HomeMy WebLinkAbout05-30-78
'lO-C-33 (''':.73)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
*
MAY 3 D 191(1
COUNTY OF
CUMBERLAND
RESIDENT DECEDENT
IMPORTANT,
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~enue. (Section 703 of the Inheritance and Estate Tax Act of 1961.)
IN THE MATTER OF THE ESTATE OF
Late of
r.lImhpl'" 1 ;::mil
} AFFIDAVIT OF
EXECUTOR
County ~
EDWARD L. RYAN
(STATE FULL NAME OF DECEDENT)
State of Pennsvlvania
} os,
County of Cumberland
Administrator
Jane E. Davidson. Trust Officer. CCNB Bank. N.A..
of the estote of the above-named decedent being duly sworn, depose and soy
Executor
Decedent died
February 2*.
(MONTH)
Nome and address of attorney or }
other authorized representative fo whom
all corres.pondence should be mailed,
(DAY)
19 --1L
(y EAR)
testate leoving 0 lost will, copy of which is hereto attached. }
Jon l'. Lal'aver
I
JlS 'ffil_L'd 3L.l,;t:::t::.l~ New.- CuuitH;:~Lla.lld, J3ellusylva.nla 17'070
That as such Executor deponent is familiar with the affairs of said estate and the property constituting
(EXECU TO R-ADMIN 1ST RA TOR)
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
rC'NlJ lJaRk, N...\... T "".n C" ~
2101 llayk<:t GUEEE-
Call1l' Hill. P"""'Gyl 0, ,,,"',
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 primT 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 the de-
cedent; all obligations, whether by statute or agreement they are designated as tax free, of the United Statet.;,
or any state, or political subdivision 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 thc date of death, bonds and accrued interest thereon to the date of decedent's
death and other investment secUl.,,_'S cwned 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 substantiated by financial statements of the corporations, showing the assets and 1 labili ties
thereof H.S of' the date of death. The schedule also sets forth the interest of decedent at the Ume of
death in any co-partnership or business, and in support of the value of such interest t~erp is annexed to
said schedule, financial statements showing the assets and liabilities of said co-partnership or lmsiness.
A copy of' the co-partnership agreement, (if' oral, a statement setting forth the nature of' the tigreement)
togetJwr with a statement setting f'arth the character 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 rleeedent's interest
therein mlL'5t be suhmitted. It should also set forth in itemized form, together with the fair market value
thereof', any other property 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 anrl 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 eff'ect in possession or enjoyment at or
af'ter death, said schedule sets f'orth the nature and value of' such property, to whom transferred, the
relationship of the transferees to the decedent, the proportionate share received by each transferee and
all other facts of a pertinent nature regardin~ said transfers. In the case of transfers intended to
take effect i,n possession or enjoyment at or after death, there is also attached to the schedule a COllY
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 paEses at decedent's death by
virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint-
ment vested ill decedent, either individually or jointly, by the will, deed, or other instrtunent of' another,
with a copy of' the instrmuent creating such power attached to the schedule.
That Schedule D attached hereto and made part hereof sets f'orth the names anti addresses of all
persons benef'iciall,y interested in thts estate at the time of decedent's neath, the nature of their res-
pective interests, their relationship, if any, to the decedent, together with the ages at the time of
decedent's denUl of all minors, annuitants and. beneficiaries for life unner decedent's Will. It also
contains 11 statement showing which of tlle beneficiaries named in the decerlent's will, if' any, died prior
to decedent, the nates of their death, their issue, anrl the relationship of such issue to the beneficiary.
That Sc/1edule E attached hereto and marle 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 and others, plus the date and place of record of instrwnents effecting the vesti ture of
real estate and the date of acquisition of personalty, plus the name, address and relationship, if any,
of co-owners to the decedent.
That Sc/1edule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deduction'c, claimed for and. on, behalf of this decedent's estate, including funeral expenses paid;
family exemption, where a-ppl icablej costs of' arlministration of this estate; counsel fees and f\ldiciary's
connnissions paid or to he paid; cost expenderl for burial trusts, tombstones or gravemarkers, and reli-
gious services, in consequence of the death of the decedent; debts and claims owin?; and llnpaid at time of
death; taxes accrued chargeanle for period prior to decedent's death (except those allowed under Section
651 of' the Inheritance and Estate Tax Act); together with a statement of collateral pledgerl f'or obliga-
tions, if' any. It is agreed that the fiduciary 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 elaiming and allowed, that the same will be reported to the Register of Wills, and that
the amount of tax assessed can be reassesserl in accorrlance therewith.
That the totals of the apl'ro-priate colwnns in Scherlules "A", "B", "en, "E", and "F" as directed therein,
have been carried lorward and properly registered in
d Cc Pa.
- ~'; July 5, 1981
NOTE: Before signing; af'fidavit make sure al] blank spaces in the affidavit and schedules annexed are
filled in with detH.ils or the worrl "None", anrl in case the assets include rare and unlisted securities,
securities of close or f'amily corporations or an interest in any co-partnershiIl or business, that the
data and stat.ements requirerl und_cr the pFlragrH.ph above relating to Schedule "B" are attached. Also make
certain that column #1 in the "Sunnnary" has been properly completed as above-directed.
'<.,'7.,,;
yl:L '4-
ij "7
f :;l~
;'...t-!I.c
19. )'i-
the Summary.
Ii . I
eeNE: BAnk, N,A" Execut~r of Estate
~f E'd~r~d ,~n ,
('; ./
KYI.. (E';e~t~;q~~~"o"i'fi~~r
..21ti1.~rl<:~t:..~1%,.g,,,!;................................................
(~,tTeet Number)
...ea1ll!,...jj~.~.~.L..~"Il':'(o\I~Y"Ili211?O~.~... .
(City or Tow1t aM State)
Subscribed and sworn to before me this
:l3A...i day of
.-/e/f~~
H ~', i_Ji.!J. RG~_~, ; ;:::
'- ~i;
i\-li':i'~_'~' ,ii.;etl
RC C~3t4 (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 os tenant ,in common with another or other, should be identified
os 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, street 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 a farm stat. number of a_
cres; also statement of mortgage encumbrances upon each parcel at death
of decedent. Taxes, assessments, accrued interest on mortgages, etc.,ar.
to be listed on Schedule UF" and must not he deducted from this schedule.
(1)
(2)
(31
DEPARTMENT
VALUA TION
CAUTION
(Do not writ.
In this space)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEA TH
ESTlMA TED
MARKET VALUE
~Single r~m~ly Dwelling loc~ted at 2185 Chestnut
Street, Camp Hill, Pa, recorded in Cumberland
County Deed Book l6C, Page 585 (Appraisal
by Lester G, Connor)
f",
7,020.00
1.--
41,900.00 V 1/ 9{)(} {){)
/
,
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.
d-'l~ 90{), 00
RCC-35
. COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
*
INSTRUCTIONS: 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 PIO.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, 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 riduciary in said capacity, partnership interests, interest in anyund1str1buted
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
MARKET VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
1.
2.
3.
4.
5.
6.
7.
8.
Household Furnishings
Jewelry (Appraised b.y J. T. Carpenter)
1968 Oldsmobile Cutlass Sedan
. S. Savings Bonds, Series H
Accrued Interest I _~. J" .<!J~,T_7 0
U. S. Savings Bonds, Series E I .~'l-. 0 "", "'/'
~ . ,
Accrued Interest ~
CCNB Certificate of Deposit #121429, 7~%, due
1/15/84, P.O. D. Richard W. Mumper
Accrued Interest ~
"CCNB Certificate of Deposit #13792, 7\%, due
4/11/81
crued Interest "./
Harris Savings Association Certificate 11114831, 7' 0
due 1-10-79
crued Interest v"
Harris Savings Association Certificate #116837,
7~%, due 7-21-79
Accrued Interest ~
Harris Savings Association Account #37386
Accrued Interest
State Capital Savingv& Loan Association
Certificate #W632~ 7.5%, due 9-18-78
Accrued Interest
CCNB Checking Account #762-296-2
Cash found in home
Bell Telephone Co. - Refund
Camp Hill Cemetery Association - Deed to Lot
No. 41, Section 6
Defense Activities Federal Credit Union
Connecticut General Life Insurance Company
Policy #550091 - Death Benefits
~) '3.,
$ ~~.JD
- 605.00
-1,450.00
/33,000.00
.....873.50
/37.50
.....-17.86
00?3 705
/
fo{).5 tJo
I ";S6 (JO
..3A tWo DO
/ 6'73.:J"O
3/S()
I7n
9.
10.
'" (JO(). OJ
I -'13 ~ J'
/"'1 oeM (;o
\.j',f s ..; t-
/r;. 6[(J 06
/ ;iJu 9 'i
11.
12.
13.
14.
15.
16.
17.
18. I
...-:l0,000.00
-113.12
..A24.42
.--1.75
/OO{\(J.DO
/ //3. i.J-
oQ,.) 'I '-/J
/.76
19.
20.
21.
22.
23.
.-20,000.00
-'222.04
-1,743.83
-323.86
-2.65
(} O{)O (ill
,J,;),) 0 'I
I, 7"13 J' 3
d'.23tfh
2&'
p,7J f.Jo
'3,5/tJOJ...
/
. ,;; 0,)0 Co
I
24.
25.
Insert this total opposite "Personal Property", Schedule "an 1n
the "As Reported" column on the last page of this return.
x X
00'" ~ II I. "L" '7 a3
~ /. ~ .~ /.
~CC-36.
COMMONWEI<LTH OF PEN:iSYLVANL\
TRANSFER INHElUl'ANCF TAX
SCHEDtJ,~ "c"
TR\~>":i ""itS
~.. t;t, t\
~
RESIDENT DECEDENT
(1) Did decedent, within two years of'death, make any transf'er of any material part of his estate, without
receiving a valuable und adequate consjrleration therefor? (Answer yes or no) No
(2) Did rlecedent, within two ~"ears of death, transf'er property f'rom himself to himself and another or
at-hers (inclllding a spouse) in joint ownership? (Answer yes or no) No
(3) If the answer to (1) or (2) above is in the af'firmaUve state:
(a) Age of decedent at time of transfBr
(b) State of decedent.' s heal th at time of making the transfer. (Note 1).
(c) Cause of decedent' 5 death. (Note 1).
(4) Did decedent, in his lifeUme, make any transfer of property without receiving a valuable or adequate
consideration therefor which was to take effect in possession or enjoyment at or after his death?
(Answer yes or 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? No
(5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor nnder 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 transferred?
(Answer yes or no) Nt"l
(b) The right to designate the persons who shall possess or enjoy the property transferred or
income t.herp from? (Answer yes or no) NA
(6) If' the answer to U'i) (b) above is in the affirmative, state whether the right was reserved in decedent
alone or others ~_ ___.__.___.
(7) Did decedent in his I1fetimf' make a transfer, the consideration for which was transferee's promise to
pay income to or for the l>enef'it of el::\.re of transferor? (Answer yes or no) Nt
(8) Did decedent, at ilny time, transfp.r property, the benef'icial enjo~rment of which was subject to change,
because of a reserved. power to al tel', amenrl, or revoke, or whicll cOllld revert to rtecedent under terms
of transfer or by operation of law? (Answer yes or no) N~
(9) If' the answer to (8) above is in the affirmative, was the power to a1 tel', amend, or revoke the inter-
est of' the benef'iciary r'eserved in tile decedent alone or the decedent and others?
(Answer yes or no) No
NOTE 1: The answers to these questions should be supported by affidavit b~" the attemling physician as
well as a copy of the death certificate.
NOTE 2: If' answer to any of' the above questions j s 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 trFlnsf"erred, with
relationship of" transferees to rlecerlent, if any. Submit copy of any trust deed or instrument, if trans-
fers are claimed to be nnn-taxl1ble, also submit detailed statement of facts on which said claim is based.
NOTE 3: List applicable property below ill manner in which provided in Schedules A, B, or E.
ITEM
lJESCHIPTIOK
\lARlillT V ALl;"E
(Es tima ted)
DEPT. VALUATION
(Dept. Only)
NONE
~""
--nf1.'lL
Insert this total opposite "Transfer's", Scltedul!".' "e" in the
"As Reported" eollmm on the l:,st p'L>;!".' of this ret.urn.
-}~
RCC-37 (12-63)
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
\
h
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED
(If step-children or DATE INTEREST OF
State full names and addresses of all who illegitimate children DECEDENT OF BENEFICIAHY
aye an interest, vested, contingent or other are involved, set STATE YES IN ESTATE
wise. in estate) forth this fact.) OR NO III HTH
Rich"rd Mnmne1' N'oue "V'P.. Le<<a1 1Q%' "f Residue
07"" D. .~
u. .L dn 1>~ 170"55
T.H11.. n ". .~ V~n To, .T """ .& 'Rc>,:dnn.:>
152 E. Main Street
. 'To 1>. nOl,T
T ""iueT" , "'- Le""l 10'7. d' "o~i""o
112 J:'airfie1d Street
Newville Pa. 17241
The 1;".- "hi1 ~,..pn".~ u;,.",... " /. ,,/ A ,,/. , "., - .
C1-.< "'..
0'
n"" ~ -, .
Harrisbur" Pa. 17109
The Camn ui11 . ot- ('1-. ," N/A ,,/, "I. """/ ~
417 Sm,.-h ? ?n~
('omn U<11 1'" 17m1
m'. H.' n , " tA ,d. ,. o . .~
"J . .
"^~t-1-. 010t- Ct-_nn>
H"" n ,~^" ,
", , ^'
T\ T.T ,1 ;-~1 u""nH~l Nt! N/! ~TIA 20.% "f Reddne
U" , "0.
. ..
. _L - , "A'"
- . , .
Deponent further says that all the above-named beneficiaries are living at this time except below:
- ~,--
NAME DATE OF DEATH RESIDENCE
.
-------~-----
~ ^'
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-. ~
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SUMMARY
(Sch. "A")
(Sch. "B")
(Sch. "C")
Real Property
Personal Property
Transfers
Gross Taxable Estate
(1 )
(As Reported)
$ 41~\Iaa"aU
$ ...115,127,53
$ -0.-
S
$..
$ u157 ,0.27 ,53
(2)
(As Determined)
$
$
$
$
$
$
... '0
Z ~
~ ~ ~
'" '" ..l
Q) - ~ <
;... "" ~
~ Q) tIl
'" VJ <=> -
~ - <
-( '" =:
~ ~ ~. '" "-
co. p.. 0 '" "-
'" p.. "" ..:: <
'" '" ~.
...... ~ -( 0: ~ '" " :>.
0$ ~
'''" ~ ... .... ..... ~ Q
-( . ..... Z
00 1:i :r '" ,..., ..... I-l 0:;
.... 0 .... '1""1: " p.. <
Z tIl i ::rJ ID
~ 8 - ,.
~ 0
~ 0 0.' =:
S ~ 0
" ~ '" "-
0 "" u ;:;
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0 ~
b .... ~
~ -( - .c. 0
'" 0 E
's --, " :: E
~ 0
-:-;:::::"Tj '" u
:::~ ...l U
-RGC-38 ~
RESIDENT DECEDENT
SCHEDULE "E"
JOINTL Y OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
INSTRUCTIONS: TIlLS schpdule must disclose all property, real ann pel'sonal, ~ned by the rlecerlent jointly
wi th another or others, including intanp;ibles, stnndtng in the name of the decedent and others. List
re;ll est.ate first, itS entireties, or joint tenants, gi.ving hrief description, as indicated lllHter Schedule
"A", plus the date and place of record of instrument effecting vestiture, but rIo not 1nclude entireties
or out of state real estate value 1n estate valuation column. Persona] property should be listed as in
Schedule "B", plus (late of acquisition, and the name, address and relationsh1p (1f any) of' co-owners to
the decc(lent.
Description of' Property, Date of' Acquisition, Name
Address Ilnd Relationship or Co-Owners, and Place
of' Record of' InstrlUnent, where Heal Estate.
unit
Value
percentage
Share
Estate
Val ua t ion
DEPARTI~NT VALUATION
CAUTION-Do not Write
In This Space.
~x;><;
>>
~5<<>>
)<
)<
>>
>>
);!'
xx ^XX :;x X :xx X
XX>>>>XX>>>> >>)<
X
<< XX )<
X;><;::%
~~
Value of'
En ti re
Property
Value of'
Decedent's
Interest
NONE
..a"
. rn-fWU
Insert this total opposite ",Jointly Owned Propertyll, Schedule "E"
in the "As R~ported" COlllllBl on the last page of' this return.
-;LvVL.L
I .
RCC-81 (6-73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
IN YOUR REPL Y PLEASE
REFER TO
Inheritance Tax Division
NOTICE OF FILING or APPRAISEMENT
Jane E. Davidson, Trust Officer
CCNB Bank, N.A.
21st & Market Sts., Camp Hill, PA 17011
(Executor or Administrator)
In Re: Estate of
Edward L. Ryan
Cumberland
County - Fi Ie No.
21-78-0127
Dear Ms. Davidson:
You are hereby notified that the Original
appraisement in the estate of Edward L. Ryan
has been filed in the office of the Re~ister of Wills of Cumberland
County an July 24 ,19~, Said appraisement reflects the fallowing
va I uatians:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
41,900.00
116,457.03
None
None
$158,357.03
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 object 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 July 24,1978 Signed ~ "" _~L_}~
Title __'0 Chief Appraiser
/'
v,.-
---..-
Note:
This is not a bill.
r
Crescent H.
Estate
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DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA, 17127
COUNTY
July 24, 1978
Cumberland
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COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE
FILE NO,
21-78-0127
Whereas, Eci\,ard L. Ryan late of Borough of Camp Hill
in the County of Cumberland Commonwealth of Pennsylvania, having died on
the 24th day of February 19~, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Ira K. Gleim . 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 esta.te is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years, the CommonwealtJ"l hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Unit Apprai~ement
Description of Anal Values Mada for Inheritance
Tax Purllo.e~
Real l'ropertv $ 41,900 00
~I
l"ersonal Iroperty 116,457 03
Joint-Held Property None
Transfers None
TOTAL ASSETS $158,357 03
Having been duly sworn according to law, I do hereby certify that the above appraisement
formity with law on this 24th day of ~,~ )J;~~ .
t: r< N, - t
is made in con-
19~.
Appniser
(M'umb<< and Stnl$)
tlarrisburg P
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