HomeMy WebLinkAbout80-00483
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1" RCC.103 (3-731
COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
'*
COUNTY OF CUMBERLAND
Name of Payee
oEBrs ANa DEOUCTIDNS
Nature of Claim
Amount
Claimed
Thl. r.'u,n mu.t b. compl.'.d In d.'oll ond fll.d In dupllcOI., wl.h Ih. R.gl..o, of Will. In Ih. Counly whoro Ihe d.cedent ,..Ided within nln.
month. aft.r dolo of dooth, ""Iou on eKlenslon Is gronted by tho Soclotar)' of Rovonue,
Will ~I -fo-'I8a
Admn. No. 11)_ I,
Anna L. Cline
of Ihe eSIOle of
Paul E. Cline
laic of
survivinq widow
IEXE:;:C., ADM" l.EGATEE, ETC,I
Ror~Ugh of Carlisle
ICITY. BOROUGH, OR TOWNSHIPl
HOffman-Roth Funeral
Home, Inc.
Carlisle Memorial
Service, Inc.
Anna L. Cline
Janice E. Hertzler
Register of Wills
Bietsch & Morgenthal
Funeral Expenses
$2,453.00
550.00
tNAMEI
PA. 17013
of 628 N. West St.. Carlisle.!
( ADDRESSI
Misc.
being dul)' SWorn according 10 Inw, deplIses nnd S.IYS Ihar Ill' is the
deceased, and ahul the whole of Ihe estale uf said dcccdclIl. who died lilt
Februarv 1:L 1980
(OATEI
consisled of Ihe USsels lisled below und Ilmlllllowuble dehls and deduclions exceeded Ihe fllir markel vlllue of Ihe assels and
no Pennsylvania Transfer 'nhcrilancc Tux is due.
Sworn and sub.erJhd be/or. mill
tho I] -u.. "'" '\
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(SI(iNATUREI
surviving spouse
I TITLE)
Deportment
Valuation
CAUTION
<Do not write
in this. ce}
#~~.{)O
REPORT OF INIlERITANCE TAX APPRAISER
I, Ibe undersigned duly appoinled Inherilance Tax Appraiser in and for Ihe above Counly do respeclfully report Ihllt I hove
appraised Ihe real und personal property as reporled in the foregoing schedule III Ihe ""lues sel fOrlh opposilC ellch item in
the lasl column 10 Ihe rigbl. .Jf/J1OJo ,'" J-f('U,J.tJ, J)
Dated: Au~t 14, 1980 (INHERITANCE TAX APPRAISERI
Type of AU.I:
Real Esrat., Per.,
Property, Jointly
H.ld Prop, or
Trans'."
ASSETS
(Attach oddltlono~lf necenary)
Ducrlptlon 0' Au.t
Estlmatod
Market
Value
Amount Approved
by Roglster
REPORT 01' TilE REGISTER OF WILLS
I, Ihe undersigned duly elected Register of Wills in and for Ihe above Counly, do reopeclfully reporl Ihall have allowed
deductions in Ihe amounts set forth in Ihe above schedule os claimed, exec pi where I hove sel fOl'lh II grealer or lesser amoont
in the last column 10 the right, which grealer (If lesser umourll rcprcscnls (he sum allowed as a deduction,
~;"-'9';~: f2,'rJ:; '0; 11%' rt;rJ~ ?("~ ~
1978 Catalina 4-door Pontiac Sedan.
$2,000.00
TOTALS
$2,000.00
Monument
Family Exemption
Notary
Filing
Attorney Fee
2,000.00
1.50
3.00
50.00
TOTALS
$5,057.50
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
TO:
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For County Information purposes only
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COUNTY FILE NO:
App'raised Value of Estate:
Real Estate
Personal Property
Jointly Held Propeny/Transfers
Total Gross Estate
Total Approved Deductions
Clear Value of Estate
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
Amount Taxable @ 6% Rate
Amount Taxable @ 15% Rate
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
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OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
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DATE
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ESTATE OF: ,-'~ c~", <' -
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FILE NO,
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COUNTY OF
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DATE OF DEATH ,/..../> ,'~; I//'c}
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tax ue
tax due
TOTAL PENNSYLVANIA INHERITANCE TA-li'DUe/ ~ s,o"{..t /;,/j,,~
/
DISCOUNT
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
INTEREST
TAX CREDIT
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Interest will accrue at the rate of six
Inheritance tax from
(6) percent per annum on the unpaid balance of
to the date of payment,
,
Assessedbv: ~,/, .,./"..'. <"
Agent for thu CO~rn~lh
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SEE REVERSE SIDE FOR INSTRUCTIONS
REGISTER OF WILL'S COpy
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