The URL can be used to link to this page

Home My WebLink About62-0218TESTAMENTARY To __._____._10II,^+1._ ~:~'_4__ ^~C?~1I LL /~~;_,_,TR. .....................-, Register of Wills for the County of Cumber- land, in the Commonwealth of Pennsylvania. In the matter of the Probate of the last Will and Testamenl~A"41Iiy-1f--.r T---EIA,s~~:l©R-11--------------------- PETITION A Deceased -----------------------------------•-------------------------- Citizen of I3nited States The petition of ______________~.~f2Y_.~J~~~~A BASEEIORE respectfully showeth that ._._____S}~F.. I ~ _______ _________the Execut_..~ I X____named in the last Will and SA°•IUEL E. BA,SIEIORE lst Testament of ------------------------------------------------------•-----------•----------------------•----dated the ------------------------ day of -------------------- "IARCEI---------------------A. D. 19 S 6--------------------------------------------------------------------------- -------------------------------------- that said ------------SAS'.CJEL---E'---~~1SEEIORE------ -- was aresident of the United States and resident of ___-_____!~Il1Gl{-pN.I_CSEli1R-('T------------------------------- ------ EE CHAN I CSBU RG Cumberland County, State of Pennsylvania, and died at _____________________ _._____.___..__.____________.___ in the County of _________________CU'~1BERLAND-_and State of _____-PENNSYLVA~II~,_- on __•__.-_--SU~1~AY the ----------2-?z-h----- day of -----_.~tA-Y-------------------------A. D. 19--b-2------ at -----1-2-=X1:1-5-- o'clock-----1?-~-M•E~ . O . T. The said decedent has__NOT NOT EiI",1 ' _.______._been married and has__________________had children born to .___:__._._.._._._ since the execution of the above described Will. - E1NES'TIi9ATED The said testaTO.R_.____was possessed of personal property to the value of $____________________________________ 12,000.00 and of real estate to the value of $______________________________________________________________________as near as can be ascertained, situated as follows: ____.._~16 _l~'est_ rEain.-Stxeet, _!~Eechanicsl?ur~„_ Pa_.- less encumbrances of $_._~~~~Y--JOANNA -f3ASFHORE Therefore the said ------------------------------------------------ ---------------------------------------------------------------•---------------- 416 t~rEST '+lAIN STREET, ?~1ECEiANICSBURC', PA. «~E~ose postoffice address is -------------------------------- ---•---------------------------------------------------------------------------- respectfully appl._._7F'S_____for Probate of the said last Will and Testament __________________________________ and for Letters Testamentary thereon. A1AY 31 , 6 2 Dated -----------------•------...-----------------A. D. 19----------• <~ CUMBEi~LAND COUNTY, ss ------------------------------------------------------------------------ hfary .Joanna Basehore named in the above application., being duly___.s_vaA_r_n___________________________________________according to law say that Et~ermatters and things set forth in the foregoing Petition are true to the best of ________________________ knowledge and belief. Swann 1 ~, ce .~~,~. t~~a_,~c ~~~ u _----and subscribed before me at ~ ---- ~G'-y~--•~~i- ----------------------------------------------------- ~~Eay 31 , 62 ~ Carli e ----------------A. D. 1 __..___~:-- REGISTER -------•----•--•-----------------------•----------•---•------------••------~ ~, ro w .r ,,,~ ~:~ ;w ;A v := .~ r C ~ `: ~ ~, z`; ~~, a I y ~ • G ~ ~ ~ r '~ ~~. r+ ~; r d r ~' ~ ~ ~; ~ :, - cr ~, ~ , ~' t~l~ O ~~o ~ ~ ~ C'~ ~~ a 'n a+ V ,~ h v~ :~ W 0 ri C~ O ~n fi 0 SAMUEL E. BASEiiORE ATTORNEY - A T• L A W M fi C H A N I C S B U R G, P E N N A, LAST ','ILIA ~ ~7D T1 T~: ~ 2~!' U~' ~ ,~tT~I, E. B_'i.`~~''t~:l1~E. I, Su.:.uel E. ~wsehore, of the I?orough of "oche..^ic ~curg, in the Co?.~~t~= of ~umrerl~.nd and Corn.:zon:•rewlth of ='ennuT:~v~,nia, ''o .:.~~t~e _•.nu dub= ish t"r~i, to be ~.;~ iast ~~''~'il1 v.nd `i'eutaracnt, h<,rebv re~,-o <:in <:,nd :~?'_~1:1g void ull former ~'Ti.1:~S by :iic at an~T ti:;ie .:•~eretoiox'e ;;~.de. I `ive, devise s.nd bee-uec.th unto :~~ d~.u~;~~~tPr ~'~~~,r~~ Joo.nna ~usei~ore, her heirs and ausigns,ubsolutely, wll my estate, real and ~,eruonal, and I b.ereby ap~luint her the swid .ary Joanna ~o.,ehore the sole ~'xecut-rix of this my ;Fill. i further direct that she :got be rewired to ;ive bond :`or the faithful diucYz~,rge of her duties u, such I'xecutrix. S n testimon~r ;~hdreof I he.ve hereunto set ~~~ hand and tiewll this first day of :::arch, ~.D.,1956. ~. CUIVI'B~EIZLAN~ COUNTY, ss This...--- ----31-st-------- --- ----- - - - day of ------------------------------- -"'qAY--- -- - - --- - -- - JOHN 4t. ~tCKfiILLA~F,.1R. A. D. I96---2.... before me- --------------- --- ---- -- ------------- ----------------_ -------------- ---- -------Register for the probate of WILLS. and granting LETTERS OF ADMINISTRATION in and for the county of Cumberland. in the Commonwealth of Pennsylvania, personally came..__._ .............................. DAVID D, COOVER AND WILLIA?~4 L. SUNDAY --who being duly ------------------------------------- ------------------------------------------------------------------------------------------ SS~'ORN _---____--___...____________________-.according to law depose and say that they are well acquainted with the handwriting of___-..SAMUEL-- E .---.Fill-SEHORE TESTATOR whose name is attached as ................................................................to an instrument of writing purported to be--------- -- --- --- --- --- --- - -------- ---------------------------the Last Will and Testament of SA'~1UEL E. BASEHORE MECEIANICSBURG, CU^9$ERLAND COUNTY ~ PENNA, deceased late of-------------- -- --------------------------------- ------------------------------------------ ------------------ ----------- -- SA!~1UEL E. BASEF~ORE and that the said signature is true and genuine, and that the said...._-._.-....._______.-_.-_..-....._.__. _ _ _ _ _ _--------------- ----- -------------is now deceased Q~C9~7~~tjC------------ ------ °---'-- °-- °---°--- ---- ----- ------------- - - --------- SWORN ----------------------------_--_---and subscribed before me. this-- ----- ----~.-1----------------- ---------- -----------day of l ------------- ~-~'~=== ,------- ------------- ----A. D. 196. ~°:-- r ~~'~~ L ~yYla~~ --- --- ----------- --~~-~~~--~------------ - ---- -------------------- `~, R ISTER ,~ -~, ~ ;l CUMBERLAND COUNTY, ss: This ---------- ----------------------------------------_-_.---- day of ----------------------------------------------..__ A. D., 19--------~ before me ___..__..____..___._.._.__.__.____.._._____.____.___.____________________ Register for the Probate of Wills and granting letters of Administration in and for said County of Cumberland, ii~'the Com- monwealth of Pennsylvania, personally came __..___.____-_____._..___. --------------------------------------------------- ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- the subscribing witnesses to the foregoing instrument of writing. purporting to be the last ~~'ill and Testament of ___.______________________ Dated --_-_..----.-__----------_-_-_-- --------------------------------------------- late of ----------------------------------------------------------------------------------.__-- Cumberland County, Pa., deceased who being duly __.____.___________________ according to law, depose and say, that ___..._._____.___..._..__________ present, and saw and heard the testa -- ----------- - --------• ----------------------------- ------------------------- ---- sign, seal, publish, pronounce and declare the said instrument of wz°iting as and for h-__.__.___ Testament and Last ~~Vill, and at the time of so doing _....__._-__-_-_.__________ was of sound and disposing mind, memory and understanding, to the best of ____________________________..__ knowledge, observation and belief. ________________________________ and subscribed before ------- --- ------------- ------------------------- ----- Register. CUMBERLAND COUNTY, ss: A4ARY JOANNA BASE~IORE ----------------------=-------------------------------------------------- being duly StVORN _.-______._.__..__._____ says that as nearly as can be ascertained the said decedent ______________.________ SAI`1UEL E. BASEE~ORE - --- -- --------------- ---------------------------------------------- ----------- -------------------------------------- --------------- died on SUNDAY 2 7th ?~1AY 62 ------- the ------- ---------------__ day of --------------------------------------------- ----- A. D. 19-------- at or a~q,~R-lv---1-~-'-~S ------- - o'clockp'--- ~'1• 1 ------------------------------------- and subscribed this 31st MAY --------~ 2 ---------------------------- day of ------------------- - ----- --= ---~'-'=`-'t-~------_= ~'~'~'t'`-'`-s~z'`--------- 19_,____, before n ~ `r~,~"".,``~_~-G-r~''~e.YX.~'r'c•~- - - Register. =1 CUMBERLAND COUNTY, ss: 31st ?~1AY 62 Be it remembered that on the ___._.__.-______._-____ day of _._.__________________________________-___. A. D. 19______._, JOHN 1~1. MCI~4ILLAN,JR. before me ---------------------_-__-_----__--_--_-------------_----_---------.--_--------------_-, Register for the Probate of Wills and granting letters of Administration in and for said County, ~~-as truly proven the SAMUEL E. BASEEiORE last tiff ill and Testament of ----- ------------------------- ---------------------- ----- --- -- -- - --- ------- ---- - -- MECHANICSBURG~ Late of ------ ------------------.__._------- ------ --------------------------- -- - -- - --------------- - ---- Cumberland County. Pa., deceased, and Letters Testamentary issued thereon the same day to -_-_-_-__.___-__--_______-- ~tARY JOANNA BASEEIORE --------- ------------------------------------------------------------------------------------ ---------, Exec. UT-RI X-------- - - -- - -----• swoRN ~z~ho being duly ________________________ according to law to well and truly administer th~~ goods and chattels, rights and credits of the said deceased according to la~~~, and well and truly com- ply with the la~~-s relative to the Collateral and transfer Inheritance Taxes. S~-Olla'~---------------------------. to the day and date above mentioned by me, - ---------------------------------------------------- -- -- - - ~~_`-~-L----------------- -- -- - Register. ,~ o J J z ~ +~-- ~_ ~ N C U W v N V ~ r-i r U v a ,~ ~. 0 C4 w E G o U ~ N ~k U 'C ~ ~~; U ~ ~ Be it remembered that on the _____31s-t-- day of _________M.AY____________________ A. D., 19___6.2 before JOHN 1'V. ?~4C~lI LEAN ~ JR' Register, etc., there was probated the last will and testament of m ----------- --------------- --------- SAh4UEL___E~__BASENO_RE__._______, late of N9E_CI3AN_I_CS_BURG___.-__, Cumberland County, Penna., I~4~~~a~AN~n~ ~'A~II~e day were issued thereon Letters Testamentary to _______________________ _______-____._- the «~ithin named Execu__T_R.I_X.__. (Of Administration C. T. A. to -__________.__._______- _________.___________) (Renunciation and Request filed according to law. Said decedent died on Sll_Nt?AY____ the _-_Z_7_tki.._ day of ____?~7AY_________________ A. D., 19.6.2___, at or about 12_~ 0_S_.__. o'clock P. ~` _______ 1V1. S`ee~affidavit of death filed according to la~~'. WITNESS M1Y~,,HAND REGISTER ~ Form RCC- 3~ RY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NARR~6BUR6 Ji ~ _ _ :: ~ : ~ l ~ ~~' ~~° ~' • CERTIFICATE UNDER REVENUE ACT OF 1926 ~i~.~ Date ...............11sr.,..2.~....].9b3................,..,.................... TO THE UNITED STATER COMMISSIONER OF INTERNAL REVENUE: THIS IS TO CERTIFY that in the estate of ....................~.......................................... Sul _ 8...»B:e!s2usr~- ............................»....................................»..».................»....».»........»............................. late ot .»........» .................».........,...~?b~rl~nd»....»...........»..~.~........»............»....................................»..»...... County, Pennsylvania, who died ......»..........» ..............».».~7~. 1...».»..~.....~....»...»»....».............».....»....»..........»....................»..............., no refund of inheritance taxes has been authorized by the Department and/or by the Board of Finance and Revenue of this Commonwealth; and that there is no claim now pending for a refund of such taxes in said estate. Subject to additional tax, if any, under the Act of May 7, 1927, as amended. Total Taz Amonnt Paid ~p~d In Cash ~~~ ~,811~.72 Dste Paid August ~~~ ~.~~. August ~2, 19b3 Disoomit Allowed Interest ChsrYed SEAL v4. ,~, ~ ~>.,~. ,. _ .'z1..is ~.. #3.7b ..........................._.~.._.. . ~~ `S»...»........_..................................... For Th® U B. ~iith~ .Tr. Secretary of Revenue j ~a 2 c ~ Deceased S~9 M V iC C ~'. 13ASf r~o~ee Resident of MEcH9,v/~,s p~,P6 A. ..._ ,~. Died at ~'/EC/fAa/ic53~RG County of GvM~~,~LA.~ State of ~,~, Ori Su,voAy the .~7TN day of /'~Ar 196 at ~~;as o~clock P.M. (~~o.T~ ...--._ The decedent has nor been married and has ~~/~ since the execution of the described will. Personal Property $ ~~r~srr,a~r~~ Real Estate $ i~, o00 . oo situated at 5~/~ WE's~' M,y~N Sr., Ms~NANresgv~~/ Encumberance of $ /~/'o,,,~ Petitioner of Executor ~ s Name NJ~Ry ~os~~vvsf. ~AS£yo~~ whose Post Office Address is ~i~ k/~s.- /"Ja~,~ ST, /~9E~NA~ic.savec PA (Administration) The decedent left the following widow or husband, heirs and next of kin, to wit:- NAME RELATIONSHIP RESIDENCE ./or H.~w children born to RCC-89-RI R,~- ~ '~ CODiMONWEALTfi OF PENNSYLVANIA Department of Revenue ENTRY INTO SAFE DEPOSIT BOX TO REMOVE A WILL OR CEMETERY DEED May 31, 162 (Date of Entry) 1 . Name of decedent: Samuel i . Basehore 2. Address c,f decedent: 416 '.Jest rlain St., Mechanicsburg, ?=a. 3. Date of death: May 27, 1962 -i. Name and address of person who requested the opening of the box: Mary Joanna Basehore, 410 ~:J. Mairl St., Mechani•csbur~_;, Fa. 5, Name and address of the financial institution where the safe deposit box is located : The _~irst Bank and Trust Company, Mechanicsburg, Pa. ti. Number of bar,: 72 ?. Title under which box is registered: Samuel ~. Basehore 8. Was there a will in the box? (Yes or No) Yes y. If y-es, state date of will, name and address of personal representative, if named in and name the will and address of attorney, if any: Mar 1, 19 i6 , Mari Joanna Basehore, _Executrix, 416 ~J. Main Wit., Mech'b ~, Pa. GJm. Z. Sund ~~ Attorney, 39 `.J. Main St., Mechanicsbur` , Fa. And now this 51St day of,,,_.~M~ , 1~D 6~ , I hereby certify under pens.?'.y: of perjury that the above record. is correct and complete to the best ~f my knowleuge and r:"lief. Signature Paul C. Gronbeck - Clerk Print Name an~i Title Form RCC-33-RI RESIDENT DECEDEA'T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS AU G ~ ;~' 196 ., ~ COUNTY OF ........ CUIVii3E8LAND IMPORTANT: This return must be completed in detail and filed in duplicate, with will attached, with the Register of Wills of the County where decedent resided; Return is due within one year after date of death, unless an extension is granted by the Secretary of Revenue. (Section 703 of the Inheritance and Estate Tax Act of 196]..) IN THE MATTER OF THE ESTATE OF AFFIDAVIT OF ............................._Sa,TIlU.e1.....E.~....._B3_SEYi.QY'E................................................................... EXECUTOR (State full name oP decedent] bate or .......eumberland .. eo~ty state or .......Pe??•nsylvania . ..................................................... f gs: County oe Cumb e r~,.a.. ~d .............................................................._. .._ _.. Mary Joanna Basehore _ Fsecntor ~7bE3Tt7TrX of the estate of the above-named decedent being duly sworn, depose S and say S Decedent died _ day ......__.. 2~._._ ................., 19._62........,/ testate leaving a last wilt, copy of which is hereto attached. l ('Month) Ilmy) (]ear) ~ ~'j~ J Name and address of attorney or Gilliam L • Sunday, Esq• other authorized representative to ~ 9 whom all correspondence should be lM1Test P'ain_ Street ,,, mailed. Mechanicsburg, Penna. That as such ..........EXeeutriX••...., deponent is familiar with the affairs of said estate and the property con- ( Isxecu for-A d m in istrutor) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, ar 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 IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECiDENT The First Bank and Trust Com an o B x N e E. TJot Dint be Mechanicsburg, Pa. Basehore-General Power f Attorne to Mar Joanna B x asehore his dau titer d ted March 10 1 61 he first Bank and Trust Com an o BoX No.l8'Mar Joanna B sehore Not Dint bo c an cs urg, a. mue ase ore, epu y on y epu ys p That the contents of said safe deposit box or boxes are itemized under SchedulesA ~B, C of this return, with the exception of the following, for the reasons hereinafter set forth: Items having no value are not included in this return. That Schedu/e A attached hereto and made part hereof sets forth fully and in detail 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 p arcels, the estimated market value thereof as of date of death of decedent. That Schedu/e B attached hereto and made part hereof sets forth fully and in detail all person al 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 possession, standing to decedents credit in banks of deposit, savings banks, trust companies, or other institutions, whether individually, or in trust for any other person or persons giving also separately the accrued interest thereon, if any, down to the last interest d.ay prior to decedent's death in the case of savings banks, and to the date of decedents death in all. other cases; all bonds, postal savings, treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent; 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, pic- tures, 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 p roceeds of which were payable upon the death of the decedent; and all the corporate stocks and dividends dice thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death, with the market value thereof 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 business. 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 mast be submitted. 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 Schedu/e 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 effect in possession or enjoyment at or after death, said schedule sets forth the nature and value of such property, to whom transferred, the relationship of the transferees to the decedent, the proportionate share received by each transferee and all other facts of a pertinent nature regarding said. transfers. In the case of transfers intended to take effect in possession or enjoyment at or after death, there is also attached to the schedule a copy of the deed, trust agreement or other instrument creating the trust. There is also set forth in said schedule a list of all property, real and personal, with its value, which passes at decedent's death by virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint- ment vested in decedent, 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 schedule. That Schedu/e D attached hereto and made part hereof sets forth the names and addresses 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 at the time of decedent's death of all minors, annuitants and beneficiaries for life under decedent's Will. It also contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior to decedent, the dates of their death, their issue, and the relationship of such issue to the beneficiary. That Schedu/e E attached hereto and made a part hereof sets forth all property, real and per- sonal, owned by the decedent jointly with another or others, including intangible, standing in the name of the decedent and others, plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty, plus the name, address and relationship, if any, of co-owners to the decedent. That Schedu/e F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf' of this decedent's estate, including funeral expenses paid; family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary'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 decedent; debts and claims owing and unpaid at time of death; taxes accrued chargeable for period prior to decedent's death (except those allowed under Section 651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged 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 debt is less than the estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein, have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this ................................. if~+ _._..... ..................~. ~!.................. day of ..........JuT1e............................. Y9.6.~...... .......... ......::.............................~...f~~r.~.'.u..._.............. ( x tor-ai~dk~r) l~',..l C~G~G 41 e st Main Street MRS. ISABELLE R. RUPP, NOTARY PUBLIC (Street Number) MECNANICSc'iZG BOROUGH, CUMBERLAND COUNTY rTeChaniC SbUr~ # Perna . MY iOMMISSION EXPIRES OCTOBER 22, 19db (City or Town and State) NOTE: Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word. "None", and. in case the assets include rare and. unlisted securities, securities of close or family corporations or an interest in any co-partnership or business, that the data and statements required under the paragraph above relating to Schedule "B" are attached. Also make certain that colixmn ~1 in the "Summary" has been properly completed as above-directed. ,~.~. _ - . . , _ . i : ~.';~ C~i'd'+u\ J1~',:1LTH U:~ PL;NNSYLVANI ~ r1~ ,~ ,~~~ 'l '; A~ ~ i. R1? INH!~,KIT ONCE 'l:~i`Z SCHFDUI~P n ~n ,~+~, z`~ .% ]~i~;`~I1~T?i~~'C llEC?J'DENl RF,AL PrtOY F,RTY `?eel. property in Pennsylvania, with statement of mortgage encrunbrances upon each parcel at death of decedent. Where property held as joint tenant or tenancy by entireties, report nn Schedule "F". Property held by the decedent as tenant in common with another or others, should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. _ The real property located in the Commonwealth of Pennsylvania should be described by lot and block number, street and street number, together with a general description of the property, with a refer- decedent took h th hi b (1) ASSESSED VALUE (2) (3> DEPARTMENT VALUATION c e y w ence to the record of the conveyance title; if a farm state number of acres; also statement of mortgage FOR YEAR OF ECTIMATID C AUTION encumbrances upon each parcel at death of decedent. Taxes, assess- are to be ;fisted on tc t DECEDENT'S MARKET VALUE (Do not write gages, e ., ments, accrued interest on mor Schedule "F" and must not be deducted from this schedule. DEATH in this space) ALL that certain House and lot of ground situate on the North side of West Main Stre t , in the Borough of Mechanicsburg, in the County of Cumberland and State of Pennsyl- ~ vania, bounded and described as follows, to wit: BEGINNIT~?G at a point on the curb line on said West Main Street and at corner of lot now or formerly of Isaac Barto; thence along said lot northward 213 feet to a pin on the line of a Public Alley; thence along! the line of said Alley eastward 40 feet to a pin on said alley and at corner of lands late of 1~avid iro". Seidler thence along the line of said lands of Bavid W. Seidle south-i ward 213 feet to a point on the curb line on said West l~iain Street; thence along said curb line westward ~0 feet to a point an ` said curb line at the place of BEGINTdING. HAVING thereon erected a frame dwellir..g house known as 41b West Main Street, Mechanicsburg, Pa. BEING the same premises which Edna Bewalt Cocklin and John A. Coeklin, her husband, by deed dated April 1, 1921 and recorded in the 8ecorder's Office in and for Cumberland County in need Book "G", Vol. 9, page Ogg granted and conveyed unto Samuel E. Basehore Valued at appraisal - See attached copy x,700.00 L`!_~ 1,500.00 ~"~ 1l~,Soo.oo Insert this total opposite "real property", Schedule X X X X X ~1j,H?)r©x.00 "A", in the "As Reported" column on the last page of ::a p .. RAY E. NUTTER • Ina'u~ance Bonding-Rurl lactate UNITED STATES FIDELITY AND GUARANTY COMPANY 41 W. Maio Street Telephone: PO 6.9361 MECHANICSBURG, PA. September 28, 1962 a W3.llisa L. 3thidday, ,ttorney 39 Meat Iisin Street .- xechanicsbnrg, Pennay'lvania Dear 1dr. sunda~y~ At your ~egnest, ire visited tt~e cYselling oened by the Satate of Saleonel $.~ ~asehpre 'otd located at IsI.6 West Main St., Kewhaaica- burg, for the purpose off' making sa appraisal.,, It is our opinion that a fair market valve for this property vauld be ~1lt,500.00. qrs, ~• . ~ ~' U. S. F. do G. REPRESENTATIVE FOR TWENTY-FIVE YEARS ~+ ~ ` RCC-33b-RI COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX SCHEDULE "I3" RESIDENT DECEDENT PERSONAL PROPERTY 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 person~.l 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 listr~d first (e. g. jewelry, wearing apparel, household goods, and furnishings, books, paintings, automoblles, 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 fiduciary in said capacity, partnership interests, interest in any undistributed estate of or income from any property held in trust ~znder 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 ITEM UNIT ESTIMATED DEPARTMENT VALUATION No. List and describe fully VALUE MARKET VALUE (Do not write in this space) TANGIBLE PERSONAL P130PEflTX 1. 3 pc . living room suite 15 ' 00 15.00 2. 5 stands 25.00 25.00 3. 1 chair 10.00 15' 00 10.00 1 rocker 5.00 15.00 6. 3 lamps 1 clack 35.00 5.00 00 35 7. Pictures (living room) 3.Op . 3 ~ $. 2 throw rugs 25.00 • 25 00 g 10. 7 vases and mug I~Iiscellaneous items (living room) 10.00 10.00 . 10.00 11. 1 Grandfather' s clock 500.00 10.00 00 500 12. 9 pc. dining room suite 150.00 . a~ 15o 13. 1 tier table 15 •o0 ` 15'00 14. Pictures (dining room) 1.00 oo l 15 . Dishes 40.00 . ~t0.00 16. 1 candelabra 10.00 1 17 . Candle sticks 5.00 5'00 18. Mirror 10.00 10.00 19. Winthrope desk 35.00 35.00 20. 1 plank bottottl chair 5.00 5.00 21. 2 porch chairs 2.00 2.00 22 . 1 table 5.00 5.00 23. 1 overstuffed chair and ottoman 5.00 5.00 24. 1 rocker 5.00 5.00 25. 2 bookcases 25'00 25.00 26. Books 10.00 10.00 27. aa,dio 10.00 10.00 28. 1 book stand 2.00 2.00 2g. 1 telephone stand and chair 5.00 5.00 30. 1 clock (broken) 25.00 25.00 31. 2 throw rugs (library) 1.50 1.50 32. 3 lamps 2.00 2 ~ 33• Vases and miscellaneous items (library) 5.00_ ' x.00 34. 1 cabinet 300 35 • 3 Plank bottom chairs (painted) 15.00 15.~ 36. 1 kitchen table 5.00 5'~ 37• Pots and pans 10.00 10.00 38. Miscellaneous kitchen items including ~ old toaster, waffle iron and mixer 2.50 2 50 ~9. 1 ga s stove 1.00 . 1 ~ 0. 1 refrigerator 20.00 ' 41. 1 metal kitchen table 2.00 20.00 42. dashing machine 2.00 ~ 2: 43. 2 lawn chairs •50 .50 44. 1 chair 1.00 1.00 45. 1 porch chair .50 .50 46. 1 dresser 15.00 15.00 47. 1 chiffonier 20.00 20.00 48 . 1 dressing table 5.00 500 49. 1 brass hed, mattress and springs 15.00 1 X00 Insert this total opposite "Personal Property", Schedule "B" in X X the "As Reported" column on the last page of this return. Carried Forward 7.14~,QQ ! 11>~t~•00 ~ Form IiC$3-88 9upp. -10 SCHEDULE...........`.4. B~' ............... PEE.$Q~,A.~ ................PROPERTY Continued This form to be nsed and attached to either Schedule RCRI-33 A or B whenever additional space is needed. Columnar ruling must be the same as original schedule. Clip or staple, bnt do not paste, to original schedule, ESTIMATED MARKET VALUE AT DATE OF DEATH Brought Forward 1144.00 50. 51. 52• 5~3• 5 • ~6. 57• 58. 60. 61• 62. 63. 64. 6~ . b 67~ 68~ 69~ 7 0~' 72a~ 7 ~~ 75~ 76~ 7g~ 79# 8 0# 81• 1 clock Miscellaneous items 1 day bed 1 plank bottom rocker 1 card table Chair Stand 1 plank bottom chair (legs cut short) Clothing Office desk 2 chairs 2 file cabinets Document file cabinet Bookcase Waste basket Spool cabinet 2 typewriters Gold coin - Liberty ~~v20. 1800 Gold coin - Liberty ~p10. 1$gg Gold coin - Liberty v~5. 1881 Gold coin - Liberty„(feather head-dress)~10. 1814 Gold coin - Indian ~p2'~ 1910 Gold coin - Indian ~2~ 1914 Silver peace dollar Cash in envelope Cash in envelope Cash in envelope Cash in envelope Cash in envelope Cash in envelope Cash in envelope Checking Account-No. 118-656 - Samuel E. Basehore, Attorney-at-Law- The First Bank and Trust Company, of Mechanicsburg, Pa. Checking Account-No. 118-528 - The First Bank and Trust Company, of Mechanicsburg,Pa. Checking Account-No. 132-528 - The Harrisburg National Bank and Trust Company Cash in office 5.00= 3.00 5.00, lo.oo~ .50- 50 .50% l.OQ_' 10.00' 40.00 ' 5 . oo 60.00 - 15.00 9 15.00 l~To value 25.00 ,- 15.00 -- 30.00 20.00° lo.oo~' 20.00'' 10.00 to . 00 4,, 1.00 175,15-° 930.00 ~' 470.00 ~- 515.00= 15 g • 00 ~-•'' 260. oo ~°~ 100 . QO y'Y 11441.02 ~'`~ 82. 83. 84. 85~ Six (b) X1000. 3~~ Treasury Bonds of 1gg0 dated Feb . 14, 1858 due Feb. 15 , 1990 (purchased Marc? 16, 1862) with Coupon Nos. g thru 64 incl. attached. Interest payment dates Aug. 15 and February 15 - Bearer bonds ~ g2.22g1 $6. Accrued interest on Item 85 from Feb. 15, 1g62 to Ma 27, 1862 87'~ Six ( 6 ) X5000. 3~~ Treasury Bonds of lgg0 dated Feb . 14, 1958 due Feb . 15 , 1990 (purcha sed March lb, lgb2) with Coupons Nos. 9 thru 64 attached. Interest payment dates Aug. 15 and February 15 - Bearer bonds ~' 92.2291 88. Accrued interest on Item 87 from February 15, 1g62 to May 27, 1962 Carried Forward 4468.80 ~" 3666.89 ~°'- 188.04 -'" 5533.75 ~'' 5 8.59 a- -. 27668.73 292.96 5?383.39 DEPARTMENT VALUATION CAUTION (Do not write in this space) 5.00 3.00 5.00 10.00 .50 .50 .50 1.40 10.00 it0.00 5.~ 60.00 15.00 15,00 No value 25.00 15,00 30.00 20.00 lo.oo 20„00 10.00 10,00 1.00 15.15 930.00 170.00 5~-5.00 159.00 260.00 100.00 11Lt~t1.02 !~l~68 , 80 3666.89 188!00 5533.75 58.59 27668.73 292.96 57,~~3.39 Form RCR3.88 8upp. -10 SCHEDULE .............`r Br'............ . PE~i. SO ~,AL,,,,,,,,,,,,,,,,,,PROPERTY Continued This form to be used and attached to either Schedule RCRI-33 Columnar ruling henever additional space is needed B A ESTIMATED MARKET VALUE DEPARTMENT VALUATION w or mast be . the same as original schedale. Clip or staple, but AT CAUTION do not paste, to original schedule. DATE OF DEATH (Do not write in this space) Brought Forward 57383.39 57, 383.39 89# Two X1000. 32~ Treasury Bonds of 1890 dated Feb. 14, 1958 due Feb. 15, 1gg0 with Coupons Nos. g thru 64 incl. attached. Interest payment dates Aug• 15 and Feb. 15 - Bearer Bonds C 92.2291 1844.58 '""~ 1,8t~ls.58 g0. Accrued interest on Item 89 from Feb. 15, 1962 _ M to Ma 27 , 1962 _ 19 • S3 ~°"` 19.53 gl~' One (1~ 5000. 3~~ Treasury Bond of 1978-83 dated ~Iay 1, 1953 due June 15, 1883 redeemable on and after June 15, 1978 with Coupons Nos. 18 thru 60 incl. attached. Interest payable June 15 and Dec . 15 . - Bearer Bond C> 91.2707 X563 • S4 °" l~, 563.5i~ g2. Accrued interest on Item gl from Dec. 15, 1961 to May 2 1962 72 •?7 ~-''` 72.77 92~' Nine ( g ) 1000 . 2~~ Treasury Bonds cif 1965-70 dated Feb. 1, 1944 due i~iarch 15, 190 re- deemable on and after i~iarch 15, 1865 with Coupons Nos. 36 thru 52 incl. Interest payment dates i~iarch 15 and Sept. 15 - Bearer Bonds 91.6875 8251.$8 g4~ Coupons Nos. 36 due on Item g3 on March 15, lgb2 attached on date of death 112.50 ~- 95• Accrued interest on Item q3 from March 15, 1962 to May 27, 1962 ~~.63--~ 96~ Three ( 3 ) X5000 . 3~ o Treasury Bonds of 1998{ See ) dated Oct. 3, 1960 due Nov. 15, 1998 with {Item) Coupons Nos. 3 thru 76 incl. attached. In- (205) to re st payment dates ;Tay 15 and Nov . 15 . Bearer Bond s -~ 9 0 . g 791 4548 . g6 ~' 97~ Coupon No• 3 due on Item g6 on May 15, 1962 attached to bond on date of death 262.50 ~- g8. Accrued interest on Item 96 from May 15, 1962 to May 27, 1962 17.12 ~" 99# One (1) X1000. 32~ Treasury Bond of 1998 dated Oct. 3, 1960 due ~iov. 15, 1998 with Coupon No- 3 thru 76 incl. attached. Interest payment dates i~fay 15 and No v • 15 - Bearer Bonds. ~r, 90.9791 909 •?9 ~" 100 Coupon No• 3 due on Item gq on May 15, 1962 attached to bond on date of death 17.50 ~'" 101. Accrued interest on Item 99 6 ~ from clay 15, 1962 4 ''~ 2 t o P !ay 27 , 19 1.1 102' One (1) X5000. 2 3j4~ U.S. T reasury Bond of 1861 dated November 9, 1953 due Sept. 15, 1961 with- out coupons attached. Tnte rest payment dates March 15 and Sept. 15 (PA 5T DUE) 5000.00 /" Series E - U. S. De fense Savings Bonds-Samuel E. Basehore 103~ a~100. C 599 79 6$E March 26, 1942 135.32'' 104# X100. C 599 79 6gE March 26, 1942 135.32 105 '100• C 599 79 7oE March 26, 1942 135.32- 106 100. C 599 79 71E March 26, 1942 135.32' 107 '100 . C 599 79 72E Aiarch 26 , 1942 135.32 108' X100. C 599 79 97E April 11, 1842 135.32` Carried Forward 83861.'75 8,251.88 112.50 !~~ , 63 1~~51~8.9b 262.50 17 .12 909.79 17.50 1.11s 5,000.04 135.32 135.32 135.32 135.32 135.32 135.32 83,Sb1.?5 Form RCRI.98 Bupp• -l0 SCHEDULE,...".. B`.' ..................... PERSONAL „,,,..PR.OPERTY .......................... Continued This form to be used and attached to either Schedule RCRI-33 henever additional space is needed. Columnar ruling ESTIMATED MARKET VALUE AT A or B w must be the same as original sehednie. Clip or stagle, but DATE OF DEATH do not paste, to original schedule. Brought Forward 83861.75 lOg~ X100. C 599 C 79 98 E 9 99E April April 11, 11, 1942 1942 135.32 ` 135.32'" 110 111 X100. 100. 599 C 599 7 80 00 E April A il 11, 11 1842 1942 135.32 " 135.32' 112# 113' 100. ~pl0o . C 599 C 289 $0 01 E 56971 E , pr Jan • 30, 1943 4 131.76 -. 131 76' 114' w100. 10o C 28g C 289 56972 E 56973 E 3 Jan. 30, 19 Jan• 30, 1943 . 131,76`.` `- 115 116# w~100. C 289 56974 E Jan. 30, 1943 1943 30 J 131.76' 131.76' 117# 118 X100. X100. C 289 C 289 56975 E 56976 E an. , Jan. 30, 1943 131.76~ 1 6` Ilgx .100. C 28g C 28 56977 E 56978 E Jan. 30, 1943 Jan. 30~ 1943 .7 13 131.76- 120~~ 121~ 100. X100. 9 C 289 56979 E Jan• 30, 1943 1943 0 i31.76~ 131.76"' 122 123K X100, ~Soo• C 289 D 121 5698a E $690 E Jan. Jan• 3 , 26, 1942 4 676.60f 60--- 676 124 125~ ;~5Q0• X500• D 121 D 162 8681 E 5075 E Jan. April 2 26, 19 17, 1942 4 . 676.bo-~ 6 60' 6 126 # ""500• 0 X D 208 D 352 2116 E 3565 E April Jan• 16, 30~ 2 1 193 . 7 658.80 12 128';' . 50 X500. D 352 3566 E Jan. J 30, 30 1943 1943 658.80 658.80 129 130, X500. X500. v 352 D 3S2 3567 E 3568 E an. Jan• J , 30, 26 1943 1942 , 6,58.80 1353.20' 131' 132# X1000• looo. M ,950 M 950 371 E 372 E an. Jan. J , 26, 26 1842 1944 1353.20 1274.80 "" 133` 134 x:1000. ~100G . M 528 TYI 528 6164 1; 6165 E an. Jan . J , 26 , 26 1g44 1944 1274.80 1274.80:. 135 136 X1000• X1000. rI 528 M 528 b166 E 6167 E an. Jan. J , 26, 24 1944 1944 1274.80' 1274.80' i37~ 138" X1000. X1000. M S37 6820 E M 6653949 E an. Jan. J , 26, 194,5 1236.80 139 140 X1000. X1000. M 6653950 E NT 6653951 E an• Jan. 2b~ , 1845 4 1236.80 80 1236 141# ~ `°1000 . rl 6653952 E M 6653953 ~ Jan . Jan• 26 , z6, 19 5 1945 . 1236.8 0 14z 143 Joao. ~p1000. Iii 12372686 E Jan• 30~ 0 1946 19 1199.60. 144#~ 4 'h X1000. ~1000 M 12372687 E M 12372688 E Jan• Jan. 3 , 30, 1946 1199.60 1 5 146 . `~~'1000• iii 12372689 E M 123726go E Jan. Jan. 30, 30, 1946 1946 1199.60 1199.60` 147 148 laoa. X1000• M 16 6 711 412 11 413 E E Dec. Dec. 30, 30, 1947 1947 1128.00 1128.00° 14g-~ 15oF X1000. looo. M 1 M 16 7 711 414 E Dec. D 30, 0 1947 1947 1128.00- 1128.40°' 151 1000. X1000 M 16 Iii 16 711 415 711 416 E E ec. Dec. , 3 30, 1947 1128.00 '•' 152 i53~ . 1000. M 16 M 16 823 z57 823 258 E E Feb. Feb. 26, 26, 1948 1948 1128.00 112$.00' " 154 155 X1000. X1000. :~~ 16 823 259 60 E E Feb. Feb. 26, 26 1948 1848 1128.00' 1128.00'. 156 157" 1000. X1000. M 16 M 16 823 2 823 261 E Feb. , 26, 1 i9~9 1095.60f 15g~ X1000. 0 M 11 Iii 15 943 046 237 389 E E Jan. Jan • 3 ~ 31, 199 1095.60° 159 160 . X100 X1000 • I41 18 440 316 E Feb . b F 28 , 28 1949 1949 1095.60 1095.60° 161 ' X1000. M 18 M 18 440 317 440 318 E E e . Feb • , 28 , 1949 10 .60'' 162 51000 • Carried Forward 129082.63 DEPARTMENT VALUATION CAUTION (Do not write in this space) 83,861.75 135.32 135.32 135.32 135.32 131.7b 131.7b 131.76 131.7b 131.76 131.76 131.76 131.7b 131.76 131.76 676.60 b7b•60 67b.60 676.50 658.80 b58.80 658.0 658.80 1353.20 1353.20 1277711.80 127~.~0 127t~.80 12 711.80 123b.80 123b.80 1236.80 1236.80 1236.80 1199.60 1199.60 1199.60 1199.b0 1199.b0 1128.00 1128.00 1128.00 1128.00 1128.00 1128.00 1128.00 1128,00 1128,00 1128.00 1095.bo 1o95.bo 1o95.bo 1095.60 1095.E 129082.63 Forst RbRI.88 8upp. -10 SCHEDULE......... #} B.." ................. .. PEBSORTAL,...........PROPERTY Continued This form to be used and attached to either Schedule RCRI-33 A or B whenever additional space is needed. Columnar ruling ESTIMATED MARKET VALUE DEPARTMENT VALUATION mast be the same as original schedule. Clip or staple, but AT CAUTION do not paste, to original schedule. DATE OF DEATH (Do not write in this space) Brought Forward 128082.63 129082.63 163 Five (5) Contingent Bond Coupons No. 1 payable Tay 1, 1940 on Bonds Nas. 180, 27923, 11898, 2313$ and 12641 of Buffalo, Rochester and Pittsburgh Railway Co. (Coupons only) Into Value No value 164- 70 shs. Dauphin Deposit Trust Company - '~ Common Par X10. L' 66~ 4655.00 X655.00 165# 300 shs. The First Bank and Trust Ca•, of ~-- ~iechanicsburg, Pa • - Capital Stock - Par Flo. c 45 13500.00 •~ 13500.00 166# 100 shs. Farmers Trust Co•, of Carlisle, Pa. Capital Stock - Par X10. L 62 6200.00 ~ 6200.00 167 20 shs. Kennecott Copper Corp. - Common - No Par ~ ?1.59 1431.80 '''~ 11x31.80 168 Dividend payable on Item 167 to stockholders of record before death 25.00 f ~5.Oo 16g~ 105 shs.Philadelphia Electric Co. - Common - No .Par ~ 29.3959 3086.57 "' 3086.57 170. 117 shs. Philadelphia Electric Go• - Common- No Par ~ 29.3959 3439.32 `" 3l~39.32 1'71• Dividend payable on Items 169 and 170 to stockholders of record before date of death 66.60 ~ 66.60 172' 240 shs. United States Steel Corp. - Common- Par X100. ~- 51.6875 12405.00 y" 12l~05.~ 173. Dividend payable on Item 172 to stockholders ' of record on i~iay 1, 1962 180.00 "' 180 00 174 240 shs. Bethlehem Steel Corp. - Common - . No Par ~ 34.875 8370.00'-''" 00 8370 175. Dividend payable on Item 174 to stockholders , of retard on May 2 , 1962 144.00 ~" 00 11t1~ 176°f 50 shs. Pennsylvania Railroad Co. - Capital . Stock - Par X50. ~= 12.8793 648.97 ~_ 618 97 177 150 shs. State Capital Savings and Loan . Association - Capital Stock G 100 15000.00 -' 00 1500)0 178. Accrued interest on Item, 177 from Jan. 1, . 1962 to I~Iay 27 , 1962 243.65 ~~ 2~ 3 65 178. 361 shs. The Harrisburg National Bank and i • Trust Co • , of Harrisburg , Pa . C 113 40793.0© '~~ 00 10793 180. General Insurance Co. of America 3.15 ~ . 181# Mortgage from Chester 'vt. Lancaster and 3.15 Catherine B. Lancaster, his wife, dated Sept. 15, 1856 and recorded in the Re- corder's Office in and for Cumberland County in mortgage Book 347, ,page 205 to ~muel E. Ba whore . Principal X6600, 5;o interest payable quarterly - One year. Unpaid Balance ;3700. o0 3700 . oo ~'"P 182. Accrued interest on Item 181 from March 15, 3700,00 1962 to a~ay 27, lgb2 36.70 ~- 183-~ Mortgage from Charles ~ . Whi sler dated Jan • 36.70 13, 1951 ~ nd recorded in the Recorder's Office in and for Cumberland County in i~artgage gook 255, page 241. to Samuel E. :~a sehore - Principal X2100 - 6~o interest payable semi-annually - One Year 2100.00 ~ 2100.00 184. Accrued interest on Item 183 from Jan. 13, 1862 to ~.ay 27, 1962 46.64 ~' l16.6l~ 185. Promissory Nate - D.S. Keefer 177.58 ~' 58 177 1$6. Accrued Interest on Item 185 from Oct. 15, . 1955 to May 27, 1962 70.48 3T", 70.1x8 C$rried Forward 245406.09 215406.09 Form RCR3.88 9upp. -IO M Bq SCHEDULE .................................... PERSONAL ...PROPERTY Continued This form to be used and attached to either Schedule RCRI-33 A or B whenever additional space is needed. Columnar ruling must be the same as original schedule. Clip or staple, but do not paste, to original schedule. Brought Forward Accounts Eeceivable 187• May Salary -The First Bank and Trust Co. 188. Legal Fee - John M. Furry Estate 18q. Legal Fee -Myrtle B. Shopp Estate 190. Legal Fee -Loy Hempt lql. Immediate aelief Fund Jewelry: 192. Hamilton Pocket Watch and chain A4asonic jewels: 193. Trinity Conclave No• 4 194. Council button 1q5. Past Master's Pin 196. Trinity Conclave No• 4 197. 125th Anniversary B.A. Chapter No. 43 198. Samuel C. Perkins 8AM Chapter 209 199. Erin Council No. 3 200. Bed Cross of Constantine & Appendant Order 201. York Cross of Honor . 202. Trinity Conclave 203• Past Master, etc. -Grand Council 204. Masonic Sword TOTAL PERSONAL P80PEATY 205. Correction for total carried in Item 96 TOTAL PERSONAL PROPERTY ESTIMATED MARKET VALUE AT DATE OF DEATH DEPARTMENT VALUATION CAUTION (Do not write in this space) 245406.09 21~51~06, 09 48.50 ° X8,50 25.00 -~ 25.00 367 ©. oo -' , 3670. o0 128.00 ~`` 128.00 1000.00 ~° 1000.00 15.00 `f 15.oa No value No value No value No value No value No value 3.50 No value No value No value No value No value 25o2g6.o9 No value F3o value No value No value No value No ~ value ~ ~~ .50 No value No ~ralue No value No value No value 250296.09 9097 . Q2 ~g~94. of 9097.92 259,39.01 ~~~, l'ti~lllt~~ t'~ 1I iIi lei I'~?:~,'rwYl,` ~a'~1 ' ~ << TiL~'~fit'h:R Itii~~'aI11~IC' I'2`~; "~ ~ ,,~ r ~' ~ ~`n~ 3 u`~~ 7' _ _ , ~?t,'k 4i~.~rn~aT rn~:crtl~~,v~r (1) Did decedent, within twn ti ,xrs o~ ~~.~ath, m ~l.e rcny * s?sft r ~~f an,y materia.i part o~~hn~e~~~without receiving a valuable and aac.+':+zarE consl~i,~~r°:d ic>n thF . ~=for? {<lnswer yes or no).~___ (~) Did decedent, within two ye:~rs of cfE~ +' iruzsY•~r nropesty from hxm~,;l~f to himself and another or others (including a spouse} in j~~ant +r E -~si 1_, ? ;9nswe.r yes cr no} 1~ ___ (3) If the answer to (1) or (~) atsove i.s in silo af1'Yrzr~~aive state:NOt $}Jp].iC$I?Le (a) Age cf decedent at time of transfer (b) State oY decedent's heal ti= at time of mais.in~; the transfer. (Note 1). (c) Cause of decedent`- d.~<~.tPz. (Note Yt. (4) Did decedent, in his lifetime, make any transfer of property without receivin 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) Ik~as there any possibility that the property transferred might return to transferor or his estate or be subject to his power of disposition? (Answer yes or no) ~Q (b) F1'hat was the transferees age at time of decedents <lesth? NOn@ (5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or imp)iedly reserves for his life or any period which does not in fact end before his death: (a) The possession or en,joyrrzent of or the right t,o income froze thE• property transferred? (~~nswer yes or no) N~ (h) The right, to designate the persons who shall. possess or enjoy the iroperty transferred or income therefrom? (Answer yes or no)~_NO (E) If the answer to (5) (b) above i_s in the affirmative, state whether the right; was reserved in decedent alone or others __ _ NOt ap~liCable _, ____ (7) Did decedent in his lifetime make a transfer, the consideration for which was tgr7ansferee's promise to pay income to or for the benefit of care of transferor? (Answer yes or no) __,__1~0 (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 revolve, or which could revert to decedent candor terms of transfer or by operation of law? (lnswer yes or no) NO (9) If the answer to (8) above is in the affirms+.tive, 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 a~~liCable NOTE 1; The answers to these questions should be supported by affidavit by the +zttending 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, its 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 i.n manner in which provided in Schedules A, B, or F,. ITEM DI;5CRIPTION zliART~T VAVliE DF,PT. VAT.I`ATION ~r.~~,.,,..,,.a~ ,.. ~ _ Insert this tot-tl opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. None IiC'C-:3 iii-iiI l'0:1t11~1\11'~:A1.1'II OF I'F::~'1C1'1'L:1N1:~ TRANSF'F~;h I1IiF'RITANCE TA.l' RESIDENT DES Iar:NT _ RE~LATIUNSI~IF' - _____~, BENEFICIARIES AND AD~~RESSES ~ {If step chitt3ren or .~L~It4~IvF.T) State fu11 names and addresses of a1i who ~ iliegiiimate chi'dren DF.C,I,BIJNT here an interest, vested, contingent or other- are involved, yet tiTArF YES wise, in estate) forth this fact.? OR NQ Mary Joanna Ba sehore ~ Da~,u~hter ___ Ye_ s __ X16 West Main Street - - ;~._ __~ ~-^ ___ Mechanicsburg, Fenna. l ~~ ~. .L1T~~: ~ INTEREST OF OI'' ~ P,ENEN ICIAI~Y IN F.STATI~. STitTH ., t.l .1_Q_1_,~_ Sole beneficiary ~~ or entire estate ___ ~_ ~__ _, ---~-~ _.___. _ -_ - ~... _ ~__ --- v_ ~____ CePonent farther says that, alb the abotiN-na[ri~r~I benef~+ iarirs +.r ' iw~~ io at ~tii~ 1 zm« ex~ ~ t; ~>« lov: ---"- -- -----"--T-_ --- - __ _ ...---T- - ----» __. __ __ - --- ------ NAME j DATE OF' l ~i:A" ~I i'.r:>iI`Ai~:ti{:1'~ None ~, ~~ 1 ~ (~) o ~ SUMMARY (As Reported) (As Determined ) N d ~ Real Property .............................. ......................................... (Sch. „A„) $.. ....... I~'. ~ .~ DO . C~~ . $ . ......1.1~ .SOO.C10 ~~ ~ a Personal Property ........................ .........................................(Sch.,$>,) $.. ....259.,.39!~.~.~Z.. $_ ~ ....2.59...391~.oa. ~ ~ " ~ °~ ° Transfers ................_..__................ .........................................(Sch."C„~ $.. None ............................._ ._. $_ . .... .. .None o °u 'O w ~ o a n, ~ _, ... .,_.... ....... .... . a W Gross Taxable Estate .. . $... . ............... ._ ...~73~8.94.01... $. _ 273y~91~.07. t~0 N z ~ ~: ~ t, W y U' ?-~ < w u m~ r~: ~ ,, ~,, A ~ o: .~: :~ ~, A, 0 ~ ln: a~: ~: w w ~ r-t : >, o H W ~ ~ H F" p ~; . ' 4-i : O. ~ A c v z ~' ~ • w: .~ e a - - w O w ~ ~ ~ ~ U o ~ ~ m o ~ r b Er. ~; ~ ~ ,y o ~ ~, .~ . ~ ~ ~, ~ ^ c -f; ..7 U U a d Q a a Q D z O a, w a RCl ~ ~;:te~ `,1 C: `.',~i~lc ~'~ `vI?.11.~LH t}F T'}?NN SYL\':W I :1 fii.l\~,'1?it T:~H1~ai1T:1NCF T:11 P.I'~SITIF,NT DECET)ENT ~CHF.DULE "F." JOINTLY O'YNED PTtOPERTY ,.aa+~,. ,-,. ~~L 1'i. INSTRUCTIONS: This schedule must disclose all property, real and personal, owned by ~1t2 ~aacedent jointly with another or others, including intangibles, standing in the name of the decedent a;3d others. List real estate first, as entireties, or ,joint tenants, giving brief description, as indi.c:ated cuuier Schedule "A", plus the date and k?Iare of record of instrument effecting vestiture, but da not include entireties or nut of state real estate value in estate valuation column. Person~~]. property should be listed as in Schedule "B", plus date of acquisition, and the name, address and. relationship (if any) of co-vwiaers to the decedent. ----- - -- -- -------- -- ---- - _ _ _ _ -=_ ------- -f---= - Description of Property, Date of Acquisition, Name ~ Uni t. percentage Estate ~ DFl'ART~IENT VALIDATION Address and Relationship of Co-Owners, and Place Valve ~ Share Valuation C ~I,'TION-Da not Write of Record of Instrument, where Real Estate. i- _ ,_ In This Space. }, Value of Value of Entire Decedent s ,~ property Interest None None Insert this total oppasite "Jointly Owned Property", Schedule "E" in the "As Reported" column on the last page of this return. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE _ a BUREAU OF COUNTY COLLECTIONS RCC-8I-RI INHERITANCE TAX DIVISION IN YOUR REPLY PLEASt RtFtR TO In Re: Estate of Dear Miss Basehore: You are hereby notified that the Inheritance Tax appraisement in the estate of Samuel E. Basehore has been filed in the office of the Register of Wills of Cumberland County on September b , 19~,. Said appraisement reflects the following valuations: Real Estate ~ ll~l500.Q0 Personal Property 259i39l~.OZ Transfers None Total ~ 27~,~89}~.01 As to such tax that is paid within three months from date of death, a five (5~i) percent discount is allowable. As to any tax that remains unpaid after one year from date of death, interest at the rate of six (8,~i) percent per annum is charged. Any party in interest who is aggrieved by an .appraisement may appeal therefrom as provided by law. Date September 6, 1963 NOTICE OF FILING OF APPRAISEMENT Mary Joanna Basehore (Executor or Administrator) Samuel E. Basehore Cumberland County - File No. 6651-11 /' Signed ~~' ~ '~~7`~tL TitJ~e & Inves±,iga ,or Furor ACC- 2-RI DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ..........September....6,......196,x............ CoUxTY .,,Cumbe.rl,and ............._..._.__................... FILE NO..._665~-11 .. ............................................................ Whereas, ...........................Samu~~....~.....13a~.el~a>^e........................................................ late of ...........l~ecklax~~..~~.burg.............. .................... ... .. .. . y Cwnberland ......................................... Commonwealth of Pennsylvania, having died on in the Count of ........................................................................................ the ........................27th.................................................. day of .........................day.......................................... 19.6~~...., seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ..... .......................Harry..,L,,,.,~rlenger.................................,.......~ an appraiser duly appointed according to law, having been designated to make a fair and conscfonable 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. Description of Accet I Real ~ ~ 1!1,500,00 Pers - 259, 3911.01 Gross Estate -» ~ 273, 8911.01 Appraisement Made for Inheritance Tax f urpofec Having been duly sworn according to law, I do hereby certify that the ove appr i nt is made in con- formity with law orr this ..........._ ...............C.tkl._..............._.. day of ...........................................5.~ .. e~...............r ........ _....... _....... 19 _.6.3 _ . ~~~~~~~~~ ePPraiser 1l.1 kiest High treet ................................... . ............................................. .............................. (NUmber and Street) .......................Carlisle ...............................__. ___.., Penna. .................... . (Poet Ofl3ce) LAST SILL APdD TF~STAniE~viT C)F SAMUEL E. t~A~'>L:IIC)RI; I, SAriUr'L E. !~ASEiIC)tzE, of the I?~arou~h of t~iech~~nicsbcarg: in the County a.f. Cumberland and Cammanwealtil a-E Pennsylvania, cio make and publish this to he my last 1~'ill and Testament, }~ereby revoking and mzking vaid all formex wills by :ire at any time igeretaf.are made. I give, devise and beci~xeath unto my daugi:ter, ~~tary 3ac~nna nasehare, her heirs and assigns, absolutely, all ^~y estate, real and personal, and I hereby appoint i°~er tYie Said ~Jary ,3oanna F;asehare the sale Ixecutrix of this my +`,'ill. I Eurti~er direct that sloe not tie reriuired to give: bond far the fait}~ful discharge of her duties as such Executrix. Ir~i TEiSTI?~40,~IY tVtIF=E?EC1F I }lave hereunta set my hand and seal.. this first day of ?March A. ~. , l R56. Samuel E. ?asehc~re (SEAL) Inventory and Appraisement of the real and personal estate which were of Samuel E . i3a whore , deceased. Taken and appraised the day of 19 ( Date of death MAY 27 , 1962 _ ~_~-- - _ - - -- I __ ARTICLES HEAL ESTATE ALL t.~:~t certain Ho side of West 1~1ain Street, County of Cumberland and S as follows, to wit: BEGIN West Main Street and at co thence along said lot nort Public Alley; thence along to a pin on said .alley and thence along the line of s 213 feet to a point on the along said curb line westw at the place of BEGINNING. HAVING thereon erec West T~~ain Street, Mechanic BEI?~G the same preen A. Cocklin, .'_ner husband, b in the Eecorder' s Office i "G" , Vol . a , page 499 gran PEA NQAL PROPERTY: 3 pc. living room suite 5 stands 1 chair 1 rocker 3 lamps 1 clock Pictures { livi_~g room) 2 throw rug s 7 vases and mug Miscellaneous items (living room) 1 Grandfather's clock g pc. dining room suite 1 tier table Pictures (dining room) Di she s 1 candelabra Candlesticks Mirror Winthrope desk 1 plank bottom chair 2 porch chairs 1 table 1 overstuffed chair and ott 1 rocker 2 bookcases Books Radio 1 book stand 1 telephone stand and chair 1 clock (broken} 2 throw rugs ( library ) 3 lamp s Vases and miscellaneous ite (library} DOLLARS CENTS ARTICLES se and lot f ground situate on the North n the orou of Mechanicsburg, in the ate of Penn ylvania, bounded and describes ING at a po t on the curb line on said ner of lot ow or formerly of Isaac Barto; ward 2 3 fe t to a pin on the line of a the li e of said Alley eastward 40 feet at cor er o lands late of David ~i. Seid1E id lan s of ' avid W. Seidle southward curb 1 ne o said West Main Street; thence rd ~k0 eet o a point on said curb line .ed a f dame c~we 11 i ng house known a s 416 .burg , Ya . se s why. ch E deed ~.ated ~ and fqr Cu ;ed and'~conv I~ 15100 25;00 10100 1500 5 i o0 35 100 3100 25'00 10 00 10'00 500 00 150 o0 15 00 1 ~ 00 40 ~ 00 l0 00 5 00 10 '~ 0 0 35 boo 5 ~ 00 2 ', oa 5 boa 5 100 5 ;00 25 100 10 j00 10 I00 2 00 5 +~00 25 boo 1 I5 0 2 ;00 ~. Detvalt Cocklin and. John pril 1, 1821 and recorded erland County in Deed Book ed unto Samuel E. Basehore. TOTAL REAL ESTATE Brought Forward 1 cabinet 3 plank bottom chairs(painte 1 kitchen table Pots and pans Miscellaneous kitchen items including old toaster,waff l iron and mixer 1 gas stove 1 refrigerator 1 metal kitchen table Washing machine 2 lawn chairs 1 chat r 1 porch chair 1 dresser 1 chiffonier 1 dressing table 1 brass bed, mattress and spring s 1 clock 'Miscellaneous items 1 day bed it plank bottom rocker '1 card table Chair ~ Stand 1 plank bottom chair (legs cut short) Clothing Office desk 2 chairs ~2 file cabinets ;Document file cabinet ~~ Bookca se li Wa ste basket Carried Forward; 1026 ~0 ~~ Carried Forward DOLLARS I CENT 1026 15 5 10 1 15 20 5 15 5 5 to 10 40 60 15 No 50 00 00 00 00 2 ~5 0 1 00 20 00 2 100 2 00 0 0 0 0 0 0 0 0 0 ~0 ~0 10 0 10 to 1314 150 COMMONWEALTH OF PENNSYLVANIA 1 ss: COUNTY OF CUMBERLAND Joanna Basehore being duly sworn asco±d:ng to law, deposes and says that - she, i s the Executrix of the Estate of Samuel E . Ba sehore late of the BOY'OU$h ofMeehaniCSbur~ ,Cumberland County, Pa., deceased and that the within is an inventory made by hOr ,the said Executrix ' of the entire estate of said decedent, consisting of all the personal property and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death, based upon a just appraisement of each item made by two or more appraisers. Sworn to and subscribed before me this ~ /~ ~C. day of AugUSt s 6~-. Date of Death 27th Mechanicsburg, Pennsylvania Address May 1862 Day Month Year MRS. ISABEtLE A. RUPP, NOTARY PUet1C MECHANICSBUR6 BOROUGN, GUMBERUND COt;NiY MY COMMISSION EXPIRES OCT08ER 22, 1966 INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. $ee Article IV, Fiduciaries Act of 1949. ~~ a~ 0 Z Executor • 31Ls7rYt& 416 West Main Street ia0 N ~ ~ p , t M ~ ~ a ~ ~ Z Q }• ~ O Z ~ W ~ W N ~ W 2 ti. O ~ a O a J z ~ ~ w J Q W ~ L O a~ ~ ~ W ~ -s ~ U N ~ ri-~ o ~, m ro u a~ O - 0~0. •~ ~ ~ N 1 m ~ p'0, W ~ z d G., Q C ~ ~ p Z Q 1~ _qS u] O ~ ~ ~ o ~ ~ r'- tU c ~o ~ ~ L d ~0 ~ .~ ~ U ~ u. ~ O m m C O Q c~ z w U Brought Forward 1314.50 Spool cabinet 25.00 2 type.~rriters 15.00 Gold coin- Liberty X20. 1900 30.00 Gold coin- Liberty 10. 1899 20.00 Gold coin- Liberty 5• 1881 10.00 Gold Cain- Liberty (feather head- dress) X10. 1814 20.00 Gold coin- Indian X22 1910 10.00 Gold coin- Indian 2~ 1914 10.00 Silver peace dollar 1.00 Cash in envelope 175.15 Cash in envelope 930.00 Cash in envelope 470.00 Cash in envelope 515.00 Cash in envelope 159.00 Cash in envelope 260.00 Cash in envelope 100.00 Checking Account-a~To. 118-656 - Samuel E . Ba sehore , Attorney- at-Law- The First Bank and Trust Company, of Trlechanics- burg, Pa. 11441.02 Checking Account-i~o. 118-528- The First Bank and Trust Company, of Mechanicsburg, Pa. 4468.80 Checking Account-~jo. 132-528- The Harrisburg idational Bank and Trust Company- 366b.89 Cash in office 188.00 Six (6) X1000. 3~o Treasury Bonds of 1990 dated Feb. 14, 1958 due Feb. 15, 19g0(pur- chased March 16, 1862} with Coupon ltios. g thru 64 incl. attached. Interest payment dates Aug. 15 and Feb. 15 - Bearer 'oonds ~ 92.2281 5533.75 Accrued interest an preceding item from Feb. 1$, 1962 to ;gay 27 , 1862 58.59 Six ( 6 ) X5000 . 3~,o Treasury Bonds of 1880 dated Feb. 14, 1958 due Feb. 15, 1990 (pur- chased March 16, 1962) with Coupons pos. 9 thru 64 attached. Interest payment dates Aug . 15 and Feb. 15 - Bearer bonds ~ 92.2281 27668.73 Accrued inters st on preceding item from Feb. 15, 1862 to May 27, ,.1962 282.96 Two (2) w1000. Treasury Bonds of lggo dated Feb. 14, 1958 due Feb. 15, 1990 with Coupons Nos. g thru 64 incl. attached. Interest payment dates Aug. 15 and Feb. 15 - Bearer Bonds ~'92.22g1 1844.58 Brought Forward 59227.97 Accrued interest on preceding item from Feb. 15, 1862 to May 27, 1g62 19.53 One (1) X5000. 34~ Treasury Bond of 1978-83 dated ~~Iay 1, 1953 due June 15, 1g83 redeemable on and after June 15, 1978 with Coupons loos. 18 thru 60 incl. attached. Interest pay- able June 15 and Dec . 15 - Bearer Bond ~ 81.2707 4563•S4 Accrued interest on preceding item from Dec. 15, 1961 to May 27, 1962 72.77 Nine (g)~1000. 2~~ Treasury Bonds of 1965-70 dated Feb. 1, 1844 due I~:arch 15, 1870 re- deemable on and after .larch 15, 1965 with Coupons 1tos. 36 thru 52 incl. Interest payment dates i~la rch 15 and Sept . 15 - Bearer Bonds ~ 81.6875 8251.88 Coupons Nos. 36 due on preceding item on March 15, 1862 attached on date of death 112.50 Accrued interest on above nine X1000. 22jo Treasury Bonds of 1865-70 from March 15, 1962 to May 27z 1862 44.63 Three (3 ) ~P5000 . 3~~ ~i'rea sury Bonds of 1888 dated Oct. 3, 1gb0 due Nov. 15, 1998 with Coupons idos. 3 thru 7b incl. attached. Interest payment dates T~1ay 15 and l~ov . 15 . Bearer Bonds - ~ 90.9791 ~ 4548.96 Coupon Pdo . 3 due on preceding item on May 15, 1962 attached to bond on date of death 262.50 Accrued interest on above three ~v5000. 3~~ Treasury Bonds of 1998 from A3ay 15 , 1962 to I•ay 27, 1962 17.12 One (1) X1000. 32~ Treasury Bond of 1998 dated Oct. 3, 1960 due I~tov. 15, 1998 with Coupon No. 3 thru 76 incl. attached. In- te re st payment dates May 15 and Pdov. 15-Bearer Bonds~90.9791 909.79 Coupon No. 3 due on preceding item on j~lay 15, 1862 attached to 'oon,d on date of death 17.50 Accrued interest on above one v~1000. 32~ Treasury Bond of 1998 f roan N ay 15 , 1862 to clay 27, ,1962 1.14 One (1) X5000. 2 3/4% U. S. Treas- ury Bond of 1861 dated Lvov. g, 1953 due Sept. 15, 1961 without coupons attached. Interest pay- ment dates march 15 & Sept . 15 000.0 (r A ST DUE ) Carried Forward 59227.97 Carried Forward 83049.83 Brought Forward 83048.83 Serie s E - U. S. Defense Savings Bonds - aa.muel E . Ba sehore X100. C S99 79 68E March 26, 1942 135.32 loo. C 599 79 69E March 26, 1842 135.32 X100. C 599 79 70E March 26, 1942 135.32 p100. C 599 79 71E March 26, 1942 135.32 X100. C 599 79 72E March 26, 1842 135.32 X100. C 599 79 97E April 11, 1942 135.32 ~10U. C 599 7g g8 E -- April 11, 1942 135.32 loo. 100 C C 5gg 599 79 98 E 80 00 E April April 11, 11, 1842 1842 135.32 135.32 ; . X100. C 5gg 8o O1 E April 11, 1942 135.32 x'100. x C 289 56971 E Jan. 30, 1943 131.76 "100. C 288 56972 E Jan. 30, 1943 131.76 loo. X100. C C 288 288 56973 E 56874 E Jan. Jan. 30~ 30, 1943 1843 131.76 131.76 loo. C 289 56975 E Jan. 30, 1843 131.76 X100. C 288 56976 E Jan. 30, 1943 131.76 loo. C 28g 56977 E Jan. 30, 1943 131.76 X100. C 289 56978 E Jan• 30, 1943 131.76 loo. c 289 56979 E Jan. 30, 1943 131.76 X100. ~ 288 56980 E Jan. 30, 1943 131.76 X500. D 121 8680 E Jan. 26, 1842 67b.60 ~p500. D 121 8691 E Jan. 26, 1942 676.60 X500. ~ 162 5075 E April 17, 1942 676.60 X500. ll 208 2116 E April 16, 1942 676.60 X500. D 352 3568 E Jan• 30, 1943 658.80 Soo. D 352 3566 E Jan. 30, 1943 658.80 X500• D 352 3567 E Jan. 30, 1943 658.80 X500. ~ 352 3568 E Jan. 30, 1943 658.80 X1000. M 950 371 E Jan. 26, 1842 1353.20 X1000. M 950 372 E Jan. 2.6, 1942 1353.20 v~1000. lv' 528 6164 E Jan. 26, 1944 1274.80 X1000. M 528 6165 E Jan. 26, 1844 1274.80 X1000. TAI 52$ 6166 E Jan. 26, 1944 1274.80 X1000. I~1 528 6167 E Jan. 26, 1944 1274.80 X1000. Tai 537 6820 E Jan. 24, 1944 1274.80 X1000. M 665 3849 E Jan. 26, 1945 1236.80 X1000. r? 665 3950 E Jan. 26, 1945 1236.80 1000. it 665 3951 E Jan. 26, 1945 1236.80 1000. ~looo. r~~ M 665 665 3952 E 3953 E Jan. Jan. 26, 26, 1845 1945 1236.80 1236.80 1000. M 123 72686 E Jan. 30, 1946 11D8.60 1000. Rfi 123 72687 E Jan• 30, 1946 1189.60 X1000. M 12372688 E Jan• 30, 1946 1198.60 "'1000. M 12372689 E Jan . 30, 1946 1199 .60 1000. M 12372600 E Jar_. 30, 1946 1199.60 1000. M 16 711 412 E Dec. 30, 1847 1128.00 v~1000 . Iv1 16 711 413 E Dec . 30, 1947 1128.00 4`1000. M 16 711 414 E Dec. 30, 1847 1128.00 1000. M 16 711 415 E Dec. 30, 1947 1128.00 X1000. M 16 711 416 E Dec. 30, 1947 1128.00 w~1000. M 16 823 257 E Feb. 26, 1848 1128.00 y~1000. T°i 16 823 258 E Feb. ?_6, 1948 1128.00 4;1000. M 16 823 259 E Feb. 26, 1948 1 2 .0 Carried Forward 121348.63 Brought Forward 121348.63 1000. M 16 823 260 E Feb. 26, 1848 1128.00 1000. M 16 823 261 E Feb. 2b, 1848 1128.00 X1000. P7 11 843 046 E Jan. 31, 1849 1095.60 X1000. t~I 15 237 389 E Jan. 31: 1949 1095.60 X1000 . P'7 1$ 440 316 E Feb . 28 , 1949 1095 . b o w1000. M 18 440 317 E Feb. 28, 1948 1095.60 v~1000. Ni 18 440 318 E Feb. 28, 1949 1095.60 Five (5) Contingent Bond Coupons No.. 1 payable t'ay 1, 1840 on Bonds Nos. 180, 27023, 11898, 23138 and 12641 of Buffalo, Rochester and Pittsburgh Railway Co. (Coupons only) No Value 70 shs. Dauphin Deposit Trust Company - Common Par~10. ~ 66~ 4655.00 300 shs. The First Bank and Trust Co., of Mechanicsburg, Pa. - Capital Stock - Par Flo. ~ 45 135oo.co 100 shs. Farmers Trust Co., of Carlisle, Pa. Capital Stock - Par ~r10. ~ 62 6200.00 20 shs. Kennecott Copper Corp. - Common - No Par C~ 71.5a 1431.80 Dividend payable on preceding item to stock- holders of record before death 25.00 105 shs. Philadelphia Electric Co. - Common - No Par ~ 28.3959 3086.57 117 shs. Philadelphia Electric Co. - Common - IvTo Par ~~ 29.3959 3439.32 Dividend payable on above 105 shs. a:nd 117 shs. Phil~cde Iphia Electric Co . to stockholder s of record before date of death 66.60 240 shs. United States Steel Corp. - Common - Par :100. v 51.6875 12405.00 Dividend payable on preceding item to stockholders of record on May 1, 1962 180.00 240 shs. Bethlehem Steel Corp. - Common - No Par ~ 34.875 8370.00 Dividend payable on preceding item to stock- holders of record on Play 2, 1862 144.00 50 shs. Pennsylvania t~ailroad Co• - Capital Stock - Par X50. L 12.9793 648.97 150 shs . State Capital Savings and Loan Association - Capital Stock ~ 100 15000.00 Accrued interest on preceding item from Jan. 1, 1862 to Tyiay 27, 1962 243.65 361 Shs. The Harrisburg rtiational Bank and Trust Co . , of Harrisburg, Pa . ~ 113 40783.00 General Insurance Co. of America 3.15 Mortgage f rom Chester 'vd . Lancaster and Catharine B. Lancaster, his wife, dated Sept . 15 , 1956 and recorded, in the 8e- corder~s Gffice in and for Cumberland County in Mortgage Book 347, page 205 to ~muel E. Basehore. Principal X6600., 5~ interest payable quarterly - One year. Unpaid Balance X3700.00 37oo.ao Accrued interest on preceding item from March 15, 1862 to Play 27, 1862 `i6 .70 Carried Forward 243011.39 B raught Forward 243011.39 ~'iortgage from Chile s w . Whi sler dated Jan 13, 1851 and recorded in the Recorder's Office in and for Cumberland County in Mortgage Book 255, pale 241 to Samuel E• ~asehore - Principal X2100 - 6~ interest payable semi-annually - One Year 2100.00 Accrued interest on precedi i tem from Jan. 13, 1962 to May 27, 1962 46.64 Pronli ssory Note - D.S. Keefer 177.58 Accrued interest on preceding item from Oct. 15, 1955 to May 2'7, 1962 70.48 Accounts receivable May Salary - The First Bank and Trust Co. 48.50 Legal Fee - John M. Forry Estate 25.00 Legal Fee- Myrtle B. Shopp Estate 3670.00 Legal Fee - Loy Hempt 128.00 Immediate Belief Fund 1000.00 Jewelry: Hamilton Pocket Watch and chain 15.00 Pte. sonic jewel s Trinity Conclave No• 4 No value Council button No value Past Master's Pin No value Trinity Conclave No• 4 No value 125th Anniversary E.A. Chapter No. 43 No value Samuel C. Perkins EAM Chapter 209 No value Erin Council No. 3 3.50 Bed Cross of Constantine & Appendent Order No value York Cross of Honor No value Trinity Conclave No value Past Master, etc. - Grand Council No value Masonic Sword No value Death Benefits - Social Security Administration 255.00 TOTAL PE&SONAL P80PEATY # Correction for '~ item TOTAL PERSONAL PgOPEBTY SUNiMABY SEAL ESTATE ~ 14,500.00 X250551.09 9097.92 X259649.01 PERSONAL PROPERTY 2 x.649.01 TOTAL x$274,149.01 -; a r', ~~_a~_ F,-r~ Rl C ~li. - S; I OFF'tC[ Ot`' TP+E R E:GI£TER Cr W'?:..!.5 ,aF Cumberland ^ COiJ htTY ,MND AGEn.iT Oa 7FaE CCM MO°d'A/€ALTH 1 ~ ! ~IYD~IY 1 ®~ LJ~~T~ A1'~1['~ ~~DUCTl~Iel~ i ~? /9~. CEDUCTIONS AL! OWEG IN 7 // -.. THE SUM OF ............ $ I" l ~~O 6S DATE PROVED ........ ZL/n_~7 ~ Reputer n! wills, Apent Es-TATE ~F Samuel E. Basehore U LATE OF BQrO~gh of M(:chariicsburg _.__ DATE GF FILIi^JG APPRAtSF*.9ENT ~ DAT6 OF DEATH May 2?, 1962 DATE l Ro_ fit' jYCUCNGR NAME OF PAYEE REMARKS AMOUNT Brought Forward 4043 ~~ $hoda Smith Horner Secretarial work to close la office,eheek records etc. 600 00 j j William L. Sunday Office rent during admini- rat 00 00 Aug.; 19 ~ ' Eay E. Rutter Aeal Estate Appraiser 25 00 ~ 1 Frank B. Mumma Eeal Estate Appraiser 25 00 ~ 1 Charles W. Bitter Personal property appraiser 15 00 _ 1 ~ _ He aster of Wills 10 short certificates 10 00 19 ; _ Isabelle H. 8upp Notary fees 6 00 1 8e aster of Wills Fili Inventory 6 00 1 ' $e aster of Wills Fili Debts & Deductions 00~ 19 William L. Sunday, Esq. Attorney Fee 8850 00 William L. Sunday, Es 2/3 of Attorne Fee to settl ____ Estate of M tle B. Shop commenced b decedent duri _ lifetime and sickness(Ful l fee included in Schedule { j B, Item 1$q) 2446 00, _ j ' William L. Sunday, Esq. ee for eompletin settlemen '~ of Estate of Charles Ho a Recede t had c ec e ~ full fee before death Mar Joanna Basehore eturn of mone advanced on March 19 1 to pay ece doctors nurses etc. whi en s hospi a ills a decede t was h s dal zed and could not execute pow r of attorney 4466 51 _ eserved for film account, ording ele e, ce tifie icates, recording fees ution, etc. TOTAL X21346 os COMMONWEALTH OF PENNSYLVANIA Cumberland B° COUtJTY OF ,, Mary Joanna Basehore, HEREBY CERTIFY, THAT. t0 THE BEiT of MY KNOWLEDGE AND BELIEF, THE FOREGOING IB A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXP£N>gE8 OR ADMINISTRATION BUBMtTTED TO THE EBTgTE OF Samuel E• BSSehOre OECEA>3E0, A8 DEDUCTIONS FOR tNriER17ANCE TAX PURPOSES. _ Gra.v~urc.e c L. s. ) SWORN AND BUBBCRJBED BEFORE ME THIS o` ~ ~' DAY Of tP MRS. 1SABELtE R. RUPP, NOTARY PUBtiC MECHANICSuS;RG BOROUGH, CUMBERLAND COUNTY MY ACM MISSION EXPIRES OCTOBER 22, 1966 F crm Fl C-iG- ~ i OFF".::E OF 1°HE REG?BIER OP WYS. ~_5 ,aF Cumberland_ __ Cc.?3.7NTY .AND AGEtVT OF THfi COMMONV4 aALTH uEDUCTlpN$ ALLUWEU iN THE SUM QF ............ $ DATE APPROVED ........ _.. J l /~ 1pe E ~ ~ 1 ~77~~Tii ~~4^~l f~ L°°.~~d p~p~G3 X P'1~Y~ ®~VL1L,.~~VIV~ Register cf Wilis, Agent ESTATE ~F ~3mue1 E. Basehore _ LATE OF Borough of Mechanicsburg DATE 1F FPL:NG APPR.4PSEMENT .~. DATE' OF DEATH •~ ) 1962 DATE I+o. cF voucHCr~ NAME OF PAYEE - ~. REMARKS AMOUNT' 19 Ma 62 26 7 Mar Louise Stell utstandi check 112 00 26 7380 ~Ezra B. Hagerman utstanding check 2 50 27 Cooper or Batcheler utstanding check 80 00 31 X7384 Annabelle Elder ursing 84 00 31 7386 Mary Louise Stell ursing 16 00 31 7385 Ruth Batcheler ursing 16 00 1 8 Bell Telephone Company ome bills -Ma 19, 1962 10 21 June 1 I 88 Bell Tele hone Compan ffice billin -Ma 1 1 62 41 2 7389 Harrisburg Dairies, Inc. ccount payable - May 7 40 2 7390 Seidle Memorial Hospital ospital bill 5©5 97 _ 11 X 7391 R.E. Allyn, M.D. ~ octor Bill 15 00 11 7392 ~ Myers Funeral Home uneral Expense 2678 80 18 7394 Harry E. $uhl ttering monument 33 00 - 2 73 Bell Tele hone Com an ffice phone during ad- ministration 8 Jul - I 9 ~ g 7405 7406 Pa. Power & Li ht Co. C. 8ichard Brandt, M.D. eriod 5/2 to July 2 octo r bill 9 100 95 - 00 20 X 7407 Internal Revenue Service 1 i oho~di e~dt uarte~l 62 1 0 20 ' 7408 Pa.tTnemployment Comp.Fund nd Quarter 1962 2 40 20 7410 Mechanicsbur Water Co. ccountPa able-QuarterEnd jl g 02 Aug . 2 7413 Rescue Hook & Ladder C© . mbul.ance Service 2 00 2 7414 J.W. Ent,Tax Collector one Tax - 1 62 4 48 13 741.5 J.W. Ent,Tax Collector roperty Tag - 1962 193 _ 45 61 William L. Sunda , Es eimbursement for: 2ettert CertafentaerY 2 0 Cumberland Law Journal. Fr c. ATotice (.p N t ce _ ~er i~iede~oifi©~teWill 1 Short Cert. •0 46 50 COMMONWEALTH OF PENNSYLVANIA c•$rr1eQ 1''orWa2'C~ 4~~j•5~F couNrY OF Cumberland }B6` ,, Marv Joanna Basehore, HEREBY CERTIFY, tHAT. TO THE BEiT OF MY KNOWLEDGE AND BELIEF, THE FOREGOING IB A JUST AND TRUE SiATEM EN}T, OF DEBTS, FUNERAL EXPEN6EB AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF Samuel E. Basehore .DECEASED, AB DEDUCTIONS FOR INHERITANCE TAX PURPOSES. (L. 5 1 BWOR~N u~~ UB9CRIBED QEFORE ME THIS DAY OF fO ~- Q', ao ~ ~ m ~.J l ~-; ~ ~' ~`~ W r+ ~, .~+ .+,+ G G 1~C r+ 4~~ ~. O "s x ~~ H E. ~:: ~ t+a ~ ,~ w"7.. a W ~` Q` v ~ ~~: x w a P~+ ~ ~ 0 a ~ ~ H ~ ~ ~ v w V ~~ 3 ~ t-~ ~ v ~ ~.rd +~ A H »~y ~ e"` "' r-+ ;~ o ~ o ua ~* A o ° ~ I H _~"` a ~" yY# N `~ o ~' ~ ,~. R,.. ."' v ~~" 30 Q Q m ~ ~ ` ~ t ~ ~ ~ ~ ~ N rsi N `x ~ ~ ~ ~ ,~ O ' ~ ~ ~ ~ CJ ~ ~n M o ~ a ~ U (fl tr. N «~ fs~% ~ H ~"' a ~ x (y] ~a O C? f K ~~ ~ H }~ _„. N .~. .~ ~ o .~ ~ ' ~ ~ ~i ~i ~- G c:.- 4w ~ ~ ~ ~ ~ ~ '~ t~.: II ~~ ,~ m o H I ~i~ {~~ m ~.~ m o~ ~~ Hmz ~ 1+~ .~ a da ~' ~ 1 ~ H ii++ ~. m ;, W m~ .~ ~! ll {~ ~' d a m a S° O x 4~ _Q .+ ` ~ ~' ~ ~ ~r ~ cr ~ ~ ;,/6 ~ ~ 0 d ~ '~ ~~ ~ ~ ~' ~~ m M~ ~~ i O .e-1 rn o.Y~ N N N d+ a '`~ ri~yQ,~i~ 0 ~ Y"` ~5 ~ E.., ,A A ui a .~ $ ti .. y m~ U o ~ ~ H ~ ~' r. `~ a ;~ a •~ ~ ~ xC A ~ ~ ~. ~~ ~~o @w W '~'i'~ ~~ o N .1~~.+~ W Y~ ~ o U o P S 0 i u i m 0 ~~ - ~ U~ Ga 8vda ~ w ~~ n ~~~.~ ~ x n ,~ o ,d o w Ha=U ~p N RG a~,n~ 0;~~ rS m~G ~ ~ ~ N m y ~^ N ^.:i ~ m'~ r3 H ~ '~~~~ ' ~ pNd~A oN~3~ ~ H ~ ~^o~~y fr ~ ~jAw~ H A '~.+ d m p c5 ~i ~b y~ b~ d my°' p,y~ N d p HO~ ~j " ~HmC+~ m!~~;~s V! ++'~ v m'Q ~'1 (~17 q MO P+~qV~~~~\ d~A~~ 1~ N V q o .- r_. ~ CS ~ G O~S~ b ~ g~. ~ NO ~~~ r ~ °' ~~~~A a ~ Z^$~tl~ ~~~ W __-_~ a~ssoe :patee?Lep s} }dieaex xn; mogas o} aoacad ;o ssa:ppa paa emaa moteq at n~3 ..'stiLM ;o xe}axbeg eq} dq petnes paa penb;s os s} }d?aoa: eq; asetan is;s?bag eq; dq ;anoaon s?q at ;rpazo a o} paL;?;ua eq so}as; -s?u?mpn so so;noexa aq; nags }ueee ou uI •ela;se eq} ;o ;aamal;yea eq} m sagonoe tedoxd a aq nat}s }; uodna:aqm 'so}a,s;s?muipn xo io;noaxa eq; o} pe11?msan:3 pua s???/y, ;o says?beg eq; dq patnas pua peub?s eq L?ags ;d?aoa2• gone gaaa ;o Inacbuo aqy •xo; pe{d?eoet }anon¢n aq; q;}m daaom aq} ba?e?aoes sse;scbeg eq; eb:ago o; pua sxo;as} -s?u?uipa so sao;noaxa Eq meq; o} p?ad sexn; so} s}d?a~ -es a;aogdnp ija s?I?M }o saa;scbeg mo.g ee?enex oy„ .z}6 'pepaemn sa 'Ci~C 'T 'd '6Z6t `6 i?~dTd ;o }og '(b) IOZI s}I?(A p) se;scbeg ~y, ~y ~a 8ZS "I 'd 'S66I 'St ]CYIK SOY xS Q3QIS3PdY SY C6C 'Z 'd '6Z6L '6 'IItLdY a0Y 'IOZS I~IOIZ03S [S Q3QIAOHd SY tI3'IY3S O1dV Q3NOIS Z9 6t {,9 a}'~Q .p STIIM 30 H3.LSI~3H 30 3~I330 o a}r,}sg I ~ auk- ~ ~ abed- ~a~Q ZdI3~3~i •saaraaaasa aLaaazs~tt 'xsra aaYass ~!p® a~xYalt~tlu aa3set~i pY-IttOLt Niti03 ~, ~ G w `°~ U .z'") A :.,~ ::~ A as o t3 z ,~ .~ ea w ~ _; ~f t,"a r, 'N 4 E-'~ W ~ a~ 7 r+ r w ~ z U a w a ~ o a ~ a di 3 U ~ O ~ ~ ~ w ~~yy U ~ FI ~1 `~ ~i rn ^'~ tV ~ry~ ~~ 0 0 U a z Q T'` .r ~% u `~'+i E.. ~'~' 0 as O ~U!! .'~.' TJR ~' V i~? ~:. ~. _ w o ~ ; °; ~. ~-. ~a ~ ~ ~~ o ~ ' ~ ~ ~ ~ ~ ~ o :~ !? .~ ~ U ~ N _ " ~ ~ w O ~ •~ ~~r ~ O ~ a ° ~ ~ ~o N O ~ 'Z `~ m x a~ ~ H ~ ~ ~ H U ~ ~ .. I H O ~».i V] W ~ ~" '° "~ i" (j X h F r T f, ' - 0 W z ~- ~, ° ~ ~°- ' , F a ~ ~ ~ . .~ ~ z s ~ W z ~ ~ H ~ U ~ ~ .~ W ~ .A u:. '~ Fa ti ,f ~~ ~, Sys as aY r~ ~ aq rs~ v3 ~ r~ o ~ ~ ~° ~ ° ~ m ~ \ U ~ N O ~ ~~. f C^ ~ r 3~ 'y .A ' try ~ ~ a ~; vv N U ° a~ as ag t7 ... ~l U ~ 0 0 0 0 x ~ ~ "" n o ~ ~ a E" -~ is ° a ~ ° r O ~ u7 Si ~ ~i f °~ ~--~ r C.' C3 N , , ~ '~~ N O ~ . b k c. ~~ N ti rn . . ~ TS ~ µ a o o 4 ~ rri C~ ~ o o .a ~4 t°j 5 o ~ k ~ ° , U ° Q ,~ W " .~~., ?~ N ~ ~ ~ ° ~ ~ U t3 ~ -~ M ~ N F. M ° W U ~ b4 Ff3 &3 H? O N x ~ 'C O '~' ~ py '° N Z 0 0 0 0 ~ w H w ~ ~~ 3 ~~ • ~ 5 x F x H x H x F ~ d N ~ ° ~ -o ~ ~ o w ~ a .i w F a a- ° m 4e~ ~% Vii:: H W a~i w~ ~~ ~ ~: ~ v' ::i N a O a 0 a ~, U l.< a *'~ ~~ _~, ~ ~ ~ ~ ~ ~ i .--~ t ~ O • .~ ~ H . ~ ~ ~ 0 •~ }~~ V (,y ~~ ~ m~ rn O W N N '~ ~~ ° ~ m ~ ~ ~ W T~ W ~ ~ ca v ~ N ~ to ~ ~ ~ ~ O E ~ ~ ~ Q i~ Q E ~ ~ ~ ~ a w s 0 i 0 Y U O O u .0 m~,~,b ~ v .y v m ~o a q r U G ~r. s"~~ • • o~° ~ m -- sobs ~~~ w ~~ N e b ~ ~ ~ ~ y y d p, N ~ ,^., ~•NN~ 3 ~ ~ ~~d~. ~a~a~ ° ~~~ m ~ m i ~ ~.C A • m x-~.c ~ 3 f7 _ f7 a rn rn °'~ ~ p m ~NO vA •• , ~ >` ~ O °tl.~ a. w P ,.q ... ~ .~- p ~., ° "d Gv>[ ~ d a Ul ~ q d O pA tl~' ~ ~ •q w m a i m[ d~ d- o o .. '~-~ ~' U +~- ~ ,J I fL 7 ~oa_,G L.J ~a ~ ~dAVV -o ~ ztl ~~ U .~ m O ~ ~ ~ ~ ~ u w ~p ~ b /' .-~ ~ C'u ~ tl " i G, E" ILU C3 Q o m-d ~ m HN a ~ ;; a . C NA ~ z ° ~ C$ F wv ~ .-. 3 e q [S ~~ F w6 $ I •gT3`TmA7'A'.'~`:1i1~_2.;'),•nrvxen^Ctt'Y'i~-m•n:1x.a :payee?rap s? ld?eoas xa; taoge- o; aosaed Io saeippa pun emnu eno{eq u? iIE3 ,.'s[i?M io awe?bag e[g dq petnes pna peub?s os s? ld?e~es aq{ ssejun ie{stbeg eq; dq ;anoooa s?q ut ;?pe:~ a o} pat;?ine eq :olazi -smnapa so ~o;noexe eye Ilays ;uses on aI •a}alas aqi ;o ;namat;{as eq; m ngonoe credo:d a eq ttags 3? uodne~aya •xo;axls?unapa to so;noexe eql 03 psi;?u=sua:; pus sIt?M Io xe;s?beg aq; dq pejaes pus peub?s eq days ;d?a~ai q~na goae ;o tan?b?so eqa 'so; peld?eyes ;anoa<a eq3 qi?a- dauout eqi bu?e?eoei sse;s?beg aql eB:ago o; pun sso;az; -sru?anpa so esolnoexe dq a=ay; o; pIDd sexal :oI sldaao -ei' a;a~?Idnp IIa sjI?M Io sse;s?bag u:o:; ee?aoes oa„ -:ate •pspuemn sa 'E6S 'Z 'd '6Z6i '6 [?sdY Io }oY '(B) IOZt sItIM Io salasBog 8ZS 'Z 'd 'S66I 'SI iYIN aOY AS a3atI3Y~ISt SY E4E 'Z 'd '6Z6I '6 7IHdY aOY 'iOZi ISOIaO3S I.S aSQIAOgd SY a3'IY3S QI1Y a3ISJIS 6I a}pQ -zJ ~~~ ~~; ;may SZ7IM 30 ~i3.LSIJ3ti 30 3?I330 _ o a~b~s3 i~' ro:~s' aura----a SiJ,~'~ a~ooQ •sax3aaoga arr3als3x 'xYa aaYasa =nips aoxYalgsxlzl g~sxYl~d IIi-4-OOg NIHO3 Rcc-n9 r,e->>i COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION HARRISBURG, 17127 PENNSYLVANIA ESTATE TAX DETERMINATION .~ . }''~:, Estate of: J ~' t ~~' t is:. I i i L 4. . Date of Death ~ m J ~- County ,,, ~9 ,,.., .~; ~ 2 Bureau File No._ ,!: f:, T --,f; Dote 1, Taxable estate per U. $. Estote Tax Return, Form #706 $ ~ 1 ~` f ~ ~~~.,. 2, Taxable estate per final change in Federal Return dated _ = '.'r~• • ,~ J ~. $.~`~ „__.. - '.:=. M; ,,; ~ -tti-.~. r.% ;.' <' ;1 ~, r~ i' ~ ~ n vii ~.. ~-t,,' .~1 t v r nt{,, -,~` ~"~' 3, Amount of credit for State death taxes, ' As shown on return form or final change notice ($ ~~~~ =~ ~~`~` ) As verified by computation '~ ~.r, ~ y ~j ,~~.! .~ f ,/fr 4, Penna, Inheritance Tax due and/or paid $ _~ 5, Normal Inheritance taxes paid to other States "" t:% - 6. Total Inheritance tox credits (4 + 5) "'~ ?~~ r' ~' r"~ ~~ 7, Totol liability for Penna, Estate Tax (3 - b) ~' 8. Less: Previous payments on a/c of Penna. Estate Tax Date of payment Amount of Tax paid Amount of Interest paid 9. Balance of Penna. Estate Tax due (7 - 8) 10. Interest due from- to @ 6% per annum 11. Balance of Penna, Estate Tax and interest due as of J ? 4 tj Prepared by~r ~~ i`., ,. ~ d ; r'~ L~~{ ~~r '. ,.. // (NAME) ~-~ (TITLE) V( _ Reviewed and approved by ,~_ -` ~ • f.; >>~f- rr -~. -`; (NAME) '' $ (TITLE) (O TE); ,~ ~ 1 - . -;~ t ---- RCC-49 f9-7 t) COMMONWEALTH OF PENNSYLVANIA 6EPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE 7AX OIV!SlON HARRISBURG, 17127 PENNSYLVANIA ESTATE TAX DETERMINATION Date 'J .~~ 1 ~ f q .~ .~, Estate of: `~; -_, ,, ., p l~ -, -.~ .G. Date of Death __ ~ ~_~_~~,~ County !''_r_,:~,_~,, _..__ Bureau File No. ~ f ~,-~~ _~ ~~,,~~ 1. Taxable estate per U. S, Estate Tax Return, Form #706 2. Taxable estate per final change in Federal Return dated 3, Amount of credit for State death taxes. As shown an return form or final change notice ($ ~c' r'`~"~a c'r) As verified by computation 4. Penna. Inheritance Tax due and/or paid 5. Normal Inheritance taxes paid to other States b. Total Inheritance tax credits (4 + S) 7. Total liability for Penna. Estate Tax (3 - 6) W _ ~'~ ~ aF'A T 8. Less: Previous payments on a/c of Penna. Estate Tax Date of payment Amount of Tax paid Amount of Interest paid 4. Balance of Penna., Estate Tox due (7 - 8) 10. Interest due from____-_~ to__ ~~ b% per annum 11. Balance of Penna. Estate Tax and interest due as of ~ ,r __., r d,. 4 - Prepared by _ (htAMFj -r,1TITLE) ~'c'~ . f19 ~ ~iZ ~ X C-u-- ~-~~--~~~--. ~ u` ~ {ff Reviewed and approved by _~ ~ ~'S y ' / ~- -- (NAME) (TITLE) ~ ~ -~ x -, r`% ~ . . y '; 1 `~- 7 / ~,_ ~ _ .TE) RCC-72 (6-67) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION DATE May 22.E 1969 TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of o Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a) 100 shs (b) The Farmers Trust Company (c) Capital (NOTE: In describing securities enter in (a), ab are, either the number of shares of stock or the face amount of registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON See Over ,and having o TOTAL MARKET VALUE OF $ (Date) as of the date of death of the decedent, Samuel E. Basehore (Name of Decedent) who was late of 416 West Main St. , Mechanicsburg (Street and Number) The securities are registered as follows: (Post Office) (County) (State) Samuel E. Basehore (Name or names in which certificates are registered) ~I~~~I) Mary Joanna Basehore, 416 West Main St., Mechanicsburg, Penna. EXECUTOR ) {Name) (Address) NAME OF APPLICANT William L. Sunday 39 West Main Street COUNTY FILE NUMBER ~ ~ ~ ADDRESS OF APPLICAN~Iechanic~~, P~nna _ BUREAU FILE NUMBER ~~-S ~ ~~ SIGNATURE OF APPLICANT-~1=u~~ ~'~ -~ ~= , %~ - NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTi04~ OF THIS APPLICATION, IT WILL OT B CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES - -------- DATE - L j - ~ I hereby consent to the transfer of the above securities now registered ')n the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, as amended and the Act of June 15, 19b1, P.L. 373, as amended. This is also in accordance with the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. 6200.00 on May 27, 1962 (Date of death) Cumberland Pennsylvania Signed for,~the. Secr ary f ~ev~nu;e A ~;~~J/ ,~ ~ ~,.. ... BY ---~-- 4 - R~I~~rO~ WILtS AND CLEf~f; ~ OF THE ORPHANS COUR?- Ur: - -- ---- (Title) ~B~~A4~~~?OUNTY JOHN W. McMILLAN, JR Certificate No. Date No. of shares 265 Jan. 16, 1951 50 266 Jan. 16, 1951 25 502 Dec. 23, 1952 25 Total date of death 100 K 1. 1. /G ~O O/) CGMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUN'V'Y COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION DATE May 22, 1969 TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a) 170 ahs_~(b)_ ~tau~ahin t3epot~l.t 'Trust Campo.ny (c) Cac~if:al (NOTE: In describing securities enter in (a), ab ave, either the number of shares of stock or the face amount of registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON ~~ta Gver _ ~ and having a TOTAL MARKET VALUE OF $ 4F55. t)0 (Date) as of the date of death of the decedent, ;ba~~u~l E. i~aaehore (Name of Decedent) on 4I6 'r7c~i~3* Hain St. , "~echas~icsburg, Cur.:berl,~nci, who was late of (Street and Number) The securities are registered as follows: (Post Office) Sarziuc~l ;u. i~as~ar~or~ Yay 27, lr3&2 (Date of death) ~'enna. (County) (State) (Name or names in which certificates are registered) ;i4~~1#P~rs~~®i~) ~'~ax'Y Joanna ~saas~ai<are, 41b hies t: s~air>; St. , ;'~ech~rnicsburg, Ft3nTl8. EXECUTOR ~ (Name) (Address NAME OF APPLICANT ~iZlirlu*t L. .~~ut~clay •+~s o a n ., ree COUNTY FILE NUMBER_ ~ ~ ADDRESS OF APPLICANT'~n~hanicsliurc~, Penna. BUREAU FILE NUMBER 6<s~ ~~ SIGNATURE OF APPLICANT ~ '`-~~ l~ -~ ~ X51 NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT B CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMON~YEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES_ ~a ~ DATE ~ _.1 ~ I hereby consent to the transfer of the above securities now registered in the name of the aforesaid ' Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions of the Act of Aprii 9, 1929, P.L. 343. This Consent to Transfer the herein deseribed property operates only in reference to the estate of the above-Homed Decedent. Signed f` the Se a/tary o f~even e p ~'~/ ,. /, "'~ '~ E691f~ WILLS ~Al~ti ,LL ;_ ,~ ,~ OF THE ORPHANS CC;;r;-~r Jf -_ (Title) ~p~i(}NT~/ _-__ JOHN W. McMILLAN, JR. Certificat® coo. Date id®. of shares 3342 A~riZ 13, 1.957 93 3738 April. 29, 1957 1 4Cl94 ~'eb. 2t?, 1958 13 5267 F®b. 12, 2958 2 +6256 ~'an. i5, 1959 5 7~9~ Mar. 31, 1953 7 Total mate 4f ~?eath ?~J 15335 Bec. 24, 2965 3 28t?56 3~-n. 28, 1966 1 22362 Ju~se 25, 296? 7? 25341. Feb. 7, 2369 15 29264 fat. 1Q, 1969 1 ~ ~ ~ RCG72 (6-67) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION DATE May 22, 1969 TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: Mechanicsburg, Pa. (a)_ 36p shs (b) The First Bank & Trust Co. , of / (c) Capital (NOTt: In describing securities enter in (a), ab ae, either the number of shares of stock or the face amount of registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON See Over ,and having a TOTAL MARKET VALUE OF $ (Date) as of the date of death of the decedent, who was late of 416 West Main St. (Street and Number) The securities are registered as follows: _ Samu®1 E. Basehore (Name of Decedent) Mechanicsburg (Post Office) Samuel E. Basehore 13,500.00 May 27, 1962 on (pate of death) Cumberland Penna. (County) (State) (Name or names in which certificates are registered) A4;411q~~ Mary Joanna Basehore, 416 West Main St. , )<lechanicsburg, Penna. EXECUTOR ) (Name) Williams L.5)Suriday NAME OF APPLICANT. ®s a n ree COUNTY FILE NUMBER ~ ~ -ADDRESS OF APPLICAN~echanicsburg, Penna. BUREAU FILE NUMBER ~~~' ~ ~~ SIGNATURE OF APPLICANT ~~~->- =-~~-~3~~~~ ~~~ ~` NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURiT1ES ~~~ ` ~ _ 6~ DATE .- I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a eertificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions of the Act of April 9, 1929, P.L. 3d3. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. Signed r the; Secr ary of ven e . gy _ , ~ '~~ ~ RE~1~1rC'f{e~F WILLS AND CLERt~~ OF THE ORPHANS COU~~_o~~ (Title) Linf30UNTY 'JOHN YV. ME<M1LLA•N; JR. Certificate No. 15 16 14 769 Date March 6, 1956 March 6, 1956 March 6, 1956 Total date of death May 27, 1966 No of shares 60 40 avo 300 60 RCC-72 (6-67) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OFR~VENUE BUREAU OF COUNYY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION DATE May 22, 1969 TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a) 50 -(b) The Pennsylvania Railroad Company (c) Capital (NOTE: In describing securities enter in (a), ab ore, either the number of shares of stock or the face amount of registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate and maturity date of registers=d bonds.) ISSUED ON__See Over g a TOTAL MARKET VALUE OF $ 648.97 and Navin (Date) Samuel E. Basehore as of the date of death of the decedent, , on (Name of Decedent) 416 West Main St., Mechanicsburg, who was late of (Street and Number) The securities are registered as follows: May 27, 1962 Cumberland, (Date of deathl Penna. (Post Office) (County) (Stare} Samuel E. Basehore (Name or names in which certificates are registered) ~~#~~~~C~~~C Mary Joanna Basehore, 416 West Main St., Mechanicsburg, Penna. EXECUTOR ) (Name) Wi11ia~P~.`:SS§unday NAME O F AP P L I CA N T~-:res-~~~-i n--S-t-r~ee~ COUNTY FILE NUMBER Z~~ ADDRESS OF APPLICANTMechanicsburg, Penna. BUREAU FILE NUMBER >~~S~7 "~l SIGNATURE OF APPLICANTS-~ll~~ ~!`-~~~ l~~ ~-<= NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE ~~- ~' ~ ` 6 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, os amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions of the Act of April 9, 1929, P.Lo 343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. Signed r the S cretary f Re enu ~~ f P % 1 p 7 f _ 13 (~~1~TEf~ OF WILLS APJD CLERK OF THE ORPHANS Ci,`URT UE (Title) ~ ) RJTY- --_.-- JOHN W. MCM166AN, Jft Certificate No. Date No. of shares N 80?555 Nov. 18, 1937 20 N 748433 Nov. 30, 1936 20 N 421517 Sept. 24, 1931 10 Total 50 RCC-72 (6-67) CC)MMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COON ~ Y COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION Samuel E. L3asehore TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation ar a National Banking Association located in Pennsylvania: Company (a) 722 (b)The Harrisburg National Eank and Trust/(c) Capital (NOTE: In describing securities enter in (a), above, either the number of shares of stock or the face amount of registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate and maturity date of registered bonds.) See Over ISSUED ON _ __ __ and having a TOTAL MARKET VALUE OF $ (Date) as of the date of death of the decedent, (Name of Decedent} who was late of 4.16 West Main St. , Mechanicsb {Street and Number) The securities are registered as follows: (Post Office) DATE r°1_ ay 22,__1969 44,793.40 on May 27, 1952 (Date of death) Cumberland, Penna. {County) (State) Samuel E. Basehore (Name or names in which certificates ore registered) ~~IKt~t~ll~) Mary Joanna Basehore, 416 Test Bain Street, ~4echanicsburc~, Pa. EXECUTOR ) (Name) Address) NAME OF APPLICANT tkil~iam L. Sun~3ay es •ain reed COUNTY FILE NUMBER_ ~ ~~ ADDRESS OF APPLICANT Mechanicsburg, Perna. BUREAU FILE NUMBER~ri.-~u' ~~ SIGNATURE OF APPLICANT-~ ..~ - NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT B CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE ~ z ~ ~~ I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions of the Act of April 9, 1929, P.L~ 343, This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent, Signed o ; the S et of e~je ue j `' Rk~G~a~ 0~ ~+ F WILLS AND C1_kKn -_ (Title) CUMBERLA~®"'~~ NTY -_ - JOHN W. McMl~l~~y; ,iR. Certificate No. Date No. of shares 1643 Feb. 27, 1962 40 1644 Feb. 27, 1962 100 1645 Feb. 27, 1962 100 1646 Feb. 27, 1962 100 1647 Feb. 27, 1962 13 3032 Oct. 27, 1961 8 Total hate of heath 361 5507 Nov. 17, 1965 104 5508 Nov. 17, 1965 100 5509 Nov. IT, 1965 100 5510 Nov. 17, 1965 61 Total 722 RCG72 (6-57) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COON r Y COMLECTION$ APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION (Post Office) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a} 222 ^(b) Philadelphia electric Company (c) Common (NOTE: In describing securities enter in (a), ab ave, either the number of shares of stock or the face amount of registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON See Over and having a TOTAL MARKET VALUE OF $6525.89 (Date) Sarzuel E. BaS@hore as of the date of death of the decedent, (Name of Decedent) who was late of416 West gain St. , Mechanicsburg, ($tree4 and Number) The securities are registered as follows: Samuel E. Basenore DATE /~tA~ x ~~ /~6~ a onMay 27, 1961 (Date of death) Cumberland, (County) Penna. ($tate) (Name or names in which certificates are registered) 416 West Main 5t., Mechanicsburg, Fenner. EXECUTOR ) (Name) Will(~am SL), SL'nday r~ ~/ NAME OF APPLICANT COUNTY FILE NUMBER ~~ 4 Mechanicsburg, Penna. / ADDRESS OF APPLICANT_ BUREAU FILE NUMBER ~b S ~ ~ ~' SIGNATURE OF APPLICANT ! ~ ~ t NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL N BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE_~~`~~`~ I hereby consent to the transfer of the above securities now registered in the Home of the aforesaid Deeedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. Signed fpr the Sec etary of even e : o" ~~ ~. B - r c _ f tom.. ~ y -!' „ ~.:. ,.~~~ s R~G~ST~e~F W1LLS AND CLERK ___ OF THE ORPHANS COURT OF (Title) CUMBERLl~nQOUNTY JOHN W. McMILLAN. JR Certificate No. Date No. of shares CO3572 Aug. 20, 1943 3? CO195598 July 16, 194a 4 NY CO 110420 Aug. 4, 1949 13 CO 274451 June 18, 1954 5 CO 302255 Feb. 11, 1955 40 NY CO 193000 Feb. 8, 1957 5 CO 335163 June 14, 1957 5 C 113570 April 25, 1961 100 CO 465?~6 April 25, 1961 I1 ? ? 6 Total 222 RC G46 (10-75) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION l;obert L. <1lgard (NAME} Estate of :~,amue7. i. liasehore County File No. 2:1.8 Bur. File No. 6654-? Dote of death 5/27/62 Date of filing of Appraisement 9/6/Fa? Name and Address of Attorney Wit li am L. Sunday- Mechanichur,P:l `_ Name and Address of Personal Representative _ ~t. .Toanna fia~Phor - td Lia; rl ~t ,~°lecha.nicsburg_, N ;_ Date on which current and active lien was last filed Action initiated by a) {~ .! ~ ~ _ ,.-,: ~. ~ I = .., ty r~ ~ ` , - _ ~~ . r+; - ,~( ' ' ~; L'I,1 ~ =" '=- ~- r- ~ ~- ~~ r~ -7- :~_- r.., O Q ~, ~ RECOMMENDATION OF THE DEPARTMENT OF REVENUE TO COMPROMISE OR WRITE-OFF TAX CLAIM Cu;nberiand COUNTY None tippraiser i (TITLE) Real Estate 14, 500.00 Personal Property L5y,3y4.U! Transfers 0 Gross Estate 27'i.894.0? Debts & Deductions 21, 346.05 Clear Value 252,547.96 Tax Assessed 5.050.96 -less discount $240.00 Tax Paid 4.810, 96 Balance of Tax Due _ 0 Interest to Date Tota! Amount Due i~OIyTE ll /19/76 (DATE) It is hereby recommended that the inheritance tax record in the above estate be adjusted as follows: EST~~TE CLU~Ell A proper investigation has disclosed: The decedent died ~)n 5/27/62. i'~11 inheritance tax in this ~~ t~t Q has b een paid Th r dP al Ret,)rn 7(lFi c,ac f; l A~ i n ' 9&' fi rcr deter mi nat io n was mad n n 7f ~ 5/75 and rh ~xabl s r p ne r t; 5 is arp FZPt-„rn 7(l~ _ was a 210 ,~ 19 R2 Penna i nhpritanrQ Tax paid way tiSC~ Rj(1 ~9F, Ttia irr~,rnQ nnr rhP ~ ~ 'x ~ o h aV rPC ived h P ~1 ~,Gi n 1 e P S thP1"PF'~rP T h h d ~ ~ ~ ~ at r rP~omrnan A ~ t ci n~ lette r be wai ved and the rP~orciG i n his e~ a P bP ~i n~ a~i (ATTACH ADDITIONAL SHEET IF NECESSARY) ~1__. :- - _, .,. Investigated by _'~ ~- - ' (NAME) ~ ~~ ~ ~ """" (TITLE) (DATE) Approval recommended by . h7~- o~ ~ ~ Date ~ zy ~_ (SIGNATURE) (TITLE) Approval Recommended on %` _ (DATE ~ Signed ~`~ ~ ~l .~, ,,~li.-1,t,irt3~ FOR BU AU OF~ OUNTY COLLECTIONS PARTMENT OF REVENUE ~~ Approved on ^(L}ATE) ~ < ,.,~ ~~. -, Signed _ E FOR ATTORNEY GENERAL ~ - v ~. f~/'