HomeMy WebLinkAbout04-09-79
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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
.
RCC-33 (4-79)
RESIDENT DECEDENT
COUNTY OF
CnmbeTland
IMPORT ANT:
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~enue. (Section 703 of the Inheritance and Estate Tax Act of 1961.)
IN THE MATTER OF THE ESTATE OF
} AFFIDAVIT OF
EXECUTOR
xmmasnxmK
FLORENCE V. SEIP
(STATE FULL NAME OF DECEDENT)
Late of r.llmhprl ::Inn
County
State of Pennsylvania
Cumberland
County of
} '"
~XXXXXXfur I, Jane E. Davidson~ Trust Officer, CCNB Bank, N.A.,
urmnnrrrn of the estote of the obove-named decedent being duly sworn, depose and say
Executor
Decedent died
October 1.
(MONTH)
Name and address of attorney or }
other authorized repres,entative to whom
all correspondence should be mailed.
(DAY)
. ' 19-1Ji.....J ~estate leaving a last will, copy of which is hereto attached,,)
(YEAR) ~~
Stone, Saier & Stewart
310 Br;ldgp Strp,<,t, N,<,w' r.'l!1lnpX" j;1nn > 'J?::I. 17070
That as such Executor deponent is familiar with the affairs of said estate and the property constituting
( EXECUTOR-XXIK~XlltHi
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
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
NONE
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 priM to 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, pictures, books, works of art, hou~bOl<fll&rnitlir't!, horses':'\!arriages,
automobiles, boats, and any and all other personal chattels of whatsoe~~ k\.i1d~~:.nature,'left~!:d{c~edent,
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 interest thereon to the date of decedent's
death and other investment secur,li2S 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 family corporations, the values reported are as far as
possible substantiated 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 is annexed to
said schedule, financial statements showing the assets and liabilities of said co-partnership or business.
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 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 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 passes at decedent's death by
virtue of the exercise by decedent, either individually, or jointly wi th 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 instrlrnent 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 decedent, 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 vesti 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
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 anrl unpairl 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 fur 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 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.
SUbscri~d sworn to before me this ................................
......................01...\......... ....... day Of..~~~...... 19..7..i
.............~~~UU).. ... ..~".j...\.~........................
FRANCES Y. <;1
That the totals of the appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein,
have been carried forward and properly registered in the Summary.
eCNB Bank, N ,A.
I
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By.~...\../-f~~;~~~i:jl/;/~/::l*~.~.~....9.t;.~.~_e..r
v
....21Ql....Xa.~ke.t...S.t;~~e.t.................................................._..............
(Street Number)
. ...Camp ...Hill.?.....!~.a.......ll.Ol.l..................
(City or Town and State)
My (OlflmiN;on h ;,; tel
Nt" Cwlnbell.nd, PA
. HaUry PI.bIic
fl''''' is. '"I
~N~~
NOTE: Before signing affidavit make sure all blank spaces 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 requirerl 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.
RCC-34 (1-64)'
COMMONWE"AL TH 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. Where property held as joint tenant or tenancy by entireties, report on Schedule "E". Property held by
the decedent as tenant in common with another or others, should be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real property located In the Commonwealth of Pennsylvania should be (1 ) (2) (3\
described by lot and block number, street and street number, together wi th 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 ESTIMATED CAUTION
cres; also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not write
of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are DEATH In this space)
to be listed on Schedule" F" and must not be deducted from this schedule. -",
NONE -0-
~~
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.
or
PCC -;>:5
REsrDEKT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
CO~WONWEALTH 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 filrnishings, 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.
I tern
No.
ITEM
List and describe fully
UNIT
VALUE
ESTIMATED
MARKEr VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
1.
Cash on hand
~//
125.66/
V-
137.70,/
2.
CCNB Checking Account #787-752-5
3.
Jewelry (Appraised by J. T. Carpenter, copy
attached)
v
260.00/
4.
Household furnishings (consisting of partial
furnishings in one (1) room in
Retirement Home)
V
125.00 ~
~
5.
Prudential Insurance Co. - proceeds of Policy
11051273966
/'
550.67
7.
Social Security - September 1978
1. 1 Q/'/
75.5y/
6.
Bell Telephone Co. - refund
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
x X
11275.72
l\21S (L-
APPRAISALS FOR
ESTATES'. INSURAt\lCE COMPANIES AND INDIVIDUALS
JEWELRY AND WATCH REPAIRING
RESTYLING" REMOUNTING
GRADUATE
GEMOLOGICAL INSTITUTE
OF AMERICA
GEM LABORATORY
/ YCCWYjt~
!!IJianlONtM and <lkmJtolle6
~"j()naI (fluu;/"y
2135 MARKET STREET . POST OFFICE BOX 366 . CAMP Hill. PENNSYlVANIA 17011
PHONE 717-737-3426
001';00, r 12, 1978
At'PRA ISAL FCll- EST" 'IE ?lUPO: ES
Est", te of:
Request liaf:
Florence Seip
CCNe. n.oIh
A1'ti~la5: Vr.lU88
1. lady's "Elgin It yellcw gold pl~ted wrist
,1..tCf' f}nd Y€llJow reold fillad .x~<lnsion I:-pcal.t. $ 15.00
2. Lady's 14 k.,r",t yollow !,,:old ring.. eer tel' lJeuel
s6t'/ery light color tOrJ6 flqU1Hn"1'in~. 'Ihr@o round
syn~ chio ole..1' Spinela on .~..eh sidG. $ 26.00
3. L'Icy's 14 '~"'r"t yellow ,~old fH'1~flgemelit style
r:in~" Sinkl. brilli..nt OU1; di,.:nond 'let oenter
weigls lO/leo o"'r~ts. VSZ l)erfection pnt " H " ill
ool~{'.
* H). 00
4. L"dY'8 14 Jc<.r"t yellow pld erlgagement style
Brillif' nt out di..mo. d set ceuterlieighs
c"rpts" VS2 lIerfaotion I1t:d II n " in colGlr.
cut di~mond set on ~nch 5ide of c'nter
02/100 c~r"ts e~ch.
r in~ ~
23/1 :;0
Single
waig;ls
$1 JO. CO
5. L".dy's 14 br"t yellow cold vedding bAnd.
ch"mH"l set filOr'06S fin~er f 1'e Sflven single cut
di;'m.mds wCili.ghinr, 03/100 0" r'..ts I'var"gc "t' ch, VS2
/lElrfnctiorJ PIH1 " 1 !l in 00: 0r.
$'5.00
. lhis A,pr,.isAl cOllsti tutes my cf'.t"efully ,tudied Opir;QXl
O!~ tbo v1'lues for the prev.loualy stA".ed ;)urpose of tLe
"rtides described Above Lsof'...r nS the 10untings hI' 0
~el'm:.tt6d obserYl1ltion. It i5 ne ithel' AlJ offer tow;'
or to sell. ~
"
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. "7 -'.::a
(ji-T-; 'C. ;,>. ot.';f" <.
M
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RCC - 36
COMMO\'WEALTll OF PENN~YLVANIi\
TH.ANSFEH. INHERITANCE TAX
SCHEDULE "e"
TRANSFEltS
H.ESIDE:'\T DECEDENT
(1) Did decedent, within two years ofdeuth, make any transfer of any material part of his estate, without
receiving a valuable and adequat.e consideration therefor? (Answer yes or no) No
(2) Did decedent, within two years of death, transfer property from himself to himself and another or
,.thers (including a spous'e) in joint ownership? (Answer yes or no) No
(3) If the answer to (1) or (2) above is in the affirmative state:
(a) Age of decedent at tlme of transfer
(b) State of decedent's heal th at time of making the transfer. (Note 1).
(c) 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 theref'or which was to take ef'f'ect in possession or enjoyment 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 ~;ubject to hls power of disposition? (Answer yes or no)
(b) What was the transf'eree's age at time of decedent's death?
(5) Did decedent in his lif'etime make any transfer wi thout receiving a valuable and adequate consideration
therefor under which transf'eror expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a) The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no) Nn
(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 transf'er, the consideration for which was transferee's promise to
pay income to or for the benef'it of' care of transferor? (Answer yes or no) Nq
(8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change,
because of a reserved power to alter, amend, or revoke, or which could revert to decedent Imder 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 benef'iciary 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 attenrling physician as
well 8S 8 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 \leed or instrument, if trans-
fers are claimed to be non-taxable, also slmmit detailed statement of facts on which said claim is based.
';OTE 3: List applicable property below in manner in which provided in Schedules A, B, or E.
ITEM
DESCRIPTION
MARKET VALUE
(Es lima ted)
DEPT. VAU;ATION
(Dept. Only)
1.
Revocable Living Trust dated June 22, 1973.
Cumberland County National Bank and Trust Company,
now known as CCNB Bank, N.A., Trustee.
Florence V. Seip, Settlor. Settlor had full power
to revoke and Principal and Income Interest.
(Date of Death Valuation)
/'
$19,599.l4,/'
Insert this total opposite "Transfers", Schedule "C" in the
"As Reported" column on the last page of this return.
Vi)Sq4.'~
I
RCC-J7 (12-63).
CO~ll\Ill~\rEALTI! OF' PE;',;-':SYYL\NL\
TRANSFER INHERITA:'\CE TAX
RESIDENT DECEDENT
SCHEDULE "1)"
BEl'.; EFI CIA HIES
--r- RELATIONSHIP T--.---.----l-~l--.--.-----.-
, B~N~FJCJAR.IES AND ADDR.ESSES, .L. I (If step-children or I St!~YIV..ED DATE INTEREST OF
\::state full names ana addresses of all who I illegitimate ('hJdren I~~l/..DI,NT, I 0_1" BENEFICfAHY
have an Interest, vested, contIngent or other- are lnvolved, set i SltJE rYES I TUR']T IN" EST\TE
CCNB Ban~ Wi;:~.in ",.t'e .1 :::::: f"U~ N/:O I 'N/A-'--t= 100% -~
. , I --'---.--
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('~~..... U;11 !
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Deponent further says that all the above-named beneficiaries are living at this time exce-pt below:
NAME
DATE OF DEATH
RESIDENCE
':::
~ <.; :I:t
.... - -
rJ;; 4 _
.::: Q) E
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E-'O
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~ ~:
~ 2:'! "'C
-:) :lJ
......... ....
==' :r. ;..,
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~. ~
Heal Property
Personal Property
Transfers
SUM~IAHY
(Sch. "A")
'S h "B")
~. c .
.. . (Sch. "C")
( 1 )
(As Reported)
-0-
1?275.72
. ..19,599.14
$
$
$
$
$
$ . .2.0,874,86
(2 )
(As Dd('rmin{'cl)
$
$
$
$
$
$
Gross Taxable Estate
~ '0
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rn C"J ...l
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R C C-38
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE" E"
JOINTLY OWNED PROPERTY
INSTRUCTIONS: This scherlule must disclose all property, real and personal, owned by the rlecedent 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 tmder Schedule
"A", plus the date and place of record of instrument effecting vesti ture, 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
NONE
Insert this total opposite "Jointly Owned Property", Schedule "En
in the" As Reported" column on the last page of this return.
Estate
Valuation
..,Q- /'
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of
En ti re
property
Value of
Decedent's
Interest
N~
R C C-39 (5-68)
COMMONWEAL TH OF PENNSYL VANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of SElF.
(Last Name)
FLORENCE
(First Name)
V.
(Ini tial)
DATE OF DEATH 10-1-78
FILE NO. 21-78-557
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of
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:
INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for County, Pennsylvania, 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 tbe right in Schedule "F", which greater or lesser amount represents t.he sum
allowed as a deduction.
Dated:
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Join t - Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
REGISTER OF WILLS
annuities. . . . . . . . . . . . . . . . . . . $
t=
t=
t=
Valuation of life estates or
ESTATE TAX ASSESSMENTS $
--I
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6% from
to
AMOUNT OF ESTATE TAX ASSESSED $
Estate tax paid $
BALANCE DUE
Add interest at rate of 6% from
to
FOR USE OF REGISTER ONLY
Tax on $
Tax on $
Tax on $
Tax on $
Tax on $
Exemptions
Total Estate
TOTAL TAX
Less tax previously paid
BALANCE
Less 5% of tax if paid within
3 months after death
COMPUTATION OF TAX
2%
6%
5%
10%
15%
.
$
$
$
$
$
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
$
$
$
t=
$
$
c
$
C
L-
l=
$
$
TOTAL TAX BALANCE $
PAID $
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 explanation.
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LAST WILL AND TESTAMENT
OF
FLORENCE V. SEIP
l
I, FLORENCE V. SEIP, of the.Borough of New
Cumberland, County of Cumberland and State of Pennsylvania,
being of sound mind and memory, do hereby make, publish and
declare this to be my Last Will and Testament, hereby revok-
ing and making void any former Wills or testamentary dispo-
sitions heretofore made.
I.
I direct that my funeral arrangements be handled
by the Jesse H. Stone Funeral Home in New Cumberland, pennsyl-
vania.
II.
I devise and bequeath the residue of my estate of
every nature and wherever situate, including any property over
which I shall have any power of appointment, to Cumberland
County National Bank and Trust Company, of New Cumberland,
Pennsylvania, to be ~dded to and thereafter treated as a part
of that certain inter vivos revocable trust created by me on
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us~~ and purposes and
to have and to hold, IN TRUST, for the
subject to the terms and provisions
thereof, including any alterations or amendments thereto, or
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any other inter vivos trust which may hereafter be substituted
therefor.
III.
All federal, state and other death taxes payable
Page 1 of 3 pages
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because of my death, with respect to the property forming my
gross estate for tax purposes, whether or not passing under
this will, including any interest or penalty imposed in
connection with such tax, shall be considered a"part of the
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expense of the administration of my estate and shall be paid
from my residuary estate without apportionment or right of
reimbursement provided that any taxes on the inter vivos
f',,-
revocable trust created by me on \')"(~5,,"~, .c-F::l, 1973, may be
paid from the assets of that trust ~.J provided therein.
IV.
My executor shall have the following powers in
addition to those vested in it by law and by other provisions
of my will, applicable to all property, whether principal or
income, exercisable without court approval, and effective
until actual distribution of all property:
A. To'retain any or all of the assets of my estate,
real or personal, including stock of my corporate fiduciary or
of its parent holding company, without regard to any principle
. of diversification or risk.
B. To invest in all forms of property including
..
stocks, common tru~t funds and mortgage investment funds whether
operated by my corporate fiduciary or others, without restriction
to investments authorized for Pennsylvania fiduciaries, as it
deems proper, without regard to any principle of diversification
or risk.
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c.
To sell at public or private sale, to exchange,
or to lease for any period of time, any real or p'ersonal property
and to give options for sales, exchanges or leases, for such
prices and upon such terms or conditions as it deems proper.
Page 2 of 3 pages
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D. To allocate receipts and expenses to principal
or income or partly to each as it from time to time thinks
proper.
E. To borrow from or sell to, the trustee under
,
my inter vivos trust mentioned above, even though such trustee
may be my executor.
v.
I appoint CUMBERLAND COUNTY NATIONAL BANK AND TRUST
COMPANY, of New Cumberland, Pennsylvania, Executor of this my
last Will.
IN WITNESS WHEREOF, I have hereunto set my hand
this ~.i. day of ~1.N1O-- , 1973.
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F orence V. Sei
(SEAL)
SIGNED, SEALED, PUBLISHED and DECLARED by the Testatrix, above
named, as and for her Last Will and Testament, and in the
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presence of us, who in her presence, at her request and in the
presence of each other, have hereunto set our names as witnesses.
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THE FLORENCE V. SEIP REVOCABLE TRUST
THIS AGREEMENT OF TRUST executed in duplicate
this ,tl;}.4day of ~ _.0 ,1973, between FLORENCE
V. SEIP, of the Borough f~ew Cumberland, Cumberland County,
Pennsylvania (hereinafter called Settlor), and CUMBERLAND
COUNTY NATIONAL BANK AND TRUST COMPANY, of New Cumberland,
'Pennsylvania (hereinafter called Trustee),
WIT N E SSE T H:
FIRST: Settlor grants, assigns, and sets over to
Trustee and its successors all the property described in Schedule
A annexed hereto and said property, together with all other
property, real or personal, that may be added to the trust (such
property and additions being hereinafter called principal),
shall be held by Trustee, IN TRUST, upon the following terms.
SECOND: Trustee shall manage all property comprising
the principal of this trust and shall collect the income there-
from and accretions thereto and shall pay the net income and
hold and distribute the principal of said trust as follows:
A. Trustee shall pay the net income therefrom to
Settlor for and during her lifetime, subject to the provisions
of Item FIFTH, in such periodic installments as Trustee shall
find convenient but at least as often as quarter-annually.
B. Upon the death of Settlor, Trustee shall dis-
tribute the then-remaining principal and any accumulated or
undistributed income as follows:
1. To JAMES F. DESENBERGER now living at New
Cumberland, R. D. 1, Pennsylvania, the sum
of Three Thousand ($3,000.00) Dollars and
Settlor's colored television set.
Page 1
"1' ,_'T :~.~__ .-.. "
2. To MRS. JOAN FISHER now living at Etters,
R. D. 1, Pennsylvania, the sum of One
Thousand ($1,000.00) Dollars.
3. To HELEN CLEMENTS now living at 2215 Yale
Avenue, camp Hill, Pennsylvania, the sum
of One Thousand ($1,000.00) Dollars.
4. To R. CLARK ANDREWS now living at 810 Allen
Street, New Cumberland, Pennsylvania, the
sum of One Thousand ($1,000.00) Dollars.
5. To HELEN BRUNDAGE now living at 2020 Roxanne
Avenue, Long Beach, California, the sum of
One Thousand ($1,000.00) Dollars.
6. To HARRY E. WOLTMAN now living at 1009
LaF10ra Drive, Redlands, California, the
sum of One Hundred ($100.00) Dollars.
7. All the rest, residue and remainder of the
trust estate shall be divided into two equal
shares and distributed as follows:
(a) One-half to the TRINITY UNITED METHODIST
CHURCH of New Cumberland, Pennsylvania.
(b) One-half to the QUINCY UNITED METHODIST
HOME, LITITZ UNIT, if Settlor is resid-
ing at the Quincy United Methodist
Home, at Lititz, Pennsylvania, at the
time of her death (temporary hospitali-
zation or nursing home stay not to be
construed as a change of residence) and
if not, this share shall lapse and be
added to the share of the Trinity United
Methodist Church of New Cumberland, Pa.
8. If any of the above named individuals shall
fail to survive the Settlor, their share shall
lapse and be added to the share held for the
charities as set forth in subparagraph 7.
THIRD: The principal and income of this trust shall
be free from anticipation, assignment, pledge or obligation of
Settlor and shall not be subject to any execution or attachment
or to voluntary or involuntary alienation.
FOURTH: Trustee shall have the following powers in
addition to those vested in it by law and by other provisions of
this trust, applicable to all property, whether principal or
income, exercisable without court approval, and effective until
Page 2
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actual distribution of all property:
A. To retain any or all of the assets of this
trust, real or personal, including stock of Trustee or of its
parent holding company, without regard to any principle of
diversification or risk.
B. To invest in all forms of property, including
stock, common trust funds and mortgage investment funds whether
operated by Trustee or others, without restriction to invest-
ments authorized for Pennsylvania fiduciaries, as it deems
proper, without regard to any principle of diversification or
risk.
c. To sell at public or private sale, to exchange,
or to lease for any period of time, any real or personal
property and to give options for sales, exchanges or leases,
for such prices and upon such terms or conditions as it deems
proper.
D. To allocate receipts and expenses to principal
or income or partly to each as Trustee from time to time thinks
proper in its sole discretion.
E. To hold property in the name of Settlor, or in
its name without designation of any fiduciary capacity, or in
the name of a nominee or unregistered.
FIFTH: Trustee may apply the net income of this trust
for the support of Settlor should she by reason of age, illness
or any other cause in the opinion of Trustee be incapable of
disbursing it; and Trustee is further authorized to expend or
apply from the principal of this trust such sums as it in its
sole discretion may from time to time think advisable for the
support of Settlor to maintain her in the station of life to which
Page 3
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she is accustomed at the creation of this trust, or during
illness or emergency, including care in retirement homes,
church homes, nursing homes, hospitals and convalescent
facilities.
SIXTH: Subject to the approval of Trustee, anyone
may add property, real or personal, to the principal of this
trust by deed, will or otherwise.
SEVENTH: Trustee shall receive compensation for
the 'performance of its functions hereunder in accordance with
its standard schedule of fees in effect from time to time dur-
ing the period over which its services are performed.
EIGHTH: Settlor reserves to herself the right by
an instrument in writing intended to take effect during
Settlor's lifetime signed by Settlor and delivered to Trustee
to revoke or amend this agreement in whole or in part provided
that the duties, powers and liabilities of Trustee shall not be
substantially changed without its written consent.
NINTH: The situs of this trust for administrative
and accounting purposes shall be in the County of Cumberland
and Commonwealth of Pennsylvania, and all questions pertaining
to the construction or validity of the provisions of this instru-
ment shall be governed by the laws of that Commonwealth.
IN WITNESS WHEREOF, Settlor has hereunto set her
hand the day and year first above written and Trustee has
Page 4
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executed this instrument and .caused its corporate seal to be
affixed hereto.
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F orence V. Se~p
CUMBERLAND COUNTY NATIONAL BANK
AND TRUST COMPANY
ATTEST:
By .d/~~ ~~
VICE PRESIDENT 8< TRUST OFFICER
(SEAL)
'-
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
)
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)
before me
""(o~ f ~
On this, the ~ ,~ :'day 0 I. /'^- l. _ , 1973,
a Notary Public the undersigned' icer, personally
appeared FLORENCE V. SEIP known to me (or satisfactorily proven)
to be the person whose name is subscribed to the within instru-
ment, and acknowledged that she executed the same for the purpose
therein contained.
In Witness Whereof, I have hereto set my hand and
notarial seal.
~;Of/l. Y P lie
" c.mmission Expir.~s ecember 28. 1174
",.. Cumllerland, 1'1. Cumberliind CChIQh
Page 5
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FIRST AMENDMENT TO
REVOCABLE TRUST
OF
FLORENCE V. SEIP
WHEREAS, FLORENCE V. SEIP, as Settlor, and CUMBERLAND COUNTY
NATIONAL BANK AND TRUST COMPANY, (now CCNB BANK, N. A.), as Trustee, executed
an Agreement of trust dated June 22, 1973; and
WHEREAS, under Article EIGHTH, the Settlor reserved to herself
the right by an instrument in writing intended to take effect during the Settlo 's
lifetime to revoke or amend the agreement in whole or in part; and
WHEREAS, the Settlor now wishes to exercise that reserved right
to amend in part the original Agreement of Trust;
NOW, THEREFORE, effective immediately, said Agreement of Trust
is hereby amended as follows:
1. Subparagraph 1 of Paragraph B,_ Article SECOND, is hereby
amended so that in its entirety it shall read as follows:
"1. The Trustee shall distribute the Settlor's color tele-
vision set to THE BENEVOLENT HOME FUND OF CENTRAL PENNSYLVANIA CONFERENCE, THE
UNITED METHODIST CHURCH, to be used at Bethany Village United Methodist Home."
2. Subparagraphs 5 and 6 of Paragraph B, Article SECOND, are
hereby revoked in their-entirety.
3. Subparagraph 7(b) of Paragraph B, Article SECOND, is hereby
amended so that in its entirety it shall read:
I..AW 0"'ICr:8
STONE. SA.JER
Page 1 of 3 pages
110 ."IOGE ST"CET
CUM.ERLAND.I'A. 1707
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One-half thereof to THE BENEVOLENT HOME FUND OF CENTRAL
PENNSYLVANIA CONFERENCE, THE UNITED METHODIST CHURCH, to be used at Bethany
Village United Methodist Home, if the Settlor is living at the Bethany Village
United Methodist Home at the time of her death. The temporary hospitalization
of the Settlor shall not be construed as a change of residence. If the Settlor
is not then living at the Bethany Village United Methodist Home, this share
shall lapse and be added to the share created above for TRINITY UNITED METHODIS
CHURCH, of New Cumberland, Pennsylvania."
IN ALL OTHER RESPECTS, Settlor hereby ratifies and confirms the
Agreement of Trust dated June 22, 1973 which Agreement, together with these
amendments, now constitute the entire Agreement of Trust.
IN WITNESS WHEREOF, and intending to be legally bound, the
Settlor has hereunto set her hand and seal this
/8 (/t, day of
1977 .
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Witness
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(SEAL)
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The above amendments are accepted:
ATTEST:
CCNB BANK, N. A.
~c.b~
ASsl ANT SECRETARY
B
~ ~~~ ~;:~
VICE PRESIDENT RUST OFFICE~
LAW O""'CES
STONE. SA.lER
"0 .RODGE STREET
N CU""".CALAND. PA. 1707
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STONE. '''JER
.,0 ."IDClI: aT"CCT
CU".E"LAND. ",.. 1707
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COMMONWEALTH OF PENNSYLVANIA
:SS:
COUNTY OF CUMBERLAND
On this, the
L~~
_52. day of
, 1977,
tOC!.-ro 8 e f'Z...
before me a Notary Public, the undersigned officer, personally appeared
FLORENCE V. SEIP, known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument and acknowledged that she executed
the same for the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal
yo~ ~
. tary pu~
" ,'f' '1r ~ RO<;C l.lo~uIY Public:
~~:n',"~'i~};::~: ~>.;:~,;)'.~, :~!1d Cc., ?il.
- '. ".'" Jul" 5. 1';\\1
My C."m.iYII$SIO.l1 L."j-"JJ...s ,-
Page 3 of 3 pages
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R E V-SI8 (e-78)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P.O. BOX 7970
HARRISBURG
17105
IN YOUR REPLY PL.EASE
REFER TO
*'
Inheritance Tax Division
NOTICE OF FILING OF APPRAISEMENT
Jane E. Davidson
Trust Officer
C.C.N.B.
(Executor or Administrator)
In Re: Estate of
Florence V. Seip
Cumberland
County - Fi Ie No.
21-78-0557
Dear
You are hereby notified that the Original.
appraisement in the estate of Florence V. Se~p
has been filed in the of.fice of the Re1lJster of Wills of Cumberland
County on 9 Apr~l , 19_, Said appraisement reflects the following
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
None
1,275.72
19,599.14
None
20,874.86
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 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 as provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961, 72 P. S. 2485-1001, P. L.373.
9 April 79
~--~- ,)
, - ."-.-.......
Date
Signed
(---
Title
Administrative Officer
Note: This is not a bill.
REV-457 (8-78)
DEPARTMENT DF REVENUE
BUREAU OF FIELD OPERATIONS
P.O. BOX 2970
HARRISBURG. PENNA. 17105
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE
9 Anril 79
Cumberland
21-78-0557
COUNTY
FILE NO.
Florence V. Seip
Whereas, late of
in the County of Cumberland Commonwealth of Pennsyhania, having died on
the 1st day of October 19lL, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Leo Fulginiti , 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:
New Cumberland
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 or for years. the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful col'ate:al
rate on any such future interest.
DESCRIPTION OF ASSET UNIT Appraisement
VALUES Made for Inheritance
Tax Purposes
$ !
Real Estate .
Non~ I
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Personal Property 1,275 7.2......"
- - 19,?99 14
Jointly Held None
Total Assets 20,874 86
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Have been duly sworn a~c~ding to law, I do hereby cer~ that th~_above appraisemant is made in conformity
with the law on this t day of ' '. Apr1:1. ..i-.'" . 19 11--.
r.~ -.... .,'.. ' ", . -. .'. '-, ", ;...-.--.
Appraiser
(Number and Street)
Harrisburg,
(Post Office)
. Penna.
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