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HomeMy WebLinkAbout04-06-79 RCC- 3 (1-69) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY,COLLECT"ION5~'i~F APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of Moy 28, 19S6, P.L. 17S7, and Act of June IS, 1961, p, L. 373, as amended) Application is hereby Hied for the approval of on exemption from Pennsylvania ~Transfer Inheritance Tax on the transfer of lhe property described below: 1. Bureou File # 21-78-56 2.DoteolDeoth January 28, 1978 3. Date 01 Approval ~ t" /q ?7 4. Name 01 Decedent Ray E. Hutter 5. The Commonwealth's appraised value 01 the property far which an exemption is claimed is $ 1,000.00 (Note: Where the proper'ty is other than a" specified amount of cash, the exemption cannot be approved until the value of the property has been established by appraisar by the Commonwealth, except in those cases where the amount of the gift or bequest represe'nfs a stated fractionaror percentage portion of the entire estate or the entire residue. In those cases enter such fractional or percentage amount above). 6. Check the manner in which the transfer was effected and submit a copy of the ~o~ume~!" au~~o"rizing ~he transfer, unless such material has been "previou-~Iy Hied. ~ .. , ' WILL ty; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP[J; .<., OTHER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME D. W. Seid1e Memorial Hospital Mechanicsburg, Pa. 17055 ADDRESS 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. Signature of Applicant' ~ ~ ~7 Address of Applicant 39 West Main Street, Mechanicsburg, Pa. 17055 Attorney for Estate of Date March 12 , 1979 Ray E. Hutter . This form must be completed in triplicafe and all three copies delivered to the Register of Wills for the County in which the decedent resided.. or in which letters were issued for a non-resident decedent's estate. If the decedent was a non..resident of Pennsylvania and letters were not issued by a Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau of County Collections, Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Pa. Official Title Do not write below this line. For Official Use Only Approved: For the Secretary of Revenue Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Denied* 0 (Signature of Register of Will RICHJ\RD'IL AIlDmGI j DCt"It'Tt"D m: WIU~ 1 cuj{C~\fIIMOUJ('111 ~l~ (Date 01 Appraval (Initials of Register of Wills) (Authori zed Signature) (County) (Title) '0/19 , (Date 01 Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE This section will be campi eted by Bureau Headquarters only when the application for exemption has be.n denied. Date: The application for exemption contained on the face of this form has been denied because Hate: Any party in interest, including the Commonwealth, aggrieved by this action may within sixty (60) days af'er the date of this notice exercise their rights of Protest, Notice, or Appeal in accordance with the provisions of a~plicabl. Pennsylvania Inheritance and Estat. Tax Acts. I , RC C~ 3 (1~69J APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of Moy 28, 1956, P.L. 1757, aod Ac' of June IS, 1961, P,' L. 373, as amended) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF, ,COUNTY COLLECT-IONS, .; "-"~\ ""....u. \. Bureau File # 21-78-56 2. Date of Death January 28, 1978 3. Dote of Approval ()~, t:, ,~? i 4. Nome of Decedent Ray E. Hutter Application is hereby Hied for tI1e approval of an exemption from Pennsylvania _ Transfer Inheritance Tax on the transfer of the property described below: 5. The Commonwealth's appraised value of the property for which on exemption is claimed is $ 1,000 00 (Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of the property has been established-by appraisal by the Commonwealth, except in those cases where the amount of the gift or bequest' represents. Q stated fractional or percentage portion of the entire estat~ or the entire residue. In'those cases enter such fractional or percentag.e amount above). 6. Check the manner in which the transfer was effected and submit a copy of the document authori~in9 the transfer, unless such materiai has been p-reviously filed. .. - . '. ,. ~. ". WILL 4{; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) 7. Correct Bus.iness Name and Ad~ress of Charitable Organization receiving property: NAME Mechanicsburg Area Public Library ADDRESS Mechanicsburg, Pa. 17055 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. Signature of Applicant ~~ '" -< L l' Address of Applicant 39 West Main Street, Mechanicsburg, Pa. 17055 Official Title Attorney for Estate of Ray E. HuLLer Date March 12, 1979 This form must be eompleted in tliplicote ond 0\1 three copies delivered to the Register of Wills for the County in. which the decedent resided, or in which letters were issued for a non.resident decedent's estate. If the decedent was 0 non.resident of Pennsylvania and letters were not issued by Q Pennsylvania Register o{ Wills, deliver oIl three copies to the Oirector. BureQu of County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po. Do not write below this line. For Official Use Only Approved: For the Secretary of Revenue Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Denied' 0 (Signature of Regi ster of Will 1 RICHARlJ ! ANDlMlllll .mISTER OF WilLS . CUMB'(.RC'J\~~ W)Uli11t ~. ounty ~.~.'~,)9 (Date of Approval) (Initials of Register of Wills) (Authorized Signature) (County) (Title) (Dote of Referral) (Dote 01 Action) * See reverse 5 ide for reasons MUST BE FILED IN TRIPLICATE This section will be compl.ted by Bureau Headquarters only when the appli~ation for exemption has been denied. Date: The application for exemption contained on the face of this form has been denied because Nate: Any party in intere.t, including the Commonwealth, aggrieved by this action may within sixty (60) day. af~er the date of this notice exercise their rights of Protest, Notice, or Appeal in accordance with the provisions of a~plicabl. Pennsylyania Inheritance and E.tate Tax Acts. RCC~ 3 (1-69) I APPLICATION FOR CHARIT ABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28, 1956, P.L. 1757, and Act of June 15, 1961, . p, L. 373, es emended) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT DF REVENUE BUREAU OF COUNTY, COllECTIONS ,...'..' Application is hereby liled lor the approval of on exemption from Pennsylvania)'ransfer . Inheritance Tax on the 'transfer 'oVthe property described below: 1. Bureau File U 21-78-56 '. .0)' January 28. ~~L 4. Name 01 Decedent Ray E. Hutter 2. Date 01 Deoth 1978 t. , J??? 3. Dofe 01 Approval 5, The Commonwealth's appraised value 01 the property lor which an exemption is claimed is $ 1,000.00 (Note: Where the property is c:ither" than a specified amount of cash, the exemption cannot be approved until the value of th'e property has been established by appraisal by the Commonwealth, except in those cases where ~~e amount of the gift or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases enter such fractional or percentage amount above), 6, Check the monn,e~ in whic~ the transfer was effected and submit a copy of the d~c~ment. au,t_~~~izing ,th~.transfer, unless such material' ha's been pre,vious-Iy fi led. . _ '-, ' '...:.,': '.', ~._'.;"" ~ " , . ' WILL 6{; DEED 0; TRUST INDENTURE 0; (Ilother,explain) ~ /L~ SURVIVORSHIP 0; '" OTliER 0; 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Trinity Lutheran Church ADDRESS Mechanicsburg, Pa. 17055 8, I certify that the information contained herein is, t,o the best of my knowledge and belief, true and correct, Signature 01 Applicont ~~ /. L. "7' Address 01 Applicant 39 West Main Street, Mechanicsburg, Pa. 17055 Official Title Attorney for Estate of Ray E, Hur:r:er Date March 12, 1979 This form must be completed in triplicate and all three copies delivered to the Register of Wills for the County in which the decedent resided, or in which letters were issued for a non_resident decedent's estate. If the decedent was a non_resident of Pennsylvania C1nd letters were not issued by a Pennsylvania Register of Wills, deliver'all three copies to the Director, Bureau of County Collections, Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Po. Do not write below this line - For Olliciol Use Only Approved: For t~e Secretary of Revenue Referred to Bureau Headquarters Approved 0 For Secretory of Revenue Denied' 0 (Signature 01 Register 01 Will ~..~ '. , 'RIl:11Amlll..MO~: .....^'''...rn.l'l~ UIll J~. ".....~;..;"A'f.1D ea-I - . \j .CUMB(Eounty)I!l;t1t, C::~t. ,1& Iq '7r (Date 01 Approval) (Initials 01 Register 01 Wills) (Authorized Si gnature) (County) (Title) (Dote 01 Relerral) (Date 01 Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE This section will be completed by Bureau Headquarters only when the ap~lication for exemption has been denied! I Date: The application for exemption contained on the face of this form has been denied because Note: Any party in interest, including the Commonwealth, aggrieved by this oction may within sixty (60) doys af er the date of this notice exercise their rights of Protest, Notice, or Appeal in accordance with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. !