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HomeMy WebLinkAbout81-00247 . .r; ~ ~ .~ ~ ~ . 01 .~ lH .~ i ~ 01 !i1 . r; '0 . ~ . .~ . 0 III {'eo' ~ ; ,lL:!l . N ~ E 0 ,... CO ..... . 0 ,... .~ C\I ... . CD 0 ... z L.:I , <, \") !.: c: c' c.~ " CL ~':' ~~~; ..... <:,1 Ln :7s:? ell: ~ :ro,"'" l.t.J',' ~," "..:: ",,- "' :J"';;.-1 O::(,r') CL -'" 0- ce 'TLLJ (.JC1 :'\::~ ""w ",'" a,;-'- ~ w'" -!u (.J i ' c:P.OO 8 ffi ~ E:j r'l 8 j:l ~ :j ~ 8 (f1 j n 05 nr'" ",'" c::'Tl - ,.,,'" -.'" E~g r;;~. P1tb :co ,.n~ "0 -iCl :-J", '" ;;11'T1 r--r7 - :....'0 ;">;::: lJ1 ~,.h isr~ '1",-'1 ,~1 ,.~ . '0 :', ~.:. .:.r. - ',-,'1 .'.~) S :..J '1 Il;l .11: .. f>lt;'" .., w . ~ <I", B~ ~ f/J ti ~ ~~ge! ~ f>l a: S ~ ~"O n~ rJl ~ r<. o . r<. @5 I;-< (-< .~ ~ H ... .. : " , . . PENNSYLVANIA INHERITANCE TAX GENERAl. INrORMATION .. - 1. PERSONS RESPONSIBLE FOR RETURN Section 701 of the Inheritance and Estate Tax Act of 1961 provides IIlilt the roll(J\\'illi~ persons shall prep:1re and file a return: a. The personal representative of the estate of Ihe decedent as to properly of the decedent administered by him and such additional property which is or may be subject to InllCrilallce Tax of which he/She shall have or acqui re knowledge; b. The transferee of property upon the transler of which Inherit,lnce Tax is or lIIay be imposed by the 1961 Statute, including a trustee of property transferred in trust, provided that no sep:uatc retulII need be made by the tlansferee of property included in the return of a personal representative. 2. PLACE FOR FILING The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided. 3. TIME FOR FILING The return is due nine months after the decedent's death, unless an extension ior filing has been applied for and granted by the Secretary of Revenue within the nine-month period. 4. FAILURE TO FILE RETURN Section 791 of the 1961 Statute provides that". . .any person who willfully filils to file a return or other report required of him. . .shall be personally liable. . .to a penally of 25% of the tax ultimately found to be due or $1,000 whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law." 5. TAX RATES Inheritance Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife, son, daughter, grandchildren, grandparent, son-in-law and daughter-in-law and at the rate of 15% as to all others. 6. PAYMENTOFTAX The tax assessed on the transfer of property reported in tile return is due 9 months after tile decedent's death. Interest at the rate of 6% per annum accrues thereafter unti I payment is made, All payments recei ved are fi rst applied to any interest wilich may be due with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED. All checks should be made payable to tlJe Register of Wills of the county wherein lhe decedent resided and are received subject to the final determination of the Deparlment of Revenue. 7. FAILURE TO PAY The taxes imposed, together with any interest thereon, are a lien upon leal property, which lien remains in effect until the taxes and interest have been paid in full. The taxes may be sued for against any real property in the decedent's estate or against any property belonging to a transferee liable for the loX. 8. FILING OF FALSE RETURN Any person who willfully makes a false return or report required of him SIDI!. in accordance with Section 793 of the 1961 Statute, be guilty of a misdemeanor and, 011 conviction thereof, sliall be sentenced to pay a fine not exceeding $1,000 or undergo imprisonment not exceeding one year or botli. INSTRUCTIONS FOR COMPLETING SCHEDULE "A" Schedule '~~" should include 0 detailed description 01 011 real property locotod in Pennsylvani" ond held solely by the decedent or held jointly with another individuol (s) os tenants in common. List the decedent's percentoge 01 ownership ond the estimoted market value 01 the decedent's interest. (Property held os joint tenants with the rightol survivorship or tenants by entireties should be reported on Schedule "E".) All real estate Ibc~ted in Pennsylvania should be described by lot ond block number, slreet address, number 01 acres and general description 01 land and buildings. Also, include the book and page number in which the deed is recorded and the exactlitle os indicated on the deed. lithe property has been sold, ollach 0 copy 01 the selllement sheet. II the property is subject to 0 mortgoge encumbronce, include the nome olthe mortgogee, dote, rote 01 interest ond the outstanding balance on the dote 01 death and alloch 0 statement from th,e mortgagor verilying the outstanding balance. Property taxes and interest on mortgages os of the date 01 deoth, assessments and other encumbrances should be listed on Schedule "F", Do not deduct them on Schedule "A", 1. Did decedent, withill two years of dealh, maim allY tlansler 01 any IlIaterial p~1I1 of his eslale without receiving valuable and adequate cOllsiderntioll? (Allswer "Yes" or "No" ,) JlL- 2. Did decedent, within two years of death, tmnsfer plOperly lrom himsl,j \ IJeI~;ell to IlIInsell/liel sell and ~llIollwl parly or parlies (including a spouse) in loint ownel ship? tAIISWI:1 "Yes" UI "Nu".) -.lio____ 3. If the answelto aile or two ilhove Is "Yes" illlll the tr:III,lels alc -::1:IIIHCillo he IIOlitaxilhle, proviil" the lollowing infolillillion: a. Age of decedent ilttime or tlilnsrer. b. Copy of death cerlificilte. c. Alfidilvit hy the illteniling physiciilll indicilling IIle stilte Ilf decechml':i IWiilth :Itlime of lrilnsler. d. All other informillion supporling nonlaxahilily of Ililnslel. 4. Did decedent, in his/her lifetime, milke any trilnsfel of properly wilhollt lecllIving a valuilhle 01 ailequilte cOllsiileliltioll therefor which WilS to lilke elfect in possessioll 01 enjoyment alar aftel his/her dealll? (A'lSwer "Yes" or "No".j lio a. Wa.s there any possihility that the properly trallsferred might retllrn to tr:lllsleror or his/her eslate or be suhjecl to his/her power of disposition? (Answer "Yes" or "No".) ..J!.9-- b. Whilt was the tfilnsferee's age at timeof decedenl's deilfh? 5. Did decedent in his/her lifetime nlillle any trilnsfer without receiving il valuable ilnd ildequilte consideration therefor under whicll trilnsferor expressly or impliedly reserves lor his/llCr life or any period which does in lilCI end helore his/her . death: a. The possession or enjoyment of or tile righllo income from 1I1e property tr<iIlsforred? (Answer "Yes" or "No".) -:lll- h. Tile right to designate the persons wilo shall possess or enjoy the properly transferred or lucome therefrom? (Answer "Yes" or "No" ,) No 6. If the answer to five b. ilhove is "Yes," stilte whether the right IVilS reserved in decedent alone or others. QUESTIONS CONCERNING rROPERTY TllI\NSFERS 7. Did decedent in his/her lifelime make il transfer, the considefiltion for which VlilS tlilnsferee's promise 10 pay income to or for the benefit or care of trilnsferor? (Answer "Yes" or "No".) ,:0 8. Did decedent, ilt ilny time, transfer propcrty, the hmeficial enjoyment of which was subject 10 change, because of a reserved power to alter, amend, or revoke, or which could rewrlto decedenl under terms of tfilnsfer or hy operation of law? (Answer "Yes" or "No".) ,," 9. If the answer to eight above is "Yes," was tile power to alter, "mend 01 revoke the IlIterest of lI\e beneficiary reservedin the decedent alone or IIle decedent and others'! (Answer "Yes" or "No".) --2>- RCV.4B4 &X+ '(3.80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX . RESIDENT OECEDENT SCHEDULE "E" JOI"n.V OWiIlED PROPERTY '* (Instructions on RavlJrso Sido) Estata of IrA Bllttorf. .ir., n/k/a Ira ButtorH. .Tr. .' - TOTAL PE VALUE OF OEPARTMENT ITEM OESCRIPTlON MARKET \ DECEDENT'S VALUATION NO. VALUE INTEREST IOfflcial Use Only) T - - . None TOTAL THIS PAGE 0 ~ /yO INSTRUCTIONS FOR COMPLETING SCHEDULE "E" Schedule "E" must Include all property, roal and personal, owned by tile decedent jOlntlv with another psrty or parties as joint tenants with right of survivorship. Soth tangible and intangible property are to be Included. List real estate first. 1. Describe all real property as indicated In the instructions for Schedule "A". Describe ali personal property as indicated in the instructions for Schedule "S". Include tho name. address and relationship to the decedent of the co.owner (s) and the date the joint ownership was established. 2. Indicate the total market value of the jointly ownr.c1 property. 3. Indicate the percentage of the decedent's interest. 4. Indicate the market value of the decedent's interest. C "0 " n :.- r.1 :.- ::; ;>- 0 0 " [J1 v Z >-l Z Z ~ C'l n C I:J :::: I"" r.1 ;V 0 9 I"" t>i ~ Z ::0 ~ Z Z t>i >-l t>i ...; I 9 >-l ..-: t>i 9 '" '" Z 0 [J1 0 -l 9 "1 "1 ::0 ~ i ;J> 0 ~l 'rj - 'rj ~ 0 - z n CL " :; ~, -' t'" ..., .....r. c:: ~. c:c ..~':~' ("oJ T.'_'.: '" CJ'" ;:';.J t"l \.IJV :;1.. c~ 0 0'" w.; 0:: t.I~ "" 'm Z ot3 "- t'" Uw C(.S -< ~o: ~ Iju -< -< ~ 5lO w t>i t>i ;>- ;J> ::0 ::0 REY-484 EX+ (HO) INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) @ Original o Supplemental o Remainder File Number 21-81-02/17 Estate Name Ira B.utJ;.orf..-Jr.. Dote of Death April q ,-19.8..L Social Security Number, REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inherltonce lox Approlser In ond for the County of Cumberla~d Pennsylvanlo, do respectfully report thot I hove oppralsed the reol ond personol property os reported In the oragolng return ot the values .et forth opposite eoch item In the lost column,to the right ~dules "A", "B", "C", ond "E" Doted: November' 1(;, 1qR1 <?{~.vd;f;~,~ IN R1TANCE TAX AP, AISER ADJUSTMENTS REMAINDER APPRAISEMENT CODE INVENTORY VALUE AS APPRAISED CODE (HARRISSURG USE ONLY) Real Praperty (Schedule A) S 00+ 92+ Perlonal Property (Schedule B) 10+ Jolnt.Held Property (Schedule E) 2tH Tronde,. (Schedule C) 30+ TOTAL GROSS ASSETS Lell Debt. and Deductions 40- 93- (SCHEDULE F) CLEAR VALUE OF ESTATE o Life Eslote RATE FACTOR PRINCIPLE VALUE CODE o Annuity FOR USE OF REGISTER ONLY Tax on $ CODE COMPUT A nON OF TAX S S S $ $ 6% Tax on $ 15% T ox on $ Tax on $ Tax on $ Exemptions T otol Estate $ $ $ TDTAL. TAX INTEREST FROM BALANCE TO Less Credits DATE OF PAYMENT AMOUNT PAID TAX CREDIT $ $ INTEREST FROM BALANCE DUE REV.1500 EX + (9.81) BUREAU OF EXAMINATION PENNSYLVANIA DEPARTMENT OF REVENUE P.O. BOX S327 HARRISBURG. PA 17105 INHERITANCE TAX RETURN RESIDENT DECEDENT Fila Number 21-B1-0247 DECEASED Dsced.nt's Nama (last. First. and Middlalnitiai) Buttorff, Ira, Jr. Social Security Number 180-09-260B Decedont's Address 219 Haldeman Blvd. New Cumberland, Pa. 17070 Date of Deoth April 9, 19B1 2. Supplemontsl Roturn GJ CHECK I. Original Return 0 3. Remainder Return 0 4. Life Estate 0 5. Federal Estste Tax 0 Return Required. 6. Dseedent died testate 0 7. Dseedent mainteined sliving 0 B. Number of safa deposit 0 (Attach copy of Will) trust (Attach copy of trust) boxes inventoried All correspondence and confidontial tax information should be directed to: Computation of Tax 15. Amount of line 14 taxable at 6% rete (15) (include values from Schedule K) 16. Amount of line 14 taxablest 15% rate (16) (include vaiues fram Schedule K) 17. Principal tax due (add tox from line 15 plus tax from line 16) lB. Total Prior payments: (a) Amount Paid (b) Plu. Discount (e) Minus Intsrest (16) 19. Balance Due Uine 17 minus line lB) Make Check Paysble 10: Register of Wills. Agent ... PLEASE RECHECK MATH'" APPRO. PRIATE BLOCKS CORRE. SPDNDENT Name Char1~s H. Stone, Esquire Stone Sa er & Stewart Telephone No. (717) 774-7435 I I I RECAPIT. I \ UlATIDN I I AND \ t TAX CAlCU. lATION " Recapitulation 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4, Mortgages and Notes (Schedule D) 5, Cash & Miscellaneous Personal Property (Schedule E) 6, Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) B. Total Gross Assets (total lines H) 9, Funeral Expenses Administrative Costs/Miscelianeous Expenses (Sch.dule H) 10. Debts/Mortgages/Liens {Schedule Il 11, Total Deductions {totsllines 9 & 101 12, Net Value of Estste (line B minus line 111 13. Charitable Bequests (Scheduie J) 14. Net Value subject to tax Uine 12 minus line 13} Address 414 nrirlRP Sf'" P. . B r: City Ne State Zi ( 1) 26.666.67 ( 2) 0 ( 3) 0 ( 4) 0 ( 5) 0 ( 6) 0 ( 71 0 ( B) 26,666.67 ( 9) 7,563.09 (10) 729.00 (111 B,292.09 (12) 1B.374.56 (13) (14) 1B,374.56 x,06= 1,107 47 x,15= (17) 1.102.47 (19) Under pen.lties of perjury, I declare thst I have examined this return, including ",companying schedules and statements, and to the best of my knowladge and belief, it is true. correct, and campi s. Declaration of preparer other than the personal representative is based on ell information of which preparer hss any nowledge, 219 Haldeman Blvd. ., /. f, G . a." 0 ---5-1-1.,'2. r 1.. SIGN TURE OF PERSONAL REPRESENTATIVEIS) 0 TE 414 Bridge St. Box E New Cumberland, Pa. 17070 AOORESS 1 h2/tL OATE 'SS3~00V ~O, ~008 NOIL::In~LSNI xv L 3::JNV LI~3HNI 3HL 335 '3S~3^3~ JHL NO NMOHS ALNnO::J 3HL ~O~ SlllM ,0 ~3LSI~3~ 3HL OL LN3~AVd ~nOA HLIM LI~8nS ONV ~~O, SIHL ,0 NOIL~Od dOL 3H1 H::JVBO "l.N3DV 'S11II1 ~O ~31.SI1l3~" :01 31aVAVd ~30~0 A3NO... ~O ~::J3H:l 3~V'" '(tOOl - SB.Z 'oas 'S'd ZLI 1961 10 lOV "L a\elS3 pue aOU'lua4UI a4\ 10 1001 uOl1oaS .4.q papl^oJd 51! BOllON S!lll JC'J ldla09J Jail! s^ep (Q91 ^IXIS UllH!M loarqo ^ew lU8WS$9SSe PUl! IU9UJ9SIeJdde a41 41!M pa!JSI\I!S IOU 'S^tleIUGS9Jd9J leUOsJad .HH pUll 411eaMUOwwo:) 941 6Ulpn10U! 'lS9J91Ul UI ,(,lJed f..UTI --------------------------------------------------------------------- OOSOO' ",p 0 ~ S~~OO' 'A.p 0 Z 69100' sA.p 01 88.00' sA.p 6Z 81~00' SA.p 61 ZSIOO' sliep 6 I L.OO' sAep 8Z 10~00' SA.p 81 S~I 00' sA.p 8 .S.OO' sA.p LZ .BZOO' sA.p L I 81100' sA.p L L~.OO' sAep 9Z L9Z00' SA.p 91 10100' SMp 9 OZ.OO' sA.p S Z 09Z00' sA.p 91 98000' sA.p S ~O.OO' sA.p 'Z L~ZQO' sAep .1 89000' sA.p . 98~00' sA.p ~ Z OZZOO' sA.p ~ I 19000' sA.p ~ 69000' sA.p U oOZOO' sA.p Zl .~OOO' sA.p Z Z9000' sAep I Z 98100' sJiep II L 1000' A.p I 090' S41UOW Z l S.O' S41UOW 6 O~O' 541UOUJ 9 910' S41UOLU ~ 990' 541UOW l ~ 0.0' s41UOW 8 9Z0' S41uOW 9 010' S41UOW Z 090' S41UOW 0 1 9~O' S41uOW L OZQ' S41UOW 17 900' 41UOW ~ --------------------------------------------------------------------- OL'9Z0'ZS lUawA'd 10 alea 01 IS9J91U! pu. "I W LaL OL'9Z S 1+1 Iuaw^"d 10 a\.O 01 lS9J91UI snld OO'OOO'ZS anp "I 10 a,uele8 0L'9Z S 9E810' x OO'OOO'ZS LS3~3LNI lS9J91U! 10 ale~ snp xel JO aou21l!a 9EElO' 9EEOO' + 010' = lS9J91U! 10 911!'~ = 'A.O OZ = S41UO~ Z :U! sllnso~ 08-OZ-S 01 08-EO-E WOJI l,aJalUI 'onp xel 10 O::Jueleq OlH 01 lSSJS1U! 941 PPV C d31.S 'lSBJB1UI 10 SleJ a41 Aq' snp xel 10 s::Jut'leq a41 Ald!Hn~ t d31.S 'Molaq alqel 941 WOJI lSSJS1U! 10 91eJ 9lj1 aUIWJalSa I d3LS :Molaq pSle::J!pU! se pSleln::J,e:J S! lSSJS1UI 941 'OB-EZ -9 uo apew S! 1uawAed pue 'OB-E-E WOJ~ snle1S lusnbu11ap e ul SI OO'OOO'ZS 10 anp xel 10 a:lUeleq e H :31dWVX3 (M0138 31dV\J'VX3 33S) 'xe1 p!edun 10 lunowl!' a41 uo wnuue Jad W9::lJad (9) X!S 10 aleJ 9lj1 le pa6Jeljo S! lS9J01Ul 'ljleap s,luspeoap alj1 Jelle S41UOW (6) eu!u 1uanbuqep sowo:Jaq xe1 9:Jue1!Jaljul 'pOMOlle s! p!ed Xl!'l 9lj1 10 %9 10 lUnOOS!p e 'ljleap S,lUSPS:JSP 941 JaH!~ SlHUOW (E) aaJljl U!ljl!M p!ed S! xet 941 JI '(98.Z uO!loa, 'S'd ZLI 1961 10 10V xe1 91els3 pue oouellJSljUl 941 10 60L UO!l:Jas Jopun U9M6 aq 01 pSJ!nbaJ BOIlON 9lH S! luswn:JOp 5'41 NOlL VVIl~O,jNI , J REV lSD3EX (3-82) I . BUREAU OF EXAMINATION ASSESSMENT 101 PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX CONTROL NO. P.O, BOX 8327 RECORD AO~USTMENT HARRISBURG. PA 17105 DATE 6-4-B2 ESTATE OF Ira Buttorff, Jr. FILE NO. 21-81-0247 DATE OF DEATH 4-9-81 COUNTY Cumberland NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO "REGISTER OF WILLS, AGENT." Charles H. Stone, Esq. 414 Bridge Street P.O. Box E New Cumberland, PA 17070 PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE ~~!~~p~g_!~~~!~~------------------------------------------------------, "INHERITANCE TAX RECORD AD~USTMENT" ESTATE OF Ira Buttorff, Jr. FILE NO, 21-81-0247 DATE 6-4-82 ADJUSTMENT BASED ON: 1 Original and 1 Supplemental VALUE OF ESTATE: 1. Re,l Estate (Schadule A) 2. Stocks and Bonds ISchedule BI 3, Closely Held Stock/Partnership Interest ISchedule CI 4, Mo'tg'ges and Notes (Schedule 01 5. Clsh & Miscellaneous' Person.1 Property (Schedule E) 6, Jointly Owned Property (Schedule F) 7. Trlnsfers ISchedule GI 8. Tot.1 Gross Assets DEDUCTIONS AND EXEMPTIONS: 9. Funsral Expenses/Administrative Costs/MIscellaneous Expenses ISchedula HI , O. Oebts/Mortg,ges/Liens (Schedule I) 11. Total Deductions 12. Net Value of Est.te 13. Charitable Bequests (Schedule J) 14, Nflt Value Subject to T.x TAX: 15. Amount of line 14 t.xable .1 6% rite 16. Amount of line 14 tax.ble .1 15% r.te 17. PrinCipal T,x Due TAX CREDITS: PAYMENT DATE RECEIPT # DISCOUNT 1+1 INTEREST H (j-"} ~ tJJt 'Y'71 c,' NO INTEREST IS DUE IF PAID BY IF PAID AFTER DA TE INDICATED SEE REVERSE FOR INSTRUCTIONS, ACN 101 I 11 26,666.67 I 21 I 31 141 I 51 I 61 I 71 181 26,666.67 ( 9) 7 .563.09 110) 729.00 111) 8.292.0L- 112) ]8,374.56 113) 1141 18,374.56 (15) 18.374.56 116) X,06= 1.102.47 X.15= 117) 1,102.47 AMOUNT PAID .9-7~ TOT AL TAX CREDIT , BALANCE OF TAX DUE 1.102.47 (If B,l,nce Due IS less thin $1.00 no payment IS f8QUlr RET AIN THIS PORTION FOR YOUR RECORDS INFORMATION If the tax is ~aid within three (31 months after the decedent's death. a discount of 5% of the tax paid is allowed. Inherit.nce Tax becomes dllJlioquent nine (9) months after the decedent's death. Interest is charged .t tMe flte of six (6) percent per annum on the amount of unpaid tax. (SEE EXAMPLE BELOW) EXAMPLE: If a balance of tlX due of $2.000.00 is in I delinquent stltus from 3-3-80, and p.vment is made en 5-23-80. the interest is calculated IS indicated below: Rite of 2 Months = 20 D.vs c interest = .010 + ,00335 .01335 B,l.nce of I.x due Raitt of interfl!:;t INTEREST $2.000,00 x .01335 $ 26,70 STEP 3 Add lhe interest te the balance 0 f tax due. 811lnee of tax due $2.000.00 Plus Interest to Olte of P,ymenl 1+) $ 26,70. TOT AL tax and Interest to Dlte of PIyment $2.026,70 STEP'I Determine the rate of interest from" the table below. STEP 2 Multiply the b.l.nce of tax due by the r.te of interest. Interest from 3-03-80 to 5-23-80 Results in: --------.-----------------.------------------.---.---------------------- 1 month ,005 4 months .020 7 months ,035 1 0 months .050 2 months .010 5 months ,025 8 months .040 1 1 monlhs .055 3 months ,015 6 months .030 9 months ,045 1 2 months ,060 1 dlY ,00017 11 d.ys .00186 2 1 dlYs ,00352 2 dlYS .00034 1 2 dlYs ,00203 22 dlYs .00369 3 dlYs .00051 13 dlYs .00220 23 deys ,00386 4 d.ys .00068 14 dlYS .00237 24 dlYs .00403 5 dlYs .00085 15 dlYS .00250 25 dlYs .00420 6 dlYs ,00101 1 6 dlYs .00267 26 dlYs ,00437 7 dlYs .00118 17 dlYs .00284 27 dlYs .00454 8 dlYs .00135 18 days ,00301 28 dlYs .00471 9 dlYs .00152 19 d,yS ,00318 29 dlYs ,00488 1 0 days .00169 20 dlY. ,00335 30 days .00500 --------------------------------------------------------------------- MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS. AGENT" 'DETACH'THE TOP PORTION OF THIS FORM AND SU8MIT WITH YOUR PAYMENT TO THE REGISTER OF WILLS FOR THE COUNTY SHOWN ON THE REVERSE. SEE THE INHERITANCE TAX INSTnUCTION 800K FOR AOORESS, r.--'-.-------- - --- - - --.---- -- -- -- --- ---,-.--,,- --- _._- REV~l1G,2 El(, . " . " . . . . .' . ',' . \Dr,:v'#iJi0J',>,i\Y".,.. 'COMMONWEALTHOFPENNSVLVANIA, .'.. '.' "'[' .... .... . . NO . . ' DEPARTMENT OF REVENUE . o 4960JFICIAL RECEIPT. PENNSYLVANIA INHERITANCE, AND ESTATE TAX '_.......'.'."..,1".;;,' . ~"." . 1;'" . c'" ""-.I\f~-:.:H;l.JI . ; ',:,'::':/;;ft;W ;, '. .;.,",,'''~ ' 1 m .6f.!i m AMOUNT Assossmenl Control No. i \" _RECEIVED FROM: ~:- Loub. s. .uttorf! ~ h' ole Chad.. H. IStoft8LBSCU__ " -dd.;L5uu.t ---- )I_ e""Mr~_~a._--17.Q10_-_ L ~ ProbAtA 1r102.47 ESTATE INFORMATION: FILE NUMBER NAME OF DECEDENT LAST FIRST MI DATE OF PAYMENT 6 POSTMARK DATE : :COUNTY ~ bATE OF DEATH REMARKS SEAL [i]TOTAL AMOUNT PAID . ~ ,.102.4,1 .:/' -U/. ~ //t{U .1 ~ -- ~~ -_ ---~J! RECEIVED BY ;-",',:1; . I.... ~ ___, ~ ........___"......". __ _. 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