HomeMy WebLinkAbout08-14-78
R C C~33 (4-73)
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.-.- .. ...."
COMMONWEAL TH OF PENNSYL V ANJA
DEPARTMENT OF REVENUE - -
BUREAU OF COUNTY COLLECTIONS
RESIDENT DECEDENT
COUNT'yA~p -~~~EiLAND
IMPORTANT,
This return must be comple~ed in d.etai~ and filed in duplicate, with all attached, with the Register of Wills of.the
County wh.cre decedent resided; Return is due-within n~ne months afte;.- date of death; unless an extension. is granted.'.
by the Secretary of Re1otenue. (Section 703 of.the Inheritance" and Estate Tax.Act of 1961.)
. --
Late of
Mechanicsburg,
Pennsylvania
Cumberland
}- . AFFIDAVIT OF __
_ . EXECUTOR S _
- -
. .
---~~
County .
IN THE MATTER OF niE ESTATE OF
Grace E. Becker
(STATE FULL NAME OF DECEDENT)
County of
Cumberland
y.",
,
State'of
Gilbert M. Becker and Sandra K: Coover.
~ 0.1...:.,; l..~...) of-the estate of "the".obove-named deceden' be.ing duly sworn, depose and say.
78 { - .- }
, 19_.!.!~~~l.!.avlng a las'-wlll, ~opy of which Is hereto attached..
(YEAR] iiifiSlci"l'i""
Execut.or S
Decedent died
April
11th
(MONTH)
(D.Ayj
Name and address of attorney or }
ather authorized repre"sentative to whom
011 correspondence should be moiled.
Will i am T.. Sunday
39 West Main St. , Mechanicsburg, Pa. 17055
That as.such Executors deponent is familiar with the affairs of said estate .and the property constituting
(EXECUTOR~ADMINISTRATOR) - .
the assets there~(and ~heir fair market value. , . .
That at .the time of death there was no s~fe dep"osit" box registered 'in...deced.en~'"s individu.al name, Qr jointly wi th, or
as agent or deputy of anuther, or in decedent's Individual" name; with right o.f acc~ss by. another as agent. or deputy, with the
exception 'of th.e following: _ ,.. J"
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A S.-l.FE DEPOSIT BOX
The First
Main
THIS SAFE. DEPOSIT BOX RENTED
IN .NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
Decedent
Son
Com an
'\
That the contents of ~a id s.afe. dep~sit box or boxes are i te~ized under Schedules B&E of this return,
with the exception-of the following, for the reasons hereinafter set forth: No value items see schedule
- -.
aj(.tache'd' _ _ _ _
. That Schec/u/e A attached hereto and made part hereof sets forth fully and in detail all the realproperty
in the Commonwealth of Pennsylvania' of which decedent died having- an interest therein. It "also sets forth the
mortgage encumbrances upoO'.ea',cll parcel of real property at the dat~:of death, givin.g the 'amount' ,still due 'at
death,. name of mortgagee, d~te., rate of interest, and 'book and page of record. th~reof., .11"aI80 sets forth in the
columns provided theref~re the assessed valuation "of each of said-par~els, the estImated market. value thereof
as of date of death of decedent.
That Schec/ule B attached hereto and made part hereof sets f~rth fully a~d 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 iIlJmediate possession, standing to decedent's credit in banks of d~,pos}t, savings
banks, trust co';pa~ie-s," or o'ther institution"-s, whether individually, or in trust for any other"persoo"'or'p.eKions
giving also separately the accrued interest thereon, if any, down:.to the last interest d.RY p.ri.or to decedent's
death in the case of savings banks, and to the date of decedent's death in all other casis":"; all bonds, postal
savings, treasury certificates or notes and other evidence of indebtedness .of the Unit~d.~ Sla:tesJlt; th;~ de--
cedent; .all obliga.tions:" whethe~ by statute or agreement they are designated as tax free,"::-~f the United/States,
." . ~~. .
or any state, or political subdivision thereof, or of any foreign country, which are owned":.at.the time of death;.
. '~ ..~ -
all \vearing appa.rel, jewelry, silverware, pictures, books, works of art, household furniture, '"horses, carriages,
automobiles, boats, an.d ~ny and ap other personal chattels of whatsoever, kind or nature, left by....d~cedent,
together )Vith 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 nqtes ot o"ther".iitstruments in writing
for the payment of money of which decedent died pos~essed, of whats"oever nat~re, .w"ith inter.est thereon, if
any, giving the face value and estimated fair market value thereof, .and .if such esti~ated, f~~rd~Hirket v~lue be
less than the face value, it sets forth brief~y the reasons for ,such:" d.epre:ciatiori'as, to e.acli.ite.m; all ~?p.e~s.
payable to the estate from life insurance policies c.a"rried 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 ow~ed by the decedent at the time of dea~h, with the. market value there-
of at such time.
~/~7f~ ~/9?
/ () - 1S,t(.. 9
In the case of securities ot close or family corporations, the values reported are as far as
possible substantiated by financial statements of the corporations, showing the assets and liabilities
thereof as of the date of death. The schedule also sets forth the interest of decedent at the time of
death in any co-partnership or buliness, and in support of the value of such interest there is annexed to
said schedule, financial statements showing the asset. and liabilities of said co-partnership or business.
A copy of the co-partnership agreement, (if oral, a atatement setting forth the nature of tne agreement)
together with a statement setting forth the character of the business, its location, and such other facts
pertaining to the busine.. a. may be pertinent to a fair and Just appraisal of the decedent's interest
therein must be submitted. It should also set forth in itemized form, together with the fair market value
thereof, any other property owned or bequeathed by the decedent at the time of death.
The Scnrdul. C attached hereto and made part hereof sets forth a true answer to each inquiry
contained therein and in the case of transters of property, real or personal, within two years of decedent' 8
death, in contemplation ot decedent's death, ,or intended to take effect in possession or enjoyment at or
after death, said schedule sets forth the nature and value of such property, to whom transferred, the
relationship of the transferees to the decedent, the proportionate share received by each transferee and
all other tacta of a pertinent nature regarding said transfers. In the case of transfers intended to
take effect in possession or enjoyment at or after death, there is also attached to the schedule a copy
of the deed, trust agreement or other instrument creating the trust. Ther~ is also set forth in said
schedule a 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 1n decedent, either individually or jointly, by the will, deed, or other instrument of another,
with a copy of the instrument creating Buch power attached to the schedule.
That Schedule D attached hereto and m~e part hereof sets forth the names and addresses of all
persons beneficially interested 1n this estate at the time of decedentts 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 ot all minors, annuitants and beneficiaries for life under decedent's Will. It also
contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior
to decedent, the dates of their death, their issue, and the relationship of such issue to the beneficiary.
That Scnedvle E attached hereto and made a part hereof sets forth all property, real and per-
sonal, owned by the decedent jointly with another or others, including intangible, standing in the name
of the decedent and others, plus the date and place of record of instruments effecting the vestiture of
real estate and the date of acquisition of personalty, plus the name, address and relationShip, if any,
or co-owners to the deceden t.
That Sch.dul. F attached hereto and made a part hereof sets fOrth fully and in detail all debts
and deductions claimed. tor and on behalf of this decedent's estate, including funeral expenses paid;
family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary's
commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli-
gious services, in consequence or the death of the decedent; debts and claims owing and lmpaid at ti,me of
death; taxes accrued chargeable tor period prior to decedent's death (except those allowed under Section
6al of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga-
tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest, that if the amount actually paid in settlement of any fee, commdssion 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 1n accordance therewit~
That the totals of the appropriate columns in Schedules "AW, "B., "C", "E", and "F" as directed therein,
have been carried forward and properly registered in the SummarYt 1
/~/"-H~. ~--I'~J Executor
Subscribed and sworn to before me this ................................. 303 epherdstown . ,Mechanicsburg,Pa.
~<~~_1'~f~~~-!~~7055
'" C~!~BI;:L~~~G ;~~R~'~GH T 1'~~~:h.~t.1:~~~?~:~..~...~~:...~.?~~.?mm....m....
MY COMMISSION EXPIRES OCT. 22. 1978 (City or Town IlM StI1.te)
NOTE: Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled 1n with details or the word "None", and in case the assets include rare and unlisted securities,
securities of close or family corporations or an interest in any co-partnership or business, that the
data and statements required under the paragraph above relating to Schedule ftB" are attached. Also make
certain that column #1 in the .Summary" has been properly completed as above-directed.
RC C_34 (4_73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT 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 tenon I 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 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 VALUA TION
conveyanc:e by which the decedent took title; If a farm state number of a. FOR YEAR OF ESTIMATED CAUTION
cres; also statement of mortgage encumbrance$ upon eoch parcel ot death DECEDENT'S MARKET VALUE (Do not write
of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are DEATN In thIs. space)
'to be 1\s'tod 0." Schedule "FtJ and must not' be deduc:ted from this sc:hedule.
NONE NONE MCfI-L
,
,
Inserl this total opposite "real property", Schedule "AU in the X X X X X
"As Reported" column on the last page of this return.
NONE
~
Rec -35
'~,"""
ell
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
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 "En. Intangible personal property, titled 1n the name of the decedent, but
payable at death to another or others, including but not limited to P.D.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, wear"lng "apparel, househo.ld
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 anyundistributed
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.
/3.
/4.
/5.
,/
6. v
v'
7.
-/8.
/9.
~o.
-::'c__,.i
ITEM
List and describe fully
UNIT ESTIMATED
VALUE MAIlKIIT VALUE
1.
Checking Account #110-249 in The First
Bank and Trust Co., of Mechanicsburg, Pa.
Savings Account #500-201~n The First
Bank and Trust Co., of Mechanicsburg,Pa.
~ Balance: Date of death
.205 shs. The First Bank and Trust Co., 0
Mechanicsburg, Pa., in name of Mrs. Grac
E. Becker
300 shs. Ohio Casualty Corporation in
name of GraceE. Becker
One (1) $5000 U.S. Treasury Note - 6% Ser-
ies B 1978, #14261, dated Nov. 15, 1971,
due Nov. 15, 1978, interest payable May
15 and Nov. 15
Coupons 13 & 14 attached $150 each
Accrued interest 11/15/77 - 4/11/78 121.82
Two (2) $1000 U.S. Treasury Note - 6% Ser-
ies B-1978, #27650 & 27651, dated Nov. 15,
1971, due Nov. 15, 1978, interest payable 99.3
May 15 and Nov. 15
Coupons 13 & 14 attached $30 each
Accrued interest 11/15/77 - 4/11/28
hree (3) $1000 U.S. Treasury Note - 6-1/
% Series A~1979, Nos. 18749,18750& 1875 ,
dated Aug. 15, 1972, due Aug. 15, 1979, 9 :.Il/3
interest payable Feb. 15 and Aug. 15
Coupons 12,13 & 14'attached $31.25 each
crued interest 2/15/78 - 4/11/78
Five (5) $1000 7% U.S. Treasury Bonds of
1981, Nos. 14703-14707 incl. dated Aug.15,
1971 due Aug. 15, 1981, interest payable
Feb. 15 and Aug. 15
Coupons 14-20 incl. attached $35 each 98-1/
Accrued interest 2/15/78 - 4/11/78 10.6353
One (1) $10000 7-7/8% Treasury Note, Ser-
ies A-1986, No. 19101, dated May 17, 1976
due May 15, 1986, interest payable May 15
and Nov. ,15 98 . 25/
Coupons 4-20 incl. attached $393.75 each
Aecrued interest Nov. 15,'77-Apr.11,1978 19.79
Four (4) Certificates of Deposit issued
by The First Bank and Trust Co., of Mech
icsburg, Pa., in name of Grace E. Becker
, , "'$5000.00 dated 3/3/75 4-yr. term
. with interest at 7-1/4% payable
__ ~very 3 months
Accrued interest 3/3/78 to 4/11/78
1012.3.7
2.
1822.17
102.
20910.00
23.
6900.00
4965.63
99.3125
121. 82
25
1986.25
24.365
48.73
2950.31
9.50
28.50
4912.50
53.18
9878.13
2
319.79
5000.00
" ,39 -,' fl'-
. . ,
DEPARTMENT VALUATION
(Do not write in
this space)
r:,ljO\;l.37
I) f~Ol.1 '1
~o C\ 10.00
I '
(p 100. 00
I
if ql#S.w~
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'1'1. 1.3
~,q5'b- 31
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Rec -35
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
'*
.n_ . "......
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
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 11&ted under Schedule nE". Intangible personal property, titled 1n the name o~ the.decedent, but
payable at death to another or others, "including but not limited to PIO.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 riduciary in said capacity, partnership interests, interest -in anyundlstributed
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.
ITEM
List and describe fully
UNIT
VALUE
ESTI MATED
MARKE.T VALUE
DEPARTMENT VALUATION
(Do not write 1n
this space)
10.
Contd.
Brought Forwar
-I $5000.00 dated 7/16/74, 4-yr. term
with interest at 7-1/4% payable ever
3 months
$60,948.65
Accrued interest 1/16/78 to 4/11/78
/ $32000.00 dated 7/6/76, 6-yr. term
with interest at 7-1/2% payable
monthly
Accrued interest 4/6/78 to 4/11/78
,,/ $5000.00 dated 2/1/78, 6-yr. term
with interest at 7-1/2% payable ever
3 months
Accrued interest 2/1/78 to 4/11/78
5,000.00
85.58'
$,19 (!>D. 00
86". Sf
32,000.00
33.33
3;) 000.00
I
3~. 3.3
5,000.00 ~5JO&O. 00
71.87 ~ 11.r7
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
x X
$103,139.43
.$
W:3\ \~CV;:\-~
- . ,
. , ,
Rce- 3'6
COMMOXWEALTlI Ol" PENNSYLVANIA
TRANSFEH INHERITANCE TAX
SCHEDULE "c"
TRANSF1~n.S
~~
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Tj Jitfft. ~ ~
. '1$.'#~~'
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I1ESIDENT DECEDENT
(1) Dirt decedent, withi.n two years ofdellth, make any transfer of any material part of his estate, without
receiving a valuable and adequate consideration therefor? (Answer yes or no) No
(2) Did rlecenent, within two years of rl~ath, transf'er properr;y f'rom hif!l.$elf' to himself and another or
nthers (tnclwUng 11 spouse) in joint ownershjp? (Answer yes or no) NO
(3) If' the answer to (1) or (2) above is in the affirmative state:
(a) Age of decedent at time of transfer
(b) State of' decedent' 5 heal th at time of' making the tl"unsfer. (Note 1).
(c) Cause of' decedent' 5 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. po.ssession or en.1oymer.t at or after his dp.ath?
(Answer )'es or no) Only w~th respect to Jo~nt property
(a) }~'as there any possibility that the property transferred might return t.o transf'erer or his
estate or be subject to his power of disposition? (Answer yes or no)
(b) What was the transferee's age at time of decedent' 5 death?
(5) Did decedent in his li!'etime make any trans!'er without receiving a valuable and adequate consideration
theref'or nnder which transferor expressly or impliedly reserves for his life or any period which does
n~t in fact end before his death:
(a) The p,ossession or ef!.joj1Tlent of or' the right to income from the property transferred?
(Answer )'es or no) Onl y with respect to j oint property
(b) The right to designate the persons who shall po~sess cr enjoy the prgperty transferred or
income there!'rom? (Answer yes or no) Only w~th respect to J o~nt property
(G) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in rlecedent
alone or others
(7) Did decedent in his lifetime make a transfer, the considera.tion :for which waWbransferee' s promise to
pay income to or ror the benefit of' care of' transferor? (Answer yes or no)
(8) Did decedent, at any time, transfer property, the benef.icial enjoyment of' which was subject to change,
because of a reserveri -power to alter, amend, or revoke, 01" which co'~ld revert t.o decedent l.mder terms
o!' trans!'er or by operation of law? (Answer yes or no) Only with respect to j oint property
(9) If' the answer to (8) above is in the af'firmative, 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)
NOTE 1: The anSwers to these questions Should be supporterl by affidavit by the attending physician as
well as a copy or the death cel"tificate.
NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property
transferred, it' 5 fair market value at date of death, dates of tl'unsf'el'S aml to ...'hom trllnsf'erred, with
relationship of tra.nsf'erees to decertent, if' any. Submit copy of any trust deert or instrument,. if trans-
fers are claimed to be non-taxable, also submit detail en statement of facts on wh.ich said claim is based.
NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E.
ITEM
DESCRIPTION
!~\RImT VALUE
(Es tima ted)
DEPT. VALUAT.ION
(Dept. Only)
None
None
N6"t\.U
Insert this tot:tl opposite fl-Transfers", Schedule flC" in the
"As Reported" colunm on' the last page of' this return.
None
Navu
~r--~
11
,I
I
LAST WILL AND TESTAMENT
",~
, ..'"
',,-
"'-,
I, ,GRACE E. BECKER, widow(:of :theBorough of Mechanicsburg,
County of Cumberland and State of Pennsylvania, being of sound
I'
mind, memory and understanding; do make, publish and declare this
to be my last Will and Testament, hereby revoking and making void
ail former wills, cddicils and other testamentary dispositions by
me at ~ny time heretofore made.
1.
I direct my executors, hereinafter named, to pay as soon as
practicable after my decease all my just debts and the expenses
i
of my last illness and burial.
2.
,~ ,
.1.
I give, and bequeath the sum of One Thousand ($l,OOO,OO)'Dollars
to the First U~ited Methodi~t. Church, Fr",derick and Simpson Streets;
Mechanicsburg,' Pennsylvania.
"
..
3.
I give and bequeath the sum of Five Hundred ($500.00) Dollars
unto each of my grandchildren who are living on the day and date of
,the distribution of my estate.
4.
. "
'"
All the rest, residue and remainder of my estate - real, personal
and mixed - I give, devise and bequeath unto my children, Gilbert M.
Becker, Genevieve B. Schrader, Janet B. Sudak and Sandra K. Coover,
equally, share:and share alike.
I
"
I
5.
I authorize and direct my executors, hereinafter named, to sell
privately my bank'stock unto any of my children who desire to purchase
i ,
the same, provi'ded such child or children accept the offer to purchase
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I
the same at the' highest price bid at the ,nost recent public, sale pf
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suchst.ock preceding my death, or at the average sale price bid at,'
!
the mo'st recent: public sale of' ,;u ~h stock followinq my de,ath and
j
during' the sett!lement of my estatE'"
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6.
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I appoint the natural parents of each minor beneficiary entitled
to share in the distribution of 'my' e.'state as guardian's of any property
which passes, either under this. Will or> otherwise, to a minor and with
respect to which I am authorized to appoint a guardian and have not
r otherwise specifically done so.. Such guardian shall have the power
to use ~rincipal as well as income from time to time for the minor's
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I education, support and welfare, or to make payment for these purposes,
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without further responsibility, to th~ minor or to any person taking'
care of the
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m1nor.
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7.
, I hereby nominate, : constitute and a.ppoint my son and my daughters,
Gilbert. M. Becker, Genevieve B.. Schrader, Janet B. Sudak and Sandra K..
Coover, and the survivors or survivor of them, executors of this my
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,.
~~
last' Will and Testament.
IN WITNESS WHEREOF, I, GRACE E. BECKER, the testatrix, have
1
~hereunto set my
. this. / j ,..t, day
hand and seal to this my last Will and Testament
t~
(j
of
, 1973.
,AI/lee ;: I;"/'.{.V;/~/
(SEAL)
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Signed, sealed, published and declared by the above named
Grace E. Becker as and for her last Will and Testament in the
,
I presence. of us', who, at her request and in her presence and in
the presence of each other, have hereunto subscribed our names
as witnesses thereto~
t I
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BENEFlCi'AR'fES""AND ADDRESSES RELATIONSHIP SURVIVED -'. .. .<Q;
(If step-children or DATE INTEREST OF
State full names and addresses of all who illegitimate children DECEDENT OF BENEFICIARY
aYe an interest, vested. contingent or other are involved, set STATE YES IN ESTATE
l wise, in estate) forth this fact.) OR NO BIRTH
Gilbert M. Becker Son Yes 8/5/21 ne-fourth of residue
. . , J)^~rl
101 M
, J)~ 17flt;t;
M,,{'''''~~~ ~ '
, .
Genevieve B. Schrarler , y"", ?/If./?t.. \~a_ ^.f: ~a~irlll"
33'3 East Maule <::t~"et . .
Antwi11e. Pa. 17003
,
I
T""",.' R <::"rl" 1< Daughter Yes 11/23/32 me-fourth of residue
100 Woodland Drive
Mechanicsburg Pa. 17055
I
Sandra K. Coover Daughter Yes 12/28/36 me-fourth of residue
-
501 James Street ,
Mechanicsburg, Pa. 17055
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}CC~37. ('12-63)'
.
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
I
!
. i ~ .,
SCHEDULE "0"
IJ
BENEFICIARIES
, RELATIONSHIP
BENEFICIARIES AND ADDRESSES (If step-children or SURVIVED DATE INTEREST OF
\'State full name-g--'a~' addresses of all who DECEDENT = ~
illegitimate children OF BENEFICIARY
have an interest, vested. contingent or other are involved, set STATE YES IN ESTATE
wise, in estate) forth this facL) OR NO BIRTH
First United Methodist Churc h None .Yes N/A $1000.00
Frederick & Simpson-Sts.
Mechan~csburg, !'a. lIU:>:>
I
,
i
Christine Elaine Sudak ~randdaughter Yes 1/ 4/53 500.00
8 Marshall Drive, Apt. 11
Camp ,Hill, Pa. 17011
r
.
Robert!D. Sudak Grandson Yes ~1/13/54 500.00
100 Woodland Drive
Mech~nicsburg, Pa. .17055
!
Steven B. Sudak Grandson Yes 7/18/60. 500.00
1 nn T.l",-,,-11 ~n.-1
Mech~nicsburg, Pa. 17055
I
David D. Coover Grandson Yes 4/24/61 500.00
501 James St.
Mechinicsburo- Pa. 17055
I .
Crystal' K. Coover Granddaughter Yes 11/10/64 500.00
'i01 James St.
Mecha:nicsburg, Pa. 17055
f
Pamela E. Coover Granddaughter Yes 4/3/67 500.00
501 James St.
Mechanicsburg, Pa. 17055
I
Tonya M. Becker Granddaughter Yes 10/8/60 500.00
303 Shepherds town Road
Mechanicsburg, Pa. 17055
I .
Michae1L K. Schrader Grandson Yes 9/8/46 500.00
- .
De anent further sa s that all the above-1fI1:M€cr 'ttn-'eTl'cifr1~s kleUr'clrin at this time exee t below:
p
y
g
p
NAME
DATE OF DEATH
RESIDENCE
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SUMMARY:' .
u.u.,-u......(Sch. "A")
.u...(Sch. "B")
..u.u..u.u(Sch. "Cn)
Real Property
personal Property
Transfers .~.
. -
Gross Taxable Estate.
(1)
(As: !lepIlrteu)
$".,-uOu
$ J0;3.1J9. 4;3
$0.
$. ."
$..u
$.103u.139 ,43 .
(2)
(~ DeWl'mfnWcY
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RCC~38 .
c.
I
CaMMONWEI\LTH OF I'ENNSYLVI\NIA
TH,\NSFEI\ INHElUTI\NCE TAX
I
RESIDENT DECEDENT
.,. .~
SCHEDULE "E"
JOINTLY OWNED PROPERTY
.,
. ~
*~
I~ST:RrCTIOKS: This schedule must d.isclose all property, real and personal, owned by the decedent jointly
wi thl 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 nnder Schedule
ItAIt,1 plus the date and place of record of instrwnent effecting vestlture, but do not include entireties
, .
or o,ut of state real. estate value in estate valuation column. Personal property should be listed as in
Sche~dule~ItB",~plus date of acquisition, and the name, address and relationship (if any) of co-owners to
,
the ,decedent.
Des~ription of Property, Date of Acquisition, NlUlle 1.un1 t
Address and Relationship of Co-Owners, and Place Value
~f Record of Instrument, where Real Estate. !
X
00
~ >0<: >0<: ~
'00:>< >0<: C>;x;?CX >0<: O<OO~ ~
, ')( ^/'>
1.~30 shs. The First Bank & Trust C .,.
of Mechanicsburg, Pa., in names
of Grace E. Becker and Janet E.
Sudak, joint tenants with right
of suvivorship, dated March 13,
1975
2.~ shs. The First Bank & Trust C .,
of Mechanicsburg, Pa., in names
of Grace E. Becker and Geneviev
M. Schrader, dated March 13,
1975
3. ~O shs. The First Bank & Trust C .,
of Mechanicsburg, Pa., in names
of Grace E. Becker and Gilbert
11M. Becker, dated March 13, 1975
4.~30 shs. The First Bank & Trust C .,
of Mechanicsburg, Pa., in names
of Grace E. Becker and Sandra K
Coover, dated March 13, 1975
102.
102.
102.
102.
percentage Estate
Share Valuation
Y:'>
>0<:
00 00 0<
~~O< X?
...".
1/2
1/2
1/2
1/2
I
I
1530.00.
.
1530.00
1530.00
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of
Entire
Property
~
/'
/
1530.00 /
Insert this total opposite "Jointly Owned -property", Schedule "E"
in the "As Reported" colWTDl on the last page of this return. 6120.00
.$
10 \~O.OO
Value of
Decedent's
Interest
I, 5"30. ~ 0
I, 5 ~a.oo
I) 530. 06
Il5~. ClD
,
<
NO VALUE ITEMS
1. Delayed Birth Certificate - Reamer Henry Becker
2. Satisfied Mortgage & Bond - Reamer H. Becker et ux to Janet
Lambert
3. Assignment of Mortgage - Ida E. Lambert, Executrix of Jacob.
. C. Lambert, deceased, to Ida E. Lambert
4. Three (3) Depositors Notice of Penalty for Payment of Time
Deposits before Maturity:
#1659 7/16/74
#2580 7/ 6/76
#3675 2/ 3/78
5. Certificate of Registration - Reamer Henry Becker
6. 1942 and 1943 Income Tax Returns and cancelled check to
Collector of Internal Revenue
7. Tax Bills 1942-48 inclusive
8. Cancelled check and cancelled Note Payable
9. Misc. receipts
10. Paper re auto accident (Bricker)
11. Sheriff Sale Statement
..; ..
RCC.61 (6-73)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
Gi~~~~lE~.F lJ~~~ or APPRAIS~a1,t~i~a K. Coover
303 Shepherds town Road SOl James Street
Mechanicsburg, FA 17055 Mechanicsburg, FA 17055
(Executor or Adm ini strator)
In Re: Estate of
Grace E. Becket
Cumberland
County - File No. 21-78-0199
Dear Mr. Becker, Mrs. Coover:
You are hereby notified that the original
appraisement in the estate of Grace E. Becker
has been fi led in the office of the Register of Wi lis of Cumberland
County on August 31 ,19~, Said appraisement reflects the fallowing
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
None
103,139.43
None
6,120.00
$109,259.43
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, 19,65 to June 16, 1971, inclu.sive;
and twelve months when death 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.
August 31, 1978
Si gned
Title Chief Appraiser
Date
'-..---
Note: This is not a bill.
I
RCC-2 (2'~4)
I COMMONWEALTH OF PENNSYLVANIA DATE AUgust 31. 1978
.
DEP!<IRTMENT OF REVENUE RESIDENT INHERITANCE TAX COUNTY Cumberland
BUREAU 10F COUNTY COLLECTIONS
HARillSBURG, PENNA, 11121 APPRAISEMENT FILE NO. 21-78-0199
I
I Grace E. Becker Borough of Mechanicsburg
Whereas, late of
in thel County of Cumberland Commonwealth of Pennsylvania, having died on
the 1 11th day of April 19~, seized and possessed of an estate
subjeJt to Inheritan'ce Tax under the laws of the Commonwealth of Pennsylvania;
I
Therefore, I, Ira K. Gleim . an appraiser duly appointed according to law,
havink been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix
,
the ca'sh value of all annuities and life estates growing out of said estate, hereby file the following appraisement:
Ih the event that any future interest in thIs estate is transferred in possession or enjoyment to collateral heirs of the de{:edent after
the exp1lratton ot any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer
Inherltlince taxes at the lawful collateral rate on any such future interest.
I
1 Unit Appral,ement
OncrlpUon of Anet Values Made for Inheritance
Tax Purpolts
, $
Real :Froperty None
I
Ferso.nal Frooertv 103.139 43
,
Joint-Held Froperty 6.120 00
j
Trans'fers None
I
I TOTAL ASSETS $109.259 43
+ , ---- - .. -
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Having been duly sworn accordin~ to law, I do hereby certify that the above appraisement is made in con.
formity with law on this 31s day of ~ .;i\u~1:' 19~.
. . A-. N..Jifh ~
Appraiser
.
(lfumber and S~t)
rrisburg , Penna.
(Poat 0ftI:~)
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RCC-42 1"771 SEP 1 ~ 1978
COMMONW~AL TH OF PENNSYLVANIA
OEPAR',TME NT OF REVENUE
I NOTICE OF DECEDENT ACCOUNT STATUS
BANK NO;
llo-~49-0
DATE Fll.e:D
~/l2/78
STATUS-OF ACCOUNT NOI (JOINT, TRUST, qR Ip.,tVESTMENT
<j-
RETURN COMPL ETED
FORMS TO LOCAL COUNTY
INHERITANCE TAX OFFICE
NAMES ON ACCOUNT
SOCI~L .SECURlTY NUMSER(S'
Grnce E. 13ecb.r
167-1:0-0877
NAME
SU,RVIVING DEPOSITOR (Beneficiary) INFORMATION.
I RELAT.l0NSHIP
TO DECEDENT.
DECEDENT INFORMAT N
NAME
Grace E. Backer
DATE O.F DEATH
4t:lJ./7 8
ADDRESS
ADDR 5 .
19 .-1. j'1aple1mod. Me.
BANK/INSTITUTION ADDRESS
\.. - ..
Th~ Fi:rst Bank & Tru.st CO.
11ain & l'ilU'ket Sts.
i
~lccha."'IiesbuI'g, FA 1105"
Msehalliesbur
BALANCE OF ACCOUNT AT 000
INTEREST ACCRUED ANO.COLL.ECTIBLE AT 000
TO_'I.AL. _
ItJ 1:;1..3 7
CITY
BANK AUTHORIZATION
I HEREBY CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS A
CORR'ECT REPRESENTATION, OF IN FOR.MATION IN OUR FILES IN ACCORD
WITH SECTION 742 F' I &: E T AX ACT 0 F 1961.
D}1;E
'1-1 L/ -7K-
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D to .IUDU .~ UI '0 OJIM pUD pUDqI.~ UD'II "''lI0 IUOI.... ..DIU
.0 .... to IOIUDU .'11 UI DIUDAIAIUUOd UI ....D~I UOIA"'I.IUI
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OAIID.PIAlpUI .UO...>>p .'11 Aq PIO~ I.uno~.y (E
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ol.U.O~~D OJIM pUD PUDqI.H U
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.UM pUD pUDqI.~ Aq PlOq qu.~~y IS
o~DJ 01 pUD
'I.U.O~'D OADql '.IIO"'P to I..D~IJIA.IO~
ID ~.I 'I.Uno~D .UOWAIOAUI .Ulor It
I.U.O~~y .I...L (t
"".~~y IIUI'I~oq::> .Ulor (Z
"".o~~y dUIA"$ .Ulor (I
01961 :f0 .L::>Y XYJ. 3.LY.LS3 aMY
3::>KY.LllI3HMI 3H.L :f0 trl MOI1::>3S
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"
RCC-U (4-77' ~/-~, SEP 19 1978 BANK NO,
.
COMMONWe;ALTH OF PENNSYLVANIA '100-20149
OEPARTMENT OF REVENUE C> ' -~""'\., ISq--1
I DATI:: JiLt:
NOTICE OF DECEDENT ACCOUNT STATUS ') '278
Submit in truplicate within 10 days after knowfeage 01 STATUS'OP ACCOUNT NO: (JOINT, TRU5_T, OR lNVESTMENT
the death! Ind.. ' ,
10" "".." .
.,hI6-::.
RETURN COMPL ETED NAMES ON ACCOUNT SOCIAl.. SECURITY NUMBER(S)
FORMS TO LOC AL COUNTY Grace F.. Br-Jcker 167~!tn-0877
INHERITANCE TAX OFFICE
.
$URVIVING OEPOSITOR (B...f1cl...IINFORMA TION. DECEDENT INFORMATION
NAME I RELATIONSHIP NAME 1i:~ 1~!iflf8DEATH
TO. DECEDEN T. Grl\O!l Eeck~
.
ADDRESS -j ADDRESS
~ 19 W. l-f.apll'lunod AVG.
-
\2.~ CITY COUNTY ....:I
- M~C1han1esbU1'g n"m'h';'Ai ,,-
ZIP CDD":I.70~5
BANK/INS'TITUTION ADDRESS BALANCE OF ACCOUNT AT 000 $
I -, INTEREST ACCRUED AND. COLLECTIBLE AT 000 $
,lThe First Bi\nk& '!'rust CO. TOJ'_AL _ $ /,F';;:?,j 7
lClain & Hre<ket. Sf,S. BANK AUTHORIZA TION
Nechanicsburg, PA 170$$ I HEREBY CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS A
CORR"ECT REPRESENTATION OF IN FOR,M"AT10N IN OUR FILES IN ACCORD
WITH SECTION 742 PI & E TAX ACT OF 1961.
. SI~U'RE~FINA~z:m7~ C~TE
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