HomeMy WebLinkAbout12-27-79
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RCC-3 (4-731
APPLICATION FOR CHARIT ABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of May 28, 1956, P.L. 1757, and Act of June 15,1961,
P.L. 373, as amended)
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CQ'MMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application is hereby filed for the approval
of an exemption from Pennsylvania Transfer
Inheritance Tax on the transfer of the property
described below:
1. Bureau File #
21-78-636
December
3. Date of Approval
4. Name of Decedent Marie J.
No veITlb e r_~~,- .~~7 ~_______
27, 1979
2. Date of Death
Smith
5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 370,513. 72
(Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of
the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift
or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases
enter such fractional or percentag.e amount above).
6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the transfer, unless
such material has been previously filed.
WILLg;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If other, explain)
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME
John M. Eakin Trustee Under Will Charitable Trust
ADDRESS Market S uare Buildin Mechanicsbur Penna. 1 0 2---
o See listing on reverse side for additional charitable organizations covered.
8. I certify that the information contained herein is, to the best of my knowledge and belief, true and correct.
Address of Applicant
akin
Signature of Appl icant
Buildin
Mechanicsbur
Penna.
1 0
This form must be campleted in triplicate and a\l three copies delivered to the Register of Wills for the County in which the decedent
resided, ar in which letters were issued for a non-resident decedent's estate. If the decedent was a non_resident of Pennsylvania and
letters were not issued by a Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau of County Collections,
Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Pa.
Official Title
Executor
Date February 5, 1979
APPROVED:
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~~"'tu'e of Re~':e't W; 1,)-----
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(County)
~c" d. 7 1f.7_~
.--
(Date of Approval)
Do not write below this line - For Official Use Only
For the Secretary of Revenue REFERRED to Bureau Headquarters
Approved 0
For Secretary of Revenue
Denied* 0
.-----------
(Initials of Register of Wills)
(Authorized Signature)
(County)
(Tlt~e)
--------~-----
(Date of Referral)
(Dote of Action)
* See reverse side for reasons
MUST BE FILED IN TRIPLICATE
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERITANCE TAX
(Act of Moy 28,1956, P.L. 1757, and Act of June 15,1961,
P. L. 373, as amended)
*'
RCC-); \-69)
:OJ,..lMONWEAL TH OF PENNSYLVANIA
.' DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
Application is hereby filed for the approval
of an exemption from Pennsylvania Transfer
Inheritance Tax on the transfer of the property
described below:
1. Bureau Fi Ie # 21-78-636
2. Date of Death Nnv~ 10) 1978
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3. Date of Approval ~>c ;)1
4. Name of Decedent Marie J . Smith
5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 11000.00
(Note: Where the property is other than a specified amount of cash, the exemption cannot be approved until the value of
the property has been established by appraisal by the Commonwealth, except in those cases where the amount of the gift
or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue. In those cases
enter such fractional or percentage amount above).
6. Check the manner in which the transfer was effected and submit a copy of the document authorizing the transfer, unless
such material has been previously filed.
WILL ~;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTHER 0;
(If other, explain)
7. Correct Business Name and Address of Charitable Organization receiving property:
NAME
Columban Fathers
ADDRESS
Columban, Nebraska
8. I certify that the information contained herein is, ta the best of my knowledge and belief, true and correct.
Signature of Applicant
..1L Yn' P ..J..-.
Vohn M. Eakin
Market Square Building, Mechanicsburg, Penna.
Address of Applicant
Official Title
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Date Feb. 5, 1979
This form must be completed in triplicate and all three copies delivered to the Register of Wills for the County in which the decedent
resided, or in which letters were issued for a non_resident decedent's estate. If the decedent was a non.resident of Pennsylvania and
letters were not issued by a Pennsylvania Register of Wills, deliver all three copies to the Director, Bureau of County Collections,
Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Pa.
00 not write below this line. For Official Use Only
Approved:
qJ~
For the Secretary of Revenue
Referred to Bureau Headquarters
Approved 0
For Secretary of Revenue
Denied* 0
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~~~:o.:At'; 1ft -R~gister of ~ills)
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(\I" ". -- ?1 7- J 9 r") F.
(Date of Approval) r
(Initials of Register of Wills)
(Authorized Signature)
(County)
(Title)
(Date of Referral)
(Date of Action)
* See reverse side for reasonS
MUST BE FILED IN TRIPLICATE