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HomeMy WebLinkAbout04-13-15 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX0 1-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 020493 OSIF ROBERT J 11 EASTGATE DR CAMP HILL, PA 17011 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold __________ 15109585 $5.25 ESTATE INFORMATION: SSN: FILE NUMBER: 2115-0242 DECEDENT NAME: OSIF HELEN J DATE OF PAYMENT: 04/13/2015 POSTMARK DATE: 04/10/2015 COUNTY: CUMBERLAND DATE OF DEATH: 12/26/2014 TOTAL AMOUNT PAID: $5.25 REMARKS: CHECK# 4770 INITIALS: DMB SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS � Pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION RECORDED O �11� NT, ALLOWANCE OR DISALLOWANCE J - PO BOX 280601 RECORDED Utz ONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14) HARRISBURG PA 17128-0601 REGISTER STER O F. 4Y ILt OgNTLY HELD OR TRUST ASSETS f1LpU t �j LLvJ7 DATE 04-06-2015 ESTA?015 PH 13 PM 12 14 DATETOFODEATH 012-26-2014 HELEN J FILE NUMBER 21 15-0242 CLERK OF COUNTY CUMBERLAND }RPHANS' COURT- SSN/DC ROBERT O�S+I. - ACN 15109585 11 EASTGATE D ,�. BEPLt�� U .:,. PA APPEAL BY DATE:06-05-2015 CAMP HILL PA 17011-1311 (See reverse side under Objections) Amount Remitted I role. Ali MAKE CHECK PAYABLE AND REMIT PAYMENT 10: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 y i • �ECQ ?EC DEjRED OFFICE QF IL{s 1y CLEF(f� 4F "?PHAtiS, ol, CUMBERI � �! PA. �4 4 � 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 N0. CD 020307 OSIF ROBERT J 11 EASTGATE DR CAMP HILL, PA 17011 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ---------- 15109586 $76.45 ESTATE INFORMATION: SSN: FILE NUMBER: 2115-0242 DECEDENT NAME: OSIF HELEN J DATE OF PAYMENT: 03/04/2015 POSTMARK DATE: 03/02/2015 COUNTY: CUMBERLAND DATE OF DEATH: 12/26/2014 TOTAL AMOUNT PAID: $76.45 REMARKS: ROBERT J OSIF CHECK# 4768 INITIALS: WZ SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS TAXPAYER Pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C11»I4) HARRISBURG PA 17228-0601 JOINTLY HELD OR TRUST ASSETS DATE 04-06-2015 ESTATE OF OSIF HELEN J DATE. OF DEATH 12-26-2014 FILE NUMBER 21 15-0242 COUNTY CUMBERLAND SSN/DC ROBERT OSIF ACN 15109585 11 EASTGATE DR APPEAL BY DATE M-05-2015 CAMP HILL PA 17011-1311 (See reverse side.underObfecdons) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS " -•----••--^^----•-------------------------------------------------------------------------- REV-1548 EX AFP tl1-143 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 04-06-2015 ESTATE OF:OSIF HELEN J DATE OF DEATH:12-26-2014 COUNTY:CUMBERLAND FILE NO. : 21 15-0242 S.S/D.C. NO. : ACN: 15109585 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 000005003147705 TYPE OF ACCOUNT: 00 SAVINGS { ) CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 02-16-2000 Account Balance 3,822.53 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X„ 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 1 ,911.27 UPPER PORTION OF THIS NOTICE Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 11911.27 REGISTER OF WILLS AT THE Tax Rate X .Q45 ABOVE ADDRESS. MAKE CHECK Tax Due 86.01 OR MONEY ORDER PAYABLE TO: "REGIs`rER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT {+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID t-) PAYMENT MUST BE MADE BY 09-27-2015*. TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 86.01 INTEREST AND PEN. .00 TOTAL DUE 86.01 r IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. �N ilk b� cya :i d T ff� Rf t moi• k � t