HomeMy WebLinkAbout08-27-10 (3)COMMONWEALTH 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
REV-1162 EX111-96)
NO. CD 013266
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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ESTATE INFORMATION: ssN: 161-62-4370
FILE NUMBER: 2110-0883
DECEDENT NAME: GETGEN TODD D
DATE OF PAYMENT: 08/27/2010
POSTMARK DATE: 08/25/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 07/21 /2010
REMARKS:
SEAL
CHECK# 1312
-'1TT'f ~ S 235.79
I
TOTAL AMOUNT PAID:
INITIALS: HW
RECEIVED BY:
5235.79
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AN D
Po Box 280601 TAXPAYER RESPONSE
HARRISBURG PA 17128-0601
REV-1543 EX AFP (B8-B6)
FILE N0. 21
ACN 10143504
DATE 08-02-2010
TYPE OF ACCOUNT
EST. OF TODD D GETGEN ^ SAVINGS
SSN lbl-b2-4370 ^ CHECKING
DATE OF DEATH 07-21-2010 ^ TRUST
COUNTY CUMBERLAND ~ CERTIF.
REMIT PAYMENT AND FORMS T0: r~
ETHAN C GETGEN REGISTER OF WILLS ~ ~ :r~,
lb SHERWOOD CIRCLE 1 COURTHOUSE SQUARE '",~~
~7 2s
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ENOLA PA 17025 CARLISLE PA 17013 ,'i~
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MEMBERS 1ST FCU provided the Departwent with the inforwation below, which has beenl"us$"q) in calcul
~ating i
~h~ '~'i
~
potential tax due. Records indicate that at the death of the above-Hawed decedent, you were a joint owner/b~e'f'~ciary of .this a ccount.]
If you feel the inforwation is incorrect, please obtain written correction frow the financial institution, a~E'tach a copy tt
Pl this ' fo'rt~.;.)
.
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Cowwonwe of ~'~
Pennsylvania. Please call 1717) 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 abo/ve are true, correct and
c let to a best of my knowledge and belief . HOME C ?! ~ ~ ~~~~~~~
WORK c ~ ~..~"_ ~
AXPAYER SIGN URE TELEPHONE NUMBER DATE
IUTAL ctnter on Line 5 of Tax Computation) 8