HomeMy WebLinkAbout79-00714
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COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
/,~/411
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'RCC-103 t3-731
COUNTY OF CUMBERLAND
Thl' ,olum mu,1 bo complolod In do'oil and lilad in dupHco'a, with ,ha Ragi"", 01 Will, in tho County wha,a Iha dacadon' ,a,idod wllhin nine
months ohor dato of deoth, unloss on extension is granted by tho Secretory of Rovenuo.
Will :;'1.7f~ 1/1
Admn. Nil. 1'1_ \,
Leslie S. Williams
(If
rte~h~~i ~'J;~~i:'(~a.
\ AfJDRE551
IN .'MEl
Misc.
heing duly sWllrn according III lall', del'lIses and s.ays tha' he is the -2-urvivinq co-tenant ._u__ ---..-----
(EXEC" ADM., LEGATE!.::. ETC.)
of the estate III' _..!'e1l.J:.~_'l'_._~_i.l:l~.il.IlIl3-.--.-_...n....-' late of.......1Q..wer _l'llen TOwl1l>.hJ.P..._____._..__.___
lCITY, BOROUGH, OR TOWNSHIP)
deceased. and lhul the whole of the estate tlf saiu decedenl, who dkd 011
November 6, 1979
______ .____.___.u._ '{ OAT-fT" _.- ------- ---
.~-_."--_._-------
consisted of Ihe assets listed he loll' and Ihat allllll'ahlc dehts and de duel ions eseeeded the fair markel value of the assets and
nn Pennsylvania Transfer lnhcrilant:c T,I.\: is due.
Sworn and subscribed before It'O
JL~/J-- 19_79_
e.~&',__
~~~_~JJd~ ~~l!l:"i,'y;i.l!g_.C:9l;~m-~n
IS1CiN^TURE) (TITLE)
Typore[ Au,I' C " P bI'
Real ~Hi1i.aPb~Mc flU m. I~Ot~ry (j It
Proper~ lom.ltllon EA irll Juli' I. l?eO
Hrta$:1Iit ~~ . Cumbclland County
ASSETS
(Attach addiliono~ if necenary)
Description of Aucl
Estimated
Market
Value
Oeporlment
yoluotion
CAUTION
(Do not write
inthisspocc)
89 shares of
ecedent and her
s joint tenants
Bank
son,
with
of Delaware held by
Leslie S. Williams,
right of survivorohip
@~~
2fll_5'0
~1l~7~OQ)
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TOT AI_S
Iv f~.;,-75
--!.f71t
REPORT 01' INHERITANCE TAX APPRAISER
I, the uodersigned duly appointed Inheritance Tas Al'praiser in and for the above CounlY dn respectfully repOrllhatl have
appraised the real and personal property as re~orted in Ihe foreglling schedule althe \'alues set forth IIpposite each item in
the last column In Ihe right. ./!/A' I ril' ;/ l' ( )
February 7 1980 J:-"' J,J d', j{,
Dated: _' \INHERITANCE TA-X APPRAlSERl
t-lomll of Poyce
pEBTS AND DEDUCTIONS
Noture of Clolm
Amount
Claimed
Amount Applovod
by Register
McCreary Fun. Homes,In
Grace Lawn Mem. Park
Professional Pharmacy
Blue Ridge Haven West
Leslie S. Williams
Funeral Expenses
Burial costs
Drug bi 11 due
Balance due for care
Family exemption
1,374.50
195.00
65.05
799.00
2,000.00
TOTALS
4,433.551 t..(''f::<' 'I :f,'
RFl'lJIn OF Till'. RFGISTFR 01' \\II.I.S
I, the undersigned dnly cleded Register of Wills ,n a'1<1 for the aho\'e County. do respectfully rel'on that I have allowed
d,'doeli.>," in the am,oll'ts set forth ill the aho\'e schedule as claimed. e'eel't "here I have sel fnrth a glealer nr lesser al110unt
in the last column to the righl. "llId, grealer or Ie"c' allllolllt1el'resents the sllnl allo"ed as a dednetion.
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REV-!It7 (0-76)
COMMONWEAL TN OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
APPLlCA TION FOR ANO CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
------ --,-----,.---
DATE
12/5/79
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for Clllsenl to the transfer ollhe followin'l securities of a Pennsylvania
Carporotian or a National Bankiag Association located in Pennsylvanio:
(a) 09 (b)_~_ank_~!-De.1a~_a~~_-___-d'u(c) . ..(;()Jll!lIOIL___
(NOTE: In describing securities enter in (0), Db Ole, either the number of shures 01 stock or the foce amount of
registered bonds, in (b), the name of the issuing compony ond in (c) the class of stack or the stoted interest rate
and maturity date of registered bonds.)
ISSUED ON various ,and having a TOTAL MARKET VALUE OF 5_ .2,3.1L_____..__.__..
(Dot.)
as of the date of deoth of the decedent, Pearl !~Wi.1_liarns , on__._._~l,L~179
(Naml'! af Decedent)
(Dotl! of deoth)
who was lote of
126 Wesley Drive, Mechanicsburg,
---..------.--------.--
cumberland, PA
--,_. ..-----'- -------
(Street and Number)
(Post Office)
(CQunly)
(StoIC)
The securities are registered as follows: Mr~pe!~l-'l'~-Wil~i-C!llls & Lesl~_eS..~~~liams,
(Nome or names in which ccrtiflcolc~ oro t('glslorod)
Surviving co-.tenant:
~~ Leslie
ItXHIIUl%SR) (Nomo)
s. Willi~:;;.L .l.l.6___W_es leY~I;:I.Jr.~.J_ul1~cbaJ'!.~c:t!l.~\u:g..~.
(Addrcs;;)
NAME OF APPLICANT _..___ .:rarnesK...Arnoldl--Ellq~
COUNTY FILE NUMBER ,? I -")v) I) Lid: ADDRESS OF APPLlCANT_~arnp-Rl.J.1,_1'.A.__-.-
I ~
BUREAU FILE NUMBER SIGNA TUR E OF APPLlCANT___________ -'--
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLI "'TION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR C MPLETION.
COMMONWEALTH OF PENNSYL V ANI A - DEP ARTMENT OF REVENU E
CONSENT TO TRAt-lSFER 2ECURII!.E.~ DA TE (\ .. ;:2,9,! El eft:?
I hereby consent to the tronsfer of the above securities now registered in the name of the a~d
Decedent and waive the filing of a certificate certifying to the poyment of the tr"nsfer inhorilonce tax to which
the property of said Decedent is made subject pursuontto the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15,1961, P.L. 373, os amended, This is 0150 in Decor dance with the provisions
of the Act of April 9. 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
~~~
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~igr~~j4_the rt!_reta~~y of Rev_enue
By. JO'L~~L b, }}1+(W"CkL:---
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