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Home My WebLink About05-14-80 RCC-3 '4-73\ APPLICATION FOR CHARITABLE 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) COMMONWEALTH 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: l. Bureau File # 21-78-681 2. Date of Death N~r )~11Y"1 3. Date of Approval 4. Name of Oeceden t Flor Pauline Calaman 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ {b (,Z.:L!:. (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 percenta~ 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 /1.; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTH ER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME St. Matthew Lutheran Church ADDRESS Plainfield, PA 17081 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. Signature of Appl icant ~.'- L-----., 'x (-)J~ ~___ . Addres s of Appl icant Carlisle PA 17 Official Title A ttorney for Es ta te Date 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 Pennsy I vania Regi ster of Wi II s, del iver all three copies to the Director, Bureau of County Call ection s, Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Po. Do not write below this line - For Official Use Only APPROVED: For the Secretary of Revenue REFERRED to Bureau Headquarters A '/)//0 c" ,.y~v-v~1 { (~nature of Register of Wills) I; / lj ./ P', L' [~ [.,t.. I/l~t. ~1-/,-/f4L /t--':-'--- (County) /LI Approved 0 For Secretary of Revenue Denied* 0 (Initials of Register of Wills) (Authori zed Si gnatu re) 1 I ~//// ---~ (County) (Title) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE RCC-3 (4-731 APPLICATION FOR CHARITABLE 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) COMMONWEALTH 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 # 21-78-681 November 29, 1978 ,;J;/f"y /'I /7:ri. /. / Flora Pauline Calaman 2. Date of Death 3. Date of Approval 4. Name of Decedent 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ 10 t'7 l ?~ (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 percenta~ 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 111; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Church of God ADDRESS Plainfield, PA 17081 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. 1t."~ -X: 'M.~~, . S;gno,",e of APP!;CO-r - , I Address of Applicant - 1 W. High St.. Carlisle. PA 17013 Official Title Attorney for Es ta te Date 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, Do not write below this line. For Official Use Only APPROVED: For the Secretary of Revenue REFERRED to Bureau Headquarters Approved 0 For Secretary of Revenue . --'v4-) Denied* [} (Initials of Register of Wills) (Authori zed Si gnature) (County) (Title) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE RCC-3 (4-731 APPLICATION FOR CHARITABLE 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) COMMONWEAL 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 # 21-78-681 2. Dote of Death N~:vember 29, 1978 3. Dote of Approval ';;;1t'j' /~ /1f1j 4. ~ame of Decedent Flora Pauline Cal aman 5. The Commonwealth's appraised value of the property for which on exemption is claimed is $ I D {,? '[ ~ (~ote: Where the property is other than 0 specified amount of cosh, 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 B:; DEED 0; TRUST I~DENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Greason Methodist r.hllrch ADDRESS R. D. 4, Carlisle, PA 17013 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. S. fA I' /d-CL ~ -)~ ~q~.~ ,gaat.,. a pp "aay 1!w' .-c , " , Add,... af APPI;<aa{ 1 W. High St.. CaT lis 1 e. rA 17 0] 3 '-~ Official Title Attorney for Estate Dote 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 0 Pennsylvania Register of Wi lis, 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: For the Secretory of Revenue REFERRED to Bureau Headquarters Approved 0 For Secretary of Revenue . . ) -<-.,~..L--/ Denied* 0 (Initials of Register of Wills) (Authori zed Signature) (County) (Title) (Date of Referral) (Date of Action) * See reverse s ide for reasons MUST BE FILED IN TRIPLICATE RCC-3 (4-731 APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRANSFER INHERITANCE TAX (Act of May 28, 1956, P.L. 1757, and Act af June 15, 1961, P.L. 373, as amended) COMMONWEALTH 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 # 21-78-681 November 2~ 1978 V));ll'-f /i / fJ'{:J (/ . Flora Pauline Ca1aman 2. Date of Death 3. Date of Approval 4. Name of Decedent I (f I') 7_6 5. The Commonwealth's appraised value of the property for which an exemption is claimed is $ _ '" L.. (Note: Where the property is other than a specified amount of cash, the exemption cannot be appraved until the value of the property has been established by appraisal by the Commonwealth, except in those cases where the amount af 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 Hied. WILL IX; DEED 0; TRUST INDENTURE 0; SURVIVORSHIP 0; OTHER 0; (If other, explain) 7. Correct Business Name and Address of Charitable Organization receiving property: NAME Mount Rock Methodist r.hllrch ADDRESS R. D. 4. Carlisle, PA 170]3 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. Signature of Appl icant. .//-.../ PI." ...:.~ ! i W. High St. I --n " , 'l f:f-o./~ ~ Address of Applica~t Car1is1~, PA 170]3 Official Title Attorney for Estate Date 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 Wi lis, deliver all three copies to the Director, Bureau of County Collections, Penna. Department of Revenue, 26 S. 4th Street, Harrisburg, Po. Do not write below this line - For Official Use Only AP PROVED: For the Secretary of Revenue REFER RED to Bureau Headquarters Approved 0 For Secretary of Revenue Denied* 0 (Initials of Register of Wills) (Authori zed Si gnature) (County) (Title) (Date of Referral) (Date of Action) * See reverse side for reasons MUST BE FILED IN TRIPLICATE