HomeMy WebLinkAbout07-14-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-961
NO. CD 010010
BAUMGARDNER STEVEN J
45 RABBIT SLIDE ROAD
ETTERS, PA 17319
fold
ESTATE INFORMATION: ssN: 207-22-o5s7
FILE NUMBER: 2108-0743
DECEDENT NAME: BAUMGARDNER LOIS M
DATE OF PAYMENT: 07/ 14/2008
POSTMARK DATE: 07/14/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 04/ 1 8/2008
REMARKS:
CHECK# 752
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08120765 ~ 525.82
TOTAL AMOUNT PAID: 525.82
INITIALS: AJW
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE I N F O R M AT I O N N O T I C E
BUREAU 01° INDIVIDUAL TAXES AND FILE N0. 21 ~} Q`}~3
DEPT. 2811601 ACN 08120765
HARRISBURG, PA 1712a-o6ol TAXP AY E R R E S P O N S E
DATE 05-12-2008
REV-1543 Ex AFP (99-00)
TYPE OF ACCOUNT
EST. OF LOIS M BAUMGARDNER ^ SAVINGS
S.S. N0. 207-22-0587 ® CHECKING
DATE OF DEATH o4-18-2008 ^ TRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS T0:
STEVEN BAUMGARDNER REGISTER OF WILLS
45 RABBIT SLIDE ROAD CUMBERLAND CO COURT HOUSE
E:TTERS PA 17319 ~ CARLISLE, PA 17013
~,~0 ~
MEMBERS 1ST F CU has provided the Department with the information listed below which has?~ sed i~ ~ ~ '
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a ~a3rF~~ier/b~ficia~jr nf._3
this account. If you feel this information is incorrect, please obtain written correction from the financial irtsts'c$ n, attach a cn~i":° '
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tazi;C,ay~f the~'ammonwth~
.S
of P COMPLETE PARTn1mBELOWs *re* b* cSEEngREVERSEBSIDE FOR FILING AND PAYMENT IN~R~CTIO~S ~" ''
Accmunt No. 159010-11 Date 05-29-1996 '~-~
To insure proper credit~o'~our acct, twp ,
Established C2) copies of this not~i.R must acco~~??~~ny your.
Account Balance 1,207.77 payment to the Register of Wills. Ike check
payable to: "Register of Wills, Agen``{~w
Percent Taxable X 50.000
NOTE: If tax payments are made within three
AmoUlnt $UbjeCt t0 TaX 603.89 (3) months of the decedent's date of death,
TaX Rate X .045 you ^ay deduct a 5Y. discount of the tax due.
Any inheritance tax due will become delinquent
Potential Tax DUe 27 • 18 nine (9) months after the date of death.
PART TAXPAYER RESPONSE
:::::
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....................................................................................................................................................._fi:.._I:.:: .:.:.~:~ I~`.IL:::~ fi~::~ ~~~. ~,~..:E~~,~,~~I:EMfi....~~IiS.EIS....#I~I.....'f.H:I.'~:::.:fiI~:E::~ :::
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
C H E C K a discount or avoid interest, or you may check box "A" and return this notice to the Register of
C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L 1~ 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 - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. ]Dato Established
2. Account Balance
3. (percent Taxable
4. ~4mount Subject to Tax
5. ]Debts and Deductions
6. ,4mount Taxable
7. 'iax Rate
8. 'Tax Due
1
2
3 X
4
5
6
7 X
8
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) 8
Under penalti s of perjury, I declare that the facts I have reported above are true, correct and
comp ete b t of my knowledge and belief. H OME ~ ) ~~
WORK C )
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