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HomeMy WebLinkAbout05-20-08 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B060 1 HARRISBURG, PA 1712B-0601 REV- 1162 EX( 11 -96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HIGHLANDS BONNIE L 564 E STREET CARLISLE, PA 17013 __h____ told ESTATE INFORMATION: SSN: 181-05-3649 FILE NUMBER: 2108-0551 DECEDENT NAME: WEIGLE ETHEL M DATE OF PAYMENT: OS/20/2008 POSTMARK DATE: 05/19/2008 COUNTY: CUMBERLAND DATE OF DEATH: 03/06/2008 NO. CD 009759 ACN ASSESSMENT CONTROL NUMBER AMOUNT 08121308 I $46.67 I I I I I I I I TOTAL AMOUNT PAID: $46.67 REMARKS: CHECK# 2251 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG, PA 17128-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 O~ O~I 08121308 05-13-2008 REV-1543 EX AFP <09-00) EST. OF ETHEL M WEIGLE S.S. NO. 181-05-3649 DATE OF DEATH 03-06-2008 COUNTY CUMBERLAND TYPE OF ACCOUNT [i] SAVINGS D CHECKING D TRUST D CERTIF. BONNIE L HIGHLANDS 564 E ST CARLISLE PA 17013 REMIT PAYMENT AND ~MS TO: REGISTER OF~ILLS g; CUMBERLAND ~OURT ~USE: CARLISLE, P'A;::{~.7013 ~ ' t~ ~ .. ~ '----' C) ,;3(~ ~ MEMBERS 1ST FCU has pl'ovided the Depal'tment with the infol'mation listed below which .has-lleen used-i,p calculating the potential tax due. Theil' I'ecol'ds indicate that at the death of the above decedent, you wel'e aj~ ownel'/~efici81'Y of this account. If you feel this infol'mation is incol'I'ect, please obtain wl'itten cOl'I'ection fl'om the financial .~1i\ution, ~t~ach a copy i to this fOl'm and I'etul'n it to the above addl'ess. This account is taxable in accol'dance with the Inhel'itance ~ Laws of t~Commonwealth of Pennsylvania. Questions may be answel'ed by calling C717J 787-8327. \D COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 154395-0 Date 09-30-1995 Established To insure proper credit to your account, two C2} copies of this notice must accompany YOUI' payment to the Registel' of Wills. Make check payable to: URegister of Wills, Agent". Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due 2,074.16 X 50.000 1,037.08 X .045 46.67 TAXPAYER RESPONSE NOTE: If tax payments al'e made within thl'ee C3} months of the decedent's date of death, you may deduct a 5% discount of the tax due. Any inhel'itance tax due will become delinquent nine C9} months aftel' the date of death. PART [!] [CHECK ] ONE BLOCK ONLY A. l\:;rThe above infol'mation and tax due is cOl'I'ect. ~ 1. You may choose to I'emit payment to the Registel' of Wills with two copies of this notice to obtain a discount or avoid intel'est, 01' you may check box "A" and I'etul'n this notice to the Registel' of Wills and an official assessment will be issued by the PA Depal'tment of Revenue. 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 I'epl'esentative. C. [] The above infol'mation is incol'I'ect and/ol' debts and deductions wel'e paid by you. You must complete PART ~ and/ol' PART ~ below. X PART ~ TAX If you indicate a different tax rate, please state your relationship to decedent: RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1- Oate 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) $ of perjury, I declare that the facts ~ffj ~J:; and belief. ~a;~Erep~riji1 a~OVaa~q .tr~S:/Dect WORK (1n) l/ '6b - dd '; TI=I I=PI..InNI= NIIMBI=R and f1 fCt lot n TI= - :::- - ,.,. ...J o ..... (,I -+- (..1 ,j.l UI ' t.;, :::- - - - ::-- - f ? == - =- - - =- :::- :::- ::-- :r: =- - =- :::- I'.;l = c::- C< ! .! ,~-~ :..n _1: (j :;: ~:: in _<_ c.,^' :::0 0,,:> r f~2 i ::? ~ iP ,~ .:2- ~ ~,~ ~~ t ~;;= uJ~ ::;c:.' i (i .---<;; ~~ .2 ..c... ~ Yfl - ~r -~ " --:. o (JJ !"""'; ,J.. P ;iiJ $ u'i r}; ~. ~. ~ C) "P J:t' 1.1".,1, ;;..... ..~. '!.:::~ :r<i' ,/;7 .J:( I,,} t'." iJ:f;' j!~:1 ",';.:'J '.'\~ .\;... ,;.:. I"" \4 I"" }"",)", \ '\ r} I" J) j/~' i' / ( " tl,"l/ '~ i, ~ \ t f .~!~t\t ~, ;', ~', 'i,d, ~ , ~i \ t." ,J'\ ~