HomeMy WebLinkAbout11-13-78
Form RCC-33
COMMONWEALTH OF PENNSYlVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF
*~
RESIDENT DECEDENT
21-78-82
r. r 0' -'~ r'
~'4 d .;
Cumberl,ancl.
(',
J
IMPORTANT: This return must be convleted 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 hy the Secretary of Revenue. (Section 70~ of
the Inheritance and Estate Tax Act of' 1961.)
IN THE MATTER OF THE ESTATE OF
.........................}::::;;: OF
t4tRoMIJJlSTIIA.&Bo--
. ...... County
...~cinll,..M,A1l!lI>l1lJ:gl1
(State full name of decedent)
Late of . Cumberland..
Slate of .J;lennsy1Yll,nJll,
County or
Cumber1ll,nd
......................}ss:
. ......".~.
-~.........
Wi llJamN,A1sPll,ugh ....... "0. .
of the estate of the above-named decedent being duly sworn, depose
_lor
and say
Decedent died ...FEl'bJ;uarY13
(Month)
(Hay)
. 19 ... .~.~.j testate leaving a last will, copy of which is hereto attached. }
(Y!;-llr) L~~
Name and address of attorney or}
other authorized representative to
whom all correspondence should be
mailed.
George B, Faller
Ten West High St., Carlisle, Pa,
That as such .........;JJ;~.~g~tQ;r.............. deponent is familiar with the affairs of said estate and the property con-
(Ex"...utor-Adminifltrutor)
Rtituting 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 acceSR 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 SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
lYauPfiTn lYeposi t l3ank & Trust Co, Edna M, A1sDaUl1:h or son
William N, A1snaul1:h
That the contents or said safe deposit box or boxes are itemized under Schedules
return, with the exception of the fOllowing, for the reasons hereinafter set forth:
miscellaneous papers having no monetary value.
That Schedule A attached hereto and made part hereof sets forth fully and in detail all the
real property in the Commonwealth of Pennsylvania 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 :forth in the colunms provided therefore the assessed valuation of' each of said
parcels, the estimated market value thereof as of date of death of decedent.
B
or this
That Schedule B attached hereto and made part hereof sets forth f\llly and in detail all personal
property wheresover si tuated 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 or savings banks, and to the date or decedent's death
in all other cases; all bonds, postal savings, treasury certiricates 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 free, of the United States, or any state, or political subdivision thereof, or of
any foreign country, whIch are ownen at the time of death; all wearing apparel, 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, left by decedent, together with the fairly estimated
market value thereof'; all bonds and mortgalZes held by decedent and of all claims due and owing decedent
at the time of' cleat.h, and all promissory notes or other instrlUnents in writing for the payment of money
of which decedent rUed possessed, of whatsoever nature, with interest thereon, if any, giving the race
value and estimated :fair market value thereof, and if such estimated f'air market value be less than the
face value, it sets f'orth briefl y the reasons for such depreciation as to each i tern; all moneys payable
to the estate from life 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
rille thereon and unpairl 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 case of' securities of' close or ['amily corporations, the values reported are as f'ar as
possible substantiated by f'inancial statements of' the corporations, showing the assets and liabili ties
thereof' as of the date of' death. The schedule also sets f'orth the interest of' oecedent at the time of'
death in any co-partnership or business, and in support of the value of such interest there is annexed to
said schedule, finflncial statements showing; the assets and liabilities of said co-partnership or business.
A copy of thl:'" co-partnership agreement, (if oral, a statement setting :forth the nature of the agreement)
together with a statement setting forth the character of' the business, its location, and such other f'acts
pertaining to the business as may he pertinent to a f'air and ,just appraisal of' the decedent's interest
therein mllst he submitted. It should also set forth in itemized f'orm, 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 forth a true answer to each inquiry
contained therein and in the case of' transf'ers of'property, real or personal, within two years of' decedent's
death, in contemplation of decedent's death, or int.ended to take ef'fect in possession or enjoyment at or
after death, said schedule sets forth t}le nature and. value of' such property, to whom transf'erred, the
relationship of' the transferees to the decedent, the proportionate share received by each transferee and
all other f'acts of' a pertinent nature regarding sain transfers. In the case of transfers intended to
take eff'ect in possession or enjoyment at or after death, there is also attached to the schedule a copy
of' the deed, trust agreement or other instrument creating the trust. Ther'~ is also set f'orth in said
schedule a list of' all property, real and personal, with its value, which paEses 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, either individually or jointly, by the will, deed, or other instrument of another,
with a copy of the instrument creating such power attached to the schedule.
That Schedule D attached hereto and made part hereof' sets forth the nllmes ann addresses of' all
persons benef'icially 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 a.f!;es at the time of'
decedent's death of' all minors, annuitants ann benef'iciaries f'or life unner decedent's Will. It also
contains a statement showing which of' the benef'iciaries namerl 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 benef'iciary.
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 ef'f'ectin.e; the vestiture of
real estate and the date of acquisition of' personalty, p.lus the name, address and relationship, if' any,
of' co-owners 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, inclUlUng funeral expenses paid;
family exemption, where app] icable; costs of' administration of' this estatej C01UlSf'1 fees and fudiciary's
conunissions paid or to be paid; cost expended f'or burial trusts, tombstones or gravemnrkers, and reli-
gious services, in consequence of the death of' the decedentj debts and claims owing and ltnpaiil at time of'
death; taxes accrued chargea1l1e f'or p~riod prior to decedent's rleath (except those allowed under Section
651 of' the Inheritance and Estate Tax Act) j together with a statemlOmt of collateral pled~erl f'or obliga-
tions, if' any. It is agreed that the fiduciary will present proof' of said claimed obligations upon re-
quest, that if' the amount actually paid in settlement of any fee~ ~ommission or debt is "less than the
estimated amount claiming and allowed, that the same will he repOl'ted to the Hegistcr or Wills, and that
the amount of' tax assessed can be reassessed in accordance therewith.
That the totals of' the appropriate colunms in Scheflules "A", "B", "en, "E", and "F" as (Hrected therein,
have been carried f'orward and properly registered in the Sununary.
Subscribed and sworn to before me this
.mC:~.t.~...... .......... ......,daY Of~~, . 19Z~
................ ....... t1-I.L~..I? ~ .~.. ..C.'"
. . ~t;'" 1':\0'
Stpn'r:', 1) l ,~~.,'.~,
,\ \~~, i ~. _',.' ',<12,)
'Mv (C[1'I1':S\t,~1 , -. ;t
(1:I;'i;~ '" r~.
NOTE: Before signinp; nf'fldavi (. make sure all III ank spaces 'ill the aff'idflvI t ilnd schedules annexed are
f'illed in with detCliLs or the word "None", and III case the assets ,include f'are anri unlisted securities,
securities of close or family rnrporntinns or an inLf'rest. in any (~()-purtnershjp or business, that the
data and stfttements required, lindeI' the parugr'apll abov,~ rf']i\ting to Sclledlllf~ liB" are ItLtactwo. Also make
certliin that column #1 in the "SUnJJllflry" hits heen pr(\perly complet~rl ;J,e; Ilhove-dir'~ct.ed.
t)~ 9tJ~IU<:;t:-{..
(Executor-Administrat 0'
3(. -
I ~J ~.. .. H._........
(Street NV:rrPr)
C~7/1~...............
(City or Town and State)
RC C-34 (4-73)
COMMONWEALTH OF PENNSYLVANIA
DEP/(RTMENT 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.")
The real property located In the Commo.,weolth of Pennsylvania should be
descrlbed 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 a farm state number of a-
cres; also statement of mortgage encumbrances upon each parcel at death
of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are
to be listed on Schedule llF" and must not he deducted from this schedule.
(1)
(2)
(3)
DEPARTMENT
VALUA TION
CAUTION
(Do not writ.
In thl. space)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
ESTIMATED
MARKET VALUE
House and lot being known as 125 East
Louther St., Carlisle; lot size 27' x 240'
more or less. Sold at publiC sale for
22,500 - net proceeds
;:'4vOUj [/?JvIA-/L 7j'JH{7J,+/{
!A!:-)SOI).t){) 00
", .;l.:l,SOD.
02~-4~~52/
J ~ tJO
) .".
/1 9'" t!
/
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.
<22.344.52) .,'l;l/SOo.OD
Bce -3S
IlFSInENT DECEDENT
SCHEDULE lIB!'
PERSONAL P[\OPEI\TY
... l:.... .
Il~(\
~
COMMONWEALTH OF PENNSYLVANIA
'l'ltANSFllR INHERIT:\NCE TAX
I t\STRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent, at the time of' his death. Property owned by the decedent jointly wj th another or others
must be listed under Schedule "E". Intangible personal property, titled 1n the name of' the decedent, but
payable Ilt death to another or others, including but not limited to P.O.D. U. S. Savings Bonds and tenta-
tive trust accormts, must be listed, despite the f'act that they are not of' the administered estate.
Tangible personal property shoulrl be listed first (e.g. jewelry, wearing apparel, household
goods, and furnishings, books, paintings, automobiles, boats, etc.)
Intangible personal property, such as bonds, treasury certif'icates, 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 ficiuciary in saici capacity, partnership interests, interest in anyundistributed
estate of' or income f'rom 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
MARKET VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
1.
Checking account #10-72-770-1 Dauphin
Deposi t
125.25
2.
Cash on hand
19.49
\~s.~s
IC!.49
lP '1DO. OD
I ,3(,.! .;t
\ t. d.D
11".00
3.
Savings acct. #0093846 CVS&L
Interest to date of death
6900.00
36.82
4.
Medicare
11.20
5.
Blaine Brown - refund
16.00
7.
Plough & Lillich - insurance refund
46.70
~13,o.';)<t
4/,.1b
6.
Proceeds of sale, household contents
2373.24
8.
Commonwealth of Pa. - property tax
assistance refund
200.00
;lDC>. DC
9.
Prudential Ins. Co. of America - proceeds
of policy #77760351
748.23
""l~. 4:>
Insert this total oPpos! te "Personal Property:l, Schedule I1Bn in
the nAs Reported" COllUnIl on the last page of' this return.
x X
10476.93
\O,'-I1lP.93
CUMBERIl1ND
~LLEY ~1NG,5
AND LlJAN ASSOClf\TIOr'~
16 West High Street, Corllsie, Pennsylvania 17013 249.2525
George B. Faller
Attorney at LaVl
10 West High Street
Carlisle, Pa. 17013
qctober 20, 1978
RE: Estate of
Edna M. Alspauqh
Dear Mr. Faller:
J---
Please be advised that full paid acco~nt #~3846 in the name of
Edna M. Alspaugh had a balance of $6,900.00 a~LFebruary 6, 1978
Vlith accrued earnings as of that date of $36.82 making a total of
$6,936.82.
I f you h<Jve any addi Lional questions rC'lardinq th i u "celllllll pi'"",,,
feel free to contael this office.
Very truly yours,
;t: . );/ ,
'tit: . ,~/.x%Ct:'-Jl.'.t!~
V- . '-~-1~. ~-'
Larn L. ScoY<Jht /' ~
Treasurer
LLS:ymr
---.
HCC- 36.
COMMO:iWEALTH OF PENNSYLVANIA
TflANSFEI\ INHEltITANCE TAX
SCHEDULE "e"
TR\NSFEnS
'*"
:~ 't\
"[, , '1,
IlESIlJE:iT lJECEm:I>:T
(1) Did decedent, wi thin two years of'death, ffiftke any transfer of' any material part of' his estate, wi thout
receiving Il valuable and adequate consideration theref'or? (Answer yes or no) Nn
(2) Did necedent, within two years of' death, transf'er properLY f'rom himself' to himself and another or
others (inclu(Jjng a spouse) in joint ownership? (Answer yes or no) No
(3) If' the answer to (1) or (2) above is in the af'f'irmative state:
(n) Age of decedent at time of transf'er
(b) State of decedent' 5 heal th at time of' making the transf'er. (Note 1).
(c) Cause of' decedent's death. (Note 1).
(4) Did decedent, in his lif'etime, 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) 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 in filet end before his death:
(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
income 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
(7) Did decedent in his lifetime make a transfer, the consideration for which was transferee' 5 promise to
pay income to or for the benefit of care of transferor? (Answer yes or no) No
(8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change,
because of Ii reserved power to alter, amend, or revoke, or which cmild revert to rlecerlent lll1der 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)
NOTE 1: The answers to these questions should be supported by affidavit by the attemiing 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 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
DESCRIPTION
llAIUlET VALUE
(Eg tima ted)
DEPT. VALUATION
(Dept. Only)
None
~ C l\.L.
Insert this total opposite "Transfers", Schedule "e" in the
"As Reported" column on the last page of this return.
N Q('\~
Rec - 37
(1,"-6",)
. .
co:\nll.Y:\'\rEALT!l OF f'E:'~:\'SYYL.-\:S-IA
TRANSFEI; INIIERITA!'iCE TAX
"RESIDENT DEe'EDENT
SCHEDULE "D"
~I'"
+~ ,..
~'..,." ~.,
/jf ,~'Xi~:~\
j)~{,~,):,~~;,,"':~:~,9i
BE~EFJCIAHIES
~ BENEEIC,IARIES AND ADD~ESSES --'~IfR~~~~~~~~~P:T;~;Yr~_~?T-- DATe
~... tate t.ull n",mes and adctres~, PL,' of ad who iJlpgituna,te cr, ilnren I J!~X:~~~)E~T I OF
have an Inter(~~t. vested. contIngent or other- ::ife involved s.et S1 A I L ), 1:..5 I
_~is(':..L..~E~:...~atf')______ 'forth this l~c't.) OR NO BIHTH,
R Al au h --I grandson 1- ye~-i--n--I- 20Ob;q~est
INTEREST OF
BENEFICIAllY
IN EST HE
Will'
~am . SP g .
I I I
205 Front, St. I ,
r -t ,-
Boiling Springs, Pa. I-
Kathy Jayne Baer I granddaughtE !'_~~ 200. bequest
~- - -.------
Pine Ridge Trailer Court I
- -
Carlisle, Pa. I
Robert L. Alspaullh grandson yes I 200. bequest
L-----J -
R. D. 4 -L
Carlisle, Pa. ------L-- I
-
Pattv Trimmer IlranddaughtEr yes 200. bequest
- i
36 "Hit St.
Carlisle . Pa.
-~~--
Debra Cobb granddaughtEr yes -I -L- 200. bequest
1> n ... Qnv 116 --L --l--
Carlisle I
+---
Donald Alspaugh Ilrandson yes I C2OO. bequest
.-
630 w. Penn St.
Carlisle, Pa.
-----.-
Karen McCarthy granddaught r
400 N. Walnut St., Apt. 2 I
Mechanicsburg, Pa. I I
I
William ]>I. Alspaugh , son yes 1/4 residue
I
36 "I ~l St.
Carlisle. Pa. I i
Lee C. Alspaullh Lson --L~s 1/4 residue
Henderson Ave.
Carlisle, Pa.
Richard OL Alsoaullh son ye0 1/4 residue
_....36. IlHn St,
~~..11",1.., PR. f---
Donald H. Alspaullh son yes --I 1/4 residue
-
'::;'QO w._ PAn" S't<p
Carlisle, Pa.
. L
~_.__-==--l
Depon{~nt further says that all the above-named "henef'iciaries are li.ving at this time except below:
---'-.-."--- ----------
NAME DATE OF DEATH RESIIlENCE
none
I _.
---~-
<,A '1:"
Real Property
Personal Property
Transfers
SIJ~fMARY
(Sch. "A")
(Sell. "B")
(Sch. "C")
(I)
(As Reported)
(2)
(As Ddt'flllilH'd)
3
--;;: ::::
:~ ~ ~
E~o
"0 - ~
< ~-
s.:..<:;;c
.=> ::,..
- ~-
:::l '" ...
c:.,; :::l 0
~ E 0.
~ ~
Gross Taxable Estate
$
$
$
$
$
$
$
$
$
$
$
$
r- "0
Z ~
M \>l ~
" ~ ...l
" ;: ~ -<:
:>-< ~
\>l ~ '"
<n Q -
- -<:
< oj 1:1:
~ ... .2 ""
0.. 0 oj ""
'" 0.. '" ..:: -<:
:t -< 0: \>l C>.
,.. \>l ,.. t- ~ Q
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0 t- o.. <f.
:.-: Ul
... \>l ~ t-
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0 ~ 1:1:
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-:; t- ~ - :.:
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--
RCC.38
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
*
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
INSTRUCTIONS: This schedule must disclose all property, real and personal, owned by the rlecedent jointly
wi th another or others, including intangibles, standing in the name of' the decedent and others. List
real pstate first, as entireties, or joint tenants, giving brief' description, as indicated 1mder Schedule
"A", plus the date and place of' record of' instrument eff'ecting vestlture, but 00 not include entireties
or out of state real estate value in estate valuation column. Personal property should be listed as in
Schedule "8", plus date of' acquisition, and the name, address ano relationship (if' any) of' co-owners to
the decedent.
Description of' Property, Date of' Acquisition, Name
Address and Relationship of' Co-Owners, and Place
of' Record of Instrument, where Real Estate.
."0 XX';. >9<:::s<5 >S6 0<' '^" XX <<-
>0 >6<"9\ YXXXX';.y>>S6:(SOXX';.:'x
?9S: >9<: xX XX';. :'x
unit
Value
percentage
Sh are
Estate
Valuation
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
XX 5& XX';.
:'x
,:>:Y"
6<:
>0<: >SX:'x
XX
>0<:
xX
Value of'
Entire
Property
Value of'
Deceden t t S
Interest
None
t\L(,)1'\.U
Insert this total opposite "Jointly Owned Property", Schedule "E"
in the" As Reported" column on the last page of" this return.
~CtIQ..
REv..sta (8*78)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P.O. BOX 2970
HARRISBURG
17105
IN YOUR REPLY PLEASE
REFER TO
*'
Inheritance Tax Division
NOTICE OF FILING OF APPRAISEMENT
Vl1u.a N. Alapaqh
:J6 South Street
CarUa1..,A. 11013
(Executor or Administrator)
In Re: Estate of Idaa M. Al_...
Calber1acl ___ County _ File No.-.n.~7a-nna,
Dear
You ore hereby notifie~ we 0ri.a1Da1 ,
appraisement in the estate of . AlltlNlUlll
has been filidj~he office of the Rejjister of Wills of Cwlberl.....
County on t'UarJ , 19~, Said appraisement reflects the following
valuations:
Real Estate______
Personal Property
Transfers
Jointly Owned
Total
22.500.00
~O.476.93
....
.....
$.32.91..'3
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 os provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961,72 P. S. 2485-1001, P. L. 373.
Dote ______ 8 r."rver,' 1979 Signed~) f'L---~;"'"-.:..>__
Title_~~!..trati.... Offic.r
-..--.--
r
Note: This is not 0 bill.
REV-457 (8-78)
DEftARTMENT OF REVENUE
E}UREAU OF FIELD OPERATIONS
.. P.O. BOX 2970
HARRISBURG, PENNA. 17105
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DAlC 8 February 1979
COUNTY Cumberland
FILE NO. 21-78-0082
Whereas, F.nn:! M Al~p.::tng;n late of (''iP''li~lQ
in the County of Cumberland Commonwealth of Pennsylvania, having died on
the 6th day of F"hrll~rv 19 .:LlL, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Leo Fulginiti ,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:
I n 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.
DESCRIPTION OF ASSET UNIT Appraisement
VALUES Made for Inheritance
Tax Purposes
O~"' ~ .>- $ on
22 500
Personal Pronertv In.['7F. q,
,,-
T_'_>'.. "-__~ None
-
Total S32 976 93
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I
,
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I
Have been duly sworn according to law, I do hereby certify that the above appraisement is made in conformity
with the law on this Rf'h day of r~~"'.,'"y- _ 19 ~.
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(__J Appraiser
(Number and Street)
Harrisburg
(Post Office)
. Penna.
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