HomeMy WebLinkAbout11-21-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRIS8URG, PA 17128-0601
REV-1 162 EX(1 1-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ZITCH JAMES D
210 ORCHARD ROAD
NEW CUMBERLAND, PA 17070
-------- fold
ESTATE INFORMATION: SSN: 196-20-5660
FILE NUMBER: 2107-1071
DECEDENT NAME: ZITCH ALDORA E
DATE OF PAYMENT: 11/21/2007
POSTMARK DATE: 11/21/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 09/25/2007
NO. CD 009005
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07147094 I $849.36
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$849.36
REMARKS: JAMES D ZITCH
CHECK# 5658
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
*'
NO.
21 --CUO'7./0'7/
07147094
11-02-2007
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
REV-1543 EX AFP (09-00)
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COU~ HOUSE ~
CARLISLE, PA 17ogo ~
:;- :::0 Z
.J -f) 0
":::cO -<
1-"[-
.~;.::rn N
,.' 1)- :::0
,~ ^
FUL TON BANK has p..ovided the Depa..tment with the info..mation listed below which has been. .u~~<Q -0
calculating the potential t~ d~e. Thei~ ..e~o..~s indicate that at th~ dea~h of the abo~e decedent, y~u we~e a.joi~t ~~~e~ici~of
this account. If you feel th1s 1nfo..mat10n 1S 1nco....ect, please obta1n w"ltten co....ect10n f..o. the f1nanc1al 1nst1tutlon[l!ttach a copy
to this fo... and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax Laws:tS-tHe Common~lth
of Pennsylvania. Questions muY be answere~ by ~allin9 (717) 787-83Z7. ~ CA)
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS ~
JAMES D ZITCH
210 ORCHARD RD
NEW CUMBERLAND
EST. OF ALDORA E ZITCH
5.5. NO. 196-20-5660
DATE OF DEATH 09-25-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
liJ CHECKING
D TRUST
D CERTIF.
PA 17070
Account No. 1700-75032
Date 07-01-1973
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".
Account Balance
Pe..cent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
[!]
37,749.31
X 50.000
18,874.66
X .045
849.36
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.
The above info...ation and tax due is co....ect.
1. You may choose to ..emit payment to the Registe.. 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 Depa..tment of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. c=J The above asset has been 0.. will be ..epo..ted and tax paid with the Pennsylvania Inhe..itance Tax ..etu..n
to be filed by the decedent's ..ep..esentative.
C. [] The above info...ation is inco....ect and/o.. debts and deductions we..e paid by you.
You must complete PART ~ and/o.. PART ~ below.
PART
~
TAX
If you indicate a diffe..ent tax ..ate, please state you..
..elationship 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. pe..cent 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 (Ente.. on Line 5 of Tax Computation)
$
and
pe..ju..y, I decla..e that the facts
my knowledge and belief.
have ..epo..ted above a..e t..ue, co....ect
HOME ("1'/) 327'-0710
WORK (7 n ) 76 ( .- / Vir
TI=I I=PI..InNI= NIIMBFR
II II '1/ (] 7 '\v)
DATE'
t<
~ ..J
r--..
'l"f N
t ~
il
(.J
5 8
C!.i r'. .,'.
if! "
~ ::>
~ 0
ct "7
< ...
I 0
r~
t;
o
r-
-
-:I: lft
~ \~
-~\
N~~
W)
P-.Jt}
- Q <"\)
L ~
~ ~$
l 8~
-; -- ~
\N
~
o
'j:
~ Q-
~ J rn
-., 8 --
::> 0
f-J-. 0 r
o v
o <(
~~~
V) ~ -..J
V...l t./.)
-- ~ .--'
'\i3~~
QL~ (j
-
-
-
-
-
-
-
-
-
-
-:
....::
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
::::
-
-
-
"'.1
I)~
f~'
f",
'f-
f')
.rl
o
I'..
.rl