HomeMy WebLinkAbout09-06-79
RCC-84
(8-77)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
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For County Information purposes only
COUNTY FILE NO: I I) / C (
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Appraised Value of Estate:
Real Estate
Personal Property
Jointly Held Property/Transfers
$
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.
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Total Gross Estate
$
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.
..~. /..,
Total Approved Deductions
Clear Value of Estate
$
/
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
$
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/ .... :
Amount Taxable @ 6% Rate
$
tax due
$ .,'
Amount Taxable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE
$, /- I
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
(..:?~ .~> '/ -: !
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+
$
$
$
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BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
$
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Interest will accrue at the
Inheritance tax from
rate of
six (6)
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percent
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per annum on the unpaid balance of
to the date of payment.
Assessed by: .. ',. T\.:' ;' .ti, ,.. ,,' ", / / / '
Avent'for the Commonwealth
SEE REVERSE SIDE FOR INSTRUCTIONS
REGISTER OF Will'S COpy
~sj1i
Form No. REV-464 RHIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSESTS UNDER $10,000. UNDER SECTION 701 OF ACT OF JUNE 16, 1961, EFFECTIVE JANUARY I, 1962. (FILE IN
C" 'UCATE 'WITH COPY OF WILL ATTACHED)
*'
SUPPLEMENTAL 21-78-262
OFFICE OF'THE REGISTER OF WILLS
County of Cumberland
Caroline Z. Brooks
(Name)
~ 88 Asper Drive. R.D.2r Boiling Springs,
(Addreaa) PA 17007
being duly.
sworn
she
according to law, deposes and says that he is the Exec utr ix
(Exec., Adm., Legatee, Etc.)
of the estatl~ of
Burr B. Brooks
whose iast residence was
88 Asper Drive, Boilin~
(No.) (Street)
Springs. Monroe Township
(City. Borough or Township)
consisted of:
deceased, and that the whole of the estate of said decedent, who died
5/10/78
(Date)
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA. WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT. WHERE
PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES. ADDRESSES AND RELATIONSHIP OF OTHER OWNERS
Estimated
Value
Real Estatd
None
Personal Property
None
NOTE: You may expedite the processing of this return by filing with it, and as a part of the return,
letters from financial institutions or mortgage holders I certifying to amounts on deposit or owed by the
decedent as of the date of death. Such letters must be 8igned by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account, account number and the exact name or names in
Jointly Held Property
Estimated
Value ...
'"
DAUPHIN DEPOSIT BANK AND TRUST CO.
Acct. No. 01-2-0058 opened 9-19-73, Balance
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1. Burr B. Brooks in trust for Mar Barbara Brooks
-~ ---~-
1301.52\
2. Burr B. Brooks, in trust for Burr B. Brooks, Jr.
Acct. No. 01-6-1126-7, opened 1-21-77 , Balance ~~,
Interest
2123.61
13.24
<--~
3438.37..)
-~ --
Total
3. t)L'C>( (j~iL{)l<$, "II .t<us~ telY- J '01<.(.
(~1:.\.-\.~O'-~-OO~' 0 ' ',li \-.;)\-"
- -4::; 1 I ~ ~~'-1:
,
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Transfers within TWO YEARS Prior to Death
~ 353l3S
That at thEl time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of
another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:-
-~
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF jOiNT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
-
--
BENEFICIARIES
RELATIONSHIP SURVIVED AGE OF LIFE
BENEFICIARIES AND ADDRESSES (If step-children or DECEDENT TENANTS OR INTEREST OF
(State full names of all and their addresses who have an in- illegitimate children STATE YES ANNUITANTS BENEFICIAR Y
Jerest, vested, contingent or otherwise, in estate.) are involved, set ORNO AT DEATH OF IN ESTATE
forth this fact.) DECEDENT
RESIDENT DECEDENT
DEBTS AND DEDUCTIONS CLAIMED
OTE: List first five items in the spaces 80 provided, observe notations thereon, and instructions.
DEBT OR CLAIM
NATURE OF SAME
AMOUNT
THIS COLUMN
EGISTER ONL 1
$
Funeral expenses paid
$
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Family exemption (will not be allowed unle..
decedent died residing with a spouse or children.)
'.
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OTHER DEBTS AND CLAIMS'.
Administration Expenses ·
Counsel fees ·
/'
Fiduciary
commission ·
( · ) See Note below
v
Total
Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is greater or!
less than the estimated amount claimed and allowed. /~). (' ,""
Subscribed ,and sworn to before me this . . .d!.Sd.. . .,. . " ~/-d~../l':"--<:.c-.-, .. .6~~/..
_ (E%ecuY'.,.~Administ,..atc,..)
I '
. ?8. .~~P.~!.. Pr:-. .,. . ~ ~ p ..). . . ... . . . .., .......
(Street Numt.er)
. . . . 1/. . . . . . . . . day of . . .Apr.U . . ,. . . . . . . . . .. 19.7~.
.~..y,.~(fC,'"''''''''
rJ' ,'" (ommission Expires July ILl. 1981
~le. PA Cumllerland Count"
. ~.Q .~+.~~.g. .$pr.illg.~ ". P.A. .1? O.Q 7. . .
(City or Town and State)
Having been duly sworn according to law, I do hereby certify that the above appraisement is made in conformity with law on this I
.. ...... ...... .. . ... day of . ...... ... ... ... ...... " . .... . ... ............19.....
Appraiser
In the eVlent that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the
expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
REPORT OF THE REGISTER OF WILLS
I. the undersigned duly elected Register of Wills in and for. . . . . . . . . . . . . County, Pennsylvania, do respectfully report that I have I
allowed debts and deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount is set forth in
the last colunm to the right in said schedule above, which greater or lesser amount represents the sum allowed as a deduction. I
Dated: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
........................................ ...............................
Rqister of WillB
R E V-48 4 IS-n)
COU'1ty, Number ond Nome 21
File r~umber 21-78-0262
Date of Deoth_ 05/10/78
- Cumberland
SUPPLEMENTAL
SUMMARY
:::stote Name
BROOKS,
Burr
(FIRST NAME)
B.
(INITIAL)
COMMONWEAL TH OF PENNSYL VANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
(LA.5T NAME)
REPORT OF INHERITANCE TAX APPRAISER
~, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of
Penn:;ylvol1la, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the v'.'! ues set forth opposite each item in the last column to the right in Schedules" A", "B", "C", and" E".
Cumberland
1'): '
September 5, 1979
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INHERITANCE TAX APPRAISER
----_.,'~.~
--
REPORT OF THE REGISTER OF WILLS
'.'1". ul'1dc~signed duly elected Register of Wi!ls in and for County, Pennsylvania, do respect-
fl!ih. 'f'i'"rf that I hove allowed deductions in the amounts claimed by deponent, except as to those items where a greater or
lessc,r omount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum
allo'/€d os II deduction.
Doted:
REGISTER OF WILLS
'N\
bODE ADJUSTMENTS
'F~\iTORY VALUE AS APPRAISED (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE
l:hedu!e .'\) $ None 00+ 92+
/ iSchedule Bl None 10+
r,'! (Sch2dule E) 4 . 353 35 20+
\lie C) None 30+
SS ASS ETS 4 _ 353 35
Gductions 40- 93-
F)
OF ESTATE
R('a~ ',H~.?"-,~V {~-;
Pef'SO;"<1\ ".'!'c'f'erh
,;')\r,L,,"'~<'d f'~-i)P:C
Transfer:; {Sched
TOT,"-L GRO
Less Der.ts and D
(SCHEDULE
CLEAR VALUE
Valv,,\;cm of life estates ar
~
PRINCIPLE
FACTOR
VALUE
CODE
I
t=
annuit:es...... it ~Ill if..It.... ... ..._ $
1=
I
ESTATE TAX ASSESSMENTS _ $
To"
Tax on $
Exemptions
Tot (]; E ';.~ to +r;
CODe:
2% $
60l $
,. $
15~~ $
$
$
$." ----..t=
$ I
$ I
COMPUTATION OF TAX
FOR_.l15E;_~ REGISTER ONLY
Tax on ~
TaxonS__
Tax en 5; ____
TOTAL TAX
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5;;; d tox i! paid wilhin
3mofi .' crce.,th
C.?-iH!.'.RlTANCE TAX DUE
$
G'~ ffJ ~C: o,f 69{, frorn
$
,\MO - D" ESlftTE TAX ASSESSED
r:::;~:-- yoid
$
$
I
1--
BilL ANC E DU E
$
$
TOT AL T AX BALANCE $
PAID $
Add . ':< r;1 FE {:If 6~::; from
'j"r,;
Suppl'.""ltal CCides: (FOR USE IN HARRiSBURG ONL Y)
48 '.i stmcnt
49 -/<.d n'stment
50"/;imuit)i
6O-Life Esiate
92+Remainder Appraisal
93-Remainder Deduction
93C-Charity
94-Rema inder Res;idue
96-Suc:cess i ve
Life Estate
FOR USE OF REGISTER ONLY
ADJUSTMENTS
NOTE: Wher4~ subsequent adiustments a~e made to the a~o\j.e cornputtltion of tax by the Register of Wills, for proper reason,
same should be noted below, wiih short explanation.
REV-518 (3-79)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P. o. BOX 2970
HARRISBURG
17105
IN YOUR REPLY PLEASE
REFER TO
Investigation Division
NOTICE OF FILING OF APPRAISEMENT
Caroline Z. Brooks
White Rock Acres, 88 Asper Drive
R. D. /12
Boili~ Sfcrin~s> PA 17007
ecu or or dministratorl
In Re: Estate of
Burr Brooks, Sr.
Cumberland
County - File No. 21-78-0262
Dear Mrs. Brooks:
You are hereby notified that the supplemental
appraisement in the estate of Burr Brooks, Sr.
has been filed in the office of the Register of Wills of Cumberland
County on September 5 ,19~. Said appraisement reflects the following valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
None
None
None
4,353.35
$4,353.35
As to such tax that is paid within three months from date of death, a five (5%) percent
discount is allowable. As to any tax that remains unpaid after nine (9) months (fifteen months
when death occurred from December 22, 1965 to June 16, 1971, inclusive; 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 th is notice may object thereto with in 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, P. L. 373.
Date
September 5, 1979
Signed \./j~1 Pi cl irt
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Title Appraiser
NOTE: This is not a bill.
REV-457 ,:8-78)
DEPARTn~ENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P.O. BOX 2970
HARRISBURG, PENNA. 17105
COMMONWEALTH OF PENNSYLVAiJIA I.
RESIDENT INHERITANCE TAX
APPRAISEM ENT I
Dk ~ 1- __
September 5, 1979
Cumberland
21-78-0262
~--~""'''''''''''''''----._--
COUNTY
FILE NO.
Whereas, Burr B. Brooks, Sr. late of ,Monroe T01Nn~h; r
in the County of Cumberland Commonwealth of Pennsylvania, having died on
the 10th day of May 19 ~, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Sandra 1. Stone , an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash
value of all annuities and life estates growing out of said estate, hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration
of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collatNal
rate on any such future interest.
UNIT --. ...-..p A0praise\TIent
DESCRIPTION OF ASSET VALUES \VJade icY Inheritance
Tax Purposes
Real Property $ None
Personal Propertv None
Joint-Held Property 4 , 353 35
Transfers None
TOTAL ASSETS 4 , 353 35 I
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Have been duly sworn cu::cording to law, I do hereby certify that the above appraisement is made in conformity
with the law on this _ )th day of .......~. / .. r.~ePte~ber 19 l!L..
. J, { Ice ( i (., . I t ( I ' ,
ft.ppraiser
(Numper and Street)
Harr1sburg
(Post Office)
, Penna.
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