HomeMy WebLinkAbout09-06-07 (2)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
REV-1162 EX(' '-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 008640
NUTTER DONALD
58 SHERWOOD CIRCLE
ENOLA, PA 17025
~------- fold
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07136229
$64.98
ESTATE INFORMATION: SSN: 211-26-7111
FILE NUMBER: 2107-0820
DECEDENT NAME: NUTTER CURTIS L
DATE OF PAYMENT: 09/06/2007
POSTMARK DATE: 09/06/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 07/05/2007
TOTAL AMOUNT PAID:
$64.98
REMARKS:
CHECK# 916
SEAL
INITIALS: CJ
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 1712B-0601
*,'
INFORMATION NOTICE
r- AND
~TAXPAYER RESPONSE
FILE
ACN
DATE
NO.
21-01-(j'J.,O
07136229
08-23-2007
REV-lll4S-EXAFP M-G" '
CLEm:, OF
QP. PHM.I'S C;DURT
I "., ..... ;-','~"'\, 1'1.
C\ FI" .... '-,'\
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PH I: 14
EST. OF CURTIS L NUTTER
S.S. NO. 211-26-7111
DATE OF DEATH 07-05-2007
COUNTY CUMBERLAND
TYPE OF
ACCOUNT
IiJ SAVINGS
o CHECKING
o TRUST
o CERTIF.
"'DOl SFP -6
1.u' -
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 Department with the information 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 information is incorrect. please obtain written correction from the financial institution. attach a copy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Com.onwealth
of PennsYlvania. Quastions .ay be answ8~ed by calling (717) 787.8327.
COMPLETE PART 1 BELOW · . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0177309116
Date
Established
08-20-1980
To insure proper credit to your account. two
(2) copies of this notice must aCCOMPany 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
x
(/
.......0 j
lp'\',qg.
TAXPAYER RESPONSE
18,240.50
8.333
1,519.98
.045
68.40
NOTE: If tax payments are .ade within three
(3) months of th~cedent.s date of death.
YOU May deduct 5% discount of the tax due.
Any inheritance due will become delinquent
nine (9) months after the date of death.
x
PART
ill
A. ~ The above information and tax due is correct.
1. You may choose to remit payment 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 assessment will be issued by the PA Department of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. ~ 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. ~ The above information is incorrect and/or debts and deductions were paid by you.
You Must complete PART ~ and/or PART ~ below.
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
PART
I!I
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
5
6
7
8
x
x
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
$
Under
complete t
perjury. I declare that the facts I have reported above are true. correct and
knowledge and belief.
(II' ) I\"L - ~o.&',\
WORK ( )
TELEPHONE NUMBER
c\_~ ~,
DATE
HOME
TAXPAYER
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