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REV-457 (8-78)
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P,O. BOX 2970
HARRISBURG, PliNNA, 17105
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEM ENT
DATi:
r:;-?4-7~
Cumberland
_~1-78-485
COUNTY
FILE NO.
Whereas, Charles Brown late of Mechanicsburg
in the County of Cumberl and Commonwealth of Pennsylvania, having died on
the ?nd day of September 19 .BL, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, Leo Ful qi ni ti , an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash
value of all annuities and life estates growing out of said estate, hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration
of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral
rate on any such future interest.
DESCRIPTION OF ASSET UNIT Appraisement
VALUES Made for Inheritance
Tax Purposes
$ 3f.t ace CC
Rl'>::ll
Personal Property 56,830 38
Transfers Nnnp
In;nT~v nwnl'>rl None
Tnti'll ~O) ~~,., ~~
Sf. ~:3G 3K
I
Have been duly sworn according to law, I do hereby c.er 'fy that the above appraisement is made in conformity
with the law on this 24 th day of r'o' 0 19 B-.
'--- .:----...........J
Appraiser
Harrisburg
(Number and Street)
(Post Office)
. Penna.
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