HomeMy WebLinkAbout10-25-05
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ANDREA C JACOBSEN
355 East Baltimore Street
Carlisle, PA 17013
717 245-0527
October 24, 2005
Register of Wills of Cumberland County, Agent for
PA Department of Revenue
Cumberland County Courthouse
Carlisle, PA 17013
RE: ADVANCE PAYMENT OF INHERITANCE TAX FOR
ESTATE OF CLARENCE JACOBSEN,
NO. 21-05-0702
DATE OF DEATH: JULY 28, 2005
To Whom It May Concern:
Enclosed please find a check drawn on the Estate of Clarence Jacobsen in the amount
of $9,405 as advance payment of the PA Inheritance Tax for the above named estate. This
payment. made within three months of the date of death, is calculated as follows:
Estimated Net Taxable Estate
$ 220,000.
9900.
(495.1
9405.
Tax Payable at 4.5%
Less Discount for Prior Payment
Net Estimated Tax
Thank you for your attention to this matter.
Sincerely,
ANDREA C. J
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
JACOBSEN ANDREA C
355 EAST BALTIMORE ST
CARLISLE, PA 17013
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ESTATE INFORMATION: SSN: 051-18-7056
FILE NUMBER: 2105-0702
DECEDENT NAME: JACOBSEN CLARENCE
DA TE OF PAYMENT: 10/25/2005
POSTMARK DATE: 10/25/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 07/28/2005
NO. CD 005932
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $9,405.00
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I
I
I
I
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TOTAL AMOUNT PAID:
$9,405.00
REMARKS: EST OF CLARENCE JACOBSEN
CHECK#1005
SEAL
INITIALS: CM
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS