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County, Numbor and Nome 37••L_t,.runcc SUMMARY
i'ily Number 37--7•:••'l32•I F
llotc of Dt:ath 15~~~f 1^ COMMONMIEALTH OF PENNSYLVANIA•
fatale Nome +'~'ino ?TU ~C•~ll TRANSFER INHERITANCE TAX 4
(LAST NAMCt IFIRST NAME) IINIT1ALt RESIDENT DECEDENT '
REPORT OF INHERITANCE TAX APPRAISER j
t
1, the undersigned duly appointed Inheritonce Tox Appwiser in and for the County of I..~wrQncc
t'rnnsylvania, do respectfully report fhot 1 hove appraised the real and personal property os reported in the foregoing return of •
th~• values set forth opposite each item in the lost column to tha right in Schedules "A", "B". "C", and "E".
12/3/77 ~I~ i
INM TANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
1, the undersigned duly elected Register of Wills in and for County, Pennsylvania, do respect-
fU I ly report shot I hove allowed deductions in the amounts claimed by deponent, except os to those items where o. gteoter of '
Ic :sir amav-tt is set forth in the iast column to the right in Schedule "f'", which greeter or lesser otnount represents the sum
el!_.~fed os o deduction. •
GcfCd: REGISTER OF WILLS
ADJUSTMENTS
INVENTORY VALUE AS APPRAISED ODE (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE
itc~! 1'rnrt`rt/ IScltedute AI s 9~
Persc:nsl Property (Sr~edulsB) 1 127 i~ 10+
Joint•lic'd Property (SctreduN E) •
Tran=fers (Schedule C) 30+
TOT11L GROSS ASSETS 1, ~c7 ~ 3
t_~SS i?~i.:s and Deductions i ~ ~ _ ~ ~
t~CtiEDL'LE FI
GEAR VALUE OF ESTATE
Yule :'inn of li(c estates or 9L PRINCIPLE FACTOR VALUE CODE
on~:uitits S
-
ES ~ A7r TAX ASSESSMENTS S
f
i
FOF_: USE OF REGISTER ONLY CODE COMPUTATION OF TAX
E Tex c•o S Z% s
Tax en S 6% 1?
~ Tc x c n S 75'K s
€ To, o:+ S s
I Tox on S s
~ Exrr-,ptians • As e~tdenced by Charitable
Toroi t_totc~ Exemption Certll(catos Issued
TOTAL TAX s by the Secretary of Revenue.
~ Less fax previously paid S
BALANCE S
I. c s s S°: of tax if paid within
n•ont}ts otter death S
: -
t t~t,~ n:~CE OF INHERITANCE TAX DUE Z
Add ~:.tcrost of role of 6•iG Gam
a _ _ to _
AN,ot1~T OF ESTATE TAX ASSESSED S
t E.. r„+c lox paid s
BALANCE DUE S
- Arad inrcrost at rota of 6R from
to s f
TOTAL TAX BALANCE S
PAID S
S~~r,al~:ncrtol Codes: (FOR USE IN HARRISDURG CNLY)
• ~1Jjustment 60-Life Estate 9 3C.-Charity 96-Successive -
~+'>.l.c:justmont 92+Remainder Approisol 94-Remainder Residue Lifs Estate
~•-~-Aatuity 93-Remainder Deduction
s
f!~R JSF OF REGISTER ONLY ADJ~STi./ENTS
F
tiGl 11'hcra t.uf,seouont adjustments are mode to tlto v!?ove computation of tax by the Register of Wills, far proper reason,
?am~• should ~o noted below, whit short ::xplonotion.
•a1>~3~'3 P~ 748