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REV,S23 (10,1lJl '
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CQM~IONWBALTII OF 1'I.~~SSYl,\'A~I,\
.1lf:I'AItTlm~T OF Imn:NI'I':
IllJln:,11I OF FII~1.1I OI'EltlTIONS
l~m:ItI'I'ANm TAX IlI\'1SIO~
OFFICIAL NOTICJo: OJlINIII<:RI'I'ANCE
TAX APpn:\IHEi\lI~NT AND AHSESSi\lI';N'I'
OF ASSE'I'S NOT StlB,meT
TO AIlMINISTIL\'I'ION
TO: llarb11ru lDllpp
1650 Cedar Cliff Drive
Oate:_.__, AI'L'i1. .1, 1980
CUfllbGrlanll
Cnllp Hill. 1.'4. 17011
County
County File No.
Bureau File No.
We have received notice that, as a result of the death of Iwata CIlllcr
on 10-10 19~_, you came into ownership of certain property through right of survivorship, which
was formerly owned by the decedent.
Ullder the Inheritance and Estate Tax Laws of the Commonwealth 01 Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed UpOll you, as transferee,
The property on which tax is hereby assessed consists of: C<>IlIIlIC<lIWe<llth Ilatiolll1l /w:COlJnt 11212-542406-5 -----'-
io _s of dllCedeat w1th l\.ubarl1 ~pp eDtAblished 7-9.68 with balllOCll of .565.70.
% eqU4l8 $292.65. C<DlICll\Ioo.1th llaticDlll Account 126-0004125-05 :in I13rMlS of decedent ld.th
Barbara Inlolpp e8tablished 7-9-68 with balance of $2.617.62. ~ equnls $1.306.81.
appraised by the Commonwealth, as 01 the date of death, at $ 1.601.66
100 % of this amount is taxable at the rate of 6 %
ORIGINAL ASSESSMENT
April 1. 1980
$ 1,601.66
f(. '.',j, Uo
AMENDED ASSESSMENT
$-?~~;-!i~
3f't2. g (
~~~
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS: ALLOWED DEBTS
. NET TAXABLE AMOUNT
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 C., / r)
--------------------.
------------.---------
This tax became delinquent'lline (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 illterest ~t tll~ rate of 6% of,
the tax per annum IS also due as Ofi'^L., I,l 19.-J ,'--
in the amount of I" ti \" VI _ J ",(): \. L. J " !
..) . \, I. ,.... '" {i !,\l \
------------..-------
'If the tax is not paid by the above date additional
intere'st is due at the rate of 6 % per annum unlil paid
TOTAL AMOUNT DUE s'_Jr'! ;-"', 'C!"",. &~~1k4 =}'.MCr-'l
APPRAISED BY:--":...~~!...'.c:..__~____P,SSESSED By:~:~'~:_..~J~~_. nL~:_~i{F;t-"_L--,~~=~
(Inheritance Tax Appra;serl (Ager:~IP.r :h,~, ~ornrnVl"tthJ_i .,,~ . J ~
~~~T.RJLCJlQNS T9_TAXP~lERS<\;" / I .' i" i II). ,J;:L
~ I-S:--O - ;)/ ~
11- ~ t- V-.
To insure proper credit to your account
this Official Notice must accompany
your payment. Mail or bring it to:
Register of Wills Office
Cumberland County Court Bouse
Carlisle, Pa. 17013,
Make checks or money orders payable to:
REGISTER OF WILLS
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 Illheritance and Estate Tax Act of 1961, 72 P,S. 2485-1001,. -"".--:-.;
,/' II"
I J::".. 1.......-'
i,:~i::{'!;j~:c>',_:> :'.:ii.:> ,,;".', ',--'._;11, " ,.) ,,,.,--'
If you have alreddy paid this tax to an executor, administrator, attorney, or ollll:r person:'! representative ol;the
, decedent for fOrw\lrding to the Commonwealth, list .below the datr. paid, namn cHid 'Hldress of Ihe person to wllom
you made payment'! their officialtille and the amount. '
,
\
Date Paid
Nal~.e_~d .~~_dress.of Payee
Of Ii cia I Tille
Amount Paid
..._,__"__"_.' _.._n___.__u.....__..
.----.-----..-.--...-....-....-...---' ,--.-._--~.
Under certain circumstances, ii, allel lllil date of death 1.11 the dl!cedent. YOIl pelsonally paid funeral expenses
or other just debts of tile decedent, wit II funds derivnll Iro:1l tlw prupcrty herein taxed, sllch <Inlount" r.xpel1l1ed
by you may qualify as deductiuns against the gross vallie 01 the propC:lty in lire computation of tax due, II any
such expenditures meet all of IlIe three following tests, it is recommended HI at you itemize the payments lJelow,
execute tile affidavit, and return this nolice_ TI18 Register of Wills will examine IIle dr-bls claimed and altow those
which he determines to be proper, The tax will then he recomputed and you will receive an amended assessment
of lax.
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 suell payment, if required, and
3. These same debts are not also claimed, for tax purposes, by an executor, administrator or other
personal representative of tile clecedent ilandling tile administration of 1118 general estate of the
decedent or any other transferee,
SCHEOULE OF DEBTS
Date Paid . NameiiTPayeG"- ....-'---'..--DesCrlptioii-oT OflTfgatTon.-----\'--A-mouncpaid
1H:: ~+ l~~~~[;':~~~~~E~,~~:-~~==::~--=-=~1~dt--- =
10 -20 - GJ, 1 b.rrJ;__I'.:lI't IJJ;'lliltD_ DE.Lc.1;.;:L...G.CJ_Lc__.:.'__ll_tt_.___________,____&.JlD._
10- l~ Cha.,,,_..R._.Iint C_cH ,,__l'lvLLr:.iliL--------'m ...___,_,___.__,__00 ...__...2D_.DD-___
2 2f -F .llo.ly..-S.pi.L!..tllilsp-.-- V}:p.cl'--C.e.::________ ---'''---------... 0 c_ r,
. -2c -7 ) HI ng.ar_dn.er_Mern._____ __.____,____,_______'__________ ___.~il.h+:3--
---'-.---.. ."_.-----'- -.--- ---~-_.__.__..__.-
... ---_.__._-_.~ --------.---..---..
.----"--.------.- ,.- -----------
------.--.... ---.---..-,--.--..... -.-..---------.----.---..---.---..--.- \.::~
. ._.._.,._,------~------~--
--------.. - .-...__._~_. ---.---- -.--------.----.----.------------- ..-..----------
---------
.'" --'-- ,-------,,--- --------.---'-----:r=-
.==_~:.:~:-J:=:-='~=:==:_--:.===~~.:::::~ -'-~-::.=t--
I
I
TOTAL $ 0"1i!7 ')1 I
.--.---.-_..--""'- .._-_._--_.-.-.~.._-----,---------_.__._--------------~~--=---~
(attacl1 separate sheet if required)
I
t---'--------
_.__,.,^.____~_l_.__.__,___..._._.___._.
-----_._--~_.-.__.__.._'---..__.
COMMONWEAl.TH OF PENNSYLVANIA)
SS:
COUNTY OF Cllmber1 n:1'L_._)
1l3arl!_a '.2 1\n'~r.J:L___,___hcreby certify that the foregoing is a just and true statement of funeral expenses
and otller debts of the decedenf,___.I1L~_I;"..._G:._'.l!::J__.___n,,'__,..., for which I was legally responsible and which
I did payout of the property hr.rein t;]xed, I further certify, that to tile best of my knowledge and beli8f, these
same debts will not be claimed by any other.person, for inlleritance t;]X pllfposes,
SWORN AND SUBSCRIBED BEFORE ME THIS l' tl) DAY OF
l\pr'l . .. 19'{) .. '
Y;;oi:lii'6'''.p~-'-'']T()-Ec'r1Fi'rfre:!'". - Hfltnr,,; 1"1:: 1 T,'
]1"""" '1"\1'(0 1"1 ((:or';,"''''''O)'1 ],;,,"'.,... 1','-,.. ',)
I.. . _, '.,' }, '.' ~ r _ , " : I. . <. .. 'J .,. . ..1 '. t, I ., . .
S!.l?<wh.r_'l1C,__kYl ~f'- ().-------
SIQnalUlcofTaxpayer r-
REPORT OF REGISTEH OF WILLS
I, the undersignell. duly clecll'ri Register of Wills ill and !or tllP :r:l.l'vr: I i'unty, do ifrspectfully report tl1at I [lave
allowed deductions listed above mthe total amount of S. ~q If? ' J~ -
Date of Apprnval: _We, 11)( tq~ "- L~ 1S}11~VV)-O -M----.----
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