HomeMy WebLinkAbout08-25-08UO~ti1MON~ti'EA~TH OF PENNSY L4 ANIA
DEPARTMENT vF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
H ARRISBIIRG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
FISHER SCOTT H
206 FAIRVIEW ROAD
NEW CUMBERLAND, PA 17070-2407
ACN
ASSESSI~/IENT
CONTROL
NUMBER
______ fold
ESTATE INFORMATION: SSN: 356-is-5308
FILE NUMBER: 2108-0602
DECEDENT NAME: FISHER ,10E E
DATE OF PAYMENT: 08/25/2008
POSTMARK DATE: 08/23/2008
couNTY: CUMBERLAND
DATE OF DEATH: 05/23/2008
AMOUNT
08134162 ~ $106.38
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 645
INITIALS: CJ
RECEIVED BY:
S 106.38
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 010186
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE INFORMATION NOTICE FILE N0. 21 08-0602
BUREAU OF INDIVIDUAL TAXES A N D
DEPT. zso6gl TAXPAYER RESPONSE ACN 08134162
HARRISBURG, PA 17128-0601
DATE 08-01-2008
REV-1543 E% AFP (09-00)
,,,,, ,~, TYPE OF ACCOUNT
3 ~~ ~~ EST. OF JOSEPH H FISHER ® SAVINGS
S.S. N0. 356-16-5308 ~ CHECKING
_'~~ DATE OF DEATH 05-23-2008 ~ TRUST
Jr` COUNTY CUMBERLAND ~ CERTIF.
r~ ;
"''~ REMIT PAYMENT AND FORMS T0:
SCOTT FISHER REGISTER OF WILLS
206 FAIRVIEW ROAD CUMBERLAND CO COURT HOUSE
NEW CUMBERLAND PA 17070 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 point 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.
rnMaLErF PeRT ], RFLQ4il * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 162287-00 Date 11-15-1995 To insure proper credit to your account, two
Established (2) copies of this notice must accompany your
payment to the Register of Wills. Make check
Account Balance 4, 976.82 payable to: "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to TaX 2, 488.41 C3) months of the decedent's date of death,
Tax Rate X .045 you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
Potential Tax Due 111 • 98 nine (9) months after the date of death.
PART TAXPAYER RESPONSE
'FAILEfRE TQ RESPOND W'TLk. R~~k~4T, IN AN OFFICIAL 'TAX ASSE.S5ME~1T >BASED Ott THIS N~1`If~E 'I
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 ret rn this notice to the Register of
ills and an o h cial1asse~smen i}1 6be(~issu~c~ by P^4epa tment of Revenue.
C BOLOCK ~ B. ~ The ab~~ ass t has or n~~1 ~ ~ ~ -" ~' }\- s ~ ~
-walY be eported and tax paid wi h the Pennsylvania Inheritance Tax return
O N L Y to be file 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 CJF~IC~A1. ~~ ON1;~ ^''~~~'
relationship to decedent: PA I}~PA#~TM~NT pF REYENQF!
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PFkD'
LINE 1. Date Established 1 1
2. Account Balance 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 ~+
5. Debts and Deductions 5 - ~
6. Amount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
PART DEBTS AND DEDUCTIONS CLA:[MED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation) S
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