HomeMy WebLinkAbout11-13-78
COMMONWEALTH OF PENNSYLVANIA
OePARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
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"Rc(:!ootol (3~7!)
COUNTY OF
CUMBERLAND
This return must be completed in detail and filed in duplicate, with the Register of Wills in the County where the decedent resided within nine
months after date of death, unless on extension is granted by the Secretory of Revenue.
Will
~ No.21-7R-R9 19-1lL I,
Martha E. Finkey
(NAME)
of R. D. # 1 , Newburg, Pennsylvania
(ADDRESS)
Misc.
being duly sworn according to law, deposes and says that he is the
of the estate of
Janes C. Thrush
late of
Administratrix
(EXEC., ADM., LEGATEE, ETC.)
Hopewe 11 Township
(CITY, BOROUGH, OR TOWNSHIP)
January 1, 1978
(DATE)
deceased, and that the whole of the estate of said decedent, who died on
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
no Penr.sylvrulta Transfer Inheritance Tax is due.
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JOAN E, ARNOLD, Notary Public
~n !lVI d/l' Cf" Az,/
(SIGNATURE)
Martha E. Finkey U
( TITLE)
Administratrix
Sw,.>rn ('Ind '\ubscrib"d before me
Type- of Anet:
~t'al Es!ate, Per!..
Property, Jointly
Held Prop. or
Transfer!
My Commission Expires Sept. 6, 1982
ASSETS
(Attach additIonal sheets If neceSllary)
Description ofAu"'et
estimated
Market
Value
Deportment
Va Ivation
CAUTION
(Do not write
In this see)
Real Estate
None
N~
Personal Property 1974 Merrnry Sedan (Canet) , Vehicle Identificati
No. 4K3IF574086
1955 Ford, Vehicle Identification No. U5NW1265l4
$1,000.00' \,oco ,0 '"
305.00 '30So:>
1975 Suzuki Motorcycle, Vehicle Identification
No. T50080356
200.00/L.-OO o:c,
Peoples National Bank, Shippensbllrg, Penna.
Checking Accamt No. 55-275-5 ,/
Date of Death Balance: $54.66
54.66
/S4, <06
Continued Page 2
TOTALS
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have
appraised the real and personal property as reported in the foregoing schedule at the values~_et forth opposite each item in
the last column to the right. \. 0 -'l'I (-- L~ ~
Dated: (INHERITANCE Te~PPRAISER)
DEBTS AND DEDUCTIONS
Natvre of Claim
Amount
Claimed
Amount Approved
by Regi!;ter
Name of Payee
Plcugh and Lillick
Bond
$
48.00
Register of Wi lls
Letters of Administration & Short Certi
ficates
22.00
Cumberland Law Jcurnal
Legal Advertising
18.00
The News Chronicle
Legal Advertising
10.00
National Life Insurance Co. Premiums for insurance policies of
children
42.06
Galen Gates and Sm
Final Clothing Bill
45.22
Kelley's Texaco
Final Automobile Maintenance
Continued Page 3
Bill
TOTALS
39.45
3~.'.' h
REPORT OF THE REGISTER OF WILLS
t. the undersigned duly elected Register of Wills in and for the above County, do respectfully report that I have allowed
deductions in the amounts set forth in the above schedule as claimed. except where I have set forth a greater or lesser amount
in the last column Ihe right, which greater or lesser amount represen~ allo:"ed as a deduc~.
Date of Approval: ,;),/, _ tl \~~~').~,( ~ {jVv1~'A'-"
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Type of
Asset
ASSETS
Jersonal Property Refund fran Peoples National Bank, Shippensburg,
Penna. , for disability refunds on bank loan
Jointly Held
Property
PPG Industries, Inc., Stock Certificate
No. P03l9040, Common - 4 shares
Date of Death Value: $27.00 per share
PPG Industries, Inc., Stock Certificate
No. P0374230, Common - 17 shares
PPG Industries, Inc. , Stock Certificate
No. P0354450, Cammon - 2 shares
PPG Industries, Inc. Stock Dividend Check
National Life Insurance Canpany, Life Policy on
the life of Jeffery S. Thrush, Policy No.
1518759
Date of Death Value: $48.57
National Life Insurance Canpany, Life Policy on
the life of Rebecca M. Thrush, Policy No.
1518742
Date of Death Value: $45.56
Peoples National Bank, Savings Accrunt
No. 055-287-9 20, Titled James C. Thrush or
Jeffery S. Thrush
Date of Death Balance: $50.61
Peoples National Bank, Savings Accamt
No. 055-288-7 20, Titled James C. Thrush or
Rebecca M. Thrush
Date of Death Balance: $50.61
Transfers None
TOTALS
-2-
Estimated
Market
Vame
Department
Valuation
92.70 l,,-/ q L .l 0
108.00 \.0'0 0'0
459.00 Ll S"t. 0'"
54.00' S'-I..00
9.89 vt.8 ~
(.-
48.57 / W. t;3S1
45.56 ,/' 4 S s (.,
.
25.301 SO. lo ~
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DEBTS .A1'ID DEDUCTIONS AmOllll t Amcunt Approved
N ane of Payee Nature of ClalJll Claimed by Register
Hippensteel's Auto Final Automobile Repair Bill 113.74
Recondi tioning Service
Fogelsanger Funeral Home Funeral Expenses 1,071.00
Jeffery S. Thrush and Family Exemption 2,000.00
Rebecca M. Thrush
Register of Wills Filing fee for Inheritance Tax Return
for Insolvent Estate 3.00
Register of Wills Filing fee for Petition to Settle
Small Estate & certified copies of
Court Order 10.00
James D. Bogar Attorney's Fees 200.00
TarALS $3,622.47
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LARRY WELKER FORD, Inc.
532-4151
204-20.8 East King Street
SHIPPENSBURG, PENNA, 17257
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September 12, 1978
James D. Bogar
Attorney At Law
23 West Main Street
Shiremanstown, PA 17011
Dear Mr. Bogar:
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o
With regards to the 1974 Mercury Sedan, owned by the
late James C. Thrush; please be advised that we believe
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$1,000.00 to be a fair appraisal for this vehicle at this
time.
Sincerely,
LARRY
~
President
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F tl de k if ;Jj"tVI/J!.. IZ, /7;/1(/
rom nc :5 0 717-776--:330$
RICHARD HIPPENSTEEL
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THE PEOPLES NATIONAL BANK OF SHIPPENSBURG
P. O. Box 9
SHIPPENSBURG, PENNSYLVANIA 17257
Phone: 717 532.4131
HAROLD U. CROUSE
President
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JOHN E. McCANN
Execullve Vice Presldenl
September 12, 1978
James D. Bogar
Attorney at Law
23 West Main Street
Shiremanstown, PA 17011
Dear Mr. Bogar:
In re: Estate of James C. Thrush
Mr. Thrush carried three accounts with our bank. His checking account,
number 55-275-5 was opened on November 24, 1975; the balance at his date of
death is $54.66..
His savings account number 055-287-9 20, which was opened in January
of 1977, is in the names of Jeffrey S. Thrush or James C. Thrush and has
a balance of $50.61.' The other savings account number 055-288-7 20, also
opened in January, 1977 in the name of Rebecca M. Thrush or James C. Thrush,
has a balance of $50.61.,.
If you need any further information, please feel free to contact us.
Sincerely yours,
)/;IJi c'. &t
Sa rah E. Bert
Supervisor Data Processing
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Life Insurance statement for CD Living insured
,. F.;m 938
(Rev. Sept. 1973) (This statement must be filed by the donor with the Federal Gift Tax Return, Form 709, or may be filed by the
~~:::~~e~~u~~:':::Ury,. executor with the Federal Estate Tax Return, Form 706, where decedent owned insurance on the life of another.)
~[.~.l General Information
1 (a) First name and middle initial of donor (or decedent)
James C.
(b) Last name
Thrush
(c) Social security number
172-36-2294
I
~I January 1,1978
2 Valuation data with respect to:
(a) Date of gift .
(b) Date 01 decadent's death
~m!.r] Policy Information
3 (8) Name of insured
Jeffery S. Thrush
4 (a) Name of insurance company
National Life Insurance
(c) Number of policy
1,518,759
(I) Gross premium $26.88
5 If assignment made:
(a) Name of assignee
(b) Date 01 bi rth
May 10, 1969
Company
(b) Kind 01 policy
Life
(d) Face amount
$2000
(g) Frequency of payment
(e) Date of issue
November 1,1974
Quarterly
(b) Date assigned
6 If irrevocable designation of beneficiary made:
(a) Name of beneficiary
I (b) Date 01 birth, il known
I
I (c) Date designated
(d) If other than simple designation, Quote in full. (Attach additional sheet if necessary.)
7 If policy is not paid.up: valuation date.
(('I) Interpolated terminal reserve on eI=ate=~f=a:sgfg:RFFl'eFft.::m:~~1 "'edg:l!t~__ioia.
(b) Add proportion of gross premium paid beyond~~s:i~=9F~crcaI;tecd8sig~
~~ .v~l~a~iqn .d~t~
(c) Add adjustment on account of dividends to credit of policy
(d) Total .
(e) Subtract any outstanding indebtedness against policy
(f) Net total value of the policy (for gift or estate tax purposes)
8 If policy is either paid-up or a single premium:
(a) Total cost, on date of assignment or irrevocable designation of beneficiary, of a single-
premium policy on life of insured and at his attained age, for original face amount plus any
additional paid-up insurance (additional face amount $..............._....................). (If a single-
premium policy for the total face amount would not have been Issued on the life of the
Insured 8S of the date specified. nevertheless, assume that such a policy could then have
been purchased by the Insured and state the cost thereof, using for such purpose the same
formula and basis employed, on the date specified, by the company in calculatIng single
premiums.) .
(b) Add adjustment on account of dividends to credit of policy
(c) Total .
(d) Subtract ut n. g indebtedness against policy
(e) Net to v;fl.~,/ icy (for gift or estate tax p ,poses)
The u ~1f~' ?/o icer of the above.named Insurance c pany hereby certifies that this statement sets forth true and correct information.
Slgnatuk';' c.-/ --~-7____C-/ ~ Title g:~f~datlon ~
__J~!:.?~.........I"II_~
--....-tR.....m_
._t~.?,.?L........
. . . . .. $48.57;../".
WiI
m__m.
March 27,197:
Instructions
Purpose of statement.- The information
shown by this statement is necessary for
Federal gift tax purposes to determine the
value of a gift of insurance. It may also be
filed by the executor with the Federal Estate
Tax Return where the decedent owned insur-
ance on the life of another.
Diroctor of Policy Benefits
Statement of insuror.-Thls statement
must be made. on behalf of the insurance
company which Issued the policy, by an
officer of the company having access to the
records of the company.
Duty to file.-It is the duty of the donor
when fHing his Gift Tax Return to procure
this statement from the insurance company
and then file it with the return. However,
if specifically requested, the insurance com.
pany should file this statement directly with
the official of the Internal Revenue Service
making the request.
Separate statements.-A separate state.
ment must be filed for each policy.
u.s. GQV[RNIAENT PRINTING OffiCI:: ,m3- -!iClO--207
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"'0"" 938 Life Insurance statement for a Living Insured
(Rev. Sept. 1973) cThlS statement must be filed by the donor with the Federal Gift Tax Return, form 709, or may be filed by the
~n~::~~~:~::u~~:~:Ury... executor with the Federal Estate Tax Return, form 706. where decedent owned insurance on the life of another.)
<::;J General Information
1 (8) First name and middle initial of donor (or decedent)
James C.
I (b) Last name
Thrush
{e} Social security number
172-36-2294
2 Valuation data with respect to:
(a) Data of gift .
(b) Date of decedent's death .
!I~"1 Policy Information
3 (a) Name of insured
Rebecca M. Thrush
~
~ January 1,1978
(b) Date of birth
September 19,197
4 (a) Name of insurance company
National Life Insurance Company
(e) Number of polley
1,518,742
(f) Gross premium $26.98
5 If assignment made:
(a) Name of assignee
(b) Kind of policy
Life
(d) Face amount
$2000
(g) Frequency of payment Quarterly
(e) Date of issue
November 1,1974
(b) Data assigned
6 If irrevocable designation of beneficiary made:
(a) Name of beneficiary I (b) Date of birth, if known
Cd) If other than simple designation, quote in full. (Attach additional sheet if necessary.)
I (e) Date designated
7 ~:~o:~c:'::~I~:::~~~~;nal resarve;;;~~1:~~~~h..' _<I-. J ':0 _,*",""'",,,,,,,".- _~?~:.~2.___m____ ~.~_..__..
(b) Add proportion of gross premium paid beyond=da~s:igRm'ent=l!1F~TV"I'~~_Ll~ JwJg?r~ -....~
._=- .v,\ll!at,io.n .da.te. _m~:}~m_m_.__ ~ IIlIw"_~
ee) Add adjustment on account of dividends to credit of policy R 6., _ i%P~
(d) Total . mj_~_~_,.5_L_______
(e) Subtract any outstanding Indebtedness against policy
(1) Net total value of the policy (for gift or estate tax purposes)
8 If poHCY is either paid-up or a single premium:
(a) Total cost, on date of assignment or irrevocable designation of beneficiary, of a single-
premium policy on life of insured and at his attained age, for original face amount plus any
additional paid.up Insurance (additional face amount $..m........_.~....___....._..._...). (If a single.
premium policy for the total face amount would not have been Issued on the life of the
Insured 8S of the date specified, nevertheless, assume that such a polley could then have
been purchased by the Insured and state the cost thereof, using for such purpose the seme
formula and basis employed, on the date specified, by the company in calculating single
premiums.) .
(b) Add adjustment on account of dividends to credit of policy
(c) Total .
(d) Subtract an>,~tst oi indebtedness against policy
(e) Nat total.vah e. (jf . y (for gift or astate tax pur oses)
The unde I 1J.:((~.!9 er of the above.named insurance com any hereby certifies that this statement sets forth true and correct lnfdrmation.
'/u:- Date of March 27 1978
Signature I.- ~. Title Certification ... '
. . . . .. $45.56 ,/
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-.'BY'.
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_____mmm._m____._
Instructions
O' t' f Policy Bonefits
Hec or 0 Statement of insuror.-Thls statement
must be made, on behalf of the insurance
COr1)pany which issued the policy, by an
officer of the company having access to the
records of the company.
Duty to file.-It Is the duty of the donor
when filing his Gift Tax Return to procure
this statement from the insurance company
and then file it with the return. However,
if specifically requested. the insurance com-
pany should file this statement directly with
the official of the Internal Revenue Service
making the request.
Purpose of statement.- The Information
shown by th is statement is necessary for
Federal gift tax purposes to determine the
value of a gift of insurance. It may also be
filed by the executor with the Federal Estate
Tax Return where the decedent owned insur-
ance on the life of another.
Separate statements.-A separate state-
ment must be filed for each policy.
US. GOVERNMENT PR!NTlNG OFFICE, t9n- -i!lOO-207
REV-lIt8 (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
Martha E. Finkey
R.D. 1
Newburg, Penna. 17240
(Executor or Administrator)
In Re: Estate of
James C. Thrush
Cumberland
County - Fi Ie No.
21-78-0089
Dear
You ore hereby notified that the
appraisement in the estate of .T:=ampR. r. 'l'hrllR.h
has been fi led in the office of the Register of Wi lis of C:"mhp,.1 ;mil
County on 22 January ,1922-, Said appraisement reflects the following
valuations:
Insolvent
Real Estate
Personal Property
Transfers
Jointly Owned
Total
None
2.478.60
None
None
2,478.60
As to such tax that is paid within three months from dote of deoth, 0 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 dote of death,
interest at the rote 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.
L~_t' \ ,Yo- ~::::::c:=-,
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22 Januray 79
Signed
Dote
Title
Administrative Officer
Note: This is not 0 bill.