HomeMy WebLinkAboutOC1968-0415 - ESTATE OF BOLACKPa.
Linb.
RESIDENT DECEDENTS
File No.
COMMONWEALTH OF PENNSYLVANIA
OFFICIAL RECEIPT
Transfer Inheritance and Estate Tax
Form RCC-4-RI-3-66
924894No.
Fohruary 15"68Date,:!9__
Office REGISTER OF WILLS,tlASUINCTON,
~:fASnINC.'rON 1'+1"d P k i-,County,ss:Received from '1 ure 'an ic-r:cz t Paying on Iud.
(E~~t~D'Aa~rnrs'K-~~1(~r,..QUvaTd1~X>fthe estate of -=J--=O=--S::.:E=,P=--R::.:'~A=-.::.~n::..:O~l::::.A~C=I(=--_
who died '.It.''vember 14,19__~7the sum ofL-F_'I_'_fL_"_!_-H_l~.:-;n_.R--:.L_.n_-=-T-=..:H:.::I-=..:n:.::T....:.:y_...-.:T-=-H.:,.:.-:t.::R:.:P.::....J_----=a::::n:::::d~_5:!!:.4~'f,...../~l~O~O-.r:;~olirn-~
being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows:
Appraisements Made and Filed Computation of Tax
NOTE:This Triplicate Receipt to be retained by the Register 01 Wills and filed in numerical
sequence for audit purposes.
NOTE:In accepting the transfer inheritance tax on future estates prior to the death ofthelifetenantortenantforyears,as evidenced by this receipt,it is understood that the Com-
monwealth shall not be precluded or prevented from hereafter assessing additional inheritancetaxatthedeathofthelifetenantortenantforyearswheneveritappearsthatsuchadditionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever.
561.73
$=======
561.73$---------
533.64$----------
Total Tax
Register of Wills
Balance $_
MOORE BUSINESS FORMS,INC.,ELMIRA,N.Y.
*As evidenced by Charitable Exemption Certificates issued by the Secretary of
Revenue under Act 01 May 28,1956,P.L.1757,effective June 1,1957,as amended
by Act No,381,approved July II,1957,and Act No,207,1961,Section 302,
SEAL ,.J nfl .
.-"f i)ll':",',1 •.4 1 ,...f/~"·......\::_......·'1 ;....,.V
Less live per centum of tax if paid 28.09
within 3 months after date of death $===========
Amount 01 Estate Tax Assessedunder
the ~ct 01 May 7,1927.$_
Total
Less Tax Previously Paid (if any)$===========
Add interest at the rate 01>--'7'0
from _
to .,--_
Tax on $5'7'0 $
Tax on $10'7'0 $
Tax on $2'7'0 $
Tax on $3,733.89 15'7'0 $
Exemptions *$
Total Estate $
$,-------
$
$-------
$3,733.89'--~----
$
Valuation
Valuation
$,------
$----'-----
Total
$3,733.89------
$------
Total
DateJt..Held
Date
Total Gross Assets
Less Debts and Expenses of
Administration
Clear Value of Estate
Valuation of Life Estates or Annuities
Date 19__$,_
________19__!,:$=============
Estate Tax Assessments
Date 19__$_
________19__!,:$=============
Personal Property
Real Estate
FORM RCC-4-RI
TRANSFER INHERITANCE and/or ESTATE TAX.
RESIDENT DECEDENTS.
RECEIPT
Docket ..11 Page 1£I ine,---,-/_
Estateof 'l':~.....p..Jt BoueT{fJ ¥Uu £4 ,,-...'...
OFFICE OF REGISTER OF WILLS
b .,............."'\"k_Pa~li:';"ul••"Iv~.,.
Date Febru::ry 15,19-&8-
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
PUSSEJ,L ~"AnIKO
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..t.rators and to charge the Registers receiving the money
with the amount receipted for.The original of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmittedtotheexecutororadministrator,
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 bytheRegisterofWills."
Fill in below name and address of person to whom
tax receipt is delivered:
I I
Toll~hn'\:;,,;-::.-~-;-.r-ilr--;-:J.i;t:iUt1')~f)~·.-P'f'.J\tr.:flfttYiHHl.r·If1f7~J::tI~C~Z;""-----
."...........,""'!'T:~"'''''''.("'\"t:;fVV .,...............
L AttI ....-..-K PBu"·5TIt~....·tA ISlGl--SOi.Piin ,i.U\~1'hl"~~:J