HomeMy WebLinkAbout05-13-08
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 17128-0601
REV-1162 EX( 11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
WALBERT SUSAN P
20 MONARCH LANE
MECHANICSBURG, PA 17055
n_nn_ fold
ESTATE INFORMATION: SSN: 220-28-0601
FILE NUMBER: 2108-0529
DECEDENT NAME: PARSONS HERMAN F
DA TE OF PAYMENT: 05/13/2008
POSTMARK DATE: 04/12/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 12/08/2002
NO. CD 009719
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08120616 I $26.29
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$26.29
REMARKS:
CHECK# 3669
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
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INFORMATION NOTICE
AND
,TAXPAYER RESPONSE
FILE NO. 21
ACN
DATE
08120616
05-12-2008
CLER\< OF
ORPHAN'S COURT
v'] PA
EST. OF HERMAN F PARSONS
S.S. NO. 220-28-0601
DATE OF DEATH 12-08-2002
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
[X] CHECKING
D TRUST
D CERTIF.
Z008 HAY 13 PM 2: 21
SUSAN P WALBERT
20 MONARCH LN
MECHANICSBURG PA 17055
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the D@partm@nt with the information listed below which has been used in
calculating the potential tax due. Th@ir r@cords indicat@ that at the death of the above d@c@d@nt, 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 form and return it to the above address. This account is taxable in accordanc@ with the Inh@ritanc@ Tax Laws of the Commonw@alth
of Pennsylvcnie. Questions .ay bg answQrgd by calling (717) 787-8327.
COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5140048498
Date 08-01-1969
Established
To insure proper credit to your account, two
(2) copi@s of this notic@ must accompany your
payment to the R@gist@r of Wills. Mak@ ch@ck
payable to: "R@gist@r of Wills, Ag@nt".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
3,504.90
X 16.667
584.16
X .045
26.29
TAXPAYER RESPONSE
NOTE: If tax payments are made within three
(3) months of the d@c@d@nt's date of death,
you may d@duct a 5% discount of the tax due.
Any inh@ritanc@ tax due will b@com@ delinquent
nine (9) months after the date of death.
PART
[!]
Th@ above information and tax due is corr@ct.
1. You may choos@ to remit payment to the R@gist@r of Wills with two copi@s of this notic@ to obtain
a discount or avoid interest, or you may ch@ck box "A" and return this notic@ to the R@gist@r of
Wills and an official assessment will b@ issued by the PA D@partm@nt of R@v@nu@.
[CHECK ]
ONE
BLOCK
ONLY
B. [] Th@ above asset has been or will b@ r@Por~@d and tax paid with the Pennsylvania Inh@ritanc@ Tax return
to b@ filed by the d@c@d@nt's r@pres@ntatIv@.
c. [] Th@ above information is incorr@ct and/or debts and deductions were paid by you.
You must compl@t@ PART ~ and/or PART ~ below.
LINE 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
8. Tax Due 8
PART
[!]
DATE PAID PAYEE
X
PART
~
TAX RETURN - COMPUTATION
If you indicate a different tax rate, please state your
relationship to decedent:
OF TAX ON JOINT/TRUST ACCOUNTS
X
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
$
penalties of perjury, I declare that the facts
est of my knowledge and belief.
oJMr
and
or
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