HomeMy WebLinkAbout07-20-78
COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERIT AN CE TAX RETURN
FOR INSOLVENT EST A TES ONLY
OF RESIDENT DECEDENTS
RCC-l03 (3-731
COUNTY OF CUlYlBERLAND
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.
';~-' ,
.~~. No._
/7 "'..
19/ / ( I, Lewis H. Goodhart. Jr.
(NAME)
1932 Sterretts Gap Ave.,
of Carlisle. Pa. 17013
(ADDRESS)
Mise:'
"-"~Iy sworn according to law, deposes and says that he is the Executor of Joseph DiBlasi, late son
(EXEC., ADM., LEGATEE, ETC.I
of~~ Maria DiBlasi
late of
Carlisle, Pa. 17013
(CITY, BOROUGH, OR TOWNSHIP)
June 20, 1975
(DATE)
deceased, and that the whole of the estate of said decedent, who died on
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 slJhscribed before me
~ -. ~,,~;'"
the >.....1 day 01 July 19~
(---- - -,~- ,'--'1 4 -.,
() U.:.,,,-,~~_ C, I (LJ2>? . .JJa. ._./
Type of Asset:
Real Estate, Pers.
Property, Jaintly
Held Prop. or
Transj:ers
Executor of Joseph
DiBlasi. late s-2!l of____
I TI TL co)
Maria DiBlasi
ASSETS
Estimated
Market
Volue
Department
Va luation
CAUTION
(Do not write
in this space)
(Attach additional sheets if necessary)
Description of Asset
NONE
, (
\,--.J CV-J-.
TOTALS
NONE
N~.
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. Ch, ed.ule at the vall}Ys s forth opposite each item in
the las t colu~n to t.he ri~ht. \A Lot" .' )1-/ V"" '.
Dated: l-! =3 7.~ (INHERITANCE TAX APPRAISER)
DEBTS AND DEDUCTIONS Amount !
Name of Payee I Amount Approved
Nature of Claim Claimed by Register
Joseph Gibson Funeral Funeral Expenses $1.077.00
Home, Mt. Holly
Springs, Pa.
I
I
,
TOTALS $1,077.00 /(:;?~ CO
REPORT OF THE REGISTER OF WILLS
1, 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
III the last column to the right, which greater or lesser amount represents the sum allowed as a deduction.
r .-~~ _i. (\ I
'"'' of Appwval, ~~' I >r I Cj 1.Y ~Iltf/\AL [. \/\t(l(\.OlP <M ih ~
;: / ~ 7 j;'j (::.~y S .~ II/ _ J;. r{/ - ;-:;'.~.~.