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REV.45fi EX+ (3.S0)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT OECEDENT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
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Claimant's Address at time of Decedent's Death
File No. -?/+/ -3:);P'~
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Relationship to Decedent m':,
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4 South Rupp Avenue, Shiremanstown, ,':I'Z. kZ:Oll
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Estate of William J. Port Date of Death 3/11/81
WHEN CLAIMING THE FAMI L Y EXEMPTION, COMPLETE THE FOLLOWING:
Claimant Emily T, Port
"
ITEM OATE NAME OF PA VEE REMARKS 'j .' :J AMOUNT
NO, ' , ~ d\
Family Exemption '., '
.~2 ,000.00
5/8{8l Mvers Funeral I-Iome Funeral expenses 2.023.20
Joseph P. Alexa, Esq. Attorneys fee 735.00
Register of Wills Fil ing fees 6,00
.
-
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TOTAL I $4,764.20
I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral
expenses and expenses of administration submitted to the e.~tate,as deductions for Inheritance Tax purposes.
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SIGNATURE OF FIDUCIAHY DATE
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWEO IN THE SUM OF $7 '1 r)',;j;( 0 AT
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% TAX RATE
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DATE
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, REAI.4M "-80)
COMMONWEAL Tfl OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE" A"
REAL PROPERTY
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(Instructions 011 Reverse Side)
ESTATE OF
William J. Port
DESCRIPTION
ESTIMATED
MARKET
VALUE
DEPARTMENT
VALUATION
(OFFICIAL USE
ONLY)
4 South Rupp Avenue, ShiremanstoIVn,
Pennsylvania; see copy of deed attached
hereto; exempt as a tenancy by the entireties.
TOTAL THIS PAGE
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REV.451 (l.eo)
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
..
(Instructions on Reverse Side)
Estate of
Will iam J. Port
l ESTIMATED DEPARTMENT
ITEM DESCRIPTION UNIT MARKET VALUATION
NO. VALUE VALUE rOFFICIAL US!: ONL Y)
Personal property $ 300.00
1979 Pontiac Bonneville Brougham,
Title No, A32l57863 4,000.00
.
TOTAL THIS PAGE $4,300.00 I 'f3oo.oo
-
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REV04!52 EX'" (3.00)
COMMONWEAL TH OF PENNSYLVANIA
I DI1.PARTMENT OF REVENUE
TRAHSFER INHERITAHCE TAX
RESIDENT DECEDENT Will ium J, Po'rt
ESTATE OF
SCHEDULE "C"
TRANSFERS
*'
INSTRUCTIONS:
! \, Answer the Questions on reverse side,
,2, If the answer to any of the Questions on the reverse side is "Yes," provide a description of the property transferred per
Schedules "A," "B," or "E," its estimated market value at date of death, dales of transfer, to whom transferred and
relationship of transferees to decedent. Allach a copy of any trust deed or instrument relating to the transferred property,
ITEM
NO.
DESCRIPTION
ESTIMATED DEPT. VALUATION
MARKET VALUE rOFFICIAL USE ONLY)
Account No, 25063 with Defense Activities
Federal Credit Union, 5275 East Trindle
Road, Mechanicsburg, Pennsylvania,
registered in the names of William J. Port
and Patricia P. Anderson (Daughter) on
August 26, 1980; date of death balance
of $25,430.33 reported on Schedule E.
TOTAL THIS PAGE
REV-"D7 EXt 17-801
COMMONWEAL TII Of PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITAllCE TAX
RESIDENT DECEDENT
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INHERITANCE TAX
APPRAISEMENT
[iJORIGINAL
o SUPPLEMENTAL
File No. 21-81-03L___
Estate of William J. Port
County
Cumber1amj
Dote of Death
March 11, 1981
In the avant that any futuro Intorest In this e$to~o Is transferred In possClSslon or enjoymont to collateral heirs of the decedent after tho
expiration of any utote for life or for years, tho Commonwealth hereby oxpressly reserves the right to appraise and assess transfer
Inhorltoncs toxas at the lawful collateral rats on any such future Intorest.
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
ASSET SUMMARY
DEPARTMENT'S
APPRAISED VALUE
1. Total Real Property - SCH. "A" , , . , " $
2. Total Personal Property _ SCH. "B", , , , $
3. Total Jointly Owned Property - SCH. "E" $
4... Total Transfers - SCH. "C", , ,'. " " $
None
4,300.00
~5, h3n 33-
None
Unreported $
Unreported $
Unreported $
Unreported $
$ None
$ 4.300.00
$ ;>5.4'10.'1'1
$ None
$ 29,730.33
o LIFE ESTATE
TOT AL GROSS ASSETS
DREMAINDER
ANNUITY
TOTAL VALUE
$
( do hereby certify thot the above appraisement is mode in conformity with Pennsylvonia low and has been filed this
doy with the Register of Wills.
jth~ I~l i.lff J' All J( j ) 06/18/81
APPRAISER DATE
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