HomeMy WebLinkAbout07-13-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDVAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
WALTER LYNN M
155 S HANOVER ST
CARLISLE, PA 17013
-------- fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssrv: i74-o5-2852
FILE NUMBER: 21 1 1 -0499
DECEDENT NAME: SETLOCK EVELYN A
DATE OF PAYMENT: 07/13/2012
POSTMARK DATE: 07/ 1 3/201 2
COUNTY: CUMBERLAND
DATE OF DEATH: 04/ 1 4/201 1
13EV-1162 EX111-96)
NO. CD 016259
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11129181 ~ S343.27
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
CHECK#1057
SEAL
INITIALS: DMB
$343.27
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TO
THE REGISTER OF WILLS IDENTIFIED
Estate of: ~~.~;~'i`. r-i'~c~{(;
SETLOCK EVELYN A ~~i ~~ ~~ ~~~ ~~,~;;~ 1
SSN: REGISTER OF WILLS
Date of Death: 04-1' 4-2011 1 COURTHOUSE SQI~JUL 13 PN 3~ 4v
File Number: 21 11-0499 CARLISLE PA ly ~ `3
Date of Assessment: 0 3- 2 6- 2 012
ACN: /1129181 ~~- ~
_
OI~PW~'V~~ 'v`vL~hiT
Cl1MBEPt.AND CO., PA
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISIDN
PO BOX 280601
HARRISBURG PA 17128-0601
CARRYL WALTER
253 KEY WEST BLVD
CARLISLE PA 17015
Pennsylvania = ~ ~
DEPARTMENT OFREVENUc
REY-1548 EX AFP (12-11>
DATE 03-26-2012
ESTATE OF SETLOCK EVELYN A
DATE OF DEATH 04-14-2011
FILE NUMBER 21 11-0499
COUNTY CUMBERLAND
SSN/DC
ACN 111
WILLS
i COURTHOUSE SQUARE
CARLISLE PA 17013
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: 03-26-2012
ESTATE OF:SETLOCK EVELYN A DATE OF DEATH:04-14-2011 COUNTY:CUMBERLAND
FILE NO.: 21 11-0499 S.S/D.C. NO.: 174-05-2852
ACN: 11129181
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 337393-00
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING ( )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 08-20-2008
Account Balance
Percent Taxable
Amount Subject to 'Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
15,036.79
X 0.500
7,518.40
- .00
7,518.40
x .045
338.33
NOTE: 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 PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT"
DATE RECEIP'~
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
~,~ ~ ~n~a ~ is I.nAKbtU i HKUUGH U4-US-2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 338.33
INTEREST AND PEN. 2.22
TOTAL DUE 340.55
* 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.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.