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
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 2959
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
$13.16
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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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
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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::
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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
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