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HomeMy WebLinkAbout79-00485 II h f_C " "" i ,~ -' ,. ,;,' r, .' ,-.1 , ~ I' .";,; I' ';'1 I' , , " " ""., 'oj' ". I' . I .. . III ~ i ~ 'IS I " - 'N i p " , ~ , - , Ii" COMMOtolWEAI. TH OF PF.toltolSYI. V AtollA D[lPARTMEtolT OF REVEtolUE BUREAU OF COUtolTY COl.l.ECTIOtolS ItolHERITAtolCE TAX OIVISIOtol INHEI1ITANCE TAX RETUHN FOR INSOLVENT ESTATES ONLY OF RESIDENT DECEDENTS f?j.f'/7'1 '*' R~(~..'(lJ ("HI 1 COUtolTY OF UI,{wfJa;:h,",{_...._-- This return mlllt b. comploted In detail and flhtd In dupllq~lo, with tho Rllgl,tor of Will, III tho County who'o tho docodont rGlldod within nino month. aft., dat. of death, union an eMlen,lon I, granted by tho 50clolor.,. of Revonue, -- WIIIJI ;H'~'/f' Admn. N(~~~~_~ --- I, .-J'aUL.t:':.&"WX.--- _......__......,__ of. ,))](Uld~ca.L;;l(,_.c&1V!_IIJltd.,LZ!'/L-- It4AMH) 1^llIHw,>m Misc, hcing duly sworn nccordln~ III )n\\', d\~f'llHICS nut! sl\YH Ihut he is the ~~'I.I~k!!.~t'-!.C_~___..._"___._n____ . .,.-.-.-.' ,,-, .. - - _____u_._._____ III Ihe eslllle ol'l/l(v!-rljf.IJ1:t':/,r . ..... Illle III'_d::~~;;";,"-'.."O^1"J~;~T,~~12--11~tt:'V)n- (I ICIV'y, UO~OL'Gtt, O~OWN8HH'l deeellslld, Ilnd Ihllllhe whllle III' Ihe ,'slllle "I' sllld deelldelll, wh" died "n .,A"'t' Ie /9'1'1. . IPA Tl',l cnnMisted of the ilHMctti listed below nud 11H\1 Itllowuhlo dehIN nutl doduction", cxcocdct.l tho fnil" 11lltrkct \'uluc of the IISNCIM I1ml 110 l'elllls)'IYnnlil Trllllsl'er IIlIH'rllllnee Tllx Is <Ine, {Of 0 mo " '~__. l'LG~.... .-, ~ (~f.I) '1;( .' '()'I.1M- J)', .t~"'. ..~.[;'., __"___~_____' ___,__., c _._.,<<_.____ __, / 151 ON A TU R HI (,/ /) V;;.t..u.,J .r~,,!___._______,._.__...L".' 2/' ----- ___4' :~~t.: EI ASSETS (Attach Qddltlonal~ If neco"ory) Olllcrlptlon 01 Ane' e.t1matod Markot Valuo DlpartlTlont ~g 1~~_~IL.. C^UTION (1)0 hot wrllo In ,hi" co) Rr.5CJII',i.-1 /973 o;(l-./1fdJt/~ 5(-t:lM7 _{1,l.lr.l'S .. ~./e /:;?'('f>' /97Y hrd ;::;"//""I1!t,,,6 - M"4,,,r IV t..3 ~."lfY:;M' 1/.(. se. '/?";/t>r '-It (Jt'/J l{,.s /0' tUrtle , 05 (-""'11 'J' . ( " I. (),)() 01" I ' · -:> rJOo. ,,~ -'J " . d,3i"!.),II() TOTALS t; "I ~, J'tj c. ,(!7J ~ ~()O, OD IUlI'OItT OF ,INHERITi\NCE Ti\X i\l'l'lli\ISElI I, Ihe IIndelnlsned dill)' nppuinled Inherllane" Tllx i\pplIIlsel In "" l'uI Ihe IIb"ye C""}'I)' d" reHp"elllllly leporllhlll I hlll'e appmlned the leal and pernunal pI"I'urlY "" rel',,'lod Inlhe I'",u liB "ehedllle 1I1~h. '1'1l11l"S H~I r"r1h "I'Il"sl", elld. IllIl1\ in Ihr. laHI eyl,'i"'",I" 11\,\ 'l&'Z ,I.. ',,-__ ' .:..J I. l~/ ,J'. ~ ) 1 d ;) r: r 1 00 fJ.1.d.!L~, _,.('~lL_-,------... )atl'. :...... _. ;L __ /' IIN~tE~li"N E lAX I,pPR^,SI',IU Nam. of Pay.. DEDTS AtolD DEOIJCTIONS Nature ;jcl~~ Amount Clalmerl Amoun' AllPIOyad , l,y ReohlD' 7>"ltJ 6/~r"11117w".,_".112rl( 17"") Eml'A;-'es tJ,yot 1.1",." HI/Jtj/Yl..I c!')f/)(~II~~J~ ;::;/mj EjI""'/'!"'" {,rftnt It::.., ..()t.~e. ~""'f.l V;:;~e. ;;;>"tA"rK'pf'- /931..1, ,) <-' (JYf'r.;,/lcd I-/."f!r,' I /fi'?1"'~ -.lOft" (!., &'~'$."r 1"'tJ ~(JtJ,:)' 'le,>" Clb /;0:,:), 12. III ,i",,,,,,,, clll".Iw",1ZtO (",;Ii. /9 ., J' Ford ~ $tJ1.J, tJ'V I TOTALS $ OJ'I."'O IlEl'OllT 01' '1'111'. IlEllISTlm 01' WILLS I. Ihe IInderslBlled dilly llleeted IleBlslol of Wills III1Ind I'm Ihe IIhuve ('''lilliI', dlll"SI"'"II'IIII\' 11'1'11I'1 Ihllll hlll'll 11111111'",1 dcthu_'lllllt!ol In tht~ nmlHlIlls Nut f(lrlhllllh(~ nhovo schedule Its l'lulmcd, l'\"l'pl wlll'rl' , 1111\'(' "lq f'OIlh It gnnllN f11 Ic,.",,1'I llnllllllll in lilt' hII'll ('lIluml1 10 Ih..\ J.tr~llhlj \~l'I1 "relller \"~ loSker lI'nlU""II'Cpre!oi(~"ls I (' .,11111 I 1~4t;\'l'd ~")Il tkdlll:_lj(Jn, ,()1f' ,'J l~ 1.1 tlti . (\ , -) -VIe '-- Un,,: "I AI1I"";:,', - ;o;;:~_0..(lT.-L'-.f---.-.- (l(C!I~ ~~\ ,~,~~ < ~ LvillL" ._,.I'{. " , '-_%<. ,-",-' C;</-7f-,/,fS-