HomeMy WebLinkAbout08-10-78
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RCC..~3 (~7'J)
COMMONWEALTH OF PENNSYLVANAUG 1 t\ 10'7
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
RESIDENT DECEDENT
COUNTY OF
Cllmbel"land
IMPORTANT:
This return must be completed in detail and filed in duplicate, with all attached. with tbe 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'ienue. (Section 703 of the Inheritance and Estate Tax Act of 1961.)
IN THE MATTER OF THE ESTATE OF
.
Late of
Cumberland
Pennsylvania
} AFFIDAVIT OF
EXECUTOR
AlIl!KlllU5ltKACrol1
Mabel F. Kilmore
(STATE FULL NAME OF DECEDENT)
County
County of
Cumberland
Vance E. Kilmol"e
of the estate of the above-named decedent being duly sworn, depose
} ss:
State of
Executor
K\I!!roJmQlPQK
and soy
May 22,
(MONTH]
Nome and address of attorney or }
other authorized repres.entative to whom
011 correspondence should be moiled.
(DAY)
19~{~estate lea. ving.a last will, copy of which is hereto attached.,}
[YEAR) 1!X!EJl(X
Decedent died
J. Robert- Stauffer - Ma'r'ket. SqllA'r'e B1 dg_,
Mechanicsburg, Penna. 17055
That as such Executor deponent is familiar with the affairs of said estate and the property constituting
(EXECUTO R-ADMIN 1ST RA TO R)
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 O-THER INSTITUTION
IN WHICH DECEDENT RENTED A S....FE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
Tn~ ~;~9t Rcpv and ~pu
MAt"':hnT'l; ~sn"Tt~ Pa
, ,.. ~
Sts., MechanlcRoll'r'O'
P e
Va
That the contents of said safe deposit box or boxes are itemized under Schedules B
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 Pe~nnsylvania of which decedent died having an interest therein. It also sets forth the
mortgage encumbrances upon each parcel of rea~ 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 folly 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~..,o~p~~7;"~~S"--fe.~,
giving also separately the accrued interest thereon, if any, down to the last interest day pri(Uf }bjec-edeni~s ~.l"';"I.,;.",
death in the case of savings hanks, and to the date of decedent's death in all other cases; alfhOlfds, "'postal ~\
savings, treasury cert;if.icate.~ or notes and other evidence of indebtedness of the United St~)-e--; tb~ the de. P";' ~1
o. . _,.~'i'. _.... _ ___ ..... ,~, ~_
cedent; all obligatiqns,.whethe.r .~y.,~tatute.oIi--a.greement they are designated as tax free, of th~Uhited States, .. ~.~
,t ~~.' ,b '"' ~"":.""_'.' .....;JI' ~,'"
or any state, or political subdivision thereof, or of a-ny foreign country, which are owned at the~time of death; ~ f
all .~eB;ring apparel, ,jeweJry,. .silve.l1".are, pictures, books, works of art, ho~sehold furniture, hors~.Kca';'i~.ges, ,e ~$
'., ,_ .~ . 0'" ~ 0_ ~". (. ,.. '. ~ ...~ .. ,.. .......
automobiles, boats, and any and all other personal chattels of whatsoever. kind or nature, left oy .decedertt,...... ...~~-.,;
.~. \o!o
together with the fairlY,_estimated market value thereof; all bonds and mortgages held by decedent and.of-alll\'
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 1?'hich were payable upon ~he 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 o\V~ed by the decedent at the time of death, with the.market value there-
of a t such time.
,
,
In the case of securities of close or family corporations, the values reported. are as far as
possible subst~ntiated by financial 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 t~ere 1s annexed to
said schedule, financial statements showing the assets and liabilities of said co-partnership or D.uslness.
A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of toe agreement)
together with a statement setting forth 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 decedent's interest
therein must be submitted. 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 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
after death, said schedule sets forth 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 regarding said transfers. In the case of transfers intended to
take effect in possession or enjoyment at or after death, there is also attached to the schedule a copy
of the deed, trust agreement or other in~trumEmt creating the trust. Therl'! is a150 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 tr~ exercise by decedent, either individually, or jointly,with another, or any power of appoint-
ment vested in decedent, ei ther individually or jointly, by the will, deed, or other ins trument of ana ther,
with a copy of the instrument creating ~uch power~attached to the schedule.
That Schedule D attached hereto and made part hereof sets forth the nRmeS and addresses of all
persons beneficially interested in this estate at the time of decedent's death, the nature of their res-
pective interests, their relationship, if a~y, to the decedent, together with the ages at the tlme 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 decedentts will, if any, died prior
to decedent, the dates of their death, their issue, and the relationship of such issue to the beneficiary.
That Sc~edule 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 nam~
or the decedent and others, plus the date and place of record of instrtments effecting the vestitur~ of
real estate and the date of acquisition of personalty, plus -the name, address and relatio~~hip, if any,
of co-owners to the deceden t. . .
That Sc~edule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate, including funeral expenses paid;
family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciaryts
commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli-
gious services, in consequence of the death of the decedent; debts and claims owing and 1mpaid 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 pledged for 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 c~aimlng 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 Schedules "A", "B", nen, nEn, and "Fn as directed therein,
have been carried forward and properly registered in the Summary.
~
.,Subscribed and ',sworn to before me this .................................
.hi~~;~;~~~~y of .. ........ .. 0~... 19.....7.8
.\~~i~~!;,i,,~.................
..~.,"\-.:..." My Col1lf11jssio~ hpires June g, ~:,,"_'
. ... -".~
1J.~.....z..:~.~~..................................
(E:recutor-ll~Wx.l
.61.0.....G.entr..aL..$..tr..ae.t.......................................................
(Street Number)
....1:1.<:l.<<h!l,IlJg!l.):ll,!rg.1.Pl:l.@!l....JZ955......
(City or Tow" aM State)
NOTE: Before signing affidavit make sure all blank s'Paces in the affidavit and schedules annexed are
filled in with details or the word "None", and in case the assets include rare and unlisted securities,
securities of close or family corporations or an interest in any co-partnership or business, that the
data and statements re~lirerl under the paragraph above relating to Schedule "B" are attached. Also make
certain that column #1 in the "Summary" has been properly completed as above-directed.
I
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....-.:,.,R~''?".~.'It.,4~7_~l.~,~.." >
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
. _..~.,...._~_..1.'.,,;...';"'''~_2_~_._...,,'O>...~,t.... ..;' -_~",,~_,.'...
.,
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 surviarship or tenancy by entireties should be reported an 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
Cl 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..
eres; also statement of mortgage encumbrances upon each parcel at death
of decedent. Taxes, a..e88man'., accrued Interest on mortgages, ate.,ar.
to be It.ted on Schedule "Fu and must not.be d_educted from thIs schedule.
(1)
(2)
(31
DEPARTMENT
VALUA TIDN
CAUTION
(Do not write
In thl. space)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEA TH
ESTlMA TED
MARKET VALUE
None
None
Insert this total opposite "real property", Schedule "A" in the X X X X X
"As Reported" column an. the last page 0/ this return.
None
RCC-35
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
.
INSTRUCTIONS: This Schedule must disclose all tangible andintanglble personal property owned individually
by the decedent, at the time or 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.a.D. U. S. Savings Bonds and tenta-
tive trust accounts, must be listed, despite the ract that they are not of the a,dminlstered 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, stich 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 firluciary in said capacity, partnership interests, interest in anyundistributed
estate of or income ~rom any property held in trust under the will or agreement o~ another, even though
located outside o~ the State, at the time of death, should be listed in this schedule.
Item
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
i~
ITEM
List and describe fUlly
UNIT ESTIMATED
VALUE MARKEf VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
Checking Account No. 131-121-6 with The
First Bank and Trust Company of Mechanics-
burg, Pa. ... ~
Savings .Account No. 508-249-0 with The
First Bank and Trust Company of Mechanics-
burg, Fa.. .
Interest accrued to 5/22/78. L
Certificate of Deposit No. 1767 issued 0
The First Bank and Trust Company of Mech ics-
burg, Pa., in the principal amount of
$1,000.00, bearing interest at the rate 0
c;% per annum.
interest. accrued to 5/22/78
Certificate of Deposit No. 3884 issued on
The First Bank and Trust Company of Mecha ics-
burg, Pa., in the principal amount of
$2,000.00, bearing interest at the rate 0
5~ per annum. '. .
Interest accrued to 5/22/78' ~
Certificate of Deposit No. 3491 issued on
Farmers Trust Company, Carlisle, pa., in
.the principal amount. of $3,340.33, bearin
interest at the rate of 5% per annum.
nterest accrued to 5/22/78.
$5,000.00 dollar Judgment note dated 1974
from Vance Eugene Kilmore, Jr., to Mary
K. Kilmore, his wife, bearing interest at
the rate of 5% per annum, payable monthly
Full principal balance due and owing.
Interest accrued from 5/1/78 to 5/22/78-
$10,000.00 Mortgage dated July 15, 1970
from Walter S. Lehman and Mildred W. Lehm ,
his wife, securing premises known as 404
and 406 Franklin St., Carlisle, Pa., reco ded
in Mortgage Book No. 525, Page 526, etc.,
payable in two (2) years from date, beari g
interest at the rate of ~ per annum.
Principal balance as of 5/22/78
Accrued interest to 5/22/78 (4 mos. 22 da s)
818.999 shares of Decatur Income Fund
elaw~reManagement Co., Inc) 12.1
60 shares common stock of F. W. Woolwonth
-ompany. 20.25
44 shares of common stock of Philadelphia
E~ectric Company. 18.25
~ shares of common stock of Girard Co. 46.75
.0 shares or Colgate Palmolive Co. 22-1/
92 shares or Citicorp (Natl. City Bank )5~
or New York) ~
00 shares of common stock of cannoJ~~i~l -
68 shares of Al
x x
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
?
f). 0 tf, /1
, 7 7 f. tf 7
~). '1''2--
2,021.14
6,778.47
25.42
1,000.00
35.55
1000. of)
I }J; I" Y
2,000.00'
79.75
J. 606.06
- ' "7,
~ ,VO.l)
1J-4./.0/
3,340.33
124. 01
5,000.00
14.78
.,-000. 00
/'1. 7 Y
5jO 00. OlJ
'1ID"J.OL
t~~" Or
I J../J. oC
/, a
1(-6 '1 t ~
p..,r ,. v. ~.-
9 ,'. ~J
'I; ?~. ~
(~ c~. 0'0
) ~(J7. f70
55,061.80- Carried Forward
Rec -35
co~rnONWEALTH 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 or his death. Property owned by the decedent jointly with another or others
must be listed under Schedule "En. 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 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 rlividends, salaries or wages, insurance pay-
able to the estate or fiduciary in said capacity, partnership interests, interest in anyund1stributed
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
MARKEr V ALOE
DEPARTMENT VALUATION
(Do not write in
this space)
BROUGHT FORWARD..........................
.5.5,061.80
16 Six (6) $1,000.00 denomination, Series H,
U. S. Savings Bonds, as follows:
D9212478H dated Dec. 28, 1970.
.500.00
tao~. qlJ
IOOO.O()
, QOO. aD
, otJo - oD
/000- "0
/{roo.OO
;;
M9207670H dated June 12, 1964
Mll.508197H dated Dec. 28, 1970
Ml1694463E dated Aug. 20, 1971
Ml1694464H datedAug. 20, 1971
Ml169446.5H dated Aug. 20, 1971
Ml169442.5H dated Aug. 20, 1971
17 One (1) $.500.00 denomination, Series H,
U. S savings Bond, as follows:
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
x X
61,.561.8
lol, ~ '"2rLt~ 30
SCHEDULE "B" - PAGE 2.
RCC-36
COMMO:\WEALTII OF PENN~YL\CANIA
TRAN8FFIl INHEIUTANCE TAX
SCHEDULE "c"
TllANSFETLS
rillS IDE:\T IlECEnENT
(1) Did decedent, within two years of'death, make any transfer of liny material part of his estate, without
receiving a valuable and adequate conslrteratlon t.herefor'? (Answer yes or no) No
(2) Did decedent" wi thin two years o~ death, trans~er propeny ~rom himsel~ to himself and another or
others (illclwHng a spouse) in joint ownership? (Ans',.;er yes or no) No
(3) If the answer to (1) or (2) above is in the af'f'irmative state:
(a) Age of decedent at time of transfer J None
(b) State of' decedent's health at time of making the transfer.' (Note 1).
(c) Cause of' decedent' 5 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 dp.ath?
(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 rlisposition? (Answer yes or no) No
(b) What was the transferee's age at time of decedent's death? None
(5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor umier which transferor expressly or impliedly reserves 'for his life or any period which does
not in f'nct end before his death:
(a) The possession or ep.joyment of or the right to income from th€.' property transferred?
(Answer yes or no) No
(b) The right to designate the persons who shall possess cr enjoy the property transf'erred 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 None
(7) Did decedent 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 reserveri power to alter, amend, or revoke, or which cOllld revert t.o rlecedent tmder terms
of transfer 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 alter, amend, or revoke the inter-
est of' the beneficiary reservert in the decerlent alone or .the decedent anrl others?
(Answer yes or no) No
NOTE 1: The answers to these questions should be supporterl by af'fidavi t by the attenrUng phj'sician as
well as a copy or the death certif'icate.
NOTE 2: If answer to any of the above questions is yes, set forth below a d.escription of' the property
transferred, it's f'air market value at date of' death, dates of transfers and to \"hom trl'tnsferred, with
relationship of transferees to rlecerlent, 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 whi.ch said claim is based.
NOTE 3: List applicable property below 1n manner in which provided in Schedules A, B, or E.
ITEM
DESCRIPTION
MAJlJillT VALUE
(Es tima ted)
DEPT. VALUATION
(Dept. Only)
None
None
~
Insert this tntal opposite NTransfers", Schedule "e" in the
"As Reported" colunm on the last page of this return.
None
... '. I .
Rea-3? ('12-63)
cmIMO:'WEALTH OF PE;I;:\SYYL\NIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
,
\
h
.' -). . ,-, RELATIONSHIP
BENEFICIARIES AND ADDRESSES'" ~ (If step-children or SURVIVED DATE INTEREST OF
State full names and addresses of all who illegitimate _children DECEDENT OF BENEFICIARY
aye an interest, vested. conting~nt or other are involved, set STATE YES IN ESTATE
wise, in estate). ~ forth this fact.) , qR !,O: :'i,:B~FH ,. , , ~ ~ l _. .
'- ,. -.' .....
Vance E, Kilmore Son Yes One-third of Estate
610 Cent"'''l St: 'v . .;.J"" , '.
..'.1
MechanicsburlZ . Pa. 170<;<;. .
Floren"e R'o7.V ""---.... ,>""h t:". Yes One-ninth of Estate
2806 Euston Road
w~"'''o_ Po_lr F' 0 ':l?'7Aa
Carlvle Kilmore Grandson Yes One-nineth of Estate
R. D. ~ - 'Box ~!ill - Gretna
Wood Road~ Plesant Vallev
New York. 12<;69
Carolvn Robinson . GranddaulZhte Yes One-ninth of Estate
Estanislao del Camno
1706 Haedo
Bueonos Aires ArQ'entina S. A.
1Jo_"o uo<lo - , '~,,~h~o VA" IOn,,-nint:h {1f' R"t:"t:A
, U^',~ "'~
Harrisburg, Pa. 17104
Winifred Hock G"'anrlrl ""O'h t:", V"O I"___-<-+-,, _.. "'_+- ,+-
,
Eastern Bantist Seminarv
T_';^-~t:"",A"" at: C-It:v T.i",,,
Phi:ladelnhia. Pa. 191~1
^ , ~- '- , Granddau.,.hte Ves 10",,,_n-l n~h ^f' R"+,o~,,
"
I,nl,' F I-In "'.. .
Carlisle 1701':1 ~ '. .
P" ,
,
-
, .~"
,...
, ,
;
., .
.,
.'
", .
Deponent further says that all the above-named benericiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
.
,
~
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SUMMARY
. ....(Sch. "A")
.....(Sch. "B")
......(SCh. "C")
Heal Property
Personal Property
Transfers
..JointJy.OwnedJ'roperty..C$c:h..."E") ..
Gross Taxable Estate
f-
Z '" Pi
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ct , " .,-I: ..J
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<5
::: .;;: ..J U U
(1 )
(As Reported)
.0.00
Q:!..561.80
0.00..
0.00
$
$.
$..
$.
$....
$..61.561.80.
,
(2)
(As Dd(',millcd)
$.
$
$
$
$
$.
c
"
.
. .
RCC~38
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRUCTIONS: This schedule must disclose all property, real and personal, owner! by the rtecedent jointly
.....ith anot.her 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 lmder Schedule
"A", plus the date and place of record of instrument ef'f'ecting vest! ture, but cia not include entireties
or out of state real estate value in estate valuation column. Personal property should be listed as in
Schedul e "B", plus date of acquis i tion, and the name, address and rela tionsh tp (1 f an~") o:f co-owners to
the decedent.
><X
Descript.ion of Property, Date of AcquisltiQn, Name
Address and Relationship of Co-Owners, and Place
of Record of Instrument, where Real Estate.
:x> 6" X> ~ %;0<; ~ ~
:x> :x> ><X :x> :x
'^"x
unit
Value
.
None
percentage Estate
Share Valuation
':>6 8:8; ~ ><X X> %
None
Insert
in the
this total opposite "Jointly Owned Property", Schedule "Eft
ft As Reported" column on the last page of' this return. None
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent' 5
Property Interest
~
~.
. .
RCC-81 (6-731
COMMONWEAL TH 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
Vance E. Kilmore
610 Central Street
Mechanicsburgr Penna.
(Executor or Adm ini strator)
In Re: Estate of
Mabel F. Kilmore
Cumberland
County - File No.
21-78'-0282
Dear
You ore hereby notified that the Original
appraisement in the estate of Mabel F. Kilmore
has been filed in the office of the Register of Wills of Cumberland
County on 23: October ,19~, Said appraisement reflects the following
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
None
61,624.30
None
None
61,624.30
As to such tax that is paid within three months from dote of death, 0 five (5%)
percent discount is allowable. As to any tax that remains unpaid after nine (9) months
(fifteen mant.hs when death occurred from December 22,1965 to June 16, 1971, inclusive;
and twelve months when death occurred prior to December 22, 1965) from dote of death,
interest at the rote 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 os provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961, 72 P. S. 2485-1001, P. L. 37\\
Dote 23 October 78 Signed cJ~)(. fQ_h~_~_
Chief Appraiser
Title
~
Note: Thisisnotabill.
R C C-2 (2-64)
.- '\)EPkRTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA, 17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE \ 0 .- l C1.. - "1 6
COUNTY ~
FILE NO.
Whereas, late of f'Y\-.~~
in the County of r J...~ Commonwealth of Pennsylvania, having died on
the . '7 9 day of _~ ~ 19.:li;!., seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, \ r\.-.6-. C,) 0 D. - . an appraiser duly appointed according to law,l
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 1s 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
Delcrlpllon of Anet Valuel Made for Inheritance
Tax PurpOJeI
R~p^ .. -"- $ "- 'I {JY\...Q...
\
O~ - ../J... lD l, b2.4 30i
\?r\ ..-..~
\ ~ A o ,., 'V NlfY\.t.
--:J ,. . ~ ':_ iL. 01\ \?/\ ' , _n N(0'\.-L
----.J '-' '"
\f.:fr-.; 0 ~ lot.62Lt 3D
;
- -
,
-
,
Having been duly sworn accordi~ law, I do hereby cee,if~.:the above appraisement is made in con-
formity with law on this \ 9. - day of ' ~ , . 10 19<" 9 .
, ~- 1<. ,,)'if ~~..;._
A.ppraiser
\~eet} , Penna.
. (PM OfB~J~
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