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COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT EST A TES ONLY
OF RESIDENT DECEDENTS
JUL 20.
RCC-t03 (3-73)
COUNTY OF C U/Y)/$t:/f'LI9/l//J
This return must be completed in detail and filed in duplicate, with the Register of Wills in the County where the decedent resided within nine
months after date of death, unless an extension is granted by the Secretary of Revenue.
Will -><j.-}S- :5ir
Admn. No. 19_ I, rtJ/Uf,/ LI/l/OE/I/ KEEPE/f
' (NAME)
Misc.
being duly sworn according to law, deposes and says that he is the R.ofiJ,
r.>r>
of 3()() :5 ,;2:2 - :<; r. {' /9/nP HILL. F'&.
{ ADDRESSI
(EXEC., ADM., LEGATEE, ETC.)
of the estate of .~ (/:'; 1'7111 ,q L jlV.oE IV late of (' 19rr.p HILL.
(CITY, BOROUGH, OR TOWNSHIF')
deceased, and that the whole of the estate of said decedent, who died on. .J ONE /3"!!?', 197$
{DATEI
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
no Pennsylvania Transfer Inheritance Tax is due.
Sworn' and subscribed before me":p~qb\.J~#?..S.-'
the j~ ..,.kL.'t" 19~
fY'la.~~~
{SIGNATUREI
~~
{ TITLEI
Type 0 Asset:
Real estate, Pers.
Property, Jointly
He Id Prop. or
Transf.,s
Public
H'II Cu-,.,.{.nd Co., a.
C pl. ,.... 91
om " E. "'res July 5; 19 ASSETS
Mv Commission ' ,~,
(Attach additional .heefs if nece..ary)
Description of-As..t
Estimated
Market
Value
Department
Valuation
CAUTION
(Do not write
in thi.. ee)
JO h"J T (? 1'I.GC'kJ /) (j ('}-r (' t)(J F) r
.5 (/ S /9/V' LI /V Dh1/' I t?r) /9~ Y X EEPEI(
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TOTALS .II 2-f>9.0( 21D't.oS
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 sc~dule at the values Sf} ffrth o. pposite each item in
the last colu91n to the right. I.:J..~ k ~ '
Dated: '1~ /3 - '7)' !INHERITANCE TAX AP;"AISER) ....-
m
Nam. of Pay.. DEBTS AND DEDUCTIONS Amount Amount Approved
Nature of Ctaim Claimed by Register
"1 {' ~S . H ~ LL dvnfl'1:t) 5 e~()/Lrf.j Sus~ 8, bl/2.'7.o0
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JfrJ rf) ~ } e a t'"Y1 p )rj; I } LIT} d ftj
TOTALS ti JJ 2-7.0-0 (I a? ~
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
in the last column to t e right, which greater or lesser amount represents the suIl) allowed as a d uct'on.
Date of Approval:
}o-../('t"J-lf
,
Wj'll }
Administration' -
No.
Year
IN THE
MATTER OF THE APPRAISEMENT
OF niE
ESTATE OF
...:l c: I
(DECEASEDI
II
Late of
County of
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
.f
-
RCC-81 (6-731
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBU RG
17127
IN YOUR REPL.Y PLEASE
REFER TO
Inheritance Tax Division
NOTICE OF FILING or APPRAISEMENT
Mary L. Keefer
300 S. 22nd St.
Geml' Bill. PMma.
(Executor or Adm ini stratar)
In Re: Estate of
(;Mmh.....'lIImd
SU8an B. Ltade4
County - File No.
21 78 9318
Dear
You are hereby notified that the Od.iji.::aj( ~~....Jr"'
appraisement in the estate of S..iillIIl J. lla481\
has been filed in the office of the Register of Wills of Cumbcrlaa4
County on 13 SfI!phah.r r 19ZL, Said appraisement reflects the following
valuations:
Reol Estate
Personal Property
Transfers
Jointly Owned
Total
Non.
'tJ"''I'I.
Nn,.
26Q.OI
, 269.08
As to such tax that is paid within three months from date of deathr 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 16r 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.
Date 13 Septmber 78 Signed ~A _ J(, $~
Title
ebb! Apprai..r
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Note: This is not a bi II.