HomeMy WebLinkAbout01-29-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(l 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT,280601
HARRISBURG,PA 1712&0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 018714
HALDEMAN JEFFREY T
55 BELLERIVE ACRES
SAINT LOUIS, MO 63121
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09503507 $1,473.37
ESTATE INFORMATION: SSN: 212-24-6725
FILE NUMBER: 2109-0451
DECEDENT NAME: SISSON MARGARET T
DATE OF PAYMENT: 01/29/2014
POSTMARK DATE: 12/06/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 02/17/2009
TOTAL AMOUNT PAID: $1,473.37
REMARKS: JEFFREY T HALDEMAN
INITIALS: WZ
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
Bureau of Imaging Document Management tvani3
PO Box 280400 P enns Y
Harrisburg PA 17128-0400 DEPARTMENT OF REVENUE
January 24, 2014
Lisa M. Grayson, Esq.
Register of Wills
Cumberland Cnty Courthouse
1 Courthouse Sq Rm 102
Carlisle PA 17013
Cz
Cs -
a
{- Tel m
v a a
Mn �
y„ zrn
co
rnrn
. trt 7 ;:o Ct
File Number: 2109-0451 ° a �r 1 -`-n
Estate of: Margaret T. SiSSQH c �7 �+
Decedent's SSN: 212246725 + rr` m
Date of Death: 02-17-2009 co
ACN: 09503507 h
Payment Amount: 1,473.37
Postmark Date: December 6, 2013
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:
3effrey T. Haldeman
55 Bellerive Acres
Saint Louis MO 63121-4329
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 Wills 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
Samuel W. Shallcross, Clerk III
Bank Reconciliation Division
Bureau of Imaging Doc. Mangement
Bureau of LD.M I PO Box 2804001 Harrisburg, PA 17128-0400 1 717.705-8915
1 www.revenue.state.pa.us