HomeMy WebLinkAbout12-06-13 COMMONWEALTH OF PENNSYLVANIA REV-11 fit 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
N0. CD 018495
MENTZER BETTY E
37 KENWOOD AVE
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- 1016
---------- --------
12167823 $2,537.42
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0091
DECEDENT NAME: MENTZER RUSSELL E SR
DATE OF PAYMENT: 12/06/2013
POSTMARK DATE: 12/06/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 12/04/2012
TOTAL AMOUNT PAID: $2,537.42
REMARKS:
CHECK# 109
INITIALS: DMB
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX !j L1 f pennsylvania
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE f`FII`�!f DEPARTMENT OF REVENUE
PO BOX 288601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-154B EX AFP (12-12)
HARRISBURG PA 17128-0603 IINTLY HELD OR TRUST ASSETS
RECORDED OFFICE OFD DATE
REGISTER OF WILLS 11-19-2013
ESTATE OF MEMTZER SR RUSSELL E
p�TI C DATE OF DEATH 12-04-2012
NO DEC U PM 1 37 FILE NUMBER 21 13-0091
COUNTY CUMBERLAND
BETTY E MENTWER}C OF ACN/DC 183-12-4709
37 KENWOOD AV 12167823
CARLISLE �ORPP COURT APPEAL BY DATE:r1-18.ans)
CUM$E L {013C 81 PA
(See reverse side under OAjeotians}
##UU V. Amount Remitted —�
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
. fJi T_ALON(= -THIS Lrj?5.�-�..•"'1 R=-?AIN--;.-01'!C-R�^Ci:T-I^v K'--'e%GR°i'�i.—R'eLvRIi5" "��"—" _ . .,.._- _ . . ._
_______________________________________
REV-1548 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: 11-1 -2013
ESTATE OF:MENTZER SR RUSSELL E DATE OF DEATH:12-04-2012 COUNTY:CUMBERLAND
FILE NO. : 21 13-0091 S.S/O.C. NO. : 183-12-4709 ACN: 12167823
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUSQUEHANNA BANK ACCOUNT NO. : 290005937
TYPE OF ACCOUNT: ( )SAVINGS { } CHECKING ( )TRUST ( X)TIME CERTIFICATE
DATE ESTABLISHED 04-D9-2009
Account Balance 100,800.36 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 16,800.40 UPPER PORTION OF THIS NOTICE
Debts and Deductions •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 16,800.40 REGISTER OF WILLS AT THE
Tax Rate i . 15 ABOVE ADDRESS. MAKE CHECK
Tax Due 2,52q.06 OR MONEY ORDER PAYABLE T0:
TAX CRED Zl'5s � � � _ 4 _., .....,"REGISTER OF. WILLS, AGENT."
: -- - � " -,"REGISTER
PAYMENT RECEIPT DISCOUNT C4)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 11-27-2013 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE - 21520.06
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 17.36
TOTAL DUE 2,537.42
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. <
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.