HomeMy WebLinkAbout06-16-08COMMONW EA.LTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
NASER GLENN E
405 BOAS STREET
HARRISBURG, PA 17102
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: sSN: 235-22-5167
FILE NUMBER: 2108-0588
DECEDEN-f NAME: NASER GRACE M
DATE OF (PAYMENT: 06/16/2008
POSTMARK DATE: 06/ 14/2008
couNTY: CUMBERLAND
DATE OF DEATH: 03/29/2008
REV-1162 EX(11-96)
NO. CD 009886
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08126250 ~ 53.11
TOTAL AMOUNT PAID:
REMARKS:
CHECK#1127
SEAL
INITIALS: CJ
53.1 1
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMDNWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
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GLENN E NASER
405 BOAS ST
HBG PA 17102
INFORMA AND NOTICE FILE No. 21
TAXPAYER RESPONSE ACN 08126250
DATE 06-06-2008
TYPE OF ACCOUNT
EST. OF GRACE M NASER ® SAVINGS
$.$. NO. 235-22-5167 ~ CHECKING
DATE OF DEATH 03-29-2008 ~ TRUST
COUNTY CUMBERLAND ~ CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK 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 joint owner/beneficiarv 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 accordance with the Inheritance Tax Laws of the Commonwealth
of Pennsylvania- Queskions may ha answered by calling (717) 787-6327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5002044026 Date 05-11-2000 To insure proper credit to your account, two
Established (2) copies of this notice must accowpany your
Account Balance
435.40 payment to the Register of Wills. Make check
payable to: "Register of Wills
Agent"
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Percent Taxable X 16.667
NOTE: If tax payments are made within three ~ s.~/
Amount Subject to Tax 72 • 57 (3) months of the dece h, ~--
TaX Rate X . 045 ou may e a % discount of the tax due.
A
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PotE~ntial Tax Due
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ecome
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nine (9) months after the date of death. -
PART TAXPAYER RESPONSE
A. 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
C H E C K Wills and an official assessment will be issued by the PA Department of Revenue.
C ONE:
B L O C:K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L'Y 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 2^ and/or PART 3~ below.
PART If you indicate a different tax rate, please state your
relationship to decedent:
TAX RETURN - COMPUTATIDN OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1, Date Established 1
Z. Account Balance 2
3. Percent Taxable 3 X
4. Amount Subject to Tax G
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
5
6
7 X ~
8
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) s
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete the best of my knowledge and belief. HOME C ~ )
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