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HomeMy WebLinkAbout09-11-78 Form No. RCC.62 (6-70) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF Act OF .JUN"E 16, 1"1. EFlI',zC1lIVZ'.,.ANUARY t, 1962. (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED) '* OFFICE OF'THE REGISTER OF WILLS (;. D J ..; t, .1 I 1978 C f Cllmberlancl ounty 0 ........................... . ~J: :.8;t;(?!'.. ~?:r:~?! . . . .. . .. . .'. '.. ... . .. . .. ... '.' of .1-9's:. ~~~... .~~~:;-~~+!3.~ . 0.t. ~ 1. )-~~.c.r!.~-rl.~?~.t:I~r8" . p.a. (N&me) (Addreu) b. d I SHOrn d' 1 d d, rhar~-'srh. t:xeautrix emg u y _~_nn_Uh___________H.h__U__.____accor 109 to aw, eposes an sa}s .-11._ 1 "'~__________"_d__h____________________n____"h_______" (Exec., Adm_. Lep.tc'C', Etc.) f f U . t 'h' "h "''fe>> h 1 'd 11 < ~I. i"lain St., o the estate 0 hJ~-l.ar..:r..l._e___u-"-~_ll_nY-:__~J.__..,,___fl.-__.____________ W ose ast reSl ence was ----{N~-r---..--"hn-----------(s.t~t)------m------"hhh Hechanicsburo' Pa. d d d h h hI f h f 'dd d nr whodiedl"eb. 13 'n~::n8 n.h__nn..~n_u._n______.-.tln_______n_nh___ ectase . an t at t e woe 0 t e estate 0 sal eee e . -__n_n_uno_ n") " (City, Borough or TownshIp) ( ate consisted of: 11~3U.!J}~LSI'.11.;r\J1rp..L APPRAISAL" 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 Aim RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value None None Personal Property Check N'o. 41-050-2251 of the Comr"onwe al th of ?ennsvlvania, dated July 5, 197tl, representinr pa~~ent of' 1977 Senior Citizens Property Tax and/or rental refund. J/ 200.00 Cheal<: "t-,:o. 001662~<-I, of' Of'fice of' l"en"'''a1 E.'rnnl nVAA" G"nlm T,; 'fA InsuT'ance, dated AuJ':. 21. 1978, navment under Groun No. 1700G-G 1027.1Q 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 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, ' ---- Jointly Held Property -Estiinated Value Hone None Transfers within TWO YEARS Prior to Death NonA i I ! r Nonfl I I r-" I I , L___ That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly with, or as agent or deputy of another. or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:- I RELATIONSHIP OF JOINT ~LDERS TO DECEDENT ~I I , , NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF BENEFICIARIES 1 , P.ELATIONSHIP SURVIVED AGE OF. LIFE BENEFICIARIES AND ADDRESSES (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interes:, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEATH OF IN ESTATE forth this fact.) DECEDENT SAm" ~" rn';O';nAl f'ilor1 I . Second Cousir. Larry vii ley - Yes Ent.;"I"''' "I"',,~;,-1nom' 10 Jefferson Ave. ... Charleston, S. n 29!~08 v. l~leanor Peffer I "100"1"'1'" r1; n;" C' ~nn' 109 E. l~e11er St. 8"; t-_~ .jechanicsburg. Pa. 170<:;<:; I I- I -L- -4--_____ - - ! I I DEBTS AND DEDUCTIONS CLAIMED List first five items in the spaces so provided, observe notations thereon, and instructions. DEBT OR CLAIM NATURE OF SAME AMOUNT Funeral expenses paid $ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) / , Administration Expenses. Counsel fees. Fiduciary OTHER DEBTS AND CLAI~ (*) See Note below commission. / / / / / / / // / / , y /1 / I / I / I I "- "'-, " '", .",,~ ~, "'-, " "', '~ Total Note: The estate agl"eeS to advise the Register of Wills if the amount actually paid in settlement of any fee, commission 01' debt is greater or less than the estimated amount claimed and allowed. Subscribed and aWOl'n to before me this. ........ ....... .};I/..../. day of~4n,/J!~, 19.7B nU4--, l ''aJffl' j, y,;:>d;}d'>y;, . . ",,,:",J;.icoS v. "i."g.RY' Po. C<1' 3!~;';; '( ) ~~p;~ . 1.'11 '.':(:.:L.'JiiG ;:~U,'WlJGh /Ltc/l I;U:..(jiR:jl:'~[) CDUNn It'll f;;111,!;',1L:;:,;,'XJ txFIRES DEC~'29. -l~~- HavinR; been duly sworn accordIng to law, "'~1~tr:~i"""""'" 1090;, K.eJ).er.C3t... ............. (Street Numbe-r) Mechanicsburc, Va. 17055 ..................0.................. (City or Town and State) do hel'eby certify that the above appraisement is made in conformity with law on this ... day of .., 19. In the event that any futul'e intel'est in this estate is transfelTed in possession 01' enjoyment to collateral heirs of the decedent after the expil'ation of any estate fOI' life 01' fOI' yeal's, the Commonwealth hel'eby eXP1'essly reserves the right to appraise and assess transfer'inheri- tance taxes at the lawful collateral I'3te on any such future interest. AIlIlrl\ist>r 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 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. Dated: ........ ............................ ........................................... Register of Wills ("l ~ ~ : ~~ 0 >=6 ~ ~ c:: 1>' ';Ie' ;;:: 0 " "'~. 3 .:; 0 :::0 > a= z :c 0 .~ ~. " ..., >-l " , to:! 1; S- 'H >-l ;. ~ ":l "tel to:! ~ " " :1-.3 " 0 ~ :c ;. ;:;: ~ :c ::r : ~$ : t~j a: " >-l 0 0 0 ,0 CD .' " ~ > ..., ,C; ," to:! "'J :;,t' :i:l :p- '(jJ Cf.l >-l ----' Z ,':1 ll' ::-:c >-l 0 = Z 0 " '(1) ." ,~ > .., ii! p 1Jl :>-J ... -IT >-l .. to:! .. > .1-' :" . ., '< ,'01 l"l ,. > ,. ":l <' 'il' to :!jJ '" '" ":l ~ '::S '0' 0 ":l :c " :p. :~ "'J ":l > ;' >-J :c - : Oq o. > Cf.l ,,' - > (')' Cf.l t'" ". l"l >< ~. a:: " [: ~ l"l ... Z >-l RCC-81 (6-73) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 IN YOUR REPLY PLEASE REFER TO *' Inheritance Tax Division NOTICE OF FILING or APPRAISEMENT Eleanor Peffer 109 E. Keller St. Mp~h;:m; ~C!'hll'rgl Ponn!:! 17055 (Executor or Administrator) In Re: Estate of Harriet E. Shaffer Cumberland County - Fi Ie No. 21-78-0105 Dear You are hereby notified that the Supplemental oppraisement in the estate of Harriet E. Shaffer has been filed in the office of the Register of Wills of Cumberland County on 15 November ,lcj7~, Said appraisement reflects the following valuations: Real Estate Personal Property Transfers Jointly Owned Totol None 1,227.19 None None 1,227.19 As to such tox that is paid within three months from date of deoth, 0 five (5%) percent discount is allowable. As to any tox 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 oggrieved by this notice may object thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritonce and Estate Tax Act of 1961, 72 P. S. 2485-1001, P. L. 373. r Date 15 November 78 Signed t1. ,...t't' _ 1<. }ltA~~: Title___ Chip-f Appr~;~pr Note: This is not a bi II. R C C-2,.. (2-.64) ... DEPARTMENT OF REVENUE BUREAU OF COUNTY COLL ECTIONS HARRISBURG, PENNA, 17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE \ l - \ c:; ~ ( Y3 COUNT..(~-C~SL FILENO. L (.-( '8 - G { oC: Whereas, l-\:L^.IV-~LtJ t:=-. <;, j)~-f_:h/~ate of (V\ Jd..-.cj2,---,,-~~_~.Q MA.-:::-,J in the County of C ~--...-LQ~0--<>~ Commonwealth of Pennsylvania, having died on the \ -?:'--i::~ day of Fx J) ""'-"'J...c-.< .r--~ 19 or 'q seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, \ "--"'- G -~- , an appraiser duly appointed according to law, having been designated to make a fair and cunsclonable 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. Dncrlptlon of Asset Unit V.lues Appraisement Made for Inheritance Tax Purpoles $ y~ \ LL. (\j d~ N0~ /,--<>-~ j~ 1 -~""'..-o::::> ~~Ji ?~ 0-t-i'J... LLI l:L Having been duly sworn accQr~g t9 law, I do hereby certify formity with law on this \ --tR- day of the above appraisement is made in con- K.J.-.L.~Ct. 19....::ua. -t>,.....-.... ." Appraiaer ~. (N'bm, and, Stnet) ";,,,\A.....-, [lA_l~ (Poat Office) , Penna. ",~ ,','-' j,:' ~I \ " ~ "'-=I " Ii ~ ~ " '" " ;l z " ~ :z:; I ffi ~ co ~ "'-=I \ '" "" e- N >- U ", 00 0 .-l "'-=I " :;! I'. .-l .-l cc:: , 0: 0) ~ " , .. ...... > ~ " " .. ...... r<"\ .; 0 0 " "' "' -.; .. .-l ~ ~ " "' I'. :;,; Z " " " ~ ~ ..c ;:l ,,' Eo- " ";:; ";:; ~ 1.1\ "" , .. rIl ~ -gl "0 ~ ~ ~ ~ ... ... " .: II '" " .0 ~ ~ ... "'- ~ "'- .., 0 " Q) "- "'- " .-l "' '" . 0 .-l 0 'i :lS '<: '<: '<: '" " ~ - I ~ i " " rLI 0...1 .... " .;; S 1 .: "" .., "" "' co z " " t: ~ e- O) .. ~ ..., '" c ~ " " c .. 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