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Home My WebLink About06-07-79 RCC-3 (4-731 APPLICATION FOR CHARIT ABLE 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) COMMOl'lWEAL TH OF PEl'lNSYLVANIA OEPARTMEl'lT OF REVEl'lUE BUREAU OF COUl'lTY COLLECTIOl'lS Application is hereby filed for the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: l. Bureau File # 21-78-0442 2. Date of Death July 28, 1978 3. Date of Approval {, - 7 - 7'1 4. Name of Decedent Sarah McCrea Chapman Jones 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 48,000.00 (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 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 11i; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTH ER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME See list 011 back ADDRESS fM See listing on reverse side for add' lon(l{ charitable organizations covered. 8. certify that the information contained he eini~, to t f Y knowledge and belief, true and correct. Address of Applicant Signature of Applicant Official Title COo-Executor Date June 5, 1979 This farm 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, Pat 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 Ru:pl.cq) f. (lrl'vtr. ",...let\.. ~ (Signature of Regiffer E~i1'tsif~~~ ('.tL v'1\-t-:...\. ~ tv.\." (County) ~. ..... 7, /q'lel , (Date of Approval) Denied* 0 (Initials of Register of Wills) (Authori zed Signature) (County) (Ti tie) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLlCA TE This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied. Date: The application for exemption contained on the face of this form has been denied because Note: Any party in interest, including the Commonwealth, aggrieved by this action may within sixty (60) days after the date of this notice exercise their rights of Protest, Notice, or Appeal in accordance with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. Brown University, Providence, R.I. Lawrenceville School, Lawrenceville, N.J. St. Thomas Episcopal Choir School, West 55th St., New York, N.Y. St. Lukes Episcopal Church, Newton, Pa. Trinity Episcopal Church, Wilmington, Delaware Domestic & Foreign Missionary Society, 815 Second Ave., N.Y., N.Y. National Trust of Scotland,S Charlotte Sq., Edinburgh, Scotland John Graham Library Assn., Newville, Pa. Hamilton Library & Cumberland Co. Historical Society, Carlisle, St. John's Episcopal Church, Carlisle, Pa. First United Presby. Church, Newville, Pa. Holy Trinity Episcopal Church, 1904 Walnut St., Phila., Pa. St. Andrews Episcopal Church, West Afton Ave., Yardley, Pa. Episcopal Diocese of Central Penna., 221 N. Front St., Harrisburg, Villore Medical College and Hospital, 475 Riverside Drive, Room 243, New York, New York Nepal Hospital Fund, United Mission to Nepal, Box 126, 1/29 Thapathali, Kathmandu, Nepal Episcopal Home for Aged, 206 E. Burd St., Shippensburg, Pa. Dickinson College, Carlisle, Pa. Dickinson School of Law, Carlisle, Pa. 10,000.00 5,000.00 5,000.00 5,000.00 1,000.00 1,000.00 1,000.00 1,000.00 Pa.l,OOO.OO 1,000.00 1,000.00 1,000.00 1,000.00 Pa. 5,000.00 1,000.00 1,000.00 1,000.00 5,000.00 1,000.00 RCC-3 (4-731 APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28, 19S6, 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 fjled for the approval l. Bureau File # 21-78-0442 of an exemption from Pennsylvania Transfer 2. Date of Death July 28, 1978 Inheritance Tax on the transfer of the property described below: 3. Date of Approval {p .- 7 - 79 4. Name of Decedent Sarah McCrea Chapman Jones 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 185,634.06 (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 Ki'; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME See list on back ADDR ESS Q See listing on reverse side for odd' ional charitable or.,ganizations covered. 8. I certify that the information contained h rein is, to est 0 /fuy knowledge and belief, true and correct. 1,( Signature of Applicant Address of Applicant Official Title Co-Executor Date June 5, 1979 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 Wi lis, deliver all 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 AP PROV ED: Far the Secretary of Revenue REFER RED to Bureau Headquarters Approved 0 For Secretary of Revenue ~{ '~l,V ~. tl/'.\{l~. ~0 tn (Signatu~e of RegiR~o~.~~t~ftj,~ e u, ('(\.~M,- t(,)O,J (County) ,d. . r'-'- '/, J'1 rl 'l tT (Date of Approval) 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 This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied. Date: The application for exemption contained on the face of this form has been denied because Note: Any party in interest, including the Commonwealth, aggrieved by this action may within sixty (60) days after the date of this notice exercise their rights of Protest, Notice, or Appeal in accordance with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. 1/10th Dickinson College, Carlisle, Pa. 2/10th Dickinson School of Law, Carlisle, Pa. 3/10th Brown University, Providence, R.I. 1/10th National Trust of Scotland, 5 Charlotte Sq., Edinburgh, Scotland 3/10th Episcopal Diocese of Central Penna., 221 North Front St., Harrisburg, Pa.