HomeMy WebLinkAbout04-19-79
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
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RCC-103 (3-73)
COUNTY OF &.",/~~~
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.
Will ~l--1~ ~ 6l(S
Admn.No. 19____
:~ of ~~::l~~~i~~ /~
(EXEC., ADM., LEGA~ETC.)
of the estate of l".. ~~-J 7. ~ late of ~O~OR TO~I
deceased, and that the whole of the estate of said decedent, who died on / 2-/ 9' /'7 r
r(DATEY .
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
Misc.
being duly sworn according to law, deposes and says that he is the
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(NAME)
no Pennsylvania Transfer Inheritance Tax is due,
JN1E5t" r.ru '~"'r'i;.\s\ie
Sworn and subscribed before me r:~~;D. c::::.:.~~':'~";; :.;....-..:: " ::}, !9 - k ~ __. .J.. 4 L A A _ 1
the MyC::c.....' -- ~~ ~ "-L:Y~
(SI GN A TU RE) t. - (T1 TL E)
Type Asset:
Rea I Estate, Pers.
Property, Jointly
He Id Prop. or
Transfers
ASSETS
(Attach additlCHlGI sheets if necessary)
Description of. Asset
Es timated
Market
Value
Department
Va luation
CAUTION
(Do not write
in this s ce)
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TOT ALS
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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'tIQ foregoin~ed~e at the va~s ,set forth opposite each item in
the last column to the right. d Q.u \. - 'v _< C'> '----y-.-'-...J\-::::.....,
Dated: April 9. 1979 (INHERITA~ TAX APPRAISER)
Name of Payee DEBTS AND DEDUCTIONS Amount Amount Approved
Nature of Claim Claimed by Register
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TOTALS i6-5o.6f/
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for the above County, do fespectfully 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 to the right, which greater or lesser amount represents the sum allowed as a duction.
Dat< of APp,ova,,+j t 19'W '
J 0 - ~ of:, -I
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R E V-518 (8-78)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P.o. BOX 7.970
HARRISBURG
17105
IN YOUR REPLY PL.EASE
REFER TO
Inheritance Tax Division
NOTICE OF FILiNG OF APPRAISEMENT
Eugene T. Balog, Sr.
5240 Meadowbrook Drive
Mechanicsburg. PA 17055
(Executor or Administrator)
In Re: Estate of Eugene T. ialog. Jr.
Cumberland
County - Fi Ie No.
21-78-0695
Dear Mr. Balog:
You are hereby notified that the Insolvent
appraisement in the estate of Eugene T. Balog. Jr.
has been filed in the office of the Register of Wi lis of Cumberland
County on April 9 , 19~, Said appraisement reflects the following
valuations:
Real Estate None
Personal Property None
Transfers None
Jointly Owned None
Total None
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\.~3. D n . ._+
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Date April 9. 1979 Signed Cj '----j ()
Title Anmini st.'r/:I'f:;vP. Of":fi np.'r
Note: This is not a bill.