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OC1968-0407 - ESTATE OF CRUSINOWSKI
!ft.•' "*'·l'' . ... •, j, r"' '·" r -· ··-~~'''"' ""' ··~ • ---~·•' -• .. _ Form RCC-4-Rl-3-66 ... 9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS No. 924913 OFFICIAL RECEIPT Date · PebnaJ"Y 20 19 · 68 Transfer Inheritance and Estate Tax WASB!tllTON, File No. 6J ... 6S-t.rn WASHn~roN Office REGISTER ~KtW~ Derrico Pa. _____________ __:County, ss: Received from---:--:--~-:::---::-::-:-::=-=:.:--------------- (E t -·. ~ f h f ANN& CRUSINOWSKI xecu or, . t'AJ $l ar 1an o t {;ftate o i"11BLVE W !13/100 • .,. • • .,. • who die 1 9 __ , the sum of ollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Real Estate Date Valuation $. $ Total Personal Property Date Valuation $. ______ _ $·------- Total Total Gross Assets Less Debts and Expenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities $. $ _____ _ $. $ mccurmm $ Date 19 __ $. _______ _ ________ 19 __ ~$======= Estate Tax Assessments Date 19 __ $. _______ _ ________ 19 __ ~$======= NOTE: In accepting the transfer inheritance tax on future estates prior to the death of the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Com- monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for any reason whatsoever. Lrffi1D[p)[LD©£uCE -3?~ j)C:,-4 NOTE: This Triplicate Receipt to be retained by the Register of Wills and filed in numerical sequence for audit purposes. Computation of Tax Tax on $ -------------5% $--------- Tax on $ eu: A . t IO'l'o $ u 93 ~~oun • Tax on $ ----~-------2% $ ----------- Tax on $ IS% $ ---------- Exemptions * .$ ============= Total Estate $ ----------- Total Tax $ -------:------ Less Tax Previously Paid (if any) $================ Balance $ ------------- Less five per centum of tax if paid within 3 months after date of death $ ============= Amount of Estate Tax Assessed under the Act of May 7, 1927. Add interest at the rate o 'l'o from------------------ tO------~-----~ Total $ ________ _ $ 1.2~93 $ _________ _ * As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenlle under Act of May 28, 1956, P. L. 1757, effective June 1, 1957, as amended by Act No. 381. approved July 11, 1957, and Act No. 207, 1961, Section 302. SEAL f) ' -y\f ' .: fLA.AA~/111 J ltAnNi-tA'\ • · 'Register of Will?' MOORE BUSINESS FORMS, INC., ELMIRA, N. Y. I I I :,! l' .I 'I I !I ·! ' ' FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT DocketL -=3'-·.~-·?_Page J t; -? I .in_.,_ _ _,_ __ Estate of ANNA CRUSINO'WSIJ OFFICE OF REGISTER OF WILLS ___ -..:W.::=UBD:.:::::-=· =-·~=-, :..::!TO-=-N~• __ __.Pa. SIGNED AND SEALED AS PROVIDED BY SECTION 1201. ACT APRIL 9. 1929. P. L. 343 AS AMENDED BY ACT MAY 15. 1945. P. L. 528 Register of Wills 1201 (g), Act of April 9, 1929. P. L. 343. as amended, viz:-"To receive from Registers of Wills all duplicate re-ceipts for taxes paid to them by executors or adminis-trators and to charge the Registers receiving the money with the amount receipted for. The original of each such receipt shall be signed and sealed by the Register of Wills and transmitted to the executor or administrator. whereupon it shall be a proper voucher in the settlement of the estate. In no event shall the executor or adminis- trator be entitled to a credit in his account by the Register unless the receipt is so signed and sealed by the Register of Wills." Fill in below name and address of person to whom tax receipt is delivered: I L 10 --,A~ftYFE~-f--:.:,..-;f;~~!l':lfl-'fiRaluCK&--imm~-~:ii!!:~:-~ICOae-· -----0-- $1'i WASHINGTON 'tRUST BUD.Ditm W.ASI!lNGTONt PBNNS!LVA'NIA 15301 _j