HomeMy WebLinkAbout04-22-09COMMONWEALTH OF PENNSYLVANIA ~ REV-1162 EX~11-96)
DEPARTMENT OF REVENUE
BUREAU OF UAL TAXES
DEPT.2 601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
DURHAM CHERYL L
16 SOUTHVIEW CIRCLE
SHERMANSDALE, PA 17090
OFFICIAL RECEIPT
NO. CD 01 1 143
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
ESTATE INFORMATION: SSN: 716-09-7231
FILE NUMBER: 2109-0386
DECEDENT NAME: SORG LEI ~
DATE OF PAYMENT: 04/ 22/ 2009
POSTMARK DATE: 04/20/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 03/ 1 2/2009
REMARKS: RECEIPT TO ATTY
SEAL
CHECK# 1 10
101 ~ $1, 765.60
TOTAL AMOUNT PAID:
$1, 765.60
INITIALS: CJ
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
CDMMDNWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE ,i'";"I(N RMATION NOTICE pp c'
BUREAU OF INDIVIDUAL TAXES ^'~~ .')? ~~.;P~. ~ AND FILE N0. 21 -17-I'~~~f(~
PD BDx zao6gl ~ 't',T11kXPAYER RESPONSE ACN 09503422
HARRISBURG PA 17128-0601 ,i, ~
DATE 04-09-2009
REV-I543A AFP C7-00)
2009 APR 22 PPS f2~
C!.E~K CF
CRF~'N^''`~ r'~I i~j
C~.t" ,~ ~ , ~, ,, , P
,~ ,
CHERYL L DURHAM
16 SOUTHVIEW CIRCLE
SHERMANSDALE PA 17090
~~ TYPE OF ACCOUNT
EST. OF LOUIS H SORG ^ SECURITY
S.S. N0. 716-09- 31 Q SEC Accr
DATE OF DEATH 03- 2-200 ^ s7ocK
4 COUNTY CUMBER ND ^ BONDS
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MERRILL LYNCH has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset.
If you feel this information is incorrect, please obtain written correction from the transfer agent, attach a copy to this form and
return it to the above address. This account j~ taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania
Vuestions way be answered by calling 0717) !87•'~1~7?.
COMPLETE PART 1 BELOW * * ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I
complete to the b st ofQmy kno/w'l~edge and belief. have reported
HOME C Yj above apre tr+u~e, correct and
) Q ~- ^ / b
• c5~ l/ WORK C ) p
TAXPAYER SIGNA TELEPHONE NUMBER DAT
LAW OFFICES
~~ ~~ ~ ~~
P.O. BOX 1121
FIARRISBURC; PA 17108-1121
109 Locusr SIREET
HARRI$BURGp PA 17101
DAVID A. WION
FRANCIS A. ZULLI (717) 236-9301
JEAN D. SEIBERT (717) 232-1488
FAX (717)236-6100
EMAIL: WZS a~MINDSPRING.COM
Apri120, 2009
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: Lois H. Sorg
DOD - 3/12/09
Gentlemen:
113 E. MAIN STREET
HUMMELSTOWN, PA 17036
(717)566-2501
Please find enclosed two copies of the Information Notice along with a check in
the amount of $1,765.60, which represents the payment due less the discount.
FAZ/lv
Enclosures
cc: Cheryl L. Durham
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