HomeMy WebLinkAbout05-23-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT, 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
LYMAN LOIS I
606 HERRIN LANE
ENOLA, PA 17025
___nn_ fold
ESTATE INFORMATION: SSN: 196-14-2733
FILE NUMBER: 2107-0510
DECEDENT NAME: MUSSER CHARLES E
DA TE OF PAYMENT: OS/23/2007
POSTMARK DATE: 05/11/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 03/14/2007
REMARKS: LOIS IDA LYMAN
CHECK# 3047
SEAL
ACN
ASSESSMENT
CONTROL
NUMBER
07121084
TOTAL AMOUNT PAID:
INITIALS: DM
RECEIVED BY:
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 008201
AMOUNT
$8.35
$8.35
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
CIIMMONIIEAl TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXEl>
DEPT. 210'01
HARRISIURG, PA 17121-0&01 ,.
NO.
"YV\7 -SID
21~
07120184
05-09-2007
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INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
lllY-l!14S IX In 1I,..n
r'~n7 ~." \I 23
lud (~n f
Mlll: 'f I
EST. OF CHARLES E MUSSER
S.S. HO. 196-14-2733
DATE OF DEATH 03-14-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
Ii] CHECKING
o TRUST
o CERTIF.
CLE!=j<
ORPH!.f\J'S COURT
CU\"",, ,
LOIS I LYMAN
606 HERRIN LN
ENOLA PA 17025
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Depart.ant with the info~aUon Usted belClll which has been used in
calculating tho potential tax duo. Their rocords indicate that at tho doath of tho abovo docodont, YOU voro a joint CIlInor/bonoficiary of
this account. If you feol this info~ation is incorroct, ploaso obtain written correction fr~ the financial institution, attach a coPY
to this fo~ and rot urn it to the above address. This account is taxable in accordanco with the Inheritance T.. laws of the C~.onwoalth
of Pe~lvaRia. Queation. ~-bo answered by callinl (717) 717-1327.
COMPLETE PART 1 BELOW. . i SEE~~~VERSE SIDE FOR FILIN8 AND PAYMENT INSTRUCTIONS
Account No. 5140130029 Date 06-18-2001
x
371. 32
50.000
185.66
.045
8.35
TAXPAYER RESPONSE
To insure propor credit to your account. two
(2) copios of this notico ~st acc..pany your
payaent to the Rogister of Wills. Make check
payable to. "Rogister of Wills, Agont".
Eshbl1shed
Account Balance
Percent Taxable
AMount Subject to
Tax Rate
Potentlal Tax Due
x
MOTEl If t.. payaents aro .ado within three
(3) .onths of tho docodent's dato of doath,
yOU .ay deduct a ~ discount of the tax dua.
Any inheritanco tOK duo viII bec~o delinquent
nina (9) .onths after tho dato of doath.
Tax
PART
I!I
The abovo info~ation and tax duo is correct.
1. You.ay choo.o to ro.it pay.ent to the Rogistor of Wills with tvo copies of this notice to obtain
a discount or avoid intorest, or you .ay chock box "A" and return this notico to the Register of
Wills and an official assos..ent viII be issued by the PA Depert.ont of Rovenuo.
[CHECK ]
ONE
BLOCK
ONLY
I. r:J The ebove esset has been or will bo roported and tax paid with the PonnsYlvania Inheritance Tax rot urn
to bo filed by the decedont's roprosentativo.
C. r:J Tho abovo info~ation i~ncorroct and/or dobts and doductions wora paid by you.
You .ust co.ploto PART l!J and/or PART [!] bolow.
x
If you lndlcate a dlfferent tax rate, please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION
LINE 1. Date Establishad
2. Account Balance
3. Percent Taxable
4. AMount Subject to Tax
5. Debts and Deductlons
6. AMount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
5
6
7
8
x
PART
(!]
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Llne 5 of Tax COMPutatlon)
.
perjury, I declare that the facts I haye reported aboye are true, correct and
knowledge and bellef.
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