HomeMy WebLinkAbout08-08-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
R!;C!;IV!;O FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
STROUS ERIC R
2715 HEATHER DRIVE
YORK, PA 17402
n_n___ fold
ESTATE INFORMATION: SSN: 183-22-0899
FILE NUMBER: 2107-0176
DECEDENT NAME: STROUS ROBERT P
DATE OF PAYMENT: 08/08/2007
POSTMARK DATE: 07/24/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 02/18/2007
NO. CD 008518
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07120168 I $1,962.84
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TOTAL AMOUNT PAID:
$1',962.84
REMARKS: ROBERT P STROUS
CHECK# 1246
INITIALS: WZ
RECEIVED BY:
SEAL
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH .
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG. PA 1712B-0601
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INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 07- 0176
07120168
05-09-2007
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EST. OF ROBERT P STROUS
S.S. NO. 183-22-08~9
DATE OF DEATH 02-18-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
[Xl CHECKING
o TRUST
o CERTIF.
1GUl ~UG -8 ?~\ \: 0
ERIC R STROUS
308 :3 SE:BK8! Sf
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REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CITIZENS BANK OF PA 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../beneficiary of
this account. If you feel this info...ation is inco....ect. please obtain w..itten co....ection f..om the financial institution. attach a COpy
to this fo... 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
OT t'ennsylvania. Questions .ay be answered by w..:allirlS (,17) ;87..8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 6100699072
Date
Established
11-22-1971
To insu..e p..ope.. c..edit to you.. account. two
(2) copies of this notice must accompany you..
payment to the Registe.. of Wills. Make check
payable to. "Registe.. of Wills. Agent".
x
26,171.15
50.000
13,085.58
.15
1,962.84
TAXPAYER RESPONSE
NOTE. If tax payments a..e made within th..ee
(3) months of the decedent's date of death.
you may deduct a 5% discount of the tax due.
Any inhe..itance tax due will become delinquent
nine (9) months afte.. the date of death.
Account Balance
Pe..cent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
PART
m
A. ~ The above info..mation and tax due is co....ect.
~ 1. You may choose to ..emit payment to the Registe.. of Wills with two copies of this notice to obtain
a discount 0.. avoid inte..est. 0.. you may 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. c=l 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. c=l 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.
x
If you indicate a diffe..ent tax ..ate, please state you..
..elationship to decedent:
PART
~
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Pe..cent 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
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Ente.. on Line 5 of Tax Computation)
.
,
perjury, I declare that the facts I have reported
my knowledge and belief. HOME (
correct and
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