HomeMy WebLinkAbout09-12-80 (4)
REV-449 (S-7EI)
~ SUPPLEMENT/TO INSOLVENT ESTATE INHERITANCE
\-- ~ RlTURN FILED eN 7 AUGUST 1979.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~~R~~U OF FIE~~~~fATIONS _j
1~C1X)~ 1,7 'Clh
, COUNTY OF Cumber land
,::q I 1'; J'
'3/":5
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 aftet date of death, unless an extension is gramed
by the Secretary of Re'.lenue. (Section 703 of the Inheritance and Estate Tax Act of 1961.)
IN THE MATTER OF THE ESTATE OF
C""oJ
EXECUTOR
AFFIDAVIT OF
HCWARD E. MONIGHAN
(STATE FULL NAME OF DECEDENT)
Late of _C-umQer la~___
S~~of Pennsylvania
County of cumber land
ADMINISTRA TOR
Administrator
1 55:
.J
LILLIAN V. FLANNERY, Executrix
€~mm'
of th.. .,stote 0' th" above-nomed decedent being duly sworn, depose
and say
Decedent died
June
9
19 7_~___1 testate leaving a last will, copy of which is hereto attached. }
~~"'~!I'Ie
(MONTHI
Name and address of attorney or I
o,her outharixed rl3presentative to whom r
011 corr"5+>.)nd"n~" should be mailed. J
(DAY)
Samuel L. Andes. Attorney-at-LaW
26 South 8th Street, Box 332, Lemoyne, PA
17043
That as such executrix ._deponent'is familiar with the affairs of said estate and the property constituting
(EX ECU TO R- ADMINI ST RA TO R)
the assets thereof and their faif 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: -
!RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN IIIHICH DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
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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 detai! all the real property
in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the
mOiCtgage 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 interes t, 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
wbere~;oYer situated owned by the decedent at the time of death; all moneys left by the decedent at the tim<" of
death, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savi.1gs
banks, trust companies, or other institutions, whether individually, or in trust for any other person or person.;
gi ving also separately the accrued interes t thereon, if any, down to the las t in teres t day prior to decedent's
death in the case of ~avings banks, and to the date of decedent's death in all other cases; all bonds, postal
sElvings, treasw-y 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 ::i..ates,
or any state, or political subdivision thereof, or of any foreign country, which are owned at the time of death;
all wearing appalel, 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
cllaims due and Dwing decedent at the time of death, and all promissory notes or other instruments in writing
fo.. 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
il~SS 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 a t such time.
In the case of securities of.' close or family corpcrations, the values reported are as far as
possible substantiaterl by fin9.nci'\l statements of the corporations, showing the asset" and I tab!1! ties
thereof as of the date of dea':,h. The schedule also sets forth the interest of decedent at t~.e '~ime of
death in any co-partnership or bustness~ and in support of the value of such interest there is annexed to
said schedule, financial statements showing the assets and lIabilities of said co--partnership or lmslness.
A copy of the co-partnership agreement~ (if oral, a statement setting forth the nature of the 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 che decedent's interest
therein mllst 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 inauiry
containeri 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 transt'erred, the
relationship of the transferees to the decedent, the proportionate share receiverl by each transferee and
all other facts of a pertinent nature regarding said transfers. In the case of transfers intended to
take e:ffeet in possession or enjoyment at or after death, there is also attached to the schedule a COllY
of the deed, trust agreement or other instrument creating the trust. Ther.< is also set forth in said
schedule a list of all property, real and personal, with its value, which pa~ses at decedent's dell.th 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 ot' another,
with a copy of the instrument creating such power attached to the schedule.
That Schedule D attached hereto and made part hereof sets forth the names 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 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 decerlent, the dates of their death, their issue, and the relationship of such issue to the beneficiary.
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 effecting the "esti ture 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 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 fudiciary's
cOJTlT;1issions paid or to be paid; cost expended for burial trusts, tombstones or gravema.rkers, and reli-
gious services, in consequence of the death of the decedent; debts and claims owing anrl unpaid at time of
death; tEexeS 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 pl'oof of sa1.d claimed obl1.gations 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.
That the totals of the appl'opriate colunms in Schedules "A", "B", "C", "E", and "F" as directed therein,
have r.'!~" carried forward and properly registered in the Summary.
Subscribed and sworn to before me this ......S.f.~..........
...... day of ...fep-k:m..b.I/:()......... 19.~.!?.....
~~~~~~~l~~
(Street Number)
..~0:~:t:::r!.l~~.~.9.:.~.~.~.l.......~b.........J.?.Q.~.Q.... ...........................
(City or Town and State)
.......L..~.....K~... ..............
LYNN KINDER, NotalV Public
le:'oyre Cumberland Co., Pa.
:,'1 C):lim'ssion Expires Aug. 6, 19M
SOTE: Before signing affidavit make sure all blank spaces 1.11 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 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 INHERIT ANCE TAX
RESIDENT DECEDENT
SCHEDULE "AIf
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
os to quantum of interest and the estimated value should be that of the decedent's interest only. (Property
held IJS joint tenants with right of surviorship or tenancy by entireties should be reported on Schedule "E.")
The real pre,perty located In the Commonwealth of Pennsylvania should be (1) (2) (3)
described b~f lot and block number, street and street number, together with DePARTMENT
a general descriptIon of the property, with a reference to the record of the ASSESSED VALUE VALUATION
conveyance by which the decedent took title; If a farm state number of a. FOR YEAR OF ESTlMA TED CAUTION
cres; also statement of mortgage encumbrances upon each parcel at death
of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are DECEDENT'S MARKET VALUE (Do not write
to be listed on Schedule "F" and must not b. deducted from this schedule. DEATH In this space)
None.
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.
N ~lu2.../
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ECC -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 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.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
VALUE
ESTIMATED
MARKEl' VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
1.
Decedent's interest in a certain Agreement
of Partnership dated 1 February 1959 (Six
Links partnership) and any supplements or
agreements thereto.
20,000.00
20,000.00
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
x X
~o) f).-()--l'. trO
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RCC-47 1(4-78)
COMMONWEAL lH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
411 S. SECOND STREET
HARRISBURG, PA.
17127
ESTATE OF JIoward I. Mon1gban
DF.ATR
DATE OF ~
6.9-78
COUNTY OF
CumberlAnd
SOCIAL SE:CURITY NO.
ST ATE FI LE NO.
,1-76-0383
TOT AL GROSS ASSETS
Please provide our office with the Fair Market Value (s) for the following business
interest (s):
Name of Business
Type of Type of
Business Stock
# of Shs,
or % Owned
Reported
Value- Total
Bureau
Va luation
1. Six Liaks(HobUe lJome Park)
2.
P
20%
$20.00(1.00
OH ,iJJjfi/11
3.
4.
s.
6.
7.
8.
9.
10.
Remarks:
Attorne:y / Administrator/Executor
and Address:
SaJlUel L. Andes 26 S. 8th St. Lemoyae. Po.. 170L.3
Enclosed is the available financial data for each of the above
requests.
Very truly yours,
Gloria J. a1cbard
Chief Appraiser
Dauphin Co. Inheritance Tax
Instruc:tions on Reverse Side
RESlI)ENT DECEDENT
SCHEDULE "c"
TRAf'.JS:-c::;S
REV-452 (8-78)
COMMOI'I/WEAL TH OF PENNSYLVANIA
TRANSFI::R INHERITANCE TAX
~--'---------~_.~-----~-----_._"-----~----_._,-_._--_..--
(1) Did decedent, within two years of death, muke any transfer of any material p~ft of hi:, '''''''itt'. ,V!thuilt ~e{;(Jivii"ig a valU'lble and
adequate considention therefor? (Answer yee. 01' nol X
(21 Did decedent, within two years of death, transfer property from himself to himself and anc:ther c'r others !including a 5pousel
i in joint ownership? (answer yes 01" no) X
(3) If the answer to (1) or (2) above is in the affirmative state:
(al Age of decedent at time of transfer
(b) State of decedent's health at time of making the transfer. (Note 1).
(cl 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) X _
(a) Was there any possibility that the property transferred might return to transferer or his estate or be subject to his
power of dispo:>ition? (Answer yes or nol ___
(b) What was the transferee's age at time of decedent's death?
(5) Di:d decedent in his lifetime make any transfer without rec.eiving a valuable and adequate consideration therefor under which
transferor expressly or impliedly reserves for hi:> iife or any period which does not in tact end before h~s death:
(al The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no) X
(bl Yhe right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer yes or no) X
(6; If the answer to (51 (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? (AnliNer yes or no) X
(8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reserved
pl)wer to alter, amend, or revoke, or which couid revert to decedent under terms of transfer or by operation of law?
(Answer yes or no) X
(9) If the answer to (8) above is in the affirrrlJtive, walt the power to alt&r, amend, or revoke the interest of the beneficiary reserved
in the decedent alone or the decedent and others'? (Answer yes or no)
NOTE 'I: 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 abol/e questions is yes, set forth below a description of the property transferred, it's fair market
value at date of death, dates of transfars and to whom transferred, with relationship of transferees to decedent, if any. Submit
copy of any trust deed or instrument, li transfers are claimed to be non-taxabie, also submit cietailed statement of facts on which
said claim is bclsed.
NOTE 3: List applicable property below in manner in which provided in SChedules A, 8, or E.
ITEM
DESCRIPTION
MARKET VALUE
(Estimated)
DEPT. VALUATION
(Dept. Only)
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None
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----L____________J
Insert this total opposite "Transfers", Schedule "C" in the
"As Fleported" column on the last page of this return.
N,,~
:qrc.
REV-453 (8-78)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
M_,__...,_,_______
---"._~
BENEFICIARIES AND ADDRF..8SES RELATIONSHIP
(Sta te full names and addresses of all who (If step-children or SURVIVED DATE I INTEREST OF
have an interest, vested, contingent or other- ill egi tima te children DECEDENT OF BENEFICIAR\'
wise, in estate) are involved, set ST ATE YES BIRTH IN ESTATE
forth this fact.) OR NO I
I .--..-
Bertha F. Moniqhan wife ves 16 Mav 1913 entire estate
-
R.D. #5
Mechanicsburq, PA 17055
I .--..--.-..------.-- .
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--- I '~-----'--"'-
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----_.
"--.'."-"'--'-'-"'--"--"
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,
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-1 --.-..,,-.---. _. -..---.--.-.......
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"- i . _.____...H.~_.___.
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+-------- -" -~_.~'-- --.-._----
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Deponent further says that all the above-named beneficiaries are living at this time except below:
..., II.;. l.I 1'\.111 1\ 1:;.:1
Bertha F. Monighan 26 July 1978 R.D. #5, Mechanicsburg,
NAME
"A."'''' OF "'E'~"
--'"IDENCE
PA 17055
REV-454 (4-79)
COMMO~IWEAL TH OF PENNSYLVANIA
BUREAU! OF EXAMINA TION
INHERITANCE TAX SECTION
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRUCTIONS: This schedule must disclose all property, real and personal, owned by the decedent jointly with
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 under 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 colu!fin. 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 Acquisi tion, Name
Address and Relationship of Co-Owners, and Place
of Record of Instrument, where Real Estate.
Unit
Value
Percentage
Share
.l --------
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Estate
Valuation
DEPARTMENT VALUATION
(OFFICIAL USE ONLY)
~
Value of
Entire
Property
Value of
Decedent's
Interest
~
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None. I
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Insert this total opposite "Juintly Owned Property," Schedule "E"
in the "As Reported" column on the last page of this return.
REV-484 EX+ IS-80)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
o Original
[i] Supplemental
o Remainder
F:j I e Number
~1-78-0383
Estate Name
i1o.:.,~Qrd L. }{oni~ih.c.n
Date of Death
6-9-73
Social Security Number
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of C1lmb2rL_nd
Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing
return at the values set forth opposite each item in the last column to the right in Schedules "A", "B", "C", and "E"
Dated:
r.i-'.rch 13, 1981
J?JA.~ l' (J / 1C/", .I4d)
INHERITANCE TAX APPRAISER
,
ADJUSTMENTS REMAINDER APPRAISEMENT CODE
INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY)
Real Property (Schedule A) $ -0- 00+ 92+
Personal Property (Schedule B) 2C,COC 00 10+
Joint-Held Property (Schedule E) -c- 20+
Transfers (Schedule C) -v- 30+
TOTAL GROSS ASSETS $20,OOC CO
Less Debts and Deductions 40- 93-
(SCHEDULE F)
CLEAR VA.LUE OF ESTATE
o Life Estate
o Annuity
RATE
FACTOR
PRINCIPLE
VALUE
CODE
FOR USE OF REGISTER ONLY
CODE
COMPUTATION OF TAX
$
$
$
$
$
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
$
Tax on $
6%
Tax on $
15%
T ax an $
Tax on $
T ax on $
Exemptions
Total ES'!<Jte
Less C..,dits
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
.TAX CREDIT
$
+ $
$
:;:
$
+
:;:
BALANCE
INTEREST FROM
TO
$
$
~
REV-S18 FO (7-~'O)
~.
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<,~,,-(-."."
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
NOTICE OF FILING OF APPRAISEMENT
Lillian V. Flannery
R.D. 2, Box 43
Shermans Dale, PA 17090
RE: Estate of
County of
File No.
Howard E. Monighan
Cumberland
21-78-0383
Dear Ms. Flannery:
You are hereby notified that the Supplemental ~
appraisement in the estate of Howard E. Monighan
has been filed in the office of the Register of Wills of Cumberland
County on March 13 , 19 .ill-. Said appraisement reflects the following valuations:
Real Estate
Personal Property
Jointly Owned
Transfers
Total
none
20,000.00
rOnp.
none
20,000.00
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
dE~ath occurred prior to December 22, 1965) from date of death, interest at the rate of six (6%) percent
pE~r annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within sixty days
aher 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
March 13, 1981
Signed
P/,IJ A' It< / -;If/I' k.tlH J)
Title Chief Appraiser
NOTE: This is not a bill.
REV-457 (1-80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
Estate of
EN/ard E. HonighE:m
File No.
21-78-C383
County Cumberland
Date of Death 6-9-78
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any
estate for life l3r 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.
PROPERTY REPORTED BY THE ESTATE
DEPARTMENT'S
APPRAISED VALUE
. I -0-
. C 2; :C;~~.C~~
'_ : J-~~~~--~--- .
.,...:-
-~~_._------- --- _._------_._~._--- -~- -
TOTAL REPORTED PR~PE~Tyl $~.C ,CCCm.=C -.
1. TOTAL REAL PROPERTY - SCHEDULE "A" . .
2. TOTAL PERSONAL PROPERTY - SCHEDULE "B"
3. TOTAL TRANSFERS - SCHEDULE "C" . . . .
4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E"
-. --------- ~--._._.- --..- --
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
TOTAL UNREPORTED PROPERTY -c-
TOTAL GROSS ASSETS $20,COC.C(
LIFE ESTATE OR ANNUITY CALCULATION
I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day
with the Register ot 'Wills.
~Al./T/O./ ~/lAtt.)1I1 )
3-13-81
DATE