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HomeMy WebLinkAbout81-00068 . ~ , , I ~ I', . ~ Il:l !Xl g .., . o Z w- o taJ .... IU .... . .. LI.I . ":'" ;::::::." ~..~ ... HE "-!'I to EKt 170801 COMMONWEAL TII OF I'ENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER IHHERITANCE TAX RESIDEIIT DECEDENT INHERITANCE TAX RETURN FOR INSOLVENT ESTATES (In5tructions on Reverse Side) COUNTY 110. STATE NO, - ( ) Exoc. () Adm. O,hor Next of kin Nomo Beulah K, Kline Social SocurityNo. l47-12-0RR~ Add,o" R, D. 3, Box 351 Estato of I1azel B. KHpnp.~ last addre.. 50 Bonnybrook Road, 1,-3 (5T1~I:ETl ... >- z "' w Carlisle PA 17013 '" c U W (CITY) {STATEI t llf~1 u ::> w c c u: Dato of Death Nov, 2 , 1980 Social Security No, 189-09-4345 TYPE OF ASSET Personal Property ~ ... w ~ ~ '" j I .I OFFICIAL USE ONLY DATE j 1 I i 1 , 1 I I 1 j 1 I ~ z o >= u ::> c w c c z '" ~ ... .. w c OFFICIAL USE ONLY DESCRIPTION 15tr~EETl ~ Newville_. PA , 7U' (CITYI (STAHl (ZIP) Under penal tillS 01 periury. I declare that I have examined this return and t:th. b a~::1:'d9:;d bh :::u., carroCl ,nd camp~e~.~ 9/81 SfC)natulll of FldU ary Data ESTlMA TED MARKEr VALUE DEPARTMENT VALUA TION (OFFICIAL USE ONLY) 1. 719,30 150, 00 n 231. 30 ,- 00 '0'" 0:-'" ~ _ ;u ;T1~ - ~; ~::?o , '- ~;~~ "'" ;/l::tJ Z 'ICJ :"','''1 N :'.:J ...... \Q ,:, c:: -:-: 1 " '. " ::; : ~ " ::;, .:;) Farmers Trust Co., Ck. Acct, 5-85688,b Farmers Trust Co. , Christmas Sav, Social Security check for Oct. 1980 TOTAL 1100.60 I/t) {J.G:, 0 I do hereby certify that the above assets were appraised in accordance with Pennsylvania law. NAME OF PAYEE ertrude Kepner egis tel' of Wills offman-Roth, Inc, 1, Robert Davis, M.D, ames R. Humer eserved for lettering m I .PI'}M/Q)rf(/~1r.I1HJ ) APPRAISER NATURE DF CLAIM Daughter, family Filing REV-5l9 Funeral Last illness Attorney Fee morial exemption TOTAL q-/~ -PI tJATE AMOUNT CLAIMED 2000.00 3.00 2202.60 868.98 50,00 46.00 5170.58 DATI::: 'UJnIOM XOl owo,ullonp!^IPul'O~'Vd WJOI uo popodOJ oq pn04' '"011 OWO'UI olqo,ol '!'11 ',o,odJnd X01 OUlo'''1 OlllO^I^'UUOd JOI olqopodaJ SI OIOlsa uo 5UPOISIU!lU 'PD UI paulJopod SO'I^'OS JDI 'JOIDJI'I"IWPD JO JOln,o,o uo '^IOUlOlI 'O^!IDIUaSaJdoJ OIOISO UD 01 PIDd soa:l '310N ,,"""01 ^q olqOJO^O'OI OJO lunoWo 01!1 jO 'Iq,'p <0 on"onoM 10 IUOUlpodoO 0'11 ^'I pOlO.O'OJ oq 01 "01 0'11 'I Jono'l'!'I'" 000'1 $ 10 onp oq 01 punoj ^IOIOWllln '01 0'11 jO ~,Sl '0 ^lIouod U 01' , 'olq"lI ^1I0uo"od 09 110'1' UlI'I '0 pOJ!nboJ I,odo, 10'110 '0 DlnlO' 00111 01 '110j ^lInll1!'" 0'1'" uo..od ^UO' , . 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