HomeMy WebLinkAbout81-00619
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OOMMONWEAL TH OP PENNSVLVANIA
DBPARTMaNT OP RBVBNUB
TRANSPSR INHBRITANQB TA><
RESIDaNT DaOBDBNT
SCHEDULE "0';
BENEFIOIAAIES
IImtfllot/om 0/1 Rovmo'S/clo)
Eltate of
BllNllPIOIAAIBS AND ADDABSSIlS ABLATIONSHIP "sURVIVBD DAle Op INTl'iAEST OF Illir'lEFICIAAV
, DBceDeNT BIRTH
Mr.s. Ethel J, Jones sU..rYlvlnR spouse
1724 Walnut Bottom Road ,
Carlisi\'!. PA 17013 , ,
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The above Ileneflalarlst were living at the time of Iha tleoedent's death el(Clelltf;)~ the follbwhigl
NAMe
DATE OF DEATH
, If eddltIDn.llp.o.11 n.O.III1V, UIO BW' H 11" shilts,
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~8 POR COMpI.E'fINGtlCHEDUI.E "E"
Schedule "E" mu.tlnoludo all11ropert'i, rllul und pllr8(ln~l, ownod qy the deoedont Jointly with ollutlior
pe',rty or partlol at 101lltlonantB with rloht of lurvlvorshlp, Both tangible and Intonglble proportyuru to bo "
Inaluded, : Llet rool olleto flr8l, ' .
1, Oowlbe nil roal proporW os Indlontal! In Iho Inwuotlol18 for Sohedulo "A", ~aBorlbo 011 personfll.property
as Indloated In 1110 1t1struollons for SOhOllulu /fll", Inoludolho numo, addrass unci rOlotlonshlp to tlw
dooedont of tho oo.owner (s) and tho dalo thujolnt ownarahlp wua ostabllshod,
2, Indloato tho tOlel merket vulue of Iha Jointly ownod propotly,
3, Indicate the peroentage of tho neoedont's Intcrast,
4, Indlcatethemerkolyalue of tho deoedant's Interesl,
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PII. Numb.r :
INHERITANCE: TAX SUMMARY SHEET
(BUREAU USE ONLY)
21 ~fj 1-.'!!2..___.___.___.___.
[i] Original
. D Suppl,mentol
C]Remolnd,r
"EVil"'" KK+ "..tOl
~.tat. Nom. -'''':'''_'c-Ill1JQ.!LkL..ull1fl~~-,---~_._"''':'''-
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RePORT OF IN~eR1TANCETAX APPRAISER
I, th. und.r.18n.d duly appolnt.d hih.r'tan'. TOM Approlnr In and for th. Couoty of Cumberland,
P,nnlylvanlo, do ItlptOtlully "port that Il1cv. approlnd th'.r.al aod pmonal prop.r AI r",o~'d In th. 'or'80In~
"tum. at th. yalu.. 1ft forth oppult. .coh It"" In th. 100t o.ohlmn the rl hI In Soh. I.. "Ai, "8", "C", cnd ' II"
Pat,d, Novemb\W 12, 1981 ...
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APJUSTMIHTS
VALue AS APPRAIIaO .. COOl IHARRIUURG UIa OHLY)
RIMAIHOIR APPMIIaMIHT COOl
, IHVRHTORV
R..I Proptrly (Iohldull A)
P.lloool Proptlly (hh.dul. B)
. JolnhH.ldProp"ty (hhldul. .)
TlOnlf.,. (hh.dul.,C)
TOTAL. GROGS A..an _...~_~,12.lL_. !':>O".___ ~m
0 00+
3 140 00 to+
1 ~+
Nnt1A 10+
II
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(ICHIOU\.I P)
C\.IARVAL.UI OP lIT All!
o LIf. Illtllt.
o Annuity
40.
III.
IlAll
PACTON
PRIHCIPL.I
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COMPUTATION OP TA)(
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TOTAl. TAX
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DATil 01' PAVMBNT
AMOUHT PAlO
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IN"IRIIT PROM
BAL.ANCI OUI
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H~V,4ee 11,801
COMMONweAL TH OF PfiNNaVLVANIA
Ofi,,^llTMfiNT Of RUIIBNue
TIlANeFell INtiUnlTANeft TAX
RUSIDeNT DBeUDUNT
SCHEDUl.ll "F"
8TAT~MaNT ClF DEBTS
AND DaDUCTIONfI
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Estute of _AMOS Li.\ J,ONlDS Dnto of Oonth _ApI' 11 6. 1981
WI-iEN Cl.AIMINQ THIl FAMILV EXIlMPTION, COMPl.E1E THIl FOLLOWING:
Claimant
lDthal J, Jones
_ RlIlatlollshlp to Oecedont SuouHa
Claimant's AddrasB-!724 Walnut Bottom !toad, CBI'lls~f). rJ~t 170U
- RRMARKS .. . .. AMOUNT
. I~~~ DATI NAMR OF MVU . .
_J!lthel J lLana,s. __, u _.l~am!.!~~l~IUloa II 000.00
.. Hoffmall~ltoth Funaral Homo__ i_ Funel'\II oxpenfles 2.350.00
, . C,V, Memorial Gardens Grave marker 90,00
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, Farmers Trust Company Mortgnge 31.875,3L,
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I hereby cartlfy.that to the best of my knowledge and belief the foregoing Is a jus(and true statement of tlnbts, funeral
expensel Rnd expenses of administration submitted to tho oslale as doducllo lS f r Inheritance Tax purposes,
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nv FIDUCIAllY OATn
DEBTS AND DEDUOTIONS ARE ALLOWED INTHE slJM OF $
AT (.\
eU/"!cJ
J'1c.e,t,./
r-- WILl.S
P~RO~N:r,
/1-;Jf'.1:t(1
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QI:NEriAL INH~RI1:ANCE TAX Il'JIE2~
IJnllltlsflad i1a!Jllltlna Indurro!J by thodooodont prior to hla/hftr dooth oro doduotlblo against his/her taxaRle ~8tate,
In oddltlQ~ tQ dobtslnourrodby tho uocodontpr OS tale, Qlher Items 01'0 claimable InclLJdlngthe.oolt of admll1lstrotlon,
attornoy fOOB, f1dLJolory (oos, (unorol und burloloxponsollnoludlng tho Cllst o( a burial lot, tombstone or grave marker,
.
All debts bo.lng olalmod ugahlst on ostote oro sUbJootto the approval of the ROglster of Wills with whpm the
Inlwrltanoe Tax RalUmls Iliad, Evlclonco to support tho clooeoont's or the Oltoto'S liability (or the debts belngalalmod
should bo attaohed to this sohedule,
Afemlly exemption of $2,000 may be olalmad by a spouse of.a deoedent who died Ctomlolleclln Pennsylvania,
If there la no IpOllS8, or If the spouse has (orfelted hls/hor rights, then any child of the aeoedent who la 0 member of
thellllmo hOLJlehold oon claim the exemption, In the event there Is no suoh spouse or ahlla, tile eXomptlon oen be
, olalmed by 0 perent or perents who ore members of the some houlehold es the deoedent,
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INSTRUCTIONS FOR dOMPLETINQ sCHEDULE "F"
1 ,lithe family exemption Is being clolmod, Indicate tho claimant'S name, addrels end his/her relatlonsOIP to th~ '
., ~ece~ent, Enter "family exemptlon"ln the remerks column end tho amount claimed In the amount oolumn,
2, Assign oonsecutlve nlllnbers to eech Item listed,. '
3, Enter thu deto ollwlliC!1 ooch debt was Iflourrod and/or palo,
4. Enter the names of eochl)oyoe. .
6. 'Provldo 0 brief oxplanatlpl1111 tho remarks column for each. debt claimed,
6, Enter the amount 01 eacll debt beh19 olelmod,
7, rhe forl11 Illllst b.o signed by the person who has assumed tile responsibility for p~ylnUthe debu.