HomeMy WebLinkAbout04-11-08
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-9S)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REED LINDA M
217 7TH STREET
NEW CUMBERLAND, PA 17070
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ESTATE INFORMATION:
FILE NUMBER: 2108-0493
DECEDENT NAME: REED HELENA M
DATE OF PAYMENT: 05/02/2008
POSTMARK DATE: 04/11/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 11/14/2007
NO. CD 009651
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08104178 I $433.76
I
I
I
I
I
I
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 2689
SEAL
INITIALS: AKK
RECEIVED BY:
REGISTER OF WILLS
$433.76
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMOtoltlEAl TH OF PENNSYlVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*D
REV-1S~ . ;~'\-: )
INFORMATION NOTICE
.:i AND
,fFIC1!'UPAYER RESPONSE
\: \~P' I ~
FILE NO.
ACN
DATE
21'O~' ~":J
08104178
02-04-2008
TYPE OF
ACCOUNT
Ii] SAVINGS
o CHECK I NG
D TRUST
o CERTIF.
LINDA M REED
217 7TH ST
NEW CUMBERLAND
200811AY -2 PH l: O&5T. OF HELENA M REED
S.S. NO.
CLERK OF DATE OF DEATH 11-14-2007
~tS COURT COUNTY CUMBERLAND
CU. MBERlANO CO.. PI\ REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PA 17070
"EMBERS 1 ST FCU has provided the Depart.ent with the infol'llation listed below which has been used in
~lculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficia~ of
'his account. If you f.el this info...ation is incorrect, please obtain written correction fro. the financial institution, attach a copy
to this fo..- and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Co..onwealth
r.i r>vr,"15lrlyanlio. Que.tioiis llIail bit ai.~...red by .:..11in. t71n 1S7-e~21.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 40399-00
Date
EstabUshed
07-31-1984
To insure proper credit to your account, two
(2) copies of this notice .ust accu.panw your
pay.ent 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
x
19,278.35
50.000
9,639.18
.045
433.76
NOTE: If tax pa~ents are .ade within three
(3) .onths of the decedent's date of death,
you .ay deduct a SX discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
PART
I!l
The above infor.ation and tax due is correct.
1. You.~ choose to ra.it p~.ent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you .ay check box "A" and return this notice to the Register of
Wills and an official assess.ent will be issued by the PA Depart.ent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. E:J 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. r=J The above infor.ation is incorrect andlor debts and deductions were paid by you.
You .ust co.pleh PART 0 andlor PART 0 below.
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax rate, please state your
relationship to decedent:
PART
[!]
TAX RETURN - COMPUTATION
LINE 1. 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
1
2
3
4
5
IS
x
TAX ON JOINT/TRUST ACCOUNTS
7_X
8
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
.
TAXPA
facts I haye reported
HOME ( 1
WORK (- (I )
TELEPHONE NUMBER
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