HomeMy WebLinkAbout07-29-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
MITCHELL WILLIAM
28 PINNACLE DRIVE
NEWBURG, PA 17240
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ESTATE INFORMATION: ssly:
FILE NUMBER: 2108-0787
DECEDENT NAME: MITCHELL ESTHER E
DATE OF PAYMENT: 07/29/2008
POSTMARK DATE: 07/29/2008
couNTY: CUMBERLAND
DATE OF DEATH: 06/06/2008
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08133538 ~ $261.44
TOTAL AMOUNT PAID:
REMARKS:
CHECK#120
SEAL
PENNSYLVANIA
INI-IERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
INITIALS: AJW
5261.44
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1162 EX111-96)
NO. CD 010070
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA I N F O R MAT I O N N O T I C E
DEPARTMENT OF REVENUE AN D
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601 TAXPAYER RESPONSE
HARRISBURG, PA 17128-0601
REV-1543 EX I1FP (09-007
FILE N0. 21 ~)~~ O~p~
ACN 08133538
DATE 07-24-2008
EST. OF ESTHER E MITCHELL
S.S. N0.
DATE OF DEATH o6-06-2008
COUNTY CUMBERLAND
** WILLIAM M MITCHELL
28 PINNACLE DR PA 17240
NEWBURG
TAXPAYER RESPON
ORRSTOWN 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 ]oint 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 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 be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 103007450 Date 12-10-2007 To insure proper credit to your account, two
(2) copies of this notice must accompany your
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
~~
CHECK
C ONE
BLOCK
ONLY
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
NOTE: If tax payments are made within three
C3) months of the decedent's date of death,
you may deduct a 5% discount of th ~ax due.
Anv inheritance talc duo will becom~elinquent'
nine C9) months after~.#}7~3Jate of death.
A. ~.C.~ The above information and talc due is correct. ~'~''~-` "n
LCi ~ fC_. ti .
1. You may choose to remit payment to the Register of Wills with two copies o t is rygtice tg-obtain
a discount or avoid interest, or you may check box "A" and return this not><ce;tg the Reg ster of
Wills and an official assessment will be issued by the PA Department of RevenuaU~ ~ ,
g. ~ The above asset has been or will be reported and tax paid with the Pennsylvania--Ynheritance ~ return
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 ~ and/or PART ~ below.
PART If you indicate a different tax rate, Please state your
relationship to decedent:
TAX RETURN - COMPUTATION
LINt 1. Uate Establishetl
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
Established
6,115.52
X 100.00
6,115.52
X .045
275.20
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
PART
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) ~
Under penalties of perjury, I declare that the facts I have reported above are3tr U 0 c; rOrect and
complete to the best of my knowledg and belief . HOME C ~ ~~ ~ 7 a' ?
~.~~ WORK C ~ ~~ 1'1.~
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