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{ FAce_'03 (3-731
COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
COUNTY OF
Cumberland
This r.tur" mUI' b. completod In d.tall and llI.d in duplicate, with tho Reglsler of Will, In tho County whore tho docodon' r..lded within nln.
month, ah.r do'. of doath, unl... an utonllon I, grantod by tho Socr.tary of Revonuo.
Will dl/- 80-1-96
Admn. No, 19._ f, Carroll D. Ginter IIf R. D. 6. Box 256. petersbure: Rd.
~rJ.isle, Pennsylvania 17013 'NAME' 'AOORES"
being dul)' swmn ueeurding In IIIW, deposes ulld SII)"S Ihul he is Klll one of the heirs-at-law
(EXEC., AOM., LEUATEE, ETC.l
of Ihe eslule of -_Glenn_E._Ginter_ IUle uf..5. Middle.tDlLTID'lIlshiD
ICITY, DOROUGH, OR TOWN::HIPI
deceased. and Ihallhe whule of Ihe eslnle IIf slIid deeedelll, whu died '"I__4Rril-L 1980
IDATEI
consisted or the assets listed below nnd Ihat allnwl1hlc dchts and deductions exceeded Ihe fair market value of the assets nnd
no Pcnns)'lvllnio Trunsfer Inhcrilul1cc Tax is due.
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(SIGNATUREI
Carroll D. Ginter
tho
19~
an Heir-at-Iaw
( TITLEI
p. of Au..:
Reol E.tot., p"".Nota
Property, Jointly
H.ld.Prop. or
Tronaf.r.
Public Corli~., Cumberland County ASSETS
(Attach addltlano~1f necellory)
Description of Anet
E.tltnofed
Market
Value
Departmen'
Valuation
CAUTION
(Do no' write
in thl.. ce)
Pers. Property 1952 Studebaker Pickup Truck
1972 Continental Camper Trailer
Farmers Trust Co. checking account 4-1463-8
250. 00
750.00
486.77
TOTALS
1,486.77
I,lff',77
REPORT OF INHERITANCE TAX APPRAISER ~
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have
appraised the real and personal property as reported in the foregoing schedule at the values set forth opposite each item in
the lasl column 10 the righl. b~~-,,/.. I ;?PhI/tiN'! )
Dated: .f/-~("':,..PO IINHERITANCE TAX APPRAISERl
Nom. of Payee
DEBTS AND DEDUCTIONS
Natute of Claim
Amount
Claimed
Amount Approved
by Regl.ter
Hoffman-Roth Funeral Hm
Register of Wills
Funeral Services
Filing Inheritance Tax Return
1,614. 00
3.00
TOTALS
1,617.00
REPORT OF TIlE REGISTER OF WILLS
I, Ihe undersigned duly elected Register of Wills in and for Ihe abuve County, do respectfully report that I have allowed
deductions in (he Ilmounts set forth in lhe above schedule as claimed, except where I have set forlh a grenler or lesser amount
in Ihe lasl enlnmn 10 Ihe righl. which grealer or lesser IImounl represenls Ihe sum II110wed as a dCdueI~.
Dale of Approval: JrL. ~ 6, J'Y'tJ c:JJf~ t!. 'r/~---;'.J . .
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COMMONWEALTH OF PENNSYLVANIA
DEPARtMENT OF REVENUE
INHERITANCE TAX DIVISION
~.-",-
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OFFICIAL NOTICE OF
INliERITANCE TAX
ASSESSMENT
TO:
DATE___ " ,
ESTATE OF r )
FILE NO. ...;/ / f ~.
COUNTY OF . / ~ ,r.-A
, I ,t
DATE OF DEATH .' , .' / "
____ /'l'
./.
For CounJy lnformDflon purposmi only
COUNTY FILE NO:
-------------------------------- - - - - - -- - - - -- -- - - - - - - - - ---- - - - -- -- - - - --
Appraised Value of Estate:
Real Estate
Personal Property
Jointly Held Property/Transfers
s
" ,,'
Total Gross Estate
II
s
Total Approved Deductions
. f~
Clear Value of E'itale
s
less: Approved Charitable Exemptions
.----..----
Clear Value of Estate Subject to Tax
s
Amount Taxable @ 6% Rate
.----'
C d l j .t) ;..1.'::5/'
s
tax -due' .
Amount Taxable @ 15% Rate
lax due
TOTAL PENNSYLVANIA INHERITANCE TAX OUEI-' $
. .' .
f
/
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'f l/
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
s
+ S
= S
s
+
=
+
=
BALANCE OF PENNSYLVANIA INHERITANCE TAXOUE
.$ , t
, '
. .-'." .,/1
/jl,u
,
rntarest will accrue at the fate of six (6) percent pcr annum on the unpaid balance of
Inheritance tax from to the date of payment.
Assessed by'
i , (,
Allllnl for the Commoflwealth
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SfE REVERSE SIDE FOR INSTRUCTIONS
R:::GISTErl Or- Will'S COpy
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