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OC1968-1580 - ESTATE OF BAILS
'! Form RCC-4-Rl-3-66 rr~,..,. 4 , A • ~ s COMMONWEALTH OF PENNSYLVANIA j RESIDENT DECEDENTS No. 979181 OFFICIAL RECEIPT Transfer Inheritance and Estate Tax File No. 63-58 ..... 1580 Date Dec,gmher IS 19~ Office REGISTER OF WILLS. WASHINGTON Pa. l.iASHINl1TON County, ss: Received from Edith M-Sails, Paying ~n Ind. Liab. V'l'!il"'i!'Vt•"ttv·'~?'"\'.'!l'YYV.Y:J.YW'YV'f'V"'t.._r C m t'JA!'f S ~~~:ui«':!:fA:dn:nni>Sttdtol"or•Guttidi"t:m')\of the estate o., ___________ _;__• _.(_.__;P_ . .t _.:.;,.1\.:::::"""c_:_. ------------------- who died :;!ovember 18 19_na, the sum of C~'"B HUNDP.,ED FI'\i'E and 91/100 -.. • ... ... .... Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Real Estate Date Valuation $ _____ _ $. _____ _ ; l, Total $'------- Personal Property Dcile ---···----VCifuation .lt ._ Hnlrl $ 3,198.88 Bank Aect. $. _____ _ Total Total Gross Assets Less Debts and Expenses of Administration Clear Value of Estate Valuation of Ufe Estates or Annuities Date 19 __ _________ 19 __ Estate Tax Assessments $ $ 32198.88 $ 1,340.81 $ 1,858.07 $ $ Date 19__ $•---,------- ________ 19 __ ~ $====== NOTE: In accepting the transfer inheritance tax on future estates prior to the death of the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Com-monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for any reason whatsoever. 1frn3D [p)[LO ©£ Lf(E: 37-169-5 NOTE: This Tdp!icate Receipt to be retained by the Register of Wills and filed in numerical sequence for audit purposes. Computation of Tax Tax on$ 5% $ Tax on$ 10% $ Tax on$ 1,858.07 6~ ! $ 111 .. 48 Tax on$ 15% $ Exemptions * $ Total Estate $ 111.48 Total Tax $ ----------- Less Tax Previously Paid (if any) $================ Less five per centum of tax if paid Balance $ 5 • 57 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 % from-~---------------- to ---------------------- Total $ ______________ __ $ 105.91 $~-------------- *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28, 1956, P. L. 1757, effective June 1, 1957, as amended by Act No. 381, approved July 11, 1957, and Act No. 207, 1961, Section 302. / S' AL •' ;j . L-' / ·~· .·~ • • I f..,/;~-:~A~""''fl..'"' p. .~Y:. .l.r ,-....,p/ ::,.·, ~,.. c·~~ . -.., ~ '~<" ... • ·~ t;...· V Register of Wills MOORE BUSINESS FORMS, INC., ELMIRA, N. Y. FORM RCC-4-Rl TJIANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT 37 169 s Docket Page I jne·---- C~ T. BAitS Estate o~_ ___ ___,. ________ _ OFFICE Of' BE.Gl$J'FR~C(F WILLS lt'J\SHINOtf0r'4, ________________ Pa. Tlccenber 18. 68 Date ___________ 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 RUSSE~t UAUINO 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 !be Register _of Wills," Fill in below name and address of person to whom tax receipt is delivered: liDITL 1·!. BAILS To_~~~~~~=--..~~~--------4b0 LLLISON AVEtafi:: L WASHINGTON, 'PENNSYLVANIA 15301 _j