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
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!
r
Nonfl
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r-"
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,
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.
/
/
/
/
/
/
/
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,
y
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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
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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~
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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.
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Appraiaer
~. (N'bm, and, Stnet)
";,,,\A.....-, [lA_l~
(Poat Office)
, Penna.
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