HomeMy WebLinkAbout80-00721
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COMMONWEAL TH OF PENNSYI. VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
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Ace-f0313-73}
COUNTY OF d.v,.....{.....J....... ,j
This ,.turn mUlt b. completod In detail and (iled in duplicate, with the Registor of Will. in tho County whore .ho docudont rosidad within nino
month. aft., dota of death, union an axtonllon I. grantod by tho Secrotary of Rovenuo.
Will .~IJ - S' 'J -7"'-'
Admn. Nil. ('l.Jl.o..
1.---'1ni 1 r,"'11~(.:> P.OI1r1Pl'"
(NAMEI
Misc.
being duly sworn Rccording In Itl\\', del10ses allll says that Wf1t the -S~~nD'-H_c..i-r - - --~---
(E)(I~AOM" LEG^TEE, ETC.l
Frank J. Culb.erts<:>J1.....__.____. laiC "I' Penn Town_f)j)J1L-.__._..___....__ ---..---
I CITY, 1I0ROL'GH, OR TOWUSfllPI
or...JL,D. #5, C"l"l1 "''', PA '7.lll3-
tADDRFS51
of the estate of
deceased, Rnd that the whllle of the estate uf sHill decedellt. who died till __}\ug.~:?_t__~2_j__J.9:8_Q~_..__
IDATEl
consistcd uf the assels listed heluw and Ihat nllllwahle dehts ami tleductiuns cxceeded Ihe fair m;ukct \'alue of the assets ;lIul
no Pcnnsylvania Transfer InheriHlncc Tux is tlue.
Sworn and subscrlbod beroro mo
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tho ~ day or .v...1.:.
(' y 1...(1 f1 c:-k:'u.,-
80
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-,I'.'~Yf'lil~lIC (SIGN^TUREI ITlTLEI '/
, " . :,,,o::!) c(~~mY
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Type o{An :
Real E.tote, Por..
Property, Jointly
H.ld Prop. or
Tronsferr.
ASSETS
(Attach additlono~1f nec"uaty)
Description of Assert
Estimatad
Ma,kert
Value
Doportmernt
Valuation
CAUTION
(Do not wrlto
in this spaco)
...-.-...,.. -.
Personal
First Nat. BanK of Newville - Savings
Account No. 027-498-4
109.36
Farmers Trust Co.
Checking Account
No. 4-08727
1974 Dodge D-I00 Pick-up Truck
503.25
850.00
Farmers Trust Co.
Savings Account
No. 1-089279
249.96
TOTALS
$ 1,712.57
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REPORT OF INIIERITANCE TAX APPRAISER
It the undersigned duly appointeLllnheritancc: Tax Appraiser in ami for the above County L10 respectfully report that I have
appraised the real and personal property as reported in the foregoing schcdule at the \'olues set I"orth opposite each item in
the lasl column llllhc righl. Jl/'tlA1"/,,.J7?!l'ildlfll)
Dated: Febr119""Y 11. 1981 (INHERITANCE TAX APPRAISERI
Name af Payae
DEaTS AND DEDUCTIONS
Nature of Claim
Amount
Claimed
Amount ApP,ovad
by Ragistar
Ewing Brothers
Funeral Services
2,909.50
TOTALS
$ 2,909.50 ~ tJf..!/iJ
REPOIlT OF TilE REGISTER OF WILLS
I, the undersigned duly elected H.egisler of Wills in and fur Ihe ahuve County. dn respectfully rcport Ihnl I havc allowed
deducliuns in the amounts set forth in the ahove schedule as c1.limcll, except where I have set fmth <I greiltcr nr Icsser 1II1111unl
in Ihe last column to the right, which greater l:r lesser "mount represcnts the ~~~In allllwcd as a ~Cd~ucti(ln. .
DalCllrApproval: mJ!-Uu1q j:Y /1J? _'14U1 e. ~~
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
CCUNTY
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COUNTY FILE NO:
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OATE
ESTATE
TO: ~J (
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FILE NO,
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DATE OF DEATH
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Appraised Value of Estate:
Real Estate
$
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Personal Property
+
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Jointlv Held PropertylTransfers
+
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Total Gross Estate
$ /I~/.:;-"/
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Total Approved Deductions
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Cleer Velue of Estate
$
--
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
$
Amount Taxabre @ 6% Rate
$
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taxdufJ/,' :,.)./-..>'t$' ../ f' ," //?)/A/I.
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Amaunt Taxabre @ '5% Rate
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TOTAL PENNSYLVANIA INHERITANCE TA,:~6~t'-l~ ,,, ;" t ;/(, FI:'-f
tax due
'* 'It '* '* '* '* A five percent discount totaling S
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAlO
DISCOUNT
INTEREST
TAX CREDIT
$
+
$
$
=
$
+
=
+
=
Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest due if paid by is
BALANCE OF PENNSYLVANIA INHERITANCE TAX OUE/', ,__,,,i.,:..' ,.-t
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Assessed by: I / " ' { {.' >~~,'/ ! ~-4_J
See InformallOn on Reverse Side Ag.ntloftheCommonwlllth V'l"'
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INFORMATrON
To insuro proper credit 10 your account, tho name of tho oSHita and file number should be clcorly print-
ed on the check or money order.
This assessment is made in accordance with SUClion 708 of the Inheritance and Estate Tax Act of
1961 (72 P.S. ~ 2485.7081.
To the extent thot inheritnnc6 tax IS paid within three (3) months nfter the death of the decedent. a
discount of live 15) percent is e\lowed 172 P.S. S 2485.716).
Inheritance Tax. other than tax on a futuro interest. is due at the date of the decedent's death and becomes
delinquent at the expiration of nine (9) months aher Ihe decedont's death (72 P,S. 9 2485-711). Inheritance
Tax on a future interest is payable within throe (3) months after the transfer takes effecI in possession and
enjoyment and is delinquent thereafter (72 P.S. S 2485.712). Calculate interest from the delinquent date shown
on the face of this form to the date of Bctual payment using the following interest table:
-------------------- - --------- - -- - ---- - - ------ - - - - -- - --- -- ------ -- -- - - - -- --
1 month .005 4 months .020 7 months .Oa5 10 months .050
2 months .010 5 months .025 8 months .040 11 months .055
3 months .015 6 months .oao 9 months .045 12 months .060
1 days .00017 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 days .00369
3 days .00051 13 days .00220 23 days .00386
4 days .00068 14 days .00237 24 days .0040a
5 days .00085 15 days .00250 25 days .00420
6 days .00101 16 days .00267 26 days .00437
7 days .00118 17 days .00284 27 days .00454
8 days .00135 18 days .00301 28 days .00471
9 days .00152 19 days .00318 29 days .00488
10 days .00169 20 days .00335 30 days .00500
- -- -------- ---------- ------- - - --- --- ----- -- - --- --- -- - - - --------- ------
Any party in interest. including the Commonwealth and the personal representative, not satIsfied with
the assessment may object thereto within sixty (601 days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax ACI of 1~61 (72 P.S. S 2485.1001).
Make check or money order payable to:
"Register of Wills. Agent"
Mail to the address listed below:
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