HomeMy WebLinkAboutOC1969-0682 - ESTATE OF LOUNDERRCC-tC3 (':-64)
COMMONWEALTH OF PENNS'l'LVANIA
DEPA~n,Et'!T OF REVENUE
BUREAlJ C'F COUN-Y COll ;CTIONS
TRANS=EI<INI-lERITANCE T~X DIVISION
FILE #&3--6"9-682
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS C('UNTY OF:...-:W:...:.A::..::S::..::H.=..::I::..::N.:...:G::....:T:....:O:..:.N~__
j
This retcrn nus,t be -:omplete~in detoil ond filed in duplicate,with the Register of Wills in the County where the decedent resided within one
year afte,-dete of de.]th,unle;s on extension is granted by the Secretory of Revenue,
Misc.
being dilly sworn according to law,deposes and says that he is the __~J~T~.~D~E7:P~0:.!:S!.:I7T~0~R~---_:__--------
MARY LOUNDER JEUxeRc;;~Tdm,;.{SlTegOa~~r'iT etc.}of the e;tate of Iate of :::;.B~..:.I.1::::lI:J==~l=_:=_.=...:=\l1.:.:.:.'l---;-:-:----------(CiA:Bor~uJlh,or Townsh,!.p,l
deceased,~nd tha~the wh~le of the estafe of sQid decedent,who died on -=:.J:P~r7.:1~.l~7:....L,---=:1:..:9~{)='9---------(Date)
consisted .f the a.sets li!ted below and that allowable debts and deductions exceeded me fair mal-ket value of the assets and
Will
Ad HILDA MONTEQUIN BURGETTSTOWN-mn.No-19 I,---;:-:----.,..of --:.:.--:-:::-:-;:..--=~=-=-..::........::..:..------(Name)(Address)
no Pennsylvaaia Transfer Inheritance Tax is due.
Sworn and sul:scri?ed ~efOl'e me
the day ,of_~__19__
(5ignature)(Title)
Type 01 Asset:
Real E"taf'9,Pers.
Propert..,J..inlly
Held Ptop.orTral!sfe..'s
ASSETS '
_(Attach additional sheets if.necessary)
,Description of Asset
Estimated
Market
Value
Department
Valuation
CAUTION
(Do not writ,e
in this space)
Jt.Bank Acct.#63-11027 held in the
ME:LON'NATIONAL BANK,BURGETTSTO\VN OFFICE~
BURGETTSTOWN,PA.,in the names of MARY
LOUNDER or HILDA MONTEQUIN.,Opened 10-11~38.
Balance as of date of death,$1,287.79
On~-half taxable - - --'-- - - - - -643.90
-,
643.90
TOTALS 643.90 643.90
Amount Approvel!-
by Register
respectfully report that I have
et fo osite each item in
DEBTS AND DEDUCTIONS
Nature of Claim
REPORT OF INHERITANCE TAX APPRAISER
I,the undelsigl'led duly aptointeCl 'Inheritance Tax Appraiser in and for the above County clo
appraised me ~eal and per~onal property as reported in the foregoing schedul th vali:'e
the last colum:'l to the righ~.
Dated:
Nome of Fayee
Lee Funeral Home
Burgettstown Funeea1 Services 1,205.00
Gaydos Monu~ent Co.Marker 15.00 15.00
TOTALS 1 220.00 1 220.00
REPORT OF THE REGISTER OF WILLS
I,the u,dersi;jnecl duly el~cted Register of Wills in and for the above County,do respec-fully report that I have allowed
deductiJns in the amounts set forth in the above schedule as claimed,except where I hove set forth a greater or lesser amount
in the IJst column to the right,which greater or lesser amount represents the sum allowed as a deduction.
Date of Al=prcval:_Reaish.•of Will.
,'~'-)
Will }Admin istration No.Year__
IN THE
:f
·1
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
MARY LOUNDER
Deceased
L f BURGETTSTOWNate0....;........_
Coun1y of WASHINGTON
pATE OF.DEATH April?,1969
File #63-69-682CommonwealthofPennsylvania
REPORT AND APPRAISAL
~.,(,
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SU BJ ECT TO ADMINISTRA TION
RCC-l~4 (&-6e1
COW.,WtNW:AL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
rBUREAU OF COUNTY COLLECTIONS
INHER TA~CE TAX DIVI;ION
TO:_~H_IL--:D..,-A_t«)..,......N...",T,..-,E~QU",-I_N _
8 LINN AVENUE
BURGETTSTOWN,PENNSYLVANIA 15021
Date:April 29,1969WASHINGTONCounty--'-_
Countf File No._
BureaJ File No.c{.3 -~r6P~
Woe h::Jvl!received rotice that,.T1QQCCCXXXXX
on April 7.19 69,you came into ownership of certain property tlTough r·."
~.nIJi&1Ux transfer from MARY LOUNJ)ER.~Deceased.
Ul:ldel"t:,e Inheritance and Estate Tax Laws of the Commonwealth of Pennsy vania such transfers are taxable
and -he Ii.bility for he payment of the inheritance tax due is imposed upon yo.,as transferee.
He pro:lerty on which tax is hereby assessed consists of:Jt.Bank Acct.#63-11027 held in the
ME1LDN NATIONAL BANK,BURGETTSTOWN OFFICE,BURGETTSTOWN,PA.,in the na.mes of
~fARf LaUNDER or HII.DA MONTEQUIN.Opened 10-11-38..Balance a.s of date of '
daath,$1,287.79
apprc ised oy the Comllonwealth,as of the date of death,at $1_,_2_8_7_._7_9 _
5G ~(.f this amoLnt is taxable at the rate of 6 %
ORIGINAL ASSES~MENT
DATIE OF ASSESSMENT
TAXt.Bl E AMOUNT
LESS J.LLOWED DEB rs
NET r AKA3LE AMOUIIIT
AMOUNT 0 :TAX DUE
o If you pJy the above amount wi'thin three (3)months
of the d'Jte of dea~of the de(f~ent,or on or
beFor:!July 19 you may deduct a
discaun~of 5%of t~e amount of tax due,or
o This ta>became delinquent one year after the date
of de.th of the decedent and,in addition to the
tali,statutory interest at the rate of 6%of the tax
pel alllntn is also dJe as of *_
19 in the amount of
643.90
$--------
38.63
1.93
AMENDED ASSESSMENT
c,7[;f/'O'
$----...."...--:----=-,--/~~O d--eJ
-
...-------...
*If th~tu is not paid by the above date additional
irleresl is due at tf,e rate of 6%per annum until
pcid '
$TOTAL AMOUNT DUE
APPRAISEC BY:--=Y:::""---:"~---:'~~.--:':B:...:::-:::..:.~~__~~~r-;_
38.63 $~===============__
ASSESSED BY:_-L~__Wft_'_~_d:.:-.-~.;;..'_~~....:-e1!_41_'_~~_-d~_
(Agent for the Cornmonwea Ith)
INSTRUCTIONS TO TAXPAYERS
Make checks or money crders payable to:
(over)
To'insure proper credit to your account
this Offic·al Notice must accompany
your pay'rroent.Mail or bring it to:
If you have already paid this tax to an executor,administrator,attorney or other personal representative of the
decedent for forwarding to the Commonwealth,list Ifelow tfie date paid,name and address of the person to wbpm
you made payment,their official title and the amount.
Date Paid Name and Address of Payee Official Title Amount Paid
Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses
or other just debts 'of the decedent,with funds derived from the property herein taxed,such amounts expended
by you may qualify as deductions against the gross value of the property in the computation of tax due.If any
such expenditures meet all of the three following tests,it is recommended that you itemize the payments below,
execute the affidavit,and return this notice.The Register of Wills will examine the debts claimed and allow
those which he determines to be proper.The tax will then be recomputed and you will receive an amended
assessment of tax.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1 -You were personally legally responsible for these debts,and
2-You actually paid these debts out of the account or property described above and can furnish proof
of such payment,if required,and
3 -These same debts are not also claimed,for tax purposes,by an executor,administrator or other
person,al representative of the decedent handling the administration of the general estate of the
decedent or any other transferee.
SCHEDULE OF DEBTS
/
Date Paid Name of Payee Description of Obligption Amount Paid
S-,,?-?y;~7::JL ~_~:z....A ?:f /..//~(J J.~
~-¥-~-9 ~.~h .v~:h..R"L--'/6,t?-1J
~..
.-
/.,?,c,c:J ~
TOTAL $~
(attach separate sheet if requ ired)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF:-,-_
SS:
I,hereby certify that the foregoing is a just and true statement of
funeral expenses and other debts of the decedent,,for which I
was legally responsible and which I did payout of the property herein taxed.I further certify,that to the
best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance
.tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF_____________..19__....
..~..:'.
REPORT OF REGISTER OF WILLS
Signature of Taxpayer
Register of Wills
I,.t~,,~!.~JnderSig·~,~~~i.~\r\:?l,~c.t~~Regis~er of Wills in and for the above county,do respectfully report that I
have allowed deductions 'ls'Pea <:Jbb've In the total amount of $0
Date of Approval:_