HomeMy WebLinkAbout03-16-79
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COMMONWEAL. TH OF PENNSYL. VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COL.L.ECTlONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT EST A TES ONLY
OF RESIDENT DECEDENTS
. - ..#
RCC-'03 (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.
(NAME)
506 Indlana Avenue
of Lemoyne, Pennsylvania 17043
I ADDR ESSJ
~i l];'~ ,;I / - /8,,) (/ 0
~. No. 19_ I,
PAULINE EDNA BETZ
~. Soo
being duly sworn according to law, deposes and says that !:II: is the
Executrix
(EXEC., ADM., LEGATEE, ETC.)
of the estate of JOHN A. BETZ
late of
Roroll~h of Lemo*ne
(CITY, 80 OUGH, OR TOWNS IP)
deceased, and that the whole of the estate of said decedent, who died on May 24, 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 subscr; bed before me
the l')~~,l daYoff::t~~......~l~-2L
[').' ~ ,~ ,~~,~~--
'lio.
~~ 2kIdir~
lSIGNATUR'EJ~
Pauline Edna Betz
( TITLEI
Executrix
Ty~ of Ass_<l;T: . ""J..'
Rea l'4:.')SGem"'''OI1 Ex ires Dec. 21, 1981
P ~11il.\.~ifl::l.~ C wnberland County
HVf~"~' or
Transfers
ASSETS
(Attach additional sheets if necessary)
Description of Asset
Estimated
Market
Value
Deportment
Va luation
CAUTION
(Do not write
in this sDOce)
Personal
Property
4 - American Express Travelers
Cheques - $20.00 each
------,
80. ((((
Yo lJ 0
1 unit - Series H Municipal Investment
Trust Fund - United States
Trust Company
",-"
~
.,/
748.75
7 L/ I )~::;
TOTALS
828.75
J;!p;.J<-
../
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 foregoin1 schedule at the values set forth opposite each item in
the las t co umn to the right. \..- "'\ ~.
Dated: (INHERITANCE TAX APP I ERl
Name of Payee
DEBTS AND DEDUCTIONS
Nature of Claim
Amount
Claimed
Amount Approved
by Register
Musselman Funeral
Home
Funeral Expenses
2,618.53
Pauline E. Betz
Family Exemption
2,000.00
TOTALS
4,618.53
l/-~
~3
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 t~the right, which greater or lesser amount represents th~ sum allowed as a de~,~tion.
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R E v-St8 (8-78)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P.O. BOX 2970
HARRISBURG
17105
IN YOUR REPLY PLEASE
REFER TO
*'
Inheritance Tax Division
NOTICE OF FILING OF APPRAISEMENT
Pauline Edna Betz
506 Indiana Ave.
Lemeync, p~ 17043
(Executor or Adm ini strator)
In Re: Estate of
John A. Bctz
Cumberland
County - Fi Ie No.
2]-78-0')40
Dear
You are hereby notified that the Insolvent
appraisement in the estate of John A. Betz
has been filed in the offi ce of the Reg i ster of Will s of Cumberland
County on 14 March , 19-1..9..-, Said appraisement reflects the following
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
None
828.75
None
None
$828.75
As to such tax that is paid within three months from date of death, a five (5%)
percent discount is allowable. As to any tax that remains unpaid after nine (9) months
(fifteen months when death occurred from December 22,1965 to June 16,1971, inclusive,;
and twelve months when death occurred prior to December 22, 1965) from date of death,
interest at the rate of six (6%) percent per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within
sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961, 72 P. S. 2485-1001, P. L. 373.
Date 14 MRTC'h 1 q79 Signed L0-:J
~~--:.=o
)
Title Administrative Officer
Note: This is not a bill.
"EV-483 (8-78)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
EST ATE TAX
DATE: I - 23 ,-?O
ESTATE OF: 10 n JJ A. lSe.J-;z......
FILE NO: ~:J- }- 7 g- ,riD
COUNTY OF: {lA.LA#/ ~..;LLc:...-.....-c:L
------------------------------------------~~~~~~-~~~~~~--~:~-~-~_?~-------------------
1-. DETERMINATION:
1. Taxable estate ba sed upon:
The United States Estate Tax Return (Form 706)
~Jt€ communication from the Federal Government
confirming the acceptance of or changes to the
Federal Estate Tax Return
~. Amount of credit for State death taxes (as verified)
3. Pennsylvania inheritance tax assessed
(excluding any discount and/or interest)
4. Normal inheritance tax paid to other Stotes or
Territories of the United States (excluding
any discount and/or interest)
h. Total inheritance tax credits (line item 3 plus line item 4)
'. Total liability for Pennsylvania estate tax (line item 2
minus line item 5)
TO:
$
$
fJ t6'l;).;;;
-6-
$LN5(l/v~ 1
$
.... ;-0\-
$
- ~~.
-_. ~ -
$
NOTE: Complete line items 7 and 8 ONLY when determination
is based on Federal Closing Letter
Amount of Pennsylvania estate tax assessed on determination
dated
Addition (reduction) to Pennsylvania estate tax (line item 6
minus line item 7)
$
-"7':...
c'J.-
(
Determination prepared b~
Dote: ,/
"7
'7
/c~L P'
'-- ~.. :5'-
"
'.
----~~------------------------------------------ --------------------------~---------------
B. ASSESSMENT:
l. Pennsylvania Estate Tax reflected on:
line item A (6)
line item A (8) $
2. Less credits:
DATE OF PAYMENT
AMOUIH PAID
INTEREST
($ )
($ )
($ )
CREDIT
=
=
=
3. Balance of Pennsylvania estate tax due
$
Interest is due ot the rate of si x (6) percent per annum from
to the date of payment.
Assessment prepared by:
AGENT FOR THE COMMONWEAL TH
Date:
SEE REVERSE SIDE FOR INSTRUCTIONS
INSTRUCTIONS
To insure proper credit to your account, the name of the estate and file number should be
clearly printed on the check or money order.
This determination and assessment is made in accordance with Section 421 and Section 732
of the Inheritance and Estate Tax Act of 1961, 72 P.S. 2485-421,732.
The estate tax imposed by Section 421 is due at the date of the decedent's death but shall
not become delinquent until the expiration of eighteen (18) months after decedent's death provided
that any estate tax occasioned by a final change in the Federal return or of the tax due thereon
shall not become delinquent until the expiration of one (1) month after the person liable to pay
the tax receives final notice of the increase. Calculate interest from the delinquent date shown
on the face of this form to the date of payment using the foqowing interest tab'e:
----------------------------------------------------------------------------------
1 mo n th .005 4 month s .020 7 months .035 10 months .050
2 months .0lD 5 months .025 8 months .040 11 months .055
3 months .()U 6 months .030 9 months .045 12 months .060
1 doy .00017 11 doys .00186 21 days .00352
2 doys .00034 12 days .00203 22 days .00369
3 doys .00051 13 doys .00220 23 day s .00386
4 doys .00068 14 days .00237 24 da y s . m040 3
5 days .00085 15 days .00250 25 days .00420
6 doys .00101 16 days .00267 26 day s .00437
7 days .00118 17 day s .00284 27 days .00454
8 days .00135 18 days .00301 28 days .00471
9 days .00152 19 days .00318 29 days .00488
10 days .00169 20 days .00335 30 days .00500
.----------------------------------------------------------------------------------
Any party in interest, including the Commonwealth and the personal representative, not
satisfied with the assessmentmay object thereto within sixty (60) days after receipt of this
notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S.
9 2485-1001)
Make check or money order payable to:
"Register of Wills, Agent"
Moil to the address listed below:
REV-483 (8-78)
COt.WoONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
/O-/~9-& .
DATE: tff/ -1- 79
ESTATE OF: .J(.) 7.....1 JI. l3e.T:z.--
FILE NO: ~~/- 7,P -S"/O
COU N TY 0 F: {!.v J1113e> /? L 6'.-.1.. c:.L
DATE OF DEATH: /J1CL.qd'b 7["
---~--------------------------------------------------------------------------------------
A. DETERMINATION:
1. Taxable estate based upon:
L~nited States Estate Tax Return (Form 706)
The communication from the Federal Government
confirming the acceptance of or changes to the
Federal Estate Tax Return
2. Amount of credit for State death taxes (as verified)
3. Pennsylvania inheritance tax assessed
(excluding any discount and/or interest)
4. Normal inheritance tax paid to other States or
Territories of the United States (excluding
any discount and/or interest)
5. Total inheritance tax credits (line item 3 plus line item 4)
6. Total liability for Pennsylvania estate tax (line item 2
minus line item 5)
TO:
$
$
~fft7,d-7
<.-c.::.>-.
$ rA\ 50 \ \Je_~ T
$
-...z..., -
$
-- (,,! ,-
$
- ~ ----
NOTE: Complete line items 7 and 8 ONLY when determination
is based on Federal Closing Letter
7.
Amount of Pennsylvania estate tax assessed on determination
dated
Addition (reduction) to Pennsylvonia estate tax (line item 6
minus line item 7)
$
B.
~~~ $
Detem;..ti.. p,.p....! .:; V~~
Date: /- / - 't:7
/'
--------------------------------------------------------------------------~---------------
B. ASSESSMENT:
1. Pennsylvania Estate Tax reflected on:
I ine item A (6)
line item A (8)
2. Less credits:
DATE OF PAYMENT
$
AMOUNT PAID
INTEREST
($ )
($ )
($ )
CREDIT
=
=
=
3. Balance of Pennsylvania estate tax due
$
Interest is due ot the rate of six (6) percent per annum from
to the date of payment.
Assessment prepared by:
AGENT FOR THE COMMONWEAI.TH
Date:
SEE REVERSE SIDE FOR INSTRUCTIONS
INSTRUCTIONS
To insure proper credit to your account, the name of the estate and file number should be
clearly printed on the check or money order.
This determination and assessment is made in accordance with Section 421 and Section 732
of the Inheritance and Estate Tax Act of 1961,72 P.S. 2485-421,732.
The estate tax imposed by Section 421 is due at the date of the decedent's death but shall
not become delinquent until the expiration of eighteen (18) months after decedent's death provided
that any estate tax occasioned by a final change in the Federal return or of the tax due thereon
shall not become delinquent until the expiration of one (1) month after the person liable to pay
the tax receives final notice of the increase. Calculate interest from the delinquent date shown
on the face of this form to the date of payment using the following interest table:
----------------------------------------------------------------------------------
1 mo n th .005 4 month s .020 7 months .035 10 months .050
2 months .010 5 months .025 8 months .040 11 months .055
3 mon ths .()15 6 months .030 9 months .045 12 months .060
1 day .00017 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 days .00369
3 days .00051 13 days .00220 23 days .00386
4 days .00068 ]4 days .00237 24 do y s .00403
5 days .00085 15 days .00250 25 days .00420
6 doys .00101 16 days .00267 26 day s .00437
7 days .00118 17 day s .00284 27 days .00454
8 days .00135 18 do ys .00301 28 days .00471
9 days .00152 19 days .00318 29 days .00488
10 days .00169 20 days .00335 30 days .00500
,--~-------------------------------------------------------------------------------
Any party in interest, including the Commonwealth and the personal representative, not
satisfied with the assessment may object thereto within sixty (60) days after receipt of this
notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S.
9 2485-1001)
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below: