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HomeMy WebLinkAbout04-26-05 COMMONWEALTH OF PENNSYLVANIA DePARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT WEINREICH MICHAEL J 1183 GREENVIELD DRIVE MECHANICSBURG, PA 17055 _n__n_fold ESTATE INFORMATION: SSN: 197-50-2056 FILE NUMBER: 2105-0388 DECEDENT NAME: WEINREICH CATHY M DATE OF PAYMENT: 04/26/2005 POSTMARK DATE: 04/14/2005 COUNTY: CUMBERLAND DATE OF DEATH: 05/19/2004 NO. CD 005251 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $70.69 I I I I I I I I TOTAL AMOUNT PAID: $70.69 REMARKS: MICHAEL J WEINREICH CHECK# 2219 INITIALS: RSK RECEIVED BY: SEAL REGISTER OF WillS GLENDA FARNER STRASBAUGH REGISTER OF WillS ~s'-L ------ -----..---- -- ---- --- --_...- ....--. ....---------- --~- LilLlU. _ :&!il :~; .,- ! - - - - - - - - - - - - - :.. :- - i - - - 5: ",' :Z:Clzm3! >m:z:e- :D"III:DCl :D:-I:D~m .,ileJ e zo~ ~-fit~i! J i!~~ - ><So .... 00 - -e"ll 11:1 S>:D f mr-!:! ~ iS~ mlii <~>~:*', ?: ~,- lid' to :\1 f!d q.... qYj cnflZ .> G cUJ ..tv\) -~'.~~", _L, . , .. i ~ I i1 8 SG - COIIKJIrINEALTH OF PENNSYLVANIA IJENR11IENT OF AEVENlE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 . '. [J('r(Y IMRRISIIIJRG, '""~ r,r:, 'Vr Ji (i;~~\~l:<~':~~;J >C'.' -.\ Z:;, -"\... '* XNFORMATXON NOTXCE AND TAXPAYER RESPONSE NO. 2l0€ ~ 04135660 10-05-2004 TYPE OF ACCOUNT EST. OF CATHY M WEINREICH IX] $AVI_ 5.5, NO. 197-50-2056 DCHEtKIIIIl DATE OF DEATH 05-19-2004 0 TRUST COUNTY CUMBERLAND 0 CERTIF. REHIT PAYIlENT AND FORIIS TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 FILE ACN DATE 1E'_lMJUAFPlIt_Hl ono" "'" ')c PI; 4: 03 LlJCJ tl\~'I\ '-0 C'-~' ", .,' '>"'J 'OT ./_.'\",-:':-<-, : ,', "'-/.,,"'.-" \ .--,\ MICHAEi .. J WEINREICH 1183 GREENFIELD DR MECHANICS8UR9 PA 17055 PHC BANe hils prtntldlild the D8pa1"t.llnt tilth 1:tMI infa....t1on Ustlld b.lC111 which hils ...... u.-:f in CIIIC\llet:1ng the pobntl.l ax dua. ,...11" I"lICCIrd. IndlCllte that at t:tNI ..th of the above declll:Mnt, YOU _... . Joint ~rn.n.flcl.n of thls 8CCDW1t:. If you ....1 thls ln~tlon b InGOrnrct:~ pI.... abt81n wrltt., correction frail the fin_I.I l...tltutlan, .ttKh . copy to this fan! .. ...turn It to u.. IIIbcIQ; addr.... This account 1. talrCllbl. in accardanc. .dth the Inhlirltance Tmc. l... of U. Ca_ArIIII...lth of "-nQ'JnnJa. Uutt.tJan..-y be .........d by nUl.. (n71 717.1327. COJIItLETE PART 1 BELOW. . . 81!E'REYERSE SIDE'OIt nun AffIt-PAYMEIlT 1II1I1'ItUCTlDND Account No. 513004751Z Dot. 04-24-1986 bt...ll_d A_t h1one. P.rc.'lt T_1. _t Subj...t to Tu Tu IltIte Pot~tl.1 Tax Due x 3,142.06 50.000 1,571.03 .15 235.65 TAXPAYER RESPONSE To fnstlf"e pt"'Gp8r cntdJ t to 1'OUI" IICCQU'lt.. bIo (2) copl.. of this notice .ust .~c. JIII.n>>, your pII~..t to the hQbUir of "IU.. ..... ctHtclc. p8YBIJl. 1:11: ""R8aist.r of II1U.,'-it"". x JlDTE: If but pII,..,ts .1"81 .... .dtllln th.... (3) ..nths of t:tI8 ........t.s dBte of dMth, YDU ..w dlKluct a 52 dboaunt of tha tax dull. Any InIMrftllnca _ due ..HI ~;"'Unquent nina (IJ) ....th. .fur thB dBt. of duth.. PART [!] [CHECK ] ONE BLOCK ONLY A. 0 ThII 1Ibov. tnfor_tion III'Id _ dUB is carreot. I. You.. chao. to ,...it ~t to ti'I8 hgfstttr of lUlls ..Jth two capias of thb notl~to abuin .. dbCQWIt Dr &VOId int.rast, Dr you .-y check bD_ wAw and rwturn thls notlCl1 to the .....bter of "111. and 11I"I officl.l as.....t .dll b. lssulKl by tt1. PI. Depertll8l1t of ""BRUIt. I. 0 ThII IIbove ..set hII. bHn Dr .,ill be rllPDrtltd end taM: paid tilth thB P8nnolv..'Il. ~rlt8nc11 TII)( nturn to be fU., by the chlc8dBnt"s reprasenbt1v.. C. 0 The 1Iba.... Infor_tion is lncar-rllet endIo~ts and dlIductlans Men P1Iid by you. You BU.t COIIPl.t. PART [!J I!II1d/or PART L!J btl1ON. I'f you indicat. . diff.,...t tax r8t_., pl__ st.t. your relationship to d.c.d.nt: PART I!I TAX RETURN - COMPUTATION OF TAX ON JOINTI'TRUST ACCOUNTS 1IHE 1. Dot. Est...1!!1l" 1 ~L~~-~ 2. Acco...t h1__ 2 3B~~ 3. "'rc.'lt T_1. 3 X ,'s 'I. _t Subj...t to Tu 'I 1"....,1).6~ 5. Dobts _d -.oUens 5 - " c::::. 6. _t T_1. 6 \~"l.L~ 7. Tu IltIt. 7 X "-'\.' 8. Tu _ 8 ~-"'7 PART I!l DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I I TOTAL (Enter en U". 5 of Tu ~t.Uon) . UndIIr penal tl.. of perjury.. I clllcl.re ttwt t.... fKit. I "v. report.d Move .... t~" corr_t and _l.t. to _ bast of Q _1...... - ball.f. HOME ('1' j ) ~ '" 1- "" ~ ~,~ WORK (lJi,) ~l./-e.-6.1.e:;:1 TAXPAVER SI6NATURE TELEPHONE HUM ~ l;.1-1~ -or DATE ~~ Q.<