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HomeMy WebLinkAbout73-0300,. .: . , { , .• ., ,ttt. ~~ "~Ct'~~~1~EA1~# aF PENNSYLY~Nt~r` _ , bEPA1i;TMEN'f OF REVENUE No. ~ ~ j~ ©PFICIAL RECEIPT • PfhINSYlVAN1A INHERCfANCE AND ESTATE TaX RECEIVED '^""~«'"" '~ ~ ~''"'"`«"""~.""'""~'""""""""'tlCillars representing Pennsylvania Inheritance or From: ~ ~; ~-~'~"r:~ ~ Estate Tax due from the following estate: ! 'ress ~ ~ ~~ 2% Tax on $ 6% Tax on $ File No. "~' Date of Date of Payment Name of Decedent County Remarks: ~~~~~,~~p~~ SEA L NOTE: This Triplieat~ R~c~ipt to b~ r~tain~d for audit purposes. 15% Tax on $ $ % Tax on $ $ Estate Tax, Act of May 7, 1927 $ TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus interest at the rate of 96 from ~ ~ ~' to Jil ~~ TOTAL AMOI~AID Received by ~.. ,~4-1"' t .~~''~' t" N01E: In accepting The transfer inheritance fax on future estates, prior to the death of the lif ~ S~~at1 tenant or tenant for years, as evidenced by this receipt, it is understood that the Commonwealth shall A not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the ~'~~- life tenant or tenant for years whenever it appears that such additional tax may be legally due and Title collectible for any reason whatsoever. $ ~~ E $ 1 $ f~ I Form RCC- 2 ............................................................................. _.............................. COMMONWEALTH OF PENNSYLVANIA DATE 2 / l 9 / 74 DEPARTMENT OF REVENUE Cumberland RESIDENT INHERITANCE TAX couxTY _ ............._.......... .................................................................. BUREAU OF COUNTY COY.LECTIONS APPRAISEMENT FILE No.... ...............2.1-7.3-300 HARRISBURG. PENNA. 1 7 1 2 7 ........................................ Whereas, Verna L. Dietrich ................................................................. late of ...............Me.~..lla.rl:i..~s.b.u~'~.........._.................... __........ in the County of ........................ Curab.~r.1~a~.cl............................................................................. Commonwealth of Pennsylvania, having died on the ...........................Fe.ur.th............................................. day of .......................~yayr.............................................. 19....7.3.., seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Ira Gleiln an a praiser dui a ointed accordin to law Therefore, I, ............................................................. p ~ y 17p g , having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Unit Appraisement Description of Asset Values Made for Inheritance Tax Purposes Real Prop- l.9 900. 00 PPrS Pron- 8,090. 30 ~_- _. _-1 l ~ _- I_ 1 _1 27,990 30 Having been duly sworn according to law, I do hereby certify that the above appraisement is made in c 74 fortuity with law on this .. ...1,.9.th. ............... day of .......... ~'e.b.>nua~,y ` ,__ ~ .. 19 _ __ . Appraiser .....................................1.4....S.o.uth....Y..t.t....St.r'e.et.............._ _ .......... _................ (Number and Street ) ........................Ca,rl.is.le.,.....Yenna...._.1701.3_.._......_..., Penna. (Poet Office) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG }7127 IN YOUR REPLY PLEASE RCC-81 (6-73) REFER TO Inheritance Tax Division NOTICE OF FILING OF APPRAISEMENT Robert E. Dietrich (Executor or Administrator) In Re: l=state of Verna L. Dietrich --1'umberland County -File No. 21-73-300 Dear You are hereby notified that the Original appraisement in the estate of Verna L. Dietrich has been filed in the office of the Register of Wills of Cumberland County on 2/19/74 , 19 Said appraisement reflects the following valuations: Real Estate 19,900.00 Personal Property 8,090,30 Transfers Jointly Owned Tota I 2 7, 990.30 As to such tax that is paid within three months from date of death, a five (5%) percent discount is allowable. As to any tax that remains unpaid after nine (9) months (fifteen months when death occurred from December 22, 1965 to June lb, 1971, inclusive; and twelve months when death occurred prior to December 22, 1965) from date of death, interest at the rate of six (b%) percent per annum is charged. Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961, 72 P. S. 2485-1001, P. L. 373. Date 2119/74 Signed ~ ~-t_ 1 ~ ~ .. ~ ~ ~ ~-, Title Chief Appraiser Note: This is not a bill. No.21-73 ~~~ PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of Verna L. Dietrich ,deceased. To John W. McMillan, Jr. ,Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania. is PetitionerGt) ~mce the executor Homed in the Lost Will and Testament of Verna L. Dietrich dated August 23, 1972 Decedent was o citizen of the United States and o resident of xG+awu~kai~ Mechanicsburg Borough, Cumberland County, Commonwealth of Pennsylvania. Decedent died on Friday the nth -day of Map A. D. 19 73 in the County of Dauphin ,State of Pennsglv~}ia at the age of 55 years. x#~x x her Decedent has not been married and has not hod children born toxi~xa since the execution of the above described Will. Decedent was possessed of personal property to the value of $7, ooo. 00 and of real estate to the value of $12,000.00 as near as can be ascertained; said real estate situated as follows House and hot of Ground on the West side of North Walnut Street, numbered 211 N. Walnut St., Mechanicsburg, Pa. Therefore our etitioner(s) respectful{y apRplies for the probate .Y P of the said Last Will and Testament and for Letters Testamentary thereon. Dated ''~Ia~T 31 ~ X873 ~~ ~~~1 Name and address ~~' -~~`- ~'' _ ~' ~'~ ` ~r_ of Petitioner(s) 211 N. Walnut St. Mechanicsburg, Penna. 17055 COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND Robert E. Dietrich named in above application, being duly sworn according to law say(s) that the statements set forth in this petition are true to the best of sworn knowledge and belief. r~ and subscribed before his (~ a 31 3 me, ,~ ~~ ~ ~ Regi ter ~~ - . ~' Filed: t~':ay 31, 1~ 7 3 Attorney: J. Robert Stauffer OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the Robert E. Dietrich ....................... County of Cumberland, personally came -•----------•-•-------------------------------------------------------•----•-------------------•----•- who, being duly -------sworn •--------, do ®~------- depose and say that as ----•---...e~utax'---------•--------------------------------- Verna L. Dietrich of the last Will and Testament of --------------------------------------------------•-•-•-----•----•-•---•--•----------•--------------------------•----- deceased _____•____------.he .................... will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances. Sworn ................................ and subscribed before me. A"1 _c~.. ~..... ~ ---•-- ....---- •~./ l ,~+`~s.~ Sr-J 1`~ N z 0 z W W 0 J J ^C7 H v V A MCI A~ a ~~ n ~; DECREE tel: ;._. G\ H ~~ ~~ ..'~ ~Q ~ L7 ; ''a' ~_ ~ c;: ~ ~J f=,; _ o ~ V ~= v ~ w w Be it remembered that on the .---•--.~ls~--------. day of _..___._...-•--..._ i~.~aY--•-----•-----•---••------••--, A. D., 19--7~_, there Verna L . Dietrich was probated and recorded the last Will and Testament of ............................................................................................. late of Mechanicsburg---•.-.--_•----..-•--•-..-.-_-., Cumberland County, Pennsylvania, Deceased. Letters Testamentary were granted to ............................Robert E. Dietrich t ` ~~ J ~ ` ~ ;~ 1 Witness my hand and official seal the day and year L ~ r' ,7 ~ ~~ j, Registe A ., _ ~. . r ( -- c '--•- •• -- -y -~-----•--- ~ t- ~a~ OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA ~ } ss COUNTY OF CUMBERLAND J -- -1------------------•------------------ day of -------------•--------T'~Ta.y------------•-------------------------- A. D., 19.--7~, This ------------------------------.. - ~-- before me John____~_.___McMillan,___Jr.________________________________~ Register for the Probate of Wills and granting letters of Administration in and for said County of Cumberland, in the Commonwealth of Pennsylvania, Lester Gochnauer and Mary Gochnauer personally came ---------------------------•---------•- - - - - - - - - -- - - -- - -- ------------------------------------------------...------- the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and Testament of Verna__L.-_Dietrich-------------------------------------------------------.Dated AuB-'---~~s---197-------------- ----------------------------------- - - late of ________________________Mechanicsburg--_.-..__.__.._-----_.__.........__._..._._..______._____._____ Cumberland County, Pa., deceased who being duly ________________sworr-__...._.___.____..__ according to law, depose and say, that ..__.they___were______-___________-___ present, and saw and heard the testa_tr.~.~.-----------•------------ -----~I~xx~~-.~r-.---A~._~~_T~.~1~?----------.---•---------•-------------_------ sign, seal, publish, pronounce and declare the said instrument of writing as and for h_.e_r____._.____ Testament and Last Will, and at the time of so doing __________s~1A________________________________________________ was -of sound and disposing mind, memory and understanding, to the best of ______theT .......................•---.___-----_---_-- knowledge, observation and belief. Sworn __________ and subs ri d before ---y-------~----•- --------------------- ' ~' ~ '~~ ~ ;. • ----~.....---- - _- -- ------4---r---- -------- =----•---- - Register. ~; ,. ,~ ~ ~ ,~ ~_ -----------F --- `-l =----= i ry f f ~_ , ; ~, AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA 1 ~ ss: COUNTY OF CUMBERLAND ~ --------------------------------Robert E._ Dietrich .---.. being duly sworn _ ___ says that as nearly as can be ascertained the said decedent ............................................ Verna . L. Dietrich ......... died on ----Friday.----•----------- the -----------4th-----•----•------.. day of ---•------May------•----------------------------------------•--- A. D., 19.73--~ at or about .-----~'-~~--------------------•----------- o'clock, A! M. Sworn and subscribed this ----------------------------31st-----•---------- day of ._....i° ay......._.. 19,..'x_ re r ~ ~/~~ U ,: ___ v ~ .. Register. (: ~ ,~~ j ~ ~ }, r ~~ ¢¢ I ~~ ~ I 8~~ RCC-33 (4-73) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS RESIDENT DECEDENT COUNTY OF Cumberland IMPORTANT: This return must be completed in detail and filed in duplicate, with all attached, with the Register of Wills of the County where decedent resided; Return is due within nine months after date of death, unless an extension is granted by the Secretary of Reaenue. (Section 703 of the Inheritance and Estate Tax Act of 1961.) IN THE MATTER OF THE ESTATE OF AFFIDAVIT OF -Verna T,. D7_etrlC~l EXECUTOR (STATE FULL NAME OF DECEDENT) Late of Cumberland county ~ State of T~enr~c.trl~r~=~_ ss: County of C1unhPrland RnhPri: F, T)~g~-~•~n~} Executor ~~~~~X of the estate of the above-named decedent being duly sworn, depose and say Decedent died MaV 1,}.~ 19~~ testate leaving a lost will, copy of which is hereto attached. (MONTH) (DAY) (YEAR) iR~]~~ Name and address of attorney ar J . Robert Stauffer-Market square B1_d~ : other authorized representative to whom all correspondence should be moi;ed. _ ~Zeehanlesbur~, Penna• 17C~ That as such Executor deponent is familiar with the affairs of said estate and the property constituting ( EXECUTOR-ADMINISTRATOR) 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, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following: - NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A S.aFE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECEDENT The First Bank and rust Com an Verna Dietrick and R b ti2ain and Marked Sf~ r, D' e s-~a~~i~ s-'e=ar -~'-e~ . m That the contents of said safe deposit box or boxes are itemized under Schedules ARAB of this return, with the exception of the following, for the reasons hereinafter set forth: That Schedule 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 parcels, the estimated market value thereof as of date of death of decedent. That Schedule 8 attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death; all moneys left by the decedent at the time of death, whether in decedent's immediate possession, standing to decedent's 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 day prior to decedent's death in the case of savings banks, and to the date of decedent's death in all other cases; all bonds, postal savings, treasury certificates or notes and other evidence of indebtedness of the United States to the de- cedent; all obligations, whether by statute or agreement they are designated as tax free, of the United States, or any state, or political subdivision thereof, or of any foreign country, which are owned at the time of death; all wearing apparel, jewelry, silverware, pictures, books, works of art, household furniture, horses, carriages, automobiles, boats, and any and all other personal chattels of whatsoever, kind or nature, left by decedent, together with the fairly estimated market value thereof; all bonds and mortgages held by decedent and of all claims due and owing decedent at the time of death, and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face value and estimated fair market value thereof, and if such estimated fair market value be less than the face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys payable to the estate from life insurance policies carried by decedent; all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent; all and the corporate stocks and dividends due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of decedent's death and other investment securities owned by the decedent at the time of death, with the market value there- of at such time. •pa;oaal{;-anogB sB pa;aldwoo .Ciaadoad uaaq sBt{ „~CaBwwns„ ai{; ul T# uwnioa ;sq; ulB;aao a~{Bw osi~ •pat{aB~;~ aaB „gu ainpaga5 0; ~u;;Bias anoge gdsa~Basd at{; aapun paalnbaa s;wawa;~;s puB B;Bp aq; ~Bq~ `ssaulsnq ao dFt{saau~asd-oa ~CuB ul ;sass;ul uB ao suol;saodaoa .CilwB3 ao asoia 3o sal;}anaas sal;lamas pa;s}iun puB sass apniaul s~}assB aq~ sees ul pus '„auoH„ paom aq~ ao sill;ap q;Fm uF PaIiF3 aaB paxauuB sainpagas pus ;InBPF33B aq~ ul saaads xuBiq iiB sans a~[Bw ~lnspF338 ~ulu~ls aao3ag :~y0h (a'{T1~S' puD uC-7.O,j, .W /t~t~) ,_-:'r ~f' , ? :. ................ ....L..~.....~.~. ... ......~..~~1" 5~TIS~~~2Z~j ;}" ~~~ 'tST.T 2 ~ ~ /„ , -ao~naax~) ~.~ 4 { ...... .........................r~ ..... ~ . - ..... ............................................ -~ ~.~ ........... z ~ ~ p .... '.... .. .............. ~~ ---~- . ................................. stuff auz azo~aq o~ uzun~s pine pagtaasgns •~SaBwwns at{; ul pass;sl~aa ~Siaadoad pus pasmao3 palaaBa uaaq anBt{ 'ulaaaq~ pa~aaalp sB u.3a Pus `u3u `u3u `ugu `uVu sainpat{a5 ul suurnjoa a;sladoldds aq; 3o siB;o; at{; ;Bt{y •r{;Finaaat{~ aouspao~as ut passasssaa aq use passasss xB~ 30 ~unows at{'; FBuF PuB `SFIFM 3o aa~sl~ag ar{; o; pa;sodas aq iilm awes aq; ;Br{~ `pamoiis pus ~ulwlsia ;unows pa;Bwl;sa aq; uBq; ssai sl ;qap ao uoissFwwoa 'aa3 ~Cus 30 ;uawai;;as ul pled ,CiiBn;aE ~IirrOUIB aq; 3l ;Bq; `;sanb -aa uodn suol;B~ligo pawlBio plas 30 3ooad ;uasaad iiim .CaBlanpl3 aq; ;sq; paaa~B sF ~I 'bus 3F `suoF; -E~Figo ao3 Pa~pald Ieaa;Blloa ,}o ;uawa;E;s ~ t{;Fm sat{;ado; :(;a~ xuy a;B;sg pus aaue~FaaquI auF 3o TS9 uol~oag aapun pamoiis asoq~ ;daoxa) q~Bap s~;uapaaap o; aoFad polaad ao3 aigaa~aBt{a panaoas saxs; :r{;sap 3o awls ~~ plsdun pine ~ulmo swlsia pus s3gap :~uapaoap at{~ 3o t{~sap ar{; 3o aauanbasuoa ul `saalnaas snob -liaa pine `saaxaswanBa~ ao sauo~sgwo~ 's~sna~ islanq ao3 papuadxa ~soa :pied aq o~ ao pled suolssiwwoo s~,CaBlalpr~ pine saa3 Iasunoo :a;s;sa slq; 3o uolgBa;slulwps 3o s;soo :aigsoliddB aaagm ~uolgdwaxa ~Cilws3 :pled sasuadxa isaaur~} ~ulpniaul 'a;s;sa s~;uapaaap slq; 30 3Tsr{aq uo pus ao3 pawFglo suoF;onpap pus s;qap iIs iFB~aP ul puB 'Ciin3 u;ao3 s;as 3oaaat{ ;asd s apses puB o;agar{ pagos;~B ~ a/npay~S ~sqy •;uapaoap aq; o; saaumo-oa 30 ~,Cus 3l ~dlgsuol~slaa pus ssaapps 'awsu aq~ snid '~S~isuosaad 3o uol;lslnbas 3o a;sp at{; puB a;B;sa leas 3o aan;l;san aq~ Sul;oa33a s~uawna~sul 3o paooaa 3o aasid pus agsp aqq snid 'saaggo pus ~uapaaap au; 30 awsu at{; ul ~ulpuB;s `aigl~us;uF ~ulpniaul `saar{;o ao aaq;ous q~lm ~i~ulo~ ~}uapaoap aq~ ~Cq paumo 'isuos -aad pine leas rd;aadoad iiB u;ao3 s;as 3oaaat{ ;and B spew pus ogaaat{ pagan;;a 3 a/npay~S ;Bt{y •~aeFai3auaq aq; o; anssl gaps 3o dlt{suol;Bias at{; pine `anssF slag; 't{;sap slag; 3o sa;ap aq; ~;uapaoap o; aoFad pale `.CuB .FF `iilm s,;uapaaap at{; ul pawsu saFavFaF3auaq at{~ 3o tlolr{M ~ulmogs wawa;s;s s sula;uoa osiB ~I 'IIFh1 s~;uapaoap aapun a3ii ao3 saFaBioF3auaq pus s;us;lnuus 'saoulw iiB 3o u;sap s~~}uapaoap 3o awl; at{; ;s says aq~ q;Fm aat{~}a~o~ `~uapaaap aq~ oq '£us 3l `dlr{suolgsiaa slag; `s;saaa~ul and;aad -saa slag; 3o aan;su aq; 't{;sap s~~uapaoap 3o awls aq~ ;s a~s~sa slq~ ul pa~saaa~uF Riisiai3auaq suosaad iFB 3o sassaapps pus sawsu at{; q;ao,} s;as 3oaaaq ;and apses pus o;agar{ par{as~;s p a/npay~S ~sqy •ainpagas aq; oq pat{as;;a aamod tans Sul;saao ;uawrra;sul aq; 30 ~Cdoa B u;Fm 'aaq;ouB 30 ;uawna;suF aaq;o ao ~paap `iilm at{;,Cq ~~i;uFo~' ao ~iisnplnlpul aaq;Fa 'luapaoap ul pa;san ;uses -;ulodds 3o aamod due ao Saar{;ous u~lm ~i~ulo~ ao `~iisnplnlpui sat{;Fa ';uapaoap ~fq aslaaaxa aq; 3o an~}aln ~fq q~Bap s,;uapaaap ;s sassed t{aFt{m `anisn sal u~lm `isuosaad pus leas `,~;aadoad iiB 30 ;sli B ainpagos plBS ul q;ao3 ;as osis sl aaagy •~sna~ aq; ~ulgsaaa ;uawna~sul aaq~o ao quawaaa~B ~snaq 'paap aq; 30 ~fttoa B ainpat{as aq; o~ pause;}B osiB sl aaaq; 'q;sap aa~3s ao ~';a ;uaw~Co~'ua ao uoFssassod ul ~aa33a a~{Bq o~ papua;uF saa3susa; 3o asBa at{; uI •saa3susa; plBS ~ulpaB~aa aan;au ;uaul~}aad s 3o s;os,} aau;o its pus aaaa3susa; goBa ~fq panrtaaaa aaBr{s a;suoF;aodoad aq; `;uapaaap at{; o; saaaa3suBa; at{; 3o dlgsuol;Bias aq; `paaaa3susa; woum o; '~f;aadoad cans 3o anisn pus aan;BU au; u;ao3 s;as ainpauos piss `u;sap aaF3s so ~s ~}uaw8o~ua ao uoFssassod ul ~aa33a a~{B; o; papua;ul ao ~t{;sap s~;uapaoap 3o uoF;sidwa;uoa ul `u;sap s ~;uapaaap 3o sasa~C om~} ulq;Fns 'isuosaad ao iBaa 'f~aadoad3o saa3susa; 3o asBa aq; ul pus ulaaau; paulB;uoa ,Calnbui gaga o; aamsus ana; a u'Fao3 spas 3oaaau ~asd apses pus o;asau pat{as;'}s ' a/npay~S at{y •q;sap 3o awl; ar{; ;B ;uapaaap aq; .Cq par{zsanbaq ao paumo T;aadoad sat{;o .Cue `3oaaaq; anisn ;a~{,zsw alB3 ar{; t{;Fm aau;ado; ~wao3 pazlwa;l ul u;ao3 ;as osis pinous ;I •pa;;{wgns aq;snw ulaaar{; ;sass;ul s,;uapaoap ai{; 3o issFBaddB ;sn[' pus ais3 s o; ;uauF;aad aq ~fsw ss ssaulsnq at{; o; ~utuFa;aad s;~s3 aat{~o cans pus ~uol;Baoi s;F `ssaulsnq ar{; 3o as;asasr{o aq; q;ao3 Sul;;as ;wawa;B;s B r{;Im sat{;ado; (luawaaa~B au; 3o aan~su ar{; q;ao3 ~ul~;as ~uawa~s;s s 'isao 3l) `;uawaaa~s dlgsaau;and-oa au; 3o ndoa V •ssaulsnq ao dlusaau;and-oa plss 3o saF~FFFgsFi pus s;assn aq~ ~ulmor{s s;uawa;s;s IsiaurruF3 'ainpat{as plBs o; paxauus sl aaau; ~saaa;ul gone 3o anisn aul 30 ~aoddns ul pus 'ssaulsnq ao dlusaau;and-oo nuB ul u;Bap 3o awl; aq; ;B ;uapaoap 30 ;.saga;ul aq; u;ao3 s;as osis ainpar{as aqy •q~sap 3o a;Bp aq~} 3o ss 3oaaaq; saF~FIF4sFi Pus s;asss at{; ~ulmor{s 'suoF;aaodaoa at{; 3o s;uawa;B;s islousul3 .4q pa;Bl;uB;sgns aiglssod sa aB3 ss aaB pa;sodas sanisn au; 'suoF;saodaoa ~Cilws3 ao asoio ,}o sal;lanoas 3o asso aq; ui RCC-34 (1-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY ~` Real property in Pennsylvania, with stotement of martgage encumbrances upon each parse{ at death of dece- dent. 'here property held as joint tenant or tenancy by entireties, report on Schedule "E". 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 tlaat 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 reference to the record of the conveyance by which the decedent took title; if a farm state number of a- crest also statement of mortgage encumbrances upon each parcel at death of decedent. Taxes, assessments, accrued interest an mortgages, etc., are ro be listed on Schedule "F" and must not be deducted from this schedule. jl) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH (2) ESTIMATED MARKET VALUE (3) DEPARTMENT VALUATION CAUTION (Da not write in this space) ALL m-~riT CE~3TAIN ~Touse and Lot of Ground situate on the T^Iest side of North Walnut Str et, in the third ^Iard of the Borough of Mechanicsbu ~;, Gounty of Cumberland and State of Pennsylvania, bou. ded and described as follows, to wit: - BEGIATIv7ING at a po~..nt marked by a post in Nor Walnut Street, at corner of Lot now ar formerly of Earl ~hzise; thence along said North v^lalnut St eet in a Southward direction a distance of sixty (60) feet to a post at corner of land naw or formerly of Charles Vagelsong; thence along the line of aid land now or formerly of Charles Vogelsang in a U1e twardly direction a distance of one hundred fifty-si (15b) feet to a post at an Alley; thence along sal Alley in a T?orthwardly direction a distance of sixty (6`~} feet to a post at corner of Lot n of aforementioned; thence along the se Earl ~~Ti .re of , . said Lot noT.a of 'e'arl `-~~rise in an Eastw~rdly di rection a distance of one hundred fifty-six (15b} fe t to a point on ~?orth t~ialnut Street, aforementioned, at the poir_t and place of ~~GII~INING. HAVING there o_. erected a single family, two and one-half st y frame d~~.=ellin~ house known and .numbered as 211 North. T~lalnut Street, N~echanicsburg, Pa. Sale Price. ~~; ~.~~~01.~ 19,900.00 ~---~-- Insert this total opposite "real property", Schedule "A" in the X X X X X 19,900.00 ~ r~ - "As Reported" column on the last page of this return. RC C -35 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX ~~'- ~. ,1 SCHEDULE "B" 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 personal property, titled in the name of the decedent, but p ayable at death to another or others, including but not limited to P.O.D. U. S. Savings Bonds and tenta- tive trust accounts, must be listed, despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e. g. ,jewelry, wearing apparel, household goods, and furnishings, books, paintings, automobiles, boats, etc.) Intangible personal property, such as bonds, treasury certificates, cash on hand and in bank, stocks, mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance pay- able to the estate or fiduciary in said capacity, partnership interests, interest in any undistributed estate of or income from any property held in trust under the will or agreement of another, even though located outside of the State, at the time of death, should be listed in this schedule. Item No. ITS List and describe fully UNIT VALUE ESTIMATED MARKET VALUE DEPARTMENT VALUATIO (Do not write in this space) 1 55 - ~25.0o Denomination U. S. Savings Bonds, Series E, registered in the names of Robert H. Dietrich or Mrs. Verna Dietri ch. Q2161983127E dated Dec. 1965 25.00 26.1~g `--`~ Y ~- Q2172672~.29E dated Feb. 1966 " 25,78 Q2176488969E dated. T~larch 196b, " X5.78 Q217b715950E dated April 1966 " 27.78~ - Q2184954879E dated ?~iay 1966 " 25,78 Q2185239698E dated June 1966 " 25.92 -- ~- Q2l_~0672571~, dated July 1966 " 25.2 , : ; Q2202K61~772E dated Aug. 1966 " 2?i..72 Q2206~26265E dated wept. 1966 " 2i~_.72 =~22067513?3E dated Oct. 1Q66 " 21;,72 -~~ Q2211883154E dated Nov. 1966 " 2..72 Q2236O03123E dated Dec. 1966 " 2L~-. 79 <~y';;'F,, Q25286l~I~56F dated Sept. 1970 " 20.88 Q228181 287F' dated T?ov. 1967 " 23.62 Q2292756K27E dated Dec. 1967 " 23.70 !~:., Q2292777012E dated Jan. 1968 " 23.70 Q2318677710E dated Feb. 1968 " 23.11 Q23437og547" dated March 1968 " 23.11 Q2343927597E dated April 1968 " 23.11 Q2349483691~~' dated t~iay 1968 " 2?.11 Q2355257892E dated. June 1968 " 2,3.19 ~=-- Q2363977492E dated July 1968 X3.19 ~ ;;~~ Q2361~0141I~OE dated Aug. 1968 " 22.62 Q23?08851~l~.5E dated Sept. 1968 " 22.62 '~L3771~.64636:~~ dated Oct. 1968 " 22.62 Q238l~G07191E dated Nov. 1968 " 22.62 Qa,~Bl.~,131091F dated Dec. 1968 " 22.70 ~;;,~3 Q239081~7751'r., dated. Jan. 1969 " 22.70 ~~ ~; Q2397l~.80824E dated Feb. 1969 22.13 Q21~0l~21~~2412E dated T~~Iarch 1969 " 22.13 Q2~~1161?7?1~F dated April 1969 " 22.13 Q2~.18806993E dated T~?ay 196Q " 22.13 _ Q2t~.286572~2E doted June 1969 " 22.53 Q2)~.5557927~F dated July 1969 " 22.53 <.j Q,2~55591268E dated Aug. 196E " 21.93 Q2~10003~.28 E. ?dated Sept. 1969 " 21.~'~ J Q21~7306.6379F dated Oct. 1969 " 21.~ Q2~.7~.0~,7984E dated T~ov. 196Q „ 21.93 r Q2l+.93913283E dated March 1970 " 27_.39 Q25O7S681L~1~' dated April 1970 " 21.39 Q25O885L{-173E dated ''~~a~t 1970 n 21.39 Q2515010103E dated June 1970 " 21.38 Q2526967953E dated July 1970 " 21.39 j } Q2533G9316oE dated Aug. 1970 rr 20,88 Q252861~7668E dated Oct. 1870 " 20.8,` Q25~.2922851E dated ?~?ov. 1Q70 " 2n. g8 Q255~925960E dated Dec. 1970 " 20.88 ~~~~-~~'~ Q25tG.2965o72~i~ dated Jan. 1971 20.88 ~ ~ ~ ~-'::'~ Insert this total opposite "Personal Property", Schedule "B" in X X the "As Reported" colutrm on the last page of this return. CARRIED F'ORT~IARD.... 110,.37 RC C -35 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX '. '~ SCHEDULE "B" 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 personal property, titled in the name of the decedent, but p ayable at death to another or others, including but not 1lmited to P.O.D. U. S. Savings Bonds and tenta- tive trust accounts, must be listed, despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e. g, jewelry, wearing apparel, household goods, and furnishings, books, paintings, automobiles, boats, etc.) Intangible personal property, such as bonds, treasury certificates, cash on hand and in bank, stocks, mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance pay- able to the estate or fiduciary in said capacity, partnership interests, interest in any undistributed estate of or income from any property held in trust under the will or agreement of another, even though located outside of the State, at the time of death, should be listed in this schedule. Item ITEM UNIT ESTIMATID DEPARTMENT VALUATION No. List and describe fully VALUE MARKET VALUE (Dthistspace) in 1 (~5 A ~2~.00 Denomination ii. S. Savings onds, cries F, registered in the .names of Ro'oert ri. Dietri cb or Mrs. `rerna Diet _ich} CO I~TTZ ~;ITED ~ Tr T F pt.~~ < B ~-t ~. ~ , ,~ _ C F ......................... . Q2~!.~2968019E dated Feb. 1.971 I2~.00 Q2560382901E dated ~~iarch 1971 l " ~~,256038K72.~`~~ dated April 1x71 ~: Q2~8117_lb3!.~.F dated '~"gay 1'971 " Q25R1111~4.21F, dated June 1971 " ~,2.5`?8731223F dated July 1971 " ~2~8g~73383CF dated Auk. 1971 " 2 Proceeds of Chec'_ri_ng Account !`?o. 111-3010 3-R with The Commonwealth 'rational Bank. 3 Prcceeds of Savi_nr~s Account `?o. 1~.-000828 -5 wi th The Commonwealth TTationa.l ~3ank. }~ ?io~aehold furnishings of decedent, as A~;praised bar Chuck Bricker, Auct:;.oneer and used furniture dealer-Texaco Road, '~"echanicsbur~, Penna. (Copy of Appraisal _s attached hereto) ll0~..37 20.0 2C'.ii 0 20.)0 20.L~0 ~o.~~a 1-~ 4~ 20.?~0 19.95 ,~--~ 1685.;8 ~.._,~ ~ l x-559 13 - ~` 65c~.oC ~< -- Insert this total opposite "Personal Property", Schedule "B" in X X 6~3~ ~ 9~ t 1,,'. the "As Reported" column on the last page of this return. RCC-36 COMMONWEALTH O1'' YENNSYI,VANIA ~~•~ TRANSFER INHF.KITANCE TAk SCHEDULE' "C" ~ ~ `~+;~~~ ., T RAN S FFs 1tS RESIDENT Dt?CEDTArT (1) Did decedent, within two years of death, make any transfer of any material part of his estate, without receiving a valuable and adequate consideration therefor? (Answer yes or no) N O (2) Did decedent, within two years of death, transfer property from himNeOlf to himself and another or others (including a spouse) in joint ownership? (Answer yes or no) (3) If the answer to (1) or (2) above is in the affirmative state: (a) Age of decedent at time of transfer T1T~- (b) State of decedent's health at time of making the transfer. (Note 1). (c) Cause of decedent's death. (Note 1). (4) Did decedent, in his lifetime, make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no) NO (a) Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition? (Answer yes or no) N O (b) What was the transferee's age at time of decedent's death? N OI1e (5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a) The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no) PTO (h) The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer yes or no) 1VTO (6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent alone or others None (7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor? (Answer yes or no) N O (8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which. co~ild revert to decedent under terms of transfer or by operation of law? (Answer yes or no) N O (9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or no) N O NOTE 1: The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NO TE 2: If answer to any of the above questions is yes, set forth below a description of the property transferred, it's fair market value at date of death, dates of transfers and to whom transferred, with relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans- fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based. NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E. ITEAi DESCRIPTION ~T V~'~ DEPT. VALUATION (Estimated) (Dept. Only) Insert this total opposite "Transfers", Schedule "C" in the N O17e "As Reported" column on the last page of this return. RCC-37 (12-b3) COMMON~CEALTII OF PENNSFYLANIA TRANSFER INHERITANCE TAY RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES .> . ~... ~, ~~r~. -. `~~>`~ , T BENEFICIARIES AND ADDRESSES State full names and addresses of all who lave an interest, vested, contingent or other wise, in estate) RELATIONSHIP (If ste children or P- illegitimate children - are involved, set forth this fact.) SURVIVED DECEDENT STATE YES OR NO DATE OF BIRTH j ~" INTEREST OF BEh?EFICIARY IN ESTATE; ,, Robert E. Dietrich 211 TTOrth ~~Jalnut St Son Yes =~nt're ~sta~e_______ Mechanicsbur , Penna. 170 5 ~ i i -- --- I)ePonent flarther says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE ~9 'SS "~ ^~ Y z v "C V ~I a r n n r .J O ,~ p, ~ ~ rD ~ O .*+ ~ L (D ~ :5' "b ~ ~ • ~ ~ ~~ ~~ . N ~ C ~ 6' ~_ ^ Y ~ ~ ~ ~ ~ Cr] Sv 77 y-t 0 C=7 '~ ~ ~ y ~ ~ ~ '"~ H ~ H ct LTJ ~ M y ' ~ ~ C H ~ ~ : ,y W .. ~ a. Z ~a J+ ~ ^-' O 7 0 _.. _$ g __ ~Z~ 06 ~~~ .9z... $ 0.0. , 0 .......~ (,.~,, .~IaS) ................................ ( [~a;.~oda~j s~ ) ,I~I~'L~II~f2S ~l) ......._.. a;~;s~ alq~xsZ sso.c~ x ~ ~~::zad.o.~.~...~acxr~p ~-~~,u~co~ o C n a ~ o O ~ .................................. s.za~su~i.L n ~ a ~.~ado.~d Ipag ° ~N ~' o ~. ,~ R C G-3® COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX SCHEDULE "E" RESIDENT DECEDENT JOINTLY OWNED PROPERTY INSTRUCTIONS: This schedule must disclose all property, real and personal, owned by the decedent jointly with another or others, including intangibles, standing in the name of the decedent and others. List real estate first, as entireties, or joint tenants, giving brief description, as indicated under Schedule "A", plus the date and place of record of instrument effecting vestiture, but do not include entireties or out of state real estate value in estate valuation column. Personal property should be listed as in Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to the decedent. Description of Property, Date of Acquisition, Name Unit percentage Estate DEPARTMENT VALUATION Address and Relationship of Co-Owners, and Place Value Share Valuation CAUTION-Do not Write of Record of Instrument, where Real Estate. In This S ace. Value of Value of Entire Decedent's property Interest None ~ ~ ~ None -~el~e- Insert this total opposite "Jointly Owned Property", Schedule "E" in the "As Reported" coluaa~ on the last page of this return. NOne Form RCC-10 OFFICE OF THE REGISTER OF WILLS OF ~, J.._~P. _ _~.-. COUNTY .__, ~,~ ,~ -~~ STATEMENT OF DEBTS AND DEDUCTIONS AND AGENT OF THE COMMONWEALTH - i ~ .'~ DEDUCTIONS ALLOWED iN ~' ,--, r. THE SUM OF ........,.,. $ fJC'~J~i`" OA7E APPROVED ... Y It ~ ~` ~ °:t -7 t ~. y 4 Repisker of Wills. A~_~ pe~~.+~ ~#7 s- --errU. ;~. D_etr. Bch ?viecha.nicsb~.zr ESTATE OF - LATE of ~____^___. . ; 1~7 11 1~;7~ DATE OF FILING APPRAISHMENT ~ er` 1- ~ ~° DATE OF DEATH -~-~ ~' ~~ -~ DATE No. of VOUGNCR NAME OF PAYEE REMARKS AMOUNT .' ~ r ~ ' '"'_ ?', • T~: Zrp ,~ C ~'.~1?"1 P, r a l ."T O?Tte LLa'„ !^ !~ ", r^ ~_ . _ ,..i_ ~.. i r r~ h .711 ~~ '` ~~ ?Q~-~; stet of Y,Ta lls LPt~:ers Testament~~.r~- ~° ~''"' nl~m~,e,~:~_ar.:r r ~ti., Jc,;.rnal ,sta.te ^`otice h ~?~ m ~ ,~ ~ -~~~ ~ ~~ Po ~rc~ ; r; c ask -, +-~,_ ~. '_'.OS7?1 ~.,'-3~ ~11_~ ,ter ~ i 1 ,,,;~ ~e~•,~le~ _:,soc:~ates 'rec. doctor i5 11 "'~'~ ~~ ?osezr -'. ~e~~ydec, ~'~. ~. Dr,cter 8.11 i_~ 00 ryax~ _t.l lue morass ;,Y°em%L;:~- '~u.e '!2 ~:~C ;:e^~~ seer a~' `ri~~ls r~ll; n~ r,,;,.,;.,~iss:~l OC;_ J. =~o~ert ~ti<~uf~'er ~ttorneTT~ s ~'ee , ~~ 00 ~~e,M _ster of %'~;'ll.s ~~i.li_nx-: ~e}its r~.rd ~I~d~zcti.a:ns ? 00 i COMMONWEALTH OF PENNSYLVANIA COUNTY OF `~ -~'~~~- -~-'= I ~ o o e r t .~ D_ e'; r ~. Cn_ HEREBY CERTIFY, THAT. TO THE BEiT OF MY KNOWLEDGE AND RELIEF, THE FOREGOING Ifl A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPEN969 OF ADMINISTRATION BUBMtTTED TO THE EBTATE OF V P?"'YI ~;l L . ~ 1 e t'_(' 1 C}"1 DECEASED, S DEDUCTIONS FOR INHERITANCE TAX PURPOSES. f ~ i > ~ ~` (L. 5.) ~ - SWORN AND BUBHCRIBED BEFORE ME THIS '~ t`1 DAY OF r 7 i1 `'~Y'nn ,.. 10 -.,~ _ ~- ~ __c ~..-. ' , ~,,.. c ,~ ts_ v fcCC-ti9-RI COkA10NWEALTH OF PENNSYLVANIA Department of Revenue ENTRY INTO SAFE DEPOSIT BOX TO REIt10VE A WILL OR CEh1ETERY DEED -/• _ / -' ~~~, - ~ ~ May ?z, ].q~?~ (Date of Entry) 1. Name of decedent: 2. Address of decedent: Verna lJietricn. ?_ll N. Walnut St., Mechanicsburg, Paa 3. Date of death:- ~,~ 4, 173 4. Name and address of person who requested the opening of the box: Robert E. Dietrich(S0~) Same Address 5. Name and address of the financial institution where the safe deposit box is Located: First Bank &, T.r_ust Co. , Mechanicsburg, ?'a. ti. Number of box: 137 7. Title under which box is registered: Verna Dietrich S. Was there a will in the box? (Yes or No) Yes :i. If' yes, state date oi' will, name and address of personal representative, if Warned in the will, and name and address of attorney, if any: Robert E. Dietrich Address same as above ~T. Robert Stauffer, Atty. Mechanicsburg, Fa, And now this ~~ day of ,~aV , 19 `77~, I hereby cr~r t. i i'y ur,r?r•r pc~na] ty of perjury that the above record. is correct and complete to ti,~, best cf my knnwle~l,~;e and beJ.ief. ~ ~~ ~i, `! ~~ Signature Prim. Fame find Titlt~