HomeMy WebLinkAbout04-1194COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT DF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 004779
NUGENT MARY ANN
10200 DAVENTRY RD
COCKEYSVILLE, MD 21034
........ fold
ESTATE INFORMATION: SSN: 118-32-1866
FILE NUMBER: 2104- 1194
DECEDENT NAME: NUGENT BARBARA
DATE OF PAYMENT: 12/30/2004
POSTMARK DATE: 1 2/30/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 07/07/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 t~360.00
TOTAL AMOUNT PAID:
$360.00
REMARKS:
SEAL
CHECK//543
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT 280601
.t~ HARRISBURG, PA 17128-0601
0
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
DECEDENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL)
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH {MM-DD-YEAR)
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE ~NITIAL)
FILE NUMBER ~
COUNTY CODE YEAR NUMBER
SOCIAL SECURITY NUMBER
- 32_ - _
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIALSECURITYNUMBER
4. Limited Estate
[]6. Decedent Died Testate (A~ach copy of Will)
[~9. Liggafion Proceeds Received
[~2. Supplemental Retam
[~4a, Future Interest Compromise Idate of deah abe' 12-12,82)
[~7. Decedent Maintained a Living Trust (A~h copy of Tm~g
[~5. Federal Estate Tax Return Required
8, Total Number of Safe Deposit Boxes
[] 11. Election to tax under Sec. 9113(A) (~ch Sch O)
NAMEJo F
FIRM NAME 0f Ap¢~ue}
TELEPHONE NUMBER
COMPLETE MAILING ADDRESS
1. Real Estate (Schedule A) (1)
2, Stocks and Bonds {Schedule B) (2)
3 Closely Held Corporation, Partnership or So~e-Pmp~etorship (3)
4. Mortgages & Notes Receivable {Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
~ Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Pmbeta Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Admleistmtive Costa (Schedule H) (9)
10, Debts of Oecedent, Uodgage Ltabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13 Charitable and Govemmentai Bequests/Sec 9113 Tmsta for which an election to tax has not been
made {Schedule J)
14, Net Value Subject to Tax (Line 12 minus Line 13)
(11) ?-.Off, 0o0
(1~) 11.~ :
(13)
(14)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2) x ,0 (15)
x .o
x .12
16 Amount of Line 14 taxable at lineal rate (16)
17. Amount of Line 14 taxable at sibling rate (17)
18. Amount of Line 14 taxable at co~tateral rate x .15 (18)
19, Tax Oue (19)
Deced~nt's Complete Address:
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Cradits (A + 8 + C )
3. InterestJPenalty if app~iceble
D. ~nterost
E. Penalty Tota~ Interest/Penalty ( D + E )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
(1)
I ZIP ~ '70
(2)
(3)
(4)
(5)
(5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes
a. retain the use or income of the property transferred; .......................................................................................... []
b. retain the right to designate who shall use the properly transferred or its income', ............................................ [] []
c. retain a reversionary interest; or .......................................................................................................................... []
d, receive the promise for life of either payments, benefits or care? ...................................................................... [] []
2. If death cccurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. [] []
3. Did decedent own an "in trust for" or payable upon death bank account or secudty at his or her death? .............. [] []
4. Did decedent own an Individual Retirement Account, annuity, or other non-probafe property which
contains a beneficiary designation? ........................................................................................................................ []
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN,
Under penal~es of perjurT, I declare that I have examined this ~m, including accompanying schedules and s~ataments, and to ~e best of my knowledge and belie fi it is Ime, correct and axnp~te.
Dedara~n of preparer other than the personal representative is based on all thfoffna~on of which p~eparer has any knowledge.
SIGNATURFz~F PERSON~ESPONSIBLE F~R FJJ. INGRETURN [ DATE
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
DATE
ADDRESS
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for th~ use of the surviving spouse is 3%
(72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)].
The statute dg(~s not exemot a transfer to a surviving spouse from tax, and the statutory rsquiraments for disclosure of assets and filing a tax ratum are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after Jdy 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedenfis lineal beneficiaries is 4.5%, except ss noted in 72 ES. §9116(1.2) ['/2 RS. §9116(a){1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 RS. §9116(a)(1.3)]. A sibling is defined, under S~Uon 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
TOTAL (Also enter on line 1, Recapitulation) $ ~--'~t ~) ' .¢._~_.~
(If more space is needed, insert additional sheets of the same size)
REV-1509 EX+ (6-98~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE F
JOINTLY-OWNED PROPERTY
FILE NUMBER
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G,
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH
ITEM FOR JOIN1 MADE INCLUDE NAME OF F~NANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECDS VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER ATTACH DEED FOR JOINTLY-HELD REAL ESTATE VALUE OF ASSET INTEREST DECEDENT'S INTEREST
TOTAL (Also enter on line 6, Recapitulation) $ 0.00
(If more space is needed, insert additional sheets of the same size)
ARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO. T 5660084
Julv ~ 2. 2004
Name of Decedent Barbara Ann Nucr~n~-.
Sex 'Female Social Security No. ~ ~ 8-32-1866 Date of Death --July 07, 2004
Date of Birth Nov. 25, ]94] Birthplace __ Q._u_eens_,_.~_N~'___
Place of Death M.S. HersheI Me~dical Center Dauphin Derr~L_~c~D_.
Race White Occupation N~rse/Hospital Adr~/Medic~al Armed Forces? (Yes or No)
Decedent's
Marital Status Divorced Mailing Address 7~4 Veronica Lane Enola
Informant MaryAnn Caskey Funeral Director Alfred B. Clauser
Name and Address of
Funeral Establishment Rob/and Funeral Home, Inc, 508 ~.r_.l___a. nd St, Lebanon, PA,
Part I: Immediate Cause
(a) Respiratory Failure
(b) Aspirated
(c) Fever of Unknown Origin
(d)
Pad I1: Other Significant Conditions
Pennsylvania
Yes
! 7042
Interval Between
Onset and Death
Manner of Death
Natural ~J Homicide L~
Accident ~ Pending Investigation []
Suicide ~l Could not be Determined [-_-~
Describe how injury occurred:
Name and Title of Certfier Erin Miller, DO
Address
M.S. Hershey Medical Center, Hershey, PA, ~7033
(M.D., D.C., Coroner, M.E.)
This is to certify that the information here given is correctly copied from an original certificate
of death duly filed with me as Local Registrar. The original certificate will be forwarded to the
State Vital Records Office for permanent filing.
July 08, 2004 !68~ Mill Rd, Lebanon, PA, 17042
dlb~deeds\nugent
RECORDATION REQUESTED BY:
Reager & Adler, PC
2331 Market Street
Camp Hill, PA 17011
(717) 763-1383
WHEN
RECORDED MAIL TO:
Barbara A. Nugent
714 Veronica Lane
Enola, PA 17025
TAX PARCEL NO. 09-12-2992-253
SEND TAX NOTICES TO:
Barbara A. Nugent
714 Veronica Lane
Enola, PA 17025
· ,,~ ,,, ,~I~L~.R
...~,~.F, OF DEEDS
']EgLAND OOUNTY-=;,
'03 JUN 20 Riff 11 06
SPACE ABOVE THIS LINE IS FOR RECORDER'S USE ONLY
THIS DEED,
Made the I'~'~t' day of June, 2003,
BETWEEN BARBARA A. NUGENT, a single woman, hereinafter designated as the Grantor,
AND
BARBARA A. NUGENT, JOSEPH WILLIAM NUGENT and JENNIFER A.
NUGENT, joint tenants with right of survivorship, hereinafter designated as the Grantees.
WITNESSETH, that the Grantor for and in consideration of One Dollar ($1.00), lawful money of
the United States of America, to the Grantor in hand well and truly paid by the Grantees, at or before the
sealing and delivery of these presents, the receipt whereof is hereby acknowledged and the Gramor being
therewith fully satisfied, does by these presents grant, bargain, sell and convey unto the Grantees forever.
ALL THAT CERTAIN lot or tract of land situate in East Pennsboro Township, Cumberland
County, Commonwealth of Pennsylvania, more particularly bounded and described as follows, to wit:
BEGINNING at a point on the southern dedicated right-of-way line of Veronica Lane at the dividing
line of Lots Nos. 87 and 88, said point also being located 296.20 feet west of the western extremity of an arc
connecting the southern dedicated right-of-way line of Veronica Lane and the western dedicated right-of-way
of Brisbain Lane; thence by line of Lot No. 87, South 22 degrees 26 minutes 01 second East, 105 feet to a
point; thence by line of other lands of Westwood Hills, South 67 degrees 33 minutes 59 seconds West, 76.20
feet to a point at the dividing line of Lots Nos. 89 and 88; thence by Lot No. 89, North 22 degrees 26
minutes 01 second West, 105 feet to a point on the southern right-of-way line of Veronica Lane; thence by
SUMMARY OF SALIENT FEATURES
Subject Ntdmss 714 VERONICA LN
Legal D~cr~p~n ATTACHED DEED 257-4361
Oily ENOLA
COUlI~ CUMBERLAND
State PA
Z]p Code 17025-1554
Censm Tract 0102.01
Uap Rd~ SEE APN
$~ price $ REFI
Dm of Sale NIA
~orrow~*/Clle~ NUGENT,JOSEPH/JENNIFER
Le~ler EXCEL MORTGAGE GROUP, INC.
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
INVENTORY
, Deceased
No. 20 04 01191
Date of Death 11/18/2004
Social Security No. 183362723
Estate of STELLA M CRUSE
also known as
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. l!We
verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Name of
Attorney:
ey;J;;gyJJ
RICHARD S RUBLE
Oaled .-:J(tcf! ro
LO.No.:
Address:
Telephone:
Description
1. 1787.656 SH AMERICAN HIGH INCOME TRUST
Value
22,435.08
2. PNC BANK CERTIFICATE OF DEPOSIT
ACCOUNT # 31500222329
10,115.37
3. PNC BANK CHECKING ACCOUNT #943885
9,531.52
4. PERSONAL PROPERTY
, 1,438.00
-',1
{.."J
Ci'j
Total
43,519.97
(Attach Additional Sheets if necessary)
NOTE The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
RW-4
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
REV-15U EX AFP 112-D41
JOSEPH W NUGENT
7l4~~ERONICA LN
ENO;,~~
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-07-2005
NUGENT
07-07-2004
21 04-1194
CUMBERLAND
101
BARBARA
Allount Rellitted
PA 17025
!.'- MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
c:c ~
CUT ALONG~1HIS L~! ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV :r!4"'0ix.A~p..C&1._.6~'..NoTYcE.oF.INHER.ifl'''cE.T.Ax.A.PPRA.isEM€N'~.Ai:towANCE.OR......_.........-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF NUGENT BARBARA FILE NO. 21 04-1194 ACN 101 DATE 03-07-2005
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
225.000.00
.00
.00
.00
.00
.00
.00
(8)
NOTE: To insure proper
credit to your account.
subllit the upper portion
of this forll with your
tax paYllent.
225.000.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
.00
209.000.00
(11)
(12)
(13)
(14)
209.000 00
16.000.00
.00
16.000.00
I~ an assessment was issued previOUSly, lines 14, lS and/or 16. 17. 18 and 19 will
re~lect ~igures that include the total o~ abh returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
NOTE:
.00
16.000.00
.00
.00
X 00 =
X 045 =
X 12 =
X 15 =
(19)=
.00
720.00
.00
.00
720.00
~
TAX CREDITS:
n.... (+J AHOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-30-2004 CD004779 .00 360.00
PAYMENT MUST BE MADE BY 04-07-2005~. TOTAL TAX CREDIT 360.00
BALANCE OF TAX DUE 360.00
INTEREST AND PEN. .00
TOTAL DUE 360.00
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
".; ,
',' ...~ )'
. .,
" .
f 1 ~ .
'~'r -)
REV-1607 EX AFP (03-05)
I:'
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-23-2007
NUGENT
07-07-2004
21 04-1194
CUMBERLAND
101
BARBARA
A
MARYANN NUGENT
10200 DAVENTRY RD
COCKEYSVILLE MD 21034
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE
......
RETAIN LOWER PORTION FOR YOUR RECORDS
+-
REV-1607 EX AFP (03-05)
*** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF NUGENT
BARBARA
A FILE NO. 21 04-1194
ACN 101
DATE 04-23-2007
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-19-2007
PRINCIPAL TAX DUE: 720.00
PAYMENTS (TAX CREDITS):
INT
AT
REV
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-30-2004 CD004779 .00 360.00
EREST IS CHARGED THROUGH 05-08-2007 TOTAL TAX CREDIT 360.00
THE RATES APPLICABLE AS OUTLINED ON THE
ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 360.00
INTEREST AND PEN. 48.54
TOTAL DUE 408.54
* IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
JD
COMMONWEALTH OF PENNSYLVANIA REV-1162 EXI11-961
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 016642
NUGENT MARYANN
10200 DAVENTRY ROAD
COCKEYSVILLE, MD 21034
foltl
ESTATE INFORMATION: SsN: lls-32-1866
FILE NUMBER: 2104-1 194
DECEDENT NAME: NUGENT BARBARA A
DATE OF PAYMENT: 10/ 1 6/201 2
POSTMARK DATE: 09/07/201 2
COUNTY: CUMBERLAND
DATE OF DEATH: 07/07/2004
REMARKS: MARYANN NUGENT
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 5627.89
TOTAL AMOUNT PAID:
5627.89
INITIALS: WZ
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
Bureau of Imaging Document Management
PO Box 280400
Harrisburg PA 17128-0400
October 12, 2012
M5 Glenda Farner-Strasbaugh
Register of Wilis
Cumberland Cnty Courthouse
1 Courthouse Sq Rm 102
Carlisle PA 17013
File Number:
Estate of:
Decedent's SSN:
Date of Death:
ACN:
Payment Amount:
Postmark Date:
~ pennsylvania
DEPARTMENT OFREVENUE
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2104-1194
Barbara A. Nugent
118321866
07-07-2004
101
627.89
September 7, 2012
An Inheritance Tax payment on the above-referenced estate has been received and
transferred to the Inheritance Tax fund. Please issue an Official Inheritance Tax Receipt for
the payment amount and postmark date shown above. The date of payment should be the
date on which the receipt is~prepared by your office. The receipt should be issued to:
Maryann Nugent
10200 Uaventry Rd.
Cockeysville MD 21034
The Department's copy of the Official Receipt should be mailed using the postage-paid
Inheritance Tax bulk mail envelope (E-136)- within five (5) business days after receiving this
credit letter. Please keep the receipts sorted and bound separately from the other
Inheritance Tax documents when placing them in the bulk envelope.
On your next Register of Wilis Monthly Report, REV-714, include the payment amount in the
monthly Inheritance Tax collections reported on Line 5 and claim a credit on Line 7. Your
monthly Inheritance Tax collections less the credit for this payment should equal the Total
Amount Deposited on Line 12.
Your efforts in issuing and mailing the Department of Revenue's copy of the tax payment
receipt are greatly appreciated. Thank you for your timely attention to this matter. If you
have any questions, please call me at 717-705-8915.
Sincerely,
~~
i
Samuel W. Shallcross, Clerk III
Bank Reconciliation Division
Bureau of Imaging Doc. Mangement n n I~ / ~(1
Bureau of I.D.M I PO Box 2804001 Harrisburg, PA 17128-0400 1717.705-8915
~ www.revenue.state.pa.us