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Home My WebLink About08-04-08COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL. TAXES DEPT. 280601 HANRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-961 NO. CD 010089 PARVIN PATRICIA A 12 OAKWOOD AVENUE MECHANICSBURG, PA 17055 ------- fold ESTATE INFORMATION: ssrv: 151-20-2s4s FILE NUMBER: 2108-0806 DECEDENT NAME: PARVIN WARNER DATE OF PAYMENT: 08/04/2008 POSTMARK DATE: 07/22/2008 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 /04/2007 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER ~ S 1 15.60 TOTAL AMOUNT PAID: 5115.60 CHECK# 4927 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES A N D DEPT. 280601 HARRISBURG, PA 17128-0601 TAX P AY E R R E S P O N S E REV-1543 EX AFP CU9-001 FILE N0. 21 •"4''(~~~~~ ACN 08128864 DATE 06-23-2008 7(;x;8 ~J~ -~, ~ , ~~.`{ '"'C Or ~~ I~j JAMES W PARVIN ~~~ 215 MILLERS GAP RD ENOLA PA 17025 TYPE OF ACCOUNT EST. OF WARNER PARVIN ~ SAVINGS S.S. N0. ® CHECKING DATE OF DEATH 11-04-2007 ~ TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK NA 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/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. 000005140048543 Date 06-01-1963 Established Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due 15,412.37 x 16.667 2,568.78 x .045 115.60 To insure proper credit to your account, two C2) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". NOTE: If tax payments are made within three (3) months of the decedent's date of death, you may deduct a 5% discount of tYie tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. PART TAXPAYER RESPONSE 0 ...... ,.., ,. .... ' ~AIL~RE '['~ RCr~PI3~ID W.~'E.L RESULT IN .~i19,OFFI~IEtE~ ; ASSESSMENT HJ1~EI9 ;13N THIS ,k#p:T ICE._s A. ~ The above information and tax due is correct. LLL~~~ 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 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 2^ and/or PART 3^ below. PART If you indicate a different tax rate, please state your ., .. . , _. DF~ICIAL L~S~' CINLY f_I A~~ L~ 2 relationship to decedent: ^ M ~ PA D£PART ~NT v~ REV ~tilF TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ;FAD ', LINE 1. Date Es tablished 1 ~,! 2. Account Balance 2 ~:: 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 C~; 5. Debts a nd Deductions 5 - ~,', 6. Amount Taxable 6 ry: 7. Tax Rat e 7 X ~:, 8. Tax Due 8 ~ j. PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID ~1 ~ \ TOTAL (Enter on Line 5 of Tax Computation) S Undo p nal ies of perjury, I declare that the facts I have repor t ed above are t r u e, correct and co plete a best of my kn owledge and~elief. ^ ~ HOME C /1~ ~/ c ~ ) 7~p~j77~~ ~"~ T ~1ierM~ii U . 9-Q n! , /1 WO R K ( ) ~ a~ a-8 TAXPAYER SIGNATURE TELEPHONE NUMBER DATE P 1 1 ~'• ('? tx r • w r ,_ ~w w.~ i r-, `'`5 tp ?•r;. ~' :.; 0 U a IV 0 x w m a w ~.~_. - C` ~~~ - `~T - PA Jr' wm W MHO ~ W J fA C ~ ~ ~ N OGp r. T W ? ~ o a O Z ~ N aQ~xai wWOCO~ p~Wm~ Q~=OQ am?a= O ch U H c 0 ::. G N Q