HomeMy WebLinkAbout10-08-10 (4)COMMONWEALTH 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 013469
LEE JAMES R
1 194 IRWIN CT
WINTER SPRINGS, FL 32708-5184
-------- fold
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
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
REMARKS:
SEAL
CHECK# 516
09169962 ~ $167.00
TOTAL AMOUNT PAID:
$167.00
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
~- ~ = z Pennsylvania .~
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
REV-1548 EX AFP (12-09)
PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
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 09169962
1194 IRWIN COURT APPEAL BY DATE:11-26-2010
W I N T E R SPRINGS 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 SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
-------------------------------------------------------------------------------------------
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
FILE NO.: 21 09-1149 S.S/D.C. NO.: 171-12-9125
COUNTY:CUMBERLAND
ACN: 09169962
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT DR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 50195-41
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C )TRUST CX)TIME CERTIFICATE
DATE ESTABLISHED 09-26-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due ~
tV ~-:r.
TOY? F# F it T j:.S _ f;--= ~ ~-
43,707.40
X 0.083
3,642.14
- .00
3,642.14
Y .045
163.90
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 (:HECK
0R MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYfdENT .~-
-DATE ~" ~ %i ~i~ECEIPT
r~'_.~NUMBER DISCOUNT C+?
INTEREST/PEN PAID C-)
AMOUNT PAID
_ ~ - W ~ - l
fi
U t, r;
' .p C.~
~
a ~.._~
.
c ~
INTEREST IS CHARGED THROUGH 10-05-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
K DATE OF DEATH:10-09-2009
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 163.90
INTEREST AND PEN. 1.59
TOTAL DUE 165.49
* 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.
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