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HomeMy WebLinkAbout11-02-07 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT DF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B060 1 HARRISBURG, PAl 7128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HOMMEL EDWARD S JR 250 HIDDEN ACRES MCVEYTOWN, PA 17051 ----~--- fold ESTATE INFORMATION: SSN: 190-1 8-4088 FILE NUMBER: 2107-0973 DECEDENT NAME: HOMMEL EDWARD S DATE OF PAYMENT: 11/02/2007 POSTMARK DATE: 11/01/2007 COUNTY: CUMBERLAND DATE OF DEATH: OS/27/2007 NO. CD 008909 ACN ASSESSMENT CONTROL NUMBER AMOUNT 07130586 I $65.49 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 838 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS $65.49 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEAL.TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' FILE ACN DATE NO. 21 V) cF\1'? 07130586 07-06-2007 INFORMATION NOTICE AND TAXPAYER RESPONSE REV.1543 EX AFP <09.00) EDWARD S HOMMEL JR 250 HIDDEN ACRES MCVEYTOWN PA 17051 TYPE OF ACCOUNT o SAVINGS o CHECKING [i] TRUST o CERTIF. EST. OF EDWARD S HOMMEL S.S. NO. 190-18-4088 DATE OF DEATH 05-27-2007 COUNTY CUMBERLANDC] - -c-) REMIT PAYHENJ AND REGISTER OF WIL~S CUMBERLAND CO CO~RT CARLISLE, PA 17013 FO~HS TO: HOUSE "''- SOVEREIGN BANK has provided the Department with the information listed below which has been used .w.. 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 form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the C~monwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1055355380 Date Established 04-25-2002 To insure proper credit to your account, two (2) copies of this notice must accompany your payment 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 PART [!] x 1,455.23 100.00 1,455.23 .045 65.49 TAXPAYER RESPONSE NOTE. If tax payments are made within three (3) months of the decedent's date of death, you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. x A. IU The above information and tax due is correct. ~ 1. 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. [CHECK ] ONE BLOCK ONLY 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 1 2 3 X 4 5 6 7 X 8 RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS 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 PART [!] DATE PAID PAYEE DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID * TOTAL (Enter on Line 5 of Tax Computation) declare that the facts I belief. have reported above are true, correct and HOME C.....> 71)- ~J)' -Pf?~ ~ WORK C > T~I ~PHnNE NUMBER DATE . .'~ .1 !..........~. "i!:i \\. ')\ \\... . ,\ \ \ ~. ! ~ (. (.1. 1..ll.... d\ \,\c\" .... '\ \ \ \ ;. y4 \..~~. '("I f..... t'~ ~t Q... (j ct ""\ "" o ifl ~ it Ii lit """ ,J.., \ " r \ \ \ ~~ i'- )"'...... . . ~ ~"', '~ "r...) N ~ '" ,.~ '"J -'" ..... -f~ o rn ~-'€,~ l~4. \ c 0-. ~\\ ,'ia~7 ~c;l~ c-.....^."."'~ -:: - '".\; - 2 F \\ \: \ \ - - ~ -:. :::: -:. -= - ::: ::: \) ~, '--..~ ~ ~ ~ "- & ~ ~~ ~ Q.... ~~ ~ I'- ~.~ ~-.;..'" '-- " - "-b ~ -..i " ~ ~ ~ ~~~ ~ '- ~ "" "- - - - -:. -= ~ ~ - '''.\ i-n (1) 'N ..... \.) .,.-1 "'\ 1.- r.. .....