HomeMy WebLinkAbout05-30-12BUREAU OF INDIVIDUAL ~~
PO BOX 2806p1 ~~
HARRISBURG pA TAXES PENNSY~ y
17128-06p1 gNIA
Pe~nvania I NFCRMATI p HERiTgN E
f.R
REV- VENUE- ~
,543 E /p~~ , ;~ m~XpAYE AND NCT ICE TAX
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1 C` R RESPpNSE ACNE No • 21 / .2
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3U ,~?', ` DATE 12131286
lJ
!, " EST. 05-14-2012
~ SSN OF RICHARD TYPE
l p LEN ~~ Gl~~~rl~ ";i~ ~. , DATE 197_ E WHITCOMB OF ACCOUNT
MESH ROBERT WHITCOMB ~-C.r?tf~',yi. t-;~'j Cp of DEATH 22-1369
ST 04-24-
ANIC ~ t.~~,. /~~ UNTY ~ SA~rNGs
SBUI~G pA 1 7p55- REMIT PAYMENT A oUMBERLAND 012 ~ CNECKING
3454 REGISTER FORMS rD, ^ TRUSr
cACOURTH0US WILLS ^CERTIF
RLISLE pq Sq~~R3
Relo I2ENS BANK
deceasednandte th~FaPENNSYLVANI
notify t any a the dea A
tt you belhevde~he"tmentnof°therh thanhe ab°veVnamedthe dePartmen
to the above addrearmatioyOUr relatio"o is "efldecedent, you with the i
se de
a°MPLETE ARTR11aSe ca11 °jij~t8 S83p tobtaeted hesed one a JOPot°owntl beuef~w ch w
~ cea the eri whi
ount No 61 BELOW * S with questtonsn c0be thonkingngozi Tax pueylif thisuaccoln calculati
00707 EE RE from the C in PA ne, no unt. If ng the i
Accoun 091 Da VERSE SIDE financia7Rln tibelowtando tax may°b are theeritanCe tax
Per t Balance to FpR FILL tution, attachiting "se due• 6utpouse of t~.
Es tab 06_ NG a co Pouse, .You e
Amount t T Je ble $ llshed 06' 1 966 AND PAYMENT IIVSTRUp ~I this ~rorm aAdT 2u nt
Sub
Tax Rate t tO Tax X 6' 946.07 cOUieSUre proper cr C °NS
PART Potential Tax Due X 3'47 ~. ~~Q pa able to the Registe ust acCOm anent, twp
$ 3. 5 mont~ If tax caster of W llslA9en}eke check
FAI L U 520 , 96 deduct e f the deceden s are made
RE T° RESP TAXPAYER Any anheritpercent di ~,o date °{ dea}n three
ONEK A ^ TheRemit paforma°kD WILL RESUL REN a~iyNSE nine monthseafterathe datelofbtleath. e7 "quart
BLOCK a dascounteor to }he Regi due is cor OFFICIAL TA
ONLY J B n °fficia7 as avoid inter star of Will act. x ASSESS
sessmen wi est' or tur with co MENT
C ^ filed by a}he ses}ate been ~ will be Issued by }}he Pq pepar}o the Regis o}Ice to obt -
RT ~f indica}i ~COmulete PARTorzt1pn isrincoretavee re°or}ed and tax paid wmthttheRe enuef Wallseand
1 elationshipgto different ^and/or PARTr's' bed~or debts Pennsylvania inher
e RED URN CALCU decedent. tax rash please Sta Iow. end deductions were paid. itance tax return
ate
LAT ION OF to
2• Acc Established TAX
3 Per oust Balance 1 ON ~OINT~TRU OF
4. Amour} t Taxable Z $ ST ACCOUNTS PA DEP ICIAL USE ON
5 Debts Subyect to ~ a 3 X PAD ARTMENT OF L Y D AAF
_. Amour and Deductionsx 4 $ 1 REVENUE
t Taxable 5 - 2
Tax Rate 6 $ 3
. Tax Due 7 X 4
B $ 5
6
"ID DEBTS AND 7
PAYEE DEDUCTI°NS CLAIMED
DESCRIPTIpN
'enalties of AMOUNT PAID
e to th perJUr TDTq~ ~
e be +.Qy~~ I Enter
SIGNgT ~t oZt' "'kno ledge and belye f facts I 1 eport f Tax Computation)
URE ~-~~' ed ab
ova are tr $
WO ME ~ )ue~ correct and
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