HomeMy WebLinkAbout10-16-79
f
,
J ~'~'C,3~31
COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
1()1/f~/7 ?
INHERITANCE TAX RETURN
FOR INSOL VENT EST A TES ONLY
OF RES1DEl'ftoEcEDENTS
COUNTY OF
This return must be completed in detoil and filed in duplicate, with the Register of Wills in the County where the decedent resided within nine
months aher dote of death, unless an e:Ktension is granted by the Secretary of Revenue.
Will
Admn. No. ?1-7R-?q'l9---1.9..- I,
ROBERT E. NOSS
(NA.MEI
of R. n #4. nil1.o::hnrg, pn 1701Q
(ADDRESS)
Misc.
being duly sworn according to law, deposes and says that he is the Administrator
(EXEC., ADM., LEGATEE, ETC,)
of the estate of
n~uin nl1An NO~~
late of
Monrne 'l'own~'hi-g
(CITY, BOROUGH, OR T WNSHIP]
deceased, and that the whole of the estate of said decedent. who died on Februarv 26 , 1978
(DATE)
consiste~ of-the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
no Pennsylvania Tr3.'nsfer Inheritance Tax is due.
.,;, ~"
-, ~ '~...... ~~
Sworn g""nd s",bscribe'd~befote me
- . 0( \. _ <;.0.
."" ...
the
,\::'" ....7....
Type of Asset:. ,_ ("\0, 'p
R.oal Estate. Pers. "',. ~..
Property, Jointly -;- .
Held Prop. or
Transfers
.ff~~~~
,StGNATURE)
ANl1A 1. BOGERT, Notary fublic
( TITL~)
My Coi;!'lmiuion Dpirel A"9- 29, .
ASSnS
(Attach aclditional sheets if necessary)
Description of Asset
/93/
Estimated
Market
Volue
Department
Valuation
CAUTION
(00 not write
in this space)
Personal Property
Personal Property
Personal Property
Personal Property
Personal ,Property
Personal 'Property
1977 Federal Income Tax Refund
1977 PA. State Income Tax Refund
1978 Federal Income Tax Refund
No-Fault Insurance Benefits
1971 Plymouth Barracuda
Survival Action - Settlement Proceeds
307.50
1.19
115.20
1,500.00
200.00
1,000.00
,
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have
appraised the real and personal property as reported in the foregoing schedule at the values set forth opposite each item in
the last columo 10 the right. ~-"""':il j(j tflf:<!.A,1)uIJ
Dated: (lNHERITp.,NCE Tf/X p.,PPRI\lSERI
DEBTS AND DEDUCTIONS Amount
Nature of Claim Claimed
Name of Payee
Annie Warner Hospital
Register of wills
Evening Sentinel
Cumberland Law Journal
Mechanicsburg Cemetery Assoc.
Myers FUneral Home
Brackbill's Insurance Agency
Brackbill's Insurance Agency
Sam Rice Monument Company
Prothonotary
Sheriff
Register of Wills
Robert E. Noss
Albert Z. Bogert
TOTALS
S /-2.3. g-7
3,123.89
Amount Approyed
by Register
Mortuary Fee
ShortCertificates - File Letters
Publish Notices
Publish Notices
Cemetery Plot
Burial Expenses
Administrator's Bond
Bond Rene>ral
Monument for Grave
File Writ of Summons
serve Writ of Summons
File Insolvent Return
Administrator's Commission
Counsel Fees
20.00
15.00
22.00
18.00
270.00
2,366.10
20.00
20.00
1,000.00
25.50
20.85
3.00
150.00
150.00
TOTALS
4,100 .45
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 allowed
deductions in the amounts set forth in the above schedule as claimed, except where I have set forth a greater or lesser amount-
'" ", ,." '0 '"~" " '" '''"'. .",," """" "' ,,"" "~O""' ."""",, ~" ., , ,,',,"',,"
D", " ,,,,,..,,-'11 aI,. '<'. I ~.", '&.:::In=:i 0 ..~
,', ) D-/b5~/ . ~ 1 w
:"~
I
"
, ;J>~
,
l/~ , ~ "";::
~,
~ ''\. :;,
n r f "":s: ~
" :>'
n 0 ;; -, ~
0 " ,. "'l ~
s " 0 ::~..; ..-:. I-j 0'
s ~ ~ ~.- ""01 "
~ ~/ :0 " ~
g 0 ":. ,.
~ ...~. .. ,
'" " " . 0
m " 'T]
"U e;. [T1 >-'l i
0 ~ CI> ~
'" :T >-'l 0 :r:
'0 ... .... Z
-I ~ :> tTl :J: ? '-
>-'l .... m t
> '1l :J: :>
:z " tTl m 1) ~
<::I "
r; 0 1)
> '" 'T] :0
"U ;; :> ,
"U ~ 'I->
" en
'" " tTl
~ 0;' 0 :s: -<: i\
'" m tTl "
> n Z ::;
r m
~ >-'l
m
m
"
<i.;I.
)
REV~518 (3-79)
COMMONWEALTH OF PENNSYl VANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P. o. BOX 2970
HARRISBURG
17105
IN YOUR REPLY PLEASE
REFER TO
Investigation Division
NOTICE OF FILING OF APPRAISEMENT
Robert E. Noss
R. D. #4
Oillsburg. PA 17019
(E xecutor or Administrator!
Cumberland
David A. Noss
County - File No. 21-78-0295
In Re: Estate of
Dear
Mr. Noss:
You are hereby notified that the 1nsol vent
appraisement in the estate of Davi d A. Noss.
has been filed in the office of the Register of Wills of r.llmhprland
County on November 27., , 19 79', Said appraisement reflects the following valuations:
Real Estate None
Personal Property ~3, 123.89
Transfers None
Jointly Owned None
Total $3,123.89
As to such tax that is paid within three months from date of death, a five (5%) percent
discount is allowable. 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 party in interest who is aggrieved by this notice may object 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. 2485-1001. P. L. 373.
Title
.lnLV<!"~ 7f{ftoAdlf-lJ
Aooraiser
Date
November 27, 1979
Signed
NOTE: This is not a bill.