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OFF ICE OF THE
REGISTER OF WILLS
ST A TEMENT OF DEBTS
AND DEDUCTIONS
R E V-455 (8-78)
OF CUMBERIAND COU NTY
AND AGENT OF THE COMMONWEALTH
1/
7, (L'
ESTA TE OF
BRUCE A.
LATE OF
South Middleton Township
DATE OF FILING APPRAISEMENT
DATE OF DEATH
December 134 1978
DATE
NO. OF
VOUCHER
NAME OF PAYEE
REMARKS
AMOUNT
lf
se
e
ce
llliL
The Evenin Sentinel
E n
Metr olitan Edison Co
costs
50 00
5 '+10 93
COMMONWEAL TH OP PENNSYL VANtA }
SS:
COUNTY OF CUMBERIAND
I, HELEN L ARNOTn HEREBY CERTIFY, THAT TO THE BEST OF
MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND
EXPENSES OF ADMINISTRA TlON SUBMITTED TO THE ESTATE OF mUICE A ARNOrJl
DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES.
SWORN AND SUOt'OEO BEFORE ME THIS .~3 "''''DAY OF
'02A ~~)~~~/
t' (1\'" ' " i, '.' In " " ",' , ~. J
L... h. ~,~:\:_,:!\~'~,<-;~:'.:~\~,Ut"~l~ R()\~\:t!;_~H
, Ctjf.1iJt\(L!.\nD I.u'rd!
r I' f d' I" r" 1 c:?2
" MY rnMMi':;S:,i, ji' ,;:,>
/~ -J
Q'~~ (L.s.)
Lxecutr :Lx
Form No, RCC.62 (6-70) THIS FORK REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER '10,000. UNDER SECTION '701 OF Acr OF IUNE 18, 1N1.
Itn'EC'I'IVE JANUARY 1. 1..2. (FILE IN OUPUCATE WITH COpy OF WILL ATTACHED)
..
..
OFFICE OF'THE REGISTER OF WILLS
~/-7?:. /OeJ
1'/~-17i
County of ".~~~r).f\I14".".".".
,.., ,..,., . .HELEN ,L., ARNOLD",.,...,."" ...." of ,.R., D... .6.,. RQx. y.],S,. Ca.r.lisl.e,. .Pennsyhrania
(Name) (Addr_)
being duly..m5.WQrnn.n.u.mm.m.maccording to law, deposes and says that~E1s the ____~~~g.I!t:.:r.ix___.n.._m...........nm...__m
(Exec.. Adm.. Leptft. Elc,)
of the estate of u.m.Jtr.lJg~nA....A~D9.!g,_.m_mmm.._ whose last residence was ..._..nR....__D...__.p.~n.:e.Q.:K..~Z.5.........un......__
(No.) (Slreet)
S QU:.t:hnJ1;i"ggJ.~t.Qn..l'.Q~H~hJ.P...decfased, and that the whole of the estate of said decedent, who died m.P.~_9.~.JTIP.~!'...!~.a._ 197:
(CilY. Borough or Township) (Dale)
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANI.... WITH ST"'TEMENT OF MORTG"'GE ENCUMBR"'NCES UPON E"'CH P"'RCEL "'T DEATH OF DECEDENT,
WHERE PROPERTY HELD...S JOINT TEN"'NT OR TEN"'NCY BY ENTIRETIES, GIVE N"'MES. "'DDRESSES "'ND RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
NONF.
Personal Property
l. Major Medical Claim: Capital Blue Cross $ 54-5.39./
2. Medical Claim: Pennsvlvania Blue Shield 95.00 ./
3. 1~74- Dodge Van, sale price C. 2.600.00 ......
4-. 1974- Terry Trailer, sale price - - 2.900.00 .,
~
5. Blue Cross: Major medical claims , 154- . 18 -'
,-
6. Return premium: Hulse Associates. Inc. 14-.70
fJVVl"1\ T Sf} ~nq ')7
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. '
/
Estimated
Value
Jointly Held Property
'.
I' .:..
NONE
..,
NnNF.
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Transfers within TWO YEARS Prior to Death
That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly with, or as agent or deputy of
another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED I RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF I HOLDERS TO DECEDENT
._---
-
BENEFICIARIES
, ~ - - RELATIONSHIP SURVIVED I AGE OF LIFE ~
BENEFICIARIES AND ADDRESSES (If step-children or TENANTS OR INTEREST OF
(State full names of all and their addresses who have illegitimate children DECEDENT ANNUITANTS BENEFICIARY
an interest, vested, contingent or otherwise, in estate.) are involved, set STATE YES AT DEATH .oF IN ESTATE
forth this fact.) OR NO DECEDENT
Helen L. Arnold Wife Yes , Entire Estate
R D- '6 Box 4-75
Ca~lisle- Pennsvlvania 17013
f"
- , -
\~
I \
DEBTS AND DEDUCTIONS CLAIMED
List: z;,st five items in the spaces so provided, obse-rve notations thereon, and instructions.
D T OR CLAIM NATURE OF SAME
Funeral expenses paid
$
THIS COLUMN
EGISTER ONLY
$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses ·
Counsel fees ·
commission ·
OTHER DEBTS AND CLAIMS
//
/
/
/
/
/
/
/
....
Total
Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is greater
01' less than the estimated amount claimed and allowed.
Subscribed and sworn to before me this. . . . . . . . . . . . . . . . . . . . . .
q q qd:, !~~. day of . .~~'."'.'.' .... '.' '.' ......., 197.9.
.....~L~~..A. . . ~~-k:.....
,tl . :. ~ ;.~ ,'<', <:',:' '! ,u~..:- L: G ':
./~.-J.,.~~ 0...................
(E:recutor~~
. . . R. . D .. .6.,. . Box. '=1-.7.5. . . . . . . . . . . . . . . . . . . . . . . .
(Street Number)
. ...,., -
... ~.~~.~~~~~,. .~~~l!-.~Y~Y?l~~.~. .~?9.~?......
(City or Town and State)
-..., ti;.l -r.
... ~:~";"t'~~;i,~',,.,' ,""'," 1,:,"':,_.
Having been' duly 'swol'li~ ac'cording to law, I do hereby certify that the above appraisement is made in conformity with law on this
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . day of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 19. . . . .
........................0.................. .........0.......0
Appr"iler
In the event that any future interest in this estate is transfened in possession 01' enjoyment to collateral heirs of the decedent after the
expil'ation of any estate for life 01' for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri-
tance taxes at the lawful collateral rate on any such future intel'est.
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. County, Pennsylvania, do respectfully
report that I have allowed debts and 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 said schedule above, which greater or lesser amount represents the sum allowed as a deduction.
Dated: .............................................
...................0.................0.............. .
Register of Wills
RCC~39 (8-77~
COU'lty, N.!Jmber and Name 21 - CUMBERIAND
File Number 21-78-700
Date of Death December 13, 1978
Estate Name Arnold Bruce
(LAST NAME) (FIRST NAME)
SUMMARY
COMMONWEAL TH OF PENNSYL VANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
A_
(INITIAL)
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned 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 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:
26 September 1979
~auU 014)2-<)
INHERIT;\NCE TAX APPRAISER
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 tho:'ie items where a greater or
lesser 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.
REPORT OF THE REGISTER OF WILLS
Dated:
REGISTER OF WILLS
: I
ADJUSTMENTS
INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE
Real Property (Schedule A) $ n 00+ 92+
Personal Property (Schedule BI t=; ~no 1?7 10+
Joint-Held Property (Schedule E) n 20+
Transfers (Schedule C) n 30+
TOTAL GROSS ASSETS h ~nci- ')7
Less Debts and Deductions 40- 93-
(SCHEDULE FI
CLEAR VALUE OF ESTATE I
Valuation of life estates or ~
annuities.................... __ $
PRINCIPLE
FACTOR
t=
t=
VALUE
,~
ESTATE TAX ASSESSMENTS _ $
FOR USE OF REGISTER ONLY
Tax on $
Tax on $
Tax on $
Tax on $
Tax on $
Exemptions
Total Estate
~
COMPUTATION OF TAX
2%
$
$
$
$
$
6%
15%
*
TOTAL TAX
$
(*) As evidenced by Charitable
Exempti on Ce rtjficates issued
by the Secretary of Revenue.
Less tax previously pa id
BALANCE
Less 5% of tax if paid within
3 months after death
t=
$
$
$
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6% from
to
AMOUNT OF ESTATE TAX ASSESSED
Estate tax paid
$
BALANCE DUE
C=
$
$
$
Add interest at rate of 6% from
to
$
$
TOT AL TAX BALANCE $
PAID $
I
Supplementol Codes: (FOR USE IN HARRISBURG ONL Y)
48-Adj ustment
49+Adjustment
56-Annuity
6O-Life Estate
92+Remainder Appraisal
93-Remainder Deduction
93C-Chority
94-Remainder Residue
96-Success i ve
Life Estate
FOR USE OF REGISTER ONLY
---._~,-, - --'_._-~,--
ADJUSTMENTS
NOTE: Where subsequent odjustments are made to the above computation of tax by the Register of Wills, for proper reason
same should be l"lded below, with short explanation. ,
REV-457 (8-78)
DEPAR~ENT. Of REVENUE
BUREAU OF fiELD OPERATIONS
P.O. BOX 2970
HARRISBURG, PENNA. 17105
COMMONWEALTH OF PENNSYLVANiA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DAi l: 9 .. 2 6 .. 7 9
COUNTY ('"...'h~1P' "'.... Q
FILENO. ?1_7A.n7nn
Whereas, RT'tlCp. Aa AT'nold late of South Middleton Township
in the County of Cumberland Commonwealth of Pennsylvania, having died on
the 13th day of December 19 -2..8, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Sandra Stone , 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
$
1)"""" 1='.,+..+. None
- ~ ~ '-l^^ ".,
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Have been duly sworn accohding to law, I do hereby c~rti~ th~ the above appraisement is made in conformity
with the law on this _ 26 t day of 3% e r ;,Ja-nu 19 .l.9....
'J7 /iA.LU
Appraiser
(Number and Street)
HarrJ.sburg
, Penna.
(Post Office)
REV-5IB (3-79)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P. O. BOX 2970
HARRISBURG
17105
IN YOUR REPLY PLEASE
REFER TO
Investigation Division
NOTICE OF FILING OF APPRAISEMENT
Ms. HelenL. Arnold
RD 6, Box 475
(Exe~uTlf :r\~';i~iarat~~ 17 9 1 ~
In Re: Estate of
BruceA. Aronold
Cumberoland
County - File No. ?1 -7$:1-0700
Dear
You are hereby notified that the OrigiBal
appraisement in the estate of R'i""l"p :A _ A'i"nn 1 it
has been filed in the office of the Register of Wills of ~lImhp'i"1 -"In it
County on 26 Spp-tembp'i" . 19....2..9... Said appraisement reflects the following valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
NORe
$F\..sn9.'27
None
None
$6t30Q.27
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 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
26 Septembep 1979
Signed
~fldw ~1A-n_f)
Title
APPPiiisep
NOTE: This is not a bill.