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HomeMy WebLinkAbout02-02-81 (3) 1'orm No RCC-62 (8-70) RHIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSESTS UNDER '10.000. UNDER SECTION 701 OF ACT OF JUNE lB, ll1l11, EFFECTIVE JANUARY 1, ll1l12 (FILE IN DUPLICATE WITH COPY OF WILL ATTACHED) . I '.' _' " :( I-'n -- 5'3' OFFICE OF'THE REGISTER OF WILLS ).'''\9.t-. 7,\(\" c1, >' 2' *' County of Cumberland of 606 Poplar Church Road, Camp Hill, PA (Address) Dolores Baxter (Name) she according to law, deposes and says that ~ is the of the estate of Deborah A. Moore whose last residence was Administratrix (Exec., Adm., Legatee. Etc.) 606 Poplar Church Road, (No.) (Slreel) 1/25/78 being duly qualified East Pennsboro Twp. (City, Borough or Township) consisted of: deceased, and that the whole of the estate of said decedent, who died (Date) 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 None 0 N'nc..e..- Personal Property ~ Cash 427.32 Savinas Account No. 002-0007093 - State Capital Savings & T.oan Association, Harrisburg, Pennsylvania $757.14 Interest 2.66 Ghecking Account No. 330059-0 - Citizens National Bank & Trust Co., Waynesboro, PA (363.03).3' 1969 Chevrolet Nova 833.33 State Farm Insurance Company - Accidental Death Benefit 5,000.00 Settlement on claim of ~~~n behalf of decedent's Estate. (Litigation settled and amount received in October of 1980). .1.0/9:00 Harrisburq Symphony Association, Compensation 125.73 .1.0,3 Waynesboro Area School D~str~ct, Wages 385.21 TOTAL 1$10,907.42 V NOTE: You may expedite the processing of this return by filing with it, and as a part of the rZ 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 ~igned by a responsible officer of the financial institution 01' 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. DEBTS AND DEDUCTIONS CLAIMED OTE: List first five items in the spaces so provided, observe notations thereon, and instructions. DEBT OR CLAIM NATURE OF SAME AMOUNT Horne, If11lheral expenses paid $ Family exemption (will not be allowed unlell8 decedent died residing with a spouse or children.) Administration Expenses 0 Counsel fees 0 " Fiduciary commission . OTHER DEBTS AND CLAIMS (0) See Note below tax 27 03 17 40 49 25 10 00 30 00 14 10 272 50 21 11 20 15 25 02 5 48 350 00 40 41 237 50 130 15 44 00 90 00 .3 70 30 00 530 29 44 00 2,000 00 1,000 00 1,000 00 f Pa. - te1eph::>ne bill as - Visa charge card 44 00 18 00 2 00 9 00 rtificate 2 00 of Wills - filing fee 35 00 of Wills filing fee 6 00 OTAL $6,361.57 ote: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is greater or , less than the estimated amount claimed and allowed. advertising photocopies / Subscribed and sworn to before me this . . . . . . . . . . . . . . . . . . . . . . . .;9'1';........ ,., of fJa/rwacy-.. .... ., 19.'?/. .1!A1JJrpA.Q..>. ct. .~ ~". 0 /'! .11\./. . .. .. . .. . ~ . BARBAR.1t J.'1$fj5R[r:ux,r:~r)1 Pl;!-Hc HdrrISCtJ;;;. ~.J:':'-;'l ""-";j': ~'; (Ezecutor-Administrator) 606 Poplar Church Rd. (Street Number) . .<;:a,~p. ..H.i:!-.l To. Ra... . . . ... . .. ... . .. ... (Citll or Town and State) rJ G_,,, ".:_~:- (j.J. Ck:'J\ \'10 1 Having been duly sworn according to law, I do hereby certify that the above appraisement is made in conformity with law on this I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . day of . . . . . . . . . . . . . . . . . . . . . . . . . ., 19. . . . . Appraiser .In ~e event that any futuroe interest in this estate is transferred in possession or enjo)'ment to collateral ill!irs of the decedent after the ~xplI'~tlOn of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer mhentance taxes at the lawful collateral rate on any such future interest. REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for. . . . . 0 0 0 0 . 0 . 0 County, Pennsylvania, do respectfull)i report that I have I allowed debts and 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 said schedule above, which greater or lesser amount represents the sum allowed as a deduction. I Dated: 00.0..0..... o. 0 0 0.... 0... 0....0...0....... 0.. ..................................................... Register of Wills REV.484 EX+ (!l-801 INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) [i] Original o Supplemental o Remainder File Number 21-78-0055 Estate Name Deborah A. l100re Date of Death 1-25-78 Social Securi ty Number REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tox Appraiser in and for the County of Cumberland Pennsylvania, do respectfully report thot I 'have approi sed 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", "C", and "E" Dated: February 26, 1981 ..w AJu'O } 7f, JI ~t1 Jfd) INHERITANCE TAX APPRAISER ADJUSTMENTS REMAINDER APPRAISEMENT CaDE INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY) Real Property (Schedule A) $ -0- 00+ 92+ Personal Property (Schedule B) 10,907 42 10+ Joint.Held Property (Schedule E) -0- 20+ Transfers (Schedule C) -0- 30+ TOTAL GROSS ASSETS 10.907 42 Less D.bts and Deductions 40- 93- (SCHEDULE F) CLEAR VALUE OF ESTATE o Life Estate o Annuity RATE FACTOR PRINCI PLE VALUE CODE FOR USE OF REGISTER ONLY CODE COMPUTATION OF TAX $ $ $ $ $ TOTAL TAX INTEREST FROM BALANCE TO $ $ $ T ax on $ 6% T ax on $ lS% T ax on $ Tax on $ T ax on $ Exemptions Total Estate Less Credits DATE OF PAYMENT TAX CREDIT AMOUNT PAID $ $ INTEREST FROM BALANCE DUE REV-518 FO (7-80) NOTICE OF FILING OF APPRAISEMENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS Dolores Baxter 606 Poplar Church Road Camp Hill, Pa. 17011 RE: Estate of County of File No. Deborah A. Moore Cumberland 21-78-0055 Dear Ms. Baxter: You are hereby notified that the original appraisement in the estate of Deborah A. Hoore has been filed in the office of the Register of Wills of Cumberland County on February 26, , 19 81 . Said appraisement reflects the following valuations: Real Estate Personal Property Jointly Owned Transfers Total -o- 10,907.42 -0- -0- 10,907.42 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 February 26, 1981 Signed ~~hJA )'t'f:/A'.4~hd / Title Chief Appraiser NOTE: This is not a bill. REV-457 (l-80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT Estate of Deborah A. Moore File No. 21-78-0055 County Cumberland Date of Death 1-25-78 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 Commonweelth hereby expr_ly reserves the right to appraise and a_ transfer inheritance taxes at the lawful collateral rata on any such future interest. PROPERTY REPORTED BY THE ESTATE DEPARTMENT'S APPRAISED VALUE 1. TOTAL REAL PROPERTY - SCHEDULE "A" -0- 2. TOTAL PERSONAL PROPERTY - SCHEDULE "8" 10.907.42 3. TOTAL TRANSFERS - SCHEDULE "C" -0- 4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E" -0- TOTAL REPORTED PROPERTY 10 .907 .L12 PROPERTY NOT INCLUDED IN flETURN BUT APPRAISED BY THE COMMONWEALTH TOTAL UNREPORTED PROPERTY -0- TOTAL GROSS ASSETS 10.907.42 LIFE ESTATE OR ANNUITY CALCULATION , I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day with the Register of Wills. ~~/d /'1'Ph.ddN"-) APPRAISER 2-26-81 DATE