HomeMy WebLinkAbout02-07-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
BALTZLEY DAVID E
993 CREAMERY RD
MONTROSE, PA 18801
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
.OFFICIAL RECEIPT
ESTATE INFORMATION:
FILE NUMBER: 2112-0168
DECEDENT NAME: RAU MELVIN E
DATE OF PAYMENT: 02/07/2012
POSTMARK DATE: 02/06/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 11 / 16/ 2011
REV-1182 EX111-981
N0. CD 0155.58
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11177715 ( $48.39
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 098
SEAL
548.39
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
{UREAU OF INDIVIDUAL TAXES
Po {mac nefu ~n~j/a~~
NARRISWRC PA 1712:-9691 DEM117MfNT Of oEVEwuE
-•- INPQRMATION NOTICE ~^-
AND
~'~i' ~#~-6~pr~ RrC R E S PO N S E
FILE N0. 21 '~/~.~ w ~~
ACN _' I1177T15
DATE 11-25-2011
~~~~ ~~~ `~ ~~ ~ OF MELVIN E RAU
~.~ 205-07-0149
DAl'E OF DBa1~~7t 11-16 - 2011
(;'(~~( Q~' ( CUMiERLAND
~`~ f~f'~ ~ti!fiEMIT PAYMENT ANII FORKS TO:
993IGREAMERYSRDTZLEY ~' ~~~~~~IDr.`rvVQ~,1 ~COURTHOUSEWSQUARE
NONTROSE PA 1aa01-x045 CARLISLE PA 17013
`.
TYPE OF ACCOUNT
SAYINGS
CNECKIN6
TRUST
CERTIF.
ACN1 SANK Drovided tht departaent with the inforutlon beior, which was used in celcutattnp the inheritance tax due.
Records tndlcete that et the death of the above-nosed decedent, you were a 'o4nt ow±er/benci4cfsry of this account. If you er! the Spouse of the
decried esd any e.wRt other tMn zero 1s reflected below on the Potential- Tex Oue N ne, note no tex Rny be due, but you vest
notify the Qe~ertR>ent of your reUtlonahip to the deceased by eheckin9 doic C in PART 1 below and rrlttnq "spouse" 1n PART 2.
If you believe he lnforaetton 1s incorrect D4eese obtain mitten correction frog the flnenciel institution, attach a coDY to this fors end return
it to the above address. Ptease cet7 717-7~7-8327 with Questions.
CQM~LEi'€-~E'f FELON * 3Ei j *~`E F~ ~LTNC ~A~f~~T INSTRUCTIONS~
Account No. 440117004 Data Oa-16-'1994 Te enaun sreeer endit to tM aeoevat, two
Established ceriss of this Mtiee aunt aeeoaealor
awaraent to the Roaistor of Mills. Nalco cMd(
Account Salanee ~ 2,150.69 vawabls to "RNistsr of Mills, Assnt".
Percent Taxable X 50.000 ~-
NOTES If tax eavaents are aaM within thno
Aaount Subieet to Tax ~ 1,075.35 aenths of tM doeeMAt's dots of Math.
T
R
t X , 15 MdYOt s 5 portent disoeunt en tM tax duo.
a
•
ax Aver Ud1ei'itana tax dw will baeea(a deliMYMt
Potential Tsx Dw ~ 161.30 A!M awnths after tM doto of Math.
PART AXP
A. Q TM above fnferaetieA end tox dw 1s cornet.
RNit pesraa+t to the RNSstoP sf Mills with two espies of this Mtieo to obtaih
• diseaunt or avoid interest. er ntsrn this Mtiee to tM RNistsr of Wills Ind
CNECK .A official assesewnt rill b. isewd by tM PA Ds..rtasAt of Rwsnuo.
ONE.
~
C
SLOCK {. ~ TM show ossot Ms boon er rill M noortod and ta( pdd with tM Pennsylvania inMritaneo tax return
ONLY (sled by tM satab npresentativs.
C. ~ Ths oboes info ion 1s SMOr and/or debts 1114 MdwetiMS wore paid.
Coaplsts PART ~2 and/or PART E below.
PART sr ansacacane a 1sr~.r.na .~.. LiA]~~L ~}/11L~
relationship to decedent: E~1
TAX RETURN -CALCULATION OF TAX ON JOINT/TRUST
LINE 1. Date Estllblisha!d 1 0~ ~, ~" ,C
2. Aeeoueft Saianee 2 = ~C
___ _i. Pasant taxahla_-_- -. _
4. Aswunt Subleet to Tax 4
S. Debts and Deductions 5
f. Aawunt Taxabie 6 ; ~
'_
7. Tsx Rati 7 X
T.., fl... a ~ 4 3Q
T07AL IEnter an Lirte s of Tsx Coaeputation) •
Under panslties of periury, I deaUra,thet the diets I reporta>i above ~ar-• trw , eorreiat and
eewplete to eat of anI know oe and belief. NOME C a77b) ~.~ '' /sAi~,~
`~resslCrrrlsr! WORK C
T 1 F MAN UMBER A~1 TrE
PART DEfTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE. DESCRIPTION AMOUNT PAID
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