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,;P':O;'WEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
..r:...cr;;
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
COUNTY OF CUMBERUIND
- -: , ) =
Thh r.'urn must be completed In detail and ru.d in duplicate, with the Register of Wills In the Count)' where the decedent resld.d within nine
months arrer date of deoth, unless on extension Is granled by the Secrelary of Revenue.
\ViII ~/-g() -54-'.6-
Admn.No. 19_ I,
135 N. 33rd Street
of Camp Hill, pennsylvania 17011
(ADDRESsl
MaJ:y F. reo
tNAMEI
Misc. s
being duly sworn uccording to law, deposes and says that he is the
survivinq slXluse and IXlssessor of property
IEXEC.. ADM., LEGATEE, ETC.I
latc of Camp Hill, Cumberland County, Penna.
\C1TY. BOROU(iH, OR TOWNSHIP)
of thc eslate of
Joseph Leo
dcccased. and Ihatthe whole or lhe estale or said decedent, who died on -----'illJ,y 8. 1980
(OATEI
consisled of the os.r.ts listed below and Ihal allowable debls and deduclions exceeded Ihe rair markel yalue or Ihe assets and
no P('nns)'lvo1raia T,.an:irei Inheritance Tax is due.
)/ (. (/
Surviving spouse and
ssessor of ro ~
(TITLEJ
Swo:n t.nJ s:Jbscrlb.l! b.)tc:, me
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th.,_,- ;.-: day~. .'. lU
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19~
Sandra 1(. Spade, Notary P.~;:
~"
Esllmated
Mark.t
Votue
Department
Valuation
CAUTION
(Do not writ.
In this space)
Cup JijJ~ f.a. (umbclland Counlt
ASSETS
(Attach addlrlon~1f nocnsary)
Description of As..'
Ty~ of "snl:
Real E,tl'1te, F\oIrI.
Property, J :'ntl)'
Held Prop. or
Transf.r.
1) Personal Pro-
perty
One (1) D:x1ge r:ert 4 door sedan
$300.00
2) Personal P~
perty
Clothes, miscellaneous and personal effects
100.00
3) Personal ~
perty
Refund from Pennsylvania DepartIrent of Revenue
for real estate tax rebate
400.00
NOI'E: All ot.'1er property held jointly with
surviving spouse, ~lary F. reo, with right of
survi....orship, and t.l1erefore exempt under Section
311 of the Penna. Inheritance and Estate Tax Act
of 1961, as a'1\el1ded.
TOTALS
$800.00
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and ror Ihe aboye Counly do respectrully rcporlIhalI haye
appraised the real and personal properly as reported in Ihe foregoing schedule atlhe values sel forth opposite each ilem in
the last column 10 Ihe right. fI!'Jl e~' .r;tf: J! I)
October 23 1980 ,/ ," It ,"', ,
Dated:' (lNHERIT ANCE TAX APPRAISERI
Nome or Payee
DEBTS AND DEDUCTIONS
Nature of Claim
Amount
Claimed
Amount ApPfoved
by Register
1) Myers-Hall E\meral licme
1903 Market Street
Camp Hill, PA 17011
For funeral services, casket, and rela-
ted funeral expenses and costs
$1,697.00
2) Anne F. Keller, Tax COl
2828 Russell Road
Camp Hill, PA 17011
.Decedent's 50% share of Camp Hill
School District real estate taxes for
1980-1981 (billed on July 1, 1980 be
Joseph and Nary F. Leo)
332.86
3) Te.'-:aco, Inc.
P. O. Box 2000
Bellaire, Texas
Autorrobile gasoline charges incurred
through date of death
20.50
77401
SEE CCNI'INUATIO"... PAGE A'lTACHED HE:RE'IO
154.55
TOTALS
$2,204.91 I ';<.9..~'I-.91
REPORT or TilE REGISTER OF WILLS
I, the undersigned duly elcclcd Registe[ of \ViIls in and ror the aboye CnunlY, do respectfully report Ihall have allowcd
deductions in the amounts set forth in the above schedule os claimed, except where I have set forth a greater or lesser amount
in Ihe last column 10 ~r~'ich ,realer or 'esscr amounl represenls the su allowcd as a deduel'o
Dale or Approval: u.. .'<!-v...;<3 Fl j70 ~ -.
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COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
COUNTY FILE NO:
_.1</'- ,:-"'"j _ -:" .f/ /)
DATE
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ESTATE
FILE NO,
COUNTY
(?/cJ II
DATE OF DEATH " ;,/1/
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App,ai!J"d Value of ESla""
Real Estate
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$
Personal Property
+
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---.-----.----
Jointly Held Property/Transfers
+
Total Gross Estate
$
,
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Total Approved Oeductions
) :; Ii ,/ ..11
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Clear Value of Estate
$
--
Less: Approved Charitable Exemptions
Clea, Value of Estate Subject to Ta.
$
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Anlount Ta.able @ 6% Rate
$
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tax due' ,/ U.. (/ I'" ,,_'./It:
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Amount Ta.able @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANl:E'{.Akbd,t-~vt :}i'.r )/ilAf;
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A five percent discount totaling
Inheritance Tax is paid by
$
will be granted if the
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
$
+
= $
$
$
+
=
+
=
Interest occrues a1 the rate of six (61 percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by
is
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BALANCE OF PENNSYLVANIA INHERlrANCE TAX DUE
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