HomeMy WebLinkAbout08-12-10PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL_TAXES ,_,. A N D
PD Box~~~ao6a~'• `' ~ TAXPAYER RESPONSE
HARRISBURG PA 17128-0661 ~`'F
! .. ... ,. REV-1543 EX AFP COB-OB)
FILE N0. 21 r ~~ "° `~~~~
ACN 10129305
DATE 05-20-2010
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PATRICIA L PATTON
2235 BRIGADE RD
ENOLA PA 17025
EST. OF SUSAN PATTON
SSN 232-05-6106
DATE OF DEATH 01-05-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
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METRO BANK provided the Department with the information below, which has been used in t~ulatirC~')the `
potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/beneficiaey this.,.a,ccount.'
If you feel the information is incorrect, please obtain written correction from the financial institution, attacfi~~-'cc~~ to t~ form: •
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Cowin-~-[„+galth of - ~ ~
Penr.sylvar.ia. Please call :727) 787-537 with tioesiions. ___i .x,=~i ~w+,
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUC~'1IONS -~=
Account No. 536051477 Date 06-14-2002 To ensure proper credit to the acco nt, two `:4.r':.
Established copies of this notice must accompan~ ' % t.~'~
Account Balance 2 ~ 588.0 0 Payment to the Register of Wills. a check ~ '.
payable to "Register of Wills. Agent".
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief.
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TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
TOTAL CEnter on Line 5 of Tax Computation) $
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PATTON PATRICIA L
2235 BRIGADE ROAD
ENOLA, PA 17025
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-961
NO. CD 013199
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: 232-05-6106
FILE NUMBER: 2110-0824
DECEDENT NAME: PATTON SUSAN
DATE OF PAYMENT: 08/ 1 2/ 2010
POSTMARK DATE: 08/ 1 1 /2010
COUNTY: CUMBERLAND
DATE OF DEATH: 01 /05/2010
REMARKS:
CHECK# 861
SEAL
10129305 ~ ,194.10
TOTAL AMOUNT PAID:
INITIALS: DM
S'194.10
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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