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OC1968-1250 - ESTATE OF TEILHET
--------------------------------~~~~~~~~~~~~~~~~~~~~~J Form RCC-4-RI-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS 978916 OFFICIAL RECEIPT No. Transfer Inheritance and Estate Tax File No 61 .... 61!-1!-'50 Date Seot.enber '2A. 19-..-hfi._ Office REGISTER OF WILLS. WA'-;HTr.;:Tnt-t Pa. t1A1~Hrtl0'10N County, ss: Received from f·trs .. Rooe C~'ltenn. J>:wtn~ cm Inrt. r<~,~h, (Ex"ec'W:oE,"~A'dm"iilistrCitor.or:Gu"'dFdian) of the estate OLf _________ _!W::::!Tl::!!.:lJ\::.!....t'tl~:t!::t~I~L~H~E:!-''i'~--------------------- who died Julv .304 19~, the sum of 1':0 Htmnm:n EIGHTY -Ptvlt and 79/l.OO -~~ ---- - -._ 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 - Jt. Held $ 6.~00.3.74 .aan~ Aceotnt $•------- Total Total Gross Assets Less Debt~ and Expenses of Administration Clear Value of Estate Valuation of Life Estatcn or Annuities Date 19 __ _________ 19_' - Estate Tax Assessments $ ~~00).?/l $ 6.003.74 . $ 1!21.0.63 $. 4,f6.3.ll $. $. Date · · ' 19_· _· $•-----...,.---'- ________ 19__ ~$=================== NOTE: In accepting the transfer inheritance tax on future estates prior to the death of the life tenant or tenant lor 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. LrOOD [p)[LO ©£ LrCE: ~7-l4E-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$ 10% Tax on$ lt,76J.ll &$ .T~%t Tax on$ 15% 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 % rrom ________________________________ __ to ------------------------- Total ' $ $ $ 285.79 $ $ $ $ $ I ... $--------~------ $================ $ ~ PPS.79 * As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28, 1956, P. L. 1757, effective Ju.ne I. 1957, as amended by Act No. 381, approved July II, 1957, and Act No. 207, 1961, Section 302. SE~L·) . . · I~ ~,;;' ~:1 . .:.----,A;___ . , f\ .(.1.4~~ .. ;I//;.~~ ~ ..... · ·· · 7 7 ' · · .... ffii!iliMr -tif~ills MOORE BUSINESS FORMS, INC., ELMIRA, N. y, \ \' \ FORM RCC-4~RI TRANSFER INHERITANCE andfor ESTATE TAX. RESII)ENT DECEDENTS. RECEIPT .. . Docket 31 Page lLe I jne:__;:· k:L· __ Estate oLf _ __,I~.I:~:.J;:.!lA:!__..!ft;..:.,• ·o;!!·IIJ=r.:~ •• 'I'.!!!.._ ___ -,- OFFICE OF REGISTER OF WILLS ·Date. ___ S=-e:::.!o~temb=-=-==:er~24~s __ l9~ 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: r--. l : To_~t~JR~·s~,~~~~~~~~G~'AI~Tr~-~N~S ________ _ 150132 L _j • -~