HomeMy WebLinkAbout02-08-08
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
LONG JOYCE L
316 15TH STREET
NEW CUMBERLAND, PA 17070
___n___ fold
ESTATE INFORMATION: SSN: 162-22-2230
FILE NUMBER: 2107-0318
DECEDENT NAME: LONG JEAN E
DATE OF PAYMENT: 02/08/2008
POSTMARK DATE: 02/08/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 03/23/2007
NO. CD 009281
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08103758 I $999.85
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$999.85
REMARKS: RECEIPT TO ATTORNEY
CHECK# 2975
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
ACN
DATE
NO.21 07-0318
08103758
01-23-2008
REV~15.:j3 EX AFP (D9-0D)
EST. OF JEAN E LONG
S.S. NO. 162-22-2230
DATE OF DEATH 08-28-1926
COUNTY CUMBERLAND
TYPE OF ACCOUNT
[i] SAVINGS
o CHECKING
o TRUST
o CERTIF.
JOYCE L LONG
316 15TH ST
NEW CUMBERLAND PA 17070
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS ~
CUMBERLAND~tO COURt~~OUSE
CARLISLE, ~~~;1701~-'
, 'i
ill
BELCO COMMUNITY CREDIT BANK has provided the Department with the information listed below which lia.s b~en uSJlcr'in
calculating the potential tax due. Their records indicate that at the death of the above decedent, YOU were .a:joint owne1r/beneficia~;of
this account. If ycu feal this information is incorrect. please obtain written correction from the financial ~~+titutio~,,~ttach a co~
to this form and return it to the above address. This account is taxable in accordance with the Inheritance.Tax Laws of ' the Commonwealth
of Pennsylvania. Questions may be answered by calling (717) 787-8327. .
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUC~10NS
Account No. 080150
Date 12-23-1975
Established
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".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
ill
16,664.23
X 50.000
8,332.12
X .06
166.64
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.
A. [J 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 "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. [] The above asset has been o~ 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/o~ debts and deductions we~e paid by you.
You must complete PART ~ and/or PART ~ below.
If you indicate a different ta~rate, p~ease state your
relationship to decedent: 2(5 Ie "-
PART
~
TAX
RETURN - COMPUTATION OF
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
PART
~
DATE PAID
PAYEE
2
3
4
5
6
7
8
TiX ON JOINT/TRUST
.1 -.1..3 - 1</ I \
11a. t.,,,, Lf.;)..3
, SO.Du
f33), , ( .;L
, (f{)
'X '31;J -I~
I I;;J...
qqCf . SS-
ACCOUNTS
X
X
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
co
TOTAL CEnter on Line 5 of Tax Computation)
$
have reported above are true, correct and
erjury, I declare that the facts
y knowledge and belief.
(
( 1\7
)
) IllJ"lf3~
HOME
WORK
'- 'l"l' 1oJ'tS
DATE
Tt:1 t:PI..InN~ NIIMBFR