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HomeMy WebLinkAboutOC1968-1340 - ESTATE OF DONALDSON\ j Form RCC-4-RI-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS No. 979002 OFFICIAL RECEIPT Transfer Inheritance and Estate Tax File No 63 ... 68-1$40 Date Octeba;r-17, 19~8 Office REGISTER OF WILLS. VASh'7.NCT0ll Pa. t1ASH.tNGTON County, ss: Received from · Clifford 0. Dona.ldson, TriforMnt (SX~ti1~rXAtlttfffiiSTr~~nrGtr"Jdi~). of the estate OLf ------~RB~l!.;::!A~..!:n~.·O!:!N~ .. AL~n!!l!!s~o:;±NL_ ________________ _ who died .h1na 14,. 19 68, the sum of SEVEN Hl!tiDRED SIXfi.,.SU and $9/100 .... -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 $ _____ _ $. ______ _ Total Total Gross Assets Less Debts and Expenses of Administration Cle~ Value of Estate Valuation of Life Estates or Annuities $ _____ _ $. _____ _ $. 9: $ INCOMPLETE Date 19 __ $. ______ _ ________ 19__ !::$============= Estate Tax Assessments Date 19__ $.__' ------- ________ 19_.-~$ ============= NOTE: In accepting the transfer inheritance lax on future estates prior to the d~ath 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 lor years whenever it appears that such additional tax may be legally due and collectible lor any reason whatsoever. 1JlR10 [p)[LO ©£ lf[E 37 ... 153-..7 NOTE: This Triplicate Receipt to be retained by the Register of Wills cmd filed in numericcd Computation of Tax Tax on$ 5% $ Tax on$ 10% $ Tax on$ 2% $ Tax on$ on·Aecount 15% $ 766 .. 59 Exemptions * $ Total Estate $ ----------- Total Tax $ ----------- Less Tax Previously Paid (if any) $=============== Bclance $ -----------------------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. ' I • Add interest at the rate o % ~m--------------------------------- to · Total $----------------------- I, $ ?66"59 $ * As evidenced by Charitable' Exemption Certificates issued by the Secretary of Revenue under A~t of May 28, 1956, P. L. 1757, effect{ve June 1, 1957, as amended by Act No. 381, approved·July II, 1957, and Act No. 207, 1961, Section 302. S'EAL · · . ·. rf ~~;~i£E ~6~~ Register of Wills sequence for audit purposeS. I MOORE BUSINESS FORMS, INC., ELMIRA, H. Y. -· ~~ ... ~\~~ ·I FORM RCC-4-Rl TRANSFER-INHERITANCE and/or ESTATE TAX, RESIDENT DECEDENTS. RECEIPT · Docket · S1 Pag~. 153 I ine. __ T __ nrmA DO.l4ALDSON Estate of~.-_·~tu:< ___ ;__ ______ _ OFFICE OF REGISTER OF WILLS tJAS.liNGTO)l, --------------------------~----~Pa. Date __ -=0-=e-=-t.=ob"'""c.;:_;r"-----"l::::...C?;__.,o;_· _l g 6S 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 RUSSELL llt\R!NO Register ~f 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 cmd seeded .by the Register of Wills.'' Fill in below name and address of person to whom tax receipt is delivered: I To A't'fi., ADRIA!i V ~ SA.~IiR snttr: zoo, CitAIU .. EROI, CENTRAL ~ltOP'JSSIC}l!L BUILDING PENNS'Xt:V:L'UA 15022 _j