HomeMy WebLinkAbout07-11-07
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
WOLF LOLA M
3970 FT ROBINSON RD
LOYSVILLE, PA 17047
ACN
ASSESSMENT
CONTROL
NUMBER
u______ fold
07120182
ESTATE INFORMATION: SSN: 174-20-9215
FILE NUMBER: 2107-0207
DECEDENT NAME: TINSLEY VERA B
DATE OF PAYMENT: 07/11/2007
POSTMARK DATE: 07/10/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 01/23/2007
TOTAL AMOUNT PAID:
REMARKS:
CHECK#09612938586
SEAL
INITIALS: WZ
RECEIVED BY:
REV-1162 EX(11-96)
NO. CD 008382
AMOUNT
I
I
I
I
I
I
I
I
I
$36.35
$36.35
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
r
COttMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG. PA 17128-0601
"*0.
Rh)lv . - \.
REV..1541 EX AFP (,,- 8n
2001 JUl \ \ ~'" \\ t 4
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 07-0207
07120182
05-09-2007
CLERK Of
ORPHAN'S caUR!
CU~^vr')\ ~C, PA
IVl.... , ;
EST. OF VERA B TINSLEY
S.S. NO. 174-20-9215
DATE OF DEATH 01-23-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
Ii] SAVINGS
o CHECKING
o TRUST
o CERTIF.
** lOlA H WOLF
RR 1 BOX 127
lOYSVIllE PA 17047
REMIT PAYMENT AND FORMS TO:
REGISTER OF WIllS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Depart.ent with the info~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 info~ation is incorrect, please obtain written correction fro. the financial institution. attach a cOPY
to this for. snd return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
of Penr,sylvonia. Q..esU;>Ms.1W be iU1SWei"i,d W callinll (717) 787..11327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5004713377
Date
Established
08-15-2006
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 to: "Register of Wills. Agent".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
807.88
100.00
807.88
.045
36.35
TAXPAYER RESPONSE
NOTE: If tax pay.ents are .ade within three
(3) .onths of the decedent's date of death.
you .ay deduct a 5X discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
x
PART
ill
[CHECK ]
ONE
BLOCK
ONLY
A. ~ The above info~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.
B. r=J 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. r=J The above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust co.Plata PART 0 and/or PART ITJ below.
x
If you indicate a different tax rate. please state your
relationship to decedent:
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
PART
I!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL CEnter on Line 5 of Tax Computation)
.
Under penalties of perjury, I declare that the facts I
complete to the best of my knowledge and belief.
have reported above are true, correct
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