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INHERITANCE TAX RETURN .;:;/'ll'v 12 ./j1,1~~A-e; f-i-:.-
FOR INSOLVENT ESTATES ONLY ~
OF RESIDENT DECEDENTS
COUNTY OF Cumberland
Rce-t03 U-731
COMMONWEAL TH OF PENNSY~ VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
Thl. return must be completed In dotail and flied In duplicato, will. the Registor of Will. in tho County whore Ihe dDcddenl resided within nino
months ahat doto of doath, union an O)llo"Ilon Is grantod by tho Socrotary of Rovonue.
Wille;:;{ / -k/ - 67c>O
'\dmn. Nil. 1<)__ I, Edith J. r.lyepSl
(N^MI~l
IIfR. D, 110-. Box 267 ,-Carli..1 P ,
( MJDRES51
Misc. j
heing duly swum lIccording III law, JCl1tlSl'S IIml says lhul Iw is lhc J1 .cce of Sarah CO~~}.:!!,~'l.!!_L._b~_.~r._______
(I' )flOC" hUM., LI-:GATEE, ETC,l
IIr Ihc estate IIf__Q.I1_ar.19_1'1. ..oL,YQ.!'nl11[lD.
laic III' lJorth.Middlet0l1..Townsl1i p-.--- ..---
.0.__" iCilY, B01~(lI_,r;11. r)ll TOWN!>HI~'1
deceased, nnd Ihat lite: whole of the CSlillc of said deccJcnt, who died on ....N.9yG!nl?,~y "JJ_l..__19I.B_.q...________
lDATEl
consisted (If the assets listed he low and Ilmt allowilhlc Jehls Hill! lIcdu(,.'titlI1S cxcccJcd the fair milrkct value uf the assets and
no Pellnsylvania Trunsfer Inherilance Tilx is JUl'.
Sworn Clnd subscribod before me
the 16t:t-- day af~~ 19.8~
~ 11 ~J .J. A .l\..
~i,t'Ltf-2ll~~--_--_----.-.--..._._....----
~,~-N-ATUREII l TITLE)
Type 01 An.t:
Real Estate, Pen,
Property, JoIntly
Held Prop, or
Transfers
ASSETS
(Attach oddlllonolsheets if neconary)
Doscrfptlon of Auel
EIllmolt'd
Markol
Value
D.partment
Valuation
CAUTION
(Do not writ.
In this s ce)
Lot improved with a dwelling located in
North Middleton Township, Cumberland Count
Pennsylvania, owned as Joint tenants with
Sarah Anna Cornman. See Deed Book "M",
Volume 23, Page 341. Sold in estate of
Sarah Anna Cornman on August 17, 1981, for
$5,500.00. One half interest
$2,750.00
TOTALS
$2,750,00
REPORT OF INIIElUTANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraber in and for the above County do respectfully report that I have
appraised the real and personal prnperly as reported 1n the furcgnin' schlf.dulc at.J,Jrl1 "alues set forth opposite eac.h item in
the las~ colum'!-4o the right. (fIJ{~ .~.:(..{J-'"
Dated: ~~L ... _ ,NHERIHNCE TA~PPRAI5ERl
DEBTS AND DEOUCTIONS Amount
Nature of Cldi;'-- Claimed
Home of Payee
Amount Apploved
by ReGist.r
Hoffman Funeral Home
Funeral services
500.00
Carlisle ligspital
'"
Last illness
2,721.65
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TOTALS
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KI'I'O\Il 01' nIL RHilSHR 01' \\ILLS
I, the Undt:rlroigned duly dt'dcd Itq:i'-lcl Hl" Wilb. in and ('tIIthL' ahlt'.C ("~lUnly. Ju rC:"l'u:l'lfully IL'rurt thai I ha"t' alluy.ed
dcduClilll1t; in thl" amaunl... '"ct (unh inlhl' ahu\'e ,.dlL'Jull" 3loo dilimc..J. (,'h'C(l1 "hcl~' I ha\I:H~1 forth a j;l"call:r or ICjlioer amuunl
in .hc I.., <'IIlumn ". 'h<.Ii~III..~h.'"h 1"<'"'' HI 1e''''I '""""" 1<1"""."" Ih,' ','''''' I!,~,.~'d a,. I dl'L'U~liCl~"' '
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