HomeMy WebLinkAbout01-09-78
, RCC.I03 12-641
c:o.{iioNWEAL TH OF PENN.SYLVANIA
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DEPARTMENT OF REVENUE
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BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
JA.S
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COUNTY OF [:lImherlllnrl
This return must be completed in detail and flied In duplicate, wIth the Register of Wills In the County where the decedent resided within one
year ofter date of death, unless an extension is granted by the Secretary of Revenue.
Will
Admn. No.
Misc.
being duly sworn according to law, deposes and says that he is'the
01 37 Highland Dr.. Camp Hill, Pa.
(Addre 55)
surviving joint owner and son
(Exec., AWr1.., Legaw. etc.) h'
Lower Allen TOwns ~p
(City, Borough, or Township)
O"roher 10, 1977
(Date)
consisted of the assets listed below and that aliowable debts and deductions exceeded the fair mal-ket value of the assets and
19_1, Blair P. Scott
(Nome)
of the estate of
Katherine A. Scott
lote 01
deceosed, and that the whale 01 the estate 01 said decedent, who died on
no Pennsylvania Transfer Inheritance Tax is due.
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.~ NOTARY P~Qtu.e) (THiel
.My ?pmmissiol!, ['pires ~SePL 20,;;1918
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Type of A~'set: ~:.:
Real Estate, Pers_ ;'''l
. Property,'Jointly e~
Held. Prop_ ~r
TraM-sf Ell's
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ASSE;rs:.~ ~-'!
(Attach additional sh'eets jfn;l"eCessaty.)
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Deferiptian'of Asset ::::
Estimated
Market
Value
Department . I
Valuation
CAUTION
(Do not writ.e:
in th'is space) .
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;TChe,cking Account No. 7'6 37~3l69 at
~Dauphf~ Deposit Trust Company ~n joint
Tinames?iwith Blair f. SC6tW;open~d in 1973
~Total Balance $2, 795.28'1/2 incj;uded
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~Savings A~count No. 15' 1 0059 6 at
~Dauphin D~posit Trust Company in joint
;::names witli,~Blair P. Sco~opened 6/8/73
Total Balance $2,+45.29 plus $10.17
interest to date of death - 1/2 included
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Jointl~,,.he~d
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1,397.64
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TOTALS
2 475.37 4cQ
75...37
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 foregoing schedule a e values set forth ite eOfh item in
the last column to the right.
Doted: Inheritance Tal( Appraiser
Name of Payee
DEBTS AND DEDUCTIONS
Nature of Claim
Amount
Claimed
Amount Approved
by Register
Blair P. Scott Family Exemption
2,000.00
Myers-Hall Funeral
Home Funeral Expenses
1,320.00
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TOT ALS
3 320.0
33.;J"O.6iJ
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 allowed
deductions in the amounts set forth in the above schedule os claimed, except where I have set forth a greater or lesser amount
in the lost column to the rt, which greater a. lesser amount .epresents the sum allowed as oded tian.
Dote 01 Approval: ~ ,~t I? 7,( . E.
. RegIster of Wills
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Dauphin D;~p,osit Trus~ ,Company
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t..OOl(~"OR THE. "TIME. ANO "EMP(;R"'TURIt'~'CLOC'"
MAIN OFFICE: 213 MARKET STREEr.'HARRISeURG. PENNSYLVANIA 17105
717 / 255-2121
Member Fsd9rt1f DSpDsit Inau~nCB COr'pOfYltkm
December 16, 1977
.Jon J.'. LaFaver
317 Third Street
New Cumberland, Pennsylvania
Re: Katherine A. Scott Estate
17070 October 30, 1977 Deceased
Dear Mr. LaFaver:
In regards to the above mentioned, we submit the following inform~tion
as of the date of death:
Checking account #76-37-316-9 joint with Blair P. Scott balance $2795.28 ~
Savings account #15-1-0059-6 joint with Blair P. Scott balance $2145.29 ~
Interest $10.17
If we can be of any further assistance, please do not hesitate to
contact us.
Very truly yours,
W~t/ c~/i.~.tCe.e.
Donald..E. Cromwell
Assistant Vice President
DEC/jh
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~CC.4.2 (40077). BANK NO. _ _, _ ",
COMMol'lwEALTH OF PENNSYLVANIA 15 l00s0,(j';, ,; -
; DEPARTMENT OF REVENUE
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DATE FILED , \ I,'
NOTICE OF DECEDENT ACCOUNT STATUS nov.' ~, '1917 '~ '
Submit in trupl icate-within JU do ys alter knowl edge 01 STATUS OF ACCOlJNT NO:' (JOiNJoi;T. OR~INVESTMI::NT .
the death.
,"" AO' U" ,. .~; ~-' .. ! 1913 ~! .
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RETURN COMPLETED ia&1nAA~oor81w P. Sco1 *O~IAL sl~.Z:>>:5a};~'S) {
FORMS TO LOCAL COUNTY
INHERITANCE TAX OFFICE ':"
,
SURVIVING DEPOSITOR (Beneficiary) INFORMATION. DECEDENT INFORMATION ,
NAME i. '., RELATIONSHIP NAME c.,i " .. t.:,' CA TE~O F 'DEll. T;H.
D1llJ,f ;~ septt TO OECEO'S1;T. , ,.
'-, n k4~ A. SCott 10.300017
ADORESS ADqRESS " " ,
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,37 Illgb.lBJtdl)ftve 31 8igttlal14 Drive , .
. camP 'DA Penn~. 17011" CITY , . , . , ~&H.ililll
CAmp H1U Penna.
ZIP l~i ,
. BANK/INSTITUTION ADDRESS BALANCE OF ACCOUNT ..AT 000 $ , .
DatI~1n Depos1tDank aM Ttwit ~. INTEREST ACCRUED AND COLLECTIBLE AT 000 $ 2..15~:47'
844 G. 10th St. Box 137 TOTAL $
Lemo)!le; Penna. 11043 BANK 'AUTHORIZA TION
I HEREBY CERTIFY THAT THE INFORMATIoN CONTAINED HEREIN IS A
CORRECT REPRESENTATION OF INFORMATION IN OUR FILES IN ACCORD
WITH SECTION 742 P 1.& E TAX ACT OF 1961.
51~URE 'OF FI~C'AL fNVI;::STIGI!-?ORf .. fl1.2-n
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