HomeMy WebLinkAbout04-15-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 009560
DUPLICATE
THOMAS ANDREW L
905 GREENBRIAR DRIVE
MECHANICSBURG, PA 17050
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ESTATE INFORMATION: ssN: 20o-34-s2s2
FILE NUMBER: 2108-0428
DECEDENT NAME: THOMAS GEORGE B
DATE OF PAYMENT: 04/ 1 5/2008
POSTMARK DATE: 04/14/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 01 / 1 8/2008
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
081 14331 ~ $10.47
TOTAL AMOUNT PAID:
REMARKS: ANDREW L THOMAS
CHECK# 805
SEAL
INITIALS: WZ
S 10.47
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT DF REVENUE INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES A N D
DEPT. 280601
HARRISBURG, PA 171za-o6o1 TAX PAYE R R E S P O N S E
REV-1543 EX RFP (09-00)
FILE N0. 21- C)~S- ~-'-~~
ACN 08114331
DATE 04-09-2008
EST. OF GEORGE B THOMAS
S.S. N0. 200-34-9292
DATE OF DEATH 01-18-2008
COUNTY CUMBERLAND
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
REMIT PAYMENT AM~FORMS T0:
ANDREW L THOMAS REGISTERC~F WILLS ~ „k
905 GREENBRIAR DR CUMBERLA1513~'0 COUR,~. HOUSE
MECHANICSBURG PA 17050-1916 CARLISLE, P~ 17011 +_
_ , --. 7
'?
PSECU has provided the Department with the information listed below whi.ch~s been (1SErd in =1-~
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were .point owner/benefic}dF+yy of
this account. If you feel this information is incorrect, please obtain written correction from the financi~ institution?attacFi a'oopy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws oche Commonwealth
of Pennsylvania. Guastions may be answered by calling :7173 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0188627586
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due ~{ l~-`~?
Date 04-08-1983
Established
490.21
X
X
50.000
245.11
.045
11.03
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".
NOTE: If tax payments are made within three
C3) 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 C9) months after the date of death.
PART TAXPAYER RESPONSE
1 :::::::::::::::: ,......::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.:.~::::::::::::::::::::::::::.:_:::::::::::::..::::::::~.:.:::::~:::::::.::::::::::::::.:::::::::.::
CAT:EilDlr :TJ'1:~~:D:C~I~i'fi7~f .Li'~.E'.~f ~;€II~B<4~F1:{':T:~::~'Eii~::~:1Gtti:~::~1:C~~:'~~:'~~1k:E~::~:'R`1k~:~~:iLil:~~C:iK€i2ii~C~'d'R`:~~~fl:1L~S~:C'~~>~:L'f~~:e:'t'~T12:;,?Y E1~7'fi~:C ;:~;:
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
CHECK a discount or avoid interest, or you may check b ox "A" and return this notice to the Register of
C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y 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 If you indicate a different tax rate, please state your
:~ ::~ :,~ ::~ ::::::~ ::-a::,::
i€iii€si€i~i~ii~i~~=i=iiiai.~, ~i~iiii~ ii iil~ ii iii
relationshi
P
2 to decedent:
............................>........~~~.,..nr,z,~~.........................~...,.x........
TAX RETURN - COMPUTATION
LINE i. 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
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation) S
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
couple a to the/best of my~/~'wledge and belief. HOME C7~ ) (~" .~~~5'
C~~~ ~~ \~~~` WORK C ?(? ) ate -C9 SC' `~%' ub"
TAXPAYER SIGNATURE TELEPHONE NUMBER AT