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RCC~33 (4-73)
COMMONWEAL TH OF PENNSYLVANIA _
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
JUN 29 191 _
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'itenue. (Section 703 of the Inheritance and Estate Tax Act of 1961,)
IN THE MATTER OF THE ESTATE OF
AFFIDAVIT OF
Late of
CUNBERT,AND
PENNSYLVANIA
County
ADMINISTRATOR
~^(c.
;2J-7f-/33
KATHRYN C.
/JICLAUGHLIN
(STATE FULL NAME OF DECEDENT)
County of
CUJ,IBERLAND
},,,
PHYLLIS J. LEBO
Er
State of
Administrator
of the estate of the above-nomed decedent being duly sworn, deposeS
ond 50)8
(DAY)
19~{testote leaving 0 lost will, copy of which is hereto ottoched. }
( YEA R) ..........
li'tdnl""ll:;lrjT
(MONTH)
Nome and address of attorney or }
other authorized representative to whom
all corres.pandence should be moiled.
19
Decedent died
Marion R. Lower. Esquire
11 South HRnover Street, CRrlisle, PA
17011
That as such executor deponent is familiar with the affairs of said estate and the property constituting
(EXECUTQ R-ADMIN1ST 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
IN WHICH DECEDENT RENTED A S...FE DEPOSIT BOX
THIS SAFE DEPOS\T BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
CCNH HA1~K,
NA
K r
i
Deceden~
d
Bro her of
Decedent
~
Lincoln
A
Clark
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 prim 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 States,
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 mGrtgages 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 securities owned by the decedent at the time of death, with the market value thcre~
of at such time.
"
Irl the. Gase of' securities of close or family corporations, the values reported are as far as
possible substantiated by f'inahcial statements of the corporations, showing the assets and liabilities
thereof' as of the date of' death. The schedule also sets forth the interest of decedent at the time of'
death in any co-partnership or business, and in support of the value of' such interest there is annexed to
said schedule, f'inancial statements showing the assets and liabilities of' said co-partnership or husiness.
A copy of the co-partnership agreement, (if' oral, a statement setting forth the nature of' the agreement)
together with a statement setting f'orth the character of the business, its location, and such other facts
pertaining to the 'business as may be pertinent to a f'air and ,just appraisal of' the decedent's interest
therein must be submitted. It should also set forth in itemized form, together with the -rail' marke't 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 f'orth a true answer to each inquiry
contained therein and in the case of' transf'ers of'property, real or personal, within two years 'Of' decedent's
death, in contemplation of decedent's death, or intended to t~ke ef'fect in possession or enjoyment at or
after death, said schedule sets f'orth the nature and value of' such property, to whom transf'erred, the
relationship of' the transf'erees to the decedent, the proportionate. share re_ceiv.ed by each transf'eree and
all other f'acts of a pertinent nature regarding said transfers. In the case of tI'ansf'ers intended to
take ef'f'ect in possession or enjoyment at or af'teI' death, there is also attacheti to the scherlule a copy
of the deed, trust agreement or other instrument creating the trust. 'fher'~ is R_Isd:set. forth in said
schedule a list of all property, real and personal, with its value, which pa~ses at decedent's death by
virtue of' the exercise by decedent, either in,div~dually, 0': 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,
wi th a copy of. the instrument, creating such power attached to the schedule.
That Schedule 0 attached hereto and made part hereof' sets forth the names anti addresses of all
persons benef'icially interested in this estate at the time of decedent's death, the nature of their res-
pective interests, their relationship, if any, to the decedent, together with the ages at the time of
decedent's death of all minors, annuitants and beneficiaries for life under decedent's Will. It also
contains a statement showing which of' the beneficiaries named in the decedent's will, if' any, died prior
to decedent, the dates of their dea.th, their issue, and the relationship of' such issue to the benet'iciaI'Y.
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 and others, plus the date and place of record of' instruments ef'f'ecting the v-estiture of
real estate and the date of acquisition of personalty, plus the 'name; address 'and rela-tioRship, if'-'any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof' sets forth fully and in detail all debts
and deductions claimed f'or and on behalf of this decedent's estate, including funeral expenses paid;
family exemption, where applicable; costs of administration of' this estate; counsel f'ees and fudiciary's
corrunissions paid or to be paid; 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 unpaid at time of
death; taxes accrued chargeable 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 pledger! 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 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.
Tha t the totals of the appropriate colunms in Scherlules "A", "B", "e", "E", and "F" as di rec ted therein,
have been carried forward and properly registered in the Summary.
I',,~y
FhYli~~~~i L~b~""-"
. OCll<J.(~qg(C!P.~~Y'".IJ.(Pit:l,l' J?.9.?S...?.!t.t
(Street Number)
Carlisle FA 17013
..............................1... ....................
(City en" Town. an.d St4te)
NOTE: Berore signing affidavit make sure all blank spaces in the af'fidavit and schedules annexed are
filled in with details or the word "None", and in case the assets include rare and unlisterl securitles,
securities of close or family corporations or an interest in any co-partnership or business, that the
data and statements required under the paragraph above relating to Schedule "B" are attached. Also make
certain that column #1 in the "Sunnnary" has been properly completed as above-directed.
Subscribed and sworn to before me this
a..y~
.-....................,.
197$
day of. ... ~l,...
t\0:::~ . .rsmLtJ::'Y.r~
Notary Public
Commission Expires 2/23/$0
RCOC-34 {4.73)
COMW.ONWEAL TH~ OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU O~ 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 os ioint 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 state 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 Il)Oted on Schedule "F" and must not be deducted from this schedule.
VHouse and lot of land known as 335 East
Louther Street, Carlisle, Cumberland
(1)
(2)
(31
DEPARTMENT
VALUATION
CAUTION
(Do not write
In this space)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
ESTIMA TED
MARKET VALUE
County, Pennsylvania.
12,000.OC ~,O()l1L"
Being the same conveyed by The Frog &
Switch hanfacturing Company to Harry W.
hcLaughlin and Kathryn C. hcLaughlin,
his wife, (the within decedent) by deed
dated June 3, 1950 recorded in the Offic~
of the Recorder of Deeds for Cumberland
County, Pennsylvania in Deed Book "L",
Volume 14 Page 1 to which reference is
made for a metes and bounds description.
Harry vJ. 1.laLaughlin died
Jan'. 12 ,
--
19-.-Ql.
..
'-'
Total
12 .000 .00 1'2) 0 U () L' ~
Insert this total opposite "real property", Schedule "A" in the X X X X X
"As Reported" column on the lost page of this return.
~ .
RCC -35
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
'*
CO~WONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
IKSTRUCTIONS: 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 li8ted 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.Q.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 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 of the State, at the time of death, sho~ld be listed in this schedule.
Item
No.
ITEM
List and describe fully
UNIT
VALUE
ESTIMATED
MARKET VALUE
DEPARTMENT VALUATION
(00 not write in
this space)
Household goods
525.00 ....-
C;L-.S o\)
and
1969 Nova automobile as per inspection
by Ira Gleim, inheritance tax
official j'larch 10, 1978
500.00 .,/ S 0 0 . C> .~
Cheoking Aooount No. 0760001-103-1
at CCNB Bank NA, MJ Mall, Carlisle,
Penna. (See Certifioate of Value Attao~ed)..
335.00 ~....-- '.::,'):>"::> 00
Savings Aooount Bo. 154160 at
Cumberland Valley Savings & Loan
Assooiation. Prinoipal and interest
to date of death, Feb. 19, 1978, as
per oertifioate attaohed..............
.....
721.79 \,0.......... ~1l- \t q
Refund from TV Cable of Carlisle, Ino.
.....
I
17.51 v
n.Sl
TOTAL
---- --
$2,099.30
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
x X $2,099.30
"2..) ()', C\..3 0
.:~'-
1
I
. ,
I>lIA1RllOM ll~. lL<lJ)..vJEll"t
AT'1'ORXEY AT I..A'V
CAliILlISLE. P1HlXNSYI..VA~J1A
31 $. HANOVER STREET
Larch 24,
, 19 78
Curcberland Valley Savings & Loan liS soc.
l'D-17Cst Hlgn ;:;treet
Carli31S'~a.! 1701L-..
Gc~ nt lenJ2 11.:
';ie are in the process of s8ttling the Estate of' Kathryn
C .__UcLau$hlin
of _Carlisle, Cumberland
Connty, Pen~1sylve.nia, \'lho died February 19, 19-1.2. o"idning
Javings
Account IIo.
151,160
at your ins.tit ut ion. For
inheritance tax purposes 1;18 must report the value of the account as of
Feb. 19,
_, 19 78 , the data of death. lIould you please state it
below by inserting figures in both the original and the copies of this
letter, mall the orisinal and OlV) copy back to me and keep a copy for
yonr records. I will put a copy vli.th the inheritcll1ce tax papers I file
and ther8 o::viat8 t.he Docessit:,:" of the stat;::: r s appraiser calling you
f')r the figures. l-i.nd, if you are called you vlill have the figureS
readi.ly available.
II~ the account was a ,joint account please state 'the dat,2 it was
ct';::atoo.: , 19__
'lie have f'ound that off times the fir;ures sUDDlied us differ frof.J
tho';e cmppliec1. to the state resulting i.n time consuming efforts to
~traichten out the resulting probh~ns.
Thanks for your coop2rat ion in our efforts to be correct in orde:
to :9r8v8nt annoyance to :lOCl... Very sinc'erely yours,
E'"
.'
/~~f-.u-tN~
Harlon it. LO'it,'er
Feb. 19, , 19 7i3 :; 7 /(,~ /
to ~'eb. 1';1 19 'Id ~:;~.~/,;I-..o
,:. n.,/. 'lei ~
-----------------------.; ~^ - _L~
^ Y;'J li,1 -
tr. {,. hv4.....eC1;=t!... tt..f.{":j ."d..J y, t'~..."
Jnstltutlon ,
;;(a.1.'Lt.,-~_;!f.lD'--t"t 7,1t/~~ '
t-'(~J.tlon r c /J1/~
Prj~ncinal as of date of death
Intere;t froc' Jan. 1, , 197<:5
Total ValE2 Jan. 1,
1978
~Jc
197(;
, -
i'.iarch
--
r>lAlRll'J1>N JE/. lLC>~YlEllR
ATTO.R:\'"EY A"l' I..A'V
fJARLIHr..E. PEXNSYL,TAMIA
31 S. HANOVER STREET
j'J"rch ?l,
19.2lL
CCNB dANK NA
Ii J Hall
Carlisle. _
Pennsvlvania IN 1'3
G:;~ntlem8n :
\Ie arc in the 'lrocess of' settling the Estate of Kathrvn
C. ["cLaughlin
of Carlisle. Cumberland
County, Penns:-lvania, who diGd Fe Qruarv 19.
19..11L o\'lning
Checking
Account No. 076-001103 _ I
at your institution. For
inheritance tax purrJoses He n1iyst re:)o:ct the value of the account as of
Fcbruarv
19
1" '7 >~
'} --lJ2.'
the date of death.
Would you please state it
;~elclVl by in::;ert ing fiplres in'Joth the original and the copies of this
letter, mail the oriGinal and one CO)Y back to me and keep a copy for
YO'lr records. I vlill :JUt a copy with the inheritance tax papers I file
and thereby obviate the necessity of the state's appraiser calling you
1'0:' the fipl.res. And, if you are called you I'lill have the figures readily
available.
If the account ViaS a ,joint account :please state the date it was
created: ( 19_).
'de have found that off times the figures supplied us differ fron
those su?,)lied to thE' state resulting in time consuming efforts to
straighten out the resulting problcn13.
to
TI1anks for you coo~eration
Drevent annoyance to you.
in our efforts to be correct
Very sincerely yours,
jyj~. /?. i.....~~'L-
,
in order
Principal as of Date of Death
Interest from Jan. 1, 19 78
February 19, 19 78
to February 19,19 73
~> 335.00
~ -0-
y
(~, 335.00 ~
y
Tot al Val ue February 19,
19 78 ---------___________
harch 23
19 78
GGNB Bank, N. A.
Institution
B~ ~0~~-
os"lI.Jlon . . P.
-
-'"
HCC- 36.
COMMONWEALTH OF PE:-INSYLVANIA
THANS"~R INHERITANCE TAX
SCHEDULE "c"
TRA:-ISFEIlS
HESIDENT DECEDENT
(1) Did decedent, within two years of'death, make any transfer of any material part of his estate, without
receiving a valuable and adequate consideration therefor? (Answer yes or no) no
(2) Did decedent, within two years of death, transfer property from himself to himself and another or
others (including a spouse) in joint ownership? (Answer yes or no) no
(3) If the answer to (1) or (2) above 1s in the affirmative state:
(a) Age of decedent at time of transfer
(b) State of decedentt s heal th at time of making the transfer. (Note 1).
(c) 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 therefor which was to take effect in possession or enjoyment at or after his death?
(Answer yes or no)~O______
(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?
(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 transferred?
(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) no
(6) 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 lifetime make a transf'er, the consideration f'or which was transfereet s promise to
pay income to or for the benef'1t of' care of' transferor? (Answer yes or no) no
(8) Did decedent, at any time, transf'er property, the beneficial enjoyment of which was subject to change,
because of a reserved power to al ter, amend, or revoke, or which C011ld revert to decedent under terms
of transfer or by operation of' law? (Answer yes or no) no
(9) If' the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter-
est of the benef'1c1ary reserved in the decedent alone or the decedent and others?
(Answer yes or no) nl a
NOTE 1: The answers to these questions should be supportert by af'f'idavit by the attending physician as
well as a copy of' the death cel"t1f'icate.
NOTE 2: If answer to any of the above questions 1s yes, set forth below a description of' the property
transf'erred, it's f'air market value at date of' death, dates of' transf'ers and to whom transferred, with
relationship of transf'erees to decedent, if' any. Submit copy of any trust deed or instrument, ir trans-
f'ers are claimed to be non-taxable, also submit detailed statement of racts on which said claim is based.
NOTE 3: List appl icable property below in manner in which provided in Schedules A, B, or E.
ITEM
DESCRIPTION
MARKET VALUE
(Es t1ma ted)
DEPT. VALUATION
(Dept. Only)
NONE
N ,;-y-.."-
NONIE
\'-.J (r,-,,-
Insert this total opposite "Transf'ers", Schedule "e" in the
"As Reported" colunm on the last page of this return.
------
RCC-37. (12-6])
l'OMMONWEALTII OF PE:-;"SYYLANIA
TRANSFER Ir>;HERITA~CE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BE!\EFICIATIIES
BENEFICIARIES AND ADDRESSES
.State full names and addresses of all who
lave an interest, vested, contingent or other-
wise, in estate)
RELATIONSHIP
(If step-children or
illegitimate children i
are involved, set
forth this fact.)
sunVIVED
DECEDENT
STATE YES
on NO
DATE
OF
BIRTH
INTEREST OF
BENEFICIARY
IN ESTATE
Phj'llis J.
Lebo
Daughter
j'8S
ent ire estate
....... ---.--- I ----- --
-- , I ~ .------..- ------
I ,
I L --..-. -----
~ I I
I - -
,
I
I I ----
-.-.
,
, I
! i
I
----.- _.--. _..~--
I
I
, ._--.__._-- --
I
------
, I
, I ---------
I
,
----
Deponent f'urther says that all the above-named beneficiaries are living at this time except below:
- -
NAME DATE OF DEATH RESIDENCE
NONE
--
I ..__L--_ _'_.._.._n
" ~
~ ....,
.3"'.....
e<'lt:
u;:: c:::
02 Cl) S
.- ..... =
E~-
000..8
-;: g,
Su~
;jt;t
" ~ 0
~Eg.
~ 0:
Real Property
Personal Property
Transfers
SUMMARY
.(Sch. "A")
..... ......................... ............(Sch. "B")
...... ......................... .........(SCh. "e")
(1 )
(As Reported)
$12.000.00
$ 'J..tlS'(.~"O
$.. o. ~ ",
$
$
$.}11:1'i'l.~l:)
I
(2)
(As Determined)
Gross Taxable Estate
$
$
$
$
$
$
DJ.
r:--' Gl
0< H
,-L .... ',"
Z .., oj oj
~ 0"'"
~ tiI ~
" ~ '" ..l <fl s::
" - <"-< ~
;.-. ..-. H " <( ,.:! oj
tiI >-'1 ~ '" :>
'" ::c ~ - ~r-1
- <(
-< 0 " CI: H :>.
~ r..... :::> q '" '" Gl co
~ 0 .~ ~? " '" '" s::
~
~ H ..~ ..:: <( 0 s::
'" -< '" ~
:I: :I: tiI r,;) [.tl H :-. H C)
.... .... f-< H 0:: ~ Q P-.
tiI ,0....:. ~
0 ~ :I: .. -< '1) ~r:~ '" Z .
f-< 0 f-< H F9 ~ <( 0:: ~
Z '" 0 ,..:j ,::. GJ
r..... tiI 0:: :::> ~ ,. S::r-1
~ 0
0 ~.", ~ 0 CI: 0 Ul
":::-f ~
?-i 0 0 .r! or!
~ ~ '" Hr-1
tiI "r' '" tiI ~ ~<
f-< E~ ~ :- CI: oj
" .cc.,
f-< ~ 0 0
::: " ~ 0
~ 0 .c. E
.... 2 :: ~
.~ " i5 U
:::: ....l U
RCC-3jl
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
INSTRUCTIONS: Tllis schedule must disclose all property, real ann personal, owner! hy the rlecedent jointly
with <l.nother or others, including intangibles, standing in the name of' the decedent and othef's. List
rpal estate first, as entireties, or joint tenants, giving hrief description, as indicated lmder Schedule
"A", plus the date Ilnrt place of record of instrument 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 oate of acquisi tioo, lind the name, address lind relationship (if any) of' co-owners to
the lleceden t.
Description of Property, Date of Acquisi tion, Name
Address and Relationship of Co-Owners, and Place
of' Record of Instrwnent, where Real Estate.
Vnit
Value
pe reen tage
Share
Estate
Valuation
DEPARTMENT VALUATION
CAUTION-Do not Write
1n This Space.
Value o:f
En tire
property
Value of
Deceden t's
Interest
NONE
\'0'0>-.1...
Insert this total opposite ",Jointly Owned Property", Schedule "E"
in the "As H.eported" column on the last page 01 this return.
NONE
N J>-^-
----
RCC-Bl (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
Phyllis J. Lebo, Executor
(Executor or Administrator)
In Re:
Estate 01
Kathryn C. McLaughlin
Cumberland
County - File Na. 21-78-0133
Dear Mrs. Lebo:
You are hereby natilied that the original
appraisement in the estate 01 Kathryn C. McLaughlin
has been liled in the affice 01 the Re.;ister 01 Wills 01 Cumberland
County on August 10 ,19~, Said appraisement reflects the lollowing
valuations:
Real Estate
Personal Property
T ran siers
Jointly Owned
Total
$12,OUO.OO
2,099.30
-0-
-0-
$14,099.30
As to such tax that is paid within three months Irom date 01 death, a live (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, i nc I usive;
and twelve months when death occurred prior to December 22, 1965) from date 01 death,
interest at the rate 01 six (6%) percent per annum is charged.
Any party in interest who is aggrieved by this natice may object thereto within
sixty days after receipt 01 said notice as provided by Section 1001 01 the Inheritance and
Estate Tax Act 01 1961, 72 P. S. 2485-1001, P. L. 473.
\
August 10, 1978 Signed \.}...tC-Z
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Date
Title Chief Appraiser
----.~..- -----_.~-----
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Note: This is not a bill.
RCC-2 (2-64)
DEPARTMENT OF REVENUE
. BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA, 17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE
August 10, 1978
COUNTY
Cumberland
FILE NO.
21-78-0133
Whereas,
Kathryn C. McLaughlin
late of
Carlisle
in the County of Cumberland Commonwealth of Pennsylvania, having died on
the 19th 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 estate is transferred in possession or enjoyment to collateral heirs of the decedent after
t.he expiration ot 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
OelcrlpUon of "net Valuel Made for Inheritance
Tn; PurpOlts
(.'12 000.00 $ 12,000 OG
REAL ESTATE -
PERSONAL PRCPER'IY 2,099.30 2,099 30
JOINT-HELD PRGIERTY -0- -0-
TRANSFERS -0- -0-
TGTAL ESTATE $14,099.30 $14,099 30
-
Having been duly sworn according to law, I do hereby certify that the above appraisement is made in Cc%n-
formity with law on this 10th day of August , , . " 19 7 .
\"':f....- . ~ // \.!, 1 .-
It':-; __. ". ~_" V ..--L l:.. .,.7._......___
Appraiser
(N'umber and Strt'et)
Harrisburg
(Pori OftIee)
, Penna.
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