HomeMy WebLinkAbout06-19-78
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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
JUN 19 1978
COUNTY OF Cumberland
RESIDENT DECEDENT
IMPDRT ANT,
This return must be completed in detail and filed in duplicate, with all attached. with the Register of Wills of the
County where decedent resided; Return is due within nine months after date of death, unless an extension is granted
by the Secretary of Re....enue. (Section 703 of the Inheritance and Estate Tax Act of 1961.)
IN THE MATTER OF THE ESTATE OF
Sr. }
County
~
AFFIDAVIT OF
Clare Hopple aka Clare Hopple.
(STATE FULL NAME OF DECEDENT)
EXECUTOR
Late of
Cumberland
State of 'PAnTlAY' UA'I"'1'; $I
},,,
County of Cumberland
"i~~
r.1~~A R, Hopple, Jr.
of the estate- of the obove.nomed decl!Ident being duly sworn, depose
Executor
and say
Dec. 211r
(MONTH)
Nome and ~ddress of attorney or }
other authori:zed representative to whom
all correspondence should be moiled.
~_ 19-1.:1-1 testate leaving a last will, copy of which is hereto attached..}
(YEAR) ~<<
Decedent died
(DAY)
.T _ Roh..?>t. ~t.,,;,ffAr - MR,..kAt. ~qllR~A R1 rlg,.
Mechanicsburg, Pa. l705~
That as such deponent is familiar with the affairs of said estate and the property constituting
\ EXECUTa R-ADMINISTRA TOR)
the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or
as agent or deputy of another, or in decedent's individual name, with right of access by-another as agent or deputy, with the
exception of the following: -
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A S.-l.FE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
The First Bank and Trus t Comn~nv of ,.., --- --
MA~~an4c~h"r~ PAl
Main and Mar at St".
MA,.n~n<^ . ,,- .
That the contents of said safe deposit box or boxes are itemized under Schedules MB of this return,
with the exception. of the following, for the reasons hereinafter set forth:
That Scheelule A attached hereto and made part hereof sets forth fully and in detail all the real property
in the Commonwealth of Pennsylvania of which deceden~ died having an interest therein. It also sets forth the
mortgage encumbrances upon each parcel of. real property at the date of death, giving the amount still due at
death, name of mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the
columns provided therefore the assessed valuation of each of said parcels, the estimated market value thereof
as of date of death of decedent.
That Scheelule B attached hereto and made part hereof sets forth fully and in detail all personal property
wheresover situated owned by the decedent at the time of death; all moneys left by the decedent at the time of
death, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savings
banks, trust companies, or other institutions, whether individually, or in trust for any other person or persons
giving also separately the accrued interest thereon. if any, down to the last interest day prior to decedent's
death in the case of savings banks, and to the date of dec:edent's death in all other cases;' all bonds,:posi:~l
savings, treasury.,certifi(;ates or notes and other evidence of indebtedness of the United States .to the ~de-
cedent; all oblig~tio~s'._,.;v.'-h~iher by ~tat,uH~'.gf:agreement they are designated as tax free, of the United Staits; :::. i
or any state, o~ p~liti'c'ar subdivision there"of,'" or of any foreign country, which are owned at-.the;,t}me of death;"'.t ~
all wearing apparel. jewelry, _ silverware, pictures, books, works of art, household furniture, tlorse.s, carria'ge's',.:: ~
..,.' _ ....J, _. l..".'.';" ,.-4 ~....). ~.., ''/''''-''.\' .,~...... :>
automobiles, boats, and any and all other personal chattels of whatsoever. kind or nature, lelttby-d~ced~el~t-?i
together with the fairly,_estimated market value thereof; all bonds and mortgages held by decede'nt ahd:oCall
. < ~ ._.
claims due and owing decedent at the time of death, and all promissory notes or otherjnstrumenis".ih'w~iting
for the payment of money of which decedent died possessed, of whatsoever nature. with interest thereon, if
any. giving the face value and estimated fair market value thereof, and if such estimated fair-market value be
less than the face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys
payable to the estate from life insurance policies carried by decedent; all annuity and endowment contracts
the proceeds of which Were payable upon the death of the decedent; all and the corporate stocks and dividends
due thereon and unpaid as of the date o~, death, bonds and accrued interest .thereon to the date of decedent's
death and other investment securities owned by the decedent at the time of death, with the-market value there-
of at such time.
(~
.
In the case of securities of close or family corporations, the values reported are 8.S 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 business, and In support of the value of such interest there Is anne~ed to
said schedule, f'lnancial statements showing the assets and liabilities of' said co-partnership or huslness.
A copy of the co-partnership agreement, (if' oral, '8 statement setting forth the nature of the agreement)
together with a statement settinp; f'orth the character of the business, its loc&t1on, and such other facts
pertaining to the business as may be pertinent to a rail' and just appraisal of the decedent's interest
therein must be submitted. It should also set rorth 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 Sc~edule C attached hereto and made part hereor sets forth a true answer to each inquiry
contained therein and in the case of transrers of property, real or personal, within two yea:rs of decedent's
death, in contemplation of decedent's death, or intended to take efrect in possession or ~njoyment at or
Arter death, said schedule sets forth the nature and value or such property, to whom transferred, the
relationship of the transferees to the decedent, the proportionate share received by each transreree and
" .
all other :facts of a pertinent nature rega.rding said transf'ers. In the case or transfers intended to
take efrect in possession or enjoyment at or after death, there is also attached to the schedule a co~y
or the deed, trust agreement or other instrument creating the trust. Ther~ i~ also.set rorth in said
schedule a list of all property, real and personal, with its value, which passes at decedent's death by
virtue of the exer~~se by decedent, either indivjdually, or Jointly with an.other, or any power of appoint-
ment vested in decedent, either individually or Jointly, by the Will, deed, or other instrument of another,
with a copy of the instrument creating such pewer attached to the schedule.
That Sc~edule D attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent.s death, the nature of their res-
pective interests, their relationship, if any, to the decedent, together with the ages at the time of
decedent's death of all minors, annuitants and benericiaries for life under ctecedent's Will. It also
contains a statement showing which or 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 S~~edule 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 n~e
of the decedent and others, plus the date and place of record of instruments effecting the vestiture o~
real estate and the date of acquisition of personalty, plus the n~e, address and relatioRship, it any,
of co-owners to the decedent.
That Sc/Jedule F attached hereto and made a part hereof sets eorth t'u.lly and in detail all debts
and deductions claimed for 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 lmpairt at time or
death; taxes accrued chargeable for period prior to decedent's death (except those allowed under Section
651 of the Inheritance and Estate Tax Act); together with a statement or collateral pledged for obliga-
tions, if any. It is agreed that the fiduciary will present proo~ of said claimed obligations upon re-
quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the
estimated amount claiming and allowed, that the same will be reported to the Register or Wills, and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate columns in Schedules wAw, -B-, "C", "E", and -F. as directed therein,
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this ../&:j-lz....
.......~~&#.....~~-
....3.9.5.....;!j;.~.!i!.j;.._.~.....sj;......................
(Street Number)
.Me.chani.c.sb.~g.,......P.a......~1Q$$................
(CittI Of' Toum aM S-J
............................. . day of ....... ..Jl/l.JV.E::....... 19...._7.8
\:~t.,jk J;~'"'-----(~Al~ ,,] -<X"-:t1,.....~...... .'
.p. ) I .,.... \...J" W ' "IAi" ,,,",..
o--~<f./r -<-c"..: .,., ,. . .. .
y . "~,\ 0t..:G l'..JROUGti
tJllLI\ I'.~~- , - COUNT'I
- l'L'. ~;, t-;\ f'.1~U ,1 1)9 1979
. ..' ,. ,-^"R.SO.C., .
J..W C.fj;';'ll...\;)~I\J.1
NOTE: Before signing afridavit ~~ sure all blank spaces in the artidavlt and scherlules annexed are
tilled in 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 1n any co-partnership or business, that the
data and statements required under the paragraph above relating to Schedule -B- are attached. Also make
certain that column #1 in the -Summary" has been properly completed as above-directed.
. .~j, -"':":':;',;"'"' ,:". ~
......,:..,;. ":'..i-: ~,.l;""",__"_,,,,,,~~,,.-~<,,,,,;, '-"~-.;.:....- ..
-J;-"
cfi!CCj34 (4:-:i~W',.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT OECEDENT-
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 as tenant in common with another or other, should be identified
as to quantum of interest and the estimated value should be that of the decedent's interest only. (Property
held as joint tenants with right of surviorship or tenancy by entireties should be reported on Schedule "E.")
E. Hutter,
St. ,
ently
Nailor,
&2JV. 1'1 t ()
~A4o''' '2.'l.V
11.1 ?/P
'I
ALL THAT CERTAIN House and Lot of Groun '9;?TT
situate on the North side of west Kelle Street,.
in the Borough of Mechanicsburg, County of
Cumberland and State of Pennsylvania, bcunded and
described as follows, to wit:
B()UNDED on the North by a public alley; on the
East by a Lot formerly of J. A. First, now or
late ot Corrigan; on the South by West Keller
Street; and on the West by Lot formerly of
William Grissinger, now or formerly of
Michael Spahr. Having a frontage of thjrty-five
(35) feet on said West Keller Street anc extending
an even width in depth to said alley of one hundred
ninety (190) feet, more or less. HAVINC thereon
erected a two and one-half story frame (welling
known and numbered as 404 West Keller Street.
. .. ~
Appraised by Ray E. Hutter; Jr. of Ray E. Hutter,
Inc., real estate broker of 41 W. Main St.,
Mechanicsburg, Pa. at $24,000.00 and prEsently
under contract of sale to Robert E. Wilt ur and
Joanne Wilbur, his wife. .
Copy of Appraisal submitted herewith.
81d~ ~t./i'U
'-ANi (.~()
~II()
I{
/2) 'f /J J
The real property located In the Commo"wealth of Pennsylvania should be
described by lot and block number, street and street number, together with
a general description of the property, with a reference to the record of the
conveyance by which the decedent took title; If 0 farm state number of a.
cres; also statement of mortgage encumbrances upon each parcel at death
of decedent. Taxe., assessments, accrued Interost on mortgages, etc.,are
to be listed on Schedule "F" and must not' be d_educt,!,d from ~hls achedu.!e.
(l)
ALL THAT CERTAIN House and Lot of Grouri
situate on the North side of West Simps n
Street in the Borough of Mechanicsburg~
County of Cumberland and State of Penns
bounded and Described as follows:
BOUNDED ON the East by premises No. 218
Simpson Street, now or formerly of Anna
on the North by an Alley; on the Westb
formerly-of Peter Gingerich, now or lat
Ed. S. Klinedinst. Fronting on said
West Simpson Street and having a width
said front along said Simpson Street, 0
more or less; depth of 89 feet, more or
a width on the rear along said alley of
more or less. Having thereon erected t
one-half of a double two story frame dw
known and numbered as 220 West Simpson
Appraised by Ray E. Hutter, Jr. of Ray
Inc., real estate broker of 41 W. ilain
Mechanicsburg, Pa. at $7,000.00 and pre
under contract of sale to Katherine M.
at $7,000.00
Copy of Appraisal submitted herewith.
~
(1)
(2)
(3\
DEPARTMENT
VALUA TION
CAUTION
(Do not wrIte
In thl. apace)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
ESTIMATED
MARKET VALUE
lvania,
West
Beistline;
Lot
of
n
20 feet,
less, and
19 feet,
e Western
lling,
treet.
/ .
7000.00 y 1/oo0.0d
I
V
24000.00 t/ J),,/) OOO.OD
Insert this total opposite "real property", Schedule "A" in the X X X X X
"As Reported" column on the last page of this return.
31,000.00
Vl.E1 O()O. DlJ
I
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
.
-",---.,'"
. Rec ~i5'
, 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 or his death. Property owned by the decedent jointly with another or others
must be listed under Schedule "E". ~ntangible personal property, titled 1n the name of the decedent, but
payable at death to another or others, including but not limited to P.G.D. U. S. Savings Bonds and tenta-
tive trust accounts, must be listed, despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (e.g. jewelry, wearing apparel, household
goods, and furnishings, books, paintings, automobiles, boats, etc.)
Intangible personal property, such as bonds, treasury certificates, cash on hand and in bank,
stOCkS, mortgages, notes, together with accrued interest or dIvidends, salaries or wages, insurance pay-
able to the estate or fiduciary in said capacity, partnership interests, interest in any undistributed
estate or or income rrom 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
ESTIMATED
MARKEr VALUE
DEPARTMENT VALUATION
(00 not write in
this space)
.
(1)
v
Proce~ds of Checking ACCQunt NS' 130~502-,8
w~th The F~rst ~ank and Trust ompany of '
Mechanicsburg. Fa. .
( 2)
Proceeds of Savings
with The First Bank
Mechanicsburg, Fa.
Principal
Interest accrued to
/
Account No. 501~4930]
and Trus t Company o'f
240.161-_____
cJ ftJ. /fp
Dec. 24. 1977
71256.13....CJJjcJ5C,.I3,
743.03 v' '7tf3- 00
fiLe fti"L'L{)1AI1.AJ~ eM ~.6-8e MPog/T [boY
"fA! ileA/To 'Aj
I R.l?te.g'~, () 0 lOlL 1-
L fl V (/'
S7 f:.lfft.RE!5 euM RJ /i.A. L jff./tId.
J!A-'L'L('}1 (!:,fJ_{}P';fu,TlVt A~'!>f.
J-itP 0
d?~O
/M ()
<671),f) 0
s?o, 00
.
Inser t this total opposi te "Personal Property", Schedule. "B" in
the "As Reported" column on the last page of this return.
x X
a2.239e3~ -.# 7J, R' /J..3;L
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llCC-36"
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
SCHEDULE "c"
T RAN S FEllS
*~
RESIDENT DECEDENT
(1) Did decedent, within two yea.rs of'denth, make any transf'er of any material part oJ:.. his estate, without
receiving a va.luable and adequate consideration therefor? (Answer yes or no) No
(2) Did decedent, within two years of death~ transfer property from himself to himself and another or
others (including a spouse) in joint ownership? (Ans~er yes or no) No
(3) If the answer to (1) or (2) above is in the af'firmative state:
(a) Age of decedent at time of transfer Nonp.
(b) State of decedent t s heal th at time of making the transf'er.. (Note 1).
(c) Cause of' decedent'.s death. (Note 1).
(4) Did decedent, in his li.f'etime, make any transf'er of property without receiving a valuable or adequate.
consideration therefor which was to take effect in possession or enjoyment at or after his death?
(Answer yes or no)---1i~
(a) Was there any possibility that the property transferred might return to traq~ferer or his
estate or be subject to his power of' disposition? (Answer yes or no) ~O
(b) What was the transfereet s age at time of decedent's death? NonA
~5) Did decedent in his lifetime make any transf'er without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not In fact end before his death:
(a) The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no) ~n
(b) The right to designate the persons who shall possess or enjoy the property transferred or
income theref'rom? (Answer yes or no) No . .
(6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent
alone or others
(7) Did decedent in his lif'etime make a transfer, the consideration for which was transferee's promise to
pay income. to or for the benefit of' care of' transf'eror? (Answer yes or no) No
(8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change,
because 0 r a reservetl power to al tel', amend, or revoke, or which cOllld revert to decedent WIder terms
of transfer or by operation of law? (Answer yes or no) No
(9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no) No
NOTE 1: The anSwers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death certificate.
NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property
transferred, it's f'air market value at date of death~ dates of transfers and to whom transferred, with
relationship or transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans-
fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim 1s based.
NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or &
ITEM
DESCRIPTION
MARKET VALUE
(Estimated)
DEPT. VALUATION
(Dept. Only)
None
None
~
Insert this total opposite "Transfers", Schedule "e" 1n the
"As Reported" colunm on the last page of this return.
None
~L/
.J'" ............. <~..
RCC-37, .(,12-63)
CO~lMO:'<l\\"EAL TH OF PENNSYYL\NIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
r\ r....
\
h
. RELATIONSHIP
BENEFICIARIES AND ADDRESSES ,.' (If step-children or SURVIVED 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, set STATE YES IN ESTATE
wise, in estate)' forth this fact.); , " O.R,NO ., 4..BIRTH ". . -
o ,
Clare B. Hopple Son Yes One-third of Estate
305 East Simpson Sli. ; ,
Mechanicsburg, :penna. 17055 ,
Ruth E. Miller Dau~hter Yes One-th;>>d nf Estate
R. D.l
Lewisberr:v, Pa.
Paul F. Honnle Son y",,,- nno_+-lo~~rl nf' li'a+-n+-o
.
.; .
..
..
.
.
- ,
..
,
.0
"
"
(
.
Deponent rurther says that all the above-named beneficiaries are living at this time except below:
NAME
DATE OF DEATH
RESIDENCE
..
o _
~ ~ It:
.<
"in; C
- e
.:: 3 ;:l
e ~-
_c.o
~ e "
~ 0:
.. ~ '"
~...~
:::3 :f.l s..
" ~ 0
~ E g.
~ 0:
SUMMARY
(Sch. "A")
(Sch. "8")
.. (Sch."C")
Heal Property
Personal Property
Transfers
Jointly.Owne.dI':t'operty J &cl::h"p;"l
Gross Taxable Estate
(1 )
(As Repnrh~l)
31,000..00
7~J2J9.32
0.00
.0.00
$.
$
$
$
$.
$103,239.,3(1
(2)
(As D"lt'rminl'u)
$
$
$
$
$
$
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c 1:i - .. <( as ..-I CD c Z
- 0 ,.. . I'l ~ OJ <
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0 p,p, <:) 0 llI:
c l'<: p,p, CD - 0
:8 00 :E: 100
t.:! :r::r: 0: ...
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::: ~ fil 0 E
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FiCC-JB
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
INSTRUCTIONS: This schectule must disclose all property, real and personal, owned by the decedent jointly
wi t.h another or others, including inta.ngibles, standing in the name of' the decedent and others.. List
real estate first, as entireties, or joint tenants, giving brief description, as indicated under Schedule
"A", plus the rlate and place of record of instrument effecting "estiture, but do not include entireties
or Qut of state real estate value in estate valuation column. Personal property should be listed as in
Schedule "B", plus date of acquisition, and the name, address and relationship (if any) or co-owners to
the decedent.
Description of Property, Date of Acquisition, Name
Address ann Relationship of Co-Owners, and Place
of Recorrt or .Instrument, where Real Estate.
unit
Value
pe rcen t age
Share
Estate
Valuation
~ ?S$;;X;; QS< ~ ;& ~
6<Q;gs
)<
!'Y
6<:><
)<
cxHXXK>:.x.
)<
60;0<::><
>Q<;>Q<:
xsgg~
DE? ARTMENT V ALUAT 10 N
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
None
None
~vCV'~
,
Insert this total opposite "Jointly OWlied Property", Schedule "E"
in the" As Reported" colunm on the last page of this return.
None
.'lLtruU
/
/'
o
... /
.,. ,:
Rcc-al (6.731
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division"
NOTICE OF FILING or APPRAISEMENT
Clare B. Hopple, Jr.
305 East Simpson Street
Mechanicsburg, FA 17055
(Executor or Administrator)
In Re: Estate of Clare Hopple a/k/a Clare Hopple, Sr.
Cumberland
County:" Fi Ie No.
21-78-0003
Dear Mr. Hopple:
You ore hereby noti fied that the Original
appraisement in the estate of Clare Hopple a/k/a Clare Hopple. Sr.
has been filed in the office of the Register of Wills of Cumberland
County on August 7 ,1978 , Said appraisement reflects the following
valuations:
Real Estate
Persona I Property
Transfers
Jointly Owned
Total
31,000.00
72,811.32
NOne
None
$103,811.32
As to such tax that is paid within three months from dote of death, 0 live (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 dote of death,
interest at the rote of six (6%) percent per annum is chorged.
Any party in interest who is aggrieved by this notice may object thereto within
sixty days after receipt of said notice os provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961, 72 P. S. 2485-1001, P. L. 373.
~cL- )(, );~J_
August 7, 1978
Si gned
Dote
Title Chief Appraiser
"
Note: This is not 0 bill.
RCC-' (2-641 /
- .'
.oEPAR'rMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA, 17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE
August 7, 1978
COUNTY
Cumberland
FILE NO.
21-78-0003
Whereas, Clare Hopple a/k/a Clare Hopple, Sr. late of Borough of Mechanicsburg
in the County of Cumberland Commonwealth of Pennsylvania, having died on
the 24th day of December 19...22.., seized and possessed of an estat.e
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Ira K. Gleim . an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix
the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement:
In the event that any future Interest in this estate Is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
DeJcrlptlon of Allet
Unit
Value1
Apprajse~ent
Made for Inheritance
Tu Purpose;
$
31 000 00
72,811 32
Real Pro ert
Personal Property
Joint-Held Property
Transf ers
None
None
TOTAL ASSETS
$103,811 32
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Having been duly sworn according to law, I do hereby certify that the above appraisement is made in con-
formity with law on this 7th day of ~" ~s; 19~.
(/ ~/(, .
Appraiser
(t4\1mbc!r and Str<<t)
Harrisburg, Penna.
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