HomeMy WebLinkAbout08-10-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 014828
SHEPPARD WILLIAM M III
178 SUGAR LOAF LANE
MURRELLS INLET, SC 29576
fold
ESTATE INFORMATION: ssrv: ass-14-3380
FILE NUMBER: 2110-1 173
DECEDENT NAME: SHEPPARD DORIS J
DATE OF PAYMENT: 08/ 10/201 1
POSTMARK DATE: 08/08/201 1
couNTY: CUMBERLAND
DATE OF DEATH: 10/22/2010
REMARKS:
CHECK# 4901
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
10164584 ~ S 106.56
TOTAL AMOUNT PAID:
REV-1162 EX111-96)
S 106.56
GLENDA EARNER STRASBAUGH
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
REGISTER OF WILLS
INHERITANCE TAX
_ RECORD ADJUSTMENT pennsylvarna ~ ~
BUREAU OF INDIVIDUAL TAXES ~~'!, -~ JO~~~~tiELD OR TRUST ASSETS
INHERITANCE TAX DIVISION ~~~" DEPARTMENT OF REVENUE
PO BOX 280601 ~`~ REY-1604 EX AFP C12-10)
HARRISBURG PA 17126-0601 r, ~ `-
t i ~ ~.~ ~ ! ~ a~a ( ~ _.~
WILLIAM M SHEPPAR~3I.)~.Rfr .. A`' ~ i `;+.~' PA,
320 SHERMAN AVE
CARLISLE PA 17013
DATE 07-26-2011
ESTATE OF
DATE OF DEATH SHEPPARD
10-22-2010 DORIS J
FILE NUMBER
COUNTY 70 0425438 ~.~'~
~ ~ ~~ ~/ ~ f
CUMBERLAND
SSN/DC 196-14-3380
ACN 10164584 ~
Amount Remitted ~'
/
(
`
~
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r
MAKE CHECK PAYABLE AND REMIT PAYMENT Toy
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE -i RETAiN- L{)WER- p~}RT-FOI~F- .
"""'---------------------.----~_- FOR YOUR RECORDS
F--..- __
REV-1604 EX AFP C12-10)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *~
DATE: 07-26-2011
ESTATE OF: SHEPPARD DORIS J DATE OF DEATH: 10-22-2010 COUNTY:
CUMBERLAND
FILE NO.: 70 0425438 S.S/D.C. N0.:196-14-3380
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION ACN: 10154584
JOINT OR TRUST ASSET INFDRMATION
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.: 0196143380-S1
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 07-15-1976
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable A~ount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
14,915.94
X 0.166
2,486.04
- 121.89
2,364.15
X .045
106.39
INTEREST%PEN PAID (-)
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 ADDRESS SHOWN ABOYE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, A6ENT.'~
AMOUNT PAID
INTEREST IS CHARGED THROUGH 08-10-2011
TOTAL TAX PAYMENT
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DU
REVERSE SIDE OF THIS FORM 1 6.
INTEREST AND PEN.
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.AIF DTOTAL DUE IS REFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
io~4oy
. ~ pennsylvan~a
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
DECEDENT'S
REVIEWED B'
SCHEDULE
INHERITANCE TAX
EXPLANATION
OF CHANGES
Doris J. Sheppard
21/196-14-3380
Steven James
EXPLANATION OF CHANGES
ACN
10164584
~..C vague or me rcoyers dower bill has been applied against the value of the asset as a
deduction.
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