HomeMy WebLinkAbout09-05-78
COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITAf'rlCE TAX RETURN~F
FOR INSOLVENT EST A TES ONLY
OF RESIDENT DECEDENTS
_WLl_
o 5 1979 If;III'
.. RCC:'03' (3-73)
COUNTY OF OUMBERLAND
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. 19_ I, ANNA C. SENTZ
Aj1M~ (NAME)
ciiis~'S she
~ duly sworn according to law, deposes and says that he is the
of 221 Garland Dr..Oarlisle. Pa.
(ADDRESS)
of the estate of NORA E. HOCKLEY
T,P- gl=l t.P- A
(EXEC., ADM., LEGATEE, ETC.)
late of Carlisle Borough
(CITY, BOROUGH, OR TOWNSHIP)
deceased, and that the whole of the estate of said decedent, who died on
FEBRUARY 21 I 1978
(DATE)
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
f$~~s~UNTY,
R.IIleE -ffIflI.I.I'MII. .
I"l'ope rtt; JCitH+Tt' Y , n
Held Prop. or
Transfers
~
~~ - / ~-
(SIGNATURE> ~
( TITLE)
the
CUM-
Expires ASSETS
(Attoch oddltl_1 sheets If neuSlory)
Description of.ASlet
Estimated
Market
Value
Deportment
Va luotlon
CAUTION
(Do not write
in this see)
Pers. Propert
It
II
100 Shares of United Income Fund Registe ed
as NORA E. HOCKLEY, TRUSTEE FOR ANNA C. .
SENTZ UNDER DECLARATION OF TRUST-REVOOAB E
Cumberland Valley S&L acct.#161058/"
(Statement of A/T Attached) .
/'
OCNB Bank (Jt. Held) Acct.#777 2398 9
(Statement of A/T Attached)
Pocket Cash (AUdited)
908.00
qo e, .00
511.84
S \ \.COY
II
"
668.94
toIoS.q~
"
"
91 .40
q \.\..l~
TOT ALS
#2 , 1 80 . 1 8 L- '- \ \3 0 . l8
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 va es set forjh opposite each item in
the last col~n to the ri~h8' ~ f
Dated: to... W-
Name of Payee DEBTS AND DEDUCTIONS Amount Amount Approved
Nature of Claim Claimed by Register
EWING BROTHERS Funeral Services, Metal Sealer #2,193.00
FUNERAL HOME Caske t , Embalming and Personal
Care of NORA E. HOCKLEY
BELVEDERE MEDICAL
CENTER, CARLIS LE , PA. Balance of Medical Care not 35.00
Covered by Medicare Payments
for NORA E. HOOKLEY
FAMIL Y EXEMPTIONS (By Virtue of 2,000.00
LIVING With me.)
: TOTALS $4,228.00 lL~ ~ I>' (}b
, --
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 deducti
Date of Approval: -A.J . 4 1 if ~ F
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