HomeMy WebLinkAbout01-25-79
C-l0~ (3-73)
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INHERITANCE TAX RETURN
FOR INSOLVENT EST A TES ONLY
OF RESIDENT DECEDENTS
--
:OMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
,UREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
,",om mo" b. oom,I".d '" d..,n ,"d 'n.d '" do,"o,.., w"h .h. R.""., ,f '"1, '" .h. COO"" wh... 'h. d.o.d.". .., Id.d
lS after date of death, unless an extemsion is granted by the Secretary of Revenue.
COUNTY OF CA 1M' fM,121C1/-..
i:"'NO.
19_ I,
H/f(2"/?L( ,), 12(cl<kOdt=>
(NAME)
of
))/-id R~ ))1/ /~ I~/ Sj)/
(ADDRESS) / /
duly SWorn according to law, deposes and says that he is the Ad 01/)..){€;1J^2fo~
~XEC., ADM., LEGATEE, ETC.)
"''', of ,(.1 ,a /1-. /2, C k/L<J de late 01 .v, c Ir> "-'$ ~,u T =p.
(CITY, BOROUGH, OR TOWNS~IP)
"d, ,"d that th, whole of 'he "ta" of <aid dee,d,"" who di,d 00 /7" f iO I pz ( ('?7? __ _ _
(DATE)
'''d of the """ li'''d bdow ,"d 'hat allow'ble d,bt, aod d'doct;o", "ceoded 'h, lai. m"ket valu, 01 'h, ""
msylvania Transfer Inheritance Tax is due.
;~bscribed bfzefore me //9
::r- day of ~ -:'V1~-L_
~ ~;~ ~ ~,j;;C .-.~ e -kJ/ t-,,-:~
J".\T -....., J -'-.J .... _ J
e of -Asset:
Estate, Pers.
Jerty, Jointly
Id Prop. or
ronsfers
~ ~ G?:~nL--
1 ~SIG ATURE)
/fa m~_
(TI TL E)
(Attach additiana!-;;h";;;t;if necessary)
Description of Asset
ASSETS
Depart
Valua,
CAUTI
(Do nat
in this sl
/V
~- C10
6 CJCJ '- 500.0
Es timated
Market
Value
5etf((" mpll./ f ., S [.(/~.L.// j/.=, I C7 c Irp~ - B~>q<.f (",/{)
If?? - /)I.'1/,PI/("'c{ btj ~v/Z..7 .}?Pc. .:21 IIl?Y
R>/f./N 1UA-~O;U2/ /,.us, (b - Ne! f::'hu(+ INS t'/cY"hf
r:'O~ ft7AXO)?v/Y) /'VNt?/c-'( JxoIV~/(IS
/'
~."
00
/J.-cJO
1,500.0(
TOTALS
..L.
:i,rc:Jo ~O
.L
2,000.00
REPORT OF INHERITANCE TAX APPRAISER
"";go,d do'y appo;o',d loh,,;taoco Tax App";,,, io ,"d fo, th, above Couo'y do "'p,elfOJly .epo't that I have
' th, "al aod P"'Ooa' p,"p"ty " "p"',d ;0 the f"egoi08 "hedol, a, th, va'o" '"~ follh opP",i" each ilem ;0
:olumn to the right., .', ~_\_._Q ~ ~
:c ( - ,;z 'f- 27 ''''ER" '''' ""'-' e R""R'
Name of Payee DEBTS AND DEDUCTIONS Amount I Amount Apprav.
Nature af Claim Claimed , by Register
-/--
t9.f Iv" II J;. k IIr ~; /P-c/n ) 9CJd
a~~r.,../ 1IoH1t:. /"- ?-tJ()~() () 9.00
ru tUrF?! C -{f("PSG'S I 1,700.00
(JJ I w( /Is h ~"'--'I .i) 'T.-b ~ /2{? (! tZ 00 2.00
~
J t tit k~tf) f fl7d,t I (ll 2A't' ?hf fd,., ,t( 0 60.Cb 2,000.00
I TOTALS 37/1. ~O .l..lll cOO
REPORT OF THE REGISTER OF WILLS
'good duly elect,d Reg;"" 01 Will, '0 ".d f" 'he above Cn,,,,,y, do "'P'''folly "poll .hot . have allowed
' the amooot, '" lonh io 'h, ahov, ",,,dolo,, cloim'd, 'xeep' whee, I have '" f"tb a ."at" " I"", amooOl
lumn to e right, which greater or lesser amount represents the sum allowed as a deduction.
vali ,\ 1,:>1, ;{ ~ CI, i - ci:'\.. J>a.ll-, [' Q"<7JQ,IL)"}~'fh .~
? 7-L;'
*'
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
p.O, BOX 2970
HARRISBURG
J710S
REV_~ 18 (8-78)
IN YOUR REPLY PLEASE
REFER TO
NOTICE OF FILING OF APPRAISEMENT
Harry J, Rickrode
Mtd. Rte.
Inheritance Tax Division
(Executor or Adm ini strator)
In Re: Estate of
~ County - File No.
Dear
You are hereby notified that the
appraisement in the estate of .
hos been filed in the ollke of the Registe, of Wi lis of
County On ~, 19-19., Soid oPP..isement 'ef/ects the follOwing
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
T ota I
As to such tox thot is poid within th..e months f'om dote of deoth, 0 five (5%)
pe'cent discount is o/lowohle. As to ony tox thot 'emoins unpoid ofter nine (9) months
(filteen months when deoth occurred from December 22, 1965 to June 16, 1971, inclUsive;
ond twelve months when deoth occurred prior to December 22, 1965) from dote of deoth,
interest ot the 'ote of six (6%) percent per onnum is Chorged.
Any porty in inte'est who is oggrieved by this notice moy object thereto within
sixty doys ofter ,eceipt of soid notice Os provided by Section 1001 of the Inheritonce ond
Estote Tox Act of 1961,72 P. 5.2485.1001, P. L. 373.
Dote Signed ~-c \:-,c_-,,-,,~,___
/
Title -~istrative Officer
Note: This is not a bi/1.