HomeMy WebLinkAboutOC1971-1153 - ESTATE OF ZOTOV,J_
RCC-134 (1-'59)'•'.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
aUREAU OF COUNty COLLECTIONS
,IN~IE~ltANC!:tAX DIVISION
Oi=FICIAL NOTICE OF INHERITANCE TAX
APP~AISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
1-1use I Pa .15350
TO:George Zotov
Box 97
Dote:Septenter 22,1971
County WASHINGTON
County File No._
Bureau File No.Cz3 -2/-1/S'3
We have received noticxOO;X(l~jJx.lfo:b~.tmIKAt:XXXXXxxXY,XXXXXXXXXXXXXXxx.x.x..XXxx.xxxx:xxxxxxxxx
OhSept.11,.-19...1I...,you Come into ownership of certain property tl>:!;~X!Y~u.~ttRm~
L~b~Jtk Transfer from Anna.Zotov,deceased (I.luse)
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritonte tax due is imposed upon you,as transferee.
The property on which tax is hereby assessed consists 'of:Jt •Held in the Pittsburgh National
Bank Canonsburg Office,CarlOnsburg,Perulsylvanis..ln t.he names of Ma.:rtha Zotoy or
---llera .ZQtov or George ZotOY•.B.a1anceuas of date of death $12.775.<!l.
appraised by the Commonw~alth,as of th~dote of death,at $12#775,07
1/4 %of this amount is taxable at the rate of 6 %,
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
AMOUNT OF TAX DUE
o If you pay the above amount within three (3)months
of the dote of death of the decedent,or on or
before Dec.'J I'.197)you may deduct a
discount of 5%ofthe amount of tax due,or
D This tax become delinquent,fifteen (15)months
after the date of death ond,in addition to the
tax,statutory interest at the rate of 6%of the
tax per annum is 'also due as of *.~_
19_._in the amount of
*If the tax is not paid by the above dote additional
interest is due at the rote of 6%per annum until
paid
TOTAL AMOUNT DUE.$
$3,193:17
_......_--------
$---------
$========
APPRAISED BY:...--;.,r!,'.~t.-t/,(~.(..(!e.""
{Inheritance Tdx Appraiser)
ASSESSED BY:RUSS~ll:MARI"O.,:
(Agent for the Commonwealth)
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:To insure proper credit to your accountro1/AJJ this Official Notice must accompany/J .J\~Iw\~ment.Mail or bring it to:
f~t£/%07,60"-AGENT FOR THE COMrrlQNW~A~fM
,COURT HOV§g~/::'/7 7/WASHJNGT,ON.P£HNA-//0:_,r J§igJ
~/9"..i!//,f.:?t.
0",
If you have already paid this tax to an executor,administrator,attorney or other personal represe'ntativE!of the
decedent for forwarding to the Commonwealth,list below the dote paid,name and address of the person to whom
you made payment,their oHidal title and the amount.
Date Paid Nome and Address of Payee Official Title Amount Paid
Under certain circumstances,if,after the dote of death of the decedent,you personally paid funeral expenses
or other just debt$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 folIowing tests,it is recommended that you itemize the payme.nts 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 a~d 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 handl ing the admin istration of the general estate of the
decedent or any oth~r transferee.
SCHEDULE OF DEBTS
Date Paid Name of Payee Description of Obligation Amount Paid
.
.
TOTAL $
(attach separate sheet if requ ired)
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 payout of the property herein taxed.I further certifyI that t,)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 Approval:_
Register of Wills
,,~
RCC-134 (1-"69)'
COMMO'NWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BU~EAU OF COUNTY COLLECTIONS
,INHERITANCE TAX DIVISION
OFFICIAL.NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINiSTRATION
TO:__.....;;Mar=...::.tha~...;;;Z;..;;.ot~o;;;...:¥~_
B ox.97
Muse,Pa,15350
Date:__-1S.ueii.jpt,.LlL§eWlmlWhs<.erI.......,j2iid!2..,.~1~97""'1""'--_
County _-:.\v.;;:.:A.::..SH:.:;D:::.~:.::G.=..TCN.:::.:...._
County File No._
Bureau File No,c.,J -'7/-1/S3
We havereceived notice m~~~xxxxXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
on Sept.11,19-7!,you came int.o ownership of certain property li!.K:~.
~roOCK~mOOImtOO:W~(9:~·Transfer fran Anna Zotov,deceased (Muse)
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 taxis hereby assessed consists of:.........:J...:t:...:.~H.::.:cl::.;d~P-=i:.:t-=t.::.sb.::.ur.:::...sg2.:h:.-..:.;N=a=tJ.=-·o:::na::=:;l=--B=ank::.=:_
Canonsburg,Office.Canonsburg.Pennsylvania.In the names of Martha Zotov or Vera
Zotov or George Zotov.Balance ~s of date of death $J2.775.<n.
appraised by the Commonweahh,as of the date of death,at $12,775.CQ
1/4.%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
$---------
AMOUNT OF TAX DUE J91·6,3
o If you pay the above amounfwithin three (3)months
.of the date of death of the decedent,or on.or .
before Dec.1 J J 197J ,you may deduct a
discount of 5%of the amount of tax due,or .__2.•.s.a._
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 taxis not paid by the above date additional
interest is due at the rate of 6%per annum unti I
paid
TOTAL AMOUNT DUE $$===========
APPRAISED BY:_,.;.".,_
(Inheritance Tax Appraiser)
ASSESSED BY:RIISSEll MARINO:. "...~]
(Agent for the Commonweatfl',)
INSTRUCTIONS TO TAXPAYERS
IsaOl
To insure proper credit to your account
this Official Notice must accompany
your payment.Mail or bring it to:11M~
AGENT FOR THE COMMONWEALTH
COURT HOUSE
WASHINGTON..PENNA.
Make checks or money orders payable to:
~4/f.?o~~
4 I;:/77/
K,z;/.#//f':<c;.
,I J,
If you have already paid this tax to an executor,administrator,attorney or other personal repres~nfatlve of the
decedent for forwarding to the Commonwealth,list below the date paid,nome and address of the person to whom
you made pa.yment,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 personall}'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 the~e 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:_
SS:
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__t \
~.",'Signature of.Taxpayer
REPORT OF REGISTER OF WILLS
I,the undersigned,duly elected Regi~ter of Wills in and for the above ~ounty,do respectfully report that I
have allowed deductions listed above in the total amount of $~
Date of Approval:_
Register of Wills
.,,\..
Muse,Pa.1531'lr'
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF ,
ASSETS NOT SUBJECT TO ADMINISTRATION
RCC-134 (1-'69)'",.
COMMQNWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
•INHERITANCE TAX DIVISION
TO:__V_e_r~a_Z_ot_o_v_>- _
Box o/'{'
Date:•.,.September 22,1971
County ~__..:.:~J=a=sh:.:;m=·:.s;gt=O'l1=--_
County File No._
Bureau File No.&3 -7/-lIs3
~e have received notice~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-on Sept.i1l.19~,you came into ownership of certain property'
Jm:M:K:kl7.cr:Del~lIX=ibcb!~~JlbDDXd:eot.Transfer from Anna.Zotov,deceased (Muse)
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 in the Pittsburgh National
Bank Canonsburg Office,Canonsburg,Pennsylvan:ia.In the names of'Martha.Zotov or
Vera Zotov or George Zotov.Balance as of'date of death$12,775.C1l.
appraised by the Commonwealth,as of the date of death,at $12,775.Cfl
1/4 '%of this amount is tax~ble at the rate of >6 "%
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
AMOUNT OF'TAX DUE
o If you pay the above amount within three (3)months
of the date of death of the decedent,or,on or
beforeDec•11,19 71 you may deduct a
discount of 5%of the amount of tax due,or,'
o This tax became delinquerrt,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 AM NT DUE $
$_=3L:,1::.:::9=~~.7!..7~~~_
--~-------
$---------
$===============
APPRAISED BY:{£dL,,,t-C-<r-/,t./M./
...(Inheritance Tax Appraiser)
..~,~
ASSESSED BY:RUSSELtMARINO._•.,II ...,-.l
(Agent for the CommonweaTt~
INSTRUCTIONS TO TAXPAYERS
Make ~hecks or money orders paYa~b:IJ AU -_.To insure proper credit.to your account-"L-~~.. -~r.':.this Official Notice must accompany
.-_"'V'T r""""'V\.4I~ur payment.-Mail or bring it to:
/)-AGENT FOR THE COMMONWEALTH - -~~~/cfc!-OS-COURl'HOUSE
WASHINGTON"PENNA.15301
/(~/;:/9?/
~,4{///,f';l,r
.'".).,~If you have already paid this tax to an exeC/utor,administrator:attorney or other personal representative of the
decedent for forwarding to the Commonwealth,list below the dote paid,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
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,,he~eby 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 toxed.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
hove allowed deductions listed above in the total amount of $--------0
I·
Date of Approval:_
Register of Wills
}o"unn ?CC-2
;1 -I.~~
nEPARTM~!T OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17 127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ~~~.~~??"!.9.7i'!.
NTY Washingtoncou .
FILE NO.63.~71~1l53...
Appraiser
Anna Zotov eanonsburgWhereas,late of .
in the County of ~~.~~.~:".:~~.C?.~Commonwealth of Pennsylvania,having died on
the l.lt.b.day of Sept.ember 19 71,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,~~~~.~.~~.?,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 Ufe 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 AppraisementDe.crlptlon of Alset Values Mada for Inheritance
Tax Purpo.e.
Jt.Held in the Pittsburgh National Bank Canonsburg Office,Canonsburg $
Pennsylvania.In the names of Martha Zotof or Vera Zotov or George Zoto •
Balance as of date of de.tlth $12.??I:"~07i 3;,19J.77 I
I
...'TotalF'':',3,193>.77
."
n
Having been duly sworn according to law,I do hereby certify that the above appraisement is made in con-
formity with law on this ~?:r..c:i day of N<:>.~l:>.~:r.:19 7~.
.................................?44...W.9.-.~h;i,p.gt.9.p ....~w3.t..13:J"gg~...
W h ·t Olumller and Street)as l.ng on,rae................................................................................................................................,Penna.
(Post Offlee)
WASHINGTON......County
RESIDENT .INHERITANCE TAX APPRAISEMENT
Estate of
Anna Zotov
Deceased.
Late of
Canonsburg..;,........
Date of Death,September ll,1971
Appraisement Docket Vol..,.
Page,"""..__....N o.__.(»~Zl.·.~g.5.J..........
Filed in Register's OfJice,__..__J9 ..
Amount of tax due,$______..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.u t A ppra-isement,.
Appeal ft-om Appraisement,.
Entered and charged,..................__..
"
"
",
I-~---~----~~------~----------~---~--~~-~-~--'~---~---------~------
.J
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
63.59
$--------.114:1
$----------0
$----------
$--------."
%Tax on $$----------1IIlI
Estate Tax,Act of
May 7,1927
2%Tax on $_
1.059.896%Tax on $_
15%Tax on $_
15350MUSE,PENNSYLVANIA
November 11.~971DateofPayment ---j
ANNA IZOTOV a/k/a
Name of Decedent ------------------4
63-71-1153 9-11-71FileNo.Date of Death ---4
From:GEORGE ZOTOV -Paying On Ind.Liab.
209 SYCAMORE STREETAddress --l
WASHINGTONCounty ~
Remarks:
MJR
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
__%from _
to _
63.59
$--------0
$--------1iII
$,--------·01
u00 ~[p [~@illUrnSEALTOTALAMOUNTPAID $,==6=0=.4=1===~
NOTE:This Triplicate Receipt to be retainecl for audit purposes.~ii {/..,/}-
Received b~...)~-:5~~-~/.:-J.rVY...O
NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the I;(e ' •J£(Signature)• ,
tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth shall----_,",;i ;j;'j \
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of th'e--.·\.....('1/--..x...I.~[;'--j ',-'.J~
life tenant or tenant for years whenever it appears that such additional tax may be legally due and <::,'\(Till.e)
collectible for any reason whatsoever.-,J
___~__~i#~.~~-..__I
$---,,....--------n
$---------$---------J.II
%Tax on $$111
Estate Tax,Act of
May 7,1927
3,193.77
6%Tax on $---------_$----------n
15%Tox on $$•
15350HUSE,PENNSYLVANIA
ANNA ZOTOV a/k/aNameofDecedent --1
63-71-1153 9-11.11FileNo.Date of Death ---i
November 17,1971DoteofPayment--'---1
ONE HUNDRED EIGHTY-TIl and 05/100 ---------------------.--------RECEIVED doliars
representing Pennsylvania Inheritance or
GEORGE ZOTOV -Paying On Ind.Liba.Estate Tax due from the following estate:
From:---------------------,.----------------------------RIJ
Box 97Address 2 %Tax on
WASHINGTON
County ---------------------i
Remarks:
MJR
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
__%from _
to _
$-------_.~
$--------M
$---------"
182.05
$========:I~
NOTE:This Triplicate Receipt to be retained lor audit purposes.
TOTAL AMOUNT PAID
.......--...."(,))JL"/1/,(.'
Received by'---)-<,.f'.Dr",«1/L,!"/,,,,/\",j"\
NOTE:In accepting the transfer inneritance tax an future estates,prior to the death of the lif.,e"'-../\,(Signatur~
tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth shall ,/•J)/
nat be precluded or prevented from hereafter assessing additional inheritance tax at the death of the ',·.l,j·i 1 ]\M '•VA
life tenant or tenant for years whenever it appears that such additional tax may be legally due and .....,~(Titl')
collectible for any reason whatsoever.'v
I
,__c__•,'·~_'_'',_~,_~'~'__',_._.~J
IBIXHlKlIKIXIIB1IXXJII ONE HUNDRED EIGHTY.TWO and 05/100 ------
RECEIVED doliars
MATHA ZOTOV ..Paying On Ind.Liab.representing Pennsylvania Inheritance or
From:.--E_st_a_te_T_ax_d_u_e_f_ro_m_t_h_e_f_o_lI_o_w_in_g_e_st_a_te_:1!I
J
BOX 97Address -i 2 %Tax on $------'-------$----------ill1l
63-71-1153 9-11-71FileNo.Date of Death --i
191.63
$---------.
3,193.77
6%Tax on $$----------1111
15%Tax on $_
15350MUSE.PENNSYLVANIA
$--------0
NO'9'ember 17.1971
Date of Payment ------------------i
ANNA ZOTOV a/k/a
Name of Decedent --1
%Tax on $$----------IID
Estate Tax,Act of
May 7,1927
WASHINGTON
County -----------------------i TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
__%from ----'-_
to _
191.63
$·---------0
9.58
$----------11I
$,----------n
182.05
$========~ISEAL
•0
NOTE:This Triplicate Receipt to be retained for audit purposes.".
TOTAL AMOUNT PAID
~.
(',.,).)/i ',I'oJ',,",/"IReceivedby·"-:"::':'I..A-6.x..J/...X-,vvVv'-'V
NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the Pf;;'\'-o~'(Signatur
tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth shall '.'.'.i oJ //J'
nat be precluded or prevented from"hereafter assessing additional inheritance tax at the death of the ..::,'\.J\/~,V:.-:.'...t (...~YA
life tenant or tenant for..years whenever it appears that such additional tax may be legally due and ¥\(Tit'f\l)
collectible for any reason whatsoever,'_)I I
-----~----------------------~----_.~~,....;.::.,.-=--:-.-.:....-- -:.-..-:....-~-_.--~-- - ------~-~--- ------.---- - - _..........-
[
--........,..........-..-
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:From:.--III
BOX 97
15%Tax on $$•
9.58
191.63
$--------0
191.63
$---------'L:J
$,---------H
$--------.1f.I
$--------
$---------"
%Tax on $$II!
Estate Tax,Act of
May 7,1927
2%Tax on $_
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
__%from _
to _
9-11-71
15350 3»193.77
6%Tax on $_
63 ...71...1153
MUSE;PENNSYLVANIA
Date of Payment --------------------i
Name of Decedent -----------------1
WASHINGTON
File No.Date of Death ----1
November 17,1971
DX ANNA ZOTOV a/k/a
Address -l
County ----------------------1
L
182.05
TOTAL AMOUNT PAID$E A L
NOTE:This Trip!icate Receipt,to be retained for audit purposes.
$'========11II
(/>--""R"~.i.,'."(''''
Received by "._~,\.,V~j:.L,'I /l ,J ..ri·-~
NOTE:In accepting the transfer 'inheritance tax on future estates,prior to the death of the life""':-~(Si9nO LJ)i!
tenant or tenant for years,as evidenced by this receipt,it is understood thot the Commonwealth sholl .....I I •,/\
not be precluded or prevented from.hereafter assessing additional inheritance tax at the death of the',\.:,,:/\"0.~j,'Ct::.../
life tenant or tenant for years when'ever it appears that such additional tax may be legally due and ':::'\(Title)
collectible for any reason whatsoever..-..i '..
_7_"_-_~_·_.::__--~"-=---.~.,_-_-~-_._-_.._.~_-_-.......:_.~_
·,.\
RC C-43 (5-65)
COMMONWEALTH OF PENNSYLVANIAa~f,~Cf~I'f!£D
DEPARTMENT OF REVENUEou,t,t'TY ifj,'Lt/J 0;-
HARRISBURG 't,.,OLi.[C"t"'lJ,1Yr
Sf?/1 J .",
18 PH '71
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:
NAME OF REPORTING
FINANCIAL INSTITUTION Pittsburgh National Bank
ADDRESS 4 W.PIke Street,Canonsburg,Pa.15317
ACCOUNT NO.OF JOINT,
TRUST OR INVESTMENT DEPOSIT 82-2018239----------_.....-..._-----NAMES ON ACCOUNT \OR INVESTMENT Anna zotov or Martha Zotov or Vera zotov or
George zot.ov
DECEASED JOINT DEPOSITOR,
TRUSTEE OR INVESTOR __~A...n_n&liia~ZI.WQ....towVJ&.,.·_,
ADDRESS __.....;B::;,;O::.:;x:.:......:9:....:7....f,--:,:M:.;::u::..se=...!.....,-:P:....:a:..:.~1:..::5.=.3.=.50=--_
DATE OF DEATH September 11.,1971
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR Martha Zotov or Vera ZotQv or George Zotov
ADDRESS B_O_X_97_,_M_u_s_e_,_Pa_._1_5_3_5_0 ---
RELATIONSHIP TO DECEDENT Children --....;;..;.-------------------DATE DEPOSIT OR INVESTMENT
'.':'WAS ESTABLISHED 9:..01/:...:2:..:.7J-1=66~·_
BALANCE,INCLUDING INTEREST
,DUE,AT DATE OF DEATH $----~---~_I_---r'-----..•.;,-....'
TITLE
sistant Manager
RCC-144 (10-68)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
TO:The Register of Wi lis
_W_8_s_b_i_n9_·_to_n__County
...".
CERTIFICATION -
NO ASSETS IN ESTATE
Estate of Anna Zot:.ov .
Date of Death 9..,;11-71
County File No.3'?-:1,;2 y-9'
Bureau File No.63.71-1153
J
On ,19__,I filed a petition for letters _
in the above estate for the sole purpose of
This is to certify that there were never any assets,reportable for Pennsylvania Inheritance Tax
purposes,in the estate of the decedent either at the date of death or subsequent thereto.
I certify that the statements contained herein are true and correct,to the best of my knowledge
and belief.
Signa'o,.X )J~~
Receipt Acknow Ied ged ---,~~~~':i;;;&~--/.~~c...A~/4.;<::::
Mart.ha Zotov
80x97
Muse,Penna..15350
(PREPARE IN TRIPLICATE)
DAUGflTBR
(Date)~,