HomeMy WebLinkAbout03-30-78
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RCC-IO.3 lJ..73l
COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETUR1\L
FOR INSOLVENT ESTATES oNt.9'
OF RESIDENT DECEDENTS
AR 1 f) 1Q~LL.~
V"'';;/V~
,
COUNTY OF ('T1MP.F'IH.l\1\ln
~
~.No.
This return must be completed in detail and filed in duplicate, with the Regilter of Will. in the County where the decedent resided within nine
months after date of death, unless an extension is granted by the Secretary of Revenue.
JF..AN L. NACE
(NAME)
~
~ duly sworn according to law, deposes and says tha~is the
19_ I,
953 W. Trind1e
of Mechanicsburq,
(ADDRESS)
Road
Pa. 17055
of the estate of
RACHEL M. ANDERSON
surviv~ Joint Owner
<X :lUWt~X_~~.)
late of Monroe
(&A~1&01IQ\.l.ISi~~ TOWNSHIP)
deceased, and that the whole of the estate of said decedent, who died on
November 1, 1977
(DATE)
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
no Pennsylvania Transfer Inheritance Tax is due.
Sworn and subscrl bed before me
~'C>'" '^" I' ~,
the --~A.---doyof I ',rl:'.7oJ:'.",- 19~
""-""-"Ai /-' '<>4'Yl"
+-r1~ i 77/tZ-'U
(SIGNATURE)
, Jean L. Nace
( TITLEl
Surviving Joint Owner
I ,
Type of Asset: , Department
Real Esto~1'li:~~~Y p 'LTC ASSETS Estimated Va luatlon
I'~~K Jo;,' y , 'lD! lGl (Attach additional sheets If nec...ary) Market CAUTION
( rop. or Volue
'''CI9lDlI,euA C Wluedalld County Description ofA...t (Do not write
In this space)
Pers. /
Property The First Bank & Trust Co.
Checking Account No. 111-080-8
Joint with Jean L. Nace on June 25,
1973. / ~v 362.49/ v ?v,J ~ 9
Date of death balance - $724.98
Household goods 250.0~ .;;)SC CO
Medicare Re fund 73.0g..r T3 (X)
Coltmlbia Accident & Health Ins. 87.0 :/ 'ill-CO
Pennsylvania Farmer' s Insurance 42.86 '-tl 'j'(.,
TOTALS 815.35 ~
8'16?:Jb
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have
appraised the real and personal property as reported in the fOregOi~edUle at the values set forth opposile each item in
the last column to Ihe right. a. _ K. }J fl?_ _ ~
Dated: INHERITANCE TAX APPRAISER)
Nom. of Payee
DEBTS AND DEDUCTIONS
Nature of Claim
A mount
Claimed
Amount Approved
by Register
Martin L. Myers
Funeral Home Funeral expenses
1,780.00
Myers, Myers, Flower
& Johnson Attorney Fee
100.00
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RCCJU .....77i" BAN K NO. t/'"
c!OMMONWEALTH OF PENNSYLVANIA 111-030-8
DEPARTMENT OF REVENUE
DATE FILED
NOTICE OF DECEDENT ACCOUNT STATUS 3/23/73
Submit in trupl icote wiWn 1Dlfa Y5 ciTter knowl ed ge 01 STATUS OF ACCOUNT NO: (JQ.INT. TRUST, OR INVESTMENT
the death. J C' ::]~."~
EST ABCISHEITOA TE
'r-r
.~ c.o, n
\.J ./ j....-'
RETURN COMPL ETED NAMES ON ACCOUNT SOCIAL. SECURITY NUMBER(S)
FORMS TO LOCAL COUNTY ~_.c::::~l 1, . ,. .,:'::'~;::<~_~n ]. ~_"l-:.!. :_-11 -~
INHERITANCE TAX OFFICE .T':J r. 1. . l,:,:',ce
SURVIVING DEPOSITOR (Boneflolary) INFORMATION DECEDENT INFORMATION
NAME R ELA TIONSHIP NAME DATE OF DEATH
TO DECEDENT.
Jean L. HClC0 'i~'nT "'1 .;~ .L. .<;.<.c-~~9l 1:. ....::Hie 2~:.'::',n 11/1/77
ADDRESS ADDRESS
953 ~ .f Tl"i'l " T' ~
, . ~_e "'"''''''. f' ,-1,",\ i} . ~~l-'inr~.lG :-.d.
Hec'1.anics"'Jv_::..'>..::, , D' 1 T-~ ,<,~ ,,-.)
-
~ CITY C0U~TY . :1, ~.nd
. _'- iC;JJn~,-~ ','," '.,
. (-~ :: i " ZIP CODE-L . ". ~
J
IIAN!</INSTITUTION ADDRESS BALANCE OF ACCOUNT AT 000 $ _. ,-J
INTEREST ACCRUED AND COLLECTIBLE AT DOD $ (J-J
First ~t::,l.!::- -, r;:r'.1.:, -~ Ce. TOTAL $ 7' ; .
Hain Ec.rT.~t c' '
'~8 . BANK AUTHORIZATION
Hecha"j cs:"urg, PA 17055 I HEREBY CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS A
CORRECT REPRESENTATION OF INFORMATION IN OUR FILES IN ACCO RD
WITH SEC TION 742 P I a. E TAX ACT OF Uet.
~GNA~FIN~2TOR O'3/~LI17?
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RCC-81 (6-73)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
IN YOUR REPLY Pl.EASE
REFER TO
Inheritance Tax Division
NOTICE OFLFIUNG OF APPRAISEMENT
Jean . liice
953 West Trindle Road
Mechanicsburg. PA 17055
(Executor or Administrator)
In Re: EstaIe af
Cumberland
Rachel M. Anderson
County - File No.
21-78-0156
Dear Mrs. Nace:
You are hereby notified that thf Insolvent - No Letters
appraisement in the estate af Rache M. Anderson
has been filed in Ihe office of Ihe Register of Wills of Cumberland
Caunty on Mav 18 , 19 78, Said appraisement reflects the follawing
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
None
815.35
None
None
$815.35
As to such lax that is paid within three months from date of death, a five (5%)
percent discount is allowable. As to any lax that remains unpaid after nine (9) months
(fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive;
and Iwelve months when death occurred prior to December 22, 1965) from date of death,
interest at the rate of six (6%) percenI per annum is charged,
Any party in interest who is aggrieved by this notice may object thereto within
sixty days after receipI of said notice as provided by Section 1001 of the Inheritance and
Estate Tax AcI of 1961, 72 P. S. 2485~1001, P. L. 373.
Date May 18, 1978 Signed r~,~, _ k, ),j..fq,
Title Chief Appraiser
Hole: This is noI a bill.