HomeMy WebLinkAbout04-11-07COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 008003
BRENNAN MEGAN A
1922 HIGH ST
CAMP HILL, PA 17011
fold
ESTATE INFORMATION: ssrv: iss-is-i2ss
FILE NUMBER: 2107-0146
DECEDENT NAME: BRENNAN MARGARET
DATE OF PAYMENT: 04/ 1 1 /2007
POSTMARK DATE: 04/10/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 02/05/2007
REMARKS:
CHECK# 553
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
07001215 ~ 5199.11
TOTAL AMOUNT PAID:
INITIALS: DM
5199.1 1
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL, TA,X~S `f: '''_ '
DEPT. 28060j.~'~'; '~ ~ , j ...,
HARRISBURG PA` 7y1z8,B601
REV-1543 IX AFV (09-09)
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MEGAN BRENNAN
23 W SIMPSON ST
MECHANICSBURG PA 17055
INFORMATION NOTICE
FILE N0. 21 07-0146
TAXPAYERNRESPONSE ACN 07001215
DATE 04-05-2007
TYPE OF ACCOUNT
EST. OF MARGARET BRENNAN
S.S. N0. 188-14-1298 ^ SAVINGS
DATE OF DEATH 02-05-2007 ® CHECKING
COUNTY ^ TRUST
CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
SOVEREIGN BANK has provided the Department with the infonation listed below which has bean used in
calculating the potential tax due. Their records indicate that at the death of the above decedent,
You were a joint a~ner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction frog the financial institution, attach a copy
a this form and return in to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Comeonwealth
of Pennsylvania. puestions. ^ay b4 answerrod by. calling C717) 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1051084946 Date
05-25-2004
Established To insure proper credit to your account, two
Account Balance ~2) copies of this notice must accompany your
27, 944.58 payment to the Register of Wills. Make check
Percent Taxable X payable to: "Resister of Wills, Aeant".
Amount Subject to Tax 16.667
4, 657.52 NOTE: If tax payments are Bade within three
Tax Rate X (3) months of the decedent's date of death,
Potential Tax Due • 045 you may deduct a 5X discount of the tax due.
2 0 9.5 9 Anv inheritance tax due will become delinquent
PART nine I9) months after
TAXPAYER the date of death.
k 4~.a.m~,~r+~ ~ ~~ ~,~ ~ R E S P O N S E
A• ~ The above information and tax :~ G4•i:y:_ ~ '
1• You may choose to remit payment stoothecRepister of Wills with two copies of this notice to obtain''
C CHECK a discount or avoid interest, or you may check box "A" and return this notice to the Resister of
0 NE ~ Wills and an official assessment will be issued by the PA Department of Revenue.
0 N L Y B' ~ The above asset has been or will be reported and tax
to be filed by the decedent's representative. paid with the Pennsylvania Inheritance Tax rek„n~
C• ~ The above information is incorrect and/or~debts and deductions were paid by you.
You must complete PART 2^ and/or PART I°I below.
LJ relationship to decedent: ~o~ rate' please state your
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOI
LINE 1. Date Established 1
2. Account Halanea 2
3. Percent Taxable 3 x
4. Amount Subject to Tax 4
5. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rate 7 x
8. Tax Due n
DATE PAID
PAYEE
DESCRIPTION
TOTAL (Enter on Line 5 of Tax Computation)
Under penalties of $
perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledHe and belief.
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TAXPAYER SIGNATURE WORK I ~7~ ) F~71-~ c -~ a,. _
DEBTS AND DEDUCTIONS CLAIMED
itLEPHONE NUMBER DATE
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