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REV-lUO EX+ 17-801
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT OECEOENT
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES
(Instructions on Reverse Side)
COUNTY NO. d:) 1- Y i - t;-Ct I
STATE NO.
( ) Exec.
( ) Adm.
Othor Daughter
Homo ["ave L. Slavbalwb
Social Security Ho.
1'1)"' 11,.. Vb n
Gardners
(CITV)
17i24
(ZIP')
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PA
ISTATEI
Address
R. D. III
Gardners
PA
17324
Doto 01 Death
August 10, 1965
ICITY) ISTATE} (ZIP)
Under penalties of perjury, I declare that I haw examined this return and
to the best of my knowledge and belief it is true, correct and complete.
0.,
Social Socurity Ho.
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Date
TYPE OF ASSET
OESCRIPTION
ES'TIMATED MARKET
VALUE
OEPARTMENT VALUATION
(OFFICIAL USE ONLY)
REAL
ESTATE
Tract of mountain larld located in South
Middleton Township, Cumberland County,
Pennsylvania, on Old Town Road and contains
5 acres 112 1/2 perches.
Recorded September 24, 1936 in Deed Book "U",
Volume 11, Page 310, in name of
John J. McCans.
Assessed for $50.00 in 1965.
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OFFICIAL
USE
ONLY
TOTAL $ :",800.00 / f!4?O..'1-() .48
I do hereby certify that the above assets were appraised in accordance with Pennsylvania law.
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DATI.:
DATE
NAME OF PAYEE
NATURE OF CLAIM
AMOUNT CLAIMEO
1965
1965
Maude A. McCans
Family exemption
$1,000.00
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Joseph W. Gibson
Funeral Home
F\meral bill
823.35
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TOTAL
$1,823.35
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OFfiCIAL
USE
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REV.SI8 FO 17.80)
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COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT' OF REVENUE
BUREAU OF FIELD OPERATIONS
NOTICE OF FILING OF APPRAISEMENT
Mrs. Faye L. Slaybaugh
R.D. 1
Gardners, PA 17324
RE: Estote of
County of
File No.
aTnhn aT. Mr!(';m!=::
Cunberland
21-81-0561
DeDr Mrs. Slaybaugh:
You are hereby notified thot the ..iDsnlvpnt
opproisement in the estate of John J. Mct::ans
hos been filed in the office of the Register of Wills of CUltberland
County on October 16 , 19.!!!.. Soid appraisement reflects the following voluations:
Reol Estote
Personol Property
Jointly Owned
T ronsfers
Total
Sl,ROO.OO
lInNF.
tnNF.
OONE
$1.800.00
As to such tax thot is paid within three months from date of death, 0 five (5%) percent
discount is ollowable. As tD any tax that remains unpaid after nine (9) months (fifteen months
when deoth occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when
deoth occurred prior to December 22. 1965) from dote of death, interest at the rate Df six (6%) percent
per onnum is charged.
Any party in interest who is aggrieved by this notice may object thereto within sixty days
after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of
1961,72 P.S. 2485-1001, P.L. 373.
Date OCt:OOer 16. 1981
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Signed <~~:d:...::> /-1cr.--c-
Title Chief ~r"i,,=
NOTE: This is not a bill.