The URL can be used to link to this page

Home My WebLink About01-22-07 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21-- 0, - DO' tJ 06157520 11-22-2006 REV-1543 EX AFP (09-00l EST. OF MARYANN SMITH 5.5. NO. 205-36-6653 DATE OF DEATH 10-11-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT lil SAVINGS o CHECKING o TRUST o CERTIF. TRICIA SMITH 1 N 2ND ST WORMLEYSBURG PA 17043 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of PennsYlvania. Qusstions .C1Y lle auswered by callin!l (717) 787--832:7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 169570-00 Date 07-26-1997 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 2,230.20 50.000 1,115.10 .045 50.18 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent... Tax PART [!] x '....., NOTE: If tax paYments'~re made witltis three (3) months of the dec~~~s date o~eath, yOU may deduct a 57. dise_.~t ..Of thec_tax due, Any inheritance tax due~l becom~linqUSRt nine (9) months after th(Iil<!!!I of _h. . [CHECK ] ONE BLOCK ONLY O The above information and tax due is correct. -):_1 . _ 1. You may choose to remit payment to the Register of Wills with two copies of tlit1 notice-to obta-in a discount or avoid interest, or you may check box "An and return this not~;;k t~ the Rernter oJ Wills and an official assessment will be issued by the PA Department of Revenue. __ - B. 0 The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent.s representative. C. 0 The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. If you indicate a different tax rate, please state your relationship to decedent: PART ~ TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART [!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED OF 1 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I $ declare that the facts I belief. have reported above are true, correct and HOME (1 n ) ~'4~D - ~3 '=i l\ WORK (\\1) ~\\ ~4<5D ~ TELEPHONE NUMBER DATE COMMONWEALTH OF PEI'JNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-0601 eo REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SMITH TRICIA 1 N 2ND STREET WORMLEYSBURG, PA 17043 ---- fold ESTATE INFORMATION: SSN: 205-36-6653 FILE NUMBER: 2107-0074 DECEDENT NAME: SMITH MARY ANN DATE OF PAYMENT: 01/23/2007 POSTMARK DATE: 01 !1 0/2007 COUNTY: CUMBERLAND DA TE OF DEATH: 10/11/2006 NO. CD 007728 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $50.18 I I I I I I I I TOTAL AMOUNT PAID: $50.18 REMARKS: SMITH TRICIA CHECI(# 1024 INITIALS: WZ SEAL RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS r~-- , . ..J f'.; .,...j .,.. ~~ z Q,. .CL t.:J i"~ Q:: '8 ""\ ,..j N co IJ) '? .... " I-. ,,-f oc ... tt rj '4 0 r M ~ to ~ \- - ~ ~ ~ W(/) :JW ZXz .,... wt!o ~ > ...J(/) - 9 wcr:- co a::J> ~ U.cc I"- o-x ..... ~>~ cr: zC~.....a. w~w~~ ==u.ooa: ~ozco:J a: ~Nm ~~!::X~ wwa:ga: Ca:W a: :J:I:ocr: ~m~a.:I: .... , 0 .., C') ". () j::: c:: 0 +:: c:: Q) :t: <( .-.,~: