HomeMy WebLinkAboutOC1968-0458 - ESTATE OF BELGIE,/
Form RCC-4-RI-3-66
924984No.,_
COMMONWEALTH OF PENNSYLVANIA
OFFICIAL RECEIPT
Transfer Inheritance and Estate Tax
RESIDENT DECEDENTS
File No~._--l6;.I,,3~-~f;;;L·;r-"'-'L,t,~$1.08
Date,__~r.=·w.rc=·:....:..::h::......::l:..=:5.Jtt_19~
___----Ll.,!.I:AIU>Su.HI.l.A.AN~ro:.L,r!!...lQ!£!Nl!.._____'County,SS:
Office REGISTER OF WILLS,__---:\i~A.::...:S:...-.H__I_N__G__TO..:...N_,:!...._......Pa.
Received from __~A=nna==--=t,f=Jla::::.:O=--.:Su=t~t~a==-r..1t-=-P,~n:.l.y~i~n:i:gL-.-.::!O~n~I~n=d::..c.~L~iA=b~.__
(~~~ofthe estate oLf --"')L:li\tR~Sl.Li....~LWlIlaJEaLouL;4hLJ.Gu.L._.Lnc.EiLLU~lI.&.lGL._·_
who died .Juno 11 19---.6..1the sum of SIX Glld 19/100 -..-............-Dollars,
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
NOTE:This Triplicate Receipt to be retained by the Register of Wills and filed in numericalsequenceforauditpurposes.
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 inheritancetaxatthedeathofthelifetenantortenantforyearswheneveritappearsthatsuchadditional
tax may be legally due and collectible for any reason whatsoever.
$===::ti(;::;:.!'lJ;gEi====
$---------
Register of Wills
MOORE BUSINESS FORMS,INC.,ELMIRA,N.Y.
Total $_
*As evidenced by Charitable Exemption Certificates issued by the Secretary of
Revenue 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~~~.",
Amount of Estate Tax Assessedunder
the Act of May 7,1927.
Add interest at the rate of'-%
from --=--_
to
$-------
$
$--_.:..........-----
$
$,_~3=3-=-9.:..::!.6::..;:::0_
$,------
Total
BanI,Acct.
Jt.;leld
Total Gross Assets
Less Debts and Expenses of
Administration
Clear Value of Estate
Valuation of Life Estates or Annuities
Date 19__$-------
________19__~$======
Estate Tax Assessments
Date 19__$--------
________19__~$======
FUHM RCC-4-RI
TRANSFER INHERITANCE and/or ESTATE TAX.
-RESIDENT DECEDENTS.
RECEIPT
Docket 31 Page'7<:::"I.ine c:,---=---
Estate of lrRS..Ll15LIA G.BEtOIE
OFFICE OF REGISTER OF WILLS
t~ASHINGTON Pa.
Datel:!l:u'eh 15,19 68
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
RUSSIZLL tWtINO
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
h l'm/\1~E SUTT13n
59fi LIBRARY ROAD
BETHCL PARK t PElnISYLVANIA
L
I
15102
--.J