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HomeMy WebLinkAbout09-21-78 COMMONWEAL TH OF PENNSYLVANIA' OEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTI?~S APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of M.cy 28, 1956, P.L; 1757, cn.d Act of June 15, 1961, P.L. 373, as amended) ........;',.. . /.?i. ~ >-. . .",,:.- " ','. Application is here~y.filed for the approval of on. exempti~n horn Pennsylvania Tr~nsfer Inheritance T~x on the tr~nsfer of. the property described be!ow: 1. Bureau Fi Ie N 21-78-279 2. Date 01 Death -Ap.rj,L25-~.2L .. . 3. Date 01 Approval ~ ;;l..(('1f"/ CI .. I 0 d Ella M. Miller . 4. name 0 ece en t 5. The Co~monwealth's QPpr~ised value of the property for which an exemption is claim~d is $ 10% of th~ residue . " (Note: W~ere the'property is other than Q specified amount of cash, the exemption cannot be approved until the value of the property has been ~stabl!shed by appraisal by the Commonwealth, except in those cases wh~re the amount of the".gift or bequest represe,nts a stated fractional or percent~ge po~tion of the entire estate or the'entire residue. In .those'cases e~ter such fractional or p~rcentage a~ount above). 6. C~eck the mo~ner in which t~e transfer was eff'ected and such m~terial has been previously filed. submit a ~opy of the document authorizi,ng the,'transfer, unles,s ,. -,-~ --'-~- ~-'';''.;'''~;~ WILL tg; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0;. (II ather. explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Carlisle Seventh-day Adventist Church ADDRESS 10 Belvedere St., Ca~lisle, Pa. 17013 o See listing on reverse side for additional charitable organizations covered. 8. I certify that the inlarmatian contained herei~" :th~:~al_ ~?~ knyd(j\e~jel, true a, nd . C .on ...ec /t. Signature 01 Applicant ~~~~~~ Address 01 Applicant R.D:I/6, Box 252 A, Carlisle, Pa. 17013 Ollicial Title Treasurer, Carlisle. Seventh-day Adventist Church Date June .;?,j , 1978 ~ -,"-This form must be completed in tripli"cate'and oll'three copies'delivered 10 thc"Register of Wills for-the County in whic~ the~decedent I'Osidad, or i~ whic:h letters were issued for a non~resident decedcnt'.s estate. If the decedent was a non_resident of Pennsyl~D~iD and, letters were not issued by c Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau of County Collec,tions~:' Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po. . . Do not write below this "ne ~ For Official Use OI'!'ly" APPROVED: For the Secretary 01 Revenue REFERRED to Bur.au Headquarters ...; .,'. ,.; Ap'praved'O For'..Secretaryof Revenue '.' ~k~ C. ~I)OW~ (Sign~turepJ ~...!9ist~!... of Will . RJCHAR~'I!;'ANOlRsoI; REGISTER Of WIllS .. UNJOJ;; ,"'J (County) , Denied*'.O (Initials 01 Register of Wills) (Authorized. Sign.ature) (County) (Ti\le) (Date 01 Apprava (Date 01 Relerral) (Date 01 Action) *. See reverse side for reasons' MUST BE FILED IN TRIPLICATE _~ T~J.~~!~tio_~_~i!!..E!...Eompl ete~~ Bureau Headquarters onl when the Q Iicotion for exem tion has been denied. Dote: I I L Tho applicotion for exemption contained on the face of thi~ form has been denied because 6. Check the monne~ in which the transfer was effected and ~ubmit a copy of the document authorizing the transfer, unless such" rraot~,ial h~s be~~ previously filed. " _, .. : ._,~.,.....~~...-_~<"~: .;.-_;;"....... " ~_- -:i.:. :. :;...;:. .c~-~~~-~ WILLa;'" DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER'O; 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. 37~, as amended) ..._tJU._' ". ~ . RCC- 3 (,.69) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS I . . 1. Bureau File # 21-78-279 . Application is hereb.y Ii led lor the approval of on exe~ption from P~n~syivonia Tran~fer Inheritance Tax ~n the tra~~fer of the prop~rty describe~ below: .2. Date 01 Death April 25, 1978 3. Dateo! Approval ~Ol>r?~ Ol./ ~ r 0,'1 r ~ Miller 4. Name 01 Decedent . 5. The Commonwealth's appraised value 01 the property lor ~hich an exemption is claimed is $ all 'the residue . . (Note:. Where thft prope~ty is other than ~ specified amount of cash, the exemption cannot be approved until-~he val~e of ~ the property has been established by appraisal by the Commonwealth, except in those cases where the amount of th'e'gilt. ~r bequest r~pre~~nts a stated fr~ctionol or percentage p~r~ion of the entire estate or the entire residue. . In thos.~ ca5e~ ~nter such fractional ~r percentag..e amount above). (II ather, explain) 7. Corr~ct B~5iness Nam~ and Address of Charitable OrganitQti~n receivi~g property: NAME GENERAL' CONFERENCE OF SEVENTH-DAY ADVENTISTS ADDR~~40 Eastern Ave., N.W., Washington, D. C. 20012 8 ',..m, .1.. <h. '.1....".. "'.'~"'~;;Z" .,., ""'""'. ..d ~n.'" ... ..d ....:"" SignaturealApplicant ~~ Address 9f Applicant 6840 Eastern Ave., N. W., Washington, D. C. 20012 .;".. Date June ;Li President , 1978 Ollicial Title .T~I~)o..!m m~.t_be5()mfJl,:,_tCl:~ in triplicate and ollthre~ copies delivered to the Register of Wills for the Count}. in which_the de.cedent. resided, ~r in which lefters were Issued -for 0 ~on.r~;ldent decedent'. e;tate~. ' If th~ deced~-'Ot was 0 non.ruident,"af Penn.ylvanla~ond.7~' lelters were not issued by (I Pennsylvania Register 01 Wills, deliver all thre,!! copies to the Director, B...rea~ of County Co!l-e"ctlons, Pen!'la. Department of Reve~ue, 26 S. 4th Street. Harrisburg, Po. ' . . Do not write below this line. Far Ollicial Use Onl Approved: . Far the Secretary 01 Revenue Referred ~o Bureau Headquarters " Approved 0 . . ' . ....,. , F-g;- Secret~nr_ ~f R~Yenu! Denied' O. (Signature 01 Register of Will RIGH^RD E. ANDBlSnJIl tlt.liJ:)It./t vr Y\'11.W) ~ CUM(Gbiji\'ty)J~_ '.1 (Initials of Register 01 Wills) . (Authorifed Sigriature) (County) (Title) . (Date 01 Relerral) . (Date 01 Action) .'. * See reYe~se side for r.eQs~ns ..... MUST BE FILED IN TRIPLICATE ~:. if. . , This section will be com I eted b Bureau Head uorters ani when the a lication for ex em tion has been denied. Dale: 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 exerche their rights of.Protest,.Noti-c:e, or Appeal in accordance with the prov!sions of ap~licoble Pennsylvania Inheritance and Estate Tax Acts.