HomeMy WebLinkAbout07-18-78
COMMONWEAL TH OF PENNSYL VANIA
'DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
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Rrc-l03 icL.'73)
COUNTY OF
Cumberland
This return must be completed in detail and filed in duplicate, with the Register of Wills in the County where the decedent resided within nine
months ofter date of death, unless on extension is gr(lnted by the Secretary of Revenue.
~NO' 19_ I, Mrs. M. L Moselev
(NAME)
.-
rM1SG~
'-bei-n.g duly sworn according to law, deposes and says that he is the
Apt. #1,122 November Orive
of Camp Hill, P.mna 17011
i ADDRESS)
Widow
(EXEC., ADM., LEGATEE, ETC,)
of the estate of
Forrp-~tpr P. Mo~plpy
late of
C;:"mlf 'iJi,"
elT ,B OUl3H, OR TOWNSHIP]
deceased, and that the whole of the estate of said decedent, who died on
4/10/78
(DATE)
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
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no PennsylvaoiaTransfer Inheritance Tax is due.
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,,:Swornand subscribed"be.fore me
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LOWER PAXTON TWP., DAUPHIN COUNTY Oepaftmef'\t
Real Estate, Pers:- ...~ MY COMMISSION EXPIRES FEB. 2. 1981ASSETS Estimated Va luetion
....Property, Jointly-et" Member, PennsylvanlaN;AoofattoRd~Mitm19ssheets if necessory} Market CAUTION
Held Prop. or'1- Value
Transfers OescriptiQI1 of Asset (Do 110t write
;, in this sDClc:e)
. V\, COO
Personal '1970 Ford Sedan automqbile $1,000.00 '" ,0$
Property . . "'
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TOTALS $1,000.00 \, 000.0;:)
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Mrs M L Moseley
( TITLE)
W'd
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed lnheritance Tax Appraiser. in and for the above County do respectfully report that 1 have
appraised the real and personal property as reported in the fOreg~~e at the;9J'Xt forth opposite each item in
the last COIU'7to the '<fht. > ('I /( ~
Dated: - J ...... 7. ~ .. (INHERITANCE ~AX APPRAISER) -
Name of Payee DEBTS AND DEDUCTIONS A mount Amount Approved
Nature of Cloim Claimed by Re9ister
Myers Funeral Home Funeral bill of deceased $2,20b.00
Dr. W. Sullivan Doctor bill of deceased '" 445.00
Holy Spirit Hospital Hospital bill of deceased //' 166.00
Mrs. M. L. Mosel~y Family exemption $2,000.00
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TOTALS $4,811.00 (1, g. /1 !!9
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for the above County, do respectfully report that I have allowe'd
deduction~ in the amounts set forth in the above schedule as cl~imed. except where I have set forth a greater or lesser amount
in the last column \\h~ .rAght, whIch greater or lesser amount represents~ allowed as a dedur>'\n.
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RCC-61 (6-73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
NOTICE OF FILING or APPRAISEMENT
Mrs. M.L. Mosely
122 November St.
Camp Hill. Penna.
(Executor or Adm ini strator)
In Re: Estate af
Forrester P. Moselev
Cumberland
County - Fi Ie No.
21-78-0'281
Dear
You are hereby notified thot the Insolvent
opproisement in the estate of Forrester P. Mosely
has been filed in the office of the Register of Wills of Cumberland
County on 18 July , 19~, Soid appraisement reflects the fallowing
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
None
$1,0'0'0'.0'0'
None
None
1,0'0'0'. DO'
As ta such tax that is paid within three months from date of death, a five (5%)
percent discount is allowoble. 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 porty i.n interest who is aggrieved by this notice may obiect thereto within
sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961, 72 P. S. 2485.1 DOl, P. L. 373.
Date
18 July 78
Si gned
~a _ k', J.t.h____
Title
Chief Appraiser
Note: This is not a bill.