HomeMy WebLinkAbout07-13-07
COMMONWEALTH OF PENNSYLl" ".NIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDU-9-1. ,AXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 008399
KUMPF DANIEL
2166 RAMELLI AVENUE
VENTURA, CA 93003
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
--.----- fojd ---------- --------
07500535 I $1,197.72
ESTATE INFORMATION: SSN: 202-20-0761 I
FILE NUMBER: 2107-0345 I
DECEDENT NAME: KUMPF EARL E I
DATE OF PAYMENT: 07/13/2007 I
POSTMARK DATE: 06/23/2007 I
COUNTY: CUMBERLAND I
DATE OF DEATH: 03/25/2007 I
I
TOTAL AMOUNT PAID:. $1,197.72
REMARKS: DANIEL KUMPF
CHECK# 6001
SEAL
INITIALS: WZ
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COHIIONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO BOX 2B0601
HARRISBURG PA 1712B-0601
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(O,[\JhJ! ilKV'-l50lfA .,~ CT-Ud)
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 07-0345
07500535
06-19-2007
CLERK OF
ORPrttl,HS CQ~T
U. ,,-.,r-', ", P:A
C 0",,,---,, .,.' , "
. ;\.'i\.);,_ ' - "
EST. OF EARL E KUMPF
S.S. NO. 202-20-0761
DATE OF DEATH 03-25-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SECURITY
iii SEC ACCT
o STOCK
o BONDS
2001 JUL \ 2 PM 2: 5 \
DANIEL P KUMPF
2166 RAMELLI AVE
VENTURA CA 93003
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
SMITH BARNEY has p..ovided the D.pa..t..nt with the info.-.etion listed below which h.s b..n used in
c.lcul.ting the pot.nti.l tax du.. Th.i.. ...co..ds indicat. that at the d.ath of the above d.c.d.nt. you w.... a b.n.ficiary of this ass.t.
If you f..l this info....tion is inco.....ct. pl. as. obt.in w..itten co.....ction f..o. the t..ansf... ag.nt. attach a copy to this fo... .nd
...tu..n it to the above .dd...ss. This account is taxable in acco..danc. with the Inh...itanc. Tax Laws of the Co..onw.alth of P.nnSYlv.nia.
Qu.stions ..y b. .nsw....d by c.lling tJl7) 7D7-8~21.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 54J05839-18
DaD Valuation
Pe..cent Taxable X
Amount Subject to Tax
Tax Rate X
Potential Tax Due
84,051.44
33.333
28,016.87
.045
To insu... P..op... c...dit to you.. .ccount. two
(2) copi.s of this notic. .ust acco.p.ny you..
pay..nt to the R.gist... of Wills. Mak. ch.ck
p.yabl t"
If tax
1,2
PART
I!l
. '. . . . .' . . . :r..;'.;'... :: .;.......: ...... .'. .:. : '. . : .' .:. ,.;.
. ... .' . .: . . . . :'. .',.. . . :..:....=. ....... :. :.: .' .:: ',.: .' .. .:..:: . ..: . .:
[CHECK ]
ONE
BLOCK
ONLY
A. DTh. above info...ation and tax due is co.....ct.
1. You.ay choos. to ....it pay.ent to the R.gist... of Wills with two copi.s of this notic. to obtain
a discount 0" avoid int....st. 0.. you .ay ch.ck box "A" and ...tu..n this notic. to the R.gist... of
Wills and an official ass.ss..nt will b. issu.d by the PA D.pa..t..nt of R.v.nu..
B. DTh. above ass.t has b..n 0.. will b. ...po..t.d and tax p.id with the P.nnsylvania Inh...itanc. Tax ...tu..n
to b. fil.d by the d.c.d.nt's ...p...s.ntativ..
C. DTh. above info...ation is inco.....ct andlo.. d.bts and d.ductions w.... paid by you.
You .ust co.plate PART 0 andlo.. PART 0 below.
If you indicate a different tax rate. please state your
relationship to decedent:
TAX RETURN - COMPUTATION OF
LINE 1. DaD Valuation 1
2. Percent Taxable 2
3. Amount SUbject to Tax 3
4. Debts and Deductions 4
5. Amount Taxable 5
6. Tax Rate 6
7. Tax Due 7
TAX ON ABOVE ASSETCS)
PART
~
X
X
PART
I!I
DEBTS AND DEDUCTIONS CLAIMED
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Computation)
.
perjury. I declare that the facts
my knowledge and belief.
have reported above are true. correct and
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