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COMMONWEAL Tli OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
*'
RCC~I03 (3-731
COUNTY OF Cumberland
Thll raturn must bo complotod in dotall and filod In dupllCntn, wllh the Register of Wills in fhe. County whore the decodenl residod within nfne
months after doto of douth, unloss on tlxtol1sion is grontod uy Iho Secrotary of Revenuo,
\Viii ~ / -f!tJ- /?7
Adnm. No. 19_ I. _J.oann~L.~liei,s.s
(NAME)
MiSl:,
heing ~uly sworllllccording 10 law.dcpIlSl~S ami says IhaISlt.~ is the -wife_an.~eaate~ _ . _
(EXEC., 111'JM., LEG"TEE, ETe,l
of Ihe cslnlc 01 ____CharlesA._..Weiss ___ .,_ .,._____.,__. laIc ol_HecuauicsDuro..Borouah,_,_____.,.__,_
ICilY, BOHQUC.H, Q1"{ TOWN!;HIPr'
or..lJ,2 E. Potll.9._lliL~L~ch. ,_pa.
t"UDHESSl
dcccaSl'd, nnd Ihal llil' whole of Ihl' l'stalc Ill' said dCl.:cdc.:nl. who dit:d nil J.anuary-.8TDIi~-~)80~---------.--._---..-_..._..-,--
consisted of the assets Iistcd bcltJ\\' IIIHI thai allowahlc dchls illltl dt'lltlt:tiolls eXl.:ceded tlw fair market value of the asscts amI
no Pennsylvania Trullsfer Inherit:Ull.:C Tax il' duc,
Swo," ~:tdbod bOIO'~. mo
'hO~ -~P!!!f- 19,f/)
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GNATUREI I TITLEl
,
Typo of Auetl
Real Eltote, Pen.
Property, Jolnlly
Held Prop. ar
Tranlfers
, ~.vt'ltlP"1 rlJlJad'J~qwnIV
186 'SZ AV~ SlllldXl NOI$SIl\WO~ All ASSETS
Nnm ~HOA 'lwnOUoa 0' ._--
:man' . \'~~~11HLddlllallal,huoh if n(lco5llary)
d ^~V10N 0l1VH8 NVSno Dou:ription of A~5nt
Estimated
Market
Value
Doperlmanl
Valuation
CAUTION
(Do nol wrlle
inlhlsl Cll)
Personal
1970 Ford Torino MFG No. OA36F28l884
$ 300.00
Personal
1972 Ford Pinto MFG No. 2T12X2780l0
500.00
too. 00
REPORT OF INIHJRITANCE TAX API'Il,\ISER -<I{}df.
I, ,the undersigned duly <Ippoilltcd Inheritance Tax Appraiser in ami for thc above County do respectfully report that I have
nppraised the real and personal property as reported in lhe foregOing sl.:hedule al the \'alues sct forLh opposite each item in
the lnst column to the right. ~~.. . ;;f.' 1/
April 10 1980 - ,/:",,",/, '~/!J r,
Dated:. (INHERIT/,NeE TAX APPRAISER)
TOT ALS
$800.00
Nomo of Payee
DEBTS AND DEDUCTIONS
Naturo ofClllim
Amount
ClaImed
Amount Apploved
by Regllter
Myers Funeral Home
Funeral Bill
$2,404.40
L
TOT ALS
$2,404.40
t'<I'1o
IU.,I'OllT 01' IiIE REGISTER OF WILLS
II the ulldcrsign~d duly ~Iccted R('gislcr of Will!>. in and for thc'ahove COlllIlYl tlo Tl~speclrully reporl that I ha\'c allowcd
deductions in the amounts sct forth ill lhc ahn\'c schedule <IS d:limcd, Ch'cpl whcn.: I have set fmlll It greater (II" lesser limo un!
ill the IlIst column (oth; right, \\'hirh grl~alcr or ICS~l'f ;I11HlIl1J1 fl'IHl'~t'l1ls 111(: ~ allowcd in; a t1cducti 1.
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