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.