HomeMy WebLinkAbout03-14-08
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
NEUMYER WILLIAM H
405 MOUNTAIN ROAD
SUMMERDALE, PA 17093
____un fold
ESTATE INFORMATION: SSN:
FILE NUMBER: 2108-0289
DECEDENT NAME: NEUMYER LILLIAN L
DATE OF PAYMENT: 03/14/2008
POSTMARK DATE: 03/14/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 12/06/2007
NO. CD 009413
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $141.25
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$141.25
REMARKS:
CHECK# 3118
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
~
.t/'
COMMOl1YteA.\...TH 'OF P~"'NSVLV"'N.IA.
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG. PA 1712B-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 D~ () ~ '6'
08111279
03-12-2008
REV-15li5 EX AFP (09-00)
EST. OF LILLIAN L NEUMYER
S.S. NO.
DATE OF DEATH 12-06-2007
COUNTY CUMBERLAND
TYPE OF ACCOUNT
[i] SAVINGS
o CHECKING
o TRUST
o CERTIF.
WILLIAM H NEUMYER
5255 WERTZVILLE RD
ENOLA PA 17025-1260
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PSECU has provided the Department with the information 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 information is incorrect. please obtain written correction from the financial institution, attach a copy
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 answ&red by callir.g {7I,; ,37-5327.
COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0207077491
Date 11-19-2004
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
2,354.19
X 50.000
1,177.10
X .12
141. 25
TAXPAYER RESPONSE
NOTE: If tax payments are made within three
(3) months of the decedent's date of death.
you may deduct a 5% dis ount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
PART
[!]
[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 "An and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
B. [] 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.
x
PART
~
TAX
If you indicate a different tax rate, please state your
relationship to decedent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Establisheti 1
2. Account Balance 2
3. 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
PART
[!]
DATE PAID PAYEE
x
DEBTS AND DEDUCTIONS CLAIMED
DESCR I PTI ON
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
$
Under penalties of perjury, I declare that the
complete to the best of my knowledge and belief.
a/d~ # /~~..i~
_"'.................. _T,........TIIr'J1"""
facts I have reported above are true, correct and
7 :5 L ..1..l.f- ()3
(711)
WORK ( )
TELEPHONE NUMBER
HOME
DATE