HomeMy WebLinkAbout06-26-79
'lCC-84
(B-77)
OOMM'ONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
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For County Information purposes only
II jl/li
COUNTY FILE NO:
,;
DATE OF DEATH
"
/ (
Appraised Value of Estate:
Real Estate
Personal Property
Jointly Held Property/Transfers
$ /{Y([(,{'c
(//(13/-"/
/22 lX'\
Total Gross Estate
$
..:..J l,.;:? 2/
Total Approved Deductions
'/, it'( ,('
Clear Value of Estate
$
/ j I
'I
Less: Approved Charitable Exemptions
'i ,( ('
Clear Value of Estate Subject to Tax
$
-, '/ I
,Ii r;
Amount Taxable @ 6% Rate
$
'" / 'i ./. 5 '/
tax due
$,-,'.,,{?/(
Amount Taxable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
$ 2 ij ('(/ /t'
-~.
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
'/-L(--'/(
$ I ? /( ( .1 (
+ $ 7(( U
$
$//(((((
!
I(
/7
S 'f{
17
+
}. r/i';, )',;-
(
:~,
{I
'/ ';
:; ~2
+
I'" /1
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
$
I.L /1
rnterest will accrue at the
Inheritance tax from
rate of six (6) percent
(. . I /' rl
per annum on the unpaid balance of
to the date of payment.
Assessed by C~.~:fo;th. commonW~;;;~j/ 1=-r ! :;/
"
SEE REVERSE SIDE FOR INSTRUCTIONS
REGISTER OF WILL'S COpy
Rr:r:_314_731
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of Mr.JY 28, 1956, P.L. 1757, and Act of June 15, 1961,
P.L. 373, as amended)
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'14. .' 'F<i,
....' <,. ,..,
COMMONWEALTH OF PENNSYLVANIA
'EflAR'IMENT OF REVENUE
EUREAU OF COUNTY COLLECTIONS
Application is hereby filed for the approval
of an exemption from Pennsylvania Transfer
Inheritance Tax on the transfer of the property
described below:
1. Bureau Fi Ie #
2 (- '7 g -:_~~______
/ =_'2 'i -'ZR
2. Dote of Death ____
3. Dote of Approval ___&c - 2. t;, -1'L..
Me /.ety/
4. Name of Decedent
/'1 urdoc I<.
5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 12,314.00
(Note: Where the property is other than a specified amount of cosh, the exemption cannot be approved until the value of
the property has been established by ~ppraisal 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 the manner in which the transfer was effected and submit a copy of the document authorizing the transfer, unless
such material has been previously filed.
WILL N;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If other, exploin)
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME
UniverBity of Nevada
ADDR ESS
Reno, Nevada
o See listing on reverse side for additional charitable organizations covered.
8. I certify that the information contained hereip is, to the best of m"y kno'(v'ledge and belief, true"pnd..forrect.
Dauph1n Deposit RanK and Trust Company, l;O-I',xecutor
:;tate of ~furdock McLeod~ #/%~
Vice President & Trust Officer
of
Signature of Applicant
Address of Applicant
213 t-larket Street, !'arrisburg, Pa. 17101
Officiol Title
Date
June 25, 1979
This form must be completed in triplicate and all three capies 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 nan-resident of Pennsylvania and
letters were not issued by a Pennsylvania Register of Wills, deliver all three copies to the Director, Buteau of County Collec1ions,
Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Pa.
00 not write below this line - For Official Use Only
REFERRED to Bureau Headquarters
Approved 0
For Secretary of Revenue
Denied* 0
(Signature of Register oT Wills)
Cum /-;.,.,/::;JI/'(
(Cou nty)
/0; - 2 {:, - 79
(lnitiols of Register of Wills)
(Authorized Signature)
(County)
(Title)
(Date of Approval)
(Date of Referral)
(Date of Action)
* See reverse side for reasons
MUST BE FILED IN TRIPLICATE
----
This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied.
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 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.
-m.,,,,...
18.77)
oemiUlIIWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INHERITANCE TAl(.
ASSESSMENT
.
TO: Me th""li ~ UJ. liJ,-,lkf' [,0'
Dd~';l'", / )oc~j 1:.?c,,,J
;1../3 Jlhl";cc I- +
t/eV/', :: fIU'I' r'd
1/ f I, ( t [-(fO',-
f r;,[,j fU ,
DATE
ESTATE OF t1~d(l( (/... IJIc../ud
z/- '/1-(111
6-2"'-;'7
1'//(1
FILE NO,
COUNTY OF (Lfll bf', j" "I /
For County Information purposes only
COUNTY FILE NO: / C - 1'11/ - is
DATE OF DEATH
1-).'/-71
---------------------------------------- ------------------ ----- ---- ---
\
Appraised Value of Estate:
Real Estate
Personal Property
Jointly Held Property fTransfers
LeiS: Approved Charitable Exemptions
. leo, occ, 00
'116: , 13/ .2 7
:i, /11. ,00
. _f2/, tS 3,27 fJ
I "-7 n2C 't 7
... J I _" .
$ J7'/, 17,2, ?7
I 2 ,I<I,CO
. ,'/I 1,1' 37
- ,
. '] '7/, 'fIr. 31 tax due
cl.19
1-
0'
Total Gross Estate
Total Approved Deductions
Clear Value of Estate
Clear Value of Estate Subject to Tax
Amount Taxable @ 6% Rate
. 22,3("'/ 10
Amount Taxable @ 16% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE .22.3(7', Ie
Less Credits:
DATE OF PAYMENT
s{-2~-?~
t{) - 21- 7<l
/&,- Ii - ?9
AMOUNT PAID DISCOUNT
. I 7. /CO.CO "t1'J
+ . lnCX)
,
316::J~ '1<1 +
3'13,32 +
INTEREST
TAX CREDIT
$
=
. (i, (;('() CO
3. '7h~ 71'
33c.5)-
=
/2.77
=
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
.
/2.,17
Jnterest will accrue 8t the
Inheritance tax from
rate of six (6) percent per
b -//- 79
annum on the unpaid balance of
to the date of payment.
Assessedby:U't (,--",-tlu,,,") ~
Agent for the Commonw",.II/1, f) ,
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SEE REVERSE SIDE FOR INSTRUCTIONS
REGISTER OF WILL'S COPY
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...-- ,--.-- -----_. .,-._- --_.- ~- - - -----. - '_"_ _~ ._._ n."___ __ __._ __. _ _____ ___