HomeMy WebLinkAbout11-09-12 (3). ~ PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE FILE No. 21 12-0958
BUREAU OF INDIVIDUAL TAXES p@~g
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HARRISBURG PA IT129-0601 B r_rNrdrR/vExiU "~'-. ; TAXPAYER RESPONSE DATE 09-21-2012
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MICHAEL PICCOLO
1206 MITCHELL DR
MECHANICSBURG I, PA 17050-3132
EST. OF DOROTHY P PICCOLO
SSN 1
DATE OF DEATH 12-31-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND IFO RMS TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA ].7013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
TOTAL (Enter on Line 5 pf Tax Computation? B
Untler penalties of p
complete to the best rjury, I declare that the facts I re parted above are true, co r+r~ect
of my knowledge antl belief. HOME C~/7 ) / ~ and
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TAXPAYER SIGNATURE TELEPHONE NUMBER D
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Debts and Deductions
Date Patd Payee Description Amount Pald
1/2/:12 Giant Food Store food for meeting at house with
family and funeral director
$58.70
1/6/:12 Priests, org nists, altar cash; gift envelopes
servers at St. Joseph's Church
$320.00
1/11/12 Giant food tore postage stamps for bills, thank
you notes, misc. expenses
$17.60
1/11/12 Barbara Ma igan Preston -18 reimbursement for incidentals
N Walnut St Mechanicsburg and serving meals on two
PA occasions $22.40
1/23/12 Community ife Team EMS Date of Service 11/28/11
Am la char a $40.00
1/23/12 L'Kaste Villa CafE Memorial Mass Luncheon $831.93
1/23/12 Royer's Flo en and Gifts wreath for um table $106.00
1/23/12 Richardson uneral Home Funeral Home partial pay $2,OOO,Op
1/24/12 Pinnacle He Ith Hospital Date of Service 12/22/11-
H r 'bur ho i I bill $15.00
1/24/12 Pinnacle He Ith Med Services Date of Service 12/22/11-
Pin cle Heal h W un r $25.00
2/7/12 Richardson uneral Home funeral home balance due $g07,g7
3/2/12 PharMerica prescription drugs $106.25
3/2/12 Susquehana Township EMS date of service 12/28/11-
am ulance bill $75.00
3/11/12 PA Dept of evenue Pennsylvania personal income
$3.00
4/13/12 Orthopedic nstitute of PA Dates of service 11/1/li and
11/8/11- steroid shots in knee
$25.45
5/6/12 Catholic Ce etaries opening ground at grave site $685,00
5/6/12 Olive Garde Post-interment luncheon $299,06
5/8/12 Golden Uvi g Nursing Home - post-surgical care
Blue Ridge ountain
$846.00
5/25/12 Pinnacle He Ith Hospital Dates of service 11/19 -11/28/11
co- a $500.00
8/23/12 Karen Balab n attorney fees $250.00
9/5/12 Register of ills inheritance tax form and
invent form filln fee $15.00
9/5/12 Office Max photocopying for tiling $3,92
TOTAL: $'7,012.78