HomeMy WebLinkAbout12-08-78
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
-L-. \."':'lb - OG:(.;,
INHERIT AN CE TAX RETURN
FOR INSOLVENT EST A TES ONLY
OF RESIDENT DECEDENTS
\0.
RCC-'03 (3-73)
COUNTY OF Cumberland
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 ~) /- 7F- bt.,L(~
Admn. No.' 19_
Misc.
being duly sworn according to law, deposes and says that he is the
I Michael R. Roltz Sr.
,
(NAME)
of 200
"L'
.L:J.
Cumberland Rd, Enola
(ADDRESS)
deceased, and that the whole of the estate of said decedent, who died on
Adm
(EXEC., ADM., LEGATEE, ETC.!
East Pensboro Twp
(CITY, BOROUGH, OR TOWNSHIPI
b Nov 78
of the estate of Daryl K. Foltz late of
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
(DATE)
no Penns yl vania TMMfirt\fnfi~Hirllfell!f'ilfupjjcdue.
t:-:.::.la, t..:u;r;J:H'?rj~'l'ld Co., p;).
Sworn and subscribe4~b?<';8,!iO~:. .,_; : >";:'- ,'J. t7$1'J,-
the--.1Q_ day of-.liOV
/'
- -');'r .
19~
Father
( TITL.EI
pe of Asset:
Reo I Estote, Pers.
Property, Jointly
Held Prop. or
Transfers
ASSETS
(Attach additional sheets if necessary)
Description of Asset
Estimated
Market
Value
De po rtmen t
Va luation
CAUTION
(Do not write
in this s ce)
NONE
NONE
NONE
Mont.-
/'
v
TOTALS
6'
o
61lV
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 column to the right. G' . ,
Dated: February 28, 1979 (INHERITANCE 1"A'X APPRAISER)
Name of Payee DEBTS AND DEDUCTIONS Amount Amount Approved
Nature of Claim Cia imed by Register
Jack Hichardson Funeral 2,020.00
TOTALS ,~ D;,( 0.00
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.
D", of App,",,' ~~ C\,c( 1-.. :; ('i ?r C~'cLVYL( L C'i'lMJ 111<),,,",, / ~.~
IO~,~DO'7
\) \) l'
0 0 Pl :.-::e
3 I:: ... 0-
::s ~
3 ~. -
0 -< 0 E:
:::0 ::s -, ;:!.
0 >
m ::;: -, '"
"'Cl ~ 0-1 ::1
0 Pl ('i& 0-1 Pl
:::0 ;:;' [TJ C.
::s- o
-t 0 :0 ::s
> -, 0 ~
:z " [TJ 'T]
0 ~ Ul
::s 0-1 0 0-1
> ::s > "T1 :c z
'"
"'Cl ~ 0-1 -l [TJ -l
"'Cl <' [T1 :J: :J: Z!
:::0 Pl '. m > m ?
~ e. .;, 0 "U
V> Pl 'T] "U
> :0
I - >
.-.
0 1, Ul
m [T1
() .'
m E:
)> [T1
<f> Z ~
~
0-1 Pl
...
'*
R E V-SIS (S-78)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
P.O. BOX 2970
HARRISBURG
17105
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
NOTICE OF FILING OF APPRAISEMENT
Michael R. Foltz, Sr.
200 East Cumberland Road
Bnola, fA 17025
(Executor or Administrator)
In Re: Estate of
Daryl K. Fol tz
Cumberland
County - Fi Ie No.
21-78-0646
Dear Mr. Foltz;
You are hereby notified that the Insolvent
appraisement in the estate of Daryl K. Foltz
has been filed in the office of the Register of Wills of Cumberland
County on February 28 , 19~, Said appraisement reflects the following
valuations:
Real Estate
Personal Property
Transfers
Jointly Owned
Total
None
None
None
None
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. 373.
Date
February 28, 1979
Signed "_ j
Title Administrative Officer
Note: This is not a bi II.