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REV.~'9 E)(t (7-001
. COMMONWEA~ TH OF PENNSY~VANIA
DEPARTMENT OF REVENUE
TRANSFER INH ERIT ANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES
(Instructions on Reverse Side)
comITY NO.
.::{, -YI -l:~-::J..
STUE NO.
Estata of Jacob N. Ruth
Last address 525 E. Locust St.
(5TReET!
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Z Mechaniosburg, Penna. 17055 0:
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0 Aug. 13, 1980 ;;:
I Date of Death
204-03-1497
I Saeial Seeurity No.
TYPE OF ASSET OESCRIPTION
( ) Exec. () Adm. Other Surviving Spouso
Name Julia E. Ruth
Saciel Security No. 204-28-2170
Addre.. 525 E. Locust St.
(STREET)
Mechani~sbur.g. Penna. 1705S
IclTYI (nATE) ('ZIP)
Under pcnllltics of perjury, I dllclorOr!h I hove examined this return ~nd
to the btJs , mv knowluuge and bell )~S rr~e')f"oct Bnd complete,
S ~ 2. / /1. / f-I
Ignature of fiducIary Date . .
ESTIMATEO MARKET
VA~lJE
OEPARTMENT VA~UATION
(OFFICIA~ USE ON~Y)
Personalty
ersonalty
1976
1978
Pontiac (Catalina) Tudor
automobile. Sale Price
Ford Fiesta Automobile
Sedan
$
3,300.00
2,400.00
.- ;....
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O~n C)W
n:V'J 'en
0(3 "':I:
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OFFICIAL
USE
ONLY
TOTAL $ ",700.00 .5"1t('. CO.L
I do hereby certify that the above assets were appraised in accordance with Pennsy vania law.
-h"h'/O J'if'~1rd)(j)
APPRAISER
A
OATE
NAME OF PAVEE
NATURE OF C~AIM
AMOUNT C~AIMED
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William Hoffman Funeral
Home, Carlisle, Pat
Upper Dauphin National
Bank, Millersburg, Pa.
Julia E. Ruth
Register of Wills
Funeral Expenses
$
3,010.00
2,012.29
2,000.00
Installment Loan due 8/13/80
Widow's (Family) Exemption
Filing Inheritance Tax Return
for Insolvent Estates.
3.00
OFFICIAL
USE
ONLY
s
5-
~ rJ 2.lj~ ,j) q
o DUe. nONS ALLOWED
$/f(-
DATE
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENU~
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
'*'
COUNTY FILE NO:
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DATE
TO:
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ESTATE
FILE NO,
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COUNTY
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--
DATE OF DEATH I
Appraised Value of Estate:
Real Estate
$
Personal Property
+ ~'J ""7::'~/j
I
)_(1
Jointly Held Property/Transfers
+ -
Tolal Gross Estate
$ ,/; '1 ~.....t:. , ,-,( )
- I ,.
/
Total Approved Deductions
- '7 /J ''/ ~.-;-.
/
:,) tl
,
Clear Value of Estate
$
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
$
Amount Taxable @ 6% Rate
i ,- I....-----'
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t.>:~l'" ,",,,.,& " /<'n) 1;, /-/
I .l./..J Vf.-, ........ - I
tax d~e ,
I / /,---..-1
TOTAL PENNSY~VANIA INHERITANCE I ~~tu~ / ! f a -L ~y!/
$
Amount Taxable @ 15% Rate
* * * * * * A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
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 -/ / .:-;"} , . ,1"---../
BAlANCE OF PENNSYLVANIA INHERITANCE~l6vJ:..,PLi$"J, j;. //;/J/A"b
/ /
Assessed by; .- if {l -I / //' f.:i..y ")
. AQentrorthed-^m;i- n .11"..... v -
See Inform!tlon on Revetse Stde _ Ti / I -::..-. .
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