HomeMy WebLinkAbout08-02-78
, .form No: RCC.62 (6-70) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER 110,000, UNDER SECTION 701 OF ACT OF JUNE I', 1"1.
'EFl"EhIVE JANUARY I, 1982, (FILE IN OUPUCATE WITH COpy OF WILL ATTACHED)
*'
OFFICE OF'THE REGISTER OF WILLS
rJ./ - 7 ?-~ ~ 7,fC
~UG Q 2 \9~18
County of . .'?~~:r-.~~~.~.............
.... ,~~.~+~~ll,1. ~.... 9.~f?t:~t.. .',.................. of . .lt~!l\QYP.~.........,..........................
(Nune) (Addrea)
being duly ____~~~~_~_n_________h______n_.according to law, deposes and says that he is the _'_'___h~~~_9-!J._t..Q~_____________n__________n_____
(Exec" Adm., L__, Etc,)
of the estate of ____~~_!=:~E__~_~___9_!=:~_!:~.~________n_________. whose last residence was ____4_~_]m~mnIDj._t._u$_tb_ee_t_.I______.n_____m_
(No.) (Streed
____~.E?~<?.Y!f.E?..u_u____n________m_m____deceased, and that the whole of the estate of said decedent, who died __g_\:Ul~m~J_~.u19_7.8
(CitY, Borough or Township) (Date)
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES. GIVE NAMES, ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
None
..
,
Personal Property
Savings Account N~. 12-0063, ~~uPhin Deposit Bank & Trust Co.
Balance Principal June 21, 1978 $5.093.79 /
,/
Accured Interest 9.76 Y S5 103.55
,
.
..
NOTE: You may expedite the processing of this return by filing with it, and as a part of the return,
letters from financial institutions or mortgage holders, certifying to amounts on deposit or owed by the
decedent as of the date of death, Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account, account number and the exact name or names in
which the account is registered. ·
Jointly Held Property
Estim"'ated .
Value
0{) l-t/T
(? fffe..A //1/&
f\~C!.-
Gfth'J<
-Nene
o.
A /vd-
&5
7 fI<. {J g, T
~
A e c.t!J u/t..." r
/1//1"/--.
(? tJ{7 eo,
1fT [) uPHl A/ De
# / b 7. L/ J
r
Transfers within TWO YEARS Prior to Death
None
I
I-
I
i
I
L
That at the time of death there was no safe deposit box registered ih 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 I RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BC;:>X IN NAME OR NAMES OF ~LDERS TO DECEDENT
, I
I
----
-
BENEFICIARIES
BENEFICIARIES AND ADDRE~ES RELA TIONSHIP SURVIVED AGE OF LIFE
(I f step-children or DECEDENT TENANTS OR INTEREST OF
(State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY
an interest, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEATH OF IN ESTATE
forth this fact.) DECEDENT
WilH",m .1 ,... ~ , . Yea Over 18 vn 1tntire Estate.
427 Summit Sto. Lemoyne. Pa"
.
17043
-
~
----
I I
. .
Fiduciary
commission ·
AMOUNT
DEBTS AND DEDUCTIONS CLAIMED
List first five items in the spaces so provided, observe notations thereon, and instructions.
DEBT OR CLAIM NATURE OF SAME
Funeral expenses paid
$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses ·
Counsel fees ·
(*) See Note below
//
/
/
/
/1
//
/
/
"
/
/
/
//
//
/
~
Total
Note: The estate agrees to advise the Register of Wills if the amo~nt actually paid in settlement of any fee, commission or debt is greater
01' less than the estimated amount claimed and allowed.
,
Subscribed and sworn to before me this. . . . . . . . . . . . . . . . . . . . . .
... "?~'~'(. ~,.. ... .;;Zfl... .'~7 /. #9,. 7~.
............ ./~..LI:?~l.-.C-r:?4~.i......
1/ ' .
YM:. , .r,I~~J~~~, P~~~ItC 2, 10;8
LewoYlle, Pa. ~umberland County
Having been duly sworn according to law, r do hereby certify that the above apPl'aisement is mad!! in conformity with law on this
.. .. .. . .. .. .. .. .. .;/~', .....,/ \ .. .... day of .. . .. .. .. .. ... J..,:~..,................................ ....;.:.. .'~/.~:~~/. :.. .,' .~; ~: .. .. .. . .. . . .. . .. .
./:t%::''')/~
.... '>.1.' f<'~E~~~~~Ad~i~isi~~t~~i"""""'"
//
v/ S
. . . . . . . . . . . .4~.7. . ~\,lTQIl1i.t . . . t... , . . . . . . . . . . . . . . . . .
(Street Number)
.... ... .~.~~9y'l).~.J. ?~.'.. ;t..?94~... ...... '" '" .
(City or Town and State)
Appr"iaer
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heil's of the decedent after the
expiration of any estate for life or for yeal'S, the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. County, Pennsylvania, do respectfully
report that I have allowed debts and deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount
is set forth in the last column to the right in said schedule above, which greater or lesser amount represents the sum allowed as a deduction.
Dated: .............................................
.................................................... .
Register of Wills
~ (j (j ~ >~ ...
0 0 0
trj ~ c: !b ,trj a= Q. ... 3
:::0 = 'm ~ a= z
(J) ~ 0 :rt ..' !'
=
.. :10 g .... .CD ... !';
0 r.G
::s:tl!j ~ .... :Ii tl!j .... n
~ 01 0.
...::"'0 ~ :> :10 ...
I\) fD ....
trjO ::; ... ~
.n ~ . . 0 0
l;tl:lO =- :~ = ~
(J)~ 0 :g. s..::: :0 tl!j ~
.... --
.. > :::s .rt Y.l ~ Z
l-rjZ "'0 :CD (I) :m ~ 0 = ... ?
~ .Ii .rt > "II 2:
t-It::l = tl!j
= '1-' '0 ~ ~ ~
0> ~ :llJ :rt tl!j = > =
l"l l"l
:E:"'O <' .::1 0 "'0
trj"'O I\) :0.. ~ "'0
l;tl~ = :10
R'l> ... >
I\) W:
...... ....
C"jY.l Y.l ~
0> ~. tl!j
::Ill:"" 1\)' a= ~
z ~: tl!j ...
tf) Z
0 ~
Z
"
. ,
, .