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HomeMy WebLinkAboutOC1971-0063 - ESTATE OF NAGODERC C-43 (4-69) COMMONWEALT~OF PENNSY~V+'~I~B~~~EIVtD DEPARTMENT OF REVENUE~.UNTY cott OF HARRISBURG f.CT10NS JAN 8 3 110 PH 7/ J 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: /- DECEASED JOINT DEPOSITOR,MarJ'Nagode :7TRUSTEEORINVESTOR---:V~_ ADDRESS 5ANDCOUNTY__3_1_A_s_h _P-_Jt_r_e_e_t~,_C_a_n_o_ns_b_u_rg..;;.;,~P_a_.__l_5_3_1_7 _ NAME OF REPORTINGFINANCIALINSTITUTION Slovenian Savings ~nd Loan Assooiation ADDRESS 107 Latimer Avonue,Strabane,Pa.15.363 ACCOUNT NO.OF JOINT,6 TRUST OR INVESTMENT DEPOSIT l_O_·_3 _ NAMES ON ACCOUNTORINVESTMENT Lillian Nagode or Mary Nagode 15317Canonsburg,Pa. DATE OF DEATH 11/24/10 SURVIVING DEPOSITOR, BENEFICIARY OR INVESTOR _~L_i_l_l_ia_n_N_a_go_d~e _ ADDRESS 531 Ash Street, RELATIONSHIP TO DECEDENT __D_·a_u.....;S;...h_t_8_r _ DATE DEPOSIT OR INVESTMENT .//',.. WAS ESTABLISHED 1 30 .?3 BALANCE,INCLUDING INTEREST3'., DUE,AT DATE OF DEATH $__1.;....:;....,9.;...5_3_o_20_~~---------2iJi;f~ Signature TITLE Albert L.Tomsic,Secretary C"9 7~.to G)~~:: .s;;:~oI-et/J/-- ~,;.,.. OFFICIAL NOTiCE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION RCC-134 il-69) COMMONWEAL TH OF PENNSYLVANIA. DE:PARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS ,.,...=-.'INHERITANCE TAX DIVISION.'a.4~iiiiiiiiiiiiiiiiiiiiiiiiio;i;;;;;i;;;;iiiiiiiiiiiiiiiiiiiiiiiiiiiii:iiiiiiiii;;;;;;;;ii;~iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiil;;iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii__iiiiiiiiiiiiiiiiiiiiiiiiiiiil:sl TO:LILLIAN NACODE 531 ASH STREET __CA_N_0_N_S_BU_R_G...&,_PE_N_rn_TS_Y_LV_A_N_TI_A_....;;;;.15317 Date:__....:J~a~n~u~a:!.:ry!o+--"1~5"-i,J..--,ojlIo..o9u71..11 _ County ....:W~a::.::s:.:h::.::i~n~g~t~D~n~_ County File No._ Bureau File No.~3 -2/-&3 We have received notice that,XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX on November 24 1970 ,youcame into ownership of certain property through.i~~ UXX&JQiI¥~~transfer from,MARY NAGODE,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•Bank Account 1/1063,held in the ~LOVENIAN SAVINGS AND LOAN ASSOCIATION,STRABANE OFFICE,STRABANE,.PENNA. In the names of IflBLIAN NAGODE or MARYNAGODE.Opened,January 30,1953. Ba1anc~as of date of death,$13,953.20. appraised by the Commonwealth,as of the date of death,at $13,953.20. 50 %of this amount is toxable at the rate of 6 % ORIGINAL ASSESSMENT AMENDED ASSESSMENT DATE OF ASSESSMENT TAXABLE AMOUNT LESS:ALLOWED DEBTS NET TAXABLE AMOUNT $6,976.60-_..:-------'--$-------- AMOUNT OF TAX DUE 418.60 o if you'pay the above amount within three (3)months of the date of death of the decident,or on or before ,Feb.24 19 7 you may deduct a discount of 5%of the amount of tax due,or 20.93 o This tox 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 dote additional interest is due at the rate of 6%per annum until paid TOTAL AMOUNT DUE APPRAISED By/]J O:'~/, (Inheritanc~Tax ApR aiser) $ ..397 t7 $================= STRUCTiONS TO TAXPAYERS Make checks or money orders payable to: ~Qc3:l7C7 /~/-t /,77/ ~,&'//""y~-SC:: To insure proper credit to your account this Official Notice must accompany your payment.Mail or bring it to: k;;'~ld I Uri IdE CCmnWNWEALTH COURT HOUSE rJASHlNGTOfl,PEfJNA.15301 If you have already paid this tax to an executor,administrator,.srtorney or other personal representative of the decedent for forwarding to the Comm<;>nweahh,list below ~le'date paid,n,ame 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 ..~ SS: 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,lsuch 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 rec'eive 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 , TOTAL $ (attach separate sheet if required) COMMONWEALTH OF PENNSYLVANIA) COUNTY OF:_ I,hereby certify that the foregoing is a just al'1d 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 WITls R C C-43 (4-69) .r-.\....../ COMMONWEALTH OF PENNSYLVANIA 1'.&~fCfHllffi DEPARTMENT OF REVENUE ,..Oif"'hr g~~!LJ fir:' HARRISBURG ·,Jol1..fL'TIO JAN 8 .NS J %(J fll '1/ j Canonsburg~,Washington County ~~rt1 t ;;j/&,i:;---5//0/ S%LJ~.'/-.,10//--0<'5:.s-.s- 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: NAME OF REPORTINGFINANCIALINSTITUTION Slovenie.n Savings and Loan Association ADDRESS 107 Latimer Avenueo Strabane,Pa.15363 ACCOUNT NO.OF JOINT, TRUST OR INVESTMENT DEPOSIT__1_07.;...O _ NAMES ON ACCOUNTORINVESTMENT Mary Nagode or Lillian Nagode DECEASED JOINT DEPOSITOR,./" TRUSTEE OR INVESTOR M-.;a=r:..Jo!y_N..;;.;.a~go.:..d;.:.:e:..__V~_ ~~g't15aNTY 531 Ash St., DATE OF DEATH ..-:=-:~1:.::1~/24~/~70:...·_ SURVIVING DEPOSITOR, BENEFICIARY OR INVESTOR Lillian Nagode------.--...:::...---------- ADDRESS 531 Ash st.,Canonsburg,Pa.15317 RELATIONSHIP TO DECEDENT Daughter.----.;;;;.------------DATE DEPOSIT OR INVESTMENT 6 WAS ESTABLISHED Feb•.,1953 BALANCE,INCLUDING INTEREST-k ... DUE,AT DATE OF DEATH $17£1033 0 7Q 2.--~j It.%5 ~L,£~' Signature TITLE Albert L.Tomsico Secretarr RCC-134 (1-6·9)' COMMONWEALTH OF.PENNSYLVANIA DEPARTMENT OF REVENUE EH.J.REAU OF COUNTY COLLECTIONS •INHERITANCE TAX DIVISION TO:LILLIAN.Ni\GOl>.E d ••• 531 ASH STREET a~·,'",.•'" Or=FltIAL NOTICE OF INHeRITANce TAX APPRAISEMENT AND ASSESSMeNT OF ASSEiS NOT.SUBJECT fO ADMINISTRATION Date:..January 15,1971 County Washington CANONSBURG,PENNSYLVANIA 15317 C()unty File No."""'""'":"__.~__.__ /3 -7/-/3BureauFileNo._&::?/_'..........U?_ We have received notice that~~~m~~XXXXxx.xxxxxxxxxxxXXXXXXXXX on ..November 24 ,.197.0,YOU came into ownership off~ce~r~ta~in~p~ro~p~er~ty~th~ro~'u~ghh~'ftXm~~~~~~~- ~.traBsfer from,MARY NAGODE,deceased. Under the Inheritance and Estdte Tax Laws ()f the COlTlIMnwealth of Pennsylvania such transfers are taxable and the liability for the payment of the inheritonce tax due is imposed upon you,as transferee. The property on which tox is hereby dssessed consists of:Jt.Bank Account #1070,held in the SLQVENIAN SAVINGS AND LOAN ASSQCIATION lSTRABANE OFFICE.STRABANE,PENNA. In the names of~U\RYNAGO.1)E;.uor LILLli\NNA.GODE.uO.p~ned,February 6 ,1953. Balance asofdat.~of d~~tlt.t$17,033 .70. oppraised by the Commonwealth,as of the date of death,at $....17.•033.70 . 50 %of this amount is taxable at the rate of 6 % ORIGINAL ASSESSMENT AMENDED ASSESSMENT ASSESSED BY:_...~..~....~.....~...~..__~~~_~~=---~----....____ (Agent for the Commonwealth) DAiE OF ASSESSMENT TAXABLE AMOUNT LESS:ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE o If you pay the above amount within three (3)months of the dote c>f deClth of the decedent,or on c>r befc>re .Feb •.24 t ~...19 71.you may deduct a disc(jurtt of 5%of the omc>unt of fax due,or D This tax became delinquent,fifteen (15)months after the date of death arid,in addifiori to the tdx,stdtutory interest ot the rdte of 6%elf the tox per annulfl is also due as of*_.~~~~­ ]9~in the amount of *If the tox is not paid by the above date odditi()ndl interest is due at the rate of 6%per annum until paid $ 8 516.85$__""""t~..~...._....._.....;....;.._..__ 511.01 25.55 ~--".....--------- -ill.01.---. $-------- ----_.::--:.---- $-=:=:::=::::::::::=========== INSTRUCTIONS TO TAXPAyERSf'b Make checks or money orders payable to:~.&y'J,s-:vC P47v /f;/7;Y ~e:.--.'L/#/..?/6 S-£ To insure proper credit to your account this Official Notice must accompany your payment.Mail or bring it to: iZ~11 NA.~ .'or LOG..l uE ('OM.MONWEALTHA!?EI~...I';n ~.COURT HOUSE EUN.A 15301WASHINGTON,P 111 • 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 belo#the a~te 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 personaliy 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 oftax due.If any such expenditures meet all of the three following tests,it is recommended that you ite!11ize 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 e~tate 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) 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 propertyherein 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 Si gnature 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 Fonn RCC-2 COMMONWEALTH OF PENNSYLVANIA DATE ...........:J.~.~.~~.r.y ......:!:..~..t........!..~.?~ DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX .............W~.~..h.~.~g.~.~..~......................BUREAU OF COUNTY COLLECTIONS COUNTY ,APPRAISEMENT FILE NO•...§..~.:..?.!.:..§.~................................................HARRISBURG.PENNA.17127, Whereas,.........................M~.r..y ....N.~.g9..4.~...............................................................................late of ....................~.~.~?~.~.?.~.:.~................................................ in the County of .............................Wa..s.hin..gt..Q.n...............................................................Commonwealth of Pennsylvania,having died on the ........................2.4......th.................................................day of ...............N9..y.~.mp..~.r...............................19.....7..9.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,..........Jv:....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. Unit AppraisementDescriptionofAssetValuesMadeforInherllance Tax Purpoles $ JT.HELD: .IT Rank A Il.#1070 held in the SLOVENIA SAVINGS AND LOAN ASSOCIATION,STRABANE OFFICE, STRARANE PENNA.In the names of MARY NAGODE or LILLIAN NAGODE.Opened.2-6-53.Balance as ni'~!ll"'j:lIl ni'nj:lll:llTn $17 O.~.~70 (Onp n:ll1f Ta.xah1p)8.516 85 Jt.Bank Account #1063.hedl in the SLOVENIAN SAVINGS AND LOAN ASSOCIATION.STRABANE OFFICE. STRABANE,PENNA.In the names of LILLIAN NAGODE ~fARY NAGODE.Opened.1-30-53.Balance ,or as ni'~:lITP ni'nPATn $1~Q~1 ?n (one half taxable)6.976.60 i:, .. " , m Total 15.493 45 form~;v:;;fhb~:::~b~w~a~~~:~~~~~~se7~~~;ie~:2 App'er (2.=2r~s;;;.;),m~~::~. - \vASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of MARY NAGODE Deceased. Late of WXSNINX CANONSBURG Date of Death,NQ.Y~m.p.~.r.7..4..,l.Q.7.J Appraisemeilt Docket Vol.,. ~ Page,.No...9..3..~.7.l:~.9..3.. Filed in Register's Office,J.an.l.9.,19 7.1 Amount of tax dlle,$:.. DEPARTMENT OF REVENUE Receiv.ed, Examined and Approved,.. Wrote abo.ut Appra.isement, Appeal f1'om Appraisement,.. Entered 'and charged,. , ~ ~..'-~::-~'o,RCC-62 (6·70)TH;S ~ORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961, EF'f'EC'nVE JANUARY 1,1962.(FILE IN DUPUCATE WITH COPY OF WILL ATTACHED)J .".,. ;OFFICE OF THE REGISTER OF WILLS .. County of ~c;~~?-!I~.~~. . .. . . . . .. .I;4~~tW1..~8:gC?4E?',of ..5~f.~~~.~.~r:~~~~.~~!1.~~S:~'?:~!.~.e??~:Y:~:rC;~?-. (Name)(Addreu) being duly _.~~2~!?_...according to law,deposes and says that he is the J_J?%_Q.~.I}t_..... _ (Exec"Adm.,Lega~,Etc,) of the estate of .._~~JO ~?_r.Y.:__~9;g9_s!~..whose last residence was ._?.~_~__.~~~__~~~~~~.._..... (No.)(Street) --~~~~~~~~-~!---~~~-----~~?~!---__deceased,and that the whole of the estate of said decedent,who died _l.e:::.:1 4--~-7.-~--(CitY.Borough or Township)"'("nate) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES,ADDRESSES Aim RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value Small Shinged frame house Four street level rooms Two finished basement rooms 3,000.00.- /}j1 ~'A~"'-~~_~q t-fU W;v~f ./,/~J /~ '-1\1A 4:Jyialvf)"r".¥/,y@o.l, vv I Personal Property . .-- .J NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death,Such letters must be 8igned by a responsible officer of tl~e financial institution or mortgage hvlder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account.account number and the exact name or names in / which the account is registered.'LI ~.~--I Jointly Held Property Estimated Y~l~~., .~ - - Transfers within TWO YEARS Prior to Death That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by anotheras agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT - BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,vested,contingent or otherwise,in estate.)are involved,set OR NO,AT DEATH OF IN ESTATE forth this fact.)DECEDENT .*..It 1.'''~..'~. ."'2;,-.~'. RCC-BI (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT Lillian Nagode-Informant ~tnatML) IN YOUR REPLY PLEADE REFER TO J In Re:Estate 0 f M_a_r..::y----,:N~a_=g:_o_d_e____,_--------- ___________W~a~s~h~i~n~g~to~n~county -File No.63-71-63 De ar Miss Nagode, You are hereby notified that the_~~o~r~i~g~i~na~l~------------- appraisement in the estate of M_ar~y~N~a~g~o~d~e~_ has been filed in the office of the Register of Wills qf Washingtqn County on May 7 ,19~.Said appraisement reflects the following valuations: Re alEstate _--'-3.u,~0~0~0:.s•.:::.0~0 _ Personal Property __ Transfers -=-...."....,~_:_::__---- Tota1 ...><!.3:.,z,..;:;0..:::,0=.0=...;.O:::.:O~_ As to such tax that is paid within three months from date of death,a five (5%)percent discount is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Dat e .=..:M==a:.Ly_7.L..,z......::1::...97~1'___Signed A1k~Y . Title ALFRED TOSI,APPRAIS:Efi.I ESTATE INSOLVENT DATE OF DEATH:November 24,1970 Note:This is not a bill. RCtC-39 (5-68) "r'"".,.JI> COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of Nagode (Last Name) Mary (First Name) DATE OF DEATH (Initial) 11-24-70 FILE NO.63-71-63 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B", "C",and "E". Dated:__-=-=J:JI.::.:.saYL-..!.7..L,--=-19~7~1=--_ REPORT OF THE REGISTER OF WILLS Dated:__---:;.;1JI;;.:.;a.....y_7........,...;:1~97'-'-=1=---_ I,the undersigned duly elected Register of Wills in and for Washington County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponeIJ,tr-'cep to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",t~hiC greater 0 lesser amount represents the sum allowed as a deduction.\ f.tz~ 1.00(1J() 3,000 00 ,.627 ,1 Ttl'INSOLVENT_,.J;JTA $1.00C 00- 3.000 00 ~(.,27 ~1 ES VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$-------+-- CLEAR VALUE OF ESTATE INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint -Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $-----------i-- Tax on $-----------i-- Tax on $-----------i-- Tax on $-----------i-- Tax on $----------1-- Exemptions========I=== Total Estate ---I-__ TOTAL TAX 2% @' 5% 10% 15% * COMPUTATION OF TAX $--------1-- $--------1-- $--------1-- $-------+-- $--------1-- $---l.__ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death :::::::::::::t=== BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $-----l , AMOUNT OF ESTATE TAX ASSESSED $------IL- Estate tax paid $---JL- BALANCE DUE $---JL- Add interest at rate of 6%from ~ ------I.to-----$-----~, TOTAL TAX BALANCE $-----.....< PAID $-1 FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will (No.Administration IN THE Year . ~ .'MATTER OF THE APPRAISEMENT OF THE ESTATE OF IvtARY NAGODE Deceased Late of County of CANONSBURG IvASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL I' * --- Fonn RCC-2 COMMONWEALTH OF PENNSYLVANIA DATE .............J4~y....7.~......J,.97.+.......................................... ,DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX ........w.'3.:.~.9:f.:r.1.g~..~:t?:...........................u ••••••••••••COUNTY.J3UREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO•63-71-6.3............................................................................................... Whereas,.........u ...........u ............................~?:~y....~?:g.9.~.~......u ..................................................late of .........................g.~.QA~P..~g ....................u ........................... in the County of ........................................................~~~.:?P:~~rl?~.~..........................u ................Commonwealth of Pennsylvania,having died on the ........................................?4.t..h..........................................day of .........................:N9.y.~lJ..E3.r.........................19...7.9...,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,ALFRED TOSI 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 aftertheexpirationofanyestateforlifeorforyears,the Commonwealth hereby expressly reserves the right to appraise and assess transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest. Unit AppraisementDescription01AssetValuesMadelorInherllance Tax Purpo.e. $ REALTY: SI'1ALL SHINGLED FRAME HOUSE,FOUR STREET LEVEL ROOMS,TVV'O FINISHED BASENENT ROOMS.3,000 00 ESTATE INSODVENT .. Having been duly sworn according to law,I do h~reby certify that the above appraisement is made in con- formity with law on this ......~..dayof ..........:..:.....::::::.:::::::..::::::~~.........,...:~ciiZ.·..:.··~~ Apprauler ............................................................................................................................................................ (Number and Street)...................................w....~.......................................,Penna.oat Ofllee) ...................WA$.HJNG'l.'Ql'J ......County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ......................MARY N~.GQPE . Deceased. Late of CANONSBURG .. ~:;a;:el~:~:h~~;~:;;:~~.~~.~7~..g;.,. Page,/-..i;f..~..'f No 9.3..:::7..+:::-.~J.. Filed in Register's OfJice,N.~y 7.J9..7J.. Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,.. Wrote abo,ut Appra.isement, Appeal f1'om Appraisement,. Entered and charged,. I /'