The URL can be used to link to this page

Home My WebLink About11-08-07 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF r.~\iENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT STUART SUSAN 202 NORTH FRONT WORMLEYSBURG, PA 17043 -------- fold ESTATE INFORMATION: SSN: 160-16-2298 FILE NUMBER: 2107-0791 DECEDENT NAME: KISNER CHARLES E DATE OF PAYMENT: 11/08/2007 POSTMARK DATE: 11/07/2007 COUNTY: CUMBERLAND DATE OF DEATH: 08/18/2007 NO. CD 008931 ACN ASSESSMENT CONTROL NUMBER AMOUNT 07147592 I $125.69 I I I I I I I I TOTAL AMOUNT PAID: $125.69 REMARKS: SUSAN STUART CHECK# 209 SEAL INITIALS: WZ RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 *' ,007 -Q93Y 21-~ 07140074 10-09-2007 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. REV-IS43 EX AFP (09-00) EST. OF VERNA V PERRY S.S. NO. 160-16-2902 DATE OF DEATH 08-02-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT [i] SAVINGS o CHECKING o TRUST o CERTIF. BARBARA SHAFFER 60 WESTWOOD CT ENOLA PA 17025-1515 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PSECU has provided the Department with the information 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 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 VI Pt:TH--.syl'Yania. Que::. :"iuns iiHIY uit an~"'~I'&U Uy co~lln~ C7I7l 767-8:'27. COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0160162902 Account Balance Percent Taxable Amount Subject to Tax Tax Rate potential Tax Due Date Established 10-28-1998 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 484.35 50.000 242.18 .045 10.90 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 ill he 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 no:t~e to the R~9i''Ster of Wills and an official assessment will be issued bY the PA Department of Reqenue. ; ''-, --.J ~---.J B. 0 The above asset has been or will be reported and tax paid with the Pennsylvania :irih_eritanc,;: tax return to be filed by the decedent' s representative. ' .- [CHECK ] ONE BLOCK ONLY c. D The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. C~; PART ~ TAX If you indicate a different tax rate. please state your relationship to decedent: RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 5 6 7 X 8 LINE 1- Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax S. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART l!l DATE PAID PAYEE DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID Under penalties of perjury. I declare that the facts complete to the best of my knowledge and belief. ~aJVLJ J~~ have reported above are true. correct and 7 ~ 'i -I (0 SO vI, nJ-:;') WORK ( ) TELEPHONE NUMBER HOME DATE , - .,., - i-" - 1"'".. 'f"I ..-4 i( ~ ",.. ~ ~~ ,- l? ~ a: :~ , w v1 ~ ~ U .:> t:i .. <t :.0 :I: ~ ~ 1/\ .... 1/\ .... .. I 40l .1/\ i jcJ~ . ~1~ . ~< !"aiCl. . J" . ..~~ ~$Jj ;:;; ~ ~ ! w wtB i~z s w....o Gj..lcn g:ct~ ~ 11.::;)0 .... OQ t- -~ .... 'i~........f ~~~8~ i~~li fat:><!l! ~~ffig~ fii2~ -8 o (,) 0- N i ~ g I == - - - - - - - - - - - - - - - - - - - - - - - - - - == -= - - - - - - - - -