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HomeMy WebLinkAbout06-20-79 ----~~c c-Tr4:'r3r'- )"'~:::f?"I~!'V'f,~i!'- m__77-~,71'.,~~~9~. ' CoMMO'""EA L.!P'~,;,,,,$tL v.... DEtlART" o. .eM...,. IUREA", 0' c::IfIMrri,~Il.'~U.l";;' APPLICATION FOR CHARITABLE EXEMPTIQN fROM PENNSYLVANIA TRANSFERINHERITANtE TAK (Acffof May 28.,1956, P.L. 1757, and Act of June 15, 1961, 1/.. '.... ~~L,. 81$" aam_ded) ......;~.... . ... ... i App'ic:.tIQIII....."filed '-.......'.1 of an .x......... ....'...n.'..on.. TtMd... h'tn.tl"'~ax' o.r... tran.fe.r~th. prO,.,., d....1Ied ""ow: "', t. ,3.p..te.o'~~ .o:L. 1. Iv.... .m.# . ~/-7#"~~~t1 "-1 a~~ 14'8:' 2. ~.. ofDeoth * ,~ :, ~:_ -~, li. 5. Th. C.IfJ...JL....... ......of.1fa.<.~ for!'hi~h Oft...."'''' cl.....l. $ _,. . (It..,. r...... ~In'.itr t. ,"~I . '~:.l1tiCf__'_#:, .'........._~t~~ .,IiMi.".' ..lit..''''............,'' ~... by _; ....... .......... "., ....'..........0...... " . .,,~......~...,._...,w.;....~' '" """ ,." :_i;' :" - , '_ ' " "" .. ".,,- _' ,.,," ':"" ",.-,oJ'<'_ _ - , ' ,," , - ,- '1" ' , ' , i ......... MIf;frecttea.f or pe......-1....... 0...). ' , ' , , ,'~:.f ,,,.--. '-:Y:' '-,~ " '"'., ~ - , '.>, .". .. GtIiNl,~.. r I.., . i~I'~:I"'!' . It.' tllCn __""s " ';~. '\"'_ ~\~" ,.'" i:,-.;. ,'-- ~iI--""", ~+ :-e ~.~.. .~~~~., 'lffed." . ,. , : ,l;..:'~"j :.,' '1 , i'~.".IIt1UJIO~ ~ ii' Wi\.".; ..u 0; I, Bf ""'" _..)~ .: . . ',. ' ",t; . " ": .,' , " . .'~" , . .~ c....... .......... .... A~''',.tWANWlt~f~ ....,.l..~ ! . l.. . . /. - .. --- :'"1''''' .', '""'-i~-1'~', 'I \:-" ~-:: ' -_~~..',+..:.~fl ',,~r;I_,,';, :;,.~..." " ',-:~v _' ,,' "'-,:>~;-': ;'~v~'y-' 1"'. APPLICATION FO.R CHARITABLE EXEMPTION PROM PENNSYLVANIA .TRANSFER 'NHERJTANCETAX (Act of May 28, 1956, P.L. 1757, and Ac;t of June 15,1961~ .... .. \.P.L.313, n-.dW) '- 4-. , ' -'. '"-'0' ...........'..............!... , , C%OMMONWEAL,", OF ........n VANlol DEPART_MT 'F RIVENUE UREA!} OF ."'JY~L~ . ~-,-;~' App'icottOlli I.h...., fil..tfo,_. ."...va' of an ....,fion from P.....~J_ia t....,., ""h.,I..... Tax 011 ill. trall.fer'of~.'",.~ d.tctilMril .Iow: 1. Bur..u FU. # ;;il~~.ff~~l/)4 2. Date of". .,3.., .~.oj~.I,., 5. -. ..Ift...~...... ,.....~fo,whidt an ........... i. ,'........ $ , ,:' .....'jt.. ...1.... if .t*lfJ....,..t -.'<<1", .... ...I!t'fotl. .jIi.'..- ...t' , .NM..it ., .",...... ., ihe .......fl6J., ...... ..... ~... __.~.. .... '~,.~~ -'"...., ..oHi.. ~f .. ..diiM" ..tate ~ .. ....... ..s'..,' III..... ~ . .. " O!,t..~.~...t..Mv.). , . ~ . .WIIIa........ J" T~ },.,....,.!F'"- ','-"'"f .~".'.. , "',': . " . ' ,.'\('. .. . ~'" ~ ~"";-';.' ...... "..... ....);:; ,/.' .~." '.' J..' . ",'. ....n.~, v.. ...U, .f .tI~ for ..~~ 1"/...... ..!I".... ~.. .:...........t~'.....yl~lo. ;-~ .... of eo.Itty ct.I.......' ;." 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I"'~~" ".,..,--,....~ ~:.. ,..~." ~~-" "-:~_0'~ , , L To ttl ' t that il'\J\eritaftCe tU'is paid withj~ three (3l mon" ,It!.'~h,~!l,h~ " ~c-::,'~". ....,i"..~A~ '._Wd.t12 P.S.fi2486~ 71''r'~ '-"";;'-"~'~'~:-~~~Ci <i.,.e;7,~'~"~~'i;'7;J;),:I' , _,_,...;...._,~,~.Li..:~ . .~ ona futureiftte . .,~,:,.!.t~!1!..q~!~;t!ftl: ,,~,>- . c.t.r t 'eHhe; ~iration of .,ine (9) !Mnthaahlli' .:'" :~~~$:":t. _.. ~TaJt ort .:Iuttare kM...._ .fltc:pey_-:-withiri ,th..... fat-monthl'-after-the-1t8nsfer ,tlikes,effecHn;'; ,incl' . enjoyment. and is delinquent thereafter (72 P.S. fi:2485;. 712); CalcUlate interest fro,m, the delinql;l'~ date,ahcw,n on the. ~ace of this form to tMt dltte'of.actutif PlIYmem .using thtl'following inter8Jt t.b1e: _~.:...~_;.. _;.._ __ __~__.._ _ ~"" _.:.;__.:::.~:c:~:..;_ _,_...._ _....:.....:.:.;.. ____ ..._ __;... __~_ ..._~___..!~'~,~ ~;;'.:...':' :':..:.. ~_ " .~.".t''-'',H'_'~ ~~',." 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