HomeMy WebLinkAbout07-10-07
REV-1I24 EX+ (8"0)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
CERTIFICATION -
NO ASSETS IN ESTATE
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On ~t
Da... ~ I")~
Estate of . ~ h1 (
County Date of Death ~ 2.r~ ). 04'7
County File No. J./.. tfJ 7'" t!J~ ,1-
State Fi I e No. l tj 0 i - "of' g
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, 'W"_ , I filed a petition for letters -~~-/
in the above estate for the sole purpose of
TO: The Register of Wi lis
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This is to certify that there were never any assets, reportable for PennsylvGllia InheriDce Ta~
$.:; 0 ......::b fl-' I
:"..... :0 (... i;1 0
purposes, in the estate of the decedent either at the date of death or subsequent ~~ := ~ ~
:= uS ~ 0 ::0 t.-:J
I certify that the statements contained herein are true and correct, to the beiJ~y kfttlNledVti ~
be -n :z: :"~-n
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and belief. - -i ~ F= ,-n
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Signature 'f~~
Title:
cy~~
Verified by:
(APPRAISER)
Date:
Receipt Acknowledged by:
Date:
(REGISTER OF WILLS)
(PREPARE IN TRIPLICATE)
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