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HomeMy WebLinkAbout03-14-07 - COMMONWEAL TH OF PENNSYLVANIA REV.1162 EX(11.96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEP.:r ~qnr,n1_ Ht.RRISBURG, PA 17128.0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CO 007906 BIANCO EDWARD L SR 1 708 LOCU ST ST NEW CUMBERLAND, PA 17070 ACN ASSESSMENT AMOUNT CONTROL NUMBER _n_.n_ lold ---------- -------- 07102143 I $35.38 ESTATE INFORMATION: SSN: 193-12-7988 I I FILE NUMBER: 2107-0073 I i I BIANCO LULU E I I DECEDENT NAME: [ DATE OF PAYMENT: 03/14/2007 I POSTMARK DATE: 03/1 2/2007 I COUNTY: CUMBERLAND I DA TE OF DEATH: 10/11/2006 I I TOTAL AMOUNT PAID: $35.38 REMARKS: CHECK# 5227 INITIALS: WZ SEAL RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS CO""'ONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE IUREAU OF INDIVIDUAL TAXES DEPT. 280&01 HARRISBURG, PA 17128-0'01 W:- INFORMATION NOTICE (-.....::"nc ,". AND ,~TAXPAYER RESPONSE FILE NO. 21'-' o,x:J:J7 -13 ACN DATE 07102143 01-15-2007 REV-lSIi3 EX AFP C09-00l r- I~ f) I H-L \ 14 PH !2:~~. OF LULU E BIANCO S.S. NO. 193-12-7988 DATE OF DEATH 10-11-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST [X] CERTI F . EDWARD L BIANCO II 716 SUNHAVEN CIR MECHANICSBURG PA 17055 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PSECU has provided the Depart.ent with the info~ation 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 info~ation is incorrect, please obtain written correction fro. the financial institution, attach a copy to this fo~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth of PennSYlvania. Questions .ay be answered bY calling (717) 787-8321. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0193127988 Date Established 03-12-1984 To insure proper credit to your account, two (2) copies of this notice .ust acc~pany your pay.ent to the Register of Wills. Make check payable tOI "Register of Wills, Agent". Account Balanc. P....c.nt Taxabl. A.ount Subj.ct to Tax Tax Rat. Pot.ntlal Tax Du. x 15,726.47 5.000 786.32 .045 35.38 TAXPAYER RESPONSE NOTE I If tax pay.ents are .ade within three (3) .onths of the decedent's date of death, yOU .ay deduct a 5X discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) .onths after the date of death. x PART [!] r!:err!~~:~~~~~~~~fi1~J~lz:~:ri;;n1ll~!!f:fl~iiil:I~:if~1~~iYf~~~~~~~~"~-:~~""~I=~~1:-r.f~7W~m~EDI ................__...._......___..._.._______. __... __."'._. ..1. ..."'..__=..__'"..._.._..:t'=_~~:>c~" ..*:'-~1it....:!ir.:n.._""; .... =.n.->;;~...i"!!""tr~.f' ~*._-iliru ElF.. .----------________.._____..________........____..__......_______..___....__..._______.. ____;.n.;___......._...~..__.. .....-;;o'_~::r.....-..l'-::r_~__:~.tin.ti..i:_ ...... ... ::.."t..~lHF.H:H::p..r'..t1:iU'.:...._'tn ;n..~;.t'...'t,"...11"l1 .....,........ A. ~ The above inforaation and tax due is correct. p 1. You.1IY choose to re.it paY.ent to the Register of Wills with two copies of this notice to obtain . discount or avoid interest, or you .ay check box lOA" and return this notice to the Register of Wills and an official assess.ent will be issued by the PA Depart.ent of Revenue. [CHECK ] ONE BLOCK ONLY I. E:J The above asset has been or will b. reported and tax paid with the PennsYlvania Inheritance Tax return to be filed by the decedent's representative. c. E:J The above infor.ation is incorrect and/or debts and deductions were paid by you. You .ust co.plete PART 0 and/or PART [!] below. . x If you IndIcat. a dIff.....nt tax ...at., pl.as. stat. you... ....latIonshIp to d.c.d.nt: PART [!] TAX RETURN - COMPUTATION LINE 1. Dat. Establlsh.d 2. Account Balanc. 3. P....c.nt Taxabl. 4. Amount Subj.ct to Tax 5. D.bts and D.ductions ,. Amount Taxabl. 7. Tax Rat. 8. Tax Du. OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 4 5 , 7 8 x PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I I TOTAL (Ent.... on LIn. 5 of Tax ComputatIon) I . Und.... p.naltl.s of P....ju...y, I d.cla.... that the facts compl.t. to the b.st of my knDwl.dg. and b.ll.f. f!J~.I~ () ~~ a~~~~~~ TAXPAY~~NATURr--~ . have ....po...t.d above a.... t...ue, co.......ct C]11) ]'1S.~oto WORK ell,) '787- I'D;).. TELEPHONE NUMBER and HOME 3 -/~-o7 \~v DATE \: - ._~ .... ----- ....- ~ \- ~ ~ .~ d. '1 fj.. 0.- 0 % ct -" ~ ("~ Ji ~ ;...t rJ,. tt ~ t( ~ t. 8 \I'l r- I \I'l "" o r- - .< .~ ~ o U 00 u d ~ .% ~~ ~ 1'~ ~rJ)~ ~ '-0 Q ~t=~ . - ~ \f\ ') o ~ ") :::k ~ ~ '> 3 1 \J - :: - - - - - - .cr> - - - - ~ o \ -- , '+- ~ .&: 0 <.J a.-- 1(\ \...~ r- \1' it) ( aJ ..... r:J ~ .t- --'- --- --- (I) C- ..[\ ...... V) ~ () p ...", \"'" , - .-""" i '- ..... crt:> ~ ~ J <J DL <..J