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HomeMy WebLinkAbout09-18-78 RCC-33 (4-73) SfP 18 1919 COMMONWEAL TH OF PENNSYLVANIA 1M DEP ARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS RESIDENT DECEDENT COUNTY OF CITMRR1H.AND 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'olenue. (Section 703 of the Inheritance and Estate Tax Act of 1961.) Late of Cumberland } AFFlDA VIT OF EXECUTOR A3~ County IN THE MATTER OF THE ESTATE OF HARVEY B GOOD {STATE FULL NAME OF DECEDENTl State of Pennsylvania Cumberland } 55: County of ~ Kenneth F. Good of the estate of the above..named deeedent being duly sworn, depose S and say S: Executor (MONTH) Name and address of attorney or } other authorized repres.entative to whom all correspondence should be mailed. (DAY) 19~{testate leaving a last will, copy of which is hereto attached. } (YEAR) X-V'1(~'Y Decedent died June 23 JOHN H. BREAM, 101 Blackstone H:=t1"1";Rhn1"g. P:=t ESQ. Building 17101 That as such RXP("11rn1" deponent is familiar with the affairs of said estate and the property constituting (EXECUTOR~ADMINIST 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 OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED REL A TIONSHIP 0 F JOIN T IN WHICH DECEDENT RENTED A S.-\FE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT CQ"'"'gn..malth Nati . , "D ~_1 U~~n~" 'Q r:!~~..1 -J Harrisburg, Pa. No. 362 C 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 pdvr to decedent's death in the case of savings banks, and to the date of decedent's death in all other cases; all bonds, postill 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 thfl 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 interes t 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. In the case of' securities of close or f'amily corporations, the values reported are as f'ar as possible substantiated by f'inancial statements of the corporations, showing the assets and liabilities thereof' as of' the date of' death. The schedule also sets f'orth 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 nusiness. 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 f'acts 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 f'orm, together with the f'air 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 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 take eff'ect in possession or enjoyment at or af'ter death, said schedule sets forth the nature and value of' such property, to whom transf'erred, the relationship of the transferees to the decedent, the proportionate share received by each transf'eree and all other f'acts of' a pertinent nature regarding said transf'ers. In the case of transf'ers intended to take ef'f'ect in possession or enjoyment at or af'ter death, there is also attached to the schedule a cORY of' the deed, trust agreement or other instrument creating the trust. Ther" is also set f'orth in said schedule a list of' all property, real and personal, with its value, which passes at decedent's death by virtue of' the exercise by decedent, either individually, or 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, with a copy of' the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof' sets f'orth the names and 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 benef'iciaries f'or life under decedent's Will. It also contains a statement showing which of' the benef'iciaries named in the decedent's will, if' any, died prior to decedent, the dates of' their death, their issue, andthe relationship of' such issue to the benef'iciary. That Schedule E attached hereto and made a part hereof' sets f'orth 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 vestiture 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 Schedule F attached hereto and made a part hereof' sets f'orth rully and in detail all debts and deductions claimed f'or and on behalf' of' this decedent's estate, including runeral expenses paid; f'amilyexemption, where applicable; costs of' administration of' this estate; counsel f'ees and rudiciary's commissions 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 l1npaid at time of' death; taxes accrued chargeable f'or 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 f'or obliga- tions, if' any. It is agreed that the riduciary will present proof' of' said claimed obligations upon re- quest, that if' the amount actually paid in settlement of' any f'ee, 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. That the totals of' the appropriate columns in Schedules "A", "B", "CO, "E", and "F" as directed therein, have been carried f'orward and properly registered in the Summary. Subscribed and sworn to before me this ................................. ................l,J..~...:................ day of ...~19.2..r..... .. -LJ .... ../1 ~...0.,.......;.J~...............m .................~~.7 . PAMelA J. SIERER Notary Public My Commission fxpire~ ~uly 27, 1981 tor ...J3..q~.....l.a4........Mt.R.... ......C:umb.e:r.land...Head (Street Nu.mber) ~!.~.~~.~.p..~!:gh..,......N..,..X."...........l~.9..Q.1........................... (City or Town and State) NOTE: Bef'ore signing af'fidavit make sure all blank spaces in the af'f'idavit and schedules annexed are f'illed 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 required 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. . . RC C-34 (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 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 "E.") The real property located In the Commonwealth af Pennsylvania should be described by lot and black 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 af a. cres; also statement of mortgage encumbrances upon each parcel at death of decedent. Tax.., a.se..ments, accrued Inter..t on mortgag.., etc.,ar. ta be listed on Schedule "F" and must nat b. deducted from this schedule. (1) (2) (3\ DEPARTMENT VALUA TION CAUTION (Do not writ. In this opace) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH ESTIMATED MARKET VALUE Tract of 94.66 acres in CWo plots on the south side of Route No. 39, Linglestown Road, Lower Paxton Township, Dauphin County, Pennsylvania - assessed at O'~'-- - \-..--. ~ . . ~ $176,OOO.O( 11/vd()O,4l JJ~O~~' trd 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. RCC -35 RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY '* COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX 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 Ihted 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.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 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. Item No. ITEM List and describe fully UNIT V ALIlE ESTII4ATED MARKET V ALIlE DEPARTMENT VALUATION (Do not write in this space) Cash Checking account #112-107504-6 -~ Commonwealth National Bank, Harrisburg, Pennsylvania 460.06 II' C,46 3,873.23 ,// ~ rr7:J,"..J Savings Account No. 11-0017008-1 -~ Commonwealth National Bank, Harrisburg, Pennsylvania - ~ned 9/7/72 ~Balance due from Union Deposit Corporation 113,296.05 ,,// I " ~", 4 f 271,706.9 i ' P. 7/, ,~,. 91 .., ~:JJ ( # J / Insert this total opposite "Personal Property", Schedule "B" in X X the "As Reported" collll1lll on the last page of this return. Rcc-36 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX SCHEDULE "c" TRANSFERS '* RESIDENT 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 proper"y from himself to himself and another or others (including a spouse) in joint ownership? (Answer yes or no) ~lo (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 health at time of making the transfer. (Note 1). (c) Cause of decedent's death. (Note 1). (4) Did decedent, in his lifetime, make any transfet. of property without receiving a valuable or adequate consideration therefor.~hich was to take effect in possession or enj~yment 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) No (b) What was the transferee's age at time of decedent's death? (15) 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 enj~yment 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 (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, hecause of a reserved power to alter, amend, or revoke, or which c01,ld revert to decedent under terms of transfer or by operation of law? (Answer yes or no) Nn (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) No 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 ~~ Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. """, .- '.1, ,_f' ': ...\~~~~:"~~~~~,'~,....'~''-~.' I'."" ':,' ";::~" 'i'" _:;.:':.,..........~;.!!~,..~!jl.1";:i~':"'~ . .....". !.~.' ,.."" .".' ,. .;;'.": ;:~::>:~'.!~':_...:.:;,.),::.'~~~~. ,_.." . . ,. ~ ~ LAST WILL AND TESTAMENT OF HARVEY B. GOOD 1. HARVEY B. GOOD, .of the city of Harrisburg,County of Dauphin and Commonwealth of Pennsylvania, being of sound mind, memory and understanding, do make and publish this,'my Last Will and Testament, hereby revoking and making void all former wills by me at any time heretofore made. FIRST: I direct that my funeral be conducted in manner corresponding with my life, direct that all my just .debts and funeral expenses be paid and satisfied by my Executor hereinafter named as soon as conveniently may be after my decease. SECOND: All the rest, residue, and remainder of my estate, real, personal and mixed, wherever situate, I give, devise, and bequeath as follows: a) Five-Eighths (5/8) to my son,Kenneth Franklin Good, now of LORING AIR FORCE BASE, MAINE 04750, and his heirs. b) One-Eighth (1/8) to my granddaughter, Mrs. ~:.~'Elwood (Cora Etta Jane) Skipper, Route (1) One New Cumberland, Cumberland County,Pennsylvania and her heirs. c) One-Eighth to my grandson, George Morris Fink, now of Fifth Street, Chapman, Kansas 67431, and his heirs. d) One-Eighth to Sarah Margaret Good now of Harrisburg, Dauphin County, Pennsylvania. One-Eighth also means ~ 1/8) part. Page One of Two Pages .~ .. THIRD: I hereby nominate; constitute and appoint my son KENNETH F. GOOD as Executor of this my Last Will and Testament. seal of IN WITNESS WHEREOF,I have hereunto set my h~d and to this my Last Will and Testament, this.2 r'o11\..fjay S -e 1~.k I \ Q I +- .. ~Ji~fd.~ HARVEY B. GOOD Signed Sealed, Published and Declared by Harvey B. Good, Testator, above named, as and for his Last Will and Testament, j.~' ~:.J in the ~resence of us, who in his' presence, at his request and in the presence of each other, have hereunto set our names as witnesses: /1 -..,t.J'/ 1 0:~u;a;' /7oLl . ... IN'-1 ' .~vv..<-t- I 7 ~ : \) ;6 v~L, cZ"Yl .~ , i' II i: . " I: , ~ ~ \ :. ~ .' )i-d-)Vu,~{.-,.~-? ,PO- /7t(Jy' /.1 ; I; ., r, " 1i Ii I! ~ I: Ii tl ., ;f f ~ ~! Pa~e Two of Two'Page~ RCC-37 (12-63) COMMONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES 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 ESTA n: wise, in estate) forth this fact.) OR NO BIRTH Kenneth Franklin Good Son Yes Of Age 5/8ths of residue Box lR4 MtR 8 I .. ...-1 :=tnn Hp:=tn Pl ~"''''n1-.n~,.,.1-. 11.1 V 1 ?qn1 ~ M1"R F.1 ' (C01":=t E1-1-;::l Jane) Skipper Granddaughter Yes Of Age 1/8th of residue Rnnt-Q 1 New Cumberland, Pa. George Morris Fink Grandson Y~R Of Aap 1 I At-h of 1"~R ; n11P Fift"h Sr1"Ppr r.h :=tnm<:l" .. , <:Ie> fi74i1 j c ~~~1-. M~ r>. ..l . ".......u 1 .I:: , In 'o' . ~ ~ ' died~~;-F;h I"~ a. '?7 ..1q7R~- ~u the estate of the decedent and he; one-eighth .,1-. ...~~ ; ~ 1-0 hp n; R t-..- ih"t-Qrl n... n_ . Dortionatelv to t"he , ..l "'o d'o ~ .. ';... {!nnrl Mrs. Elwood (r.n1":;l "Rrr:=t _T"'T Q) Sk;nnp1" <>" H ,., Mn~~;~ Fink in accordance with tl e -. - . 'o- prOV1-s~ons pf P.E.F. Section 2514 (11) . 'o' j .... ''o Deponent fUrther says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE (Executor-Administrator must complete "As Will ~ Reported" column #1.) Administration No. Year ,po C'l ..., '"d :xl .... .... (1) (1) P.< THE 0 II> .... e:.. <II ::l <II <II <II 0 ...... ::l '"d :\IA TIER OF THE APPRAISEMENT ..., ~ e:.. .... II> 0 >< ~ "0 II> (1) r:T .... OF THE ~ 0 ~ "0 t'%1 (1) .... ESTATE OF <II .... .... '< II> .... (1) . HARVEYB. GOOD. Deceased Late of . East Pennsboro . or ()WIlS l1.i.:P. .. P' ............. County of e~er1and en c:: =:: =:: Commonwealth of Pennsylvania > :xl ~ en en >< n n P'" P'" REPORT AND APPRAISAL ci t:li > ; ; ; ~ .... .... .(I) .... .... .... > <II :xl~ (1).... 5~ .... .... (1) c... ~ .........(1)""....."" > ;r. ti ~~ "'I'<> 3~ 5' '" c... FlCC.~38 . COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE" E" JOINTLY OWNED PROPERTY *' INSTRUCTIONS: This schedule must disclose all property, real and personal, owned by the decedent jointly wi th another or others, including intangibles, standing in the name of' the decedent and others. List real estate f'irst, as entireties, or joint tenants, giving brief' description, as indicated under Schedule "A", plus the date and place of' record of' instrument ef'f'ecting 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 date of' acquisition, and the name, address and relationship (if' any) of' co-owners to the decedent. 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 V l'VV' "> v" "" v" NONE Insert this total opposite "Jointly Owned Property", Schedule "E" in the "As Reported" column on the last page of' this return. Estate Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of' Value of' Entire Decedent's Property Interest IV 0 {)L __.tJ '~fI ~ REV-~t8 (8-78) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS P.O. BOX 2970 HARRISBURG 17105 IN YOUR REPL Y PLEASE REFER TO - Inheritance Tax Division NOTICE OF FILING OF APPRAISEMENT Kenneth F. Good Box 184, MtR 8, Cumberland Head F1attsbur~b. N.Y. 12901 (Executor or Administrator) In Re: Estate of Harvey B. Good Cumberland County - File No. 21-78-0334 Dear Mr. Good: You are hereby notified that the Original appraisement in the estate of Harvey B. Good has been filed in the office of the Re*ster of Wills of Cumberland County on December 18 , 19_, Said appraisement reflects the following valuations: Real Estate Personal Property Transfers Jointly Owned Total 176,000.00 389,336.19 None None $565,336.19 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. 37L . . ' Date December 18, 1978 Signed C' _ .N, ,./fLfi.1.'L....._... Title Chief Appraiser t_______ Note: This is not a bill. RCC-212-641 COUNTY December 18, 1978 Cumberland DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA, 17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE FILE NO. 21-78-0334 Whereas, Harvey B. Good late of East Pennsboro Township in the County of Cumberland Commonwealth of Pennsylvania, having died on the 23rd day of June 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 thts estate ts transferred In possession or enjoyment to collateral heirs of the deeedent after the exptratton of any estate for life or for years, the Commonwealth hereby expressly reserves the rtght to appratse and assess transfer Inherttance taxes at the lawful collateral rate on any such future Interest. Unit Appraisement Description of A.llt Values Made for Inheritance Tax. Pur POleS Real Property $ 176,000 00 Personal Property 389,336 19 Transfers None Joint-Held Property None TOTAL ASSETS 565,336 19 Having been duly sworn according to law, I do hereby certify that the above appraisement is made in con- fonnity with law on this 18th day of ~ ~cember I 19~. c ?'r _ k. J J!a-1~_~ Appraller (II\1mbft and.....t) b liSrris urg (Poft 0lIl..) , Penna. t3( ( - II Q - .3.3 if Cumberland Coullty RESIDENT INHERITANCE TAX APPRAISEMENT Estate of HARVEY B. GOOD Deceased. Late of East pennsboro Township Date of Death, June 23, 1978 Appraisement Docket Vol., 10 6% Page, 169 No. 3 Filed in. Register's Office, Amount of tax dlle, $ 12/18119 78 DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.lIt Appraisement, Appeal f"om Appraisement, Entered and charged.