HomeMy WebLinkAbout01-31-12COMMONWEALTH OF PENNSYLVANIA REV-1182 EX111-961
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.28060t
HARRISBURG, PA 17128-0801
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 015529
DEVENEY MARK L
912 VALLEY STREET
ENOLA, PA 17025
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
told '°"'---"
ESTATE INFORMATION: SSN: 201-18-0437
FILE NUMBER: 2110-0669
DECEDENT NAME: DEVENEY LEON L JR
DATE OF PAYMENT: 01 /31 /2012
POSTMARK DATE: 01 /30/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 06/ 21 / 2010
11502704 ~ 565,07
TOTAL AMOUNT PAID:
REMARKS:
-CHECK#1398
565.07
INITIALS: HMW
sEaL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMNOIMEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
Po Box 2sosol
NARRISBUR6 PA 17128-0601
INFORMATION NOTICE FILE N0. 21 i0-0669
AND AGN 11502704
' TAXPAYER RESPONSE
>DAfiE 11-102011
2012 ,~kN 31 PM 12.04
Ct.~RK Q~
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MARY, L pEVEN~Y
912 VALLEY ST
ENOLA PA 17025-1541
TYPE OF`ACGOUNT
EST. OF LEON L DEVENEY ^ secuRlTr
S.S. ,NO. 201-18-0437 ~] SEC ACCT
DATE QF DEATH 06-21-2010 QxTOCK
COUNTIC' CUMBERLAND ` [~] soWDs
REMIT PAr~IENT;AWD FORMS T0:
' R~~IS7~R a~; wICLS
1 COURTHOUSE SQUARE
` CARLISLE PA ..,17013"
METLIFE has proridad the DspsrXrant with the inforration listed below which has bean used 3n
calculatigg th1 potential tpot duo. Their records indicate that at tM death. of the above decedent, you were a benefciary:of this asset.
If you foal this lnferratisid is ncortvet, phase obtain written correction fret the transfer agent, attach a copy to this fort ind
return it to the above address. This account is taxably idaecordance with the Inheritance Tax Laws of the Corsanwoalth of Pohnsylvania.
- Owstions ray be answered by calling C717) 787-8327.,
_. .. --:. _. _ -_-~:._.j .
COhP'LETE PART 1' BEIOW * * o;' SEE REVERSE SIDE FOR `FI~IN6 .I1~ID EA`YMENT INSTFEUCTIQNS '-
ACCOUnt NO. 59156R1O8 To insure proper credit to your account, two
C2) topics of this'notiee rust scee~0atgl your
DOD Valuation 2,892.14 Payawnt to tM Rap;stet of Wills. ,Make cMdc
payable to: "Register of_Wills:. Apent".
Percent Taxable X 50.000
NOTES If tax payaants era aadi Nithfn three
ArOUht .Subject t0 Tax 1,446.07 C3) tenths of the decedent's dat• of death,
Tax 'Rate X .045 row ray deduct a. 5X discount of tM tax due.
Aro inhiri#ance.tax due w111 becori dei~nauent
Pot~ntiai'" Tax Dua 65.07 nine c9) ^sfn#hs affsr `tM data of e.ath
PART A E ,f:R SE -,
A. The-above inforalation and teat a'iio is correct,.:- F
1. You ray choose to:,,rMit,paiyrent;.to,,~q..Rogistss~ of Wills with two copies of..this n4k~' Ro opta3n
CHECK a discount or .avoid interist, or'yosi ray chock 40~ "A" and return this notice to tM ReaistRr of
a~~ Wills and an official assiss^ent will M'issued'by.the PA Departront of Rovoswe.
., ;
BLOCK B. ~TM 'above sssat has boon or will bi red~lrtod and tax paid with the Pesmsylvania inMritanoa T_ ax return
ONLY to ba filed by ;thi ds.'bdent•.§ repnuntativa. `" `.
;. , .
C. ~7M above inforration is ineorixct andlor debts and tisQisetions wore .paid by' xou,
Yoq lust"eorplote PART a atsd/or PJ1RT r~~ bglor. , . .,
PART If ~6u ~i`rrdi'dat'i a -difterent #ax rate;`'rTosss s#ots your ,
rslatiah'ship tq dece,deht: '
TAX'~~~URN - CONFUTATION OF TAX DlM ABOVE. ASSET(S)
,;.
,. 4i ME 1. DDD VaY~ation' `` I..
•• 2. Percent Taxable 2 X
_ ' __ 3y'-AMSLnt-Snble~e-€ts-Tax_ E _. z ~.-~_ _ - _.. _ - -__ __
4. Debts and Dedsletions 4 -
5. Arount Taxable 5
6. Tax Rate 6 x
7. Tax Dua 7
Clnda P4naltiss of perjury, ~, declard that the facts I have repertsd above ara2 trw , correct. and
-coopie ' t ,t r bfi ,qf wY kngrFieNO• find belief.. ;. HONE ~ 7 3 ~~"'~~Z
.:,. ,.
'A-PAYER SIGNAT TELEPHONE NUMBER AT_
PART DEBTS AND DEDUCTiDNS CLAIMED
nerE PAID PAYEE DESCRIPTION AMOUNT PAID
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