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HomeMy WebLinkAbout08-22-79 RCC~3 (4~73) APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28, 1956, P.L. 1757, ond Act of June 15, 1961, P.L. 373, as amended) COMMONWEALTH OF PENNSYLVANIA DEP~RTMENT 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 # 21-78-0450 2. Date of Death AUgust. 4. 1978 3. no'. of App,"vol _l~' :l 4. Name of Decedent Kath yn s. ') . ..( ,;7 I I~ ~) D., r ! Brackett 5. The Commonwealth's appraised value of the property for which on exemption is claimed is $ 1,000.00 (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 beque~;t represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases enter suc:h fractional or percentag.e 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 Harrisburg Symphony Association ADDRESS-1Q N. 2nd Street, Harrisburg. PA 17]0] 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. Dauphin Deposit Bank and Tr:yS~ comPrny~ E..\.\X~J/1~or of Estate of Kathryn S. Brackett Signature of Applicant _ !_UJ.... )i'~:.L~ r Address of Applicant 213 Market Street, Harrisburg, PA 17101 Official Title Trust Officer Date 8/16/79 This form must be completed in triplicote ond 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 0 non.resident of Pennsylvania and letters were not issued by a Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau ot County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Pa. Do not write below this line. For Official Use Only APPROVE[~: For the Secretary of Revenue REFERRED to Bureau Headquarters ,)--\\ (. k t, ,t t' Lv" 1 ~~Ln\ ~ .,- l ... t _. ;7 (Signature of Register oT Wills}t'~i'> ,l't.:'& K Approved 0 For Secretary of Revenue Denied* 0 (Initials of Register of Wills) (Authori zed Si gnature) (County) /" , I l ..l.".J, ! ('1 I/ \ , '1."" I '- "! (Date of Approval) ; (County) (Title) (Dote of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICA 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) COMMONWEALTH OF PENNSYLVANIA DEFARTMENT 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 be/ow: 1. Bureau Fi Ie # 21-78-0450 2. Date of Death August 4, 1978 (C \.1. '::'-\..(.,1/- ~');,(. ! '; t,l '7 , I Kathryn S. Brackett 3. Date of Approval 4. Name of Decedent 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 2.000.00 (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 'lppraisal 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 suc:h 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 a)c 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 Community United Methodist Church of New (:lImhp.r1.qnn ADDRESS 16th & Bridge Streets. New Cumberland, PA 17070 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. Dauphin Deposit Bank and Trust Company, Executor of Estate of Kathryn S. Brackett. /) .' t) / J CL~ . 1-7C-<-~~ :I(.. By: Signature of Applicant Address of Applicant 213 Market Street, Harrisburg, PA 17101 Official Title Trn!';t OffiC"pr Dote 8/16/79 This form must be completed in triplicate and 011 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 0 Pennsylvonio Register of Wills, deliver 011 three copies to the Director, Bureau oi County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po. Do not write below this line - For Official Use Only APPROVEI): For the Secretary of Revenue REFERRED to Bureau Headquarters x: "bk ( " ,),L,,'v.l , Yl~ ,~~=h (Signature of Register of Wills) 1J- lJ Approved 0 For Secretary of Revenue Denled* fJ J'i (Initials of Register of Wills) (Authorized Signature) (County) I , ( j 1 i ( (Date of Approval)' ! (County) (Title) .~ 1~'lr, .' , ! (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE RCC-3 (4-73) 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 omended) COMMONWEALTH OF PENNSYLVANIA DEl-'ARiMENT OF REVENUE SUREAU OF COUNITY COLLECTIONS Application is hereby filed for the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described be~ow: 1. Bureau File # ?J-7R-04'iO 3. Date of Approval Augus t 4~ 19 7~__ ~_____~. C.\' A.( ,,- \1' r~" -'~~):l J '1 '/ 5' \ ,. Kathr~ S. Brackett 2. Date of Death 4. Name of Decedent 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 2,000.00 (Note: Where the property is other than 0 specified amount of cash, the exemption cannot be approved until the value of the prOpE!rty 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 suc:h fractional or percentag.e 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 Hied. 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 Ogunquit Methodist Church ADDRESS Ogunquit, Maine 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. Dauphin Deposit Bank and Trust Company, Executor of Estate of Kathryn S. Brackett /) ]~ )/ ,.--..-:-, (~. j-- /". . I,."' ( .( _!.<-J( . I.....c:...~-.....c:"_.y.. I Signature of Applicant By: Address of Appl icant 213 Market Street. Harrisburg, PA 17101 Official Title Trust Officer Date 8/16/79 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 leHers were issued for a non.resident decedent's estote. If the decedent was a non-resident of Pennsylvanio and letters were not issued by 0 Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau oi County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po. Do not write below this line - For Officiol Use Only APPROVED: For the Secretary of Revenue REFERRED to Bureau Headquarters )\ L{ ~. I. /- / l L(~ .,\,I,,\.{ 1 ,C\,}~~'tl 1'1 " (Signature of Register of Willsj',l)~\?)1 Approved 0 For Secretary of Revenue Denied* 0 (Initials of Register of Wills) (Authori zed Si gneture) ( County) (County) (Title) (Date of Approvel) (Dote of Referral) (Date of Action) "" See reverse sid"" for reasons MUST BE FILED IN TRIPLICATE