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HomeMy WebLinkAbout80-00107 No. 21-80~) in the Estate of OF WILL AND LETTERS TESTAMENTARY ) ,., j ') f'~ { {t "-'- PETITION FOR PROBATE ~ .. ;t!-L~l(,_IL- _'D ( Harold B. McLane, Deputy To lliel'1B.fa C. P.PlSeHl6Illl, Register of Wills for the County of Cumberland, in the Commonwealth ot Pennsylvania. IS Petitioner(s) ore the execut t~ named in the Last Will and Testament of - J~L (",)'"", v-. L ';'!NC. (L~vv- dated 1/2-<- /7 :; Decedent was a citizen gf the United States and a resident of ~ ai/I'? T h' {;v ',\ W4, owns Ip BorQugh, Cumberland County, Commonwealth of Pennsylvania.:I. ' ., Decedent died on :!? /" the c12 cZ/I,,- A. D. 19ty-. in tho County of t u"" l"~(' , , · Stolo of /1./~~''1jl~~~ at the age of 'l S years, Res- has her Decedent has not been married ond has not had children born to -Rim. since the execution of the above described Will. Decedent was possessed of personal property to the value of r600 C '::::' and of real estate to the value of '-y--z...~ , deceased. as near as can be ascertained; said real estate situated as follows apply Therefore, your petitioner(s) respectfully applies for the probate of the said Last Will and Testament and for Letters Testamentary thereon, Dated J:;f~"'-<-I'?J I c/ /1 f'c) " Name and address )-\"'\~'I C\'.\')'l\1))-\6~~ of Petitioner(s) \ do5 VC7\\\l\l ;;)' I' .\'Ieg n '\ -0; \)iJ I'C( . \)a ilia ( COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND /1 C:\ \~I J 13c-l",c,~jl ,( J ,6-- named in above application, being duly , ) (. .,',- say(s) that the statements set forth in this petition best of l",~ knowledge and belief, .S.oS-r"v---" and subscribed before V- \ me,' <\::.C- /.; 19 X"D ~p'ill~(i _ F~ ~ /\ If(' '--:;A ((, '\V>- . ~aro\d I:l. ~Lana lJe~ut.Y n;""IIIClI J C. 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OATH OF SUBSCRIBING WITNESS OMMONWEALTH OF PENNSYLVANIA I ss: CO Y OI~ CUMIlEHLAND \ This..,.............., ..................,.......,..........,....,........, day of .........",.............,..........,.................., nderson, Iwgist.cr for the Probate of Wills and gl'llnling I, erR of Administration in and for said County of mberland. in the Commonwealth of Pennsylva . . personally came .............. the subscribing witnesses to the for ing instrument of wri ' g purporting to be the last Will and Testament of ...............,.................................... ........,..,......... ,.,..................., Dated ..............,.......................... lateof.........................................................................., , ...........................' Cumberland County Pa" deceased who being duly........................................... acco , depose and say, that ........................................ present, and saw and heard the testa...... ........................, are the said instrument OfWfl ' g as and for h................ Testament and Last Will, and at the tim f so doing ................................................. of sound and disposing mind memory and understan . g. to the best of ..............................................knowled ..................... ........................ and subscribed before . ................................................................................. ................................................................................. Richard E, Anderson, Hegister AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND \ {, //- ...........".....:',.,.,..,.".....,",."..,1I:...2.~..,..r.:.2l".."..U:).e:~;7.t.,I./..,...,.,..,",......,....."..,...being duly .................J:L.<;::0:.::':............f! says that as nearly as can be; zcertained the said decedent .......................... .......,",......,",......,..,~cLJ....,~.:-N(:~~....".~",......<~,::y.:.f...:.4.:.-:~..,",.:"",.,....,"",.."."......",..".died on ................................................ t~e .............,t;;f...........day of .........r:.(c'!1:.~:,:.................... A,D" 19.2.2 at or about .................:/...-::............... o'Clockt.:,M. S L 'H~ d b 'b d thO '-. . i . .......................j..~,..............,an su e7 e IS (/ \ \ . (Ii' i. ..... y ..."'.fi)'.."'/:r.'.".......'" ,."..,., day of . :.;,;~.,.,?f,TI .,..., )'..r;'~'\'.(,\~"." Jh):.'.'::~\~:l\./......."....,............. 19. ......... before...'\ ';;::iJI I ~ ~,> ~\ ,;,;,'. Deputy ..;.. ~;''')..,'h\.,~ f:7,.~.., (dE.. ~;,), t.... "..." '-'-"-::'= ,,:,:.....,.,' ..ud B. .....~L....~.., Reglsler OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA} COUNTY OF CUMBERLAND SS: Before me. the Register for the Probate of Wills and gl'llnling of Letters of Administmtion in and for I z' /' the County of Cumberland, per'sonally camc .............I!Z!:.:L\y......~......,d./.t~lO,:1.,;-:I6......................... ;\ ~ 'f' ./ . LA:.. who. being duly ..,'-'J.:,i;1,~..........,' do r......... depose and say that as ........../.,I,.,~,::;;::-:-:-;...................................., . -lL-L.I'C~ [ 13~f(;.,-,- of the last WIll and Testamcnt of ...........!d::.........(j.........'...........................'...........'....'....................,deceased ............iJR..-..... will well and truly administer the goods and chattels. rights and credits of said deceased according to law, And also will diligently comply with the provisions of the law rclating to Transfer Inheritances, .........~~~,7.~........ and subscribed before me. .................,~~~.7.~~7.y.,y~............, A. D.. H~!)......... .~~'2\"i~,4'~(b"....,.!?,~!?~~;r: R~'-'lu.ud. E. ~...u~L.....~.., Register , : e.., . '-. /..'\1. '.!. \ \J . -, \" -. . _" ,( '\ .,,0:\ Ii (flv I ~. ., :t;-"\- l,.... ..\,0..!-.."(....".."""..:.'=::~\,~"':.~"....,."....... .............,.....".,.,...,",...,',.."."..,...,",...,~...."..,..,..",... ;.-d 0: :Cll "' ro: :0:: 0> :8 """r :Cll :0 N: ro: u.. 3:: *1 ril: 0: 0 ...:I: N; r--: :i!; ..:.: ~ 0: ....I CI); 0 >to .-4: 0 $.<: a I: ....I .: o:l Ill: T;"-~ 0: rilj - :3: ro: - ~ .. $.<: I: 3: ~1 U: .Q: .-4; 8: 0); Ni ><: .5 r.l; r...; ...:I: Q H: "" fl"I: ClO 0 ...:I Cll "" ~: . z ... - 0 '<1': N .s " :IF: Cll .s ... '" ] ~ "" bO "' C 0:: .- r:z:1 '" p.. ~ DECREE Be it remembered that on the .........~~,!:~...... day of ...........':.~~E~~.~Y...................., A, D.. 19~,9...... there was probated and recorded the last Will and Testament of ....~~.~.r.~.~..~,:...!?,~~,~,7.~.................................... late of.......................v.p.l?~1:...-!'!!.+.'i!~...t.9~!'!~.1:\~E'........ Cumberland County, Pennsylvania, Deceased. Letters .,..,.......~.7.~~.~~.~~.~~r......,......," were granted to ....,.".."....,"~~,:,7.?(,.,~...,"~~.~,~~,~~~...."..,' .,.,..,....,.,.,......,. Witness my hand and official seal the day and year afores~ 1 ;k.(!:y,h~:,~(13)~~,~ ~.,....~.:~.':~'! R:....Lu...... . ~ ~L~UI::--Register. - .., . . COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I. J 55: .____ ____._ Har.!'y q,_Ban1l.hofr --- being duly __6.l'lQrIL- _____ according to law, deposes and says that he _ Executor ________________ of the Estate of L~al1ew late of TJppe" A lien 'T'nwn"h;p, ' Cumberland County, Pa" deceased and that the within is an inyentory made by _______.hinL ----., the said~cutor of the entire estate of said decedent, consisting of all the personal prop..ty and real estate, except real estate outside the Commonwealth of Pennsylyania, and that the ligures opposite each item of the Inyentory represent it'. fair yalue es of the date of decedent's death, Sworn and _subscribed before me, #2 (1. ,(J A" jl ,:j- 19 1/1 I ~ ~<:: -"",'.,, (? .,..I~/(~(/ '-~""1 ~.:.....;. '1"YtJ-~~"A.<.~Jf.~: 19......., II, /1 10~1 Olrl (Jptt Mechanicsburg. Pa. 17055 Addren Date of Death 26th Day October Month 1979 Yur INSTRUCTIONS I. An inyentory must be filed within three months after appointment of personal representatiye. 2. A supplement inyentory must be filed within thirty days of discoyery of additional assets. 3. Additional sheets may b. attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. j l:--.. ~ ~I ..,; .SJ >- ~ m .... w ;j ~ ~ ~ .... ~ r w -< " 0.. .... '"" u ~ 0 0 v> " m w w <.11 c '" ... J: ~ .. m I- 0.. U. I:Q ~ 0.. " ... ....J ~ , Z ....J -< 0 I 0.. 0 U. ~ - W 0 -< w \i:i' ~ ,,:. II > z "" zl . z 0 c " ~ .; 1\ v> z <.11; 0 "" () Z w -< ~i .... 0.. -0 c ,....' - ~ 'I '"" -;: 0 " -" .... m E -0 . ~ 0 I ~ ~ 0 , ....J U u: lD (--.J-/'O Fonn No. AEV-464 RHtS FORM REQUIRED IN All ESTATES WITHGAOSSASSlmUNO(R 110,000, UNXR SlCTION 701 Of 4CT Of JUNE 16. 19-11, EffECTIVf JANUARY 1,1162. (FILE IN llUPUCATt WITH CO" Of W1LlAnACH'''' ~ /..... 7 ;2 J- DO~ (../ OFFICE OF'THE REGISTER OF WILLS *' County 01 Cumberland 1031 0It;! Gettysburlt Pike, ~. 0....112.. 01 MechamcsbuI"lt. Pe'l'msvlvama-l. ,05" (Addr.u) Harry G. Banzhoff IName. being duly sworn Executor lEalie, Adm. Legat.., E1c I according to law, dapa... and says that ha 1.lhe oltha estate 01 LiI van E. Ballew whosel..tre.ldancawa. 1031 Old Gettvsburlt Pike. R.D. (No) 1$lr..1} daceased, and thattha whole oltha aslate 01 said decedent. who diad 10 1~~.(.79 2, Mechanicsburlt. Pa, 17055 (City. Borough or Town.hlp) consisted 01: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEOENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES. GIVE NAMES. ADDREsses AND AELATIONSHIPOF OTHER OWNERS Real Estate Estimated Value NONE Personal Property Commonwealth National Bank Checkin Acct. # 312000443-1 470.35 o ealth ank Savin s Acct. 31 - 0010398 - 1 3 513.21 1 0 Shares ommon Stock of Airlift International Inc. at 71.9 cents er share 71.90 fiOO Shares Common ;.., . ..( I4A.. o 1963 Mercllry automobile 75.00_ NOTE: You may expedite the processing of this return by filing with it, and as a part of the return, letters from flnanciallnstitutions or mortgage holders, certifying to amounts on deposit or owed by the decedent as of the date of death, Such letters must be eigned by a responsible officer of the financial Institution or mortgage holder and indicate clearly amounts of principal and interest In the decedent's account at the date of death and the type of account, account number and the exact name or names in which the account Is re Istered. .ftESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED NOTE: LiAt rirftt n"e itrmlln thf' IJllrrA IlO provided, obllene notalioM thl':ll'on, and iQlltructiona. DEBT OR CLAIM NATURE OF SAME AMOUNT Funeral upenns paid , Family uemption (will not b. allowed unit.. dt(tdent di~ residing with. spouse or children.) Adminiatration EXPfnsu . Counsel fen' Fiduciary commission. OTHER DEBTS AND CL (') See Note below Total Note: The estate agrees to advise the Register of Wills if Ihe amounl actually paid in selUemenl of any fee, commission or debl is greater or ! less than the estimated amount claimed and allowed, ~,C\,() ,I ~,. '" ".. ."..,. Subscribed and sworn to before me this ........,. . .........., .~ (E:rmdor.A ml . tr ......... '\$.A..L....:. day of.. ..O-;uj-J!...,......., 19f.t?, .. JD,n 0.1 ,Ge.t.tysbur.s<.Pl .....~. ........~..,a..~~.,.,.. (StmINumotr) ~'-3 - . .1vl~~.han~~,sb.urg" .I:'.a, ,.1 ?,q~~, . ., , '" , '" YY[.....,,~-<~"-.~..~=~:jQ~ (I, 19f). ____---.!~'!..:Town andSlal'~ .T. Having been duly sworn according 10 law, I do hereby certify thaI the above appraisement is made in conformity with law on Ihis I .. .. .. .. .. . .. .. , .. . .. .. .. . .. .. .. .. day of . .. . .. . . .. . .. .. .. .. .. . . .. . ... ............., 19.. .. . ........................................ ................. Appraiser In the event that any future interesl in this estate is lransferred in possession or enjoyment \0 collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. REPORT OF TilE REGISTER OF WILLS I, the UDdersigned duly elected Register of Wills in and for. . , , . , , , , , , , . Counly, Pennsylvania, do respectfully report thaI I have I allowed debts and deducUons in the amounts claimed by deponent, except as to those items where a greater or lesser amounl is set forlh in the Jut column In the right in said schedule above, which greater or lesser amount represents the sum allowed as a deduction, I Oiled:........",.....,.,.......,....",."""... , ..... .............. ii~i..t;;~iwiU;"""""""""'" . I'. E- Z ] .. r.:l ~ ::s p;. ...:I r.:l ~J :a < {/J tIl rn - - < ~ ~ '" < Pi: to. 'c ll: Po. C '0: '" Il.o Po. 0 ...:t E-! > Il.o C:. ~ OJ < .. ril ~ ~ t1l, < 1: '" ...... r.:l .. Eo< al f..' c Cl ! .. < ..... Cl)' c ci := 0 fii , . ~ .0: ~ z Z E- Ii:l 8: ... < -- r.. I'l Z ~ ::s' 0 t: c 0 <: QJ, U: .c 0 p. .... .~ ~ p. OJ 0 ... Pi: ~ ] Po .. Il.o r.:l ... ~ ril ~ .... ,S ...:t 0 c ~ " c ... ~ 0 ! .~ < 0 ~ =E ::s .2l c ! '~"CI " ~< co 8 8 , - REV04B4 EX+ (3-80) INHERITANCE TAX SUMMARY SHEET (BUREAU llS~QN0) Fi I e Number _ 21-S0-0107 Lilyan E. Ballew ..- ---------------- Estate Nome Dote 01 Death 10/26179 Social Security Humber . --.. -.. REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Apprai.er in and for the County of Cumberland Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the Jost column to the right in Schedules "AU, "B", "elf, and IIEII Dated: April 24, 1980 gJ'l..y i /1 ) ...,p /rpJd )(/} ) INHERITANce TAX APPRAISER ADJUSTME"TS CODE (HARRISBURG USE ONLY) REMAINOER APPRAISEMENT CODE INVENTORY VALUE AS APPRAISED 92+ s None 00+ 4,130 46 \0+ None 2/H None "l~' I.. 4 ..t3.Q. 40. Real Property (Schedule A) Perlonal Property (Schmdule B) Jolnt.Held Property (Schedule E) Transfers (Schodule C) TOT AL GROSS ASSETS Le.. D.bt. and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or annultl.s. . . . . . . . . . . . . . ~ FOR USE OF REGISTER ONLY Tax on $ Tax on $ Tax on $ Tax on $ Tax on $ ElCamptlons Total Estoto TOTAl.. TAX INTEREST FROM BALANCE Less Crodits OATE OF PAYMENT AMOUNT PAID S INTEREST FROM BALANCE DU E 93. FACTOR PRINCIPLE VALUE CODE CODE COMPUTATION OF TAX $ S $ $ 6" .. 15~c I TO S S $ DISCOUNT INTEREST TAX CREDIT + $ S $ = = + BALANCE TO S S S IlEV.457 (1.80) COMMDNWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT *'~r , , . , ~..===-...;;.a. -- Estate of Lilyan E. Ballew File No, 21-80-0107 County Cumberland Dale of Death 10/26/79 In the eVlnt that any future interelt In this estate is tronJfomtd in possossion or onjoyment to cnllateral heir, of tho decedont after the expiration at any estate for life or for yean, tha Commonwealth hereby expressly roserves the right to appraise and auou trander inhoritance taxos et tho lawful collateral rate on any IUch futuralnterest. PROPERTY REPORTED BY THE ESTAH DEPARTMENT'S APPRAISED VALUE Ilone 4,130.l,6 Ilone 1. TOTAL REAL PROPERTY - SCHEOULE "A" . . 2. TOTAL PERSONAL PROPERTY - SCHEDULE "8" 3. TOTAL TRANSFERS - SCHEDULE "C" . , . . 4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E" Ilone TOTAL REPORTED PROPERTY 4,130.46 PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BYTHE COMMONWEALTH TOTAL UNREPORTED PROPERTY 1;one TOTAL GROSS ASSETS 4,130.l,6 LIFE ESTATE OR ANNUITY CALCULATION I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day with the Register of Wills, ,,-"?"P{,~/"1 ) t/llt"ht1.-Ti./ APPRAISER 4/26/80 DATE :. . '" "" ~ ~ ~ .... ~ ~ .... ~ <: .. ~ ~ ~ 11'\ Ql '0 .... . .... c: f.:i ~ .... r.1 ell <: ..... c: \-l ;:l r.1 ... '" g ~ Ql il .... "" .... "" ;:l .... u Z o-l :::> u .... .... N - 0 '"' '"' - 0 ~ 0 ..... '"' '"' Iii 0 '" 0 Z 0 f.:i '" ~ !;; 0 - ~ Z ~ ~ z ::l 0 0 ~ ~ f.:i f.:i Z Z f-o Q u ~ Z ~ ~ ell ~ 8 0 :l f.:i Q COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION __________J._____ TO:_________________ , ,- For County InfOfmlll.on purposes only COUNTY r.ILE NO: OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT DATE ESTATE OF FILE NO_ COUNTY OF DATE OF DEATH ~. -~ , , -------------- --------------------- - - - - --- - ------ -- - --------- --- --------- '// Appraised Value of Estale: Real Esti31H Porsonal Property Jointly Held Properly/Transfers TOlal Gross Esulle Total Approved Deductions Clear Value of Estate less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax Amount Taxable @ 6% Rate $ Amount Taxable @ 15% R~ne $ $ $ $ lax due tax due $ TOTAL PENNSYLVANIA INHERITANCE TAX DUE $ ,. Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT $ + $ + + $ BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE rnterest will accrue at the Inheritance tax from INTEREST TAX CREDIT rate of six (61 percent per annum on the unpaid balance of to the date of paymen!. Assessed by: seE REVERSE SIDE FOR INSTRucnONS RC(31:~rE;.1 0:= ,,'\JILL'S COpy ; $ ; ; $ Agent for lhe Commonwealth ....: ~.~~_;.....:..:..;..~ '- ..~.,..:~:;~-'.:-:-;~M,:;:r.-to.~.s;;:_~. II'P"""l;.. - OFFICE OF THE REGISTER OF WILLS ~21- Sc') -/CJ 7 STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN REV-C" (8"78) THE SUM OF / -,'- S ,-7 ')'1 (~) OF Cumberland COUNTY AND AGENT OF THE COMMONWEALTH 1. -,t' /9"1 DATe APPROVED" /I '){ .'A I ." / .. "-'J ,/. " I I .', r.:.. . ((''7:4 DATE OF FILING APPRAISEMENT /1./". ,t ,;Ii FIJ,' DATE OF DEATH October 26. 1979 NO. OF , DATE VOUCHER NAME OF PA VEE REMARKS AMOUNT Register of Wills Letters 18 00 _T-T~11 1i'''~a~~l T-Tn~a , ., AI>" Inn Reuister of Wills Filin" Fees 50 00 Robert A. Enders Attornev fee 100 00 , ESTA TE OF LILYAN E. BaLLEW LATE OF Upper Allen Township COMMOtlvtEAL TH OF PEHHSYL V AHIA } SS, COUHTY OF Dauphin i, Harry G. Banzhoff HEREBY CERTIFY, THAT TO THE BEST OF MY KtlOWLEDGE AHD BELIEF, THE FOREGOIHG IS A JUST AHD TRUE STATEMEHT OF DEBTS, FUHERAL EXPEHSES AHD EXPEHSES OF ADMIHISTRATIOH SUBMITTED TO THE ESTATE OF Lil an E. Ba w DECEASED, AS DEOUCTIOHS FOR IHHERiTANCE TAX PURPOSES. 631J ,'-() SWORtI AHD SUBSCRIBED BEFORE ME THIS '\.1."-.( - DAY OF Q)2. ~;-" . , 19 J'" 0-V\( :, "..:.." - r,' ~'" 7Tti, ~ '--/Z.J-J:....{j~f.J_e~J '7?'\./~ ~'->1~"_"-~-/.J C'l-leJ,u,v: IY.-<..', II, /91':1, (L.S.) ~-- -.- - - - - -- --- -- ~ --. - --. ---- - -- -- --. .,._......_--.___ r~ "..,... E....&. __ r.. __ ... ~.... JlJU 111<0(:'4111178) COMMONWEALTH OF PENNSYLVANIA I NO,U063136 DEPARTMENT OF REVENUE g,;:,,: . ........ '. . OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX II...... II = RECEIVED -----------------PIVB II I 1 From, I l Jdre" I ~ I ~ File No, I Dote of Payment - -*~ Harry G. Banzhoff c/o Robert A. Bnders, 205 Walnut street HUNDRBD 'l'WEN'l'Y-FOUR & 32/100---------------1!ollors representing Pennsylvania II,herilance or Estate TalC due from the following estate: Esq. 2~ Tax on s s BarriabuJ:ljJ , Pa. 17101 6rk TalC on s s 21-80-107 Dole of Dealh 10-26-1979 15'lc lox on s s Cou nty CumhArland TOT AL TAX CREDIT less five percentum 01 tax if paid within three months after dole 01 deolh Plus interest 01 the rate of _%from 10 s I 524.32 e June 6. 1980 Nome of Decedent LILYAN B. BALLEW '7c TOl( on S Estote Tax. Act of May 7, 1927 s s Remarks: s .PAm IN PULL" s 'iYOO~[P[L~@mlJ'rn 5 E A L TOTAL AMOUNT PAID 524.32 s NOTE: This Triplicate Receipt to be r81elned for eudrt purposes. 2; , ~P' . J ~ / /,/:;,t. ';'<,.:.0 : ~ b / ' '~~I't'wis Regist.r of willa (Title) II Received by NOTE: In accepting lhe lronder Inheritance talon future eslotes, prior to the deolh of the life tenant or tenanllor years, os evidenced by this receipt, il is understood Inot Ino Commonwealth sholl nol be precluded or prevented from hereafter oueuing odditionol inheritonce 10. otlhe dealh ollhe life tenanl or lenonl for years whenever II oppeors Ihol such odditionoltol mey be legally due and colleclible lor any reo,on whatsoever. ~------------_._--------------------------_. I I i I I i I , , AI.. .:.. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION TO: For County Information purposes onl~' COUNTY FILE NO: - ! I OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT DATE___ ESTATE OF FILE NO, COUNTY OF DATE OF DEATH tax due tax due TOTAL PENNSYLVANIA INHERITANCE TAX DUE Assessed by: see REVERSE SIDE FOR INSTRUCTIONS flEGISTSR OF WILL'S COPY $ s $ $ $ DISCOUNT INTEREST '*' $ + S $ TAX CREDIT = $ = = s rntereSI will accrue at the rate of six (6) percent per annum on the unpaid balance of Inheritance tax from to the dilte of p.<lyment. -------------------------------- - - - - - -- - - - -- -- --- - - - - - ---- -- - ..--- - - -- Appraised Value of Estate; Real Estate Personal Property Jointly Held PropcrtylTransfers Total Gross ESlate Total Approved Oeduc~jons Clear Value of Estale Less: Approved Charitable Exemptions Clear Value of EStale Subject to Tax Amount Taxable @ 6% Rate Amounl Taxable @ 15% Rate Less Credits: DATE OF PAYMENT AMOUNT PAID s + + BALANCE OF PENNSYLVANIA INHERITANCETAXDUE Agenl 1011110 Common.....ealth $ 'I 1 ',..:,