HomeMy WebLinkAbout04-23-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
DAVIES DEBORAH
4611 OXFORD ROAD
HARRISBURG, PA 17109
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssN: ~ 93-24-~ s78
FILE NUMBER: 21 1 1 -0544
DECEDENT NAME: DAVIES EDRIS W
DATE OF PAYMENT: 04/23/2012
POSTMARK DATE: 04/20/201 2
couNTY: CUMBERLAND
DATE OF DEATH: 03/26/201 1
REV-1162 EX(11-96)
N0. CD 015881
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
1 1 130160 ~ S 198.34
TOTAL AMOUNT PAID:
REMARKS:
S 198.34
CHECK# 2732
INITIALS: HMW
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NDTICE OF INHERITANCE TAX P e n n sy wa rn a •
DEPARTMENT OF REVENUE
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-11)
JOINTLY HELD OR TRUST ASSETS
DAVID E DAVIES
2039 HARVEST DR
MECHANICSBURG PA 17055
DATE 04-02-2012
ESTATE OF DAVIES EDRIS W
DATE OF DEATH 03-26-2011
FILE NUMBER 21 11-0544
COUNTY CUMBERLAND
SSN/DC 193-24-1978
ACN 11130160
APPEAL BY DATE:06-O1-2012
(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 ~
-------------------------------------------------------------------------------------------
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
W DATE OF DEATH:03-26-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0544 S.S/D.C. NO.: 193-24-1978
ACN: 11130160
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO.:
TYPE OF ACCOUNT: ( )SAVINGS
DATE ESTABLISHED 11-02-2009
1685549196
C ) CHECKING CX)TRUST C )TIME CERTIFICATE
Account Balance 4,369.49 NOTE:
Percent Taxable X 1.000
Amount Subject to Tax 4,369.49
Debts and Deductions - .00
Taxable Amount ~ ~
Tax Rate
~~ Y
~~~ 4,369.49 ~ ~"~-
«~
~
~~~
~
`
~
Tax Due
..
~ •
/,f
~
TAX CREDIT ~~~V v// L~~ ~ r~
f~
~ ~" ~ '"
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 PAY/ZB~E T0:
"REGISTER ~~IILLS,r-~4GEN.T,..'~'
PAYMENT
DATE RECEIPT
NUMBER DISCDU!:T Cr)
INTEREST/PEN PAID C-) 'T"1
AMOUNT PAID
,'7
~_)
~ C? ~ !~
rn r~
- ~ C..i
~ ~~
_;~ -T7
~,
] _.
~ %:Y-:
-i .. i -~-
L•7 ~~~~
(\) -
'
T
t
C~ `
INTEREST IS CHARGED THROUGH 04-10-2012 TOTAL TAX PAYMENT .00 jQ~i~
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE ~'2.+ - I
REVERSE SIDE OF THIS FORM INTEREST AND PEN. ~q71
TOTAL DUE _.b.6.1-~--
~l d 1~
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YDU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
Register of Wills
1 Courthouse Square
Carlisle, PA 17013
RE: File No 21 11-0544
Please be advised:
I am paying the correct inheritance rate of 4.5%.
-,~
~,
~
-- ~~ '',
r
p ~~ -
~.
~
~~rn ~
~ -
_
Fl ~, _
~~
lam,
`~ N
~ C't
~a~~
>, a
;~; w
,_ _''w~ O
w
~~;
{
a~
L
r1
~
/
r
..~-- ~~ ,c_.
. ~
~
Q
, ~s- ~,~ <, O O Q-
,C.iG
~
?5 ~
~ ~ ~ N
.
~
~
~
~ pC~U
_
.,
.(Y_. ~'
.l
~ O
CtS
r
~ ~"
~ O aq
~Q.O
~`3'x
ry
'tip` ~ ~ "
w~
i',l
i i ~[
;~~ f
., ~7
j ~..