Loading...
HomeMy WebLinkAbout79-00406 ." J; 11, ,:."0:1 11.111 * COMMONweAL TH OF PENNSYL VANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION INIII;I1ITANCE TAX HETUHN F'OH INSOLVENT ESTATES ONLY OF R1,SIDI::NT DECEDCNTS COUNTY OF ()\':':,',l!-,<~~l.u.ll,sL_ Thll ,e'urn mUI' hll cnmplllled In detail and f1lod In dupllrnln, with Il1et noglltcH of Will. In tho Coun'y WhO'D tllo docadcUlt 'OIldoll within nIne month. oftol dol. 01 doath, unloll an ....:I.".lon II gruntod b)' Ilia Sot'lolnry 01 ROVUIlUo. WII( "-,", bUl'e, l'CI. ~dmll, Nil, ___1'1_,__ I,JLL.Ll.tD-,jI L,r\!I.;~I~()J'']~:.;l~,______"1' !Jl;;' .2:..';:'.!l~:!!.'!J...l~ill.'oL::r!,()I_'_[\I} l~~J_-( " Itj A 1.1 I!:l l^nnHFr.I,1 (Mi,-v tielllg dilly NWllrn lIl1e",dlll" 11I11111', delWNeN IIl1d NlIl'N 111111 he I" Ihe llH~~,!lvJ,nl;;_f~l!!.:'-!:~!!,~u,__,__. .. (FX!:C" ^1)f,1" 1,I,O^ll:Ii, liT(',1 1I1' Ihe cNlllle 1I1'._. ^Xlll1.0j':" ." I.nco1>opo11I'11 IlIlc 1I1'_,.-l1QQ.brm;!,Qll}!}.I!'J.;,.,__".n" letTY, U'''''HlOIt, Of. TuWNHHIPI decclloed, IIl1d Ih"llhe whllle III' Ihc CNIIII" III' 011111 IIN'edelll, whll dlcd 1111' /'4fJ. 'j" 2. y~ 1"71- 1. ID....lU ' CIIIIOlo",d III' Ihe IINoclN IINled helllw IIl1d Ihlllllllllll'lIblo d"hlN 111111 <I,,,IIII'IIIIIIN exeel,ded Ihe fill, Illllrkel vlllllo of Ihe 1100"1' IIlld ,,~ 110 l'''llIlNl'lvIIllIII Trllll.l'er IlIherllllllce TIIX iN ~l\%;'~" ,~ ' "" 'f.' \(\' Sworn ~~~, .ubscrlbod bO(}'O'O ;0 '.. t:,,:;~;:,~:::;;'<;))j)' p 11-d /t,j.~~tf'../J J-(-, f~aA..u ,1 i ' IhO, ,!;. Jdoy 0' . i<-( I: \,~'l.\I." '.' ..,' V~L k, ,. V"'m, u ,.-):,. cuUl V ,'I n&" i;lpr,'\HlO )L;/- ~--/;' .. --, ,'- -/~':.-,:-.\~,,<:,'f,,~?'~ .t'" IfHllN^TlJ rJ , ITlll-!!1 L ,v r ,,{" ~ ,', __~~~~. . Type of A" II Rul Ellat., Perl, Property, Jointly H.ld Prop, Of T,on.f.,. D.partment y_!!!~91'_ CAUTIOtl 100 not w,lte In Ihl,. ce ASSeTS (Allach addlllonal-;h,-;j;-If nee....eJlY) Oucrlpllon of Atlot E'tlrnal.d Markot Value l'Ol"r'l,nult,! OI1l'ol:l.n[': ^()count; No. 11,1-J,Of!:3;;3-6 tIlth 'l'he Or)mlnon~/(\tll\;h 11(\I;Lol1r..,1 Bun!:. Ghl"io tmun Club ^c0oun\; I~o. llj,.100000l551- o 1'1:1. 1;\1 'rho COlmn011\10nl t;h NlltlNll\l Bn.n\(. HI O. O() 3~).90, I'Ol"r:onnlty TOTALS -. 7"'-..--..---- 179.9(}/ 1 ~,oo REPllllT 01' INIII!IUTANCE TAX AI'I%\ISlm I, Ihe IIl1dorolSlled dilly IIppolnled IlIherllullce 'I'll' -'I.prnloer 111'"111 I'm Ih" IIbov" COIIllll' do ,,,o,ICcll'lIlll' I'''p,l!llhlll I hllve ar.prulood the ,oalllnd peroonal prnpefly ao ,epurl"d III Ihe 1'."'.011,,111" Nchedlllo III Ih.lcc I o I lie.'. N HC.'I f"rlh nP.1llIHlle elloh Ilclll ill IIC III~I "11111 In II~ rlshlc. \ j dIJd:'LCU__J..:iLLJ,LLL___..._____,._ Ilatcd.--\....(,.\t: _._u_....J_llJ_ _._._~ IINl-tbHITANCh TAX APf R^15[~nl D~DTS AND oeDUCTIONS Amo,"' Nntur. of ClaIm Claimed Nom. of PO)'u Amou"' ApPfovet.l by Regl.,., >1Yr'~1"n l'\I.nOllfll l!omo, ! no., :'loohUlllonll\".1{~, Pn. 1,'unfll'1l1 II:xpFln[\on 2317.00 ---'--" -----.-.--- TOTALS 2317.00 1ll'I'OllT (\1' Till'. IlE(IISTl'.lt OF WII.I.S I, Ihe Ilnd"",jgllcd dilly ehlcled Ite"loler "I' WIIIN In 111111 I'nl' Ih,' 111111\''' ('nllnly, dn r"NJlc"IIIlIIY'''Jlnfl IIIIil1 hlll'e IIllol\'ct! dcdut'liul\s In the ("nOllllIS 'H,l ftlrlh lilliit' nhuve N"'llIl1UIt' liS l'lnlllluil, l'St'l'llI wlll'((' I hll\'!' St'l fOllh II l-tlt'nh'r or !t'ssl'r 1ll1111l1nt III the 11Ist culumn In Ih~ I.~~hl. whil'h lIu'utel III It'!oiscr lllllllllnt ICpH'SCIlIN IIII' SIII!I 1I1111\\l'llns II dt,?'-Fllfln, nll,e III Apl',,,vlIl, --",~i!-,L~., N'l.9 u .~_,_, ~~EJ...~~\;\~---u~-:--_ I . - \ - , . (t ,. _ _~ / -- 1'1- '/t {, I i I . ,_ . ~ ild 1\' , COMMONWEAL TH Of PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION INIH:mTANCC TAX f1CTlJ11N FOR INSOLVENT ESTATES ONLY OF f1ESIDENT DECEDENTS *' ~ !,,. ,;.lItO:, (.1.131 COllNTY OFC:~~ti,\)lJPJ"~~,!':L.",_,, - Thl. ,.t\lrn mUll bo camrl.tod In d.Ilall and flied In dupllcQtn, with thel RoUlttor of Willi In tho C(Junlv whot(1 tho docadenl ruldod within nIno montl.. oft., date of dual", unto.. an Oletonllon I_ urontlJd hy Ihll Soclotary of Ravonuo. Wll.... - . ' . bUl'C:, l'u. ~~\, Nil, __I'L.__ I,Jt.LLi!L.6Lli.UJ.G!])29l'(?l!,L2.1~_III!l?') 13v!\ndy I,nl2~1_!olool~~~i,!.~-(~ INI\Mtn IAI:)l)kl-:UUl ~~~ i 1 helllU dull' .wor" lIuellflllllU IIIIIIW, dUIW"'" IIl1d ""l'" Ihlll 11\1 I. Ihu l\1!rLl,-_nLL!!,p()t\.!~!,_,_.."__..,,, ,",w___ .______.,..._n (l!XEC" ADM., l.toAlIHt, f!T(:,1 IIllh., u"IOIO III' "An,l1.loJo:, l\tn(\sbOl'Ouc:h 1111" IIC_LIfQ.Qr\Hmi_Q_~\lmr.~n"n.- .- .. n , It: 'tv, UottOl!(IH, on TOWtlSIHPI ,luculI,ed, IIl1lllhllllhe Whlll" III' Ihe ,,"IIIlu III .11111 d""Ud"III, whll (lI"d 1111' /"!(J.. '-Iv _ 2 YJ 1<1 71 iI. ([IIII"TI':) CIIII"I"IUd III' Ihu """ul' 11,""1 helll\\' IIl1d Ihlllllllllwl\llk dohl. 111111 dulilll'lillll" o,,,,,uded Ih" fllh 1lI11'~l'l 1'11111" Ill' Iho """"Ih IIl1d ~'ii 1111 l'ulI"">,11'1I1I11I '1',"""1'0' IlIh",IIIIII"" 'I'll' I.,~\~~:,,;., ,0' \, .t\\) ,c" Sworn anti. Iubll:db.d h.farfl ma . \).~\\::r'::::;"\~~ij". {J 1.iJ. ' , I' /~i. '~. () J.. ' "ii, (), ,) ,~'l'i:,:'):>""";"V~04- Ct'lI'm, 9'A%-vtf~)4c1:IUl'vlvinL: i:.IP(,l\1110 .h.,.,..,;,.-..'..--zi~.y of"",., ~,(JF:.\~\9\::~'t~;"" "I ""^'" 1<<", .- 'TlTI.", jjlJ~ .h_ 9!-c.'( f' .i~ K-4it'_!..~~L~._- , ._- Tr~ 01 ".. " RIO II!lIIiI', PIli, P'Dp,t!rtr. Jointly H.ld Prop. Of Tron.I". ..,'" AlHTS (Attach Dlldltlona(.h;;,;"U n.counIV) O..c:rlpllon of A...t Ettlmnl'~ Mo'~el Value btl\Qftmlnt Y.ili.9.Hp~_ CAUTION (Ou 1101 writ, In ,hi, . !)QQ,) "j l'or'IJOnnlty UI10cl:ln(" Aooount 110. l'll-l()I)3~;3N() 111 tit 1'ho []Otnl;lODlIflI11 \;h tln t: 1,10\111'), \Jllnl:. Ohr'loUmo.n Club Aocount No. 1[1,-1000001;;;;1- o ~Iith 'I'ho COmll1QnNIlL\lth 111\\;\.('nl11 Bo,n\(, 39.90. 111,0.00 I'Ol:'f1ontll til TOTALS -----~- ?'-"'-"--- 179.')rY 1Q,Oo Rl!l'OllT OF INIIl!ltITANCE TAX Al'l'ltAISl\R I, the unde,"IUII"d dull' IIPPOIIlI"d IlIhcrllllucu TIIS Appl'IIl.u, III IIl1d rill Ihc nbul''' emlllll' du r""pUell'lIl1l' I'Oport Ihllll hlll'e IIppml""d Ihu 'Ullllllld p","01l81 p'opu'll' IlH ,"p"'lud III Ihur\I..J:'IU~ ,chudulu III Ihe /"lu,," ",'I r"rth "PI"I"lle ""ch Ilul1l ill Ihe ~"~l ""111 IIIII~ 'Iuhl~ .. dJ.irY.:l "lL,.Jd..liTU,L~,-"-,,.._~ ()atcd,._~ ___31-....J_l-') ___. IINHhRIT.^N(;E TAX API HAISfili1 DEBTS ANO OEDUCTIONS Amoun' Natu,. 01 Claim ClaImed Nam. of Pay.. Amount Applovlld by ReOI,ter ~l;rf)r'n Funerol 11 0\110, [nn" !i!ochanicuhUl'[', Po.. li'Ul1or'ul r~Xp(ln[l"n 2317.00 ___.____~ ___0_. TOTALS 2;317.00 a..:s REI'OWI' OF TilE lWlIlSTER OF W11.I.S 1, Ih" uud""lglled dill)' ul"cl"d Rcul"lcr III' Will" iu IIl1d 1'0' Ihc IIh"ve C"uIlIY, dll 'C'p""ll'ulll' rep"r1lhllll hlll'e 1I111111'"d dcducllOl\H in the amounts sot rnrth In the l1hll\'t~ Nchoduh,' liS dnlmcd, cxc(l!,l WIIlHl\ 1 hnw I,wl rmth II grellll'r or lesse-r nmount III Ihc 10,1 c"hll1lllll1 :~ which gr"'tl'" III IChS'" Ul1l01lllt fcp,"Heuls Ihe s.IIIl1UIIIlWCd liS It dc clioll. ';;) , \ nUle III' App,,,vlI!:- ,) , I '~C[. _ (~::J 'Jl' ~\~ j;(/- 77'- '1t-6 )). /, / /,' -. ::-' \;\'l~. . , -- . . - ~ I" . \,\,11' :a I a ~ " '" . oJ u " nJ e Cl .. ~ ~ 4. I:> 1.0 " . 0 0 ~ '~ ~ l.. w w lil 'el j!: ~ j!: ~ .r> m . I'C1 - 110 15 lis Vl ....1 ;., ~ tI) u ~ ~ e1 ~, 4. l:l ",I <lJ ~ ,..-., 0 g ~ 110 ,~ ffi .<:1 "6 ~ . .t> oS Ii s i r," Q) ~l,f: ] 0 '" lb ~] ["I "6 ,'1 17J "6 J:- III f.J " ! t''i 3 ''''1 c5 ~. .. .