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HomeMy WebLinkAbout08-14-80 COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28, 1956, P.L. 1757, and Act of June 15, 1961, P. L. 373, as amended) RCC- 3 (1-69) Application is hereby filed for the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 1. Bureau File # 21-78-314 2. Date of Death June 2, 1978 3. Date of Approval !l~t.J: /~ I:1M 4. Name of Decedent T A. Miller 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 500.00 (Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases enter such fractional or percenta~ amount above). 6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the transfer, unless such material has been previously filed. WILL~ DEED 0; TRUST INDENTURE 0; OTH ER 0; SURVIVORSHIP 0; (If other, explain) Amount is that shown in Statement of Proposed Distribution 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Carlisle Band ADDRESS c/o W. Mac Kissinger, Jr., 140 Belvedere St., Carlisle, PA 17013 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. / Signature of Applicant .!c.........~ ~, ~'-1' I / ! Address of Applicant lW. High St., Carlisle, PA 17013 Official Title Attorney for Estate Date 8/14/80 This form must be completed in triplicate and all three copies delivered to the Register of Wills for the County in which the decedent resided, or in which letters were issued for a non.resident decedent's estate. If the decedent was a non.resident of Pennsylvania and letters were not issued by a Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau of County Collections, Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Pa. Approved: For the Secretary of Revenue Do not write below this line. For Official Use Only Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Denied* 0 (I n iti al s of Regi ster of Wi II s) (Authori zed Si gnature) (County) (Title) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE RCC- 3 (1-69) APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28, 1956, P.L. 1757, and Act of June 15, 1961, P.L. 373, as amended) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Application is hereby filed for the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 1. Bureau Fi Ie # 21-78-314 2. Date of Death June 2, 1978 3. Date of Approval t~~ /~ /13'0 4. Name of Decedent T.. . Miller 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 1800.00 + 1000.00 -+ ~7S~ (Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases enter such fractional or percentage amount above). 6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the transfer, unless such material has been previously filed. WILL ft; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) One- half of cottage at Herndon and contents, and one - half of 2000.00 bequest a,-A 4'w. 'U~-e.. 01 IS.r-l Ik",~.v-.... ("~....~i.~:t. I C{,~ 7. Correct Business Name and Address of Charitab(e Organization rec~iving property: r . r ' NAME Seibert Evangelical Congregational Church ADDRESS Hp.rndon, PA 178~O 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. Signature of Applican c....,"J,-,,~ ;f:, Address of Applican~ 1 W. Hi h St. Carlisle PA 17013 Official Title Attorney for Estate Date 8/14/80 This form must be completed in triplicate and all three copies delivered to the Register of Wills for the County in which the decedent resided, or in which letters were issued for a non.resident decedent's estate. If the decedent was a non.resident of Pennsylvania and letters were nat issued by a Pennsylvania Register of Wills, deliver 011 three copies to the Director, Bureau of County Collections, Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Pa. Do not write below this line - For Official Use Only Approved: For the Secretary of Revenue Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Denied* 0 (Initials of Register of Wills) (Authori zed Si gnature) (County) (Title) (;) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE RCC- 3 (1-69) " , APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX {Act of May 28, 1956, P.L. 1757, and Act of June 15, 1961, P.L. 373, as amended} COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Application is hereby filed for the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 1. Bureau Fi Ie # 21-78-314 2. Date of Death June 2, 1978 3. Date of Approval I~ /~/'1.ed 4. Name of Decedent . A. Miller 5. The Commonwealth's apprai sed value of the property for which an exemption is claimed is $ 13 .091 .00 (Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases enter such fractional or percenta~ amount above). 6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the transfer, unless such material has been previously filed. WILL 0-; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) Amount is that shown in Statement of Proposed Distribution and reflects Release and Disclaimer of surviving spouse. 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Cumberland County Historical Assn. ADDRESS 21 N. Pitt St., Carlisle, PA 17013 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. Signature of Applica 4""_-,, "-r<. _ M"'--..o., . ( Address of Applican W. High St., Carlisle, PA 17013 Official Title Attorney for Estate Date 8/14/80 This form must be completed in triplicate and all three copies delivered to the Register of Wills for the County in which the decedent resided, or in which letters were issued for a non-resident decedent's estate. If the decedent was a non.resident of Pennsylvania and letters were not issued by a Pennsylvania Regi ster of Wi 115, del iver all three copies to the Director, Bureau of County Coil ections, Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Pa. Do not write below this line. For Official Use Onl Approved: For the Secretary of Revenue Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Denied* 0 (I n iti al s of Regi ster of Wi /I s) (Authori zed Si gnature) d (County) = /.t/, 11ft) (Date of Approval) (County) (Title) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE \. IN RE: ESTATE OF T.A. MILLER, DECEASED IN THE COURT OF CO~U10N PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHA!'JS' COURT DIVISION NO. 21-78-314 RELEASE AND DISCLAIMER KNOW ALL MEN BY THESE PRESENTS, that I, BEATRICE M. CLAUS, surviving spouse of T. A. Miller, deceased, having elected to take against the will of said decedent, thereby becoming entitled to an undivided one-half interest in said estate, do hereby irrevocably release, disclaim, renounce and surrender unto Cumberland County Historical Association my undivided one-half interest in the Indian jewelry and Indian artifacts bequeathed under paragraph VII of the will of T. A. Miller and also, having agreed to a division of the coin collection of T. A. Miller whereby the Cumberland County Historical Association receives certain gold coins of the United States having a valuation of $3505, and the said Beatrice H. Claus recelves the remaining gold coins having a valuation of $3067.05, do hereby irrevocably release, disclaim, renounce and surrender unto Cumberland County Historical Association the excess valuation of $437.95, being the amount by which the coins distributed to said Association exceed the value of the coins distributed to me. IN WITNESS WHEREOF, intending to be legally bound, I have 9 ~, hereunto set my hand and seal this ____ day of July, 1980. l~ah<-<L /)/ Urw", eatrice M. Claus' ....'"1. #' . COMMONWEALTH OF PENNSYLVANIA ) ) S8 COUNTY OF CUMBERLAND On this the 9ti day of July, 1980, before me, the under- signed officer, personally appeared Beatrice M. Claus, known to me or satisfactorily proven to be the person whose name is sub- scribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ".? (.\ ,~' -." .~<: t~Ej.L) I " ,-' / 6T.ARY PUBLIC My Commission Expires July 14. 1931 Carlisle. PA Cumberland County I ~ .)' ) Vt t... I ,.1 , :> .: ,,\~'..) I '. !....,...' > i, ,. ;' ~", ' RCC- 3 (1-69) APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28,1956, P.L. 1757, and Act of June 15,1961, P. L. 373, as amended) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Application is hereby filed for the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 1. Bureau File # 21-78-314 2. Date of Death June 2, 1978 ~'(.A.:t-. /~ If f'tj . A. Miller 3. Date of Approval 4. Name of Decedent 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 10.005.60 (Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases enter such fractional or percentage amount above). 6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the transfer, unless such material has been previously filed. WILL ft; DEED 17; TRUST INDENTURE 17; SURVIVORSHIP 17; OTH ER 17; (If other, explain) Amount is that shown in Statement of Proposed Distribution 7. Correct Business Name and Address of Charitable Organization receiving property: NAME First United Methodist Church ADDRESS Carlisle, PA 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. ~.-, )~,'~~ Address of Appli High Street, Carlisle, PA 17013 Official Title Attorney for Estate Date 8/14/80 This form must be completed in triplicate and all three copies delivered to the Register of Wills for the County in which the decedent resided, or in which letters were issued for a non.resident decedent's estate. If the decedent was a non.resident of Pennsylvania and letters were not issued by a Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau of County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Pa. 00 not write below this line. For Official Use Onl Approved: For the Secretary of Revenue Referred to Bureau Headquarters Approved 17 For Secretary of Revenue Denied* /7 (Initials of Register of Wills) (Authori zed Si gnature) ~U"ty) /~ /9/'d (Date of Approval) (County) (Title) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE RCC- 3 (1-69) APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28, 1956, P.L. 1757, and Act of June 15, 1961, P.L. 373, as amended) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Appl ication is hereby filed for th e approva I of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 1. Bureau Fi Ie # 21-78-314 2. Date of Death June 2 , 1978 3. Date of Approval T /~ Lf.?P 4. Name of Decedent . A. Miller 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 12,930.37 (Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases enter such fractional or percenta~ amount above). 6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the transfer, unless such material has been previously filed. WILL !$.; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (Hother, explain) Amount is that shown in statement of proposed distribution. 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Bethel AME Zion Church. Shiloh Baptist Church. West Street AME ZionChurch ADDRESS Carlisle, PA 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. ,~~~ -n ..~,. Address of Applica W. High St., Carlisle, PA 17013 Official Title Attorney for Estate Date 8/14/80 This form must be completed in triplicate and all three copies delivered to the Register of Wills for the County in which the decedent resided, or in which letters were issued for a non.resident decedent's estote. If the decedent was 0 non.resident of Pennsylvania and letters were not issued by a Pennsylvania Register of Wi lis, deliver all three copies to the Director, Bureau of County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po. Do not write below this line. 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