HomeMy WebLinkAbout81-00553
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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES
(Instructions on Reverse Side)
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COUNTY NO.c:::1 -'J / - 66~::.J
STA TE NO.
( ) Exec.
( ) Adm. Other
Irene E. Darr
Widow
Estote 01
William A. Darr
Home
Lost oddr... R. D. # 2, Box 3
(STREI:.T1
Sociol Securi ty Ho.
210-~0_ij668
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Z Carlisle PA 17013
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w (CITY) (STATE) (ZIP)
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co August 30, 1981
Dot. 01 D.oth
I- H.D. 1/2 , Box 'J
0: Address
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U (5T1~EETI
" Carlisle PA
co
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17013
Soclol S.curity Ho. 17~-05-2628
tCIT'f) {STATEI (.lIPI
Under penalties 01 perjury. I declare that I haYS eXl'lmined this return and
to the best 01 my knowledge and bellet it I, true, correct and complete.
dlu2-ru' e ,0 a.9zJl.. 9/9/81
SlgnJlure 01 Fiduciary Qatll
TYPE OF ASSET
DESCRIPTION
ESTlMA TED MAR~ET
VALUE
DEPARTMENT YALUATION
(OFFICIAL USE ONLY)
Personal
Property
1978 Oldsmobile Cutlass Salon Coupe
$ 3,925.00
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TOTAL $ 3,925.00
I do hereby certify that the above assets were appraised In accordance with Penni)'lvanla low.
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OffiCIAL
USE
ONLY
DATE
NAME OF PAYEE
NATURE OF CLAIM
AMDUNT CLAIMED
9/~/81
Hoffman-Roth Funeral
Home
Funeral bill
~, 2,900.00
9/9/81
Irene E. Darr
Family Exempt ion
2,000.00
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TOTAL
~> 1~.900.00
OffiCIAL
USE
ONLY
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