HomeMy WebLinkAboutOC1970-0333 - ESTATE OF MAYERCHAKRCC-43 (5-65)
COMMONWEALTH 61=PENNSYLVANIA
DEP'kRTMENT OF REVENUE
HARRISBURG
J
NOTE:TO BE SUBMITTED IN TRIPLICATE
Pennsy Ivania Department of Revenue
Bureau of County Collections
26·S.4th Street
Harrisburg,Pennsylvania
Dear Sir:
Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961
we herewith submIt the following report:'
NAME OF REPORTING
FINANCIAL INSTITUTION CHARLEROI FEDERAL SlWiNGS 8 l n.:..~:'')S:L
P.O.B~i~~~9 1st 81 L.c~:.;'~/..'~.
ADDRESS .~:--:-=-:-::-:-=----ff":7.''+-='~~'7--~"-:;";"'--~'-~"7-'oft-'----:-----------ACCOUNT NO.OF JOINT,uflr".:"'LIIVI,rc.:~!tA.1JU.......
TRUST OR INVESTMENT DEPOSIT'Sai\dngs Account'#11!tOl
NAMES ON ACCOUNT .
OR INVESTMENT Mrs.Ha.ry Regula or 11rs.Nary Hayerchak
DECEASED JOINT DEPOSITOR,TRUSTEE OR INVESTOR _--:--_~_1r_$,_._MaI'y 'I_'1a_y_er_O_hak_'_'_
ADDRESS __l_2_0_L_U...;,;.~...;,;.ll_a_··_AVI...;,;.e..:..L.I_Ch;.::,:;;:ar:.:1:.l=·~=.::ro::..:i::.z;.....:P:..::a:.:.-:l::::::::5~O~22=-·_
DATE OF DEATH January 1,.197Q
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR _-:M_r...;,;.s,...;,;.._l-fur...;,;.:l·.~y_Re__=.=:.gU1=·:::·a _
ADDRESS __12__0_Lu_e_lla_._il...:.,v_e•...::I:.,.·_C_ha_r._~_er_o.....:i~;·_P...:a:..:.•...:l::::5:.:0.::2=-2 ___..----
RELATIONSHIP TO DECEDENT .Hary Regula l'1other to Mary Mayerchak
DATE DEPOSIT OR INVESTMENT
WAS ESTABLISHED Ju.'1;e 3,1969
BALANCE,INCLUDING INTEREST 822.07DUE,AT DATE OF DEATH $_
'-.
,2:<,07
·a g}Z-.'-//.0).f7~'
Signature TITLE
r-1anager
C;;'~rleroi Fc~e;::.l ~.:..viu:;t:I'U.l;
L~t..:l h.~~ocitltion
.CHARLEROI ,PEN"NSYLVANIA
TO:__=MR::..:.::S~._·=MA:.::.:R..:..:Y:..........:.::RE=G:...::U.=:LA~_
120 LUEtLA 'AVENUE
Date:February 24,1970
-County WASHINGTON
County File No ...33-S-K-6
Bureau File No.;;j-z~--e:5:7'3
15022
.,\....
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
COMMO'NWEALTH OF PENNSYLVANIA
~.DE't'ARTMENT OF REVENUEt~tBUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
RCC-134 (1-69i
.We have received notice that,'a
on Jan.,I,19_7,Otou came into"ownership of~~
~W~~·W~.~~~·trailSfel"from MRS.MARY un MAYERCHAK,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 property.on which tax is hereby assessed consists of:Jt j Sav ~I Acct.#17401 held 'in 'the
CHAR~ROI FEDEnAL SAVINGS &LOAN ASSN.,C)jAULEROI,PA..in the names of
MRS.~fARYllliCmLA or )oms.MARY MAYERCUAK.Opened 6-3-69.Balance as of
date'of death.'$822.07.1 ,
appraised by the Commonwealth,as of the date of death,at $822.07
100%of this amount is taxable at the rate of 6 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
$__~8~2=2:..z..'O~7L...$--------
AMOUNT OF TAX DUE 49.32
D If you pay the above amount within three (3)months
of the date of death of the decedent,or on or
before Apr.·1,19 .70 you may deduct a
discount of 5%of the amount of tax due,or
D This tax became.~ennquent,fifteen (15)months
after the date of death and,in addition to the
tax,statutory interest·~hth~'rate of 6%of the
tax per annum i~.;.o.!:~o,ouJ as of*~__
19__in the amoun.t of
*If the tax is not paid by the abo've date additional
interest is due at the rate of 6%per annum unti I
.i'.paid
(Agent for the Commonwealth)
ASSESSED BY:_
TOTAL AMOUNT DUE
APPRAISED BY:_~~---J~~'..:!:.~:-L-=-'.._~-=,tI-=-...:....:r...-e=-7~
(Inheritance Tax Apprai e
$49..32 $-================
INSTRUCTIONS TO TAXPAYERS..
Make checks or money orders payable to:To insure proper cred it to your account
fhis Official Notice must accompany
your payment.Mai I or bring it to:
........._.',~...~I,·,
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 below'the-dote paid,name and addr.ess of the person to ~hom
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
personal 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
IJ/J /1
."elY/J.-,A //d~.f/.......n
/J "7/.0..~I ~..;'-,L ~.q 77 t?c)
.
TOTAL $/J7?r-d
(attach separate sheet if requ Ired)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY Of:_
SS:
Signature of Taxpayer
Cf):,DAY OF~--+--SWORN AND SUBSCRIBED BEFO
I,hereby certify that the foregoing is a just and true statemento'f
funeral expenses and other debts of the decedent,,for which :1
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 some ~wHI not be claimed by any other person,for inheritance
tax purposes.
REPORT OF 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 listed above in the total amount of $•
Date of Approval:_
Register of Wills
Fonn RCC-2·
DEPAJtTMENTOF REVENUE.,..,.'B~EAU OF COUNTY COLLECTIONS
HARRISBURG,PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENTiNItEl'UTANCE TAX
APPRAISEMENT
DATE Har..c.h .3.0..,1.9..7.0 .
NTY 'vASHINGTONCOU ..
FILE NO ~..~..:.?..Q.:..~.~..~;..
Whereas,~.?..~~.~X ~~AX.~~.~.~~~late of QHA.R~~.RQ.l...
in the County of JiA~HINQ.TQN Commonwealth of Pennsylvania,having died on
the !..~.~day of }.~P.-JJ~!.y 19 7.pseized and possessed of an estate
subject to Inheritance Tax under the laws of "he Commonwealth of Pennsylvania'..,
Therefore,I,.....................................¥L.....R........CHANEy............................................~.~an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.I
Unit AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurposes
$
:JT.HELD PERS.:
JT.SAV.ACCT.#17401 XEXXX held in the CHARLEROI
FEDERAL SAVTN~S rfi L()A N ASSM r.J.l'A RTRTun 'DA .:......1..................,1 -
MRS.MARY REGULA or ~1RS •MARY MAy ',11:;H'AK ().,h .l_hQ
~
---..Balance as of date of death,$822.07 Fullv taxable R??(\7
GROSS VALUE 822.07
Df~n 1 ":1.77 (\(\
1 .,
CLEAR VAT.TTF.l\TTT ...
;
I
.,
-l'Ii:>l.til.r.1\1 ......'~NT .
.
I
I
I
I
,
Having been duly sworn ~ffohding to law,I do hereby certify that the above appraisement is made in con-
formity with law on this .................:t:................................day of .........................M~r..~.b..................7~·......:;·..·;;....::;·..:..............19..7.0......
..............................................................._~~..Appraiser
..................................................................................................................................................................
WASHINh~~and Stnet)..............................-........................................................................................................,Penna.(Post OfBee)
WASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
ESTATE INSOLVENT
EstateOf
MRS.MARY MAYERCHAK..........................................···..·············..·..·········....·········..····..·····D;~;;;;;;:
Late of
CHARLEROI
Date of Death,J..~.n'".~Ty l.,19.7'O .
Appraisemel!t Docket Vol.,J.!3..
Page,No J?;3.~.7..Q.~..3..3..3.
Filed i,~Register's Office,........M.~T.L ...3.0....19...7.0
Am.ount of tax due,$.
..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut Appra.isement,
Appeal ft-om Appraisement,..
Entered and charged,..
i
..,
(I
~