HomeMy WebLinkAbout04-20-07 (3)
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
BRENNAN THOMAS A JR
1922 HIGH ST
CAMP HILL, PA 17011
-------- fold
ESTATE INFORMATION: SSN: 188-14-1298
FILE NUMBER: 2107-0146
DECEDENT NAME: BRENNAN MARGARET
DATE OF PAYMENT: 04/20/2007
POSTMARK DATE: 04/19/2007
COUNTY: CUMBERLAND
DA TE OF DEATH: 02/05/2007
NO. CD 008062
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07113358 I $681.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$681.00
REMARKS:
CHECK# 569
SEAL
INITIALS: OM
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
-----
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 07-0146
07113358
03-28-2007
REV-I543 EX AFP (0'.80>
...il-
EST. OF MARGARET M BRENNAN
5.5. NO. 188-14-1298
DATE OF DEATH 02-05-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
[i] CHECK! NG
D TRUST
D CERTIF.
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Cc
Lr, 6 t~
Cu
a 2?3.~f):..
N UJ .
c::;: --- J
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THOMAS < A BRENNAN
1922 HIGtfST
CAMP HILL ;
JR
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
.~ u..
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PA 17011
SOVEREIGN BANK has provided the Depart.ent with the infor.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 infor.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
pf Pennsylvania. Quastions.~ be answered by callir.; (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 2331031797 Date 01-07-1986
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
31,859.90
50.000
15,929.95
.045
716.85
TAXPAYER RESPONSE
To insure proper credit to your account. two
(2) copies of this notice .ust accoapany your
pay.ent to the Register of Wills. Make check
payable tOI "Register of Wills. Agent".
Established
x
NOTE. If tax pay.ents are .ade within three
(3) .onths of the decedent's date of death.
yoU .ay deduct a 5% discount of the tax due.
Any inheritance tax due will becoae delinquent
nine (9) .onths after the date of death.
Tax
PART
[!]
______..__..___.__.~..'!itiL.__.____ ____3____~_~_"" ____~ ;*j:Li&i'~_'!ii1____ __,.,""___._iJlj~~_'!i ,.____"'_-lPJi:~__~___~____'>.'(~__'il'__il'_'ti______ti'_'il'__""__~~*__~_G".'l:;W-kllli._____._~*:!'_"il'jWf:i!fill
A. ~ The above infor.ation and tax due is correct.
~ 1. You.ay choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest. or you .ay check box "A" 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
B. [] The above asset has been or will be reported and tax paid with the PennSYlvania Inheritance Tax return
to be filed by the decedent's representative.
C. [] The above info,..ation i~ncorrect and/or debts and deductions were paid by you.
You .ust co.plete PART ~ and/or PART ~ below.
PART
[!]
TAX RETURN - COMPUTATION
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
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
5
6
7
8
x
r 6 g/OO
AMOUNT PAID
If you indicate a different tax rate, please state your
relationship to decedent:
x
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
TOTAL CEnter on Line 5 of Tax Computation)
.
of perjury. I declare that the facts
of my knowledge and belief.
have reported above are true. c~~ct and
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