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HomeMy WebLinkAboutOC1971-1025 - ESTATE OF REARICK} I ::J I ?.j .~~ .;~ ,--u 1.-. -. /1 ~ "··r .... . .. COMMONWEALTH OF PENNSYLVANIA DEP.~RTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG RECEIVED BUREAU Of,. c' ~ O UN T y G 0 L. LE 1.; 1 I 0 H ·J 17127 RCC-43 ( 4-71) NOTE: TO BE SUBMITTED IN TRIPLICATE REPORTING FINANCIAL INSTITUTION ADDRESS UJlio.n Natio.nal Ba.ok ot Pittsburgh p; o: Box 837 Pennsylvania Department of Revenue Bureau of County Collections Pittsbu.rgh, Pal ZIP CODE 15230 Att, a.· K. SteiJlbaugh Assistant Vice President Gable Building, 3rd, Floor 411 S. Second Street Harrisburg, Pennsylvania 17127 · Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith su~mit the following report: ACCOUNT NO. OF JOINT, TRUST OR INVESTMENT DEPOSIT ------~~~~188-=-..0.....::..:::2;!::3~54:~~=--8~(S:.: ... a:.:~:....:ing:::sa.:o::..)~------ An.Da M. · Rearick or NAMES ON ACCOUNT OR . Mrs. Betty J. Jordaa INVESTMENT ---------------------------- DATE OF DEATH _________ Jul_y_. _l_7_, _l_9_7_l __________ _ DECEASED JOINT DEPOSITOR, TRUSTEE Anna M •. Rearick OR INVESTOR ___ ___: _____________________ _ ADDRESS 634 E. BeaLl Street COUNTY Waehi!lgton Wfiihi.ogtoll, Pa. ZIP CODE 15.301 ----=-~---------~==~---- SURVIVING DEPOSITOR, BENEFICIARY OR INVESTOR _____ Mr_s_. _B_e_t_ty_J_._·_J_or_d_u _______ _ ADDRESS 6.34 E. BeaLl Street, WashillgtoJl, Pa. 15301 RELATIONSHIP. TO DECEDENT ___ ___;F~r~i~&~ll~d~--------------- DATE DEPOSIT OR INVESTMENT ~~ 26, 1971 WAS ESTABLISHED -----------------~------- BALANCE, INCLUDING INTEREST DUE, AT DATE OF DEATH$ _____ 1_,_2_5_1_.41 _____________ _ Is 7o X 11 ~ s-I, Lj I - 57ox q!t'7.11 .:: TITLE WEST NE\~'TON OFFICE I RCC-134 ( 1-69) I ' . 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 TO: MRS B]i;TTY J. JORDAN 634 E. BEAU STREET ____ W~M~S~H~l~N~G~T~ON~,~P~E~NwN~SY~L~V~A~N~I~A~~15301 Date: August 3, 1971 County 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 a~sessed consists of: _J_t. Held Bank Account #88-023547-S, held in the UNION N~TIONAL BANK OF PITTSBURGH, PITTSBURGH OFFICE, PITTSBURGH, PENNSYLVANIA •. In the .names of·. ANNA M. REARICK or MRS. BETTY J. JORDAN. ·- Opened, 5-26-71, Balance as of date of death, $1,251.41. appraised by the Commonwealth, as of the date of death, at$ 1,251.41 100 % of this amount is taxable at the rate of .....15 % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE D If you pay the above amount with.in three (3) months of the date of death of the decedent, or on or · before Oct. 17 19 71 you may deduct a discount of 5% of the amount of tax due, or D Thi.s tax became deli~quent, fifteen (15) months after t.he date of ~eoth on~, in addition to the tax, statutory interest at the rote 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 fnh~r~st is due at the rate of 6% per annum until paid TOTAL AMOUNT DUE $ ORIGINAL ASSESSMENT $ ---=1~, =25=1~·_.:.4.::=.1_ 187.71 ------~~3_1} __ 187.71 AMENDED ASSESSMENT $ ~z.s-1 A/ I . 4 /~/. 7Y: 99. (., 3 '?s $ -====/ ~=··==J==o/=='== (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: ~~¥.17 ~/~/ 19'7/ .. ~ To insure proper credit to your account this Official Notice must accompany your payment. Moil or bring it to: '1(~tr 1\M~ ·. ·~Z/-~. /L-iB II" rt9 AGENT FOR THE COMMONWEALTH COURT HOUSE WASHINGTON, .PENNA. 1530J If you have already paid this tax to an executor, administrator, atto'fney or-other personal representative of the~· decedent for forwarding to the Commonwealth, list below the date pcild, name and 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 '· '. ': ; I . ' 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 deductio.os against ~the gross value of'the property .in the computation of tax due. If any ~u~h_expenditures mee_t .aH of the three following tests, it is recommended that yo·u itemize the P.aymJ!nts below, execute the affidavit,1and return this notice. The Register oLWills.will examine the debts claimed and allow those which "he 'd~termi~es to be p;o-per. "The tax wi(l then be 'reco;;,puted and y·o~ w'ill·r~cei~e an a~ended assessment of tax. THE THREE TESTS WHICH MUST BE MET ARE THAT: -~-· ~.'f''f ("'/ ,, f }~• 'JI"' ~ ~ t . . , .1 -.You were p~rsonally legally re~pons.ibl,e for these deb~s, and •-:; , • J. 1·. . ·' 2-Y.~~"·a.ct~cilly ·paid these debts out· of th~··dccount or pro'perty de.stribed cibove'1Jrid tdn furnish.pro;f of such payment, if require~;·an·d. ,. . r ,, 1 .-. ,_, ·,· ':~· -; '·· . ''l!'l 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 transfere~. · · · . (" . SCHEDULE OF DEBTS Date Paid Name of Payee. : :-'.: . Description of Obligation Amount Paid J? ////7/ J'. lA/ 1'1 ~ {!_ a. v le v -~ Fvn~"Y"al Exhense.< / 11 ~ t, I ()() 8'////7/ BlahCJ..i /'1o 11 u n. e. h -1-S" c ., Yl -e. C!-vtt,'v..6 ;.6-.. oo d 7 /::J '::{/7/ R-ev J Jl J Be·r o F'.!Yiev.al E v h -.::: >-> _<; c_ . J .c,-0 0 d I -- 7/ .;ltJ/7/ -r IJ )/_or; F l/l'Y'JS T. F/.J >'I ~Y" a/ F 1 o l..u--e. v ~ / .:r, "10 '2' /.~ IJ 171 W. AI"-tv t o h. (!_ e ~ Gt evv Perm<ht !h-t Flor-rt I eo~ta,>..e-r· " -: ) '_.' 7--.J\"0 : . .. I 7/..,1.,/7/ ~sC () f Tre_-~ A ... I: A,.. -e. -F I LJ Y" a. / heR 11 o"" I e J .. e h. 0 hiS: ,.;? ~ 7.:7 cJ u 21 ~-"11 }/ .Be// 7e/e.J L ... -e. C"alh-A()""' D~~ ta,.. e. e_ -Aloi;fy~i.., ,.f iJ :Jtl... /I 1,3 c) v ~/ /5"/7/ .R. /11/. Jorh h s~ /'1//eae'#" F:..v F/Jnt"..Y"a. I .17 .... ~,] h """' h..~":k' :c. /2' 00 u v --· TOTAL $ (, -~-fl~.7 i 1 (attach separate sheet if requ 1 red) SS: I, '" hereby certify that the forego~:st;md true statement of funeral ex s a other debts of the decedent, ~ ~. ~-&..> , 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 knowledge and belief, these same debts will not be claimed by any other person, for inheritance tax purposes. SWORN~~IljCRIBED BEFORE ME THIS I'C;iit'DAY OF ~#.;}. ~A 197/. ' ~ ~ ~~ -itu7oeraxpayer 18~ 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 $ --------e Date of Approval: ______________ _ Register of Wills Fonn RCC-2 , . • DEPARTMENT OF REVENUE ./ DATE ..... 0C.t.o.b.er. ..... l.8 .. ,. ..... .l.9 .. 71. ............. . B,UREAU OF COUNTY COLLECTIONS COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT COUNTY ... , .. WASHING.T.ON ................................... . HARRISBURG. PENNA. 1 7 1 2 7 FILE NO •... J~.J..~ .. J..l..~.l.Q.~.S. .............. -................... . Whereas, ............................ ANNA. .... U •...... REA.RIC.K. ...................................... : .................. late of ........................................... ,~ASHI.NC.T.ON. ....................... . in the County of .......................... UilllaD .. JiASHINGT.ON .............................. Commonwealth of Pennsylvania, having died on the ........................................ .1.7.th ...................................... day of ................. J.ULY........................................... 19 ... 7.1., seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ................ FRA.NCES ..... 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 transfer inheritance taxes at the lawful collateral rate on any such future interest. Appraisement Unit Description of Asset Values Made for Inheritance Tax Purpoaes $ Jt. Held Bank Account #88-023547-8 held . the UNION NATIONAL 1n BANK,OF PITTSBURGH , PITTSBURGH OFFICE, PITTSBURGH, PA. In the names of ANNA M. REARICK OR MRS. BETTY J. JORDAN. Onened 5-26-71 Rala.n~e as of date of death 1 2.1\1 41 ' .. : "\ ... . j ' form~av:~hb~~ ::l:h~sw~ ... ~~~~~P.~ .. ~.~:.:. ~:o 0~e~~~.~ ... ~.~(~~~~~ .... ~~~.~~i=~~.~.~~···i·~····~.~~e in c:/y-y y ~ . 5e. 19 ............... . .................................... :.L.u::.l.4::v..~9..A ............. s:::u ........................ ;P-;,~,i92?.r../.J Appraiser I I I : ................. t\tASHINGTON ................. . County RESIDENT INHERITANCE TAX APPRAISEMENT ~ . Estate of ... ANNA ... .M •..... REARIC.K. Deceased. Late of .. WA.S.H.lN..qT.ON ...................................................................... .. Date of Death, ...................... 7 ..... 1.7 ..... 71 ................................ . Appraisemel!t Docket Vol., Page, No. . ...... 63-.71--1.025 Filed in Register's Office, .Oct ....... .I.s ......... J9 ..... 71 Amount of tax due, $ .................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra.isement, Appeal f~om Appraisement, Entered and charged, & •)' I ,y . , . ..-- ), , '· ';> k."i - ,,./. (i --~- COMMONWEALTH OF PENNSYLVANIA· DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 JUL Z3 SlJRVJ.Vltcr; DEPOSITOR, ~. ~::>. M.. J • ~~ BlrumCIARY OR INVESTOR ------~u~-------------'!""' RCC';'·I34 I 1·69) COMMONWEALTH or-PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION ........ -~ j: ,... . " OFFICIAL NOTICE OF INHERITANCE TAX .. APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION TO: )IRS. BETTY J • JORDAN 634 E. BEAU STREET Date: August 3, 1971 County \vashington --~WwA~SuHul~N~GT40~N~,~P~EwN~N~SY~L~V~A~N~IaA __ ~l5301 County File No. _________ _ Bureau File No. &,3-7/-JOJ:i I We have received notice that, m~JtJJ(~~XXXXXXXXXX.XXXXXXXXXXXXXXXXXXXXXXX on July 17 · 19_ll, you·came into ownership of certain property through K~W~ ~lXK~~~~XN~OC transfer from, AN~A M. REARICK, 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 Bank Account #88~02354"/.-$, held in the UNION NITIONAL BANK OF PITTSBURGH, PITTSBURGH OFFICE, PITTSBURGH, PENNSYLVANIA. In the names of ANNA M. REARICK or MRS. BETTY J, JORDAN. Opened, 5-26-71. Balance as of date of death, $1,251.41. appraised by the Co~mon~ealth, as of the date of death, at $ 1, 251.41 100 % of this amount is taxable at the rate of 15 % 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 tf1e date of death of the decedent, or on or before Oct • 17 19 71 you may deduct a discount of 5% of the amount of tax due, or i . . .. D This tax became delinquent, fifteen (15) months after the date of death and, i~ addition to the tax, statutory interes! a~ the rote 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 da'te additional interest. is due at the rate of 6% per annum unti I paid ORIGINAL ASSESSMENT $ ---=l:...z.., =25::..:1::.::•:.....:4.=1_ 187.71 9. 39. AMENDED ASSESSMENT I 99 k3 ____ zs------ ) TOTAL AMOUNT DUE $ 187 • 71 $ -==::::::/:::i::::. ::::/t:=.L======= APPRAISED BY: \ ~ . ~'"r>< ~ ASSE~SED BY: ____________ _ ~Tax Apprai~er) (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: .. C?~ f!iJq /0-I~-7) To insure proper credit to your account this Official Notice must accompany your payment. Mail or bring it to: If you hove a I ready po id this tax to on executor, odmi n is trotor ~ attorney or other persona I represen tot i.ve of the decedent for forwarding to the CoiT',..'llonwE'-alth, list below~rhe·da•fe paid, nome 'and address of the perscn to whom you mode 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 assessmen.t 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 con 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 Par_ee DescriE_tion of Obligation Amount Paid TOTAL $ (attach separate sheet 1f requ~red) COMMONWEALTH OF PENNSYLVANIA) SS: 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 pay out of the property herein taxed. I further certify, that to the best of my knowledge and belief, these some 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$ ·------o Date of Approval: ______________ _ Register of Wills . ~ . ' ' ' ~ . . . If you h\1ve ah<: I, ,n ~ rr < deced~at f.lr to1wot .~"''" ~ you mode pcy.nen: ' ( f..• ! ..-1j ~ j t. ' ,11n ,.-' •.• ~.. r ;,1 P!:.entative of the ~ u''. !• JJre ' t· .l per5on to whom _Pate t'q_rL Under ~:er! ' c:irc lfll. -c .... , oi, ortr.r thr-rlot::-.( l "' •• of ·h l f-r nt, yo. o~rSwlOI!y potd funeral crpenses or o!b•r ll.<.t •·11t:; 'lithe rl£'cf'rl•nt, •. rt!· f.n·'~s dr"•n .. .t_lr~.:·n t• ... or~otf'r' Lrr•2in t•n·d, such nmounts expended by yo, rr.!'y :.J•<ift us ~cJr ( r Jr.~ l:l{)011'>• Inc Q:os-. · · !,,,) ot t~c • rt +vi, the c,. •v-t:fron of tox J:.re. If any ~uch cxp~ndtt ~<;, "ce. ud oft~.: :n ..... ! ' '. ;< -I' vl'~ tnc.r VI'\.. 'ennzc the ,1 ,yrn!'!lit$ below, ~xecute the ofir uvrt, and retorrn tl·us no· c:• Th" R S"'cr 1 .,. v. e•r>rrrcf: :ne r'~bto;, c:oirn·"'O <:nd ollow those which he J~c•errnine> to ~c p1 •P"; 1•. IJ., ..... ·;r ·~u· "( r~'r .<~o· 1 d r:nJ you wit• ·p~'"e-rvc an ame-nded osse::.~ment of tax. • Y(HJ WP.re person" 2 You octuoliv pG•~ t· ,,. ·' •,+ of ~.·tch ;Joyrr;c.,t, it a.~ ~ · "h~s.t. sa·'"" debts r. pc~t~ ... sr!rl i~4 .l·:•• n·. ··\ dt~ce~~n t 0· :1 ,, y :• I • ·· rr ,(,1 .s .. 'l'f'O,· r ;? ~e:-.J! .. , l'dmHIISf1 0tCi Or 0. •t.:r 1, ... r!, r.l ,, 1 '·' ,;:~ '] ... r.erol e~ 1'1t:J l1f ·<-.,- , ...... -! --~~:~·~;~l,P~Td ~-~ -. _, t l ............ ,. '"'-:" ... ~ . t ... ~J·-· /_ ----·r. ~·'.-:F· ' • 4. ~ -~-=--=-=· __ 1 . . -· ... L ______ ----·-· ---- S~. 1,--..£ _ _:_...,.--.. ~ ....,._:._; .!...l3: -----:1l'f!.." ~ funeral exp~nS•.)S ),116 r tner '"'bt" u the ,: ·• l · IIIOS legally resp .:> · ~-.ul; r,,d • r. bec,t oi my""'· .... r F' th ·' .•.. , ·,_.<; .... ~- to" pt·r~o:,l ·-. swc::\ " I, r!• ._ f'l.t . . I have allow·.~"!" ~l,r1, Dote 'lf Ar;.pn,. . ' ' .;.. __ ,__ -···'·'-··-·i =~ .... --~i~:~_-t -----___ .... -i _____ ., ' ----i ---· .(...J ___ -t_;_J --·. ;,.._~~---_-::_·£' ---:-~=·.2:_.-::_ =-:J' ... ..__. -·-... -----~· -----------· ~·>"' .. _ I .... ' ... ,h, .,' J • '.,..-/ •'" ~.,....,. L ~ 1.-.... --~-, -4-"'-----j-,;:,r-,.~ .._ , _______ ..L<.~~ .. -·--T ---·----...,.. -----------' f '": ~~-"><~:~:r~-4~---~ L.L<.~. ~-~ . ~-L. ·•· ____ 0~L!l,.c~'J . _:_ d .. ,~<- ______ _,____ -. --~ ___ ---~ __ lQ.TJ\L$ __ { J_.:r 1 ·-~ f1 1 .f t(:'.·~•rcr~• , . lht> forcs01ng •S a jus• ontl true s~a!emcnt of ~~· ....__ .... ~-, ft)r which I . r 'to · .. :_r urtrfy, hot to the .w c •11 "f'"' cy •,ny o•• e1 ptJrsun, f()r rnhP.Titonce / /: .{, ...... ----~ ... ~-·-·----;-.-~~~ ..... __ .. _____ _ f f I ~ (" 1 t'tn<Jit·rt:•o+ ·~· .... r.oyer .. .. -_____ , ____ . Form)1CC-2 COMMONWEALTH OF PENNSY~V:ANlA RESIDENT INHERITANCE TAX APPRAISEMENT October 18 1971 DATE ........................................................... .! .......................................... . DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 17 1 2 7 COUNTY ... JY.AS..H.l..NG..T.QN ................................... . FILE NO •...... § .. ~.: .. ?..! .. :..!.Q.?.?. .................................... . Whereas, ............................ A.NN.A. .... M.~ ....... R~A.~J.9..~ .......................................................... late of ........................................... ~Y..A~.~.J..~g.r..9.~ ........................ . in the County of ........... : .. :.~ ........ ~~~m ..... W.AS..HJ.NQ.T.QN. .............................. Commonwealth of Pennsylvania, having died on the ....................................... T7.th ...................................... day of ................. J.V..LY.. ............................................ 19 ... 7.1.., seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ............... FRAN.CES .... 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 llfe 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. Appraisement Unit Oeacrlptlon of Aaaet Values Made for Inheritance Tax Purpotea .... ---I '\ -. ... $ -·. '. Jt. Held Bank Account #88-023547-8 held in the UNION NATIONAL BANK~_QF ~ITTSBURGH , PITTSBURGH OFFICE, PITTSBURGH, PA. In the names of ANNA M. REARICK-OR MRS.· BETTY J. JORDAN. OnPnPn .l:i-26-71 R:t1:tnce as of date of death 1 2.cil 41 ' ') ' . _, ; , l l ~ ., . - - ............................................. /;;J.£~~~~o .................. , Penna. ................ WASHINGTON ............ ···························· County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ....... : ... ANNA.·.)f~ ..... R.~ARJ.GJ\ ..................................................... . Deceased. Late of WASHINGTON '• Date of Death 7-17-71 J ••••• ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• f Appraiseme1!f Docket Vol., Page~ No. . ...... 6..3..~ . .71.~.1.0.2.5 Filed in Register's Office, O.c..t ......... 18. ........ J9 ..... .71 Am.ount of tax due, $ ................................................................... . .··.~~:--· DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra.isement, Appeal f1'om Appraisement, Entered and charged, / •' RCC·4 (8-68) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE N0.8 116 9 9 OFFICIAL RECEIPT • PENNSYLVANIA INHERITANCE AND ESTATE TAX RECEIVED FOURTEEN and 19 100---------------------------------.. --... ---------dollors representing Pennsylvania Inheritance or From: MRS. BETTY ORDAN ... PAYINO. ON ItqD; LIAB.Estate Tax due from the following estate: ... File No.63-7l•l025 Dote of D Date of Payment __ O_c_t_ .. _e_b_c_:r_· _1_4....;.,_1_9_7_1 ___ -----1 Nome of Decedent ANNA H. REARICK County ___ l_1A_S~H:...:..:· I..:....:N_G__:.T_O_N ____ ~-----l Remarks: JMO" f 1 ''-t. ... . .·· ... 2% Tax on $ --------$ ________ _ 6% Tax on $ 15% Tax on $ 99.63 %Tax on $ Estate Tax, Act of May 7, 1927 TOTAL TAX CREDIT Less five percentum of tax if paid within three months after dote of death Plus interest .at the rote of __ %from ________ _ to ___________ __ $ 14.94 $ $ $ 14.94 $ .75 $ ________ _ ' :·: -~ tr.oo ~ [p ~~ ©ilfiJ[g SEAL TOTAL AMOUNT PAID • ~ . ,,::.. f 14.19 NOTE: This Triplicaie Receipt Ia be. retained Ia~ audit purposes. , ' :~ , f : 1' .. -~ 11.?> ; ' , /' Received by '7""~,....._-=:..=...--=--;;:;::-~;,;::_,-==--..!..~=------ NOTE: In accepting the transfer, inheritance tax on future estates, prior to the death of the tenant or tenantJor years, os evidenced by this receipt, it is understood that the Commonwealth not be precluded a-r-pr-!•ve'nted from hereafter assessing additional inheritance tax at the death of ~,.2;;~~::::::~~~7..-~~~==~~-----IHI life tenant or tenant for years whenever It appears that such additional tax may be legally due and- collectible for any reason whatsoever. ·:..' ~