HomeMy WebLinkAbout09-08-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BLACKBURN MARTHA
41 GREENWAY DRIVE
COLONIAL BEACH, VA 22443
fold
ESTATE INFORMATION: sSN: 162-22-0864
FILE NUMBER: 2108-0907
DECEDENT NAME: PARNELL MARTHA
DATE OF PAYMENT: 09/08/2008
POSTMARK DATE: 09/05/2008
couNTY: CUMBERLAND
DATE OF DEATH: 05/24/2008
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08138680 ~ $71.74
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 4023
SEAL
INITIALS: CJ
RECEIVED BY:
571.74
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1162 EX111-96)
NO. CD 010241
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE INFORMATION NOTICE FILE N0. 21
BUREAU OF INDIVIDUAL TAXES _,~r-~r„^~'~tl AND
DEPT. 280601 -- 1, ACN 08138680
HARRISBURG, PA vlzB-0601 ~ TAXPAYER RESPONSE DATE o8-28-2008
l . "4
'-`-''°~'- 'Re1~~154367F 11FP~(99-00)
24Q8 SEP -8 AM ! { ~ 44
CLERK ~uF
ORPHAP;'S ;COURT
CU~~'--~ ni ,3,e. ~ r-,~ p~
MARTHA BLACKBURN
41 GREENWAY DR
COLONIAL BEACH VA 22443
TYPE OF ACCOUNT
EST. OF MARTHA PARNELL ^ SAVINGS
S.S. N0. 162-22-0864 ® CHECKING
DATE OF DEATH 05-24-2008 ^ TRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
1ST NATIONAL BANK has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a paint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth
of Pennsylvania. puestions may be answers-Q by calling (717) 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Under penalties of perjury, I declare that the facts I have reported above are true, c/~o/r~rect an
co/m~plete .toJ the best ~f/~my knowledge and belief. HOME C ~~ ) ~~~ " ~ a'1 `I q
/ ~//I?TYIiL ~I . I._1!/~L ~,,i ,D~.(h,..~_ WORK C ) ~~': , ~ .O
AXPA
TELEPH
DATE
TOTAL (Enter on Line 5 of Tax Computation) 6
USA f11~ST-CLASS ~; „_
.~ ati: l .ai~ ~.t t ~vf s:..~,
°~ Fc
S 'jM ~x
~:
~" ~ ~ ZODB SEP -8 QM f I ~ 44
~ ~~
,~ r
E c r o~
` ORPN
'S COURT
~S
E L_
~ C
<~ t~
~_
~ ~
~= !~
(' ~
c'„s ~ ~.J
~'
C~ <.
r~ 7~~
.~ Sail
tfi ~-
~~
t M
~1'
~.~ N
~QN
Qj',:_.,
~ 3~
~~~
,'' N U
F6~„i ~Q ~
~~~ d
U
.~
1
.`
ti
ti
1r
L
1~
,~.~
.~.;
i1'~
;t~j
.1.
s
iY~
.~
} ~i
i