HomeMy WebLinkAbout07-20-78
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INHERITANCE TAX RETURN
FOR INSOLVENT EST A TES ONLY
OF RESIDENT DECEDENTS
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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
COUNTY OF
Cumberland
This return must be completed in detoil and Ii led in duplicate. with the Register 01 Wills in the County where the decedent resided within nine
months after dote of death, unless an extension is granted by the Secretary of Revenue.
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.......' No,
of
127 East Lisburn Road
Bowmansdale. Penna. 17008
( ADDRESSI
19_ I, Louise H. Roth
(NAME)
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being duly sworn according to law, deposes and says tha{he is the
Executrix
(and Widow)
of the estate of
John E. Roth
tEXEC., ADM., LEGATEE, ETC.)
Upper AlIen Township
lCITY. BOROUGH, OR TOWNSHIP}
June 17. 1978
(DATE)
late of
deceased, and that the whole of the estate of said decedent, who died on
consisted of the assets listed below and that allow,lIl?le debts and deductions exceeded the fair market value of the assets and
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 foregoi schedule at the value se forth opposite each item in
the las t column to the right, '
Dated: '1 -( "3 -I-] r
no Pennsylvania Transfer Inheritance Tax is !We. ~
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Sworn and subscribed belare me "-"'\" ~ "",,,<1-1:. \.o,'I;,:"'\'~~ '
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(SIGNATURE)
Typo 01 Asset:
Rea I Estote, Per..
Property, Jointly
Held Prop. or
Transfers
ASSETS
(Atloch additional .he.t. il n.c...ory)
Description of.AI.et
Personalty
Ten (10) $20.00 denomination First Nation
City Bank Travelers Checks, Nos. 3678-307
581 through 3678-307-590 inclusive.
One (1) $50.00 denomination First National
City Bank Travelers Check, No. 2216-427-91 ·
One (1) $10.00 denomination First Nationa
City Bank Travelers Check, No. 1705-620-37 .
1973 Datsun Truck, Mfr. #PL620278960.
Personalty
TOTALS
Name of Pay..
DEBTS AND DEDUCTIONS
Nature of Claim
Register of Wills
Louise H. Roth
Jack W. Richardson Fun-
eral Home, Enola, Pal
Register of Wills
J. Robert Stauffer
Letters Testamentary.
Family (Widow'S) Exemption.
Funeral Expenses.
Filing Inheritance Tax Return -
for Insolvent Estate
Attorney's Fee.
TOTALS
Executrix
(TITLE:I
Estimated
Market
Value
Department
Va luation
CAUTION
(Do not writ.
in this. ce)
$
So-OO
LO .DC>
\ "1 'S~ .L)O
2010.00 -z.. 0 \ Q. oQ
Amount
Claimed
Amount Approved
by Regi.t.r
$
20.00
2000.00
2384.80
3.00
35.00
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 the right, which greater or lesser amount represents the sum allowed as a deduction.
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Will }
Administration
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Year'-
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IN THE
MATTER OF THE APPRAISEMENT
OF TI:lE',
ESTATE; OF
'r
(DECEASED! .
Late of
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County of
Commonwealth of Pennsylvania
REPORT AND APPRAI;SA!-
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