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
BERGER EDMUND
2104 MARKET STREET
CAMP HILL, PA 17011
n_nn_ fold
ESTATE INFORMATION: SSN: 193-12-7988
FILE NUMBER: 2107-0073
DECEDENT NAME: BIANCO LULU E
DA TE OF PAYMENT: 04/13/2007
POSTMARK DATE: 04/12/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 10/11/2006
NO. CD 008020
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07102145 I $35.38
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$35.38
REMARKS: LOUISE BIANCO RALPH
TED A RALPH
CHECK# 3392
INITIALS: AJW
RECEIVED BY:
SEAL
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B060l
HARRISBURG. PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21
07102145
01-15-2007
REV-1S.t'i3 EX AFP <09-00)
TYPE
~i,
ti:f; ACCOUNT
...-..-J '..:.
~,. 0 rs, AVINGS
'-,-1
~) 0 CHECKING
W 0 TRUST
_Jxl CE~TIF.
EST. OF LULU E BIANCO
S.S. NO. 193-12-7988
DATE OF DEATH 10-11-2006
COUNTY CUMBERLAND
LOUISE BIANCORALPH
37 SPRINGERS LN
NEW CUMBERLAND PA 17070
.r
PSECU has p..ovided the Depa..t.ent with the info...ation listed below which has been used in
calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent. you we..e a joint owne../beneficiar-y of
this account. If you feel this info...ation is inco....ect. please obtain w..itten co....ection f..o. the financial institution. attach a copy
to this fo... and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax laws of the C~.onwealth
of Pennsylvania. Questions ~y b. answe..ed by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0193127988 Date 03-12-1984
Established
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
ill
x
15,726.47
5.000
786.32
.045
35.38
TAXPAYER RESPONSE
To insu..e p..ope.. c..edit to you.. account. two
(2) copies of this notice .ust acco.pany you..
pay.ent to the Registe.. of Wills. Make check
payable to. "Registe.. of Wills. Agent".
x
NOTE. If tax pay.ents a..e .ade within th..ee
(3) .onths of the decedent's date of death.
you .ay deduct a 5X discount of the tax due.
Any inhe..itance tax due will beco.e delinquent
nine (9) .onths afte.. the date of death.
A., The above info...ation and tax due is co....ect.
1. You.ay choose to ..e.it pay.ent to the Registe.. of Wills with two copies of this notice to obtain
a discount 0.. avoid inte..est. 0.. you .ay check box "A" and ..etu..n this notice to the Registe.. of
Wills and an official assess.ent will be issued by the PA Depa..t.ent of Revenue.
B. c=l The above asset has been 0" will be ..epo..ted and tax paid with the Pennsylvania Inhe..itance Tax ..etu..n
to be filed by the decedent's ..ep..esentative.
C. c=l The above info...ation is inco....ect and/o.. debts and deductions we..e paid by you.
You .ust co.plete PART ~ and/o.. PART ~ below.
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
PART DEBTS AND DEDUCTIONS CLAIMED
~
[CHECK ]
ONE
BLOCK
ONLY
PART
~
TAX
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
DATE .PAID
PAYEE
DESCRIPTION
AMOUNT PAID
.
TOTAL (Enter on Line 5 of Tax Computation)
penalties of perjury. I declare that the facts I
the best of nowledge and belief.
are true. correct and
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