HomeMy WebLinkAbout04-13-07
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
LARSON BOBBETTE L
826 ACRI ROAD
MECHANICSBURG, PA 17050
-------- fold
ESTATE INFORMATION: SSN: 1 91-18-3999
FILE NUMBER: 2107-0151
DECEDENT NAME: HAKE ELNORA E
DATE OF PAYMENT: 04/13/2007
POSTMARK DATE: 04/12/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 02/03/2007
NO. CD 008017
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07115268 I $1,616.65
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 5314
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
$1,616.65
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280'01
HARRISBURG, PA 17128-0'01
..
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 07-0151
07115268
04-06-2007
-~. ,.- i
REV-I5l&s'ElC.roFP cof-hi
'I
CLEF< OF
OR-,' " ",:" 'I':' "(, , 'I iDT
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C'!J14_',It~__t-'~'.-! \.~, v~,:'~\ 'p.,!,:
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EST. OF ELNORA E HAKE
S.S. NO. 191-18-3999
DATE OF DEATH 02-03-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
D CHECKING
D TRUST
[i] CERTIF.
ZiJ01 APR 13 Pr'112: 05
BOBETTE L LARSON
826 ACRI RD
MECHANICSBURG PA 17050
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
STERLING FINANCIAL CORP hos providod tho Doport.ent with the info~otion lUhd below which hes been used in
colculoting the potentiol tax due. Their records indicote thot ot the deoth of the obove dec.dent, you wero 0 joint owner/beneficiary of
this occount. If you feel this infor.otion is incorrect, pleose obtoin written correction fro. the finonciol institution, attoch 0 copy
to this fo~ and return it to the obove address. This occount is taxoble in occordonce with the Inheritonce Tax Lows of the C~.onweolth
of Pennsylvonio. Questions..v be onsw.re4 bv =.lli~ (717) 787-&327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 9150009793
Date 09-08-2006
Established
To insure proper credit to your occount, two
(2) copies of this notice .ust occ~pony your
pey.ent to the Register of Wills. Moke check
peyoble to: "Register of Wills, Agent".
Account Balance
Percent Taxable
A.ount Subject to Tax
Tax Rate
Potential Tax Due
37,816 .55
X 100.00
37,816 . 55
X .045
1,701.74
TAXPAYER RESPONSE
NOTE. If tax pey.ents ore .ode within three
(3) .onths of the decedent's dote of death,
you .ey deduct 0 5X discount of the tax due.
Any inheritonce tax due will beco.e delinquent
nine (9) .onths ofter the dote of deoth.
PART
[!]
The obove infor.ation ond tax due is correct.
1. You.ay choose to re.it pey.ent to the Register of Wills with two copies of this notice to obtoin
o discount or ovoid interest, or you .ey check box "A" and return this notice to the Registar of
Wills ond on officiol ossess.ent will be issued by the PA Deport.ent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. [] The obove osset hos been or will be reported ond tax poid with the Pennsylvonio Inheritonce Tax return
to be filed by the decedent's representative.
C. [] The obove infor.otion is incorrect ond/or debts ond deductions were poid by you.
You .ust co.plete PART 0 ond/or PART 0 below.
PART
[!]
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. A.ount Subject to Tax
5. Debts and Deductions
6. A.ount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
5
6
7
8
x
If you indicate a different tax rate, please state your
relationship to decedent:
x
PART
!!I
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Co.putation)
.
perjury, I declare that the facts I
.y knowledge and belief.
and
HOME
WORK (
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