HomeMy WebLinkAbout05-17-07
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
GAIL E FISHER
104 WOODPECKER WAY
AFTON, VA 22920
-------- fold
ESTATE INFORMATION: SSN: 217-12-3012
FILE NUMBER: 2107-0495
DECEDENT NAME: DAVIES CHARLES 0
DATE OF PAYMENT: 05/17/2007
POSTMARK DATE: 05/16/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 09/02/2006
NO. CD 008177
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07102147 I $1,136.26
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TOTAL AMOUNT PAID:
$1 , 136.26
REMARKS:
CHECK# 113
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WillS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
LAW OFFICES OF
ZULLINGER - DAVIS
PROFESSIONAL CORPORATION
JOEL R. ZULLINGER
14 North Main Street
Suite 200
Chambersburg, P A 17201
717-264-6029
Fax: 717-264-1884
zulngrlaw@earthlink.net
Dale F. Shughart, Jr.
of counsel
ID\.MILTONC. DAVIS
20 East Burd Street, Suite 6
P.O. Box 40
Shippensburg, P A 17257
717-532-5713
Fax: 717-530-5222
hamiltondavislaw@comcast.net
May 14, 2007
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Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, P A 17013
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Re: Estate of Charles O. Davies
S.S.217-12-3012
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To Whom It May Concern:
Enclosed please find check number 113 in the amount of $1,136.26 for payment in the
above - estate. Please direct any and all correspondence to the Shippensburg address above.
Thank you.
Sincerely yours,
~~.!:-
for Zullinger - Davis
Professional Corporation
HCD/njk
Enclosure
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Reply to: Hamilton C. Davis
P.O. Box 40
Shippensburg, P A 17257
COIl'lCMllEAL TH OF PENNSYLVANIA
DEPARTMEHT OF REVENUE
IUREAU OF INDIVIDUAL TAXES
DEPT. 210'01
HARRISIURG, PA 17121-0'01
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INFORMATION NOTICE
C)F,~':rA)(p A YE:NBE SPONS E
FILE
ACN
DATE
NO.21
07102147
01-15-2007
_-154I$ll ~ ..(M-:.!~~
TYPE OF
ACCOUNT
o SAVINGS
[i] CHECKING
o TRUST
o CERTIF.
2D07 ~1A Y I 7
Pf..
1'1
I: 41sT. OF CHARLES 0 DAVIES
5.5. NO. 217-12-3012
DATE OF DEATH 09-02-2006
COUNTYCUMBERL'AND
GAIL E FISHER
104 WOODPECKER WAY
AFTON VA 22920
ClERI( OF
"ORPHAN'S COURT
CLJI...lpc'Cj' ,. PA
REMIT PAYMENT AND FORMS TO:
REGISTER ~F WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
FARMERS NATIONAL BANK has proviclad tho Dapart.ant with tho info~ation listed ba10N which has boon used in
calculating tho potantia1 tBX duo. Thair racords indicata that at tho daath of tho above dacadant, YOU wara a joint ONnar/beneficiary of
this account. If YOU foal this info~ation is incorract, p1easa obtain written corraction fr.. tho financial institution, attach a cOPY
to this fo~ and return it to tho above addrass. This account is t..ab1e in accordanca with tho Inharitanca T.. Laws of tho C...onwaa1th
of PaMsY1vania. Ouestlons... be an.araci by calline U17> ""'''1527.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 220930 Date 06-30-2001
Account Balance
Percent Taxable
AMount Subject to
Tax Rate
Potential Tax Due
x
151,498.24
16.667
25,250.21
.045
1, 136.26
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice .ust acc..panw your
pay.ent to tho Ragistar of Wills. Maka check
payable to. "Registar of Wills, Agant".
Established
x
NOTE. If tBX payaants ara .ade within thraa
(3) ..nths of the dacedant's date of daath,
yoU .ay daduct a ~ discount of the t.. due.
Any inharitanca tax duo will bac..a delinquant
nina (9) .onths aftar the date of death.
Tax
PART
ill
A. 0 Tho above info~ation and tax due is corract.
1. You.ay choosa to r..it pay..nt' to tho Ragistar of Wills with two copias of this notica to obtain
a discount or avoid interast, or YOU .ay chock box "A" and raturn this notice to tho Ragistar of
Wills and an official asses..ent will ba issuad by tho PA Dapart.ant of Ravanua.
I. 0 The abova assat has bean or will ba raportad and tax paid with the Pennsylvania Inharitanca Tax return
to ba filed by tho dacadent's rapresentative.
C. 0 Tho abon info~ation is incorrect and/or dabts and daductions wara paid by YOU.
You .ust co.pleta PART ~ and/or PART [!J balON.
[CHECK ]
ONE
BLOCK
ONLY
PART
I!I
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. AMount Subject to Tax
5. Debts and Deductions
6. AMount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
5
6
7
8
x
If you indicate a different tax rate, please state your
relationship to decedent:
x
PART
[!]
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax COMPutation)
.
Under penalties 0' perjury, I declare that the facts I have reported above are true, correct and
COMPlete to the best of oy knowledge and belief.
HOME (
WORK (
TELEPHONE
)
)
NUMBER
DATE
TAXPAYER SIGNATURE
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