HomeMy WebLinkAbout11-02-07 (3)
COMMONWEALTH 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
HOMMEL EDWARD S JR
250 HIDDEN ACRES
MCVEYTOWN, PA 17051
----~--- fold
ESTATE INFORMATION: SSN: 1 90-18-4088
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 008908
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07130585 I $158.07
I
I
I
I
I
I
I
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 836
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
$158.07
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280&01
HARRISBURG. PA 17128-0&01
'*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 t)1 O(;n~
07130585
07-06-2007
REY.15li3 EX AFP (09-00>
TYPE
OF ACCOUNT
;ID SAV.IN<ib
E CH~~~
. LJ TRUST
[i] CERTIF.
EST. OF EDWARD S HOMMEL
S.S. NO. 190-18-4088
DATE OF DEATH 05-27-2007
COUNTY CUMBERLAND
o
~O
.'1
EDWARD S HOMMEL JR
250 HIDDEN ACRES
MCVEYTOWN PA 17051
REMIT PAYMENT AND FO~HS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT-HOUSE.
CARLISLE, PA 171H3.
SOVEREIGN BANK has pl'ovided the Depal"t.ent with the info,..ation listed below which has been used in
calculating the potential tax due. Theil" I"ecol"ds indicate that at the death of the above decedent. yoU wel"e a joint ownel"/beneficial"Y of
this account. If you feel this infol"mation is incorrect. please obtain wl"itten cOl"I"ection fl"om the financial institution. attach a copy
to this fOl"m and I"etul"n it to the above addl"ess. This account is taxable in accol"dance with the Inheritance Tax Laws of the Commonwealth
of Pennsylvania. Questions may be answered by calling (117l 781-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0575429360
Date 03-14-2003
Established
To insure proper credit to your account, two
(2) copies of this notice must accompany YOUI'
payment to the Registel" of Wills. Make check
payable to: "Registel" of Wills. Agent".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
7,025.24
X 50.000
3,512.62
X .045
158.07
TAXPAYER RESPONSE
NOTE: If tax payments al"e made within thl"ee
(3l 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.
PART
[!J
[CHECK ]
ONE
BLOCK
ONLY
A. lilt The above infol"mation and tax due is cOl"rect.
~1. You may choose to I"eait payment to the Registel" of Wills with two copies of this notice to obtain
a discount 01" avoid intel"est, 01" you may check box "A" and I"eturn this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
B. r=J The above asset has been 01" will be I"eported and tax paid with the Pennsylvania Inheritance Tax I"etul"n
to be filed by the decedent's I"epl"esentative.
c. r=J The above infol".ation is incol"I"ect and/or debts and deductions wel"e paid by you.
You must complete PART ~ and/or PART ~ below.
LINE l. 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
PART
[!]
DATE PAID PAYEE
X
PART
~
TAX RETURN - COMPUTATION
If you indicate a different tax rate. please state your
relationship to decedent:
OF TAX ON JOINT/TRUST ACCOUNTS
X
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
.
facts I have reported above are true, correct and
'11 i- t:7 8J.l1
(]17 )
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