HomeMy WebLinkAbout01-04-08
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 17128-0601
*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 O~ O()\4
07151799
12-17-2007
REY.1543 EX AFP <09-00)
TYPE OF ACCOUNT
EST. OF DAISIE P WOLFERSBERGER
S.S. NO. 172-24-7567
DATE OF DEATH 05-12-2007
COUNTY CUMBERLAND
D SAVINGS
IX] CHECKING
D TRUST
D CERTIF.
NANCY L RHAN
822 CHARLES AVE
MECHANICSBURG PA 17055
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
,.,..,
.r--'" c:::::;,
COMMERCE BANK has p..ovided the Depa..bent with the info..mation listed below which Ch!Heen use<@__-':;
calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent, you we..e a.'~'::i~t owne../~efic~-a;9"~
this account. If you feel this info,,"ation is inco....ect, please obtain w..itten co....ection f..om the financial i, rist'-~ion, ~tltach If._.~e:Pp.._'t..,
to this fo.... and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance TaxJ~fW~ of tii:Collllo~a"th
af p,annsylvania. Question:>> IBCiy be answ&reJ by callii'19 (71;) 787-8327. _". ,~C';-' I ,~~.::~~.t--
COMPLETE PART 1 BELOW If If If SEE REVERSE SIDE FOR FILING AND PAYMENT lNiliuCT:AJNS ,..
Account No. 513362236
Date 01-30-2002
Established
{ ,'(-',","", _ ,i: _.,'
To insu..e p..ope.. c..edi t::~ ~u.. ac~nt, t-~o.. ~:;j
(2) copies of this notica:::l'lUst accolIPany your- ,'=~.
payment to the Registe,.r-:ii'l:j Wills. "'t!Bke che.<:k;~
payable to: "Registe":tc{f Wills, Agent". ,
Account Balance
Pe..cent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
5,935.86
X 50.000
2,967.93
X .15
445.19
TAXPAYER RESPONSE
NOTE: If tax payments a..e lIade withln 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 becolle delinquent
nine (9) months afte.. the date of death.
PART
[!]
[CHECK ]
ONE
BLOCK
ONLY
A. [] The above info..mation and tax due is co....ect.
1. You may choose to ..emit paYllent to the Registe.. of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "Atf and return this notice to the Register of
Wills and an official assessllent will be issued by the PA Depa..tllent of Revenue.
B. [] 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..mation is inco....ect and/o.. debts and deductions we..e paid by you.
You must complete PART ~ and/o.. PART ~ below.
PART If you indicate a diffe..ent tax~ate, Pleas~state you..
~ ..elationship to decedent: l4-vG-N TG
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1 / - 30 - 0;;1..
2. Account Balance 2 S; c; 3.5": f'~
3. Pe..cent Taxable 3 X S-6.
4. Amount Subject to Tax 4 ;;;2.) qro 7. 93
5. Debts and Deductions 5 ::1..100, IS-
6. Amount Taxable 6 c;67. 7~
7. Tax Rate 7 X If.~
8. Tax Due 8 39. o~
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCR I PTI ON
of Tax Computation)
AMOUNT PAID
:)...
. -;..
IS-
d 5"""
$ .1- I"".;>
Unde.. penalties of pe..ju..y, I decla..e that the facts
complete to the best of my knowledge and belief.
TAYP?1~~A~~~ h~
have ..epo..ted above a..e t..ue, co....ect and
nAT~
~
HOME
WORK
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T~I ~PI.In~~ ~IIMR~~
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
RHAN NANCY L
822 CHARLES AVENUE
MECHANICSBURG, PA 17055
_nn_n fold
ESTATE INFORMATION: SSN: 172-24-7567
FILE NUMBER: 2108-0014
DECEDENT NAME: WOLFERSBERGER DAISIE P
DATE OF PAYMENT: 01/04/2008
POSTMARK DATE: 01/03/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 05/12/2007
NO. CD 009139
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07151799 I $39.05
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$39.05
REMARKS:
CHECK# 1724
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
.
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