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Home My WebLink About08-31-11COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SHENK SHARON A 405 KAUFFMAN STREET BOILING SPRINGS, PA 17007 ACN ASSESSMENT CONTROL NUMBER -------- fold ESTATE INFORMATION: SSN: 193-36-2743 FILE NUMBER: 2110-0605 DECEDENT NAME: ALSBAUGH DAVID K DATE OF PAYMENT: 08/ 31 / 201 1 POSTMARK DATE: 08/31 /201 1 COUNTY: CUMBERLAND DATE OF DEATH: 05/ 16/ 2010 REMARKS: SEAL CHECK# 1472 AMOUNT 10156023 ~ $102.42 10156024 ~ $60.55 I TOTAL AMOUNT PAID: INITIALS: HMW RECEIVED BY: REGISTER OF WILLS $162.97 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 014915 ~~;~-•,~;,N4TICE .OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES ~ 4~ISE~~NT,~°AL~O CE OR DISALLOWANCE INHERITANCE TAX DIVISION D `ASSESSMENT OF TAX ON PO BOX 280601 Of~r~DE$1U.C~TIONS,, , ~~ ,., HARRISBURG PA 17128-0601 JO~I~NT~Y H~ ~ ;~JR TRUST ASSETS a..F'_ • pennsylvan~a . V~. DEPARTMENT OF REVENUE v REV-1548 EX AFP (12-10) DATE 08-29-2011 ~J1 ~~~ ESTATE OF ALSBAUGH DAVID K ~`~ ~ *=``DATE OF DEATH 05-16-2010 FILE NUMBER 21 10-0605 CLERK f~F= COUNTY CUMBERLAND ~~~~~~-~'*~j ~~~~-~ SSN/DC 193 - 36 - 2743 SHARON A SHENK ~i~~~~'~~' ,`!,"}:!~ ^;~ ACN 10156023 405 KAUFFMAN ST (~,Q APPEAL BY DATE:10-28-2011 BOILING SPRINGS P A 17 0 0 7 (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 F'~ REV-1548 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 08-29-2011 ESTATE OF:ALSBAUGH COUNTY:CUMBERLAND FILE NO.: 21 10-0605 S.S/D.C. NO.: 193-36-2743 ACN: 10156023 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 3014172320122 TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 05-30-1997 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT I RECEIPT DATE NUMBER 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 UR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." DISCOUNT C+) I AMOUNT PAID INTEREST/PEN PAID C-) INTEREST IS CHARGED THROUGH 09-06-2011 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 100.75 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.67 TOTAL DUE 102.42 * 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. DAVID K DATE OF DEATH:05-16-2010 4,029.78 NOTE: X 0.166 671.64 _ .00 b71.64 x .15 100.75 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 SHARON A SHENK 405 KAUFFMAN ST BOILING SPRINGS ~s~(~r;! ~ ~ N T~.~~ OF INHERITANCE TAX ARPRAIS~~E~I''•I,LLOWANCE OR DISALLOWANCE ~~; ~;, ~ 't-~~'O~tDE15U£T$,g1~S~ AND ASSESSMENT OF TAX ON JOIN"~L~!`~I-IELD OR TRUST ASSETS pennsylvan~a ~ DEPARTMENT OF REVENUE REV-1548 IX AFP (12-10) R " t ~ ~"~~ ~ ~ 11 DAVID K $ ~~~ ; 1j. ~ `J SBAUGH ESTATE OF A ~~ - DATE OF DEATH 05-16 2010 ~~~R FILE NUMBER 21 10-0605 {{ ~~ ~~~~~ • ~ ~ COUNTY CUMBERLAND ~'~~~{~~ "~ ~ ~ . ~~~,,,'~~ 743 SSN/DC .~ PA 10156024 ACN . APPEAL BY DATE:10-28-2011 {See reverse side under Objections) P A 17 0 0 7 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 C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUDATE SSEOTS-29_2011 ESTATE OF:ALSBAUGH COUNTY:CUMBERLAND S.S/D.C. NO.: 193-36-2743 ACN: 10156024 FILE NO.: 21 10-0605 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: WACHOVIA BK NA ACCOUNT NO.: 1000324152109 TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 03-30-1981 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: I PAYMENT I RECEIPT DATE NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) 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 PAYABLE T0: "REGISTER OF WILLS, AGENT." AMOUNT PAID TOTAL TAX PAYMENT .00 INTEREST IS CHARGED THROUGH 09-06-2011 59.56 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE ,99 REVERSE SIDE OF THIS FORM INTEREST AND PEN. TOTAL DUE 60.55 ~ 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. DAVID K DATE OF DEATH:05-16-2010 2,382.17 X 0.166 397.04 _ .00 397.04 .15 59.56