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RCC~I03 (3-73"1
COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN ,61 k .::: ,
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
)O'it,,~tJLt_
' / '*.&W'
COUNTY OF
This return must be completed in detail and filed in duplicate, with the Register of Wills in the County where the decedent resided within nine
months after date of death, unless an extension is granted by the Secretary of Revenue.
Will :;( /, '7g - /':;;0
Admn. No. 19_ I.
Misc.
being duly sworn according to law, deposes and says that%e is the
Ruth Bluethe
(NAME)
of 1101 Columbus Avenue,
Lemoyne, paO.RESS'!. 7043
Executrix
(EXEC., ADM., LEGATEE, ETC.)
Lemoyne, PennsYlvania
(CITY, BOROUGH, OR TOWNSHIP)
of the estate of
Hans W. Bluethe
late of
deceased, and that the whole of the estate of said decedent, who died on _
no Pennsylvania Transfer Inheritance Tax is due.
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
Januarv 14, 1978~
(DATE)
Sworn and subscribed before me
the ' .. day of / /
/
1978
/t:u~ /Jt!U t ti~
(SIGNATURE)
(TI TLE)
''', , n "A'v Deportment
Ty~1<V O~et: , 19, 20, 1979 Estimated
Real ~'e. Pers, ' ASSETS Va lootion
Pro y~tJjt... (JwulJeJ:Jand \..OUI!:tiJ'(AttOCh additional sheets if necessary) Market CAUTION
Held Prop. or Value
Tronsfers Description of Asset (Do not write
in this SDace)
$1,135.00/ ~ 3-
Stock 40 shares, Columbia Gas System, Inc. I, \ ,).OD
Common at 28.375
TOTALS $1,135.00 II
1.1 ~5 00
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 foreg schedule at the val s s t forth opposite each item in
the las t column to the right.
Dated: - 7
(INHERITANCE TAX APPRAISER)
Name of Payee
DEBTS AND DEDUCTIONS
Nature of Claim
Amount
Cloimed
Amount Approved
by Register
Ruth Bleuthe
Family exemption
$2,000.00
TOTALS
$2,000.00
(;0(1 GO
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 as claimed, except where I have set forth a greater or lesser amount
in the last column to the right, which greater or lesser amount represents the Sum allowed as a deduction.
/7W G4
Date of Approval: '-\n<:t~1 :J 7 19'1 r \j.~,Lc E: >l1hu~
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RCc-a I (6~73)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
IN YOUR REPLY PLEASE
REFER TO
NOTICE OF FILING OF APPRAISEMENT
Ruth Bluethe
1101 Columbus Avenue
L"""'vne. FA 1 7043
(Executor or Administrator)
Inheritance Tax Division
In Re: Estate 01
Cumberland
Hans W. Bluethe
County - Fi Ie No.
21-78-0120
. '.
Dear Mrs. Bluethe:
You are hereby notilied thot the Insol vent
appraisement in the estate 01 Hans W. Bluethe
has been Ii led in the ollice 01 the Register 01 Wi lis 01 Cumberland
County On May 18 , 19~, Said appraisement reflects the lallowing
valuations:
Real Estate
Personal Property
T ranslers
Jointly Owned
Total
None
1,135.00
None
None
$1,135.00
As to such tax that is paid within three months Irom date 01 death, a live (5%)
percent discount is allowable. As to any tax that remains unpaid alter nine (9) months
(fifteen months when death occurred Iram December 22, 1965 to June 16, 1971, inclusive;
and twelve months when death occurred prior to December 22, 1965) Irom date 01 death,
interest at the rate 01 six (6%) percent per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within
sixty days alter receipt 01 said notice as provided by Section 1001 01 the Inheritance and
EstateTaxActaI1961'72P.S.2485_1001'P.L.37~. .. .. '
Date May 18, 1978 Signed C'~e:t" -= P. M--1... -::-
Title Chief Appraiser
Nate: This is not a bill.