HomeMy WebLinkAbout07-01-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE ~~
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
EDWARDS WILLIAM D
3709 FALKSTONE DRIVE
MECHANICSBURG, PA 17050
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: SSN: ~ so-14-3848
FILE NUMBER: 2108-0702
DECEDENT NAME: EDWARDS LOUIS S
DATE OF PAYMENT: 07/03/2008
POSTMARK DATE: 06/30/2008
COUNTY: CUMBERLAND '"
DATE OF DEATH: 05/20/2008
08124280 ~ $107.65
REV-1162 EX(11-96)
NO. CD 009973
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 2125
INITIALS: CJ
RECEIVED BY:
S 107.65
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIYIDUAL TAXES INFORMATION NOTICE FILE N0. 21 'O~°~O7U2-
A N D
DEPT. 280601
HARRISBURG, PA nl~e-0601
...,-.r,. "` "~~:" TAXPAYER R E S P O N S E ACN 0$ 1242$0
'- ~
~ DATE 06 -03-2008
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WILLIAM EDWARDS ~~~"`' " ` 't
3709 FALKSTONE DRIVE
MECHANICSBURG PA 17050
TYPE OF ACCOUNT
EST. OF LOUIS S EDWARDS ^ savlNGs
S.S. N0. 160-14-3848 ®CHECKING
DATE OF DEATH 05-20-2008 ^ TRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST FCU 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 ioint 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 fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth
of Pennsylvania. Questions ^ay be answered by calling C717) 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 255280-1 1
Date 12-03-2004 __
To insure vroper credit to your account, two
Established C2) copies of this notice must accompany your
payment to the Register of Wills. Make check
Account Balance 15, 108 .87 payable to: "Register of Wills, Agent".
Percent Taxable X 16 .667
NOTE: If tax payments are made within three
Amount Subject to Tax 2,518 .20 (3) months of the decedent's date of death,
Tax Rate X .045 you may deduct a 5Y. discount of the tax due.
Any inheritance tax due will becoee delinquent
Potential Tax Due 1 1 3 .3 2 nine C9) months after the date of death.
PART TAXPAYER RESPONSE
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A. ~y( The above information and tax due is correct.
~AqV~ 1. You ^ay choose to remit payment to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or you nay check box "A" and return this notice to the Register of
0 N E Wills and an official assessment will be issued by the PA Department of Revenue.
BLOCK ] 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 cosplate PART ~ and/or PART ~ below.
, r^c: ::
PART y indicate a different tax rate, please state your °--°--°-°--°'--~'~°°°•-~y!:~ y~~!E ""' '>>""
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TAX RETU :::::::::.::::.:::-,:,~::.:::::~:::~~.:::::::::::::::::,:::::::::::~~:~:::~.:::,.,:
RN COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS €~D~'_~~°`~`~~°~~~~~~`'°~'~'~=~~~~€`~~€~_€~~~~~:'~''.~€~~€~~_!-:~'~~~~°~:::_
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LINE 1 . Bate Established 1 .:.:...:...::::::: .. ra:.:...:::,:::_::, =•::;:;:::;:: ,:;:;,..~;
2. Aceoun
t Balanee
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ercent Taxable 3 X •~••• """"""' :::~~:~•~•~~••-
4. Amount Subject to Tax 4 ''"'""""°~ """'-"'-° : r':,
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5. Deb
is and D
eductions -
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6.
Amount T
axable
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8 . Tax Due 8 """""""""~
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE
DESCRIPTION
AMOUNT PAID
Under penalties o~erjury
compl~e tn~ the best of ,my
eela a tha~,the facts I have reported above are true, correct
e an bel unMG ~I'7 ~/l~ 72~.~~-7 ~
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ATURE TELEPH
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TOTAL (Enter on Line 5 of Tax Computation) 4
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