HomeMy WebLinkAbout12-05-78
RCC-l03 (3-73)
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COUNTY OF IGli1i~;-k#1 cI
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
This return must be completed in detoil ond 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,
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being duly sworn according to law, deposes and says that he is the
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oftheestateof--L~ne J. (r;'. ~d- late 0 ~ ~. rCf). b S"I1t<ltl/.eIlJ?/Vf7_
I ICI Y, ORQl'GH, '1:~T NSHIP)
deceased, and that the whole of the estate of said decedent, who died on -A 67' ~ / I r "If'
16ATE)
consisted of the assets listed below and that allowable debts and deductions exceeded the fair market value of the assets and
no Pennsylvania Transfer Inheritance Tax is due.
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Sworn and subscribed before me
the
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Pr<!~rtY,J.,ln~Iy::: J.'
Held Prop. or'
Transfers
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ASSETS
(Attoch additional sheets if necessary)
Description of Asset
Es timated
Market
Value
De pa rtmen t
Va luation
CAUTION
(Do not write
in this space)
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TOTALS
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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 f~<(8oin. g sChe~ at the values soet forth opposite each item in
the last column to the right. -'" n ___ -l Q'-A ~ ;_j;-_'
Dated: February 28, 1979 cr~ERITA~T-0:p~~R~^-' __
DEBTS AND DEDUCTIONS Amount Amount Approved
Nature of Claim Claimed by Register
Name of Payee
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TOTALS
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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.
Date of Approval: n7~' 5~ /'l'Jq ,~.. . ~_J.__ / ~. Q~JO/lP/\.VJ.
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