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RCC-3 (4-73:
APPLICATION FOR CHARIT ABL E 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
Applicati,on is hereby filed for the approval
of an exemption from Pennsylvania Transfer
Inheritanc:e Tax on the transfer of the praperty
described below:
1. Bureau File # 21 78 448
2. Date of Death August 12, 1978
-----.-
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b )1 (VI. "" l ;~~ 'OJ" C,
3. Date of Approval -:Xv I i
4. Name of Decedent Florence G. Ridenour
5. The c.ommonwealth's apprai sed value of the property for which an exemption is claimed is $ 25,000.00
(Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of
the prc'perty has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift
or bequest represents a stated fractional ar 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;
(If other, explain)
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME First Lutheran Church
ADDRESS 21 S. Bedford St., Carlisle, Penna. 17013
o See listing on reverse side for additional charitable organizations covered.
8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct.
, F)
;\ ,: J' 1
Signature of Applicant 4IU\.L (i"~j~i \" )j' "
i,Fanners Trust Canpany
Qle West High street
Address of Applicant C'J:lr1i!:::1p., Pp.nnH 1701:1
Official Title
Executor
Date
March 20, 1979
This form must be campleted 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 capies 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
'Kt'z.luu {' E (~,}Jtii"'.\L1) .'~ For Secretary of Revenue
Denied* 0
(Signature of Register of WiHl~}) (Initials of Register of Wills) (Authori zed Si gnature)
(County) (County) (Title)
-')IO~l J.,(:;,14"ly
I
(Dat,e of Approval) (Date of Referral) (Date of Acti on)
* See reverse side for reasons
MUST BE FILED IN TRIPLICATE
RCC-3 (4-731
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of May 28, 1956, P.L. 17S7, and Act of June 15,1961,
P.L. 373, as amended)
CuMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application is hereby filed for the approval
of an exe'mption from Pennsylvania Transfer
Inheritance Tax on the transfer of the property
described below:
1- Bureau File # 21 78 448
2. Date of Death August 12, 1978
3. Date of Approval -Ii'; (J.e ~ C:. ! Q.lf?
4. Name of Oeceden t Florence G. Ridenour
5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 50,000.00
(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 LX;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If other, explain)
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME Teachers College
Columbia University
ADDR ESS New York, New York 10027
o See listing on reverse side for additional charitable organizations covered.
8. I certi'fy that the information contained herein is, to the best of my knowledge and belief, true and correct.
.",
~. , n ,f/, ",~'
Signature of Applicant ,lt~~~\ Corrpany
One West High Street
Address of Applicant Carlisle, Penna. 17013
Official Title Executor
Date
March 20, 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 Wills, 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
APPROVED: For the Secretary of Revenue REFERRED to Bureau Headquarters
Approved 0
For Secretary of Revenue
l(. (~llll.j' f C~ 'Hlrw,., f.
OJ (Signature of Register of W~lIs) . \.\B '\
Denied* 0
(Initials of Register of Wills)
(Authori zed Si gnature)
(County)
hilt:..
I
(Date of Approval)
(County)
(Title)
,d(1 I Q'IG
,~
(Date of Referral)
(Date of Action)
* See reverse side for reasons
MUST BE FILED IN TRIPLlCA TE
RCC-3 (4-731
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)
CuMMONWEAL 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 78 448
2. Date of Death August 12. 1978
3. Date of Approva I ~"h-] C'l1..... A. (' l q 1-) (
I '
4. Name of Decedent Florence G. Ridenour
5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 100,000.00 + Resid~e
(Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of
the pl'operty 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 pl'eviously Hied.
WILL 0}
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If other, explain)
7. Corree:t Business Name and Address of Charitable Organization receiving property:
NAME Ohio Northern University
ADDRESS Ada, Ohio 45810
o See listing on reverse side for additional charitable organizations covered.
8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct.
-,
'\ ; j). ~,
5;9"""" of AppU,,"' 1~K~ "Crnpany
, One West High Street
Address of Applicant Carlisle, Penna. 17013
Official Title
Executor
Date
March 20, 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 ond
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, Horri sburg, Po.
Do not write below this line - For Official Use Only
AP PROVED: For the Secretary of Revenue REFERRED to Bureau Headquarters
Approved 0
For Secretary of Revenue
(J(: CLUJ .lJ C (vi) J l'~ 0;
(Signature of Register of Wills),
Denied* 0
',)!
(Initials of Register of Wills)
(Authori zed Si gnature)
'.
(County)
~'})J C,Ll ;;I c , 9,?
([)ate of Approval)
(County)
(Title)
(Date of Referral)
(Date of Action)
* See reverse side for reasons
MUST BE FILED IN TRIPLICATE