HomeMy WebLinkAboutOC1968-0438 - ESTATE OF SALTSONFile No.t.,3-?f-9"3 i'
COMMONWEALTH OF PENNSYLVANIA
OFFICIAL RECEIPT
Transfer Inheritance and Es'tate Tax924819Jnnuary30
Form RCC-4-RI-3-66
fl9
Date,19__
No.
'1ASHn:cr;('.~1.Office REGISTER OF WILLS,,~·~_"Pa.
1~·ASHlNOTON ""\.1 r S
C R df 'nnr c-q ,11mt"son.Pn,y1n.tt on Ind Linb-::::=:__-:-ounty,ss:eceive rom --'~__:...::__:_::....:.::..:!....::._:::..u_e.._.::='____=~"""__........a..s.;u.r._
&¥~t~ialIJi~~~ffi~Xofthe estate OLf -==.,-::..::A:.::,D..:..;:A:..:.;M=-.::C_,-=S::..\::.:.J.:.:.:r-=s:::..:n-..:,l..:..~_-.--_
!'~GvcmDor t1 67 TfJIRTY-'rt10 and 55!1n.O ....who died 19__,the sum oLf =--'_\.,--l.JDollars,
being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows:
Irr==========~~===~=======~==================~~===============~================;~/v
RESIDENT DECEDENTS
Appraisements Made and Filed Computation of Tax
NOTE:This Triplicate Receipt to be retained by the Register of Wills and filed in numericalsequenceforauditpurposes.
$=======
MOORE BUSINESS FORMS,INC.,ELMIRA,N.Y.
Register 01 Wills
Balance $_
33..10TotalTax$_
Less Tax Previously Paid (if any)$===========
Less five per centum of tax if paid
within 3 months after date of death $====="=5=5::::::::====
Amount of Estate Tax Assessedunder
the Act of May 7,1927.$_
Add interest at the rate o,-f %
from _
Tot 1 $32.55a _
*As evidenced by Charitable Exemption Certificates issued by the Secretary of
Revenue under Act of May 28,1956,P.L.1757,effective June L 1957,as amended
by Act No,381,approved July 11,1957,and Act No,207,1961,Section 302.
to _
Exemptions *$===========::::::
2%$3_3_~1_0 _
Tax on $15'7'0 $_
Tax on $_
Total Estate $_
5'7'0 $-----------
Tax on $=-----::-=--::--,-__10'7'0 $-----------1,6!W.98Taxon$_
$-------
$
1,654.ge
$-------
$
$-------
Valuation
$,------
$--'------
Total
Valuatiy ~654.98
$------
$,------
Total
Date....'t,Held
NOTE:In accepting the transfer inheritance tax on future estates prior to the death of
the life tenant or tenant for years,as evidenced by this receipt,it is understood that the Com-
monwealth shall not be precluded or prevented lrom herealter assessing additional inheritancetaxatthedeath01thelifetenantortenantloryearswheneveritappearsthatsuchadditionaltaxmaybelegallydueandcollectibleloranyreasonwhatsoever.
Total Gross Assets
Less Debts and Expenses of
Administration
Clear Value of Estate
Valuation of life Estates or Annuities
Date 19__$_
--,-19__~$===================
Estate'Tax Assessments
Date 19__$--------
________19_~$======
Date
Personal Property
Real Estate
FORM RCC-4-RI
TRANSFER INHERITANCE and/or ESTATE TAX.
RESIDENT DECEDENTS.
RE.CEIPT
Docket ....12 Page /1 Line ~
Estate of ADA~;C.S1\MPSOn
OFFICE OF REGISTER OF WILLS
\'A:.:'an:nTOll Po.
Date It.f)uary 30,19 GR
SIGNED AND SEALED AS PROVIDED BY
SECTION 1201.ACT APRIL 9.1929.P.L.343
AS AMENDED BY ACT MAY IS.1945.P.L.528
RUSSELL r1Arru~O
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 moneywiththeamountreceiptedfor.The original of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmittedtotheexecutororadministrator,whereupon it shall be a proper voucher in the settlementoftheestate.In no event shall the executor or adminis-trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills."
Fill in below name and address of person to whom
tax receipt is delivered:
I
"1111'T r-'r..SA~rpS(\N
1010 THOffAS STREff
I
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