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Home My WebLink About11-06-78 RCC- :0 (l-f,91 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, os amended) ~~. .- ~ COMi:\ONWEA~ TH OF PENNSYLVANIA DtPARTMt:..~T OF REVENUE BUREAU OF COl~TY COLLECTIONS Application is hereby filed for the approval of on exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 1. Bureou File # 21-7_8: 143 2. Date of Deoth Fe~l"llflry: 23, 1978 3. Dote of Approvol _~IV ~ '-, ,,,., i" 4. Nome of Decedent Reverend Stephen J. Hribick 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 250.00 (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 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 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 $; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, exploin) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME St. .Joseph' s Catholic Church ADDRESS 420 East Simpson Street. Mechanicsburg. Pa. 17055 8. certify that the information contained herein is, to the best of my knowledge and belief, true and correct. Signature of Appl icant 1~~ n l-'<? ~ Address of Applicont 400 E. Simpson Street, Mechanicsburg, PA 17055 Officiol Title Pastor Date 11-1-78 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 a non-resident 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 of County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po. Do not write below this line - For Official Use Only Approved: For the Secretary of Revenue Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Oenied* 0 (Signature of Register of Wil . :~:]li '.I.? (Initials of Register of Wills) (Authorized Signature) (C"untyf~"lIl' ~ "-IQ?y (Dote of Approvo ) (County) (Title) (Dote of Referrol) (Dote of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE .J! " \. / This section will be compl eted by Bureau tfeadquarters only when the application for exemption has been. d6~ied. 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. RC C- 3 (1~69) 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) -~- ~ COM~ONW.EAt. TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU 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 File #21-78-143 2. Date af Death February 23, 1978 '11"., b. ~~ 3. Date af Apprava I 4. Name af Decedent Reverend Stephen J. Hribick 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 250.00 (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 0 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 0.; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If ather, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Villa Vianney Priest Heme ADDRESS 915 Lincoln Avenue, Lebanon, Pa. 17042 , is, to the best of my knowledge and belief, true and conect. r, ~/y( 8. I certify that the information contained herein Official Title kif< lJdl1J./ M~;; I !l/~ t. ~t1k Ih-c. Le~~-<- c1Jcii-Y Date tdtJItW oZ 6/ /f7 cf ( f _L V Signature of Applicant Address af Applicant 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 a non~resident decedent's estate. If the decedent was a non..resident of Pennsylvania and letters were not issued by a Pennsylvania Register of Wills, deliver 011 three capies to the Director, Bureau of County Collections, Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Pa. Do not write below this line ~ For Official Use Only Approved: For the Secretory of Reveonue Referred to Bureau Headquarters Approved 0 For Secretory of Revenue ~~ f:.. ~AJ~ (Signature of Register af Wills) Denied' 0 - 1 ...' ~~.,:::,,! "j,'1lt ;' ! I ~ (C"iJitM~',I;T (Initials af Register af 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 campi .fed 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.