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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN -~-
FOR INSOLVENT ESTATES ONLY" ~
OF RESIDENT DECEDENTS
RC'~-103 (3-73)
COUNTY OF Cumberland
This return must be completed in detail and filed in duplicate, with the Register of Wills in the County where the decedent resided within nine
months after date of death, unless on extension is granted by the Secretary of Revenue.
Will a 1- t) ~e_ 'I. ~ 3
Admn.No. 19____
I,
Norman Ray Swigert
(NAME)
~ 33 W. Willow St., Apt. 2,
(ADDRESS) Carlisle
,
PA
Misc.
being duly sworn according to law, deposes and says that he is the
of the estate of
Hazel Mary Swigert
late of
Executor
{EXEC., ADM., LEGATEE, ETC.'
Carlisle Borou~h
(CITY, BOROUGH, OR TO NSHIP\
June 5, 1978
lOA T E)
deceased, and that the whole of the estate of said decedent, who died on
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
no Pennsylvania Transfer Inheritance Tax is due.
Sworn and subscribed b~fore me
the /rtt. doy of ~/ .
19~
~,.~
(SIGN URE)
Executor
( TITLE)
~\)7. 'Q"/ r",;Et1_;:
.. ~ C. I..' , ~... "",'<
T y pe(&f.i~!isM: l'~~)..:.;i;~::~ Estimated Department
Real Estate, Pers. ASSETS Va luatian
Property, Jointly (Attach addition,,1 sheets if necessary) Market CAUTION
Held Prop. or Value
Transfers Description of Asset (Do not write
in this space)
~ 1,604.54 ___- ~ ~Olof. 51
Pers. Prop. CVS&L, Sav. Acct.#151741, bal.
CVS&L, Int. to 6/5/78 29088+ Ol~gg
CVS&L, CJD #6692791"'-- 1,000.00 /OtJ{).t)O
CVS&L, Int. to 6/5/78 32. 57 t.---' ) -.3':>..5 7
Check, Medicare Reimbursement 5.60..... ,...-' ..:{ II /)
TOTALS 2,672.59 ~ "7;}. Sr
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser i~ and for the above County do ,respectfully report that I have
appraised the real and personal property as reported in the'f.t,;egoing schedule at'.the valuess(:tJorth opposite each item in
the las t col to the right. c' ,
Dated: '2-- " (INHERITANCE l'AX APPRAISER)
Name of Payee
DEBTS AND DEDUCTIONS
Nature of Claim
Amount
Claimed
Amount Approved
by Register
Norman Ray Swigert ami1y Exemption
Register of Wills Letters Test. & 1 Sh. Ctf.
Register of Wills iling Insolvent RCC
G. Book Roth Fun.Home
Carlisle Memorial Service,Lettering Memorial
Mas1and Associates ast Illness
James R. Humer ttorney Fee
2,000.00
19.00
3.00
2,270.90
77.00
210.00
125.00
TOTALS
4,704.90
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for the above County, do respectfully report that I have allowed
deductions in the amounts set forth in the above schedule as claimed, except where I have set forth a greater or lesser amount
in the last column to the right, which greater or lesser amount represents the sum allowed as a d uction.
~ '}l ~') n r::r/'. . C' \
Date of Approval: --1 ,r/ 0..;1- /l 4 I-, If ' .'" V I L-
.~
10---. ( 'ij, I .-:-_5
17
VCUMBER~ND
l61LLEY 5~ING75
AND L04N ASSOCIr\TION
16 West High Street. Carlisle. Pennsylvania 17013 249-2525
August 14, 1978
James R. Humer
Attorney At Law
Farmers Trust Building
One West High Street
Carlisle, PA 17013
11 - '7 f'~ Lt Y. -)
RE: Hazel Mary Swigert Estate
Date of Death: June 5, 1978
Dear Mr. Humer:
Please finG listed below the balances and accrued interest on the only two
savings accounts held in the deceased name only as of June 5, 1978:
~.
#151741
Balance -------------------$1,604.54 y/'
Accrued Interest ---------- 29.88 ~.
#6692791 ~
Balance --------- --$1,000.00~.
Accrued Interest ---
32.57
./
,r/
Total --------------$1,634.42
Total -------$1,032.57
If additional information is needed, please contact this office.
Very truly yours,
1J;b~( J.1I~
R;Chard L. Kuntz
Bookkeeping Dept.
R E V-SI8 (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
Norman Ray Swigert
33 W. Willow St., Apt. 2
Carlisle, PA
(Executor or Administrator)
In Re: Estate of
Hazel Mary Swigert
Cumberland
County - File No.
?1-78-0443
Dear
You ore hereby notified that the Im;olvent
appraisement in the estate of Hazel Mary Sw:i gert.
has been filed in the office of the Register of Wi lis of Ct11TlhlPrl.<l11i1
County on 8 March , 19~, Said appraisement reflects the following
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Totol
None
2.672.59
None
None
$2,672.59
As to such tax that is paid within three months from dote 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 dote of death,
interest at the rote of six (6%) percent per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within
sixty days after receipt of said notice os provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961, 72 P. S. 2485-1001, P. 1...~()73.
Dote
8 March 1979
Si gned
Title
Administrative Officer
Note: This is not 0 bi II.