HomeMy WebLinkAbout04-18-79
tOMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT EST A TES ONLY
OF RESIDENT DECEDENTS
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,RCC-l03 (3-73)
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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 an extension is granted by the Secretary of Revenue.
Will (i{1-?E - %_3
~. No.21 '16.3 19~ I, Marion D. Holmes
(NAME)
~ix
being duly sworn according to law, deposes and says that he is the
of 137 E. Park St., Carlisle, Pa.
(ADDRESS)
of the estate of Mary Elizabeth Holmes
late of
Executor
(EXEC., ADM., LEGATEE, ETC.)
Borou~h of Carlisle
[CITY, BO OUGH, OR TOWNSHIP)
July 28, 1978
(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.
J;-~,"1 1#h1dU',nM
Executor
Sworn and subscribed efore me
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Type of A set: ".' -
Rea I Estate, Pers~..urlisl ,C',cr",.-' -",: (", r" ASSETS
Property, Jaintl'll.l.. "It',~l f" "'f.: ,"'a~
Held Prop. or ~ JJIll.on ........",... t;t 1'(KtT..ch"~itianal sheets if necessary)
Transfers Description of Asset
Estimated
Market
Value
Deportment
Va luation
CAUTION
(Do not write
in this spoce)
Personalty
1.Savings Account No. 2-02213-8, Farmers
Trust Company; single ownership
Balance as of date of death
Accrued interest to date of death
2.Checking Account No. 5-2642-8, Farmers
Trust Company, single ownership
Balance as of date of death
/'
$1 , 117 . 71
4.13
111.02
Joindy-He1d
Property
(Note :A11
own
Ten
3.Certificate of Deposit No.11165,$10,00000
Face Value, Farmers Trust Company,
Registered in the names of Marion D.
Holmes and Mary Elizabeth Holmes, husba
and wife, as Tenants by the Entireties. -0-
other property, both real and personal, w
d by decedent and Marion D. Holmes, as
nts by the Entireties.) TOTALS $1,232.92
l ) '2'3 "2, ct L.
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 fore oing schedule at the values set forth opposite each item in
the last co mn to the right. ~ ~~,~
Dated: (INHERITANCE T X PPRAISER)
DEBTS AND DEOUCTIONS
Nature of Claim
Amount
Claimed
Amount Approved
by Register
Nome of Payee
1. Register of Wills Probate costs, short certificate
$
20.00
2. Marion D. Holmes
Family Exemption
2,000.00
3. Hoffman Funeral
Home
Funeral Expenses
2,729.32
4. William F. Martson,
P.C. ttorney's Fee
150.00
TOTALS
$4,899.32
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REPOR T 0 F TH E REGISTER 0 F 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 In t~e right, which greater or lesser amount represents~::.allowed as a de~ction.
Date of APpmvol_~J. I~, Jit'7Q ~~ C, (4On.l><J'4 Q3"\.~ \
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