HomeMy WebLinkAbout02-04-08
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, "A 17128-0601
REV-1162 EX(11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
GERDES RUTHANN B
31 BUNKERHILL DRIVE
ALLENTOWN, NJ 08501
-------- fold
ESTATE INFORMATION: SSN: 110-18-8748
FILE NUMBER: 2107-0786
DECEDENT NAME: GRUSCHOW RUTH B
DATE OF PAYMENT: 02/04/2008
POSTMARK DATE: 01/17/2008
COUNTY: CUMBERLAND
DATE OF DEATH: OS/25/2007
NO. CD 009253
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
07142797 I $1,038.35
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 699
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
$1,038.35
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2806101
HARRISBURG, PA 17128-0601
'*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 07-0786
07142797
10-17-2007
REV-15.tt3 EX AFP (09-00)
EST. OF RUTH B GRUSCHOW
S.S. NO. 110-18-8748
DATE OF DEATH 05-25-2007
COUNTY CUMBERLAND
(~-....)
TYPE OF ACCOUNT
o SAVINGS
o CHECKING
o TRUST
!Xl CSRTI F .
-)
~.,
** RUTH A GREDES
31 BUNKERHILL DR
ALLENTOWN NJ 08501-1855
REMIT PAYMENT AND F,OftMS TO:
REGISTER OF WLLLS -~
CUMBERLAND COC:OURT P10USE
CARLISLE, PA 17~13 ..:-.
-I
(}"1
M & T BANK has provid..d th.. D..partm..nt with th.. information list..d below which has b....n us..d':i...
calculating th.. pot..ntial tax du... Th..ir records indicat.. that at th.. d..ath of the abov.. d..cedent, you w..r.. a joint own..r/b..n..ficiary of
this account. If you f....l this information is incorrect, pleas.. obtain writt..n correction from the financial institution, attach a copy
to this form and return it to th.. abov.. addr..ss. This account is taxabl.. in accordanc.. with th.. Inh..ritance Tax Laws of th.. Commonw..alth
of Pennsylvania. Questions may b.. answ..r..d by calling (717) 787-8~~7.
COMPLETE PART 1 BELOW ~ ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 31003916445842
Date
07-27-2006
To insure proper credit to your account, two
(2) copi..s of this notic.. must accompanY your
payment to th.. R..gist..r of Wills. Make ch..ck
payable to: "Register of Wills, Ag..nt".
Established
x
23,074.51
100.00
23,074.51
.045
1,038.35
TAXPAYER RESPONSE
NOTE: If tax paym..nts are made within three
(3) months of th.. dec..d..nt's date of death,
you may d..duct a 5% discount of the tax due.
Any inheritance tax due will b..come d..linquent
nine (9) months 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. ~The above information and tax due is correct.
)!U 1. You may choose to remit payment to th.. Register 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 Departm..nt of Revenue.
B. E:J The above ass..t has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to b.. filed by the decedent's repr..sentative.
c. E:J The above information is incorrect and/or debts and deductions wer.. paid by you.
You must compl..t.. PART ~ and/or PART ~ below.
PART
@]
TAX
LINE
RETURN - COMPUTATION OF
1- Date Established 1
" Account Balance 2
...
J). Percent Taxable 3
4. Amount Subject to Tax 4
!5. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rate 7
8. Tax Due 8
TAX ON JOINT/TRUST ACCOUNTS
If you indicate a different tax rate, please state your
relationship to decedent:
x
x
PART
@]
DEBTS AND DEDUCTIONS CLAIMED
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation)
$
Under penalties of perjury, I declare that the facts
c~mylete to the bes~f. m!l~noiledge and belief.
~t.-.. I / Ii A/7 ~ ) ;!J/J ~
have reported above are true, correct and
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