HomeMy WebLinkAbout04-23-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DAVIES EDITH M
2039 HARVEST DRIVE
MECHANICSBURG, PA 17055
REV-1162 EXI11-y6)
NO. CD 015879
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssrv: ~s3-24-~97s
FILE NUMBER: 21 1 1-0544
DECEDENT NAME: DAVIES EDRIS W
DATE OF PAYMENT: 04/23/2012
POSTMARK DATE: 04/30/201 2
COUNTY: CUMBERLAND
DATE OF DEATH: 03/26/2011
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 2731
SEAL
INITIALS: CJ
$ 94.47
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES ~~'~ C OF INHERITANCE TAX
INHERITANCE TAX DIVISION C~~t~+tAFP,RAISEM~~!?f~ ALLOWANCE OR DISALLOWANCE
PO BOX 280601 1 O'F-DEDUCTTONSl, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-11)
2 ~~~ C 3
''~s~ ~~`~ (~~ j ~ DATE 04-02-2012
_
,. ESTATE OF DAVIES EDRIS
DATE OF DEATH 03-26-2011
nt!
E~i"
~i~ ~~ FILE NUMBER 21 11-0544
..
D~~N~'S ~ ~~T
(;~,~ COUNTY CUMBERLAND
~}~~~~~ ~~~ !^~, ~
C 978
/DC
'
AMY E DAVIES 11130161
ACN
2039 HARVEST DR APPEAL BY DATE:06-O1-2012
MECHANICSBURG PA 17055 (See reverse side under Objections)
-
Amount Remitted ~
MAKE CHECK PAYABLE AND~REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
W
CUT ALONG THIS LINE '-"~ RETAIN LOWER PORTION FOR YOUR RECORDS F'-'
REV-1548 EX AFP C12-11~-----------------------------------------------------'---------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 04-02-2012
ESTATE OF:DAVIES
EDRIS
FILE NO.: 21 11-0544 S.S/D.C. NO.: 193-24-1978
ACN: 11130161
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.: 1685549204
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING C ~ TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 11-02-2009
Account Balance 2,081.24 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 2,081.24 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
,~/~
Taxable Amoun p~~ 2,081.24 ~ REGISTER OF WILLS AT THE
,
y
rax RateC~6f"r ~ ABOVE ADDRESS. MAKE CHECK
~
,..
Tax Due ~ ~~ 312.19 ~ A ~
'1 , OR MONEY ORDER PAYABLE T0:
~~ ~ ~~ l "REGISTER OF WILLS, AGENT."
rwv rorn'frc.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (*)
INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 04-10-2012 TOTAL TAX PAYMENT
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE
REVERSE SIDE OF THIS FORM INTEREST AND PEN.
TOTAL DUE
* 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,
ccF aFVFRSE SIDE OF THIS FORM FOR INSTRUCTIONS. .
W DATE OF DEATH:03-26-2011 COUNTY:CUMBERLAND
.00
z.~--r°~
q y,~~
a~
~ ~
~~ ~
N
Ord Z
0 o p-' ~
.~ ~ ~ w
U
~,r
.°
a
0
a~
.~
...
v
a~
^~ o
•? ,~
.~
a~ ~
a
a
V
_ ~"
^• i
~1
fit'
~}'~
ta:
f.3~i
~ N
~. 0
~~•
1> N
.a CD
a~ ~
~~
w ~,
(D
•4 VV V:"dY Si..l~4if l~~V
~~~~~~ ~<1ti1t~Hd~O
~u ~1~31~
&r~ 4 E `
~` ~ a ~~~~.,~~.1
Y-
QQ d
9~~
.:~ t~1
~ ~.
y
S`'
Mx^
~,
~: ~, rT'.
r,
~,
~=
~~a +,, ~,
~~~ .f
,~~.
{~:
<t
~~
~,
~~.
m
~.
>;~ ~,
s-1
t""
0