HomeMy WebLinkAbout10-26-78
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III RCC 4 (2i77)
II COMMONWEALTH OF PENNSYLVANIA
,~No.H025797 DEPARTMENT OF REVENUE
: OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
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HURDRED TBmrY EIGIl'l' &: .40/100------
dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
(John c. Hausman)
20/, Tax on
$
$
6 % Tax 0 n
$
$
camp H111,Pa.
11011
150/, Tax on
$
$
IUD B. HAUSMAR
TOT AL TAX CREDIT
$
5,408.84
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1-21-1918
Dote of Death
% Tax On $
Estate Tax, Act of
May 7, 1927
$
October 26 ,1978
$
Cumharland
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the role of
_ % from
$
210.44
~I
PAID Oll ACCOUlfl'.
to
$
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TOTAL AMOUNT PAIDlEL~! &' ~\', 8.40
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Received by \ "----",
NOTE: In accepting the transfer inheritance tax on future estates, prior to the death of the life 1Signqt~r~L
tenant or tenant for years, os evidenced by this receipt, it is understood that the Commonwealth sholl Richard B. AJlCl81"aon
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the J\e618tel! Or ~i]].
life tenant or tenant for years whenever it appears thot such additional tax may be legolly due and . -'{Title '
collectible for any reason whatsoever.
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5 E A L
NOTE: This Triplicate Receipt to be retained for audit purposes.
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
L
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55:
being duly
John C. Hausman
according to law, deposes and says that he i ~ PXPl'l1t"nr
of the Estate of Irene B. Hausman
late of -~~~II!P--1J~~J,1~_____~__~__~___ , Cumberland County, Pa., deceased and that the
within is an inventory made by him ., the said executor
of the entire estate of said decedent, consisting of all the personal prop~rty and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death.
sworn
Sworn to
and subscribed before me,
19
78
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Thelma S. 'Cau$li~, Notary Puhlic
Mv Comminlon Expires iulv \, 1980
Camp Hill. PA Cumberland County
Executor. Administrator
Address
Date of Death
27
July
1978
Day
Month
Veer
INSTRUCTIONS
,. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of '949.
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Inventory of the real and personal estate of
IRENE B. HAUSMAN
deceased.
Common stock, unless otherwise indicated, in
the following companies:
1. 75 shs. P.P.&L.
2. 100 shs. Gulf Oil Corporation
3. 37 shs. United States Steel Corp.
4. 50 shs. Public Service Electric & Gas Company
5. 20 shs. philadelphia Electric Co., 9/5% pfd.
6. 109 shs. Madison Fund, Inc.
7. 10 shs. Pennroad Corp; now merged with Madison
Fund
8. 25 shs. American Tobacco Co.
9. 100 shs. Delaware Fund, Inc.
10. 10 shs. Niagara Mohawk Power Co., 7.72% pfd.
11. Dauphin Deposit Bank and Trust Co., C.D. #17598
12. Dauphin Deposit Statement Savings account
14-6-0001-3
13. Cumberland Valley Savings & Loan C.D. 6691938
14. Cumberland Valley Savings & Loan C.D. 6691944
15. First Federal Savings & Loan savings account
2-6473
21-1/4
23-3/8
28-1/4
23-1/8
95-3/4
14-1/8
14-1/8
49-1/4
11. 95
79
1,593 75
2,337 50
1,045 25
1,156 25
1,915 00
1,539 63
141\25
1,231 25
1,195rOO
790tOO
31,553.23
\
22, 74H 71f
4,019 28
20,111 26
14,640 78
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:106,011'.17
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