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Form RCC-33
COMMONWEALTH OF PENNSYlVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY' OF
taLt. ~
~'\
RESIDENT DECEDENT
cUMBEJU1B16 ',-::7"
, ...""..." ,I.).
IAWORTANT: This return must be completed in detail and filed in duplicate, with will attached, with the
Register of Wills of the County where decedent resided; Return 1s due within. one year after
date of death, unless an extension is granted liy the Secretary of Revenue. (Section 703 of'
the Inheritance and Estate Tax Act of' 1961.)
IN THE MATTER OF THE ESTATE OF }
AFFIDAVIT OF
__.~A1m~.,J;;,.\ol()}'.I?I':...... ."." . --'EXECUTOR
(State full name of decedent)
Late of .1;J::H",.II.9~9\lghQ:f'C?JllP,!1:1,:I).. Cumb~~:ItMllty ~
Slate of , """Pennsylvania
County of :
,
Pa!!pJ1,iI1.
.. .'. ..}s:
li\1lllh~
"""" ..."J;;AN." ...w......
of the estate of the
WOLFE
Eucutor
above-named decedent being duly sworn, depose S
and sa)S
Decedent dJed .................... ....~.rgn:P..~r.y... ....._..._......_...... ............... .1... ....... ......,
~ (Month) (Ull.Y)
Name and address of attorney or}
other autho~ized representative to .
whom all correspondence should be
mailed.
197..8. .........,Jl.~:::~~~aVing a last wHI, copy of wh.ich is hereto attached. }
(Y~9;r) AA~WA'i\.
.. . .RalphW.. B.oyles,. Jr....... Es.quire """',,,,,,m,,,,,
Nauman, Smith, Shissler & Hall
6 North Third Street .....p .O;"Box840
Harrisburg, PA. 17108
Thatj as such ...J:;X~,!;;1.I,tQJ:';..'m.......'....m deponent is familiar with the affairs of said estate and the property con-
, 11';xl'f:lItor'*~~K
stituting the assets thereof and their fair market value.
That1at 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:-
j
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHI~H DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES or
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
,
No Excentions
j
I
.
That the contents of said safe deposit box or boxes are itemized under Schedules
return, with the exception of the following, for the reasons hereinaf'ter set forth:
of this
That SC,hedule A attached hereto and made part hereof sets f'orth fully and in detail all the
real property in the Commonwealth of Penn~ylvania of which decedent died having an interest therein. It
also sets forth the mortgage encumbrances upon each parcel of real property at the date of death, giving
the amount still due at death, name of mortgagee, date, rate of interest, and book and page of record
thereof. It also sets f'orth in the columns provided therefore the assessed valuation of each of said
parcels, the estimated market value thereof' as of' date of' death of /~ecedent.
That Schedule 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 lef't 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 f'or
any other person or persons giving also separately the accrued interest thereon, if any, down t~ the last
interest day prior to decedent's death in the case of savings banks, and to the date of' decedent's death
in all other cases; all bonds, postal savings, treasury certificates or notes and other evidence of in-
debtedness of the United States to the decedent; all obligations, whether by statute or agreement they
are designated as tax f'ree, of' the Uni ted States, or any state, prJ;'p~1i~ical subdivision thereof', or ~f'
any f'oreign country, which are oMled at the time of death; all wearing appar'el, jewelry, "silverware, pic-
tures, books, works of art, household furniture, horses, carriages, automobiles, boats/, and any and all
other personal chattels of whatsoever kind or nature, lef't by decedent, together with the fairly estimated
market value thereof; all bonds and mortgaj!es held by decedent and of' all claims due and owing decedent I
at the time of death, and all promissory notes or other instruments in writing for the payment of money
of which rlecedent died possessed, of whatsoever nature, wi th interest thereon, .if any, giving the face
value and estimated fair market value thereof', and if' such estimated fair market ~alue be less than the
face valu~, it sets forth briefly the reasons for such depreciation as to each i tern; all moneys payable
to the estate from lire insurance polici'es carried by decedent; all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent; and all the corporate stocks and dividends
due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of' death, with the market
value thereof' at such time.
,
,.
''''.
In the ca.se of' securities of' close or f8ll11ly corporations, the values reported are as far as
pos~lble substantiated by financial statements of the corporations, showing the assets and liabilities
thereof 8S of the d&te of death. The schedule also sets forth the Interest of decedent at the time of
death In any co-partnership 01' business, and in support of the value of such interest there Is annexed to
said schedule, financial statements showing the assets and liab1l1tles of said co-partnership or business.
A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the agreement)
together with 8. statement setting forth the character of the business, its location, and such other f'acts
pertaining to the business as 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 Schedule C attached hereto and made part hereof sets earth a true answer to each inquiry
contained there1n and in the case of transfers of property, real or personal, within two years of decedent's
death, in contemplation of dE!cedent's death, or intended to t~ke effect in possession or enjoyment at or
after death, satd 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 facts of a pertinent nature regarding saId transfers. In the case of transfers intended to
take effect in possession or enjoyment at or after death, there is also attache~ to the schedule a cony
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 passes at decedent's death by
virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint-
ment vested in decedent, ei ther indiv1dually or jointly, by the will, deed, or other ins trument of another,
with a copy of the instrument creating such power attached to the schedule.
That Schedule 0 attached hereto and made part ~ereof sets forth the names anrt 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 beneficiaries for life under decedent's Will. It also
contains a statement showtng 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 Schedule 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 vestlture of
real estate and the date of acquisition of personalty, plus the name, address and relationship, if any,
of co-omers to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully 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 of the death of' the decedent; debts and claims owing anrl tmpaid at time of
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 of collateral pledged for obliga-
tions, if any. It is agreE!d that the fiduciary will present proof of said 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 of Wills, and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate columns in Schedules wAw, wBw, .e", "E", and "FW as directed therein,
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this .....".................""."
.[t
.:..:..:_::.::.:.~3~ d day a. ~. ....1~.~.B~.
a Cl.tJ;y A. 'Mrs. :10\", "'~
...J..... ~~"'isli" b."" Set>L 3. 1911
""..Im"!. Pi Qouj:biIl County
......e.CfE~~+.........._._...
.....6./j.6....At:l.in&t.cn...Raad......................"........,,-.....-,-,.
(Street Number)
.......g~p.JI:i.:p".P.A,..J?Q:L.J.". .
(City or TOlD" and Stt&te)
NOTE: Before Signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled in with details or the word "None", and in case the assets include rare and unlisted securities,
securities or 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 "8" are attached. Also make
certain that column #1 in the "Summary" has been properly completed as above-directed.
7
,
RCC-3q1~)
CO~MONWEAL T'H OF PENNSYLVANIA
DEP ARTMENT 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. Where property held as joint tenant or tenancy by entireties, report on Schedule "E". Property held by
the decedent as tenant in common with another or others, should be identified as to quantum of interest and
the estimated value should be that of the decedenl's interest only.
The roal property located In the Commonwealth of Pennsylvania should be (1) (2) (31
described by lot and block number, street and street number, together wi th OEPARTMENT
a general description of the property, with 0 reference to the record of the ASSESSEO VALUE VALUATION
conveyance by whieh the decedent 'took title; If a farm state number of a- FOR YEAR OF ESTlMA TEO CAUTION
eres; olso statement of mortgoge encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (00 not write
of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are DEA TH In this space)
to be listed on Schedule IIF" and must Mot be deducted from this schedule.
NONE
,
!
Insert this lotal opposile "real property", Schedule "A" in the X X X X X
"As Reported" column on the last page of this return.
~}~~
'A_,~CU"J35 .
COMMONWEALTH OF PENNSYLVANIA
TRfu~SFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
*~
INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually
by the ~ecedent, at the time or his death. Property owned by the decedent jointly with another or others
must be listed under Schedule ftE". Intangible personal property, titled in the name of the decedent, but
payable at death to another or others, including but not limited to P.O.D. U. S. SaVings Bonds and tenta-
tive trust accounts, must be listed, despite the Cact 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.)
l 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-
able to~the estate or riduciary 1n 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
UN IT ESTI MATED
VALUE MARKIIT VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
1. INTANGIBLE PERSONAL PROPERTY
A. U. S. Series E bonds
Matured
Value on
January I, 19 8
$
$
.$ 500.00
'$1,000.00
1$1,000.00
$1,000.00
$1,000.00
$1,000.00
$1,000.00
1..:,\\-LSo
1.,4.. ~-c
SS,.l.lo
\.,1.t>1o.'2,0
1.,1.0(",<2,0
l , \ 010 ' I> <>
I., lb-lo:\:>'"
I. lb(.,:Q,oo
, So
1.,.0 <0,
500.00
500.00
Issued July 6, 1966
Issued July 6, 1966
Issued March 30, 1971
Issued March 30, 1971
Issued March 30, 1971
Issued March 30, 1971
Issued March 30, 1971
Issued March 30, 1971
Issued March 30, 1971
7yrs. 9 mo.
7 yrs. 9 mo.
7 years
7 years
7 years
7 years
7 years
7 years
7 years
674.80-/
674.80 '
553.40
$ 1,106.80/
1,106.80./
1,106.80/_
1,106.80
1,106.80
1,106.80
B. U. S. Series H Bond
$5,000.00 Issued June 1, 1970 Matures 10 ye s
$5,000.00
Accrued Interest 107.50
$5,107.50
5,107.50
S ,\01 .s \:)
C. Other Securities
1,060 Shares Kemper Municipal Bond Fund, Ltd.
Certificate #KC 000 1659 at
dated August 9, 1976 Cost $10,960.40
\ \,1.-\ 10'1.:<"'0
SO Shares PP&L Co. 4.40% Series Preferred R )..5"..li, I ~ '2..,'51'0.\3
6/10/64 at (t,581..1D
10 Shares PP&L Co. 3.35% Series Preferred 3~3.1S
8/3/64 at 38.375 383.75
100 Shares De1mara P & L Co. 5% Preferred S....\6'-,Sb
9/12/74 at 57.625 5,762.50
SO Shares De1mara P & L Co. 5% Preferred "2-.... Id '0 \ :....5
9/12/74 at 57.625 2,881.25
D: Checking Account #61-33267-7 in National L.-,4 \ S."3 't!.
Central Bank Balance on January 1, 1978 - 2,415.38
(See letter attached hereto)
II. TANGIBLE PERSONAL PROPERTY
A'.
,
Apartment fu~iture, linens and utensils
Sold by Haar s Auct10n (See photocopy of
accounting attached hereto) Net Pre"OO"e,
B.
Hersehede mahogany 84" high Grandfather's C10
Per G. R. Bosserman appraisal attached hereto
~ 6\,4 \:)
39.90
1,500.00 \ \ SO 0 .0 '"
600.00 (., 0 0 ' OD
40.00 '-IO.co
x
TOTAL $41,335.13
....". ,
C. Ladies 14 karat gold Ring
Per E. G. Hoover Co. appraisal (photocopy
D. Ladies 14 karat white gold Waltham watch
Per E. G. Hoover Co. a raisal hotoco
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
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NATIONAL CENTRAL BANK
222 Market St.
Harrisburg, Pennsylvania 17108
(117) 238-1681
,
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Mr. Ralph W. Boyles, Jr.
Nauman, Smith, Shissler & Hall
P.O. Box 840
Harrisburg, Pa. 17108
March 10, 1978
Re: Salome E. Wolfe, deceased
Account #61-33267-7
Dear Mr. Boyles:
The balance in the above listed 5J2count as of
January 1, 1978'was $2,415.38.0/"
please feel free to contact me if I may be of
further assistance to you.
Sincerely,
/~a
-/;0
ff d#~
(Miss) Nancy A. Tarasi
Manager
NAT:aps
~HAAR'S AUCTION
DILLSBURG. PA.
PHONE 432-3815 OR 432.3011
AU.CTION EACH TUES. & FRI. EVE. 7 P.M.
ITEM
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STArtMENi
G. R. BOSSERMAN I
,nc.
JEWELED
408 North Second Street W
, ormleysburg, Pennsylvonia
<e/ 'I I Phone ~J2-6389
4'4 6tU. ~);~, / - j:) -7 P
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/713 (!J~t;;P<-J!
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JEWELRY
APPRAISAL
E. G. HOOVER CO.
JEWEL.E:RS SINCE 1891
REGISTERED JEWELER ~ CERTIFIED GEMOl..OGIST
. AMERICAN GEM SOCIETY
36 NORTH THIRD SiREET
HARRISBURG. PA. 17101
JEWELRY
APPRAISAL
Appraisal For:
I
Estateof SalODe F; ~olfe
% Earl ~olfe, ~x.
646 iITlington Rd., Camp Hill, Pa. 17011
February 31, 1978
Item..........Ladies 14 karat yellow gold Bud
platinum :c'in::; mounting set "li th one (1) round brillieJ::i t
cut diamond. The diamond. weighs a.pproximately .75
carat, COlOI' grades approximately A.G.S. 1, clarity
d F ,- " 11 t
gra es v.0. ano IS we~ eu.
Value ~600.00,~
Item 2...........Ladies 14 k2.rat white gold \.!altham
;-iateh. The 14- karat engraved case is set ':Iith four (<I-)
round brilliant cut diamonds. The diamonds weigh app.
.02 carat each, are good color ffi1d are old style cutting.
/'
V8lue 'Y'l-O.OO
State tax is applicable
/
'rh!s npprais:.:! cor:sWute~ oW' carelulJ,r Mudicd opinion 01
ltJ...U;-; rc:r:i1 n'r>1accl!'ltmt co:;l throU6h otlr fo(~lltics
o the db1res..'i" s.::lks na1ltr:Jc "'.,Jut!
of the artlclc(s) described above in.5oIar os th~ m")Untint::(~) have permitted
o;,,:>cJ'vation. V:c aSSll."lle no linbiHt.v ,..'it\) ::-~~.-pect to .mlo' .:r:lbn thnt malo'
he t..,l~cn on th~ ba5is of thL<; f,p;;rnl~,l_ /
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RCC-36
........_;.--
'COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
SCHEDULE "c"
TRANSFERS
/j~. ,f:/~~ t\
~~
RESIDE!I'T DECEDENT
(1) Did decedent, within two years of death,. make any transfer of any material part of his estate, without
receiving a valuable and adequate consideration therefor? (Answer yes or no)
(2) Did decedent, within two years of death, transfer property from himself to himself and another or
othe:rs (including a spouse) in joint ownerShip? (Answer yes or 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 heal th at time of making the transfer. (Note 1).
(c) Cause of decedent's 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 possession or enjoyment at or after his death?
(Answer yes or no)
(a) Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition? (Answer yes or no)
(b) What was the transferee's age at time of decedent's death?
(5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not t[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)
(b) The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom? (Answer yes or 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 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)
(8) Did 'decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change,
because of a reserved power to al ter, amend, or revoke, or which cmtld revert to decedent under terms
of transfer or by operation of law? (Answer yes or no)
(9) If ~he answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter-
estiof 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 sup~orted 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 descri~tion of the property
transferred, 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-
fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based.
NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E.
ITEM
DESCRIPT ION
MARKET VALUE
(Es tima ted)
DEPT. VALUATION
(Dept. Only)
NONE
N~
I:
I
Insert this total opposite "Transfers", Schedule "C" in the
nAs Reported" colunm on the last page of this return.
.:.;~
~.
RCC-37 (12-63)
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
*""
IJ "i'1l: 1\
,~"'" ",
BENEFICIARIES
(
h
BENEFICIARIES AND ADDRESSES RELA TIONSIIIP SURVIVED I
(If step-children or DATE INTEREST OF
State ~ull 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.) OR NO BIRTH
Earl W. Wolfe Son Yes Adult One:"Third Share
'646 Arlington' Road' , ' ' "
, . " ' ,
Carno Hill PA. l70n
Paul J. Wolfe Son Yes Adult One-Third Share
2507 ,"h~~ "oad
Bethlehem. PA. 18017
Charles K. Wolfe, Jr. Son Yes Adult One-Third Share
2fifi OyfoTd Road
T1,<-...i" 60043
:
,
, "
"
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,
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, ;
,
,
"Deponent fUrther says that all the above-named bene~iciaries are living at this time except below:
NAME
DATE OF DEATH
RESIDENCE
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Real Property
Personal Property
Transfers
SUMMARY
.(Sch. "A")
....... ................... ... ....(SCh. "B")
....................... (Sch. "C")
Gross Taxable Estate
(I)
(As Reported)
$ ..00,00
$ .... . 4J..335 ,13
$.. ......00.00
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$...
$ ...41,.335 ,13
(2)
(As Determi n~-d )
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LAST WILL A!,;1> TESTA!A':~!T
of
SALOME E. 110LFE
I, SAL~~E E. WOLFE, of the City of Harrisburg, Dauphin County,
Pennsylvania. do hereby make and publish this my Last Will and Testament,
hereby revoking any and all wills by me at any time heretofore mad&.
ITEM 1. I give, devise and bequeath all of my estate, of what 50-
ever nature and wheresoever situate, in equal thirds, share and share
alike to each of my three (3) sons, na;"ely:
(a) 1/3 to Earl w. Wolfe
(b) 1/3 to Paul J. \Vol :e
(c) 1/3 to Charles K. ;~olfe, Jr.
ITEM 2. In the event of any 0: "oy t),ree (3) 'sons failin'l to' sur-
vive me, I order and direct that the share or shares of such son or sons
be distributed to the issue of such de~e1sed son or sons and said issue
shall take per stirpes the share which their deceased father or fathers
would have taken, if living.
''\'0
ITEM 3. 1 nominate, constitute and appoint my son, Earl W. Wolfe,
Executor of this my Last Will and Testament. In the event of my said son,
Earl W. Wolfe, failing to survive me, or in the event of his inability for
any reason to serve as Executor, I no~inate, constitute and appoint
Harrisburg Trust Company of Harrisburg, Pennsylvania, as Alternate
Executor of this My Last Will and Testament.
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IN 'IIlT!-;SSS WHEREOF, I, SALOME E. WOLft, have to this my Last
Will and Test3ment, written on twv (2) sheets of paper, set my hand and
s"31 this i.J day of .;L,~._,.~
, 1956.
~;; 1'1#
IOk"".J-. _.} L-
Salome E. Wolfe
(SEAL)
Signed, sealed, publishe..1 arid decla:-ed by the abo',e named
Sale-me E. Wolfe, c.s and for her Last Will and Testament, in the presence
of us, who have hereun::o subscribed our names at her request as wj. tClesses
thereto,.in the presence of the Jaid Testatrix and af each other.
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ReG-SS..
h
RESIDENT DECEDENT
SCHEDULE "En
JOINTLY OWNED PROPERTY
CtlMMONWF.I\LTH OF PENNSYLVANIA
THANSFEI\ TNHEHlTI\NCE TAN
DiSTRlTTIOKS: This schenule must disclose all property, real and personal, owned by the rlecedent jointly
with another or others, including intangibles, standing in the name of' the decedent and others. List
real estate first, as entireties, or Joint tenants, giving brief description, a~ indicated tUHter Schedule
"A", plus the date and place of record of instrument effecting vestiture, but (10 not include entireties
or out of' state real estate value in estate valuation column. Personal property should be listed as in
Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to
the decedent.
Description or Property, Date or Acquisition, Name 1 -
unit pe rcen t age Estate DEPARTlfENT VALUATION
Address ~d Relationship of Co-Owners, and Place I Value Share Valuation CAUTION-Do not Write
of Recortl of' Instrument, where Real Estate. ! In This Space.
Y) 0< ;& )< ex Value of Value of
>IX 01: :,)0 0<> )<. :x
~ >0< Yx: .v<. <X> Entire Decedent's
~ X) 0- :x >\Xl )< X)
IV', N )< Property Interest
,
NONE N
I
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(J'-J-.
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)
Insert this total opposite "Jointly Owned Property", Schedule ."E"
in the "As Reported" column on the last page of' this return.
. ; .
.
. -'
" .
RC c.S9.(&o77)
County, Number and Name, 91 f'''WI/'@.~e''''.r41 SUMMARY
File Number gJ-U=~~19
Date ,; f Death
File Date 30 MMc:h7 8 COMMONWEAL TH OF PENNSYLVANIA
Estate Home Wnf6v '~ai(Jm" E. TRANSFER INHERITANCE TAX
ILAST NAME) (FIRST NAME) (INITIAL) RESIDENT DECEDENT
REPORT OF IHHERITAHCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and far the County of CumbeJLtand
,
Pennsylvania, do respectfully' report ,that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A", "8", "C", and "E".
Dated: 30 MMeh 78 ~..6L- K fltJ~~~
INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for County, Penns.ylvania, do respect-
fully report that I have allowed dedu'ctions in the amounts claimed by deponent, except os 10 those items where a greater or
lesser amount is set forth in the last column to the right in Schedule IIFII, which greater or lesser amount represents the sum
allowed as 0 deduction.
Doted:
,REGISTER OF WILLS
,
INVENTORY VALUE AS REPORTED V ALUE AS APPRAISED CODE VALUE AS REAPPRAISED CODE
Real Property (Schedule A) $ $ None 004+ 00+
Personal Property (Schedule 5) 41 ~4? 01 10+ 10+
Joint-Held Property (Schedule E) None 20+
Tran$fers (ScheduleC) None 30+
TOTAL GROSS ASSETS 41 342 91
Less Oebts and Deductions 40.
(SCHEDULE F)
CLE AR V ALUE OF EST ATE
Valuation of life estates or ~ PRINCIPLE FACTOR VALUE ~
annultles....................._ $
t=
ESTATE TAX A$SESSMENTS _ $
FOR USE OF REGISTER ONLY
Tax on $
Tax on $
Tax on $
Tax on $
Tax on $
Exemptions
Total_Estate
~
E=
r
COMPUTATION OF TAX
2%
6%
S%
10%
15%
$
$
$
$
$
.
TOTAL TAX
$
Less tax previously paid
BALANCE
Less S% of tax if paid within
3 months after death
1=
$
$
$
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6% from
10
AMOUNT OF ESTATE TAX ASSESSED $
Estate tax paId $
{
$
t::
BALANCE DUE
$
$
TOTAL TAX BALANCE $
PAID $
Add interest at rate of 6% from
to
Supplementa' Codes: (FOR USE IN HARRISBURG ai'lL Y)
('*) As evidenced by Charitable
Exemption Certificates Issued
by the 5et:retory of Revenue.
I
I
48-Adjustment
49+Adju.tment
56-Annuity
93C-Chori.ty
94-"Remainder Residue
96-Success i Vl;t
Life Estate
6O-Life EUate
92+Remainder Appraisal
93-Remoinder Deduction
FOR USE OF REGISTER OHL Y
ADJUSTMENTS
HOTE: Where subsequent adiustments are made to_ the above computation of tax by the ,Register of Wills, for proper reason,
same should be noted below, with short explanation.
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RC~-"~ (e-68)
COMMONWEAL TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
"
.,
SUMMARY
Estate of Wolfe.
(Last Name)
'Salome
(First Name)
E.
(Initial)
DATE OF DEATH-1LI/78
FILE NO.
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Cumberland
Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
. the values set forth opposite each item in the last column to the right in Schedules "A", "B", "e", and .'E",
,
Dated:
INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for Cumberland County, Pennsylvania, do respect-
fully report that I have allowed deductions in the amounts claimed by deponent, except as to those items where a greater or
lesser amount is set forth in. the last column to the right in Schedule "P", which greater or lesser amount represents the sum
aUowed as a deduction.
Dated:
VALUE AS REPORTED VALUE AS APPRAISED
$ $
VALUE AS REAPPRAISED
$
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint- Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
ISCHEDULE F)
CLEAR VALUE OF ESTATE
REGISTER 01= WILLS
I
34 711 22
Valuation of life estates or
$
E=
annuities. . . . . . . . . . . . . . . . . . .
!, ESTATE TAX ASSESSMENTS
t=
"
't=
$
,
FOR USE OF REGISTER ONLY
Tax on $
Tax on $
Tax on $
Tax on $
Tax on $
Exemptions
Total Estate
TOTAL TAX
Less tax previously paid
BALANCE
Less 5% of tax if paid within
3 months afier death
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6% from
to
AMOUNT OF ESTATE TAX ASSESSED $
Estate tax paid $
BALANCE DUE
Add interest at rate of 6% from
to
COMPUTATION-OF TAX
2%
6%
5%
10%
15%
.
.$
$
$
$
$
. '
,
,
"
(*) As evidenced by Charitable
T Exemption Certificates issued
, : by the Secretary of Revenue. '
$
$
$
,=
$
$
c
$
C
L
t=
$
l~~-~ BALANCE :
PAID $
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE: Where subsequent adjustments are made to the above cumputation of tax by the Register of Wills, for proper reason,
same should be noted below, with short explanation.
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R C C-2 12-641 . .
. ' 30 MaJteh 78
COMMONWEALTH OF PENNSYLVANIA DATE
DEPARTMENT DF REVENUE RESIDENT INHERITANCE TAX COUNTY Cumbe4ta.nd
BUREAU OF COUN,TY COll ECTIONS
HARRISBURG, PENNA, 17127 APPRAISEMENT FILE NO, 21-78-0019
Whereas, Slltome E. Wo.f.6e late of Camp Hill
in the County of CumbeJtland Commonwealth of Pennsylvania, having died on
the ,1~t day of JanUJ1JLlj 19~, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, 1hlt ~Po;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 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 appraJse and assess transfer
inheritance taxes a.t the lawful collateral rate on any such future Interest.
Unit Apllnlsement
D~.c.rJplloll of And Vlllu", Made ftlr Inheritance
TalC PurDOnl
Rea! PJtooeJr:tu $ None
PeMona! PJtOpeJr:tlj 4 J ,342 91
- I... None
Jo,(ytftlj Heid PJtOpeJr:tlj None
ToM M<I e6.t6 4 J ,342 91
.
.
.
V"
; .
.
.- ,
.
. -
Having been duly sworn according to law, I do hereby certify that the above appraisement is made in con-
formity with law on this 30rh day of . ~~. .At .P,,_ 19l-L-.
_ N.. ,
Appralaef
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(Pa.t 0ftI(!e)
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