HomeMy WebLinkAboutOC1971-0595 - ESTATE OF BOVETSKY--COMMONWEALTH OF PENNSYLVARJ~EIVEOF
DEPARTMENT OF REV~~~y ,,7Jt~?CT'ONS
HARRISBURG"l"
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:
j
Signature TITLEftIanager
CHARLEROI FEDERAL SAVINGS A~D
LOAN ASSOCIATION ';
Pursuant to Section 742,'Pennsylvania Inheritance and Estate Tax Act of 1961,
we herewith submit the following report:
NAME OF REPORTING CHARLEROI FED~RAL S/WINGS 8:LOAN ft,SSN.
FINANCIAL INSTITUTION P.O.G0X ~!"'~>,?~'..-"I I~<:.OJ 0
ADDRESS Ct ....,,,."I,..........,..•..:v_~,.0
ACCOUNT NO.OF JOINT,Sav:LDgs ACCQunt #JJ16$..'-1~).;..J
TRUST OR INVESTMENT DEPOSIT XI.··.....•........".~B.§lifJ kr.~,
NAMES ON ACCOUNT Pa.tricia Ann Bove.ts'lrr,.or Jo Ann Bo~"e··ts'MT 'lORINVESTMENT..,_...'~....~'xv
DECEASED JOINT DEPOSITOR,Jo i\rm BqV6tSltyTRUSTEEORINVESTOR _
DATE DEPOSIT OR INVESTMENT \"",8 . .
WAS ESTABLISHED .April "~964
BALANCE,INCLUDING INTEREST 1 587.'69DUE,AT DATE OF DEATH $'_
f .~.i ....-it..1,,17.'~.=-'1r·3,S
~7-7 1fJ.~~':~~.,.t.J
S'7~1 J/7.tJ:;;',J¥
I
r
RCC-134 (\-69)~)-,~
COMMON\lI.E'AL~"i DF PENNSYLVANIA
,DEPARTMENT OF REVENUE
I3~EAU O~COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SU BJ ECT TO ADMINISTRA TION
TO:PATRICIA ANN BQVF;TBKY.lMJBliAM
..998.W\IN.BTREFITH
Dote:........,.....,Jlflm1Tl'lt'e!'""""2z'-:-,.--:lT'~~!l~-----
CO\.lnty ........,....,!,:t1~R~S-flHd:llAA'IC.f::~~OJ!l~~1-------
County File No.-:-__
Bureau File No.~d -7/-S90
We have received notice that,.>m~[JeW~~~~~~'~~~~7;~~~~ii~~~"':v~,~V~VV~~~~V~V~V~on 14a~T 37 19....!lJ..,you came into owners ip of certain property through
'IDOO~~bJtJtRr~~transfer from JO ANN BOVETSKY,Deceased.
Under the Inheritance and Estate Tax Lows of the Commonwealth of Pennsylvania such transfers are taxable
and the Iiabi Iity for the PQyment of the inheritance tax due is imposed upon you,ps transferee.
The property on which tax is hereby assessed consists of:.It.Sayjnr.s AncQlInt#JJ165 held iJ:l.U~e
CHART),;mr FEDERAl,$!I'{UlCS.8·LOILbL ASSOCIJ1TI<»1,CHARLNtOI OFFICE,GliARIE.IDI,PBNUSYL'},'UrIA.
In tb9.namefl of PATRJ.CJA!\N.N.BO\1l5TSKY OJ?cIQA~lNJ30JnfTSlcr..Op~m~d 4 g 64.Balanee ao ef
dat,?of death,$J,587.69
appraised by the Commonwealth,as of the date of death,at $1,58+.69
50 %of this amount is taxable ot the rate of ..6 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABL,E AMOUNT
LESS:ALLOWED Dl:BTS
Nl:T TAXABLE AMOUNT
AMouNT OF TAX DUE
o If ,/ou-pay the above qmOl,lnt within three (3)months
of the date of death of the decedent,or on or
before ~ugust17 19 7J._you may deduct a
discount of 5%of the amo\.lnt of t~x due,or
o This tax became delinquent,fifteen (15)months
after the dote of death and,in addition to the
tax,statut'ory 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 date additional
interest is due at the rate of 6%per annum until
paid
TOTAL AMOUNT DUE $
--,....~,....-,....,....--
-!""""!"'-~------
$-............-..------
----~------
$============
APPRAISED BY:~.Al.A'.&-<f./f£,:2>,••.0'-0 ASSESSED BY:----------;:;.·(lnheritance Tax Appraiser)(Agent for the Commonwealth)
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:
fJ~/S9.02S-
b -11-7/
To insure proper credit to your account
this Official Notice must accompany
your payment.Mail or bring it to:
If you have already paid this tax to an executor,administrator,attorney or otner personal r~preser:\tative.,of t.he ..
decedent for forwarding to the Commonwealth,list below the date pa.i,d~name and address of the pe.r,s.9r..'K..,whom
you made payment,their official title and the amount.', .;;.....".J....
Date Paid Name and Address of Payee Official Title.
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 computationof,tax due.If any
such expenditures m~et all of the threefo'llowing tests,it is recommendedJhat yo,:,itemi,ze the payments below,
execute the affidavit,and return this notice.The Register of Wills will examine the debts claim~d and al19w
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 fo~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 genera.!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)
5S:
COMMONWEALTH OF PENNSYLVANIA)
COUNTY 01=:_
I,hereby certify th~t the f.oregoing is a just and true stat~me'nt 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 $--------0
Date of Approva I:----'-_
Register of Wi lis
•,",,,J
~"
...,"--~
,"
RCC-43 (5-65)
COMMONWEALTH OF PENNSYLVANIA,,B1lfJllYEO"
DEPARTMENT OF REVENUE COUNTY cot}l:~t,""
HARRISBURG --L]iONS
MAY 28 3 tso ftf 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:,t .,,'
NAME OF REPORTING CHARLEROI FEDERAL SAVINGS g[LO,4N ASSN.
.FINANCIAL INSTITUTION P.O.BOX !18q 1d 8:f',':~~n:-.',,~~,(\,'/':-.t
ADDRESS CHARLEROI PU;;':,··'F·I/").I li'l.4'JlJ~t.
DATE OF DEATH N~~,17,J~71 ~
SURVIVING DE POS:":':IT=O::":R:-,--.,;;...;;;::..-".:..,;;;ci::..•.~..;..._::.....~.;....;..,";".-J\-1:----'------'-~---.l--.-...-
BENEFICIARY OR INVESTOR _.._,~_~_ltt_-,_;(:_~a_·~_.tl.Hn_"(·_"J!I_al_tb_h..:...a."il -,--_~__
ADDRESS 998 Nain St.,Bentleyville,Pa.15314
,RELATIONSHIP TO DECEDENT Patriciij.Ann Laubham a d.qughter to'Joan 111
DATE DEPOSIT OR INVESTMENTBove~s@',.).
WAS ESTABLISHED Harch 16,1971
BALANCE,INCLUDING INTEREST$2·00000DUE,AT DATE OF DEATH $__'_'_._..•_
--"-
'j
&dpc.Yl1~,
Signature :TITLE
~:~EROI FEDERAL:I.
LOAN-'n SAVINGS AND,AS~vCIATION r '.t
RCC-134 (\-69)...-,..1_
COMMONW.EAL TH OF PENNSYL.VAN'I,j\
;;OEPA~TMENT Qf REVENUE
BUREAU OF 'COUNTY COL'LIlCTIONS
INH'tRITANCf TAX DIVISION
'OFFICIAL ~NOTICE OF INHERITANCE TAX
!A:PP,RAlSEMI:NT AND A'SSESSMENi OF
:ASSlrtS}il'Ot SUBJ ECr TO ADMINISTRATION
Date:......~SL.Junlolol..l.!e"---£:2..,,--..Iol:;L'17L.lol......._
..RENTIJIDlII.U;,.PENNSYLVANIA ..15]14.
'TO 'PATRICIA ANN LAllBHAM-
·..·998 MAJN STBrJi;T County.lJASHINGTON
County File No.__~_
!BmeouFile No.~.~_~~_
W:eh'oveteceive'dnolice tho',16:-sXdCIe'smuOi~Wo1XXxXXXXxxxxy..xxxxxxxx.xxxx:.xy...xx:;c\XXXXXXXXXXXXXXx.X.X
o'n ..Ma¥.J7......r9~,;Y'ou tame hftooWtlership 'o:f 'te'r'toi'n p'roperty 'through ~O:£'xs{lHIJ12ta1~
Rltioo~ml~ooh~~transfer from JOAi\BOVETSKY..Deceased.
Under the Inheritance and Estate TaxL:awsof 'the Commonwealth ofPehnsylvania such transfers are taxable
and the liability for the paynyentof :th'e i:o'het'itOh'te lax due is impose'd upon you,as transferee.
The property on which lax l:s h:ereh;y 'as'sess'ed c'onsislsoJ:.Jt.Savings Account IJl97f!7 held in the
CIIt.,RLEHOI Fl!;mJ'..AL SA.VI~~L~.LOAI~jl§SN...._CHARLER9I01~'FICE,GHAHLEROI,PLNNSYLVAIITA.In the
names of..PATHICliLAN1LLAUBliA1LOR JQAN.BOV.i!:TSKY.d .Opened 3-16-71...Balance as of dute of
death,$2,000.00 ....,,""d...d.
apptai,sed by the tOllH1l0nweahh,as 'of the dole of detnh;al $.2"000.00
100 %o'f this amount is 'taxable 'at th'e rot'e 'oL d 6 %
O'Rl'G1N-Al ASSESSMENT_...,----".-".-.-.AMENDED ASS;ESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS':ALLOWED D'ESrs
NET lAXABlE AMOUNT
$-----------.........-------
AMOUNT Ol=TAXDUE
o H you ptl:ythe foboveOmOll'r'lt whh~'n ,tlnee(3)mto'l'llhs
of the d'Ote 'of d'eothof 'the 'de'c!e~ej:l'(,'or 'on tfr
b:elore ."'.'AugllSt ,17_.19 73,....,:rOI!J mo,y rdeduct '0
discount 01 5%of the -ani'ount 'of hlX ,du1e"(l't 6.00...0-'......_.....--........-...--.............-
o Tkis tax b'ecame delinql:J'ent.,Hheen 05)months
oherthe date 'of death and;10 'Ocld'itioii to lhe
loX"Sl'illutory 'interest -a1 ,the !t'Cite 'of '0%'o~the
l(lx p'er trhllumisalso ,clue as of 9<~~~
19~1Tl the amount of
*Ilthe lox IS n'Ot paid by the ttb'Ove thiteoddi'fion'ol
interest is tlueat the !'tlle fof &%pet 'onrnrm \Jilt'il
paid
ASSES$EDB y::=-.=.--...-....~-=---=----~~_~~__..........~_
(Agent lor the Commonwealth)
APPRAISEO 'BY':
1'O'TAl AMOUNT DuE
~fk<LrJ~,
(Inhedhll''lt:e Ti:l,X Apptulser)
$~...._.
Make checks or money otdetspClyahle to:to insure proper credit h)your aCcount
this OHidal Notice must 'accompany
y\)ur payment.Mail or bring it 'to:
~Wf7!11 AU-~
",...&:...1 •u.,ThE LOMMONWEALTH
COURT HOUSE
WASHINGTON,PENNA.15301
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 pai.d,name and address oft'he'p'~rson to.wnom
you made payment,their official title and the amount.",,'c.'~..,,-~..
Date Paid Name and Address of Peiyee .Official Title'
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 c.omputationoftax .due.If any
such expenditures meet all of the three following tests,it is recommended that you itemize the payments belo",,:,
execute the affidavit,and return this notice.The Register of Wills will exami.nethe·debts·~laimedand 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,a~d
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 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·1
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
Si gnature of Taxpayer
I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report thaI'I
have allowed deductions listed above in the total amount of $--------0
Date of Approval:_
Register of Wi lis
..'t "..,,~~,'~'.~.....Fonn RCC-2 15,1971-.,-COMMONWEALTH 'OF PENNSYLVANIA DATE June........................................................................................................
:-DEP.fttTMENT OF REVENUE RESIDENT INHERITANCE TAX ......Jl.a.,S.h.ix1.gt...Q.n.................................BUREAU OF COUNTY COLLECTIONS COUNTY
HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO.63-71-595..............................................................................,.................;
Whereas,..........................J...Q....,ANN...J?.QY.Wr,.$.J\X............................................................late of .................................B.~.N.T~~XY..!.p>~...........................
in the County of ..............................................JiA$.HJ..N.G.T.'ON.............................................Commonwealth of Pennsylvania,having died on
the ......................................:.1.?.~.Q.........................................day of ......................}.~~Y.............................................19.....?.!,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,FRANCES 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 th~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 AppraisementDescriptionofAssetValuesMadeforInheritance
Tax Purposes
$
JT.SAVINGS ACCOUNT #13165 held in the CHARLEROI FEDERAL ,
SAVINGS &LOAN ASSOCIATION,CHARLEROI OFFICE,CHARLEROI,
PENNSYLVANIA.In the names of PATRICIA ANN BOVETSKY OR JA A~N
BOVETSKY.Opened 4-8-64.Ba1a1ance as of date of death,
$1.587.69.
,
Jt.Savine:s Account #19787 held in the CHARLEROI FEDERAL
SAVINGS &LOAN ASSN.,CHARLEROI OFFICE,CHARLEROI,PENNSYLVA NIA
In the names of PATRICIA ANN LAUBHAl-1 OR J~AN BOVETSKY.
Opened 3-16-71.Balance aac:;of date of death,$2,000.00
..
.
.
!
,
•
;
,
;
I
I
.....................................................................................................................................................................
(Number and Street)-
..................................................U-/~..',
{Post OIBBY "
I I
1
Penna.
WASHINGTON County
5-17-71
63-71-595..
RESIDENT INHERITANCE'TAX APPRAISEMENT
Estate of
JOAN BOVETSKY
Deceased.
Late of
BENTLEYVILLE
Date of Death;
Appraisemellt Docket Vol.,..
Page,No.
Filed in Register's Office,J.une l.5 .19 7.1
Amount of tax due,$..
DEPARTMENT OF REVENUE
Received,
Exa.mined and Approved,.
Wrote abo.ut Appra-isement,'.
Appeal f"om Appraisement,: :..
Entered and charged,,..
~
.~
COMMONWEALTH OF PEMjq'S,.v.LVANIA
DEPARTMENT Q~.\~~i~E~Q.E.,.:U:;::;
HARRISBURt
....
.!,~._••-~• -
.'
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:.,..
,I';:',
...,I
NAME OF REPORTING
FINANC IAL INSTITUTION tL..;;·..l.!.O........!.:!8..lo!.O.!.lX.....l5~·8!.>!.3--.;!;.:1S~~....lr....j ....!.I.:.:..l:C...:.;':~~~~/',lJ.~.J...!,AJ-l·./w.'E......--,-_
Purs'uantto Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961,
we herewith submit~he f~lIowing report:.,.
,,f,"LEoOI Fr-nr';'~L \"\/i··lr'....f!L"A:"A"....~'\..dlh.,1\(...[,,1"v.11",U·J Co!U d .;).:>11.
ADDRESS _--:-__--------_C-H-IA-R-,:.L~Er-{G-'I,-PE-·h_;l~_·i\~._15_0_2...,.2~_
ACCOUNT NO.:OF JOINT,...
TRUST OR INVESTMENT DE POSI T--i8~,al'V'~!:t'ftgl!:tJ.~"""""lA~c~el"'lo=ft·r+.t-llriftk>I"'='."':lHE}~C;iA<e,,,",·...;",;'.~_
NAMES ON ACCOUNT.
.OR INVESTMENT -'-----.aR:oo~r.Q~m~!.i~rG-Q~S*!~:4g~g:':"';:;.i;,.;tiea~~~el!l;p .....J~e*a~a~·B~e~·::~e~tf3fHlfifl/~'-~---
..
~,r ,.DECEASED JOINT DEPOSITOR,
TRUSTEE OR INVESTOR _--IoJ~~!.Ci.e.u.n...JBoJ1o~~T.tl.et1lJ.'S::>::lq~~_
ADDRESS.io_2--.,;.P_1n;..;..·e_S..:.,t.:....!·t:.....'.:.;:E.U=="~::.:'s;.::wo..::.;r::...;.t:..:;h:z..-=1?:....:n:.:..-=1::::5~3:::::j31:=..·..,..-.__-
'.
DATE OF DEATH ..,SURVIVING DE POS-IT-O-R-,""""l!MJ''Uynl'.-"'1....'~,-'I1re~'f"11t-.--------.-,.-,-....,..---.--
BENEFICIARY OR INVESTOR --ttRe&l~e~e~m!l!:!rPEe~Si~e~e~hit1~~Etft'fto&'---------
.\<••ADDRESS _---'lwOolli2..........P1...n.&lOeI....W.Stll.l·"•..;.~'.I.liE1A.l'LJ:siJljlJut'lX!~+~,b...,_p~tla.;,i_.1S;l,3:a;3~1 _
Sigl10ture .TITLE.Manage,..
RELATIONSHIP TO DECEDENT .•....'.......
DATE DEPOSIT O.R INVESTMEN~SetlttZ e Sicchitano a dau«bteJO'tb"cau Bovetsq
WAS ESTABLISHED March 16.J97:l
BALANCE,INCLUDING INTEREST
DUE,AT DATE OF DEATH $--lii2~,OIiQoQQilO:&l.OO~·~-------------,
~(f't 16 1 ~I ()IJ i)~t I ~0
S7 0 1~OJ)::::.'~..(J iJ
CHARLEROI FEDERAl:SAVINGS AND
LOAN ASSOCIATION'.
II ,J \.RCC-134 (1-69)
C$MMONW'l:ALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO:ItOSFJiIRE SIGGMITMJO
J 02 PUlL'ST2PoET
Date:J\lflO 2,1971
County ~·J.'\5HIl'jGTON
County File No.JJ-/71-Z
Bureau File No.&.7-7/~.s-fS-
J •~\
transfer from JOAN BOVETSKY,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.Held.Sa¥ingla c.CCOmlt #197S5 NOla :in
the CHAHT ;'-RO!F'EDFRhl.SAVOO')!:.LOtUJ (jSSOCIATIQ1I~ICWJU ..:EROI Oli'FIGE,GWillLEOOI,PENNSYLVMJI:h
In the l'it'.t:ffieS of Il.OSEHIRE 5ICCMITlHIO OE JJ:;.'lJIJ BOViTSKY.Opened:X!3-16-71.Ba]ance as of d ....te
of dQata,$2,000.00
appraised by the Commonwealth,as of the date of death,at $2,000.00
lOa %of this amount is taxable at the rate of 6 %
ORIGINAL ASSESSMENT AME~DED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWED DEBTS
NETTAXABLE 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 August]7 19 7'you may deduct a
discount of 5%of the amount of tax due,or
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 date additional
.interest is due at ,the 'rate of 6%per annum unti I
paid
TOTAL AMOUNT DUE $
$_---f2:..,:;~Q!.loiOO~oQQ~,·
120,00 --.
- ---1>..00----
//7<(J~
$--------
._---~-----_.
$===============
,.....-/
APPRAISED BY:~,/J"·U"'''=&(>4.0 iFJ1~~.ASSESSED BY:_
.'(Inheritance ¥:x Apprai~r)(Agent for the Commonwealth)
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:
I,......d •\)'I "jE~OI~IMoN ..~tAUH
COURT HOUSE
WASHINGTON,PENNA,15301
If you have already paid this tax to an executor,administrator,attorney or othei'personal repri~en·totiv.e of the
decedent for forwarding to the Commonwealth,list below th~date pai.d,r~ame ,and address of the person to"'.wholB-
you mode payment,their official title and the amount.-':.
Dote Paid Nome and Address of Paye~_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'clqimed a~d 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 on executor,administrator or other
personal representative of the decedent handl ing the admin istr.ation of the general estate of the
decedent or any other transferee..-.
SCHEDULE OF DEBTS
Dote Paid Nome of Payee Description of Obligation Amount Paid
,
.,
'"
J
,,
--
TOTAL $
(attach separate sheet if reqUired)
COMMONWEALTH OF PENNSYLVANIA)
SS:
COUNTY OF:________I
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 $--------0
Date of Approval:_\.
Register of Wills
Form RCC-2 ...~r .,.~...........~~~.~....?.".....+..?.7!.................................C6MMONWEALTH OF PENNSYLVANIA DATE•'1 DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX .......w.~.ijJ.JIJ.G.r..Q;N..............................................COUNTYBUREAUOFCOUNTYCOLLECTIONS
HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO....6.3.~7.1~.5..9.5................................_......................
Whereas,JOAN BOVETSKY late of .................~~Itr~....................................................................................................................................................................................................................
in the County'of .................................................WA$.Hl.N.GT'ON.....................................................Commonwealth of Pennsylvania,having died on
the ............................17th......................................................day of ..............~y..........._.........................................19.71...,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,..........................................FRAN.CES....LEQ....................................................,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estat'e,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 collater!'-l 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 AppraisementDescriptionofAnstValuesMadeforInheritanceTaxPurpoles
$
Jta Held Saviruzs Account #1<nS'i held·in the CHARLEROI FEDERAL SAVINGS &
LOAN ASSOCIATION,CHARLEROI,PENNS[LVANIA.In the names of ROSEMIRE
~ANO BOVETSKY a ~~-1&.?1 "R:l 1 :In,....AS of date of death ,2?"OOO 00~~OR JEAN
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Apprai8er..................................................................................................'r..............·..·....·,·..·....................·..........·..Lu (z;m~r.lan:~e76...................................................................................B'f..····...............................,Penna.
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..................wA$.ijmQ',!;''ON .County .~
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
............JOAN.OOm'S.KY D~~~~;;d:
Late of
.............................EJk5WQRTH..
Date of Death,5 J..7.~7~.
Appraisement Docket Vol.,38..
Page,J7.'l!J..No...§.?::7:.L.~.~.9.?.
Filed in Register's Office,Aug.u5t 3.19.7~..
A1Muni of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abaut Appraisement,.
Appeal It-om Appraisement,..
Entered and charged,..
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