HomeMy WebLinkAbout05-09-07COMMONWEALTH OP PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
JAMISON STEPHEN B
14 FULLER FARMS RD
TOPSFIELD, MA 01983
REV-1162 EX(11-96)
NO. CD 008141
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
Told
ESTATE INFORMATION: ssN: 12z-os-s~o3
FILE NUMBER: 2107-0459
DECEDENT NAME: JAMISON PAUL W
DATE OF PAYMENT: 05/09/2007
POSTMARK DATE: 05/09/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 10/ 18/ 2006
REMARKS:
SEAL
CHECK# 11 1 1
07115264 ~ S 1 17.62
TOTAL AMOUNT PAID:
S 1 17.62
INITIALS: CJ
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMNOlNIEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280681
FIARRISBURS, PA lllzB-0601
~
aEV-isas cu'~M-tas-dn
INFORMA AND NOTICE
TAXPAYER RESPONSE
FILE
ACN
DATE ff~~
N0. 21"p~('a"!7
07115264
04-06-2007
TYPE OF ACCOUNT
'ESY. OF PAUL W JAMISON ^ sAViNas
$.$. [~10. 122^09:-9703 ® cHECKIN6
vLEf DATE OF DEATH 10 -18 - 20 06 ^ TRUST
ORrHAN, ;~COITNTY , . ...CUMBERLAND,,.,.
,: _ ^ CERTIF.
.;; ,E rr r't~,
~.'^.J.' ( .L..`1 ;
REMIT PAYMENT AND FORMS T0:
-STEPHEN B JAMISON --:~ REGISTER OF WI
CUMBERLAND CO LLS
COURT HOUSE
14 FULLER FARMS RD
TOPSFIELD MA 01983 CARLISLE, PA 17013
PNC BANK has provided the Department with the infonation fisted below which has boon used in
caleulatine the potential tax due. .Their records indicate that at the death of the above decedent, you ware a joint owner/beneficiary of
this account. If you foal this information is incorrect, pless• obtain written correction from the financial institution, attach a copy
to this ion and return it to the above address. This account is taxable in accordsnee with the Inheritance Tax Laws of the Commonwealth
of Pennsylvania. Qwstiene may ba answered blr oa~.linp C717) 787-8b27.
COMPLETE PART 1 BELOW * * ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5004486928 Data 02-10-1993 To insure vroper credit to your account, two
Established C2) copies of this notice must accomparar your
psyrent to the Raeister of Wills. Mako chock
Account Balance 5, 227.60 payable to: "Register of Wills, Apent°.
Percent Taxable
Amount Subject to Tax
Tax Rata
Potential Tax Duo
x 50.000
2,613.80
x .045
117.62
NOTE: If tax payments era made within three
C3) months of the decedent's date of death,
you may deduct a 5X diaeount of the taoc duo.
Arai inheritance tax duo will beeaae delinquent
nine C9) aonths sfter the date of death.
u
A. ~ The above information and tax duo is correct.
1. You may choose to remit payment to the Register of Wills with two.eopies of this notice. to obtain
CHECK a discount or avoid interest, or you may chock box "A" and return this notico to the Register of
Wills and an official assessment will b• issued by the PA Department of Revenue.
C ONE
BLOCK B. ~ The above asset has boon or will be reported snd tax paid with the Pennsylvania Inharitanca Tax return
ONLY to be filed by the decedent's representative.
PART DEBTS AND DEDUCTIONS CLAIMED
., ;,
a
ION AMOUNT PAID
DATE PAID PAYEE DESCRIPT
•,
TOTAL CEnter on Lino 5 of Tax Computation) t
Under penalties of per~ury, I declare that the facts I have reported above era true, correct and
comppla~to-~to the~~bJJast f my knowledp• and belief. HOME C 78 ) p r
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