HomeMy WebLinkAbout05-18-07
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
NO. CD 008185
LOVELL DUANE T
2490 ENTERPRISE-OSTEEN RD
OSTEEN, FL 32764
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
__n__n fold
07116374
$229.79
ESTATE INFORMATION: SSN: 182-14-1408
FILE NUMBER: 2107-0297
DECEDENT NAME: LOVELL JOHN G
DATE OF PAYMENT: 05/18/2007
POSTMARK DATE: 05/15/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 03/10/2007
TOTAL AMOUNT PAID:
$229.79
REMARKS:
CHECK# 770
SEAL
INITIALS: DM
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMO"'EAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280'01
HARRISBURG. PA 17128-0'01
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INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.
21 01 ' 7)1.. ell
07116374
04-11-2007
RiV'IUl EX _ U9".)
2007 MA Y 18 Pt112: 40
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ORP. .H.I'.hl'(~ (':;(j'JRT
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EST. OF JOHN G LOVELL
S.S. NO.. 182-14"1408
D<<TE OF DEATH 03 -10-,,200 7
COUNTY CUMBERL~p
TYPE OF ACCOUNT
o SAVINGS
[i] CHECKING
o TRUST
o CERTIF.
DUANE LO\fEl L
2490 E'NTERPRISE
OSTEEN FL 32764
REMIT PAYMENT AND FORMS TO:
-, IfE'GI.stEROF WILLS
CUMBER.LAND CO COURT HOUSE
CARLISLE) PA 17Q13
MEMBERS 1ST FCU has provided the Depart.ont with tho info"'aUon listed below which has bun used in
calculating the potential tax due. Their records indicato that at tho death of tho abovo docodont. yoU wero a joint ownor/bonoficiary of
this occount. If you fool this info,..ation is incorroct. plooso obtain written corroction fr~ tho financial institution, attach a copy
to this fo,.. and return it to tho above addross. This account is taxablo in accordanco with tho Inhoritanco Tax Laws of tho C~.onwealth
of Ponnsylvania. Questions ~ bo answered by calling (717) 717-1327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILIN; AND PAYMENT INSTRUCTIONS
Account No. 169519-11 D.te 07-10-1997
Account B.l.nc.
P...c.nt T.x.bl.
A.ount Subj.ct to
T.x R.t.
Potenti.l T.x Due
x
10,212.88
50.000
5,106 .44
.045
229.79
TAXPAYER RESPONSE
To insure proper credit to you.. account. two
(2) copios of this notice .ust acc~pany your
pay.ont to tho Registor of Wills. Make chock
payablo to I "Rogistar of Wills. Agent".
Eshblish.d
x
NOTE. If tax payeonts aro .ado within throo
(5) .onths .of the docodent's date of doath,
you.ay deduct a SX discount.of tho tax due.
Any inherltanco tax duo will boc~o dolinquent
nine C9.):.onths after the dato of death.
T.x
PART
!!l
~i ~"~;-,~%1~~~,, ~'~',:, ,," ,,' , " " '"':" : '~k,::::~'-"-",-r ;t~_,~: ~~, _:~: ,~:,~ ':" : ~,~~: -; ,:' ,:,~~~:;:':~:~~;~~:t"~~:~;f:::~:;jfi~r;'~::~,~jtf:~;:~~t1~:Z ,,:-j~L:1i~:,':~;~,~i~[
A. iii Tho above info,..atlon and tax due is correct. . ,
L You.ay chooso to r..1t pay.ont to the Registor of Wills with twocopios of this notice to obtain
a discoUnt or avoid intorest. or you.ay chock bax ~A"and return this notico to the Rogistor of
Wills and an official assess.ent will bo issued by the PA Dopart.ent of Rovenue.
B. c:J The above asset hos been 0.. will be ..eported and tax paid with the PennSYlvania Inheritanco Tax return
to be filod by the decedent's represontative.
C. c:J The above info,..ation is incorroct and/or debts and deductions wore paid by you.
You .ust co.pleto PART [!] and/or PART ~ bolow.
[CHECK ]
ONE
BLOCK
ONLY
PART
I!I
DATE PAID
DEBTS AND DEDUCTIONS
If yoU indic.t. . diff....nt t.x ...t., pl..s. st.t. you..
...l.tionship to d.c.d.nt:
PART
~
TAX RETURN - COMPUTATION
LINE 1. D.t. Est.blish.d
2. Account B.l.nc.
3. P...c.nt T.x.bl.
4. Amount Subj.ct to T.x
5. D.bts .nd D.ductions
6. Amount T.x.bl.
7. T.x R.t.
8. T.x Du.
OF
1
2
3
4
5
6
7
8
x
TAX ON JOINT/TRUST ACCOUNTS
x
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL CEnt... on Lin. 5 of T.x Comput.tion)
.
P...ju..y, I d.cl.... that the f.cts I h.v. ...po..t.d .bov. .... t..u., co.....ct .nd
my knowl.dg. .nd b.li.f.
HOME
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