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COMIION.EAL TN OF PEMNSYLVANIA
OEPARTMENT OF REVEMUE
RUREAU OF COUNTY COLLECTIONS
TRAMSFER IMHERITA~CE TAX DlvlSIOM
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS COUNTY OF
Cumberland
11,1> reMn ~u" !". cn",.ld..lln d"t,,1I om f11..d In duplicate. with the I~e'll',,", of Will, In the County whure the decedunt r..,ld..d wllhln one
Yt"<1t of"" .ht.~ of dr.all, unk.s'i an ~J<hmsion Is Qrr:nt..d by the S~cretory of Hevenul.!,
Will ;lJ-8o--S/'T"
.\dmn. No,__IL_I,__~hn W. Lawyer
(NumB)
Misc.
b~ing duly sworn according to law, deposes and says that he is the
01 813 valley Street, Enola, Penna.
(Addrau)
surviving spouse
(Exec., Adm., Legat.., etc.)
East pennsboro Township
(City. Borough. or Townlhlp)
July 12. 1980
(Date)
con,i.led 01 Ibe o...U li.lud below ond thot allowable dob.. and d.duclion. exceeded Ihe lair malkel ~alue 01 Ihe anel> and
of the ~:!ltQte of
Virginia L. Lawyer
late 01
deceased, and 1ha' the whole 0 f the estafe of said decedent, who died on
n:, Pennsylvania Transfer Inheritance Tax is due.
s...".~..-n and ;\ubscribtld belore me
\~.__tJi. rlay ol~.fl.J-liL~ - .
~ " ..1) _ LINDA L. LAWVER, Nol.ry P bIlOIS1g,o"'o)
~-n ~ <51. .....-C~-... c.... ~ -,Lower Allen Twp.. Cumberland Co.
-
Department
Valuation
CAUTION
(Do not wrlt.e
In this space)
Typo Of Aueh
Reel Estoh:.POU.
ProiJertJ.Jclntly
Held Prop. or
",oulers
Estlmoted
Market
Value
ASSETS
(Attach additional sheets If necenary)
Description of Asset
pay checks
Holy.Spirit Hospital
Holy Spirit Hospital
314.82
467.11
TOTALS 781. 93 t 11'1.13
REPORT OF INHERITANCE TAX APPRAISER -'qf(.
I, the under>ignad duly appoinled Inharitance Tax Appraiser in and lor Ihe above County do re.pecllully reparl 11.01 I have
apprai..d Ihe reo I and personal property as reparled in Ihe laregoing schedule at Ihe values sel lorlh appa.ile eo item in
Ihe 10.1 column to Ihe right. ' /
o October 23t 1980 Inherltanco Tax Appraiser
Nome of Payee
DEBTS AND OEDUCTIONS
Nature of Cloim
Amount
Claimed
Amount Approvod
by Register
Richardson Funeral Home
Funeral bill
$3.054.00
2,000.00
Family Exemption
TOTALS
5t5r/. tV
5,054.00
REPORT OF THE REGISTER OF WILL.S
I. Ihe undenigned duly elected Regi.ter 01 Wills in and lor Ihe above Counly, do r.spectlully reparl 11.01 I have allaw.d
deduclians in the amounts set larlh in the above schedule a. claimed. excepl where I have .el larlh a great.r or I....r amaunl
in Ihe la.t column 10 I'//l'ghl, which greal.r or leuer amount repre..nt> Ihe" m allowed a. a deduc io
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