HomeMy WebLinkAboutOC1971-0790 - ESTATE OF DOMITROVIC SR•
RCC-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
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
FINANCIAL INSTITUTION SlQyenion Sayin~$and Loan Association
ADDRESS 107 Latimer Avenue,Strabane,Pat 15363
ACCOUNT NO.OF JOINT,
TRUST OR INVESTMENT DEPOSIT-lQ"YP",tL.oloi~Qlo.IoJna.~1__3Uoo2~9lloFo4 _
NAMES ON ACCOUNT
ORINVESTMENT William L,Domitroyic,Jr.Qr William L,DQmitrovi.c,Sr.
Washington Co.15330
DECEASED JOINT DEPOSITOR,
TRU STEE OR INVESTOR l:;:..l'J~=:.:'l=l:r..:il:..:.aiW.m~LW/.._D:::..:o:=::.:mo!:..:ie...:t~r~o:..1v-=1~c ...,S!!.:rl!:....L.._
ADDRESSANDCOUNTY R.D.#2.Eighty-Four,Pat
DATE OF DEATH May 3,1971
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR \:!111iam 1,.DO'l1jtroyic,.Ir.
ADDRESS R.D.#2,Eitmty-four,PC!.15'330
RELATIONSHIP TO DECEDENT __..;;;;6...;;;.on~_
DATE DEPOSIT OR INVESTMENT
WAS ESTABLISHED .....2-=I,.....I-;;.:o,,6~3 _
BALANCE,INCLUDING INTEREST
DUE,AT DATE OF DEATH $__=-1L-,O~4:...;;.6~.9~2~_
~:2_Y-
Signature T~
RCC-134 (1-69~
£:.,..
~;,
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
-INHERITANCE TAX DIVISION-
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINiSTRATION
Date:-......J.:J-lUl*:ll::-;l)'f-T ~1~4",--::I::l..y.9+:71:l:----
Coun ty -lw..a.It.OS~H=bI];b-&N~G;.:j,T:.4JO~N------
EIGHTY-F0U)PENNSYLVANIA 15330
TO:~];AU I .•DOMITROVTC t JR.
R.D.2
County File No.__:--_
Bureau File No..~3-7/-2f tf1
We have received notice th,9t,~n1X1K.N:ilXDimHXXXXXXxXXXXXXXXXXx....'Ly_v..xxXXXx..XXXXXXXX}OO(
on May 3 19.1!.,you came into ownership of certain property through Di~~xxxx
X~~ll~~transfer from WILLIA}I L.DOMITROVIC t SR.
.(EIGHTY FOUR)Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you,as transferee.
The property on which tax is hereby assessed consists of:Jt.Optional Savings AccouDt #3294
held in the SLOVENIAN SAVINGS AND LOAN ASSOCIATION,STRABANE OFFICE,STRAVANE
PENNSYLVANIA.In the names of WILLIA~r L.DOMITROVIC,JR.OR WILLIAM L.
DOMITROVIC,SR.Opened 2-4-63.Balance as of date of death,X$I+ImIKIX
.$1,046.92
appraised by the Commonwealth,as of the date of death,at $1,046.92
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
$_---"'SLili2L.J3'-A..~4u.6 _$---------
AMOUNT OF TAX DUE 31.41
D If you pay the above amount within three (3)months
of the dale of death30f the d'fdent,or on or
before ugust '19 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 until
paid
TOTAL AMOUNT DU E $31.41
$=-===============
APPRAISED BY:drh I ,(.;v-l."-.J ,?..J!!J(/)ASSESSED BY:_
I ;(Inheritance Tax Appraiser)(Agent for the Commonwealth)
.INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:
~<1'.J/-#J:7 -.lc;/77/
~R .Jj//So..z.
To insure proper credit to your account
this Official Notice must accompany
your payment.Mail or bring it to:
•:.1:u"iiVh..l'h~;,;,J.\I."i i'1
COURT HOUSE
WASHINGTON,PENNA.15301
If you ha ve aIready pa id th is tax to an executor,admi nistrator,attorney or other per\ona I repres~ntatrve of the
decedent for forwarding to the Commonwealth,list below the date paid,name tind 'address of the person to whom.
you made payment,their official title and the amount.
Date Paid Name and Address of Payee Official Title Amount Paid
SS:
Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses
or other just debts of the decedent,with funds derived from the property herein taxed,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 _
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
Si gnature of Taxpayer
------.
I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I
have allowed deductions listed above in the total amount of $
Date of Approval:_
Register of Wi lis
Form RCC-2 ...
DEPARTMENT OF REVENUE
BWEAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE A~.~~.~?J !..~.?..!.
COUNTY W.a.s.hingt..Q.,n ..
FILE NO §..3..~.1..1~.?..~.9...
Whereas,W..~.~IM1 ~..~;p.9..MJ~.~9..y.!.~.J ~..~..~~..~late of ~.!~.~.~~~~~~.
in the County of ~A~.~.~~.9..?;9.~Commonwealth of Pennsylvania,having died on
the t~i:r.d..day of M~y 19 71,seized and possessed of an estate...............................................................................................................................
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,......................FRANCES.....LE.Q..................................................................,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 AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurPOleS
$
Jt.Optional Savings Account #3294 held in the SLOVENIAN
SAVINGS AND LOAN ASSOCIATION.STRABANE OFFICE.STRABANE
PENNSYLVANIA.In the naes of WILLIAM L.DOMITROVIC.JR.OR
WILLIAM L.DOMITROVIC,SR.Opened 2-4-63.Balance as of date
of death,$1.046.92 1.041\q2
,
,
!
!
I
'.-
•
Having been duly swo.rn according to law,I do h~reby certify that the above appraisement is made in con-
formity with law on this.........~..day of ..............................~.....j,('£(,...............}}!j(f(,
...............................................~.............~......................
ppraiBer
......................................W;}~;t.;;t[;i;................................,................,.......
Penna................................,
~
lvASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
WILLIAM L.DOMITROVIC
Deceased.
Late of
EIGHTY FOUR................;,.
Date of Death,~.~..~~.7.J .
Appraisement Docket Vol.,.....................................................•
Page,No..§.~..~.7..+..~.7..~.9..
Filed in Register's Office,~~~.~.~..~19 .?.~
Amount of tax due $,.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut Appra.isement,
Appeal f"om Appraisement,.
Entered and charged,.
/
.4
.,