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Inventory of the real and personal estate of
TRUMAN E. CLOUSE
deceased.
REAL ESTATE:
NONE
PERSONAL PROPERTY:
Bank of Landisburg - Certificate of Deposit #18 $5,855 77
Bank of Landisburg - Accrued interest on Certificate of Deposit
#18 from 7/23/77 to 12/9/77 135 65
TOTAL PERSONAL PROPERTY $5,991 42
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF EHMlIIWABa{ PERRY
l
J
55:
Amos Prosser
being duly sworn according to law, deposes and says that he is Executor
of the Estate of Truman E. Clouse
late of ~---- !1iclgJ.es_~:x:_'I'9wn$h:j,p_ ------- _d~___, Cumberland County, Pa., deceased and that the
within is an inventory made by ~__~Amos_ Prosser ____, the said Executor
of the entire estate of said decedent, consisting of all the personal propdrty and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death.
Sv;O rn
February 2
~ >>;7 4~
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19 79
AMOS PROss~utor. Administrator
~ (}J/~
and subscribed before me,
R. D. #2, Box 195
r
Gardners, Pa. 17324
Address
981
Date of Death
9th
Day
December
Month
1977
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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RCC-3 (4-731
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of May 28, 1956, P.L. 1757, and Act of June 15, 1961,
P.L. 373, as amended)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application is hereby filed for the approval
of an exemption from Pennsylvania Transfer
Inheritance Tax on the transfer of the property
described below:
l. Bureau File # ,~/- 7J (. l (,
2. Date of Death December 9, 1977
3. Date of Approva I '1) '" LCi\ {.. /97 r
. --
4. Name of Decedent Truman E. Clouse
5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 200.00
(Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of
the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift
or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases
enter such fractional or percenta~ amount above).
6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the transfer, unless
such material has been previously filed.
WILL IX;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If other, explain)
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME
penicostal Church (Assembly of God)
ADDRESS
Landisburg, Pa. 17040
o See listing on reverse side for additional charitable organizations covered.
8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct.
Signature of Applicant
~ef~
Address of Applicant R. D. #2, Box 195, Gardners# Pa. 17324
Official Title
Executor
Date
February 2, 1979
This form must be completed in triplicate and 011 three copies delivered to the Register of Wills for the County in which the decedent
resided, or in which letters were issued for 0 non-resident decedent's estate. If the decedent was 0 non-resident of Pennsylvania and
letters were not issued by 0 Pennsylvania Register of Wills, deliver 011 three copies to the Director, Bureau of County Collections,
Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po.
Do not write below this line. For Official Use Only
APPROVED: For the Secretary of Revenue REFERRED to Bureau Headquarters
Approved 0
For Secretary of Revenue
Denied* 0
(Initials of Register of Wills)
(Authori zed Si gnatu re)
f:i":.~-,:'1 ~. ,~~r~:~tl{_3D'
; c.o Dr v'lWi
(CCUJirit>f>):;im
V)Y)l.1.b '97
(Date of Approva I)
(County)
(Title)
(Date of Referral)
(Date of Action)
* See reverse side for reasons
MUST BE FILED IN TRIPI.J(:AT!:
Form No. RCC~2 (8-70) RHIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSESTS UNDER '10.000, UNDER SECTION 701 OF ACT OF JUNE 18.
1981. EFFECTIVE JANUARY 1, 1982. (FILE IN DUPLICATE WITH COPY OF WILL ATTACHED)
*'
::
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/- "".;,,'
OFFICE OF'THE REGISTER OF WILLS
'- '..3 /-~ /71
County of Cumberland
Amos Prosser
of
R.D. #2, Box 195, Gardners, Pa. 17324
(Address)
(Name)
being duly
sworn
according to law. deposes and says that he is the
Executor
(Exec., Adm., Legatee, Etc.)
of the estate of
Truman E. Clouse
/ Carlisle,
Middlesex Township
deceased. and that the whole of the estate of said decedent, who died
whose last residence was
R. D. #1,
(No)
(Street)
(City, Borough or Township)
consisted of:
12,/9/77
(Date)
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 AND RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
NONE
- .-
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.-
Personal Property
Bank of Landisburq - Certificate of Deposit #18 S 5,855.77
Bank rlf Landisbura - AccruAd interest on Certificate of
Deposit #l8 from 7/23/77 to 12/9/77 135. 65~-
,.
"7
TOTAL PERSONAL PROPERTY '" 5,991.42..
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 01' 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 thA a~~nnnt i!:l ,.pai!:ltpY'pn
Jointly Held Property Estimated
Valqe
NONE
- -
Transfers within TWO YEARS Prior to Death
NONE
---
--
--
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 THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
Bank of Landisburg --~--
Landisburg, Pa. 17040 decedent
--
BENEFICIARIES
RELATIONSHIP SURVIVED AGE OF LIFE
BENEFICIARIES AND ADDRESSES (If step-children or DECEDENT TENANTS OR INTEREST OF
(State full names of all and their addresses who have an in- illegitimate children STATE YES ANNUITANTS BENEFICIAR Y
terest, vested, contingent or otherwise, in estate.) are involved, set ORNO AT DEATH OF IN ESTATE
forth this fact.) DECEDENT
Mrs. Mary Lonq step-daughter yes 1/5
Gardners, Pa.
M2X2ExRXEkex
R~X~~~x&BHEasxHx~xRa~
Beatrice Prosser step-dauqhter yes 1/5
penicostal Church $200.00
Landisburg, Pa.
George Murduff step-son 1/5
Gardners, Pa.
Albert J. Clouse brother ves 1/5
Newville, Pa.
Charles R. Clouse brother yes 1/5
R.D. #3, Newville, Pa.
aESIDENT DECEDENT
DEBTS AND DEDUCTIONS CLAIMED
NOTE: List first five items in the spaces so provided, observe notations thereon, and instructions.
DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN
IKEGISTER ONLY
Frank C. Egger Funeral expenses paid $ 1,819 40 $
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses ·
Gerald K. Morrison, Esq. Counsel fees · 299 57
illnos Prosser, Exec. Fiduciary commission · 299 57
OTHER DEBTS AND CLAIMS
(.) See Note below
Eby Granite Works Gravestone lettering 45 00
Cumberland Law Journal Estate advertising 18 00
'Phe Evening Sentinel Estate advertising 18 50
Cumberland Co. Reg. of Wil s - Letters, etc. 28 00
Harry R. Egolf Witness fee 15 00
c. R. Egolf Witness fee 15 00
Bank of Landisburg Bank box rent 7 00
Total $ 2,565 04 :.x 5'(,. f; oSt
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 or !
less than the estimated amount claimed and allowed.
Subscribed and sworn to before me this . . . . ., .2.n9... ... '" . "
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. .AMbs..... (E';e~;;t~~~Ad~i~~t~~i~;jP'RbsSE'R"
'y"','," ... '~"""','," day of ':...:..;" rrM .J ;r:l,lq:J:'Y....., 19..79
.... . ~~..~.. ~P'1rq-"""""'"
,/ J~~/:'\ !.,\. ~~.~~ H":;~a:y 'UJl
/ Ce.::.. '"", , .; /)~.t.\~ 1
M", ,,,1,.", ." C,", ,.., .I.oich Lb, 1 8
. .. .~... . P~.. #.2.,.. .I?9~. )"'~~' .. . ... . .. .. . ...... .
(Street Numt.er)
. . . .~~. r~~.~~ ~ .'. . .J?~. ~ . . ~.? ~. ~~. . . . . . . . . . . . . . . . .
(City or Town and State)
Having been duly sworn according to law, I do hereby certify that the above appraisement is made in conformity with law on this I
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . day of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 19. . . . .
Appraiser
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.
Dated:.... .C~'2- '....d. Q.:..(. Y) 01.............
REPORT OF THf( REGliTER OF WILLS
I the undersigned duly elected Register of Wills in and for .l~. . . County, Pennsylvania, do respectfull~ report that I have I
allo~ed 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. I
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Register of Wills ~"":$1Y\