HomeMy WebLinkAbout04-07-78
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RECEIVED ----..-..--___.........FOUR Rtl'HDRF.!D ~.R1:GRI'I' & 1)/l_0n______...______4IoIlors
representing Pennsylvania Inheritance or
J. Roben Staufte Estale Tax due from Ihe fallowing eslale,
m,
(Cleo S. Simona)
2% lax an $
MA..1.-...!:: ~<plA". R1,ilding
6%Taxan $
MechtiUUcsbUl"a. Pa.
17015~
15'1, Tax an $
File No. 21-78-13
. Date of Death q..1:3-1.971
% Tax on S
Estate Tax, Act of
May 7, 1927
Dote of Payment
Apt'll 7. 1978
Name of Decedent BESSIE MAY BARNES
marks:
TOTAL TAX CREDIT
less five percentum of tax if
paid within three months after
dale of dealh
Plus interest at the rate of
_%from
to
$
, County t'!umb....,.l AI'I<J
lJOO~[p[L~@m'[]'rn
SEA L
TOTAL AMOUNT PAID.
$
NOTE: This Triplicate Receipt to be retained for audit purposes.
Received by
NOTE: In accepllng the Ironsler inheritance tex on future estates, prior to the death of the fife
tenont or tenont lor years, os evidenced by this receipt, it is understood thot the Commonwealth sholl
~ not be predlJded or prevented from hereafter assessing additional inheritance tox 01 the deaih of the
.,: . hfe tenant at tenant for years whenever II appears lhat such additional tax may be legally due and
'.c_' collectible for any reason whatsoever.
(Titlo)
rorm.....~C C,:;.,lO,., ;c1-.7~- (3 DEDUCTtONS ALLOWED IN
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OFFICE OF TWE STATEMENT OF DEBTS THE SUM OF ......... . .. $),495J.(l9
REGISTER OF WILlS -jl.TE. tR:l ~i~'r1cL
Cumberland AND DEDUCTIONS
OF COUNTY
ANO AGENT OF THE COMMONW6ALTH (
. . :JM" (';:-,A?;:J , ~~/97JY Aeghter of W""~ lOikl .A IC>.
ESTATE OF Bessie May Barnes ~ LAn: OF Mechanicsburg '--
. DATE OF FrLrNQ APPRAISEMENT March 16. 1978 OATS: OF DEATH Sept. B. 1977
DATE NO. OF NA.t.(1Ii: OF' PAYEE REMARK. AMOUNT
YOUCH""
Martin L. Mvers Funeral .
Home Funeral Expenses 1947 00
Re"ister of Wills Filing Appraisal , 00
J. Robert Stauffer Attornev's Fee 100 00
C1AO S Simons Note Due 12000 00
Register of Wills Filing Debts and Deductions 3 00
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CQMMONWEALl'H OF PENNSYLVANIA }s.,
. Cumberland
COUNTY OF
I, r,lp.n ,so.m"pl .cii1Tlnn~ HEREBY CERTlf:Y, THAT. TO THE BEar OF'
MY KNOWLEDGE ....ND BELIEF. THI! FOREGOING IS -BJUST .AND TRUE STATEMENT OF DEBTS. FUNERAL EXPENSES AND EXPeNIID OF
AOMINISTRATION SUBMITTEO TO THE ESTATE OF essie Ma: Barnes nECu,.ED, A. DEDUCTIONS FOR
'NH'RITANC~ TAX PURP~"E;'~ ~ ~< .
,-
'. r;... -, . GC"w.~1-C77/.L (L.6.)
SWORN AND SUBSCRit~'. ME THIB 5th OA.Y Of'
"'. .... .BL
- I.
n", Lb'_ ~:,-4?- d;~..J
~ @ .' '. GLADYS P. DEAN, NOTARY PUBLIC
. -..'. .-:~... -:~ MECHAI~ICSBURG BOROUGH
'.............'-'A...." .
."~ ..... \ ........- CUll113ERLAND CUUNfY
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MY COMMISSION [)(PIREo DEC. 29. 1979