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COMMONWEAL TH OP PENNIYLVANIA
DEPARTMENT OP REVENUE
BUREAU OP COUNTY COLLECTION I
TRANIPER INHERITANCE TAX DIVIIION
INHERITANCE T AX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
'*
COUNTY OF r J-{wdYt-LDN!J
Thl! return must lw tOr"lpllltlHlln d,..r(lll nnd fll"d In dupllcote, with thl') r~eqlnt. r of '.'lllh In th~ (ounty wllllr.' tho drJcodont ruslded within ono
yeor after dot" of dfloth, UnlflG!\ dn Ij\(t~n5Ion I~ qrontnd hy ,h~ ~:;'lcr~taTY of r~l'!V,~nUl'
__.___________._...._._.__.u
Will -' _ 1
Admn, H.:!f/I >(9_1.__Marr:<;l,r\LL ]lefe)'J'.1nCOL,__, ,___ of 3011 ]';(l:.;LL9JltlJer Street p
INo",) I".t"..) Carlisle A
MI.c, '
bl dl d' t I d d h h' h nurvivlnn' "]10U""
0"9 u Y sworn aceor IRg 0 aw, oposos an ,tlys t at 0 IS t 0 _..""-'._m.,.,._-=-._._L1.._~J _H._t~.~____,_
(E~Il'.. Acllll., LIlt;jlJlllft, ole.)
of tho o.tot. 01, John C. Hei'elfine;er _.._________Iuto of ,130,'Ol.l[;1:1 _9L__CQJ',).j,Ql_e
IClty, Borou!Jh. or Township)
d.coa,.d, and that tho whol. 01 the e.tofe of laid docedont, who di.d on _ ~yne _?9L,J9J_6_.._
tDott'l
consisted of the assets listed below and that allowable dobts and deduction!'. oxceodod tho fair market value of the aueh and
no Pennsylvania Transfer Inheritance Tax is duo.
Jr~fJ"<ckk~ [(,'. 1((.':-I.':-"~
(~lgl1flIUfO) (Tltlo)
Type of Asset:
Real Estata, Pers.
Praperty,Jolntly
He Id Prop. or
Transfers
ASSETS
(Attach additional shct;ts if nocossary)
DescrlptiDh uf Aunt
Estimated
Markot
Valuo
Department
Valuation
CAUTION
(Do not write
In this space)
1. Personal
Property
Clothing and personal effects
$
10.00
1963 Chrysler Imperial automobile
valued in accordance with actual sale price $
RealEstate 12 acres, 4 perches, of mountain land,
located off of Old Town Road in South
Middleton Township, Cumberland County, PA,
being improved with one room cabin. Acquire
from the heirs of William H. Hefelfinger an
IMartha J. Hefelfinger, Deed Book "G'.!.,
Volume 25';' Page 16:Y. .........u~d!@. 600. $ 2,500.00
384.00
TOTALS $ 2,894.00 ( IH:cD
REPORT OF INHERITANCE TAX APPRAISER -flg.ff.
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the abovo County do respectfully report that I have
appraised the real and personal property as reported in ,he foregoing schedule' at the volues set forth opposite e~c1, item in
th. la.t column to the right, P..J!M/17 J1f//'.I!4 1(;( L
at . Julv 17. 1C)80 Inherltonco Tale Appraiser
DEBTS AND OEDUCTIONS Amount Amount Approved
Namo of Payee Nature af Claim Claimed by Regl stor
Ho ffman Funeral Home Funeral expenses and grave marker $ 3,207.00
Margaret Hefelfinger Family exemption 2,000.00
Register of 'lIills Filing insolvent return 3.00
TOT ALS
$ 5,210.00!f ;2./0 IYO
REPORT OF THE REGISTER OF WILLS
I. th. undersigned duly elected Regi.t.r 01 Will. in and lor tho obovo County. do re.poctfully report that I hove allowed
'deductions in the amounts set forth in the above schedule as c:Iair.lcd, except where I have set forth a greoter or lesser amount
in the last column to the right, which greater or lesser amount represents the""um allowed as a dedu tion
Dote 01 Approval: ()...d'7f-:J~ NfL! cJ)~~ '
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To in:iure [HOlwr en',:.l 1(> ""IH ;1\;lilJ~\t,I" n,!"'I~ (.f :r". 1"',1111'11111 Ljl~ IHUT'hlll :"'!'!J:'!:l ill' IJ"oIll\' pr'd!
ell on the ctlcc;.; I.H rnOllWy ord'H
TllI::i i';~;f'~~S~lnll'r11 i5 rl\ilde In ,'l' .i't!, ." ',,';;;h ~",,',:'{J:) ;'\/,'; ,.;I l;,'~ 1'1111'1Itll\l:,' "no! r~,:,H" d.< Ar:l (:'
1961 (72 p,~; ~i :Jtid01CUl
To Ow l!A.IL:IIl 1l1,ll ild\(:lltdnrl: Lj,(
;:d"~ '/,1, ,'1:1 (' '",' ::-;1 (rrC"lI;', '; ,ti>' :'1<.' le:,: '.' ni U" 1/,.(.,.1"111 it
discount of llvt~ (b) ~lCrct!nlls ullowed (12 p,~:, ',',14U5./11;,
InhefllcHICC Tax, nllwr thilllliJX ()l' <J Il;~,!t\. 1,1:,.',,:~~l, I:,~ \.:" 01' ':'i.! I~;il': d n,:.,' il,',:",).;nt ;': l!':'ill:' ilnd bt~co,'I\('s
delinquent at tilt! I~~pirdliofl of IlilW {aj l(l~nli1;; i:tkr Ih~ llCL:l'dt.:r',r~ d,':)~h (7: p ~ ~, 2.1l:::i~' 711) lrdWrlUlll('(!
Tax on a luluP.' inll.!rest is p<1yable within ti\rf-!/.' (3) rllO(llh~; nfll\r lilt: transl,'r lil~E~:; (~f/!~cl in pO'ise~<,iun ilnd
enjoyment und 15 delinquent thl~Hl;jfler U2. r S. 2'iL;~1-712) Cill::UliJ,I' IlIil'n~:,t lrU:1I Ii..} J~':lnq~I("'t ddle ShCNdl
on the face of tlii::; form LV the ddlf1 of actuClI p;Jyrllenll;!.tnq ::11: L..;IIOWII\g .nl"'U!>l \d~);1'
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11 plon:lIs
1211:r:1':I>:,
.050
,055
060
1 month ,005 4 [ilonths 020 'lIT,untlls
2 months 010 5 months .025 B ;' ;1)1,1 i-,~,
3 months o 1 ~) 6 months .031:1 9 1rf1)11::
-_._..._--~._.~-,...-.
1 days ,CYYJ17 11 dilYS n0Il~!)
2 days ,00034 1:: UflYS CI(l~'U3
3 days .00051 , 3 U<:lVS 002:10
4 days ,00068 14 days . ()023"/
5 days .00085 i b dol','s .,')(,50
6 days ,00101 1 G dd'/~ (jo);).Gi'
7 days ,00118 17 di1Ys U02B~
8 days ,n0135 ~ 8 rj~]ys ,C0301
9 days .00152 19 (!~"/S I~'~Y< 1 lJ
10 days ,00169 20 dDYs .00335
O:.Fi
O.1-j
'" day!) .00:352
." 22d3Y:; O():~C:l
23th'!'!; .003SG
24 d,)~':; ,00,'U3
25 d;,~'s ,QQ420
2G t:;.lVf> ,00,137
ndZ-lY:, ,00454
28 dilYs ,00471
20 del'iS 00488
30 daY5 00500
- - - __ - __.__ - ___ __.____ - - __ - - __ ._..__ ._. - ,_ _0.__ _ __ ___ _ __... _,,_.
Any pJrty in Int(~r('st. Including the Com:r]()nv.'i~JI1h (ll,d lh,~ r),-~(':cn;ll ;(Trl~~,i.'1l1a!I'JC. 11(\1 s<Jlisfi',Jd with
the assessment Illll,! l'!tw't:! IheHJlo within :;i;'-!i (GO) (kys afl~~r r/jcelpl of lllls N011Cl-l 3<; prol/ld(~(j by Scctior
1001 at ,he Irrllt~rit<H1Cf.; dl\d Est,)le Tax Act 011961 U? I) S ;: ~4W~ 10(1)
Makt;:) c:t1t::~k VI" il~Ull;N ~lt j>~1 j1il'fd:)!': In
"Rl:'~Ji::;cr of V-.'iih;,';GI~r~t'
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