HomeMy WebLinkAbout05-19-08
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF I~IDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
TANNENBAUM KATHLEEN KOSSLER
6110 SOMMERTON DRIVE
MECHANICSBURG, PA 17050
-------- fold
ESTATE INFORMATION: SSN: 190-09-5824
FILE NUMBER: 2108-0122
DECEDENT NAME: KOSSLER WILLIAM R
DATE OF PAYMENT: 05/19/2008
POSTMARK DATE: 05/16/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 01/20/2008
NO. CD 009752
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08121966 I $350.24
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 1385
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
$350.24
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 08-0122
08121966
05-15-2008
REV.1543 EX AFP (09-00)
EST. OF WILLIAM KOSSLER
S.S. NO. 190-09-5824
DATE OF DEATH 01-20-2008
COUNTY CUMBERLAND
TYPE OF ACCOUNT
IiJ SAVINGS
o CHECKING
o TRUST
o CERTIF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013 ~
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ALLEGHENY ENERGY FCU has p..ovided the Depa..tment with the info..mation listed below WhiCh-I!a;;y~ usell.On : , " ,', !
calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent, you we..e :a:~;(::owne"/beneficl.a;'Y'- of
this account. If you feel this info..mation is inco....ect, please obtain w..itten co....ection f..om the financial'1~ion,-"tach ),<:o;,y)
to this fo... and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itanc~:~~Laws of ~ Com~onwealth
of pe~~~~~~~'E ~;~~n; m;Eb~O;sw:..e: b: c;~~ngR~~~~~~8~;~E FOR FILING AND PAYMEN~WsTRUCM'ONS ;-.'-
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To insure proper credit to your ~unt, two
(2) copies of this notice must accompany your
payment to the Registe.. of Wills. Make check
payable to: "Registe.. of Wills, Agent".
KATE TANNENBAUM
6110 SOMMERTON DR
MECHANICSBURG PA 17050
C.l ,>
Account No.
0323
Date
04-05-2005
Established
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
x
15,566.31
50.000
7,783.16
.045
350.24
NOTE: If tax payments a..e made within th..ee
(3) months of the decedent's date of death,
you may deduct a 5% discount of the tax dUe.
Any inhe..itance tax due will become delinquent
nine (9) months afte.. the date of death.
x
PART
[!]
TAXPAYER RESPONSE
A. ~The above info..mation and tax due is co....ect.
~ i. You may choose to ..emit payment to the Registe.. 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 Depa..tment of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. [] 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 ..epresentative.
C. [] The above info..mation is incor..ect and/o.. debts and deductions we..e paid by you.
You must complete PART 0 and/o.. PART 0 below.
If you indicate a different tax rate, please state your
relationship to decedent:
x
PART
~
TAX
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1- Date Established
2. Account Balance 2
3. Percent Taxable 3
4. Amount 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
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
I
$ I
,
Under penalties of perjury, I declare that the facts
~omplete to the best of my knowledge and belief.
=&/bD -J!:!.~~h() U rYL
have reported above are true, correct and
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