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Home My WebLink About03-07-79 RCC~3 (4~73i COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of Moy 28, 1956, P.L. 1757, and Act of June 15, 1961, P. L. 373, as amended) Application is hereby filed for the approval of an exemption from Pennsylvania Trpnsfer Inheritance Tax on the transfer of the property described below: 1. Bureau File # Estate No. 21-78-150 2. Date of Deoth ~l>rll~"TL_4,_1l)7~___ 3. Date of Appravo I --'-lUiJ 'I., 7 , "l? r 4. Nome of Decedent Bertha A. Winemiller s. The Commonwealth's appraised value of the property for which an exemption is claimed is $ $50.00 (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 a stated fractional or percentage portion of the entire estate or the entire residue. In those cases enter such fructional or percentage amount above). 6. Check the manner in which the transfer was effected and submit 0 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 other, exploin) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME First Assembly of God of Harrisburg ADDRESS 4100 North Progress Avenue, Harrisburg, PA 17110 o See listing on reverse side for additional charitable organizations covered. 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. S. fA I' t fl. ..,,,,J cn7.W~v~\' 19nature 0 pp Icon ~~ Address of Applicant 721 West 15th Street, New Cumberland, PA 17070 Officiol Title Executor Date March 1, 1979 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 0 non~resident of Pennsylvania and letters were not issued by a Pennsylvanio Register of Wills, deliver all three copies to the Director, Bureau of County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, Horrisburg, Po. Do not write below this line - For Official Use Only AP PROY ED: For the Secretary of Revenue REF ER RED to Bureau Headquarters Approved 0 For Secretary of Revenue Denied* 0 (Initials 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. RCC.3 (4.73) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act af May 28, 1956, P.L. 1757, and Act af June 15, 1961, P. L. 373, os amended) t~ ~ 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 # Estate No. 21-78-150 2. Date of Death Febrll"'''Y 4, 1978 -!'))Ql 4. Name of Decedent Bertha '7/9')f A. Winemiller 3. Date af Appraval 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ (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 Coses 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 percentag.e amount above). 50.00 6. Check the manner in which the transfer was effected ond submit 0 copy of the document authoriZing the transfer, unless such material has been previously filed. WILL 4{; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Bible Chapel ADDRESS 5503 Union Deposit Road. Harrisburg, PA 17111 o See listing On reverse side for additional charitable organizations covered. 8. certify that the information contained herein is, to the best of my knowledge and belief, true and Correct. 1 '. a j) ." " hn..€m-v.::~ Signature of Applicant ~~~ ;vrr. ~ _ o 0 Address of Applicont 721 West 15th Street, New Cumberland, PA 17070 Officiol Title Date This farm must be completed in triplicate ond 011 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 wE:re not issued by a Pennsylvania Register of Wills, deliver all three copies 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 ~PPROVED: For the Secretory of Revenue REFERRED to Bureau Headquarters Approved 0 For Secretary of Revenue Oenied* 0 . J ~, . ;.~:;:-:";'j~ , (Initials of Register of Wills) (Authorized Si gnature) (County) 1o.).:i"( \\)011'..'1 I Pf (Date of Approval) (County) (Title) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE ~ILEO IN TRIPLIC:"T! lication for ex em tion 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) doys 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. -~----_._._~