The URL can be used to link to this page

Home My WebLink About03-20-79 COMMONWEAL 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 ~>L~/11 * .. RCC-I1l-3 (3-73) COUNTY OF C)}I\ bE. R I aNd ~ ~.No.2l-78-48~9~ I, MARK WINTERS 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. (NAME) 5100 East Trindle Road, of Mechanics burg, PA 17055 (ADDRESS) ~ being duly sworn according to law, deposes and says that he is the of the estate of INEZ ANNIE WINTERS late of Executor (EXEC., ADM., LEGATEE, ETC.) M-...1-......-I "C!1-."F~ ~ (CITY, BOROU ~, OR T NSHIP) August 20. 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. e.xec..vtb~ ( TITLE) Type of Asset: Rea I Estate, Pers. Property, Jointly Held Prop. or Trans fers ASSETS (Attach additional sheets If neceuary) Description of-Auet Estimated Market Value Department Va luatlon CAUTION (Do not write in this see) Checking account - Commonwealth National Bank Personal Property 1969 Ford Galaxy Misc. Personal Property and Effects Mobile Home (Liberty Trailer Company, circa 1960 to 1965) Cash-on-hand ,/ 1. 52 / 100.. O~' 694. 0 2,500. 00 12. TOTALS 3,307 . 52 3 '30(. S"2-- REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above Coupty dq, respectfully report that I have appraised the real and personal property as reported in the'fbtegoing sc~le f\ the value&-~'f?rth opposite each item in the las t column to the right. C; CD \."... '. C;., -\/V, A. ) -...... Dated: 7 (INHERITANCE ''r--A~ APPRAISER) Name of Payee DEBTS AND DEDUCTIONS Nature of Claim A mount Amount Approved Claimed by Register 543.00 410.00 29.00 80.00 7.60 54.65 470.36 34.45 68.18 111.14 482.47 560.30 244.03 TOTALS See next pa e - ~ers Funeral Home, Mech.,PA [ouk Funeral Home, Edmeston, NY .gway Petroleum uion Cemetary, Edmeston, NY tlantic Richfield Co. ell of PA itibank MasterCharge xxon Co. eneral Tire Service ess's Dept. Store CB MasterCharge, Lancaster, PA ellon Bank hiladelphia Nat'l Bank funeral expense funeral expense Heating Oil funeral expense Gasoline credit card Telephone bill Credit Card Gasoline credit card Camp Hill, PA Credit Card Credit Card Credit Card MasterCharge Card J1iT' .n tei f8' e- If: C J 00 f"- ell 0 or-! ... E-< !::: '" w ell u Z en <( :> >< UJ w ,....j f"- :::s u 00 UJ tf.l w .q p::: 0 -I I CIJ - ....... r:<:l <CC r. 00:( E-t .~ V) 0: Z :.c a.. t.L. H I::: ,....j 0 ~ '" a=: N 0.. > Q. 0 w 00:( w UJ r:<:l I-l 't:l >. Q. ::I: fZ ::I: UJ l- E-< H :l !::: CIl <CC I- ~ ,0 ell I::: ~ LL 00:( en ,....j I::: Q ~ 0 E-< u I-l u Z CIJ "r-i Q) 0.. <CC t.L. UJ N !::: ~ ... 0 I- ~ 0 r:<:l ell Z ..c:: -= a=: c:: 0: H U U -; 0 .:: UJ Q) Q. ~ u - E-< ~ w '" ... a=: ... E-< 0 I::: - 0 CIl 00:( ... ~ .a 0 El :::s u c:: El - '8 - ::l 0 '" 0 =="1:1 .J U U ~~ ~ 00 ctl ...... 0 .,-l ... E-- Q <II UJ ctl Q) :z: <J) :> r-?" tLI <( UJ ,.....j 00 :s u p.., ~ tLI UJ CJ) I U) 0 Q ..J 00 ...... CI) Q -c: rr < p::; <Ll 0:: ~ p... <II V) i-I 0.. LL. E-l 'i:: ~ f'l a.. 0 z <II a: H 00 '"<::I' .. Q. 0 < w :3: I-l Q >. w % tLI Q. fZ % tLI l- E-- ;:l ctl CIJ -c: I- ~ .0 ,.....j I: ~ i5 u.. < H CJ) I-l I: Q 0 E-- Z C) <Ll Q) Z U) ~ -r-l .0 c.. -c: LL. tLI Q 9 ..... ~ 0 ctl 0 ~ N ..c: u ..c::: a: I: 0:: ~ C) - 0 - 0 tLI Z <Ll <II ,~ Q. - E-- H ::E: q,j w '" ..... ~ ... E-- a: - 0 I: '" < ..... ~ 0 I: :s 0 s I: 's q,j = s = - 0 <II 0 .~ "0 ...J U U ~<: ~ .... . . RCC-lt3 (3-73) Page TwO,*, COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION INHERIT AN CE TAX RETURN FOR INSOLVENT EST A TES ONLY OF RESIDENT DECEDENTS COUNTY OF CUM bE. R \ a AJ J 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 dote of death, unless an extension is granted by the Secretory of Revenue. Will Admn. No. 2l-78-48f9~ I, of 5100 East Trindle Road Mechanicsburg, PA 17055 ( ADDRESS) MARK WINTERS Misc. being duly sworn according to law, deposes and says that he is the (NAME) (EXEC., ADM., LEGATEE, ETC.) of the estate of late of (CITY, BOROUGH, OR TOWNSHIP) deceased, and that the whole of the estate of said decedent, who died on (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 the day of 19_ (SIGNATURE) ( TITLE) Type of Asset: Estimated Department Rea I E state, Per.. ASSETS Va luatian Property, Jointly (Attach additiona I sheets if necessary) Market CAUTION Held Prop. or Value Transfer. Description atA..et (Do not write in this space) "- TOTALS 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 foregoing schedule at the values set forth opposite each item in the las t column to the right. Dated: (INHERITANCE TAX APPRAISER) Name of Payee DEBTS AND DEDUCTIONS A mount Amount Approved Nature of Claim Claimed by Register lobil Oil Co. gasoline credit card 228.32 fontgomery Ward Credit Card 380.46 [urphy Charge Credit Card 194.81 'a. Power and Light Electric bill 83.70 hillips Petroleum Gasoline credit card 10.25 ears, Roebuck Credit Card 778.56 unmark Industries 8.50 exaco Gasoline credit card 15.00 hiladelphia Na t t l. Bank Visa Card 486.48 oolworth Credit Card 147.91 ulf Oil Co. Gasoline credit card 25.40 hell Oil Co. Gasoline credit card 15.88 TOTALS 5,470.45 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 ;n tho I.,t Dolnmn tn tho d,ht, whkh ,,,.t,, 0' I"", .mnunt "p""n" tho ,~ .1I0wod., · dOcr;' Outo of APpmVUI_Dt. rc Iq 2q g{t~<t,( [;, ~/ ~ (i J I r:'. - Il - I · '