HomeMy WebLinkAbout06-08-78
..
RCC-134 (10-75)
TO: Helen. t. Rainea
OFFICIAL NOTICE OF INHER I1~ANCE
TAX APPRAISEMENT AND ASSESSMr':NT
OF ASSETS NOT SUBJECT
TO ADMINISTRATION
SU~AL
*'
.
COMM!V'IWEALTlI OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUR EAU OF COUNTY COLLF.CTIONS
INHERITANCE TAX DIVISION
Date:
June 8. 1978
f:' (,~t lri~~~i~~ c /:tvf
4~ N. EDnl. Dri....
County
Enola. PA 1'lO2.5
County File No.
Bureau Fi Ie No. 21-78-0137
We have received notice that, as a result of the death of
on Harch 1. 19~, you came into ownership of
was formerly owned by the decedent.
Susan I. Sacklllan
In property t rou
right of survivorship, which
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvanio such transfers are taxable
and the liability for the poyment of the inheritance tax due is imposed upon you, as transferee.
The property on which tax is hereby assessed consists of: Joint Opt. Account #4-47966 at the Barris
Savit..... A_iatiOA in tile _a of the dAtcedant _d sisters. ACCO\IIlt eata.bliabed 10/3/72.
appraised by the Commonwealth, as of the date of death, at $ 6.085.92
1/6 % of thi s amount is taxable at the rate of 15 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS: ALLOWED DEBTS
NET TAXABLE AMOUNT
--](j, t1 ~ I p'
s / Uf'')
! '/ ) ((
;; .
Jr,)
-
$
/ OJ ~
.,~
AMOUNT OF T AX DUE
J./5,dJ-5
If you pay the above amount within three (3) months of the
date of death of the decedent, or on or before
19_, you may deduct a discount of
5% of the amoun t of tax due, or
This tax became delinquent nine (9) months after death
(one year if death occurred prior to December 22, 1965
and fifteen months if death occurred on or after
December 22, 1965 but prior to June 17, 1971) and in
addition to the tax, statutory interest at the rate of 6% of
the tax per annum is also due as of * 19
in the amount of
*If the tax is not paid by the above date additionol
interest is due at the rate of 6% per annum until poid
TOTAL AMOUNT DUE
$
1.l7~ 15
$
APPRAISED BY: , . "
(Inheritanc; Tax' Appraiser)
ASSESSED B{;':i;<J,,~ni / C\y'b~'" .~ j~
__J (Agent for the Commonweat't y '{JCI' .'- 'Y\._
INSTRUCTIONS TO TAXPA YERS
Make checks or money orders poyable to:
To insure proper credit to your account
this Officiol Notice must occompany
your payment. Moil or bring it to:
RICHArm E. A[:DEi~SON
Register of Wills
NOTE: Any party in interest who is aggrieved by this notice moy object thereto within sixty days after receipt of
said notice os provided by Section 1001 of the Inheritonce ond Estate Tax Act of 1961, 72 P.S. 2485-1001.
TRIPLICATE-MAIL TO THE SECRETARY OF REVENUE IF THE TRANSFEREE CLAIMS DEBTS AND DEDUCTIONS.
If you hove already paid this tax to on executor, odniinistrotor, attorney or other personal represe~totive of the
decedent for forwo'rding to the Commonwealth, list below the dote paid, nome and address of the person to whom-
you mode payment, their official title and the amount.
Dote Paid
Nome and Address of Payee
Official Title
Amount Paid
Under certain circumstances, if, after the date of death of the decedent, you personally paid funeral expenses
or other just debts of the decedent, with funds derived from the property herein taxed, such amounts expended
by you may qualify as deductions against the grass value of the property in the computation of tax due. If any
such expenditures meet all of the three fallowing tests, it is recommended that you itemize the payments below,
execute the affidavit, and return this notice. The Register of Wills will examine the debts claimed and allow
those which he determines to be proper. The tax will then be recomputed and you will receive an amended
os sessment of tox.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
L You were personally legally respon~ible far these debts, and
2. You actually paid these debts and can furnish proof of such payment, if required, and
3. These same debts are not also clarmed, for fax purposes, by on executor, administrator or other
personal representative of the decedent handling the administration of the general estate of the
decedent or any other transferee.
Date Po id
Name of Po ee
EDULE OF DEBTS
__Q~_scrlJlJion of Olli~an
Amount Paid
- -_:-=j
---_._---=~j
"~, ----- ---- ~----------------------------:J_------------'-!
=~ .. ...:::-~_-~{~~~=u~~~~~. - f=~~~.J
1==.- --...........~.-- == -.. ..:.==- -~OTAL" ~~- -=l
_~__ ___ _______,____________ ______~_____,___ ________~_.__l
(attach separate sheet if required)
COMMONWEAL TH OF PENNSYLVANIA)
SS:
COUNTY OF
I, hereby certify that the foregoing is a just and true statement of funeral expenses
and ather debts of the decedent, ' for which I was legally responsible and
which I did payout of the property herein taxed. I fllther certify, that to the best of my knowledge and belief,
these same debts wi II not be claimed by any ather person, for inheritance tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS---DA Y OF
_ 19_.
Signature of Taxpayer
RE PORT OF 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 listed above in the total amount of $
Date of Approval:
Register of Wills
.
..'. ...
OFFICIAL NOTICE OF INliER ITANCE
TAX APPRAISEMENT AND ASSESSMENT
OF ASSETS !'iOT SUBJECT
TO ADMIr\ISTRA TlON
SlJI'PJ.I:IlIII!AL
'*
RCC-134 (10-75) ...
.-. -
COMMONWEAtTll OF PENNSYLV~IA
OEPARTMENT OF REVENI!E
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
TO: 1Iltl_ I. w,.i-.
Oate:
"- 8 19'78
9t'~ (::h'\./Y~1-;) G-Lv..:?:
C-"er1_d I'
.... .. 'EaA1. Dr1...
County
--1.. PA 170125
County File No.
Bureau Fi Ie No. 21-78-0131
We hove received notice that, as a result of the death of .... I. fa .....
on MlIrch 1. 19~, you came into ownership of certain property through right of survivorship, which
was formerly owned by the decedent.
Under the Inheritonce ond Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
ond the liability for the payment of the inheritance tax due is imposed upon you, as transferee.
The property on which tax is hereby assessed consists of: Joiat ClItt.
--.. ,- -iat~- 1& U. _ ., tile "lIrllrat ... ~
All a J It ~ at tbe llal"ria
A_t ~i"'" 10/'/12.
appraised by the Commonwealth, as of the date of death, at $ '.08~92
11& % of this amount is taxable at the rate of 15 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT , I. "
j ,
TAXABLE AMOUNT $ I 'f I ,r~
LESS: ALLOWED DEBTS
NET TAXABLE AMOUNT f / ~~,
,
AMOUNT OF T AX DUE I ,I I., ,<;t. ,
$
II you pay the above amount within three (3) months of the
dote of death of the decedent, or on or before
19_, you moy deduct 0 discount of
5% of the omoun t of tax due, or
This tax became delinquent nine (9) months alter death
(one year if death occurred prior to December 22, 1965
and fifteen months if death occurred on or alter
December 22, 1965 but prior to June 17, 1971) and in
addition to the tax, statutory interest at the rate of 6% of
the tax per annum is also due as of * 19
in the amount of
*11 the tax is not paid by the above date additional
interest is due at the rate of 6% per annum unti I paid
TOTAL AMOUNT DUE
$
l
./ .
$
(Inheritance Tax Appraiser)
ASSESSED BY: tL l . ,.,...
(Agent for the Commonwealth)
APPRAISED BY:
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders poyable to:
To insure proper credit to your account
this Official Notice must accompany
your payment. Mail or bring it to:
1~ICHARD E. ANDERSON
Register of Wills
NOTE: Any party in interest who is oggrieved by this notice may object thereto within sixty days alter receipt of
said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961, 72 P.S. 2485-1001.
QUADRUPLICATE - REGISTER OF WILLS COPY
If you hove olready paid this tax to an 'execu(or, adniinistrotor, attorney or other personal represe"tative of the
decedent for forwarding to the Commonwealth, list below the date paid, name and addreos of the person to'whom,
you made payment, their official title and the amount,
Date Paid
Name and Address of Payee
Official Title
Amount Paid
~ J. :..
Under certain circumstances, if, after the date of death of the decedent, you personally paid funeral expenses
or other just debts of the decedent, with funds derived from the property herein taxed, such amounts expended
by you may qualify as deductions against the gross value of the property in the computation of tax due, If any
such expenditures meet all of the three following tests, it is recommended that you itemize the payments below,
execute the affidavit, and return this notice. The Register of Wills will examine the debts claimed and allow
those wh ich he determines to be proper. The tax wi II then be recomputed and you wi II receive an amended
assessment of tax.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1. You were personally legally responsible for these debts, and
2. You actually paid these debts and can furnish proof of such payment, if required, and
3. These same debts are not a/so claimed, for tox purposes, by on executor, administrator or other
personal representative of the decedent handling the administration of the general estate of the
decedent or any other transferee. '
Date Po id
Name of Po ee
OF DEBTS
Description of Obli ation
Amount Paid
TOTAL $
i
._-----1-
(attach separate sheet if required)
COMMONWEAL TH OF PENNSYLVANIA)
SS:
COUNTY OF
I, hereby certify that the foregoing is a just and true statement of funeral expenses
and other debts of the decedent, , for which I was legally responsible and
which I did payout of the property herein taxed. I futher certify, that to the best of my knowledge and belief,
these same debts wi II not be claimed by any other person, for inheritance tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS
19_.
DA Y OF
Signature of Ta:x.payer
REPORT OF 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 listed above in the total amount of $
Date of Approval:
Register of Wills
. . . .
-'
Rcc_n C+-77)
COMMONWEALTH Of PENNSYLVANIA
OEPARTMENT OF REVENUE
.
BANK NO.
DATE FILED
NOTICE OF DECEDENT ACCOUNT STATUS
opt. ,..,."'"
:;-6-18
Submit in truplicate wit
tI1e death.
ST6.T'" OtF iiCOUNTtNO, (JqIJ<T..TiRu.':~ OR!N'i,ESTMI;NT hi
.JC1n _;lInan a W1t;n rl gn.. Of-"lrV1.\1I'll'll p
10-'-12
RETURN COMPL ETED
FORMS TO LOCAL COUNTY
INHERITANCE TAX OFFICE
NAMES ON ACCOUNT
.Su~ I. 3RC~ .
:e.nt. I. !t.u .
1Ie1.. I. Hain..
SOCIAL. SECURITY NUMBER(S)
199-0'-'727
SURVIVING DEPOSITOR (B...flel.",) INFORMATION DECEDENT INFORMA N
NAME .RELATIONSHIP .............. NAME
le't1. !I. !leu I: H.1.. I. CEDENT. ~ Su... I. Sa.~
t ~'?_~~"'--J/
DATE OF DEATH
)-1-,8
ADDRESS
,,"uS ?~utll st.
JIbe., PIl. l?9t1
.." If. J:aola Dr.
IlIaola, Pa. 1~
ADDRESS {/..!"" . AI /; :.. /;;J .
, / /y. _ .-.?-e::_-,__/..~ ~.-,,;.....-:
-2?ir1-wu....-l'Ukwq .
Barn. anlage Aeeooiatloa
P. o. lox 1711
Barn.burg, Pa. 1710'
BALANCE OF ACCOUNT AT 000
INTEREST ACCRUED AND COLLECTIBLE AT 000
TO TAt.
ZIP C
1
$ .
$ -:d-1. 2
$ 5.92
/:1 i .', .::~.
CITY _"
. 1Ia.... :..t.... --pa. ~: ~,;( ::::" y~J;.,
BANK/INSTITUTION ADDRESS
BANK AUTHORIZATION
I HEREBY CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS A
CORRECT REPRESENTATION OF INFORMATION IN OUR FILES IN ACCORD
WITH SECTION 742 P I 8: E TAX ACT OF 1961.
SIGNATURE OF FINANCIAL INVESTIGATOR
)--r;. C; 1...J':Vrr,,---f-,,-~
DATE
3 <c.}J'
,
:UO P."IAb... I! ....od..1 oN
'(P"PPD '!'D~dw3) ,,'(O(J;$)
"DIIDP p"'pun~ ""'~' p".,x.. 'ou ..op ~,...p 10 .W!, .~,
oIoD I!lodep 8"'" U8'1M IUnO::l::lD 'pns OJ p.aD6... U! p."!Aba.. -q
HOlt' UO!IO::l!J!loU ON ....unO:):'lD 8'fl OlSJOA!A.lnS .10 .I0A!AlnS
8'11 fO IS~UppD PUD .wau 8"1 pUO UO!lftJIISU! ID!::IUDU!J
,,~, ~l!'" ~,o.p 10 .'Dp .~"D l!.odep UD '0 p.,'.AU! ,unOWD
.ltl 'luaWI'8AU! .10 IIlodap ISfU4 .10 IUloI 8'11 fO UO!IDa..:) .'11
10 .'Dp ,,~, 'uo...d p"....,.p .'lllo "WDU .~, 6U!A!6 ID8'.~'
"nue^"H 10 ,ueWlJOdeO .~, -<fIlOU OJ 'llD.p .'llID .6p.J"'ou~
'.lJD dop (Oil U., U!~l!'" uOllnl!"U! JO!'UOUll "'ll10 4np
8"1 aq IID'I' I' '8'P 110'11 ...U.~S.^U! olD Hsodep 8'14 04 '.!....Dd
8"1 fO auo puo '.I.'flO olD ...ltIOUD .I0f llin,. V! SUOSJ8d 10 uos...d
D fO .wau 8'11 V! .10 8J!M pUD pUDqsn'l UO" .I8'fJO sUOtUKI ."OW
olD o~ JO '.WaU a'flo U! D!UDAI,(SUU8d U! P....O:)OI UOIl"H-lIU!
ID!:lUDII!I D U! pa.J.8AU! olD p8Hsodap I! "auow U8'1M..
'~IIDnp!A!pu! 'U.p""p .'ll ~q PI"~ .,unoooy (t
OO'O(J;$ '.pun eoUOJDq D ~l!'" .,unO"D ,U!Or Ii:
'.,unOOOD .1I'" pUD puoq.nH U
.S8!lJDd p..,..... puo
"1I'" pUD pUDq.n~ ~q Pl"~ .,uno"y (s
'~"Ol O. pUD
'Sluno:):)o 8.1011' '...!sodap JO '....D::I!J!.....:>>
SO 'I::Ins "lunO:)::ID luaWIS_AU! IU!Or <r
.,uno"y ,.n'l (t
.,uno"y 6u!~'.~::1 ,U!Or (z
Sluno:):)... S6U!^DS ",U!Or (L
'L961 ::10 l::1Y XV! 31Y lS3 aNY
3::1KY11UHHI 3H.L ::10 ZI>'L NOI.L::I3S
:uo p...!nb8.1 S! ,&.lode.. y
".~"'h'.~
-
'..'
RCC-1~4 (10-75)
.
Cu:'rl>roNWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU Or COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
TO: Bettie H. R.hD
4228 PlY80Uth Street
Barriaburg, PA 17109
orrICIAL NOTICE or INliER ITANCE
TAX API'RAISFMENT AND ASSFSSMENT
OF ASSETS NOT SUBJECT
TO AD MINISTRA nON
SUPPIMEN'lAL
Date:
J\JM 8. 1978
County
CUllber1and
County File No.
Bureau Fi Ie No. 21-78-0137
We have received notice that, as a result of the death of .a- I. 8ackllen
on March 1. 1921L, you came into ownership of certain property through right of survivorship, which
o was formerly awned by the decedent.
Under the Inheritance and Estate Tax Laws of the Commonweolth of Pennsylvanio such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you, as tronsferee.
The property on which tax is hereby assessed consists of: JoiAt ODt. AcCOllDt #4-1+7966 at tha Harria
Sadnp a......ci.tion in t:ha _. of the decedent and .:Laten. ACCOWlt ..t.b11ahed 10/3/72.
appraised by the Commonwealth, as of the date of death, at $ 6.085.92
1/6 % of this amount is taxable at the rate of 1~ %
AMOUNT OF TAX DUE
ORIGINAL ASSESSMENT
-~ 1..-/ )y 1/
Jv( rx..
$ , III!
,
/ q I ~j. ~'e>f
I / '5d
/
AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS: ALLOWED DEBTS
NET TAXABLE AMOUNT
$
If you pay the above amount within three (3) months of the
date of death of the decedent, or on or before
19_, you may deduct a discount of
5% of the amaun t of tax due, or
This tax became delinquent nine (9) months after death
(one year if death occurred prior to December 22, 1965
and fifteen months if death occurred on or after
December 22, 1965 but prior to June 17, 1971) and in
addition to the tax, statutory interest at the rate of 6% of
the tax per annum is also due as of * 19
in the amount of
*If the tax is not paid by the above date additional
interest is due at the rate of 6% per annum until paid
TOTAL AMOUNT DUE
$
10d ;1
$
APPRAISED BY:
'j..-.",-.
-. ASSESSED BY:
/~Fi4 { ~' (' \
r- ,.1.. ( 10//-:,' ;\ j\1--~ ~
-,./( gent or the ommonwealth) "
II; 0).,
(~J
; o.,t;o.,.y.
(Inheritance Tax Appraiser)
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:
To insure proper credit to your account
this Official Notice must accompany
your payment. Mail or bring it to:
RICHARD E. ANDERSON
I<egister of Wirls
NOTE: Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of
said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961, 72 P.S. 2485-1001.
TRIPLICATE-MAIL TO THE SECRETARY OF REVENUE IF THE TRANSFEREE CLAIMS DEBTS AND DEDUCTIONS
If you have already paid this tax to an executor, administrator, attorney or other personal representative of th-
. . ,
decedent for forwarding to the Commonwealth, list below the date poid, name and address of the person to whom
you made payment, their official title and the amount.
Date Paid
Name ond Address of Payee
Official Title
Amount Paid
Under certain circumstances, if, after the date of death of the decedent, you personally paid funeral expenses
or other just debts of the decedent, with funds derived from the property herein taxed, such amounts expended
by you may qualify as deductions against the gross volue of the property in the computation of tax due. If any
such expenditures meet all of the three following tests, it is recommended that you itemize the payments below,
execute the affidavit, and return this notice. The Register of Wills will examine the debts claimed and allow
those which he determines to be proper. The tax will then be recomputed and you will receive an amended
assessment of tox.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1. You were personally legally responsible for these debts, and
2. You actually paid these debts and can furnish proof of such payment, if required, and
3. These same debts are not olso claimed, for tax purposes, by on executor, administrator or other
personal representative of the decedent handling the administration of the general estate of the
decedent or any other transferee.
Date Po id
Name of Po ee
E S
Description of Obligation
Amount Paid
...~
- . _--=.==~
---=--=== -=1
F:== ~_________ .u__ ~~-
~~_ _____ u _ ___uu___
1-----
~--,-
~-~-~.-... _. ,__u.,___u___ I
TOTAL $
(attach separate sheet if required)
COMMONWEAL TH OF PENNSYLVANIA)
SS:
COUNTY OF
I, hereby certify that the forego in g is a just and true statement of funeral expenses
and other debts of the decedent, _ , for which I was legally responsible and
which I did payout of the property herein taxed. I futher certify, that to the best of my knowledge and belief,
these same debts will not be claimed by any other person, for inheritance tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS
19_.
DA Y OF
Signature of Taxpayer
REPORT OF REGISTER OF WILLS
I, the undersigned, duly elected Register of Wills in ond for the above county, do respectfully report that I
have allowed deductions listed above in the total amount of $
Date of Approval:
Register of wills
RCC-134 (1o-75)
CIJMl9ldNWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENl JE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF INHER ITANCE
TAX APPRAISEMENT AND ASSESSMENT
OF ASSETS NOT SUBJECT
TO A[)~IINISTRA nON
*
TO:
Bettie H. hha
IIU"'_~
Dote:
J_ 8. 1978
Cua.l'1AuMl
IJ228 ~h Street
1i&JTi81Rarg. PA 17109
County
County File No
Bureau File No. 21-18-0137
We hove received notice that, os 0 result of the death of S- I. ~t'IIIlJ
on IIIoreh 1. 1928-, you come into ownership of certain property through right of survivorship, which
was formerly owned by the decedent.
Under the Inheritance and Estate Tax Lows of the Commonwealth of Pennsylvania such transfers ore taxable
and the liability for the poyment of the inheritance tax due is imposed upon you, os transferee.
The property on which tax is hereby assessed consists of: .I..i.t Out. A_t A-It7966 at tM IINT1tI
-.Ii'" &----iatioa 1Il.'- . of t.1oa dell1wt lIIIUl ai.... AcI'\llFllt eMaIll1.....1O/3I12.
appraised by the Commonwealth, os of the dote of death, at $ 6.015.92
1/' % of this amount is taxable at the rote of 151' %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS: ALLOWED DEBTS
NET TAXABLE AMOUNT
$
$
i
AMOUNT OF TAX DUE
i
;
II you pay the above omount within three (3) months of the
dote of death of the decedent, or on or before
19_, you may deduct 0 discount of
5% of the amount of tax due, or
This tax become delinquent nine (9) months after death
(one year if death occurred prior to December 22, 1965
and fifteen months if death occurred on or after
December 22, 1965 but prior to June 17, 1971) and in
addition to the tax, statutory interest at the rote of 6% of
the tax per annum is also due os of * 19
in the amount of
*11 the tax is not paid by the above dote additional
interest is due at the rote of 6% per annum until paid
TOTAL AMOUNT DUE
$
I
$
APPRAISED BY:
ASSESSED BY:
i
(Agent for the Commonweo Ith)
(Inheritonce Tax Appraiser)
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:
To insure proper credit to your account
this Official Notice must accompany
your payment. Moil or bring it to:
C:i':p,RD E. ANDERSON
'~qister of Wills
NOTE: Any party in interest who is aggrieved by this notice may object thereto within sixty doys after receipt of
said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961, 72 P.S. 2485-1001.
QUADRUPLICATE - REGISTER OF WILLS COPY
If you hove already paid this tax to on executor, administrator, attorney or other personal representative of thr
decedent for forwarding to the Commonwealth, list below the dote paid, nome and address of the person to whom-
you mode payment, their official title and the amount.
~
Date Paid
Nome and Address of Poyee
Official Title
Amount Paid
Under certain circumstances, if, after the date of death of the decedent, you personally paid funerol expenses
or other just debts of the decedent, with funds derived from the property herein taxed, such amounts expended
by you may quolify os deductions ogoinst the gross value of the property in the computotion of tax due. If any
such expenditures meet 011 of the three following tests, it is recommended that you itemize the payments below,
execute the affidavit, ond return this notice. The Register of Wills will examine the debts claimed and allow
those which he determines to be proper. The tax will then be recomputed and you will receive on amended
assessment of tax.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1. You were personally lego lIy respons ible for these debts, and
2. You actually paid these debts and can furnish proof of such payment, if required, and
3. These same debts are not olso claimed, for tax purposes, by an executor, administrator or other
personal representative of the decedent handling the administration of the general estate of the
decedent or any other transferee.
~rHFf"\"1 " OF nFRT~
Date Po id N am e of Pavee Descri p ti on of 0 b I ina ti on Amou n t Po i d
~ ...- ----
- -- I-----~--------- ---
....------------ _._-~ - -- --- - - ------- --------- .---
-~---- ---~- -..------ --_.------- ---~-- -- -----
- m -- --- -- --- -- - - ..-.-
- -
- -----~-
----- -_._-----~ - --
"-"- --- - ---
- - ---------- - -..--------...- .------ -------- --
--"..- --- -----------_..- - ------ --...-.- ---------------- ---. ----
------- - - ---------- --,..- -- ---------------
---~ ~--- 1---..---- ----------- --
- _...__u _.-
... - --..---- --------- n -----------.
TO TAL $ J
-----,-"-'-'--- -------------
(attach separate sheet if required)
COMMONWEAL TH OF PENNSYLVANIA)
SS:
COUNTY OF
I, hereby certify that the forego in g is a just and true statement of funeral expenses
and ather debts of the decedent, ' for which I was legally responsible and
which I did puy out of the property herein taxed. I futher certify, that to the best of my knowledge and belief,
these same debts will not be claimed by any other person, for inheritance tax purposes_
SWORN AND SUBSCRIBED BEFORE ME THIS
19__
DA Y OF
Signature of Taxpayer
RE PORT OF 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 listed above in the total amount of $
Date of Approval:
Register of Wills
Bettie H. Rehn
OFFICIAL NOTICE OF INIIERITANCE
TAX APPRAISEMENT AND ASSESSMENT
OF ASSETS NOT SUBJECT
TO AOMINISTRA nON
SUPPIEMENTAL
.~
10-75)
. ...
'EAL TH OF PENNSYLVANIA
ARTMENT OF REVENUE
)F COUNTY COLLECTIONS
'ITANCE TAX DIVISION
Dote:
June 8. 1978
4228 Plymouth Street
County
Cumberland
Harrisburg, PA 17109
County File No. fa -14'7-K
Bureau Fi Ie No. 21-78-0137
hove received notice that, os 0 result of the death of Susan I. Sackman
March 1. 19:zlL, you come into ownership of certain property through right of survivorship, wh
"merly owned by the decedent.
ler the Inheritance and Estate Tax Lows of the Commonwealth of Pennsylvania such transfers are taxab
e liability for the payment of the inheritance tax due is imposed upon you, os transferee.
, property on which tax is hereby assessed consists of: Joint Opt. Account #4-47966 at the Harl
n~s Association in the names of the decedent and sisters. Account established 10/31
sed by the Commonwealth, os of the dote of deat!y at $
_ % of thi S amount is taxable at the rote of 15;0. %
6.085.92
ORIGINAL ASSESSMENT AMENDED ASSE:
OF ASSESSM EN T
lLE AMOUNT
ALLOWED DEBTS
AXAB L E AMOUNT
$
T4'r:> (;;: Ii( 7 ;.;:
/_ ()I't. -?~
$
I.
f
(\ ( it. .>>-?
H OF TAX DUE
t~~/.c
/ j(;,(. j
pay the above amount within three (3) months of the
f death of the decedent, or on or before
19_, you may deduct 0 discount of
~he -amount of tax due, or
ox become delinquent nine (9) months alter death
ear if death occurred prior to December 22, 1965
'teen months if death occurred on or alter
,ber 22, 1965 but prior to June 17, 1971) and in
>n to the tax, statutory interest at the rote of 6% of
( per annum is also due os of * 19
amount of
tax is not paid by the above dote additional
;t is due at the rote of 6% per annum until paid
AISED BY:
TOTAL AMOUNT DUE $
cl~ 1<. )J.&~ASSESSED BY:
(Inheritance Tax Appraiser)
!5~~/J:;
$
~-?
INSTRUCTIONS TO TAXPAYERS
:hecks or money orders payable to:
To insure proper credit to your OCCOl
this Official,Notice must accompany
your payment. Moil or bring it to:
RICHARD E. ANDERSON
Register of Vvills
Any party in interest who is aggrieved by this notice may object thereto within sixty days alter receil
ltice os provided by Section 1001 of the Inheritance and Estate Tax Act of 1961,72 P.S. 2485-1001.
:>RIGINAL - DELIVER TO THE TRANSFEREE
.lave already paid this tax to an executor, admrnistrofof, attorney or other personal representative of th
ent for forwarding to the Commonwealth, list below the date paid, name and address of the person to w',
ode payment, their official title and the amount.
oaid
Name a~d Address of Payee
Official Tit:e
Amount Poi d
certain circumstances, if, after the date of death of the decedent, you personally paid funeral expense,
er just debts of--the decedent, with funds derived from the property herein taxed, such amounts expende(
u may qualify as deductions against the gross value of the property in the computation of tax due. If an
expenditures meet all of the three fb'llowing tests, it is recommended that you itemize the payments bel,
te the affidavit, and return this notice. The Register of Wills will examine the debts claimed and allow
which he determines to be proper. The tax will then be recomputed and you will receive an omended
sment of tax.
THREE TESTS WHICH MUST BE MET ARE THAT:
>u were p~rsonally legally resp';~s Me for the;~ debts, and
( : - - ': - r' '~ - .., , _ .
)u actually paid these debts and can furnish proof of such payment, if required, and
lese same debts are not also claimed, for tax purposes, by an executor, administrator or other
'rsonal representative of the decedent ""'odling the administration of the general estate of the
'cedent or any other transferee.
~rHFnIlLE OF DEBTS
Paid Name of Pavee Descri oti on of Obligation Amoun t Paid
-
-------- f---- - -_._---~._. -..--...-..- . - -------- ----- ---- ~---- - - ---..-- n f ----~- ----
.----- ---------. ..-
---- ---- --. -- -
.- f.-
---- .-- .--- --
.
TOTAL $
(attach separate sheet if required)
JH OF PENNSYLVANIA)
SS:
C
~ hereby certify that the foregoing is 0 just and true statement of funeral exper
,~ he decedent, ' for which I was legally responsible or
~. . of the property herein taxed. I futher certify, that to the best of my knowledge and belief
, .. wi II not be claimed by any other person, for inheritance tax purposes.
,
SUBSCRIBED BEFORE ME THIS DAY OF
19_.
Signature of Taxpayer
REPORT OF REGISTER OF WILLS
, undersigned, duly elected Register of Wills in and for the above county, do respectfully report that
allowed deductions listed above in the total amount of $
of Approval:
Register of Wills