HomeMy WebLinkAbout07-17-78
RCC-33 (4-73,
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS . L(
l (J-I f.oO .;1Gf il 'i
'" U len ..JL I
COUNTY OF
2-\-I~~~?-5l
1978
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'otenue. (Section 703 of the Inheritance and Estate Tax Act of 1961.)
EUGENE o. OOLyarr
(STATE FULL NAME OF DECEDENT)
} AFFIDAVIT OF
~
County
IN THE MATTER OF THE ESTATE OF
Late of Borough of N~Ti 1 1 e,0l1'11ber]('mn
State of Permsylvania
County of
Cumberland
}.
~
Patricia E. D.1be Colyott
of the estate of the above-named decedent being duly sworn, depose S
Executor
and sayS
April 14
(MONTH)
Name and address of attorney or }
other authorized repres,entative to whom
all correspondence should be mailed.
, 19---'2a....{testate leaving a
(DAY) (YEAR) ~
Sally J. Winder of
~rea & Davis
24 West King Street, Shippensburg, Pa. 17257
lost will, copy of which is hereto attached. }
Decedent died
That as such executrix deponent is familiar with the affairs of said estate and the property constituting
(EXECUTOR-ADMINIST 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
Fhe First National Bank Euqene O. Colvott and
9 Biq Sprinq Avenue VICIDRIA L. Co1vott dauqhter
Newville. Pa. 17241
"B"
That the contents of said safe deposit box or boxes are itemized under Schedules of this return,
with the exceptional' the following, for the reasons hereinafter set forth:
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 prioT 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 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 securities owned by the decedent at the time of death, with the market value there-
of at such time.
RC C-34 (4-' 3)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE uA"
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 HE. ")
The real property located In the Commonwealth of Pennsylvania should be
described by lot and block number, street and street number. together wi th
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.,are
to be listed on Schedule "F" and must not be deducted from this schedule.
(1 )
(2)
(3)
DEPARTMENT
VALUATION
CAUTION
(Do not writ.
In th Is space)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEA TH
ESTlMA TED
MARKET VALUE
V" Real estate situate at and known. as No. 58
South High Street, Newville, Pa., being a
lot approx. 50x70 ft. inproved with a 2 1/2-sto:ry
frame dwelling muse, having been conveyed by
Leo S. Auman and Lilly M. Auman, his wife, by
their deed dated August 22, 1970 and recorded in
CUnterlan:1 County Deed Book T, Vol. 23, Page 643,
to Eugene o. Colyott and Patricia A. Colyott (now
deceased) .
$3,800.00
$3Q,000.00 ;,.-/30,000.00
, ;
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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
$30,000.00
pee -3S
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". Inta;gible 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 fact that they are not of the administered estate.
Tangibl e 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, should be listed in this schedule.
I tern
No.
ITEM
List and describe fully
UNIT
VALUE
Checking Account No. 025-346~, First National
Bank of Newville , Ba1. 4/14/78
Coins as follows:
1 GJld dollar - 1853
,,2 Silver dollars - 1887
2 Silver dollars - 1921
'4 Silver dollars - 1922
7 Silver dollars - 1971
5 Silver dollars - 1972
1 Silver dollar - 1776-1976
3.75
3.50
3.50
1.00
1.00
1.00
Currency as follCMs:
, Vi Five-dollar silver certificate
~5 One-dollar silver certificates
/'11 One-dollar bills, Series of 1974
~6 ~dollar bills
1973 CUtlass Suprerre Autorrobile
5.00
1.00
1.00
2.00
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
x X
ESTIMATED
MARKET VALUE
/
783.41 y
I
I
I
I
80.00 vt-
7.50 "
7.00 : .~ "
14.00 ,/'......
7.00 .".
5.00 /'
',/ /.
1.00 ./
I
5.00 V'
15.00 v "
11. 00 "
52.00 v/
1,500.00 i
I
I
2):187.91
DEPARTMENT VALUATION
(Do not write in
this space)
783.41
80.00
7.50
7.00
14.00
7.00
5.00
1.00
5.00
15.00
11.00
52.00
1,500.00
$2,487.91
Pennsylvania Department. ofRev'enue
Bureau of County Collections
Fn;IrD:
RE: Estate of ~U(1F.NR O. COT,VO'I'T
Date of Death: 14. Ap~il 1978
_ r.
Deceased
It i$ l'leret!fcertifiedthat the above-narood decedent ha:i, on the alx>ve date, the
followin.g'acoounts with us:
A. '~.Fa))QNTS
Acoo\mt No. ?
1,0/1:..- 'f ~
'l.'iUe. of Acoount
Date Opened
Balance
C'. ~ . ." P
I.. V E:;!c rV", . 0
nH-/o r 7
'It--! !(,,;(J vi --I
v' It' A I'r
~', 1/" '.1.. ~;-4 /,:'
4-r ,HI!
'733. 'II t,/"
a..$v.tlai AaDUNTS
. Account No.
.;'/
Od s-""?'-If-'i-:) C
Title of Account
Date Opene.d
(-8 - 7/
Itl)ik',) 4' to ,. 7-';'
Bal. (Prine & Int)
rY ISS;J..7/?~'.
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(; v (,D"t:. 0, ( vLy'", 'f'!-
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~-f 'f/JO/~
,c. 'CBIO.'U"ICA'mS OFOEE'OSIT
~r
OrI.t.lua
Date
Face Value
Earned Inte:resi
1/ II/~
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Date :
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RCC- 3&
f'UMMO\WEALTIl OF PENNSYLVANIA
T\{A\:~FFH INHEI"tITANCE TAX
SCHEDULE "e"
TR'\NSFEJlS
HEsrnEXT 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 is in the affirmative state:
(a) Age of decedent at time of transfer
(b) State of decedent'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) 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?
(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
no t in fac t 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 not applicable
(7) Did rlecedent in his lifetime make a transfer, the consideration for which was transferee's promise to
pay income to or for the benefit of care of transferor? (Answer yes or no) no
(8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change,
because of a reservei! power to alter, amend, or revoke, or which conld 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 beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no) not applicable
NOTE 1: The answers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death certificate.
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 transferees 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
DESCRIPTION
MARKET VALUE
(Es tima ted)
DEPT. VALUATION
(Dept. Only)
None
None
Insert this total opposite "Transfers", Schedule "C" in the
"As Reported" column on the last page of this return.
None
None
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,
LAST WILL AND TESTAMENT
OF
EUGENE O. COLYOTT
I, EUGENE O. COLYOTT, a domiciliary of the Commonwealth of
Pennsylvania, being of sound and disposing mind and memory, do hereby
make, publish and declare this instrument to be my LAST WILL AND
TESTAMENT.
FIRST. I hereby revoke any and all wills and codicils by me
heretofore made, including the Will I executed 18 March 1966.
SECOND. I direct that all my just debts and funeral expenses
be paid as soon as conveniently can be done after my death.
THIRD. I give, bequeath and devise all my estate and property,
including all property of which I shall die seized and possessed, all
property to which my estate shall be otherwise entitled at the time
of my death, and all property over which I shall have power of
appointment, of whatsoever kind or nature and wheresoever situated,
be it real, personal or mixed, absolutely and forever, to my wife,
PATRICIA A. COLYOTT.
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FOURTH. In the event that PATRICIA A. COLYOTT shall predecease
me, I give, bequeath and devise all of my said estate, share and share
alike, absolutely and forever, to my children, PATRICIA E. DUBE,
VICTORIA L. COLYOTT, and WILLIAM E. COLYOTT, and to the issue of any
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predeceased child, such issue to take per stirpes, and not per capita.
FIFTH. I hereby expressly state that my wife and I own all of
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our personal property jointly with right of survivorship; and if my
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wife shall survive me, then said property shall not be included in my
estate, but shall be owned by my wife through operation of law.
SIXTH, This Will is hereby expressly made in contemplation of
(Page 1 of 3 Pages)
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the fact that children may be born to me or adopted by me after the
execution hereof and accordingly, I direct that all references in this
Will to "children" or "child" shall be construed to include those born
to me or adopted by me after the execution of this Will.
SEVENTH. Wherever in this my lAST WILL AND TESTAMENT it is
provided that any person shall benefit hereunder if such person shall
survive me, such person shall be deemed not to have survived me if he
or she shall die within thirty (30) days after my death.
EIGHTH. In the event that my wife, PATRICIA A. COLYOTT, shall
predecease me and I shall die leaving a minor child, or minor children
surviving me, then I request that my daughter, PATRICIA E. DUBE, Dallas,
Texas, be appointed as guardian of the person and property of each minor
child of mine who shall survive me, to serve during the minority of
such child or children. I request that no bond or surety be required
of the guardian appointed under this paragraph.
NINTH. I nominate and appoint PATRICIA A. COLYOTT as executrix
of this Will, and I request that my executrix be ~itted to serve
without bond or without surety thereon and without the intervention of
any court except as required by law; and in the event PATRICIA A. COLYOTT
shall predecease me, or fail to qualify or complete the administration
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of my estate, then I appoint PATRICIA E. DUBE as successor executrix
of this Will und~ the same conditions as heretofore set forth in this
paragraph.
TENTH. I give my said executrix or alternate executrix, as the
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case may be, absolute discretion and the fullest authority in all matters
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including, but not limited to, complete authority to sell (at public or
private sale, for cash or credit, with or without security), mortgage,
lease, and dispose of all property, real, personal or mixed, at such
(Page 2 of 3 Pages)
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'EUGENE O. COLYOTT
(SEAL)
.
times and upon such terms and conditions as she shall determine. I
direct that the administration of my estate be as independent of probate
court proceedings as the laws in force at 'my death shall permit.
IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania,
this /9 day of ~6"v,_n;7"""7'
, 1974, set my hand and seal
to this my lAST WILL AND TESTAMENT consisting of three (3) typewritten
pages, this included, the preceding pages hereof bearing my signature.
Signed, sealed, published and declared by the abov~-named Testator,
EUGENE O. CO LYOTT , as his LAST WILL AND TESTAMENT, in the presence of
all of us at one time, and at the same time, we, at his request and in
his presence and in the presence of each other, have hereunto subscribed
our names as attesting witnesses, and we do hereby attest to the sound
and disposing mind and memory of said testator at the date hereof, and
to the performance of the aforesaiQ.,acts of exe~ution at Carlisle
Barracks, Pennsylvania, this'(1/J'Qay of-1elJ"lft<J. '1~1 ' 1974.
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ADDRESS
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(Page 3 of 3 Pages)
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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 BENEFICIARY
aye an interest, vested, contingent or other- are involved, set STATE YES IN ESTATE
wise, in estate) forth this fact.) OR NO BIRTH
Patricia E. D.1be Colvott dau HOC c:m; ;l1r; e one-third
58 South High Street
'....................., rd.. J.. I.<:;'*J..
Victoria L. Colyott daughter yes I sui iuris one-third
~l:l South High Street
l\ToT....n 11"", P::> 1 7'JA 1
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T.T;11;::>1'T1 F. - son HOC! en; ;".,..; e
... -
58 South High Street vuc- ................u.
, J:'a. .L I ~q.L
Patricia A. Colyott wife no
I
Deponent ~~rther says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
Patricia A. Colyott
R C C-38
RESIDENT DECEDENT
SCHEDULE" E"
JOINTLY OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERIT ANCE TAX
INSTRUCTIONS: This schedule must disclose all property, real an<l personal, ownerl by the decedent jointly
wi th another or others, including intangibles, standing in the name of' the decedent and others. List
real estate first, as entireties, or joint tenants, giving brief description, as indicated lm<ter Schedule
"A", plus the date and 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 <tate of acquisi tion, and the name, address and relationship (if any) of co-owners to
the dece,ient.
Description of Property, Date of Acquisition, Name
Address and Relationship of Co-Owners, and Place
of Record of Instrument, where Real Estate.
Unit
Value
percentage
Share
Estate
Valuation
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of
I<.'ntire
Property
Value of
Decedent's
Interest
Savings Acoonnt No. 025-346-4-20, /
First National Bank of Newville,
in names of Eugene O. Colyott and
Patricia E. Colyott(Narre added 4/6/781
Bal. 4/14/78 - 1,552.98
.
I
1,552.98 I :i 0, r ..~ 1,552. 9E
) ./ ~ ~ .
,-~ -. 2. 7,
2.77 .
Earned interest on above savings Acoormt
Insert this total opposite "Jointly Owned Property", Schedule "E"
1,555.7
in the" As Reported" column on the last page of this return.
$1,555.75
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 OFiFILlNG Qr APPRAISEMENT
Fa~ric a E. Dtibe COlyott
58 South High Street
Newville, PA 17241
(Executor or Administrator)
In Re: Estate of
Eugene O. Colyott
Cumberland
County - Fi Ie No.
21-78-0251
Dear Mrs. Co1yott:
You are hereby notified that the original
appraisement in the estate of Eugene O. Co1yott
has been fj led in the offi ce of the Re1 i ster of Will s of Cumberlana
County on September 5 , 19~, Said appraisement reflects the following
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
30,000.00
2,487.91
None
1,555.75
$34,043.66
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
September 5, 1978
Signed
.., L,
Title Chief Appraiser_~__
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Note: This is not a bill.
R C C-2 (2-64)
Comny
September 5t 1978
Cumberland
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA, 17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE
FILE NO.
21-78-0251
Wh Eugene O. Colyott late of Borough of Newville
ereas,
in the County of Cumberland Commonwealth of Pennsylvania, having died on
14th April 78 .
the day of 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 de.cedent 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.
Unil Appraisement
De.crlpl!on of Anel Value. Made for In heri tance
Tax Purposes
Real froperty $ 30tOOO 00
_._~ -
Personal froperty 2t487 91
Joint-Held Property lt555 75
Transfers None
-
TOTAL ASSETS $34t043 66
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Having been duly swo.rn accordin~ to law, I do hereby certify that the above apEraisement is made i~gon-
formity with law on this 5t day of Sep ember 19_.
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Apprai.er
(N\Jmber andiStr,et)
tlarr sourg
(poat OftIee \
, Penna.
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Personal Property..........
Transfers ... ....
Jointly.. Owned..
SUMMARY
(Sch. "A") $.
................ ...(Sch. "B") $.
...(Sch. "C") $.
..Wqh~.~I;S" $
(1 )
(As Reported)
.. .:30.,0..00..0.0..
2,487..91
None
1,.555.75
(2 )
(As Determined)
Gross Taxable Estate. .
$.....
$.. ...34.,0.43.66.
$
$
$
$
$
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