HomeMy WebLinkAbout10-29-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 1712B-0601
RECEIVED FROM:
BANGS MICHAEL L
429 S 18TH STREET
CAMP HILL, PA 17011
. ___nn fold
REMARKS: RECEIPT TO A TTY
CHECK# 95
SEAL
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO; CD.008868
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07140787 I $58.02
I . '. ,-
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TOTAL AMOUNT PAID:
INITIALS: CJ
RECEIVED BY:
REGISTER OF WillS
"0$'58.02'"
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
CO""ONWEALTH OF PENNSYLVANIA
DEPART"ENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG. PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 07-0377
07140787
10-09-2007
REV~15it3 EX AFP (09-00)
C~L
i 2 S Fi i 12k~. OF OSCAR R ACRI
S.S. NO. 172-24-7849
,~__DATE OF DEATH 12-22-2006
'. I;: COUNTY CUMBERLAND
--'I",
TYPE OF ACCOUNT
o SAVINGS
[Xl CHECKING
o TRUST
o CERTIF.
i
..;,
VIKI E ACRI
400 S MARKET ST
MECHANICSBURG PA 17055
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Departllent 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 inforllation is incorrect. please obtain written correction froll 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 Comllonwealth
~f ~~~~~~!vani~. Q~estion~ ~ay be an~~ar~d b~ calling {717) 787 2327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5140000208
Date 11-01-1965
Established
To insure proper credit to your account, two
(2) copies of this notice IIUSt accolIPany your
payment to the Register of Wills. "ake check
payable to: "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
7,735.80
X 16.667
1,289.33
X .15
193.40
TAXPAYER RESPONSE
NOTE: If tax paYllents are made within three
(3) 1I0nths of the decedent's date of death,
you lIay deduct a 5X discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) 1I0nths after the date of death.
PART
[!]
A. [] The above inforllation and tax due is correct.
1. You lIay choose to rellit payllent 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 assessllent will be issued by the PA Departllent of Revenue.
B. r:=JThe 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 inforllation is incorrect and/or debts and deductions were paid by you.
~YOU IIUSt cOIIPlete PART ~ and/or PART ~ below.
[CHECK ]
ONE
BLOCK
ONLY
7
8
X
,. 0 +s-
5$~O~
If yoU indicate a different tax rate, please state your
relationship to decedent: J)RuG-HTt!:.r.2_
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 T~X qH JOINT/TRUST ACCOUNTS
11/ltJlt.!...9~S-
2' I 'l~35.80
3 X /~.6 6 ~
4 /aK9.33
5
6
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCR I PTI ON
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
*
perjury, I declare that the facts
knOWledge and belief.
ItJ /h
have reported above are true, correct and
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