HomeMy WebLinkAbout06-18-78
RCC-33 (4-73)
. .
..
COMMONWEAL TH OF PENNSYLVANIA
DEP AR TMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
.
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I C J
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'ienue. (Section 703 of the Inheritance and Estate Tax Act of 1961.)
Late of
Cumberland
} AFFIDAVIT OF
EXECUTOR
!.DMINlSTRA TOR
Caunty
IN THE MATTER OF THE ESTATE OF
John S. Dysert
(STATE FULL NAME OF DECEDENT)
State of
:Pennsylvania
County of
Cumberland
James V. Dysert
of the estote of the obove-nomed decedent being duly sworn, depose:5
}.,
Executor
l
"";wMMtHtMllM8f-
ond soy 5
(MONTH)
Nome ond oddress of ottorney or }
other outhorized representotive 10 whom
011 corresflondence should be moiled.
(DAY)
, 19~{~estote leoving 0 lost will, copy of which is hereto ottoched. }
(y EAR) ..........
Decedent died
October 3
George B. Faller
Ten West High St., Carlisle, Pa.
That as such executor deponent is familiar with the affairs of said estate and the property constituting
(EXE CU TO R-,o\Elllnl" 13T ~ A TO ~)
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
commonwealth Nat~ona~ - ~ .Nort:n
Hanover St., Carlisle. Pa.
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
John S Dvsert
That the contents of said safe deposit box or boxes are itemized under Schedules B of this return,
with the exception-of the following, for the reasons hereinafter set forth: miscellaneous papers having
no value
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 prior 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, 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 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 securities 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 there 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 s(:t forth in itemized form, together with the fafr 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 proIJortionate 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 with 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 instrument 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 anel beneficiaries for life uneler elecedent's Will. It also
contains a statement showing which of the beneficiaries named in the deceelent's will, if any, elied prior
to deceelent, the dates of their death, their issue, and the relationship of such issue to the beneficiary.
That SChedule E attached hereto and maele a part hereof sets forth all property, real and per-
sonal, owned by the elecedent jointly with another or others, including intangible, standing in the name
of the deceelent and others, plus the date and place of record of instruments effecting the vestiture of
real estate and the date of acquisition of personalty, plus the name, address anel 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 elebts
and deductions claimeel 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 hldiciary'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 deceelent; debts and claims owing anel unpaid 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 for 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 cl aiming 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.
That the totals of the appropriate columns in Scheelules "A", "B", "en, "E", and "F" as directed therein,
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this ................................
m_Lf~ ...... da~f&....7,2,)LlL1-................... 19.75.?'
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.............;~[.i.{i!e.j,..~.. ... .... 1_/...1~.t.Y--#. v'~}" . ..................
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My Commi\si~n h, ",: \\a,,;' '. 1980
Cer;'ii~( Pl. :'.Jlr.~:dJl ; (f)Jnt\
V~i:E.d;;'in' . ;;;~__m__"
u..................................................................................................................................
(Street Number)
............................................................................,......................
(City or Town and State)
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 unlisteel securities,
securities of close or family corporations or an interest in any co-partnership or business, that the
data and statements required und.er 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.
RC;C-34 14-78)
COMMONWEALTH 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. Property held by the decedent as tenant .in 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 locatsd In the Commonwealth of Pennsylvania 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 VALUA TlON
conveyance by which the deced.nt took title; If a farm state number of a. FOR YEAR OF ESTIMA TED CAUTION
cres; olso statement of mortgage encumbranc.s upon each parcel at death DECEDENT'S MARKET VALUE (Do not writ.
of decedent. Taxes, assessm.nts, accru.d Int.r.st on mortgages, etc.,ar. DEATH In thIs spac.)
to be listed on Schedul. "F" and must not b. deducted from this schedul..
None
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.
PCC-,"(f5
HESInENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
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COfffMONWEALTH OF PENNSYLVANIA
Tftj\NSl'J<;R 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 wi th 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.
I tern
No.
ITEM
List and describe fully
UNIT
VALUE
ESTIMATED
MARKET V ALliE
DEPARTMENT VALUATION
(Do not write in
this space)
1.
Commonwealth National Bank, Check. UJJ.!
Acct. # 182-322587-3 S ~
/v
4125. 73/
2.
Commonwealth National Bank, Savings
Acct. # 18-0010369-7
accrued interest on same
,/
5000.00/"L,,'
2 . 26 /
",
"
3.
Cash on hand
65 . 00/
4.
Metropolitan Life Ins. Co. - proceeds
policy 114 942 814
712.02'
5.
6.
Capital Blue Cross - refund
Aetna Life Ins. Co. - proceeds of
Group Life Ins. GL 321863
Contents of room at 58 East Louther St.
22.10
1024.17
7.
200.00
{nser t this to tal opposi te "Personal Proper ty", Schedul e "B" in
the "As Reported" column on the last page of this return.
x X
11151.28
{l,\ \ S \ . L t6
RCC-%
CI)MMI)\\"il:~!\LTIl OF l'E\.\TSYL\ANIA
FlA\SFFB I\HFIUTr'\CF TAX
SCHEDULE "e"
T RIc\;'~ Fl':! LS
i\ESlm:\T mTvm:\T
(1) Did (:e~edent, within two years ofdedth, make any tnll1sfer of any mdterial part of his estate, lIit/lOUt
receIvlng a valuable aEd adequate considprntinn tlwrefor? (Answer ye,; or no) No
(2) Did (Iecedpnt, within two years of death, transfer' propert.y from himself to himself- and another oc
"thers (including a spouse) in joint ownership? (Answer yes or no)-.Na._
(: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 health 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 eff'ect in possession or enjoyment at or after his dpath?
(Answer yes or no) No ' ,
(a) Was there any }lossibility that the property transferred might return to transferer or his
estate or be subject to his power of' disposition? (Answer yes or no)
(il) What was the transferee's age at time of decedent's death?
el) Did decedent in his 1 ifetime make any transfer without receiving a valuable and adequate consideration
therefor un(ler 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 eT'joyment of or the right to income f'rom th~' property transferred?
(Answer yes or no) No
(tl) The right to designate the persons who shall possess er enjoy the property transrerred or
income therefrom? (Answer yes or no) No
(fJ) If the answer to (5) (b) above is in the affirmati ve, state whether the right was reserved in decedent
alone f)r others
(7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to
pay income to or for the benefit of eare of tl'ansferor? (Answer yes or no) NO
(8) Did decedent, at any time, transfer property, the beneficial enjoyment of' which was subject to change,
because of it reserveo power to alter, amend, or revoke, or which cOllld revert to oecedent under terms
of transfer or by operation of' law? (Answer yes or no) No
(9) If the answer to (8) above i3 in the af'firmative, was the power tf) alter, amend, or revoke the inter-
est of the bepeficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no)
NOTE 1: The answers to these questions should be SU1lported by affidavit by the attemUng 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 transf'ers and to ~'hom 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
liESCRIPTlON
MARKET VALUE
(Es tima ted)
OEPT. VALUAT'.:ON
(Dept. anI y)
None
Insert this tnUtJ opposite "Transfers", Schedule "C" in the
"As Reported" colUTIID on the last page of this return.
RCC-37 , (12-63)
CO~l!\W:'\WEALTIl OF PE~,;\,SYVLANIA
TRANSFER INHEHITA!,;CE TAX
RESIDENT DECEDENT
SCHEDULE "D"
~~~~~fit
."'C;;;) '~~
/j' ::;';'''t''fL'' ','I)
".il~(~!-::~:'~:;;"':~.:'<",:-~;
BE'~EFJCIAHlES
RELATIONSHIP I
(If step-children or I
illegitimate chlol"cn I
are ,nvolved, set
forth this fact.)
S~HVIVED !
DEU:DENT I
STATE YES I
OR NO
I
DATE ~.NTEREST OF
OF m:NEFJCJARY
BJRTH~ '" CSHTE
BENEFICIARIES AND ADDRESSES
\State full na.mes and addreRses of all who
have an interest, vested, contingent or other-
. . I
~r~estatp) I
-- - I -- --- - --~-----
Charlotte Dysert Jacobs I daughter yes ! 1/4 residue
I
I I
R. D. ?, C~rli~le, Pa. , 17r3 I (less 452.00)
L
James V. Dysert son yes I 1/4 resudue
407 E. Washington Blvd.
Grove City, Pa. , 16127
Ravenda Dysert Ermack daughter yes I =4 residue
3407 Brighton St. i i
I
Phi1a. , Pa. ~4
f
Dorothy M. Auman step-daughter residue
1909 Resevoir Dr. i
Carlisle. Pa. =t I-
I
-"---'-
--
l. -
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L I
I
I
i i
I I I
,
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Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME
DATE OF DEATH
RESIDENCE
Charlotte Dysert Jacobs
Apr. 14 1979
....
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H.eal Property
Personal Property
Transfers
SUMMAHY
( Sch. "A")
( Sch. "B")
( Sch. "C")
(1)
(As Heporteel)
$
$
$
$.
$
$
(:2 )
( !\<, J)P1f 'r III i H( .ell
$
q,
'i'
$
$
$
$
Gross Taxable Estate
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RCC-3B
COMMONWEALTH OF PENNSYLVANIA
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 Ih another or others, including intangibles, standing in the name of the decedent and others. List
real estate first, as entireties, or joint tenants, giving brief description, as indicated Imder Schedule
"A", plus the date and place of record of instrument effecting 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 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
Estate
Valuation
percentage
Share
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
R;:.c-S9 (5-77)
County, Number and Name
File Number
Date of Death
File Date
Estate Name
SUMMARY
COMMONWEAL TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
(LAST NAME)
(FIRST NAME)
(INITIAL)
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 the right in Schedule "F", which greater or lesser amount represents the sum
allowed as a deduction.
Dated:
REGISTER OF WILLS
INVENTORY VALUE AS REPORTED VALUE AS APPRAISED CODE VALUE AS REAPPRAISED CODE
Real Property (Schedule A) $ $ 0004+- 00+
Personal Property (Schedule B) 111fil 28 10+ 10+
Joint-Held Property (Schedule E) 20+
Transfers (ScheduleC) 30+
TOTAL GROSS ASSETS ",~, 28
Less Debts and Deductions 40-
(SCHEDULE F)
E TATE
CLEARVALUEOF S
Valuation of life estates or
~
PRINCIPLE
FACTOR
VALUE
r~
annuttles....................._ $
t=
t=
ESTATE TAX ASSESSMENTS _ $
FOR USE OF REGISTER ONLY
Tax on $
Tox on $
Tax on $
Tax on $
Tax on $
Exemptions
Total Estate
~
COMPUTATION OF TAX
2%
6%
5%
10%
15%
$
$
$
$
$
*
TOTAL TAX
$
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously po id
BALANCE
Less 5% of tax if paid within
3 months after death
$
$
$
E
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
$
$
$
$
t=
$
$
TOTAL TAX BALANCE $
PAID $
Supplemental Codes: (FOR USE IN HARRISBURG ONL Y)
48-Adjustment
49+Adjustment
56-Annuity
6O-Life Estate
92+Remainder Appraisal
93-Remainder Deduction
93C-Charity
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
some should be noted below, with short explanation. '
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REV-518 (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
James V. Dysert
407 E. Washington Blvd.
Grove City, Penna.
(Executor or Administrator)
In Re: Estate of
John S. Dysert
Cumberland
County - File No.
21-78-0564
Dear
You are hereby notified that the Original
appraisement in the estate of John S. Dysert
has been filed in the office of the Register of Wills of Cumberland
County on 18 June . 19--12... Said appraisement reflects the following valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
Nnnp
11,151.28
None
None
11,151.28
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
18 June 1979
Signed L.ex, \;'..~~
Title Administrative Officer
NOTE: This is not a bill.
REV.457 (8-78)
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P.O. BOX 2970
HARRISBURG, PENNA. 17105
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE
COUNTY
FILE NO.
18 June 1979
Cumberland
21-78-0564
Whereas, John S. Dysert late of Carlisle
in the County of Cumberland Commonwealth of Pennsylvania, having died or
the 3rd day of October 19 ~, seized and possessed of an esta e
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Leo Fulginiti , an appraiser duly appointed according to la\l,
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 aftt~l the eXPiration
of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appra~se and assess transfer inheritance taxes at tl-1(~ lawful coliat ral
rate on any such future interest.
DESCRIPTION OF ASSET UNIT p..pprais;
VALUES Madeforlnh
Tax Purp
$ I
"D,....,1 ];''''....,..,.. None ;
,
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,1 - 1 L 151 i
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Jointly Held Property None
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Total Assets 11. 151. 2
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Have been duly sworn acco..rding to law, I do hereby certify that the above appraisement is made in GOnInrmity
with the law on this 1~ June day of June 19 .~ .
Leo ~I ~2zJ~'
Appraisl
(Number and Street)
Harrisburg,
Penn l.
(Post Office)
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