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COMMONWE\LIII (IF PENNSYLVANIA
DEPARHIENT OF RI;:VENUE
BUREAU OF COUNTY COLLECTIONS
..
.sjs C/1 'l
RCC-33 14-731
AMENDED
RESIDENT DECEDENT
COUNTY OF~ CUMBERLAND
IMPORTANT:
This return must be complell,d in detail and filed in dupl1cate, with all attached, with the Register of Wills of the
County where decedent re~lded, RetulII is due within nll1e months after date of death, unless all extension is granted
by the Secretary uf Revenue. (Section 70] of the Inheritance and Estate Tax Act of 1961.)
IN THE MATTER OF lilt: ES 1 A II, OF } AF t'mA VIT OF
CALVIN A. ENSMINGER __ __~____n I,Xh'lITOR
(STATE FULL NAME OF DECEDENT'
Cumberland ADMINISTRATOR
_________ ___Un _____ County
Late of
State of
PENNSYLVANIA
CUMBERLAND
=-.J..
County of
~lClJa>>I>>X
M. .Ka.ray_EnsminlJeI-___
01 the estate 01 the above-named decedent being duly sworn, depose
Executor
and soy
August 22
(MO NTH)
Nome and address 01 attorney or }
other authorized representative to whom
011 correspondence should be mailed.
(DA yl
, Il)~{testate leaving 0 lost will, copy 01 which is hereto attoched. }
(Y EAR) Intestate
Decedent died
Horace A.Johnson, Esquire
Post Office Box 125, Lemoyne, Pennsylvania
17043
That as such __________deponenl is familiar with the affairs of said estate and the property constituting
(EXECUTOR-ADMINIST RATORI
Ihe 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 wi th, or
as agent or deputy of another, or in decedent's individual name, wilh right of access by another as agent or deputy, with thl:
exception of the following: -
NAME AND ADDRESS OF BANK OR OTHER I"JSTITUTION
IN WHICH DECEDENT RENTED A S,FE DtoPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
- _.- .--.
-
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
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 dtle 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 full." and in detail all personal property
wheresover situated owned by the decedent at the time of death; all money~ 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
glVlllg also separately the accrued mterest thereon, If any, down to the last mterest day prIClr II' 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, picturl:s, 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 lhe time ur death, and all promissory notes or other instruments in writing
for the payment of money of which dcc"dent died possessed, of whatsoever nature, with interest thl:rl:on, if
any, giving the face value and eslimalnl fair market value thereof, and if such estimated fair market value hl:
less than the facl: value, it seh Il>Ilh hrtcllv Ihl: reasons for Stich depreciation as 10 each item: all moneys
payable to the estale frolll life in ,,".lIlU' pflllcie~ carried by decedent; all annuity and endowment contracts
the proceeds of which were ]ldyahl\ 1,1"'" lhc death of the decedent; all and the corporate stocks and dividends
due thereon and unpaid a'. ..' ,! " .:\.IIh, hfll1d~ and accrul:d intl:rest thereon to the datc ur decl:dcnt's
death and other investl' ,I "\ ii,,: d,:cl:dcnt al the time of death, with the Hl<Hket vallie there-
of at such time.
(II tftp C(lSP 01' s""urities or close o!' fandl} c"!'['orlttlolls, till' VI,)IlPS ,'eporterl are as f'ar as
possible slll>stlLntiat(.,d by l'lluillclal statemellts of tll" corl'o!'aliClIIS, "hol>inl; tile assets ann liabilitIes
tht'reot' liS of' the date 01' death. Tille schedule al so s"t s forth thp interpst of' decedent at the tlme of'
death in any co-partnership or busilless, lillll in sllpport of the value of such intel'est there ls annexed to
suid SdH'd!d.~, f'inancial stlitements showill~ the assets /Ind 1 iubll1t iI'S {If' said co-partnership or husiness.
..\ copy 01' thp co-partnership agrpement, (if orai, a statpmpnt setting; forth the nature of the dgrepment)
tOI!:"t~"'I' with It statement setting forth the character of the 11IlSiIwss, its locatioll, and such other f'ltets
.)eni:.'''':". to the business as may he perUnent to a fair find .illst appraisal of' the deceoent's interest
tller,-j" r"list lif'sutJmitten. It should also set forth in itemized form, together with the fair market value
t!lf'rt'l\~', 'tll~' other propert.} owned or beqilt'athed by the decedent at the time of oeath.
The ,)'c/1eaule C attached hereto and made part hereof sets forth tl true answer to eclCh inquiry
cuntain.'1l tt"'I','inltwlinthe caseof'transfersofproperty, real or persoflal, within two years of decedent's
nealh, tll elllltt'mplation of decedent's death, or intended t.o t.'lke effect in possession or enjoyment at 01"
after death, said schedule sets f'urth the nature an<1 value of such property, t.o whom transferred, the
relli/.lof!sLip of the transferees to the deceoent, t.he proportJonate share received by each transferee and
all otllf'r j'acts of a pertJnent nature re,l!;ar'11n~ slti<1 transfers. In the case of transfers intended t.o
take efree t in possession or enj oymen tat 0 r afte r oea th, there is al so 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 it list of all property, real lino personal, with its value, Which pa~ses at decedent's death hy
virtue of the exercise by decedent, either inoividually, orJointly with another, or any power of appoint-
ment ve..,ted in decedent, either individually or ,jointly, hy the will, oeeo, or other instrument of another,
with a copy of the instrlUnent creating such power litt/whed to the scheoule.
That Sc/1edule D attached hereto and maoe part hereof spts forth the nllmes and andresses 01' all
persons lwn~ficially interested in this estllte at the time of oecedent' s oeath, the nature of their res-
pective interests, their rellttionship, if any, to the ,leceoent, together with the ages at the time of
decedf>nt's neath of all minors, annuitants ano beneficiaries for life lInoer oecedent's Will. It also
contains a statement showing Which of the heneficiaries named in the nece,lent's will, if any, died prior
to de"..dent, the dates of their death, their issue, tlll<i the relationship of such issue to the beneficiary.
That 5,:/1edule E attached hereto ann maoe Ii part hereof' sets forth all property, real and per-
sonal, owned by the deceoent ,joinU y wi th another or others, including intangible, standing in the nallle
of the oecedent and others, plus the date ano place of' record of' instrllments effecting the "estitlll'e of
real estate and the date of acquisition of personalty, plus the name, IlllOress ano relationship, if any,
of' co-owners to the decedent.
That. Scf>edule F attached hereto and made a part hereof sets forth fully and in detail all dehts
and deduc tions c 1 aimeo for an<i on behal l' 0 f t.h 1 s dec eoen t' s es ta te, i nc 111111 ng fune ral expenses pa ld;
family exemption, where applicable; costs of Ildministration of' this estate; ,~ollrlsel fees allll f'udiclary'..,
conunlssions paid or to be pai<i; cost expended for burial trusts, tombst.ones or gravemarkers, and reli-
gious serv ices, in consequence of' the dpll th 0 f the deceoen t; debts and claims owing Ilnd II/llllti <i Ii t time 0 f'
death; taxes accrued chargeable for perloo prior to deceoent's oeath (except those alloweo un<ler Secti'lI\
651 of' the Inheritance ano Estate Tax Act); together with It statement .)1' collateral pledger! for obliga-
tions, if any. It is agreed that the t'iouciary will present proof' of sain claimed ohlig;ations upon r,,-
quest, that if the amount actually paid in settlement of any fee, commission or deht is less than the
estimated amount claiming ano allowed., that the same will he reported to the Register of Wills, and tllill.
the amount. of tax assesse,l can Le reassessed in accor,lance therewi t.h.
That the totals of the appropriate columns in Sehe(tllles "A", "fin, "C", "E", anel "1"" as directf><l therein,
have been carried forward and properly r('gister('(l in the Sununary.
day of
~ay
79
..... 19..........
~ ~ -,
/1 .1r~:A~~~) --. - ~
3 9 6.5.JIQunta.i.n....V.ie.w.....RQ.~. . ...... .......................
(Street Number)
M~Ghc?,n.j,G.$.t>.:tl.:J;.:g.,......?1.\ .
(City or Town and
Subscribed and sworn to before me this....2.S..t.n...........
r-\
I \ '
.....~/..r.'\or.4!-.-~-~~ --~
(',
J~. ~_c_~
J.' .1
]]055.
State )
~f)TI,: Bef'ore sig;nllll!; affidavit. mllkp surf' all blank spaces in the affidavit iII"l schedllle~ """('xed al'e
filled in with <Ietails or the word "NOIlf'". Ilnd in case the asset.s IlIeJlI'le rure lilld ulllisted securities,
s('cllrities of' close or f'amily cor'por"t!olls 01" "" illterest ill ,lilY co'-pllrtllel'shtl' or husillle'SS, tllilt tile
data "lld st.atf'mf'nt.s re 'JII I red IInder It,,, p;,,'agJ':'I,!1 ahovp r<,l aL!II).!, 10 S,'h,'du).. "B" ar.' attached. \1 so mak!'
.cerr;.ln Ull1t eolllmn fit ill t.he "Sllllul1ar'y" has \)....11 I'ropPI'ly cOl11pl,'t,'d 1IS allovp-'llrp('Lpd.
!;Ie C..34 14.73)
COMM~WE'AL TH OF PENhSYLVANIA
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 os 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 os joint tenants with right of surviorship or tenancy by entireties should be reported on 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
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 .tatement of mortgage encumbrances upon each parcel at death
of decedent. Taxes, asse.sments, accrued Interest on mortgages, etc.,are
to be listed on Schedule "F" and must not be deducted from this .chedule.
(1)
(2)
(3)
DePARTMENT
VALUA TION
CAUTION
(Do not write
In thl. apoce)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
ESTIMATED
MARKET VALUE
Lot No.7, Section "0" on Plan of Lots
known as Plan of West Enola. Granted and
conveyed unto Calvin A. Ensminger and Emma
Helen Ensminger by Samuel C. Berger and
Evadna C. Berger by deed dated June 5, 1936,
recorded in the Cumberland County Recorders
Office in Deed Book Q, Vol. II, Page 199.
Lot No.8, Section "0" on Plan of Lots
known as Plan of West Enola. Granted and
conveyed unto Calvin Ensminger and Emma
Ensminger by Maude H. Brinton and Martin A.
3rinton by deed dated October 16, 1945,
recorded in the Cumberland County Recorders
Office in Deed Book "B", Vol. 13, Page 242.
Lots Nos. 5 and 6, Section "0" on Plan of
Lots known as Plan of West Enola. Granted
and conveyed unto Calvin A. Ensminger and
Emma H. Ensminger by Maude H. Brinton and
Martin A. Brinton by deed dated August 5,
1946, recorded in the Cumberland County
Recorders Office in Deed Book "I",
Vel. 13, Page 69.
Emma H. Ensminger died September llr 1967
leaving to survive Calvin A. Ensminger,
her husband, in whom title vested as
surviving tenant by the entireties.
$35, 000..00 ~.'C-tt4~
II , ,
~~n..A.-L/
?fU
Insert this total opposite "real property", Schedule "A" in the X X X X X
"As Reported" column on the last poge of this return.
o
/tV
II
RCC -35
RESHkN i DECEDENT
AMENDED
SCHEDULE liB"
PERSONAL PROPERTY
'*
COMMONWEALTH OF PENNSYLVANIA
TRANSHi;R INHERITANCE TAX
INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent, lit 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, nwrtgages, 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 any undistributed
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 ITEM UNIT ESTIMATED DEPARTMENT VALUATION
NO. List and describe fully VALUE MARKEr VALUE (Do not write in
this space)
~
1 Checking Account No. 180-1974-5 1,394.94
(CCNB Bank, N. A. )
2 Savings Account No. 008.074488-1 935.01 ( ~4 <Yn./
( CCNB Bank, N. A. )
Interest on Above 5.85 ( , I~
tSYur
3 1958 Oldsmobile 100.00
4 Furniture, tools and household goods 1,000.~
5 Executor's commission in Estate of
Richard Barker 108.24
I
I
I
I
I
I
I
I
I
I
i
I
I
I
1
I
! I
Insert this to tal opposite "Personal Property", Schedule "8" in X X 3,544.04 /OR,rLt
the "As Reported" column on the last page of this return. pv
.
RCC -)S
CUMMll\V'iEALTII 11/ I.t:'i\i:-;YL\!\~ [!I.
T!lA'\~F:':lt [\I::"!([P\(J<' TAX
:-;CIWIJ\'L1': "('.'
T 't,\\' c.: l'i~1 tS
~,~
~Cl'\ ~
J. "'~_ "'.#
''-/'-:1~) '-"~
I' ,,"',tHf' A
....~', , I', l ~
lc,,~..i~
'.......~ ~. ~,...<.tlt>:~:l "~:}k;..:iI'
IlES 1 DE\'!' Iwe liIW\'I'
(1) Dirt dpcedent. wi I.hin two years ul' dl'aLll, fllakl' any t.r'll/Is!'pr 01' :lIIY IlIltLer'!al purl. of' Iii s estate, without
receiving II valuable and udequllte consideration U",ret'or'? (Answer yes or no) no
(2) Did deeellent, wltldll two years of' death, transfer property I'rom lrimself' to himself and another or
others (includi ng It SPOUSI') In joint ownership'? (Allswpr yes or 110) n()
(3) If' the answer to (1) or (:2) above is ill th.~ at'f'irmative stute:
(11) Age of dec,'dent at t 1mI' of trallsfer
(b) State of decedent's health at time of' making the trullsf'er. (Note 1),
(c) Cause of' dt~cedent' s death. (Note 1),
(4) Did decedent., in his Ii f'e ti me, make any transfer of property wi thout receiving a valuaulc or adequate
considera tion therefo I' which was to take effec tIn possession 0 r cnj oymen I. at 0 r 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 t.o his power of disposition? (Answer yes or no) no
(b) What was the transferee's age at time of decedent's death? no
(5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate coinsideration
therefor under which transferor expressly or impl iedly reserves for his life or any period which does
not in fact end hefore his death:
(a) The possession or enjoyment 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 or enjoy the property tra,nsferred 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 Ii transfer, the consideration for which was transferee's promise to
pay income to or for the uenefit of care of trllnsferor? (Answer yes or no) no
(8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was sub,leet to change,
because of a reserved power to alter, amend, or revoke, or which cOHld 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 al ter, amend, or revoke the inter-
est of the beneficiary reserved in t.he decedent alone or the decedent and others?
(Answer yes or no)
NOTE 1: The answers to these questions should be supported by affidavi I. hy the attel\(Ung phYSician as
well as a copy of the death certificate.
NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property
transferred, it's fair market vaLue at date of death, dates of transfers and to whom trllnsferred, with
relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans-
fers are claimed to be non-taxable, also submit detailed statement of t'acts on which said claim is based.
NOTE 3: List applicable property below in manner in which providell in Schedules A, B, or E.
ITEM
UESCRIPTION
MARKET V ALliE
(Es tima ted)
DEPT, VALUATION
(Dept, Only)
N~
NONE
Insert Uds tot.:tl ol'posltp. "'I'rllnsi"f!rs", Sche':uLe "e" in the
"A" "'!nort~d" column on L',e ) ast I"';!;" of t.his return.
N~../
~
...
.9tll"-'
<'1< ....
l:Iw #
'" w =
'= ~ e
.... <u ::l
~o..O
< e Q
I 0 .
ou~
........ II)
::;I"'....
Q ::s ....
II) e 0
x Po.
\.lJ II)
'-" c:t
=
----::
(2)
(As Determined)
SUMMAR Y
(1)
(As Reported)
35,000.00
3,544.04
-0-
$
$
$
$
$-
$
$
$
$
$
$
= $ 38,544.04
(Sch. "An)
(Sch. "8")
(Sch. "C' ')
Real property
Personal Property
Transfers
~
Gross Taxable Estate
\ r-< .~
... Z '0 .0
t<1 GJ lJ}
Cl.) u.l tIJ ~
;il-4 ::E III
II)
~ ~ () 0
\ <U ..J
- (it Q E-1 ..c
~ C> ~
r::.::: u.. :z; 0 .~ :c \ \
c.. H H "(j
c.. 0 ~ 0 s:: c ~
III Do
<l) 4( <l)tJ,.l (/), .Q ro > Do
..c: u.l ..c:r-< :z; 1Il r1 >. ..c
<:5 r-< r-<~ (it s:: 1-1 '"
Z ~ :c .....r-< s:: (\) a Q Il
.... r-< olJ) . (\) ~ <U ~ \\
u.. u.l -< 14 e..
c 0 :;j ... ~
0
.S r::.::: z +l ()
H 1Il ..c 0
... tJ,.l ....
III ~ ro - Q..
... r-< III w
... (it <U 1\
CIl r-< -< ... ~ ~
.... < 0 c
= () ...
.... ::E 0 >. 0 1\
_6 .... e
<U c
:-;:::~ .... ::s e t ~
~< ell 8 0 II
..J u
P
!
_.....---.....-<-- .,.,.....
RCC-3~
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTL Y OWNED PROPERTY
II
*'
INSTRUCTIONS: This sehl'dule 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, 'IS entireties, or joint tenants, giving brief description, as indicated under Schedule
"A", plus the .Iate and pllLce of record of instrument effecting vestiture, but do not include entireties
or out of' state real estat.e value in estate vllluutlon column. Personal propel'ty should be listed as in
Schedule "8", plus .Iate of aClluisi tion, and the name, address and relationship (if any) of" co-owners to
the deceden t.
Descrlpt ion of Property, Date of" Acquisi tion, Name
Address and Relationship of Co-Owners, and Place
of Record of Instrument., where Real Estate.
NONE
unit
Value
percentage
Share
Estate
Valuation
Insert this totlil opposite ".Jointly Owned Property", Schedule "E"
in tlte "As He lortpd" colul!D1 on the lust page of this return.
DEPARTMENT VALUATION
CAIJTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
NiYrtL/
IfJ
County, Number and Nome_________
~
II
R'CC-~9 {!l-171 .
AMENDED
SUMMARY
File Number___________
Date of Death_ August_~1_L__19 ?_~____________________
Estate Name Ensminqer_ CalYJ.-1l_____A.
(LAST NAME) (FIRST NAME) (If<lTlALI
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
REPORT OF INHERIT ANCE TAX APPRAISER
I, the unders;igned duly appointed Inheritance Tax Appraiser in and for the County of Cumberland
Pennsylvania, do respectfully report that I have appraised the real and personal property a5 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:
INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER Of WILLS
Cumberland
I, the undersigned duly elected Register of Wills in and for County, Pennsyl~ania, do respect-
fully report that I have allowed deductions in the amounts claimed by deponent, except as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "f", which greater or lener amount represents the sum
allowed as a deduction.
Dated:
REGIS T ER OF WIL L5
ADJUSTMENTS
INVENTORY V ALUE AS APPRAISED ODE (HARRISBURG USE ONL YI REMAINDER APPRAISEMENT CODE
Real Property (Schedule A) $ 35.000 00 00+ 92+
Personal Property {Schedule BI 3.544 04 10+
Joint-Held Property (Schedule E) -0- 20+
Transfers (Schedule C) -0- 30+
TOTAL GROSS ASSETS 38.544 04
Less Debts and Deductions 4.26~ 10 4G- 93-
(SCHEDULE F)
CLEAR VALUE OF ESTATE 34,281 94
PRINCIPLE
FACTOR
VALUE
.~
I
Valuation of life estates or
.:L-
ESTATE TAX ASSESSMENTS _ $
t=
t=
annult!e......................_ $
FOR USE OF REGISTER ONLY
T ox on $
Tax on $
Tax on $
Tax on $
Tax on $
Exemptions
Total Estate
~
COMPUTATION OF TAX
$
$
$
$
$
2""
6%
15%
*
TOTAL TAX
$
(*) As evidenced by Charitable
Exemption, Certificates issued
by the Secretary of Revenue.
t=
Less tax previously po id
BALANCE
Less 5% of tax if paid within
3 months after death
$
$
$
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6% from
to
AMOUNT OF ESTATE TAX ASSESSED
Estate tax paid
$
$
c
$
$
BALANCE DUE
$
$
TOT!\LTAXBALANCE $
PA;' $
Add interest at rate of 6% from
to
Supplemental Code\;: (FOR USE IN HARR'. )kG OtlL Y)
4~-Adi ustment
49+Adju5tment
56-Annuity
6O-Life f.!ut
92+Ri'rJloind(1 :'.t'praisal
~: '~-~ern-"';lr_l~' (jr,.JlJ: lion
93C-Chority
94-Remainder Rel;idue
96-Succ ess i ve
Li fe Estate
FOR USE OF F ~G! ~;f ER ONLY ADJLS lMENTS
----- -..- -
NOTE: Where :;ub....'1Jel.. 'qu"tn'c.1. ,.",' ,,10..1. 10 the above c.omplJtation of tax by the Register of Wilis, for proper reason,
some l'ho.d-' L,. ,..,'d Lc,lc...., with . ;~ort explanation.
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LAST ~'JlLL AI:U T' 'STAt/ENT
I ,;alvin A. Ensminger, o~ 310 Wertzville Road, Enola,
C:wnbe"land ,~ounty, Pennsylvania, make, publish and declare
this to be ]I)Y last 1:Jill and Testament, herf~by revoking and
ltakin;: void any and all former Wills by me at any t.ime
heretofore 'lade.
1. I direct the payment of my debts and funeral exp-
enses a~ SOOI1 after FlY death as may be convenient to my Ex-
ecutor hereinafter named.
2. I give, devise and bequeath all the rest, residue
and remainder of n<y estate to ~ ~ k~ ~~/~~-
3. I nominate and appoint M. Karey J::n8minger if' 0
to be the ~xecutor of this, my Will.
In WITI' ;~SS '..li:~tE(~F, I hereunto set my hand and seal
this ,..r-Il-day 0" Oc to ber, 1973.
~4
...
~4:1'f.?~SEAL)
Signed, sealed, published and declared by the above
named Testator as his Last Will and Testan~nt in the pres-
ence of us, who at his request, in his presence and in the
presence of each ot;1er, have hereunto subscribed our names
as witnesses.
~JI'~
"...
w;7t NZs;.s ) "
.... 4 /~'i~) ~/
/ltrLCd41 ~;e
&ENNfTH H. 6IN1U.Notety '....
........ ~J. h 1.11 II ('.~ ... .
... (MI__. ~,. No~. I~
I'
REV-5I8 (3-79)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P. O. BOX 2970
HARRISBURG
17105
IN YOUR REPLY PLEASE
REFER TO
I nvestigation Division
NOTICE OF FI LING OF APPRAISEMENT
M. Karey Ensminger
3965 Mountain View Road
Mechanicsburg, PA 17044
(Executor or Administrator)
In Re: Estate of
Calvin A. Ensminger
Cumberland
County - File No. 21-78-0575
Dear Mr. Ensminger:
You are hereby notified that the_S~
appraisement in the estate of Calvin A. Ensminger
has been filed in the office of the Register of Wills of Cumberland
County on July 16 ,1912-. Said appraisement reflects the following valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
none
$108.24
none
none
$108.24
As to such tax that is paid with in 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
July 16, 1979
'-Q
\ r-) '-.._-~
Signed C:,: ".. ',- ,
C~, (I ,_
'- ,'.}.,.....
\.-- ~-'V"-
I
~ /
Title Administrative Officer
NOTE: This is not a bill.
REV-4~1\ !,p-nl I
, ~
C;unty; l'Iumber and l'Iame 21-Cumberland SUMMARY
Fi!e l'Iumber 21-78-0575
Dote of Death August 22, 1978
COMMONWEAL TH OF PENNSYLVANIA
t:state Name Ensmi nger Calvin A TRANSFER INHERITANCE TAX
(LAST NAME) (FI RST NAME) (INITIAL.) RESIDENT DECEDENT
----...
REPORT OF INHERIT ANCE TAX APPRAISER
!/ the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Cumberl and /
Penn'iylvania, do respectfully report that I hove 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",
,--Q r---. , -' ,
'Q~ ,- -
C~ "T-.-.- \, .:.~ '. '\. -,. , -.-
Doted: July 16, 1979 '.....- J
INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
i, j'he undersigned duly el ectcd Rcgi stcr of Wi lis in and for County, Pennsylvania, do respect-
fully report that I hove allowed deductions in the amounts claimed by deponent, except as to those items where a greater or
lessor amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum
allowed as a deduction.
Dated:
REGISTER OF WILLS
ADJUSTMENTS
INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONL YI REMAINDER APPRAISEMENT CODE
Real Pronertv (Schedule Al $ ....~....~ 00+ 92+
Personal ?roperty (Schedule B) u1Ml 74 10+
J.:-ir.t-H,,'d Property (Schedule EJ nnnp 20+
Transfers (Schedule CJ none 30+
TOTAL GROSS ASSETS lnR 74
Less Debts and Deductions 40- 93-
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
~
PRINCIPLE
FACTOR
VALUE
CODE
annuitiec;....................._ $
t=
t=
ESTATE TAX ASSESSMENTS _ $
TOTAL TAX
CODE
2% $
6% $
15% $
$
$
$
$ -1=
$
$
COMPUTATION OF TAX
FOR..I}S>~-.2.f REGISTER ONLY
Tax on $
Tax on $ ___
Tax on $ __.
Tax 0.1 ,j. __.._.
Tax on $
Exemptions
Total Estate
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue,
Less tax previously paid
BALANCE
Less 5% .of tax if paid within
3 months after death
BAll.!! .-::: OF INHERITANCE TAX DUE
Add ir,'c tee;; at rate of 6% from
$
_,_~_._.,...__,._ to
$
AMOUi-lf OF ESTATE TAX ASSESSED
Esta'" tex paid
$
$
1==
BALANCE DUE
Add ;,,' "c,st at rote of 6% from
to
$
$
TOT AL T AX BALANCE $
PAID $
Supplenwntol Codes: (FOR USE IN HARRISBURG ONL Y)
48-^djustment
49+Adjustment
56-Annuity
6O-Life Estate
92+Remainder Appraisal
93-Remainder Deduction
93C-Chari:ty
94-Remainder Residue
96-Success i ve
Life Estate
FOR USE OF REGISTER ONLY
ADJUSTMENTS
NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills for proper reason
same should be noted below, with short explanotion. "
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REV-457 (8-78)
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P.O. BOX 2970
HARRISBURG, PENNA. 17105
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEM ENT
DATE
July 16, 1979
Cumberland
_21:.&2.?l"L_,<~__
COUNTY
FilE 1'10,
Whereas, Calvin A. Ensminger late of East Pennsboro Township
in the County of Cumberl and Commonwealth of Pennsylvania, having died on
the 22nd day of Auaus t 19 .&.., seized and possessed of a::1 estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Leo Fu 1 a i nit i , an appraiser duly appointed according to lavl,
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 decedent after tile expiration
of any estate for life or for years, the Commonwealth herebY expressly reserves the right to appraise and assess transfer inheritance taxes at t~e lawful collate:'al
rate on any such future interest.
--
DESCRIPTION OF ASSET UNIT Appralsen1ent
VALUES Made for In"eritance
Tax Purposes
I'; \
Real Estate none i
Personal Property 108 24 I
--I
Joint-Held Property none ~
Tran s fe rs none 8
TOTAL ASSETS 108
I
I
I
I
l
i-
I
Have been duly sworn according to law, I do hereby c~rtify that the above ap'prais~ment is made in conformity
with the law on this 16th day of :, Ju I D (l .. I ' 19 1..9.-.
,---., ~- - . ,- ' .- v -~ '
~ ~ .
Appraiser
(Number and Street)
Harrisbura
(Post Office)
. Pennil.
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