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REV. 1547EX (,11-84)
COMMONWEALTH OF PENN SYLVAN ~ NOTICE OF INHERITANCE TAX
DEPARTMENT OF REVENUE ACN 101
BUREAU 'OF EXAMINATION APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
P.O. BOX 8327 . . . OF DEDUCTIONS. AND ASSESSMENT OF TAX
HARRISBURG, PA 17105 DATE O~-Ol';-R~
ESTATE OF ERTEL LAWRENCE E FILE NO. 21 78-0196
DATE OF DEATH 03-2 -7R COUNTY CUMBERLAND
NOTE: TO INSURE PR PER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX .
PAYMENT TO T E REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO "REGISTER OF WILLS,
AGENT II .
PLEASE RETURN THIS
RON~ D M KATZMAN ESg PORT ION TO REGISTER OF
PO E X 1268 WILLS IF PAYMENT OUE
HBG PA 17108
Amount Remitted to Register of Wills
~l!': _A.!-9~~ _ 'r.HJ~ _L NE - RETAIN LOWER PORTION FOR YOUR RECORDS -
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NOTICEOF..INHERUAN E TAX APPRAISEMENT-...ALLOWANCE OR. DISALLOWANCE OF DEDUCTIONS .AND. ASSESSMENT OF TAX
REV. 1547EX (11-84)
ESTATE OF ERTEL LAWRENCE E FILE NO.21 78-0196 ACN 101 DATE 05-06-85
TAX RETURN WAS: ~'ACCEPTED AS FILED (. :",) CHANGED - SEE ATTACHED NDTICE
RESERVATION CoNCERN NG FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF ETURN BASED ON: 1 SUPPLEMENTAL RETURN
1. Real Estate Schedule A) (1) .00
2. Stocks and onds (Schedule B) I 2) .00
3. Closely Hel Stock/Partnership Interest (Schedule C) (3) .00
4. Mortgages/I' les Receivable ISchedule D) I 4) .00
. 5. Cas~/Ban~_' ep-ositsfMis_c,_f:er:.sonaL~[op_er:.tv_,-'Schedute~Et....,...__.....:_(-5) 10.,.000..00 . ~ .----~-.-
6. Joil'!tly Own d Properly (Schedule F) I 6) .00
7. Transfers {~ hedule GI ( 7) .00
B. Total As els ( 8) 10,000.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun$ral Exp nses/ Admini strative Costs/Miscellaneous 1,257.27
Expenses ( chedule H) ( 91
10. Debts/Morl age Liabilities/Liens (Schedule I) (10) .00
11. TOlalD, uctions (11) 1,257.27
12. Nel Val of Tax Return (12) 8,742.73
13. Charitabl /GovernmentSl Bequests (Schedule J) - (13) .00
.. (14) 5,070.42
14. Net Val of Estate Subject to Tax
NOTE: If an:assel!;S nent was Issued previously, ltnes 14, 15 and/or 16 and 17 Will
reflect ftg\O es that include the total of..l!.1L retums assessed to. date.
ASSESSMENT OF TAX:
15. Amount 0 f line 14 taxable at 6% rate 1151 5,070.42 X.06= 304.23
16. Amount 0 f line 14 taxable at 15% rate 1161 .00 X.15= .00
17. Principal T a Due 1171 304.23
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TAX CREDITS: .
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PAYMENT , RECEIPT DISCOUNT 1+) AMOUNT PAID
DATE # '. INTEREST (-)
02-11-85 120864 111. 56- 304.22
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,; TOTAL TAX CREDIT 192.1';1';
INTEREST IS CHAR ED FROM 02-12-85 TO 05-21-85
AT THE RATES APP ICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 111. 57
REVERSE SIDE OF HIS FORM.- INTEREST 1.81
* IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION TOTAL DUE 113.38
OF ADDITIONAL INT REST
(IF BALANCE DUE IS LESS THAN $.1 OR IS REFLECTED AS A "CREDIT" (CRl. NO PAYMENT IS REOUIRED)
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Estate No. _~_~.~.!.~................196
BOND
,II.
KNOW LL MEN BY THESE PRESENTS, That we, ........... .......];1.:i),<:!r.~c'l.n.j;:X.t.(;J..m.........m............
...mnmnm' principaL......,
and ..1:.l1.E!...A\.e.. .r}~...~~.~.g.i;'!J.ty'...i!,D.Q...S.]J,r.e.ty....CQmp.any..................................................................m.......
.... ._. _... n._._..... ..... ....... ......... ..__, sureV.._..... ...,
are held and fi y bound unto the Commonwealth of Pennsylvania, in the sum of .t!.&'.Q..n..r.It.,J/.I!'."~
...nm...m.............. ..............................m............. Dollars ($L.,'~...P.IL..), to be paid to the said Commonwealth,
her certain attorn y or assigns, to which payment, well and truly to be made, we do bind ourselves, jointly and
severally, and our and each of our heirs, executors, administrators, successors and assigns, firmly, by these presents,
for and in the w Ie of the said sum.
SEALED and dated the
d
m............/.."..m....m..m ..n........day
of ...............Apr.il....nnm........' 19.7.8...
,I/. .
WHERE S, the above named ...................~.~.~.Cl.r.E!.cJ.....~.r..t:.e..:t....................................................m................
has or have ma , or is or are about to make, application to the Register of Wills of Cumberland County,
Pennsylvania, for the grant of. letters m.......................1:gn.l1e.r....
on the estate 0 m.L.i;'!wx:smc.e...E....E.r.t.el.,....Sr....
Mechanicsburg
.., late. of .........._..............._.............................,
Cumberland Cou ty, Pennsylvania, deceased:
THE CO DIT/ON OF THIS OBLIGATION is, that if the said personal representative .........m or any of
them shaH well a d truly administer the said estate accord ing to law, this obligation shall be void as to the personal
representative or presentatives who shall so administer th e said estate; but otherwise, it shall remain in force.
SEALED and deli ered in the presence of
?llrft~ffe-lk-c-&-ti-- (SEAL)
(SEAL)
COMMONWEAL H OF PENNSYLVANIA
COUNTY OF C MBERLAND ss:
___________________________________~~S~~L)
h /~,
'!'~--":-~~-~~-<?-~~~-~!~y-~-~:'!-":~-~~"'.~-- (SEAL);.
"~ ,
J;\ L _ _ __~_. _ m:~_ ~~- -AL):
Roy . rernner :--: ""-,.-
- -
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Personally a peared before me, a.
m__mmuunmnn____m in and for the county and
state. aforesaid _.n ______n n_..__n_.__. _... ._. .... ........_.___...._u_n ._.___. ._...._...____n._ ._. n n n_____._ ._____. u n_____n .___.
of ....... .... ..,.. ........... ...... ......... .............. .................... ................ and .... .....m... ....... .................... ...m........ ....... ..nm... .........
....... ....m...
.................n.......... ..................m....n........................m..m.......of....m.................................................m..nmnmmnn....................
surities on the a ve bond who being duly sworn (atfirmed) according to Jaw, depose and say that they each own Real
Estate worth the hole of the penal sum named in the above bond, over and above their debts and the debtor's exemption.
Sworn and
bscribed before me this
.....m...m.....m......mmmm............................................. (Seal)
.. ....................... ....... ...............m..m....m.. ....m......... n.. (Seal)
..................................................................................... (Seal)
..................................................................................... (Seal)
....................... day of ..........................
A.D. 19...m....