HomeMy WebLinkAbout11-19-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.2B0601
HARRISBURG, PA 17128-0601
~-,-------==--
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
TOLAN ROBBIN P
178 PUGH DRIVE
SHIPPENSBURG, PA 17257
-------- fold
ESTATE INFORMATION: SSN: 146-09-9764
FILE NUMBER: 2107-1056
DECEDENT NAME: PERRY EVELYN
DATE OF PAYMENT: 11/19/2007
POSTMARK DATE: 11/16/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 04/08/2007
NO. CD 008991
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07139618 I $335.66
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TOTAL AMOUNT PAID:
$335.66
REMARKS: ROBBIN P TOLAN
CHECK# 2732
SEAL
INITIALS: WZ
RECEIVED BY:
TAXPAYER
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF INDIVIOUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
NO. 21 ~ 6 7 _/()S~
07139618
10-09-2007
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
REV-1543 EX AFP (09-00)
EST. OF EVELYN PERRY
S.S. NO. 146-09-9764
DATE OF DEATH 04-08-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
o CHECKING
o TRUST
IX] CERTIF.
ROBBIN P TOLAN
178 PUGH DR
SHIPPENSBURG PA 17257-9297
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CITIZENS BANK OF PA has p..ovided the Depa..tment with the info....ation listed below which has been used in
calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent. you we..e a joint owne../beneficia..y of
this account. If you feel this info..mation is inco....ect. please obtain w..itten co....ection f..om the financial institution, attach a copy
to this fo..m and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax Laws of the Commonwealth
of Pennsylvonia. Questions a~Y b~ answered by ca~lin9 (717) 787-8327.
COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 6240963866
Date 09-16-2002
Established
To insure proper credit to your account, two
(2) copies of this notice must accompany you..
payment to the Registe.. of Wills. Make check
payable to: "Registe.. of Wills. Agent".
Acc,ount Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
potential Tax Due
14,918.13
X 50.000
7,459.07
X .045
335.66
TAXPAYER RESPONSE
NOTE: If tax payments a..e made within th..ee
(3) months of the decedent's date of death,
you may deduct a 5% discount of the tax due.
Any inhe..itance tax due will become delinquent
nine (9) months afte.. the date of death.
PART
[!]
A. ~The above info..mation and tax due is co....ect.
~l. You lIay choose to ..emit paYllent to the Register of Wills with two copies of this notice to obtain
a discount 0.. avoid inte..est, 0" you may check box "A" and ..etu..n this notice to the Registe.. of
Wills and an official assessllent will be issued bY the PA Depa..tment of Revenue.
l"o.,)
B. r=J The above asset has been 0.. will be ..epo..ted and tax paid with the pennsYIV~ Inhe..itan~ax
to be filed by the decedent's ..ep..esentative. 70 ........
>, :::0 :z
by~4~ 0 ~
~h;
[CHECK ]
ONE
BLOCK
ONLY
c. r=J The above info....ation is inco....ect and/o.. debts and deductions we..e paid
You must cOllplete PART ~ and/or PART ~ below.
PART
[!l
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
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
PART
[!]
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCR I PTl ON
AMOUNT PAID
Under penalties
co~~~e to the best
()?Vl ~~
of perjury, I declare that the facts
of my knowledge and belief.
have reported above are true, correct
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