HomeMy WebLinkAbout09-11-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
~
DEPT. 280601
HARRIS8URG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MARTIN KENDRA L
7510 WOOD PALACE CT
ANNANDALE, VA 22003
____n__ fold
ESTATE INFORMATION: SSN: 420-44-6308
FILE NUMBER: 2107-0812
DECEDENT NAME: SMITH VIOLET P
DA TE OF PAYMENT: 09/11/2007
POSTMARK DATE: 09/06/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 06/26/2007
NO. CD 008657
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07137875 I $56.29
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 3624
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
$56.29
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT DF REVENUE
BUREAU QF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1712B-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 Oi O~iZ.
07137875
08-29-2007
REV-1545 EX AFP (09-00)
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7
EST. OF VIOLET P SMITH
S.S. NO. 420-44-6308
DATE OF DEATH 06-26-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
[X] CHECKING
o TRUST
o CERTIF.
REMIT PAYMENT AND FDRMS TD:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
KENDRA L MARTIN
7510 WOOD PALACE CT
ANNANDALE VA 22003
MEMBERS 1ST FCU 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 Commonwealth
~f Ppnnsylvania. Questions may be ~nswerp.d by ~?lling (717) 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 35112-11
Date
Established
07-05-1984
To insure proper credit
(2) copies of this not.
two
PART
[!]
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
7,899.71
16.667
1,316.64
.045
59.25
x
[CHECK ]
ONE
BLOCK
ONLY
above information and tax due is correct.
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.
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
LINE
PART
@]
DEBTS AND DEDUCTIONS CLAIMED
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
1. Date Established
2. Account Balance 2
3. Percent Taxable 3
4. Amount Subject to Tax 4
5. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rate 7
8. Tax Due 8
x
x
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
v
TOTAL (Enter on Line 5 of Tax Computation)
$
facts
have reported above are true, correct and
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