HomeMy WebLinkAbout03-13-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
JONES HUGH R
2 APPOMA TTOX COURT
MECHANICSBURG, PA 17050
I ESTATE INFORMATION: SSN: 161-32-5360
i
I 2107-0135
I FILE NUMBER:
I
I JONES MARGARET S
: DECEDENT NAME:
i DATE OF PAYMENT: 03/13/2007
I POSTMARK DATE: 03/1 2/2007
I
I COUNTY: CUMBERLAND
IDA TE OF DEATH: 01/06/2007
i
NO. CD 007894
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07108367 I $23.21
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$23.21
REMARKS: HUGH R JONES
CHECK# 224
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2BO&01
HARRISBURG. PA 17128-0&01
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 07-0135
07108367
03-01-2007
REV-1543 EX AFP (09-00)
EST. OF MARGARET S JONES
5.5. NO. 161-32-5360
DATE OF DEATH 01-06-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
[i] SAVINGS
D CHECKING
D TRUST
D CERTIF.
HUGH R JONES
2 APPOMATTOX CT
MECHANICSBURG PA 17055
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the DepartlRent with the inforlRation 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 inforlRation is incorrect. please obtain written correction frolR the financial institution. attach a copy
to this forlR and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the COIRlRonwealth
of Pennsylvania. QUB.stions.ay in! answered by calli..., (717) 781-832;.
Account No. 5130211431
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
11-25-2005
To insure proper credit to your account. two
(2) copies of this notice Must accolRpany your
paYMent to the Register of Wills. Make check
payable to: "Register of Wills. Agent".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
[!]
Date
Established
x
3,094.95
16.667
515.84
.045
23.21
NOTE: If tax paYIRents are IRade within three
(3) IRonths of the decedent's date of death.
you IRay deduct a 5% discount of the tax due.
Any inheritance tax due will beco~~elinquent
nine (9) IRonths aftecj:he date of ~th.
~~~) -
x
~:.. ~~',-.
~ The above inforlRation and tax due is correct. .'~; ..D W
1. You IRay choose to reIRit payIRent to the Register of Wills with two copies of,tb1;~otice to obtain
a discount or avoid interest. or you IRay check box "A" and return this notic, ~6~):he R~ter of
Wills and an official assessIRent will be issued by the PA DepartIRent of Re~buO:' ,
B. r=J The above asset has been or will be reported and tax paid with the penn5YIVania)~eritancJ:rax return
to be filed by the decedent's representative. .".' N
C)
[CHECK ]
ONE
BLOCK
ONLY
c. r=J The above inforlRation is incorrect and/or debts and deductions were paid by you.
You IRust cOIRplete PART ~ and/or PART ~ below.
PART
~
TAX
If you indicate a different tax rate. please state your
relationship to decedent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
LINE l- 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
[!]
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
.
of pe~jury. I declare that the facts I have reported above are true. correct and
of my knowledge and belief.
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