HomeMy WebLinkAbout12-20-78
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Ace-a3 (4-73) *'
. COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
it"" ?f '0'10
;L~ (c . _ _ f. - ,,\
RESIDENT DECEDENT iGou~ty 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 sUer 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.)
IN THE MATTER OF THE ESTATE OF } ,,=''''"'
BESSIE F. HARR IS EXECUTOR
(STATE FULL NAME OF DECEDENT)
Late of Cumberland Coun.y ADMINISTRATOR
State of Pennsylvania } so,
County of Cumberland
Barbara H. Gro an Executor
~!li!ifll:HI'( of the ..tat. of the obove-named decedent being duly sworn. depo.e S and cay S ,
Decedent died November 9 , 19~{;,.... 1...ln. c 10.' will, ccpy of which;, h....o c.tChed..)
(MONTH) (DAY) (YEAR) ]f~!C '~
Ncm. .nd cdd.... of ctto.n.y c. } James R. Humer. AtlY
other authCH'lzed repr...entative to whom
all eorrespondence should be moiled. 1 W. Hi~h St. , Carlisle, PA 17013
That as such Executrix deponent is familiar with the affairs of said estate and the property constituting
(EXECUTO R-ADMIN1STRA TOR)
the assets thereof and their fair market value.
That at the titfle 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 THIS SAFE DEPOSIT BOX RENTED REL.ATlONSHIP OF JOINT
IN WHICH DECEDENT RENTE:D A S.-I.FE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
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:
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
colunms 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
deatlt-- in ;tl1e 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 otherjnstruments 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.
l
In the case or 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
s aid schedule, financial statements showing the assets and liabilities of said co-partnership or b,uslness.
A ~opy of the co-partnership agreement, (if oral, a statement setting forth the nature of toe 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 rair and just appraisal of the decedent's interest
therein must be submitted. It should also set forth in itemized rorm, together with the fair market value
thereof, any other property owned or bequeathed by the decedent at the time or death.
The Schedule C attached hereto and made part hereor 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
dea th, 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 co~y
of the deed, trust agr~ement 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 instrument creating such power attached to the schedule.
That Schedule 0 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. I t 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 Scpedule 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 vestiture of
real estate and the date of acquisition of personalty, pI us the name, address and relationship, if' any,
of co-owners to the deceden t.
That Scpedule Fattached 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 trus ts, tombstones or gravemarkers, and reli-
gious services, in consequence of the death of the decedent; debts and claims owing and llllpaid at time of
death; taxes accrued chargeable for period prior to decedent's death (except those allowed rmder 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-
ques t, that if the amount actually paid in settlement of any fee, eommdssion 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.
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 Sunanary.
Subscribed and sworn to~ me this ..../f...r:l......... ~.d..............._.........
... day of.. .c2.~ 19.:Z..Y ..........~.........._...
~l2..~.mm._.. (Eo:ecutor-Administnttor )
.4.9......s..t.e..e.:p.l.e.....G.has..e.....Lan.e..........................._._..
.:.fJ._y ~,'jBt ~c (StTeet Numb...)
r._~y '::0 1~~~10n. EXiJ~rcs JUly 1.~ 19"';- Devon PA 19333
............................l......................................................................................................
(arlu:e. PA Ccmber!and County (City or T01Dn 4nd 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 unlisted securities,
securities of close or family corporations or an interest in any co-partnership or business, that the
data and statements required 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.
;
--,-.._",-,.-...,~....,. -,"'--. '''"~.,~,.
..'''','''711
COMMONWEAL TH OF PENNSYLVANIA *'
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS SCHEDULE "A"
TRANSFER INHERITANCE TAX
RESIDENT DECI!DI!NT 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. ")
Th. real property located In the Commonwealth of Penn.ylvanla should b. (1) (2) /31
de.crlbed by lot and block numb.r, .tr..t and .tr..t "um!>>.r, together with DEPARTMENT
a general de.crlptlon of the property, with a ref.rence to the record of the ASSESSED VALUE VALUA TION
conveyance by which the decedent took title; If a farm .tat. number of o~ FOR YEAR OF ESTIMA TED CAUTION
cr.,; alia ata'.ment of mortgage encumbrance. upon each parcel at death DECEDENT'S MARKET VALUE (Do not wrIte
of deceden'. Taxe., a.....m.nt., accrued Int.r..t on mortgage., etc.,ar. DEATN In thIs apace)
to b. lI.t.d on Schedul. uFu and must not b. deducted from this schedule.
None N Or>L
I
Insert this total opposite " real property", Schedule "A" in the X X X X X NOnL
"As Reported" column on the last page of this return.
RCC -35
COMMONWEALTH OF PENNSYLVANIA *
TRANSFER INHERITANCE TAX . .
SCHEDULE "B" .
RESIDENT DECEDENT PERSONAL PROPERTY
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 wE-. 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 f'iduciary in said capacity, partnership interests, interest in any undistributed
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 ITEM UNIT ESTIIlATED DEPARTMENT VALUATION
No. List and describe fully VALUE MARKEr VALUE (Do not write in
this space)
1 Jewelry appraisal as per appraisal 440.00 l{I{O.OO
attached.
2 uphin Deposit Ck. Acct. #40-96-515-5 743.22 '1'4a. ~~
3 Dauphin Deposit S/A # 06-62326 ~ 717.00 '11'1.D()
4 Interest 6/1/78-11/9/78 @ .045./' 11.14 1\.11.\
5 Dauphin Deposit, C/D # 06-04-018553~
dtd 10/6/78, 3 mos. @ .055 7500.00 '1,'C>o.OO
6 terest 10/6-11/9 @ .055 36.12 ~'-.,~
7 erican General Income Fund 22.256 Sh. 5.93 131.98 lo\.q,
8 hi1ade1phia Elect. Co. 60 sh. com. 16- 997.50 qq., 50
5/8
9 Dividend Ck., Phi1a. Elect. Oct. 27.00 .'.00
10 Dividend Ck., Am. Gen. Income Fund 1.18 1.18
11 Dividend Ck., Am. Gen. Income Fund 1.05 I.D~
Insert this total opposite "Personal Property", Schedule "B" in X X 10 606 19 \D ~OID 19
the "As Reported" cohmm on the last page of this return. ,.).
, STEARNS & WILLIAMS, INC. 30 WEST HIGH STREET
I,'
I' CARLISLE, PENNSYLVANIA
I ~ REGISTERED JEWELER AMERICAN GEM SOCIETY
~ ~...#
~
, TEL.. 249-5540
Ii
I
! . JEWELRY APPRAISAL
I Custom.r Jl1IIIllS R. Rumer Oat. Deoember 14, 1978
I
I 1 West :!Iill'h street
I Address
Carlisle, PA 17013
I
This appraisal is mad. upon the expr.ssed und....tanding betw..n the custom.r and the appraiser as follow.: (1) Values stated
are the .stimat.d cost of r.plac.m.nt at r.tail prices .xclusiv. of any applicabl. tax .xc.pt as follows: (a) mass-produc.d
articles and certain articles of foreign manufacture are valued at the cost of similar or "equivalent items rather than the cost of
actual custom-made reproductions. (2) Grades and weights of mounted gems are approximate unless this report shows that they
I were removed from their settings for examination; such removal from settings is done only with the expressed permission of the
custom.r. (3) Information provid.d h.r.with is regard.d as confid.ntial; how.ver, w. reserve the discr.tionary right to discuss
this information with any third party who is in possession of a copy of this appraisal. (4) We assume no liability with respectto
any action that may be tak.n on the basis of this appraisal. (5) Th. name St.arns and Williams, Inc., or the Am.rican Gem
Soci.ty may not be used in connection with any adv.rtising of th.se articl.s for saI..
COMMENTS:
letate Appraisal - Mrs. Barris .
ITEM AND DESCRIPTION VALUE
1 )Fellow 100ket no value
1 Elgin pendant watch with fleur di lis pin, 7 jewel, movement 1!72722J. 7,
case 1!700972, G. l~. V.f'g. Co., marked 14K, engraved on inaide lid "Bessie 40.00 ./
E. Fogelsonger, Decelllber 25, 1897".
1 lad;r's )Fellow gold ring marked l4X, 6-prong "tallY setting containing
a d1&llond measuring approximately S.3-S.W.1S, e11lh1ng approxillla"tely
;SSot. SeYeral taoet. J_tures are traot.ured; it bas a large olllet., a 400.00 /
stll&ll interDal 11lOl1l810D in the orown taoe1;, and small fraotures on the
I1rcUe.
')'/ . 1,'.-
//,;.r (,JII'/Z
' (I ,/
I . Merle A. Willi81ll/J
I Certified GelllOlogist
I
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D Dauphin Deposit Bank
and Trust Company
MAIN O""ICE; 213 MARKET STREET, HARRISBURG, PENNSYLVANIA 1710e
717/255- 212,1
Hem_ Fed<<wI o.po.if Insurance Corpotwfion
November 20, 1978
James R. }iumer
Farmers Trust Building
One West High Street Re: Bessie F. HArris
Carlisle, Pa. 17013 November 9, 1978 Deceased
Attn: James R. Humer
.
Dear ~~r. Humer
In reCi'rd" to the "bove mentioned we submit the follo\<ing infor-
mation as of the dat~ of death.
/' ~.
Checkine ,1110-96-515-5 Balance ~74~ /'
Savinr,s #06-62326 ~ce $717.00 ~nterest ~11.14 ~~
C.D. #06-04-01P553 alance ~7,500.00~terest $36.1~
If we cnn be of any further assi6t"ncc, plc""" do oot heE,it"te to
contact us.
Very truly yours,
g~,;z: ~
Barry 1.. Elliott ,
ASEdBt~nt Treasurer
BLE/rh
!
'. ~ .
..
'0
\
.
RCG- '"
COMMO:\\'iEALTH OF l'E:\N~YLVANIA
THN\8FFR I:\HEI\ITA:\CF TAX ~CHEDlJLE "e"
TJ-L\NC:VFltS
RESIDF:\T m:CFnF:\T
(1) Did decedent, within two years of'death, ml1.ke any tl'ansf'er of any material part O'NhiS estate, wjthout
receiving a valuable and adequate consideration therefor? (Answer yes or no) 0
(2) Did decedent, wi thin two years of' dp-ath, transfe.. properLY ['rom himself' to himself' and another or
others (includi ng a spouse) in joint ownership? (Answer yes or no) No
(3) If' the answer to (1) or (2) above is in the af'f'irmative state:
(a) Age of' decedent at time of' transfer N/A
(b) State of' decedent's health at time of' making the transf'er. (Note 1).
(c) Cause of' decedent' 5 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 dpath?
(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}1s or no) No
(b) What was the transferee' 5 age at time of decedent's death? / A
(5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor nnrter which transferor expressly or impliedly reserves for his life or any period wh1.ch 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) 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 N/A
(7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to
pay income to or f'or the benefit of care of transferor? (Answer yes or no) No
(8) Did decedent, at any time, trans1'er property, the beneficial enjoyment 01' which was subject to change,
because 01' a reserved power to alter, amend, or revoke, or which conld revert to decedent lmder terms
of transfer or by operation of' law? (Answer yes or no) No
(9) If the answer to (8) above i.3 in the af'1'irmative, was the power to alter, amend, or revoke the inter-
est of the beneCiciary reserved in the decedent alone or the decedent and others?
(Answer yes or no) No
NOTE 1: The answers to these questions should be sUllported by afTidavit by the attending ph~'sician as
well as a copy 01' the death certi1'icate.
NOTE 2: If' answer to any oC the above questions is yes, set forth below a description oC the property
transferred, it's fair market value at elate of death, dates of trans1'ers and to \"hom trll.Jlsferred, with
relationship oC transCerees to decedent, iC any. Submit copy of any trust deed or instrument, i1' trans-
fers are claimed to be non-taxable, also submit detailed statement of Cacts 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 MARKET VALUE DEPT. VALUAT~ON
(Es tlma ted) (Dept. Only)
None Non~
I
I
Insert this total opposite "Transfers", Schedule "c" in the None.
"As Reported" column on the last page Q1' this return.
RCC-37, (12-63)
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT *~
SCHEDULE "0"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES RELA TJONSlIIP SURVIVED
(If step-children or DATE ImEREST OF
(State full names and addresses of all who illegitimate children DECEDENT OF BENEFICIARY
have an interest, vested, contingent or other are involved, set STATE YES IN ESTATE
wise in estate) forth this fact,) OR NO BIRTH
Barbara H. Grol!:an Dau"hter Yes Over 21 1/3
46 Steenlechase Dr.
Devon PA 19333
~. i"nna H P"'mh".nok Dall(Jhter Ye" 0""'''' 71 1 /,
Star Route
Chatham. NY 12037
Lorraine H Humer Dau(Jhter Yes Over 21 1/3
7"0 S Collelre St.
Carlisle PA 17013 ----
I
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Deponent fUrther says that all the above-named bene~ciaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
None
RCC-~8
COMMONWEALTH OF PENNSYLVANIA *'
TRANSFER INHERITANCE TAX
SCHEDULE "E"
RESIDENT DECEDENT 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 first, as entireties, or joint tenants, giving brief description, as indicated under 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 1n
Schedule "B", plus date of acquisition, and the name, address and relationship (il' any) or co-owners to
the decedent.
Description or Property, Date or Acquisition, Name . unit I percentage I Estate I DEPARTI.lENT VALUATION
Address and Relationship of Co-Owners, and Place Value Share Valuation CAUTION-Do not Write
of Record of Instrwnent, where Real Estate. In This Space.
OC ~ $?' 6G 'Y Value of' Value of'
~ >> 'Y 'Y :s& ~'Y >> 'XX
'XX u:: ~ << 'Y:: X ~ 6G X << Entire Deceden t t S
0(; property Interest
None f\1ont
Insert this total o-pposite "Jointly Owned Property", Schedule "E" ~ 0(\1
in the "As Reported" column on the last page of this return.
Rcc.n {1iI.681
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLlCA TlON FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
*~
Il- 20 - -,:;r
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for consent to the transfer of the following securities of 0 Pennsylvania
Corporation or a Notional Banking Associalion located in Pennsylvania:
DATE
(a) 60 (b) Philadelphia Electric Co. (c) Com.
(NOTE: In describing securities enter in (a), ab exe, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
4/25/61
ISSUED ON 5/31/46 & ,and having a TOTAL MARKET VA'LUE OF S 997.50
(Date)
as of the date of death of the decedent, Bess ie F. Harris
(Name of Decedent)
,onNov.9,1978
(Oat. of death)
who was late of 230 S. ColleJl:e St., Carlisle
Cumberland
PA
(Street and Number)
(Post Office)
(County)
(State)
The securities are registered as follows: Bessie F. Harris
(Name ar names in which certificates are regi.tered)
~W~j~~ Barbara H. Grogan
EXECUTOR) (Namo)
46 Steeplechase Dr., Devon, PA 19333
(Address)
NAME OF APPLICANT James R. Humer. Atty.
COUNTY FILE NUMBER 2/-7'j-/,,'2-'1' ADDRESSOFAPPLtCANT 1 W. Hi h St. Carlisle PA
BUREAU FILE NUMBER SIGNATURE OF APPLICANT
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS A PLI AT ION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU F MPLETlON.
~7f
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~ q
DATE ..;),D ( 7{
I hereby consent to the transfer of the above securities nQw registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as om.nded and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Tran;fer the herein described property operates only in reference to the estate of the
above-named Decedent.
_~~t
I'~~
Signed for the Secretary of Revenue
BIZ ~:&g.d~ t'.~r~~oV"'~~
'~",~;~'1I!f~ V
f.'~:2;::iTER OF WILLS
.-~': < \1[} ',H:iNll
(Title) (County)
OF'FICE OF' THE
REGISTER OF WILL8
tl-7f'-tzy
STATEMENT OF DEBTS
AND DEDUCTIONS
DEDucnONS ALLOWED IN
Form RCe-IO
,
., Q ;{(, ( ~ ,'-"
$~'tl,lfC ~
DATE APPROVED . .PI. ~,dlP.,1?7 r
~L , r Q ,
~~- '. """ j(1Al~.
R."ld., of 111_, !!lilt ~
THE SUM OF .......
OF
Cumberland
COUNTY
AND AGENT OP' THE COMMONWEALTH
ESTATE OF Bessie F. Harri,;
DATE OF FILING APPRAISEMENT '--rn O\A..,., A?_
LATE OF'
NAXAmkAyx~lX~~Y~X Carlisle
, ,
DATE NO. OF NAME OF PAYEE REMARK. AMOUNT
VOUCHE1II:
Register of Wills Letters Test. F. s.r 24 00
Register of Wills Filinll RCC Ii snn 600
G. Book Roth Funeral Home Services 1on. .on
Eby Granite Works Memorial 375 ho
Mpnnn-Haven Inc INnr,,;na r"r" 1",,1- ;11"",,<: 450 5
Stearns & Williams, Inc. Appraisal of Jewelrv 70 00
Reserved for transfer of see urities 7<; nn
Reserved for misc. expenses of admini,;t:rat:;nn <;r 00
Res ' for closinl! es1-,,1-P sr nn
Notary fees H on
James R. Humer ESQ. Attorney Fee 530 30
TOTAL 3444 95
-
t, 77 DAn OF DEATH
November 9, 197R
COMMONWEALTH OF PENNSYLVANIA
}..,
COUNTY OF Cumber] and
I, R~T'h::ar~ H r,rng::ln
MY kNOWLEDGE AND aELIEP', THE ,..OREGOING 18 A JUST AND TRU E
B .
HU..Y CERTIFY. THAT. TO THE' BEeT OF
.TATEMENT OF DEBT.. P'UNIERAL EXPENSES AND EXPENsa 0...
..0. A. DEDUCTION&; ,..OR
INHERITANCE TAX PURP08U.
'1I81ED BEFORE ME THI. I 'l~
I.K
DAY OF
(L.6.)
ADMINlaTRATION SUBMITTED TO THE ESTATE 0,.
to: ,~f!Y ~:'jlII.'C
Ply !ont ~5ioo bpi,::,) lul; F ,~
(,rtisle, JiA Cl:;;;~:Jai1d ("un'-f