HomeMy WebLinkAbout09-06-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 008641
NUTTER DONALD
58 SHERWOOD CIRCLE
ENOLA, PA 17025
-------- fold
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07136232
$70.63
ESTATE INFORMATION: SSN: 211-26-7111
FILE NUMBER: 2107-0820
DECEDENT NAME: NUTTER CURTIS L
DA TE OF PAYMENT: 09/06/2007
POSTMARK DATE: 09/05/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 07/05/2007
TOTAL AMOUNT PAID:
$70.63
REMARKS:
CHECK# 915
SEAL
INITIALS: CJ
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280&01
HARRISBURG, PA 17128-0&01
'.,:".
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21-D1-0~ZO
07136232
08-23-2007
lttv'lSU EXN'. tiI~-OOl
2007 SEP -6 P~'l I: 14
CLER!< C)F
OR...oLl,:\~,!'c: i"nl IPT
Ii f-I;-'I-,....... \j\j.,)j\)
cur r Ion
EST. OF CURTIS L NUTTER
S.S. NO. 211-26-7111
DATE OF DEATH 07-05-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
o CHECKING
o TRUST
!Xl CERTIF.
DONALD NUTTER
58 SHERWOOD CIR
ENOLA PA 17025
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PSECU has provided the Depart.ent with the infor.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 infor.ation is incorrect, please obtain written correction froM the financial institution, attach a copy
to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the COM.onwealth
of Pennsylvania. Questions .ay be answer.cl by ~dlling (717) 787-8327.
COMPLETE PART 1 BELOW · · · SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0177309116-551
Date
08-08-2002
To insure proper credit to your account, two
(2) copies of this notice Must acco.pany Your
paYMent 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
Established
x
19,828.24
8.333
~ NOTE. If tax pay.ents are Made within three
1 , 652 . 29 () ~ (3) .onths of th~d cedent's date of death,
.045 ,. YOU .ay deduct . iscount of the tax due.
74 . 35 ~ ","!{"\, I. '1 Any inheritance t due will beco.e delinquent
Jt f\I U?~ nine (9) Months after the date of death.
x
PART
[!]
TAXPAYER RESPONSE
[CHECK ]
ONE
BLOCK
ONLY
A. r=J The above infor.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 May check box "A" and return this notice to the Register of
Wills and an official assess.ent will be issued by the PA DepartMent 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.
PART
~
TAX RETURN - COMPUTATION
If YOU indicate a different tax rate, please state your
relationship to decedent:
c. r=J The above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust co.plete PART ~ and/or PART ~ below.
DEBTS AND DEDUCTIONS CLAIMED
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
f!1
DATE PAID PAYEE
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
*
of perjury, I declare that the facts I have reported above are true, correct and
of my knOWledge and belief. HOME (1,1'"') J ~2 _ '\ \)X'f
WORK ( )
TELEPHONE NUMBER