HomeMy WebLinkAboutOC1969-0716 - ESTATE OF JOHNSONRCC-134 (8-65)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
OFFICLAL N'OTICE OF INHERITANCE TAX
APPRAiSEM-ENT A~ID ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
j
TO: --~)~,..,J..~~r\y...;TIW~li~a~. -..J"""O~H-I*li-NS~OiHNif--'-----
R. D. # 6, Bcx 74
Date: _ _.M...,a_rL.;c ..... l..._I _.2...,8.....,.,__..1 .... 9""'6 ..... 9.____ ___ _
____ WASHING'fON, PENNSYLVANIA 15301
County _W_'A_S_H_I_N_G_T_O_N ______ _
County F i I e No. ---=3'---?_-_.:<_;;~;;_d"_-_~--
Bureau File No. _t;;;__3_-_tt'...;_f_-_?;_~__;'C __
We have received .notice-that, ~~~d~:»kftwJi~JOb:mb-xxxyyy)-YYYYl'XYYX'-:\"XXXX)"YXYXVXXXYY\'X
on Ncnr. 9 19---.-6,&rou came into ownership of certain property through~~:im~.,Y.!{bllxOC
>YlfS":foonmp~~IMxx transfer from ~iYRTLE IONA JOHNSmr, Deceased.
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you, as transferee.
The proper!l_on which tax is hereby ass.essed consists of: Jt. Dank Acct. #S-17567 held in the
FIRST FEDERAL SAVINGS E~ LOAN ASSN. OF 'lASHil\GTON, PA., in the names of
~1YR'fLE IO:NA JOHNSON or MELVIN R .. JOHNSON. Opened 4.-64. Balance as of
date of death, $1,697.69
appraised by the Commonwealth, as of the date or'death, at$. lt697.69
50 %of this amount is taxable at the rate of 6 %
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS: ALLOWED DEBTS
NET TAXABLE AMOUNT
AMOUNT OF TAX DUE
D If you pay the above amount within three (3) months
of the date of death of the decedent, or on or.
before 19 you may deduct a
discount of 5% of the amount of tax due, or
D This tax became delinquent one year after the date
of death of the decedent and, in addition to the
tax, statutory interest at the rate of 6% of the tax
per annum is also due as of*.:....------'------
19 in the amount of
*If the tax is not paid by the above date additional
interest is due at the rate of 6% per annum until
paid
ORIGINAL ASSESSMENT
$ 848.85 --------
50.94
$
AMENDED ASSESSMENT
f'r/Xff5/ $----~~~~~--/ t> / .5'": t(o
. -----------
TOTAL AMOUNT DUE
APPRAISED BY: ----~:_____L~...J.,...-_::-Ja::..:.:..~-~-~___;_~=...;:u=.;"'r----:___ 50. 94 $ =================-
ASSESSED By: _.£..:.Z~-~~-::::;, .. d:.::::l:.::!:~__.!!.e?t:£.".:::.!~::::::-2:1..t.J<L. ......... =oo:s--eo!:.I)~---
(Agent for the Commonwealth)
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to: To insure proper credit to your account
this Official Notice must accompany
your payment. Mail or bring it to:
~~r:/1 lVJ..~,.~w;.-ull AM~
c~ ,;.t~OMMONWEALTt\
.. -........ COURT HOUSE 1530l
WASKlNGTOM~ pEJtKA.
(over)
If you have already paid this tax to an executor, administrator, attorney or other personal representative of the
decedent for forwarding to the Commonwealth, I ist below· the aqte paid, name and address of the person to whom
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 Obligation Amount Paid
TOTAL $
(attach separate sheet if required)
COMMONWEALTH OF PENNSYLVANIA)
SS:
COUNTY OF: _______ _
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 pay out 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 __ .
Signature of Tax payer
REPORT OF REGISTER OF WILLS ~~~~i.~ i ...
I, the undersigned, duly elected Register of Witls in a~·ti~r the above county; do respectfully report that I
have allowed deductions listed above in the total amount of $ --------·
... ..s ~., •
Date of Approve I:---'-'· •=--·-' -------~~---
Register of Wills
RCC-103 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMEI'!T OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX DIVISION
FILE # 63-69-716
INHERITANCE T hX RETURN
FOR IN SOL VENT ESTATES ONLY
OF RESIDENT DECEDENTS COUNTY OF _______ _
This return must be completed in detail and filed in duplicate, with the Register of Wills in the County where the decedent resided within one
year after dote of death, unless on extension is granted by the Secretory of Revenue.
J
Will
Admn. No. ___ l 9 __ 1, ___ ME_L~V:-IN---.-R_._J_O_H_N_S_ON ____ of R. D. #6, Box 74, WASHINGTON, PA.
{Name) (Address) Misc.
being duly sworn according to law, deposes and says that he is the ____ J_T--:.-=--D_E_P-:-:-O_S_I7T_O_R __ -:----------
MYRTLE IONA JOHNSON <E"W.ASFn·NcrC1N etc.> oftheestateof ___________________ lateof ___ ~-~-~~-~~----------
~'\T·EmR orgow'1~8
deceased, and that the whole of the estate of sQid decedent, who died on _____ ----:~-:----'-----------(Date)
consisted of the assets listed below and that allowable debts and deductions exceeded the fair ma~ket value of the assets and
no Pennsylvania Transfer Inheritance Tax is due.
Sworn and subscribed be£ore me
the ____ day of ____ l9 __
(Signature) (Title}
Type of Asset: Department
Real Estate,Pers. ASSETS Estimated Valuation
Property, Jointly (Attach additional sheets if necessary) Market CAUTION
Held Prop. or Description of Asset Value (Do not writ_e
Transfers in this space)
JT. HELD PERS.:
Jt. Bank Acct. #S-17567 held in the FIRST
FEDERAL SAVINGS & LOAN ASSN. OF WASHINGTON,
PA., in the names of MYRTLE IONA JOHNSON o rr
MELVIN R. JOHNSON. Opened 4-64. Balance
as of date of death, $1,697.69
One-half taxable 848.85 848.85
TOTALS 848.85 848.85
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have
appraised the real and personal property as reported in the foregoing schedule at the values set forth opposite each item in
the last column to the right.
Dated: JunP. 1] l9_69 Inheritance Tax Appraiser
DEBTS AND DEDUCTIONS Amount Amount Approved Name of Payee Nature of Claim Claimed by Register
ROBERT E. HUMMELL FUNERAL SERVICES 950.00 950.00
Ambulance & Chair
Service AMBULANCE SERVICE 23.00 23.00
DR. COR\VIN tPROFESSIONAL SERVICES 24.90 24.90
SIMON WHITE SONS LETTERING ON GRAVE MARKER 17.50 17.50
TOTALS 1,015.40 1,015.40
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for the above County, do respectfully report that I have allowed
deductions in the amounts set forth in the above schedule as claimed, except where I have set forth a greater or lesser amount
in the last column to the right, which greater or lesser amount represents the sum allowed as a deduction.
Date of Approva I: _ ___.JL..:u:::n:::.e.:c.._l=:;..;:..3_._,---"'l'-'9'-6_9'------
Reaish.r of Will•
Will )
Administration No. Year __
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Deceased
Late of ______________________________ ___
County of ________________________________ ___
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
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