HomeMy WebLinkAboutOC1971-0160 - ESTATE OF DUNKLE~~-----------------------------------------,
;
Fonn RCC-2
DEPARTMENT OF REVENUE
BuREAU OF COUNTY COLLECTIONS
HARRISBURG,PENNA.I 7127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE :f.~p.r..~9.r.y +..7.,~.rJ..J:..
COUNTY W.a.~hingt..9.Xl .
fiLE NO•........§?:.?.~.:~.?q .
Whereas..~~..!~~~.~P~:late of Ay..~g.?:.
in the County of ......................................w..~.§m.o,gt.9.n ................................................................Commonwealth of Pennsylvania.having died on
the .......................................15th..........................................day of .........................NQ.Y.~mp..~.r .........................19......79.seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I..................................A¥~....~9.~.~................................................................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.
Unit Apprallement
Description of Allet M.de for InheritanceValullTexPurpolel
$
Jt Sav·[lp'1'>Acct.#081 2052592 held in the PITTSBURGH NATIONAL
BANK,\'lASHINGTON OFFICE WASHINGTON,PENNSYLVANIA In the names of
RUSSELL DUNKLE OR MRS.ETTA DUNKLE.Opened 5-8-59.Balance as of I
date of death:$11.865.32.11,865 32 I
Jt.Bank Account #20914,held in the FIRST FEDERAL SAVIIDS AND LOAN
ASSOCIATION OF WASHINGTON.WASHINGTON OFFICE,WASHINGTON,PWNNSYLVM IA.
In the names of RUSSELL DUNKLE OR ETTA DUNKLE,Opened 3-4-66.
~~hT'l"1'>;:IS of date of death.$L 028.4.7 4,028 47
Jt.Savings Account #83-4-799817 held in the ]I PITTSBURGH NATIONAL
'RANK WASHINGTON OFFICE.vlASHINGTON.PENNSYLVANIA In the names of
MH HTTSSF.T.T,nTTl\TKT.R OR MRS ETTA DUNKLE.Onened 6-1-60.Balance
.as of date of death.$1.822.99 1,822 99
-
fonn~;v~~hbl::::~h:sw<>rIl~C<('~~~la::~a~o~~~:~~~~r~~i~:
ieer
~dt;~fi¥~.;:~:·
.......................W~.~rnpgt9.!1...COU1lty
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
Mrs.Etta Dunkle
Deceased.
Late of
.........................Aiiella ..
Date of Death,g~J.:2::7..9..
Appraisemel!t Docket Vol...........,.
Page)No....63~7.J.~~6O'..
Filed in Register's Office)~.:~..~~.?19..?..~..
Amount of tax due,$..
DEPARTMENT OF REVENUE'
Received,
Examined and Approved,.
Wrote abo.ut Appra.isement,..
Appeal ft-om Appraisement,..
Entered and charged,.
,
#
•
.'
•
RCC-134 (1-69)
COMMNw'EAtTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BL!RfAU OF COUNTY COLLECTIONS
,;.#INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
R.D.10
Ave11 a,PeDD6¥1vania J5312
TO:_---.ll:u.fr.:."•...-uR~U,l;i.SS::;Je~J~JI._J,IDa.lJ~D~kJJJe~_Dote:December 3"1970
County Washington
County File No._
Bureau File No.~J'.7/J /~0
We have received notice that,~Jtf{~v...xxxxxmm¥xxxxnxxx.x:xxxxx:XnmxXXKX~XY..xiCXX
on 19~,you come into ownership of certain property through_.,,'u '.~
~BR."OOOO~,·~XX .'.sv Transfer from 14RS.ETTA DUNKI....!.,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:tIt.S,m~s Acconnt #S3-4-'+99S1'l ~J.Q 11l
1n Ulg PITTS:YY2M NATIO;WPJ..}1.,Jl{,J,jASFIPTCT,;)N O~1],i1IC1",l'JNj 1IIW'WW,P.....NHSl1..VtI~lh.1:Jl the names
of ~~liP.Rl:l:ssoll DWlldo OF l:z.6.ll;tta llunldo.OpoRod June 3,1990.Belaaee
as of date of death.$1,822.99.
appraised by the Commonwealth,as of the dote of death~at $1,822.99
50 %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
AMOUNT OF TAX DU E'
D If you pay the above amount within three (3)months
of the dote of death of the decedent,or on or
before February 15 19 71 you may deduct a
discount of 5%of the amount of tax due,or
D This tax become delinquent,fifteen (15)months
after the dote 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 .
*1£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 $
$--.:;t.9U~.5;1"O~--
54.69
- - --2..2.3-----
54.69
$--------
$===============
APPR AISED BY:-~L:......j4-"-+-=-"I-~~4"..---r""-ASSESSED BY:_
(Agent for the Commonwealth)
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:
-/~~~,/
0ft //:/77/
g #/f/4~.?SJ
To insure proper cred it to your account
thiS Official Notice must accompany
your payment.Mail or bring it to:
~....lljil ..J v":'
WASHh~GTON,PENNA.16361
If you have already pa id th is tax to an exec uto~r,admin is trator,attorney or other pe-rsona I representat ive of the
decedent for forwarding to the Commonwealth,list below the date paid,name and address of the person~to'wh&m
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 determrnes 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 deced~nt 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 O~_
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
RC C-43 (4-69)
,,0 3 -1/-/00
COMMOe~WE'A~THOF ~ENNSYLVANIA ('au B~~~~/tfO
DEPARTMENT OF REVENUE v liry COLl i~f..
HARRISBURG ..~.f IONs
halO 2
3&,fH '71
J
NOTE:TO BE SUBMITTED IN TRIPLICATE
Pennsylvania Department of Revenue
Bureau of County Collections
26 S.4th Street
Harri sburg,Pennsy Ivan ia
Dear Sir:
Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961,
we herewith submit the following report:
NAME OF REPORTING FirGt Fnclerrd Savinnr.end Locn Ar.r:lbnt:i (in (if
FINANCIAL INSTITUTION Woshington -
ADDRESS 77 Scuth t\!d.n Str~~t Washin0ton,FH.15301
ACCOUNT NO.OF JOINT,
TRUST OR INVESTMENT DEPOSIT__S:;;;:'a:'..::.\'.=:.;in;.:.;.fL:::;s~~:..:.:'C:..;..<)=-l-4.:..-._
NAMES ON ACCOUNT
OR INVESTMENT Russell Dunkh or J·;x&.2tta Dunkle as jot tnt,.
/'
Av&lla,Fa.
DECEASED JOINT DEPOSITOR,~
TRUSTEE OR INVESTOR E_t_ta_Dt_Jn_k_l_e_...:.V _
ADDRESS JANDCOUNTYR.D..Jfl.
DATE OF DEATH 1l··]~-70--~~------------------SURVIVING DEPOSITOR,BENEFICIARY OR INVESTOR p._'.1r._.~~_&_)._l_Dt_._nl_:,_,~_
ADDRESS n_oD_'_;,'_l__A;'_II-_'J_l_';'_'_:;"_a_._
RELATIONSHIP TO DECEDENT ?_
DATE DEPOSIT OR INVESTMENTWASESTABLISHED 3-__4_-_6_6 _
BALANCE,INCLUDING INTEREST f
DUE,AT DATE OF DEATH $$_4_02_8_.4_7_--:.l/_d_:2_1_,'I~1 _
Signature TITLE
..F_
RCC-134 (1-691
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.Bl!'REAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
TO:Russell Dunkle
R,D.#1
"...,.....
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
Date:__.......!F~e~b~r~u~ary~..:!1~1:..1,--'1~9:!.J7!..:!!1=--_
Courity .-,;W:.:..:a::.:s::.;h=in:.:cg..:t..:o~n~__
15312Aye11a,Pennsylvania County File No._
Bureau File No.({,J -7/~/60
We have received notice that,n:U~l1KdtK~JCXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
on November 15 19..20..,you came into ownership of certain property through *.JBi~H~
i~~~IJ~~K transfer from,~ms,ETTA DUM<LE,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 #20914,held in
the FIRST FEDERAL SAVINGS AND LOAN ASSOCIATION OF lvASHINGTON ,lvASHINGTON
OFFICE,WASHINGTON,PENNSYLVANIA,In the names of RUSSELL DUNKLE or
ETTA DUNKLE,Opened,March 4,19G6,Balance as of date 01 death,
~4,028.47.
appraised by the Commonwealth,as of the dote of death,at $4,028.47
50 %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
$ _.....2~,t-IoOu]~4c..e.."""2124 __$--------
AMOUNT OF TAX DUE 120.85
o If you pay the above amount within three (3)months
of the date of death of the decedent,or on or
before Feb.15 19 71 ;you may deduct a
discount of 5%of the amount of tax due,or 6.04
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
*If the tax is not paid by the above dote additional
interest is due at the rate of 6%per annum unti I
paid
$:=================
(Agent for the Commonwealth)
114,81$
ASSESSED BY:_
TOTAL AMOUNT DU E
APPRAISED BY:......=::::::::::~~_~_~_./'_/_~_O<..<.-.__u__
eritance Tax Appraiser)
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:
/7/f'J//
A~4/!/dV ?S2
To insure proper credit to your account
this Official Notice must accompany
your payment.Mai I or bring it to:
If you have already paid this tax to an exeqJtor,administrato~attQrney or other personal representative of the
decedent for forwarding to the Commonwealth,list Lelow the"date paid,name an~addre~s 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
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 requ ired)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY Of _
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__
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 $.•
Date of Approval:_
Register of Wills
RCC-43 (5-65)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HARRISBURG
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:
NAME OF REPORTING
FINANCIAL INSTITUTION Pittsburgh National Bank -Washington 83
ADDRESS 6 South Main Strat,Washington,Pennel]:yania 15301
ACCOUNT NO.OF JOINT,
TRUST OR INVESTMENT DEPOSIT__a3-~4"'~7998~·Uo£l~7l---_
NAMES ON ACCOUNT
OR INVESTMENT M1'Russell Dunkle or Mrs Etta Dunkle
DECEASED JOINT DEPOSITOR,./
TRUSTEE OR INVESTOR _....;M=r;..;;.8""'-•...::;E:..::.tta.=..;;;;....=-Dunk=·=l=e:o--__-:t./~_
ADDRESS R~D,'1 Avella,Pa.15312
DATE OF DEATH !lcyembor 15.1970
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR Mr Russell Dunkle-~....;;.;;.;;;;;;;;..;:;..;;;=-=-====----------
ADDRESS R,D,III Avella,Pa,15312
RELATIONSHIP TO DECEDENT_S_OD _
DATE DEPOSIT OR INVESTMENT
WAS ESTABLISHED ''\In.3.1960
BALANCE,INCLUDING INTEREST
DUE,AT DATE OF DEATH $__...::..=t,L..;;8_22.;;..;:.~99~_
'i'<%--<
y//.So G)~%.=
S~~ol;/s-~//;;.
/
-'.,.)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HARRISBURG
Hov 19 1970
RCC-43 (5-65)
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:
Pltteburlll National Bonk
NAME OF REPORTING Wa,;,h1ngton Oftice
FINANCIAL INSTITUTION _---l6~fi...r:.KUle4ollD~St~t _
WaShington fa 15301ADDRESS _
ACCOUNT NO.OF JOINT,j
TRUST OR INVESTMENT DEPOSIT_S_&V_OS_'_20_52_S9_2 J~j J/'
NAMES ON ACCOUNT lJ.
OR INVESTMENT Rwsoel1 Dunkle or
Mrs Etta Dunklo &1')
DECEASED JOINT DEPOSITOR,Mre -tt&n._'."I o·L7TRUSTEEORINVESTORO__l<fu;.;;.;...;;u.....;;;.;;;...._
RDll
ADDRESS Ayllla fa 15312
DATE OF DEATH N=o~v-=l:::tE':._:·1=..9u.7=O _
·SURVIVING DEPOSITOR,
BEN EFICIARY OR INVESTOR _R_ws_·_lSo_ll_·D_un_._kl;;;;..;o'-_
RDll
ADDRESS A"._e=U=··4",-·~P=a__1:;&5&:31=2L.-_
RELATIONSHIP TO DECEDENT...;.S~on~_
DATE DEPOSIT OR INVESTMENlM 8 19f:9WASESTABLISHEDq,,_
BALANCE,INCLUDING INTEREST
DUE,AT DATE OF DEATH $-.,;U~,86='=.3=2 _
s:f..3'oZ .~~Qt?o:o JSS.ft:.
S%,,()~.e:.t -/S-7/~/7 ~(J
RCC-134 (1-69)...,.
COMMONWEAL TH OF PENNSYLVANIA
"DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
OFFiCiAL NOTICE OF INH ERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO:_....::.R=u=so::.:e=ll=-..;;Dunkl~=e~_
R.U·#l
Date:Nove1:nber 30,1970
County Washington
County File No._
Bureau File No.--'~=--_-.&-2-,-/_~.....:.~....~~O__
'1~e have received notice that,4
on.'november 1;19?O ou came into owners.hil?..Pl ce.1l!lin 1U0Acu.t,r,thro.u..gh r~~\W .transfer-trom Mtf;:j.~TrA 1JUri~,d~C'eaaed~---
.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.
Th'e prop_~tl on whi.ch tax is herepy assessed consists of:Jt.Savin,go Acct.,f}08.3 2052592 Held in the
PITTSBURGH NATIONAL BANK,WASHINGTON OFFICE WASHllUl'ON.PENNSILVAN1A.:m tho llI.Une8 of
RUSSELL DUNKLE OR MRS ..ETTA DUNKLE.Opened May S)1959.BalAnce as Qi.date of death:
appraised by the Commonwealth,as of the date of death,at $u,865-,32
50 %of this amount is taxable ot the rate of 6 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
(Agent for the Commonwealth)
ASSESSED BY:_
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
AMOUNT OF TAX DUE
o If yo~pay the above amount within three (3)months
of the date of death of the decedent,or on or
before February 15 19 71 you moy deduct a
discount of S%of the amount of tax due,or
o This tax became delinquent,fifteen (lS)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
*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
APPR AISED BY:_w_I?~...--:&=/..:...-·-vtl..A--=-.:....:~=----;<~_
(Inheritance Tax A~r)
$
$_~U:::.....L5'lLli93~2=.l.*=6=-6__
17.80
$--------
$=================
INSTRUCTIONS TO TAXPAYERS
To insure proper credit to your account
this Official Notice must accompany
your payment.Mail or bring it to:
Make checks or money orders payable to:
~"'Y9-".?C
~/?//'?/
g//$-?Y?03
eQUaT f-iUv~i.:
WASHINGTOfl P-:~<"J;I~,t •.l ,i.153uI
•,
,~
/
/
...
If you have already paid this tax to an exect-fc.,',.:lc:ninistrator,attorney or other pe-rsoncil representativ~of .t.:-..
d~cedent 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."
Dgt.Paid Name and Addre~s of Payee Official Title Amount Paid
Under certain circumstqnces,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 followi!1g 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 wtll 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 describ~d above ond 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.
SCHEDULE OF DEBTS
Dote PeNd Nome of Payee Description of Obligation Amount Paid
11/1 >/0 Brownlee Funeral HO me-Burial expenses 1269.40
11/1 rl a Claysville Cemeter Openin~&c1osin~~rave tj5.00
11/2 iI'0 Russell Dunkle Reimbursement for payments
advanced to Ankrom NurSing Home
3/17/70 to 11/l~/70J incl.3bij9.0rr
11/25/70 Russell Dunkle ~elmbursement for <1rug b1lls
P-d Jii:'...'s --
8/6/70 to 11/6/70 •40.00
11/25/70 Russell Dunkle Reimbursement of monies advancec
for dru~s at Annex Pharmacy
7/7/70 to 9/2tj/~O 15.00
,11/17/70 Dr.William A.Prid ~aux.Professional services 10.00
11/17/70 Hanover Lifa Ins.C).-Past due bill 79.00
I
,,,
S 5147.40 •TOTAL
(attach separate sheet if requ ired)
SS:
COMMONWEALTH OF PENNSYLVANIA}
COUNTY OF-WASHINGTON,)
-C RUSSELL DUNKLE .hereby c~tlih:tbpt Jh~foreC'tl!.ll~j$.jljust and true statement of
funeral expenses and other debts of the decedent,t;TTA MAR<TARET iJON~r.;,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 c;:laimed by any other person,for inheritance
tax ,.."oats
Sll...AND SUBSCRIBED BEFORE ME THIS LL_-It-O AY OF C,0,7 if (I j1 .---'ebruary 19 71./.V!U/lA'"(A.,U/~
--BARBARA CRAIG.NorARt PU[j[!C Signature of Taxpayer
/I WASHINGTON,\'I,'SHINGTON COUNTY
fl.MY COMMISSION EXPIRES JUNE 25.1974
EPORT ~F R GISTER'OF WILLS
,.~.
Register of Wills,.
','
I,..........'tg...d,duly elected Register of Wills in and for the above county,do respectfully report that I
hove .lIow.d deductions listed above in the total amount of $•
t.'.-...f.Date of Approval:_