HomeMy WebLinkAbout12-28-78
Form No, RCC.62 (6.70) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER tl0.ooo. UNDER SECTION 701 OF ACT OF JUNE 1.. 1.81.
EFl"ECTIVJ: JANUARY 1. 1982. (FILE IN OUPUCATE WITH COPY OF WILL ATTACHED)
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OFFICE OF' THE REGISTER OF WILLS
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~PFP 'J e, ~("'~Q
County of . . P~E;Ip;.~P. . . . , . . , . , , . . , ... .., (; !\. /;; /,.
...".",. R&l;U' ,e,. ~,e.s.~.,. ,',.",.,.,.".."." of ., R.,.o, .11.6., Sh.ippensburg.,. .P.a."",.,.."."
(Name) (Addr_)'
being duly..mm.____..Bw.a.Dl..__mm'huaccording to law, deposes and says that he is the __....Anm; n; l'l tl:ato.r..__mu.m.m__...mm.
(Exec., Adm.. Leptft, EtC.)
of the estate of.n_m'_~~~~__~.~__~~~~.um.____muu._._ whose last residence was.m_._~Q~Q!!gh._9.t..nm__m__m____mm._mmn_
(No.) (Slreet)
m.m-.Shipue.ns.huJ:ghu__m_.__m_.deceased, and that the whole of the estate of said decedent, who died _..!~.~.!'.Ym.?_I~_.l9.?tt
(CilY. 90rouBh or" Township) (Dale)
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA. WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES. GIVE NAMES. ADDRESSES AlIm RELATIONSHIP OF OTHER OWNERS.
Real Estate
Estimated
Value
All that certain lot of round situate in Southa ton Townshi
P
S
Personal Property
Household items sold at P
PeQples National R~nk - Chp
Prorata of Real Es tate taxes
~fi ,!i'1 H
NOTE: You may expedite the processing of this return by filing with it, and as a part of the 'return,
letters from financial institutions or mortgage holders, certifying to amounts on deposit or owed by the
decedent as of the date of death. Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account, account number and the exact name or names in
which the account is registered. ^
Jointly Held Property
Estimated
Value
,
NONE
NONE
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Tl'ansfel"S within TWO YEARS Prior to Death
That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly with, or as agent or deputy of
another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:-
--
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SA~'E DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
..-..----
-
.
BENEFICIARIES
RELA TIONSHIP SURVIVED AGE OF LIFE
BENEFICIARIES AND ADDRESSES (I f step-children or DECEDENT TENANTS OR INTEREST OF
(State full names of'all and their addresses who have illegitimate children STATE YES ANNUlT ANTS BENEFICIARY
an interest, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEATH OF IN ESTATE
forth this fact.) DECEDENT
R<llnh A 1)0000 C:nn
t..?t.. T '"
'l'nnolr '" t:.t:.t:.n7
J tUn G Reese C:nn
18. V. A. Hospital
Lebanon. Pa. 17042
M<lTt-h<l All"'m<ln ~
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R. D. 116~ Box 199
C:h-f .. p", 171...7
H<lT'rV F l)ooo~ C:nn
R. n fjf, 'Rnv ?n 7
Shippensburg. Pa. 17257 l
.U_ F Fih", 1 _1.. ~
17 Clayton Ave. ---
L I
ancaster, Pa. 17600
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......._.__._.__._._-_.__.._--_.~
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intly Held Propel'ty
Ettilllf.t..d
Value..
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__F__ __....____~_,_....__..___.._,._____
Tr.ntfel" witllin TWO YEARS Prior to Death
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TIt.t at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly with, or ,as agent Ol'\!eputy<oJ
another, or in deeedent's individual name, with right of access by another as agent or dpputy, with the eX<."j>pti(lJ) of ihe tollowing;.-
B::~~~ ~::.~.~~~~ ~~i:~~~;u;~~.~~~l~~~~'~~.~~:;~~~~~~~~:-.-~;;~:~~~i~
--~---:- r-- -~=----------=t=~---
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..=-'="'".=,.-.......___...=""'=-0,.-=-_ .. ,~ ._ _~_"_"'
.-,c=--~. ill:;~E~~~~~ I JJf{{rJT5~~k~r-----------
forth this fact.) I ". I DECEDENT-l-
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BENEFICIARIES
BENEFICIARIES AND ADDRESSES
(State full names of .n and their addresses who have
an interest, ftsted, contingent or otherwise, in estate.)
INTEREST OF
BENEFICIARY
IN ESTATE
on
Trailer Court
Shippensburg, Pa. 17257
Sandra H"lrm.<ll1
.
Cleveland Ave.
Chanbersburg, Pa. 17201
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III RCC 4 (2/77)
\1 COMMONWEALTH OF PENNSYLVANIA
,~ NO.;' ~ 063712 DEPARTMENT OF REVENUE
= OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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; RECEIVED ---------------TWO HUNDRED FORTY-EIGHT DOLLARS-------------------dollars
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n uate of Payment December 21, ~978
~ Nome of O",d,,' _ ETHEL MAUDE REESE
C' County
~', Remarks:
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Mark & W@ig1@, Attya.,
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
(Harry E. Reese)
2% Tax on
$
$
115 Eaat King Street
6% Tax on
s
$
Sh1ppensburg,pa.
17257
I 5 % Tax 0 n
$
$
No 21-78-509
Dote of Death 1-2-1978
% Tax on
$
$
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\ TOTAL TAX. CREDIT
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I Plus interest at the
l_%from
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I to
Estate Tax, Act of
May 7, 1927
$
$
248.00
Cumberland
Less five percentum of tax if
paid within three months after
dote of death
$
rote of
PAID ON ACCOUNT.
$
uW ~ UJ [Lu @@ IJl~
5 E A L
$
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248.00
NOTE: This Triplicate Receipt to be retained for audit purposes.
,
II<
: Received by
. NOTE: In accepting the tronsler inheritance tax on luture estates. prior to the death of the lile
" tenant or tenont for yeors, os evidenced by this receipt, " !s understood that the Cammo~wealth shall
U not be precluded or prevented from hereafter ossessing additional inheritance tax at the death of the
., life tenant or tenant lor years whenever it appears that such additional tax may be legally due and
',"'j collectible for ony reason whotsoever.
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