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HomeMy WebLinkAboutOC1968-1191 - ESTATE OF JACOBSIT il -••/ Form RCC-4-RI-3-66 No. Date. ~s 978878 nn:-tc;;=!'>c...10.19 b.~ COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax Office REGISTER OF WILLS. RESIDENT DECEDENTS File No i:0-';"-21~'1 yo at'T.t "'';('=:':)Pa. t,.l1°Ni'.,County,ss:Received from T·~11n b't",f')""hn,P/'';'''."'-,.,~,In"'••:fr.•• (EMl9}ltC?I,:Administrat,ot~oKGuwdiqnlof the estate of flf,~'hI :,•11t,':&': who died .J'me lJ,:19~,the sum of 'f1!l,Sl'-...,1,;1 :~(~61/10'>-- - - - - -....._...-- - -Dollars, 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 of Wills and filed iD 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 inheritancetaxatthedeathofthelifetenantortenantforyearswheneveritappearsthatsuchadditionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever. .~!,~f.1 $======== $J".(.1, ,;;:;:%"'4,/1.-""4·f -tl MOORE BUSINESS FORMS,INC..ELMIRA.N.Y. Register of Wills Less five per centum of tax if paid within 3 months after date of death $•...__ Balance $_ Total Tax $_ Less Tax Previously Paid (if any)$=========== Tax on $5%$ Tax on $10%$ Tax on $57"".(,6.JCf~$ Tax on $15%$ Exemptions *$ Total Estate $ Amount of Estate Tax Assessed under the Act of May 7,1927.$_ *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28,1956,P.L,1757,effective June I,1957,as amended by Act No.381,approved July 11,1957,and Act No.207,1961.Section 302. S E-XrItIw.."~.t:...G,(': Total Add interest at the rate of % from _ -to _ j7-W-~ $,------ $576.P'3 $. $,------ $: Valuatton Vafuation $,------ $,------ Total LlOOD[P[LD©£LI[ Date Date Jt.110M $576.A3 &nl~Account.$------- Total Real Estate Personal Properly 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__$,------_ ________19__~$========== FORM RCC·4·RI TRANSFER INHERITANCE and/or ESTATE TAX.· RESIDENT IDECEDENTS. RECEIPT Docket 37 .Page 143 Iino:::;.e'--.o:9 _ Estate of ~HaJn ".;,Jl\("J';fiq '" OFFICE OF REGISTER OF WILLS ttM~linnTfiM Po. Date ~"""'f"\'t':Ihf::;r 10..19~......Jl ;:::"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 RU:-&.L:.U;.NIN()~ Register of Wills ·...·r r ~-~.~....... 1201 (g).Act of April 9.)929.P.L.343.as amended.viz:-"To receive from Regist"rs of Wills all duplicate re-ceipts for taxes paid to thee by executors or adminis- uators and to charge the Registers receiving the moneywiththeamountreceiptedfor.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 sh.oll the executor or adminis- trator he entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedby~e Register of Wills," Fill in below name and address of person to whom tax receipt is delivered: I r;p ....."'m~)~~(0-'1To"'d.'- r- Pen,t'I 'i L .t:e~~~;.L.1t."",.t1"'·Y*,,~nJA 15057'-.l