HomeMy WebLinkAbout81-00649
1. Mrll,; 'Q,(ll:.QthXjlo!i~!!-_~__~~___~, ~~}lt:.er:_" ---~-~---
626 Riverboat pr.
_ _____ _ __ ..._,........-~T ~.--
Lake HtlVIlIIU_ C1 ty, Ar!~opa B34o._~_ _~~______ _.~___ .-----
Z. EarleneStauefer Grand~ Yell
~---...._.............' ,. -~--...---.-
~803front Street __._~__ Da~t:er_____
New Cumberland, Pa. ~}070 __________.__
1. Ronald Bauffer _.~______' Grand~ -~~~
BOK 117, Main Street Son
Lee Center, N.Y. 13363
_._-~......----------............,..-~--_............... -----
4. JOIl6~h DYll1nger Grand~ YaEl
4129 Durnil Road on
Meonan1ollburg, Pa, 17055 ~
5. m~ra luao.Dysinger ~I'
408 Mt; Allen .Ddve"'
Meohanicsburg, Pa. 17055
-
_ ..,.r~ ....~
nSNSFICIARlelANP ACt/neIl8BI
III,It 11lIln'l!111 ,nd .~d'"I'" of ,II willi h'VI ,n IlI'arO\I
IlIh.. ,"I,d, oonll"g,o' 0' o,h" III,,'lItI
haNliPloIARIE8
RS~ATIONBHIF
TO DBCUDeNT
.~ll~
BURVIVBO
DeoeCBNT
BTATU ves
OR NO
...- ---_....,-~-
~
a
t!1
'II,
8
~
o
'T1
AOB OF LIFB
TeNANTS OR
IlNN\lITANT&
AT OBATH OF
OBOSOSNT
INn RUT Op
BSNSPIOIARY
IN UBTATI
1/5th Reaidue
-1! 5th Rssidue
-......--
1/5th Residue
1/5th Residue
g ~ i !
'II, ~I' 1=
:ll
m ~ z
~ ~
:;j
0
z
'!
N
" 0_ v'l~;
, , ;'~'\i ~ ~
, , 1'.. -'-'-'-",
l:i1 N ~"~:~
II'! ri._ I :ll
1-" "-fi'
- ~:! ~ r?.I,;
c, ,,-~l
It!lJ; uJa
l>; pi)
d
INfORMATION
I
~
!
PLAOeFOR PILING _ Tho ralurn Is lobo fllod Indupllcolo wllh Iho ~oulslbr of Wills of Iho county whorolnJhn decedenl resldod,
TIM!! FOR 1'1 LING _ Tho rOlurn Is duo nll10 monlhs IIflor 1110 docedonl" doalh, unloss an oxlansloll for flllno has been aPPlied for ollt! uronlod
by Iho Sac rotor V of Ravonuo wllhln tho nlno-monlh porlet!.
FAILURE TO I'ILI! RE.TURN .u Soctlun191 of Ihe 1901 S,otulo'provldosihol ", _ - any porson whd Wlllfully!oll.,(1) Woo rOlurn or
othar raport required of him _ _ _ sholl bo porsollillly 1I0blo _ __ to 0 penalty of 26% of IholeX ulllmololy found 10 bll duo 0' $1,000
whichuvarls lito loslor 10 bo rocovered by Iho Daporlmant of Rovllnue oS dobls of IIka alnounl 'oro recovorablo by loW."
i ~ ~ '$
.f:l
,<I I
~
f I
"'" I I'~ g
"" 0
0 V'J 0
~ ~ t ~ 0
d z z
,I g ~ ~
z ~ ~, 8
""
,-
COMMONWEALTH OF PIlNN8YLVANIA
DEPAR1MENT OF ReVENUIl
BUREAU OF EXAMINATION
OPFIOIAL NOTIOE OP
INHERITANce TAX
A88888MBNT
*'
TO: . . . , /) / . ,'" / ,! i" .'
_f " or;"" to'- , ' - - -~-"r ,~;~
':' ';,:~!'/.'.l. .!::...":5.'~. :.,j::;,.~..::,~.,.; :',C...! f..~<.V
i' "~ .".,l"..,I, .-~ .. "7 " ,.' .' '
FILE NO.
!>~~.I'j, ";\'/7' ',"r:':':
~'/""UI :.,~ .'>)'_/7"
{J _. .' J' / - _-_ JJ'l,'tr
~ ._ _ l_" . ,-
. <!-/J_-'-~/j!\.>./l.~~_- ,-,,('l
OOUNTV FILE NO:
_,>,/ - .?/ r.
/j /
,
DATil
ESTATE
.--~
COUNTY
/r(--~~i',~i
PATE OP DEATH/i if/lA,' 'Cr,. .<1.';' ,<'~F I
~pprlil.odValuo of a.tato!
'Roal ElIolo
~or'9nal PropO'IY ,
. "~.,~~-:';",,._n...'__"__
t
j ;,' .0/ _j
.
Jolnlly Held Proporty/Tran,lm
+
Tolal O,o.s e'loto
.
'/
TotelApprovod Oedllollone
)... I
/
.
CI.ftr Value 91 Ellalo
.
-" I / /j,~/
, .
Lou: !\pp'9vad Charlfablo Examptlon.
Claa, Value OlellOIO S~bl'ol 10 T.x
.
,/\
Amounl Tax.bla @ 6% RalO
.
"',"j ,1(' </}
lax.dlle
.
..-~ I //)
Amount Toxablo @1S% Ral'
lex due
TOTAL peNNSYLVANIA INHERITANce TAX DUE $
~)/ Jd
. . . . . . A five p.roerll dl.oounl lo,allng ·
will bo grantad If the Inhorltenoe Tax I. paid by
Leu Crodl":
DATe OF PAVMeNT
-' ,) ,-,>/
AMOUNT PAID DISOOUNT INTEReST TAX '<lREDIT
. .. '/ + . . . c . 'j
"'I .
+ .
+ .
Inlatnt, $OCrue. at' Ihe rale of '.I,x (81 peroanl par annum
on Ihe unpaid balence of Inhorltanoe Tax Irom_
to date, of paymonl. Inturost 'duo 'If paid by I.
BALANOe OP peNNSYLVANIA INHeRITANce TAX Due , " ,'('J
j cl:~:-h",-..).l- L:>~?-irl) ') J f!'- /.'.-~', ,'!"/
AnUlid by:
8i8 lrHorrntUbn on- ReV,"i BIde
,
,-!