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HomeMy WebLinkAbout80-00191 ...... . ~j I, . . ...m~\. i'~-,---",-______--,-__-,-__________ __ _ __,_ _ _ _ ____...:... __-1.~lF j:iii ~ RECEIVED f~ F~om: I,'i~ ~dross f'il '. F" , Filo' No. 'Doto of Paymont -..--. ....... .~ 8r~~~l:r''rlhj'''d".I'\~1 ~r I '\"""'"~',''' 'r\". '~I' r" ,'. ,-,j ,I..,.' '. ". 'c'," """~'lI'.l',:\r",,~,~,:;~":&:tJ\'r&(~\ \1 :!;?MMi;~~~li~~~~~~~jtii,Y:~9~tM.o"NWJ;~~T:H;, 01:., P~NfIISY~V~.!'l'.IA:'~::~~,~Mi7!!ti~.,;,',,;~:~, ";UI /i'!~ilt,j'1u'J';".'\Y/."r':;'1,~{7.v.~"~I;~,f''':;DEPAR''MENT OF REVEN"'E"\ i;'I){',.'"~{'.L.,J .{J\~~ 11,1 /r~; ~ ~. "I... ,\~,i'{".II"I~'AVI~.:l~'IJ~'I*R' .('<" .' . ... l"'r",'('i"\'i'!','-.\'i<,If.<::-",'tr " QFFI'6i)\tt'R'ECeIPT'::'-P'ENNSVLVAI,iiA"INHER'ifANce:AND''~STATE;TAX ~:;:l~#,;'i~'~;fr.y,~g.~~Mj'!~:\';i~(lj;',~~~~~'~il,:;MI':.~t:;("t~'A~2;";;',:,('i; ,~;(~'::i~f~~,'~ ,:,~' ':i'~".'i:'{~'!.2~~lW:.j~j~:(.;.: N,::4e;?;;<;~" l,\~~;~)~~.;;~l~,.t(f,: "_.. ~. ~l\'" ,.. ,~, ---------------------- ---------------------- dollars 0/0 P.O.' Myua, Hyen, Box 125 r 10111l1Z' .. represenllng PennsylvanIa Inherllance or Estoto To, duo from tho following ostolo:' ohMon, Attya. 2% To, on $ bZ'J.1 24. 1980 '7" Tax on 5 Estoto To" Act of May 7, 1927 S $ S S S $ 60.80 LUIoyne, Pa. 17043 6% To, on, S 21';'80-191 Doto of Doath 12-23-1179 150/0 To, on $ Nomo of Decodont IDIIA DLAJICBB JlOBJ:JiIIIOII County as CUmberland TOTAL TAX CREDIT less five percentum of tax If paid within three months oftor doto of death Plus Intorost 01 the rote of _%from to $ , , , :,Remarks: .) -PAm OJlAl;:COUft- $ '"C"',,,,' " _ ,':,:. ~OrE:Thi. Triplicate Receipt to be retained for aUdit PUrpolet. lrOO ~ [p[L~@fi\lrrn 5 E A l TOTAL AMOUNT PAID s Rocoivod by ;:. NOTE: .In occ.pllng ,Ihe tranlf.r Inheritance Ie. on future eltotel, prior lo.the deolh oflh. life '.', 'enonl or lenant for yeorl, 01 e...l~en(eJ by Ihil re(llpt, II II underltood tholthe.Commonweollh ."hall "nol.. b.. precluded or pre....nl.d from hereofte, ou.nlng additional Inheritance 10. ollhe death of th. o ;life I.nonl or I.no.nl for yoo,r" wheneve,. II opp.arl thai luch addillonallox may b. I.gally due and '-"collecllble for any reolon whotloe....r, I . RegLateZ' of l!lllo) y .,,', ~'~-'----:--7"--------_._----'---'-~--'--,~~,d; '~r:';-\! "" o ~, ;' .':;"t<" , J ~~~ ',1.. .+ '. , ,: ., ,'~ -: ,>~~:~,.,~: i 'J, ,~,.' .~ :'" "I " ...'" ..,. , . . .":: 00 Eo< Q C <11 0 z :al ,...j tIl ... ril 1--1 C '" .. ::a .., i ~ .s:: '"' ... '" ril .>11 ...: 0 0,; :>< rn .~ rn t-:l .- - z'A - ...; ...; ...: 0: u '" ...: "" 0'1 c:<: U). 'c c:<: <11 ...; Il< rz.. z. " 00' '" Il< 1--1 'M I 0 0 Il< H: ~ C' > Il< . OJ C 00 ~ ..: ~ ril ~. <11: >. ...: 1--1 " III ~ :: :: O. ...;' ., t-:lO :> ~ ~ Eo< '" ril 1><' '!j 1--1' " A ...; ...; N 0 ~ :I: .. ...: OJ: '" Z -f>.l :>, 0 Z Eo< Eo< ~. 1]: Il< ...: 1--1 1Il rn iIi' .g, ..... OJ -lt1 C --- ril rz.. u: ;j: 0 Eo< C tIlN C 8 " <= 0 ~: ;1 U' .r:: c:<: 00 1--1"'; Q) "- .51 0 .... 'M Q) "" N ... c:<: 1-1: ~ 0; 0 Q) :>, K ~ f! ril ~. Cl '" Il< ::::<:0 u ..... ~ ril - ... ~ I:fI I'QQ) u ., 0 " c:<: " 'c ..:: .... 0 :>, - C 0 ...: z. 0 a ~ o 1Il .:>, z ='6 Q' ~ " 1><1--100 ! '~"Cl ::a ~: ::l Q) e 0 \::..: '" 8 0 ~ ..l U . :>1 ~ Cl) U:<:1l<1-1 .' I i i I I I I .1 I I I I L REV.484 EX+ (J.ao) INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) , File Number__.____ 21-80-0191 Estate Name .___,____~Q~!.N~N, Edn~:. Date of Death_______,_!!/~~!!'!._. Social Security Number REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritanca Tax Appraisor in and lor tho County 01. Cumberland Pennsylvania, do raspoctfully report that 1 have appraised the roal and personal property as reported in tho laregoing return at the values set forth opposite each item in the lost column to the right in Schedules "A", liB", "e", and liE" Doted: July 23, 1980 INVENTORY VALUE AS APPRAISED COOE Real Property (Schedule A) POf.onol Properly (Schedule B) Joint_Held Property (Schedule E) Tranllfers (Schedule C) s None 00+ 149 76 10+ 9,776 17 21)+ None 30+ TOTAL GROSS ASSETS _______~J25 93______ Less D.bts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE 40- Valuation of life estates or annuities. . .. . . . . . . . . .. RATE FACTOR FOR USE OF REGISTER ONLY Tax on $ ~ 6% Tax on $ 15% Tax on $ Tax on $ Tax on $ Exemptions Tolal Estato TOTAL TAX INTEREST FROM BALANCE TO Less Crodlts DATE OF PAYMENT AMOUNT PAID OISCOUNT S S + + INT EREST FROM BALANCE DUE, BALANCE TO J.liloftH /,,} 1"11/ /' il,} ",./ ) INHERITANce TAX APPRAISER ADJUSTMENTS (HARRISBURG USE ONLY) REMAINOER APPRAISEMENT COOE 92+ 93- PRINCIPLE VALUE CODE COM PUT AnON OF TAX $ S s $ $ $ $ S INTEREST TAX CREDIT S = $ = $ S S ~ ~ <:: ~ ~ ~ 0 '" '" <:: ~ "'" z ~ ~ .,.. 1 0 :>< ..c .-i '" 0 ~ '" "" ~ ~ p:; Cll " '" il 11l ;:l . .-i ~ " ~ ....l u Cll ~ :$ 11l ~ <:: ~ ~ Z '" ,., '" 0 f<l Z U .-i N N r.. - r.. ~ 0 c:i ~ r.. J.>. Eo< 0 tIl 0 Z c:i tIl tIl :>< Eo< c:i - ~ Z Eo< ~ Eo< ~ Z Z c:i - c:i p:; 5 :.: ....l ;:;: ~ ~ ~ ....l Z Z CI u " z ~ ~ tIl ~ 0 0 ~ - ~ u Cl ....l . ':~::~~:':'.:....;:tL,::,':i~:.:;'2f7:~:~ .. . . -.<~,~{Y~~L~:~.i~t~::~~ t' , ~.:"',u~'!;1i?:1' '~ ~., i~1' ',,,: '.':' '~I DATE""a~( ./:; j 1;(,)', .,:'{;Kr: ESTAri~F/,:i~1 ;,-,/'~;,!;/' .,:,jj \\/:~:,;~~{~16' FILE NO. ".-:./ -';: () -, , , '. ':,' .,,':;j: ': " . \1), ill'; , (' j;" :, (, , : .'" .;"::' COUNTY OF ,. .~tt, J )t;../;I'r......C-Ct:~~'1 ~:.-' ~ " I., - d1 I ,} ~lrl; ;/',;::: ~S;;1![' , :I~~:t ~_c_~-,_c-_m_m_____m_':~:~~~':.~~~c:L:_~~~~~:~~\ "ppr:al~ed Value: of, Estate: ,,' "~',': /,'-:.:r~~!),:-{iV~~l~!~ .,I:';J~~:;;~S!i~;~~~rtV '.'," ' $.; /4 l ?/~ ,'/ <~~t1~i;~ , ii..,;,,,Jolnlly,Held PropertylTrensfers -, 'I '7 {; 17 ' "''':'';';i'''''':;-;~ ,&~iJ~i]~~:~;k~;~';~':,: " , ' , $ 'I 'I;; ~:. 'j 3:'1 ::/1;,.'b:%~rF :~i!~:/;~\';i:~i:':i;,;,;;ti;:;., '., " ; ,.:\.:~,;"" ' , ,Totsl 'Aplnovod Oeductlons' '~, t, L) 'J, I j I ((;;~;i:1,,(':',;"':c:. ' I~ lelir.Vslueof,Estiue" $ " j;' 'If,. ,,!.,;'<' ':t0~,:'NJ:~)~~;t:jM{.;:':~::~,:'~{~ :'i~;',::,~~;'::" ," '" , ' ~-~~.- , ' :~~):A~1;\.~~k~~~~{:f'P~~ov;ea.,~h~.r!t8b!e ,eXemptions' V~J};~~,~:i\y?:?!;'/rf)j/"'t~r:)::>'i;t:,',,,,~~,>~:-,, '", :"" ' : 'Clillir.~1i8Iu~oi Estlii. S'ubject to TBx, ii;iJil:fff:;Fi\\:~'.,,:i;:;......' . .'.., ' i ~""'5{".':,A'1'otin\',T!xs,ble'@ 6% Rste ,.0 .' ,,$" . r d~N{Ca;.rQ.::::;~~-~:":J;'i",;,;:,\.:',:;_, ~':i.. ,: _' '::,":' . n,'Amounl Tsxsble:@:15%Rste" )~}~~:0r,:{.t;:'\ ~,,' .':.c,," ;'GXj;,:';:,,:",;,-,:.': ":;',:::, ',,", '~~'i,L8$S',Credlts:,,':_ ,...;:1., ,_ :;I,'OATE"oi='PAYMENT: ' " AMoUNT PAID )I.:?::;;,~'!,\::(::::~,;~:>;: r;, /_<,:,) :'" _':::~ : , "I"'! ,,;, 9 ~..J Ii',';:: tJ, ' ,$ $.~',."','i,',.."",~~,f.,;,',;,,':,,!;~,,,4,(~j'{il)' ' ~--:-,-'~:-": "'\:",',~'~',:~/,{\>' " ....,.,. .'- ------- ..1._" OFFICIAL NOTICF. OF INHERITANCE TAX . ASS,ESSMENT :",';'" <'.';:' ." \ '1., '" I ,', ,./, : _' ' ,i /'..1 ,',r 'j, .-' "",','t.;.; '~i'i..)' "' ",' I J 'i,' fjf...(.f,'(..,j ~I (/:-,j,;~I/./.(,/J'I> , , , . .,' ',:' ,~~ " '/'" (,.. ";") 'J...t'r;, ,('l.A",." ',;(,.;..,---.':-- . ./'l~) .'\:" ";'-' .:) ',;, ':-<)~ " 'I,"j I' $ 6'...., tIC - / . ',- <'I .,'>A, ., '.' ",' ~':(, ;':::' " ':'jI .'j', , (f: ;i -.;< tax due ":.:",:.ri. '$ ,3 . t8X' ~ue . .;,: ,,\_."":_:,.1." "A . ,~, " . "", ,.,,"- " TOTAL PENNSYLVANIA INHERITANCE TAX DUE' , ". -:.. - ;,~,:t';:;;, (1.' ; \ ;:~t) ;:/i ~;'~~}~~t~:~f~f ',$'" " '{"""""'!' ,,'...... - ~~ .~ ' ' ~", ..~~ ",',J"'" "'-'\' ,.-,,,,-, ':';'1,.' ,>' "";"" DISCOUNT INTEREST ,TAX CREDIT .."",, !'/:-' ..'," ..~';f''Z<(t'*'tJ' +$ i:J ,'/:) . ;; l $ G jl!.;~ 1'/. . ~'1:' . ;^'^ , . .{'-:< 'i;..', J..AJ'U,IJ., + = ',0' ; 'It) Iv . (.. . j',' ;;-,' , h'" "':i: ~'I ,:-' .,; ,+ = ....;.--.::::(1.'.',:,;/" ",,' }, :/:;;<,. '",:" BALANCE OF PENNSYLVANIA INHERITANCE TAX OUE ~{iij;}};' '. '., " ,::;;i, ,,;... !: Interest will" sccrue, l~i\~"~i~,f;~~~:~,''';: :', ',~",---:,,' ',': '-,' ~,~I\)ii,::, \n,~,o'r,llan,ce, lax .",' ,,<':',"'(;: " "., ,;;':,.., ", "('r '.' ,~!~~~~~';\'~ 'tJ1'8,;s<r \,~\~:.~'~i ':;,:' , :' .-'f" $ ._:.::,tt " ';~, at'lhe from rete of,' six (S) . perce'l,t per annum on Ihe unpsid' 10 . Ihe dSle " of bslsnce paymenl. Df" -",; "."." .i',""-' .,; Assesssdby:)j),/,) ',)('X:,u;.,.,lJ , Agenl for the c~mmonwtllth " V ,,',," !',I ".,::.\ "";'>, ~.," . SEEREVERSESIOEFORINSTRUCll0NS REGISTER OF WILL'S COpy," :",-, OFF ICE OF TIlE REGISTER OF WILLS / - 8'().- If/ STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN REV-4!l!l (8"78) OF COUNTY ANO AGENT OF TIlE COMMONWEALTH I /1,.- ': f"/ I /-/:,1/1/ ;/ ,/ I )// / ESTATE OF EDNA BLANCHE ROBINSON LATE OF Borough of New Cumberland DATE OF FILING APPRAISEMEI'lT al.)!0(;(3 l/JrJ DATE OF DEATH Decernbe r 23, 1979 , OATE NO. OF NAME OF PA TEE REMARKS AMOUNT VOUCHER G~lbert W. parthemore 1 Funeral Home Funeral exoenses 2,565 90 2 Camp Hill Nursing & ~_ " 0 ._-~ f'on;:o~ Decedent's account 408 00 . 3 William A. Blacksmith, M.D Decedent's Account 285 00 4 Professional Pharmacy Decedent's accoun t 13 87 . Final bill - 5 Kralv's Nursing Home Decedent's account 83 64 6 Marker Inscription 35 00 7 Register of Wills Filing RCC forms & Debts & Deductions 6 00 8 Notary Fees RCC & ~bts & ~ductions 2 00 9 Myers, Myers, Flower & Joh j1son Att:orney fee 250 00 . TOTAL 3,649 41 . . . " COMMONWEAL TH OP PENNSYLVANIA 1 COUNTY OF CUMBERLAND' I SS, I, WILLIAM F. ROBINSON HEREBY CERTIFY, THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBT~ FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF EDNA BLANCHE RuBINSON DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. SWORN AND SUBSCRIBED BEFORE ME THIS '?f:.U . 19 .N C) '. -~~;AI\Y PUE~~^ - . <s- M, Co_I.sloo IJpJr.. Doo. 21, 1981 1Mmo~.,' PQ. CumbedaDd COU!ltr if .-,(y ~/-, . , ' -~/:', I"~'.~':' '~' . _~_ /~j.I' ("1f.1 f Ii". tt.'/~"""(~""- william F. Robinson DAY of (L.S,)