HomeMy WebLinkAbout06-25-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17126-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MURRAY BERNARD J
15 FARM HOUSE LANE
CAMP HILL, PA 17011
-------- fold
ESTATE INFORMATION: SSN: 163-16-1090
FILE NUMBER: 2107-0610
DECEDENT NAME: MURRAY M W
DATE OF PAYMENT: 06/25/2007
POSTMARK DATE: 06/22/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 01/22/2007
NO. CD 008331
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07123154 I $137.40
I
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TOTAL AMOUNT PAID:
$137.40
REMARKS:
CHECK# 5099
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMDtlfEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280'01
HARRISBURG. PA 17128-0'01
*~
REV-lS41 EX AFP (09.10>
FFI~~FPRMATiNODN NOTICE
v_ _0'
F W!~~?,PAYER RESPONSE
FILE
ACN
DATE
NO. 21-07-0&fU
07123154
05-31-2007
2001 JUN 25 PH I: 38
EST. OF M W MURRAY
5.5. NO. 163-16-1090
DATE OF DEATH 01-22-2007
COUNTY CUMBERLAND
1'\Dr)U. CLEA u.RKOF.
VJTnMI'i'S COURT
CUMBERLAND CO.,PA
TYPE OF ACCOUNT
D SAVINGS
Ii] CHECKING
D T.RUST
DCERTIF.
BERNARD J MURRAY
15 FARM HOUSE LN
CAMP HILL PA 17011
REMIT PAYMENT AND FORMS TO:
REGISTER~F WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
COMMERCE BANK has provided the Depart.ent with the info~at1on listed below which has been used in
calculating the potential tax due. Theil' records indicate that at the death of the above decedent. you were a joint owner/beneficiary of
this account. If you feel this info~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 C~.onwealth
of Pennsylvania. Questions aay be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW
Account No. 536142714
. .
. SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Date 11-20-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
6,106.45
50.000
3,053.23
.15
457.98
TAXPAYER RESPONSE
To insure propel' credit to YOUI' account. two
(2) copies of this notice aust accoapany YOUI'
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 SX discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
PART
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-, - ---- --- -------- _______M~_~_ '1 "'___ M_~_"~~_ ~Mt<:':f_1 ,_ __MM__M_k __:.r_..:.r_i-!',r__:.r___~...._ '1 ~_M____ 'M__ ___'-IM_:.!__ ~_"MMM_:.t"__;J:';M~' n;_'1j[l'..fMMJ""_'l,".rlr..rf:_'1,--...4':,,'11_1. =,,:.r.:l.:__l.t;;.r___M :1'MM_ :"'1:tt..,..:<..r-.n.:tL.k:,,-:4..ffi__ _ It:..__J:M,",-,}'M't:MM''lJ-;...s
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A. c=l The above info~ation and tax due is correct.
1. You.ay choose to reait p.vaent to the Register of Wills with two copies of this notice to obtain
a discount 01' avoid interest. 01' you aay check box "A" and return this notice to the Register of
Wills and an official assessaent will be issued by the PA Depart.ent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
8. c=l The above asset has been 01' will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
C. ~he above info~ation is incorrect and/or debts and deductions were paid by you.
You aust co.plete PART ~ and/or PART ~ below.
PART
[!J
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
1
2
3
4
5
6
7
8
x
ON JOINT/TRUST ACCOUNTS
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3D5"3.23
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I 37.'-10
DEBTS AND DEDUCTIONS CLAIMED
If YOU indicate a different tax rate. please state YOUI'
relationship to decedent: ~ ~
x
PART
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DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Co.putation)
.
that the facts I
belief.
have reported above are true, correct and
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