HomeMy WebLinkAbout12-20-07 (4)
COMMONWEALTH OF PENNSYLVANIA
Df:PARTMENT'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
5430 BONNYRIGG COURT
MECHANICSBURG, PA 17050
-------- 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 009097
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07144864 I $1 21 .68
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$121.68
REMARKS:
CHECK# 4173
SEAL
INITIALS: AJW
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
.
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO.
ACN
DATE
21 b1. \\C;?
07144864
10-24-2007
r--.:t
REV-1545 EX AFP <09- DO)
JOHN BOWMAN
5430 BONNYRIGG CT
MECHANICSBURG PA 17050
.~9 TY~ OF ,:~<<;:~UNT
EST. OF LOYETTE H BOWMA~ (") ~ ~13l~VINGS
S. S. NO. 339 -12 - 4890) 5 f- N~~t~ECKIN~
DATE OF DEATH 09-07-2~4i,l~ <::) tJjtiJUST
COUNTY CUMBERLAND::;S:?O -0 a(~TIF.
REM IT PAY~'Eirr 'lND ~MS 'f~(r ~15
REGISTER Or=WElLS r:-? ~ - - rn
CUMBERLAND -jb COURT c.WJUSE-') r;=~
CARLISLE, PA 170130'\ T,
MEMBER 1ST FEDERAL C U has provided the Departllent 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 inforllation is incorrect, please obtain written correction froll the financial institution, attach a COpy
to this fo,.. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the CO.llonwealth
of Pennsylvania. Questions lIay be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 160793-11
Date 08-03-1996
Established
To insure proper credit to your account, two
(2) copies of this notice lIust aCCOllpany your
paYllent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
5,407.96
X 50.000
2,703.98
X .045
121.68
TAXPAYER RESPONSE
NOTE: If tax paYllents are lIade within three
(3) 1I0nths of the decedent's date of death,
you lIay deduct a 5% discount of the tax due.
Any inheritance tax due will becolle delinquent
nine (9) 1I0nths after the date of death.
PART
[!]
The above inforllation and tax due is correct.
1. You lIay choose to rellit paYllent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or yoU lIay check box "A" and return this notice to the Register of
Wills and an official assessllent will be issued by the PA Departllent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. c=l 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. ~ The above inforllation is incorrect and/or debts and deductions were paid by you.
You IIUst cOIIPlete PART ~ and/or PART ~ below.
5
6
7
8
x
If you indicate a different tax rate, please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION
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
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
x
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
.
TOTAL (Enter on Line 5 of Tax Computation)
Under penalties of perjury, I declare that the facts
t~ know1.d.. and ..,i.f.
Y R SIGNATURE
have reported above are true, correct
(717 ) 737-8~89
) ~lf (- 7 7 99
NUMBER
and
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