HomeMy WebLinkAbout09-18-79
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Form RCC-IO
~'/ -7t/-/f 7;2-
DEDUCTIONS AL.L.OWED IN
JACK R.
STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM
OFFICE OF THE
REGISTER OF WILLS
DATE
OF
Cumberland COUNTY
AND AGENT OF THE COMMONW.....LTH
ESTATE OF
TOWNSHIP
I AMOUNT
NO. O~ NAME 01" PAYEE REMARKS
DATE VOUCHCIt
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DATE OF FILING APPRAISEMENT
9
February 13 .19'l;ATIl OF DUTH
llnr.m:;'1' 1 Q, 1 Q 7R
COUNTY OF
~mnhArl ;!Ind
}SS:
PF.r.GY A. SIMPSON,
HIIRE.Y CERTIFY, THAT. TO THE SEaT OF
FUNIIRAL EXPENSES AND IEXPENSa OF
!Fusm. AS DEDUCTIONS FOR
COMMONWEALTH OF PENNSYLVANIA
I,
MY kNOWLEDGE AND SELIEF, THE FOREGOING IS A JUST AND TRU E
....CMINI.TRATION SUBMITTED TO THE ESTATE OF
INHERITANCE TAX PURP08ES.
(I... a.)
SWORN AND aU.SCRIBED BEFORE ME THIS /yAf(
;Jul~ I r:? 1.29--
~__Ld~A~
/ Notary Public
My Commission Expires August 11, 1979
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Form No. RCC-62 (6-70) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS AilSEO:':; !JND!':R $10.000. UNDER SECTION 701 OF ACT OF JUNE 1'. 1M1.
EFl"ZC'tlVE JANUARY 1. 19&2. (FILE IN DUPUCATE WITH COpy OF WILL ATTACHED)
..
OFFICE OF' THE REGISTER OF WILLS
J./- 77 - 0 47 L
.I()- /8"9- [?
SEP 181978
County of .. C~!:3.J:'lMQ.. .., ... .,. ..
........... ?,F;~X .l\... .?l;~p.Q~................. of .6.Q0.3. .:RPAer.t .Ox:ive.,. . Me chani.csburg.,. .Pa.,
(Name) (Addr_)
being duly---------~~QX'IL----------------.according to law, deposes and says thai he is the ------Admin(EistrAd at..J:L uE---)------------u--
xec.. m., eptee. tc.
of the estate of.u_uJACK--R.-uS-1MP.SON-I---------_.---. whose last residence was -----N-nO) _0_3__.Rob..er.t,,{Drs i:) :u:e_,_______________
{ o. ,ree'
__~_gb~i._Q~b_~_q.L---~g.-u--u-deceased, and that the whole of the estate of said decedent, who died __AUg-.-l~-"*---19-2.8
(CIty. Borough or Township) ate
consisted of:
REAL PROPERTY IN PENNSYLVANIA. WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT.
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES. GIVE NAMES. ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
REAL PROPERTY
Real Estate Estimated
Value
NnNF. NONE
Personal Property
101;."7 . - 1'1";...,.... 4'R?t;li.~704R. 's
JI.'D"^"^~^. V ,/ 800.00
197? p- o ....... .' . Title iA26131833. Manufacturer's
,,/ v'
lI_n' 14R~4R! QQt; nn
1795 00
NOTE: You may expedite the processing of this return by filing with it, and as a part of the return,
letters from financial institutions or mortgage holders, certifying to amounts on deposit or owed by the
decedent as of the date of death. Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account, account number and the exact name or names in
which the account is registered. x
. Jointly Held Propel'ty
Estimated
Value ..
NnnA
I
I
I
I
I
I
i
j
~
I
I
I
Tl'ansfers within TWO YEARS Prior to Death
That at the time of death there was no safe deposit box registered ih 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 I RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF I HOLDERS TO DECEDENT
Non~ Nnl"l~ 1\TnnlC)
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BENEFICIARIES
RELA TIONSHIP
(If step-children or
illegitimate children
are involved, set
forth this fact.)
SU RVIVED
DECEDENT
STATE YES
OR NO
AGE OF LIFE
TENANTS OR
ANNUIT ANTS
AT DEATH OF
DECEDENT
INTEREST OF
BENEFICIARY
IN ESTATE
BENEFICIARIES AND ADDRESSES
(State full names of all and their addresses who hav
ail interest, vested, contingent or otherwise, in estate.)
Jack R. Simp
6003 Robert
Timothy C. Simpson
l\!ecmaniCRhnrg, p~ ,
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tESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED
NOTE: . List first five items in the spaces so provided, obsel've notations thereon, and instructions.
DEBT OR CLAIM NATURE OF SAME
AMOUNT
Funeral expenses paid
$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses ·
Counsel fees ·
Fiduciary
commission ·
( .. ) See Note below
Total
Note: The estate agrees t.o advise the Regist.er of W ills if the amount actually paid in settlement of any fee, commission or debt is greater
01' less than the estimated amount claimed and allowed. ~.. . .. . . . ... .C? .. . .'. . . . . . . . .'. . ~
Subscl'ibed and sworn to before me this 0 . . 0 . . 0 0 0 0 . . . . . . 0 . . . . .
~ecu _Administrat
. . . 60.03. . Robert. Droi v.e. . . . . . . . . . . . . . . . . . . .
(Street Number)
o. . Me(:l;l.ani.c$l;lurg I. .f.~... t. )..79.!?~.......
(City or Town and State)
Mechanicsburi, Pa. Cumberland COlirty
Having been duly sworn according to law, I do hereby certify that the above appraisement is made in conformity with law on thil
. . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . day of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . ., 19. . . . .
........................0.................. ...0..0........0.,
ApprAiRr
In the event that any future intel'est in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after thl
expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for. 0 . . . . . .C.umber~and . . . . . . . . . . .. County, Pennsylvania, do respectful1
report that I have allowed debts and deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amoul
is set forth in the last column to the right in said schedule above, which greater or lesser amount represents the sum allowed as a deduction.
Dated: ..... o. September.......,o .19.7.8........
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Register of Wills