HomeMy WebLinkAboutOC1971-0477 - ESTATE OF AMOSRC C-43 (4-69)
--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:
.AmosKennethR•
NAME OF REPORTINGFINANCIALINSTITUTION The Union National Bank of Pittsburgh
Attenc George K.steinbaugh,Asst.Vice Pres.
ADDRESS ----1':....:..•....:O....:.:.......=Bo:....:...:.:x--=-83=-7~,~p...:i:...:t:..::t=8=b=ur=-9~h:.:.:,:.......:P-=a:..:..-=l=-S2::.:3:.:0::...-
ACCOUNT NO.OF JOINT,
TRUST OR INVESTMENT DEPOSIT__s_a_v_1_n9.::..8_A_c_co_"_un_t_#_7_5_-o_"_0_1o_8_1_-_1__
NAMES ON ACCOUNTORINVESTMENT M_r_8.:..._A_d_a_A.:..m:.....o...;.s__:.....o-=r:.....-_
DECEASED JOINT DEPOSITOR,/
TRUSTEE OR INVESTOR __~Mr=s.=.....-=A~d:.:a:....:.:A:.:::mo::.8=--_....:L/"'":::.-_
ADDRESSANDCOUNTY __1_32_S_ID_i_t_h_s_t_re_e_t_,_B_e_n_t_1_ey.;;..v_i_1_1_e_,_p_a_._1_5_3_1_4 _
DATE OF DEATH April 10,1971
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR Kenneth R.Amos
ADDRESS __1_3_2_s_m_i_t_h_S_t_r_e_e_t...:;.,_Be_n_t_l_e-=y~v_1:.....l.::.1:.....e.::..'_1'_8..:..;.:.....-.:..1:.::,5.:.3.=.1..:.4 _
RELATIONSHIP TO DECEDENT.~--s_o-n-----------_
DATE DEPOSIT OR INVESTMENT
WAS ESTABLISHED February 1,1968
BALANCE,INCLUDING INTEREST
DUE,AT DATE OF DEATH $-.;;1;;-.5..:.,,_4_59_._4_0 _
~r~~
Assistant Vice P~e8ident
/.
RCC-134 (1-69)
COMMONWEALTH OF PENNSYLVANIA
DEPARo'fMEN'I"QF"REVENlfE
BUREAU OF COUNTY COLLECTIONS
,INHERITANCE TAX DIVISION
~
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO:--i\KDc!i·fi:lD1H!·iEn.-;'l!HK-ilRc-r.~AI~MlHlOS!!i-------
132'SMITA ~T,
BDlTI EXVIIJ:I,PEmtSIL¥ANIA.15314
Date:--A:A1pm1"'~U:l:.--l2~6~,-J'19~?~1----
County --WWiAAS;;jjHfi:jI~NI(;.GroWlNiI--------
County File No._-:-_
Bureau File No.&..1 -:&--c:;/Z 1I
We have received notice that,.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~on Apx.-ll 10,19719~,rou came into owners ip 0 certain property t rou .
was formerly owned by the decedent.transfer from MRS.ADA AMOS Deceased
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the Iiability 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.SPines Account 1/7,..00'08'-1 beld
in the 'lEE UNION NUIIONA!·BANK OF PIT1!SB1lBGB,PENNSYUlANIA P 04)01 B37,PITTSmm~GH""J--
PENNSYLVANIA·In the names 'Of lG5"At>A.OOS OR KBNNS'l'f1 R.AMOS.~~~d Pebr\2at7 1,1968.
Balance as of date of death.15,459.40
appraised by the Commonwealth,as of the date of death,at $",4'9.40
SO %of this amount is taxable at the rate of e %
ORIGINAL ASSESSMENT AMENDED ASSESSMENI
ASSESSED BY:_
(Agent for the Commonwealth)
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
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 &11)37 10 19 71·you may deduct a
discount of 5%of the amount of t(JX due,or
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
*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
APPRAISED BY:~/Akt/~_~~71..2.
(Inheritance Tax Appraiser)
$
$---I-771-A2~9..-.1'7~O,----
- - - -2,)-,-1-9----
493.78
$--------
$===============
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:~,r Y/O,~/
~/9/7/'/
de-P/&/o!o(~
To insure proper credit to your account
this Official Notice must accompany
your payment.Mai I or bring it to:
1530J
1 .;-
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 date paid,name and address of th~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 requ ired,and
3 -These same debts are not also claimed,for tax purposes,by on 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 b'e claimed by any other person,for inheritance
tax purposes.
SWORN AND SUBSCRIBED BEFORE METHIS 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 $•
l ,
Date of Approval:_
Register of Wills
Fonn RCC-2
DEPARTMENT OF REVENUE-.
BUREAU OF COUNTY COLLECTIONS
,HARRISBURG.PENNA.J7 J27
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE M.9:y 1Q.,.1.97.1...
COUNTY }i~.~.~.~g,~..c:>.~.
FILE NO...§?..::.?.~:.4.?..?....
Whereas,J1.r..~.""..Ag9.:-!\m9..~late of ~.~!.!:~~.E:lY.Y~g.~.
in the County of ................................................W?,§.b.in.,gt.Qll......................................................Commonwealth of Pennsylvania,having died on
the ..................................~.~J:I:~.h ............................................day of ........................A.pr.;i.l......................................19....7.1..,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,FRANES LEO 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 transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest.
Unit AppraisementDescriptionofAuetValuesMadeforInheritance
Tax Purpol8s
$
I
Jt.Savings Account #75-001081-1 held in the THE UNION NATIONAL I
BANK.OF PITTSBURGH.PENNSYLVANIA •P.O.BOX 837.PITTSBURGH,
PENNSYLVANIA.of MRS.ADA AHOS OR KENNETH R.Al'10S IInthenamesof
Onened 2-1-68.Balance as of date of death.$15.459.40 15,459 40
-
II"'--1
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i
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:
form~;V:fhb1:e:::rh~w~...~~~~.'.~:;o~~~~~~...~.~~~~..~::....~~~.~~.~.~.~~~.~~...i.~...~.~~e 1~....?~~!
............·................·..................·....·~··~··K~........~H
Appraiser
.......,............................................................................................................................................................
(Number and Street)I
..........................................H ......0~...................,Penna.
(Post 0 e)
WASH llJGTO N..... .County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
.HRS.•.....APA...AM.O'$.
Deceased.
Late of
.......B.ENT.LE¥.V.p;.J.,$.
Date of Death,4::-:l-.~.7J:..
Appraisemel!t Docket Vol.,
Page,No ??.~7~-::.4.77..
Filed in Register's Office,M~y +.Q.1971..
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo,ut Appra.isement,
Appeal it-om Appraisement,.
Entered and charged,
,
f
,
II
Form.No.RCC-62 (4·71)THIS FORK REQUIRED IN ALL ESTATES.WITH GROSS A.SSETS UNDER t10.000.UNDER SECTION 701 OF ACT OF JUNE 18.1981,)
EFll'EC1'IVE JANUARY 1.1982.(FILE IN DUPUCAT£WITH COPY OF WILL ATTACHED)
yc..J '.~J~7/-1/77
.'"OFFICE OF THE REGISTER OF WILLS
County of ~~~~~.~~~.~~.
Kenneth R.Amos 138 Smith st.,Bentleyville,Pa•..............................'of ;.
(Name)(Addr_)
.sworn..Executorbemgduly.accordmg to law,deposes and says that he IS the . _
(Excc.,Adm.•Legatee.Etc.)
of the estate oL1\9_~__~_mQ_~.I__._~~j~__J'~_~9_!whose last residence was_.__l~_~Smj,~_b S.~_!. ...__...
(No,)(Street)
.------------~~-~~-~-~¥:'!.~-~-!~-.deceased,and that the whole of the estate of said decedent,who died _~_p.E_~~~~_!_!:~.7l
(City.Borough or Township)(Datc)
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 AND RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
All that certain lot of ground situate in the Borough of
Bentleyville,Washington county,Pennsylvania,known and
designated as Lot No.12 in the J.E.Richardson .Plan of Lots,
which is recorded in Plan Book 3,page 185.(See Deed Book
465,page 452).Having a value of••••••••••••••••••/1':'/."Yh.~$500.00
~'.iY ,
~Ln/J1.L ~lf~zL:v ALJ-~_A/~
tI {/{/~
-
Personal Property
None.0
..
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 signed by a responsible officer of the financial
institution or mortgage holder 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.'
I
Jointly Held Property Estimated
it'alue,
None.,.O·
-
0 .-
.-
-
Transfel's within TWO YEARS Prior to Death (J
None.-
\
0 ..
-
...,....-..........--..--.
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 another as 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
None.
-
BENEFICIARIES
'.:'"fiENEFlCIARIES 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 orotherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE
forth this fact.)DECEDENT
Kenneth R.Amos Son Yes All~
...•.:i.t;.{"j '';t ~,.
RESIDEN~DECE;DENT DEBTS AND DEDUCTIONS CLAIMED
NO~~:'List first five items in the spaces so provided,observe notations'thereon,and instructions.
Funeral expenses paidGreenleeFuneralHome
DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMNr-------=--=-;;;.----:c..::.:....-'----'-'----------,------.:c...:..~'-----'---'--------..,.----=---,r--tDxEGISTERONLY
$1,922.00 $
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses •
Counsel fees •
FiduciarY commission •
OTHER DEBTS AND CLAIMS
(.)See Note below
Total $1,922.)0
(Street Number)
138 Smith Street
Bentleyville,Pa.15314
•••••••••••••••••••••••••••••••••••0 •••••0 •••0 ••••
(City or Town and State)
,~..J!~./t ..~.
(Executor-Administrator)Subscribed and sworn to·before me this ,.
M'f Commi3Slun ..X~I,.~-~~.".,-
Having been duly sworn a~co»ding to law,I do hereby certify tha~the above isement is made in conformity with law on this
...................o..J.8.~..day of o~......00'19.~,&'-
••••0 •••••••,••••••••••••,•••"';~'P~~~i~~;""
..........;(~;t&~.da~of ~.~~~.~o 0'19.?~~'
•••••••0"•••~~4~;'.77u;4 "0 •••0"{IF."'A MU10
• T Wa,hil11Ston Co.N-t"y ouoltL.Canton wp....'T'')HI73
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission 01'debt is greater
or less than the estimated amount claimed and allowed.
In the event that any future interest in this estate is transferred in possession 01'enjoyment to collateral heirs of the decedent after the
expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri-
tance taxes at the lawful collateral rate on any such future interest.
...._....~,...A -..
REPORT OF T~REGIST~ROF WILLS
I,the undersigned duly elected Register of Wills in and for ~County,Pennsylvania,do respectfully
report that I have allowed debts and deductions in the amounts claimed by deponerlL,exced£as to ose items where a greater or lesser amount
is set forti}in the last column to the right in said schedule above,which greater or lesser ,ount I'resents the sum allowed ,as t deduction.
Dated:AP.~..~.~..1~Z~KUS$.EJ~.~AijINO;.....\...~l t ..~..'.,-..;;Register of Wills
.,-
:..,..4 ..f)
:::,~:>;:':",,,/.
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'I"r'~ft.."pt'
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•0',Form No.RCC-62 (4-71)
WillAdministration lNo Year .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
ADA AMOS,also known as
..ADA .MAY.AMOS,D~~~~~.
Late of ...!3.~r:t~.le¥ville••••••'O ..
washington
County of .
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
•~"1'3-..J .-,
::E :::0 (A.)
:t>m:::O(f)c;')~:r:-v'_(,f>cp-
Z-4n
C")rt1 r"
-1::::0..-oz°-;;-....,.--,-,1:~'
0:::£;0;r=%-or-o::>(f)
J.D.costa,Esq.
,
...~
.:j~
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:
RCC-Bl (6-71)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
KENNETH R.A.1\.10S
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
j
In Re:Estate of __--..:AD-=.A:...:-.=..:AM=..:..::O-=S=---_
___W_A_S_H_I....;.N_G....;.T_ON::..:-_County -File No.63-71-477
Dear Mr.Amos,
You are hereby noti fi ed that the__o_r_i~g'-i_n_a~l=--_
appraisement in the estate of ADA N-10S _
has been filed in the office of the Register of Wills of WASHINGTON
County on Apri 1 ] 8 ,19-23,Said appraisement reflects the following
valuations:
Rea I Estate 5_0_0--..:-::-0::-0::..--_
Personal Property _
Transfers _
Jointly Owned _
Total .::!.5~0~0~--"0~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 nine (9)months
(fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive;
and twelve months when death occurred prior to December 22,1965)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.
Date __A=.p_r_i_1_1_S-:,_1_9_7_3 _
ESTATE INSOLVENT
DATE OF DEATH:April 10,1971
Note:This is not a bill.
RCC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
(Initial)
Estate of_AM-'-"O--=S --=ADc=<A.'-=----DATE OF DEATH_4_-_1_0_-_7_1__FILE NO?3-71-4 7 7
(Last Name)(First Name)
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_W_A_S_H...::.I_N_G.::......::.T_O.;;:.N.:--._
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".
naled,April 18.1973 ~-A .;;:~--~A~
APR 18 197~RUSSELL MARINO...~.."'"...Dated:
REPORT OF TIlE REGISTER OF WILLS ~~
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 deponent,except as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F",which e r lesser amount represents the sum
allowed as a deduction.
r;nn "In
500 00,OO?nn
E INSOLVENTAT
$SOD 00
500 00
1 QO?nn
EST
VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED
$$-------+---
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)
CLEAR VALUE OF ESTATE
Valuation of life estates or
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
__c
$
t=
$
$
1==
$
COMPUTATION OF TAX
$--------+---
$------,....--+---
$--------+---
$-------l---
$-------l---
-__----Il-
TOTAL TAX BALANCE :--------l~
PAID $---JL
Less tax previously paid $======9
BALANCE $--1
Less 5%of tax if paid within
3 months after death $=====~==
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6%from_____to _
AMOUNT OF ESTATE TAX ASSESSED $------1
Estate tax paid $---J
BALANCE DUE
Add interest at rate of 6%from
------Ito-----
TOTAL TAX
FOR USE OF REGISTER ONLY
Tax on $~--2%
Tax on $Q:9
Tax on $5%
Tuoo$lK
Tax on $15%
Exemptions *
Total Estate ~-_
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with shon explanation.
Will
Administration !No.
IN THE
year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
.MR,$.~AJ)A1¥'1()$.
Deceased
Late of ..
County of
BENTLEYVILLE
WASHINGTON
/
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
/
.~
oJ _
-
Form RCC-2
\'e'r..COMMONWEALTH OF PENNSYLVANIA DATE ....l.:?:P.:r;,.tj,.......+..?l.........+..9..7..~......................
DE.PARTMENT OF REVENUE ~..-
/'••e .RESIDENT INHERITANCE TAX COUNTY ...........~.~.~.~.~.n:sr~~.n:...__..._.._..........BuREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO•.?}.::.!...!..::.4..??.................._....__..............
Whereas,ADA AMOS late of .............!J.ENr.L.EYVILl\E.....................................................................................................................................................................................................
in the County of .....................Wb.~J.N.G.1'Q:N ...........................................................................Commonwealth of Pennsylvania,having died on
the ......................l.Q.th........................................................day of ..,.....Apr-i..l ......._.........................................19..7..1.,seized and possessed of an estate
subject to Inheritance T-aXilnder the laws of th Commonwealth of Pennsylvania;
Therefore,I,.....~~...~....~7-::...................:.~......,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 I
the cash value of all annuities and life growing out of said estate,hereby file the following appraisement:IestatesI
In the event that any future interest 1n this estate is transferred in possession or enjoyment to collateral heirs of the decedent aftertheexpirationofanyestateforUfeorforyears.the Commonwealth hereby expressly reserves the right to appraise and assess transferInheritancetaxesatthelawfulcollateralrateonanysuchfutureInterest.I
:
Unit Apprallement
Delorlptlon of Allet Valuel Made for Inheritance
Tax Purpolel
$
REALTY:
SEE COpy ATTACHED TO APPRAISEr-1ENT 500 00
..
ESTATE INSOLVENT -
..
..
Having been duly sworn according to law,I do hereby certif th the above appraisement is made in 7...0n-
formity with law on this .........................../8.-tJL;...............day of ..........................................0 /tO~"!f..:...........~.......................................19......~.
.A'A.-,'~............................~;;~.~~~....~..~.~~~. .....·~~;·..=..:/;·~~~~~~i·)......·................·...............................,.....
.......................................................................,.~................_.....................................,Penna.
,~OlBetl
WASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
ADA MolOS·
Deceased.
Late of
BENTLEYVILLE
Date of Death,:4.::::.:1.:.9.::::T1.j:.
Appraisezizel!t Docket Vol.,~~
Page,./...?...t..=...~....No 6..3.~..7.l.~.4..7.7......
Filed in Register's Office,A.P..~.~.~.....~.?.........19.7.?...
Al1UJUnl of tax due $J .
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appra-isement,
Appeal f,.om Appraisement,.
Entered and charged,.
.i
5 00.00
500.000
~92.00-
~
1.992.00
1.9 9 2.0 0 0
1,9 9 2.0 0 *