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HomeMy WebLinkAbout07-22-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT LEE JAMES R 1194 IRWIN CT WINTER SPRINGS, FL 32708 -- fold ESTATE INFORMATION: ssN: 172-18-1751 FILE NUMBER: 2110-0872 DECEDENT NAME: LEE GUST ROBERT DATE OF PAYMENT: 07/ 22/ 201 1 POSTMARK DATE: 07/ 19/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 08/05/2010 REMARKS: SEAL CHECK# 1 147 REV-1162 EX111-96) N0. CD 014754 ACN ASSESSMENT AMOUNT CONTROL NUMBER 10145356 ~ $15.29 TOTAL AMOUNT PAID: $15.29 INITIALS: HMW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS t" n n , ~ • , ~t-~ BUREAU OF INDIVIDUAL TAXES`"~"'~~~f~~~ ~'~~~! T r ,_ AP,P, INHERITANCE 7AX ©IVLSICJN ~~~~ .; ~ ` j PO BOX 280601 'w, OF: HARRISBURG PA 17128-0601 TICS OF INHERITANCE TAX -'I MEN7, ALLOWANCE OR DISALLOWANCE ;~ TIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS ',. ~ ~ ~ Ji~L 2 ~:3 ~ { ~ : ~ , '.' ~ ~ r~ oRP JERK of ~v ~ couRr 1194 IRWIN CT WINTER SPRINGS FL 32708 pennsylvania~ ` r _:. DEPARTMENT OF REVENUE '. REV-1548 EX AFP CI2-iQ) DATE 0'7-18-2011 ESTATE OF LEE GUST R DATE OF DEATH 08-05-201D FILE NUMBER 21 10-4872 COUNTY CUMBERLAND SSN/DC 172-18-1751 ACN 10145356 APPEAL BY D,ATE:09-1b-2011 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE >QUARE CARLISLE PA 1;1013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F'" REV-1548 EX AFP C12-10~---_~--~-------------r-_^------+---_- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DI5A1_LOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUS"f ASSETS DATE: 07-18-2011 ESTATE OF:LEE GUST FILE ND.: 21 10-0872 S.S/D.C. NO.: 172-18-1751 COUNTY:CUMBERLAND ACN: 10145356 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 240709-00 TYPE OF ACCOUNT: CX)SAVINGS ( ) CHECKING C TRUST t TIME CI.RTIFICATE DATE ESTABLISHED 02-05-2004 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAV ~"QCTITTC. 2,024.99 X 0.166 337.51 - .00 337.51 V .045 15.19 NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPI?ER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE AB~DVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "'REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID INTEREST IS CHARGED THROUGH 07-26-2011 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM R DATE OF DEATH:OS-05-2010 TOTAL TAX PAYMENT .QO BALANCE OF TAX DUE 15.19 INTEREST AND PEN. .10 TOTAL l)UE 15.29 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR}, YOU MAY BE DUE A REFUND. ,,.-~ ,.,.~...~.,,.- ..r..~ .. .- r..r.. rnnu rnn r~~cTO~~rrrnf.~c t r.° l f r ,,~ F L 3C~ •.~. i ~ , r ~ ; ~ •l t ~~ « 1 ~t+ i• y~ ; + . `/_`~ t •i ~,.. t _ ~~ ~ ~ ~' ~. ~ 1..l.~ r... ` `, ~ n ~ ! ~ ~ ~, _:r ~ ~) i W ~' } ~ ~.. + C C-. '~ ~~ ~ ~ ~ ~ ~ ~ _.. •~ ~ ;~~~ ~:=~: '~r~-• USq FIRST-CLgSS FpREVER US~-CLgSS FpREVER \,~ ~ r~ .~ ~ ~ o~ ~c ~ s~ ~. .a.. ^~ w w r ~~~ ~~ •~~- ~~ r~ • +..,;, rq. ...: -... ~. ~~ •~- ~r w *~- ~~ iw r w •i V~ii~ `~ +~ ~+~~ - w +~. }~' •~