HomeMy WebLinkAbout80-00160
COMMONWEAI.TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITMICE TAX DIVISION
INHEHITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
*
,
R~C"OJ (,\-73)
COUNTY OF
Cumberland
This roturn mUl:1 bn cnmplfllod In detail and fllud in duplicato, with tho RO!Jlitut of Will. In tho County WhOID Iho duenden! ruldod within nllla
months aftor dolo of doath, unloss on oxtnnslon Is grantod hy tho Socrulory of RovunuD.
Will
Adlllll. No.
Shirley E. Keesemnn
1"_.1.
<If
R. I), II 2. Box 201, Newvllle, PA
1^()OHE~.!Jl 17241
(NAME)
~lisc,
hcing lluly ~worn :H~ctJrdiI1A to law, deposes :tnd says IhUIShc is the
widow
I~XEC., ADM., LEGATEE, ETC"J-----.---
<If Ihe estate <If_ErnesLL.,_Kees.eman..________. laic <If--.1!P.R!;CLt1iJJLi.n Tow"n."-hJlh_.___"..",_."..___
letTy, 130IWUGH, Ol~ TOWNSHIPl
dCCCllscd, and lhal the whole of tlw estate of snill decedent, who died 011 __..~~p-te1!l~..~~J~,L__~~~._._.__._...___________.___.__
IO^TEl
consistcd of the lISSl:ls listed below lInd that allowahle dehts tlud deductions exceeded the fair markel value uf the assets <Inti
SWOrin:i'"~b"dbOd b,fo," mo
'>--- ,.., J. '
tho -,~ _ doy ofLZ1!J 19
- "1\ .-
,
I oJ ]t:I~ C, j) ry UK
RJ'aYEsil;\~~P~/,*,.~,. r~ ~- Clj:n~l'~"rt. (nurI'/
Propcltr{.JrJJihlllptlllOn llpirci JlJl1 31, I?~Z
Hold Prop. or
Transfers
no PClIlIsylvtlllia Transfer InheriUlllce Tax is dlle.
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LM<..I'I.",,,,,,J__
( TITL!::l
ASSETS
Attach additional shot'h Ir necossary)
D05crlptian of Auet
Estimated
Morkel'
Value
Department
Valuatlon
CAUTION
(Do not write
in this s ce)
1974 Plymouth Valiant
1970 Scout International
$1,950.00V
1,750,00v
$ 3,700,00 t!.5;'/OO, 00
REPORT OF INIIERIT,\NCE TAX APPRAISER ..i!J'J"L
I, the undersigned duly appoinlet.!lnhcrital1ce Tax Appraiser in ant.! for thc above County do respectfully report that I have
appraised the real and personal property as reported in the foregoing schedule at the \'alues set forth opposite each item in
Ihe lasl eoluIll1l1lO the rigl'l. 1980 0,"; ') ,ro' !" J J
'1c.'1'rcn ....1, .....!--:!.:~~fl1 l!iUit'!..'{(LL
Ualcd:__.__.._._____._________ IINHI~r::o'TA~I('F TAX APPRAISERl
TOTALS
Nomo or Payce
DEBTS AND DEDUCTIONS
Natur~ af Claim
Amount
Claimed
Amount ApPlovecl
by Register
Eby Granite
Fogelsanger Funeral Home
Shirley E. Keeseman
Mark and Weigle
Register of Wills. Cumbo C
Shirley A. Marburger
Monument
Funeral Expense
Family Exemption
Attorney Fee
, Filing Insolvency Return
No ta ry Fee
1,100.00
1,252.52
2,000.00
75.00
3.00
1.00
TOTALS
.5< 31. 52
t.,J..i/-5s/ S~
REPORT OF TilE REGISTER OF WILLS
I, the undersigncd duly clectcd Register (jf Wills ill and fur Ihe ahu\'c County, do respcctfully n:purt that I have allowed
deductions in the amounts set forth in the ahove sclu:dulc as claimed, except where I have set Corth a grcal,:r or lesser DnlOunt
ill the last CIIIUIllIl 10 Ihe righi, which greater IIr lesser alllllllnl represents the srm ail~' , 'cd ns a deduction,
(~. c<'-, . 1 ") I (' r, ,1" \\ 'I> C ')/ f:.
Oat.' IIf Approval: \"r ., , ,c( 1 ,(,I. (",;. .. .' "/t".~J
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