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HomeMy WebLinkAbout79-00494 " " " . I"~ ",'/.' =" - l~'" ,- " " ,,' , . , I . " " ;,' " . , " , , . ,", "I~ , '-i ". . ,. ,.' " , ',I"" !' " .i I . " " , . , . I i. , I' 'I). _'I -.II; -," -,,' " ..' I.~ " Ii, ,j- " " , I' 'r., I, c.,-_ ,',. ,,:, , " " -I ". 'I', .:; ; '.- ~ ,,' . I ~. , . " ,d II ,I' . " I" '," , . , . . h_- " , , . . j ~' ' ,,-' " "j[' , " ~ ~. ~. , I " N ! " 1 , , ". ",- " ,. " ",' " '. l,";" .,! . . I . COMMONWEAL TH OF PENNSY~VANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY CO~LECTIONS INHERITANCE TAX DIVISION INHE.:mTANCE TAX I,ETUHN F'OH INSOLveNT ESTATES ONLY OF' RESIDENT DECEDENTS ill '1/1 I '* COUNTY OF_(.:l!~IB);RL.fIl'l1)____u_ -... -. This '1Dlurn mu.t bo c:omplotod In dotall and fllod In dupllcalp, wllh tho Raul'lor of Will, In Ihn County whore t\1o dncudol1l rOlld(1I1 within nlllll month. aftll' dato Qf doolh, unto.. an oxlllnllon I. oranlod hy tho Socrutary of Rovenuo, 1.38 Hill Lano I, ..__J!~FJ1AHi\_1!..,_N.1I(:J;___._ __..,____. of ..MU9.1111!U9.!,llmrg; ,_.I'Imnsy),.v.aniI117.DS.5 INAMIOI (AllI)f(l'S!ll (Mlsc,' she . hein~ dilly "WnrllllcCo"lllI~ 10 IIIII', del"'""" IIl1d ""~'" 111111 ilCI( i, IlIe _.fi.l!r.Y:t\"im1: .13.P9.lJI3.ll.. IF.XI'C" MH.1., 1,I:OAlrE, ETC.I 1I.le or.Jlll-'l\pden Township (CITY, IlOIWlJOII, Off TOWNSlllf'i .WiII' . Admn, No, ____1',____ of the cslillc of . _Varnon J. Nnoa, decell"ed. IIl1d 1IIIIIIIIe 1I'II0le of IlIe e"IIII" 01' "1I1d decetlclll, wllo died Oil l\pl'il 21, 1979 IClATr! COI1WIHtcd or (he USKulti 111;11,.1(1 hlllow iltH) lhlllllllllwuhlc dchlli lllld thahu.'tiullS cst'ceded lhe I'lIir IUnrktll vllllw Ill' till' llssclM ulld 110 Pcnllsylvlllllll TrullNfcr lnlll,'rllllllce Tux iN dUl'. Sworn and lublcrlbod b.fore mo th"--_{.Q!.'~_ day af-i."J""f15,IL 19 7J1.._ ~L~J-t...,"", 1 (:-'v--"" b..v, ~jL\.l':"~~L'-C'- Q. Vlc~"l..~ _ (BIONATlHlEJ llurv:Lv:!,ng; SpO~jf;18 (TI TL El TYIM of Au.tl Reol Eltot., P.,.. P'o~r~y, Jointly Held Prop. 0' T,onlf.,. MI ClW/IISIIIIIII; IIIJ1<11II1,11 ASSETS ClIMHIIII Mil! l.lJllI-iIY '..- ---- MY f'r1MMI',~';Il)t.j !xPlfll.l; M'~rlfo,~~dIHo.nol ,h"'1 If neeUlelY) , . 'Duc\lpllcm of Allel e,lImat.d Mork.t Value D.partment Y9lY9. t!~... CAUTION (Do nnt write In thl, ,pac.) PERSONALTY: 1. Plymouth Crioket I 1971 model, appl'a:lsed va lUll S" " 250.00 900.00 2. Buiok Opal, 19711 model., apprai.slltl value 3. Pontiao Cata1:1.na, lD77 model, appraised yalue 3,000.00 TOTALS $11,150.00 ~ \50, Ob REI'OltT 01' INIIElUI'ANCE TAX AI'I'I{A'SER I, IlIe IIndcrslSlled duly IIrrolllled Inllelllnllc" Tllx Al'rllll""1 In Ilnd I'ur IlIe IIhove ('lIl1nly dll re"peclfully I'erllrllllllll IIl1l'e nrrllll"cd tllo relll IInd perslllllll I'llIrelty "" I"p"rl"d In Ihe I'ure:r;,'~ ""hedulr ~II ~le 1'II111es "el I'IIr111 "1'1"'Nlle ollcll l1el\l III ::~I~~~t .~:'~'S.~~t~1.'1t'j9}9_H___ ~y,. h4t~~ti~{Y^~V.Ai'i;RI--- ____h___ Nam. of Pay.. DEBTS AND DEDUCTIONS - Nature af Claim ~ Amount Clolm.J Amo~'"t ApfllaYlld by Reulltll MyerFl-lIull PlU1era l. Home, Inc. CooporFlburg Gran:lto Co. Bcwbnrn l\. Nnce RIohard I:. Anderson, Rc~jFltol' of W:ll1s Puneral llxpanaos Na1'l<L!l' Pam Uy oxempt Ion $2,732.1/0 222.00 2,000.00 3.00 Piltng fees TOTALS Slf 9S 7 110 IU,I'OllT n F 'I'll h IlIiCi1S'I'E11 0 I' WII.I.S I, Ihe IIl1d'''"'SlIed IIl1ly ,deeled l{e~I'lel III' WIII~ 1I11111d fill I lie I1l1l1ve ('11111111', dll le'I""'ll'l1lly l"Il/111 111111 I IIl1l'e 1111011',,11 (1t;'dUl'liuIlM III IIw UIllHUnl"i tlet rorth ill the nhClvlJ tu'hcdllh\ flN l'luilllt'd, l~"'~CI'1 Whl'I'I~ I hllVt~ SI!l fmlh II gl't!l1h'T lII' Il~N"lt'r 1111I011111 in the ItHiI l'olumn to 111 ~I.~\l:\'hi(.'h ~rclllcl' ur It!sscr illlllltlnl rt.,'I1feSl'nls Ih "111m I I wed RS,....~. ck,IUCliOI1. ()11'rllrAI\llIOI'I1I:-,-~~tj:-'L'11_...__ ~, _ '1!~,~~~-_m.- 2/ ' >' 9' - 79 41 ,'- ~ I , , " ,a ; ~ ;>< ~ '" u I '" B tL. ,13 ~ . 0 ~ w ~ ,~ ~ j!: ~ ~ - '1,;, ll. lS l!; ~ ~!! ~ tL. ~ ~ 0 0- Il ffi ,"5, ';;l oS ~ t ~ ~ 0 ,~ .... II Ib " " , ~! .... 8 III " i II 01 Q ~ ,.l \,l