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HomeMy WebLinkAbout04-09-08 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 STUMP LOIS R 1 2 CONWAY DRIVE MECHANICSBURG, PA 17055 _n___n fold ESTATE INFORMATION: SSN: 161-20-0708 FILE NUMBER: 2108-0178 DECEDENT NAME: RITZ KATHRYN E DATE OF PAYMENT: 04/09/2008 POSTMARI( DATE: 03/26/2008 COUNTY: CUMBERLAND DATE OF DEATH: 04/18/2007 NO. CD 009524 ACN ASSESSMENT CONTROL NUMBER AMOUNT 08112315 I $31.35 I I I I I I I I TOTAL AMOUNT PAID: $31.35 REMARKS: RECEIPT TO ATTORNEY CHECK# 2918 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. 2BII601 HARRISBURG, PA 1712B-0601 *e' n'T:~:".;E7NO~NEsNpOoTNlSCEE 'EV-154~ ,E~:i. ~O;:~ i:" V~I t FILE ACN DATE NO.21 08-0178 08112315 03-17-2008 TYPE OF ACCOUNT D SAVINGS [i] CHECKING D TRUST D CERTIF. 2008 APR - 9 LOIS R STUMP 12 CONWAY DR MECHANICSBURG CLERf( OF ORDHIVI."''''' ("OIJRT I 11.' \1 \r 2) \j\, I C1 11,,,-, - r.', r,~. f'"''A U;\::.~.,~ 'i. .\! .I - ,-~.., -' AMID: ~T. OF KATHRYN E RITZ S.S. NO. 161-20-0708 DATE OF DEATH 04-18-2007 COUNTY CUMBERLAND PA 17055 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK 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 Penno;vlvania. Que'itions lIIay be answered by c~lli"g (717) 787..8327. COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS AccClunt No. 5002005131 Date 11-24-1999 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". Accclunt Balance Percent Taxable Amount Subject to Tax Tax Rate Pot,!ntial Tax Due 1,393.45 X 50.000 696.73 X .045 31. 35 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 ~ due. Any inheritance tax due will becoMe delinquent nine (9) months after the date of death. PART [!] 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 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 l. Date Established 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 X PART [!] DATE PAID ~ DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) $ Under penalties of perjury, I declare that the facts complete to the best of my knowledge and belief. have reported above are true, correct and HOME (7/7) (,'l7. (,(,JO WORK ( ) T~I ~PHnN~ NIIMB~R DATE ~R. ~~ TAVDII.VI:D c-T~IlJ^TIIDa: ,: ~(. _eo <<~~ .;."'" ,\~1 '~'. ii..' . \ '~IG . ::::~ ~i . !.,.' .' ~ - - - p..,.,.l t~ . ~ rI!. 4: . '1 ~ .t~ ~ ~ ':J ,~ i^ ~ It ~ ;;1, :t ~ <fr:- .."f'(1Q\)Y\J for>: \J- D'- \)',)' \.. c-: \J' ' ~" \<;).. ~ 1 1\\~\\ t..Y\\ ...~ C~t-~~~ 9~~ \X\\ (\oo\-\f:\.N':) ,J-;.,';, o~ \)P\ '-".,. \o" ~ ("\ \\, ~,y v\J \ '... , ~ ,(,1 ~. r.( f- ,.0 r>~ - ~ i ~ fr1 ~ ,.i i~ <- tts'~ !. ~1 ~~1 dll. \ ~ ~ .,.. Ul~ ~~% ~ Ull-O $. G'1..J<n q ....4- d) _:;:)~ C'l U.OO r: 0- ~ l-~~ 4'. ~~l-~o. J;C_Ul$C) -=-u.ooo:. ~o%d):;:) 4'.:;:)4'.C'lCO o.4'.t:)((/) ~'ttffigi 4'.:;:)iO~ o.CO-o.... ()) -0 o o 0- N ~ C') () j:: c o .-E ~ 4 - - - - - - - - - ~ - - - :::::. - ~ - - - - - -= -