HomeMy WebLinkAbout05-25-78
Form RC C-lD
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OEOUCTtONS ALLOWED IN
THE SUM OF"",,,, $2/tS",')
"i:;J:~'; ?t~~~:::'
, R.~t" of WII~'~1' ~ ',-
of Shiremanstown
OFFICE OF THE
REOl8TER OF WILLS
OF
Cumberland
COU NTY
STATEMENT OF DEBTS
AND DEDUCTIONS
AND AGENT OF 'rHIt COto(MONW&'ALTH
ESTATE OF OJ ga LaPi etra
DATE OF FILING APPftA1Sli:MENT ~~.( r
LATE OF
BorollP'h
197R
DAT&' 0... DEATH
Dprernher 31. 1977
OAT!: I v~ouc~:" , NAME' OF PAYEE
Mar. 7 . 197R 1 Rpai~tpr n-F Wi11~
Feb. 14 1978 2 Dr. Vincent Szwarc
Feb. 14 1978 3 New England Medical Center
F"h 1<1 1978 4 M~lrlpn Medford Ambulance Service
P"h. ]';1107Q 5 , c 1 Horne
Feb, 15 1978 6 r;i '"" FllnerR1 Hnme
Anr 10 197R 7 Tlr -"
Anr 77 107Q R 1,R,.;rence Memorial Hosnital
I\nr. 27 1978 0 'TMrA l',.mnrlRf'i nn
\fay 24U978 1n Reaister of Wills
REMARK.
Ambulance Service
F"npr~l - TrRns
F ,1
n-F bct- 111. c
inn Exnpns"
AMOUNT
19 00
,10100
77110
ht; 140
44S 100
1 590 07
5 70
1 c; Ion
7h,13R
Letters
ltRrv
Exnense of Last Illness
Hospital Bill - Last Illness
I,ay 24 1978 11 P~lminR 1. ."
~~v 7J 1070 17 James D BOQ'ar
fRV 7J 197Q 1, Allrlrpv r Kph1pr
HosnitRl Bill - Last Tl1np""
FYnpnsp nf LRst Illness
FilinQ' Inventory and Statement
n-F Tl0h+ on;l n .~. _~. no
inn
6 00
? nnnlon
375 00
2 00
Attornev's Fee
NntRrv PI'P
TOTAL
5.118 65
I
COMMONWEALTH OF PENNSYLVANIA
I,
Cmnber land
Palrnina 1.
}ss,
Wrightstone
COUNTY OF
"y KNOWLEDGE AND SELlEF, THE FOREGOING IS A JUST AND TRU E srATEMENT OF DEars, FUNERAL IEX~.N.'. AND EX~EN." OF
AQMlNI8YRATION SUBMITTED TO THE ESTA.TE OF 01 fR T ,aPietra
(}, jl /Vo./:..o ct, f~ .U!4Z;XZ
DAY 01" ,~
HEREBY CERnP'Y, THAT. TO THI!' aUT Of'
IMNItR.'tANCE TAX PURP08ES.
DECKAellD. A. DEDUCTIONS ,..OR
OWORN AND SUB.CRI.ED BEFORE "E THI. ~"'\~
c---.~:':1] 0, _ ~~~.~~
AUDREY C, KEHLER, Notary Public
Shiremanstown, Cumberland Co., Pa.
My Commission Expires January 1 a, 1982
(L. S.)
Ij. COMMONWEALTH OF PENNSYLVANIA
:' ~ NO,; 1025865 DEPARTMENT OF REVENUE
Ie OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
Ho
i """'>" -----------O~ ""m,"", or,."._..... . 911'00.-. _._ _. . _
'I - ,ep'e,enting Pennsylvania Inne'itance a,
;, Jllll1es ~ 3011111", RaQ. E,tate Tax due f,om tne following estate,
II F
I.. rom.
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"t d'ess
Rhi"'Alf'IAnaf:n""",
S Fde No ;:>1 -78-126 Date of Deatn 12 31 1977
h:' Date of Payment
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( PE'll<!in<< r.. W':roil!hta tone)
2% Tax on
$
$
2) IJ. ),'aitJ. St".t
6% Tax on
$
$
PJl~
1 7011
15% Tax on
$
$
MOOT ~. 197B
% Tax On S
Estate Tax, Act of
May 7, 1927
$
Name of Decedent OtGA LAPIEll'RA
$
! County
t!lJmh.,.t an"
TOT Al TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rale of
_%from
to
$
16J.9&
Remarks:
I
"PAID ON ACCOrrnTft
$
!lOO 0 [p fLO @51!l~
$
-....
NOTE: This Triplicate Receipt to be retained for aUdit PUrposes.
5 E A l
TOTAL AMOUNT PAID
Received by
NOTE 10 a'''pliog 'h. "0"1,, ioh''''ao" lax 00 Ivtv," e,la'", p'ia, 'a 'he death 01 the Iile
loocol " 'ooco' I" ,eat"~ " e~ide",ed b, /hi, 'e,eipt, it i, ,ode'''ood that the Cammaowealth ,hal/
001 be p,edvded " p'e~eoled ltam he,ealte, """'09 additiaoa! iohe'itao" 'ax allhe death 01 'he
III. 'eoool " leooo' fat ,eat, wheohe' it appea" 'ha' Mh additiaoal 'ax ma, be le9all, dve aod
collectible for any reason whatsoever.
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