HomeMy WebLinkAbout80-00579
"l~~;;.:"'., .
?{?/-:"
~/;>
~
~
~
:;.:; m
0
tf.l
~ ..
l:l
~ ~
. i
....
0') ~
f" t)
lr. ~ ~
~ ~
0
00 -
. 0
-
~
C:lJ
..
. IU ~
0 ..
eft
Z L&.l
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
OISCOUNT
INTEREST
TAX CREDIT
'*'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
COUNTY FILE NO:
-'
,: /
,
DATE
, ,
,.
!
!,/ ,. /'>;,j
, .
..
ESTATE
,;
" ,,'
. / ./" '.e.......~J
;".1/
,
I, ,'/ .
~ -~ . ~
~"7"-:
.-
FILE NO.
_//
, . 1'(/ - ~I
. ~ . {J ._ ,'. ., 'I
TO:
-,' I" /
-,~ ~ '':'' /
I'
':
(. .' I
. 1- .
COUNTY
'.
- ~:
, ~ ';-""-
..
, '.'
,
'(.-:.. ,. r' _
. '/' I.
)' /
. .
/
'/ " ..-'
DATE OF OEA TH
I
.,
- ' ~.
,-
, /' ......
Jf(-
.
</17'
'.-.
Appraised Value of Estate:
Real Estate
s
Personal Property
+
.... ,-t', t,_,')
Jointly Held Property/Transfers
+
Total Gross Estate
s
''';,,-~;
~i")
Total Approved Deductions
'-,.'f-tJ
L-Ij'
1
Clear Value of Estate
s
Less: Approved Charitable Exemptions
._-----~
Clear Value 01 Estate Subject to Tax
s
Amount Taxabla @ 6% Rate
s
tBx.?Ue' ,'_......~,-{!:.t..l~-C
,'-', .--/
,/// ;./1 .,(,,1
./,./ ."'::;"'" "...-r/. t..-
,
Amount Taxable @ 15% Rate
tax due
.,<- /p J'/'/
( ~'~,-'~ /!:".~:LP
TOTAL PENNSYLVANIA INHERITANCE}A':( Q~,,~-~:. ',f' .
* * * * * * A five percent discount totaling e
will be granted if the Inheritance Tax is paid by
s
+
$
s
=
s
+
=
+
=
Interest accrues at 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
-'
: /~ /..i 1'/' /)
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE.i_l'$ , ". .,',. ,---./ '</"
" .
. , : / .
Aslelledby: "-',' J " / .j, I (U
. Agltntlorth.Comv'onwtlllh
See InformatIon on Reverse Side , . :'/ ~ /'
/)C;V.;J-_. j
;1
~,;- '
,
," <
.../
[II (li.oIl i'. I
'.-
,_ ~~.-.. T III
. ......\ - . .,- '. -. .~;, . . ~
,
RJ\V.IU9 EX+ (~80J
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES
(Instructions on Reverse Side)
COUNTY FILE NO.
*'
Patricia D. Anderson
(NAME)
of
634 Allen Street, New Cumberland, PA
(AOOHESS)
surviving spouse
being dull' sworn according to law, deposcs and says Ihat kl<./shc is Ihe
CEXl::C., ADM., L.EGATEE, l:":TC.)
IUlliam J. Anderson laic of 634 Allen St., New Cumberland, PA
(STREET ADDRESSI
of thc estate of
deceased and thai the whole of the estate of said decedent, who died on
December 8, 1979
(DATE)
consisted of the assels lisled helow and that allowahle dehts and \Icdnctions exceeded the fair markel value of the
assets and no Pennsvlvania Transfer Inheritance Tax is dnc..,z.-c' 7:-1 ~ ;,,,' '/', U,- af ~/") Sri i S
. /o/'///' _. ~~ ....;t. 1-1/ ~ """'v , U v v ng pause
(5IGNATUR[;J tllTLEI
TYPE OF ASSET
ASSETS
ESTIMATED MARKET DEPARTMENT VALUATION
VALUE OFF L
1970 Oldsmobile four-door sedan
300.00
TOTAL
300.00
.300, 00
-U9d(
(OFFICIAL USE ONL Y)
I do hereby certify that the 11hove asscts were appraised in accordance lI'ith Pennsvlvania lall'.
(/;,1 'jJC'" ,) .
~a-c....(,111IJ 71 t.,' r, 1I'f -/
APPRAISER
DEBTS AND DEDUCTIONS
11/06/80
DATE
NAME OF PAYEE
AMOUNT CLAIMED
Patricia D. Anderson
Spouse's exemption
2,000
TOTAL
2,000, ~-o
(OFFICIAL USE ONL Y)
~l- ?'O- 5?~
1/ - )1 ft--3
II-/: ..yo
DATE
[ffli33J
DEDUCTIONS ARE ALLOWED, IN THE SUM OF $ .1,uLtrt. 1/--('
II-MOl A.q OlqDJOAD:>>aJ
aJD ~unowo O~!I fO s~qap SO onuoAoH fD ~UOW~JOdOa oq. ,(q pOJiMO:JOJ aq O. SSOI Ol.{~ S! JO^al.{:>>!"'M OOO'L$.I0 onp oq O~
punol ~1.IDW!lln XDI .~IID I.:SZ ID ~llou.d 0 DI' . - .\qD!I ~IIDUD...d.q 11D~' W!~ ID p..!nb.. I.Dd.. '.~ID'O wnl.' 0
0111 DI 'I!DI ~llnlll!" O~M UDSJ.d ~UO- . . .. ID~I '.p!^o.d .lnlDIS 1961 .~Ilo l6l UO!".S - NHnJ.311 311:l OJ. 311n11V:l
-pO!.I0d q.uow-OU!U O"'~ Up".!M anUO^"H JO ,(.ID.O.l:J3S a",. ,(q pO~UDJ6 PUD .IOf paUddo
u..q 'D~ 6Ull!! '01 UD,'U.IX. UD 55"lun '~Io.p ',Iu.pa,.p a~1 '.110 '~IUDW au!u anp '! u.nl.' .~J. - ~NI11:l 1I0:l 3WIJ.
-pap !SOJ
IU.p.'''p .'ll U!.'.~M ~Iuno' .~llo 'II!M ID '.1.!6.1I .~I ~l!M .ID'!ldnp U! P.l!1.q ol'! u.nla. a~J. - ~NI1I:l1l0:l 3:lV1cl
NOIJ.VWlIO:lNI
z <:
0
'" p.
ffi '-'
Ql .
>- '" Ql '"
.J D:: D:: ~ k "
'-' <1l
Z -< ...: '" .-<
0 W W k '"
111 >- >- ..., " Ql "
Ql 11 <1l
'" ~ .-< .-<
::l .-< " k
H <: U Ql
.J :3 11
d: "" ~
U HI '" "
Z :;: '" Z u
u: 0 I
IL
0 I- 0
-< u. U-
D:: 0 0 Z 0
l- V' >- I- 0
V' W V' Z
I- W t- W Z
0 Z 0 -< D:: Z ~ W w
...I :;e
...I Z Z l- e ::> u C) ~
0 V'l e 0 0 ...:
3' -< w -< u 0 a. ...I
-~uopO:>>op 01.{. so Ploliosnoq aWDS Oli~ fO s.laqwaw a.lD 0"''''
s~ua.lDd .10 .ua.lDd 0 A.q paw!DI:J oq UD:J UOHdwoxo a"l. 'PU"':J .10 asnods lpns ou S! o.la",. '~uaAO a",. UI "uo!.dwaxa a",. W!DI:>> UD:>>
Ploqasno", aWDS a",. fO .Iaqwaw S! OI.{M .uapa:Jap aq. fO PU",:J ,(UD uaq. 's~1.{6!J .IOt"'/5!1.f. pOHapof SDlI as nods 01.{. f!.I0 'asnods OU S!
a..qlll -D!UD^I~.uuacl U! P.IP!WOP P"!P O~M IU.p.,ap 010 a.nod. 0 ~q P.W!OI' aq ~DW OO'OOO'Z$ 10 UO!ldw.x. ~lIwoI V
'u.nla, '!ql 01 paq,ollD aq Plnoq. paw!DI' 6u!.q 'Iqap .ql '01 .<i!l!qD!JS,.IDIs3 "ql'o ',Iu.p.,ap a~ll.oddn. 01 ",uap!^3
-.Ia~JDW o^D.l6
.10 auo.sqwo. '.01 ID!Jnq 0 fO .so:;) a",. 6U!pnl:JU! sasuadxa ID!.Inq pUD IDlaunf 'saaj ,(.Io!:Jnp!J 'saa! ,(aUJOUD 'UOHD.I.S!U!WPO
jO .S~:J aqt 6U!pnl:>>U! OlqDW!DI:J a.lo swat! .Ia",~o '.uapa:>>op al.{.,(q paJJn:Ju! s4qop ot UO!HPPD ul -04D~SOI alqoxD4- .Iaq/s!l.{
l,u1D6D alq!pnp.p a'D ~IDap 'aq/'!~ 01 .o!.d luapa,.p a~1 ~q paun,u! '.!I!I!qo!l P.!I'!ID.un - SNOIJ.:ln030 'V SJ.1l30
"UO!4-DJap!suo:>> atonbapo pUD olqDnlD^ o^!a:>>o.l tOU P!P al.{s/a", I.{:>>!"'M .I0j I.{toap fO
s.loa.( OM4 U!",!!M '.uapOl:Jop aqt,(q p;UJafSUOJ4 A.padOJd ,(UD 4S!1 -s~unD:>>:>>D 4S0.l4 a^HD4Ua~ PUD SpUDg S6U!ADS -son -a-oed 04
paHw!1 tOU 4nq 6U!pnl:JU! sa!pod .10 .(~.IDd .Io1.140UD 04 "IlDap 40 alqo,(od 4nq 'tuapa:Jop aq4 fO aWDU aq4 U! pOIH~ ,(podoJd IDuos.lad
olq!6uD4U! opnl,ul -qtOOP fO aWH aq4 40 d!I.{S.lD^!^.InS fO 41.{6!.1 l(t!M StUDU34 4U!0! so sOH.lod.lo ,(4Jod .Iall4ouD l.\t!M ,(14U!0!
.oluap.'.p "ql ~q ~1I0np!^!pu! pa.uMD ~".do.d IDUO...d a\q!6uOIU! PUD .lq!6uoIIID 1'!1 -.nID^ la~'Dw paIDW!I.a a~1 PUD
d!q..au^,o 10 .6DIU....d ',Iuapa,ap aqlapnl,ul 'd!qSJo^!^.n. 10 Iq6!. ~l!M 'luDuaIIU!O! 'D'D UOUlUO' U! 'IUDU.I .0 '.!l.Dd '0
~1'Dd .a~loUo ~l!M ~IIU!D! Pla~ '0 lu.pa,ap ~q ~Ialo' Pla~ PUD O!UO^I~'uu.cl U! palo,ol "IDI'3 IDall 110 .q!'os.O - SJ.3SSV
StlOIJ.:lnllJ.Stll
~
,
REV-"83 (8"18.
COw.lOtlWEAL TH OF PEtltlSYLVAtllA
DEPARTMEtlT OF REVEtlUE
BUREAU OF FIELD OPE RA TIOtlS
ItlHERITAtlCE TAX SECTIOtl
OFFICIAL NOTICE OF DETERMINATION II - II f- 3
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
DATE: 11-.2I-PO
EST A TE OF: hl,./!t ',."", To ~,jr~s"..v
FILENO: ~J-:?t'-57'l
COUNTY OF: I'",,,, ;'e" /,.""./
DATE OF DEATH: /.2 - ?- 7'1
TO:
--------------------------- ---------------------------------------- --- ------------ --- ----.
/.. DETERMINATION:
1. Taxable ostate based upon:
...". The United States Estate Tax Return (Form 706)
Tho communication from the Foderal Government
confirming the acceptance of or changcs to the
Federal Estate Tax Return
2. Amount 01 credit lor State death taxes (as verilied)
3. Pennsylvania inheritance tax assessed
(excluding any discount and/or interest)
4. t'tlormol inheritance tax paid to other States or
Territories 01 the United States (excluding
any discount and/or interest)
5. Total inheritance tax credits (line item 3 plus line itom 4)
6. Total liability lor Pennsylvania estate tax (line item 2
minus line item 5)
NOTE: Complete line items 7 and B ONLY when determination
is based an Federal Closing Letter
7.
Amount of Pennsylvania estate tax assessed on determination
doled
Addition (reduction) to Pennsylvania estate lox (line item 6
minus line item 7)
$ ..7/..7, 9S/. .-
$ - 0
s ..1.<-U~"4Vf
5 - 0-
$ -0-
$ -o~
$
$
Determination prepared by: j}r.tAA""~ L;,
Dote: /1- ..:I / - ReI
8.
~-----------------------------------------------------------------------------------------
B. ASSESSMENT:
1. Pennsylvania Estate Tax reflecled on:
line item A (6)
line item A (8)
2. Less credits:
DATE OF PAYMENT
INTEREST
($ I
($ I
($ )
AMOUNT PAID
3. Balance of Pennsylvania estate tax due
Intorest is due at the rate of six (6) percent pcr annum from
Assessment prepared by:
Date:
$
CREDIT
=
=
=
$
to the date 01 payment.
AQENT FOR THE COMMONWEALTH
SEE REVERSE SIDE FOR INSTRUCTIONS
REV-483 (8"78'
COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATlDllS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
11_ 1/4>-.3
DATE: _JiIl".Y!
ESTATE OF:_ ,d.""" cT.'
FILE NO: ..tj- fj"5"7? .
COUNTY OF: C<"'''1 .~f('/ """"'~
DATE OF DEATH: 1-<'- J'- ~y
TO:
~""J~~st''''
------------ --------------- -------------------------------- --- ---- --- ------------ -------<
t.. DETERMINATION:
1. Toxoblo ostoto bo.od upon:
Tho Unltod State. Estate Tax Return (Form 706)
~ The communication from the Federal Government
confirming fhe acceptance of or changes to the
Feclorol E.tote Tax Return
2. Amount 01 credit lor State death toxos (0. veri lied)
3. Pennsylvania inheritance tax assossod
(excluding eny discount and/or interest)
4. Normal inheritance tax paid to other Stotes or
Territories 01 the United States (oxcluding
any di scount and/or interest)
5. Total inheritance tax credits (line item 3 plus line item 4)
6. Total liability lor Pennsylvania estoto tax (\ino item 2
minus line item 5)
NOTE: Completoline items 7 and 8 OHLY when determination
is based on Federal Closing Letter
7.
Amount of Pennsylvanio estate tax assessed on determination
doted 11- .; 1- "".
Addition (reduction) to Pennsylvania estate tax (\ino item 6
minus line item 7)
8.
.:? /~ 9.5"/. cH'
$
$ -17 -
$ d~J
$ - d-
$ - 0-
$ - 0-
$
-&1-
Determination prepared by: Jt2AA'"'-7 .
Doto: Y../9- .f;>/
$
:;6?~
-0-
------------------------------------------------------------------------------------------
B. ASSESSMENT:
1. Pennsylvania Estate Tax reflected on:
line item A (6)
line item A (8)
2. Less credits:
DATE OF PAYMENT
INTEREST
($ )
($ I
($ )
AMOUNT PAID
3. Balance of Pennsylvania estate tax due
Interest is due at the rate of six (6) percent per annum from
Assessment prepared by:
Dote:
$
CREDIT
=
=
=
$
to the dote 01 payment.
AGENT FOR THE COMMONWEAl.TH
SEE REVERSE SIDE FOR INSTRUCTIONS