HomeMy WebLinkAbout04-07-78
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INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
CUMBERLAND
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
COUNTY OF
Thi~ return must he completed in detail and filed in duplicate, with the Register of Wills in the County where the decedent resided within nine
months Qher dote -of death, unless on extension is granted by the Secretary of Re....enue.
~,NQ," 19_ I, PATSY L. WHEELER
/ ..""'., (NAME,
rK:iisc:- J
~duIY sworn according to law, deposes and says thaShe is the
233 Green Lane Dr~ve
of Camp Hill, Pa. 17011
(ADDRESS)
di'mghrpr and tran.sLe;cae-_~
(EXEC., ADM., LEGATEE, ETC.:'
Lower Allen Township
\~tOWNSH1P)
of the estate of
MILDRED s.,~" COLEMAN
lale of
deceased{and that the whole of the estate of said decedent, who died on_June 30. (D2-PE-'tL."__~-----,----~ ^- -------- ---~-~-_
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.
/~ /<J, /:? _<~
/I~~[~Y /)' !vli~dl/
( GNATUREl
PATSY L: WHEELER
l TlTL EI
Sworn onc:l subscribed before me
T .'f?A""L ' " v'7'" ,
",--_;, ~pe-o - -;;s'e-J~t'jL't
'~qkE ~tot~ .,ger'$_~\ ,'_
tb;tBl-,j)R~rty~)ointfy -
--^--Wbtif;;P'r6'p. or
Transfers
Estimated
Market
VQlue
Deportment
,valuation
CAUTION
{DO: :not write
in this space}
(J(), &0
ASSETS
(Attach additional sheets if necessary)
Description of Asset
Pers.
propert~
I
I
Furniture
Dauphin Deposit Trust Co. - Checking
Account No. 23-45-335-4 - Balance
Social Security Check
Pension check for June
Transfer: June 24, 1977 - from decedent'
checking & savi~g Accounts into Dauphin
Deposit Trust "a6mpany checking Account
No. 90-00-719-0 in the names of
decedent's daughters, Patsy L. Wheeler
and Sue Gruver
200.00
6.17
289.60":"1
137.36~1
/PI
d,fr
"/'
1,232.02
TOTALS
$ 1,865.15
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that 1 have
appraised the real and personal property as reported in the egoing schedule at theft vall1cs set forth opposite each item in
the last column to ,the righ:*fY} __ '(. //x- ~ ;~ ~
Dated: )( '14' llNHERITANCE TAX APPRA1SERI
DEBTS AND DEOUCT10NS
Nature of Claim
Amount
Claimed
Amount ApPfo-ved
by Register
Nome of Payee
Stone Funeral Home Funeral Expenses
R. J. Romberger Grave Marker
P. P. & L. ' ecedent's Account
Pomeroy's IDecedent's Account
CCNB Master Charge IDecedent' s Account
Benjamin G. Musser, M'ID. Decedent's Account
Kunkel Surgical Group Decedent's Account
Stanley R. Goldman,
M.D. Decedent's Account
Charles T. Isaacs
Anesthesiology Decedent's Account
Myers, Myers, Flower
& Johnson Attorney Fee
1,794.00
395.00
16.59
159.79
123.28
115.00
60.00
72.00
45.00
175.00
I
1$
I 2,955.66
::J,a c t", k6
\}j {7,j ~
TOTALS
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for the above County, do respectfully report that I have alUnved
deductions in the amounts set forth in the above schedule as claimed, except where I have set forth a or lesser amount
in lhe last column to the which greater or lesser amountrcpresents the ,allowed as a
Datc of ,Approval:
-,
Inheritance Tax Division
RCC~81 (6~i3j
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
IN YOUR REPL Y PLEASE
REFER TO
NOTICE OF FILING or APPRAISEMENT
P"tIly L hlheeler
(Executor or Administrator)
In Re: Estate of t4ildred S.,i:olern<lfl____
Cumberland
County - Fi Ie No.21-78-0176
Dear Mrs. Wheeler:
You are hereby notified that Ihe !n.lOl "p.nt
appraisement in the estate of 14ilnT'en s. r,alp'fflAn
has been filed in the office of the Register of Wi lis of r,.,mhp'T'hmrl
County on July 24,1978 , Said appraisement reflects the following
valuations:
Real Estate
Personal Property $1,865.15
T ronsfers___~,_
Jointly Owned
Toto I ____~El65._15~___
As to such tax Ihal is paid within three months from dole of death, 0 live (5%)
percent discount is allowable. As 10 any tax that remains unpaid after nine (9) months
(fifteen months when death occurred from December 22,1965 to June 16,1971, inclusive;
and twelve months when death occurred prior to December 22, 1965) from dote of death,
interest at the rote of six (6%) percent per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within
sixty days after receipt of said notice os provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961, 72 P. S. 2485-1001, P. L. 373.
~~ ' ,,'I'
, , jL, /
Dote ~_~q, 1978____ Signed _,_",r~-1{L/'fiijf~,-,,==~_
Title ,CllleflllJprahe.r
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