HomeMy WebLinkAbout02-09-79
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III COMMONWEALTH OF PENNSYLVANIA
i~l: No.H 0 6 3 418 DEPARTMENT OF REVENUE
i:i OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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rH ". 'Vera R. Fabn..tock}
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Ii File No. 21-18-650
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~-------~~-~----NIRBTBBH BUIDRID
Tom H. B1etach
Ea
NIRIfY-FIVE DOLLARS-------------
dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
2 % Tax on
$
$
1 Irvine Row
6 % Tax on
$
$
Car1181e,pa.
17013
15 'f~ Tax an
$
$
I Name of Decedent
CLARENCE J. ROOK
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rate of
_ % from
to
$
2,,100,00
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Date of Death 11-12-191
% Tax On
$
$
Dote of Payment
Pebruary 9,1919
Estate Tax, Act 0
May 7, 1927
$
(nty Cumberland
I P ,arks:
$
105.00
PAID ON ACCOtJRT.
$
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I
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TOTAL AMOUNT PAID $ 1.~95.00
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Received by CJc'.A./. "LV",' b'-----'
NOTE: In accepting the transfer inheritance tax an future estates, prior to the death of the life 1!I..'C.....-..... ...1.SigQo1~el_.on
tanant or tenant far years, as evidenced by this receipt, it is understood that the Commonwealth shall .t\.4 UA&"'Q. 1& AIIO...
11,. not be precluded or prevented from hereafter assessing additional inheritonce tax at the death of the Rqla'ter of Vill.
I IIfa tenant or tenant far years whenever It appears that such additional tax may be legally due and (Tille)
/Ii. collectible far any reason whatsoever.
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NOTE: This Triplicate Receipt to be retained for audit purposes.
-- -- - - - - - ~ - - - - _-',"----- _ __ a....-......-._..~__.~ _ _ _ _ _ _ _ _ __
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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55:
Marlin L. Rook and Vera R. Fahnestock,
being duly sworn according to law, deposes and says thatt he Y ,"'l rp. t:np.
Executors of the Estate of Clarence J. Rook
late of ~W"- ,P~J1I1.91:>QrO_'I'QwnsJ1i-p________ , Cumberland County, Pa., deceased and that the
within is an inventory made by Them, the said Executors
of the entire estate of said decedent, consisting of all the personal property and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death.
Sworn
and subscribed before me,
'#~.d~" ,;{y~
Executor . ~~
F'ebruary
9, 1979
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. CL;~..r:t';;":(1nd ('0un~y Carlisle, PA 983
Expires January 27, 1
12th November
R.D. 3, Box 35, Newville, Pa. 17241;
Address
My Commissior-:
Date of Death
and R.D. 4, Box 377, Newville, pa./
17241
1978
Day
Month
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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Inventory of the real and personal estate of
CLARENCE J. ROOK
deceased.
1. Dwelling house along the Southern side of Mt. Rock Road
in West Pennsboro Township (R. D. 4, Newville), Cumberland
County, Pennsylvania.
2. Household and shop furniture and furnishings.
3. 1970 Plymouth Sedan.
4. 53 shares of preferred stock of Cumberland Valley
Co-Operative Association at $10.00 each.
5. 1 share of common stock of Cumberland Valley
Co-Operative Association at $10.00.
6. 1 share of common stock of Agway, Inc.
7. $45.00 20 year 6% subordinated debenture of Agway, Inc.,
due July 1, 1984.
A. Interest, Item No.7.
8. 1 share of common stock of Southeastern Pennsylvania
Artificial Breeding Co-Operative.
9. Unearned premium, automobile insurance.
10. REA Refund.
11. Pennsylvania Blue Shield Refunds.
12. Medicare Refunds.
TOTAL
41,800 00
1,348 50
1/75
none
39 40
1571~
44,790 39
775 00
530 00
10 00
25100
45 00
49 90
8 24