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Fo,.,o Xo. nCC.62 (12.66) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000. UNDER SECTION 701 OF ACT OF JUNE 18.fS81,
EFFEC'l'IVE JANUARY 1. 1982, (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED) /, _ .." /.).. y~
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County of .. ~.~~~J;+~!l!i.",.",....., ' .
~qn~,E,.~~v.iq$Q~..l~~&~.Qff~~~A".GG~~.~~A~~~.~ .~~Q~.l~+~~t. ~~~~~t.,~~..iji~~..P~An&y.lv~~ia
(Name) we are (Addr...)
being dulY__m..l?vI9.1;'.IJ..mmnnm__m.uaccording to law, deposes and says that~thenmn~~~fJ!!;Q~.mhmm__hmumhm.___m
(Exec., Adm., Legatee, E(C.)
OFFICE OF THE REGISTER OF WILLS
of the estate oL.Q~J;:!;X.JJg~.Jt'nD~Y~!?m__m.m'h.mu whose last residence wasmluRQllQn$;QJ,u;.t.mu.m.m.hmm__mmm
(No.) (Street)
h.MechaniClOlmrgm__m.m____mn.deceased, and that the whole of the estate of said decedent, who died u.;!~~~~.J;"Yu.~.~.L1.~ 7 8
, (City, Borough or Township) (Date)
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
Real Estate
Estimated
Value
$
-0-
Personal Property ~
Harris Savin s Association Account #5-64570
1972 l1ercu
Comet
Accrued Interest
CCNB Checkin Account #196-917-9
ash Found in Wallet
NOTE: You may expedite the processing of this return by filing with it, and as a part of the return,
letters from financial institutions or mortgage holders, certifying to amounts on deposit or owed by the
decedent as of the date of death, Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account, account number and the exact name or names in
which the account is registered,
RESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED
NOTE: List first five items in the spaces so provided, observe notations thereon, and instructions.
DEBT OR CLAIM NATURE OF SAME
OTHER DEBTS AND CLAIMS
AMOUNT
Funeral expenses paid
$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses *
Counsel fees *
Fiduciary
commission .
(*) See Note below
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Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is greater
or less than the estimated amount claimed and allowed. CCNB Bank, N.A., Executo~.. . f thMst~,1e 0 ~
Subscribed and sworn to before me this...,...,...........,., Gertrud~. ~~',. ~.~':'~,~... .~?',:L.. .~(Cd.?, ...:Jj~
(Executor ~~$(:1B&trust Officer
I ( . . " ".. . . " . . " " ., 197. a
Total
. . nOlo J::lil.J;J.<~.~, S,~+~.~t..,..,.. "',..,.. .., . ..,
(Street Number)
~l()'1-i\!~\' fJU8LIC
1\1y C~r.II!1:':Slcn txp:res May 5, l'~8D
vUll,;)l;lCldIlU l"...:.J!"J I t:ltil~JI1'UII''''
.. GClijlP. .l;I;i,lL. .fil..., VQ;L),., ....., .,. ......, ., .
(City or Town and State)
Having been duly sworn according to law, I do hereby certify that the above appraisement is made in conformity with law on this
. , . ' . . . , . , , . , . . . . . . , . . . . . . , . . , . . . . day of . . . , . . . . , . . . . . . . . . . , . . . . . , . , . . , . . . . , . . . . . . . ' . .. 19, . , , .
........................................... ..................
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'inheri.
tance taxes at the lawful collateral rate on any such future interest.
Appraiser
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for, , . . , . . . . . . , . . , , . , . . , . . . , . , , . , ' , , , ,. County, Pennsylvania, do respectfully
report that I have allowed debts and deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount
,s set forth in the last column to the right in said schedule above, which greater or lesser amount represents the sum allowed as a deduction,
Dated: ..........."....,.,....."..,.....,.,..,...,
.....................................................
Register of Wills
RCC~81 (6-73)
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 OF APPRAISEMENT
Jane E. Vav-i..d6on
210 1 MMk.e;t Stltee;t
Camp H-i..U. Pa.
(Executor or Administrator}
In Re: Estate of
GeJLtJc.u.d.e M. Vav.i.-6
CwnbeJr.1.a.nd
County - File No. 21-78-0048
Dear M..iA.6 Vav-i..d6on
Y h b 'f' d h h O.lLi..g-i..na1.
ou are ere y notl Ie GIDPUlIit
appraisement in the estate of e M. VaV-<A
has been filed in the office of the Register of Wi lis of ('wnbMea.nd
County on MaL{ 25. ,19-18, Said appraisement reflects the following
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
NOI1P
8, 308. 23
None
None
8,308.23
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 T ax Act of 1961, 72 P. S. 2485-1001, P. L. 373.
Date Malf 25, 1978 Signed c;~ A ~ k .JI./AA.~
CHIEF APPRAISER
Title
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Note: This is not a bill.
RCC-2 (2-64)
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLL ECTIONS
HARRISBURG, PENNA, 17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE Malf 25, 1978
COU~~Y CwnbeJr.1.a.nd
FILE NO. 21-78-0048
Whereas, r,OhTJlIIrf'l 6.1 V""<6 late of M(l.e.h"14bQ.,btL~
in the County of CwnbeJr1..a.nd Commonwealth of Pennsylvania, having died on
the 14.th day of Jl1YIllaJrlj 19.1.L-, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, IIta. K. Gle.i.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 appraise and assess transfer
Inheritance taxes at the lawful collateral rate on any such future interest,
Unit Appraisement
Description of Allet Values Made for Inheritance
Tax Purpoles
Real.. P Jw PeJt:t1f $ None
PeMol'ta1. PIL~~n k +" 8 308 n
J-i..on.t Held PJwpeJt:t/f 1/,
...-
TJta.n.6 6 eM None
TOTAL ASSETS $8 308 23
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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 25.th day of ^.fay (~? K h~_19..1L,
Appraiser
(M\1mber and Street)
H M.ILi...6 bwr.g
{Poo. 0lII...
. Penna.