HomeMy WebLinkAbout10-12-78
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RCC.33
4-73
Cml\IO~\\E \LTH OF PE:\:\SYL\A:\JA
DEPART\IENT OF RE\E:\UE
BUREAU OF COUNTY COLLECTIONS
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RESIDENT DECEDENT
OCT J? ;0'7'
COUNTY OF CUMBERLAND
IMPORT ANT"
: This return must be completed in detail. and hied -in 'duplicate;'with :all'8ttachd;J-, -with 'the Rcg'i'ster of Wills ,(lfthe
GOUDty, :where dec~l;lentresid~d;, Return is ,due..witni~,olne,;ij1onths aft~f.(hlJe_:Q( de~th,,; unless an extension is granted
" by, Pl~ .~ecre:~9~ ,9.f, R~I~e.~ue:, ~S~ptiip~ ~O~ Qf ~~.e,II?-~e{~~,.arG~; ~lld ,E.s~~~e: ~Jl,~-A.FJ, p,f 196~ J
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Cumberland
}' AFFlbAVn' OF'
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, EXECu1XlXRIX
, AD!~~I~~'~~~A TOR
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'IN THE MATTER OF THE ESTATE OF
FORD LEROY HARPER
(STATE FULL NAME OF DECEDENTr
"
Late of
County
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State of
Pennsylvania
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~x,eculQO{r i
of the estate of.the o-bOve-fJorned del:edentrbeil'lg dul)f'swom; ~depo$e 5 -.tand soyS
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Nome and address of attorney or }
other authorh:ed representatl....e to whom
011 correspondence should be moded.
(MONTH)
(DAY)
,\97 a'I t~,t~t~ le'~;"9' I... will, ;.p; ~fwhl;h
(,Y EAR) li.'K<<MlX; , .
is hereto attached. }
Decedent,died
J<imi~rY' '9
R':Lchard L.
Placey, Esquire, '
P.,O.
Box 99.
'.1'" . , , 1.
Harrisburq~ PA
",
17108
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That as'-such . Executrix deponent is familiar-wi.th the affairsrpf;,S)l'id estate and -the property constituting
(F,XE,CUTO R-ADMINI ST RA TOR)
the assets thereofanQlheir fair market value.
" ; " . . ~
That at the' time of death there was no safe deposit,box,registered .jnd,ec~qen(~ ind,ividual name, ,Or jointly with, or
as agent Dr deputy of another, or in decedent' 6 individual name_, 'f\'ith rj,ght of. ace,ess .l?y..another as agent o,r de put,)' , ,wit.h the
exception of the following: - .,:
N~ME AND ADOR,ESS OF ,BANK: OR OTHE'R I/'>lST\TUTION I , T,HIS SAF:~ QEPO,SI\ eOX~~NTED REI.,.ATI.ONSHIP OF JOINT
IN WHI CH DECEDENT RENTED. A S,-\.FE DEP.oSIT 80X IN NAt~'1E OR NAMES OF . HOLDERS TO DECEDENT
"
NONE ", ,':l " . c ' . '..
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That the contents of said safe d~posit,boJ,( qr bo~~s'~'a:Te itemi'z~tunder ,$chfd~,l,es -N/A~f thi~ .r~~urn,:
with the exception'of the foilowi~g, for th~ reaso~s ~e~~~~~f~~r ~~t_f,~~th; ,'-
, ' I ' I .~, , , '. ~ . '.. ."
, That Schedule A.flUached hereto and made_pa~t.,hereof ~ets forth fully and !n ~_etail,all th~ real prope-rty
in the Commonwealth ,of Pennsylvania of which decedent died ha.Jing an interes~ ~'herein. It also sets forth the
mortgage encumbrances upon each parcel Of real property at the date of deatJ1?; gj,:,j~g, the amollnt still due at
death, name of ,mortgagee, ,date, rate of interest, and~ook- and page of ;record there,of.,' It,also sets ,~orth in the
columns provided therefore the assessed valuation of each of .said parce.l:s~ the esti~ated~arket ,val1,le ther~of
as of date of death of decedent.
That Schedule B _attached' hereto_' and made 'part;hereo(,.sets .forth fully and; in ,d~t~il al) perso~al prop'~rty
wheresover situated owned by the decedent'aCthe:otime of Jdeath;,all,monc:}'s .left. by the.deG~<ient ,l,\;tJhe, t~'P-e 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, orin trustroL any ot~er per.,son orpers~-".s
giving also separately the accrued interest thereon, if an'y, down to"th~ 'l~~s( j;~t~r~s'{da:~"p~{of't'(;; d~c~dent~s
death in the case of savings banks, and to the date of decedent's death in all other c,as~s~ all bonds, postal
savings, treasury certificates qr no~es and other evidence "of indebtedness of the United States to the de-
cedent; all obligations, whether by statute or agreement they are' designated as tax free, of the United States,
or any state, or political subdiyision thereof, or of any foreign country, wbich are owned at the time of death;
all wearing apparel, jewelry, silverware, pictures, books, works of art, household furniture, horses, carriages,
automobiles,,~o_~ts, .~nd_~ny and~ll other personal chattels of whatsoever. kind or nature, left hy decedent,
toge,th~r, :-''If,h,' ,t~,e fairly: est~ma'te~ ,~~~~et _, val,ue ,thereof;_:, aq bonds and mortgages~eld_, by decedent. ~nd of all
,~l~ims 'd~e, ~nd owin'~ ,~_ece,d~,nt at'.t~el t'i~e.,?f d~-~'thLa~~' ~}I ,~f?mis~I?~':n~'t'~s,;'rii, oJh;e'r; jn~fru'm~nt~,i.~ '~,riting
for ttJe payme,nt.,qf mon:ey,qf which deced~nt died _,poss,ess~ed, of",:ha~soever nature,\vith interest thereon, if
any, giving the face value, and estim'ated fair market value thereof; a~d ir' s'~c'h e'stima.ted 'fair ma~ket v~lue he
'less- than the face \'a.I~e, it sets [or'th briefly '~h'e 're'as'ons .r~r~u~h dep~~cia:ti~~ ~~-'i,q ~!lch' item: ~11':noncYf;
payable to the estate from life insurance policies carried hy decedent; all annuity and end(l\\-lH~nt C()11tr~l('IS
the proceeds of whicL vne rayablc Ilpon Ihe deafh of the dC('t";~-'1: ;111 and the ('OrpDrnte :-;11'(')
Jut.: thereon and unr:1id <l~ or the Jail' ill' dl',i!h. bonds ancl ,\ ," i!JICrnl Ihncon In the l; ," d"
dcalh and other illYt' -.1: \1 ,;,,-,Irilic,-; " -.tIC,! (1) Ihe dCCl'dClli (,j ,i,-';iih. \\i[l-, :he
,)1' :II such time.
In the case of securities of close or family corporations, the values reported are as far as
possihlr> substantiated by financial statements of the corporations, showing the assets and liabilities
tht>reof RS of the dRte of death. The schedule also sets f'orth the interest of' rlecedent at the time of
defl.t.h in any co-partnership or business, and in support of the value of such interest there is Rnnexed to
said schedule, financial statements showing the assets and liabilities of said co-partnership or lmsiTless.
A copy of the co-partnership agreement, (if oral, a statement setting f'orth the nature of' tf1e rlgr€"ement)
toltptlH-'r with a statement settin~ f'orth the character of' the business, its location, and such other facts
jlertaining to the husiness as may be pertinent to a f'air and just appraisal of HIe decedent's interest
thf'rein TIllist he submittl~d. It should also set f'orth in itemized f'orm, together with the fair market vallie
thereof". any othel' property owned or bequeathed bj' the decedent at the time of' deaUI.
The Sct>edu/e C attached hereto and made part hereof' sets forth a true answer to each inquiry
contained therein and in the case o:f transf'ers of property, real or personal, within two years of decedent' s
death, in contemplation o:f decedentts death, or intended to take ef'f'ect in possession or enjoyment at or
after death, said schedule sets forth the nature and value of' such property, to whom trans1'erred, tlle
relationship o:f the trans:ferees to the decerlent, the proportionate share received by each transferee and
all other f'acts of' a pertinent nature regarding sain transfers. In the case of' transf'ers intenderl. to
take e:ff'ect in possession or enjoyment at or after death, there is also attached to the schedule Ii cony
of the deed, trust agreement or otller instrument creating the trust. Therl~ is also set forth in said
schedule a list of' all property, real and personal, with its value, which pa~ses at decedent's death by
virtue of the exercise by decedent, either individually, orjointly 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 o:f the instrument creating such power attached to the schedule.
That Sct>edule D attached hereto and made part hereof sets forth the names and ad&resses of' all
persons beneficially interested in this estate at the time of decedent's death, the nature of their res-
pective interests, their relationship, i:f any, to the rlecedent, togetl1er with the ages at the time of'
decedent's death of' all minors, annuitants and benef'iciaries f'or lif'e unrler rlecedent's Will. It also
contains a statement showing which of' the benef'iciaries named in the decerlent's will, if any, died prior
to decedent, the dates of' the'ir death, their issue, and the relationship of' such issue to the beneficiary.
That S.:t>edu/e E attached hereto and made a part hereof' sets :forth all propert)', J'eal and per-
sonal, owned by the decedent jointly with another or others, including intangible, standing in the name
o:f the decedent aoel others, plus the date and place of' record of instrwnents ef':fecting the \ esti ture of.
real estate and the date of acquisition of personalty, plus the name, address a]1(j relationship. if' any.
of co-owners to the deceden t.
That Sct>edu/e F attached hereto and made a part hereof' sets f'orth 1~1l11y !'I.lld in df'vd.l all aebts
and deductions claimeel for and on behalf o:f this decedent's estate, including t'1.lneral expenses paid;
family exemption, where applicable; costs of' administration of' this estate; connse] f'ees anti flldicjary':,;
commissions paid or to be paid; cost expended for burial trusts, tombstones or gr[ln~mli.rkcrs. hnd reI i-
gious services, in consequence of' the death o:f the decerlent; debts and claims owing and llnpairt at time of"
death; taxes accrueel chargeable f'ol\' period prior to decerlent's rleath (except those allowed under Sectioll
651 of' the Inheritance and Estate Tax Act); togpther with u stat.ement of' col1:1tt-'ral pled;!,e'i ror nbli!!:\-
tions, if any. It is agreed that the :fiduciary will present proof of su.i,i claimed otJli;..;atiolls upon 1',.-
quest, that if the amount actually paid in settlement of' any f'ee, commission or debt is less than the
estimated amount claiming and allowed, that the same will be reported to the H.egister of Wills, anel th;\t
the amount of' tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate colunms in Scheliules "A", "B", "C", "E", and "F" as directed therein,
have been carried forward and properly registered in the SummarYe
Subscribed Bnd sworn to before me this
(- (~C.: '
fr' ((,
day of '
,,19,;:'
eM /1" . ", ~
I~l/~~mm' """""m"e{",m'"m!!::~
, (E:recuto.r- mi:nistrator) 'if''c::.
, Ella\l~r~n a Harper, Executr~x
, ".7.,':)Q",.J;lJ:"eJl,w.;;>,teX",E,Qi'lQ.",'m""".,................._..
(Street Number)
(;CllllpRill, "}'1,).]Q1l,,
(City or Town and State)
,." {~f-flL ,j lY3t~,
NOTARY PUBLIC
Mr (omm;..;un Expiles Dtu:mbtr 6, 198(;
HarriIburJ. " o.uphin (.un1v
NOTE: Bef'ore signing af'f'idavit make sure all blank spaces in tl1e a:ffidavit and schedules annexed are
filled in with details or the word "None", and in case the assets include rare ant'! unlisten securities.
securities of' close or f'amily corporlltlons or an interest in any co-partnership or husinpss, thflt the
data and stfltements requirea unrler the parap;raph above re]aUng to Scherlulp "13" are fl.tt.llclLf:>d. ,\lso mak"
c-ertliin that collUnn #1 in the "SunUTlary" has been properly completed as nhove-,ijreCf,erl.
RC C. :.4 i 4_7 3 ~
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "A"
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REAL PROPERTY
Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece-
dent. Property held by the decedent os tenant in common with another or ather, 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 Ccmmonweal-:h of Pennsylvania should be (1) (2) (3\
described by lot ond block number, .tr.et and str..t number, together with DEPARTMENT
a general description of the property, wltft a reference to the recrrd of the ASSESSED VALUE VALUATION
conveyance by which the decedent took title; If a farm stote number of 0- FOR YEAR OF ESTIMA TEa CAUTION
cres; also statement of mortgage encumbrance. upon each parcel at death DECEDENT'S M.'\RKET VALUE (Do not writ.
of decedent. Taxes, assessments, accrued Intere.t on mortgage., etc.,are DEA.TH In this spau)
to be listed on Schedule "F" and must not be deducted from this schedule.
V~-
NONE
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, 1.,15 .),r:~ -_'P~'O:;I e reo property ,ce u e In
'-'. ;; ;',:'l~',_:.'" ~/_,j\I~:-' on the lost page of this return.
the X X X X X
0.00
~d'Y\.L
RESIIJE'\T DECEDENT
SCHEIJULE "B"
PERSONAL PROPERTY
rO\l\IO'\YiE.\LTH OF PEN!\SYLL\'I\
T1t,\NSITR INHERITANCE TAX
IKSTHUCTIO~S: 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 with another or others
must be listed under Schedule "En. Intangible personal property, titled 1n the name or 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 acco\mts, must be listed, despite the fact that they are not of' the administered estate.
Tangible personal property should be listed first (e.g. jewelry, wearing apparel, household
goods, and f'urnishings, 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 fiduciary in said capacity, partnership interests, interest in anyundistributed
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 thfs schedule.
Item ITEM UNIT ESTIMATED DEPARTMENT VALUATION
No. List and describe full y VALUE MAIIKET VALUE (Do not write in
this space)
l. 1946 Willys Jeep vehicle $ 50.00 -;: .,-0.06
200.00" ;1. 00. 0-0
2. 1957 Ford truck
150. ocr /' /)0- aO
3. Shanuett camper
. / ~). (/0
4. Homemade trailer 25.00
/
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5. 1963 Plymouth sedan 15.00
6. 1971 Plymouth sedan )(t/ 4tJO. 11 lJ
400.0
. :J- / () IJ{J. 0 6
7. 1976 Pontiac coupe 2,000.00
,<JO. a6
, /.;
8. 1972 Mercury station wagon 1,500.00
9. Miscellaneous personal effects - no value 0.00 C.OO
*Appraised at value for which sold at
public auction.
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4,340.00
Lfor.f.o.DO
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P.C2-3S
CO'JMO:l\',TALTH OF PE\,:iSYLYA:lIA
TRA:lSFER I:IEEj,ITA:IC'E TAX
SCHEDULE "c"
TRASSFEJ\S
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RESIDE:lT DECEDE:lT
(1) Did decedent, within two years ofdeuth, make any transfer of any material part Qf his estate, without
receiving a valuable and adequate consideration therefor? (Answer yes or no) NO
(2) Did decedent, within two years of death, transfer proper~y from himself to himself and another or
others (including a spouse) in joint ownership? (Answer yes or no) 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 health at time of making the transfer. (Note 1).
(c) Cause of decedent's death. (Note 1).
(4) Did decedent, in his lifetime, make any transfet' of property without receiving a valuable or adequate
consideration therefor which was to take effect in possession or enj~yment 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 fact end before his death: No
(a) The possession or enjoyment of or the right to income from th~ 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) 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 could revert to decedent under 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 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 d;scription 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 1s based.
NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E.
ITEM
DESCRIPT ION
llARKET VALUE
(Es tima ted)
DEPT. VALUATION
(Dept. Only)
NONE
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Insprt this total Oi'l'u<..:.itf> l'ITransff':rs", SclJt~dulp "e" ill
"As Hpported" co::1lT',~1 on thp Inst pagp of this r..turll.
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That I, FORD LEROY HARPER ,oj Camp Hill
in the County oJ Cumberl and and State of Pennsylvania, being of sound
mind, memory and understanding, and considering the uncertainty of life, do hemby make, publish
and declare this my last Will and li:estll11lent, hereby ,'evoking and making void any and all
former Wills by me at any time herclof01'e made.
FIRST: I direct that all my just debts and funeral expenses be paid' by my Execut or I S
hereinafter named, as soon after my decease as may b~ convenient,
SECOND: Igive,deviseandbeq"eath such estat", that it has pleas",d God
to entrust to m", as follows, viz: Inh",ritanc", and succession tax",s
and expens"'s of administration, shall b", paid as soon as may be
conveni",nt after my dec",as", and int",rment shall be in the family
burial plot in st. John's Cem",tary and th", grav", marked by a h",ad-
Ston", similer to th", oth",rs thereon.
THIRD:AII th", rest, residu", and r",mainder of my ",state, real
personal or mix",d qf whatsoev",rkind and wheresoever situat""
which I now or will h",r",aft",r hold in Law and Equity and every
part and parcel ther",of, I giv", d",vis", and bequ",ath unto my
b",lov",d wif"" Ella Virginia Harp",r, to hold or dispos", of as she
may d",sire, should sh", surviv", m",.
FOURTH: Should my said wif"" Ella or any legate", or devise",
shall die sim~taneously with m", or und",r such circumstanc",s as to
r",nder it difficult or impossible to d",termin", who pred",c",ased
the other, I hereby declar", that I shall be de",med to hav", survived
my said wife and such legat",,,, or divis",,,, and that this "WILL" and
all of its provisions shall b", constru",d upon that assumption
and basis.
FIFTH: Should my said wif", Ella and I becom", d",c",as",d at a tim",
simultaneous or should my said wif", fail to surviv", m"" th",n w",
hav", both agre",d that th", following conditions shall exist after
,
we both have become d",ceas",d.
SIXTH: Should any of our children owe money to us because of
advancements or a dir",ct lean, ~th", amount of his or her
indebt",dness shallb", subtracted from his or her share of my
estate, interest fr",,,, and should any of said childr",n have not
attained the age of thirty years, his or her share of my ",stat",
that I hav", h",r",on b"'queath",d unto th",m shall b", inv",sted at b",st
possible int",rest by the executors until attaining such age with
prior advanc",ments only for th", compl",tion of higher education.
SEVENTH: Unto our Son, William Ford Harper, I bequeath my antique
Lema-ri- riif~uand-'tJi."'--Dlxle - :flint lecK rifle ~
Unto our Daughter Bonni", Ann'" Harp",r Kris, I bequ",ath our Warwick
pitch",r with matching mugs, and our marbl", topped table.
~~to Ol;~ S~uJtl~~r Virginia L~-4
..!...-, I b...:~ t.:.e:;;th h~r :,C~;-,_~!: 5
di2..ITlond z:.nd opal rings.
Unto our Son )~ichael, Bruce Harper, T bequeath rny__antique rifle
with the dark stock, the wall plaques, shield with axe and mace
and the scences.
SEVENTH: any_other items of personal property in which the
surviving children express an interest shall be divided as
follows; such items shall be divided into lots, items in each
lot equalling the number of surviving children and items in
of
each lot to be/mutually agreeable equal value. Precedence of
selection in each lot shall be determined by all the assembled
surviving children drawing for high card from a new prevously
unopened straight card deck with the jokers .removed and with a
new shuffle and draw for each succeeding lot.
EIGHTH: All the rest of my estate. real, personal or mixed
shall be sold at a public or private sale and the proceeds after
all expenses are paid, shall be divided equally between our said
children that survive us and should any of said children fail
to survive my said wife and I, then the share of my estate that
I have bequeathed unto such persons shall be given unto such
personSchildren, share and share alike, and in default of such
child or children the said principal sum shall fall into and
become a part of my residuary estate to be divied as heretofore
stated.
NINETH: I nominate, constitute and appoint my wife, Ella
Virginia Harper, executrix of this my LAST "WILL" AND TESTAMENT
with full power in her discretion to do any and all things
necessary for the complete administration of my estate, with full
power to sell at public or private sale and without Order of
Court all real and personal property belonging to my estate, and
to compound, compromise or otherwise to settle or adjust any
and all claims, charges, debts and demands whatsoever against or
in favor of my estate as fully as I could do if livin~.
TENTH: Should my said wife, Ella Virginia, become deceased
simultaneously with me or should she predecease me or die within
the period of six months after my death, then I nominate,
constitute and appoint our Son, William Ford Harper executor of
this my LAST "WILL" AND TESTAMENT, with the same powers that I
have given unto my said wife, Ella Virginia would have had, had
she been executrix.
ELEVENTH: I declare it to be my intention that should my said
wife, be living at the expirationt of six months from the date
of my death the estate hereby bequeathed unto her shall vest
in her absolutely and in fee simple; free of all conditions.
AND LASTLY.-I d" i< :I:e, constitute and "l/JDi"t
to be Exccut rix of tiltS my last 11'il/ and Tcstamwt.
E1Le
wife
..< .
."-
:.::. _:c..:-I=';~r,
my
1fn Wilnr!l!l l!T!)rrrnf.
sixth
hundred and Seventy-Six
I have hereunto s:t!!seril'ed my name, a lid ,,[fixed my seal. the
day oj February in the year one thousand nine
Signed, sealed, published and declared by
Ford Leroy Harper
the testat or above named, as and for
his last Will and Testament, in the
presence of us, who have at hi s request,
subscribed our names in hi 5 presence, and
in ~~presence of eac.h. other, as witnesses
her71 - 'In . ~PP-
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QtOlliril
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',SFi'.1\ 1:'\:ln:HI'J'A:\CE TAX
;,1 ;;] 11':\'1' PEc'Ern:;-';T
SCHEDl'LE "0"
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BE?\'EFICIARlES
(
h
BEKEFICIARIES AND ADDRESSES RELA TJOKSHlP I SURVIVED DATE INTEREST OF
State full names and addresses of all who (If step,chlldrcn or I DECEDENT OF BENEFICIARY
lllegltl~ate children STATE YES
aye an interest, vested. contingent or other are mvol,ved. set OR NO BIRTH IN ESTATE
.....ise. in estate) forth thiS fact.)
Ella Virainia Harner Wife yp"" nf ;>'np Rnt-irp
790 Brentwater Road
ui 11 pll 17011
Deponent further says that all the above-named bene:ficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
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SllMMARY
(Sch. "A")
HHHH ... ...... .....H. ...(Sch. "B")
H.(Sch. "C")
Real Property
Personal Property
Transfers
Gross Taxable Estate
(1 )
(As Reported)
$ .............0.00
$4,340.00
$ 0.00
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JOI'lTL Y 011''>1.0 PROPERTY
RESIDENT OECEUF'lT
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I:"STIUTTIONS: This seliedule must disclose all property, real and personal, owned by the (lecedcnt jointly
\\j tll I1Tlother or o11lcrs, including intangibles, stunding in the name of the decedent and others. List
rt':ll estate first, liS entireties, or joint tenants, giving brief cte-scription, as indicated lUHler Schedule
"A". plus the date tinel place of' record of' instrument effecting vestiture, but rio not include entireties
or Ollt of st3.tf" real estate value in estate valuation column. Personal property should be listed as in
Schedule "B", plus date of f1.cquisi tion, and the name, address ann. relationship' (if anj") of co-owners to
t Jll~ decedent.
. .
pe rt:en tage
Share
Description of Property, Datp of Acquisition, Name
Address and Relationship of Co-Owners, and PI ace
of Record of Instrument, where Real Estate.
M "SS',!\? ~ ;& 38: ~ 0<:)<
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llni t
Value
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The following property held by
decedent and wife, Ella Virginia
Harper, as tenants by the entireties
is reported for memorandum purposes
only inasmuch as the same is not
subject to tax:
1. Real estate situate partly in
Hampden and partly in East
Pennsboro Townships, Cumberland
County, Pennsylvania, known as
790 Brentwater Road, as more
particularly described in deed
of record in Recorder of Deeds
Office of Cumberland County in
Deed Book "I", Volume 14, Page
589 - $150,000.00
2.
Texaco, Inc. - 78 shares at
$26.50 = $2,067.00
3. CCNB Corporation - 50 shares
common at $12.00 = $600.00
4. Dauphin Deposit Trust Company -
4 shares at $31.00 = $124.00
5. Checking account - CCNB Bank,
N.A., Account No. 364-704-7 -
$860.00 (see bank statement
attached)
6. Household goods and personal
effects (at value for which sold
at public auction) - $4,692.25
7. Real estate situate in Wayne
Township, Dauphin County, Pennsyl~
vania, having thereon erected at
time of death a partially
completed dwelling house as
described in Dauphin County Deed
Book Y, Volume 59, Page 854 and
Book Y, Volume 59, Page 859 -
$50,000.00
I I
Illsert U
",J .Ii II tl:; \ " ; 1':, .)"'rr :.". Sc::c,,jlll(' "Eft
'"
in 1 lop
" .,!] , I' 1! '\.1 l" ',ll'Tl.
Estate
Valuation
6<>
xX
DEPART'fr=NT VALUATION
CAUTION-~O not Write
In This Space.
Value of Value of
Entire Decedenes
property Interest
MOY\.D
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CUMBERLAND COUNTY
NATIONAL BANK AND TRUST COMPANY
February 3, 1978
SOl.neE N["'''' FOURTH
N [w CU"lfH InA.N D, PENNSYLVANIA
Placey & Wright
232 North Second Street
P.O. Box 99
Harrisburg, Pennsylvania 17108
ATTEN: Richard L. Placey
Gentlemen:
Reference to your letter of January 31, 1978, we have
located a checking account in the name of Ford Leroy Harper.
The account is in the names of Ford Leroy Harper or
Virginia Harper and was opened April 27, 1961. The balance
as of January 9, 1978 (date of death) was $860.00. The account
number is 364-704-7.
If you have any further questions, please contact us.
Very truly yours,
t:z" (,
~,-,' . lJJv'~~
D . E. Ml.chemer, M9.nager
Bookkeeping Department
DEM: sd
.
REV-!lt8 (8"78)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P.o. BOX 2970
HARRISBURG
17105
IN YOUR REPL Y PLEASE
REFER TO
*'
Inheritance Tax Division
NOllCE O.F FILI.NG OF APPRAISEMENT
E la V~rg~n~a Harper
790 Brentwater Road
Camp Hill, FA 17011
(Executor or Administrator)
In Re: Estate of
Ford Leroy Harper
Cumberland
County - Fi Ie No.
21-78-0096
Dear Mrs. Harper:
You ore hereby notified that the original
appraisement in the estate of Ford Leroy Harper
has been filed in the office of the Res[ster of Wills of Cumberland
County on January 19 ,19~, Said appraisement reflects the following
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
None
4,3'10.00
None
None
$4,340.00
As to such tax that is paid within three months from dote of death, 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.
,\) r--'>, n
Signed C.) Q~..:c.
January 19, 1979
,'. -"
Dote
Title Administrative Officer
{.------_.- ..
Note: This is not 0 bill.
RCC-2 {2-64)
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA, 17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE
January 19, 1979
COUNTY
Cumberland
FILE NO.
21-78-0096
Whereas, Ford Leroy Harper late of East Pennsboro Township
in the County of Cumberland Commonwealth of Pennsylvania, having died on
the 9th day of Januarv 19.ziL, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Leo }'ulgini ti . 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
Ouerlptlon of Auet Values Made for Inheritance
Tu Pur pOles
Real Property $ None
.,
Personal Pronertv 4,340 bo
Transfers None
Joint-Held Proverty None
TOTAL ASSETS 4,340 00
..
~avi~g been duly ~wo.rn accordinr, to law, I do here by c~.rtify that the above
formlty WIth law on thIS 9th day of '- , ' \",
~, ,(,
appraisement
January
'I,"
is made in con-
19~.
Appraiser
(M\1mbeT and Str<<tl
Harrisburg
(.PmOftl:eeol
, Penna.
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