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Home My WebLink About05-01-78 RCC-Z t2-641 29 June 78 DEPARTMENT'O~ REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA, 17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE COUNTY Cwnbvz1.a.nd 21-78-0168 FILE NO. "'aUn" H ".n'''6o"d LOWell A.U.en T,""'. Whereas, W "'" . vww " late of WI'" in the County of CwnbelLf.llJId Commonwealth of Pennsylvania, having died on the 8th day of JIlJIua.!tlf 19~, seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, T hn r,p 0; m . 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 10 this estate is transferred 1n possession or enjoyment to collateral heirs of the decedent after the expiration or 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 lnt.erest. Otlcrlptlon of Auet U"it V.lulI Aggr.ilement M.de for lntltrihnce ru Purpolfl $ QllL- PVL6onaf. PItOpelLt TItaJ1.6 6VL6 JO.l.nt.e. L- 29,802 53 ToM M<le.t6 31,697 Having been duly sworn according to law, I do hereby certify formity with law on this 29;t), day of that the above appraisement is made in eon- ~::o , 191..L. _ /( - ./.t~~ Appraiaet (l''uI'l'tWt.t.6 "tJiIJr'g (PMt 0ftIl"'t} , Penna. 12 Inheritance Tax Division RCC-81 (6-73) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 IN YOUR REPLY PLEASE REFER TO NOTICE OF FILING or APPRAISEMENT Votuied H. CJtaw6oJc.d 1111 Luchwotr.tJt Rd. C~~,-l'enlla..-1-70 11 (Executor or Administrator) Cwnb vz1.a.nd waUelL H. CM.w6oltd 21-78-0168 In Re: Estote of County - Fi Ie No. Deor You ore hereby notified thot the OiUg.<.t!Ilf. opproisement in the estote of waUelL H. Cltawtloltd hos been filed in the office of the Register of Wills of Cwnbvz1.a.nd County on 29 ]wte , 19~, Said opproisement reflects the following valuations: Reol Estote Personol Property Transfers Jointly Owned Totol None None 29-1-802.53 1,894.59 31,697.12 As to such tox thot is poid within three months from dote of deoth, 0 live (5%) percent discount is ollowoble. As to ony tax thot remoins unpoid after nine (9) months (fifteen manths when deoth occurred from December 22,1965 to June 16,1971, inclusive; ond twelve months when deoth occurred priar to December 22, 1965) fram date of deoth, interest at the rote af six (6%) percent per onnum is charged. Any porty in interest who is oggrieved by this notice moy object thereto within sixty doys after receipt of said notice as provided by Section 1001 of the Inheritonce ond Estote Tax Act of 1961, 72 P. S. 2485.1001, P. L. 373:) Dote 29 Jwte 78 Signed _~~4L_ ' Title CfU.e6 _ ApplLll.i.6 ell ---. Note: This is not 0 bill. . . . August 1958 Sept. 1958 Oct. 1958 Nov. 1958 Dec. 1958 Jan. 1959 Feb. 1959 March 1959 April 1959 May 1959 June 1959 July 1959 August 1959 Sept. 1959 Oct. 1959 Nov. 1959 Dec. 1959 Jan. 1960 Feb. 1960 March 1960 April 1960 May 1960 June 1960 July 1960 August 1960 Sept. 1960 Oct. 1960 Nov. 1960 Dec. 1960 Jan. 1961 Feb. 1961 March 1961 April 1961 May 1961 Total value 45.67 ;. 44.34\ 44.34)/ 44.34' 44 . 54 \ 44.95' 44.95'. 43 .10 ~ 43.10 ' 43.10' 43.52 '. 43.52 ' 43.52' y 43.90/ 43.90. 42.62'" 42.72\ 42.72: 42.72, 43.10 43.10\ , 41.33, 41. 39, 41. 39:< 41.39\ 41.77~ 41.77, 40.45: 40.54', 40.54, 40.54" 40.901/ 40.9ct~ 39.62'V $3,789.17/ Decedent's 1/2 value $1,89~..5.9 .....--- \ e,~L\.s~. ) 'RCC-311 . COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY '* I:"lSTRUCTIO~S: This scherlule must disclose all prope~ty, real and personal, ownerl by the rlecedent jointly wi th another or others, including intangibles, standing in the name of the decedent and others. List real f>state first. tiS entireties, or joint tenants, giving brief description, as indicated unrler Schedule "A", plus the rlate and place of record of instrum~nt effecting vestiture, but rlo not include entireties or out of state real estate value in estate valuation column. Personal property should be listed as in Schedule "B", plus rlate of acquisition, and the name, address anrl relationship (if any) of co-owners to the decedent. Description of Property, Date of Acquisition, Same Address and Relationship of Co-Owners, and Place of Record of Instrument, where Real Estat'e. CO ~ ~ 0 ~ ~ 'Y N N ~~ (0 C>< Unit Value percentage Share ~~e$>Q<;~<<<<~%~~ &; ~ XX ~ X>:: X>:: ;0:: (x 00 83 $25 U.S. Savings Series E Bonds in the names of Walter H. Crawford or Gerald L. Crawford Sept. 1953 Oct. 1953 Nov. 1953 Dec. 1953 Jan. 1954 Feb. 1954 March 1954 April 1954 May 1954 June 1954 July 1954 August 1954 Sept. 1954 Oct. 1954 Nov. 1954 Dec. 1954 Jan. 1955 Feb. 1955 March 1955 April 1955 May 1955 June 1955 July 1955 August 1955 Sept. 1955 August 1956 Sept. 1956 Oct. 1956 Nov. 1956 Dec. 1956 Jan. 1957 Feb. 1957 March 1957 April 1957 May 1957 June 1957 July 1957 August 1957 Sept. 1957 Oct. 1957 Nov. 1957 Dec. 1957 Jan 1958 Feb. 1958 March 1958 April 1958 May 1958 June 1958 July 1958 50.71)( 51. 22 Y 51.22';"- 49.86Y 49. 86~ 49.86)<' 49.86 , 50.38~ 50.38.K 49.04.>" :- 49.04 \ 49.04 ' 49.04/' 49.58,.\' 49.58.\ 48.24.\ 48.24> 48.24" 48.24-" 48.74Y 48.74""" 4 7 . 4 5 ok 47.45>' 47.45/ 47.451'" 46.59..Y 46.59.Y 47.02,)< 47.02X 45.91,l( 45.91Y 47'.94 v 46.54"' 46.54X 46.54;.' 46.75) 47.16 47.16 )(' 45.79 x 45.79~ 45.79 45.99 .:,-- 46 .41~"'" 46.41X 45.06 IX 45.06X 45.06..Y 45.26 V 45.67 X . Insert this total opposite "Jointl)o' Owned Propert)''', Schedule "E" in the "As Reported" COIUITUl on the last page of this return. Estate Val ua t ion <> 60& ~ DEPART~lENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's property Interest CON" INUED ~ o . -.- ~<~ '!il: r:: 'S lI.l e .- ... :I E ~- -C.O " E U ~ 0: ~ U'tl .9_~ o . ~ U 0 0 U E Q. r:l U _ 0: SUMMARY Real Property ..........................................................................(Sch. "A") Personal Property ..................................................................( Sch. "B") Transfers ............ ......................................................... ..(Sch. .C") Gross Taxable Estate. ~ 'tl Z U ~ til . '" ~ ...l '" .... '" < :>< U til '" ~ CFl 0 - < -< " I:l: p::: t... '" .. ~ 0 " .. ~ ~ < ::: -< ::: til ;.. ;:: til ;:: l- E Q 0 ~ '" -<: ~ z - 0 I- < Z - CFl ~ t... til C I- ~ 0 I:l: p::: 0 " .. - til u ~ " ~ c ;. I:l: .t: ~ . '" -<: - ;.. ~ ~ ..... .; ~ :; ..:l 0 cJ .... -<: u '. (1) (As Reported) $ ..... $ $. $............... $.................. $....... (2) (As Determined) $ ...... $ ..... $ ....... $ S $. ........... RCC;37 (12c63) t'OmlOr\\\'T;:Ai.TII OF'rEr\SSYYLANIA TRANSFER 1!'>IIERITAr\CE TAX RESIDE!'>T DECEDE:-iT SCHEDULE "0" BE1\EFlCIARlES BENEFICIARIES AND ADDRESSES RELATIONSIllP SURVIVED (If step-children or DATE INTEREST OF 'State full names and addresses of all who illegitimate children DECEDENT OF BENEFICIARY ave an interest. vested, contingent or other are involved, sel STATE YES IN ESTATE wise in estate) forth this fact.) OR NO BIRTH DONALD T. & MILDRED J. Son and I I CRAWFORD Husband & Wife Daughter-in- Yes Of Age 2/3 of residue 1611 Letchworth Road l.aw Camp Hill, Pa. 17011 GERALD L. CRAWFORD Son Yes Of A"p 1 /1 ,.,f ~~~'rl,,~ 294 Bella Vista Avenue Pasadena, California , I I I I I , h Deponent t\lrther says that all the above-named beneficiaries are living at this time except below: NAME RESIDENCE DATE OF DEATH WE,SGER AND BYLER ATTOIlNPY.' AT tA':7 I.ANCAST!~. UhtUYLVANIA have hereunto subscribed our names ~ttst ~ill Cttth 'Q}~stctm~ttt I, HALTER H. CRA\~FORD, of the Township of Lower Allen, County of Cumberland and Comnonwea1th of Pennsylvania, hereby make, publish and declare the following to be my Last Will and Testament, revoking any and all wills and codicils by me at any time heretofore made. FIRST: Bequest: I give, devise and bequeath n~ entire estate of whatever nature and wherever located as follows: A. Tljo-thirds (2/3) thereof I give to my son and his wife, DONALD T. and MILDRED J. CRAWFORD, or the survivor of them, or if both be deceased to their issue, per stirpes. B. One-third (1/3) thereof I give to my son, GERALD L. CRM~FORD, or if he be deceased to his issue, per stirpes. SECOND: Appointment of Executor: I nominate, constitute and appoint my son, DONALD T. CRAWFORD, as Executor of this my Last Will and Testament. I direct that my Executor shall not be required to file bond in any court for his faithful performance of duty, whether he should be a nonresident of this state or for any other reason. IN WITNESS WHEREOF, I have hereunto set my hand and seal this /4( day of 71<."i.":" , A.D. 1977. Signed, sealed, published and declared by the above-named Testator, WALTER H. CRAWFORD, as and for his Last Hill and Testament, in the presence of us, who, at his request, in his presence and in the presence of each other, as witnesses thereto. ~ f)a~~ . d . 'lJ ... ~. /- /)' . ,l reSl lng at (, '7 ~.>--<<... 1t":' v;',.r-. ....vln.._T, , , residing at (Go' {Sl~~ll,", 1\. ,[LJ,J' J 1)1 (rd f' )-'lJ ('.. ":..'- .~;}- CC(Q)~)f RCC -)c' l'll\IMO~I\'EA 1,1'11 OF I'E:-INSYLVAN I ,\ 1'H.A~SFEII I ~HEI\!1'ANrE TAX SCHEDUlE "c" 1'R\XSFEIIS I\ES I IlE~1' IlECEIH,XT (1) Di(1 decedent, ",,'1 thin two yenrs of tie 11th, make allY transfer of' any material part of his estate, without reet'lvIng n valuable uwl adequllte consideration therefor? (Answer yes or no) ves (~) Did ,h'c,,,h-nt, wi thin two ;"e.rs of de.th, transfer property from hlmsel I' to himsel I' "nd ,,"other or pUlers (itlclmllng a spouse) in joint ownership? (AnsYo'f~r )"es or no) yes (:1) If the nnswer to (1) or (2) ahove is 111 the af'firmli~~e stille: (Il) A~e of decertent at time of transfer (b) State of decedent IS henl th at time of making the transfer. (Note 1). (c) C1Hlse of decedent's detith. (Sote 1). (.1) Dill decedent, in his lifetime, make any transfer of property without receiving 11 valuable or adequa.te consitlerntlon therefor which was to take effect in possession or enjoyment a.t or after his death? (Ans'Wer ;res or no) No (a) WitS there any possibility that the property transferred might return to transferer or his estate or b~ subJect to his power of disposition? (Answer yes or no) yeS (b) What was the transferee's a.ge at time of decerlent's death? (5) Uiet decedent in his lifetime make any transfer without receiving II valuable und adequate consideration therefor under which transferor expressly or impliedly reserves for his life or an;r perioo. which does not in ('nct end hefore his death: (a) The possession or enjo.xment of or the right to income from tlw property transferred? (,\ns.....er res or no) 'i es (1)) The right to tlesignate the pe,rsons who shall possess or enJoy the property transferred or income therefrom? (Answer yes or no) ve s ((j) If the llnS\'ier to (5) (b) ubove i~ in tne affirm,utive, state whether the right wa.s reserved in decedent Rlone or others Llecedent a.1.0ne (7) Dirt flecerlent in his lifetime make tl trllnsfer, the consideration for which was transferee's promise to puy income to or for the lIenefit of care of transferor? (Answer yes or no) Nn (8) Di(l decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reservert power to al ter, amend, or revoke, or which c01l1d revert to rlecedent unfier terms of transfer or by operation of law? (Answer yes or no) )' e S (fJ) If the l\nSWer to (8) allove is in the affirmlltive, was the power to alter, amend, or revokf..~ the inter- est of the beneficiary reserved in the decedent alone or tile decedent anrl others? (Answer yes or no) Yes SOTE 1: Thp nns'W"ers to these questions shoulrl be supportert b~' affillavi t by the attentling ph~'sician as well as a copy of the death certi ficate. SOTE 2: If answer to any of the llbove questions is yes, set forth below a description of the property transferrett, ie s fuir market value at dnte of detlth, dates of transf'ers and to whom trnnsferretl, with relationship of trttnsferees to decedent, if any. Submit copy of tin)-' trust deed or instrument, it' trans- i'ers fire claimed to be non-tnxable, also submit detalletl statement of facts on which said claim is based. :'iOTE ~I: List npplicable property below in manner in which provided in Schedules A, U, or E. tTEM MARKET VALUE (Estimated) OFJ)T. VAI.VATION (Dept. Only) DESCllI pT I ON 1 Savings Account #11-0013057-2 Commonwealth National Bank, joint with Donald T. Crawford as of 7/5/77 Principal balance at death 29,415.24 "2l\, L\. \S ."2..Y 3. L..."2..Y Interest to date of death 32.24 2 Checking Account #112-262069-1, Common- wealth National Bank, joint with Donald T. Crawford as of 7/5/77 Balance at death 3SS .0S 355.05 29,802.53 "2...-". '601.... S3 , Insert this total opposite "Transfers", Schedule "C" in the "As Heported" en I umn on the 1 as t page of this return. ~~WO~~{W:~~th)~ REn~I-'-- ....,i'!. ii ~1.J eN THE OF(i'JCE OF Apri.l 3, 1978 f':,. K r- "''''''-'8 ... \ ".', ... I...} l'lenger & Byler 8 N. Queen Street Griest Bldg. Lancaster, PA. r.....-.,...~.~-. ,. l 17603 (C(Q)[P)1f - ~ r '-'- '7~ .-...I-~ 1 ATTENTlO:l: Barb Davis Re: Estate of Walter H. Crawford Dear !Is. Davis: In reply to your phone call of April 3, 1978, the following corrected information is furnished: ....------ The balance in the statement savings account (011-0013057-2) as of January 8, 1978 was $29,415.24, accrued interest of $32.24.~ ~ ~ The checking account (/,1112-262069-1), has a balance of $355.05 as of date of death of January 8, 1978. the JPI 10 Both accounts became joint accounts as of July 5, 1977 composed of the late Halter H. Crawford and apparently his son, Donald T. Crawford. Please accept my apologies for the erroneouS information which was previously furnished to your office. Please do not hesitate to contact me if you have need for additional information. Very truly yours, f) K ))a/r-r VJOhn R. Hart Sr. Credit Analyst JRH/eg The Commonwealth National Bank. 10 South Market Square. Harrisburg, Pil. 17108 (717) 564-9500 Rec ~35 .~ comIO~WEALTH OF PE~NSYLVANIA TRANSFER INHERITANCE TAX HESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY I SSTHVCTIONS: This Schedule mllst disclose all tang.ible and intangible personal property owned individually hy the decPllent, nl the time of his death. Property owned by the decedent jointly with another or others mtlst be 1 i~terl under Scheilule "E". Intangible personal propert~', titled In the name of the decedent, but p ayab} e tl. t deli th to fino ther () r others, 1 nel uding but no t 11m1 ted to P. O. D. U. S. Savings Bonds and ten t8- tIve trust accmmts, must be lIsten, despite the fact that they are not or the administered estate. TIUl~l b 1 e personal proper ty ShOlll rt be lIs ted firs t (e. g. .1 ewel ry, wearing apparel, househol d goods, and t\lrnishlngs, books. paintings, automobiles, hoats, etc.) Intflnp;ihle personRI property, such as bonds, treasury certificates, cash on hand and in bank, stoeks, mortguges, notes, together with accrued interest or dividends, salaries or wages, insurance pay- <<hIe to the estate or f'irlllciar)' in said CfiIH1Cit:y, partnership interests, interest In any undistributed es tut.e of or income from llTl,y property held in trust under the will or agreement of another, even thou,e;h located outside of t.lll" Stllte, at the time of death, should be l1sterl in this schedule. 1 tem I TEll UNIT ESTI\lATED DEPARTME~'T VALUATION No. Lis t awl t1e:-;crihe f\llly VALL'E 1IA1\KEI' VALUE (Do not write in this space) NONE t:'J ~ i I I I I I i , I I TlS er t this to tal opposite "Personal Proper ty", Scherlul e "B" In X X the "As Hoported" col U!TUl on the Ias t page 0 r this return. RCC-34'(4:-73J COMMONWE4L TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEOENT SCHEDULE "A" REAL PROPERTY *' Reol property in Pennsylvonio, with stotement of mortgoge encumbronces upon eoch porcel ot deoth of dece. dent. Property held by the decedent os tenant in common with onother or other, should be identified os to quantum of interest ond the estimated volue should be thot of the decedent's interest only. (Property held as joint tenonts with right of surviorship or tenoncy by entireties should be reported on Schedule "E.") The real property located In the Commonwealth of Pennsylvania should be (1) (2) (3\ described by lot and block number, street and street number, together with DEPARTMENT a general description of the property, with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title; If a farm state number of a. FOR YEAR OF ESTIMATED CAUTION cres; also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not writ. of decedent. Taxes, asses5menh, accrued Interest on mortgages, etc"ar. DEA TH In thIs spoc:e) to be listed on Schedule uF" and must not b. deducted from this schedule. NONE N \r'-"--- 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. '. In the c.ts€' of secllri ties of close or fami! y corporations, the vRlucs reported are as f'ar as possible substantii\terl by financial statements of the corporations, showing the ttssets anrl lJahllities thereof tl.S of the IIAte of (leAth. The schedule Rlso sets forth the interest of rlecerlent nt t.he time of deAth ill 8n:.' co-partnership or business, a.nd in support of the va.lue of such interest there is annexerl to said schprlule, f'1nllncial statements showing the assets Bnn liabilities of sairl co-partnership or tl_usiness. A copy of th(' co-partnership agrf'ement, (if oral, a statement setting forth the nature of the Ilgrf?emf~nt) together )oj'ith a stfttement settin1l: forth the character of the businl:'ss, its location, and sHch other facts pertflintnp; to the business RS may he'pertinent t.o a fair Bnrl just appraisal of the decedent's interest tllt'rein Inust be submitted. It should also set forth in itemized form, to~ther with the fair market value thereof, any other propert~. owned or bequeathpd by the decerlent at the time of death. The Sc/1er/u1e C fittached hereto and mnde part. hereof sets f'orth a true 1\nsy,er to each inquiry cont1\ined thf!rfdn and in the case of transfers of property, real or personal, within two years of decedent's df>ath, in contemplBt1on of decedent's death, or int.enrled to t.like effect in possession or enJoyment at or after death, saill schedule sets forth the nature ann value of such property, to whom tr1\nsferred, the relationship of' the transferees to the decedent, the proportionate share received by each transferee and a) 1 other facts of fl pertinent nature regnrning sairl trnnsfers. In the case of trllnsfers i:1tende(i to take effect in possession or enjoyment at or after defith, there is also attllchell to the scheoule It COllY of the deed, trust agreement or other instrument creating the trust. Ther'~ is 111so set forth in said schedule H list of all property, real and personlll, with its value, which pll~ses at decedent.'s deat.h by virtue of the exercise by decedent, either inrlividually, or jointly with flnother, or an:,' power of nppoint- ment vested in decedent, eiUler inrlividually or jointl,y, by the will, rleed, or other instrlUnent of another, with a cop~' of the instrument creatin.e; such power attached to the scherlllle. That Sc/1edule 0 attached hereto and marle part hereof sets forth the nfimes 1\n(1 arlrlresses ot' nIl persons beneficially interested in this estate at the time of rlecerlent' s deHth, the nature of their res- pective interests, their relationship, if any, to the decedent, together with the ages at the time of' deceden t' s dea th of' all mino rs, annui tan ts and benef! c iar ies for It fe uuder rlecerlen tis WI] 1. It al so contains a statement showing which of the beneficiaries named in the rlecellent's will, if Hny, llied prior to decedent, the dates of their death, their issue, anrl the relationship of' stich issue to the beneficiarJ". Thnt S.:/1@du1@ E attacherl hereto and made a part hereof Sf>ts forth fill propert~y, real IUlli per- sonal, ovmed by the decedent .Jotntly with another or others, inclwl1ng intangible, st<<THUlIg in the naJlle of the decedent I'l.fl(l others, plus the date nnd plnce of recorrl of instruments effecting the \esUture of real estate nwi the date of acquisition of personalty, plus the name, nddress Rnd relationship, if nny, of co-owners to the decedent. That Scf.edu1@ F attaclled hereto and made a part hereof sets forth fllIly anrl in df>trtil nIl rlehts and rleductions clalmerl for anrl on behalf of this decedent's estate, inclurlin.e; f'unerl11 expenses pat(t; fami)yexemption, where applicable; costs of administration of this estate; counsel fees Rnd furliclaryfs commissions paid or' to be paid; cost expended for burial trusts, tombstones or grav(>mllrkers, and reI i- ~ious services, tn consequence of t.he death of the (iecedent; debts and claims owing; amI lInpahl Ilt time of death; taxes accrued chargeahl e for period prior to decedent' s d(~a th (excf>pt. those allowed under Section 651 of the Inheritnnce and Estate Tax Act); together with a statement of collateral plellged for obI tgn- t1ons, if any. It is agreerl that the f1rlucillry will present proof of sll1d claimed obligations upon re- quest, that if the amount actuRlly paid in settlement of' any fee, commission or deht is less than the estimated amount claiming and allowed, that th(~ same wUl he reported to the Register of Wills, and thnt the amount of tax Bssessed can be reassesseft in accordance therewi tho ThRt tbe totals of the appropriate columns in Schedules "A", "B", "C", "R", ami "F" I1S directerl therein, have been carried forward and properly registered in the Summary. Sllbscribe~ ?~d sworn to before me this. _.... ........ ......... 1dl/;) d f Ap-r~ 7f 19 78 ..._......;?:7~..-- . OJ 0 ~ 7{"!."/7.' .... ........ "7-' .. 'f2.[(ft!cu Vl//~. - ARar\nf~ W 1'...~A:~N, fJ.,tary P., Ie Lar.C;-lstcr, L::.ncast'~: Co My Comrr,ission Expires Jan. 14, 1S8J l~~l.~...~&~~~.;!:::::........._.. (E;recutor-Admi,;:;r~'f\ 8 1'J..,_..Qll~",!.l..?:t:E",_....._.... ........._........_..._. (Street Number) Lancaster, Pa. 17603 .................-.................................................................................................. (City or Town and State) SOTE: Bf>fore signing nf'fidnvit make sure all blank spaces in tbe affidavit fill'l schedules annexerl Ilre filled in )ojitll details or the v.-ord "None", llno in case the assets include rare ami unltstecl secllrit..ies, secllri ties of clos~ or family corporations or an interest in any co-partnershil' or business, that the data lllld stRtPments reqlltr...d under the }.lllrap;raph above relating t.o Scherlule "B" Bre attll.cherl. :\lso make cert1tin that column #1 in the "SulT1llllry" hilS been properlJ" completed as Il.hove-ll1recterl. .' :.z 1-'1~--16d . RCC"~3 (4-73l COMMONWEAL HI OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS .:.. 1::178 COUNTY OF CUMBERLAND iiKI RESIDENT DECEDENT IMPORTANT, This return must be completed in detail and filed in duplicate, ,",'ith all attached. with the Register of Wills of the County where decedent resided; Return is due within nine months after dale of death. unless an extension is granted by the Secretary of Re'lcnuc. (Section 703 of the Inheritance and Estate Tax Act of 1961.) II' TIlE \IATTER OF TilE ESTATE OF } AFFIDA \. 'IT OF -tXl;QHIJlIL. H 0--.. ; ( ~l\"~l(i'R'\l.'HIR WALTER H. CRAWFORD (STATE FULL NAME OF DECEDENT) Lcte of Cumberland Pennsyl vania },,, County C)O IA..-\\ '" "{..,. ~ J "0 vr-D ( Executor State of County of Cumberland Donald T. Crawford ~MUI..OCl(<X of the estate of the obove.nomed decedent being duly swar". depose S and soy S Decedent died January 8 1<)~{h:!5tote leaving 01051 will, copy of which is hereto attached. } \ Y EARl M:N:i(q(e (MONTH) Nome and address af attorney ar } other aUlhori:zed representat;ye ta whom all correspondence should be mailed, (DAY) M. Elvin Byler, Wenger & Byler 8 North Queen St., Lancaster, Pa. 17603 That as such Executor deponent is familiar with the affairs of said estate and the property constituting (EX ECUTO R- ADMINISTRA TOR) the as:;;cts thereof and their fair market valul:. That at the time of death there ,vas no safe deposit box registered in decedent's individual name, or jointly wilh, 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....FE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECEDENT NONE That the contents of said safe deposit box or boxes are itemized under Schedules wi th tht: exceptiOlH)f the follo\ving, for the reasons hereinafter set forth: of this return, That Schedule A attached hereto and made parl hereof sets forth fully and in detail all the real property in the Ccmmomvealth of Pennsylvania of which decedent died haying an interest therein. It also sets forth the mortgage encumbrances upon each parcel of real propert); at the date of death, giving the amount still due at death, name of murtgagee, 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 B attached hereto and made part hereof sets forth fully and in detail all personal property wheresovcr situated owned by lhe 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 companics, or other institutions, ,..'hether individually, or in trust for any otlter pers:on or persons giving also separately the accrued interest thereon, if any, down to the last interest day prior to decedcnt'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 indebtedncss of the Unitl.:d St<;11es to the:fle- cedent; all obligations, whether by statute or agreement they arc designated as tax free, of the United States, or any state, or political subdivision thercof, or of any foreign country, which are owned at the timc of death; all wearing apparel, je,velry, silvcrware, pictures, books, works of art, household furniture, horses, carriag~s, automobiles, boats, and any and all other personal chattels of whatsoevcr. kind or nature, left by decedent, together with the fairly estimated market value thereof; all bonds and mortg.lges 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, or 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 \vhich 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 thcrc~ of at such time. ~ \. 1 ;( (-'"Ii - (G 9' --.Cumbe.'Lf.a.J!d Co )' = RESIDENT INHERITANCE TAX APPRAISEMENT Estate of wa.e.teJL H. CJc.llw60l!.d Dcceaud. Late of LoweJr. AUen Ttvp; Date of Death. 01-0;1-78 AppraiscllufI/ [)ocl'et Vol., 10 Page, 151 No. 3 6 % Filed ill Register's Office, 7.9 June 19~ A",,,,mt of lax due, $ DEPARTMENT OF REVENUE Rueived, Examined and Approved. _ IVrote abo.ut Apprai.fl'menl Appeal f,o>>l Appraisement Entered and charged,