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RCC-103 (3-73)
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COMMONWEAL TH OF PENNSYL VANIA
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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COUNTY OF Clunberland
(Wil]'
~. No. 21-78-64JJ9-ZJL I,
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 dote of death, unless on extension is granted by the Secretory of Revenue.
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being duly sworn according to law, deposes and says that9Ie is the
(NAME)
601 Be ]mont Avenue
of Mechanicsburg, Penna.
(ADDRESS)
Bertha M. Walker
of the estate of
Luther O. Walker
Exemtrix :mcl SlIrvivinr; SpaJse
(EXEC., ADM., LEGATEE, E C.)
late of Lower Allen Township
(CITY, BOROUGH, OR TOWNSHIP)
deceased, and that the whole of the estate of said decedent, who died on
September 22.1978
(DATE)
no Pennsylvania Transfer Inheritance Tax is due.
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
Sworn and subscri bed before me
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(SIGNATURE)
Bertha M. Walker
Executrix - Surviving Spouse
( TITLE)
Type of Asset: Shireill nstown. Cumberland Co., Pa.
Rea I Estate, PersMy Co mission Expires Sept. 6, 1982 ASSETS
P rape rty, Jain t Iy'
Held Prop. or (Attach additional sheets if necessary)
Transfers Description of Asset
Estimated
Market
Value
Department
Va luatian
CAUTION
(Do not write
in this s ce)
1. Real estate and mobilehane trailer situate in
the Borough of Howard, Centre County, Penna. ,
owned jointly by Olarlotte Walker Dixon and
Luther O. Walker. Date of death value:
$2,341. 00.
$1,170.50
TOTALS
$1,170.50
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 foregoing schedule at the values set forth opposite each item in
the last coLu.mn to the ;ri.ght. , L ~ ~~~
Dated: G . } C. (INHERITANCE X PPRAISER)
Name of Payee
DEBTS AND DEDUCTIONS
Nature of Claim
Amount
Cia imed
Amount Approved
by Register
W. Robert Neff Funeral
Hane
Cost of funeral and burial
$ 1 , 821. 26
Bertha M. Walker
Family Exemption
2,000.00
Register of Wills,
Clunber1and County
Costs of probate and filing fee for
Inheritance Tax Return
12.00
TOTALS
$3,833.26
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 to the right, which greater or lesser amount represents the sum allowed as a deduction.
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