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TO THE SUPERINTENDENT OF THE INSURANCE DEPARTMENT, STATE OF NEW YORK.

SIR: You are requested to compute the present value of the following estates created by the

of

.deceased for the purpose of assessing

thereupon a transfer tax:

(e. g.) Life use of $...... bequeathed to

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No. 9.

ORDER ASSESSING TAX.

(Ante, § 232.)

At a Surrogate's Court, held in and for the County of.....

rogate's office in the....

the.....

.at the Sur

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Present--Hon....

In the Matter of the Estate of

Deceased.

Upon reading and filing the report of.... heretofore by an order of this Court appointed appraiser in this matter, pursuant to Article X. of the Tax Law, as amended, in relation to Taxable Transfers, and after due consideration had, it is

Ordered, That the cash value of all the legacies, estates, annuities, life estates, terms of years, property and interests growing out of the estate of said deceased, and which are subject to tax under said Act, and the tax to

which the same are liable, shall be and the same hereby are assessed and fixed as follows:

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If said tax is paid within six months after said date, a rebate of five per centum thereon will be allowed. If not paid within eighteen months after date of death, it will bear interest from said date at the rate of ten per centum per annum.

[L.S.]

Witness my hand and the seal of this office, the day and year

first above written.

Surrogate.

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....

Esq., appraiser, which was filed in the office of the Surrogate of....

day of.........

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County, N. Y., on the......

.189, I have assessed and fixed the cash value of the property bequeathed and devised to you by and under the will (or, descending and to be distributed to you as one of the heirs-at-law and next of kin) of said deceased, at the sum of $

I have further assessed and fixed the tax to which said property is liable at the sum of $...........

which

said last mentioned sum is at once due and payable to the County Treasurer of.... ........County (or, Comptroller of New York city.)

If said tax is paid before the......day of........189, no interest will be charged, and a discount of five per centum will be allowed and deducted therefrom. After the........day of..... ...day of............ 189, interest on said tax

at ten per centum per annum will be charged.

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