HomeMy WebLinkAbout02-05-08
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 28060'1
HARRISBURG, PA 17128-0601
REV-1162 EX( 11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MCCAHTHY KENNETH L
RR4
60 GLENDALE DRIVE
MECHANICSBURG, PA 17055
____un fold
ESTATE INFORMATION: SSN: 162-22-0400
FILE NUMBER: 2107-1044
DECEDENT NAME: MCCARTHY CALVIN 0 JR
DATE OF PlWMENT: 02/05/2008
POSTMARK DATE: 02/05/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 09/25/2007
NO. CD 009259
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $32.99
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
$32.99
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMEliT OF REVENUE
BUREAU OIF INDIVIDUAL TAXES
DEPT. 2BU6Ul
HARRISBURG. PA 17128- U601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 07-1044
08101625
01-18-2008
REVM1543 EX AFP (09-00)
EST. OF CALVIN D MCCARTHY
S.S. NO. 162-22-0400
DATE OF DEATH 09-25-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
[i] CHECK I NG
D TRUST
D CERTIF.
KENNETH L MCCARTHY
RR 4 BOX 60 GLENDALE DR
HECHANICSBURG PA 17055
REMIT PAYMENT AND FDRMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT.HOUSE
CARLISLE, ,P~ 1701~~
~. j __I
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BELCO COMMUNITY CREDIT UNION has provided the Department with the information listed below whiclt'lIas,'been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent. you were' a'~jnt own~beneficiary of
this account. If you feel this information is incorrect. please obtain written correction from the financia~'jnStitutio~~attach a copy
to this form and return it to the above address. This account is taxable in accordance with the InheritanceT~ Laws of the Commonwealth
of Pennsylvania. Questions may be answered by cdlling (717) 787-8327. :::i ~ .
COMPLETE PART 1 BELOW 1Ii 1Ii 1Ii SEE REVERSE SIDE FOR FILING AND PAYMEN:r;' INSTRUa.TiIONS
Accclunt No. 019790
Date 01-27-1959
Established
C.
To insure proper credit to your account, two
{2} copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Accclunt Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
[!]
1,466.08
X 50.000
733.04
X .045
32.99
TAXPAYER RESPONSE
NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
[CHECK ]
ONE
BLOCK
ONLY
A. [] The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box riA" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
8. [] 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 information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
~
TAX
If you indicate a different tax rate, please state your
relationship to decedent:
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
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
PART DEBTS AND DEDUCTIONS CLAIMED
~
DATE PAID
PAYEE
~
DESCR I PTI ON
AMOUNT PAID
and
TOTAL (Enter on Line 5 of Tax Computation)
$
of perjury, I declare that the facts
of my knowledge and belief.
have reported
above are true, correct
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