HomeMy WebLinkAbout08-01-07
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
JACOBS KATHY W
410 W ELMWOOD AVE
MECHANICSBURG, PA 17055
-------- fold
ESTATE INFORMATION: SSN: 221-26-5070
FILE NUMBER: 2107-0722
DECEDENT NAME: WRIGHT EDITH M
DATE OF PAYMENT: 08/01/2007
POSTMARK DATE: 07/21/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 03/15/2007
NO. CD 008485
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07123133 I $24.00
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 333
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
$24.00
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
'" INFORMATION NOTICE
-- c-" ('C- AND
'-:'. _,:-i.--l.' TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21- 61-11-2-
07123133
05-31-2007
R~.t~- D::...t~ (OJ..o.>,'
2n07 AUG -I PH I: 09
TYPE OF ACCOUNT
o SAVINGS
[i] CHECK I NG
o TRUST
o CERTIF.
EST. OF EDITH M WRIGHT
S.S. NO. 221-26-5070
DATE OF DEATH 03-15-2007
COUNTY CUMBERLAND
CI EP'/ /)~
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REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
KATHY W JACOBS
410 W ELMWOOD AVE
MECHANICSBURG PA 17055
PNC BANK has p..ovided the Depa..tment with the info..mation listed below which has been used in
calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent. you we..e a joint owne../beneficia..y of
this account. If you feel this info..mation is inco....ect. please obtain w..itten co....ection f..om the financial institution. attach a copy
to this fo..m and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax Laws of the Commonwealth
of Pennsylvania. Questions may be answe..ed bY calling (717) 787-83,;.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5070070971
Date
Established
08-12-1991
To insure proper credit to your account, two
(2) copies of this notice must accompany you..
payment to the Registe.. of Wills. Make check
payable to: "Registe.. of Wills. Agent".
Account Balance
Pe..cent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
ill
x
313.78
50.000
156.89
.15
23.53
TAXPAYER RESPONSE
NOTE: If tax payments a..e made within th..ee
(3) months of the decedent's date of death.
you .ay deduct a 5% discount of the tax due.
Any inhe..itance tax due will become delinquent
nine (9) months afte.. the date of death.
x
A. [] The above info..mation and tax due is co....ect.
1. You may choose to ..emit pay.ent to the Registe.. of Wills with two copies of this notice to obtain
a discount 0.. avoid inte..est. 0" you .ay check box "A" and ..etu..n this notice to the Registe.. of
Wills and an official assessment will be issued by the PA Depa..tment of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. [] The above asset has been 0.. will be ..epo..ted and tax paid with the Pennsylvania Inhe..itance Tax ..etu..n
to be filed by the decedent's ..ep..esentative.
C. [] The above info..mation is inco....ect and/o.. debts and deductions we..e paid by you.
You must complete PART ~ and/o.. PART ~ below.
OF TAX ON JOINT/TRUST ACCOUNTS
I
2
3 X
4
5
6
PART
~
TAX RETURN - COMPUTATION
If you indicate a different tax rate. please state your
relationship to decedent:
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
PART
[!]
DATE PAID PAYEE
7 X
8
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
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TELEPHONE NUMBER
DATE
TOTAL (Enter on Line 5 of Tax Computation)
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