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:OMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT EST A TES ONI.. ~
OF RESIDENT DECEDENTS
G 211978
COUNTY OF CUMBERLAND
RCC-l0313-73)
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 an extension is granted by the Secretary of Revenue.
Will
Admn. No.Aug.
l619-Z.L
I, Romaine V.
Keeseman
(NAME)
ofR.D.4, Box 401-c',r.arlisl~ PA
(ADDRESS) 17013
Misc. she
being duly sworn according to law, deposes and says thatlUCis the
of the estate of
Chester C.
Keeseman
surviving spouse
lEXEC., ADM., LEGATEE, ETC.)
late of Wes t Pennsboro Townsh i p
(CITY, BOROUGH, OR TOWNSHIP)
June 19, 1978
(DATE)
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 asscts and
no Pennsylvania Transfer Inheritance Tax is due.
19~
/-d
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lSIGNATURE}
Survj:.Y!}l-K__S_I2-Ql1S e.
(TI TLE)
Sworn and subscribed before me
!'.
Type of . set:
Rea I Estate, Pers.
Property, Jointly
Held Prop. or
Transfers
Mv Comm;~\ion
CarlislQ, FA
Epirc. Julv 14, 19R1
Cumberland Coull\V ASSETS
(Attach additianal sheets if necessary)
Description of Asset
Estimated
Market
Value
Department
Va luotion
CAUTION
(Do not write
in this space)
Pers. Prop.
1971 Hornet 4 dr. SW, 6cyl. AT.
500.00
~-60. 00
Tenancy by
the entiretie
Residence and contents
Checking account
TOTALS
500.00
-s- Qt), 0 d
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have
appraised the real and personal property as reported in the l'Q....~going sch~le aHhe values "sctforth opposite each itcm in
the last column to the right._ C' , ("..' \,' ,
Dated: January 4, 19/9 / (INHERITANCE TAX APPRAISER)
Name of Payee DEBTS AND DEDUCTIONS Amount Amount Approved
Nature of Claim Cia imed by Register
Romaine V. Keeseman Family exemption 2000.00
G.Book Roth Funeral Ho me - Services 1354.00
Newville Ambulance Service 15.00
Carlisle Hospital Last illness 45.08
Register of Wills Filing RCC-l03 3.00
James R. Hurner Attorney fee 15.00
Notary Fee 1.50 I
i
i
I
TOTALS 3433.58 I ~Y'3~ 5j
.. -).
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 havc 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 tpe right, which greater or lesser amount represents the~.'l!l1""7aIlowed as a deduGon.
Dot' of A PP,"n' ~ f\'Yr" "';>' Y; I 9? Y . ~~; t<<n i. [ "",l;"O ~ Cl>~
2/ - "7;;- - II- 11 lJ~fhY /0_ / <1'/ - G:, " j
,.
..
R E V-518 (8-781
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
HOTICE OF FILING OF APPRAISEMENT
ROm.9.ine V. Keeseman
(Executor or Administrator)
In Re: Estate of Chester C. Keeseman
Cumberland
County - Fi Ie No. 21-78-0444
Dear Mrs. Keeseman:
Yau are hereby notified that the inso 1 vent
appraisement in the estate of Chester C. Keesemun
has been filed in the office of the Register of Wi lis of Cumberlfmd
County on January 4 , 1912-, Said appraisement reflects the following
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
-0-
$500.00
-0-
-0-
$500.00
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 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 as provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961, 72 P. S. 2485-1001, P. L. 373. .
Date January 4! 1979
Signed
Title Administrative Officer
Note: This is not a bi II.