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COMMmlWEAL 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
RCC-1G3 P-731
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 after date of death, unless on extension is granted by the Secretary of Revenue.
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Adll).n. No.
19_ I, Russell F. Eakin
905 W. Trindle Road
of Mechanicsburg, Pennsylvania
(ADDRESS)
(NAME)
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--b-ellg duly sworn according to law, deposes and says that he is the
of the estate of
Margaret E. Eakin
Administ-rator
(EXEC., ADM., LEGATEE, ETC.'i'--
Monroe Townshi~
(CITY, BOROUGH, OR OWNSHIP)
late of
deceased, and that the whole of the estate of said decedent, who died on
August It 1977
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
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Type of Asset: J I ,
< . . Deportment
Real Estate,. Pers. ASSETS Estimated Va luation
Property, Jointly (Attach additional sheets if necessary) Market CAUTION
Held Prop. or Volue
Tronsfers Description of Asset (Do not write
in this spoce)
None I
TOTALS \",-
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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 fo,re-going schedule at the values set forth opposite each item in
the las t column to the right.
Dated:--+JL..., ryC] ( ~." -
(INHERITANCE TAXAF'PRAIS-"RI-
Name of Payee DEBTS AND DEDUCTIONS Amount Amount Approved
Nature of Claim Claimed by Register
Myers Funeral Home
Mechanicsburg, Penna. Funeral Expense s $ 2,225.00
Russell F. Eakin Family Exemption 2,000.00
TOTALS $ 4,225.00 ~~~ S- et
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 t e ri ;ht, WhiC~greal;'.:" '''''' ,mount "p""n" ~~'~rd "(' d[''';C:, ~
Date of Approval: ' :;;7 , \) "jl r.tll_ - _--,,,-vi, ^/'A~~....J.
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