HomeMy WebLinkAbout10-08-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 013474
LEE JAMES R
1 194 I RW I N CT
WINTER SPRINGS, FL 32708-5184
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ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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ESTATE INFORMATION: SSN: 171-12-9125
FILE NUMBER: 2109-1 149
DECEDENT NAME: LEE ELLEN K
DATE OF PAYMENT: 10/08/2010
POSTMARK DATE: 10/08/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 10/09/2009
09169959 $235.00
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 519
$235.00
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE '
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-09)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
DATE 09-27-2010
ESTATE OF LEE ELLEN K
DATE OF DEATH 10-09-2009
FILE NUMBER 21 09-1149
COUNTY CUMBERLAND
SSN/DC 171-12-9125
JAMES LEE ACN 09169959
1194 IRWIN COURT APPEAL BY DATE:11-26-2010
W I N T E R S P R I N G S F L 3 2 7 0 8 (See reverse side under Objections)
Amount Remitted ~~ ~~ ,
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1548 EX AFP C12-09~
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 09-27-2010
ESTATE OF:LEE
ELLEN K DATE OF DEATH:10-09-2009
FILE NO.: 21 09-1149 S.S/D.C. NO.: 171-12-9125
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 50195-40
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CXJTIME CERTIFICATE
DATE ESTABLISHED 01-29-2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
61,467.86
X 0.083
5,122.12
- .00
5,122.12
x .045
230.50
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 PAYI~S'LE TO:
"REGISTER r0~-..~JILLS,~GEN-T "
t__~
ACN: 09169959
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 10-05-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
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TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 230.50
INTEREST AND PEN. 2.23
TOTAL DUE 232.73
COUNTY:CUMBERLAND
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.