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Home My WebLink About12-07-78 RCC-3 (4~73J 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) ~.-.....~ COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Application is.hereby filed for the opproval 1. Bureau File # 21-78-248 of an exemption from Pennsylvania J'ransfer 2. Date of Death AQril 26, 1978 Inheritance Tax on the transfer of the property described below: 3. Date .of Apprava I ~ 7 (9'1 'Y , 4. Name of Decedent Marv Ellen Chestnut Mav 5. The Commonweolth's appraised value of the property far 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 appraisa.1 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 percenta~ amount above), 6. Che.ck th~ manner in which .the transfer was effecte~ and submit a copy of the document authorizing the transfer, unless . such. material has been previously filed. WILL Xl; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Trll"tee" of The Fir"t lInited Methodi"t'Chllrch of Mf'ch"nic"bllr[ ADDRESS Frederick "nd Simpson Streets,Mechanicsburg, Penn"ylvanj" 17055 o See listing on reverse side for additianal charitable organizatians covered. 8. I certify that th-e information contained herein is, to the best of my knowledge and belief, true and correct. Signature of Applicant /~ fit Clk4.../$ Address of Applicant Timber Road. R. D. l.Mechanicsbursr. Pennsylvania 17055 Official Title Executor Date I~/b//Y ~ I 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 ..;tas a non_resident of Pennsylvania and letters were not issued by 0 .Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau of County Collections, Penna. Department of Revenue, 26 S. 4th Street, Hl::lrrisburg, Pa. APPROVED: For the Secretary of Revenue REFERRED to.Bureau Headquarters Approved 0 For Secretory of Revenue I 0\~~~~~~ Denied* 0 , (Signa.t~~>,~~egister of W Is~ (Initials of Register of Wills) (Authorized Si gnature) \lllCllAlllI.J),mro'ERSllll Rm'STER' Of W1LLS~ . CUMI3:ERlM~ i;iU\.l\..IJ, (County) (Title) . (County) I ~ .'1 1~?O , I (Date of Approval) (Date of Referral) (Date of Action) I * See reverse side for reasons 00 not write below this line. For Official Use Only MUST BE FILED IN TRIPLICATE ~ . .. This section will be compl eted by Bureou Heodquorters only when the opplicotion for exemption hos been denied. Dote: Th. application for exemption contained on the face of this form has been denied because Note: Any porly in interest, including the Commonweolth, oggrieved by this oction moy within sixty (60) doys ofter the date of this notice exercise their rights of Protest, Notice, or Appeal in accordance with the provisions of applicable Pennsylvonio Inheritonce ond Estote Tox Ach. RCC-3 (4.73) 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) d6-", 't' , ~ -- -, ~ "'" ~ "'-- COMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS Applicatian is hereby !iled for the opprovol of an exemption from Pennsylvani~ .Transfer Inheritance Tax an the transfer of the property described below: 5. The Commonwealth's appraised value of the praperty 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 ~he 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 percentag.e 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 ]V; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Trustees of The Doubling Gap Church of God ADDRESS Newville, Pennsylvania o See listing on reverse side for additional charitable organizations covered. 8. I certify that_ th-e -information contained herein is, to the best of my knowledge and belief, true and correct. Signature of Applicant ~~ # {l~~/ Address of Applicant Timber Road. R. D. L Mechanicsburg-, Pennsylvania ]705'i Official Title Executor Dote 1J..!t /'J r This form must be completed in triplicate and 011 three copies delivered to the Register of Wills for the County in which the decedent resided, or in which letters were issued for 0 non.resident decedent's estate. If the decedent was a non.resident of Pennsylvania and letters were not issued by a Pennsylvonia Register of- Wills, deliver all three copies to the Director, Bureau of County Collections, Penna. Deportment of Revenue. 26 S. 4th Street. Harrisburg, Pa. 00 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 Denied* 0 (Signature of Register of Wills mCHARO'1!. ANllER8!J81 D~r!I(,T~D. i'lF mil I.g- , ~cl!l.w.'4~O Cou~1l1 ~ '7j??( (Date of Approval) (Initials of Register of Wills) (Authorized 5i gnature) (County) (Title) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FilED IN TRIPLICATE ... , .. This section will be completed by Bureau Headquarters only when the application for exemption has been denied. Date: Th. application for exemption contained on the face of this form has be.n denied because Note: Any party in interest, including the Commonwealth, aggrieved by this aclian may wilhin sixty (60) days afler the dale of this nolice exercise Iheir rights of Protesl, Nolice, or Appeal in accordance with Ihe provisians of applicable Pennsylvania Inherilance and Estale Tax Acts.