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OC1968-1266 - ESTATE OF BENO
.. 141--<~ J ct. "' -.... COMMONWEALTH OF PENNSYL VAN lA DEP.ARTMENT OF REVENUE HARRISBURG RCC•43 (5-65) ·#6 :;-ff-/20~. 7-L/1-'f NOTE: TO BE SUBMITTED IN TRI~A~ 7 -/ '/f.-7~ Pennsylvania Department of Revenue Bureau of County Collections ?)U~e~d'~ 26 · S. 4th Street Harrisburg, Pennsylvania ~ Dear Sir: Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith submit the follow.i~n~g~re~p:;:or~·=--------- NAME OF REPORTING FINANCIAL INSTITUT. ADDRESS~~~~~~~~~~~~~~~~~--~---- ACCOUNT NO. OF J N-T-, IRDS\LOOR INVESTMENT DEPOSIT ____ _......,:o.L...-___; _______ _ NAMES ON ACCOUNT OR INVESTMENT Andrew c. Bene and Vi rgini e Reno . DECEASED ~ID'OOIXD:IEB~ / lRU~~~GRINVESTOR-----~M-d~r~e~w~C~·~&~n~a--~v' ________________ __ ADDRESS ____ ~3~Q~EL·~C~o~11~e~g~e~~~,t~·~~~C~?~~o~n~sb~u~r~g~,~P~a.~·--------------- DATE OF DEATH June 29, 1968 SURVIVING~~~ BENEFICIARY (mQ~aR _--:V=i~re~i=n...,ia:.:......:.B~enwo'-------------------- ADDRESS ___ .._ __ ~3~43~E~·~c~·o~11~e~g~e~S~t~·~•~C~M~o~n~sb~u~r~z~,~P~a~·---------------- RELATIONSHIP TO DECEDENT Dauahter ------~~~~------------------DATE ~INVESTMENT WAS ESTABLISHED December 17, 1948 BALANCE, INCLUDING INTEREST DUE,ATDATEOFDEATH$_2~~~1~._24~--------------.--.----------------- \. ··' Form RCC-4-Rl-3-66 ~a COMMONWEALTH OF PENNSYLVANIA BESIDENT DECEDENTS 978942 OFFICIAL RECEIPT No. Transfer Inheritance and Estate Tax File No ~.J--0 -L~6~ Date ~~t·her 1, 19 (:£: Office REGISTER OF wu.LS •. -• , -· Pa. .~c~, J i • · ---· ,.. -'.,.a-·-,. • -~ ·• t n -:--i"' · County, ss: Received from • ~ ..... :..&. ""-" '• ·-·' ---*;·-~ • · · ..... (EXecutor, AdministrC:rtor-or Guardia:n}'!of the estate o,r_ ___________ ___!•_:!:..;;.--,-'--=----==C~.---'---'------------------- who died Juno ;:·_., 19 LC r the sum of . :.:: ·-· ::-~ :-~:..; t _/ J.·:.-' - - - - - - - - - - - -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. ··_~1( $ l,L/5.62 :_.:,•""lk .• CC't. • $·------- Total Total Gross Assets Less Debts and Expenses of Administration $ l,l-..• Chl $. $, _____ _ Clear Value of Estate .!$================ Valuation of Life Estc:rtes or Annuities Date 19__ $•-------- --------19__ _!:$ ================== Estate Tax Assessmtlnts Date 19__ $'------- --------19__ ~$ ================== 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 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. · "'/ 1 7 lTOOD [p)[LO ©£ lTCE J -.. ~- NOTE: This Triplicate Receipt to be retained by the Ragiater of Will• cmd filed in numerical sequence for audit purposes. Computation of Tax Tax on$ 5% $ Tax on$ 10% $ Tax on$ l.,tl..).J•\)~ G * $ l.&.:•.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 $ 4 • .;...J.. Amount of Estate Tax Assessed under the Act of May 7, 1927. Add interest at the rate o % from _______________ _ ro --------------------------- Total $ ______________ __ $=============== $ L ... :,.;. * 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. SEA) / ,. , ' ·" ;.· · r(. /" ; ... ~/.',A_,...""r "'/ .L / ' Register of Willa IIOORE BUSINESS FORMS, INC., ELMIRA, N. Y, /l I FORM RCC-4-Rl TRANSFER INHERITANCE and/or ESTATE TAX,: RESIDENT DECEDENTS. RECEIPT DocketL_37_JPage _ll .. '.r T.ine_7 __ _ Akti}l&, c.. BtliO Estate oLf __ ...:..==-:;=.:.__::::..:._...==-::._=---- OFFICE OF REGISTER OF WILLS ~~~.$.lill(, 108 ------~-~-------IPa. Date'---'O::o...:et.oh::...::..::::·==·..:....::...r.....:l=..l"----i 9~ 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 ol Wills and transmitted to the executor or administrator, whereupon it shall be a proper voucher in the selllemeni 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 lax receipt is delivered: I I To Yif:GlW ~ L _j , •