HomeMy WebLinkAbout12-20-07 (3)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, ~ 17128-0601
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INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 -enr- \\6~.
ACN 07144865
DATE 10-24-2007
REV-1543 EX NP (09-00)
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JOH~ a6WMAN
543d~ONNYRIGG CT
MECHANICSBURG PA 17050
EST. OF LOYETTE H BOWMAN
S.S. NO. 339-12-4890
DATE OF DEATH 09-07-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
[i] SAVINGS
D CHECK I NG
D TRUST
D CERTIF.
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REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBER 1 ST FEDERAL C U has provided the Departnnt with the inforllation 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 infor.ation is incorrect, please obtain written correction fro. the financial institution. attach a COpy
to this fOrll and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
of PennSYlvania. Questions .ay be answered by calling (717) 787-i327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 60793- 00
Date
Established
08-03-1996
To insure proper credit to your account, two
(2) copies of this notice .ust acco.pany your
pay.ent to the Register of Wills. Make check
payable to: "Register of Wills. Agent".
x
2,646.82
50.000
1,323.41
.045
59.55
TAXPAYER RESPONSE
NOTE: If tax pay.ents are .ade within three
(3) .onths of the decedent's date of death.
you .ay deduct a 5X discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
PART
[!]
[CHECK ]
ONE
BLOCK
ONLY
A. D The above infor.ation and tax due is correct.
1. You.ay choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you .ay check box "A" and return this notice to the Register of
Wills and an official assess.ent will be issued by the PA Depart.ent of Revenue.
B. D 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. ~he above infor.ation is incorrect and/or debts and deductions were paid by you.
)IlJ. ~ou .ust co.plete PART 0 and/or PART ~ below.
PART If you indicate a different tax rate, please state your
[!I relationship to decedent:
TAX RETURN - COMPUTATION OF T~ ON~JOINT /TRUST ACCOUNTS
LINE 1. Date Established 1 - _ - Jq~~
2. Account Balance 2 :). (p 4, (p , €;J..
3. Percent Taxable 3 X f'OOD
4. Amount Subject to Tax 4 1 ) 3~ I 4 J
5. Debts and Deductions 5 _ /7.7 ~
6. Amount Taxable 6 I .305', ~
7. Tax Rate 7 X ,OL/J'
8. Tax Due 8 ~g.7~
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
.
perjury, I declare that the facts I
my knowledge and belief.
have reported above are true, correct
HOME (7/7) 7 37-8'739
WORK (7/7) lJ'( I -,7
TELEPHONE NUMBER
and
12 ~ I r - 6 7
DATE
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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
BOWMAN JOHN E.
5430 BONNYRIGG CT.
MECHANICSBURG, PA 17050
_u__u_ fold
ESTATE INFORMATION: SSN: 339-12-4890
FILE NUMBER: 2107-1152
DECEDENT NAME: BOWMAN LOYETTE H
DA TE OF PAYMENT: 12/20/2007
POSTMARK DATE: 12/19/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 09/07/2007
NO. CD 009094
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07144865 I $58.75
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TOTAL AMOUNT PAID:
REMARKS: JOHN E BOWMAN
CHECK# 4175
SEAL
INITIALS: OM
RECEIVED BY:
REGISTER OF WILLS
$58.75
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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