HomeMy WebLinkAbout05-21-08
COMMONWEALTH OF PENNSYLVANIA
DEPARTM~ REVENUE
BU~INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
CASEY DONNA L
885 CROOKED STICK DRIVE
MECHANICSBURG, PA 17050
-------- fold
ESTATE INFORMATION: SSN: 530-10-5497
FILE NUMBER: 2108-0556
DECEDENT NAME: STICKEL MYRA L
DATE OF PAYMENT: OS/21/2008
POSTMARK DATE: OS/20/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 03/10/2008
NO. CD 009765
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08500534 I $1,220.52
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$1,220.52
REMARKS: DONNA L CASEY
CHECK# 217
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO BOX 2B0601
HARRISBURG PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21
08500534
05-20-2008
REY-1543A AFP <7-00)
EST. OF MYRA L STICKEL
S.S. NO. 530-10-5497
DATE OF DEATH 03-10-2008
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SECURITY
IX] SEC ACCT
o STOCK
o BONDS
_J.' ~
DONNA L CASEY ~I~
885 CROOKED S~rACK DR
MECHANICSBURG PA 17050
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MERRILL LYNCH has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset.
If you feel this information is incorrect, please obtain written correction from the transfer agent, attach a copy to this form and
return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of PennsYlvania.
Questions may bQ ans~Q~ed by calling (717) 787-3327.
Account No. 749-22431
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
000 Valuation
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
[!]
x
85,651.31
33.333
28,550.15
.045
1,284.76
TAXPAYER RESPONSE
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".
x
NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
you may deduct a 57. discount of the tax due.
Any inheritance tax due will become~linquent
nine (9) months after ~ date of d~.
...,..,..-
.;
[CHECK ]
ONE
BLOCK
ONLY
The above information and tax due is correct. ::~ ::JJ
1. You may choose to remit payment to the Register of Wills with two copies of th'ri' ~ice to obtain
a discount or avoid interest, or you may check box "A" and return this noticii. to~ W Regntrler of.-
Wills and an official assessment will be issued by the PA Department of Reve~e: -n ::I:
- -1J
B. c=JThe above asset has been or will be reported and tax paid with the PennsYIVania.~he?itance Tax retufri:_
to be filed by the decedent's representative. j> (J1
N
C. c=JThe above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
1
PART If yoU indicate a different tax rate, please state your
~ relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSETCS)
LINE 1- ODD Valuation
2. Percent Taxable
3. Amount Subject to Tax
4.. Debts and Deductions
5. Amount Taxable
6. Tax Rate
7. Tax Due
2 X
3
4
5
6 X
7
PART DEBTS AND DEDUCTIONS CLAIMED
[!]
DATE PAID
PAYEE
DESCR I PTI ON
AMOUNT PAID
and
TOTAL CEnter on Line 5 of Tax Computation}
$
perjury, I declare that the facts I have reported
my k.nowledge and belief. HOME C
WORK C
TELEPHONE
6 /
DATE
()g
~
,.
f:;.~~'
~~),
~.
'~l
\
.-
,~
\
)\
1~
~s
""2, ~ct
~~ -
~11
-lil
p-L
c
~\
'~~r
'!J
.
\
-:.
-
-:.
-:.
-
-:.
:::.
-:.
,
-:.
-:.
-::;
-
-;
~
-
-:.
-
-
,
~
-:.
-
-:;
,
-
{'.\
iTl
~,.\
\'il
\ .
-to
//\
. .
.....
i.1
f'
.,..1