
(a) Age of decedent at time of transfer
(b) State of decedent's heal th at time of making the transfer. (Note 1).
(c) Cause of decedent's death. (Note 1).
(4) Did decedent, in his 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 death?
(Answer yes or no) no
(a) Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition? (Answer yes or no) no
(b) What was the transferee's age at time of decedent's death?
(5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death: no
(a) The possession or enjoyment of or the right to income from th(' 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 (5) (b) above is in the affirmative, state whether the right was reserved in decedent
alone or others not applicable
(7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to
pay income to or for the benefit of care of transferor? (Answer yes or no) no
(8) 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 c01l1d revert to decedent under terms
of transfer or by operation of law? (Answer yes or no) no
(9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no) not applicable
NOTE 1: The answers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death certificate.
NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property
transferred, it's fair market value at date of death, dates of transfers and to whom transferred, with
relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans-
fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based.
NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E.
ITEM
DESCRIPTION
MARKET VALUE
(Es Uma ted)
DEPT. VALUATION
(Dept. Only)
None
None
N~
Insert this total opposite "Transfers", Schedule "C" in the
"As Reported" column on the last page of this return.
None
..
"
RCC-37 (12-63)
COl\1l\ION\\'EALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFl ClARI ES
BENEFICIARIES AND ADDRESSES
\State full names and addresses of all who
have an interest, vested, contingent or other-
wise, in estate)
RELATIONSHIP
(If step-children or
illegitimate children
are involved, set
forth this fact.)
SURVIVED
DECEDENT
STATE YES
OR NO
DATE
OF
BI RTH
INTEREST OF
BENEFICIARY
IN ESTATE
Patsy A. Naugle
_Ll4 &)uth Perm St.
Shippcncburg, P.J.. l7~""""
Granddaughter
yes
sui iuris
'R"".::o 1 .::of- 1\1,..., 1 1 L1
S. Perm St., Shippensbur.
'Ibni B. Geedy
114 South Penn St.
Shirr=n9bl1r'J,Pa 17?r::..7
Granddaughter
yes
I
I sui juris
Household furnishings
and Savings Accormt
Mary M. Gutshall
MJL LvIl , PeIlIld .
Daughter
yes sui
I
I I
ves : sui
juris Pest. residue and
renainder
.------------t--------------------. ____mo. -- -- -- -
jU:E.-i~..__ .m______________.___ __ _ __
r
I
Ebrothy Miller
R. R., Newvllle, Pa.
Daughter
George Geedy, Jr.
R.R.#~, Sh1ppensbl~g, ~a.
Son
yes
I
i
'-+-
i :
+-------- ------f-------------------
-+~~ juris +-
I I
! ----r
I sui iuris r
r-
Betty Chase
Plyrrouth, New Harrpshire
Dauahter
ves
Beatri~ Hibbard
Chell, Wyomir.g
Daughter
I
i I
r
I
yes sui juris
i
I
r
+----
, I sui iur:l~L____ I
ves
,
.---_...--...-----~
1 ves !sui iuris r
I
-I-
I i
i --
I I
yes sui iuris J
Kenneth Geedy
IEroy, New York
Son
Wi 11 i rim r-P=1Y
Shreveport, Louiscma
c,...,.~
Jennie Devor
115 Apple Avenue
ShipPo!!!!l.5bmg, Fa. :. I ....J/
Daughter
Deponent further says that all the above-named beneficiaries are living at this time except below:no exception
__--1___________________
-,,-
NAME DATE OF DEATH RESIDENCE
--
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Real Property
Personal Property
Transfers
Gross Taxable Estate
SUMMARY
...(Sch. "A")
(Sch. "B")
.(Sch. "C")
(1 )
(As Reported)
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$
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(2)
(As Determined)
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. 10
R C C-3B
RESIDENT DECEDENT
SCHEDULE" E"
JOINTLY OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
INSTRl'CTIONS: This sehedule must disclose all vroperty, real and personal, owned by the decedent jointly
wi th another or others, including intangibles, standing in the name of the decedent and others. List
real estate first, 'IS entireties, or joint tenants, giving brief description, as indicated lmder Schedule
"A", pIt.s the date and place of record of instrument effecting vestiture, but do not include entireties
or out of' state real estate value in estate valuation column. Personal property should be listed as in
Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to
the decedent.
Description of Property, Date of Acquisition, Name
Address and Relationship of Co-Owners, and Place
of Recorrl of Instrument, where Real Estate.
Unit
Value
percentage
Share
Estate
Valuation
DEPART1lENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
None
None
Insert this total opposite "Jointly Owned Property", Schedule "E" None
in the" As Reported" column on the last page of this return.
Nl~
~ .
*
R E V-518 (8-78)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P.O. BOX 2970
HARRISBURG
17105
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
NOTICE OF FILING OF APPRAISEMENT
Patsy A. Naugle
114 South Penn Street
Shippensburg, 2A 17257
(Executor or Administrator)
In Re:
Estate of
Sarah J. Geedy
~-'--'-'--'---
Cumberland
County - Fi Ie No.
21-78-0387
Dear Mrs. Naugle:
You are hereby notified that the original
appraisl~ment in the estate of Sarah J. Geedy ,
has been fi led in the offi ce of the Re1 i ster of W; II s of Cumberlano
County on June 18 , 19~, Said appraisement reflects the following
va I uatiOins:
Real Estate_
Personal Property
Transfers
Jointly Owned
Total
13,000.00
4,517.67
None
Hone
$17,517.67
As to such tax that is paid within three months from date of death, a five (5%)
percent discount is allowable. As to any tax that remains unpaid after nine (9) months
(fifteen months when death occurred from December 22,1965 to June 16,1971, inclusive;
and twelve months when death occurred prior to December 22, 1965) from date of death,
interest at the rate of six (6%) percent per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within
sixty d<IYs after receipt of said notice as provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961, 72 P. S. 2485-1001, P. L...:~73.
Signed (
('; .., .
-..-' --..... ""'-,. ---"...~:\_'=-----
Date __June ~8, 1979
<_!
Title
Administrative Officer
Note: This is not a bill.
RC C-2 (2-64)
COUNTY
June 18, 1979
Cumberland
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA, 17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE
FILE NO.
21-78-0387
Whereas,
Sarah J. Geedy
late of Borough of Shippensburg
in the County of Cumberland Commonwealth of Pennsylvania, having died on
30th June 78
the . day of 19_, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Leo Fulginiti . an appraiser duly appointed according to law,
having been designate:d to make a fair and conscionable appraisement of the said estate, and to assess and fix
the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer
Inheritance taxes at the lawful collateral rate on any such future Interest.
Unil Appraisement
Description of Allel Values Mad. for Inheritance
Tax Purposes
Real Property $ l3,CGCIOO
Personal l'roperty 4, 5l7[~;_~
Joint-Held Property lione
Transfers None
TCTAL ASSETS 17,517 67
.-
--
form~;V~~hbl:~ ::l[h~worn accor1iClhto law, ~:; o~erebY ~~~ifY that ~.~~ ab~ve a.fE~~i~ement is made 1~~Bon~
; <~ -; , !
- > ......,.J
Appraiaer
(N\Jmber HId Street ~
tlarr1.S0urg
(Poat 0fll...1
, Penna.
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