HomeMy WebLinkAbout05-30-79
Form RC C .10
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DEDUCTIONS ALLOWED IN
OFFICE OF TME
REGISTER OF WILLS
STATEM"ENT OF DEBTS
AND DEDUCTIONS
THE SUM OF ............ $.?4€-1:'.u?:~
OF'
Cumberland
COUNTY
DATE APPROVED ....... .m'1u:J~~u?9..u
/
( /'1" C
LAU OF Borough of Meehan i csburq
12/9/78
AND AGENT OF THE COMMONWEALTH
-'\~'..--f
ESTATE OF
Frank E. &ensler
DATE OF FILING APPRAISEMENT
DATE 01" DEATH
I I
DATE NO. 01' NAME OF PAYEE REMARKS AMOUNT
VOUCHER
!~/tl
Dec. 20 Register of Wills-Letters of Adm . n ; . t1 i UII 1l. , . '~ir~+Q~ 20 00
20 Cumberland Law Journal - Adverti l>ina Letters 18 00
1979 In ^ .1~...rI Dllh1;~ho...<, TnI"' _ ^ 16 65
,-- . ;nn I LL
Apr. 25 Holy Spirit Radiology - Balance :Iue 34 00
25 Pa. Power & Light Co. - Damaqes o Dole eauioment 4nq fiq
25 Harrisburq X-Ray Assoc. - Balanc due fin Inn
?'l .. ., ~ I J:'r;:!nlt M n _ R;:!l::>nl"' rI'IO 1n", Inn
25 Holy Spirit Hospital - Balance d e 3 40
25 Neurological Surgery - Balance d e 15 00
25 Bell of Pa. - Damages to pole & quipment 543 56
25 Floyd R. Miller - Damaqes to fen e 1?7 fi'l
25 Mvers Funeral Home - Funeral Bil 1 ,fiQl nn
27 Robert Wolf - Grave marker & let erina 175 nn
May 8 Alva Eoolev - Balance owed on re ~t 151 47
!
10 Perry County Tax Claim Bureau - 978 Realty Taxes 23 '0
25 Register of Wills - Certi fi ed COI y of Letters 4 50
25 Register of Wills - Filinq Debts & Deductions - RCC Forms and
Inventory an. AnDri'l; . a In
Rp-seryed fnr the fn 11 ' . .
Perry County Recorder of Deeds - 1% Realty Transfer Tax 90 )0
First Bank & Trust Co. - Admini . F~~ 1 llQQ )7
Georae M. Houck Attornev - Attorr levl s Fee 1 llQQ )7
Reserve for filinq account. DOsti lae. notary fep~- etC". lnn In
Total Debts & Deductions 6,665 6
COUNTY OF
COMMONWEALTH OF PENNSYLVANIA
Cumberland
Wayne P. Kautz
}..:
SWORN AND. ..CRI..D .EFORE ME THIS J 0 t:1C
'8 2..2..-
DAY Of'
(L.5.)
i,,'::':,:; R, COeboy, Notcry FL~<,C
~~~c71ar!,~sburg 80fO, Cumberland County
My CommiSSion Expires Oel. 22, 1982
Member, Pennsylvania Association of Notaries
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COMMONWEAL TH OF PENNSYLVANIA
DEP ARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
~/ - 7.:'/-~ tf7-'/ .sf1i11
..
R C C-33 (4-73)
RESIDENT DECEDENT
COUNTY OF
CUMBERLAND
IMPORTANT:
This return must be completed in detail and filed in duplicate, with all attached, with the Register of Wills of the
County where decedent resided; Return is due within nine months after date of death, unless an extension is granted
by the Secretary of Re'tenue. (Section 703 of the Inheritance and Estate Tax Act of 1961.)
Late of
Cumberland
Pennsylvania
} AFFIDAVIT OF
EXECUTOR
County ADMINISTRATOR
IN THE MATTER OF THE EST A TE OF
Frank E. Gensler
(STATE FULL NAME OF DECEDENT)
County of
Cumberland
The First Bank and Trust Company of Mechanicsburg
} ..,
State of
Admini stra tor
'm:t! l!\M'r""
af the estate of the above-named decedent being duly sworn, depose
and say
Decedent died
December
9
, 19 ~{~ernrf'l.,;;a';",g '!I "1d"sT wn r: '!B'~-r.~ Wln1!lr1l"''''''ftl"b'ft8 !h'lcJ: . }
(y EAR) ,ntestate
(MONTH)
Name and address of attorney ar }
other autharized representative ta whom
a II correspandence should be ma i led.
(DAY)
That as such Administrator deponent is familiar with the affairs .of said estate and the property constituting
(EXECU TO R-ADMIN I ST RA TO R)
the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in decedent' 8' individual name, or jointly with, or
as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the
exception of the following: -
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED REL A TlONSHIP 0 F JOIN T
IN WHICH DECEDENT RENTED A S_~FE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
tol rst tsanK ana I ruSt t;ompany FranTr. Gens 1 er ---------
P. o. Box 350
Mechanicsburg. Pa. 17055
That the contents of said safe deposit box or boxes are itemized under Schedules B
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 Corth the
mortgage encumbrances upon each parcel of real property at the date oC death, giving the amount still due at
death, name of mortgagee, date, rate of interest, and book and page oC record thereoC. It also sets forth in the
columns provided therefore the assessed valuation of each oC said parcels, the estimated market value thereoC
as of date of death of decedent.
That Schedule B attached hereto and made part hereof sets Corth Cully and in detail all personal property
wheresover situated owned by the decedent at the time of death; all moneys leCt by the decedent at the time of
death, whether in decedent's immediate possession, standing to decedent's credit in banks oC 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 priOT 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 ~ertificates ()r Jlptes and other evidence of indebtedness oC the United States to the de-
cedent; all obligations, whether by statute or agreement they are designated as tax Cree, oC the United States,
or any state, or political subdivision ther~of, or of any foreign country, which are owned at the time oC death;
all weari~ app~rel, jewelry, silvenvare, pictures, books, works of art, household furniture, horses, carriages,
automobiles, boats, and any and all other personal chattels of whatsoever, kind or nature, leCt by decedent,
together with the fairly estima ted market value thereoC; all bonds and mortgages held by decedent and oC all
claims due and owing decedent at the time oC death, and all promis sory notes or other instruments in writing
Cor the payment of money oC which decedent died possessed, of whatsoever nature, with interest thereon, iC
any, giving the Cace value and estimated Cair market value thereoC, and iC such estimated fair-market value be
less than the face value, it sets Corth briefly the reasons for such depreciation as to each item; all moneys
payable to the estate from liCe insurance policies carried by decedent; all annuity and endowment contracts
the proceeds oC 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 oC decedent's
death and other investment securities owned by the decedent at the time of death, with the market value there-
of at such time.
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RC C-34 (4-73)
COto\MOHW&AL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU' OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT-
SCHEDULE CIA"
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 jn common with another or other, should be identified
as to quantum of interest and the estimated value should be that of the decedent's interest only. (Property
held as joint tenants with right of surviorship or tenancy by entireties should be reported on Schedule "E.")
The real property located In the Commo"wealth of Penn.ylvanla should be (1) (2) (3)
described by 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 ESTIMA TED CAUTION
cres; also statement of mortgage encumbrances upon each parcel at death
of decedent. Taxes, ass.ssments, accrued Int.rest on mortgages, etc.,ar. DECEDENT'S MARKET VALUE (Do not writ.
to be listed on Schedule"F" and must not b. deducted from thIs schedule. DEA TH In this spac.)
Twelve acres more of less of timber land
more fully dexcribed in Deed dated June 22, 1940,
between George W. Meck and Frank E. Gensler
recorded in Perry County, Pennsylvania,
in Deed Book 123, Page 405.
Sale Price 9,000.00 ("
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.
9 ,000.00 q I 0 C': . 0 .;)
L~~~ c"<>
\.---~. L \ ~.
RCC,,:,35
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
'*
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent, at the time of his death. Property owned by the decedent jointly with another or others
must be 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
MARKET VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
2,
Cash found in car
981. 50 (~.
2.13 to
1.
The First Bank and Trust Co. - Checking Account
#171-699-2
3.
The First Bank and Trust Co. - Certificate of
Deposit #4381
Accrued interest to date of death on C.D.#4381
6,000.00 /
4.
167.95
5.
United States Government - Proceeds on V.A.
Life Insurance Policy
Cash in wallet
13,329.80"/
300. mY'
6.
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
x X
./1--'
20,781.38 '2-0) -r B I .-:) \)
C~(~~VL ~
~ ~-c.l L. t-.
RCC -.36
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
SCHEDULE "c"
TR~NSFERS
RESIDENT DECEDENT
(1) Did decedent, within two years of death, make any transfer of any material part ~ his estate, without
receiving a valuable and adequate consideration therefor? (Answer yes or no) NO
(2) Did decedent, within two years of death, transfer property from himi~lf to himself and another or
others (including a spouse) 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 time 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 therefor which was to take effect 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 subject to his power of disposition? (Answer yes or no) No
(b) What was the transferee's age at time of decedent's death?
(5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a) The possession or enj9yment of or the right to income from the property transferred?
(Answer yes or no) NO
(b) The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom? (Answer yes or no) No
(6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent
alone or others
(7) Did decedent in his lifetime make a transfer, the consideration for which was tfansferee's promise to
pay income to or for the benefit of care of transferor? (Answer yes or no) NO
(8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change,
because of a reserved power to alter, amend, or revoke, or ~bCh could revert to decedent under terms
of transfer or by operation of law? (Answer yes or no)
(9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no)
NOTE 1: The answers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death certificate.
NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property
transferred, it's fair market value at date of death, dates of transfers and to whom transferred, with
relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans-
fers are claimed to be non-taxable, also submit detailed statement of facts on Which said claim is based.
NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E.
ITEM
DESCRIPTION
MAIlKET VALUE
(Es tima ted)
DEPT. VALUATION
(Dept. Only)
None
Insert this total opposite "Transfers", Schedule "e" in the
"As Reported" column on the last page of this return.
None
N (}\--'-
L.t.
RCC-37 (12-63)
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
'*
BENEFICIARIES
(
h
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED
(If step-children or DATE INTEREST OF
State full names and addresses of all who illegitimate children DECEDENT OF BENEFICIARY
ave an interest, vested, contingent or other are involved, set STATE YES IN ESTATE
wise, in estate) forth this fact.) OR NO BIRTH
Rae C. Nace Aunt Yes Adult One-Seventh Share
953 WriTrindle Road of residuary estate
Mechanicsburg, Pa. 17055
Wayne Conrad 1st Cousin Yes Adult One-Seventh Share
WuOd3 Drive. Rt. 5. Box 330 of residuarv estate
Mechanicsbura, Pa. 17055
Jacob Bates 1st Cousin Yes Adult One Twenty-First Share
417 W. Main Street nf . .
Mechank~buro & PR 17nl\l\
Esther Sponsler 1st Cousin Yes Adult One Twenty-First Share
R. O. 15 of residuary estate
Dillsbura. Pa. 17019
Anna Krone 1st Cousin Yes Adult One Twenty-First Share
37 Konhaus Road of residuary estate
Mechanicsburg, Pa. 17055
Rev. Calvin G. Kipp 2nd Cousin Yes Adult One Twenty-Eighth Share
R. D. 13, Box 210 of residuary estate
Red Lion, Pa. 17356
A lethea Cornman 2nd Cousin Yes Adult One Twenty-Eighth Share
3 York Circle of residuarv estate
Mechanicsburg, Pa. 17055
Elaine K. McKillip 2nd Cousin Yes Adult One Twenty-Eighth Share
1004 Robert Street of residuary estate
Mechanicsburg, Pa. 17055
Edrlard A. Kipp 2nd Cousin Yes Adult One Twenty-Eighth Share
P. O. Box 43 of residuary estate
Biglerville, Pa. 17037
Anna G. Russell 1st Cousin Yes Adult One Forty-Ninth Share
48 Essex Road of residuary estate
Camp Hill, Pa. 17011
Blanche Heller 1st Cousin Yes Adult One Forty-Ninth Share
Rt. 13, Box 328 of residuary estate
Dillsburg, Pa. 17019
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME
DATE OF DEATH
RESIDENCE
RC'C-37 'h2-63)
COMMON'WEAL TH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
'*
BENEFICIARIES
(
h
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED
(If step-children or DATE INTEREST OF
State full names and addresses of all who illegitimate children DECEDENT OF BENEFICIARY
aye an interest, vested, contingent or other are involved, set STATE YES IN ESTATE
wise in estate) forth this fact.) OR NO BIRTH
Gerald E. Conrad 1st Cousin Yes Adult One Forty-Ninth Share
377 W. Louther St. of residuary estate
Carlisle, Pa. 17013
Ross M. Conrad 1st Cousin Yes Adult One Fortv-Ninth Share
R. D. II of residuary estate
Shennans Dale. Pa. 17Q90
Charles E. Conrad 1st Cousin Yes Adult One Forty-Ninth Share
23 R1fe Dr1ve of residuary estate
Mechanicsburg, Pa. 17055
Arlene Henderson 1st Cousin Yes Adult One Forty-Ninth Share
320 Brandy Lane , of residuary estate
Mechanicsburg, Pa. 17055
Elaine M. Conrad 2nd Cousin Yes Adult One Ninty-EIGHTH Share
707 Shepardstown Road of residuary estate
Mechanicsburg, Pa. 17015
Kenneth E. Conrad 2nd Cousin Yes Adult One Ninety-Eighth Share
2627 Butler Street of residuary estate
Penbrook, Pa. 17103
Marlin Conrad 1st Cousin Yes Adult One Fif~-Sixth Share
2200 N. 5th St~et nf residuary estate
Harrisburg, Pa. 17110
Robert Conrad 1st Cousin Yes Adult One Fifty-Sixth Share
3617 Poplar Street of residuary estate
Harrisburg, Pa. 17109
Catherine Conrad 1st Cousin Yes Adult One Fifty-Sixth Share
3617 Poplar Street of residuary estate
Harrisburg, Pa. 17109
Helen Pritchard 1st Cousin Yes Adult One Fifty-Sixth Share
436 WaShington Terrace of re~iduary es.tate
Audubon, N. J. 08106
Daisy Hoover 1st Cousin yes Adult One Fifty-Sixth Share
556 Dunkle Street of residuary estate
Harrisburg, Pa. 17104
Deponent further says that all the above-named bene~iciaries are living at this time except below:
NAME
DATE OF DEATH
RESIDENCE
RCC- 37( 12-6 3)
COl\1l\lONWEAL TH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
(
h
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED
(If step-children or DATE INTEREST OF
State full names and addresses of all who illegitimate children DECEDENT OF BENEFICIARY
aye an interest, vested, contingent or other are involved, set STATE YES IN ESTATE
wise in estate) forth this fact.) OR NO BIRTH
Pearl Lewis 1st Cousin Yes Adult One Fifty-Sixth Share
5041 Lancaster Street nf . . ""- ""-
Harrisburg, Pa. 17111
Maude Zacher 1st Cousin Ye~ . . .. One Fi"tv_~~lfTn r-I..___
KUUIL
6021 Reinhard Street of residuary estate
Ph11adelDhia- Poll. lq142
Elsie Ramsev ht r.nllcdn Ye~ A till 1 + nnA Fi"tv_~~lfTn -.
4412 Farareen Rnad n" ..Alt" . .
Harrisburg, Pa. 17110
John B. Conrad, Jr. 1st Cousin Yes Adult One Twenty-Eighth Share
319 Second Street of reSiduary estate
New Cumberland, Pa. 17070
William C. Conrad 1st Cousin Yes Adult One Twenty-Eighth Share
2744 Apt. A Green Street of residuarY estate
Harrisburg, Pa. 17101
Helen L. Hinson 1st Cousin Yes Adult One Twentv-Eiahth Share
1504 Bridge Street of residuary estate
New Cumberland, Pa. 17070
Randall E. Evertts, Jr. 2nd Cousin Yes Adult One One_Hundred_Fortiet
11 Boei ng Road share of residuary esta
New Cumberland, Pa. 17070
Ronald L. Evertts 2nd Cousin Yes Adult One One-Hundred-Fortiet
% American Embassy (A.T.O.) Share of residuary esta
APO New York, N.Y. 09253
LarrY R. Evertts 2nd Cousin Yes Adult One One-Hundred-Fortiet
RR 11 Box 444 Share of residuary esta
York Haven, Pa. 17370
Nancy E. Hayes 2nd.Cousin Yes Adult One One-Hundred-Fortiet
2811 Thomas Drive share of residuary esta
Maryville, TN, 37801
Virginia C. Phelps 2nd Cousin Yes Adult One One-Hundred-Fortiet
503 S. 20th Street Share of residuarY esta
Camp Hill, Pa. 17011
h
tt
h
tl
h
tl
h
t
h
t
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME
DATE OF DEATH
RESIDENCE
'"'
o .
-<...
ClI ..
'"'
"iii: =
'2 Q) S
-- ~ ::s
SQ)-
'Oc.8
-< S.
.:.8:0
.s..,~
::s In '"'
U ..~. 0
CII .1:10
>< Q)
~ It:
SUMMARY
Real Property ... ... ... ........ ........ ................ ................................. (Sch. "A")
Personal Property ................................................................. (Sch. "B")
Transfers ...... .......... ............... ..... ........ ..... ....... ..... ..................... (Sch. "C")
........................................................................................................................
......................................................................................... ..........'.................
Gross Taxable Estate ............................................................................
( 1)
(As Reported)
$ .~..q9.q~qq..
$......20..781.38..
$..... .........~~I1E!.
$......................
$.................. ........
$ 29.781. 38
............................... ,'..
(2)
(As Determined)
$
$.
$.
$
$.. ....
$..
'j'
,'"
r-- .'g C'l
Z s.;.
~ ~ :.l3 ::l ..:l
4> ~ .Q) ~
>- :u <
~ ~~ u VJ
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< r- : C
en. lQ ~ r:lIl:
~ ~ c: ..c: '2 =-
p.. 0 Q): U ~ =-
~ p.. c.!J .: Q;) ~
lol < lol "'d <
~ := ~ ::z;; ~.
1-0 r-- . : C '" Q
~ If,.;. n:i c::
< l.LI : c::
0 ~ ::r: '" Q r- ~
0 r-- ~: s..; V
z r-- CJ) c. .s::. Q) p.. ,.
~ ~ to: Q'l ..0 ...... po.
----- 0 ~: ::l e 0 ,. r:lIl:
lL.:: 0 ::l ..c::
c:: ~ s.;. u .=: 0
~ 0 0:0:: =-
~ CO QJ ~
ell ~ ..... ::: c:.::
b 0 c::
'" < ..... ,C. 0
:5 - 0 E
="5 ...-; v 5 --
- -' c::
.- '" j 0 0
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RCC-38
COMMONWEAL TH OF PENNSYL VANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE" E"
JOINTLY OWNED PROPERTY
..
INSTRUCTIONS: This schedule must disclose all property, real and personal, owned by the decedent Jointly
wi th another or others, including intangibles, standing in the name of' the decedent and others. List
real estate f'irst, as entireties, or Joint tenants, giving brief' description, as indicated under Schedule
"A", plus the date and place of' record of' instrument ef'f'ecting vestiture, but do not include entireties
or out of' state real estate value in estate valuation column. Personal property should be listed as in
Schedule "B", plus date of' acquisition, and the name, address and relationship (if any) of' co-owners to
the dece.1ent.
Description of Property, Date of' Acquisition, Name Unit
Address and Relationship of' Co-Owners, and Place Value
of' Record of Instrwnent where Real Estate.
percentage Estate
Share Valuation
None
Insert this total opposite "Jointly Owned Property", Schedule "E"
in the "As Reported" column on the last page of this return.
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of'
Entire Decedent's
Property Interest
None
N~
L. ~,
REV-457 (B:7B)
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
1>.0. BOX 2970
-HARRISBURG, PENNA. 17105
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEM ENT
DATE
COUNTY
FILE NO.
P 11ol1~' lQ79
Cumberland
?l_JR_t"lI;.'l}
Whereas, Fr.::lnk E. Genl';ler li3,te of Hechanicsburg.
in the County of Cumberland Commonwealth of Pennsylvania, having died on
the 9t:h day of December 19 1]...., 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:
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 collateral
rate on any such future Interest.
DESCRIPTION OF ASSET UNIT AppraIsement
VALUES Made for Inheritance
Tax Purposes
D~~' $ a nnn nn
- - - ....". ..n. ...n
J .,
- ~ None
- . ~ u....,"" - ....
Total Assets ?Q 781 '\1
i
Have been duly sworn according to law, I do hereby certify that the above appraisement is made in conformity
with the law on this 9th day of L~ ~~~ 1979-- .
Appraiser
(Number and Street)
Harrisbur2.
(Post Office)
, Penna.
RCC-3IJ (5-681
-COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of Gensler.
(Last Name)
Frank
(First Name)
REPORT OF INHERITANCE TAX APPRAISER
E.
(Initial)
DATE OF DEATH 12-9-78
FILE NO. 21-78-691
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Cumberl and
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:
\-P~ ~~
INHERITANCE T PPRAISER
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for Cumberland 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 the right in Schedule "1"", which greater or lesser amount represents the sum
allowed as a deduction.
Dated:
VALUE AS APPRAISED
$
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint - Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
REGISTER OF WILLS
29,781 38
6 665 26
23,116 12
Valuation of life estates or
t=
t=
t=
annuities. . . . . . . . . . . . . . . . . . . $
ESTATE TAX ASSESSMENTS $
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.
$
$
$
1=
$
$
t=
$
C
L-
t=
$
$
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.