HomeMy WebLinkAbout11-20-07
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
VOLFSON MIKHAIL
105 TRACEY LANE
HARRISBURG, PA 17110
___u___ fold
ESTATE INFORMATION: SSN: 183-74-6021
FILE NUMBER: 2107-1062
DECEDENT NAME: VOLFSON ISAAC Y
DATE OF PAYMENT: 11/20/2007
POSTMARK DATE: 11/19/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 02/28/2006
NO. CD 008998
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07142183 I $7.04
I
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 3495
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
$7.04
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRIS8URG, PA 17128-0601
'*
NO. 21 0\ \ t:,1Jd-.
07142183
11-01-2007
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
REVISED NOTICE * * *
FILE
ACN
DATE
*
REV-15ti3 EX AFP (09~OO)
lE
MIKHAIL VOLFSON
105 TRACEY LANE
HBG
PA 17110
TYPE OF ACCOUNT
EST. OF ISAAC Y VOLFSON 0 SAVINGS
S.S. NO. 183-74-6021 [i] CHECKING
DATE OF DEATH 02-28-2006 0 TRUST
COUNTY CUMBERLAND r--> 0 CERTIF.
() g :;C~J
REMIT P~0T AND mMS T~r'-:. F.':j
REGISTER OF'"1'1llLS ~ c;; C:)
CUMBERLANDC~RT --M{)US~?,: ,?3
CARLISLE, PAo'4~13 N fT. C=n
--:.-~ ~ ~ 0 :.~~.) C.:)
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C)
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CDMMERCE BANK has provided the Department with the inforMation listed below WhiCh~~; been use~ '~
calculating the potential tax due. Their records indicate that at the death of the above decedent. you were a joint owner/~eficiary~of
this account. If you feel this inforMation is incorrect. please obtain written correction frOM 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 COMmonwealth
of Pennsylvania. Questions may be answered by calling _717i 187-8327.
COMPLETE PART 1 BELOW * * lE SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 512098518
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
Date
Established
08-12-2003
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".
x
312.91
50.000
156.46
.045
7.04
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
PART
[!]
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
8. [] 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. c:J The above information is incorrect and/or debts and deductions were paid by you.
You Must co.plete PART ~ and/or PART ~ below.
OF TAX ON JOINT/TRUST ACCOUNTS
I
2
3 X
4
5
6
7 X
8
PART
[!]
TAX RETURN - COMPUTATION
If you indicate a different tax rate. please state your
relationship to decedent:
LINE l. 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
perjury, 1 declare that the facts 1
nowledge and belief.
have reported above
( 7( 7)
(71",) )
11- 16~o7
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