HomeMy WebLinkAbout07-03-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT Or REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX~11-961
NO. CD 016208
BAUM CYNTHIA LEE
1 127 ATLAND DRIVE
MECHANICSBURG, PA
-------- fold
17055-5365
ESTATE INFORMATION: ssrv: iss-24-0753
FILE NUMBER: 2112-021 1
DECEDENT NAME: BARRON FRANKLIN J
DATE OF PAYMENT: 07/03/2012
POSTMARK DATE: 07/02/201 2
couNTY: CUMBERLAND
DATE OF DEATH: 01 /23/201 2
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
TOTAL AMOUNT PAID:
REMARKS:
CHECK#129
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
GLENDA EARNER STRASBAUGH
5214.44
RFC;ISTFR C1F WII I C
INHERITANCE TAX
tomI~-{ ((,~~...~~ . .
, ~ INTLY HELD ORJ TRUST ASSETS Pennsylvarna
BUREAU OF INDIVIDUAL TAX~@Sl.+~k~},:'i.,J '',?`f ~~ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION t- °'-r~. -
PD BOX 280601 ~-~' ~ ~'~~e~! ~ REV-1604 EX AFP (12-11)
HARRISBURG PA 17128-0601 ~~~. ~,.. ~. - • a!, i ~J
"~~li~ J~l. "3 ~~'~ ~2: ~$ DATE 06-21-2012
ESTATE OF BARRON FRANKLIN
D
C Y N T H I A L ~~R1}Wp CO.. PA
1127 ATLAND DR
MECHANICSBURG PA 17055-5365
ATE OF DEATH 01-23-2012
FILE NUMBER 21 12-0211
COUNTY CUMBERLAND
SSN/DC 188-24-0753
ACN 12111774
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 t-~
REV -16 0 4 EX AFP C 12 -11)-------------------°--------------------------------°---------------------------------------------------•
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 06-21-2012
ESTATE OF: BARRON FRANKLIN J DATE OF DEATH: 01-23-2012 COUNTY:
CUMBERLANI
FILE NO.: 21 12-0211 S.S/D.C. N0.:188-24-0753
ADJUSTMENT BASED ON: PROTEST BOARD DECISION ACN: 12111774
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1sT FCU
TYPE OF ACCOUNT: CX) SAVINGS C ) CHECKING C ) TRUST
DATE ESTABLISHED 04-25-2011
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER INTEREST%PEN PA D (-)
PAYMENT MUST BE MADE BY 10-24-2012*.
17,544.38 NOTE:
X 1.000
17,544.38
- 12,779.00
4,765.38
214.44
ACCOUNT NO.: 416976-00
C ) TIME CERTIFICATE
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 ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
IF PA L-
ID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUEIIS REFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS-
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