HomeMy WebLinkAbout79-00457
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. h' 't"OMMONWEAL TIi OF PENNSnVANIA
OEPARTMENT OF REVENUE
QUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
'*'
COUNTY OF _C.umho.rJ..aruL___
lId", r(lturn lIIust Lt. conqolll!"d In .jptnlll1nd fllod In dupllcotll, with thl! I,'oql!\tflf of Will.; In thlt {.ounty whHr" tlH' ,It'c..;..nt f"'.ldl,d withIn on!!
~:'lftt'r_~I~~~_~.t~:.~~~~~~~~wft~n_~n~_~~~!."'lntlld ~~~~~_:~.~~.~!_~~_~~.I~~~l~~~__.....<______..~.n~_'... _____ _ . __ ....._____.___~___
Will
Admn. No, ___19,__1, __J&r.o lyn_.ll~.--.S.11 \l.lQr_... ___..___.__ 01(; ;!JL.r.<lr:k..~y.9rtU e .,_.N QWs' Ul11PO rIa nd
M I - (Nom.) (Add,...)
l IC, h
bllng duly Iworn occordlng to low, dlPO"" and 10Y' IhotlliTI thl aur.'liy.ing.,jipo,Use and....liQLL.~~e....___
(eIllC., Adm,. L.got.., .fc,)
01 thl ..tOtl 01 .ilenrie C. ShUl,C2,J;._________..lotlol!}OrQllgJ:L.9LNewSumb.orland
(City, Borou~. ur Town.hlp)
dlc.o..d, and thot thl whol. 01 thl ..tot. 01 IDld dlcldont, who diad on J:laY._.~.~L1:2..L_____.____.______
(Oat.)
conllltld o. thl 0..1" Illtld bllow and that ollowobl. d.b.. and dlducti.nl Ixcoodld thl '01, mo'rklt v.lul o. tho ....h .nd
no Plnnlylvonla T,onll.r Inh.,ltonc. Ta. II du.,
Sworn and lublc,lb.d b..o,. m.
t~ \... "".'-. day .l,'i~,,,,,. 19.....12.... ( ',( {(' '-'..,;~/
\., . !.l '\ ..:J / ilOrr\o\' 1'ljT\l 1(:, II '/lI_',qr:l, ~),'!IPlllf\~,{~ (Slgnntutl)
<, ,""""C." ..". . "-'-...' I"~ (,!'I "I,,, I <i,II.!, 1,\",1/, I~Ocarolyn R. Shuler
, /,',. II '~./'
(Tltl.)
Surviving Spouse
Type of A".h
Real e.tat.,Pen,
Property,Jolntly
H.ld Prop. Ot
Tran.f.,.
,users
(Attach additional .h..t, If noc...ary)
O..c:rlptlan of Allot
a.llmntad
Markot
Valul
Oepattment
~
(Do not write
In HIl. .paco)
Personalty
Miscellaneous clothes, personal
property
$1000.00/
Jointly owned
Id th spouse
in entirety
All other assets of decedent were
jointly owned with Carolyn R. Shuler,
his surviving spouse or were insuranoe
with Carolyn R. Shuler, his surviving
spouse, the named beneficiary.
TOT A L.S
1000.00/
/) () (), trIJ
REPORT OF IHHERITANCE TAX APPRAISER
I, tho und...lgn.d duly .ppolnt.d Inharlt.nc. T.. Approl.., In and la, tho .bov. County do '..pectlully ,eport th.t I h.v.
.pp,.I..d the 1101 .nd p.'lOn.1 prop.,ty .1 ,.p.,t.d In tho I.,.golng Ich.du.'...;t tho volu.. I.t la~ nppollt. .och It.m In
tho I..t co!u.mn to th.!1 ht, " . ..)/ il Ii d. I" J ~,' It! Ji ( I
-D.sltiJU.. (, ".., ()( . ' Inh.tltctnc. TaM Approl..,
Name of Payee DEBTS AND DEDUCTIONS Amount Amount Approvad
Nature ofci(iiin- Clalmld by R.ghte,
Carolyn R. Shuler Family Exompt.i.on $2000.00
Musselman's Funeral
1I0me, Lemoyne, PA Funeral Services 1151. 00
Roll ing Green Cemetar
company r.ot 325.00
Rolling Green Memor-
ial Park I~arker 91.00
TOTAL.S .."3_ I) (,'LulJ.. ..
REPORT OF THE ~ECISTER OF WILLS
I, thl und.nlgn.d duly .I.ct.d R.gl.t.r 01 Willi In .nd I.r tho Db.v. C.unty, d. '..p.etlully ,.po,t that I h.v. .1I0wld
d.ductlonl In thl .mounh ..I lorth In tho .hov. Ich.dul. n. cl.'m.d, .xcopt wh.,. I h.v. I.t lorth . g,..t., 0' I....r amount
In the lao' column 10 Ih~19ht, which gr.at.r or 10..., amount rap,ol.nll tho lum .lIaw.d al . d. .cllan,
Dot. a' Apprava".._. _: ,!\J.. I :-::_/! L~Y' ,__~.. _ ) ~~ L~L.l.ti._.L " J ~.4-..l \. ... '
. } . _ \ r Rogllt.r 01 WI I,
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