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HomeMy WebLinkAbout10-19-78 ( , R-li'C..33 (4-73) .-":1 ; {/ < //i' COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS * Pl: ('.'7" - (.,' I,. ,: RESIDENT DECEDENT COUNTY OF CumbF>rlnnn IMPORT ANT, This return must be completed in detail and filed in duplicate, with all attached, with the Register of Wills of the County where decedent resided; Return is due within nine months after date of death, unless an extension is granted by the Secretary of Re'otenue. (Section 703 of the Inheritance and Estate Tax Act d 1961.) IN THE MATTER OF THE ESTATE OF Late of Cumberlnnd } AFFIDAVIT OF EXECUTOR ADMINISTRATOR County H~l&::lon R Mrlr,..h (STATE FULL NAME OF DECEDENT) State of ppnnRyl ":=in; ~ J'" County of CllmhArl.-=lnn ~ Mrlrlin R M;;:arro'h ;;:ann 'Rt=lou~rly R ,qt-ino of the estate of the above-named decedent being duly sworn, depose Executor S and soy Decedent died 'J:i'onrl1 ;:ary 1 h (MONTH) Name and address of attorney or } other authorized representative to whom all correspondence should be mailed. (DAY) , 19...28-{~estate leaving 0 last will, copy of which is hereto attached.} (YEAR) Intestate Bietsch & Morgenthnl (Torn H. BiF>tsch) 7 Tr";n~ Rnw, C~rl;!=jlp, ppnnRyl,,~n;~ That as such 'RXeC"1l+-0r~ deponent is Familiar with the aFFairs of said estate and the property constituting (EXECUTO R~ADMINIST RA TO RJ 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 access 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 NON!': That the contents of said safe deposit box or boxes are itemized under Schedules with the exception-of the following, for the reasons hereinafter set forth: of this return, 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 columns provided therefore the assessed valuation of each of said parcels, the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated 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 of savings banks, and to the date of decedent's death in all other cases; all bonds, postal savings, treasury certificates or notes and other evidence of indebtedness of the United States to th~ de- cedent; all obligations, whether by statute or agreement they are designated as tax free, of the United States, or any state, or political subdivisi~n thereof, or of any foreign country, which are owned at the time of death; all wearing apparel, jewelry, silverware, pictures, 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 mortgages held by decedent and of all claims due and owing decedent at the time of death, and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face value and estimated fair market value thereof, and if such estimated fair,market value be less than the face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys payable to the estate from life insurance policies carried by decedent; all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent; all and the corporate stocks and dividends due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of decedent's death and other investment securilics owned by the decedent at the time of death, with the market value there- of at such time. In the case of' securities of close,or family corporations, the values reported are as far as possible substantiate(l by t'inancial statements of the corporations, showing the assets and 11ab1li ties thereof as of' the date of death. The schedule also sets f'orth the interest of' decedent at the time of' defl.th in any co-partnership or business, and in support of' the value of such interest there is annexed to said schedule, financial statements showing the assets and liabilities of' said co-partnership or business. A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the agreement) together with Ii statement setting forth the cllaracter of the business, its location, and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's :interest therein mllst be submitted. It should also set forth in itemized f'orm, together with the f'air market value thereof', any other proper,t:y 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' transfers of property, real or personal, within two years of decedent's death, in contemplation of' decedent's death, or intended to take effect in possession or enjoyment at or af'ter death, said schedule sets forth the nature and value of' such propert~,., to whom transferred, the relationship of the transferees to the decerlent, the proportionate share received by each transferee and all other f'acts of a pertinent nature regarding said transf'ers. In the case of transf'ers intended to take ef'f'ect in possession or enjoyment at or af'ter death, there is also attached to tIle schedule a copy of the deed, trust agreement or other instrument creating the trust. Therl~ is also set forth in said schedule a list of /ill property, real and personal, with its value, which pa~ses 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 Instrmnent creating; such power attached" to the schedule. That Schedule D attached hereto and made part hereof' sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death, the nature of their res- pe cti ve in teres ts, the i r reI a t ionship, i r any, to the deceden t, togetller with the a.f!;es at the time of decedent's death of all minors, annuitants anel benef'iciaries f'or life uneler decedent's Will. It also contains a statement showing which of' the beneficiaries named in the decedent's will, it' any, died prior to decedent, the dates of tlwir 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 antl others, plus the date and place of record of instrrnnents ef'f'ecting the vestiture of' real estate awl the date of' acquisition of' personalty, plus the name, address and relationshtp, if' any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets f'orth fully and in detail all debts and deductions claimed lor and on behalf' of this decedent's estate, inclurt.ing funeral exp8nses paid; f'amily exemption, where appJ icable; costs of' administration of this estate; counsel f'ees anil fudiciary' s conunissions paid or to be pa:idj cost expended f'or burial trusts, tombstones or gravemarkers, and reli- gious services, in consequence of the death of the decedent; debts and claims owing and unpaiti at time of' death; taxes accrued chargeahle :for period prior to decedent's death (except those allowerl under Section 651 of' the Inheritance and Estate Tax Act) j together with a statement of' collateral pledged f'or obliga- tions, if any. It is agreed that the f'iduciary will present proof of' said claimed obligations upon re- quest, that if' the amount actually paid in settlement of any fee, commission or debt is less than the estimated amount claiming and allowed, that the same will be reported to the Register of' Wills, and that the amount of' tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Scherlules "A", "B", "e", "E", and "F" as directed therein, have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this I;{ -c'l., . . day of . 'C"'""'" ! Oc.tober I~~ .... 19.....7.8 ..};J1t:i7i~~ckJ~.............. R.D.5{S:"~~N;~~;;;:rm Carlisl.e........Pennsylv.ania..... (City 0'1" Tow" and State) Sd?-~~ .. !"RTZL:-:R, NOTARY PU8L1C '21:-i!$I~, Pa. :-, ;<'1if'~y~ 1:'n'.!T(','? i, "';tq J i\ r.~ i '.,'\.; !1 ): ~ ", !",/ :'/\, NOTE: Bef'ore signing aflidavit make sure all blank spaces in the af'fidavit and schedules annexed are jilled in with details or the worrl "None", anrl in case the assets include rare ami unlisted securities, securities of' close or ramily corporations or an interest in any co-partnership or business, that the data and statements requiretl unrler the paragraph above relating to Schedule "B" are attached. Also make certain that column #1 in t.he "Sununary" has been properly completed as above-directed. ,.4,UL'~1 c: ff~ . Exee!utor 716 Sherwood Drive Carlisle, Pennsylvania . RCC..34 (4-73) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT 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 Commonwealth of Pennsylvania should be described by lot and block number, .tre.t 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 0 form .tat. number of 0- cr.s; also .tatement of mortgage encumbrance. upon each parcel at death of decedent. Tax.., a..e..ment., accrued 'nt.r..t on mortgage., etc.,ar. to b. lI,ted on Schedul. IIF" and must not b. deducted from this sched",'.. (1) (2) (3) DEPARTMENT V AlUA TICN CAUTION (Do not writ. In this space) ASSESSED VAlUE FOR YEAR OF DECEDENT'S DEATH ESTIMA TED MARKET VALUE Dwelling house and garage on the Southern side of the Pine Road in Dickinson Township Cumberland County, Pennsylvania. tIC $2,080.00 $30,000.00 ~a()O,()o C30, 000- 00 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. $30,000.00 - RCC-35 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX ,,~. ;~ ~ REsrn:=,d DECEDENT SCHEDULE liB" PERSONAL PROPERTY I NSTROCTIONS: 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 "E". Intangible personal property, titled in the name of 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 accounts, must be listed, despite the f'act that they are not of' the administered estate. Tangible personal property should be listed first (e.g. jewelry, wearing apparel, household goods, /lnd furnishings, books, paintings, automObiles, boats, etc.) Intangible personal property, such as bonds, treasury certificates, 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 01 the State, at the time of death, should be listed in this schedule. UNIT ESTIMATED DEPARTMENT VALUATION VALUE MARKEr VALUE (Do no t wri te in this space) $36.00, / ')" a6' II -,,]. '7 'I 1,133.79, , ( ()O 8.00. . Item No. ITEM List and describe fully 1. Cash. v 2. Checking account No. 757-2288-4, Cumber- land County National Bank and Trust Co., Mount Holly Springs, Pennsylvania. 3. Christmas Club Account No. 6997, Cumber- land County National Bank and Trust Co., Mount Holly Springs, Pennsylvania. 4. Account No. 138968,' Cumberland Valley Savings and Loan Association, Carlisle, Pennsylvania. J" p1'I,OI 10,691.01 ,'/v/ 5. a. Accrued interest on item 4. Account No. 6685434:'Cumberland Valley Savings and Loan Association, Carlisle, Pennsylvania. 2, 500.00 I. 72.51,/ a. Accrued interest on item 5. 21.01 6. Account No. 6689845, Cumberland Valley Savings and Loan Association, Carlisle, Pennsylvania. 2,000.00 .. a. Accrued interest on item 6. " '/ 19.21 7. Personal property bequeathed to Audrey I Shughart. 111.00 I 283.00 / I j/ 112.00, 8. Personal property bequeathed to Barbara A. Miller. 9. Personal property bequeathed to Beverly E. Stine. 10. Personal property bequeathed to Marlin E. March. 123.00 , . 11. Remainder of household furniture and furnishings. 1,518.20.// 12. 1972 Chevrolet Coupe. 1,500.00 13. CSF Annuity. 268.81 / 14. Medicare reimbursement. 48.00 / (CONTINUED ON ATTACHED SHEET) Insert this total opposite "Personal Property", Schedule "B" in X X the "As Reported" colunm on the last page of this return. ....... 'J7-rl ~ / )'(}O, 0 0 / ?-/O/ P..600.00 / 19,1./ I /11. dO ?-f J 06 If")..,OO /?-.J.O(/ I <) / y. ?-O 1')-00, () 0 ,7bf;.g-1 l-Id'.od RCC-' oJ 6 ;7 v,-_ 15 ?~. 2100'-~ ::>0 11 O~_ .85 .10__ 5 1 . 1 'r RESIDES' DECEDENT SCHEDULE "B" PERSONAL PROPERTY '* cmt.. TRANSFF;lt INSTRUCTIONS: This Schedule m....' l1sclose all tangible and intangible personal property owned individu<;Llly 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 of 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 accounts, 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 furnishings, books, paintings, a.utomobiles, boats, etc.) Intangible personal property, such as bonds, treasury certificates, 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 sa.id capacity, partnership interests, interest in any undistributed 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 this schedule. Item No. ITEM List and describe fUlly UNIT VALUE ESTIMATED MARKEl' VALUE DEPARTMENT VALUATION (Do not write in this space) 16. Refund, United Telephone Company of Pennsylvania. 4.50 "3 }b. 71 t-J, )0 j t.f () (j 15. Blue Cross-Blue Shield reimbursement. 336.77 17. Refund, Commonwealth of pennsylvania, Drivers License registration fee. 24.00 . 18. Commonwealth of Pennsylvania realty tax refund. / 44.10. '.;t-I, / () 20,854.91 J-3r J)' / I Insert this total opposite "Personal Property", Schedule "B" in the "As Reported" column on the last page of this return. x X RCC- "1b COMMO,WEALTJI OF PENN~YLVANI ~ TH..A\~FFH INI-1E1UTANCE TAX SCHEDULE "e" TJ{'\'i~FEl\S *~ HESTIJE'T DECEIJENT (1) Did decedent, within two years of'death, make any transf'er of any material part of his estate, without receiving 11 valuable and adequate consideration theref'or? (Answer yes or no) Nn (2) Did decedent, within two years of death, transfer property from himself to himself and another or others (inclwHng Ii spouse) in joint ownership? (Answer yes or no) Nn (3) If' the answer to (1) or (2) above is in the af'f'irmative state: (a.) Age of' decedent at time of' transfer N fA (b) State of' decedent's heal th at time of' making the transf'er. (Note 1). (e) Cause of decedent's death. (Note 1). - (4) Did decedent, in his lifetime, make any transfer of property without receiving a valuable or adequate consideration thereror which was to take errect in possession or enjoyment at or after his death? (Answer yes or no) 1\TI""I (a) Was there any possibility that the property transferred might return to transrerer or his estate or be subject to his power of disposition? (Answer yes or no) 1\T/~ (b) What was the transferee' 5 age at time of decedent's death? N fA. . (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: (a) The possession or enjoyment of or the right to income from thE.' property transf'erred? (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) ~O (G) If' the answer to (5) (b) above is in the affirmative, state whether the right was reserved. in decedent alone or others N/A (7) Did decedent in his 11f'etime make a transfer, the consideration f'or which was transferee's promise to pay income to or for the benefit of care of transferor? (Answer yes or no) ~O (8) Did decedent, at any time, transfer property, the beneficial enjoyment of' which was subject to change, because of' a reserverl power to al ter, amend, or revoke, or which conld revert to decedent under terms of transf'er or by operation of law? (Answer yes or no) No (9) If the answer to (8) above is in the af'firmative, was the power to a1 ter, amend, or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and. others? (Answer yes or no) N fA NOTE 1: The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death ceM;ificate. 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' transf'erees 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 DESCRIPT ION MARKET VALUE (Es tlma ted) DEPT. VALUATION (Dept. Only) NONE r) _ /" 7--z./()<- *__ ,/ "7- '- -0-0.... ~ Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of' this return. NONE -- RCC-37 (12-63) CmnlO~WL\LTlI OF PE;-';;-';,YYL\!IIIA TRANSFER INlIEHITA!>:CE TAX RESIDENT DEl'EDENT SCHEDULE "D" BEI'\EFICl.\HIES RELATIONSHIP I ' BENEFICIARIES AND ADDRESSES < (If step-children or SUr:VIVED ~~tate tull names and addresses of all who illegitimate children I D~.CE~ENT have an interest, vested, contingent or other- are involved, set S1ATL YES wise, in estate) forth this facL) . OR NO DATE OF BIRTH INTEREST OF BENEFICIARY IN ESTATE T ~~. _'- ,~ ~ ~ c ~_u .,.,., ro~_,;~,~ o~ -"-" -~~ u~~ , , tu as . ; ~~=-" ; n ,.,; l' & onp-fourth remainder. -, ~ u'" "~Q "'=<1r_ ~--- dauol1ter yes i Personal property as . ' 'i n "';'1 ~nd one-fourth remainder. t Ct=lrliRlp, Pn_ Beverlv E. 71<': Stine , nriu= n~unhter ves Personal nropertv as mentioned in will and on=-fourth remainder. ~. -1; ~,= ~_ M~r' i ~ R M"r,-." o n 0: ,,~~ 'l1A ("'~r'i~'= o~ snn ves Personal property as mentioned in will and ~~- ;~rl=r Deponent further says that all the above-named bene:ficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE "^"~ . ~ x ~ 'II- . - ~ ~ ~ ;::.30: "0 Po 0 < E ~ . 0- ;U~ ~ ~ ~ ::s 'll l-. o ~ 0 <:; E c. ~ <:; ~ ~ Real Property Personal Property Transfers Gross Taxable Estate SUMMARY (Sch. "A") (Sch. "B") (Sch. "C") (I) (As Reported) $ 30,000.00 $20,854.91 $ ...None $ $ $50,854.91 (2) (As Ddt'rmilH'd ) $ $ $ $ $ $ ... '" '" ..... C % w " ... ~ ~ ~ " ~ ~ ~ 2~ :::~ <- Z W ..-. W U) - < r:<:: ~ ~ < W - t=: '" o r:<:: w '-< f-. < ..-. '" o w 0: W '" b '" < o [-< Vi W .a u " III :E: . riI C Ql rl Ql :I1 '" '" ~ ~ '" o '" o 0. -.-I ..c: fJl ~ a 8 C a fJl c -.-I ,;.: U ..-1 Q c ~ .:l '0 C III rl " Ql ~ () " '" " 2: c.. S ;; ~ ~ o i;' e o u ~ o ~ ~ ~ ~ c ~ U ..l .( Vi ~ Ill: "" "" .( Q Z ~ I- Ill: o "" '" Ill: RCC-38 RESIDENT DECEDENT SCHEDULE "E" JOlNTL Y OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX INSTRUCTIONS: This schenule must disciose all property, real and personal, owned by the rlecedent jointly with another or others, including intangibles, standing in the name of' the decedent and others. List real estate first. itS entireties, or joint tenants, giving brief' description, as indicated lmder Schedule "A", plus the date ann. place of' record of instrwnent effecting vestiture, but do not include entireties or out of state real estate value in estate valuation column. Personal property should be listed as in Schedule "B", plus date of' acquisition, and the name, address and 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' Recorrl of Instrument, where Real Estate. (~ XX 0: ;00 XX :>0 :x> ;~~~:x X( ~~3S ~ ~~ :>o~~:>o %~~ unit Value percentage Share Estate Valuation :>0 :>0 DEI' ARTMENT CAUTION-Do In This Value of' l'.ntire property VALUATION not Write Space. Value of' Deceden t's Interest .r<YZ--C'''-C NONE NONE /J-LO~ Insert this total opposite "Jointly Owned Property", Schedule "E" in the "As Reported" coluHDl on the last page of' this return. 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 Marline E. March R.D. 1/5 Box 318 Carli~ler pp.nn~. (Executor or Administrator) In Re: Estate of Hp.lpn M,qTl"h "R Cumberland County - Fi Ie No. 21-78-0118 Dear You are hereby notified that the Original appraisement in the estate of Helen E. March has been filed in the office of the Register of Wills of Cumberland County an 15 November ,19~, Said appraisement reflects the following valuations: Real Estate Personal Property Transfers Jointly Owned Total 30.000.00 20,855.11 None None 50,855.11 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 abject thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961, 72 P. S. 2485-1001, P. L. 373. Date 11-15-78 Signed ~-L.;!L-.X,-"""!t&<,,. Title __ Chief. f.f'praiscr t .-.-------- Nate: This is not a bill. ------ . RCC-2 ';-64) DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA, 17127 DATE i \ - l S.[ 8 couNn.cA y."",J;.t^ ~ FILE NO. '2....l"':l 'd - ull '8 Whereas \~ ~ S l'Y'\ OJ'---c.12-- late ofD~-=4S~ in the count; of C '~~ Commonwealth of Pennsylvania, having died on the \ lo-l::ii-- day of F~ 19.::lJ2. seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, \ ~'- G J) 0, - . 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: COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the de-cedent after the expiration of any estate for life or for years, the CommonwealUl hereby expressly reserves the right to appraise and assess transfer Inheritance taxes at the lawful collateral rate on any such future Interest. Unit Appraisement Descrlptlon of Anet ValuOI Ma.de for Inheritance Tax Purposes K -e....,-L\.J /L-{ ^ ,~" $'3o,I\f'\[\ 00 ') , t--5J , . _ -i-.. 2..u 'd SS l ( \. 0 ^ ~ 'Y_"__~ >-, \ 11~,-,,-<> " Nu~ ...~.- \( , '+---G', ~ Of P /'---< - . ~~' Nu~ :J '.J -' -- - , -'C,-t_. ~ {\; ^ ~ n+~ SO,SSS l( .. Having been duly sworn ac~orging t9 law, I do hereby cert' y that the above appraisement is made in con- formity with law on this \ S '~ day of O'-'~~ .! . 19.::U:L. " "J; ~_ (..... '4__. Appraiser \'-- l ~,(l'fumbe"r ud ~reet) l~^._/\./~J,-^,A-e- (POIt OftI.Cf) -:) , Penna. d ." 0- ~ t ~ - 0>, I E-< " := z '" ~ :z: ~ ~ . ~ ~ " C4 ~ '-' "' >- Ul I:.<.,:l ~ J < l:l::: =: 1i '" " ~ '" .... ~ ~ ~ :.. ~ C 0 ." ;:: ;:: .,,; ~ < :m 1'; ~ ~ ~ Ii :<: E- ,::1 ,::1 ~ - C ,; ~ '" l: ..... t .." " " "I ~ :z: ... " t ;1 "- IE. .... ~ ~ <>. ...... I E-< ~ ~ ~ <>. '" ~ ..' ~ I I "' c:l '" ~ - 0 :E:: '<: '<: '<: ~ w '" >-l ~ " ~ l 1;; (U "" " ." ." ;:: Z .... is ~ 1 " '" < "-l (U " .. " <i " .. 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