HomeMy WebLinkAbout09-19-79
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RCC-33 (4-73)
'1-ir-17
:2 /-79 ~ 7-o--r.1
COMMONWEAL TH OF .PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
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RESIDE T DECEbENT
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IMPORTlANT,
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RA9HEL A.. HUNTER
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COUNTY OF CUMBERLAND
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This return must be completed in detail and filed in duplicate, with all:att8ched, with -the Registe'r of Wi-its of the
COUnty where decedent resided; Return is due within nine months afteJrdate of death, unless an extension is granted
by the Secretary of- ~e"-enu~. (Section 703 of the Inheritance and Estate Tax Act of 1961.)
(STATE FULL NAME OF DECEDENT)
} AFFIDAVIt OF
~JoIIK
ADMINISTRAtOR
IN THE MATTER OF THE ESTATE OF
Late of
the Borough of Carlisle
County
State of Pennsvl vania }
County of Cumberland . ..,
I CHESTER F. HUNTER, JR. ~~~~
Admimstrator of the estate of the above.nomed decedent being duly sworn, deposes and soyS
Decedlnt died.. February 21 , 19-.l.!:Lc{JI>JI.ll'lK!:o#MIl::~Jl!<<J"!!~~!iUU!it~0Ii;K04..}
I \MONTHI \OAY' \YEARI "'e. lot. .
Nome and address .01 attorney or } Wm. A. Kramer. 2nd
other a,~thori%ed repres-entative to whom
011 corr~s.pondence should b~ moiled.. One Irvine Row, Carlisl~, Fa. 17013
That as such Administrator deponent is familiar with the affairs of said estate and the property constituting
(EXECUTOR-ADMINI ST RA TOR)
the assets thereof and their fair market value.
1 That at th~ time of death there was no safe deposit box registered in decedent's i"ndividual name, or jointly with, o~
as agent or deputy-of another. or in decedent's individual name, with right of access by-another as agent or deputy. ~ith the
excep~ion of the f~l1owing: - .
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NAME AND-ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
I~N WHICH DECEDENT RENTED A S....FE O-EPOSIT BOX IN.NAME OR NAMES OF HOLDERS TO DE;CEDENT
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I That the contents of said safe deposit box or boxes are itemized under Schedules -.- of thi,s return,
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wi th the exception. of the following, for the reasons hereinafter set forth:
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I Thai Schedule A attached hereto and made part hereof sets forlh fully and in detail all the real properly
in the Commonwealth of Pennsylvania of which decedent died having an inte~est thereiri. It also s~ts forth ttie"
m6rtgage encumbrances upon each parcel of real property at the date of death, giving.the amount still due at
ddath, name of mortgagee, date, rate of interest, and book anq page of record the.reof. It also se~s forth in th-e
cJlumns provided therefore tl)e assessed v~luation of ~ach of said parcels, the estimated market value thereof
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as of date of death of decedent.
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I That Schedule B attached hereto and made pari hereof sels forth fnlly and in detail all personal property
wheresover situated owned by the decedent at the time of death; all moneys -left by the d~cedent at the time of
dJath, whether in de~edent'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 pe~sons
gi!ving also separately the accrued interest thereon, if any, down to the last -intere-st day priClT to dece.dent's
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death in the case of -savings 'banks, and' to the date of decedent's death in all other cases; all bonds~ postal ./
s~v~ings, -tr~easUrY certificates~ ~r notes and other evidence of indebtedness of the ~nited States to .th~"'d~~'~)/...... ~:'
cJdeht; all obligations, whether by statute.or agreement they are designated as tax: free, of the United States, .";1 -: ~
orl any state, or political s.ubdivision thereof, or of any foreign country, which are owned at the time oJ death; ~...
al:1 wearing apparel, jew(:lry, silv~rware. pictures, books, works .of art, household furniture, horses, carriages,
arttomobiles, boats, a,nd any and "all other personal chattels of whatsoever. kind or nature, lert by decedent,
lo~ether with Ihe fairly,estimated market value thereof; .all bonds and mortgages held by decedent and'of all
cl~ims due and owing ~ecedent at the time of death, and all promissory notes or other".instruments in writing
folr the payment of money of which decedent died possessed, of whatsoever nature, with interest thereon, if
arly, giving the fa,ce value and estimated fair market value thereof, and if s.uch estimated fair-market value be.
le~s than the face value, it sets forth briefly the reasons for such depreciation -as to each it.em; all moneys
pa1yable to the estate from life insurance policies carried by decedent; all annuity and endowment contracts
thb proceeds of which were payable upon the d~ath of the decedent; all and the corporate ~tocks and- dividends
dule thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of decedent's
de:ath and other investment ,securities oW~~d by t~e dece_dent at the time of death, with the.~arket value there..
of at such time. .
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In the case of securities of close or famllr corporations, the values reported are as far as
r~ssible substantiated by financial statements of the corporations, showing the assets and liabilities
tht=>reof as of the date of death. The schedule also sets forth the interest of c1ecedent at the time of
death in. any co-partnership or business, and in support of the value of such interest there is annexed to
58 ill schedllle, financial statements showing the assets and liabilities of said ~o-partnership or 'husiness.
A copy- of thpc"o.:.partnership agreement, (if oral, a statement setting forth the nature of the agreement)
toge-thpl' wi th Ii statement setting forth the character of the business, its location, and such other facts
jlt'rL:.irdng to the husiness as may be pertinent to a fair and just appraisal of the decedent's interest
thpndn Fl1.l<;t he suhmitted. It should also set forth in itemized form, together with the fair market value
therpof, !wy other propert)' owned or bequeathed by the decedent at the time of death.
TtIC' Sct>edule C attached hereto and made part hereof sets forth a true answer to each inquiry
contained thp.rein ann in the case of' transfers orproperty, real or personal, within two years of decedent's
death, in contemplation of decedent's death, or int.ended to t-9.ke effect in possession or enjoyment at or
after death, said schedule sets rorth the nature and value of such property, to whom trlUlsferred, the
relationship of the transrerees to the decedent, the proportionate share received by each transferee and
all other t'acts of a pertinent nature regarding sairl transrers. In the case of transfers intender] to
take et'fect in possession or enjoyment at or after death, there is also attached to the schenule a cony
of the de'ed, 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 paEses at decedent's death tlY
virtue of the exercise by decedent, either individually, orjointly with another, or any power or appoint-
ment vested in decedent, either individually or jointly, by the will, rleerl, or other instrument of another,
with a copy or the instr11lnent creating such power attached to the schedule.
That Sc~edule D attached hereto and made part hereof sets forth the names ann addresses or all
persons beneficially interested in this estate at the time or decedent's death, the nature of their res-
pective interests, their relationship, ir any, to the decedent, together with the ages at the time or
decedent's death of all minors, annuitants and benericiaries for life unrler rlecedentts Will. It also
contains a statement showing which of the beneficiaries named in the rlecedent's will, if any, died prior
to c1ecedent, the dates of their death, their issue, anrl the relationship of such issue to the benericiary.
That S~~edule E attached hereto and made a part hereor sets rorth 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 or record or instrtooents effecting the ~estiture of
real estate and the date or acquisition or personalty, plus the name, andress and relationship, if any,
of co-owners to the decedent.
That Sc~edule F attached hereto and made a part hereof sets forth fully and in detail all c1ebts
and deductions claimed for and on behalf of this decedentts estate, including hlneral expenses paidj
family exemption, where applicable; costs or administration or this estate; ~ounsel fees anrl fudicinry'~
commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli-
gious services, in consequence of the death of the decedent; debts and claims owing and unpain at time of
death; taxes accrued chargeable ror period prior to decedentts rleath (except those allowed under Section
651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga-
tions, ir any. It is agreed that the fiduciary will present proor or sa.id claimed obligations upon re-
quest, that if the amount actually paid in settlement of any fee, commission or debt 1s less than the
estimated amount claiming and allowed, that the same will be- reported to the Register ot' Wills, and that
the amount or tax assessed can be reassessed iri accprrlance therewi tho
That the totals of the appropriate columns in Scherlules wAw, WB", We", "E", and "F" as directed therein,
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this
....),.$th day ofSep t. ember ................ 19.7.9....
~~~lrn~~
Ca,lisle, Cumberland Coun'V, Po.
My Commi..ion Ex.iot. lo I 7/g~
cIo .1Ilm....A.......Kr.ame:c.,.....2nd.,...Es.quir.e.
(Street Number)
One. Iry:!,neBQw~..g,u.1..:!.9Je~ ..J?a.L.17 0 13
(City or Town and St4te)
NOTE: Bef'ore signing arr.idavit make sure all blank spaces in ttle affidavit and schedules annexed are
rilled ~n with deta~ls or the word "None", anrl in case the assets include rare anrl unlisterl securities,
securities of close or family corporations or an interest in any co-pa.rtnership or business, that the
data and statements required under the paragraph above relating to Scherlule "B" are attached. Also make
certf1in that col'wnn #1 in the "Sunrnary" has been properly completed as above-:flirecterl.
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R'C C.344~r,a) .
COMMoN\~eALTHOF PEHMSYl.:VkNtA' .'
DEPARTM'ENT OF REVENUE ."
B'UREAU OF COUNTY COLLeCTIONS
TRANSFER INHERITANCE TAX
RESIDENT; DECEO'e'NT.
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Rea! pra'petty in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece-
dentl Property held by the decedent as tenant .in common with another or ather, should be identified
as t6 quaii'tum of interest and the estimated value should be that of the decedent's in.terest only. (Property
held! as joint tenants with right of surviorship or tenancy by en'tirefies should be reported on Schedule "E.")
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SCHEDULE "A"
REAL PROPERTY
T"he real p~operty lo-~ated In the Commonwealth of Pennsylvania should be
described ~y lot.~nd block number, street and street number, together with
a general descriptio... 'of the property, with 0 reference to ,the record of the
conveyanc~ by whi'ch the decedent took title; If a form state number of a.
etes; olso ~toteili'e'nt'of mortgage encumbrances upon each parcel at death
of decedent. Taxa-s, "assessments, accrued Interest on mortgages, etc.,are
to be Ilste~ on _'sc-h~~iJle ItF" and must not be deducted from this schedule.
(1)
(2)
(3\
D~PARTMENT
VALUA TION
CAUTION
(Do not write
In this spoce)
ASSE'SSED VALUE
'FOR YEAR OF
,DECEDENT'S
'DEA TH
ESTIMATED
MARKET VALUE
1.
All that certain house and lot of ground
situated at and known as 319 North West
Strbet, Carlisle, Pennsylvania. See
Deecd Book "P", Volume 15, Page 155.
Act~al Sale Price:
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$17,000.00V II?; 1>00,00
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In'sert this total opposite "real property", Schedule "A" in the X X X X X
"As Repdrted" column on the last page of this return.
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$17,000.00 '/1000,60
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RCL.-~5
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CO~~!QNWEALTH OF PENNSYLVANIA
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TRANSFER INHERITANCE TAX
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RESIJlENT DECEDENT
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SCHEDULE n BlI
PERSONAL PROPERTY
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INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually
by th~ 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
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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 ~irst (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 1n bank,
stocks, mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance pay-
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able to the estate or f'iduciary in said capacity, partnership interests, interest in anyundistributed
estat~ of or income from any property held in trust under the will or agreement of another, even though
10catJd outside of the State, at the time of death, should be listed in this schedule~
Item i ITEM UNIT ESTIMATED DEPARTMENT VALUATION
No. \ List and describe fully VALUE MARKET VALlIE (Do not write in
; this space)
~N 0 N E -0-
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Insert tl~iS total opposite "Personal Property", Schedule "B" in X X 7Vrru.J
the "As ~epo rted" column on the las t page of this return. ~O;..
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RCC L36
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COMM07\WEALTH OF PENNSYLVANIA
Tl\AiSFER INHE!UTANCE TAX
HESI'DE'I'T IlECEDENT
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(1) ~irl decedent, within two years of death, make an;y transfer of an;y material part of his estate, without
receiving a valuable and. adequllte consideration" therefor? (Answer yes or no) no.
(2) pid decertent, within two years of death, transf'er property from himself to himself and another or
9thers (including a spouse) in joint ownership? (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's health at time of making the transfer. (Note 1).
(c) Cause of decedent' 5 death. (Note 1).
(4) Vid decedent, in his lifetime, make anJ' transfer of property without receiving a valuable or adequate
?onsideration 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) no
(b) What was the transferee's age at time of decedent's rleath?
(5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
~herefor unrler which transferor expressly or impliedly reserves for his life or any period which does
r\ot in fuct end before his death:
I (a) The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no) no
(b) The right to designate the persons who shall possess or enjoy the property transferred or
I inco~e therefrom? (Answer yes or no) no
(6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent
Alone or others
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(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) nn
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(8) ~id decedent, at any, _time, transfer property, the beneficial enjoyment of which was subject to change,
~ecause of a reserven power to al ter, amend, or revoke, or which c01lld revert to rlecedent under terms'
Qf transfer or by operation of law? (Answer ~res 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) .
NOTE. 1: The answers to these questions should be SUPpo1"tecl by affidavit by the attemiing physician as
well ias a copy of the death certificate.
NOTEI2: If answer to any of the above questions is yes, set forth below a description of the property
tran~fe1"red, 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-
ferstare claimed to be non-taxable, also submit detailed statement of facts on which suid claim is based.
NOTE!3: List applicable property below in manner in which provided in Schedules A, B, or E.
SCHEDULE "c"
TRANSI''EJ\S
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ITEM'
DESCRIPTION
MAlUffiT VALUE
(Es tima ted)
DEPT. VALUATION
(Dept. Only)
NON E
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InseJt this total opposite "Transfersl1, Schedule "e" in the
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"As ~eportedrt colunm on the last -page of this return.
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11CC-)'7: (12-63)
COlIMO:>/\\'EALTIl OF PE1,,,SYYL\NIA
TRANSFER INHERITANCE TAX
RESIDENT[ DECEDENT
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SCHEDULE "D"
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BENEFICIARIES
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RELATIONSHIP
BENEFICIARIES AND ADDRESSES (If step-children or SURVIVED DATE INTEREST OF
\State full\ names and addresses of all who illegitimate cpiJcJren DECEDENT OF BENEFICIARY
ave an interestj vestedj contingent or other . are involved, set STATE YES IN EST,~TE
. \ wise, in estate) forth this fact.) OR NO BIRTH
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Conrad iP. Cuspard s'on yes over 18 1/6
116 Wes1t Penn street
Carl is l'e Penn~""vnn~ a. 1-7(1.1 ,. - -,
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:'" u, _T.... son ves over 18 1/6
401') T. ,., 1=1"",1
Harrisb:urtr . Pa. 17109
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, A. Chase c1""",ht-~.... Iv",," ,~,,~.... lR 1/11
KathleO)n
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P. o. B,ox
N. Hitrh'lands California
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RA'<"hp1 ;I-r ;I"" I",,~ I~"A_ ,Q 1 IF,
2034 I . Avenue
MadIson
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New Yor~ City, New York
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Chester: F. Hunter. Sr. husband 'les over 18 1/3
'119 North West Street
. I Pennsvlvania 170,1
CarlIsle
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Deponent f;urther says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH
RESIDENCE
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ChesteriF. Hunter Sr.
319 North West Street
Car
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Real Property
Personal Property
Transfers
SUMMARY
(Sch. "A")
(Sch. "B")
(Sch."C")
(1)
(As Repnr...d)
$17,000.00
$ ~Q-
$ -o~
$.
$
$ 17,000.00
(2)
(As Deb'rmim.d)
Gross Taxable Estate
$
$
$
$
$
$
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REsm'ENT DECEDENT
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INSTR!UCTIONS: This schedule must disclose all property, real and personal, owned by the decedent jointly
wi th lanother or others, including intangibles, standing in the name of the decedent and others. List
real ~state first, as entireties, or joint tenants, giving brief description, as indicated lmrler Schedule
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"A", plus the date and place of record of instrument effecting vestiture, but do not Include entireties
or ou;t of state real estate value in estate valuation column. Personal property should be listed as in
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Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to
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the decedent.
SCHEDULE "E"
JOINTL Y OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
,
Descr~ption of Property, Date of Acquisition, Name
Addre$s and Relationship of Co-Owners, and Place
ofjRecord of Instrument, where Real Estate.
unit
Value
percentage
Share
Estate
Valuation
6(:' I'A
~ M %~XSC XX
~ M 66'>6<: 0&
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Q<;;><XXO<><
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DEPART!lENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
NON E
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Insert
in the
this total opposite "Jointly Owned Property", Schedule "E"
"As Reported" colunm on the last page of this return.
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RE V-4B4 (81,S)
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.C-ounty, Number and Name
File Number
Datl 01 Death
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Estbte Name Hunter
I ILAST NAME)
21 Cumberland
21-78-0200
2-21-74
~chel
(FIRST NAME)
SUMMARY
A.
(INITIAl.)
COMMONWEAL TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
REPORT OF INHERITANCE TAX APPRAISER
I) the undersigned duly appointed Inheritance Tax Appraiser in and lor the County 01 Cumberland
Pennsyl~ania, do respectfully report that I have appraised the real and personal property 05 reported in the foregoing return at
the valuds set forth opposite each item in the last column to the right in Schedules "Au, ".8", "e", and fiE".
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Dated: 9ctober 31. 1979
.Jl/.P' Ah ! 1if -#i't~ 11 n k j)
INHERITANCE AX APPRAISER
REPORT OF THE REGISTER OF WILLS
I~ the undersigned duly elected Register 01 Wills in and lor County, Pennsylvania, do respect-
fully report that I hove allowed deductions in the amounts claimed by deponent, except os to those items where 0 greater or
lesser atnount is set forth in the lost column to the right in Schedule ifF", which greater or lesser amount represents the sum
ali<.'wec! bs 0 deduction.
Doted:
REGISTER OF WILLS
$
17 000 00
-0-
-0-
-0-
17 000 00
ADJUSTMENTS
ODE (HARRISBURG USE ONL VI
00+
10+
20+
30+
REMAINDER APPRAISEMENT CODE
INVENTORV
Real Property (Schedule A)
Personal Prop~rty (Schedule 81
Joint.Held Prbperty (Schedule E)
Transfers (Sc~edUle C)
TOTAL GROSS ASS ETS
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Less Debts an:d Deductions
(SCHEDULE F)
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CLEAR VALiJE OF ESTATE
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Valuation of life estates or %
annuitles...~...... ...........-== $
VALUE AS APPRAISED
92+
40-
93-
PRINCIPLE
FACTOR
VALUE
CODE
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ESTATE TAX ASSESSMENTS _ $
t=
t=
FOR USE O~F REGISTER ONLY
Tax: on $
Tax on $
Ta" on $
Tax on $
Tax on $
Exempt10ns
Total Estatei
I TOTAL TAX
~
COMPUTATION OF TAX
2%
6%
15%
$
$
, $
$
"$
.
'$
1=
~,
$
t:=
$
$
TOT AL TAX BALANCE $
PAID $
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid $
, BALANCE $
Less 5% of thx if paid within
3 months aftJr death $
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BALANCE dF INHERITANCE TAX DUE
Add interest !at rate of 6% from
:to
AMOUNT OF' ESTATE TAX ASSESSED $
Estate tax pdld $
I BALANCE DUE
Ad~ interest 'at rate of 6% from
It.
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Supplement~1 Code.: (FOR USE IN HARRISBURG ONL Y)
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48-Adiu~tment
49+Adjustment
56-Annu!ty
6O-Lile Estate
92+Remainder Appraisal
93- Rema jnder Dedu c1ion
93C-Chority
94-.Remoinder Residue
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I=OR US~ OF REGISTER ONLY
NOTE:
ADJUSTMENTS
Where sub5~uent adjustments are made to the above computation of tax by the .Register of Wills, for proper reason,
~ame should be noted below, with short explanation.
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REV-SiB (3-79)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P. O. BOX 2970
HARRISBURG
17105
IN YOUR REPLY PLEASE
REFER TO
I nvestigation Division
NOTICE OF FILING OF APPRAISEMENT
Chester F. Hunter, Jr.
(Executor or Administrator)
In Re: Estate of Rachel A. Hunter
Cumberland County - File No. 21-78-0200
Dear Mr. Hunter:
You are hereby notified that the original
appraisement in the estate of Rachel A. Hunter
has been filed in the office of the Register of Wills of Cumberland
County on October 31 ,19~. Said appraisement reflects the following valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
$17,000.00
-0-
-0-
-0-
$17,000.00
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 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.
Date October 31, 1979
Signed. 4'~M1'"f>1'f:!;tA."H'/ J
Title Chief loh ritance Tax Appra1ser
NOTE: This is not a bill.
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REVf!i7i(S-7B)
DEPARTMENT OF REVENUE
ijUREAU OF FIELD OPERATIONS
. P.O. BOX 2970
HARRIS.BURG, PENNA. 17105
I
J
,
(Whereas, !achel A. Hunter late of Carlisle
in the G:ounty of Cumberland Commonwealth of Pennsylnnia having died on
. I 4 '
the ' 21st day of February 192-, seized and possessed of an estate
subjectlto Inheritance Tax under the laws of the Commonwealth of Pennsylvania; J
!Therefore, I, Gloria J. Richard , an appraiser duly appointed according to law, I ,
having ~een designated to make a fair and conscionable appraisement of the said estate, and to asse~s 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 an~y such future interest. .
COMMONWEALTH OF PENNSYLVANIA
RiOSIDENT II\IHERITAI\lCE TAX
APPRAISEMENT
DATE
October -31, 1979
Cumberland
21-78-0200
COUNTY
FILE NO.
DESCRIPTION OF ASSET
UNIT
VALUES
Appraisement
Made for Inheritance
Tax Purposes
j
Rea:1 Estate
i
Pe~sonal Property
i
Transfers
,
L
Jo~nt Property
I
To~al Estate
$17,000.00
-0-
$ 17,000 00
-0-
-0-
-0-
17,000 00
-0-
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$17,000400
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, Hdve been duly sworn aC3~rft!ng to law, I do he~bl, ~ertify that the above appraisement is made in conwmity
with the law on this s day of coer rf 19_.
I' fJ?IJ",,,,: " _ M.fI 11 " H J )
Appraiser
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(Number and Street)
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(Post Office)
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