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HomeMy WebLinkAbout05-13-79 RCC-3'(4;73l APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (~Act of May 28, 1956, P,L. 1757, and Act of June 15, 1961, p, L. 373, as amended) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Applicatian is hereby filed lor the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: I. Bureau File # ;;? I- '1 tf- 5 j' 2. Dote 01 Deoth Jan. 22, 1978 3. Date 01 Approvol ~IML ( ~r '~7? 4. Name of Decedent George Bundy 5. The Commonwealth's appraised value 01 the property lor which an exemption is cloimed 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 a stated fractional or perc:entage portion of the entire estate or the entire residue. In those Cases enter sU,ch fractional orpercentag..e amount above). 6. Check the manner in which the _ttansfe~ was eHe,cted an~ submit 0 copy of the document authorizing the transfer, unless such material has been previous.ly filed. WILL~; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (II other, explain) 7. Correct Business Nome and Address of Charitable Organization receiving property: Warren Public Library ADDRESS % Ms. Shirley Sipplo, Librarian, 444 Mahoning Ave., Warren, OH 44483 NAME o See listing on reverse side for additionol charitable organizations coyered. 8. I certify that the information contained herein is, to the best of my knowfedge and belief, true and COrrect. Signature 01 Applicant S lJ-L- ~~ ~ S (J ~A a /1 ~~ Address 01 Applicant :/.37 E. High St.~ Carlisle, Pa. Official Title Executrix Dote Oct. 26, 1978 This farm 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 letteu were issued for a nondesident 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 af County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, HClrri sburg, Po. , 00 not w,ite below this line.. For Official Use Only APPROVED: For the Secretory 01 Revenue REFERRED to Bureau Headquarters Approved 0 For Secretary of Revenue ~i.n.Jli E. ~t!QAlO"':;1 _ (Signature 01 Register 01 Will RI~~~~~r:; fl~W:~~ CUMBE~I:~~,fI1~~'1 Denled* 0 (Initials 01 Register 01 Wills) (Authorized Signature) (County) (Title) (Date 01 Approval) (Dote 01 Relerral) (Dote 01 Action) * See reverse side for reasons > ".MUSfllE'Fflreo....fN TRIPf;:i!:-II<TJ';...,,,"'''?,,''''.?':.''''''Y..,.....,.'' This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied. Date: Th. 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 action may within sixty (60) days after 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. RCC-3.(~73) 'APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of Moy 28,1956, P.L. 1757, and Act of June 15,1961, P,L. 373, as amended) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Application is hereby filed far the approval of an exemption from Pennsylvania Transfer Inheritance -Tax on the transfer of the property described below: ' 1. Bureau Fi Ie # Z/-'78'- 70 Jan. 22, 1978 'l11 0Vl.. . I -' 2. Date of Death 4. Name of Decedent George Bundy f?7( 3. Date of Approval S. The Commonwealth's appraised value of the property far which an exemption is claimed is $ 3/5 residuary (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 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 ~he manner in which the transfer was effected and submit a copy of the.document authorizing the transfer, unless such material has been .previously filed. WILLX7; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTH ER 0; (If ather, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME' Endowment Fund, Welsh National Gvrnanfa Ganu Association of the united stateS and Canada 4034 Southern Blvd., Youngstown, OH 44512 .ADDRESS o See listing on reverse side for additional charitable arganizotions covered. 8. I certify that the information contained herein is, to the best of my knowledge -and belief, true and correct. Signature of Appl icant c, ~~ ~oY~ ~rL/r-r~ /.l ,~ Address of Applicant 137 E. High st., Carlisle, Pa~ Official Title Executrix Date OCt. 26, 1978 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 0 non..resident decedent's estate. If the decedent was a non..resident of Pennsylvania ond letters were not Issued by a Pennsylvania Register of Wills, deliver 011 three copies to the Director, Bureau of County Collections, Penno. Deportment of Revenue, 26 S. 4th Street, H.arrisburg, Pa. 00 nat write belaw this line. Far Official Use Onl APPROVED: Far the Sec,etary af Revenue REFERRED to Bureau Headquarters Approved 0 For Secretory of Revenue ~~^'( L. ~JD/\o,,}"'$ (Signature of Register of Will~ RiCHARD 1!. ANDER3ll~;1 "\\Itlf. " ^~.\~!~I~~.!!!' !.!~l~ A --...--..-...... ..........u..... I (Caunty) ~OA./ 3 fC,7? (Date af Approval) Denied* 0 (Initials af Register of Wills) (Authorized Signature) (County) (Title) (Date of Referral) (Date of Action) * See reverse side for reasons " ;' ,.' "'MUST 'SE;<FILED IN TRIP~IG<Af~\iji~";;:'?;',<<;j;;{';d,-;,,,d~J'~"" .>o:";c;."-',;h..".. . . .....,'. This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied. Dato: The application for exemption contained on the face of this form has been denied because Noto: Any porly in intorest, including tho Commanwoalth, oggriovod by this action may within sixty (60) doys aftor 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. RCC.3-l4;73l APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (<Act of May 28, 1956, P.L. 1757, and Act of June 15,1961, P.L. 373, as amended) COMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Application is hereby filed far the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 1. Bureau File # "z/-'):f-5"\I' 3. Date of Approval Jan. 22, 1978 ~tM.- )3. /977 George Bundy 2. Date of Death 4. Name of Decedent 5. The Commonwealth's approised value of the property for which an exemption is claimed is $ 2/5 residuary (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 Commanwealth, except in those cases where ~he amount of the gift or bequest represents a stated fractional or percentage portian 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 tr~nsfer was effected and submit a copy of the document authorizing the transfer, unless such mater!al has been previously filed. . WILL g7; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Livinq Lord Lutheran Church ADDRESS 851 Niles-Cortland Rd., N .E.. Warren, OH 44484 o See listing on reverse side for additional charitable organizations covered. 8. I certify that th'e information contained herein is, to the best of my knowledge and belief, true and correct. Signature of Applicant S u.e.....~ ~ Q."" -ok ~ S n ~~ Address of Applicant 137 E. High st., Carlisle, Pa. Official Title Executrix Date Oct. 26, 1978 This form must be completed in trlplica:te 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 decedentls estate. If the decedent wos a non..resident of Pennsylvonia and letten were not Issued by a Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau of County Collections, Penna. Department of Revenue, 26.5. 4th Street, Harrisburg,' Pa. . 00 not write below this line. For Official Use Onl APPROVED: For the Secretary of Revenue REFERRED to Bureau Headquarters Approved 0 For Secretary of Revenue. Denied' 0 (Signature of Re~ister of Wi~ RlCH^RD l!. AND~ ' t>tLJI.,)lI:.fl vi \';;;';':; lJMBERU(0a'ilnlyj' , h1~ /7 If) (Date of Approval) I (lnitiols of Register of Wills) (Authorized Signature) (County) (Title) (Date of Referrol). (Dote of Action) * See reverse side for reasons <'MUST.SE!FI&ED INTRIPlltf,'iIl.f":,,,,:;,r.,i!i'''''''~'''''1fj\,,i>:iih\''( ""'1:~" " This section will be eompl eted by Bureou Heodquorters only when the opplieotion for exemption has been denied. Dote: Th. application for exemption contained on the foce of this form has be.n denied because Note: Any porty in interest, including the Commonweolth, oggrieved by this oetion moy within sixty (60) doys ofter the date of this notice exercise their rights of Prot.st, Notice, or Appeal in accordance with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts.