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HomeMy WebLinkAbout81-00589 \ I . ~ p: H tIl ~ lJ1 :> Cl ,;l ..:l >< ~:l lJ1 H ~ r.. r.l r.l Po r.l ..:l rol ..:l ~ r.l O"l ~ ~ :.t:J foOl .'" tIl ~ ~ cO '. - ~ 0 W ~ . j -1. REV"~!+ ~.E / - 5 g' 01 COMMONWEAL TH OF PENN!I'!LVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT /1-31 'J. I INHERITANCE TAX RETURN FOR INSOL VENT ESTATES COUNTY NO. (Instructions on Reverse Side) Estataol~lIeJ ~t" hel/s St1, Lost addre.. ~ 13 )I(jl1lrlJ d t/u-<.. I- ~ Gcrn.'l1 '1'(. ~ (CITY) J w Q Date 01 Death Social Security No. TYPE OF ASSET Ctt ,z. ,~ (/cI( b"t<..r '" I- w '" '" " 5"'11 OFFICIAL USE ONLY DATE 1, I' 'I/l-~/'I ~" ~ 3/1'///1 rt/ ~ !/I '1/ I! rI. ~ }j. 7/11 rl ~ il P'/.tI tel ~ '/~ 18'/ tl ~ i!tlt! r.~ ~ '(!i/y-/ I"f, 'I/tjl'l l<f "/te/il (lei. OFFICIAL USE ONLY (STRI:I~TI (-l", r7dlf .5 (ZIP) (STATE) J/9/1/ I I In -<;;)-- 7377 DESCRIPTION STATE NO. ( ) Exec, () Adm, Other Nome (!paLO/; ~ /1'lCt.i!-'f"' hddr Social Security Na, / C; / -. 'r'iJ - ~,,/,2 I ~ Addre.. r,,/ ~ #'/J??d,....1 #,~ U (STREET) ~ Lf'r/l'~rH'~.. /)0'7'3 {CITv} J (~TATEI (ZIP} Under pcnaltitls of perjury,l declare that I haw examined Ihis return and to the best of mv knowledge and belief it is true, correcland complete. (ffirL -to- -nt /r.:ht 9hoh/ sj;al~7ol Fiduciary Dato I' ESTIMATEO MAR~ET VALUE DEPARTMENT VALUATION (OFFICIAL USE ONLY) It( 7 J cp-oI./(" ~ - f" ..d/? Co "Ii. I 'i C <; [I l4111111" . f:'a /I~ cc,o,d, /'II'I- '?/a. f -6 (J IId"'1 /., oS 4';"'J .6"t ~, C.tt.l.b('1:, tt-r.Jl, 410.1-,<:. IOO,()o lfS"06,dO 41 3()O,dO 5' {t 'j d 0.00 H ~-c 4/l I do hereby certify that the above assets were appraised In accordance with Pennsylvania law. ~-4- ,~l'-~;(:tP-mf-- ""/7 ;1'/ ~ A?PR~"ER /D , NAME OF PAYEE le'''5 oS Vrff!Zr,! ',"'( tJt<..II-(I'e.. l11unv'11Mtc. IJ,-co C rtd. r cturr.! ((e..v I./~hl'? ((II ( l'I"i,1.. /"Jell n/,/,tHt' L e"" rJ~ ,,( tj 0 R V J ( Ic'~ 'J or/'", ~ tJ, / /../~ nil I /, ~ r.54" Ir pit. a. -fit It: oS u "' ,J ~,z.H... (0" J .1,.1.. I, fc., tI < ~ot, :0; S~../ OEDULTtON~ALLOW[D NATURE OF CLAIM ~vr1 f'<,A./ ~ 1:)(.1"'1 ~/ J,e (L,U r/)) (J, It 10 ~ '\. 5't.5"../f m r t71 ()/C.'" I J ~fl. v' (. r /'51,1- 6.1/ /"I",..~ 1..// 5 t'"v',-r ~, II I {" 1/ (J' ,11 Iff it!.fr. C' It Ir f J./I 17 t 1/0 Ie}' s r rJ4- f'~" ~,II AMOUNT CLAIMED 7 7'f. 0 0 ,)'1 "],,;).,0 'f 7';).6 "-C),Oo S-3.2S .HoIO ) r.t) 0 2. /(. ./ J S-'), n. Z-~. 00 /5". , '3 ~OS-<(. 1 , TOTAL " I i.-,.f" c (. ..~...- ~/,Jl~ eJ /?J .,~, //-,'/- F C'A,!,!:, 'UJnla~ XO! awo,ullonp!n!plll'O~'Vd WJOj uo popodoJ a'l pn04' wall aWo)ul allloxol '!41 ',.,odJnd XO! .wO)UI O!UOnIA,uu'd JOj 'l'lopod.J '! "IOI,a liD 6up"I'!U!W .po Ul p.WJojJ.d "'!^la, JOI 'JOIOJI'IU!WPO JO JOln)axa UO 'Alawou :"n!lOIUa,aJdaJ alOl'a UO 01 Plod ,aa~ :310N IIOMOI,{9 OlttDHMO)OJ a}.o ,unOlOD "~!1 fa ':ii~q"p 'i0 onuo^o~ fO IUolWpod30 alii ,(q p,u.no:Hu .:Jq 04 'ilioll "lfl 1O! .I0^"'t'!l{M OOe'l S.lO anp aq 01 puneJ ,(IOIDWHI" kOI ;)11110 ~oSZ to ,(llouad 0 o~. . . 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