HomeMy WebLinkAbout09-04-80
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REV-ISDO EX + 19-81)
BUREAU OF EXAMINATION
PENNSYLVANIA OEPARTMENT OF REVENUE
P.O. BOX 8327
HARRISBURG, PA 17105
INHERITANCE TAX RETURN
RESIDENT DECEDENT
;;/--79--/71-
File Number
DECEASED
Decedent's Name (Last, First, and Middle Initiall
Stone Charles G.
Social Security Number
17'1<;/0' 3:)>~
1. Original Return 0
3. Remainder Return 0
Oate of Death
Decedent's Address
519 Warren Street
Lemoyne, PA 17043
CHECK
March 28 1978
2. Supplemental Return [i]
APPR D.
PRIATE
4. Life Estate D
6. Decedent died testate D
IAttach copy of Will)
5. Federal Estate Tax 0
Return Required.
7. Decedent maintained a living D 8. Number of safe deposit D
trust (Attach copy of trust) boxes inventoried
BLOCKS
All correspondence and confidential tax information should be directed to: Charles H. Stone
CaRRE.
SPaN DENT Name
Cha r1es H. Stone
Telephone No.
717-774-7435
Recapitulation
1. Real Estate ISchedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partn",hip Interest (Schedule C)
4. Mortgages and Notes ISchedule 01
5. Cash & Miscellaneous Personal Property (Schedule E)
RECAPIT. 6. Jointly Owned Property (Schedule F)
ULATlDN 7. Transf", (Schedule Gl
B. Total Gross Assets (total lines 1.7)
AND 9. Funeral Expenses Administrative Costs/Miscellaneous
Expenses (Schedule HI
TAX 10. Debts/Mortgages/Liens (Schedule II
11. Total Deductions (total lines 9 & 101
12. Net Value of Estate Wne 8 minus line 111
CALCU. 13. Charitable Bequests ISchedule JI
LATIDN 14. Net Value subject to tax liine 12 minus line 13)
Address
City
State n 0:5 ip
,-
~,.. ......('11
~:_~ fT1n
~ ~Cl
~? ~ ,:;0
< -0
,..,
.r ':J
,. ::> ,
:- ,
-
(11
12) $2.17';.00
( 3)
I 4)
( 5)
( 61
( 71
(8) $2,175.00
( 9)
(10)
(111
112) $2.175.00
(13)
(141 $2 17'; 00
Computation of Tax
15. Amount of line 14 taxableat 6% rate 115l $2,175.00 x.06=$ 130.50
linclude values from Schedule K)
16. Amount of line 14 taxableat 15% rate (16) x.15=
(include values from Schedule K)
17. Principal tax due (add tax from line 15 plus tax from line 161 (17)
18. Total Prior payments:
(.1 Amount Paid
(b) Plus Discount
(e) Minus Interest (18)
19. Balance Due(ljne 17 minus line 18) (19) :. (:), :;- (:)
Make Check Payablelo: Register of Wills, Agent J:'",~ n~r~ ~ b ,-' {,
"'PLEASE RECHECKMATH'" '1ud..1 I 5" 7. ,-L.
Under penalties of perjury,l declare that I ha\le examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has
a no e ge. ~ f'/7 / J- L
,~DR (2 DATE
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C7 G 7 u
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
AODRESS
OATE
. .'
REV.l5O:J EX+ (9.11)
SCHEDULE "B"
STOCKS AND BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
C ~ cvQ,~ )-+ _ ~~C-
(All property Jolntly-owned with Right of Survivorship must be dlscloled on Schedule "F")
FILE NUMBER
~ J- 7 f-J 7 Y.
ITEM
NUMBER
OESCR IPTION
VALUE AT DATE
OF DEATH
1.
100 shares, Pennsylvania Power and Light Company, common stock
at 21 3/4
$2,175.00
TOTAL (Also enter on line 2, Recapitulation)
$? 17~ no
(It more .pace II needed In.en additional sheets of I8me Ilze)