HomeMy WebLinkAbout05-02-08
COMMONWEALTH OF PENNSYLVANIA
DEPART v1ENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 2 0601
HARRIS URG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVEC FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
WHEELER LORI J
20~ GHEEN HILL ROAD
NE'VV!LLE, PA 17241
----~- fold
ESTA E INFORMATION:
FILE 1\ UMBER: 2108-0463
DECE )ENT NAME: WHEELER BRENDA M
DATE OF PAYMENT: 05/02/2008
posTMAHK DATE: 05/01/2008
COU~ TY: CUMBERLAND
DATE OF DEATH: 01/27/2008
NO. CD 009655
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08117519 I $13.67
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REI'. ARKS:
CHECK# 3642
S AL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
$13.67
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMM NWEALTH OF PENNSYLVANIA
DEPA TMENT OF REVENUE
BUR U OF INDIVIDUAL TAXES
DEPT 280601
HARR SBURG, PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 tl<6ol!WS
08117519
04-21-2008
REV-1543 EX AFP (09-00)
EST. OF BRENDA M WHEELER
S.S. NO.
DATE OF DEATH 01-27-2008
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
o CHECKING
o TRUST
[i] CERTIF.
ADA
calc
this
to t
of P
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS ~~lnf
CUMBERLAND CD. OU~T H~E
CARLISLE, PA 013 ~
.~<< ~ ~ ;11
~. ~?
;Q -< v:
C ~ I ;:::-1
zen=" N ::iJ
S COUNTY NATIONAL BANK has provided the Department with the information listed below which h~'at. sed ~. c::. C-,
lating the potential tax due. Their records indicate that at the death of the above decedent, you were a . er/b ficiarylqt~l
account. If you feel this information is incorrect, please obtain written correction from the financial ~ tion. a < ach a.~~
is form and return it to the above address, This account is taxable in accordance with the Inheri tance ~ s of t.....OIl..O.iilli'lo~.
nnsylvania. Questions may be answered by calling (717) 787-8327. )F h~::;' <-")
OMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCT~S ~~
LINDSAY J WHEELER
209 GREEN HILL RD
NEWVILLE PA 17241
Account No. 3991012
Date 01-02-2001
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",
Account Balance
Percent Taxable
Amount Subject to Tax
Ta~: Rate
Potential Tax Due
1,822.34
X 16.667
303.73
X .045
13.67
TAXPAYER RESPONSE
NOTE: If tax payments are made within three
(3) months of the decedent's date of death.
you may deduct a 5r. discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
[CHECK ]
ONE
BLOCK
ONLY
A. c=l 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.
B. c=l 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
PA T If you indicate a different tax rate. please state your
2 relationship to decedent:
T RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LI E 1. Date Established
2. Account Balance 2
3. Percent Taxable 3
4. Amount SUbject to Tax 4
S. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rate 7
e: . Tax Due 8
P RT
x
DEBTS AND DEDUCTIONS CLAIMED
D TE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation) *
Under penalties of perjury, I declare that the facts I are true, correct and
complete to the best of my knowledge and belief.
Af-3o-oi
DATE
~
.-
':t.....
..~...j
:.Ol'~:"~
': -.
,,'
t ·
. '
t. I
.~
""
r""
'~
4.
0:-
~
i;t.
"""I
-
'{;!)
v'l
'1
~
<(
~
"..\
(7"':";.,
't,
\i.
tf~\
i"'.
'F,
0)
~
":::)
c
~
....
c5
V')
-r-
c.
-:>
d
-.;.
-
-:
:
-:
-:
...
-
...
-
..
-
-
...
-:.
-
...
...
-
-=
...
-,
....-;
...
...
~
-
-=
'"
'"
:=
*1
-:::
-:
'"
-
..J
\.,.
% <<)
JD~
-
~~
,..s::;: t','
-t- \::J - (:~
l,... (')
-...;;. r~
~ ,II)
<::::J .....::. -\-
,",\
\.,. ~
~ (')
- <::J {'~
_,04
~~ ~
g "~'
~Io ::IC
: > \.
~ ~ Fn -< &
t -..
O~~ N ~'
, " _ Co.
"""' o~
-d~ p-n -0
...p?~ :x -,'I
....-::::--rl
~~~ <tJ ~C"5
,g~~ ~ ,_ rTl
~ ~p.... <=> C)
Cl.> Cl.> to..) -r1
'~o~
,..JC'\~
OCl.>
M7-
"1'"
4:
<I'!:~
't-..
-r-\
C'
-
3
~
o
-
~
....
\..-Sl
~ '-
\.f) ~
'.- 'E.
~ ,J .::s
\~ '-.)