HomeMy WebLinkAbout09-11-07
REV-1162 EX(11-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 008658
RECEIVED FROM:
WILBUR HOLLY J
132 GLENDALE DRIVE
MECHANICSBURG, PA 17050
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
-------- fold
07137867
$3.30
ESTATE INFORMATION: SSN: 1 64-30-641 6
FILE NUMBER: 2107-0829
DECEDENT NAME: GUMPJOANNE
DATE OF PAYMENT: 09/11/2007
POSTMARK DATE: 09/08/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 07/10/2007
TOTAL AMOUNT PAID:
'$3.30
REMARKS:
CHECK# 6580
INITIALS: CAJ
RECEIVED BY:
GLENDA FARNER STRASBAUGH .
REGISTER OF WILLS
SEAL
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2800501
HARRISBURG, PA 17128-00501
".
INFORMATION NOTICE
- -' c-' AND
-'-TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21
07137867
08-29-2007
REV-]S~3'~__,.r:.~, ~~_~-CfrO)
TYPE OF
ACCOUNT
D SAVINGS
[i] CHECKING
D TRUST
D CERTIF.
CLERK. OF
ORPHNrS COURT
CUI 1'-'""'-" ," Ph
j\:d,( '_1." t ,
PI"':112: 31:8T. OF JOANNE GUMP
8.8. NO. 164-30-6416
DATE OF DEATH 07-10-2007
COUNTY CUMBERLAND
2001 SEP I I
HOLLY J WILBUR
132 GLENDALE DR
MECHANICSBURG
PA 17050
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Depart.ent with the inforllation 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 fro. the financial institution, attach a copy
to this forll and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
of Pennsylvania. Questions .ay be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5004755155
Date
Established
07-21-2005
To insure proper credit to your account, two
(2) copies of' this notice .ust aCCOMpany your
pay.ent 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
464.01
16.667
77 .34
.045
3.48
TAXPAYER RESPONSE
NOTEI If tax pay.ents are Made within three
(3) 1I0nths of the decedent's date of death,
you May deduct a 5X discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
x
PART
[!]
The above inforMation 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 lIay check box "A" and return this notice to the Register of
Wills and an official assess.ent will be issued by the PA Depart.ent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. c=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.
C. c=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.
If you indicate a different tax rate. please state your
relationship to decedent:
PART
[!]
TAX
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
LINE l. Dat. Est~blished
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
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
.
of perjury, I declare that the facts I have reported above
of my knowledge and belief. HOME (7n)
are true, correct and
~7-7Jot<
WORK (7Jl) ~(n - '5 ~ J qh/VJ
TELEPHONE NUMBER DATE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601.
HARRISBURG~ 1712B-0601
~/__. ,^',
,
.. . _. -' \ I
,-,-, .' "
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21
07137866
08-29-2007
"1. ":. .' ".l I "_
REJ=.15ti3 EX AFP (09-00)
CLERK OF
ORPHAN'S COllRT
0U"Cr"::d :', I-~', r': \ PA
v (".!'\, i.,' j., '
EST. OF JOANNE GUMP
S.S. NO. 164-30-6416
DATE OF DEATH 07-10-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
Iil CHECKING
o TRUST
o CERTIF.
2001 SEP I I Pril2: 34
PIKE
PA 17015
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ROBERT
TRLR 117
7073 CARLISLE
CARLISLE
G GUMP
PNC BANK has p..ovided the Depa..bent with the info...ation 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../beneficiar-y of
this account. If you feel this info...ation is inco....ect, please obtain w..itten co....ection f..o. 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 COM.onwealth
of Pennsylvania. Questions .ay be answe..ed by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5004755155
Date
Established
07-21-2005
To insure proper credit to your account, two
(2) copies of this notice .ust acco.pany you..
pay.ent to the Registe.. of Wills. Make check
payable tOI "Registe.. of Wills. Agent".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
464.01
16.667
77 .34
.00
.00
TAXPAYER RESPONSE
NOTE I If tax pay.ents a..e .ade 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 beco.e delinquent
nine (9) Months afte.. the date of death.
x
PART
[!]
A. [] The above info...ation and tax due is co....ect.
1. You.ay choose to ..e.it payMent 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 assess.ent 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...ation is inco....ect and/o.. debts and deductions we..e paid by you.
You .ust co.plete PART ~ and/o.. PART ~ below.
DEBTS AND DEDUCTIONS CLAIMED
PART
[!J
TAX RETURN - COMPUTATION
If YOU indicate a different tax ..ate, please state YOU"
relationship to decedent:
OF TAX ON JOINT/TRUST ACCOUNTS
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
PART
@J
DATE PAID PAYEE
1
2
3 X
4
5
6
7 X
8
DESCRIPTION
AMOUNT PAID
Unde.. penalties of
7S:W t~est
TAXPAYER SIGNATURE
TOTAL (Enter on Line 5 of Tax Computation)
.
facts
have ..eported
HOME (Ct
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