HomeMy WebLinkAboutOC1970-0987 - ESTATE OF BERCINIRCC-43 (5-65)
COMMONWEALTH OF PENNSYLVANIA RECEIVEDDEPAR~MENT OF REVENUE COUN'~~tAU OF
HARRfSBURG l,OLLEC IONS
SEP 3 .3 43 ~H 70
NOTE:TO BE SUBMITTED IN TRIPLICATE
Pennsylvania 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:
/)~70 ,
ADDRESS__U.l'Rox~2io.,,3iLf·,--,P,!:!.L1WDI.&J'8'1lYl:ayt·+-1.....i:P,a.::t_.----L;lS:u}~13,,2------------;{;Yr
DATE OF DEATH ::-=::-::----I8;M.....J Bw.a+70u.---=d7 /
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR _--lMr_.U>lS~•..:l!n_ez~PI!o,l1pol.dli..e.k---------
DECEASED JOINT DEPOSITOR,\/TRUSTEE OR INVESTOR --.;..Ja;;.::y~Be:.::r..:..e.:::in.:::i:....--~__~_
NAME OF REPORTING
FINANCIAL INSTITUTION PITTSBURGH NATIONAL BAlK ..OHARLEROI OFFICE
ADDRESS CHARLEROI,FA.1,022
ACCOUNT NO.OF JOINT,
TRUST OR INVESTMENT DEPOSIT_(S_a_vi_ng.;;;..s...:..)_OO_~....;.7_67__1 _
NAMES ON ACCOUNT
OR INVESTMENT Jay Bereini or t-frs.Inez Pipik
ADDRESS __B_ox 2...:;3~,_Duhl...;;,,·:.::·;;:.;e~vyLJ,L.._Pa.:;;··.;......;1:::5~43::=:;2=-.•---
TITLESignare
RELATIONSHIP TO DECEDENT_~-S-is--t-er------------
DATE DEPOSIT OR INVESTMENTWASESTABLISHED 1..-:1-=1"""),..~681lU._
BALANCE,INCLUDING INTEREST
DUE,AT DATE OF DEATH $_---:;.31=3;..:.".;;.:;8;:;..-=--__~/'----
xVcL ~Y11St1.J IJ,$:!
5'71 rJJ~.
RC'');-134 (1-69)
COMMON'WEAL TH OF PENNSYLVANIA
#~o DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
._.''l
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT ~UBJEeT TO ADMINISTRATION
1
TO:~M~a:l\o!;:S4-.--.IuW~"'",,,Z--l'PE:.JIL.J:P:..LTKD..'-----
BOl23
15432DUNLEVYItP~NliSYtVANIA
Date:lSeptember 16;1:.:::;..97:..,:0:;...._
County Washington
County File No.J Y-/6 5?-lj
Bureau File No.C::y -20 -2r2,
We have received notice that,~~XXXX~XX~
on ,AUiUlt 18",1910 ,you came into ownership of certain property through~UnrXI~nxrlXX
~~l1mxiJrUXH.transfer,from,JAY ,BltRCINI,deeeal..~d.
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.,Sav,ings Account 10031671,held
in the PITTSBURGH NATIONAL BANK.CHARLEROI OFFICE,CHARLEROl.P,ENNSYLVANIA."
In tbesames otJAY BERCINI'or MRS ..INEZPIPIK.opened,.11...14...68 ..'Balance'
as of date of dea.th,;$313"85"..,
appraised by the Commonwealth,as of the date of death,at $313.85
180 %of this amount is taxable at the rate of ,15 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
$_-.::::.:31=3:..:.'4=S5:-'__$..:f/d JL
;;t;:::t!:5
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 Noy.18 '1970 you may deduct a
discount of 5%of the amount of tax due,or 2.35 .
D This tax became delinquent,fifteen (15)months
after the date of death 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
ASSESSED BY:_
(Agent for the Commonwealth)
*If the tax is not paid by the above date additional
interest is due at the rate of 6%per annum unti I
paid
TOTAL AMOUNT DUE
(21)J:']/)g
APPRAISED BY:/(/.~_."cl.~
(Inheritance Tax Apprai er)
$41.08
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:To insure proper credit to your account
thiS Official Notice must accompany
your payment.Mai I or bring it to:
1?~/1 J1t(~
AGENT fOR T
HE COMMONW
WASHIN COURT HOUSE EAL TH
GraN,PENNA•15301
If you have already paid this tax to an executor,ad~irii~tf~tor,attorney or other personal representative of the ,-,
decedent for forwarding to the Commonwealth,list below the date paid,name and address of the person to whom
you made payment,their official title and the amount.'..
Date Paid Nome and Address of Payee
---....~
Official Title Amount Paid
Under certain circumstances,if,after the dote 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 on 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 some 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.
Dote Paid Nome of Payee
I C;-.2',7~'/777.L A./
SCHEDULE OF DEBTS
Description of Obligation Amount Paid
j ....;?£y.oo
(attach separate sheet if requ ired)
TOT AL $/,01~0,5'0
SS:
COMMONWEALTH OF PENNSYLVANIA)
COUNTY 01=:_
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 some debts will not be claimed by any other person,for inheritance
tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF
19_.
Signature of Taxpayer
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 $"
Dote of Approval:_
Register of Wi lis
Form RCC-2
,;,
DEf4cRTMENT OF REVENUE
4
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE Q.c..t...Qb..~,r.8...,J.~.7.Q ".,.,.,.,,
COUNTY W~..~.hJ.gg~..5?.P.:,.,, .
FILE NO ?}..:.?.9..:.~..~.?..
Whereas,,J.ay B..e..r.G..i.n;i,.late of ,~.p:g.nl..~.Y:Y , .
in the County of W:a.,.s.h.i.n.,gt...Q.n.~Commonwealth of Pennsylvania,having died on
the l.e.:t.b.day of A..~,g,t.J:~.~..........................................19 ..7.,9,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,lv....R.Chane.y ,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 Ufe 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.
JT.HELD:
Description of Asset Unit
Values
$
Appraisement
Made for Inheritance
Tax Purpoaes
Jt.Savin~s Account #0037671,held in the
PITTSBURGH NATIONAL BANK,CHARLEROI OFFICE,
CHARLEROI.PENNSYLVANIA.In the names of
.TA NY RRRr.TNT or MRs.INEZ PIPIK.Onened.
11-14-68.Balance as of date of death
Insolvent
Total
313 85
313 85
WAS HmNGTON.......................-County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
JAY BERCINI
Deceased.·.··Late of
D.y.N.~.YX .
August 18,1970DateofDeath,
Appraisemeilt Docket Vol.,.
Page,...................................No.63-70-987.....................................
Filed in Register's Office,.9..c::.:t:.9.lJ..~.:r.e..197.0 .
Amount of tax due,$.,
DEPARTMENT OF REVENUE
I
~,
:'
-J
I
...
,
Received,
Examined and Approved,.
Wrote abo.ut A ppra.isement,
Appeal f,.om Appraisement,.
Entered and charged,.
.$
t.
"