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HomeMy WebLinkAbout12-12-79 (2) APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of Moy 28, 1956, P.L. 1757, and Act of June 15, 1961, P.L. 373, as amended) RCC-;.3'\'1-69J " ..~, of COMMONWE'AL TH OF PENNSYLVANIA "('-DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS 1. Bureau File # ~'~!~;-J ::~ ~_Id 19'7~ ~ ~ Application is hereby filed for the approval of on exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 2. Dote of Death 3. Dote 01 Approva I 4. Nome 01 Decedent 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ ..5(o?d~. ~!{ (Note: Where the property is other than 0 specified amount..of cash, the-exemption cannot be approved until the value of the property has been established by appraisal by the Commonwealth, except in those cases where the amount 01 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 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 liled. . WILL &; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (II other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME C\t P;::t II 1 I c: I IJth~r;::tn rhllr"rh ADDRESS Mounted Route, Enola, Pa. 17025 8. I certify that the information contained herein is, to e best of my knowledge and belief, true and correct. Signature 01 Applicant The First P.O. Box , Executor Lester W. Erb Estate 17055 Address 01 Applicant Official Title Asst. Vice Pres. & Trust Officer Date ill> N /7CJ , t 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 0 non-resident decedent's estote. If the decedent wos 0 non_resident of Pennsylvania ond letters were not issued by Cl PennsylvClniCl Register of Wills, deliver Clll three copies to the Director, Bureau of County Collections, Penna. DepClrtment of Revenue, 26 S. 4th Street, Harrisburg, Pcl. Do not write below this line. For Official Use Onl Approved: For the Secretary of Revenue Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Denied' 0 (Initials of Register 01 Wills) (Authorized Signature) (Cau nty) (County) (Title) (Dote 01 Relerral) (Dote of Action) * See reverse s'ide for reasons MU5T BE FILED IN TRiPLICATE eU,~~ ., _ This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied. Date: 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 alter the date of this notice exercise their rights of Protest, Notice, or Appeal in accordol1ce with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. 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) . Res: :~r~69) C6MMONWEAL TH OF PENNSYLVANIA ., DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS 1. Bureau File # '~~~/:f2 . . I~- I~')r hr ~ ...... Application is hereby filed far the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 2. Date of Death 3. Date of Approval 4. Name of Deceden t 5. The Commonwealth's approised value of the property for which an exemption is claimed is $ J~..:Jd 7,.3 5" (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 appraiser by the Commonwealth, except in those cases where the amount of the gift or bequest represents Q stated fractional or percentage portion o"f the entire estate or the entire residue. In those cases enter such fractional or percenta~ 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 1$; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: Trinity Evangelical Lutheran Church 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. Signature of Appl icant The First Executor Lester.W. Erb Estate Address of Applicant. P. .0. Box 17055 Officiol Title Asst. Vice Pres. & Trust Officer Date ! I]\.~ /71 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 non_resident of Pennsylvania and letters were not issued by a Pennsylvania Register of Wills, deliver 011 three copies to the Director, Bureau of County Collections, Penna. Department of Revenue, 26 S. 4th Street. Harrisburg, Pa. Do not write below this line - For Official Use Only Approved: For the Secretory of Revenue Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Denied' 0 (Initials of Register of Wills) (Authorized Signature) (County) (Title) (Dote of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE --,.... -~ __ This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied. Date: The application for exemption contained on the face of this form has been denied because Hate: Any party in interest, including the Commonwealth, aggrieved by this action may within sixty (60) days alter the date of this notice exercise their rights of Protest, Notice, or Appeal in accordo:'lce with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. R,::B: 3-(1-69) r-.., COMMONWEAL TN OF PENNSYLVANIA . DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28,1956, P.L. 1757, cmd Act of June 15, 1961, P.L. 373, as amended) 1. Bureau File # 21~ 7'6-~~ ,~~Jnj~J% ~ I~. /Q')9 r h S Application is hereby Iiled lor the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer o-f the property described below: 2. Date 01 Death' 3. Date 01 Approval 4. Name 01 Deceden t 5. The Commonwealth's appraised value 01 the property lor which an exemption is claimed is $ / .;(, -'If'?J. '1/ (Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of the prop:erty has been e~tablished by appraisar 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 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 $; SURVIVORSHIP 0; OTHER '0; DEED 0; TRUST INDENTURE 0; (If ather, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Odd Fellows' Home of Pa. ADDRESS 999 West Harrisburg Pike, Middletown, Pa. 17057 8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct. Signature of Appl icant The Executor Lester W. Erb Estate 17055 Address 01 Applicant P.O. Box 350, Official Title Asst. Vice Pres. & Trust Officer Date 'I ,h l{ (rq 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 a non.resident decedent's estate. If the decedent was a non.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. Deportment af Revenue, 26 S. 4th Street. Harrisburg, Po. Do not write below this line. Far Official Use Onl Approved: For the Secretary of Revenue Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Denied' 0 ~nature oi Register 01 Wi Is) --- (Initials 01 Register 01 Wills) (Authorized Signature) (County) (Title) (Date 01 Relerral) (Date 01 Action) * See reverse side for reasons MUST BE FILED IN TRIPLICA TE .......---- . , _" This section will be campi eted by Bureau Headquarters only when the application for exemption has been denied. Date: The application for exemption contained on the face of this form has been denied because Nate: Any party in interest, including the Commonwealth, aggrieved by this action may within sixty (60) days after the date of this notice exercise their rights of Protest, Notice, or Appeal in accorda:'1ce with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. R~,C.. 3"'( 1~69) 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 omended) .' COMMONWEAL TN OF PENNSYLVANIA " OEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS. Application is hereby filed fo.r the approval of on exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 1. Bureau File # 2. Date of Death 3. Date of Approval 4. Name of Decedent 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ / ,;Z 4'lcJ. 91 (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 the Commonw~alth, except in those coses 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 case~ 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 " '" . .....-. t. '" ~ ~ such material has been previously filed. WILLD; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; . OtHER 0; , (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Mechanicsburg Cemetery Assoc. ADDRESS 101 South Market Street, Mechanicsburg, Pa. 17055 8. I certif'y that the information contained herein is, to the best of my knowledge and belief, true and correct. Signature of Applicant Executor Lester W. Erb Estate 17055 Address of Applicant 350, Official Title Asst. Vice Pres. & Trust Officer Date I hLf !7q 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 non..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, Pen no. Department of Revenue, 26 S. 4th Street, Harrisburg, Pa. Do not write below this line. Far Officio' Use Onl Approved: For the Secretary of Revenue Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Denied' 0 (Initial s of Regi ster of Wi II s) (Authori zed Signature) ~aunty) (Date of Approval) (County) (Title) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FILEO IN TRIPLICATE This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied. Date: 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 exercise their rights of Protest, Notice, or Appeal in accordance with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. RC~-: 3.( 1-69) ~ . APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28, 1956, P.L. 1757, and Act of Juno 15, 1961, P.L. 373, as amended) *' 'COMMONWEI<L TH OF PENNSYLVANIA 'OEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS. 1. Bureau File # j~~~~ ITr . l.;;r_ 1977 J:.P<"STEI( ~), ~1{/3 Application is hereby filed lor the approval of on exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 2. Date 01 Death 3. Date 01 Approval 4. Name 01 Decedent 5. The Commonwealth's appraised value 01 the properly lor which an exemption is claimed is $ I 2; ~1 t}. 94 (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 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 percentag..e amount above). 6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the trQnsfe~, unles.s such material has. been previously filed. WILL iii; SURVIVORSHIP 0; OTHER 0; DEED 0; TRUST INDENTURE 0; (II ather, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME American Cancer Society ADDRESS 3309 Sprinq Street, Harrisburg, Pa. 17111 8. I certify that the information contained herein.is, to th best of my knowledge and belief, true and correct. Signature 01 Applicant Executor Lester W. Erb Estate Address 01 Applicant The First P. O. Box 350, 17055 Official Title Asst. Vice Pres. & Trust Officer Date I /1.~ /79 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 non_resident of Pennsylvania and letters were not iss:ued by a Pennsylvania Register of Wi lis, deliver all three copies to the Director, Bureau of County Collections, Penna. Deportment of Revenue, 26 S. 4th Street, Harrisburg, Po. Do not write below this line. Far Official Use Only For the Secretary of Revenue Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Denied' 0 (Initials 01 Register 01 Wills) (Authorized Signature) (County) (Title) (Date of Referral) (Date 01 Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE ~,- _ This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied. Dote: 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 alter the date of this notice exercise their rights of Protest, Notice, or Appeal in accordal1ce with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. < . APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of Moy 28, 1956, P.L. 1757, ond Act of June 15, 1961, P.L. 373. (IS amended) .iC~C':3 rHi91 CO~MONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS *' 1. Bureau File # Application is hereby filed far the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property described below: 2. Date of Death 3. Date of Apprava I 4. Name of Decedent 5, The Commonwealth's appraised value of the property far which an exemption is claimed is $ /,;2) .1/9/-7. 9'; (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 the Commonwealth, except in those cases where the amount of the gift or bequest represents a sto,ted 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, u~les~ such ~aterial has b'een previously filed. ......~ . WILL 9; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHE~ 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME American Heart Association ADDRESS 2915 Wayne Street, Harrisburg, Pa. 17111 8. I certify that the information contained herei is, to the best of my knowledge and belief, true and correct. Signature of Appl icant The Executor Lester W. Erb Estate Address of Applicant P.O. Box 350 , Pa. 17055. Official Title Asst. Vice Pres. & Trust Officer Date I ~ L{!7~ 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 non.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, Pa. 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 Denied' 0 ~ature of Re ills) (Initials of Register of Wills) (Authorized Signature) (County) (Title) (Date of Approval) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE !1II'W1t~_ This section will be campI eted by Bureau Headquarters only when the application for exemption has been denied. Date: The application for exemption contained on the face of this form has been denied because Nate: Any party in interest, including the Commonwealth, aggrieved by this action may within sixty (60) days after the date of this notice exercise their rights of Protest, Notice, or Appeal in accordance with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. , APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of Moy 28, 1956, P.L. 1757, and Act of June 1S, 1961, P.L. 373, os amended) RC~C~3 (1~69) i'COMMQNWE~L TH OF PENNSYLVANIA ... . OEPARTMENT OF REVENUE BUREAU OF COUNT.Y COLLECTIONS *' 1. Bureau File # Application is hereby filed lor the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the: property described below: 2. Date 01 Death 3. Date 01 Apprava I 4. Name 01 Deceden t 5. The Commonwealth's appraised value 01 the property lor which an exemption is claimed is $ /2.. 4ft}, 9,L (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 the Commonwealth, except in those cases where the amount 01 the gilt or bequest represents a sta~ed 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 Q copy of the document authorizing the transfer, unless such material has been previously filed. . , .- . WILL If/; DEED 0; TRUST INDENTURE 0; SURVIVDRSHIP 0; OTHER 0; (II ather, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Business Men's League of Mechanicsburg ADDRESS 27 East Main Street, Mechanicsburg, Pa. 17055 8. I certily that the inlormatian contained herein is, to tIe best 01 my knowledge and beliel, true and correct. Signature 01 Applicant /) The First Bank a~ Tr st C pa , P. O. Box 350, Methanicsbur~. Address 01 Applicant Executor 17055 Lester W. Erb Estate Ollicial Title Asst. Vice President & Trust Officer Date / ~ ~ !iq 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 wos a non_resident of Pennsylvania and letters were not issued by 0 Pennsylvania Register of Wills, deliver 011 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. Far Ollicial Use Onl Approved: For the Secretary of Revenue Referred to Bureau Headquarters Approved 0 For Secretary of Revenue Y5~ Denied' 0 lis) (Initials 01 Register 01 Wills) (Authorized Signature) (County) (Title) (Date 01 Approval) (Date 01 Relerral) (Date 01 Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE ,"o.::u.~~~ , . _. This section will be campi eted by Bureau Headquarters only when the application for exemption has been denied. Date: 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 alter the dote of this notice exercise their rights of Protest, Notice, or Appeal in accordo:1ce with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. <, .,.