HomeMy WebLinkAbout07-20-78
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o (6-70) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ARRETS UNDER '10,000, UNDER SECTION 701 OF ACT OF JUNE If, IHl,
EF E .JANUARY I, 1962. (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED)
. .. .. .. (' ,
" ". "'q)d{. \1\f'nl elf
'*' OFFICE OF'THE REGISTER OF WILLS
~ ". CountYOf..~~. rim '<;;0/::)78 .
.. ~. 'tV. .%.~............... of R./P.I=I. f?:. .1.3..trY...? ?:.<:-.. .~... .lfF'.-
;)I' . . . . . . . . (Hame) (Addrelll)
being dulY--~___..____maccordjng to law, deposes and says that he is rheuum__m_____un_mu____mmuuHumm__nm_
(Exec" Adm, Lega~. Eec.)
of the estate oL.r'3: ./"'" .:..~m.'l1_'_u.l~... whose last tesidence was..fi...!!!..#u.F.......ml2.N.....3..!::.Y?um.
. ~ ~~ (No,) (S~~ti'
u~u'.u<2~u~'hmdec<ased, and that the whole of the estate of said decedent, who diedmLj.1 /...'Z.f':.m.
(City. Borough or Township) (r/ate)
consisted of:
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 AND RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
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,
Personal Property
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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 or 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, '
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Jointly Held Property
Estimated
Value
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Transfers within TWO YEARS Prior to Death
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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:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED ! RELATIONSHIP OF J~INT
IN NAME OR NAMES OF ~~~~~NT
__J
BENEFICIARIES
RELATIONSHIP 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 interest, vested, contingent or otherwise, in estate,) are involved, set OR NO AT DEATH OF IN ESTATE
forth this fact.) DECEDENT
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ESIDENT DECEDENT DEBTS AND DEDt:CTIONS CLAIMED
TE: List first five items in the spaces so provided, observe notations thereon, and instructions.
DEBT OR CLAIM NATURE OF SAME
"',,-
AMOUNT
Funeral expenses paid
$
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"".
""',
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
/
/
//
/
Administration Expenses.
Counsel fees.
/
Fiduciary
commission.
(.) See Note below
Total
r-:ote: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is greater
or less than the estimated amount claimed and allowed.
Subscribed and sworn to before me this. . .
..~. 9'Y k~
V . . . . . . . (Executor-Administrator)
......~ .-/J).. .~. .)Y... ./3...~.5. ..s>:.~...
(Street Number)
;1li4 daYOf~)'1C1y.I9?,f.
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."...~..... \"l" .,...,t..,.,..v..... '~rlfrr 'r.I\.J". ".......
. nmn J.~~,_,.:::; c:, 'v,'I!..;".) ...;!...r.;r
BERLAND au FH.!NA, My Commi~sjon Expires
The First Mond~y.J-" J..nI9S12~ -~~"==_~---~=_~----------===.o-__"
... ~~~4 .0:"':-., ..J7t!.O...
(City OT Town and State)
Having been duly swom according to law, I do hel'eby certify that the above appraisement is made in conformity with law on this
day of .
. " ., 19.
ADDraiser
In the event that any futul"e intel"est in this estate is transfened in possession or enjoyment to collateral heirs of the decedent after the
expiration of any estate for life or fot. years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer-inheri-
tance taxes at the lawful collateral rate on any such future intel-est.
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 (5.73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tox Division
NOTICE OF FILING or APPRAISEMENT
Jane W. Gross
R.D. #8, Box 386
Carlisle, ~A 17013
(Executor or Administrator)
In Re: Estate af
Effie N. Horn
Cumberland
Caunty - Fi Ie Na.
21-78-0131
Dear Mrs. Gross:
Yau are hereby notified thotthe Supplemental
appraisement in the estate of Effie N. HOrD
has been filed in the office of the Register of Wills of Cumberland
County on July 20 ,1978, Said appraisement reflects the follawing
valuations:
,--------------- .
Real Estate
Persanal Praperty
Transfers
Jointly Owned
Total
None
None
None
6,084.26
$6,084.26
)
As to such tax that is paid within three months from date of death, a five (5%)
percent discaunt is allowable. As to any tax that remains unpaid after nine (9) manths
(fifteen manths when death occurred fram December 22,1965 to June 16,1971, inclusive;
and twelve months when death accurred priar to December 22, 1965) from date of deoth,
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. 3l\ J
Date July 20, 1978 Signed_~___K.__M-~
Title ___-..c..hief Appraiser _____
Note: This is not a bill.
R C C-2 12-64)
, DE-PkRTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA, 17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
SUPPLEMENTAL
DATE
July 20, 1978
COUNTY Cumberland
FILE NO_ 21-78-0131
in the County of
the 7th
Effie N. Horn
Cumberland
late of Middlesex Township
Whereas,
day of
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:
January
Commonwealth of Pennsylvania, having died on
19~, seized and possessed of an estate
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
Ducrlptlon of Anet Value. Made for Inheritance
Tax Purpo'es
Real froperty $ None
I--
Personal Property None
Joint-Held l:'rooertv 6 084 26
Transfers None
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TOTAL ASSETS $6,084 26
Having been duly swo.rn according to law, I do hereby certify th~ the above appraisement is made in con-
formity with law on this 20th day of ;-.rulv 19~.
{'.'I. ~ K E.Ih _ .
Appral8t'r
(NUmber and IlX'et). b
rr1.S urg , Penna.
(Peat Ol'6ee)
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