HomeMy WebLinkAbout12-29-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
REV-1162 EXI11-961
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 015394
SMITH BARBARA K
409 7TH ST
NEW CUMBERLAND, PA 17070
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ESTATE INFORMATION: SSN: 177-42-4734
FILE NUMBER: 211 1- 1 1 1 6
DECEDENT NAME: STONER GRACE E
DATE OF PAYMENT: 1..2/29/201 1
POSTMARK DATE: 1 2/28/201 1
couNTY: CUMBERLAND
DATE OF DEATH: 0!9/30/201 1
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ S 15, 262.00
TOTAL AMOUNT PAID:
S 15,262.00
CHECK# 4322
INITIALS: HEA
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
Dec. 28, 2011
Register of Wills
Courthouse
1 Courthhous Sq
Carlisle, FA 17013-3387
Subject: Estate of Grace E. Stoner
File No. 2011-01116
PA File No. 21-11-1116
Date of Death: 9/30/2011
Soc. Sec. # 177-42-4734
Ref. Beneificary
Barbare K. Smith
409 7th St
New Cumberland, PA 17070
Barbara. K. Smith (Sister) is the beneficiary of the following annuities
which ids a 1/3 interest in these contracts. ~'hese amounts WILL NOT be
included in the REV-1500 PA Inheritance Tax Return..
I am paying my obligA~i6N on this total amount. p,MO~ ~ OF DATE
NAME CONTRACT NO. OF DEATH
Woodmen of The World/Ohiaha Woodmen 6375246 $ 8,207
Life Insurance Society 6367941 27,566
Woodmen Tower 9736581 6,156
1700 Farnam St 9769169 33,796
Omaha, Nebraska 68102 9740146 3,527
(PH'~: 800-225-3108)
79,252
Wash~.ngton National Insurance Co.
PO Box 81556 ON995480 55,000
Lincoln, NE 68501-1556
,.~ (PH: 866-553-5958)
b ,._
~~: _:' ,_ ~~- _ $134,252
" L--' `` -' Tax Rate .12
~_. ,. -
_: -
o, c_ `';'. ~. , Tax 16,110
~~ c~ ~=~- Less: Discount - 848
c~ -.
L" :_ ~~ °:. Discount Factor
`~:..~ `.~.,. U - = . 05263
ir_ ~ n
Tax Payment $15,262
Attached: Check N0. Z
Dated /y /
Sincerely,
Barbara K. Smith
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