HomeMy WebLinkAbout05-04-10COMMONWEALTH OF PENNBVLVANIA REV-1162 EXI11-961
DEPARTME T
N OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280607
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 012699
SHRAWDER LAURIE J
278 NEWBURG RD
NEWBURG, PA 17240
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
----"'-- foie
ESTATE INFORMATION: ssN: iea-2s-3888
FILE NUMBER: 2109-0516
DECEDENT NAME: MCKEE HAROLD J
DATE OF PAYMENT: 05/04/2010
POSTMARK DATE: 05/03/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 05/19/2009
10004318 ~ 5300.00
TOTAL AMOUNT PAID:
REMARKS: LAURIE J SHRAWDER
SEAL
CHECK~t 2824
INITIALS: WZ
RECEIVED BY:
5300.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES ` NERITANCE TAX
INHERITANCE TAX DIVISION ~_ M !) WINCE OR DISALLOWANCE
PO 007( 280601 ~bN- ASSESSMENT OF TAX ON
HARRISOURp PA 17128-0601 J02NTLY HELD 0~ TRUST ASSETS
Pennsylvania
DEPARTMENT OF REVENUE `i7
REV-1548 EX AFP (12-09)
~'~~~ _~ `~ '~ ~J ESTATE OF MCKEE JR10 HAROLD
DATE OF DEATH 05-19-2009
`C~IIAT4~-"'~ O~gERL~
LAURIE J SHRAWDER ~ SSN/DC _' 184-26-3888
278 NEWBURG ROAD -"R} CN 1000431
A1`-E'-0'~ 25-2010
NEWBURG PA 17240 (See reverse side under Objeclioxs)
A~eount Re7Bitted ~,
MAKE CHECK PAYABL AND REMIT PAYMENT TOs
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
__._
CUT ALONG THIS LINE '~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1648 EX AFP C1~'-09) ------"-
--------------------------------------------------
NOTICE OF INF~ERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, lND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 0 .
ESTATE OF:MCKEE JR HAROLD DATE OF DEATH:05-19-2009 COUNTY:CUMBERLAND
FILE NO.: 21 09-0516 S.S/D.C. NO.: 184-26-3888 ACN: 1 8
TAX RETURN WAS: {X) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: 252 NEWBURG ROAD ACCOUNT NO.: UNKNOWN
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 04-26-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rake
Tax Due ____
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
~~.
.
DISCOUNT C+)
INTEREST/PEN PAID C-)
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER~P~AyABLE T0:
"REGISTER OF WILLS, AGENT."
AMOUNT PAID
INTEREST IS CHARGED THROUGH 05-04-2010 TOTAL TAX PAYMENT
AT THE RATES APPLICABLE AS OUTLINED ON THE .00
BALANCE OF TAX DUE 1,518.75
REVERSE SIDE OF THIS FORM INTEREST AND PEN.
12.36
TOTAL DUE 1,531.11
IF PAID AFTER TNIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. x
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTION8.
135 ,000 00
~ 0 250
33 ,750 00
00
33, 750 00
Y 45
1, 518 75
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