HomeMy WebLinkAbout10-12-79
ACC-84
(8- 77)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
.."\ _ l
TO: '. r t7 Ov~ 6::.-
/ I ') . 'v~ij. ~,f1;' ". I, i\,. "-
i . , ~ Ii,~ .I I ,
if-o C I L,~lJ' V4jJ;J,_k-Y~ ~\^JJJ..LfY~I''1
".JJltr__'\\ .,~ )n/
-~'Uv U Ch~JJ<lJVI :';<1 ; \ fA... (I 0 Y
For County Information pprpo~~sOnIY
COUNTY ALE NO: ) 0 -,;/ 0 r:i-S
I \ ,1 IlJ
DATE L' lj ~
ESTATE o~L,;j \)., ~/
11r-;fr
( 1 ! i', ,:Lf-
~v/"t;_~. \
-" U
-(;' " r...~. C-JU'
~' I _: /,..:,' __ ___-" / '
(^-" .n,:..; I
COUNTY OF ''-'"', v"yy ~J,-\I ,"LO,pI, f ,
l\ ." \.
DATE OF DEATH I~WC I rJ_ )q ')C
FILE NO.
--------------------------------------------------------- ----.....------
Appraised Value of Estate:
Real Estate
Personal Property
Jointly Held Property /Transfers
$
-
Total Gross Estate
$
55 k' y , '74-
~..2.'?(", ?X
d 6' t..Jo 0 u
Llf7/~ 96
Clear Value of Estate
..AI '. '~' . ~}l\/) 1(. _
, ,~?v '>~""1-' l,} .
\ t ,
\~\
$
Total Approved Deductions ) " 1..< '79
-
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
$
tf71. q~
Amount Taxable @ 6% Rate
$
tax due
$
Amount Taxable @ 15% Rate
tf- ? I, q b
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $ 7u. ? 9
Less Credits:
DATE OF PAYMENT
b.../ (.0/19
AMOUNT PAID
$ 3bO.OD +
DISCOUNT
INTEREST
TAX CREDIT
3:,/" 0 U
$\a U h
$
$
=
+
=
+
=
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
$ ~~'9.dl
"...
V 1f.(lfi
, pfMJ.
Interest will accrue at the
Inheritance tax from
rate of six (6) percent per annum on the unpaid balance of
to !he ~tel "Of. pnrent.. V ro.>.. . i
~i\-+LA.f1 . ,l \.1 -+- ~ '\ f.....~.,L, . I
Assessed by: I \1 . ''\1.,_.'1\. . ~ \ V 1,/.. ~ '_^-...
.';j,~~:_I~theCp;:~'t: ~A' / V) \tJo.. --.
il'.., 'I i~~\
\ ~, i ic \
-".1 > , , l,i
SEE REVERSE SIDE FOR INSTRUCTIONS
Dl:n'~Tl::D ,.,.1: 'All' . ,~ "',.,.DV
Form RCC.IO
OF'
CIJMBERLAND
COUNTY
cJ/ - 7 ~- tf; yo
STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN
OFFICE OF THE
REGISTER OF WILLS
THE
'") 8',/0 a ()
SUM OF ............ $ ...g...............r. ........,."."..
. ~. . tt....I~~..lqrz r
fr;.
DATE OF FILING APPRAISEMENT ('lAiI r.. 'L,J 1 CJ, ") e,DATE 01" DEATH December 10, 1978
I (
DATI!: NO. O~ NAME OF PAYEE REMARKS AMOUNT
VOUCH"'''
Register of Wills Filing Supplemental Debts & Dedut $ 3 00
Church of God Home, Carlisle Care of Decedent-last illness 2,832 00
Sharon S. Caruso Notary Public 5 00
TOTAL $2,840 00
-
LATE OF
AND AGENT OF THE COMMONWEALTH
~ :7
ESTATE OF
LESTER L. JARRETT
East
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Dauphin
}..:
MAX KISTLER
I,
HUEIY ClERT1JI'Y, THAT. TO THE IUT OF
I"UNERAL II:XPENIEI AND 1EX~.Nla 0..
IECaAlm. AI DEDUCTIONS FOR
MY KNOWLEDGE AND IELIEI". THE J1'OREGOINGi II A JUST AND TRU E .rATltNENT
ADMINIITRATION IUIMITTED TO THE ESTATE 01" LESTER L. JARRETT
INHERITANCE TAX ~URPOllEl.
"'A Y OF
(L. '.)
SHARON CA S, Nota~ Public
My Commission Expires October 12. :981
Hanfsbllli.Pa. Daupllill ~oun~
BEFORE THE BOARD OF FINANCE AND REVENUE
OF THE COMKONWE.AI..TH or PENNSYLVANIA
FILE NUMBER 21.78-690
THE PETITION..~ MAX KISTLEIt RESPECTFUl,LY REPlESENT~:
1. He is the Executor of the Last Will and Testament
of Lest.er L. Jarrett, lata of East Pennsboro Township. CUmberland
County, Pennsylvania, Who died on December 10, 1978.
I Estate as
I
i
2. The In1\8ri tanc. Tax Appral..r has appraised the
follows (County File No. 10-205.5):
Personal Property
Jointly Held Property
Gro.s Estate
Total Approved Deductions
Clear Value of Estate
Subjec.t to Tax
$3,189.85
2,398.89
$5,588.74
$2,276.78
$3,311.96
3. The Official Notice of the Appraisement above shows
Fil. No. 21-78-690 (5.. copy of Notice attached).
4. Executor has just received a statement from the
Church of God Home, Carlisle, Pennsylvania, for $2,832.00 for
eare of decedent during his last illness (Copy attached dated
9/18/79 ).
5. Executor has filed a Suppl_ental Statement of
Debts and Deductlons with the Relister of Wills of Cumberland
County, showing said $2.832.00 as an obligation of the Estate.
6. By reason of said claim, the Probate Estate is
insolvent and there 1s only $70.79 due as Inheritance Tax on
the Jointly Held Property (see RCC.84 attached dated 10/12/79).
~o~~ 106 rt~~[ ;'/' J8
7. On June 18. 1979. the S\IIl of $360.00 was paid to
the said Reaister of Wills on account on the Penaaylvania In-
heritance Tax (See copy of Reeeipt at.tached).
8. The said. Estate now beina insolvent., the amount
of $289.21 should be refunded, per RCC-84 dated October 12, 1979
attaehed.
9. A copy hereof has been sent to Pennsylvania Depart-
ment of Justice and a copy sent to the aesister of Wills of
Cumberland County.
WHEREFORE, Petitioner-Executor prays that $289.21 of
the $360.00 previously paid as aforesaid, be refunded.
Respectfully submitted,
PROWELL, STONER &: HENDERSON
I
I
I
II
I \
, .--:".) ./,!
dfir~: ~~.,~
Attorney for Petitioner/Executor
-2-
106 ;'ALf ",'lO
,~..~ \HI
COMMONWULTB OF PENNSYLVANIA
COUNTY OF DAUPHIN
)
.
.
)
8S:
'erponally appeared before me, a Notary Public in and
for the sald Commonwealth and County, MAX KISTLER, who, belnl
duly sworn accordlng to law, depose. and saY8 that the facts set
forth!ln the ~itbln Petltlon are true and correct to the beat of
hls knowledge, informatlon and belief.
MAffq~
Sworn and subscrlbed to
/f'Gday
1979
.:O/.~ 106 rALE It 40