HomeMy WebLinkAbout08-27-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
GETGEN STELLA SOLON
16 SHERWOOD CIRCLE
ENOLA, PA 17025
fold
ESTATE INFORMATION: ssN: 161-62-4370
FILE NUMBER: 2110-0883
DECEDENT NAME: GETGEN TODD D
DATE OF PAYMENT: 08 j 27 j 2010
POSTMARK DATE: 08/25/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 07 j 21 / 2010
REV-1162 EX111-96)
NO. CD 013267
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ID ~ 551.06
TOTAL AMOUNT PAID:
REMARKS:
551.06
CHECK# 1313
INITIALS: HMW
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21
Po Box 2so6o1 TAXPAYER RESPONSE ACN 10143503
HARRISBURG PA 17128-0601
DATE 08-02-2010
REV-1543 EX AFP (88-Oa)
TYPE OF ACCOUNT
EST. OF TODD D GETGEN ®SAVINGS
SSN lbl-b2-4370 ~ CHECKING
DATE OF DEATH 07-21-2010 ~ TRUST
COUNTY CUMBERLAND e_~ ~ CERTIF.
REMIT PAYMENT AND FORMS T0: ~.-~ ~"
ETHAN C GETGEN REGISTER OF WILLS ~ ~ ~ ~r' `~;
16 SHERWOOD CIRCLE 1 COURTHOUSE SQUARE ~-~=t? ~
~'_.n ~ -',~
ENOLA PA 17025 CARLISLE PA 17013 "_ ~;
~
. ~.[ U'~ - ,- - -~
~v« ;,:: -
-
s ~,
t;..~ -, .-.-r
-X~ r--- .., ~;r.
..r•• J
t
-i
N
~
~
e '
calculati
g
e
r
MEMBERS 1ST FCU provided the Department with the information below, which has been us _ ra ~ V)
he
potential tax due. Records indicate that at the death of the above named decedent, You were a 5oint owner/beneficiary of thiRsJ"~ccount. ~~~
If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to t~ form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwgaltf5 of
Pennsylvania. Please call C717) 787-8327 with questions.
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 aretltrue, co~frrect and
comp to t the t of my knowledge and belief. HOME C 7~~ ) T~~ ~y~Z~
WORK C ~ ~~.'Z~«;!O
TA PAYER SIGNATUR TELEPHONE NUMBER DATE
TOTAL CEnter on Line 5 of Tax Computation) S