HomeMy WebLinkAbout07-21-08COMMDNWE:ALTH OF PENNSYLVANIA
DEPARTMEN~i OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 010039
HARTER DOUGLAS J
9 WEST PINE STREET
ENOLA, PA 17025
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ESTATE INFORMATION: ssN: 172-of-solo
FILE NUMBER: 2108-0688
DECEDENT NAME: HARTER HELEN E
DATE OF PAYMENT: 07/21 /2008
POSTMARK DATE: 07/18/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 06/15/2008
REMARKS:
CHECK# 1713
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08131992 ~ $54.39
08131993 ~ 5600.22
TOTAL AMOUNT PAID:
INITIALS: AJW
REV-1162 EX(11-96)
5654.61
GLENDA EARNER STRASBAUGH
RECEIVED BY:
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE INFORMATION NOTICE +_ ~~(/
BUREAU OF' INDIVIDUAL TAXES AND FILE N0. 21 ~~ b~t1~Q
DEPT. 280601 ACN 08131992
HARRISBURG, PA 171zB-0601 TAXPAYER R E S P O N S E
DATE 07-08-2008
REV-1543 IX I1FP C09-00)
TYPE OF ACCOUNT
EST. OF HELEN E HARTER ~ SAVINGS
$.$. NO. 172-01-9050 ®CHECKING
DATE OF DEATH 06-15-2008 ~ TRUST
COUNTY CUMBERLAND ~ CERTIF.
REMIT PAYMENT AND FORMS T0:
DOUGLAS J HARTER REGISTER OF WILLS
9 W PINE ST CUMBERLAND CO COURT HOUSE
ENOLA PA 17025 CARLISLE, PA 17013
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PNC BANK NA has provided the Department with the information listed below which has~~ed i!i'--
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a of r/berg~iciary•of
this account. If you feel this information is incorrect, please obtain written correction from the financial i ~$ i~t~n, attach a Copy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance T~Laws~af the Commonwealfh '
of Pennsylvania. puestions may be answered by calling (717) 787-8327. 'tC 33{~~y ,~ ;~" ,~~,
COMPLETE PART 1 BELOW * * ~ SEE REVERSE SIDE FOR FILING AND PAYMENT X_ UCTI~S
Account No. 000005140219891 Date 09-02-2003 --i J
To insure proper credit~o your account, twq
Established (2) copies of this notice must accon~p }:y your
Account Balance 2,544.35 payment to the Register of Wills. ~ check '
payable to: "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax 1,272.18 (3) months of the decedent's date of death,
Tax Rate X .045 you may deduct a 5% discount of the tax due.
~,~ Q Any inheritance tax due will become delinquent
Potential Tax Due 57 • 25 / nine (9) months after the date of death.
PART TAXPAYER RESPONSE
1 :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ~ ~ ~:::::::: ~:::::::::::::::::::~ ::.:.:.::::::::::::::::-:-,......................................................................................................................................
::~::'L'[:X:!L.eE:i~~~'!:'L":::::'l~:isislS3.."'~i17~i71E:^isEi1:!Ef::l_::::e~eE!!~fi;EE:E::a![:::r.~3l:::e~lii:_:::w:i[:w:i[:a:[-:[:.a..[.......aw:a:x~:~::~i~.ir~ai::iii~i~e::rYii~..isis~~~:~~~;:'.~::.::'.'~:~::~:_:'.::_~:i'.~:::-_:_i~:i:i:e _~ ~::-:::::::~~~:::;:;::
A. 1,11fhe above information and tax due is correct.
Lld 1. You may 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 may check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
ONE
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 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 Q and/or PART ~ below.
PART y i ate a different tax rate, please state your ~•~_~=~_~~~~•~•~•~~~~~-~~• ~ ~'~°
relationshi to de ..::.................................................................................._::~..::€::€~(~'~~s`:'~;€;i
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TAX RETU - :~~::~::~::;::;::_:=:~~;;_::~::::::::~:::~:~:=_:~:::::::::=:~~:~:~~:=€~~~~=~~~;~€€
RN COMPUTAT 0 .: ~~:~~:€~::::::~:_;:~ :::::::::::::~:~_:~::_:~:€~:€~::::~_~:~;:;,;:;:;:~ ~::::::::::::~:~::::~:::::::~:
I N OF TAX ON JOINT/TRUST ACCOUNTS :~:FADi:i::~- :::::...........:::::::::::::::::::.::.:...............
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E 1. Date Estab ~..,.....-,
2. Account Balance 2 ;:;:~.
3. P
ercen
t Taxable -
X
3
4. Am
punt Sub'
ect to
~ Tax 4 °'
5. Debts and ;:~:;::~~:::::~';~;i~:i~:€:€:€sisi~:€:;:€~:~;is~:°s:€s:'=_~€:€~:€:i_:€~:~:i~:i~:~:€:€:€:i[€s==.€:i:tsis:ts=.i
Deductions 5 - ::::::~::::::
6. Amount Taxable 6 ::.~_ ......: ri ::~: :-:-:.
7. Tax Rat ;~i;i;i;i;i;;=_:_~=:€~:i~:isii::€:€si:€~:€i:_€:€~:;:i::::€:€:~:=€:€~:€:~ss:€~:~;i:iti::[:`s€:=.€i:€~:__':€:s:
:__::~ ::::~ ::~ ii€€€€ ~ ~ =; ~ iii ~i:;:;:==i~;iii €€~ i ; = =€iiiiii?€:€=€==i==; €€~ €~~€ ~ ~-; iii:€:i;€ i ii €i;ii~ ;€=ii
8 . Tax Due :::::~ :::::::- ............:.:.:.............:::.:.:.:..:...:....:.:. :...::::~::~: _:,.,.,.,.,:,:,:,:,.,.,.,.,.:,:.:.:.:.......:_..:,:,:,.
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PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
IDEAL 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 to the best of y know edge and belief. ~{ A~ rJ~ ~ _ ~ /Q ~~1
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