HomeMy WebLinkAbout09-25-07
COMMOMllllEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SCHLOSSER CHERYL
15 AL TOONA AVENUE
ENOLA, PA 17025
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, .
ESTATE INFORMATION: SSN: 211-26-7111
FILE NUMBER: 2107-0820
DECEDENT NAME: NUTTER CURTIS L
DATE OF PAYMENT: 09/25/2007
POSTMARK DATE: 09/24/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 07/05/2007
NO. CD 008736
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07136230 I $64.98
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TOTAL AMOUNT PAID:
REMARKS: CHERYL SCHLOSSER
CHECK# 1150
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
-$64.98
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
'*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.
21-QO()'7-'ir;)D
07136233
08-23-2007
REV-1511i$ EX AFP (0,- 0/))
rf ~ft-y,
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.
CHERYL SCHLOSSER
15 ALTOONA AVE
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 info~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 frOG the financial institution, attach a copy
to this fo~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
uf Ftl"nsylv""i... Que"tions ...y be answered by calling (717) 787-115,,7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0177309116-551
Date
EstabliShed
08-08-2002
To insure proper credit to your account, two
(2) copies of this notice .ust aCCOGPany your
pay.ent to the Register of Wills. Make check
payable to. "Register of Wills, Agent".
NOTE. If tax pay.ents are Gade within three)
(3) .onths of the decedent's date of death,
you .ay deduct a 5% discount of the tax due.
Any inheritance tax due will beco.e de1inquen
nine (9) .onths after the date of death.
PART
[!J
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
19,828.24
8.333
1,652.29
.045
74 . 35 IO.lP
TAXPAYER RESPONSE
"-,
x
[CHECK ]
ONE
BLOCK
ONLY
A. 0 The above infor.ation and tax due is correct.: =g.:) ro,.,
1. You.ay choose to re.it pay.ent to the Register of Wills with two copies of,thil-notice~o obtain
a discount or avoid interest, or yOU .ay check box "A" and return this not~~~~TJhe R~ter of
Wills and an official assess.ent will be issued by the PA Depart.ent of Rev~IW>>;:< I _
B. 0 The above asset has been or will be reported and tax paid with the pennSYlvania;~~tanc~ax return,
to be filed by the decedent's representative. ,_) c= ::::
...A...)
by y~. ---j
.J_~"
C. 0 The above infor.ation is incorrect and/or debts and deductions were paid
You .ust co.plete PART ~ and/or PART ~ below.
TAX ON JOINT/TRUST ACCOUNTS
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
OF
1
2
3
4
5
6
7
8
x
x
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation>
.
Under penalties of perjury, I declare that the facts I have reported above are true. correct and
complete to the best of my knowledge and belief.
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