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HomeMy WebLinkAbout04-25-08 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG" PA 17128-0601 REV-1162 EX(11-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HUFFEIR GLENN J 602 COCKLIN STREET MECHANICSBURG, PA 17055-6616 __nn__ fold ESTATE INI=ORMATION: SSN: 204-03-0233 FILE NUMBER: 2108-0475 DECEDENT NAME: HUFFER ROMA YNE DATE OF PAYMENT: 04/25/2008 POSTMARK DATE: 04/24/2008 COUNTY: CUMBERLAND DATE OF DEATH: 02/11/2008 NO. CD 009621 ACN ASSESSMENT CONTROL NUMBER AMOUNT 08117591 I $13.16 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 2959 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS $13.16 GLENDA FARNER STRASBAUGH REGISTER OF WILLS - - ...- .....' - ...- ....... - - - ..... ..... - 1Wi.,. - - - -, '.... - '...... - 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 08117591 04-21-2008 REV-15li3 EX AFP (09-00) EST. OF ROMAYNE HUFFER S.S. NO. 204-03-0233 DATE OF DEATH 02-11-2008 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS [i] CHECKING o TRUST o CERTIF. GLEN HUFFER 602 COCKLIN ST MECHANICSBURG PA 17055 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU 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 for'm and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsyh'ania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Accolunt No. 230752-11 Date Established 05-31-2003 AccolUnt Balance Pe rc,ent Taxable Amount Subject to Tax Tax Rate Potential Tax Due x 585.00 50.000 292.50 .045 13.16 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". x 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. PART [!] he above information and tax due is correct. : ] =-n ::::.. 1. You may choose to remit payment to the Register of Wills with two copies Ofj~~otic~o obt~i~ a discount or avoid interest, or you may check box "A" and return this noXi~t;onthe Rl'l5ster 'af, Wills and an official assessment will be issued by the PA Department of Rev~~2 CJ1 :::, I...... ......'", B. [] The above asset has been or will be reported and tax paid with the pennSYlva~i~;~~itan~ax r~~ur~_) to be filed by the decedent's representative. ,'<;''''' 11 :::n:: ---,J:o . C. [] The above information is incorrect and/or debts and deductions were paid by !eV~~ You must complete PART 0 and/or PART 0 below. )::',. ,:~,~ ( ') [CHECK ] ONE BLOCK ONLY I' DEBTS AND DEDUCTIONS CLAIMED 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. A.ccount Balance 2 3. Percent Taxable 3 4. A.mount 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 x DESCR I PTI ON 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. TAV~~OJ!f&'~/ have reported above are true, correct and HOME (70) tf'7 ,?/u" f WORK ( ) ,/.2:-'1/ v l ~ t". ~~\ o ..... iJ ~. \')1 ,'1) I,~ ,.... r - - ":"" ~ - - ":"" ~ :- =- ~ - ':" ~ - ":"" -=- ":"" ":"" ":"" ~ ~ =- ~ ~ ":"" -=- =-- ~ - ":"" - ~ -.l o V' V" , ~~e . C.. ~ ~ ~ ~ ,,~ , '-..:: ~ '^ ~ ~\ ~ t \'- ~ ~ '-' .~ ~ ~ ':'- . ,",. '- ~ t-. ~\..... I ...\~-.., ~: '~ ~ "y A~ .* {....: ~" (t;- (f.i t. .- i'; e ~ , 1 ~ l~ ~ ) ,,; "" ~ '-J ~ l ~ ~I '"' -~ ... ~ f'~ P'" ~f ~.. ~ \.., -rj '1'1(;'" )...... ..;~. ~ f.-!- ~1\ .', : f.-!- "7"'" ,1"'\ \J" l ~.: .c\f\J ..'<": ,;..' ,~.~__ \\ ,f\ ,., ,,,,,II'" .,l '-,r"".\.) ~O \),,;'.~ C \..;;:l\-".0'-' ')..0\ \\J~ 1~V\\':) .> '--':.., ~8~ ~~\)1. ,!, \ ,?V S\,,\ V\O