HomeMy WebLinkAbout11-01-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE -
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128 0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 018359
BLANK ALFRED B
7 MCCOY LANE
CARLISLE, PA 17015
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------- laln
10171337 $88.41
ESTATE INFORMATION: SSN:
FILE NUMBER: 2111 -1283
DECEDENT NAME: BLANK NORMA L C
DATE OF PAYMENT: 11/01/2013
POSTMARK DATE: 11/01/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 03/06/2010
TOTAL AMOUNT PAID: $88.41
REMARKS:
CHECK# 104
INITIALS: DMB
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX pennsylvania
BUREAU OF TAX DIVISION
PO BOX 200601 APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
HARRISBURG PA 17120-0601 OF DEDUCTIONS, AND ASSESSMENT
JOINTLY HELD OR TRUST AS SETS A% ON REV-1548 IX AFP (32-12)
DATE 09.16-2013
ESTATE OF BLANK
RECORDED OFFICE OF DATE OF DEATH 03-06-2010 NORMA
'* FILE NUMBER 21 11-1283
REGISTER OF WILLS COUNTY CUMBERLAND
{� GARY F BLANK SSN/DC
(\ l 7650 BUTTERSCOTQy�jT ROJ ,) 38 ACN 10171337
E (( JJ II UUU I i APPEAL BY DATE:11-15-2013
LAS VEGAS NV 89131 (See reverse side Under Objections)
1J Amount Remitted
CLERK OF MAKE CHECK P
ORPHANS' COURT REGISTEROFWILLSE AND REMIT PAYMENT TO:
1 COURTHOUSE SQUARE
CUMBERLAND CO., PA
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REV-1546 EX AFP (12-12) _______________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
____________________
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE- 09-16
ESTATE OF:BLANK -2013 NORMA
DATE OF DEATH:03-06-2010
COUNTV:CUMBERLAND
FILE NO. : 21 11-1283 S.S/D.C. NO. :
TAX RETURN WAS: (X) ACN'
ACCEPTED 10171337
AS FILED ( ) CHANGED
FINANCIAL INSTITUTION: WACHOVIA BK AT OR TRUST ASSET INFORMATION
TYPE OF ACCOUNT: ( )SAVINGS ( 70 ACCOUNT NO. : . 1010025840865
CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 12-15-2003
Account Balance
Percent Taxable 3,536.3 0 166 4 NOTE: TO ENSURE PROPER CREDIT TO
Amount Subject to Tax YOUR ACCOUNT, SUBMIT THE
Debts and Deductions - .
58940 UPPER PORTION OF THIS NOTICE
Taxable Amount '00 WITH YOUR TAX PAYMENT TO THE
Tax Rate 589.40 y REGISTER OF WILLS AT THE
Tax Due — 15
ABOVE ADDRESS. MAKE CHECK
68.41 OR MONEY ORDER PAYABLE TO:
--TAX PAYMEDITS: -- "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT
OpTE NUMBER DISCOUNT
INTEREST/PEN PAID (-) AMOUNT Pplp