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AEV.523(~O.78) .
COMMONWI-:AI,TII OF I'ENIoOSYI.\,,\IoOI,\
I)gpAnT:\lgN'I' OF 1tI~\'ENlJE
IltJIlE,11J OF FIELII OI'EIt'\'I'IO:>S
INIIEIUTAIoOCIo: 'I',\X IlIYISIOX
OI,'FicIA'1, NO'l'ICg OF INm:IU'I'ANCg
TAX APPltAIHEME~T AND ASSESHi\1J;~N'I'
OF ASSI'~TS NOT SlJB.lEC'I'
'1'0 AIlMINISTlL\'I'ION
Date: Hatch 12. 1980
County CUIlIber13nd
Counly File No,
Bureau File No,
We have received notice that, as a result of the death of Gertrude S. Boittel
on 11-22 19 76_, you came into ownership of certain property through right of survivorship, which
was formerly owned by the decedent.
TO: Clifford A. Belttel
54 South West Street
Carlisle. rn. 17013
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania SUCl1 transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you, as transferee,
The property on which tax is hereby assessed consists of:Dnup\ds! DIJPOIl~t Bonk 6 Trost Mcount *14 10 181 2
ia jolrlt IK1IlIQll of decedent or Clifford A. Ilclttel lt8tllblblllld 7-9-75
appraised by the Commonwealth, as of the date of death, at $ 619.29
SO % of this amount is taxable at tl1e rate of 6 %
AMOUNT OF TAX DUE
If you pay the above amount within three (3) months of the
date of death of the decedent, or on or before
19_, you may deduct a discount of
5 % of the amount of tax due, or
/ (, " I)
AMENDED ASSESSMENT
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$ .<,O~, (,,:5
(,.5J' 1"'1
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DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS: ALLOWED DEBTS
NET TAXABLE AMOUNT
ORIGINAL ASSESSMENT
March 12, 1980
S 309.65
:\ Of; /''-'
--------------------.
---------------------
This tax became delinquent nine (9) months after death
(one year if death occurred prior to December 22, 1965
and fifteen months if death occurred on or after
December 22,1965 but prior to June 17, 1971) and in
addition to the tax, statutory interest at the rate of 6 % of
the tax per annum i~ al~o du~ as Of~r" ~__19..:!~,
111 the amount of 0" ......l ~.~'-' , .", -r"t", Yq ,U
t( ;\.0.. (\. ",,(
"
* If the tax is not paid by the'above date additional
interest is due at the rate of 6% per annum until paid
--------------------
---------------------
TOTAL AMOUNT DUE
S~~~J.~(, ~--.-~_).L(<l3 stf>~~~,
__ ASSESSED BY tJILJ.J.-__tI.L::_ 'r'<,,:"---.j~',-L___ ~
,. (Agllnt 1m fhe cOn1mo~-~!.'a}lh}.... ;'....__ /~ A
IJi~lfllJCl:!Q~_~_!Q_,i~~~{~,~l^! hr''"')j' .'6 If) ,YJ!a..
To insure plOper credit to your account
this Official Notice must accompany
your payment. Mail or bring It to:
Re9iater of Willa
ccurthoWle
Carlisle, Pa. 17013
APPRAISED BY:_.:.._____':~______..___
(Inheritance TilX Appr3iser!
Make checks or money orders payable to:
RBGISTBR 01' WILLS
0../- ~o-lr'Jr (.(- .::t.6-~
NOTE: Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of
said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961,72 P,S, 2485-1001,
,,',
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If you have already paid this t,x to an execulor, administrator, al\Orney, or other persooal representativf, of the
decedenl (or forwarding to the commonwealtll, lisl below 1110 Ilate paid, name ,1I1rJ address of :110 person fa whom
you made payment, their olliciallitle and the amount.
Date Paid
Name an?~ddress_~(-f'aye~
~m...___m"--'--'_.'
Ollicial Trtle
Amoullt Paid
.-.-"'"-'-''--'''
...._._.,--,.~._.._---~-------
_______..__-.. __...__. ,m_ _. .
-......--.-.-..-..--.-..
---------------.--------..---..
Under certain circumstances, ii, aller tile date at deatll 01 the decedent, you pmonally paicl funeral expenses
or other just debts of the decedent, witll (unds deriv(fcl fronl tllO property Iwrein taxed, !;lIcli amounts expended
by you may qualify as deductions against the gross value of Ihe property in tile computation 01 tax due, If any
such expenditures meet all of tile fhree following tests, it is recommended thai you itemize the payments below,
execute the allidavit, and return tllis notice, Tile Register of Wills will examine the debts claimed and allow those
which he determines to be proper. The tax will then be recomputed anrl yuu will receive an amended assessment
of tax,
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1, You were personally legally responsible for these debts, and
2, You actually paid these debts and can furnish proof of such payment, if required, and
3, These same debts are not also claimed, lor tax purposes, by an executor, administrator or other
personal representative o( tile decedent handling the administration of the general estate of the
decedent or any other transferee,
SCHEDULE OF DEBTS
0.1. P.;' he .Ni,,:~:P.y...~.:~=:=:o,",.r@"@:O@fij"O"::=.]. .}mo""tP.;L.
)~?-n-:1iL '\1.i..DK_B,r-Q,.Fun . Home__ _..Under-to,l'.er,-- _,____,____'" ,..'-' ",.' .._-!---,-..;'i-7-J.Bl----
12 -7 _ JI..-Lent_on.-H .J)_._-- _.J)oc-t.OI'..---,-----------'--------'--r---- ~O~.oO--
-21} -7.9-- JleX[eJ..tinf~er _____,___ _G~'1.'1_e..Jlt.one___------------,--,------'----0-?-.-OO
_ =--==:_=.:=.' _:~=:=::-~ -=-::-_~:===__=~_=:=::==-::::::=:==:==-=r=='--------
-"-_._---_._~-----_..- ---------------
_._..+--~--
-.-.---..---.---- ----.-....-
---.----...-----.---.- --------
-=-=--=::=- ,",' --~~==f~= ---=~-~-=-~==--- --~-'--=----
_ =1="-==. :~.: 1: ..~.=:===------
\_--------------------- '
-...---..-----.------.-----.----------
,- .-..----.----.- ---------~-----
TOTAL $
(":i3. G1
_J
..---------.----------
(attach separate sheet if required)
COMMONWEALTH OF PENNSYLVANIA)
SS:
COUNTY OF~um\Jer1.and ___J
SWORN AND SUBSCRIBED I3EFGRE ME THIS ",E:- ,__DAY OF
_----------.Apr-U--- 1930_ '
_- ,_-----,-----------' '-------REPOm-- 6f-REGIS'fER '6'F'WILLS----- -' -,----',.,'----- ---------
\, the undersigned, duly elected Register of Wills in and for the above county, do respectfully report that I have .
allowed deductions listed above in the total amount of L,~ieS~.-J:rt--------- \ ,,--- '
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