HomeMy WebLinkAbout09-08-78
COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN 'EP 0 S i9'7~_
FOR INSOLVENT ESTATES ONLY __
OF RESIDENT DECEDENTS
RCC-103 (3-73)
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.
~ No. 19_ I, RUTH A. GOLDEN
iT (NAME)
Mlsc; .
~duly sworn according to law, deposes and says that he is the
31 High street
of BoilinE! SprinE!s. Pa.
(ADDRESS)
17007
of the estate of
LEVI E. GOLDEN
late of
Surviving Spouse
(EXEC., ADM., LEGATEE, ETC.)
the Borou~h of Mt. Holly Springs~
(CITY, BOROUGH, OR TOWNSHIP)
deceased, and that the whole of the estate of said decedent, who died on
March 10, 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
CfLa (L ~~~
(SIGNATURE)
Ruth A. Golden
Surviving Spouse
( TITLE)
Type of Asset:! ERll\ Y J C~R.:STr)Pf-<r. '!~"J'Y Pub!i::
Real Estate, ~erl'~.',>if' ("'~bl'r' " i rr. Pd ASSETS
Property, JOIntly
Held Prop. or My' () 'T1 $S()~ Exp:~ S,,,t. c, (~cfch additional sheets if necessary)
Transfers Description of Asset
Es timated
Market
Value
Department
Va luation
CAUTION
(Da not write
in this space)
Per. Prop.
Per. Prop.
Per. Prop.
Per. Prop.
Real Estate
1950 Chevrolet 4-door Sedan
Miscellaneous Household Goods
CCNB Bank Checking Account
CCNB Bank Savings Account
House and lot of ground at 103 Chestnut street,
Mount Holly Springs. Pennsylvania
875.00
Ten. by Ent.
Ten. by Ent.
Ten. by Ent.
/'2,1 So',:,
Ten. by Ent.
TOTALS
875. 00 <2\1 c) ();,:;
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 foregoin schedule at the value se~forthopposite each item in
the last column to the right. . ~
Dated: (O-5'-'?f .....,
Name of Payee DEBTS AND DEDUCTIONS Amount Amount Approved
Nature of Claim Claimed by Register
Ruth A. Golden Family Allowance 2,000.00
Gibson Funeral Home Funeral Services 1.977.40
Register of Wills Filing Inheritance Tax Return 3.00
TOTALS 3.980.40 3 cr J-o tf:!l
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 de tion.
l ~. -- 7 \
Date of Approval: '-L rl '). t, IC, r)?, ( ~/J. - f
~, '--
c:< /- 7 f'- 17,3
..
"
I. t <.JJ.l?k""'''/\.
N'--'n./
A'-;;t.;
\~I'>/
\)/
Ci Ci l'
0 0 ~ >::E
3 = ...
3 ::3 ('D c...::::.;
0 -< 0 5: ~. -
::a ::3 -. 8.
m :Ii! 0 :x:-
-.
"tI ('D ~ ~
~ ::;
0 ::;;- ~ ~
::a ::r tTl c.
-4 0 ::Xl 0
~ -. ::3
% "C [T] 0 ~
0 ('D tt:l 'T]
::3 ~ ~
~ ::3 0
"tI ~ :x:- ." z
'< ~
"tI <' -l [T] -l
::a [T] % % Z
e. m :x:- m
~ 0 '"0 ?
V' ~ 'T] '"0
~
r- ::Xl
0 :x:-
.-
rn tt:l
n tTl
IT! 5:
)> ~
l/l ~
IT! ('D
g ~ III
...