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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
.....' ,""''?;:-
RCC-l03 (3-731
COUNTY OF CUMBERLAND
,
This return must be completed in detail clOd filed in duplicate, with the Register of Wills in the County where the decedent resided within nine
mon,ths<after date of death, unless en extension is granted by the Secretary of Revenue. .
~.NO.
(NAME)
~ she
~ duly sworn according to law, deposes and says that~ is the
19_
I,
RUTH E. MYERS
of 516 N. College St.
(ADDRESS)
,Carlisle
PA 17013
of the estate oC
AMOS S. MYERS
surviving spouse
{EXEC., ADM., LEGATEE, ETC.}
late of Carlisle
(CITY, BOROUGH, OR TOWNSHIP)
deceased, and that the whole of the estate of said decedent, who died on. April 2,.1978
(OATE)
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 5ubscfiBed before"'ri,e
"- - ,," ~ .; ....
the VJ:h~?1 of April 19 78
;!~'j~-." . >,C~
- ,
iR~t~
(SIGNATURE)
Surviving.Spouse
(TITLE)
Type of As~~'t: .
Real Estate, Per ..;.",\ "-
Property, Joint y
Held Prop. or
Transfers
"'- ......""
"""My Commission
VCooIislo, PA
b"'~''',' ,It,I!V 14. 1981
. ClImlreilarnl '."'''1 ASSETS
(Attach additional sheets if necessary)
Description of Asset
Estimated
Market
Volue
Deportment
Va luation
CAUTION
(Do not write
in this see)
Pers. Propert
1969 Ford Ga1axie 500, Sale Price
300.00
TOTALS
300.00
REPORT OF fNHERITANCE 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 forego' schedule at the va e&, set forth opposite each item in
the last~n to the right. U <_
It ~(V-.J.o"""""-=
Dated: \INHERITANCE TAX APPRAISER)
Nome of Payee
DEBTS AND DEDUCTIONS
Nature of Claim
Amount
Claimed
Amount Approved
by Register
Ruth E. Myers
Ewing Bros. Funeral
Family Exemption
Ho e - Services
2000.00
2185.95
TOTALS
4185.95
C;-'(J'S ~
REPORT OF THE REGISTER OF WILLS
I, the unaersigned duly elected Register of Wills in and for the above County, do respectfully report that I have allowed
deductions in the amounts set forth in the above schedule as claimed, except where I have set forth a greater or lesser amount
in the last column to the right, which greater or lesser amount represents the sum allowed as a deduction. .
Date or-Approval: Yr1 0.(' ? In Y ~Ll E- ONl,~~
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RCC88\ (6-731
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
IN -YOUR REPLV PLEA.SE
REFER TO
Inheritance Tax Division
NOTICE OF FILING OF APPRAISEMENT
Ruth E. MyeM
516 N. College S.meet
Ct14e{6e~ P~""n
(Executor or Administrator)
In Re: Estate af
Amo.o S. Mr;eM
CumbeJl1.and
County ~ File No.
21-78-0202
Dear
Vou are hereby notified thot the In.ooivent
appraisement in the estate of Amo.o S. MyeM
has been filed in the office of the Re7ister of Wills of CumbeJlX.and .
County on 1 Maq . 19~, Said appraisement ref.lects the following
valuations: . .
Reol Estate
Personal Property
Transfers
Jaintly Owned
Total
None
300.00
None
None
300.00
As to such tax that is paid within three months from date of death,a five (5%)
percent discount is allowoble. As to any tax that remains unpaid alter nine (9) months
(filteen 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 date of death,
interest at the rate of six (6%) percent per annum is charged.
Any party in interest who is aggrieved by this notice may abject thereto within
sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961, 72 P. S. 2485.1001, P. L. 373.0
Date 1 May 78 Signed ~<;; _. /!. J!f.-t~
Chie~ Ap~eJl.
Title
Note: This is not a bill.