HomeMy WebLinkAbout12-13-78
Form ~C C .10
OFFICE OF TME
REGISTER OF WILLS
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STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN
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THE SUM OF .......
OF c.nMBF.RLAND COUNTY
AND AGENT OF THE COMMONWEALTH
ESTATE OF
HAZEL C. TAYLOR
L.ATE OF
Borough of Lemoyne
DATE NO. OF NAMIL OF PAYEE REMARKS AMOUNT
VOUCH""
Messiah Village Lodging 569 60
Musselman Funeral Home Funeral Expense 589 88
L. L. Manninq & Son Funeral Expense 47 00
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Fairview Cemetery Funeral Expense 60 00
"Qol' nf ~ " '\lr:ln ia Telephone Bill 57 45
Mvers.Mvers,Flower &Johnsor Legal Services 37~~~
K . T. Newcomb Familv Exemption ons25~hR=
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Reqister of Nills Filina Rcc & De}jts & Deduct'
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Total 2 . 4~ 7';;
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DATE OF FILING APPRAISEMENT ~J'}1a.t . -5, 111}(i DATE OF DEATH
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COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland ss:
I, Kri+-nryn '1' Newcomb
MY KNOWLI!:DGE AND BELIEF. THI!: FOREGOING IS A JUST AND TRU E
ADMINISTRATION SUBMITTED TO THE EST^TE OF Hazel C.
INHERITANCE TAX PURPOBES.
HEREBY CERTIFY. THAT. TO THE BE.T OF
srATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES 01"
Taylor
r, DECEAeEO, AS DEDUCTIONIO !'"OR
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(L. S.l
SWORN AND SUBSCRIBED BEFORE ME THIS
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NOTARY P:JB~
Mv Comm;s~.lO.iJ EXP:I~S De~. 2J, 1981
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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17 127
RCC-43 (4-71)
NOTE: TO BE SUBMITTED IN TRIPLICATE
REPORTING FINANCIAL INSTITUTION
ADDRESS
o.uphln Oapoa1t Sri end True. Ca.
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ZIP CODE 171tJ:i
Pennsylvania Department of Revenue
Bureau of County Collections
Gable Building, 3rd, Floor
411 S. Second Street
Harrisburg, Pennsylvania 17127
Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act
of 1961, we herewith submit the following report:
ACCOUNT NO. OF JOINT, TRUST OR
INVESTMENT DEPOSIT
15 12 lItO 8
NAMES ON ACCOUNT OR
INVESTMENT
Hazel C. T.,lo. o. Kethryn T. Newcamb
8apt.-b.r 11,197'
DATE OF DEATH
DECEASED JOINT DEPOSITOR, TRUSTEE
OR INVESTOR Hazel C. T1IV10l'
ADDRESS m, R1VIIl'v1e... Ro_
LROyne, .....,aylvWtl.
COUNTY
ZIP CODE
'711'"
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR
Ke~vn T. N.~amb
ADDRESS
U'*f'IChII1
Deughttl1'
RELATIONSHIP TO DECEDENT
DATE DEPooI T OR INVESTMENT
WAS ESTABLISHED
'-7-77
BALANCE, INCLUDING INTEREST
DUE, AT DATE OF DEATH $
'''10.16
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Signature
Jo Ann C. Stavar
Account lerv1ce articel'
Depoalt Account S.rvic..
TITLE
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
RCC-43 (4- 71)
NOTE: TO BE SUBMITTED IN TRIPLICATE
REPORTING FINANCIAL INSTITUTION
ADDRESS
Dauphin Dep~sit Bank & Trust Co.
301 Market Street
~;~c~ti~ P~nnaJ 170~~
September 20, 1978
Pennsylvania Department of Revenue
Bureau of County Collections
Gable Building, 3rd, Floor
411 S. Second Street
Harrisburg, Pennsylvania 17127
Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act
of 1961, we herewith submit the follO\ving report:
ACCOUNT NO. OF JOINT, TRUST OR
INVESTMENT DEPOSIT 12-1-05767
NAMES ON ACCOUNT OR
INVESTMENT Haz.el C. Taylor or Kathryn T. Newcomb
DATE OF DF~TH Se~tember 18, 1978
DECEASED JOINT DEPOSITOR, TRUSTEE
OR INVESTOR Hazel C. Taylor
ADDRESS RnR R; VP1"'V; PH Rnert
leRleyn.9 ~ Paw
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR
Ka thryn T. Newcomb
ADDRESS
COUNTY Cllmhp.rl~nn
ZIP CODE 170~1
RELATIONSHIP TO DECEDENT
Daughter
RDR Rivp.rview Rd., Tp~yne, Pa. 17043
DATE DEPOSIT OR INVESTMENT
WAS ESTABLISHED Se~tember 7, 1977
BALANCE, INCLUDING INTEREST
DUEj AT DATE OF DEATH $ $14,548.79
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Signatu.re :/
Assistant in Administration
TITLE