HomeMy WebLinkAbout10-08-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
LEE JAMES R
1 194 I RW I N CT
WINTER SPRINGS, FL 32708-5184
-------- fold
ACN
ASSESSMENT
CONTROL
NUMBER
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
AMOUNT
09169956 ~ $6.50
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 518
SEAL
$6.50
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1 162 EX i 1 1-96)
NO. CD 013473
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JAMES LEE
1194 IRWIN COURT
WINTER SPRINGS FL 32708
pennsylvania ~ ,t.
NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE s
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-09)
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
ACN 0916995b
APPEAL BY DATE:11-26-2010
(See reverse side under Objections)
Amount Remitted ~,~ ~~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECnRDS E--
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
COUNTY:CUMBERLAND
ACN: 09169956
TAX RETURN WAS: CX~ ACCEPTED AS FILED C ~ CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 156573-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C 3TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 02-06-1996
Account Balance 829.35 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT 'THE
Amount Subject to Tax 138.23 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 138.23 REGISTER OF WILLS AT 'THE
Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 6.22 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) ~')
AMOUNT PAID ~'"'
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INTEREST IS CHARGED THROUGH 10-05-2010 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 6.22
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .06
TOTAL DUE 6.28
* 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 TNIS FORM FOR INSTRUCTIONS.