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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT EST A TES ONLY
OF RESIDENT DECEDENTS
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'RCC-l03'l3-731
COUNTY OF
CUMBERLAND
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 Secretory of Revenue.
Will ;U_7',,--.iL3t.,
Admn. No. 19_ I,
Ada F. Orner
(NAME)
of JJ Columbia Rd Of Enola. PA
(ADDRESS)
Misc.
being duly sworn according to law, deposes and says that he is the
Administratrix
of the estate of
(EXEC., ADM., LEGATEE, ETC.)
late of East Pennsboro Township
(CITY, BOROUGH, OR TOWNSHIP)
deceased, and that the whole of the estate of said decedent, who died ann February 22. 19IL_
John D. Orner
(DATE)
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
no Pennsylvania Transfer Inheritance Tax is due.
Sworn and 5ubscribed before me
the >~ cl:: dayaf ,,(feU)
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n1
19~
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ad'~ :1i(2-~..
(SIGNATURE)
(TI TL E)
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Type of A.<j;S~\: Estimated Department
Reol E~toh!" Pers. ASSETS Valuation
Property, Jointly (Attach additional sheets if necessary) Market CAUTION
Held Prop. or Value
Transfers Description of Asset (Do not write
in this space)
N None
0
N
E
TOTALS None
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 foregoi schedole at the valocs se~ fo~h opposile each item in
the last column to the right. -.!..,-/' ~ _ .
Dated: June 29.. 1978 (INHERITANCE TAX APPRAISER) 20_--.
Name of Payee DEBTS AND DEDUCTIONS Amount Amount Approved
Nature of Claim Claimed by Register
Family Exemption 2.000.0C
TOTALS ;;I, 66 0 {(;
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 the fight, which greater or lesser amount represents the sum allowed as a deductIOn.
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Date of Approval:
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RCC~81 (6~73)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
NOTICE OF FILING or APPRAISEMENT
Ada F. Orner
33 Columbia Road
Enola, PA 17025
(Executor or Administrator)
In Re: Estate of
John D. Orner
Cumberland
County - File No.
21-78-0236
Dear Mrs. Orner:
You are hereby notified that the Insolvent
appraisement in the estate of John D. Orner
has been filed in the office of the Register of Wills of Cumberland
County an June 29 , 19 78, Said appraisement reflects the fallowing
valuations:
Reol Estate
Personal Property
Transfers
Jointly Owned
Total
None
None
None
None
None
As to such tax that is paid within three months from dote of death, a five (5%)
percent discount is allowable. As to any tax that remains unpaid after nine (9) months
(Ii fteen months when death occurred from December 22, 1965 to June 16, 1971, i nc I usi ve;
and twelve months when death occurred prior to December 22, 1965) from date of death,
interest at the rate of six (6%) percent per annum is charged.
Any party in interest who is aggrieved by this notice may obiect thereto within
sixty days after receipt of soid notice as provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961, 72 P. S. 2485.1001, P. L. 373.
Date June 29, 1978 Signed &\.-, ~ ~k1__~~~~
Title_~hief Appraiser_______
Note: This is not a bill.