HomeMy WebLinkAbout08-25-78
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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)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application is hereby filed for the approval 1. Bureau Fi Ie # ?1-7R-?fl4
of an exemption from Pennsylvania Transfer 2. Date of Death !1ay 7, 1978
Inheritance Tax on the transfer of the property C~\.\.y ,';( t) !'fry Y'
described below: 3. Date of Approva I
4. Name of Decedent Laura E. Goodling
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5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ ifr... ___
(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 establ i shed by appra i sal by the Commonweal th, except in those co ses where the amount of the gi ft
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 0;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 8;
(If other, explain)
Executrix don~rp~ pPT~nn~l ~lot~jn~ to charitable nTg~n;zation
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME
The Salvation Army
ADDRESS 1122 Green Street, Harrisburq, Pennsylvania 17101
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.
Signature of Applicant
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Address of Applicant
715 lvalnut Street, Lemoyne, Penna. 17043
Official Title
Executrix
Date
August
,:t.
,
1978
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 nan.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. Department 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
Denled* 0
(Initials of Register of Wills)
(Authorized Signature)
(County) ,
CWy
(Date of Approval) "
(County)
(Title)
(Date of Referral)
(Date of Action)
* See reverse side for reasons
MUST BE FILED IN TRIPLICATE
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ORICINAL
~ The Salvation
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Division
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This will acknowledge WITH THANKS the donation of the listed articles or goods to
The Salvation Army to assist in the furtherance of its work.
Description of Articles
Condition
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"Valuations of Gifts in Kind Are the Privilege and Responsibility of the Donor"
NOTE: Contributions of goods are deductible for Income Tax purposes to the extent allowed by law.
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Address of Corps
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