HomeMy WebLinkAboutOC1971-0693 - ESTATE OF MONINGER· ..
RC C·43 (4·69)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HARRISBURG
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 __ Th_e_IJ_ni_o_n_N_'a_t_io_.nal __ B_ank_. _o_f_P_i_tt_s_b_ur_:g:...h __ _
ADDRESS P •· O. Box 837, Pittsburgh, Pa. 15230
ACCOUNT NO. OF JOINT, Att; George K. Steinbaugh, Ass't Vice President j \)
TRUST OR INVESTMENT DEPOSIT #74-44407-S{Checking) r t/1
NAMES ON ACCOUNT OR INVESTMENT Ethel E. Moninger or ,;
11 Norma 1-1. Neil 1 1~
DECEASED JOINT DEPOSITOR, Ethel I!;. Moninger
TRUSTEE OR INVESTOR----------------
ADDRESS ANDCOUNTY ___ J_8_\_J~~·-ne_s_b_·ur-=g~·-Rd_.~,_1~Ua=s~h~in~g~to~n~,~r~··a~·~15~J~O~l ___ __
DATEOFDEATH~~----------M-=~~26-='-l~-9~·7_1 __________ _
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR _____ h_'o_r_ma_M_. _N_e_u _______ _
38 Waynesburg Rd., \{ashington, Pa. 15301 ADDRESS _________________________________ ___
Daughter
RELATIONSHIP TO DECEDENT DATE DEPOSIT OR INVESTMEN--=T------Oc_t_o_be_r_4_,-l9_6_8 ______ _
WAS ESTABLISHED----------------'----------
BALANCE, INCLUDING INTEREST 860.37 DUE,ATDATEOFDEATH$ ______________________________ _
4t~~~ Slgnature ~LE Asslsta.nt Vice President ,
~. . ·-· ' ...
. '
RCC-134 11-69)
COMMONWEALTH OF PE''NNSYi.'iJIANIA
J>EPAR-TMENT OF'RE\iENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
OFf:ICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO: NOIU4A }i, NE:JI, Date: June 8, 1971
38 WAYNESBURG ROAD County Washington
_..;.;W.;.;.AS;;;.:H:.:.::I:..:.;N~GT::.,;O::;,:,N;,L,,.,.;P;..;;E;;;;.NN;,;,;.;;.;SY;..:L:.,;,V~AN:.:..:I:;,:;,A:;,__:1::.:5 301 County File No, ________ _
Bureau File No, ~J -ZJ-1:, '13
We hove received notice that, ci000',8MUtXf8lllltl06IXXXXXXXXXXXXXXXXXXX:XXXXXXXXXXXXXXXXX
on Maya26 19 71 , you come into ownership of certain property through~~~~
ie~«WX~ Transfer from, ETHEL E. MONINGER, 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. Checking Account #74-44407-5,
held in the UNION NATIONAl. BANKOOF PITTSBURGH, PITTSBURGH OFfiCE, PITTSBURGH,
PENNSYLVANIA. In the names of ETHEL B. MONINGER or NORMAN. NEIL. Opened,
10-4-68. Balance as of date of death, $860.37
appraised by the Commonwealth, as of the date of death, at $__;::8:..:6:..:0:....:•..::3:...:7 ____ _
50 % of this amount is taxable at the rate of 6 %
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS: ALLOWED DEBTS
NET TAXABLE AMOUNT
AMOUNT OF TAX DUE
0 If you pay the above amount within three (3) months
of the date of death of the decedent, or on or ·
before Au&USt 26 19 71 you may deduct a
discount of 5% of the amount of tax due, or
0 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 *-----
l9 __ 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 $
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
$ _....:,4.::::,30:::!!.!:::::1:..:.9 __ _ $---ln:/--!s~o::-...:.,...t...;-,4r; __
,1, 4oo, ;;;o -
25.81
--_1...29 ____ _
----------
25.81 $ ==========
APPRAISED' BY:----------ASSESSED BY: _____________ _
{Inheritance Tax Appraiser) (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:
1( ~II AU ttA4,,
1AGENT FOR THE COMMONv~u-,
t-~'<"; COURT HOUSE
WASHINGTON, .PENNA. . 16301
If you have a I ready paid this tax to an executor, administrator, attorney or other personal representative of the
decedent for forwarding to the Commonwealth, list below the dot~ paid, n.gme on_d oddres:-"of.t~,! pers.on.}o whom
you mode payment, their official title and the amount. · ·· •. _ 1 · • . ·: · · . ..
Date Paid Name and Address of Payee Officia.l Titl~ '' '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 th~ compuJotion of to.x due. If any
such expenditures meet all of the three following tests, it is recommended that you itemize the payments bel()w,
execute the affidavit, and return this notice. The Register of Wills will exa~ine _the debts cJai.med and aHow
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:
l -You were personally legally responsible for these debts, and
2-You actually paid these debts out of the account or property described above and con furnish proof
of such payment, if required, and
3-These same debts are not also claimed, for tax purpo'ses, by an executor, administrat'or or other
personal representative of the decedent handling the administratio" ofth~ general estate of the
decedent or any other transferee. ·' . . · ·
SCHEDULE OF DEBTS
Date Paid Nome of Payee Description of Obligation . Amount Paid
-. ''
'
"
TOTAL $
(attach separate sheet if requ r red)
COMMONWEALTH OF PENNSYLVANIA)
SS:
COUNTY OE _______ _
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 pay out of the property h.erein 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
···~
r ~~-\ _.,.-
._:-~ ~ ;' t '
' 0
If .you have already paid this tax to on executor, administrator, attorney or other personal representative of the"
decedent for forwarding to the Commonwealth, list below the date paid, name and address of the person ... hntthom •
you rmtde.payment, their official title and the amount. ,, ._ r; ~~~~ ••. ~~~ ,_,
<': ~· '#1-4 ~ -~1 I 1 ~, f 1 * :.~:AJt~ _.;.t.,;jqlJ£gi~ . Ngme and Address of Payee Officiai Title ....... ~ A012unt Roj-4..,~ -....· .. ~:.::.:_.~ . ..:: ._.., ......
·------~-~-
.;,.._~~~-}····
. t
. --, . ' ..:.__ .... -" ..t~·..._....~ .... .,.
...... ··..i ,.....,. """" • ~· ....... , ·-""'·-~-~
; Under certain circumstances, if, after the date of death of the decedent, you personally paid funeral expenses
~-or·ctther;ust 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 cornput~tion of to~ due •. lf:(Qiy
""".' ~~!~h.e~nditures meet all of the three following tests, it is recommended that yo~ itemize t~~ payment_~ ~low,
.. execute the.affidavit, and return this notice. The Register of Wills will examine the debts cloimed·cmd 4Uow
, ··those wh.ich he determines to be proper. The tax will then be recomputed and you will receive an amended'
~~~_,~,. ~ssmen_t of tax. ,, . :.. · j~ ~ ~~,-;"'fq '• 4~ • -~ ~·1 . THE THREE TESTS WHICH MUST BE MET ARE THAT: .~-, ~·· "~•' ~~:"'I.
I · ·.~...;.... '*: ~.__.;.._ • .....-r-4 -· •
,... 1 ; You were pet.J.OHffy legally responsible for these debts, and
... ...:-. ' .. ' ~
~-., . , . ...
2.· You actually .pciid these debts out of the account or property described-above and•can furnish proof ·
-.. ,of_su~.~-payment, if required, and . •
3 .·These same debts ore 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 ''Paid' Name of Payee Description of Obligation Amount Ppid •
.#
:t ~~:}..; .jJ. ·~ .
:;. 1' ...... ....,.~-..... ·t~ .....
... Tt'ji,.,; \}, #oA.ilz.. r=:-uu/;A?~J c.~ JtJ ~ .d.J'L.r-.. -·-L ¢"00· ocJ -· ";,c.:/..,./.& L ~ £, ~.41 ~ I ·. ~ .
.._. ... 1--"'"'--.. . . .. t • .• ~ ... ~ ~ • ~ .. t:: ·..; . . "--. ~ ..
,. ' ...
~
... . ; ·l ..
: . ...
...
:" ....
' -. . . -
,. t; .
·~'. ~--;·
• •1."' ·~ .. • r.((:--'f
TOTAL·.$ ~ -/oo.6o
(attach separate sheet 1f requ~red)
!>;~~·~ ' ;.;~-COMMONWEALTH OF PENNSYlVANIA) -~~ . ~ . SS:
t::~ . COUNTY OF. U/ c£.s Ultzf (44 ) .. , . ,,,
i, . 'j/d ic hJ "' At AI e I ) hereby cect.Hx that the foregoing is a iust and true statement ~f
funeral expenses and other debts of the decedent, j;_fhe) E. A1a h t n:;er , for which I
was legally responsible and which I did pay out of the property herein taxed .. I further certify, that to the
best of my kno..,ledge and belief, these some debts will not be claimed by any other person, for inheritance
,..,.. tax purposes.
REPORT OF REGISTER OF WILLS
I, the undersigned, duly elected Register of Wills in and fo1 +he above county, do respectfully report that I
have allowed deductions listed above in the total amount of $ •
' DOte of A-pproval: _____________ _
., ·' ~"
-t""'. ·"'""
Register of Wills
Fonn RCC-2 . ' ' . _.,_
;>EPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA. 7712 7
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ...... J. .. 1J!Y ....... 7 .. , ...... J .. Q.7..1. ................................. .
COUNTY ............. ~~~.~.~~·~·~·~.?..!.l: .......................... ..
FILE NO ..... §}: .. ?..~ .. :..~ .. ~ .. ~ ......................................... ..
Whereas, ........................................... ~.T.B.~L ..... ~ ... ~ ..... }~Q.N.9..NQ.~.g .................................. late of ....................... ~~r:!\.~.I.I..!~.'?.~9.~ ........................................... .
in the County of .................................... \iA.eJ~P~~:QT.9..~ ........................................................... Commonwealth of Pennsylvania, having died on
the ................................ ~.?..~.~ .............................................. day of ............... Nay ................................................... 19 ..... ¥.], seized and possessed of an estate
s ubject to I heritance Tax under the laws of the Commonwealth of Pennsylvania· n ,
Therefore, I, ............................... F.RA.N.C.E.S ..... LE..O .......................................................... , 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 Appraisement Description of Asset Values Made for Inheritance Tax Purpoaes
$
Jt. Checking Account #74-44407-5 Rk held in the UNION NATIONA jW
BANK OF PITTSBURGH, PITTSBURH OFFICE, PITTSBURGH, PENNSYLANIA
In the names of ETHEl S. MONINGER OR NORMA M l\TEII Onened I
10-4-68. Balance as of date of death. $860.37 860 371
I
INSOLVENT
W (Number and ~eet)
............................................ ~ .............................. , Penna.
(P10ffiee)
I
I
I
•••• H •••• JV.A.S.Hl.NQ'J:'ON ..... H ••••••• County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
ETHEL E. MONINGER
Late of
'\'ASHINGTON
Date of Death,
Appraisemel!t Docket Vol.,
Deceased.
Page, 63-71-693
Filed in Register's Office, ........ J.~~.Y. .... .?. ...... 19 ..... ?..~
Amount of tax due, $ ................................................................. ..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,
Wrote abo.ut Appra-isement,
Appeal ft'om Appraisement,
Entered and charged,
\1
.,
"'
,
RC C-43 (4-69)
_.!' , ..... '"'-. ~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HARRISBURG
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
j
FINANCIAL INSTITUTION First Federal Savings and Loan Association of Wa
ADDRESS 77 South Main Str::ht::::~~::;, Pa • k j~
ACCOUNT NO. OF JOINT, l1.
TRUST OR INVESTMENT DEPOSIT __ I_nv_es_tm_en_t __ 17_S_7________ r
NAMES ON ACCOUNT J OR INVESTMENT 'Ethel E. Moninger and Howard c. Ferguson fL _1 6
DECEASED JOINT DEPOSITOR,
TRUSTEE OR INVESTOR Ethel E. Moninger
ADDRESS AND COUNTY R.D.#4 Wa!hi1lgton, Pa.
DATE OF DEATH May 26, 1971
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR Howard c. Ferguson ----------------------------------
ADDRESS Box 486 R.D.IIl Connellsville, Pa.
RELATIONSHIP TO DECEDENT ?? YJ~ -}, -~
DATE DEPOSIT OR INVESTMENT .
WAS ESTABLISHED Nov. 24, 1967
BALANCE, INCLUDING INTEREST5500 OO
DUE, AT DATE OF DEATH$ ___ ·-------------
) I
/
I
/Signature
/
TITLE RECEIVED JUL 2 7 197J
d.-/~o-oc@ C7: ~ /CS:oo
(.
I
RCC-134 ( 1-69)
COMMONWEALTH OF PENNSYLVANIA
DI:P;ARTMENT OF REVENUE
iiURE-AU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
.. .. OFFKIAL NOTICE OF INHERilANCE TAX
APPRAIS'EMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO: HOi·lARD C. FERGUSON
BOX 462
--~S~CO~T~T=D=A=LE~,~P~E=N=N~SY_L~'~7A=N~IA~~l~5683
Date: __ ____:.J....::.u.;::l:..:..y_2...;:.6..z.., _.:1=.9=-7.:.....:1=-----
County ___ \_1..:.:a..::.s..:.:h~i..:.:n:.s=gL.:t...=o..::.n:__ ___ _
County File No. _________ _
Bureau File No. b3 ..-2/-&f3
We hove received notice that, ~~QG'~SliliYoll:hveXaQah'<o"JXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
on Ma~r 26 . 19....11, you came into ownership of certain property through r}ijoXlifes.Yi:f..i:y~~KDp.L'UJH~lX
nLtgtrolret~~JmOC~~¥Xtia.K:d~~~:41io1X transfer from, ETHEL E. MONINGER, deceased.
. . . . (v/ashington)
Under the Inheritance and Estate Tax Laws of the Ct:>mmonwealth 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 Savings Account #I-1757,
beJ d in the FIRST. FEDERAL Sl\YINGB AND LOAN OF WASHINGTON, WASHINGTON OFFICE,
'i'lAS_HINGTON, PENNSYLVANIA. In the names of ETHEL E. MONINGER or HO\vARD C.
FEHGUSON. Opened, 11~24-67 ..•. Balance as of date of death, $5~500.00
appraised by the Commonwealth, as of the date of death, at $ 5, 500 • 00
___:~50 ... % of this amount is taxable at the rate of 6 _%
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 August 26 19 71 you may deduct a
discount of 5% of the amount of tax 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 ra.te of 6% per ann urn unti I
paid
$
ORIGINAL ASSESSMENT
$ 2, 750.00
165.00
8.25 -----------
-----------
165.00
AMENDED ASSESSMENT
. $--..;:2:....1,....:...7.:;:..50;:;;.;.!:...:0~0~-
1,435.40
1,314.60
78.88
3.94
$ 78.88
=~=========== TOTAL AMOUNT DUE
APPRAISED sy,Y~ ~ 7 (1nheritonce Tax Appraiser}
ASSESSED B-Y:~~~-----_-_--_c_~"_--~-----
(Agent for the Commonwealth)
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:
1( rvm II ;11{~
AGENT FOR THE COMMONWEAl Hf
t 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, ... li~.t b~o-low the date paid, name and address of the person to whom
you made payment, their official title and the amount. .: ·-I ., -. . ,.
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 dve.~, 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 tbe 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 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
Dat.e Paid Name of Payee Description of Obligation Amount Paid
IIJL1'4J,; !?L Schrantz Funeral Ho~ te Funeral Exnenses 1 43S 40
I lf
.
TOTAL $ 1,435.40
(attach separate sheet if required)
~OMMONWEAL TH OF PENNSYLVANIA)
, SS:
, hereby ce fy that the foregojng is a just and true statement of
uneral expenses ana er debts of the decedent, I for which I
was legally responsib e and which I did pay out of the property herein taxe . I further certify, that to the
best of my knowledge d belief, these same debts will not be claimed by a other person, for inheritance
tax purposes. _.:
SWORN AND SUBSCRIBED BEFORE ME THIS cZZd DAY OF oz;E::t:_ -~-1911_. a. )1./1
DONALD A. KAPER, NOTARY UBLIO /
WESTMORELAND COUNTY
MY COMMISSION EXPIRES JAN. 21, 197~ REPORT OF REGISTER OF WILLS
I, the undersigned, duly elected Register of Wills in and for the above county, do respectfully report that I
hove allowed deductions listed above in the total amount of $ --------.,
Date of Approval=-----------·----· Register of Wills
.I
I
-~ '4.' .
I
\? '
"" ··~ -.~ .
CGt/.fr,CNW.t '•.t TH OF PENN~YLVMj!A
Dtf)Af-. fME'Il OF REVENUE
HARRISBURG
I .. -
NOTE: TO BE SUBMITTED IN TRIPLICATE
.....
Pennsylvania Department of Revenue
Bureau of County Collections
26 S. 4th Street
Harrisburg, Pennsylvania
Deor Sir:
· Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961
we herewith submit the following report: . '
NAME OF REPORTING FINANCIAL INSTITUTION Firat Federal Savinge and loan Association o! wa
Washington, Pa.
1 ADDRESS 77 South Main St~eet Waehlngton, P1, /.1 / ~
ACCOUNT NO. OF JOINT I ___ __;;______::.____________ '/_7 --
TRUST OR INVESTMENT DEPOSIT __ I_nv_e_a_t_men_t __ 17_5_7 ______ ____,_ / ct·
NAMES ON ACCOUNT OR INVESTMENT "Ethel E. Moninger and Howard c. Ferguaon
DECEASED JOINT DEPOSITOR,
TRUSTEE OR INVESTOR Ethel E. Moninger
ADDRESS . AND COUNTY R,D,#4 washington, Pa,
DATE OF DEATH ---·-~ar__2~! 1971 SURVIVING DEPOSITOR, --------------·--
BENEFICIARY OR INVESTOR Howard c • Ferguson ----------~------------
ADDRESS Box 486 R.,D,#l Connellsville, Pa,
RELATIONSHIP TO DECEDENT ?? ,,.. -'' . r•' ' •r<-DA TE DEPOSIT OR INVEST MEN'-=T:-------.....;;_-~~--l.-....:..:.;_ __ _
WAS ESTABLISHED Nov • 24,
BALANCE, INCLUDING I N:=T:=E-:-R=-ES:-:::T:--~. -------------:--
DUE, AT DATE OF DEATH $___ 5500•00
1967
Signature TITLE
RCC-134 ( 1-69)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
I,.' !'·, OFFICIA~'. ' ;CE1\.0F INHERITANCE TAX
APPRAIS · ENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO: HOWARD C. FERGUSON
BOX 462
_:_§_C qTTDA_~.E /PENNSYLVANIA 15683
Date: ___ J_u....:.1...!!.y_·2_6.!....., _1....:.9..:..7.::.1 __ _
County ___ \v_a_s_h_i_n-=g:..._t_o_n ____ _
County File No. ________ _
Bureau File No. {t;? 3' J /, t f 3
~e have received notice that, ~~~~~~~~~~~~~~~~~
on May 26 19_11, you came into ownership of certain property through ~~
~~~~ transfer from, ETHEL E. MONINGER, qeceased.
{Washington)
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 Savings Account #l-1757,
held· in the FIRST FEDERAL:~AV,INGS· AND LOAN OF \.YASHINGTON, WASHINGTON OFFICE,
\vASHINGTON, PENNSYLVANIA. In the names of ETHEL E. MONINGER or IJOl\f~Ii_D C-=--·--
FERGUSON. Opened, 11-24-67. Balance as of date of death, $5,500,00
appraised by the Commonwealth, as of the date of death, at$ 5,500.00
-'-r~p.:....% of this amount is taxable at the rate of 6 %
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS: ALLOWED DEBTS
NET TAXABLE AMOUNT
AMOUNT OF TAX DUE
0 If you pay the above amount within three (3) months
of the date of death of the decedent, or on or
before August 26 19 71 you may deduct a
discount of 5% of the amount of tax due, or
0 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 *-----
l9 __ 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 until
paid
" TOTAL AMOUNT DUE
----/ -//
$
ORIG1NAL ASSESSMENT AMENDED ASSESSMENT
$ 2, 750.00 $ 2,750.00 ----=-~=-=-~--1,435.40
1,314.60
165.00 78.88
8.25 3.94
165.00 78.88
$ ===============
APPRAISED BY~c.:E---r-... t'._, . </ .. e-.:-
, {Inheritance T a~ Appro i ser)
ASSESSED BY: _____________ _
(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:
~U~W£11 NA~
:AGENl fOR lHE COMMONWEALTH
- . COURT HOUSE p~-ASHINGTON! .PENNA. 15301
I \
If you have already paid
decedent for forwarding
you made payment, thei
this tax to an executor, administrato~ttarn or <ll''ner personal representative of the
to the Commonwealth, list below the' ~~ .pattd, name and address of the person to whom
r official title and the amount. il · · · • · · ., · · ·
Date Paid N arne and Address of Palee Official Title Amount Paid
. . , .......... -.. "-.... ... .... .
nces, if, after the date of death of the decedent, you personally paid funeral expenses
e decedent, with funds derived from the property herein taxed, such amounts expended
eductions against the gross value of the property in the computation of ,fax. due. If any
Under certain circumsta
or other just debts of th
by you may qualify as d
such expenditures meet
execute the affidavit, a
those which he determi
assessment of tax.
all of the three following tests, it is recommended that you itemi:z:e the payments below,
nd return this notice. The Register of Wills will examine the debts claimed and allow
nes to be proper. The tax will then be recomputed and you will receive an amended
THE THREE TESTS W HICH MUST BE MET ARE THAT:
1 -You were persona II y legally responsible for these debts, and
2-You actually paid t
of such payment, if
hese debts out of the account or property described above and can furnish proof
required, and
3 -These same debts a
personal representa
decedent or any oth
re not also claimed, for tax purposes, by an executor, administrator or other
tive of the decedent handling the administration of the general estate of the
er transferee.
SCHEDULE OF DEBTS
Date Paid Nom e of Payee Description of Obligation Amount Paid
Schron tz Funeral Ho1 e Funeral Ext>enses 1,435.40
COMMONWEALTH OF
COUNTY OE __ _
1,-------
funeral expenses and
was legally responsib
best of my knowledge
tax purposes.
SWORN AND SUBSCR
-
I TOTAL $ 1,435.40
{attach separate sheet if required) \
I·
.,..: ',',1.} PENNSYLVANIA) .,.
'"'~; ~~·
SS: ., ........ -..-··. ) ';.·
' ·-..,
hereby certify that the foregoing is a just and true statement of
other debts of the decedent, , for which I
le and which I did pay out of the property herein taxed. I further certify, that to the
and belief, these some debts will not be claimed by any other person, for inheritance ·
IBED BEFORE ME THIS DAY OF
19_.
Signature of Taxpayer
REPORT OF REGISTER OF WILLS
ly elected Register of Wills in and for the above county, do respectfully report that I I, the undersigned, du
hove allowed deductio ns listed above in the total amount of$ •
Dote of Approval:_
Register of Wills
· ..
..
If you hove already paid this tax to an executor. administrator, IJttorney or other personal representative of the
decedent for forwarding to the Cvmmcnw~ulth, list .~lu~ !he (:,Jt~· 1oiJ name and address of the person to whom
you made payment, their offf,_!r-1 t•tle crd th;' on (H.-r 1, . .:C .. , ~
Date Paid 'l• ( " I l I r! .;' An.ount Puid -----
Under certain circumstances, d. <:.ier +It(! :Jcirf' ot dPutl, ,, •.... •(~ ren-,) ch:r~onally ovc! fu:leral expenses
or other just debts of thr deredc.1t, with f,.r ds derived froni tht• c operty hcrt·n laxed 1 such Ji; uunts expend~d
by you may qualify as dedunions agoin·;t the 9ross value of the property tn the compututior, oi tax due. If any
such expenditures meet al! ::>f the rhree fo:lowln,, tests, it is r~u.1n .ncnded thut you itemize the payments below,
execute the offrdovit, ond rt:turn this <'u'JCt: "fhr Regtster of Wilis '.\dl el(amine the debts claimed and allow
those which he dctermi,..,:::, to be proper. The •ax wii 1 •he:1 be reconwu'"d and yutJ wil! receive an arnended
assessment of tux.
THE THREE TESTS WHICH MUST BE ME f ARE THAT:
1-You were personally legally responsible f01 rhese ~ebt.s, an<J
2-You actually paid these debts out of the account or property described above and can furnish proof
of such payment, if required, one
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 Paid Name of Payee Description ol qbligGtion I Amount Paid -.. r.JLL/,; l·il ~:r-l~rOllt-\j p •·.-1 .. r ' ' ' . ~ ;' 1 '\ l 11' t: l 4 J ~ 40 . ~
I If ----
--
...
-------r--· --·----~ ----------·-----
-----·--· --·-
-
--·---·
--~
--=r---
i -
-
TOTAL $
, ' !. ) s . -t I\
(ottoch separate sheet rf requtred)
COMMONWEALTH OF PENNSYLVANIA)
cou fy I I SS: OF W£s T fflC!£.?~-..r..NN.~..' )
f \) \ • . ~ --.. hereby £.Cjt-lfi',,thaJ:_t,f'~ toregqing is a just and true statement of
unerol ·~l<rler ., ar.o ol~er debts of the dcced· 1t, _ ~ -{,;a\ }:_ ~}h· ... u 4-<.1\L.)t , for which I
was leqoll, ····rM•sib~~jand which I did pay out of the.pr0perty hereir> t?xe~\i further certify, that to the
best of my kn,,,.lf,J a· oR'd belief, these same del··s w:Jl r•ot be claime·~ b:,. u'r::!tJ othc1 person, for inheritanc:e
tax purposes
SWORN AND )Ut.SC RIBED BEFORE ME THIS_z..-=-~~DAY ~F
~-__!. ._l?_l~
·' '1'-/ )1 /} c;>< ~---_/ ~-i, r
OlmA,.J A K;J-tR r,.,l:Py, UBLIC
r
A.~tJ.._~( iA c1 \ \v--l: •_-1..._L, -~ -----:-
Si gPature offf • payPr
... ...__I
Wt.Sr::drt. _,1:-.J.' GUU,,f¥
lilY COMMISSIOti cXPIRl!l JAN. ;:1, ;97,
REI""OR T OF K!:GIST::R OF WILLS
I, the undersigned, duly elected Register of Will .. in r.."c' ;or ·rt o•,we county, do respectfully report that I
have allowed deductions listed above in the tctal ur'lO~Pt ': ~ -··-~·-----------..
Dote of Approval: _____ _