HomeMy WebLinkAbout09-25-07 (2)
l.;UMMONWEAlTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 1712B-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SCHLOSSER CHERYL A
15 AL TOONA AVENUE
ENOLA, PA 17025
-------- fold
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 008737
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07136233 I $ 70.60
I
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TOTAL AMOUNT PAID:
$ 70. 60
'REMARKS: CHERYL A STIFFLER
CHECK# 6921
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEAL TH OF PENNSYlVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2BO&01
HARRISBURG, PA 17128-0&01
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21-r;)OO'7 - ~~
07136230
08-23-2007
REY-15ti.5 EX gp Cat-DO)
&
~ \\'?
EST. OF CURTIS L NUTTER
5.5. NO. 211-26-7111
DATE OF DEATH 07-05-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
Ii] SAVINGS
o CHECKING
o TRUST
o 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 listad 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 fo... and return it to the abova address. This account is taxable in accordance with the Inheritance Tax laws of the Co..onwealth
of Pe"~sylv~"i~. Questi~n~ Nay be answ9re~ by r.~~ling (717) 7B7-8327.
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 .ust acco.pany your
pay.ent to the Register of Wills. Make check
payable to. "Register of Wills, Agent".
NOTE. If tax pay.ents are .ade within thr~e
(3) .onths of the decedent's date of death,
yOU .ay deduct a 5X discount of the tax due.
Any inheritance tax due will beco.e delinq,Uent
nine (9) .onths after the date of death.
x
18,240.50
8.333
1,519.98
.045
(o'i. 9'6 68.40
TAXPAYER RESPONSE
PART
[!J
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
[CHECK ]
ONE
BLOCK
ONLY
A. c=l The above infor.ation and tax due is correct.
1. You.~ choose to re.it p~.ent to the Register of Wills with two copies of this notice~ obtain
a discount or avoid interest, or you .ay check box "An and return this no~ to the Re~ter of
Wills and an official assess.ent will be issued by the PA Depart.ent of R~~. ~
'~:n (.r"
B. c=l The above asset has been or will be reported and tax paid with the Pennsylvania',iMI..-,i,tancllfu ret,qrn'
to be filed by the decedent's representative. ~; ,~~ ~
C. c=l The above infor.ation is incorrect and/or debts and deductions were paid by YOl.l:.~~3 3~; ~~
You .ust co.plate PART 0 and/or PART 0 below.
x
If you indicate a different tax rate, please state your
relationship to decedent:
PART
[!l
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 TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
5
6
7
8
x
PART
(!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter 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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