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REV-litO (8"78)
COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUr.
BUREAU OF FIELD OPERATIONS
TRANSFER INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT EST A TES ONLY
OF RESlDENT DECEDENTS
COUNTY OF
CUloffiERLAND
This return must be completed In detail and flied In duplicate, with the Rogistor of Wills In tho County whoro tho decodont resided within nino
month. after dato of dooth, union an utenslon Is grantod by Ih~ Socrelary of R.,VOflUO,
Will ~/~jd~ 0I~'
Admn, No, 19_ I, -.Rohe.tlJc.-5mith
(NAME)
"Q.(LllaiD-viaw~ad,__Camp...Jli.lL,.EA
(r,OnrlF5:;1
Mise,
being duly sworn uccnrding III law, deposes lI.ULI says thnt he is the -p_urvi Vi.IJ.-fl~.9j~.n.t__t.<;!_n~an:t_, ___...
(I:Xt:C" ADM" Lt OA' FE, ETC,l
of th"..,!t(1tte..>f-=-.Mar:.yJ ._Emi_th__._.___._.._._______.._. laic or_LOW'ilf_All en__.Townshio,..
jointly owned property -1L.1 v, llU~QU',H, oF'( rb-WNSI-\lf'-j
dcceased, and Ihatthc wholc of thcfsli!!f of slIid "CCcdCOI, who dicd 00 April- 30L 1980.-. _.......__.......__
(VATICI
consisted or the assets lisled below and lhal allnwahle debts and dedl1l':lions exceeded the I"air market value of the aSSl'ts und
Sworn and subscribed bofore me
th. /!/~~y d.' ~-L
ReTa~~:nP,~n Ex r03 Dee, 21, 1981
P'9_rn4p!\1l,< C mOO,land County
Held Frop, or
Transfers
19~
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. ~~~~L~ '~F--=-~. ,.C.__._____
-L)-t !SlGNATUR~~ .....' L4(rlTLEl
no Pcnnsylvania Transfer Inheritance Tax is due,
ASSETS
(Attach additional shaols if necessolY)
Description of AssaI
Estimated
Markot
Valuo
DopoltUlunt
Valuation
CAUTION
(Do not write
in this space)
Jointly
held property
Savings Account No. First Feder 1
Savings & Loan Association OF Harrisburg,
Mary L. Smith or Robert L. Smith, Balance
at date of death C$1048,62).I~/"j,9-&
Account Joint since 1967
S11, ..2..3
TOT ALS
$524.31
~.rr ,. "J~
REPORT OF INHERITANCE TAX APPRAISER
.. the undersigned duly appointed Inheritance Tax Appraiscr in und for the above Cuunty du respectfully report tltall havl:
appraised the real and personal propcrly as reported in the foregoing schedule at the values sel forth opposite each item in
the last column tn the right, ~.I~", I" F(/fldfL,#I)
Dated: July 23t 1980 \INHERITANCE TAX APPRAISER!
Nome of Payee
DEBTS AND DEDUCTIONS
Nature of Claim
Amount
Claimed
Amount Apploved
by Ragi5tor
Neill Funeral Home
Brachendorf ~~morials
Myers, Myers F,lower &
.Johnson
Register of wills
ale funeral espenses
Grave Marker
$354.40
200.00
Legal services
Filing fee
25.00
3.00
TOTALS
582.40
REPORT OF TilE REGISTER OF WILLS
I, the undersigned dulyclcctcd Register of Wills in and for the above County. du respectfully rl~pml that I have allowed
deductions in the amounts set forth in the abu\'e schedule as clllimed, exc.;cpl where I have set rnrth a greater (If lesser amount
in the last culumn to 111' 'gIll, which greater (J( lesser amollnt represents the sum al.lowedas a deduction, 1
, /-- a ) '"' . '/ 'J J . J
Dale of Apprnval: "< .~ U { .,C .tffi4/
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REV-8,a FOt (&oaO)
'*
Commonwealth of Pennlylvanla
Department of Revenue
BUREAU OF FIELD OPERATIONS
P.O. Box 2970
Harrisburg, PAt 17105
NOTICE OF FILING OF APPRAISEMENT
IN YOUR REPLY
PLEASE REFER TO
Investigation Division
Robert L. Smith
20 P1ainview Road
Camp Hill, PA 17011
RE: Estate of
County of
File No,
Mary L. Smith
Cumberland
21-80-0416
Dear Mr. Smith:
You are hereby notified that the Insolvent
appraisement in the estate of Mary L. Smith
has been filed in the office of the Register of Wills of Cumberland
County an July 23 , 19.!!Q., Said appraisement reflects the following valuations:
i Real Estate None
i Personal Property None
. ,
Jointly Owned 579.23
T ransfels None
Total $579.23
As to such tax that is paid within three months from date of death, a five (5%) percent
discount is allowable, As to any tax that remains unpaid after nine (9) months (fifteen months
when death occurred from Decem bel 22, 1965 to June 16, 1971, inclusive; and twelve months when
death occurred prior to December 22, 1965) from dote of death, interest at the rote of six (6%) percent
per annum is charged,
Any POlty in interest who is aggrieved by this notice may object thereto within sixty days
after receipt of said notice os provided by Section 1001 of the Inheritance and Estate Tax Act of
1961,72 P,S. 2485-1001, P,L. 373, '
Date
July 23, 1980
Signed
~{~C'i/d/ rflfo?"./ J
Title Chief Aooraiser
NOTE: This is not 0 bill.
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