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HomeMy WebLinkAbout06-08-78 RCC-2 (2.64) -t . DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA, 17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT Ju1 31, 1978 CUIlIber1and DATE COUNTY FILE NO. 21-78-0162 WhereaB, Forrest A. Nelson late of Mt. Holly Springs in the County of CUIlIber1and , Commonwealth of Pennsylvania, having died on the 27th day of March 1978 ,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, Ira K. Gleim . an appraiser duly appointed according to law, 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 Ufe 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 Allet Unit Value. Appr.ilement Made for Inheritance Tal. Purpo... Real Property None $ Joint-Held Pro ert None Transfers 1// TOTAL ASSETS Having been duly sworn according to law, I do hereby certify that the above appraisement is made in con- formity with law on this 3lst day of ~, 4,u..uj' _ 19~. (' ~ a _ k. /.{...&~~ AppraiMr (""m.... .Dd -" i b IUlrr s urg (Pod Mee) , Penna. ! * COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 IN YOUR REPLY PLEASE REFER TO RCC.81 1&-731 Inheritance Tax Division NOTICE OF...f.ILING or APPRAISEMENT Artuur F. Nelson 5225 Creekwood Drive Harrisburg. PA 17109 (Executor or Administrator) Forrest A. Nelson In Re: Estate of Cumberland County - File No. 21-78-0162 Dear Mr. Nelson: You are hereby notified that the OrigiBal appraisement in the estate 0/ Forrest A. Nelson has been filed in the ol/ice of the Re.gister of Wills 0/ Cumberland County on July 31 ,19~, Said appraisement reflects the following val uations: Real Estate Personal Property Transfers Jointly Owned Total 22 000.00 <r?~7?":l A6. I . None None ~64. 72J.26. 5~ 7/l, O~ ~~ 'It/oJ., As to such tax that is paid within three months from date of death, a five (5%) percent discount is allowable. As to any tax that remains unpaid after nine (9) months (fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when deoth occurred prior to December 22, 1965) from date of death, interest at the rate of six (6%) percent per annum is charged. Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961, 72 P. S. 2485-1001, P. L. 373. Date Julv 31. 1978 Signed ~~ @ f(, j.t&~ Title Chief Appraiser -- 1.- Note: This is not a bill. .... RC~-3a" COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" 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 Address and Relationship of Co-Owners, and Place of' Record of Instrument, where Real Estate. unit Value percentage Sh are Es ta te Valuation ,ex:: , ex:: :x >Q<;t:XX::X '>I5O<:0<>~~~ :XX;::X '0.>0<: :x:>< :x:>< >ex:: %::x ~~ '0.::x '9s::X:><::X ::x None Insert this total opposite "Jointly Owned PropertyR, Schedule RE" in the" As Reported" column on the last page of this return. None DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of' Value of Entire Decedent's property Interest None None ~ ..., "s1Il- ~<"" iii: r:: '2 ~ E 's CJ .: "'Co. 8 < E. ~8=o o <l> '5t:'t " " 0 ~ E g. ~ 0: SUMMARY .....(Sch. "A") ..........(Sch. "B") .....(SCh. "C") Real Property . .................... .. .......... Personal Propert)" .................. Transfers Gross Taxable Estate co t" ~ 0\ f- ..; "0 Z <l> ~ W ,~ " :~ ..l " ::::: ;.... '" < W ." c:l tIl '" Vl C bOO - :;: 0: c: < " Cl: ~ tIl, .....' 'c t... ~: .. .. 0 I""""'i: " .. .. QI' p.. 'tl ~ '" -< " c:: < ~ W Z' 00: ;.. w >: f- Ol ~ Q " ~ .. -< >-.: ...... :: z 0 ... 0 f- <I; ......: ~ ~ Z f- Vl ......' QI .. -l: t... W ....' 0: ~ ~ f- ~ 0 tIl' :I:. 0 Cl: " QI 0 0 ~ ~, U .. :c W ~ .... ~ "" " r: 0 ~ ~ ~ :r: J::; ~ 0 " "2 -< '0 .c. 0 'E ..-: ~ ~ :; ~ 0 0 "' ~ .:l u u (I) (As Reported) $. .22,000.00. $ . A2. ,}2J ,64 $ 0.00 $. $.............. $..64,721.64 (2) (As Dl'termineJ) $ $. $ $ $. $. "'-lC-37. (12-63) COMMO~\\"EALTII OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT * SCHEDULE "0" BE!\EFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP I (If step-children or SURVIVED DATE INTEREST OF State full names and addresses of all who illegitimate children I DECEDENT OF BENEFICIARY ave an interest, vested, contingent or other are involved, set STATE YES IN ESTATE wise, in estate) forth this fact.) OR NO BIRTH Viola G Nelson Wife Yes seot.19.l1 98 Life estate in c/o A. F. Nelson , house and household 5225 Creekwood Drive ~009S, polUS ol/~ oj. esidue n..rr , no. LfJ.V"" : Rachael Hocklev. 118 Svcamor Daughter Yes 1/4Remainder interest St., Mt. Holly Springs, Pa. in.!}~, & ~9~s~~01d l/uo~ ~ ~ residue Jeannette Yoder Dau2hter v.... 1 Il. , 138 N. Rosemar St. I JLn home. property & Phila. . --- ------- II, plus Pa. 19120 i 6 of reS10ue ! I 11/t. .......... inn...... in......... >-..1.".... F lIT..l...~ C'~~ .. I '''''' - Ln home property & -. n.... Harrisburg, Pa. 17109 !'-ousehold goods_~~us J./O or res~oue I Madaline Nel..nn n""..l....._ v.... I 11_ ,- , . 212 N. Baltimore 1f1e. in home property & Mt. Holly Springs, Pa. 170 5 ~~S~~Old g~~ds p.Lus , h Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE :as t ~ Rcc-~6 '* COMMONWEALTH OF PENNSYLVANIA TRANSr~R INHERITANCE TAX SCHEDULE "C" TRANSFERS RESIDENT DECEDENT (1) Did decedent, within two years of de nth, make any transfer of any material part ot..J11s estate, without receiving a valuable and adequate consideration therefor? (Answer yes or no) NO (2) Did decedent, within two years of death, transfer property from himself to himself and another or others (including a spouse) 1n joint ownership? (Answer yes or no) ~O (3) II' the answer to (1) or (2) above is in the al'l'1rmative state: (a) Age of decedent at time of transfer (b) State of decedent IS heal th at time of making the transfer. (Note 1). (e) Cause of decedene s death. (Note 1). (4) Did decedent, 1n his lifetime, make any transfer of' property without receiving a valuable or adequate consideration therefor ~qlch was to take effect in possession or enjoyment at or after his death? (Answer yes or 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 ~ (b) What was the transferee's age at time of decedent's death? (:j) 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 f'act end bef'ore his death: (a) The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no) N'n (b) The right to designate the persons who shall possess or enjoy the property transferred or income theref'rom? (Answer yes or no) No (6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved 1n decedent alone or others (7) Did decedent in his lifetime make a transfer, the consideration fbr which was transferee's promise to pay income to or for the benefit of care of transferor? (Answer yes or no) No (8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reserved power to al ter, amend, or revoke, or which conld revert to decedent tulder terms of transfer or by operation of law? (Answer yes or no) No (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) --- NOTE1: The answers to these questions should be supported by affidavit by the attending 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, it's fair market value at date 01' 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. ITEM MARKET VALUE (Es tima ted) DEPT. VALUATION (Dept. Only) DESCRIPT ION None None Insert this total opposite "Transfers", Schedule lie" in the "As Reportedll colWlD1 on the last page of this return. None None ~ . RCC -35 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX '* INSTRUCTIONS: This Schedule must disclose all tangible 8I1.d intangible personal property owned individually by the decedent, at the time or his death. Property owned by the decedent jointly with another or others must be listed under Schedule wE-. Intangible personal property, titled 1n the name or 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 listed first (e.g. jewelry, wearing apparel, household goods, and furnishings, books, paintings, automobiles, boats, etc.) Intangible personal property, such as bonds, treasury certU'icates, 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 ESTI llATED DEPARTIlENT VALUATION No. List and describe fully VALUE lIAIIKET VALUE (Do not write in this space) 1. Certificates of Deposit a. CCNB U. vNo. 171 2,000.0 2,000.00 Accrued interest 15.3 15.30 o/No. 13358 2,000.0 2,000.00 Accrued interest 27.3 27.38 ...-No. 12803 2,000.0 2,000.00 Accrued interest 25.3 25.37 ..-fio . 13379 3,100.0 3,100.00 Accrued interest 18.7 18.72 ~. 13380 3,100.0 3,100.00 Accrued interest 1.2 1.24 RESIDENl DECEDENT SCHEDULE "B" PERSONAL PROPERTY b. The Harris S8Vin~s Association ~. 2-09-111353 Accrued interest c. Fapners Trust Company ~. 12058 - in name of decedent pay- able on death to Joseph E. Nelson Accrued interest .-1fo. 11855 Accrued interest "ffO. 11917 Accrued interest VNo. 11822 Accrued interest ~. 11823 Accrued interest ./No. 11821 Accrued interest ./No. 12638 Accrued interest I I 1,000.0 17.5 5,000.0 53.3 1,000.0 5.4 1,000.0 15.1 3,000.0 42.8 1,500.0 22.6 3,500.0 19.0 2. Checking account, Farmers Trust Co., No. 4-3087-0 ~ tv-;JL l{r~ """~ Household goods & furnishings V"' ~,012.~ z....- 350 .00 3. 4. Coins 5. Prudential Ins. Co. - death benefit 712.9 - Insert this total opposite "Personal Property", Schedule "B" 1n the -As Reported" colunm on the last page of this return. x X (42, :21.6 5,000.00 91.44 1,000.00 17.52 5,000.00 53.37 1,000.00 5.44 1,000.00 15.10 3,000.00 42.89 1,500.00 22.65 3,500.00 19.03 92.62 712.95 $42,723.26 _ - ~ Qf ~.O{'f S{;.. 7// ~ ....c... ,....., COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS . TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY *' Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece. dent. Property held by the decedent os tenant in common with another or other, should be identified os to quantum of interest and the estimated value should be that of the decedent's interest only. (Property held os joint tenants with right of surviorship or tenancy by entireties should be reported on Schedule "E.") The real property located In the Commonwealth of Pennlylvanla should b. d..crlbed by lot and block number, .tr.., and .tr..t number, together with a oeneral d.scrlptlon of the property, with a r.f.rence to the record of the conveyance by which the decedent took title; If a farm .tat. numb.r of a. cr..; alia .tatement of mortgage encumbrance. upon Rch parcel at death of decedent. Tox.., a.....m.nts, accrued Int.,..t on mortgage., .'c.,a,. to b. lI,ted on Schedule uF" and must not b. deducted from this .ch.dl,lle. All that certain property situatein Mt. Holly Springs, Cumberland County, Pa., known and numbered as No. 399 North Walnut St., the same having been acquired by the decedent from Alva B. Marsh, widow, by deed dated April 1, 1947 and recorded in Deed Book "Z", Vol. 13, Page 288. 'i':JU'1..J. L- f\.Nt:!. 'H70 4 ~tJ -" fj-990 J/ It 15/F" () (1) ASSESSED VALUE FDR YEAR OF aEcEDENT'S DEATH .f/( 15,960.00 Insert this total opposite "real property", Schedule "A" in the X X X X X "As Reported" column on the lost page of this return. (2) (31 DEPARTIIENT VALUA TION CAUTION (Do not writ. In this space) ESTIIIA TEa IIARKET VALUE .,-- 22,OOO.OC 22,000.00 22,000.00 $22,000.00 .,; ~I 0- ~ I- '- - ,.., " ~ ;;::J z " '" ..... '- :z:; '" " .... e l:: " c:o "" ~ u '" '-' " ..... >- <Ii a.. lI'l " ~ :;; .... 0 lX: ~ .... ;: ~ " ;: :z: " 1:.1.. '- " ::i! @ " '" 0; <::> - ~ ~ .... ~ " " ~ ....l ... <: " " ......:~ ~ ~ - ~ "0 ,,' E- e .~ .~ ~ " 't:l .., - " ~ " :z:; " l- e ... :0- If;, ... ""- it <>. ~ " " )lJ ~ "'- <>. ..., " " ...... III '" . ;; - a ~. :::E: '>: '>: '>: .... '" .:! -< --l " 'ii ] I ... z " "" ." E- "" - ;: <\, ., -< '" f-o " l:; ~ " a " " ~ " ~ I- ~ Q 0 -::; "" ~ "" C' ;: lI'l oS, "" " " - " ~ l:; u '" J>: ... ;; -;: .... " <> ~ .,; " ~ g x " ~ <>:: 1:: 0" " "- ;; f Q <; ~ Q ~ 0;: ~ ~ <>. l<l ........ ;: 0- :;: '>: - " ~ " ty " L<J l- e 00 ,,' ] <>:: z ~ '" " '" ii; '>: e <; "'- " Q '>: <l. 'n '" 0: , ~ In the case of securities of close or family corporations, the values reported are as far as possible substflntiatert 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 D,usiness. A cop~' of the co-partnership agreement, (if oral, a statement setting forth the nature of the 8.greement) together with a statement setttn.e; 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 must be suhmitted. It should also set forth in itemized form, together with tire fair market value thereof, any other property owned or bequeathed by the decedent at the time of death. The SChedule 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 decedentt 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 ann value of such propert)., 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 attachen to the scheclule a copy of the deed, trust agrp-ement or other instrument creating the trust. Therl-'! is also set forth in said scherlule II list of all property, real and personal, with its value, which pa~ses at decedent's death by virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint- ment vested indecerlent, either individually or jointly, by the wHl, deed, or other instrwnent of' another, with a copy of the instrument creating such power attached to the schedule. That Schedule 0 attached hereto and made part hereof sets forth the nflmes alvl addresses of Illl 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 ancl beneficiaries for life uncler rlecedent's Will. It also contains a statement showing which of the beneficiaries named in the decedent's wHl, if any, died prior to decedent, the dates of their death, their issue, and the relationship of such issue to the beneficiary. That S~hedule 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 det:edent and others, plus the date and place of record of instruments effecting the vesti ture 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 SChedule F attached hereto and made a part hereof sets forth fully and In detail all rlebts and deductions claimerl for anfl on behlllf of this decedent's estate, including funeral expenses paid; family exemption, where applicable; costs of administration of this estate; counsel f'ees and f\ldlciary's conunisstons 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 anrt ltT1patrl at time of death; taxes accrued chargeable for period prior to decedent's rleath (except those allowed under Section 651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledgert for obliga- tions, if any. It is agreed that the f'iduciary 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 Scherlules ~A~, ~B~, ~C~, ~E~, and ~F~ as directed therein, have been carried forward and properly registered in the Summary. SUbseri~nd sworn to (ifore me this ....................-... ...._..._..._._..__...... . ... day of ~ 19.1.8..... _..............~ah&1v .rfr,}j~......._.... ~~)I').u&~lq'6i}... .............~~..__.._._- ...5225..cfst~~~~b2five._.._....__._--_. .......H8I:xisbuI:g.....Pa..........l.7.10.9.... ........................ (City or TOlD" and St4te) NOTE: Be fore signing af'fidavl t make sure all blank spaces in the af'fidavi t And schedules annexed are filled in with details or the word ~Sone~, and In case the assets include rare and unlisted securities, securities of close or family corporAtions or 8n interest in any co-partnership or business, that the data and stAtements requi rert unrler the paragraph above relating to Schedule "8" Are Attached. Also make certain that column #1 in the "Surrtnary" has been properly completed as Ilbove-directed. :::- .. R C C..U (::731 \'" ~ RESIDENT DECEDENT * JUN 8 1978 COUNTY OF CIlMRF.RT .ANn COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS IMPORTANT, This return must be completed in detail and filed in duplicate, with all attached, with the Reaister of Wills of the County where decedent resided; Return is due within nine months after date of death, unless an extension is panted by the Secretary of Re'tenue. (Section 703 of the Inheritance and Estate Tax Act of 1961.) IN THE MATTER OF THE ESTATE OF } AFFIDAVIT OF FORREST A. NELSON EXECUTOR 1ST ATE FULL NAME OF DECEDENT) ~ Lot. o/Mt. Hollv Springs ,Cnmherlando.nty Stat. of 'Ppnn~ylU'J:ln;.R J n, County of Executor l~rNrN41 Decedent died NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A S....FE DEPOSIT BOX None THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECEDENT That the contents of said safe deposit box or boxes are itemized under Schedules with the exception-of the following, for the reasons hereinafter set forth: of this return, That ScheJule 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 ScheJule 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 pas session, 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.~arket 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 interes t thereon to the date_of decedent's death and other investment securities owned by the decedent at the time of death, with the-market va.lue there~ of at such time.