HomeMy WebLinkAboutOC1971-0804 - ESTATE OF SHERVINSKY..,-.,.
COMMONWEA.-lTHJ1F PENNSYLVANIA
DEPARTMENT OF REVENUE .
HARRISBURG
RCC-43 (4-69)
NOTE:TO BE SUBMITTED IN TRIPLICATE
J
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 l VFINANCIALINSTITUTIONTheOnionNationalBa.ak of Pittsburgh r
ADDRESS P.O.Box gyr,Pittsburgh,Pa.15230 ~~
ACCOUNT NO.OF JOINT,Att:George K.steinbaugh,Asset Vice President ~
TRUST OR INVESTMENT DEPOSIT #75-Q01028-2(Sav1.ngs)J.
NAMES ON ACCOUNT ~I~OR INVESTMENT Mike Sherv1.nsq or \\
,t.1rs.Martha Parker
DECEASED JOINT DEPOSITOR,Mike ShervlnBlqTRUSTEEORINVESTOR _
ADDRESSANDCOUNTY B_o_x_l....:..5_2.:...,_C_ok_8_b_ur...:8:..:,_P_a_._l,.:5.:.3_24=--_
Sister
DATE OF DEATHM~4,1971
SURVIVIN G DEPOS;-;:IT;;:O~R~,-----~--.::..--=-.:..---------
BENEFICI ARY OR INVESTOR l1r_s_e_Mal"t__h_&_p_ar_k8_r _
ADDRESS Bo_X_l_5_2,_C_ok_e_b_ur_i_,_P_&_e_l_5_3_24 _
4x~4~;:gnu;e TITLE
Assistant Vice Preslds.ot
RELATIONSHIP TO DECEDENT
DATE DEPOSIT OR INVEST MEN;:;.T:----M-ar----:-ch~19::-,-1::-9:-7-0-------
WAS ESTABLISHEDBALANCE,INCLUDING IN==T=E=RE=S::T:----------------
DUE,AT DATE OF DEATH $2_,64_
1
...;.6e...,1-6---------
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,F1,,~)131(9,2.:/'1d5
BE1~TLE1VILLE OFFICE
RCC-134 (1-69)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
B,UREAU OF COUNTY COLLECTIONS
•INHERITANCE TAX DIVISION
OFFICIAL.!'tonet;.OF INH ERITANCE TAXAPPRAIS~MENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO:ImS.ll.\il1THA PARKER
BOX 152,
Date:-----i!:lB~'i'r"'-i2~Ohj+'l9y:,q,q1----
Coun ty --~W"8~\i7SlH:II:bir1*rG:t::l,!];~"O~N~------
County File No._
Bureau File No._....;t:::;.,.3_·-~h+~----=::;J,-o;....,>"-i-
We have received notice that,~_::..«t!.t~l{!V:"9!x1ht{5!'~b;{9~vv'r':.fVv'r"r'n".1"':.""'V'r.::v"IV·''!'':'''':.'I·r;v''..,,!''''''':'''',.""
on 'Naif 4,19-94-,you came into ownersh ip 0 certain property through xi~htetx..~L"{,\~~uAAjef&V{!ti€htxx
X:Y.st~jJ>!W!rJJ'amfi~~"llr9uttU9.:~m{Transrer from MIKE SHEUVIUSY.Y,Decuased.
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you,as transferee.
The property on which tax is hereby assessed consists of:Jt..Held Sa'~1e$Acco)~#75-0')100")S-2
held in tbe,THE UNION NATIONAL BANK OF ?ITTSBQRGH,PITTSBURGH,PENNSYl.YANIA.In the namos '.
of laKE SImRVUJSKl OR imS .1~iTHA R(J,HlkER.OpeaGlcl llareh 19.1970.~&.11m~e Qfi of ~te o£,
death,$2,'4'.1'
appraised by the Commonwealth,as of the date of death,at $2..6116.16
100 %of this amount is taxable at the rate of l'%
ORIGINAL ASSESSMENT
DATE OF ASSESSMENT
TAXABL.E AMOUNT
L.ESS:AL.L.OWED DEBTS
NET TAXABL.E AMOUNT
AMENDED ASSESSMENT
$2,646.16---~-=----1,361.70
1,284.46
AMOUNT OF TAX DUE 192.67
o If you pay the above amount within three (3)months
of the date of death of the decedent,or on or
before A.U~9t,4,19 71 you may deduct a
discount of 5 0 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
-- --t9.-aS-----
-,---------
9.63
*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 $39ll.9~$183.04=================
APPRAISED BY:..s;:;;LL.LL.a-..~=-~~~::J.:::-t:L;A.ASSESSED BY:_
(Agent for the Commonwealth)
INSTRUCTIONS TO TAXPAYERS
.,
•V_.1,j E .qh;r~L l~""~i'L i ;I
To insure proper credit to your account
this Official Notice must accompany
your payment.Mai I or bring it to:
COURT HOUSE
WASHINGTON,PENNA.15301
~4/'pJ'6Y
://?7/
Make checks or money orders payable to:
If you have already paid this tax to an executor,administrator,attorney or other personal representative of th~1
decedent for forwarding to the Commonwealth,list below the,~ate paid,rranie'anCl address of the person to w~om
you made payment,their official title and the amount.-.....',''..,',,"
'r",,
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 t~e debts claimed and allow
those which he determines to be proper.The tax will then be recomputed and you will rece'jlve 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
persona I representative of the decedent handl ing the admin istration of the general estate of the
decedent or any other transferee.'
SCHEDULE OF DEBTS
Date Paid Name of Payee Description of Obi igation Amount Paid
f-Q-f.L l\.enne'tn v.T.t10mpSOn 1f uneral Home Runera1 EXDense 1.154.00
.;)-.!..;)-f.!.l\ev.M.vuoanl.C.t1 l"uneral Servl.ce 20.00
7-6-,£:!-I,tul.net ,Monument Co.~'lemoria1 80.00
0-"-1.1.Itlent1.eYVl.ll.e 1"lower :Shop Flower 5nrav 47.701-0-'/1.I~aamps !'or ThanK YOt Cards 6.00
TOTAL $1,361.70
(attach separate sheet if required)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY Of__W_A_S_H_IN_G_T_O_N__
SS:
I,Mrs.Martha Parker hereby certify that the foregoing is a just and true statement of
funeral expenses and other debts of the decedent,Mike Shervinsky ,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.
v~~rfaMwv_
Signature of Taxpayer
DAY OFSWORNANDSUBSCRIBEDBEFOREMETHIS4th
August ,'J"19 71 .'rii ,',,~~k5~-
---',,.....:~B'IL~1IeIo"Nlic~~N'WASHINGTON CO..P4.REPORT OF REGISTER OF WILLS
Y ,ftmmlss/on expIres Febrtlsry 27,1971i
I,the undersigned,duly elected Register of Wills in and for the a,bo~vecounty,do re,spectfullY report that I
have allowed deductions listed above in the total amount.of $~~.0
Date of Approval:~Ai 6:;19V ~,~<j ,~Willtii'J·
Fonn RCC-2
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17127
mMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
D"TE_A_~4.~'l{t._._1
COUNTY ~~.~.~.~~~.~.
FILE NO 63~7.1'!!!80.4 .
Whereas,M~$.~v.~$.~late of 9.Q~~.
in the County of WASHINGTON Commonwealth of Pennsylvania,having died on
the f.our.th day of May 19.7J.,,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,r.M.Nq.~~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 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 AppraisementDeserlptlonofAssetValuesMadeforInherltaneeTaxPurpol8s
$
Jt.Held Savings Account #75-001028-2 held in the UNION NATIONAL BANK OF
PITTSBURGH.PITTSBURGH.PENNSYLVANIA.in the names of MIKE SHERVINSLY
OR MRS.lIARTHA PARKER Onened March lq lenO.Balance as of date of
death..$2 ..6~6.16 2,646 16
I
I
Having been duly sworn according to law,I do h"lreby certify that the above appraisement is made in con-
formity with law on thiS_~day Of~i:K.:.~~;}~::/
ppraiRer
...........................................................................................................................................................
~(Number and Street)
..............................................~........................,Penna.
(Post Offie
·W.ASHJNGTQN ..............County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
MlKE...SHER1J.INSKY ..
Deceased.
Late of
...................................C.Q~.URO:..
Date of Death,"4 71...
Appraisemel!t Docket Vol.,..
Page,No.63-71-804................................................
Filed in Register's Office,.........Aug.~.t....4....19.71...
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut Appra-isement,.
Appeal f"om Appraisement,..
Entered and charged,..
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