HomeMy WebLinkAboutOC1970-1118 - ESTATE OF DAVISRCC-43 (4-69)
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NOTE:TOBE 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:.
NAME OF REPORTING
FINANCIAL INSTITUTION ..1l.a.UClaGI laU ...tIt.t e.g
DECEASED JOINT DEPOSITOR,Hr.....».,,1.TRUSTEE OR INVESTOR _
ADDRESS ..AND COUNTY Box 154,Avella,.'a.
DATE OF DEATH :-:-::-:1:-:0....../2;;;.;;1;.:..".;..;:0:.-·.--=-'"----::-_--:--_
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR Hr._Hary You---_-:.-_-----------
ADDRESS SQUib Mal08treec·and Cbeny A.QUe,WI'bIDBtOQ,,.",W.'.15301
ACCOUNT NO.OF JOINT,'
TRUST OR INVESTMENT DEPOSIT 061-7490 '••shook '_*,0.
NAMES ON ACCOUNT
OR INVESTMENT Hr.-...D.....
ADDRESS __11._"_.1_1_4_,_'_a _
TITLE
RELATIONSHIP TO DECEDENT D.vab'·...----------------~-DATE DEPOSIT OR INVESTMENT 1/6/61WASESTABLISHED _
BALANCE,INCLUDING INTEREST
DUE,AT DATE OF DEATH $_1~.l.;;.604~·.:..:..8;:;;.;7:.---r-~..._.:_----
?0..2,-¥-/GiJ t'%::'5/;::/S
S%,G)~{/-.2/71).;-o?"-://
TO:_--::HI==~=H=X--=Mr~s::::..;.~=-...:.:YJB;="::...l."·~..:.Y:;ouk~,~·_
AVtbUe..Pi;.
OFl=ICIAL~I'WTICEOF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
Date:Novembor 4.,1970
County Waahi,ngtan
County File No.J%-/lZ.-/,,
We have received naUce tha~
on ..'.Qeteher 2]..]9~,you came into ownership of certain property through~~
UIlif~h~"tlPanefer t:r~.ms..~ANNA })AVD,deceQ.~.•'".
~.
RCC-134 (1-691
"COMMOtolW~EALTH'trF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
1-
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you,as transferee.
The.property on wh.ich tax is hereby assessed consists of:Jt.SaV1t.tg$Ace,:>lJnt 1}061""'7490 held in
the MELLON NATIONAL BANg AND TRUSTCOMPANt IfASHINt}!tON OFFICE,IfASHINGTfJN..p~mJSYVilANIA ,~,
appraised by the Commonwealth,as of the date of death,at $1,j.604.S7
$0"%of this amount is taxable at the rate of 6 '%
ORIGINAL ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
$--cSll,;,l02""'",,,".44Ir.---
AMENDED ASSESSMENT
$70£.¥¥
~/
AMOUNT OF TAX DU E
o If you pay the above amount within three (3)months
of the da,te of death of the decedent,or on or
before JanU!:U'721 1971 you may deduct a
discount of 5%0·ftheamount of tax due,or ___2..41 _
o 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
*H the tax is not paid by the above date additional
interest is due at the rate of 6%per annum until
paid
TOTAL AMOUNT DU E $
'I
(Agent for the Commonwealth)
ASSESSED BY:_APPRAISED BY:.....J:j1v.L.J..k~rJ.~,:::::/~'/~)~~:::::--_
(Inheritance Tax A raiser)
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:
If you ha ve already pa id th is tax to an exec utor,admi nistrator,attorney or other persona I representative of the"
decedent for forwarding to the Commonwealth,list below the date !MIid,"-n~me and address of the pEtrson'to·v..honi
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 wi II then be recomputed and you wi II receive an amended
assessment of tax.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1-You were personally legally responsible for thesedebts,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
/(-01-70 ~./L._A.kIJr.t?.4/~we..h,.Ir.AA~-S~",.I-·-pr /.?~/.,::l..!
TOTAL $~93/R..[-
(attach separate sheet if requ ired)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OE _
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
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 $0
Date of Approval:_
Register of Wi lis
r-:r-=."~=~~..=.-~....-~----_._---_._--.-.-
,-Pi)ner8 r Sel~\;~ices ForfursuA~na O.Davis
Avel~;,a Pae
'.~.
f?rrm Rri
~~.
IN ACCOUNT WITH
FUNERAL HOME
To Funeral Service Including;
AVELLA,PENNSYLVANIA
TELEPHONE (~~~..S 8'7·3 8 ~.:;
.~_FLOYD L.PITTMAN
.";-:.:
-----------==-=-=.============================;=:=·.'~Oct8 25'1~70
·1
II,
Casket
Embalming
Slumber Blanket
Procuring Permits
Newspaper Notice
Use Of Funeral Home And Paraphernalia
Personal Service And Assistants
Funeral Car
Delivery Of Flowers
Car For Clergyman
Grave Decorations
Acknowledgment Cards
Burial Vault
Removal From Cadiz O.
Clothing Complete
Sunday Charge On Vault
Cash Disbursements;
1295 00
180 00
30 00 :
38 7')
40 I .-i.00
l
Cemetery Charge
Canopy At Cemetery
Hair Dressing
Honoraium To Clergyman
100.00
25.00'
7.50
15.00 147 50
Funeral Acct.In Full
---_.j
1731 25.1
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~'DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG,PENNA.17 127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE N.Qyf9.:mQ.~r.J.9."'19.7.Q..
COUNTY W?t~hin~.ql}.
63-70-111lt8FILENO .
Whereas,~~:~~~.~~~.y..~~late of ~y.~.J?:-.~.
in the County of ~~.~.~~~.~.?~Commonwealth of Pennsylvania,having died on
the 21s.t day of 'O.c.t..9.p..~r.19 79.,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,~.~.~..~.~.?~~.:!.,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.
Description of Asset
Jt.Savings Account #061-7490 held in the r1ELLON NATIONAL BANK AND TRUST
COMPANY VlASHINGTON OFFICE,WASHINGTON,PENNSYLVANIA in the names of
Nrs.ANNA DAVIS 011.MRS.NAHY YOUK.BALANCE AS OF DATE OF DEATH:
$1,604.87.Opened 1/6/61.
Unit
Values
$
Appraisement
Made for Inheritance
rax Purpoles
1.604
TOTAL
.'
1,604 87
;
WASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
.......~s..ANNA DAVIS
Deceased.
Late of
AVEL.LA
Date of Death,10-21-70
Appraisemeilt Docket Vol.,.
Page,......................No..§}~.7.~PJ.:?..
Filed in Register's Office,}~~y.~.?19 70. . .
AmounJ of tax due $,.
DEPARTMENT OF REVENUE
Receive.d,
Examined and Approved,..
Wrote abo.ut .Appra.isement,
Appeal jyom Appraisement,.
Entered and charged,.
.......,,-
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